HC IMMUNOGLOBULIN A (IGA), S
|
Facility
|
IP
|
$39.00
|
|
Service Code
|
CPT 82784
|
Hospital Charge Code |
30100756
|
Hospital Revenue Code
|
301
|
Min. Negotiated Rate |
$23.79 |
Max. Negotiated Rate |
$35.10 |
Rate for Payer: Aetna Commercial |
$33.15
|
Rate for Payer: BCBS Trust/PPO |
$30.14
|
Rate for Payer: BCN Commercial |
$30.14
|
Rate for Payer: Cash Price |
$31.20
|
Rate for Payer: Cofinity Commercial |
$33.54
|
Rate for Payer: Encore Health Key Benefits Commercial |
$31.20
|
Rate for Payer: Healthscope Commercial |
$35.10
|
Rate for Payer: Lakeland Regional Health Systems Commercial |
$29.25
|
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$33.15
|
Rate for Payer: PHP Commercial |
$33.15
|
Rate for Payer: Priority Health Cigna Priority Health |
$27.30
|
Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$33.93
|
Rate for Payer: Priority Health Narrow/Tiered Network |
$23.79
|
Rate for Payer: UHC All Payor (Choice/PPO) |
$34.32
|
Rate for Payer: UHC Core |
$32.56
|
Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$29.25
|
|
HC IMMUNOGLOBULIN A (IGA), S
|
Facility
|
OP
|
$39.00
|
|
Service Code
|
CPT 82784
|
Hospital Charge Code |
30100756
|
Hospital Revenue Code
|
301
|
Min. Negotiated Rate |
$6.86 |
Max. Negotiated Rate |
$35.10 |
Rate for Payer: Aetna Commercial |
$33.15
|
Rate for Payer: Aetna Medicare |
$10.14
|
Rate for Payer: Allen County Amish Medical Aid Commercial |
$12.19
|
Rate for Payer: Amish Plain Church Group Commercial |
$12.19
|
Rate for Payer: BCBS Complete |
$7.21
|
Rate for Payer: BCBS MAPPO |
$9.75
|
Rate for Payer: BCBS Trust/PPO |
$30.32
|
Rate for Payer: BCN Commercial |
$30.32
|
Rate for Payer: BCN Medicare Advantage |
$9.75
|
Rate for Payer: Cash Price |
$31.20
|
Rate for Payer: Cash Price |
$31.20
|
Rate for Payer: Cofinity Commercial |
$33.54
|
Rate for Payer: Encore Health Key Benefits Commercial |
$31.20
|
Rate for Payer: Health Alliance Plan Medicare Advantage |
$9.75
|
Rate for Payer: Healthscope Commercial |
$35.10
|
Rate for Payer: Lakeland Regional Health Systems Commercial |
$29.25
|
Rate for Payer: Mclaren Medicaid |
$6.86
|
Rate for Payer: Meridian Medicaid |
$7.21
|
Rate for Payer: Meridian Wellcare - Medicare Advantage |
$10.24
|
Rate for Payer: MI Amish Medical Board Commercial |
$11.21
|
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$33.15
|
Rate for Payer: PACE Senior Care Partners |
$9.26
|
Rate for Payer: PACE SWMI |
$9.75
|
Rate for Payer: PHP Commercial |
$33.15
|
Rate for Payer: PHP Medicare Advantage |
$9.75
|
Rate for Payer: Priority Health Choice Medicaid |
$6.86
|
Rate for Payer: Priority Health Cigna Priority Health |
$27.30
|
Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$33.93
|
Rate for Payer: Priority Health Medicare |
$9.75
|
Rate for Payer: Priority Health Narrow/Tiered Network |
$23.79
|
Rate for Payer: Railroad Medicare Medicare |
$9.75
|
Rate for Payer: UHC All Payor (Choice/PPO) |
$34.32
|
Rate for Payer: UHC Core |
$32.56
|
Rate for Payer: UHC Dual Complete DSNP |
$9.75
|
Rate for Payer: UHC Medicare Advantage |
$10.04
|
Rate for Payer: VA VA |
$9.75
|
Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$29.25
|
|
HC IMMUNOGLOBULIN E IGE ALLERGY SPECIFIC
|
Facility
|
OP
|
$62.02
|
|
Service Code
|
CPT 82785
|
Hospital Charge Code |
30100213
|
Hospital Revenue Code
|
301
|
Min. Negotiated Rate |
$12.15 |
Max. Negotiated Rate |
$55.82 |
Rate for Payer: Aetna Commercial |
$52.72
|
Rate for Payer: Aetna Medicare |
$16.13
|
Rate for Payer: Allen County Amish Medical Aid Commercial |
$19.38
|
Rate for Payer: Amish Plain Church Group Commercial |
$19.38
|
Rate for Payer: BCBS Complete |
$12.75
|
Rate for Payer: BCBS MAPPO |
$15.50
|
Rate for Payer: BCBS Trust/PPO |
$48.22
|
Rate for Payer: BCN Commercial |
$48.22
|
Rate for Payer: BCN Medicare Advantage |
$15.50
|
Rate for Payer: Cash Price |
$49.62
|
Rate for Payer: Cash Price |
$49.62
|
Rate for Payer: Cofinity Commercial |
$53.34
|
Rate for Payer: Encore Health Key Benefits Commercial |
$49.62
|
Rate for Payer: Health Alliance Plan Medicare Advantage |
$15.50
|
Rate for Payer: Healthscope Commercial |
$55.82
|
Rate for Payer: Lakeland Regional Health Systems Commercial |
$46.52
|
Rate for Payer: Mclaren Medicaid |
$12.15
|
Rate for Payer: Meridian Medicaid |
$12.75
|
Rate for Payer: Meridian Wellcare - Medicare Advantage |
$16.28
|
Rate for Payer: MI Amish Medical Board Commercial |
$17.83
|
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$52.72
|
Rate for Payer: PACE Senior Care Partners |
$14.73
|
Rate for Payer: PACE SWMI |
$15.50
|
Rate for Payer: PHP Commercial |
$52.72
|
Rate for Payer: PHP Medicare Advantage |
$15.50
|
Rate for Payer: Priority Health Choice Medicaid |
$12.15
|
Rate for Payer: Priority Health Cigna Priority Health |
$43.41
|
Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$53.96
|
Rate for Payer: Priority Health Medicare |
$15.50
|
Rate for Payer: Priority Health Narrow/Tiered Network |
$37.83
|
Rate for Payer: Railroad Medicare Medicare |
$15.50
|
Rate for Payer: UHC All Payor (Choice/PPO) |
$54.58
|
Rate for Payer: UHC Core |
$51.79
|
Rate for Payer: UHC Dual Complete DSNP |
$15.50
|
Rate for Payer: UHC Medicare Advantage |
$15.97
|
Rate for Payer: VA VA |
$15.50
|
Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$46.52
|
|
HC IMMUNOGLOBULIN E IGE ALLERGY SPECIFIC
|
Facility
|
IP
|
$62.02
|
|
Service Code
|
CPT 82785
|
Hospital Charge Code |
30100213
|
Hospital Revenue Code
|
301
|
Min. Negotiated Rate |
$37.83 |
Max. Negotiated Rate |
$55.82 |
Rate for Payer: Aetna Commercial |
$52.72
|
Rate for Payer: BCBS Trust/PPO |
$47.93
|
Rate for Payer: BCN Commercial |
$47.93
|
Rate for Payer: Cash Price |
$49.62
|
Rate for Payer: Cofinity Commercial |
$53.34
|
Rate for Payer: Encore Health Key Benefits Commercial |
$49.62
|
Rate for Payer: Healthscope Commercial |
$55.82
|
Rate for Payer: Lakeland Regional Health Systems Commercial |
$46.52
|
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$52.72
|
Rate for Payer: PHP Commercial |
$52.72
|
Rate for Payer: Priority Health Cigna Priority Health |
$43.41
|
Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$53.96
|
Rate for Payer: Priority Health Narrow/Tiered Network |
$37.83
|
Rate for Payer: UHC All Payor (Choice/PPO) |
$54.58
|
Rate for Payer: UHC Core |
$51.79
|
Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$46.52
|
|
HC IMMUNOGLOBULIN G IGG
|
Facility
|
OP
|
$75.40
|
|
Service Code
|
CPT 82784
|
Hospital Charge Code |
30100207
|
Hospital Revenue Code
|
301
|
Min. Negotiated Rate |
$6.86 |
Max. Negotiated Rate |
$67.86 |
Rate for Payer: Aetna Commercial |
$64.09
|
Rate for Payer: Aetna Medicare |
$19.60
|
Rate for Payer: Allen County Amish Medical Aid Commercial |
$23.56
|
Rate for Payer: Amish Plain Church Group Commercial |
$23.56
|
Rate for Payer: BCBS Complete |
$7.21
|
Rate for Payer: BCBS MAPPO |
$18.85
|
Rate for Payer: BCBS Trust/PPO |
$58.62
|
Rate for Payer: BCN Commercial |
$58.62
|
Rate for Payer: BCN Medicare Advantage |
$18.85
|
Rate for Payer: Cash Price |
$60.32
|
Rate for Payer: Cash Price |
$60.32
|
Rate for Payer: Cofinity Commercial |
$64.84
|
Rate for Payer: Encore Health Key Benefits Commercial |
$60.32
|
Rate for Payer: Health Alliance Plan Medicare Advantage |
$18.85
|
Rate for Payer: Healthscope Commercial |
$67.86
|
Rate for Payer: Lakeland Regional Health Systems Commercial |
$56.55
|
Rate for Payer: Mclaren Medicaid |
$6.86
|
Rate for Payer: Meridian Medicaid |
$7.21
|
Rate for Payer: Meridian Wellcare - Medicare Advantage |
$19.79
|
Rate for Payer: MI Amish Medical Board Commercial |
$21.68
|
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$64.09
|
Rate for Payer: PACE Senior Care Partners |
$17.91
|
Rate for Payer: PACE SWMI |
$18.85
|
Rate for Payer: PHP Commercial |
$64.09
|
Rate for Payer: PHP Medicare Advantage |
$18.85
|
Rate for Payer: Priority Health Choice Medicaid |
$6.86
|
Rate for Payer: Priority Health Cigna Priority Health |
$52.78
|
Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$65.60
|
Rate for Payer: Priority Health Medicare |
$18.85
|
Rate for Payer: Priority Health Narrow/Tiered Network |
$45.99
|
Rate for Payer: Railroad Medicare Medicare |
$18.85
|
Rate for Payer: UHC All Payor (Choice/PPO) |
$66.35
|
Rate for Payer: UHC Core |
$62.96
|
Rate for Payer: UHC Dual Complete DSNP |
$18.85
|
Rate for Payer: UHC Medicare Advantage |
$19.42
|
Rate for Payer: VA VA |
$18.85
|
Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$56.55
|
|
HC IMMUNOGLOBULIN G IGG
|
Facility
|
IP
|
$75.40
|
|
Service Code
|
CPT 82784
|
Hospital Charge Code |
30100207
|
Hospital Revenue Code
|
301
|
Min. Negotiated Rate |
$45.99 |
Max. Negotiated Rate |
$67.86 |
Rate for Payer: Aetna Commercial |
$64.09
|
Rate for Payer: BCBS Trust/PPO |
$58.27
|
Rate for Payer: BCN Commercial |
$58.27
|
Rate for Payer: Cash Price |
$60.32
|
Rate for Payer: Cofinity Commercial |
$64.84
|
Rate for Payer: Encore Health Key Benefits Commercial |
$60.32
|
Rate for Payer: Healthscope Commercial |
$67.86
|
Rate for Payer: Lakeland Regional Health Systems Commercial |
$56.55
|
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$64.09
|
Rate for Payer: PHP Commercial |
$64.09
|
Rate for Payer: Priority Health Cigna Priority Health |
$52.78
|
Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$65.60
|
Rate for Payer: Priority Health Narrow/Tiered Network |
$45.99
|
Rate for Payer: UHC All Payor (Choice/PPO) |
$66.35
|
Rate for Payer: UHC Core |
$62.96
|
Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$56.55
|
|
HC IMMUNOGLOBULIN M IGM
|
Facility
|
IP
|
$75.40
|
|
Service Code
|
CPT 82784
|
Hospital Charge Code |
30100209
|
Hospital Revenue Code
|
301
|
Min. Negotiated Rate |
$45.99 |
Max. Negotiated Rate |
$67.86 |
Rate for Payer: Aetna Commercial |
$64.09
|
Rate for Payer: BCBS Trust/PPO |
$58.27
|
Rate for Payer: BCN Commercial |
$58.27
|
Rate for Payer: Cash Price |
$60.32
|
Rate for Payer: Cofinity Commercial |
$64.84
|
Rate for Payer: Encore Health Key Benefits Commercial |
$60.32
|
Rate for Payer: Healthscope Commercial |
$67.86
|
Rate for Payer: Lakeland Regional Health Systems Commercial |
$56.55
|
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$64.09
|
Rate for Payer: PHP Commercial |
$64.09
|
Rate for Payer: Priority Health Cigna Priority Health |
$52.78
|
Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$65.60
|
Rate for Payer: Priority Health Narrow/Tiered Network |
$45.99
|
Rate for Payer: UHC All Payor (Choice/PPO) |
$66.35
|
Rate for Payer: UHC Core |
$62.96
|
Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$56.55
|
|
HC IMMUNOGLOBULIN M IGM
|
Facility
|
OP
|
$75.40
|
|
Service Code
|
CPT 82784
|
Hospital Charge Code |
30100209
|
Hospital Revenue Code
|
301
|
Min. Negotiated Rate |
$6.86 |
Max. Negotiated Rate |
$67.86 |
Rate for Payer: Aetna Commercial |
$64.09
|
Rate for Payer: Aetna Medicare |
$19.60
|
Rate for Payer: Allen County Amish Medical Aid Commercial |
$23.56
|
Rate for Payer: Amish Plain Church Group Commercial |
$23.56
|
Rate for Payer: BCBS Complete |
$7.21
|
Rate for Payer: BCBS MAPPO |
$18.85
|
Rate for Payer: BCBS Trust/PPO |
$58.62
|
Rate for Payer: BCN Commercial |
$58.62
|
Rate for Payer: BCN Medicare Advantage |
$18.85
|
Rate for Payer: Cash Price |
$60.32
|
Rate for Payer: Cash Price |
$60.32
|
Rate for Payer: Cofinity Commercial |
$64.84
|
Rate for Payer: Encore Health Key Benefits Commercial |
$60.32
|
Rate for Payer: Health Alliance Plan Medicare Advantage |
$18.85
|
Rate for Payer: Healthscope Commercial |
$67.86
|
Rate for Payer: Lakeland Regional Health Systems Commercial |
$56.55
|
Rate for Payer: Mclaren Medicaid |
$6.86
|
Rate for Payer: Meridian Medicaid |
$7.21
|
Rate for Payer: Meridian Wellcare - Medicare Advantage |
$19.79
|
Rate for Payer: MI Amish Medical Board Commercial |
$21.68
|
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$64.09
|
Rate for Payer: PACE Senior Care Partners |
$17.91
|
Rate for Payer: PACE SWMI |
$18.85
|
Rate for Payer: PHP Commercial |
$64.09
|
Rate for Payer: PHP Medicare Advantage |
$18.85
|
Rate for Payer: Priority Health Choice Medicaid |
$6.86
|
Rate for Payer: Priority Health Cigna Priority Health |
$52.78
|
Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$65.60
|
Rate for Payer: Priority Health Medicare |
$18.85
|
Rate for Payer: Priority Health Narrow/Tiered Network |
$45.99
|
Rate for Payer: Railroad Medicare Medicare |
$18.85
|
Rate for Payer: UHC All Payor (Choice/PPO) |
$66.35
|
Rate for Payer: UHC Core |
$62.96
|
Rate for Payer: UHC Dual Complete DSNP |
$18.85
|
Rate for Payer: UHC Medicare Advantage |
$19.42
|
Rate for Payer: VA VA |
$18.85
|
Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$56.55
|
|
HC IMMUNOGLOBULIN SUBCLASSES
|
Facility
|
IP
|
$22.44
|
|
Service Code
|
CPT 82784
|
Hospital Charge Code |
30100211
|
Hospital Revenue Code
|
301
|
Min. Negotiated Rate |
$13.69 |
Max. Negotiated Rate |
$20.20 |
Rate for Payer: Aetna Commercial |
$19.07
|
Rate for Payer: BCBS Trust/PPO |
$17.34
|
Rate for Payer: BCN Commercial |
$17.34
|
Rate for Payer: Cash Price |
$17.95
|
Rate for Payer: Cofinity Commercial |
$19.30
|
Rate for Payer: Encore Health Key Benefits Commercial |
$17.95
|
Rate for Payer: Healthscope Commercial |
$20.20
|
Rate for Payer: Lakeland Regional Health Systems Commercial |
$16.83
|
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$19.07
|
Rate for Payer: PHP Commercial |
$19.07
|
Rate for Payer: Priority Health Cigna Priority Health |
$15.71
|
Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$19.52
|
Rate for Payer: Priority Health Narrow/Tiered Network |
$13.69
|
Rate for Payer: UHC All Payor (Choice/PPO) |
$19.75
|
Rate for Payer: UHC Core |
$18.74
|
Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$16.83
|
|
HC IMMUNOGLOBULIN SUBCLASSES
|
Facility
|
OP
|
$22.44
|
|
Service Code
|
CPT 82784
|
Hospital Charge Code |
30100211
|
Hospital Revenue Code
|
301
|
Min. Negotiated Rate |
$5.33 |
Max. Negotiated Rate |
$20.20 |
Rate for Payer: Aetna Commercial |
$19.07
|
Rate for Payer: Aetna Medicare |
$5.83
|
Rate for Payer: Allen County Amish Medical Aid Commercial |
$7.01
|
Rate for Payer: Amish Plain Church Group Commercial |
$7.01
|
Rate for Payer: BCBS Complete |
$7.21
|
Rate for Payer: BCBS MAPPO |
$5.61
|
Rate for Payer: BCBS Trust/PPO |
$17.45
|
Rate for Payer: BCN Commercial |
$17.45
|
Rate for Payer: BCN Medicare Advantage |
$5.61
|
Rate for Payer: Cash Price |
$17.95
|
Rate for Payer: Cash Price |
$17.95
|
Rate for Payer: Cofinity Commercial |
$19.30
|
Rate for Payer: Encore Health Key Benefits Commercial |
$17.95
|
Rate for Payer: Health Alliance Plan Medicare Advantage |
$5.61
|
Rate for Payer: Healthscope Commercial |
$20.20
|
Rate for Payer: Lakeland Regional Health Systems Commercial |
$16.83
|
Rate for Payer: Mclaren Medicaid |
$6.86
|
Rate for Payer: Meridian Medicaid |
$7.21
|
Rate for Payer: Meridian Wellcare - Medicare Advantage |
$5.89
|
Rate for Payer: MI Amish Medical Board Commercial |
$6.45
|
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$19.07
|
Rate for Payer: PACE Senior Care Partners |
$5.33
|
Rate for Payer: PACE SWMI |
$5.61
|
Rate for Payer: PHP Commercial |
$19.07
|
Rate for Payer: PHP Medicare Advantage |
$5.61
|
Rate for Payer: Priority Health Choice Medicaid |
$6.86
|
Rate for Payer: Priority Health Cigna Priority Health |
$15.71
|
Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$19.52
|
Rate for Payer: Priority Health Medicare |
$5.61
|
Rate for Payer: Priority Health Narrow/Tiered Network |
$13.69
|
Rate for Payer: Railroad Medicare Medicare |
$5.61
|
Rate for Payer: UHC All Payor (Choice/PPO) |
$19.75
|
Rate for Payer: UHC Core |
$18.74
|
Rate for Payer: UHC Dual Complete DSNP |
$5.61
|
Rate for Payer: UHC Medicare Advantage |
$5.78
|
Rate for Payer: VA VA |
$5.61
|
Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$16.83
|
|
HC IMMUNOHISTOCHEMISTRY EA ADDL STAIN PER SPECIMEN
|
Facility
|
OP
|
$150.27
|
|
Service Code
|
CPT 88341
|
Hospital Charge Code |
31000118
|
Hospital Revenue Code
|
310
|
Min. Negotiated Rate |
$35.69 |
Max. Negotiated Rate |
$135.24 |
Rate for Payer: Aetna Commercial |
$127.73
|
Rate for Payer: Aetna Medicare |
$39.07
|
Rate for Payer: Allen County Amish Medical Aid Commercial |
$46.96
|
Rate for Payer: Amish Plain Church Group Commercial |
$46.96
|
Rate for Payer: BCBS Complete |
$60.11
|
Rate for Payer: BCBS MAPPO |
$37.57
|
Rate for Payer: BCBS Trust/PPO |
$116.83
|
Rate for Payer: BCCCP Commercial |
$86.77
|
Rate for Payer: BCN Commercial |
$116.83
|
Rate for Payer: BCN Medicare Advantage |
$37.57
|
Rate for Payer: Cash Price |
$120.22
|
Rate for Payer: Cash Price |
$120.22
|
Rate for Payer: Cofinity Commercial |
$129.23
|
Rate for Payer: Encore Health Key Benefits Commercial |
$120.22
|
Rate for Payer: Health Alliance Plan Medicare Advantage |
$37.57
|
Rate for Payer: Healthscope Commercial |
$135.24
|
Rate for Payer: Lakeland Regional Health Systems Commercial |
$112.70
|
Rate for Payer: Meridian Wellcare - Medicare Advantage |
$39.45
|
Rate for Payer: MI Amish Medical Board Commercial |
$43.20
|
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$127.73
|
Rate for Payer: PACE Senior Care Partners |
$35.69
|
Rate for Payer: PACE SWMI |
$37.57
|
Rate for Payer: PHP Commercial |
$127.73
|
Rate for Payer: PHP Medicare Advantage |
$37.57
|
Rate for Payer: Priority Health Cigna Priority Health |
$105.19
|
Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$130.73
|
Rate for Payer: Priority Health Medicare |
$37.57
|
Rate for Payer: Priority Health Narrow/Tiered Network |
$91.65
|
Rate for Payer: Railroad Medicare Medicare |
$37.57
|
Rate for Payer: UHC All Payor (Choice/PPO) |
$132.24
|
Rate for Payer: UHC Core |
$125.48
|
Rate for Payer: UHC Dual Complete DSNP |
$37.57
|
Rate for Payer: UHC Medicare Advantage |
$38.69
|
Rate for Payer: VA VA |
$37.57
|
Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$112.70
|
|
HC IMMUNOHISTOCHEMISTRY EA ADDL STAIN PER SPECIMEN
|
Facility
|
IP
|
$150.27
|
|
Service Code
|
CPT 88341
|
Hospital Charge Code |
31000118
|
Hospital Revenue Code
|
310
|
Min. Negotiated Rate |
$91.65 |
Max. Negotiated Rate |
$135.24 |
Rate for Payer: Aetna Commercial |
$127.73
|
Rate for Payer: BCBS Trust/PPO |
$116.13
|
Rate for Payer: BCN Commercial |
$116.13
|
Rate for Payer: Cash Price |
$120.22
|
Rate for Payer: Cofinity Commercial |
$129.23
|
Rate for Payer: Encore Health Key Benefits Commercial |
$120.22
|
Rate for Payer: Healthscope Commercial |
$135.24
|
Rate for Payer: Lakeland Regional Health Systems Commercial |
$112.70
|
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$127.73
|
Rate for Payer: PHP Commercial |
$127.73
|
Rate for Payer: Priority Health Cigna Priority Health |
$105.19
|
Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$130.73
|
Rate for Payer: Priority Health Narrow/Tiered Network |
$91.65
|
Rate for Payer: UHC All Payor (Choice/PPO) |
$132.24
|
Rate for Payer: UHC Core |
$125.48
|
Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$112.70
|
|
HC IMMUNOHISTOCHEMISTRY STAIN
|
Facility
|
IP
|
$170.02
|
|
Service Code
|
CPT 88342
|
Hospital Charge Code |
31000058
|
Hospital Revenue Code
|
310
|
Min. Negotiated Rate |
$103.70 |
Max. Negotiated Rate |
$153.02 |
Rate for Payer: Aetna Commercial |
$144.52
|
Rate for Payer: BCBS Trust/PPO |
$131.39
|
Rate for Payer: BCN Commercial |
$131.39
|
Rate for Payer: Cash Price |
$136.02
|
Rate for Payer: Cofinity Commercial |
$146.22
|
Rate for Payer: Encore Health Key Benefits Commercial |
$136.02
|
Rate for Payer: Healthscope Commercial |
$153.02
|
Rate for Payer: Lakeland Regional Health Systems Commercial |
$127.52
|
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$144.52
|
Rate for Payer: PHP Commercial |
$144.52
|
Rate for Payer: Priority Health Cigna Priority Health |
$119.01
|
Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$147.92
|
Rate for Payer: Priority Health Narrow/Tiered Network |
$103.70
|
Rate for Payer: UHC All Payor (Choice/PPO) |
$149.62
|
Rate for Payer: UHC Core |
$141.97
|
Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$127.52
|
|
HC IMMUNOHISTOCHEMISTRY STAIN
|
Facility
|
OP
|
$170.02
|
|
Service Code
|
CPT 88342
|
Hospital Charge Code |
31000058
|
Hospital Revenue Code
|
310
|
Min. Negotiated Rate |
$40.38 |
Max. Negotiated Rate |
$153.02 |
Rate for Payer: Aetna Commercial |
$144.52
|
Rate for Payer: Aetna Medicare |
$44.21
|
Rate for Payer: Allen County Amish Medical Aid Commercial |
$53.13
|
Rate for Payer: Amish Plain Church Group Commercial |
$53.13
|
Rate for Payer: BCBS Complete |
$117.65
|
Rate for Payer: BCBS MAPPO |
$42.50
|
Rate for Payer: BCBS Trust/PPO |
$132.19
|
Rate for Payer: BCCCP Commercial |
$100.83
|
Rate for Payer: BCN Commercial |
$132.19
|
Rate for Payer: BCN Medicare Advantage |
$42.50
|
Rate for Payer: Cash Price |
$136.02
|
Rate for Payer: Cash Price |
$136.02
|
Rate for Payer: Cofinity Commercial |
$146.22
|
Rate for Payer: Encore Health Key Benefits Commercial |
$136.02
|
Rate for Payer: Health Alliance Plan Medicare Advantage |
$42.50
|
Rate for Payer: Healthscope Commercial |
$153.02
|
Rate for Payer: Lakeland Regional Health Systems Commercial |
$127.52
|
Rate for Payer: Mclaren Medicaid |
$112.04
|
Rate for Payer: Meridian Medicaid |
$117.65
|
Rate for Payer: Meridian Wellcare - Medicare Advantage |
$44.63
|
Rate for Payer: MI Amish Medical Board Commercial |
$48.88
|
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$144.52
|
Rate for Payer: PACE Senior Care Partners |
$40.38
|
Rate for Payer: PACE SWMI |
$42.50
|
Rate for Payer: PHP Commercial |
$144.52
|
Rate for Payer: PHP Medicare Advantage |
$42.50
|
Rate for Payer: Priority Health Choice Medicaid |
$112.04
|
Rate for Payer: Priority Health Cigna Priority Health |
$119.01
|
Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$147.92
|
Rate for Payer: Priority Health Medicare |
$42.50
|
Rate for Payer: Priority Health Narrow/Tiered Network |
$103.70
|
Rate for Payer: Railroad Medicare Medicare |
$42.50
|
Rate for Payer: UHC All Payor (Choice/PPO) |
$149.62
|
Rate for Payer: UHC Core |
$141.97
|
Rate for Payer: UHC Dual Complete DSNP |
$42.50
|
Rate for Payer: UHC Medicare Advantage |
$43.78
|
Rate for Payer: VA VA |
$42.50
|
Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$127.52
|
|
HC IMMUNOHISTOCHEMISTY MULTIPLEX STAINS
|
Facility
|
IP
|
$333.42
|
|
Service Code
|
CPT 88344
|
Hospital Charge Code |
31000117
|
Hospital Revenue Code
|
310
|
Min. Negotiated Rate |
$203.35 |
Max. Negotiated Rate |
$300.08 |
Rate for Payer: Aetna Commercial |
$283.41
|
Rate for Payer: BCBS Trust/PPO |
$257.67
|
Rate for Payer: BCN Commercial |
$257.67
|
Rate for Payer: Cash Price |
$266.74
|
Rate for Payer: Cofinity Commercial |
$286.74
|
Rate for Payer: Encore Health Key Benefits Commercial |
$266.74
|
Rate for Payer: Healthscope Commercial |
$300.08
|
Rate for Payer: Lakeland Regional Health Systems Commercial |
$250.06
|
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$283.41
|
Rate for Payer: PHP Commercial |
$283.41
|
Rate for Payer: Priority Health Cigna Priority Health |
$233.39
|
Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$290.08
|
Rate for Payer: Priority Health Narrow/Tiered Network |
$203.35
|
Rate for Payer: UHC All Payor (Choice/PPO) |
$293.41
|
Rate for Payer: UHC Core |
$278.41
|
Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$250.06
|
|
HC IMMUNOHISTOCHEMISTY MULTIPLEX STAINS
|
Facility
|
OP
|
$333.42
|
|
Service Code
|
CPT 88344
|
Hospital Charge Code |
31000117
|
Hospital Revenue Code
|
310
|
Min. Negotiated Rate |
$79.19 |
Max. Negotiated Rate |
$300.08 |
Rate for Payer: Aetna Commercial |
$283.41
|
Rate for Payer: Aetna Medicare |
$86.69
|
Rate for Payer: Allen County Amish Medical Aid Commercial |
$104.19
|
Rate for Payer: Amish Plain Church Group Commercial |
$104.19
|
Rate for Payer: BCBS Complete |
$247.59
|
Rate for Payer: BCBS MAPPO |
$83.36
|
Rate for Payer: BCBS Trust/PPO |
$259.23
|
Rate for Payer: BCN Commercial |
$259.23
|
Rate for Payer: BCN Medicare Advantage |
$83.36
|
Rate for Payer: Cash Price |
$266.74
|
Rate for Payer: Cash Price |
$266.74
|
Rate for Payer: Cofinity Commercial |
$286.74
|
Rate for Payer: Encore Health Key Benefits Commercial |
$266.74
|
Rate for Payer: Health Alliance Plan Medicare Advantage |
$83.36
|
Rate for Payer: Healthscope Commercial |
$300.08
|
Rate for Payer: Lakeland Regional Health Systems Commercial |
$250.06
|
Rate for Payer: Mclaren Medicaid |
$235.80
|
Rate for Payer: Meridian Medicaid |
$247.59
|
Rate for Payer: Meridian Wellcare - Medicare Advantage |
$87.52
|
Rate for Payer: MI Amish Medical Board Commercial |
$95.86
|
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$283.41
|
Rate for Payer: PACE Senior Care Partners |
$79.19
|
Rate for Payer: PACE SWMI |
$83.36
|
Rate for Payer: PHP Commercial |
$283.41
|
Rate for Payer: PHP Medicare Advantage |
$83.36
|
Rate for Payer: Priority Health Choice Medicaid |
$235.80
|
Rate for Payer: Priority Health Cigna Priority Health |
$233.39
|
Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$290.08
|
Rate for Payer: Priority Health Medicare |
$83.36
|
Rate for Payer: Priority Health Narrow/Tiered Network |
$203.35
|
Rate for Payer: Railroad Medicare Medicare |
$83.36
|
Rate for Payer: UHC All Payor (Choice/PPO) |
$293.41
|
Rate for Payer: UHC Core |
$278.41
|
Rate for Payer: UHC Dual Complete DSNP |
$83.36
|
Rate for Payer: UHC Medicare Advantage |
$85.86
|
Rate for Payer: VA VA |
$83.36
|
Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$250.06
|
|
HC IMPELLA LVAD
|
Facility
|
OP
|
$45,321.17
|
|
Hospital Charge Code |
27200132
|
Hospital Revenue Code
|
272
|
Min. Negotiated Rate |
$10,763.78 |
Max. Negotiated Rate |
$40,789.05 |
Rate for Payer: Aetna Commercial |
$38,522.99
|
Rate for Payer: Aetna Medicare |
$11,783.50
|
Rate for Payer: Allen County Amish Medical Aid Commercial |
$14,162.87
|
Rate for Payer: Amish Plain Church Group Commercial |
$14,162.87
|
Rate for Payer: BCBS Complete |
$18,128.47
|
Rate for Payer: BCBS MAPPO |
$11,330.29
|
Rate for Payer: BCBS Trust/PPO |
$35,237.21
|
Rate for Payer: BCN Commercial |
$35,237.21
|
Rate for Payer: BCN Medicare Advantage |
$11,330.29
|
Rate for Payer: Cash Price |
$36,256.94
|
Rate for Payer: Cofinity Commercial |
$38,976.21
|
Rate for Payer: Encore Health Key Benefits Commercial |
$36,256.94
|
Rate for Payer: Health Alliance Plan Medicare Advantage |
$11,330.29
|
Rate for Payer: Healthscope Commercial |
$40,789.05
|
Rate for Payer: Lakeland Regional Health Systems Commercial |
$33,990.88
|
Rate for Payer: Meridian Wellcare - Medicare Advantage |
$11,896.81
|
Rate for Payer: MI Amish Medical Board Commercial |
$13,029.84
|
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$38,522.99
|
Rate for Payer: PACE Senior Care Partners |
$10,763.78
|
Rate for Payer: PACE SWMI |
$11,330.29
|
Rate for Payer: PHP Commercial |
$38,522.99
|
Rate for Payer: PHP Medicare Advantage |
$11,330.29
|
Rate for Payer: Priority Health Cigna Priority Health |
$31,724.82
|
Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$39,429.42
|
Rate for Payer: Priority Health Medicare |
$11,330.29
|
Rate for Payer: Priority Health Narrow/Tiered Network |
$27,641.38
|
Rate for Payer: Railroad Medicare Medicare |
$11,330.29
|
Rate for Payer: UHC All Payor (Choice/PPO) |
$39,882.63
|
Rate for Payer: UHC Core |
$37,843.18
|
Rate for Payer: UHC Dual Complete DSNP |
$11,330.29
|
Rate for Payer: UHC Medicare Advantage |
$11,670.20
|
Rate for Payer: VA VA |
$11,330.29
|
Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$33,990.88
|
|
HC IMPELLA LVAD
|
Facility
|
IP
|
$45,321.17
|
|
Hospital Charge Code |
27200132
|
Hospital Revenue Code
|
272
|
Min. Negotiated Rate |
$27,641.38 |
Max. Negotiated Rate |
$40,789.05 |
Rate for Payer: Aetna Commercial |
$38,522.99
|
Rate for Payer: BCBS Trust/PPO |
$35,024.20
|
Rate for Payer: BCN Commercial |
$35,024.20
|
Rate for Payer: Cash Price |
$36,256.94
|
Rate for Payer: Cofinity Commercial |
$38,976.21
|
Rate for Payer: Encore Health Key Benefits Commercial |
$36,256.94
|
Rate for Payer: Healthscope Commercial |
$40,789.05
|
Rate for Payer: Lakeland Regional Health Systems Commercial |
$33,990.88
|
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$38,522.99
|
Rate for Payer: PHP Commercial |
$38,522.99
|
Rate for Payer: Priority Health Cigna Priority Health |
$31,724.82
|
Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$39,429.42
|
Rate for Payer: Priority Health Narrow/Tiered Network |
$27,641.38
|
Rate for Payer: UHC All Payor (Choice/PPO) |
$39,882.63
|
Rate for Payer: UHC Core |
$37,843.18
|
Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$33,990.88
|
|
HC IMPELLA MONITORING KIT
|
Facility
|
OP
|
$332.79
|
|
Hospital Charge Code |
27200133
|
Hospital Revenue Code
|
272
|
Min. Negotiated Rate |
$79.04 |
Max. Negotiated Rate |
$299.51 |
Rate for Payer: Aetna Commercial |
$282.87
|
Rate for Payer: Aetna Medicare |
$86.53
|
Rate for Payer: Allen County Amish Medical Aid Commercial |
$104.00
|
Rate for Payer: Amish Plain Church Group Commercial |
$104.00
|
Rate for Payer: BCBS Complete |
$133.12
|
Rate for Payer: BCBS MAPPO |
$83.20
|
Rate for Payer: BCBS Trust/PPO |
$258.74
|
Rate for Payer: BCN Commercial |
$258.74
|
Rate for Payer: BCN Medicare Advantage |
$83.20
|
Rate for Payer: Cash Price |
$266.23
|
Rate for Payer: Cofinity Commercial |
$286.20
|
Rate for Payer: Encore Health Key Benefits Commercial |
$266.23
|
Rate for Payer: Health Alliance Plan Medicare Advantage |
$83.20
|
Rate for Payer: Healthscope Commercial |
$299.51
|
Rate for Payer: Lakeland Regional Health Systems Commercial |
$249.59
|
Rate for Payer: Meridian Wellcare - Medicare Advantage |
$87.36
|
Rate for Payer: MI Amish Medical Board Commercial |
$95.68
|
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$282.87
|
Rate for Payer: PACE Senior Care Partners |
$79.04
|
Rate for Payer: PACE SWMI |
$83.20
|
Rate for Payer: PHP Commercial |
$282.87
|
Rate for Payer: PHP Medicare Advantage |
$83.20
|
Rate for Payer: Priority Health Cigna Priority Health |
$232.95
|
Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$289.53
|
Rate for Payer: Priority Health Medicare |
$83.20
|
Rate for Payer: Priority Health Narrow/Tiered Network |
$202.97
|
Rate for Payer: Railroad Medicare Medicare |
$83.20
|
Rate for Payer: UHC All Payor (Choice/PPO) |
$292.86
|
Rate for Payer: UHC Core |
$277.88
|
Rate for Payer: UHC Dual Complete DSNP |
$83.20
|
Rate for Payer: UHC Medicare Advantage |
$85.69
|
Rate for Payer: VA VA |
$83.20
|
Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$249.59
|
|
HC IMPELLA MONITORING KIT
|
Facility
|
IP
|
$332.79
|
|
Hospital Charge Code |
27200133
|
Hospital Revenue Code
|
272
|
Min. Negotiated Rate |
$202.97 |
Max. Negotiated Rate |
$299.51 |
Rate for Payer: Aetna Commercial |
$282.87
|
Rate for Payer: BCBS Trust/PPO |
$257.18
|
Rate for Payer: BCN Commercial |
$257.18
|
Rate for Payer: Cash Price |
$266.23
|
Rate for Payer: Cofinity Commercial |
$286.20
|
Rate for Payer: Encore Health Key Benefits Commercial |
$266.23
|
Rate for Payer: Healthscope Commercial |
$299.51
|
Rate for Payer: Lakeland Regional Health Systems Commercial |
$249.59
|
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$282.87
|
Rate for Payer: PHP Commercial |
$282.87
|
Rate for Payer: Priority Health Cigna Priority Health |
$232.95
|
Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$289.53
|
Rate for Payer: Priority Health Narrow/Tiered Network |
$202.97
|
Rate for Payer: UHC All Payor (Choice/PPO) |
$292.86
|
Rate for Payer: UHC Core |
$277.88
|
Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$249.59
|
|
HC IMPELLA REMOVAL
|
Facility
|
OP
|
$2,873.12
|
|
Service Code
|
CPT 33992
|
Hospital Charge Code |
48100114
|
Hospital Revenue Code
|
481
|
Min. Negotiated Rate |
$682.37 |
Max. Negotiated Rate |
$2,585.81 |
Rate for Payer: Aetna Commercial |
$2,442.15
|
Rate for Payer: Aetna Medicare |
$747.01
|
Rate for Payer: Allen County Amish Medical Aid Commercial |
$897.85
|
Rate for Payer: Amish Plain Church Group Commercial |
$897.85
|
Rate for Payer: BCBS Complete |
$1,149.25
|
Rate for Payer: BCBS MAPPO |
$718.28
|
Rate for Payer: BCBS Trust/PPO |
$2,233.85
|
Rate for Payer: BCN Commercial |
$2,233.85
|
Rate for Payer: BCN Medicare Advantage |
$718.28
|
Rate for Payer: Cash Price |
$2,298.50
|
Rate for Payer: Cofinity Commercial |
$2,470.88
|
Rate for Payer: Encore Health Key Benefits Commercial |
$2,298.50
|
Rate for Payer: Health Alliance Plan Medicare Advantage |
$718.28
|
Rate for Payer: Healthscope Commercial |
$2,585.81
|
Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,154.84
|
Rate for Payer: Meridian Wellcare - Medicare Advantage |
$754.19
|
Rate for Payer: MI Amish Medical Board Commercial |
$826.02
|
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$2,442.15
|
Rate for Payer: PACE Senior Care Partners |
$682.37
|
Rate for Payer: PACE SWMI |
$718.28
|
Rate for Payer: PHP Commercial |
$2,442.15
|
Rate for Payer: PHP Medicare Advantage |
$718.28
|
Rate for Payer: Priority Health Cigna Priority Health |
$2,011.18
|
Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,499.61
|
Rate for Payer: Priority Health Medicare |
$718.28
|
Rate for Payer: Priority Health Narrow/Tiered Network |
$1,752.32
|
Rate for Payer: Railroad Medicare Medicare |
$718.28
|
Rate for Payer: UHC All Payor (Choice/PPO) |
$2,528.35
|
Rate for Payer: UHC Core |
$2,399.06
|
Rate for Payer: UHC Dual Complete DSNP |
$718.28
|
Rate for Payer: UHC Medicare Advantage |
$739.83
|
Rate for Payer: VA VA |
$718.28
|
Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,154.84
|
|
HC IMPELLA REMOVAL
|
Facility
|
IP
|
$2,873.12
|
|
Service Code
|
CPT 33992
|
Hospital Charge Code |
48100114
|
Hospital Revenue Code
|
481
|
Min. Negotiated Rate |
$1,752.32 |
Max. Negotiated Rate |
$2,585.81 |
Rate for Payer: Aetna Commercial |
$2,442.15
|
Rate for Payer: BCBS Trust/PPO |
$2,220.35
|
Rate for Payer: BCN Commercial |
$2,220.35
|
Rate for Payer: Cash Price |
$2,298.50
|
Rate for Payer: Cofinity Commercial |
$2,470.88
|
Rate for Payer: Encore Health Key Benefits Commercial |
$2,298.50
|
Rate for Payer: Healthscope Commercial |
$2,585.81
|
Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,154.84
|
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$2,442.15
|
Rate for Payer: PHP Commercial |
$2,442.15
|
Rate for Payer: Priority Health Cigna Priority Health |
$2,011.18
|
Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,499.61
|
Rate for Payer: Priority Health Narrow/Tiered Network |
$1,752.32
|
Rate for Payer: UHC All Payor (Choice/PPO) |
$2,528.35
|
Rate for Payer: UHC Core |
$2,399.06
|
Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,154.84
|
|
HC IMPLANTABLE PRESSURE SENSOR W ANGIO
|
Facility
|
OP
|
$6,081.01
|
|
Service Code
|
CPT 33289
|
Hospital Charge Code |
48100105
|
Hospital Revenue Code
|
481
|
Min. Negotiated Rate |
$1,444.24 |
Max. Negotiated Rate |
$20,019.43 |
Rate for Payer: Aetna Commercial |
$5,168.86
|
Rate for Payer: Aetna Medicare |
$1,581.06
|
Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,900.32
|
Rate for Payer: Amish Plain Church Group Commercial |
$1,900.32
|
Rate for Payer: BCBS Complete |
$20,019.43
|
Rate for Payer: BCBS MAPPO |
$1,520.25
|
Rate for Payer: BCBS Trust/PPO |
$4,727.99
|
Rate for Payer: BCN Commercial |
$4,727.99
|
Rate for Payer: BCN Medicare Advantage |
$1,520.25
|
Rate for Payer: Cash Price |
$4,864.81
|
Rate for Payer: Cash Price |
$4,864.81
|
Rate for Payer: Cofinity Commercial |
$5,229.67
|
Rate for Payer: Encore Health Key Benefits Commercial |
$4,864.81
|
Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,520.25
|
Rate for Payer: Healthscope Commercial |
$5,472.91
|
Rate for Payer: Lakeland Regional Health Systems Commercial |
$4,560.76
|
Rate for Payer: Mclaren Medicaid |
$19,066.13
|
Rate for Payer: Meridian Medicaid |
$20,019.43
|
Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,596.27
|
Rate for Payer: MI Amish Medical Board Commercial |
$1,748.29
|
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$5,168.86
|
Rate for Payer: PACE Senior Care Partners |
$1,444.24
|
Rate for Payer: PACE SWMI |
$1,520.25
|
Rate for Payer: PHP Commercial |
$5,168.86
|
Rate for Payer: PHP Medicare Advantage |
$1,520.25
|
Rate for Payer: Priority Health Choice Medicaid |
$19,066.13
|
Rate for Payer: Priority Health Cigna Priority Health |
$4,256.71
|
Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$5,290.48
|
Rate for Payer: Priority Health Medicare |
$1,520.25
|
Rate for Payer: Priority Health Narrow/Tiered Network |
$3,708.81
|
Rate for Payer: Railroad Medicare Medicare |
$1,520.25
|
Rate for Payer: UHC All Payor (Choice/PPO) |
$5,351.29
|
Rate for Payer: UHC Core |
$5,077.64
|
Rate for Payer: UHC Dual Complete DSNP |
$1,520.25
|
Rate for Payer: UHC Medicare Advantage |
$1,565.86
|
Rate for Payer: VA VA |
$1,520.25
|
Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$4,560.76
|
|
HC IMPLANTABLE PRESSURE SENSOR W ANGIO
|
Facility
|
IP
|
$6,081.01
|
|
Service Code
|
CPT 33289
|
Hospital Charge Code |
48100105
|
Hospital Revenue Code
|
481
|
Min. Negotiated Rate |
$3,708.81 |
Max. Negotiated Rate |
$5,472.91 |
Rate for Payer: Aetna Commercial |
$5,168.86
|
Rate for Payer: BCBS Trust/PPO |
$4,699.40
|
Rate for Payer: BCN Commercial |
$4,699.40
|
Rate for Payer: Cash Price |
$4,864.81
|
Rate for Payer: Cofinity Commercial |
$5,229.67
|
Rate for Payer: Encore Health Key Benefits Commercial |
$4,864.81
|
Rate for Payer: Healthscope Commercial |
$5,472.91
|
Rate for Payer: Lakeland Regional Health Systems Commercial |
$4,560.76
|
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$5,168.86
|
Rate for Payer: PHP Commercial |
$5,168.86
|
Rate for Payer: Priority Health Cigna Priority Health |
$4,256.71
|
Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$5,290.48
|
Rate for Payer: Priority Health Narrow/Tiered Network |
$3,708.81
|
Rate for Payer: UHC All Payor (Choice/PPO) |
$5,351.29
|
Rate for Payer: UHC Core |
$5,077.64
|
Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$4,560.76
|
|
HC IMPLANTABLE PRESSURE SENSOR WO LEAD
|
Facility
|
OP
|
$70,725.38
|
|
Service Code
|
HCPCS C2624
|
Hospital Charge Code |
27800103
|
Hospital Revenue Code
|
278
|
Min. Negotiated Rate |
$16,797.28 |
Max. Negotiated Rate |
$63,652.84 |
Rate for Payer: Aetna Commercial |
$60,116.57
|
Rate for Payer: Aetna Medicare |
$18,388.60
|
Rate for Payer: Allen County Amish Medical Aid Commercial |
$22,101.68
|
Rate for Payer: Amish Plain Church Group Commercial |
$22,101.68
|
Rate for Payer: BCBS Complete |
$28,290.15
|
Rate for Payer: BCBS MAPPO |
$17,681.34
|
Rate for Payer: BCBS Trust/PPO |
$54,988.98
|
Rate for Payer: BCN Commercial |
$54,988.98
|
Rate for Payer: BCN Medicare Advantage |
$17,681.34
|
Rate for Payer: Cash Price |
$56,580.30
|
Rate for Payer: Cofinity Commercial |
$60,823.83
|
Rate for Payer: Encore Health Key Benefits Commercial |
$56,580.30
|
Rate for Payer: Health Alliance Plan Medicare Advantage |
$17,681.34
|
Rate for Payer: Healthscope Commercial |
$63,652.84
|
Rate for Payer: Lakeland Regional Health Systems Commercial |
$53,044.04
|
Rate for Payer: Meridian Wellcare - Medicare Advantage |
$18,565.41
|
Rate for Payer: MI Amish Medical Board Commercial |
$20,333.55
|
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$60,116.57
|
Rate for Payer: PACE Senior Care Partners |
$16,797.28
|
Rate for Payer: PACE SWMI |
$17,681.34
|
Rate for Payer: PHP Commercial |
$60,116.57
|
Rate for Payer: PHP Medicare Advantage |
$17,681.34
|
Rate for Payer: Priority Health Cigna Priority Health |
$49,507.77
|
Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$61,531.08
|
Rate for Payer: Priority Health Medicare |
$17,681.34
|
Rate for Payer: Priority Health Narrow/Tiered Network |
$43,135.41
|
Rate for Payer: Railroad Medicare Medicare |
$17,681.34
|
Rate for Payer: UHC All Payor (Choice/PPO) |
$62,238.33
|
Rate for Payer: UHC Core |
$59,055.69
|
Rate for Payer: UHC Dual Complete DSNP |
$17,681.34
|
Rate for Payer: UHC Medicare Advantage |
$18,211.79
|
Rate for Payer: VA VA |
$17,681.34
|
Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$53,044.04
|
|