|
HC CVC ACCESS TRAY
|
Facility
|
OP
|
$137.27
|
|
| Hospital Charge Code |
27000052
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$24.20 |
| Max. Negotiated Rate |
$123.54 |
| Rate for Payer: Aetna Commercial |
$116.68
|
| Rate for Payer: Aetna Medicare |
$35.69
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$42.90
|
| Rate for Payer: Amish Plain Church Group Commercial |
$42.90
|
| Rate for Payer: BCBS Complete |
$25.41
|
| Rate for Payer: BCBS MAPPO |
$34.32
|
| Rate for Payer: BCBS Trust/PPO |
$112.85
|
| Rate for Payer: BCN Commercial |
$112.85
|
| Rate for Payer: BCN Medicare Advantage |
$34.32
|
| 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: Health Alliance Plan Medicare Advantage |
$34.32
|
| Rate for Payer: Healthscope Commercial |
$123.54
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$102.95
|
| Rate for Payer: Mclaren Medicaid |
$24.20
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$36.03
|
| Rate for Payer: Meridian Medicaid |
$25.41
|
| Rate for Payer: MI Amish Medical Board Commercial |
$39.47
|
| Rate for Payer: Molina Medicare/Medicaid |
$37.75
|
| 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: PACE Senior Care Partners |
$32.60
|
| Rate for Payer: PACE SWMI |
$34.32
|
| Rate for Payer: PHP Commercial |
$116.68
|
| Rate for Payer: PHP Medicare Advantage |
$34.32
|
| Rate for Payer: Priority Health Choice Medicaid |
$24.20
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$119.42
|
| Rate for Payer: Priority Health Medicare |
$34.66
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$95.54
|
| Rate for Payer: Railroad Medicare Medicare |
$34.32
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$120.80
|
| Rate for Payer: UHC Core |
$114.62
|
| Rate for Payer: UHC Exchange |
$34.32
|
| Rate for Payer: UHC Medicaid |
$24.20
|
| Rate for Payer: UHC Medicare Advantage |
$34.32
|
| Rate for Payer: UHCCP Medicaid |
$24.20
|
| Rate for Payer: VA VA |
$34.32
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$102.95
|
|
|
HC CVC INSERT
|
Facility
|
OP
|
$2,596.45
|
|
| Hospital Charge Code |
45000036
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$457.75 |
| Max. Negotiated Rate |
$2,336.80 |
| Rate for Payer: Aetna Commercial |
$2,206.98
|
| Rate for Payer: Aetna Medicare |
$675.08
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$811.39
|
| Rate for Payer: Amish Plain Church Group Commercial |
$811.39
|
| Rate for Payer: BCBS Complete |
$480.60
|
| Rate for Payer: BCBS MAPPO |
$649.11
|
| Rate for Payer: BCBS Trust/PPO |
$2,134.54
|
| Rate for Payer: BCN Commercial |
$2,134.54
|
| Rate for Payer: BCN Medicare Advantage |
$649.11
|
| Rate for Payer: Cash Price |
$2,077.16
|
| Rate for Payer: Cofinity Commercial |
$2,232.95
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,077.16
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$649.11
|
| Rate for Payer: Healthscope Commercial |
$2,336.80
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,947.34
|
| Rate for Payer: Mclaren Medicaid |
$457.75
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$681.57
|
| Rate for Payer: Meridian Medicaid |
$480.60
|
| Rate for Payer: MI Amish Medical Board Commercial |
$746.48
|
| Rate for Payer: Molina Medicare/Medicaid |
$714.02
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,206.98
|
| Rate for Payer: Nomi Health Commercial |
$2,129.09
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,947.34
|
| Rate for Payer: PACE Senior Care Partners |
$616.66
|
| Rate for Payer: PACE SWMI |
$649.11
|
| Rate for Payer: PHP Commercial |
$2,206.98
|
| Rate for Payer: PHP Medicare Advantage |
$649.11
|
| Rate for Payer: Priority Health Choice Medicaid |
$457.75
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$2,258.91
|
| Rate for Payer: Priority Health Medicare |
$655.60
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,807.13
|
| Rate for Payer: Railroad Medicare Medicare |
$649.11
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,284.88
|
| Rate for Payer: UHC Core |
$2,168.04
|
| Rate for Payer: UHC Exchange |
$649.11
|
| Rate for Payer: UHC Medicaid |
$457.75
|
| Rate for Payer: UHC Medicare Advantage |
$649.11
|
| Rate for Payer: UHCCP Medicaid |
$457.75
|
| Rate for Payer: VA VA |
$649.11
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,947.34
|
|
|
HC CVC INSERT
|
Facility
|
IP
|
$2,596.45
|
|
| Hospital Charge Code |
45000036
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$1,807.13 |
| Max. Negotiated Rate |
$2,336.80 |
| Rate for Payer: Aetna Commercial |
$2,206.98
|
| Rate for Payer: BCBS Trust/PPO |
$2,144.41
|
| Rate for Payer: BCN Commercial |
$2,144.41
|
| Rate for Payer: Cash Price |
$2,077.16
|
| Rate for Payer: Cofinity Commercial |
$2,232.95
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,077.16
|
| Rate for Payer: Healthscope Commercial |
$2,336.80
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,947.34
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,206.98
|
| Rate for Payer: Nomi Health Commercial |
$2,129.09
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,947.34
|
| Rate for Payer: PHP Commercial |
$2,206.98
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$2,258.91
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,807.13
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,284.88
|
| Rate for Payer: UHC Core |
$2,168.04
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,947.34
|
|
|
HC CVS PSEUDOANEURYSM COMPRESSION
|
Facility
|
OP
|
$832.87
|
|
|
Service Code
|
CPT 76936
|
| Hospital Charge Code |
40200042
|
|
Hospital Revenue Code
|
402
|
| Min. Negotiated Rate |
$146.83 |
| Max. Negotiated Rate |
$749.58 |
| Rate for Payer: Aetna Commercial |
$707.94
|
| Rate for Payer: Aetna Medicare |
$216.55
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$260.27
|
| Rate for Payer: Amish Plain Church Group Commercial |
$260.27
|
| Rate for Payer: BCBS Complete |
$154.16
|
| Rate for Payer: BCBS MAPPO |
$208.22
|
| Rate for Payer: BCBS Trust/PPO |
$684.70
|
| Rate for Payer: BCN Commercial |
$684.70
|
| Rate for Payer: BCN Medicare Advantage |
$208.22
|
| Rate for Payer: Cash Price |
$666.30
|
| Rate for Payer: Cofinity Commercial |
$716.27
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$666.30
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$208.22
|
| Rate for Payer: Healthscope Commercial |
$749.58
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$624.65
|
| Rate for Payer: Mclaren Medicaid |
$146.83
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$218.63
|
| Rate for Payer: Meridian Medicaid |
$154.16
|
| Rate for Payer: MI Amish Medical Board Commercial |
$239.45
|
| Rate for Payer: Molina Medicare/Medicaid |
$229.04
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$707.94
|
| Rate for Payer: Nomi Health Commercial |
$682.95
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$624.65
|
| Rate for Payer: PACE Senior Care Partners |
$197.81
|
| Rate for Payer: PACE SWMI |
$208.22
|
| Rate for Payer: PHP Commercial |
$707.94
|
| Rate for Payer: PHP Medicare Advantage |
$208.22
|
| Rate for Payer: Priority Health Choice Medicaid |
$146.83
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$724.60
|
| Rate for Payer: Priority Health Medicare |
$210.30
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$579.68
|
| Rate for Payer: Railroad Medicare Medicare |
$208.22
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$732.93
|
| Rate for Payer: UHC Core |
$695.45
|
| Rate for Payer: UHC Exchange |
$208.22
|
| Rate for Payer: UHC Medicaid |
$146.83
|
| Rate for Payer: UHC Medicare Advantage |
$208.22
|
| Rate for Payer: UHCCP Medicaid |
$146.83
|
| Rate for Payer: VA VA |
$208.22
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$624.65
|
|
|
HC CVS PSEUDOANEURYSM COMPRESSION
|
Facility
|
IP
|
$832.87
|
|
|
Service Code
|
CPT 76936
|
| Hospital Charge Code |
40200042
|
|
Hospital Revenue Code
|
402
|
| Min. Negotiated Rate |
$579.68 |
| Max. Negotiated Rate |
$749.58 |
| Rate for Payer: Aetna Commercial |
$707.94
|
| Rate for Payer: BCBS Trust/PPO |
$687.87
|
| Rate for Payer: BCN Commercial |
$687.87
|
| Rate for Payer: Cash Price |
$666.30
|
| Rate for Payer: Cofinity Commercial |
$716.27
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$666.30
|
| Rate for Payer: Healthscope Commercial |
$749.58
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$624.65
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$707.94
|
| Rate for Payer: Nomi Health Commercial |
$682.95
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$624.65
|
| Rate for Payer: PHP Commercial |
$707.94
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$724.60
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$579.68
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$732.93
|
| Rate for Payer: UHC Core |
$695.45
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$624.65
|
|
|
HC CVVHD INSERTION
|
Facility
|
OP
|
$425.18
|
|
| Hospital Charge Code |
27000053
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$74.96 |
| Max. Negotiated Rate |
$382.66 |
| Rate for Payer: Aetna Commercial |
$361.40
|
| Rate for Payer: Aetna Medicare |
$110.55
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$132.87
|
| Rate for Payer: Amish Plain Church Group Commercial |
$132.87
|
| Rate for Payer: BCBS Complete |
$78.70
|
| Rate for Payer: BCBS MAPPO |
$106.30
|
| Rate for Payer: BCBS Trust/PPO |
$349.54
|
| Rate for Payer: BCN Commercial |
$349.54
|
| Rate for Payer: BCN Medicare Advantage |
$106.30
|
| Rate for Payer: Cash Price |
$340.14
|
| Rate for Payer: Cofinity Commercial |
$365.65
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$340.14
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$106.30
|
| Rate for Payer: Healthscope Commercial |
$382.66
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$318.88
|
| Rate for Payer: Mclaren Medicaid |
$74.96
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$111.61
|
| Rate for Payer: Meridian Medicaid |
$78.70
|
| Rate for Payer: MI Amish Medical Board Commercial |
$122.24
|
| Rate for Payer: Molina Medicare/Medicaid |
$116.92
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$361.40
|
| Rate for Payer: Nomi Health Commercial |
$348.65
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$318.88
|
| Rate for Payer: PACE Senior Care Partners |
$100.98
|
| Rate for Payer: PACE SWMI |
$106.30
|
| Rate for Payer: PHP Commercial |
$361.40
|
| Rate for Payer: PHP Medicare Advantage |
$106.30
|
| Rate for Payer: Priority Health Choice Medicaid |
$74.96
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$369.91
|
| Rate for Payer: Priority Health Medicare |
$107.36
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$295.93
|
| Rate for Payer: Railroad Medicare Medicare |
$106.30
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$374.16
|
| Rate for Payer: UHC Core |
$355.03
|
| Rate for Payer: UHC Exchange |
$106.30
|
| Rate for Payer: UHC Medicaid |
$74.96
|
| Rate for Payer: UHC Medicare Advantage |
$106.30
|
| Rate for Payer: UHCCP Medicaid |
$74.96
|
| Rate for Payer: VA VA |
$106.30
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$318.88
|
|
|
HC CVVHD INSERTION
|
Facility
|
IP
|
$425.18
|
|
| Hospital Charge Code |
27000053
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$295.93 |
| Max. Negotiated Rate |
$382.66 |
| Rate for Payer: Aetna Commercial |
$361.40
|
| Rate for Payer: BCBS Trust/PPO |
$351.16
|
| Rate for Payer: BCN Commercial |
$351.16
|
| Rate for Payer: Cash Price |
$340.14
|
| Rate for Payer: Cofinity Commercial |
$365.65
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$340.14
|
| Rate for Payer: Healthscope Commercial |
$382.66
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$318.88
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$361.40
|
| Rate for Payer: Nomi Health Commercial |
$348.65
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$318.88
|
| Rate for Payer: PHP Commercial |
$361.40
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$369.91
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$295.93
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$374.16
|
| Rate for Payer: UHC Core |
$355.03
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$318.88
|
|
|
HC CVVH SUBSEQUENT CARTRIDGE
|
Facility
|
IP
|
$644.08
|
|
| Hospital Charge Code |
27000611
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$448.28 |
| Max. Negotiated Rate |
$579.67 |
| Rate for Payer: Aetna Commercial |
$547.47
|
| Rate for Payer: BCBS Trust/PPO |
$531.95
|
| Rate for Payer: BCN Commercial |
$531.95
|
| Rate for Payer: Cash Price |
$515.26
|
| Rate for Payer: Cofinity Commercial |
$553.91
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$515.26
|
| Rate for Payer: Healthscope Commercial |
$579.67
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$483.06
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$547.47
|
| Rate for Payer: Nomi Health Commercial |
$528.15
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$483.06
|
| Rate for Payer: PHP Commercial |
$547.47
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$560.35
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$448.28
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$566.79
|
| Rate for Payer: UHC Core |
$537.81
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$483.06
|
|
|
HC CVVH SUBSEQUENT CARTRIDGE
|
Facility
|
OP
|
$644.08
|
|
| Hospital Charge Code |
27000611
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$113.55 |
| Max. Negotiated Rate |
$579.67 |
| Rate for Payer: Aetna Commercial |
$547.47
|
| Rate for Payer: Aetna Medicare |
$167.46
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$201.28
|
| Rate for Payer: Amish Plain Church Group Commercial |
$201.28
|
| Rate for Payer: BCBS Complete |
$119.22
|
| Rate for Payer: BCBS MAPPO |
$161.02
|
| Rate for Payer: BCBS Trust/PPO |
$529.50
|
| Rate for Payer: BCN Commercial |
$529.50
|
| Rate for Payer: BCN Medicare Advantage |
$161.02
|
| Rate for Payer: Cash Price |
$515.26
|
| Rate for Payer: Cofinity Commercial |
$553.91
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$515.26
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$161.02
|
| Rate for Payer: Healthscope Commercial |
$579.67
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$483.06
|
| Rate for Payer: Mclaren Medicaid |
$113.55
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$169.07
|
| Rate for Payer: Meridian Medicaid |
$119.22
|
| Rate for Payer: MI Amish Medical Board Commercial |
$185.17
|
| Rate for Payer: Molina Medicare/Medicaid |
$177.12
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$547.47
|
| Rate for Payer: Nomi Health Commercial |
$528.15
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$483.06
|
| Rate for Payer: PACE Senior Care Partners |
$152.97
|
| Rate for Payer: PACE SWMI |
$161.02
|
| Rate for Payer: PHP Commercial |
$547.47
|
| Rate for Payer: PHP Medicare Advantage |
$161.02
|
| Rate for Payer: Priority Health Choice Medicaid |
$113.55
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$560.35
|
| Rate for Payer: Priority Health Medicare |
$162.63
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$448.28
|
| Rate for Payer: Railroad Medicare Medicare |
$161.02
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$566.79
|
| Rate for Payer: UHC Core |
$537.81
|
| Rate for Payer: UHC Exchange |
$161.02
|
| Rate for Payer: UHC Medicaid |
$113.55
|
| Rate for Payer: UHC Medicare Advantage |
$161.02
|
| Rate for Payer: UHCCP Medicaid |
$113.55
|
| Rate for Payer: VA VA |
$161.02
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$483.06
|
|
|
HC CX ID BY PCR AMP, ENTEROBACTERIACEA
|
Facility
|
IP
|
$58.63
|
|
|
Service Code
|
CPT 87150
|
| Hospital Charge Code |
30600240
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$40.81 |
| Max. Negotiated Rate |
$52.77 |
| Rate for Payer: Aetna Commercial |
$49.84
|
| Rate for Payer: BCBS Trust/PPO |
$48.42
|
| Rate for Payer: BCN Commercial |
$48.42
|
| Rate for Payer: Cash Price |
$46.90
|
| Rate for Payer: Cofinity Commercial |
$50.42
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$46.90
|
| Rate for Payer: Healthscope Commercial |
$52.77
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$43.97
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$49.84
|
| Rate for Payer: Nomi Health Commercial |
$48.08
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$43.97
|
| Rate for Payer: PHP Commercial |
$49.84
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$51.01
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$40.81
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$51.59
|
| Rate for Payer: UHC Core |
$48.96
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$43.97
|
|
|
HC CX ID BY PCR AMP, ENTEROBACTERIACEA
|
Facility
|
OP
|
$58.63
|
|
|
Service Code
|
CPT 87150
|
| Hospital Charge Code |
30600240
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$10.34 |
| Max. Negotiated Rate |
$52.77 |
| Rate for Payer: Aetna Commercial |
$49.84
|
| Rate for Payer: Aetna Medicare |
$15.24
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$18.32
|
| Rate for Payer: Amish Plain Church Group Commercial |
$18.32
|
| Rate for Payer: BCBS Complete |
$10.85
|
| Rate for Payer: BCBS MAPPO |
$14.66
|
| Rate for Payer: BCBS Trust/PPO |
$48.20
|
| Rate for Payer: BCN Commercial |
$48.20
|
| Rate for Payer: BCN Medicare Advantage |
$14.66
|
| Rate for Payer: Cash Price |
$46.90
|
| Rate for Payer: Cofinity Commercial |
$50.42
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$46.90
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$14.66
|
| Rate for Payer: Healthscope Commercial |
$52.77
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$43.97
|
| Rate for Payer: Mclaren Medicaid |
$10.34
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$15.39
|
| Rate for Payer: Meridian Medicaid |
$10.85
|
| Rate for Payer: MI Amish Medical Board Commercial |
$16.86
|
| Rate for Payer: Molina Medicare/Medicaid |
$16.12
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$49.84
|
| Rate for Payer: Nomi Health Commercial |
$48.08
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$43.97
|
| Rate for Payer: PACE Senior Care Partners |
$13.92
|
| Rate for Payer: PACE SWMI |
$14.66
|
| Rate for Payer: PHP Commercial |
$49.84
|
| Rate for Payer: PHP Medicare Advantage |
$14.66
|
| Rate for Payer: Priority Health Choice Medicaid |
$10.34
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$51.01
|
| Rate for Payer: Priority Health Medicare |
$14.80
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$40.81
|
| Rate for Payer: Railroad Medicare Medicare |
$14.66
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$51.59
|
| Rate for Payer: UHC Core |
$48.96
|
| Rate for Payer: UHC Exchange |
$14.66
|
| Rate for Payer: UHC Medicaid |
$10.34
|
| Rate for Payer: UHC Medicare Advantage |
$14.66
|
| Rate for Payer: UHCCP Medicaid |
$10.34
|
| Rate for Payer: VA VA |
$14.66
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$43.97
|
|
|
HC CX ID BY PCR AMPLIFED, C GLA
|
Facility
|
IP
|
$58.63
|
|
|
Service Code
|
CPT 87150
|
| Hospital Charge Code |
30600248
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$40.81 |
| Max. Negotiated Rate |
$52.77 |
| Rate for Payer: Aetna Commercial |
$49.84
|
| Rate for Payer: BCBS Trust/PPO |
$48.42
|
| Rate for Payer: BCN Commercial |
$48.42
|
| Rate for Payer: Cash Price |
$46.90
|
| Rate for Payer: Cofinity Commercial |
$50.42
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$46.90
|
| Rate for Payer: Healthscope Commercial |
$52.77
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$43.97
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$49.84
|
| Rate for Payer: Nomi Health Commercial |
$48.08
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$43.97
|
| Rate for Payer: PHP Commercial |
$49.84
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$51.01
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$40.81
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$51.59
|
| Rate for Payer: UHC Core |
$48.96
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$43.97
|
|
|
HC CX ID BY PCR AMPLIFED, C GLA
|
Facility
|
OP
|
$58.63
|
|
|
Service Code
|
CPT 87150
|
| Hospital Charge Code |
30600248
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$10.34 |
| Max. Negotiated Rate |
$52.77 |
| Rate for Payer: Aetna Commercial |
$49.84
|
| Rate for Payer: Aetna Medicare |
$15.24
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$18.32
|
| Rate for Payer: Amish Plain Church Group Commercial |
$18.32
|
| Rate for Payer: BCBS Complete |
$10.85
|
| Rate for Payer: BCBS MAPPO |
$14.66
|
| Rate for Payer: BCBS Trust/PPO |
$48.20
|
| Rate for Payer: BCN Commercial |
$48.20
|
| Rate for Payer: BCN Medicare Advantage |
$14.66
|
| Rate for Payer: Cash Price |
$46.90
|
| Rate for Payer: Cofinity Commercial |
$50.42
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$46.90
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$14.66
|
| Rate for Payer: Healthscope Commercial |
$52.77
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$43.97
|
| Rate for Payer: Mclaren Medicaid |
$10.34
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$15.39
|
| Rate for Payer: Meridian Medicaid |
$10.85
|
| Rate for Payer: MI Amish Medical Board Commercial |
$16.86
|
| Rate for Payer: Molina Medicare/Medicaid |
$16.12
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$49.84
|
| Rate for Payer: Nomi Health Commercial |
$48.08
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$43.97
|
| Rate for Payer: PACE Senior Care Partners |
$13.92
|
| Rate for Payer: PACE SWMI |
$14.66
|
| Rate for Payer: PHP Commercial |
$49.84
|
| Rate for Payer: PHP Medicare Advantage |
$14.66
|
| Rate for Payer: Priority Health Choice Medicaid |
$10.34
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$51.01
|
| Rate for Payer: Priority Health Medicare |
$14.80
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$40.81
|
| Rate for Payer: Railroad Medicare Medicare |
$14.66
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$51.59
|
| Rate for Payer: UHC Core |
$48.96
|
| Rate for Payer: UHC Exchange |
$14.66
|
| Rate for Payer: UHC Medicaid |
$10.34
|
| Rate for Payer: UHC Medicare Advantage |
$14.66
|
| Rate for Payer: UHCCP Medicaid |
$10.34
|
| Rate for Payer: VA VA |
$14.66
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$43.97
|
|
|
HC CX ID BY PCR AMPLIFIED, ACIN
|
Facility
|
OP
|
$58.63
|
|
|
Service Code
|
CPT 87150
|
| Hospital Charge Code |
30600236
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$10.34 |
| Max. Negotiated Rate |
$52.77 |
| Rate for Payer: Aetna Commercial |
$49.84
|
| Rate for Payer: Aetna Medicare |
$15.24
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$18.32
|
| Rate for Payer: Amish Plain Church Group Commercial |
$18.32
|
| Rate for Payer: BCBS Complete |
$10.85
|
| Rate for Payer: BCBS MAPPO |
$14.66
|
| Rate for Payer: BCBS Trust/PPO |
$48.20
|
| Rate for Payer: BCN Commercial |
$48.20
|
| Rate for Payer: BCN Medicare Advantage |
$14.66
|
| Rate for Payer: Cash Price |
$46.90
|
| Rate for Payer: Cofinity Commercial |
$50.42
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$46.90
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$14.66
|
| Rate for Payer: Healthscope Commercial |
$52.77
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$43.97
|
| Rate for Payer: Mclaren Medicaid |
$10.34
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$15.39
|
| Rate for Payer: Meridian Medicaid |
$10.85
|
| Rate for Payer: MI Amish Medical Board Commercial |
$16.86
|
| Rate for Payer: Molina Medicare/Medicaid |
$16.12
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$49.84
|
| Rate for Payer: Nomi Health Commercial |
$48.08
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$43.97
|
| Rate for Payer: PACE Senior Care Partners |
$13.92
|
| Rate for Payer: PACE SWMI |
$14.66
|
| Rate for Payer: PHP Commercial |
$49.84
|
| Rate for Payer: PHP Medicare Advantage |
$14.66
|
| Rate for Payer: Priority Health Choice Medicaid |
$10.34
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$51.01
|
| Rate for Payer: Priority Health Medicare |
$14.80
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$40.81
|
| Rate for Payer: Railroad Medicare Medicare |
$14.66
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$51.59
|
| Rate for Payer: UHC Core |
$48.96
|
| Rate for Payer: UHC Exchange |
$14.66
|
| Rate for Payer: UHC Medicaid |
$10.34
|
| Rate for Payer: UHC Medicare Advantage |
$14.66
|
| Rate for Payer: UHCCP Medicaid |
$10.34
|
| Rate for Payer: VA VA |
$14.66
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$43.97
|
|
|
HC CX ID BY PCR AMPLIFIED, ACIN
|
Facility
|
IP
|
$58.63
|
|
|
Service Code
|
CPT 87150
|
| Hospital Charge Code |
30600236
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$40.81 |
| Max. Negotiated Rate |
$52.77 |
| Rate for Payer: Aetna Commercial |
$49.84
|
| Rate for Payer: BCBS Trust/PPO |
$48.42
|
| Rate for Payer: BCN Commercial |
$48.42
|
| Rate for Payer: Cash Price |
$46.90
|
| Rate for Payer: Cofinity Commercial |
$50.42
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$46.90
|
| Rate for Payer: Healthscope Commercial |
$52.77
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$43.97
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$49.84
|
| Rate for Payer: Nomi Health Commercial |
$48.08
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$43.97
|
| Rate for Payer: PHP Commercial |
$49.84
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$51.01
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$40.81
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$51.59
|
| Rate for Payer: UHC Core |
$48.96
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$43.97
|
|
|
HC CX ID BY PCR AMPLIFIED, BSA
|
Facility
|
OP
|
$58.63
|
|
|
Service Code
|
CPT 87150
|
| Hospital Charge Code |
30600235
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$10.34 |
| Max. Negotiated Rate |
$52.77 |
| Rate for Payer: Aetna Commercial |
$49.84
|
| Rate for Payer: Aetna Medicare |
$15.24
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$18.32
|
| Rate for Payer: Amish Plain Church Group Commercial |
$18.32
|
| Rate for Payer: BCBS Complete |
$10.85
|
| Rate for Payer: BCBS MAPPO |
$14.66
|
| Rate for Payer: BCBS Trust/PPO |
$48.20
|
| Rate for Payer: BCN Commercial |
$48.20
|
| Rate for Payer: BCN Medicare Advantage |
$14.66
|
| Rate for Payer: Cash Price |
$46.90
|
| Rate for Payer: Cofinity Commercial |
$50.42
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$46.90
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$14.66
|
| Rate for Payer: Healthscope Commercial |
$52.77
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$43.97
|
| Rate for Payer: Mclaren Medicaid |
$10.34
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$15.39
|
| Rate for Payer: Meridian Medicaid |
$10.85
|
| Rate for Payer: MI Amish Medical Board Commercial |
$16.86
|
| Rate for Payer: Molina Medicare/Medicaid |
$16.12
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$49.84
|
| Rate for Payer: Nomi Health Commercial |
$48.08
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$43.97
|
| Rate for Payer: PACE Senior Care Partners |
$13.92
|
| Rate for Payer: PACE SWMI |
$14.66
|
| Rate for Payer: PHP Commercial |
$49.84
|
| Rate for Payer: PHP Medicare Advantage |
$14.66
|
| Rate for Payer: Priority Health Choice Medicaid |
$10.34
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$51.01
|
| Rate for Payer: Priority Health Medicare |
$14.80
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$40.81
|
| Rate for Payer: Railroad Medicare Medicare |
$14.66
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$51.59
|
| Rate for Payer: UHC Core |
$48.96
|
| Rate for Payer: UHC Exchange |
$14.66
|
| Rate for Payer: UHC Medicaid |
$10.34
|
| Rate for Payer: UHC Medicare Advantage |
$14.66
|
| Rate for Payer: UHCCP Medicaid |
$10.34
|
| Rate for Payer: VA VA |
$14.66
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$43.97
|
|
|
HC CX ID BY PCR AMPLIFIED, BSA
|
Facility
|
IP
|
$58.63
|
|
|
Service Code
|
CPT 87150
|
| Hospital Charge Code |
30600235
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$40.81 |
| Max. Negotiated Rate |
$52.77 |
| Rate for Payer: Aetna Commercial |
$49.84
|
| Rate for Payer: BCBS Trust/PPO |
$48.42
|
| Rate for Payer: BCN Commercial |
$48.42
|
| Rate for Payer: Cash Price |
$46.90
|
| Rate for Payer: Cofinity Commercial |
$50.42
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$46.90
|
| Rate for Payer: Healthscope Commercial |
$52.77
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$43.97
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$49.84
|
| Rate for Payer: Nomi Health Commercial |
$48.08
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$43.97
|
| Rate for Payer: PHP Commercial |
$49.84
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$51.01
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$40.81
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$51.59
|
| Rate for Payer: UHC Core |
$48.96
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$43.97
|
|
|
HC CX ID BY PCR AMPLIFIED, BSB
|
Facility
|
IP
|
$58.63
|
|
|
Service Code
|
CPT 87150
|
| Hospital Charge Code |
30600234
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$40.81 |
| Max. Negotiated Rate |
$52.77 |
| Rate for Payer: Aetna Commercial |
$49.84
|
| Rate for Payer: BCBS Trust/PPO |
$48.42
|
| Rate for Payer: BCN Commercial |
$48.42
|
| Rate for Payer: Cash Price |
$46.90
|
| Rate for Payer: Cofinity Commercial |
$50.42
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$46.90
|
| Rate for Payer: Healthscope Commercial |
$52.77
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$43.97
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$49.84
|
| Rate for Payer: Nomi Health Commercial |
$48.08
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$43.97
|
| Rate for Payer: PHP Commercial |
$49.84
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$51.01
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$40.81
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$51.59
|
| Rate for Payer: UHC Core |
$48.96
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$43.97
|
|
|
HC CX ID BY PCR AMPLIFIED, BSB
|
Facility
|
OP
|
$58.63
|
|
|
Service Code
|
CPT 87150
|
| Hospital Charge Code |
30600234
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$10.34 |
| Max. Negotiated Rate |
$52.77 |
| Rate for Payer: Aetna Commercial |
$49.84
|
| Rate for Payer: Aetna Medicare |
$15.24
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$18.32
|
| Rate for Payer: Amish Plain Church Group Commercial |
$18.32
|
| Rate for Payer: BCBS Complete |
$10.85
|
| Rate for Payer: BCBS MAPPO |
$14.66
|
| Rate for Payer: BCBS Trust/PPO |
$48.20
|
| Rate for Payer: BCN Commercial |
$48.20
|
| Rate for Payer: BCN Medicare Advantage |
$14.66
|
| Rate for Payer: Cash Price |
$46.90
|
| Rate for Payer: Cofinity Commercial |
$50.42
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$46.90
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$14.66
|
| Rate for Payer: Healthscope Commercial |
$52.77
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$43.97
|
| Rate for Payer: Mclaren Medicaid |
$10.34
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$15.39
|
| Rate for Payer: Meridian Medicaid |
$10.85
|
| Rate for Payer: MI Amish Medical Board Commercial |
$16.86
|
| Rate for Payer: Molina Medicare/Medicaid |
$16.12
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$49.84
|
| Rate for Payer: Nomi Health Commercial |
$48.08
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$43.97
|
| Rate for Payer: PACE Senior Care Partners |
$13.92
|
| Rate for Payer: PACE SWMI |
$14.66
|
| Rate for Payer: PHP Commercial |
$49.84
|
| Rate for Payer: PHP Medicare Advantage |
$14.66
|
| Rate for Payer: Priority Health Choice Medicaid |
$10.34
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$51.01
|
| Rate for Payer: Priority Health Medicare |
$14.80
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$40.81
|
| Rate for Payer: Railroad Medicare Medicare |
$14.66
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$51.59
|
| Rate for Payer: UHC Core |
$48.96
|
| Rate for Payer: UHC Exchange |
$14.66
|
| Rate for Payer: UHC Medicaid |
$10.34
|
| Rate for Payer: UHC Medicare Advantage |
$14.66
|
| Rate for Payer: UHCCP Medicaid |
$10.34
|
| Rate for Payer: VA VA |
$14.66
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$43.97
|
|
|
HC CX ID BY PCR AMPLIFIED, C ALB
|
Facility
|
OP
|
$58.63
|
|
|
Service Code
|
CPT 87150
|
| Hospital Charge Code |
30600247
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$10.34 |
| Max. Negotiated Rate |
$52.77 |
| Rate for Payer: Aetna Commercial |
$49.84
|
| Rate for Payer: Aetna Medicare |
$15.24
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$18.32
|
| Rate for Payer: Amish Plain Church Group Commercial |
$18.32
|
| Rate for Payer: BCBS Complete |
$10.85
|
| Rate for Payer: BCBS MAPPO |
$14.66
|
| Rate for Payer: BCBS Trust/PPO |
$48.20
|
| Rate for Payer: BCN Commercial |
$48.20
|
| Rate for Payer: BCN Medicare Advantage |
$14.66
|
| Rate for Payer: Cash Price |
$46.90
|
| Rate for Payer: Cofinity Commercial |
$50.42
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$46.90
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$14.66
|
| Rate for Payer: Healthscope Commercial |
$52.77
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$43.97
|
| Rate for Payer: Mclaren Medicaid |
$10.34
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$15.39
|
| Rate for Payer: Meridian Medicaid |
$10.85
|
| Rate for Payer: MI Amish Medical Board Commercial |
$16.86
|
| Rate for Payer: Molina Medicare/Medicaid |
$16.12
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$49.84
|
| Rate for Payer: Nomi Health Commercial |
$48.08
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$43.97
|
| Rate for Payer: PACE Senior Care Partners |
$13.92
|
| Rate for Payer: PACE SWMI |
$14.66
|
| Rate for Payer: PHP Commercial |
$49.84
|
| Rate for Payer: PHP Medicare Advantage |
$14.66
|
| Rate for Payer: Priority Health Choice Medicaid |
$10.34
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$51.01
|
| Rate for Payer: Priority Health Medicare |
$14.80
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$40.81
|
| Rate for Payer: Railroad Medicare Medicare |
$14.66
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$51.59
|
| Rate for Payer: UHC Core |
$48.96
|
| Rate for Payer: UHC Exchange |
$14.66
|
| Rate for Payer: UHC Medicaid |
$10.34
|
| Rate for Payer: UHC Medicare Advantage |
$14.66
|
| Rate for Payer: UHCCP Medicaid |
$10.34
|
| Rate for Payer: VA VA |
$14.66
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$43.97
|
|
|
HC CX ID BY PCR AMPLIFIED, C ALB
|
Facility
|
IP
|
$58.63
|
|
|
Service Code
|
CPT 87150
|
| Hospital Charge Code |
30600247
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$40.81 |
| Max. Negotiated Rate |
$52.77 |
| Rate for Payer: Aetna Commercial |
$49.84
|
| Rate for Payer: BCBS Trust/PPO |
$48.42
|
| Rate for Payer: BCN Commercial |
$48.42
|
| Rate for Payer: Cash Price |
$46.90
|
| Rate for Payer: Cofinity Commercial |
$50.42
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$46.90
|
| Rate for Payer: Healthscope Commercial |
$52.77
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$43.97
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$49.84
|
| Rate for Payer: Nomi Health Commercial |
$48.08
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$43.97
|
| Rate for Payer: PHP Commercial |
$49.84
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$51.01
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$40.81
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$51.59
|
| Rate for Payer: UHC Core |
$48.96
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$43.97
|
|
|
HC CX ID BY PCR AMPLIFIED, C KRU
|
Facility
|
IP
|
$58.63
|
|
|
Service Code
|
CPT 87150
|
| Hospital Charge Code |
30600249
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$40.81 |
| Max. Negotiated Rate |
$52.77 |
| Rate for Payer: Aetna Commercial |
$49.84
|
| Rate for Payer: BCBS Trust/PPO |
$48.42
|
| Rate for Payer: BCN Commercial |
$48.42
|
| Rate for Payer: Cash Price |
$46.90
|
| Rate for Payer: Cofinity Commercial |
$50.42
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$46.90
|
| Rate for Payer: Healthscope Commercial |
$52.77
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$43.97
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$49.84
|
| Rate for Payer: Nomi Health Commercial |
$48.08
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$43.97
|
| Rate for Payer: PHP Commercial |
$49.84
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$51.01
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$40.81
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$51.59
|
| Rate for Payer: UHC Core |
$48.96
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$43.97
|
|
|
HC CX ID BY PCR AMPLIFIED, C KRU
|
Facility
|
OP
|
$58.63
|
|
|
Service Code
|
CPT 87150
|
| Hospital Charge Code |
30600249
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$10.34 |
| Max. Negotiated Rate |
$52.77 |
| Rate for Payer: Aetna Commercial |
$49.84
|
| Rate for Payer: Aetna Medicare |
$15.24
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$18.32
|
| Rate for Payer: Amish Plain Church Group Commercial |
$18.32
|
| Rate for Payer: BCBS Complete |
$10.85
|
| Rate for Payer: BCBS MAPPO |
$14.66
|
| Rate for Payer: BCBS Trust/PPO |
$48.20
|
| Rate for Payer: BCN Commercial |
$48.20
|
| Rate for Payer: BCN Medicare Advantage |
$14.66
|
| Rate for Payer: Cash Price |
$46.90
|
| Rate for Payer: Cofinity Commercial |
$50.42
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$46.90
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$14.66
|
| Rate for Payer: Healthscope Commercial |
$52.77
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$43.97
|
| Rate for Payer: Mclaren Medicaid |
$10.34
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$15.39
|
| Rate for Payer: Meridian Medicaid |
$10.85
|
| Rate for Payer: MI Amish Medical Board Commercial |
$16.86
|
| Rate for Payer: Molina Medicare/Medicaid |
$16.12
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$49.84
|
| Rate for Payer: Nomi Health Commercial |
$48.08
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$43.97
|
| Rate for Payer: PACE Senior Care Partners |
$13.92
|
| Rate for Payer: PACE SWMI |
$14.66
|
| Rate for Payer: PHP Commercial |
$49.84
|
| Rate for Payer: PHP Medicare Advantage |
$14.66
|
| Rate for Payer: Priority Health Choice Medicaid |
$10.34
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$51.01
|
| Rate for Payer: Priority Health Medicare |
$14.80
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$40.81
|
| Rate for Payer: Railroad Medicare Medicare |
$14.66
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$51.59
|
| Rate for Payer: UHC Core |
$48.96
|
| Rate for Payer: UHC Exchange |
$14.66
|
| Rate for Payer: UHC Medicaid |
$10.34
|
| Rate for Payer: UHC Medicare Advantage |
$14.66
|
| Rate for Payer: UHCCP Medicaid |
$10.34
|
| Rate for Payer: VA VA |
$14.66
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$43.97
|
|
|
HC CX ID BY PCR AMPLIFIED, C PARA
|
Facility
|
IP
|
$58.63
|
|
|
Service Code
|
CPT 87150
|
| Hospital Charge Code |
30600250
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$40.81 |
| Max. Negotiated Rate |
$52.77 |
| Rate for Payer: Aetna Commercial |
$49.84
|
| Rate for Payer: BCBS Trust/PPO |
$48.42
|
| Rate for Payer: BCN Commercial |
$48.42
|
| Rate for Payer: Cash Price |
$46.90
|
| Rate for Payer: Cofinity Commercial |
$50.42
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$46.90
|
| Rate for Payer: Healthscope Commercial |
$52.77
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$43.97
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$49.84
|
| Rate for Payer: Nomi Health Commercial |
$48.08
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$43.97
|
| Rate for Payer: PHP Commercial |
$49.84
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$51.01
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$40.81
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$51.59
|
| Rate for Payer: UHC Core |
$48.96
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$43.97
|
|
|
HC CX ID BY PCR AMPLIFIED, C PARA
|
Facility
|
OP
|
$58.63
|
|
|
Service Code
|
CPT 87150
|
| Hospital Charge Code |
30600250
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$10.34 |
| Max. Negotiated Rate |
$52.77 |
| Rate for Payer: Aetna Commercial |
$49.84
|
| Rate for Payer: Aetna Medicare |
$15.24
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$18.32
|
| Rate for Payer: Amish Plain Church Group Commercial |
$18.32
|
| Rate for Payer: BCBS Complete |
$10.85
|
| Rate for Payer: BCBS MAPPO |
$14.66
|
| Rate for Payer: BCBS Trust/PPO |
$48.20
|
| Rate for Payer: BCN Commercial |
$48.20
|
| Rate for Payer: BCN Medicare Advantage |
$14.66
|
| Rate for Payer: Cash Price |
$46.90
|
| Rate for Payer: Cofinity Commercial |
$50.42
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$46.90
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$14.66
|
| Rate for Payer: Healthscope Commercial |
$52.77
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$43.97
|
| Rate for Payer: Mclaren Medicaid |
$10.34
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$15.39
|
| Rate for Payer: Meridian Medicaid |
$10.85
|
| Rate for Payer: MI Amish Medical Board Commercial |
$16.86
|
| Rate for Payer: Molina Medicare/Medicaid |
$16.12
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$49.84
|
| Rate for Payer: Nomi Health Commercial |
$48.08
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$43.97
|
| Rate for Payer: PACE Senior Care Partners |
$13.92
|
| Rate for Payer: PACE SWMI |
$14.66
|
| Rate for Payer: PHP Commercial |
$49.84
|
| Rate for Payer: PHP Medicare Advantage |
$14.66
|
| Rate for Payer: Priority Health Choice Medicaid |
$10.34
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$51.01
|
| Rate for Payer: Priority Health Medicare |
$14.80
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$40.81
|
| Rate for Payer: Railroad Medicare Medicare |
$14.66
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$51.59
|
| Rate for Payer: UHC Core |
$48.96
|
| Rate for Payer: UHC Exchange |
$14.66
|
| Rate for Payer: UHC Medicaid |
$10.34
|
| Rate for Payer: UHC Medicare Advantage |
$14.66
|
| Rate for Payer: UHCCP Medicaid |
$10.34
|
| Rate for Payer: VA VA |
$14.66
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$43.97
|
|
