|
HC HEART CATH CORONARIES CABG'S
|
Facility
|
IP
|
$11,972.93
|
|
|
Service Code
|
CPT 93459
|
| Hospital Charge Code |
48100018
|
|
Hospital Revenue Code
|
481
|
| Min. Negotiated Rate |
$7,302.29 |
| Max. Negotiated Rate |
$10,775.64 |
| Rate for Payer: Aetna Commercial |
$10,176.99
|
| Rate for Payer: BCBS Trust/PPO |
$9,252.68
|
| Rate for Payer: BCN Commercial |
$9,252.68
|
| Rate for Payer: Cash Price |
$9,578.34
|
| Rate for Payer: Cofinity Commercial |
$10,296.72
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$9,578.34
|
| Rate for Payer: Healthscope Commercial |
$10,775.64
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$8,979.70
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$10,176.99
|
| Rate for Payer: PHP Commercial |
$10,176.99
|
| Rate for Payer: Priority Health Cigna Priority Health |
$8,381.05
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$10,416.45
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$7,302.29
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$10,536.18
|
| Rate for Payer: UHC Core |
$9,997.40
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$8,979.70
|
|
|
HC HEART CATH EXCHANGE WIRE
|
Facility
|
IP
|
$53.51
|
|
|
Service Code
|
HCPCS C1769
|
| Hospital Charge Code |
27200047
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$32.64 |
| Max. Negotiated Rate |
$48.16 |
| Rate for Payer: Aetna Commercial |
$45.48
|
| Rate for Payer: BCBS Trust/PPO |
$41.35
|
| Rate for Payer: BCN Commercial |
$41.35
|
| Rate for Payer: Cash Price |
$42.81
|
| Rate for Payer: Cofinity Commercial |
$46.02
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$42.81
|
| Rate for Payer: Healthscope Commercial |
$48.16
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$40.13
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$45.48
|
| Rate for Payer: PHP Commercial |
$45.48
|
| Rate for Payer: Priority Health Cigna Priority Health |
$37.46
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$46.55
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$32.64
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$47.09
|
| Rate for Payer: UHC Core |
$44.68
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$40.13
|
|
|
HC HEART CATH EXCHANGE WIRE
|
Facility
|
OP
|
$53.51
|
|
|
Service Code
|
HCPCS C1769
|
| Hospital Charge Code |
27200047
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$12.71 |
| Max. Negotiated Rate |
$48.16 |
| Rate for Payer: Aetna Commercial |
$45.48
|
| Rate for Payer: Aetna Medicare |
$13.91
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$16.72
|
| Rate for Payer: Amish Plain Church Group Commercial |
$16.72
|
| Rate for Payer: BCBS Complete |
$21.40
|
| Rate for Payer: BCBS MAPPO |
$13.38
|
| Rate for Payer: BCBS Trust/PPO |
$41.60
|
| Rate for Payer: BCN Commercial |
$41.60
|
| Rate for Payer: BCN Medicare Advantage |
$13.38
|
| Rate for Payer: Cash Price |
$42.81
|
| Rate for Payer: Cofinity Commercial |
$46.02
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$42.81
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$13.38
|
| Rate for Payer: Healthscope Commercial |
$48.16
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$40.13
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$14.05
|
| Rate for Payer: MI Amish Medical Board Commercial |
$15.38
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$45.48
|
| Rate for Payer: PACE Senior Care Partners |
$12.71
|
| Rate for Payer: PACE SWMI |
$13.38
|
| Rate for Payer: PHP Commercial |
$45.48
|
| Rate for Payer: PHP Medicare Advantage |
$13.38
|
| Rate for Payer: Priority Health Cigna Priority Health |
$37.46
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$46.55
|
| Rate for Payer: Priority Health Medicare |
$13.38
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$32.64
|
| Rate for Payer: Railroad Medicare Medicare |
$13.38
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$47.09
|
| Rate for Payer: UHC Core |
$44.68
|
| Rate for Payer: UHC Dual Complete DSNP |
$13.38
|
| Rate for Payer: UHC Medicare Advantage |
$13.78
|
| Rate for Payer: VA VA |
$13.38
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$40.13
|
|
|
HC HEART CATH LT ONLY
|
Facility
|
IP
|
$8,314.74
|
|
|
Service Code
|
CPT 93452
|
| Hospital Charge Code |
48100011
|
|
Hospital Revenue Code
|
481
|
| Min. Negotiated Rate |
$5,071.16 |
| Max. Negotiated Rate |
$7,483.27 |
| Rate for Payer: Aetna Commercial |
$7,067.53
|
| Rate for Payer: BCBS Trust/PPO |
$6,425.63
|
| Rate for Payer: BCN Commercial |
$6,425.63
|
| Rate for Payer: Cash Price |
$6,651.79
|
| Rate for Payer: Cofinity Commercial |
$7,150.68
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$6,651.79
|
| Rate for Payer: Healthscope Commercial |
$7,483.27
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$6,236.06
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$7,067.53
|
| Rate for Payer: PHP Commercial |
$7,067.53
|
| Rate for Payer: Priority Health Cigna Priority Health |
$5,820.32
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$7,233.82
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$5,071.16
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$7,316.97
|
| Rate for Payer: UHC Core |
$6,942.81
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$6,236.06
|
|
|
HC HEART CATH LT ONLY
|
Facility
|
OP
|
$8,314.74
|
|
|
Service Code
|
CPT 93452
|
| Hospital Charge Code |
48100011
|
|
Hospital Revenue Code
|
481
|
| Min. Negotiated Rate |
$1,974.75 |
| Max. Negotiated Rate |
$7,483.27 |
| Rate for Payer: Aetna Commercial |
$7,067.53
|
| Rate for Payer: Aetna Medicare |
$2,161.83
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$2,598.36
|
| Rate for Payer: Amish Plain Church Group Commercial |
$2,598.36
|
| Rate for Payer: BCBS Complete |
$2,244.47
|
| Rate for Payer: BCBS MAPPO |
$2,078.68
|
| Rate for Payer: BCBS Trust/PPO |
$6,464.71
|
| Rate for Payer: BCN Commercial |
$6,464.71
|
| Rate for Payer: BCN Medicare Advantage |
$2,078.68
|
| Rate for Payer: Cash Price |
$6,651.79
|
| Rate for Payer: Cash Price |
$6,651.79
|
| Rate for Payer: Cofinity Commercial |
$7,150.68
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$6,651.79
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,078.68
|
| Rate for Payer: Healthscope Commercial |
$7,483.27
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$6,236.06
|
| Rate for Payer: Mclaren Medicaid |
$2,137.59
|
| Rate for Payer: Meridian Medicaid |
$2,244.47
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$2,182.62
|
| Rate for Payer: MI Amish Medical Board Commercial |
$2,390.49
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$7,067.53
|
| Rate for Payer: PACE Senior Care Partners |
$1,974.75
|
| Rate for Payer: PACE SWMI |
$2,078.68
|
| Rate for Payer: PHP Commercial |
$7,067.53
|
| Rate for Payer: PHP Medicare Advantage |
$2,078.68
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,137.59
|
| Rate for Payer: Priority Health Cigna Priority Health |
$5,820.32
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$7,233.82
|
| Rate for Payer: Priority Health Medicare |
$2,078.68
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$5,071.16
|
| Rate for Payer: Railroad Medicare Medicare |
$2,078.68
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$7,316.97
|
| Rate for Payer: UHC Core |
$6,942.81
|
| Rate for Payer: UHC Dual Complete DSNP |
$2,078.68
|
| Rate for Payer: UHC Medicare Advantage |
$2,141.05
|
| Rate for Payer: VA VA |
$2,078.68
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$6,236.06
|
|
|
HC HEART CATH LT/RT/C/CABGS
|
Facility
|
IP
|
$14,804.56
|
|
|
Service Code
|
CPT 93461
|
| Hospital Charge Code |
48100052
|
|
Hospital Revenue Code
|
481
|
| Min. Negotiated Rate |
$9,029.30 |
| Max. Negotiated Rate |
$13,324.10 |
| Rate for Payer: Aetna Commercial |
$12,583.88
|
| Rate for Payer: BCBS Trust/PPO |
$11,440.96
|
| Rate for Payer: BCN Commercial |
$11,440.96
|
| Rate for Payer: Cash Price |
$11,843.65
|
| Rate for Payer: Cofinity Commercial |
$12,731.92
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$11,843.65
|
| Rate for Payer: Healthscope Commercial |
$13,324.10
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$11,103.42
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$12,583.88
|
| Rate for Payer: PHP Commercial |
$12,583.88
|
| Rate for Payer: Priority Health Cigna Priority Health |
$10,363.19
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$12,879.97
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$9,029.30
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$13,028.01
|
| Rate for Payer: UHC Core |
$12,361.81
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$11,103.42
|
|
|
HC HEART CATH LT/RT/C/CABGS
|
Facility
|
OP
|
$14,804.56
|
|
|
Service Code
|
CPT 93461
|
| Hospital Charge Code |
48100052
|
|
Hospital Revenue Code
|
481
|
| Min. Negotiated Rate |
$2,137.59 |
| Max. Negotiated Rate |
$13,324.10 |
| Rate for Payer: Aetna Commercial |
$12,583.88
|
| Rate for Payer: Aetna Medicare |
$3,849.19
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$4,626.42
|
| Rate for Payer: Amish Plain Church Group Commercial |
$4,626.42
|
| Rate for Payer: BCBS Complete |
$2,244.47
|
| Rate for Payer: BCBS MAPPO |
$3,701.14
|
| Rate for Payer: BCBS Trust/PPO |
$11,510.55
|
| Rate for Payer: BCN Commercial |
$11,510.55
|
| Rate for Payer: BCN Medicare Advantage |
$3,701.14
|
| Rate for Payer: Cash Price |
$11,843.65
|
| Rate for Payer: Cash Price |
$11,843.65
|
| Rate for Payer: Cofinity Commercial |
$12,731.92
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$11,843.65
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$3,701.14
|
| Rate for Payer: Healthscope Commercial |
$13,324.10
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$11,103.42
|
| Rate for Payer: Mclaren Medicaid |
$2,137.59
|
| Rate for Payer: Meridian Medicaid |
$2,244.47
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$3,886.20
|
| Rate for Payer: MI Amish Medical Board Commercial |
$4,256.31
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$12,583.88
|
| Rate for Payer: PACE Senior Care Partners |
$3,516.08
|
| Rate for Payer: PACE SWMI |
$3,701.14
|
| Rate for Payer: PHP Commercial |
$12,583.88
|
| Rate for Payer: PHP Medicare Advantage |
$3,701.14
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,137.59
|
| Rate for Payer: Priority Health Cigna Priority Health |
$10,363.19
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$12,879.97
|
| Rate for Payer: Priority Health Medicare |
$3,701.14
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$9,029.30
|
| Rate for Payer: Railroad Medicare Medicare |
$3,701.14
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$13,028.01
|
| Rate for Payer: UHC Core |
$12,361.81
|
| Rate for Payer: UHC Dual Complete DSNP |
$3,701.14
|
| Rate for Payer: UHC Medicare Advantage |
$3,812.17
|
| Rate for Payer: VA VA |
$3,701.14
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$11,103.42
|
|
|
HC HEART CATH LT/RT CORONARIES
|
Facility
|
OP
|
$12,514.29
|
|
|
Service Code
|
CPT 93460
|
| Hospital Charge Code |
48100019
|
|
Hospital Revenue Code
|
481
|
| Min. Negotiated Rate |
$2,137.59 |
| Max. Negotiated Rate |
$11,262.86 |
| Rate for Payer: Aetna Commercial |
$10,637.15
|
| Rate for Payer: Aetna Medicare |
$3,253.72
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$3,910.72
|
| Rate for Payer: Amish Plain Church Group Commercial |
$3,910.72
|
| Rate for Payer: BCBS Complete |
$2,244.47
|
| Rate for Payer: BCBS MAPPO |
$3,128.57
|
| Rate for Payer: BCBS Trust/PPO |
$9,729.86
|
| Rate for Payer: BCN Commercial |
$9,729.86
|
| Rate for Payer: BCN Medicare Advantage |
$3,128.57
|
| Rate for Payer: Cash Price |
$10,011.43
|
| Rate for Payer: Cash Price |
$10,011.43
|
| Rate for Payer: Cofinity Commercial |
$10,762.29
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$10,011.43
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$3,128.57
|
| Rate for Payer: Healthscope Commercial |
$11,262.86
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$9,385.72
|
| Rate for Payer: Mclaren Medicaid |
$2,137.59
|
| Rate for Payer: Meridian Medicaid |
$2,244.47
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$3,285.00
|
| Rate for Payer: MI Amish Medical Board Commercial |
$3,597.86
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$10,637.15
|
| Rate for Payer: PACE Senior Care Partners |
$2,972.14
|
| Rate for Payer: PACE SWMI |
$3,128.57
|
| Rate for Payer: PHP Commercial |
$10,637.15
|
| Rate for Payer: PHP Medicare Advantage |
$3,128.57
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,137.59
|
| Rate for Payer: Priority Health Cigna Priority Health |
$8,760.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$10,887.43
|
| Rate for Payer: Priority Health Medicare |
$3,128.57
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$7,632.47
|
| Rate for Payer: Railroad Medicare Medicare |
$3,128.57
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$11,012.58
|
| Rate for Payer: UHC Core |
$10,449.43
|
| Rate for Payer: UHC Dual Complete DSNP |
$3,128.57
|
| Rate for Payer: UHC Medicare Advantage |
$3,222.43
|
| Rate for Payer: VA VA |
$3,128.57
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$9,385.72
|
|
|
HC HEART CATH LT/RT CORONARIES
|
Facility
|
IP
|
$12,514.29
|
|
|
Service Code
|
CPT 93460
|
| Hospital Charge Code |
48100019
|
|
Hospital Revenue Code
|
481
|
| Min. Negotiated Rate |
$7,632.47 |
| Max. Negotiated Rate |
$11,262.86 |
| Rate for Payer: Aetna Commercial |
$10,637.15
|
| Rate for Payer: BCBS Trust/PPO |
$9,671.04
|
| Rate for Payer: BCN Commercial |
$9,671.04
|
| Rate for Payer: Cash Price |
$10,011.43
|
| Rate for Payer: Cofinity Commercial |
$10,762.29
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$10,011.43
|
| Rate for Payer: Healthscope Commercial |
$11,262.86
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$9,385.72
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$10,637.15
|
| Rate for Payer: PHP Commercial |
$10,637.15
|
| Rate for Payer: Priority Health Cigna Priority Health |
$8,760.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$10,887.43
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$7,632.47
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$11,012.58
|
| Rate for Payer: UHC Core |
$10,449.43
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$9,385.72
|
|
|
HC HEART CATH LT/RT ONLY
|
Facility
|
IP
|
$8,785.89
|
|
|
Service Code
|
CPT 93453
|
| Hospital Charge Code |
48100012
|
|
Hospital Revenue Code
|
481
|
| Min. Negotiated Rate |
$5,358.51 |
| Max. Negotiated Rate |
$7,907.30 |
| Rate for Payer: Aetna Commercial |
$7,468.01
|
| Rate for Payer: BCBS Trust/PPO |
$6,789.74
|
| Rate for Payer: BCN Commercial |
$6,789.74
|
| Rate for Payer: Cash Price |
$7,028.71
|
| Rate for Payer: Cofinity Commercial |
$7,555.87
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$7,028.71
|
| Rate for Payer: Healthscope Commercial |
$7,907.30
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$6,589.42
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$7,468.01
|
| Rate for Payer: PHP Commercial |
$7,468.01
|
| Rate for Payer: Priority Health Cigna Priority Health |
$6,150.12
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$7,643.72
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$5,358.51
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$7,731.58
|
| Rate for Payer: UHC Core |
$7,336.22
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$6,589.42
|
|
|
HC HEART CATH LT/RT ONLY
|
Facility
|
OP
|
$8,785.89
|
|
|
Service Code
|
CPT 93453
|
| Hospital Charge Code |
48100012
|
|
Hospital Revenue Code
|
481
|
| Min. Negotiated Rate |
$2,086.65 |
| Max. Negotiated Rate |
$7,907.30 |
| Rate for Payer: Aetna Commercial |
$7,468.01
|
| Rate for Payer: Aetna Medicare |
$2,284.33
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$2,745.59
|
| Rate for Payer: Amish Plain Church Group Commercial |
$2,745.59
|
| Rate for Payer: BCBS Complete |
$2,244.47
|
| Rate for Payer: BCBS MAPPO |
$2,196.47
|
| Rate for Payer: BCBS Trust/PPO |
$6,831.03
|
| Rate for Payer: BCN Commercial |
$6,831.03
|
| Rate for Payer: BCN Medicare Advantage |
$2,196.47
|
| Rate for Payer: Cash Price |
$7,028.71
|
| Rate for Payer: Cash Price |
$7,028.71
|
| Rate for Payer: Cofinity Commercial |
$7,555.87
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$7,028.71
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,196.47
|
| Rate for Payer: Healthscope Commercial |
$7,907.30
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$6,589.42
|
| Rate for Payer: Mclaren Medicaid |
$2,137.59
|
| Rate for Payer: Meridian Medicaid |
$2,244.47
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$2,306.30
|
| Rate for Payer: MI Amish Medical Board Commercial |
$2,525.94
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$7,468.01
|
| Rate for Payer: PACE Senior Care Partners |
$2,086.65
|
| Rate for Payer: PACE SWMI |
$2,196.47
|
| Rate for Payer: PHP Commercial |
$7,468.01
|
| Rate for Payer: PHP Medicare Advantage |
$2,196.47
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,137.59
|
| Rate for Payer: Priority Health Cigna Priority Health |
$6,150.12
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$7,643.72
|
| Rate for Payer: Priority Health Medicare |
$2,196.47
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$5,358.51
|
| Rate for Payer: Railroad Medicare Medicare |
$2,196.47
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$7,731.58
|
| Rate for Payer: UHC Core |
$7,336.22
|
| Rate for Payer: UHC Dual Complete DSNP |
$2,196.47
|
| Rate for Payer: UHC Medicare Advantage |
$2,262.37
|
| Rate for Payer: VA VA |
$2,196.47
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$6,589.42
|
|
|
HC HEART CATH LT W CORONARIES
|
Facility
|
OP
|
$12,598.15
|
|
|
Service Code
|
CPT 93458
|
| Hospital Charge Code |
48100017
|
|
Hospital Revenue Code
|
481
|
| Min. Negotiated Rate |
$2,137.59 |
| Max. Negotiated Rate |
$11,338.34 |
| Rate for Payer: Aetna Commercial |
$10,708.43
|
| Rate for Payer: Aetna Medicare |
$3,275.52
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$3,936.92
|
| Rate for Payer: Amish Plain Church Group Commercial |
$3,936.92
|
| Rate for Payer: BCBS Complete |
$2,244.47
|
| Rate for Payer: BCBS MAPPO |
$3,149.54
|
| Rate for Payer: BCBS Trust/PPO |
$9,795.06
|
| Rate for Payer: BCN Commercial |
$9,795.06
|
| Rate for Payer: BCN Medicare Advantage |
$3,149.54
|
| Rate for Payer: Cash Price |
$10,078.52
|
| Rate for Payer: Cash Price |
$10,078.52
|
| Rate for Payer: Cofinity Commercial |
$10,834.41
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$10,078.52
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$3,149.54
|
| Rate for Payer: Healthscope Commercial |
$11,338.34
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$9,448.61
|
| Rate for Payer: Mclaren Medicaid |
$2,137.59
|
| Rate for Payer: Meridian Medicaid |
$2,244.47
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$3,307.01
|
| Rate for Payer: MI Amish Medical Board Commercial |
$3,621.97
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$10,708.43
|
| Rate for Payer: PACE Senior Care Partners |
$2,992.06
|
| Rate for Payer: PACE SWMI |
$3,149.54
|
| Rate for Payer: PHP Commercial |
$10,708.43
|
| Rate for Payer: PHP Medicare Advantage |
$3,149.54
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,137.59
|
| Rate for Payer: Priority Health Cigna Priority Health |
$8,818.70
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$10,960.39
|
| Rate for Payer: Priority Health Medicare |
$3,149.54
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$7,683.61
|
| Rate for Payer: Railroad Medicare Medicare |
$3,149.54
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$11,086.37
|
| Rate for Payer: UHC Core |
$10,519.46
|
| Rate for Payer: UHC Dual Complete DSNP |
$3,149.54
|
| Rate for Payer: UHC Medicare Advantage |
$3,244.02
|
| Rate for Payer: VA VA |
$3,149.54
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$9,448.61
|
|
|
HC HEART CATH LT W CORONARIES
|
Facility
|
IP
|
$12,598.15
|
|
|
Service Code
|
CPT 93458
|
| Hospital Charge Code |
48100017
|
|
Hospital Revenue Code
|
481
|
| Min. Negotiated Rate |
$7,683.61 |
| Max. Negotiated Rate |
$11,338.34 |
| Rate for Payer: Aetna Commercial |
$10,708.43
|
| Rate for Payer: BCBS Trust/PPO |
$9,735.85
|
| Rate for Payer: BCN Commercial |
$9,735.85
|
| Rate for Payer: Cash Price |
$10,078.52
|
| Rate for Payer: Cofinity Commercial |
$10,834.41
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$10,078.52
|
| Rate for Payer: Healthscope Commercial |
$11,338.34
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$9,448.61
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$10,708.43
|
| Rate for Payer: PHP Commercial |
$10,708.43
|
| Rate for Payer: Priority Health Cigna Priority Health |
$8,818.70
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$10,960.39
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$7,683.61
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$11,086.37
|
| Rate for Payer: UHC Core |
$10,519.46
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$9,448.61
|
|
|
HC HEART CATH NEEDLE
|
Facility
|
IP
|
$42.25
|
|
| Hospital Charge Code |
62200006
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$25.77 |
| Max. Negotiated Rate |
$38.02 |
| Rate for Payer: Aetna Commercial |
$35.91
|
| Rate for Payer: BCBS Trust/PPO |
$32.65
|
| Rate for Payer: BCN Commercial |
$32.65
|
| Rate for Payer: Cash Price |
$33.80
|
| Rate for Payer: Cofinity Commercial |
$36.34
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$33.80
|
| Rate for Payer: Healthscope Commercial |
$38.02
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$31.69
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$35.91
|
| Rate for Payer: PHP Commercial |
$35.91
|
| Rate for Payer: Priority Health Cigna Priority Health |
$29.58
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$36.76
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$25.77
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$37.18
|
| Rate for Payer: UHC Core |
$35.28
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$31.69
|
|
|
HC HEART CATH NEEDLE
|
Facility
|
OP
|
$42.25
|
|
| Hospital Charge Code |
62200006
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$10.03 |
| Max. Negotiated Rate |
$38.02 |
| Rate for Payer: Aetna Commercial |
$35.91
|
| Rate for Payer: Aetna Medicare |
$10.98
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$13.20
|
| Rate for Payer: Amish Plain Church Group Commercial |
$13.20
|
| Rate for Payer: BCBS Complete |
$16.90
|
| Rate for Payer: BCBS MAPPO |
$10.56
|
| Rate for Payer: BCBS Trust/PPO |
$32.85
|
| Rate for Payer: BCN Commercial |
$32.85
|
| Rate for Payer: BCN Medicare Advantage |
$10.56
|
| Rate for Payer: Cash Price |
$33.80
|
| Rate for Payer: Cofinity Commercial |
$36.34
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$33.80
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$10.56
|
| Rate for Payer: Healthscope Commercial |
$38.02
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$31.69
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$11.09
|
| Rate for Payer: MI Amish Medical Board Commercial |
$12.15
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$35.91
|
| Rate for Payer: PACE Senior Care Partners |
$10.03
|
| Rate for Payer: PACE SWMI |
$10.56
|
| Rate for Payer: PHP Commercial |
$35.91
|
| Rate for Payer: PHP Medicare Advantage |
$10.56
|
| Rate for Payer: Priority Health Cigna Priority Health |
$29.58
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$36.76
|
| Rate for Payer: Priority Health Medicare |
$10.56
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$25.77
|
| Rate for Payer: Railroad Medicare Medicare |
$10.56
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$37.18
|
| Rate for Payer: UHC Core |
$35.28
|
| Rate for Payer: UHC Dual Complete DSNP |
$10.56
|
| Rate for Payer: UHC Medicare Advantage |
$10.88
|
| Rate for Payer: VA VA |
$10.56
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$31.69
|
|
|
HC HEART CATH PACK
|
Facility
|
OP
|
$508.22
|
|
| Hospital Charge Code |
62200007
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$120.70 |
| Max. Negotiated Rate |
$457.40 |
| Rate for Payer: Aetna Commercial |
$431.99
|
| Rate for Payer: Aetna Medicare |
$132.14
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$158.82
|
| Rate for Payer: Amish Plain Church Group Commercial |
$158.82
|
| Rate for Payer: BCBS Complete |
$203.29
|
| Rate for Payer: BCBS MAPPO |
$127.06
|
| Rate for Payer: BCBS Trust/PPO |
$395.14
|
| Rate for Payer: BCN Commercial |
$395.14
|
| Rate for Payer: BCN Medicare Advantage |
$127.06
|
| Rate for Payer: Cash Price |
$406.58
|
| Rate for Payer: Cofinity Commercial |
$437.07
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$406.58
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$127.06
|
| Rate for Payer: Healthscope Commercial |
$457.40
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$381.16
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$133.41
|
| Rate for Payer: MI Amish Medical Board Commercial |
$146.11
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$431.99
|
| Rate for Payer: PACE Senior Care Partners |
$120.70
|
| Rate for Payer: PACE SWMI |
$127.06
|
| Rate for Payer: PHP Commercial |
$431.99
|
| Rate for Payer: PHP Medicare Advantage |
$127.06
|
| Rate for Payer: Priority Health Cigna Priority Health |
$355.75
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$442.15
|
| Rate for Payer: Priority Health Medicare |
$127.06
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$309.96
|
| Rate for Payer: Railroad Medicare Medicare |
$127.06
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$447.23
|
| Rate for Payer: UHC Core |
$424.36
|
| Rate for Payer: UHC Dual Complete DSNP |
$127.06
|
| Rate for Payer: UHC Medicare Advantage |
$130.87
|
| Rate for Payer: VA VA |
$127.06
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$381.16
|
|
|
HC HEART CATH PACK
|
Facility
|
IP
|
$508.22
|
|
| Hospital Charge Code |
62200007
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$309.96 |
| Max. Negotiated Rate |
$457.40 |
| Rate for Payer: Aetna Commercial |
$431.99
|
| Rate for Payer: BCBS Trust/PPO |
$392.75
|
| Rate for Payer: BCN Commercial |
$392.75
|
| Rate for Payer: Cash Price |
$406.58
|
| Rate for Payer: Cofinity Commercial |
$437.07
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$406.58
|
| Rate for Payer: Healthscope Commercial |
$457.40
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$381.16
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$431.99
|
| Rate for Payer: PHP Commercial |
$431.99
|
| Rate for Payer: Priority Health Cigna Priority Health |
$355.75
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$442.15
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$309.96
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$447.23
|
| Rate for Payer: UHC Core |
$424.36
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$381.16
|
|
|
HC HEART CATH RT ONLY
|
Facility
|
OP
|
$9,364.34
|
|
|
Service Code
|
CPT 93451
|
| Hospital Charge Code |
48100010
|
|
Hospital Revenue Code
|
481
|
| Min. Negotiated Rate |
$2,137.59 |
| Max. Negotiated Rate |
$8,427.91 |
| Rate for Payer: Aetna Commercial |
$7,959.69
|
| Rate for Payer: Aetna Medicare |
$2,434.73
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$2,926.36
|
| Rate for Payer: Amish Plain Church Group Commercial |
$2,926.36
|
| Rate for Payer: BCBS Complete |
$2,244.47
|
| Rate for Payer: BCBS MAPPO |
$2,341.08
|
| Rate for Payer: BCBS Trust/PPO |
$7,280.77
|
| Rate for Payer: BCN Commercial |
$7,280.77
|
| Rate for Payer: BCN Medicare Advantage |
$2,341.08
|
| Rate for Payer: Cash Price |
$7,491.47
|
| Rate for Payer: Cash Price |
$7,491.47
|
| Rate for Payer: Cofinity Commercial |
$8,053.33
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$7,491.47
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,341.08
|
| Rate for Payer: Healthscope Commercial |
$8,427.91
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$7,023.26
|
| Rate for Payer: Mclaren Medicaid |
$2,137.59
|
| Rate for Payer: Meridian Medicaid |
$2,244.47
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$2,458.14
|
| Rate for Payer: MI Amish Medical Board Commercial |
$2,692.25
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$7,959.69
|
| Rate for Payer: PACE Senior Care Partners |
$2,224.03
|
| Rate for Payer: PACE SWMI |
$2,341.08
|
| Rate for Payer: PHP Commercial |
$7,959.69
|
| Rate for Payer: PHP Medicare Advantage |
$2,341.08
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,137.59
|
| Rate for Payer: Priority Health Cigna Priority Health |
$6,555.04
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$8,146.98
|
| Rate for Payer: Priority Health Medicare |
$2,341.08
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$5,711.31
|
| Rate for Payer: Railroad Medicare Medicare |
$2,341.08
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$8,240.62
|
| Rate for Payer: UHC Core |
$7,819.22
|
| Rate for Payer: UHC Dual Complete DSNP |
$2,341.08
|
| Rate for Payer: UHC Medicare Advantage |
$2,411.32
|
| Rate for Payer: VA VA |
$2,341.08
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$7,023.26
|
|
|
HC HEART CATH RT ONLY
|
Facility
|
IP
|
$9,364.34
|
|
|
Service Code
|
CPT 93451
|
| Hospital Charge Code |
48100010
|
|
Hospital Revenue Code
|
481
|
| Min. Negotiated Rate |
$5,711.31 |
| Max. Negotiated Rate |
$8,427.91 |
| Rate for Payer: Aetna Commercial |
$7,959.69
|
| Rate for Payer: BCBS Trust/PPO |
$7,236.76
|
| Rate for Payer: BCN Commercial |
$7,236.76
|
| Rate for Payer: Cash Price |
$7,491.47
|
| Rate for Payer: Cofinity Commercial |
$8,053.33
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$7,491.47
|
| Rate for Payer: Healthscope Commercial |
$8,427.91
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$7,023.26
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$7,959.69
|
| Rate for Payer: PHP Commercial |
$7,959.69
|
| Rate for Payer: Priority Health Cigna Priority Health |
$6,555.04
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$8,146.98
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$5,711.31
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$8,240.62
|
| Rate for Payer: UHC Core |
$7,819.22
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$7,023.26
|
|
|
HC HEART CATH WIRE
|
Facility
|
IP
|
$32.62
|
|
|
Service Code
|
HCPCS C1769
|
| Hospital Charge Code |
27200048
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$19.89 |
| Max. Negotiated Rate |
$29.36 |
| Rate for Payer: Aetna Commercial |
$27.73
|
| Rate for Payer: BCBS Trust/PPO |
$25.21
|
| Rate for Payer: BCN Commercial |
$25.21
|
| Rate for Payer: Cash Price |
$26.10
|
| Rate for Payer: Cofinity Commercial |
$28.05
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$26.10
|
| Rate for Payer: Healthscope Commercial |
$29.36
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$24.46
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$27.73
|
| Rate for Payer: PHP Commercial |
$27.73
|
| Rate for Payer: Priority Health Cigna Priority Health |
$22.83
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$28.38
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$19.89
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$28.71
|
| Rate for Payer: UHC Core |
$27.24
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$24.46
|
|
|
HC HEART CATH WIRE
|
Facility
|
OP
|
$32.62
|
|
|
Service Code
|
HCPCS C1769
|
| Hospital Charge Code |
27200048
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$7.75 |
| Max. Negotiated Rate |
$29.36 |
| Rate for Payer: Aetna Commercial |
$27.73
|
| Rate for Payer: Aetna Medicare |
$8.48
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$10.19
|
| Rate for Payer: Amish Plain Church Group Commercial |
$10.19
|
| Rate for Payer: BCBS Complete |
$13.05
|
| Rate for Payer: BCBS MAPPO |
$8.16
|
| Rate for Payer: BCBS Trust/PPO |
$25.36
|
| Rate for Payer: BCN Commercial |
$25.36
|
| Rate for Payer: BCN Medicare Advantage |
$8.16
|
| Rate for Payer: Cash Price |
$26.10
|
| Rate for Payer: Cofinity Commercial |
$28.05
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$26.10
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$8.16
|
| Rate for Payer: Healthscope Commercial |
$29.36
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$24.46
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$8.56
|
| Rate for Payer: MI Amish Medical Board Commercial |
$9.38
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$27.73
|
| Rate for Payer: PACE Senior Care Partners |
$7.75
|
| Rate for Payer: PACE SWMI |
$8.16
|
| Rate for Payer: PHP Commercial |
$27.73
|
| Rate for Payer: PHP Medicare Advantage |
$8.16
|
| Rate for Payer: Priority Health Cigna Priority Health |
$22.83
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$28.38
|
| Rate for Payer: Priority Health Medicare |
$8.16
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$19.89
|
| Rate for Payer: Railroad Medicare Medicare |
$8.16
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$28.71
|
| Rate for Payer: UHC Core |
$27.24
|
| Rate for Payer: UHC Dual Complete DSNP |
$8.16
|
| Rate for Payer: UHC Medicare Advantage |
$8.40
|
| Rate for Payer: VA VA |
$8.16
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$24.46
|
|
|
HC HEAVY METAL ARSENIC
|
Facility
|
OP
|
$29.13
|
|
|
Service Code
|
CPT 82175
|
| Hospital Charge Code |
30100111
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$6.92 |
| Max. Negotiated Rate |
$26.22 |
| Rate for Payer: Aetna Commercial |
$24.76
|
| Rate for Payer: Aetna Medicare |
$7.57
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$9.10
|
| Rate for Payer: Amish Plain Church Group Commercial |
$9.10
|
| Rate for Payer: BCBS Complete |
$14.70
|
| Rate for Payer: BCBS MAPPO |
$7.28
|
| Rate for Payer: BCBS Trust/PPO |
$22.65
|
| Rate for Payer: BCN Commercial |
$22.65
|
| Rate for Payer: BCN Medicare Advantage |
$7.28
|
| Rate for Payer: Cash Price |
$23.30
|
| Rate for Payer: Cash Price |
$23.30
|
| Rate for Payer: Cofinity Commercial |
$25.05
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$23.30
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$7.28
|
| Rate for Payer: Healthscope Commercial |
$26.22
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$21.85
|
| Rate for Payer: Mclaren Medicaid |
$14.00
|
| Rate for Payer: Meridian Medicaid |
$14.70
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$7.65
|
| Rate for Payer: MI Amish Medical Board Commercial |
$8.37
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$24.76
|
| Rate for Payer: PACE Senior Care Partners |
$6.92
|
| Rate for Payer: PACE SWMI |
$7.28
|
| Rate for Payer: PHP Commercial |
$24.76
|
| Rate for Payer: PHP Medicare Advantage |
$7.28
|
| Rate for Payer: Priority Health Choice Medicaid |
$14.00
|
| Rate for Payer: Priority Health Cigna Priority Health |
$20.39
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$25.34
|
| Rate for Payer: Priority Health Medicare |
$7.28
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$17.77
|
| Rate for Payer: Railroad Medicare Medicare |
$7.28
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$25.63
|
| Rate for Payer: UHC Core |
$24.32
|
| Rate for Payer: UHC Dual Complete DSNP |
$7.28
|
| Rate for Payer: UHC Medicare Advantage |
$7.50
|
| Rate for Payer: VA VA |
$7.28
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$21.85
|
|
|
HC HEAVY METAL ARSENIC
|
Facility
|
IP
|
$29.13
|
|
|
Service Code
|
CPT 82175
|
| Hospital Charge Code |
30100111
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$17.77 |
| Max. Negotiated Rate |
$26.22 |
| Rate for Payer: Aetna Commercial |
$24.76
|
| Rate for Payer: BCBS Trust/PPO |
$22.51
|
| Rate for Payer: BCN Commercial |
$22.51
|
| Rate for Payer: Cash Price |
$23.30
|
| Rate for Payer: Cofinity Commercial |
$25.05
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$23.30
|
| Rate for Payer: Healthscope Commercial |
$26.22
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$21.85
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$24.76
|
| Rate for Payer: PHP Commercial |
$24.76
|
| Rate for Payer: Priority Health Cigna Priority Health |
$20.39
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$25.34
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$17.77
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$25.63
|
| Rate for Payer: UHC Core |
$24.32
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$21.85
|
|
|
HC HEAVY METAL MERCURY
|
Facility
|
OP
|
$25.08
|
|
|
Service Code
|
CPT 83825
|
| Hospital Charge Code |
30100293
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$5.96 |
| Max. Negotiated Rate |
$22.57 |
| Rate for Payer: Aetna Commercial |
$21.32
|
| Rate for Payer: Aetna Medicare |
$6.52
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$7.84
|
| Rate for Payer: Amish Plain Church Group Commercial |
$7.84
|
| Rate for Payer: BCBS Complete |
$12.60
|
| Rate for Payer: BCBS MAPPO |
$6.27
|
| Rate for Payer: BCBS Trust/PPO |
$19.50
|
| Rate for Payer: BCN Commercial |
$19.50
|
| Rate for Payer: BCN Medicare Advantage |
$6.27
|
| Rate for Payer: Cash Price |
$20.06
|
| Rate for Payer: Cash Price |
$20.06
|
| Rate for Payer: Cofinity Commercial |
$21.57
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$20.06
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$6.27
|
| Rate for Payer: Healthscope Commercial |
$22.57
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$18.81
|
| Rate for Payer: Mclaren Medicaid |
$12.00
|
| Rate for Payer: Meridian Medicaid |
$12.60
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$6.58
|
| Rate for Payer: MI Amish Medical Board Commercial |
$7.21
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$21.32
|
| Rate for Payer: PACE Senior Care Partners |
$5.96
|
| Rate for Payer: PACE SWMI |
$6.27
|
| Rate for Payer: PHP Commercial |
$21.32
|
| Rate for Payer: PHP Medicare Advantage |
$6.27
|
| Rate for Payer: Priority Health Choice Medicaid |
$12.00
|
| Rate for Payer: Priority Health Cigna Priority Health |
$17.56
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$21.82
|
| Rate for Payer: Priority Health Medicare |
$6.27
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$15.30
|
| Rate for Payer: Railroad Medicare Medicare |
$6.27
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$22.07
|
| Rate for Payer: UHC Core |
$20.94
|
| Rate for Payer: UHC Dual Complete DSNP |
$6.27
|
| Rate for Payer: UHC Medicare Advantage |
$6.46
|
| Rate for Payer: VA VA |
$6.27
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$18.81
|
|
|
HC HEAVY METAL MERCURY
|
Facility
|
IP
|
$25.08
|
|
|
Service Code
|
CPT 83825
|
| Hospital Charge Code |
30100293
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$15.30 |
| Max. Negotiated Rate |
$22.57 |
| Rate for Payer: Aetna Commercial |
$21.32
|
| Rate for Payer: BCBS Trust/PPO |
$19.38
|
| Rate for Payer: BCN Commercial |
$19.38
|
| Rate for Payer: Cash Price |
$20.06
|
| Rate for Payer: Cofinity Commercial |
$21.57
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$20.06
|
| Rate for Payer: Healthscope Commercial |
$22.57
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$18.81
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$21.32
|
| Rate for Payer: PHP Commercial |
$21.32
|
| Rate for Payer: Priority Health Cigna Priority Health |
$17.56
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$21.82
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$15.30
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$22.07
|
| Rate for Payer: UHC Core |
$20.94
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$18.81
|
|
