|
HC CT VIRTUAL COLON WO CON DIAG
|
Facility
|
IP
|
$1,312.26
|
|
|
Service Code
|
CPT 74261
|
| Hospital Charge Code |
35000012
|
|
Hospital Revenue Code
|
350
|
| Min. Negotiated Rate |
$913.33 |
| Max. Negotiated Rate |
$1,181.03 |
| Rate for Payer: Aetna Commercial |
$1,115.42
|
| Rate for Payer: BCBS Trust/PPO |
$1,083.80
|
| Rate for Payer: BCN Commercial |
$1,083.80
|
| Rate for Payer: Cash Price |
$1,049.81
|
| Rate for Payer: Cofinity Commercial |
$1,128.54
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,049.81
|
| Rate for Payer: Healthscope Commercial |
$1,181.03
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$984.20
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,115.42
|
| Rate for Payer: Nomi Health Commercial |
$1,076.05
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$984.20
|
| Rate for Payer: PHP Commercial |
$1,115.42
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$1,141.67
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$913.33
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,154.79
|
| Rate for Payer: UHC Core |
$1,095.74
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$984.20
|
|
|
HC CT VIRTUAL COLON WO CON DIAG
|
Facility
|
OP
|
$1,312.26
|
|
|
Service Code
|
CPT 74261
|
| Hospital Charge Code |
35000012
|
|
Hospital Revenue Code
|
350
|
| Min. Negotiated Rate |
$231.35 |
| Max. Negotiated Rate |
$1,181.03 |
| Rate for Payer: Aetna Commercial |
$1,115.42
|
| Rate for Payer: Aetna Medicare |
$341.19
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$410.08
|
| Rate for Payer: Amish Plain Church Group Commercial |
$410.08
|
| Rate for Payer: BCBS Complete |
$242.90
|
| Rate for Payer: BCBS MAPPO |
$328.06
|
| Rate for Payer: BCBS Trust/PPO |
$1,078.81
|
| Rate for Payer: BCN Commercial |
$1,078.81
|
| Rate for Payer: BCN Medicare Advantage |
$328.06
|
| Rate for Payer: Cash Price |
$1,049.81
|
| Rate for Payer: Cofinity Commercial |
$1,128.54
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,049.81
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$328.06
|
| Rate for Payer: Healthscope Commercial |
$1,181.03
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$984.20
|
| Rate for Payer: Mclaren Medicaid |
$231.35
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$344.47
|
| Rate for Payer: Meridian Medicaid |
$242.90
|
| Rate for Payer: MI Amish Medical Board Commercial |
$377.27
|
| Rate for Payer: Molina Medicare/Medicaid |
$360.87
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,115.42
|
| Rate for Payer: Nomi Health Commercial |
$1,076.05
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$984.20
|
| Rate for Payer: PACE Senior Care Partners |
$311.66
|
| Rate for Payer: PACE SWMI |
$328.06
|
| Rate for Payer: PHP Commercial |
$1,115.42
|
| Rate for Payer: PHP Medicare Advantage |
$328.06
|
| Rate for Payer: Priority Health Choice Medicaid |
$231.35
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$1,141.67
|
| Rate for Payer: Priority Health Medicare |
$331.35
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$913.33
|
| Rate for Payer: Railroad Medicare Medicare |
$328.06
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,154.79
|
| Rate for Payer: UHC Core |
$1,095.74
|
| Rate for Payer: UHC Exchange |
$328.06
|
| Rate for Payer: UHC Medicaid |
$231.35
|
| Rate for Payer: UHC Medicare Advantage |
$328.06
|
| Rate for Payer: UHCCP Medicaid |
$231.35
|
| Rate for Payer: VA VA |
$328.06
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$984.20
|
|
|
HC CTX BETA CROSSLAPS, S
|
Facility
|
IP
|
$45.90
|
|
|
Service Code
|
CPT 82523
|
| Hospital Charge Code |
30100768
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$31.95 |
| Max. Negotiated Rate |
$41.31 |
| Rate for Payer: Aetna Commercial |
$39.02
|
| Rate for Payer: BCBS Trust/PPO |
$37.91
|
| Rate for Payer: BCN Commercial |
$37.91
|
| Rate for Payer: Cash Price |
$36.72
|
| Rate for Payer: Cofinity Commercial |
$39.47
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$36.72
|
| Rate for Payer: Healthscope Commercial |
$41.31
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$34.42
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$39.02
|
| Rate for Payer: Nomi Health Commercial |
$37.64
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$34.42
|
| Rate for Payer: PHP Commercial |
$39.02
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$39.93
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$31.95
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$40.39
|
| Rate for Payer: UHC Core |
$38.33
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$34.42
|
|
|
HC CTX BETA CROSSLAPS, S
|
Facility
|
OP
|
$45.90
|
|
|
Service Code
|
CPT 82523
|
| Hospital Charge Code |
30100768
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$8.09 |
| Max. Negotiated Rate |
$41.31 |
| Rate for Payer: Aetna Commercial |
$39.02
|
| Rate for Payer: Aetna Medicare |
$11.93
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$14.34
|
| Rate for Payer: Amish Plain Church Group Commercial |
$14.34
|
| Rate for Payer: BCBS Complete |
$8.50
|
| Rate for Payer: BCBS MAPPO |
$11.47
|
| Rate for Payer: BCBS Trust/PPO |
$37.73
|
| Rate for Payer: BCN Commercial |
$37.73
|
| Rate for Payer: BCN Medicare Advantage |
$11.47
|
| Rate for Payer: Cash Price |
$36.72
|
| Rate for Payer: Cofinity Commercial |
$39.47
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$36.72
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$11.47
|
| Rate for Payer: Healthscope Commercial |
$41.31
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$34.42
|
| Rate for Payer: Mclaren Medicaid |
$8.09
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$12.05
|
| Rate for Payer: Meridian Medicaid |
$8.50
|
| Rate for Payer: MI Amish Medical Board Commercial |
$13.20
|
| Rate for Payer: Molina Medicare/Medicaid |
$12.62
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$39.02
|
| Rate for Payer: Nomi Health Commercial |
$37.64
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$34.42
|
| Rate for Payer: PACE Senior Care Partners |
$10.90
|
| Rate for Payer: PACE SWMI |
$11.47
|
| Rate for Payer: PHP Commercial |
$39.02
|
| Rate for Payer: PHP Medicare Advantage |
$11.47
|
| Rate for Payer: Priority Health Choice Medicaid |
$8.09
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$39.93
|
| Rate for Payer: Priority Health Medicare |
$11.59
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$31.95
|
| Rate for Payer: Railroad Medicare Medicare |
$11.47
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$40.39
|
| Rate for Payer: UHC Core |
$38.33
|
| Rate for Payer: UHC Exchange |
$11.47
|
| Rate for Payer: UHC Medicaid |
$8.09
|
| Rate for Payer: UHC Medicare Advantage |
$11.47
|
| Rate for Payer: UHCCP Medicaid |
$8.09
|
| Rate for Payer: VA VA |
$11.47
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$34.42
|
|
|
HC CT Z ABSCESS S T NECK THORAX
|
Facility
|
OP
|
$2,698.29
|
|
|
Service Code
|
CPT 21501
|
| Hospital Charge Code |
36100319
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$475.71 |
| Max. Negotiated Rate |
$2,428.46 |
| Rate for Payer: Aetna Commercial |
$2,293.55
|
| Rate for Payer: Aetna Medicare |
$701.56
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$843.22
|
| Rate for Payer: Amish Plain Church Group Commercial |
$843.22
|
| Rate for Payer: BCBS Complete |
$499.45
|
| Rate for Payer: BCBS MAPPO |
$674.57
|
| Rate for Payer: BCBS Trust/PPO |
$2,218.26
|
| Rate for Payer: BCN Commercial |
$2,218.26
|
| Rate for Payer: BCN Medicare Advantage |
$674.57
|
| Rate for Payer: Cash Price |
$2,158.63
|
| Rate for Payer: Cofinity Commercial |
$2,320.53
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,158.63
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$674.57
|
| Rate for Payer: Healthscope Commercial |
$2,428.46
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,023.72
|
| Rate for Payer: Mclaren Medicaid |
$475.71
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$708.30
|
| Rate for Payer: Meridian Medicaid |
$499.45
|
| Rate for Payer: MI Amish Medical Board Commercial |
$775.76
|
| Rate for Payer: Molina Medicare/Medicaid |
$742.03
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,293.55
|
| Rate for Payer: Nomi Health Commercial |
$2,212.60
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,023.72
|
| Rate for Payer: PACE Senior Care Partners |
$640.84
|
| Rate for Payer: PACE SWMI |
$674.57
|
| Rate for Payer: PHP Commercial |
$2,293.55
|
| Rate for Payer: PHP Medicare Advantage |
$674.57
|
| Rate for Payer: Priority Health Choice Medicaid |
$475.71
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$2,347.51
|
| Rate for Payer: Priority Health Medicare |
$681.32
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,878.01
|
| Rate for Payer: Railroad Medicare Medicare |
$674.57
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,374.50
|
| Rate for Payer: UHC Core |
$2,253.07
|
| Rate for Payer: UHC Exchange |
$674.57
|
| Rate for Payer: UHC Medicaid |
$475.71
|
| Rate for Payer: UHC Medicare Advantage |
$674.57
|
| Rate for Payer: UHCCP Medicaid |
$475.71
|
| Rate for Payer: VA VA |
$674.57
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,023.72
|
|
|
HC CT Z ABSCESS S T NECK THORAX
|
Facility
|
IP
|
$2,698.29
|
|
|
Service Code
|
CPT 21501
|
| Hospital Charge Code |
36100319
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$1,878.01 |
| Max. Negotiated Rate |
$2,428.46 |
| Rate for Payer: Aetna Commercial |
$2,293.55
|
| Rate for Payer: BCBS Trust/PPO |
$2,228.52
|
| Rate for Payer: BCN Commercial |
$2,228.52
|
| Rate for Payer: Cash Price |
$2,158.63
|
| Rate for Payer: Cofinity Commercial |
$2,320.53
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,158.63
|
| Rate for Payer: Healthscope Commercial |
$2,428.46
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,023.72
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,293.55
|
| Rate for Payer: Nomi Health Commercial |
$2,212.60
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,023.72
|
| Rate for Payer: PHP Commercial |
$2,293.55
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$2,347.51
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,878.01
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,374.50
|
| Rate for Payer: UHC Core |
$2,253.07
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,023.72
|
|
|
HC CULTURE ADDITIONAL ID
|
Facility
|
IP
|
$53.39
|
|
|
Service Code
|
CPT 87077
|
| Hospital Charge Code |
30600078
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$37.16 |
| Max. Negotiated Rate |
$48.05 |
| Rate for Payer: Aetna Commercial |
$45.38
|
| Rate for Payer: BCBS Trust/PPO |
$44.09
|
| Rate for Payer: BCN Commercial |
$44.09
|
| Rate for Payer: Cash Price |
$42.71
|
| Rate for Payer: Cofinity Commercial |
$45.92
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$42.71
|
| Rate for Payer: Healthscope Commercial |
$48.05
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$40.04
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$45.38
|
| Rate for Payer: Nomi Health Commercial |
$43.78
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$40.04
|
| Rate for Payer: PHP Commercial |
$45.38
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$46.45
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$37.16
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$46.98
|
| Rate for Payer: UHC Core |
$44.58
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$40.04
|
|
|
HC CULTURE ADDITIONAL ID
|
Facility
|
OP
|
$53.39
|
|
|
Service Code
|
CPT 87077
|
| Hospital Charge Code |
30600078
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$9.41 |
| Max. Negotiated Rate |
$48.05 |
| Rate for Payer: Aetna Commercial |
$45.38
|
| Rate for Payer: Aetna Medicare |
$13.88
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$16.68
|
| Rate for Payer: Amish Plain Church Group Commercial |
$16.68
|
| Rate for Payer: BCBS Complete |
$9.88
|
| Rate for Payer: BCBS MAPPO |
$13.35
|
| Rate for Payer: BCBS Trust/PPO |
$43.89
|
| Rate for Payer: BCN Commercial |
$43.89
|
| Rate for Payer: BCN Medicare Advantage |
$13.35
|
| Rate for Payer: Cash Price |
$42.71
|
| Rate for Payer: Cofinity Commercial |
$45.92
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$42.71
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$13.35
|
| Rate for Payer: Healthscope Commercial |
$48.05
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$40.04
|
| Rate for Payer: Mclaren Medicaid |
$9.41
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$14.01
|
| Rate for Payer: Meridian Medicaid |
$9.88
|
| Rate for Payer: MI Amish Medical Board Commercial |
$15.35
|
| Rate for Payer: Molina Medicare/Medicaid |
$14.68
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$45.38
|
| Rate for Payer: Nomi Health Commercial |
$43.78
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$40.04
|
| Rate for Payer: PACE Senior Care Partners |
$12.68
|
| Rate for Payer: PACE SWMI |
$13.35
|
| Rate for Payer: PHP Commercial |
$45.38
|
| Rate for Payer: PHP Medicare Advantage |
$13.35
|
| Rate for Payer: Priority Health Choice Medicaid |
$9.41
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$46.45
|
| Rate for Payer: Priority Health Medicare |
$13.48
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$37.16
|
| Rate for Payer: Railroad Medicare Medicare |
$13.35
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$46.98
|
| Rate for Payer: UHC Core |
$44.58
|
| Rate for Payer: UHC Exchange |
$13.35
|
| Rate for Payer: UHC Medicaid |
$9.41
|
| Rate for Payer: UHC Medicare Advantage |
$13.35
|
| Rate for Payer: UHCCP Medicaid |
$9.41
|
| Rate for Payer: VA VA |
$13.35
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$40.04
|
|
|
HC CULTURE ENTERIC PATH STOOL
|
Facility
|
OP
|
$42.49
|
|
|
Service Code
|
CPT 87045
|
| Hospital Charge Code |
30600323
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$7.49 |
| Max. Negotiated Rate |
$38.24 |
| Rate for Payer: Aetna Commercial |
$36.12
|
| Rate for Payer: Aetna Medicare |
$11.05
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$13.28
|
| Rate for Payer: Amish Plain Church Group Commercial |
$13.28
|
| Rate for Payer: BCBS Complete |
$7.86
|
| Rate for Payer: BCBS MAPPO |
$10.62
|
| Rate for Payer: BCBS Trust/PPO |
$34.93
|
| Rate for Payer: BCN Commercial |
$34.93
|
| Rate for Payer: BCN Medicare Advantage |
$10.62
|
| Rate for Payer: Cash Price |
$33.99
|
| Rate for Payer: Cofinity Commercial |
$36.54
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$33.99
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$10.62
|
| Rate for Payer: Healthscope Commercial |
$38.24
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$31.87
|
| Rate for Payer: Mclaren Medicaid |
$7.49
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$11.15
|
| Rate for Payer: Meridian Medicaid |
$7.86
|
| Rate for Payer: MI Amish Medical Board Commercial |
$12.22
|
| Rate for Payer: Molina Medicare/Medicaid |
$11.68
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$36.12
|
| Rate for Payer: Nomi Health Commercial |
$34.84
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$31.87
|
| Rate for Payer: PACE Senior Care Partners |
$10.09
|
| Rate for Payer: PACE SWMI |
$10.62
|
| Rate for Payer: PHP Commercial |
$36.12
|
| Rate for Payer: PHP Medicare Advantage |
$10.62
|
| Rate for Payer: Priority Health Choice Medicaid |
$7.49
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$36.97
|
| Rate for Payer: Priority Health Medicare |
$10.73
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$29.57
|
| Rate for Payer: Railroad Medicare Medicare |
$10.62
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$37.39
|
| Rate for Payer: UHC Core |
$35.48
|
| Rate for Payer: UHC Exchange |
$10.62
|
| Rate for Payer: UHC Medicaid |
$7.49
|
| Rate for Payer: UHC Medicare Advantage |
$10.62
|
| Rate for Payer: UHCCP Medicaid |
$7.49
|
| Rate for Payer: VA VA |
$10.62
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$31.87
|
|
|
HC CULTURE ENTERIC PATH STOOL
|
Facility
|
IP
|
$42.49
|
|
|
Service Code
|
CPT 87045
|
| Hospital Charge Code |
30600323
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$29.57 |
| Max. Negotiated Rate |
$38.24 |
| Rate for Payer: Aetna Commercial |
$36.12
|
| Rate for Payer: BCBS Trust/PPO |
$35.09
|
| Rate for Payer: BCN Commercial |
$35.09
|
| Rate for Payer: Cash Price |
$33.99
|
| Rate for Payer: Cofinity Commercial |
$36.54
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$33.99
|
| Rate for Payer: Healthscope Commercial |
$38.24
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$31.87
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$36.12
|
| Rate for Payer: Nomi Health Commercial |
$34.84
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$31.87
|
| Rate for Payer: PHP Commercial |
$36.12
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$36.97
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$29.57
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$37.39
|
| Rate for Payer: UHC Core |
$35.48
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$31.87
|
|
|
HC CULTURE ENTERIC PATH STOOL CMPT
|
Facility
|
OP
|
$15.96
|
|
|
Service Code
|
CPT 87046
|
| Hospital Charge Code |
30600324
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$2.81 |
| Max. Negotiated Rate |
$14.36 |
| Rate for Payer: Aetna Commercial |
$13.57
|
| Rate for Payer: Aetna Medicare |
$4.15
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$4.99
|
| Rate for Payer: Amish Plain Church Group Commercial |
$4.99
|
| Rate for Payer: BCBS Complete |
$2.95
|
| Rate for Payer: BCBS MAPPO |
$3.99
|
| Rate for Payer: BCBS Trust/PPO |
$13.12
|
| Rate for Payer: BCN Commercial |
$13.12
|
| Rate for Payer: BCN Medicare Advantage |
$3.99
|
| Rate for Payer: Cash Price |
$12.77
|
| Rate for Payer: Cofinity Commercial |
$13.73
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$12.77
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$3.99
|
| Rate for Payer: Healthscope Commercial |
$14.36
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$11.97
|
| Rate for Payer: Mclaren Medicaid |
$2.81
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$4.19
|
| Rate for Payer: Meridian Medicaid |
$2.95
|
| Rate for Payer: MI Amish Medical Board Commercial |
$4.59
|
| Rate for Payer: Molina Medicare/Medicaid |
$4.39
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$13.57
|
| Rate for Payer: Nomi Health Commercial |
$13.09
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$11.97
|
| Rate for Payer: PACE Senior Care Partners |
$3.79
|
| Rate for Payer: PACE SWMI |
$3.99
|
| Rate for Payer: PHP Commercial |
$13.57
|
| Rate for Payer: PHP Medicare Advantage |
$3.99
|
| Rate for Payer: Priority Health Choice Medicaid |
$2.81
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$13.89
|
| Rate for Payer: Priority Health Medicare |
$4.03
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$11.11
|
| Rate for Payer: Railroad Medicare Medicare |
$3.99
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$14.04
|
| Rate for Payer: UHC Core |
$13.33
|
| Rate for Payer: UHC Exchange |
$3.99
|
| Rate for Payer: UHC Medicaid |
$2.81
|
| Rate for Payer: UHC Medicare Advantage |
$3.99
|
| Rate for Payer: UHCCP Medicaid |
$2.81
|
| Rate for Payer: VA VA |
$3.99
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$11.97
|
|
|
HC CULTURE ENTERIC PATH STOOL CMPT
|
Facility
|
IP
|
$15.96
|
|
|
Service Code
|
CPT 87046
|
| Hospital Charge Code |
30600324
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$11.11 |
| Max. Negotiated Rate |
$14.36 |
| Rate for Payer: Aetna Commercial |
$13.57
|
| Rate for Payer: BCBS Trust/PPO |
$13.18
|
| Rate for Payer: BCN Commercial |
$13.18
|
| Rate for Payer: Cash Price |
$12.77
|
| Rate for Payer: Cofinity Commercial |
$13.73
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$12.77
|
| Rate for Payer: Healthscope Commercial |
$14.36
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$11.97
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$13.57
|
| Rate for Payer: Nomi Health Commercial |
$13.09
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$11.97
|
| Rate for Payer: PHP Commercial |
$13.57
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$13.89
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$11.11
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$14.04
|
| Rate for Payer: UHC Core |
$13.33
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$11.97
|
|
|
HC CULTURE FUNGAL OTHER SOURCE
|
Facility
|
IP
|
$82.19
|
|
|
Service Code
|
CPT 87102
|
| Hospital Charge Code |
30600083
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$57.20 |
| Max. Negotiated Rate |
$73.97 |
| Rate for Payer: Aetna Commercial |
$69.86
|
| Rate for Payer: BCBS Trust/PPO |
$67.88
|
| Rate for Payer: BCN Commercial |
$67.88
|
| Rate for Payer: Cash Price |
$65.75
|
| Rate for Payer: Cofinity Commercial |
$70.68
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$65.75
|
| Rate for Payer: Healthscope Commercial |
$73.97
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$61.64
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$69.86
|
| Rate for Payer: Nomi Health Commercial |
$67.40
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$61.64
|
| Rate for Payer: PHP Commercial |
$69.86
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$71.51
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$57.20
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$72.33
|
| Rate for Payer: UHC Core |
$68.63
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$61.64
|
|
|
HC CULTURE FUNGAL OTHER SOURCE
|
Facility
|
OP
|
$82.19
|
|
|
Service Code
|
CPT 87102
|
| Hospital Charge Code |
30600083
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$14.49 |
| Max. Negotiated Rate |
$73.97 |
| Rate for Payer: Aetna Commercial |
$69.86
|
| Rate for Payer: Aetna Medicare |
$21.37
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$25.68
|
| Rate for Payer: Amish Plain Church Group Commercial |
$25.68
|
| Rate for Payer: BCBS Complete |
$15.21
|
| Rate for Payer: BCBS MAPPO |
$20.55
|
| Rate for Payer: BCBS Trust/PPO |
$67.57
|
| Rate for Payer: BCN Commercial |
$67.57
|
| Rate for Payer: BCN Medicare Advantage |
$20.55
|
| Rate for Payer: Cash Price |
$65.75
|
| Rate for Payer: Cofinity Commercial |
$70.68
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$65.75
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$20.55
|
| Rate for Payer: Healthscope Commercial |
$73.97
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$61.64
|
| Rate for Payer: Mclaren Medicaid |
$14.49
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$21.57
|
| Rate for Payer: Meridian Medicaid |
$15.21
|
| Rate for Payer: MI Amish Medical Board Commercial |
$23.63
|
| Rate for Payer: Molina Medicare/Medicaid |
$22.60
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$69.86
|
| Rate for Payer: Nomi Health Commercial |
$67.40
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$61.64
|
| Rate for Payer: PACE Senior Care Partners |
$19.52
|
| Rate for Payer: PACE SWMI |
$20.55
|
| Rate for Payer: PHP Commercial |
$69.86
|
| Rate for Payer: PHP Medicare Advantage |
$20.55
|
| Rate for Payer: Priority Health Choice Medicaid |
$14.49
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$71.51
|
| Rate for Payer: Priority Health Medicare |
$20.75
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$57.20
|
| Rate for Payer: Railroad Medicare Medicare |
$20.55
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$72.33
|
| Rate for Payer: UHC Core |
$68.63
|
| Rate for Payer: UHC Exchange |
$20.55
|
| Rate for Payer: UHC Medicaid |
$14.49
|
| Rate for Payer: UHC Medicare Advantage |
$20.55
|
| Rate for Payer: UHCCP Medicaid |
$14.49
|
| Rate for Payer: VA VA |
$20.55
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$61.64
|
|
|
HC CULTURE FUNGAL SKIN, HAIR, NAIL
|
Facility
|
OP
|
$82.19
|
|
|
Service Code
|
CPT 87101
|
| Hospital Charge Code |
30600082
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$14.49 |
| Max. Negotiated Rate |
$73.97 |
| Rate for Payer: Aetna Commercial |
$69.86
|
| Rate for Payer: Aetna Medicare |
$21.37
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$25.68
|
| Rate for Payer: Amish Plain Church Group Commercial |
$25.68
|
| Rate for Payer: BCBS Complete |
$15.21
|
| Rate for Payer: BCBS MAPPO |
$20.55
|
| Rate for Payer: BCBS Trust/PPO |
$67.57
|
| Rate for Payer: BCN Commercial |
$67.57
|
| Rate for Payer: BCN Medicare Advantage |
$20.55
|
| Rate for Payer: Cash Price |
$65.75
|
| Rate for Payer: Cofinity Commercial |
$70.68
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$65.75
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$20.55
|
| Rate for Payer: Healthscope Commercial |
$73.97
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$61.64
|
| Rate for Payer: Mclaren Medicaid |
$14.49
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$21.57
|
| Rate for Payer: Meridian Medicaid |
$15.21
|
| Rate for Payer: MI Amish Medical Board Commercial |
$23.63
|
| Rate for Payer: Molina Medicare/Medicaid |
$22.60
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$69.86
|
| Rate for Payer: Nomi Health Commercial |
$67.40
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$61.64
|
| Rate for Payer: PACE Senior Care Partners |
$19.52
|
| Rate for Payer: PACE SWMI |
$20.55
|
| Rate for Payer: PHP Commercial |
$69.86
|
| Rate for Payer: PHP Medicare Advantage |
$20.55
|
| Rate for Payer: Priority Health Choice Medicaid |
$14.49
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$71.51
|
| Rate for Payer: Priority Health Medicare |
$20.75
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$57.20
|
| Rate for Payer: Railroad Medicare Medicare |
$20.55
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$72.33
|
| Rate for Payer: UHC Core |
$68.63
|
| Rate for Payer: UHC Exchange |
$20.55
|
| Rate for Payer: UHC Medicaid |
$14.49
|
| Rate for Payer: UHC Medicare Advantage |
$20.55
|
| Rate for Payer: UHCCP Medicaid |
$14.49
|
| Rate for Payer: VA VA |
$20.55
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$61.64
|
|
|
HC CULTURE FUNGAL SKIN, HAIR, NAIL
|
Facility
|
IP
|
$82.19
|
|
|
Service Code
|
CPT 87101
|
| Hospital Charge Code |
30600082
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$57.20 |
| Max. Negotiated Rate |
$73.97 |
| Rate for Payer: Aetna Commercial |
$69.86
|
| Rate for Payer: BCBS Trust/PPO |
$67.88
|
| Rate for Payer: BCN Commercial |
$67.88
|
| Rate for Payer: Cash Price |
$65.75
|
| Rate for Payer: Cofinity Commercial |
$70.68
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$65.75
|
| Rate for Payer: Healthscope Commercial |
$73.97
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$61.64
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$69.86
|
| Rate for Payer: Nomi Health Commercial |
$67.40
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$61.64
|
| Rate for Payer: PHP Commercial |
$69.86
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$71.51
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$57.20
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$72.33
|
| Rate for Payer: UHC Core |
$68.63
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$61.64
|
|
|
HC CULTURE ID BLOOD PATHOGEN BY NUCLEIC ACID
|
Facility
|
OP
|
$636.72
|
|
|
Service Code
|
CPT 87154
|
| Hospital Charge Code |
30600329
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$112.25 |
| Max. Negotiated Rate |
$573.05 |
| Rate for Payer: Aetna Commercial |
$541.21
|
| Rate for Payer: Aetna Medicare |
$165.55
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$198.97
|
| Rate for Payer: Amish Plain Church Group Commercial |
$198.97
|
| Rate for Payer: BCBS Complete |
$117.86
|
| Rate for Payer: BCBS MAPPO |
$159.18
|
| Rate for Payer: BCBS Trust/PPO |
$523.45
|
| Rate for Payer: BCN Commercial |
$523.45
|
| Rate for Payer: BCN Medicare Advantage |
$159.18
|
| Rate for Payer: Cash Price |
$509.38
|
| Rate for Payer: Cofinity Commercial |
$547.58
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$509.38
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$159.18
|
| Rate for Payer: Healthscope Commercial |
$573.05
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$477.54
|
| Rate for Payer: Mclaren Medicaid |
$112.25
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$167.14
|
| Rate for Payer: Meridian Medicaid |
$117.86
|
| Rate for Payer: MI Amish Medical Board Commercial |
$183.06
|
| Rate for Payer: Molina Medicare/Medicaid |
$175.10
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$541.21
|
| Rate for Payer: Nomi Health Commercial |
$522.11
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$477.54
|
| Rate for Payer: PACE Senior Care Partners |
$151.22
|
| Rate for Payer: PACE SWMI |
$159.18
|
| Rate for Payer: PHP Commercial |
$541.21
|
| Rate for Payer: PHP Medicare Advantage |
$159.18
|
| Rate for Payer: Priority Health Choice Medicaid |
$112.25
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$553.95
|
| Rate for Payer: Priority Health Medicare |
$160.77
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$443.16
|
| Rate for Payer: Railroad Medicare Medicare |
$159.18
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$560.31
|
| Rate for Payer: UHC Core |
$531.66
|
| Rate for Payer: UHC Exchange |
$159.18
|
| Rate for Payer: UHC Medicaid |
$112.25
|
| Rate for Payer: UHC Medicare Advantage |
$159.18
|
| Rate for Payer: UHCCP Medicaid |
$112.25
|
| Rate for Payer: VA VA |
$159.18
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$477.54
|
|
|
HC CULTURE ID BLOOD PATHOGEN BY NUCLEIC ACID
|
Facility
|
IP
|
$636.72
|
|
|
Service Code
|
CPT 87154
|
| Hospital Charge Code |
30600329
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$443.16 |
| Max. Negotiated Rate |
$573.05 |
| Rate for Payer: Aetna Commercial |
$541.21
|
| Rate for Payer: BCBS Trust/PPO |
$525.87
|
| Rate for Payer: BCN Commercial |
$525.87
|
| Rate for Payer: Cash Price |
$509.38
|
| Rate for Payer: Cofinity Commercial |
$547.58
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$509.38
|
| Rate for Payer: Healthscope Commercial |
$573.05
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$477.54
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$541.21
|
| Rate for Payer: Nomi Health Commercial |
$522.11
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$477.54
|
| Rate for Payer: PHP Commercial |
$541.21
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$553.95
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$443.16
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$560.31
|
| Rate for Payer: UHC Core |
$531.66
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$477.54
|
|
|
HC CULTURE OTHER SOURCE
|
Facility
|
IP
|
$47.76
|
|
|
Service Code
|
CPT 87070
|
| Hospital Charge Code |
30600075
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$33.24 |
| Max. Negotiated Rate |
$42.98 |
| Rate for Payer: Aetna Commercial |
$40.60
|
| Rate for Payer: BCBS Trust/PPO |
$39.44
|
| Rate for Payer: BCN Commercial |
$39.44
|
| Rate for Payer: Cash Price |
$38.21
|
| Rate for Payer: Cofinity Commercial |
$41.07
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$38.21
|
| Rate for Payer: Healthscope Commercial |
$42.98
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$35.82
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$40.60
|
| Rate for Payer: Nomi Health Commercial |
$39.16
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$35.82
|
| Rate for Payer: PHP Commercial |
$40.60
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$41.55
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$33.24
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$42.03
|
| Rate for Payer: UHC Core |
$39.88
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$35.82
|
|
|
HC CULTURE OTHER SOURCE
|
Facility
|
OP
|
$47.76
|
|
|
Service Code
|
CPT 87070
|
| Hospital Charge Code |
30600075
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$8.42 |
| Max. Negotiated Rate |
$42.98 |
| Rate for Payer: Aetna Commercial |
$40.60
|
| Rate for Payer: Aetna Medicare |
$12.42
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$14.93
|
| Rate for Payer: Amish Plain Church Group Commercial |
$14.93
|
| Rate for Payer: BCBS Complete |
$8.84
|
| Rate for Payer: BCBS MAPPO |
$11.94
|
| Rate for Payer: BCBS Trust/PPO |
$39.26
|
| Rate for Payer: BCN Commercial |
$39.26
|
| Rate for Payer: BCN Medicare Advantage |
$11.94
|
| Rate for Payer: Cash Price |
$38.21
|
| Rate for Payer: Cofinity Commercial |
$41.07
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$38.21
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$11.94
|
| Rate for Payer: Healthscope Commercial |
$42.98
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$35.82
|
| Rate for Payer: Mclaren Medicaid |
$8.42
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$12.54
|
| Rate for Payer: Meridian Medicaid |
$8.84
|
| Rate for Payer: MI Amish Medical Board Commercial |
$13.73
|
| Rate for Payer: Molina Medicare/Medicaid |
$13.13
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$40.60
|
| Rate for Payer: Nomi Health Commercial |
$39.16
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$35.82
|
| Rate for Payer: PACE Senior Care Partners |
$11.34
|
| Rate for Payer: PACE SWMI |
$11.94
|
| Rate for Payer: PHP Commercial |
$40.60
|
| Rate for Payer: PHP Medicare Advantage |
$11.94
|
| Rate for Payer: Priority Health Choice Medicaid |
$8.42
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$41.55
|
| Rate for Payer: Priority Health Medicare |
$12.06
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$33.24
|
| Rate for Payer: Railroad Medicare Medicare |
$11.94
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$42.03
|
| Rate for Payer: UHC Core |
$39.88
|
| Rate for Payer: UHC Exchange |
$11.94
|
| Rate for Payer: UHC Medicaid |
$8.42
|
| Rate for Payer: UHC Medicare Advantage |
$11.94
|
| Rate for Payer: UHCCP Medicaid |
$8.42
|
| Rate for Payer: VA VA |
$11.94
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$35.82
|
|
|
HC CULTURE SCREENING
|
Facility
|
OP
|
$26.53
|
|
|
Service Code
|
CPT 87081
|
| Hospital Charge Code |
30600079
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$4.68 |
| Max. Negotiated Rate |
$23.88 |
| Rate for Payer: Aetna Commercial |
$22.55
|
| Rate for Payer: Aetna Medicare |
$6.90
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$8.29
|
| Rate for Payer: Amish Plain Church Group Commercial |
$8.29
|
| Rate for Payer: BCBS Complete |
$4.91
|
| Rate for Payer: BCBS MAPPO |
$6.63
|
| Rate for Payer: BCBS Trust/PPO |
$21.81
|
| Rate for Payer: BCN Commercial |
$21.81
|
| Rate for Payer: BCN Medicare Advantage |
$6.63
|
| Rate for Payer: Cash Price |
$21.22
|
| Rate for Payer: Cofinity Commercial |
$22.82
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$21.22
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$6.63
|
| Rate for Payer: Healthscope Commercial |
$23.88
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$19.90
|
| Rate for Payer: Mclaren Medicaid |
$4.68
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$6.96
|
| Rate for Payer: Meridian Medicaid |
$4.91
|
| Rate for Payer: MI Amish Medical Board Commercial |
$7.63
|
| Rate for Payer: Molina Medicare/Medicaid |
$7.30
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$22.55
|
| Rate for Payer: Nomi Health Commercial |
$21.75
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$19.90
|
| Rate for Payer: PACE Senior Care Partners |
$6.30
|
| Rate for Payer: PACE SWMI |
$6.63
|
| Rate for Payer: PHP Commercial |
$22.55
|
| Rate for Payer: PHP Medicare Advantage |
$6.63
|
| Rate for Payer: Priority Health Choice Medicaid |
$4.68
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$23.08
|
| Rate for Payer: Priority Health Medicare |
$6.70
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$18.46
|
| Rate for Payer: Railroad Medicare Medicare |
$6.63
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$23.35
|
| Rate for Payer: UHC Core |
$22.15
|
| Rate for Payer: UHC Exchange |
$6.63
|
| Rate for Payer: UHC Medicaid |
$4.68
|
| Rate for Payer: UHC Medicare Advantage |
$6.63
|
| Rate for Payer: UHCCP Medicaid |
$4.68
|
| Rate for Payer: VA VA |
$6.63
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$19.90
|
|
|
HC CULTURE SCREENING
|
Facility
|
IP
|
$26.53
|
|
|
Service Code
|
CPT 87081
|
| Hospital Charge Code |
30600079
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$18.46 |
| Max. Negotiated Rate |
$23.88 |
| Rate for Payer: Aetna Commercial |
$22.55
|
| Rate for Payer: BCBS Trust/PPO |
$21.91
|
| Rate for Payer: BCN Commercial |
$21.91
|
| Rate for Payer: Cash Price |
$21.22
|
| Rate for Payer: Cofinity Commercial |
$22.82
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$21.22
|
| Rate for Payer: Healthscope Commercial |
$23.88
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$19.90
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$22.55
|
| Rate for Payer: Nomi Health Commercial |
$21.75
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$19.90
|
| Rate for Payer: PHP Commercial |
$22.55
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$23.08
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$18.46
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$23.35
|
| Rate for Payer: UHC Core |
$22.15
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$19.90
|
|
|
HC CUVETTE HEMOCHRON JR ACT+
|
Facility
|
IP
|
$13.27
|
|
| Hospital Charge Code |
27000657
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$9.24 |
| Max. Negotiated Rate |
$11.94 |
| Rate for Payer: Aetna Commercial |
$11.28
|
| Rate for Payer: BCBS Trust/PPO |
$10.96
|
| Rate for Payer: BCN Commercial |
$10.96
|
| Rate for Payer: Cash Price |
$10.62
|
| Rate for Payer: Cofinity Commercial |
$11.41
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$10.62
|
| Rate for Payer: Healthscope Commercial |
$11.94
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$9.95
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$11.28
|
| Rate for Payer: Nomi Health Commercial |
$10.88
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$9.95
|
| Rate for Payer: PHP Commercial |
$11.28
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$11.54
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$9.24
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$11.68
|
| Rate for Payer: UHC Core |
$11.08
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$9.95
|
|
|
HC CUVETTE HEMOCHRON JR ACT+
|
Facility
|
OP
|
$13.27
|
|
| Hospital Charge Code |
27000657
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$2.34 |
| Max. Negotiated Rate |
$11.94 |
| Rate for Payer: Aetna Commercial |
$11.28
|
| Rate for Payer: Aetna Medicare |
$3.45
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$4.15
|
| Rate for Payer: Amish Plain Church Group Commercial |
$4.15
|
| Rate for Payer: BCBS Complete |
$2.46
|
| Rate for Payer: BCBS MAPPO |
$3.32
|
| Rate for Payer: BCBS Trust/PPO |
$10.91
|
| Rate for Payer: BCN Commercial |
$10.91
|
| Rate for Payer: BCN Medicare Advantage |
$3.32
|
| Rate for Payer: Cash Price |
$10.62
|
| Rate for Payer: Cofinity Commercial |
$11.41
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$10.62
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$3.32
|
| Rate for Payer: Healthscope Commercial |
$11.94
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$9.95
|
| Rate for Payer: Mclaren Medicaid |
$2.34
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$3.48
|
| Rate for Payer: Meridian Medicaid |
$2.46
|
| Rate for Payer: MI Amish Medical Board Commercial |
$3.82
|
| Rate for Payer: Molina Medicare/Medicaid |
$3.65
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$11.28
|
| Rate for Payer: Nomi Health Commercial |
$10.88
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$9.95
|
| Rate for Payer: PACE Senior Care Partners |
$3.15
|
| Rate for Payer: PACE SWMI |
$3.32
|
| Rate for Payer: PHP Commercial |
$11.28
|
| Rate for Payer: PHP Medicare Advantage |
$3.32
|
| Rate for Payer: Priority Health Choice Medicaid |
$2.34
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$11.54
|
| Rate for Payer: Priority Health Medicare |
$3.35
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$9.24
|
| Rate for Payer: Railroad Medicare Medicare |
$3.32
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$11.68
|
| Rate for Payer: UHC Core |
$11.08
|
| Rate for Payer: UHC Exchange |
$3.32
|
| Rate for Payer: UHC Medicaid |
$2.34
|
| Rate for Payer: UHC Medicare Advantage |
$3.32
|
| Rate for Payer: UHCCP Medicaid |
$2.34
|
| Rate for Payer: VA VA |
$3.32
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$9.95
|
|
|
HC CVC ACCESS TRAY
|
Facility
|
IP
|
$137.27
|
|
| Hospital Charge Code |
27000052
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$95.54 |
| Max. Negotiated Rate |
$123.54 |
| Rate for Payer: Aetna Commercial |
$116.68
|
| Rate for Payer: BCBS Trust/PPO |
$113.37
|
| Rate for Payer: BCN Commercial |
$113.37
|
| Rate for Payer: Cash Price |
$109.82
|
| Rate for Payer: Cofinity Commercial |
$118.05
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$109.82
|
| Rate for Payer: Healthscope Commercial |
$123.54
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$102.95
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$116.68
|
| Rate for Payer: Nomi Health Commercial |
$112.56
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$102.95
|
| Rate for Payer: PHP Commercial |
$116.68
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$119.42
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$95.54
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$120.80
|
| Rate for Payer: UHC Core |
$114.62
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$102.95
|
|
