|
HC DEVELOPMENTAL TESTING
|
Facility
|
IP
|
$386.77
|
|
|
Service Code
|
CPT 96110
|
| Hospital Charge Code |
51000057
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$269.19 |
| Max. Negotiated Rate |
$348.09 |
| Rate for Payer: Aetna Commercial |
$328.75
|
| Rate for Payer: BCBS Trust/PPO |
$319.43
|
| Rate for Payer: BCN Commercial |
$319.43
|
| Rate for Payer: Cash Price |
$309.42
|
| Rate for Payer: Cofinity Commercial |
$332.62
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$309.42
|
| Rate for Payer: Healthscope Commercial |
$348.09
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$290.08
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$328.75
|
| Rate for Payer: Nomi Health Commercial |
$317.15
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$290.08
|
| Rate for Payer: PHP Commercial |
$328.75
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$336.49
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$269.19
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$340.36
|
| Rate for Payer: UHC Core |
$322.95
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$290.08
|
|
|
HC DEVELOPMENTAL TESTING
|
Facility
|
OP
|
$386.77
|
|
|
Service Code
|
CPT 96110
|
| Hospital Charge Code |
51000057
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$68.19 |
| Max. Negotiated Rate |
$348.09 |
| Rate for Payer: Aetna Commercial |
$328.75
|
| Rate for Payer: Aetna Medicare |
$100.56
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$120.87
|
| Rate for Payer: Amish Plain Church Group Commercial |
$120.87
|
| Rate for Payer: BCBS Complete |
$71.59
|
| Rate for Payer: BCBS MAPPO |
$96.69
|
| Rate for Payer: BCBS Trust/PPO |
$317.96
|
| Rate for Payer: BCN Commercial |
$317.96
|
| Rate for Payer: BCN Medicare Advantage |
$96.69
|
| Rate for Payer: Cash Price |
$309.42
|
| Rate for Payer: Cofinity Commercial |
$332.62
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$309.42
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$96.69
|
| Rate for Payer: Healthscope Commercial |
$348.09
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$290.08
|
| Rate for Payer: Mclaren Medicaid |
$68.19
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$101.53
|
| Rate for Payer: Meridian Medicaid |
$71.59
|
| Rate for Payer: MI Amish Medical Board Commercial |
$111.20
|
| Rate for Payer: Molina Medicare/Medicaid |
$106.36
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$328.75
|
| Rate for Payer: Nomi Health Commercial |
$317.15
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$290.08
|
| Rate for Payer: PACE Senior Care Partners |
$91.86
|
| Rate for Payer: PACE SWMI |
$96.69
|
| Rate for Payer: PHP Commercial |
$328.75
|
| Rate for Payer: PHP Medicare Advantage |
$96.69
|
| Rate for Payer: Priority Health Choice Medicaid |
$68.19
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$336.49
|
| Rate for Payer: Priority Health Medicare |
$97.66
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$269.19
|
| Rate for Payer: Railroad Medicare Medicare |
$96.69
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$340.36
|
| Rate for Payer: UHC Core |
$322.95
|
| Rate for Payer: UHC Exchange |
$96.69
|
| Rate for Payer: UHC Medicaid |
$68.19
|
| Rate for Payer: UHC Medicare Advantage |
$96.69
|
| Rate for Payer: UHCCP Medicaid |
$68.19
|
| Rate for Payer: VA VA |
$96.69
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$290.08
|
|
|
HC DEVICE NOT RETURNED ACTIWATCH
|
Facility
|
IP
|
$949.00
|
|
| Hospital Charge Code |
27000615
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$660.50 |
| Max. Negotiated Rate |
$854.10 |
| Rate for Payer: Aetna Commercial |
$806.65
|
| Rate for Payer: BCBS Trust/PPO |
$783.78
|
| Rate for Payer: BCN Commercial |
$783.78
|
| Rate for Payer: Cash Price |
$759.20
|
| Rate for Payer: Cofinity Commercial |
$816.14
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$759.20
|
| Rate for Payer: Healthscope Commercial |
$854.10
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$711.75
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$806.65
|
| Rate for Payer: Nomi Health Commercial |
$778.18
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$711.75
|
| Rate for Payer: PHP Commercial |
$806.65
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$825.63
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$660.50
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$835.12
|
| Rate for Payer: UHC Core |
$792.41
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$711.75
|
|
|
HC DEVICE NOT RETURNED ACTIWATCH
|
Professional
|
Both
|
$997.00
|
|
| Hospital Charge Code |
27000615
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$398.80 |
| Max. Negotiated Rate |
$747.75 |
| Rate for Payer: Aetna Medicare |
$498.50
|
| Rate for Payer: BCBS Complete |
$398.80
|
| Rate for Payer: Cash Price |
$797.60
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$747.75
|
|
|
HC DEVICE NOT RETURNED ACTIWATCH
|
Facility
|
OP
|
$949.00
|
|
| Hospital Charge Code |
27000615
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$167.31 |
| Max. Negotiated Rate |
$854.10 |
| Rate for Payer: Aetna Commercial |
$806.65
|
| Rate for Payer: Aetna Medicare |
$246.74
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$296.56
|
| Rate for Payer: Amish Plain Church Group Commercial |
$296.56
|
| Rate for Payer: BCBS Complete |
$175.66
|
| Rate for Payer: BCBS MAPPO |
$237.25
|
| Rate for Payer: BCBS Trust/PPO |
$780.17
|
| Rate for Payer: BCN Commercial |
$780.17
|
| Rate for Payer: BCN Medicare Advantage |
$237.25
|
| Rate for Payer: Cash Price |
$759.20
|
| Rate for Payer: Cofinity Commercial |
$816.14
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$759.20
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$237.25
|
| Rate for Payer: Healthscope Commercial |
$854.10
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$711.75
|
| Rate for Payer: Mclaren Medicaid |
$167.31
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$249.11
|
| Rate for Payer: Meridian Medicaid |
$175.66
|
| Rate for Payer: MI Amish Medical Board Commercial |
$272.84
|
| Rate for Payer: Molina Medicare/Medicaid |
$260.98
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$806.65
|
| Rate for Payer: Nomi Health Commercial |
$778.18
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$711.75
|
| Rate for Payer: PACE Senior Care Partners |
$225.39
|
| Rate for Payer: PACE SWMI |
$237.25
|
| Rate for Payer: PHP Commercial |
$806.65
|
| Rate for Payer: PHP Medicare Advantage |
$237.25
|
| Rate for Payer: Priority Health Choice Medicaid |
$167.31
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$825.63
|
| Rate for Payer: Priority Health Medicare |
$239.62
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$660.50
|
| Rate for Payer: Railroad Medicare Medicare |
$237.25
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$835.12
|
| Rate for Payer: UHC Core |
$792.41
|
| Rate for Payer: UHC Exchange |
$237.25
|
| Rate for Payer: UHC Medicaid |
$167.31
|
| Rate for Payer: UHC Medicare Advantage |
$237.25
|
| Rate for Payer: UHCCP Medicaid |
$167.31
|
| Rate for Payer: VA VA |
$237.25
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$711.75
|
|
|
HC DEVICE NOT RETURNED ACTIWATCH
|
Professional
|
Both
|
$997.00
|
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$398.80 |
| Max. Negotiated Rate |
$747.75 |
| Rate for Payer: Aetna Medicare |
$498.50
|
| Rate for Payer: BCBS Complete |
$398.80
|
| Rate for Payer: Cash Price |
$797.60
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$747.75
|
|
|
HC DEVICE NOT RETURNED AIR 10 OXIMETRY
|
Professional
|
Both
|
$325.00
|
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$130.00 |
| Max. Negotiated Rate |
$243.75 |
| Rate for Payer: Aetna Medicare |
$162.50
|
| Rate for Payer: BCBS Complete |
$130.00
|
| Rate for Payer: Cash Price |
$260.00
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$243.75
|
|
|
HC DEVICE NOT RETURNED AIR 10 OXIMETRY
|
Facility
|
OP
|
$310.00
|
|
| Hospital Charge Code |
27000616
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$54.65 |
| Max. Negotiated Rate |
$279.00 |
| Rate for Payer: Aetna Commercial |
$263.50
|
| Rate for Payer: Aetna Medicare |
$80.60
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$96.88
|
| Rate for Payer: Amish Plain Church Group Commercial |
$96.88
|
| Rate for Payer: BCBS Complete |
$57.38
|
| Rate for Payer: BCBS MAPPO |
$77.50
|
| Rate for Payer: BCBS Trust/PPO |
$254.85
|
| Rate for Payer: BCN Commercial |
$254.85
|
| Rate for Payer: BCN Medicare Advantage |
$77.50
|
| Rate for Payer: Cash Price |
$248.00
|
| Rate for Payer: Cofinity Commercial |
$266.60
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$248.00
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$77.50
|
| Rate for Payer: Healthscope Commercial |
$279.00
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$232.50
|
| Rate for Payer: Mclaren Medicaid |
$54.65
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$81.38
|
| Rate for Payer: Meridian Medicaid |
$57.38
|
| Rate for Payer: MI Amish Medical Board Commercial |
$89.12
|
| Rate for Payer: Molina Medicare/Medicaid |
$85.25
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$263.50
|
| Rate for Payer: Nomi Health Commercial |
$254.20
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$232.50
|
| Rate for Payer: PACE Senior Care Partners |
$73.62
|
| Rate for Payer: PACE SWMI |
$77.50
|
| Rate for Payer: PHP Commercial |
$263.50
|
| Rate for Payer: PHP Medicare Advantage |
$77.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$54.65
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$269.70
|
| Rate for Payer: Priority Health Medicare |
$78.28
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$215.76
|
| Rate for Payer: Railroad Medicare Medicare |
$77.50
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$272.80
|
| Rate for Payer: UHC Core |
$258.85
|
| Rate for Payer: UHC Exchange |
$77.50
|
| Rate for Payer: UHC Medicaid |
$54.65
|
| Rate for Payer: UHC Medicare Advantage |
$77.50
|
| Rate for Payer: UHCCP Medicaid |
$54.65
|
| Rate for Payer: VA VA |
$77.50
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$232.50
|
|
|
HC DEVICE NOT RETURNED AIR 10 OXIMETRY
|
Professional
|
Both
|
$325.00
|
|
| Hospital Charge Code |
27000616
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$130.00 |
| Max. Negotiated Rate |
$243.75 |
| Rate for Payer: Aetna Medicare |
$162.50
|
| Rate for Payer: BCBS Complete |
$130.00
|
| Rate for Payer: Cash Price |
$260.00
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$243.75
|
|
|
HC DEVICE NOT RETURNED AIR 10 OXIMETRY
|
Facility
|
IP
|
$310.00
|
|
| Hospital Charge Code |
27000616
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$215.76 |
| Max. Negotiated Rate |
$279.00 |
| Rate for Payer: Aetna Commercial |
$263.50
|
| Rate for Payer: BCBS Trust/PPO |
$256.03
|
| Rate for Payer: BCN Commercial |
$256.03
|
| Rate for Payer: Cash Price |
$248.00
|
| Rate for Payer: Cofinity Commercial |
$266.60
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$248.00
|
| Rate for Payer: Healthscope Commercial |
$279.00
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$232.50
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$263.50
|
| Rate for Payer: Nomi Health Commercial |
$254.20
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$232.50
|
| Rate for Payer: PHP Commercial |
$263.50
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$269.70
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$215.76
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$272.80
|
| Rate for Payer: UHC Core |
$258.85
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$232.50
|
|
|
HC DEVICE NOT RETURNED APNEALINK
|
Professional
|
Both
|
$870.00
|
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$348.00 |
| Max. Negotiated Rate |
$652.50 |
| Rate for Payer: Aetna Medicare |
$435.00
|
| Rate for Payer: BCBS Complete |
$348.00
|
| Rate for Payer: Cash Price |
$696.00
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$652.50
|
|
|
HC DEVICE NOT RETURNED CADD PUMP
|
Facility
|
IP
|
$3,723.00
|
|
| Hospital Charge Code |
27000642
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$2,591.21 |
| Max. Negotiated Rate |
$3,350.70 |
| Rate for Payer: Aetna Commercial |
$3,164.55
|
| Rate for Payer: BCBS Trust/PPO |
$3,074.83
|
| Rate for Payer: BCN Commercial |
$3,074.83
|
| Rate for Payer: Cash Price |
$2,978.40
|
| Rate for Payer: Cofinity Commercial |
$3,201.78
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,978.40
|
| Rate for Payer: Healthscope Commercial |
$3,350.70
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,792.25
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,164.55
|
| Rate for Payer: Nomi Health Commercial |
$3,052.86
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,792.25
|
| Rate for Payer: PHP Commercial |
$3,164.55
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$3,239.01
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,591.21
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$3,276.24
|
| Rate for Payer: UHC Core |
$3,108.70
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,792.25
|
|
|
HC DEVICE NOT RETURNED CADD PUMP
|
Facility
|
OP
|
$3,723.00
|
|
| Hospital Charge Code |
27000642
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$656.36 |
| Max. Negotiated Rate |
$3,350.70 |
| Rate for Payer: Aetna Commercial |
$3,164.55
|
| Rate for Payer: Aetna Medicare |
$967.98
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,163.44
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1,163.44
|
| Rate for Payer: BCBS Complete |
$689.13
|
| Rate for Payer: BCBS MAPPO |
$930.75
|
| Rate for Payer: BCBS Trust/PPO |
$3,060.68
|
| Rate for Payer: BCN Commercial |
$3,060.68
|
| Rate for Payer: BCN Medicare Advantage |
$930.75
|
| Rate for Payer: Cash Price |
$2,978.40
|
| Rate for Payer: Cofinity Commercial |
$3,201.78
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,978.40
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$930.75
|
| Rate for Payer: Healthscope Commercial |
$3,350.70
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,792.25
|
| Rate for Payer: Mclaren Medicaid |
$656.36
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$977.29
|
| Rate for Payer: Meridian Medicaid |
$689.13
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,070.36
|
| Rate for Payer: Molina Medicare/Medicaid |
$1,023.83
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,164.55
|
| Rate for Payer: Nomi Health Commercial |
$3,052.86
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,792.25
|
| Rate for Payer: PACE Senior Care Partners |
$884.21
|
| Rate for Payer: PACE SWMI |
$930.75
|
| Rate for Payer: PHP Commercial |
$3,164.55
|
| Rate for Payer: PHP Medicare Advantage |
$930.75
|
| Rate for Payer: Priority Health Choice Medicaid |
$656.36
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$3,239.01
|
| Rate for Payer: Priority Health Medicare |
$940.06
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,591.21
|
| Rate for Payer: Railroad Medicare Medicare |
$930.75
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$3,276.24
|
| Rate for Payer: UHC Core |
$3,108.70
|
| Rate for Payer: UHC Exchange |
$930.75
|
| Rate for Payer: UHC Medicaid |
$656.36
|
| Rate for Payer: UHC Medicare Advantage |
$930.75
|
| Rate for Payer: UHCCP Medicaid |
$656.36
|
| Rate for Payer: VA VA |
$930.75
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,792.25
|
|
|
HC DEVICE NOT RETURNED HOLTER MONITOR
|
Facility
|
OP
|
$652.00
|
|
| Hospital Charge Code |
27000705
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$114.95 |
| Max. Negotiated Rate |
$586.80 |
| Rate for Payer: Aetna Commercial |
$554.20
|
| Rate for Payer: Aetna Medicare |
$169.52
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$203.75
|
| Rate for Payer: Amish Plain Church Group Commercial |
$203.75
|
| Rate for Payer: BCBS Complete |
$120.69
|
| Rate for Payer: BCBS MAPPO |
$163.00
|
| Rate for Payer: BCBS Trust/PPO |
$536.01
|
| Rate for Payer: BCN Commercial |
$536.01
|
| Rate for Payer: BCN Medicare Advantage |
$163.00
|
| Rate for Payer: Cash Price |
$521.60
|
| Rate for Payer: Cofinity Commercial |
$560.72
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$521.60
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$163.00
|
| Rate for Payer: Healthscope Commercial |
$586.80
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$489.00
|
| Rate for Payer: Mclaren Medicaid |
$114.95
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$171.15
|
| Rate for Payer: Meridian Medicaid |
$120.69
|
| Rate for Payer: MI Amish Medical Board Commercial |
$187.45
|
| Rate for Payer: Molina Medicare/Medicaid |
$179.30
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$554.20
|
| Rate for Payer: Nomi Health Commercial |
$534.64
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$489.00
|
| Rate for Payer: PACE Senior Care Partners |
$154.85
|
| Rate for Payer: PACE SWMI |
$163.00
|
| Rate for Payer: PHP Commercial |
$554.20
|
| Rate for Payer: PHP Medicare Advantage |
$163.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$114.95
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$567.24
|
| Rate for Payer: Priority Health Medicare |
$164.63
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$453.79
|
| Rate for Payer: Railroad Medicare Medicare |
$163.00
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$573.76
|
| Rate for Payer: UHC Core |
$544.42
|
| Rate for Payer: UHC Exchange |
$163.00
|
| Rate for Payer: UHC Medicaid |
$114.95
|
| Rate for Payer: UHC Medicare Advantage |
$163.00
|
| Rate for Payer: UHCCP Medicaid |
$114.95
|
| Rate for Payer: VA VA |
$163.00
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$489.00
|
|
|
HC DEVICE NOT RETURNED HOLTER MONITOR
|
Facility
|
IP
|
$652.00
|
|
| Hospital Charge Code |
27000705
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$453.79 |
| Max. Negotiated Rate |
$586.80 |
| Rate for Payer: Aetna Commercial |
$554.20
|
| Rate for Payer: BCBS Trust/PPO |
$538.49
|
| Rate for Payer: BCN Commercial |
$538.49
|
| Rate for Payer: Cash Price |
$521.60
|
| Rate for Payer: Cofinity Commercial |
$560.72
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$521.60
|
| Rate for Payer: Healthscope Commercial |
$586.80
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$489.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$554.20
|
| Rate for Payer: Nomi Health Commercial |
$534.64
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$489.00
|
| Rate for Payer: PHP Commercial |
$554.20
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$567.24
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$453.79
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$573.76
|
| Rate for Payer: UHC Core |
$544.42
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$489.00
|
|
|
HC DEVICE NOT RETURNED RU SLEEPING
|
Professional
|
Both
|
$520.00
|
|
| Hospital Charge Code |
27000614
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$208.00 |
| Max. Negotiated Rate |
$390.00 |
| Rate for Payer: Aetna Medicare |
$260.00
|
| Rate for Payer: BCBS Complete |
$208.00
|
| Rate for Payer: Cash Price |
$416.00
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$390.00
|
|
|
HC DEVICE NOT RETURNED RU SLEEPING
|
Facility
|
IP
|
$495.00
|
|
| Hospital Charge Code |
27000614
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$344.52 |
| Max. Negotiated Rate |
$445.50 |
| Rate for Payer: Aetna Commercial |
$420.75
|
| Rate for Payer: BCBS Trust/PPO |
$408.82
|
| Rate for Payer: BCN Commercial |
$408.82
|
| Rate for Payer: Cash Price |
$396.00
|
| Rate for Payer: Cofinity Commercial |
$425.70
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$396.00
|
| Rate for Payer: Healthscope Commercial |
$445.50
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$371.25
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$420.75
|
| Rate for Payer: Nomi Health Commercial |
$405.90
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$371.25
|
| Rate for Payer: PHP Commercial |
$420.75
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$430.65
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$344.52
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$435.60
|
| Rate for Payer: UHC Core |
$413.32
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$371.25
|
|
|
HC DEVICE NOT RETURNED RU SLEEPING
|
Facility
|
OP
|
$495.00
|
|
| Hospital Charge Code |
27000614
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$87.27 |
| Max. Negotiated Rate |
$445.50 |
| Rate for Payer: Aetna Commercial |
$420.75
|
| Rate for Payer: Aetna Medicare |
$128.70
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$154.69
|
| Rate for Payer: Amish Plain Church Group Commercial |
$154.69
|
| Rate for Payer: BCBS Complete |
$91.62
|
| Rate for Payer: BCBS MAPPO |
$123.75
|
| Rate for Payer: BCBS Trust/PPO |
$406.94
|
| Rate for Payer: BCN Commercial |
$406.94
|
| Rate for Payer: BCN Medicare Advantage |
$123.75
|
| Rate for Payer: Cash Price |
$396.00
|
| Rate for Payer: Cofinity Commercial |
$425.70
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$396.00
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$123.75
|
| Rate for Payer: Healthscope Commercial |
$445.50
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$371.25
|
| Rate for Payer: Mclaren Medicaid |
$87.27
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$129.94
|
| Rate for Payer: Meridian Medicaid |
$91.62
|
| Rate for Payer: MI Amish Medical Board Commercial |
$142.31
|
| Rate for Payer: Molina Medicare/Medicaid |
$136.12
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$420.75
|
| Rate for Payer: Nomi Health Commercial |
$405.90
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$371.25
|
| Rate for Payer: PACE Senior Care Partners |
$117.56
|
| Rate for Payer: PACE SWMI |
$123.75
|
| Rate for Payer: PHP Commercial |
$420.75
|
| Rate for Payer: PHP Medicare Advantage |
$123.75
|
| Rate for Payer: Priority Health Choice Medicaid |
$87.27
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$430.65
|
| Rate for Payer: Priority Health Medicare |
$124.99
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$344.52
|
| Rate for Payer: Railroad Medicare Medicare |
$123.75
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$435.60
|
| Rate for Payer: UHC Core |
$413.32
|
| Rate for Payer: UHC Exchange |
$123.75
|
| Rate for Payer: UHC Medicaid |
$87.27
|
| Rate for Payer: UHC Medicare Advantage |
$123.75
|
| Rate for Payer: UHCCP Medicaid |
$87.27
|
| Rate for Payer: VA VA |
$123.75
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$371.25
|
|
|
HC DEVICE NOT RETURNED RU SLEEPING
|
Professional
|
Both
|
$520.00
|
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$208.00 |
| Max. Negotiated Rate |
$390.00 |
| Rate for Payer: Aetna Medicare |
$260.00
|
| Rate for Payer: BCBS Complete |
$208.00
|
| Rate for Payer: Cash Price |
$416.00
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$390.00
|
|
|
HC DEVICE NOT RETURNED TYPE III HOME STUDY
|
Facility
|
IP
|
$4,950.00
|
|
| Hospital Charge Code |
27000604
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$3,445.20 |
| Max. Negotiated Rate |
$4,455.00 |
| Rate for Payer: Aetna Commercial |
$4,207.50
|
| Rate for Payer: BCBS Trust/PPO |
$4,088.20
|
| Rate for Payer: BCN Commercial |
$4,088.20
|
| Rate for Payer: Cash Price |
$3,960.00
|
| Rate for Payer: Cofinity Commercial |
$4,257.00
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,960.00
|
| Rate for Payer: Healthscope Commercial |
$4,455.00
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$3,712.50
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$4,207.50
|
| Rate for Payer: Nomi Health Commercial |
$4,059.00
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$3,712.50
|
| Rate for Payer: PHP Commercial |
$4,207.50
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$4,306.50
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$3,445.20
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$4,356.00
|
| Rate for Payer: UHC Core |
$4,133.25
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$3,712.50
|
|
|
HC DEVICE NOT RETURNED TYPE III HOME STUDY
|
Facility
|
OP
|
$4,950.00
|
|
| Hospital Charge Code |
27000604
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$872.68 |
| Max. Negotiated Rate |
$4,455.00 |
| Rate for Payer: Aetna Commercial |
$4,207.50
|
| Rate for Payer: Aetna Medicare |
$1,287.00
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,546.88
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1,546.88
|
| Rate for Payer: BCBS Complete |
$916.25
|
| Rate for Payer: BCBS MAPPO |
$1,237.50
|
| Rate for Payer: BCBS Trust/PPO |
$4,069.39
|
| Rate for Payer: BCN Commercial |
$4,069.39
|
| Rate for Payer: BCN Medicare Advantage |
$1,237.50
|
| Rate for Payer: Cash Price |
$3,960.00
|
| Rate for Payer: Cofinity Commercial |
$4,257.00
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,960.00
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,237.50
|
| Rate for Payer: Healthscope Commercial |
$4,455.00
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$3,712.50
|
| Rate for Payer: Mclaren Medicaid |
$872.68
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,299.38
|
| Rate for Payer: Meridian Medicaid |
$916.25
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,423.12
|
| Rate for Payer: Molina Medicare/Medicaid |
$1,361.25
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$4,207.50
|
| Rate for Payer: Nomi Health Commercial |
$4,059.00
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$3,712.50
|
| Rate for Payer: PACE Senior Care Partners |
$1,175.62
|
| Rate for Payer: PACE SWMI |
$1,237.50
|
| Rate for Payer: PHP Commercial |
$4,207.50
|
| Rate for Payer: PHP Medicare Advantage |
$1,237.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$872.68
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$4,306.50
|
| Rate for Payer: Priority Health Medicare |
$1,249.88
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$3,445.20
|
| Rate for Payer: Railroad Medicare Medicare |
$1,237.50
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$4,356.00
|
| Rate for Payer: UHC Core |
$4,133.25
|
| Rate for Payer: UHC Exchange |
$1,237.50
|
| Rate for Payer: UHC Medicaid |
$872.68
|
| Rate for Payer: UHC Medicare Advantage |
$1,237.50
|
| Rate for Payer: UHCCP Medicaid |
$872.68
|
| Rate for Payer: VA VA |
$1,237.50
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$3,712.50
|
|
|
HC DEVICE NOT RETURNED TYPE III HOME STUDY
|
Professional
|
Both
|
$5,200.00
|
|
| Hospital Charge Code |
27000604
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$2,080.00 |
| Max. Negotiated Rate |
$3,900.00 |
| Rate for Payer: Aetna Medicare |
$2,600.00
|
| Rate for Payer: BCBS Complete |
$2,080.00
|
| Rate for Payer: Cash Price |
$4,160.00
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$3,900.00
|
|
|
HC DEVICE NOT RETURNED TYPE III HOME STUDY
|
Professional
|
Both
|
$5,200.00
|
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$2,080.00 |
| Max. Negotiated Rate |
$3,900.00 |
| Rate for Payer: Aetna Medicare |
$2,600.00
|
| Rate for Payer: BCBS Complete |
$2,080.00
|
| Rate for Payer: Cash Price |
$4,160.00
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$3,900.00
|
|
|
HC DEVICE NOT RETURNED TYPE III HOME STUDY W/EFFORT & FLOW
|
Professional
|
Both
|
$1,626.00
|
|
| Hospital Charge Code |
27000603
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$650.40 |
| Max. Negotiated Rate |
$1,219.50 |
| Rate for Payer: Aetna Medicare |
$813.00
|
| Rate for Payer: BCBS Complete |
$650.40
|
| Rate for Payer: Cash Price |
$1,300.80
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,219.50
|
|
|
HC DEVICE NOT RETURNED TYPE III HOME STUDY W/EFFORT & FLOW
|
Facility
|
IP
|
$1,548.00
|
|
| Hospital Charge Code |
27000603
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$1,077.41 |
| Max. Negotiated Rate |
$1,393.20 |
| Rate for Payer: Aetna Commercial |
$1,315.80
|
| Rate for Payer: BCBS Trust/PPO |
$1,278.49
|
| Rate for Payer: BCN Commercial |
$1,278.49
|
| Rate for Payer: Cash Price |
$1,238.40
|
| Rate for Payer: Cofinity Commercial |
$1,331.28
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,238.40
|
| Rate for Payer: Healthscope Commercial |
$1,393.20
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,161.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,315.80
|
| Rate for Payer: Nomi Health Commercial |
$1,269.36
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,161.00
|
| Rate for Payer: PHP Commercial |
$1,315.80
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$1,346.76
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,077.41
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,362.24
|
| Rate for Payer: UHC Core |
$1,292.58
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,161.00
|
|
