|
HC EMG NDL GUIDANCE NERVE DEST WITH CHEMODENERVATION
|
Facility
|
OP
|
$224.86
|
|
|
Service Code
|
CPT 95874
|
| Hospital Charge Code |
92200034
|
|
Hospital Revenue Code
|
922
|
| Min. Negotiated Rate |
$39.64 |
| Max. Negotiated Rate |
$202.37 |
| Rate for Payer: Aetna Commercial |
$191.13
|
| Rate for Payer: Aetna Medicare |
$58.46
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$70.27
|
| Rate for Payer: Amish Plain Church Group Commercial |
$70.27
|
| Rate for Payer: BCBS Complete |
$41.62
|
| Rate for Payer: BCBS MAPPO |
$56.22
|
| Rate for Payer: BCBS Trust/PPO |
$184.86
|
| Rate for Payer: BCN Commercial |
$184.86
|
| Rate for Payer: BCN Medicare Advantage |
$56.22
|
| Rate for Payer: Cash Price |
$179.89
|
| Rate for Payer: Cofinity Commercial |
$193.38
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$179.89
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$56.22
|
| Rate for Payer: Healthscope Commercial |
$202.37
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$168.65
|
| Rate for Payer: Mclaren Medicaid |
$39.64
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$59.03
|
| Rate for Payer: Meridian Medicaid |
$41.62
|
| Rate for Payer: MI Amish Medical Board Commercial |
$64.65
|
| Rate for Payer: Molina Medicare/Medicaid |
$61.84
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$191.13
|
| Rate for Payer: Nomi Health Commercial |
$184.39
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$168.65
|
| Rate for Payer: PACE Senior Care Partners |
$53.40
|
| Rate for Payer: PACE SWMI |
$56.22
|
| Rate for Payer: PHP Commercial |
$191.13
|
| Rate for Payer: PHP Medicare Advantage |
$56.22
|
| Rate for Payer: Priority Health Choice Medicaid |
$39.64
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$195.63
|
| Rate for Payer: Priority Health Medicare |
$56.78
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$156.50
|
| Rate for Payer: Railroad Medicare Medicare |
$56.22
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$197.88
|
| Rate for Payer: UHC Core |
$187.76
|
| Rate for Payer: UHC Exchange |
$56.22
|
| Rate for Payer: UHC Medicaid |
$39.64
|
| Rate for Payer: UHC Medicare Advantage |
$56.22
|
| Rate for Payer: UHCCP Medicaid |
$39.64
|
| Rate for Payer: VA VA |
$56.22
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$168.65
|
|
|
HC EMG NDL GUIDANCE NERVE DEST WITH CHEMODENERVATION
|
Facility
|
IP
|
$224.86
|
|
|
Service Code
|
CPT 95874
|
| Hospital Charge Code |
92200034
|
|
Hospital Revenue Code
|
922
|
| Min. Negotiated Rate |
$156.50 |
| Max. Negotiated Rate |
$202.37 |
| Rate for Payer: Aetna Commercial |
$191.13
|
| Rate for Payer: BCBS Trust/PPO |
$185.71
|
| Rate for Payer: BCN Commercial |
$185.71
|
| Rate for Payer: Cash Price |
$179.89
|
| Rate for Payer: Cofinity Commercial |
$193.38
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$179.89
|
| Rate for Payer: Healthscope Commercial |
$202.37
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$168.65
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$191.13
|
| Rate for Payer: Nomi Health Commercial |
$184.39
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$168.65
|
| Rate for Payer: PHP Commercial |
$191.13
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$195.63
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$156.50
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$197.88
|
| Rate for Payer: UHC Core |
$187.76
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$168.65
|
|
|
HC EMG NEEDLE EXAM-1 EXT.
|
Facility
|
IP
|
$609.12
|
|
|
Service Code
|
CPT 95860
|
| Hospital Charge Code |
92200001
|
|
Hospital Revenue Code
|
922
|
| Min. Negotiated Rate |
$423.95 |
| Max. Negotiated Rate |
$548.21 |
| Rate for Payer: Aetna Commercial |
$517.75
|
| Rate for Payer: BCBS Trust/PPO |
$503.07
|
| Rate for Payer: BCN Commercial |
$503.07
|
| Rate for Payer: Cash Price |
$487.30
|
| Rate for Payer: Cofinity Commercial |
$523.84
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$487.30
|
| Rate for Payer: Healthscope Commercial |
$548.21
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$456.84
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$517.75
|
| Rate for Payer: Nomi Health Commercial |
$499.48
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$456.84
|
| Rate for Payer: PHP Commercial |
$517.75
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$529.93
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$423.95
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$536.03
|
| Rate for Payer: UHC Core |
$508.62
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$456.84
|
|
|
HC EMG NEEDLE EXAM-1 EXT.
|
Facility
|
OP
|
$609.12
|
|
|
Service Code
|
CPT 95860
|
| Hospital Charge Code |
92200001
|
|
Hospital Revenue Code
|
922
|
| Min. Negotiated Rate |
$107.39 |
| Max. Negotiated Rate |
$548.21 |
| Rate for Payer: Aetna Commercial |
$517.75
|
| Rate for Payer: Aetna Medicare |
$158.37
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$190.35
|
| Rate for Payer: Amish Plain Church Group Commercial |
$190.35
|
| Rate for Payer: BCBS Complete |
$112.75
|
| Rate for Payer: BCBS MAPPO |
$152.28
|
| Rate for Payer: BCBS Trust/PPO |
$500.76
|
| Rate for Payer: BCN Commercial |
$500.76
|
| Rate for Payer: BCN Medicare Advantage |
$152.28
|
| Rate for Payer: Cash Price |
$487.30
|
| Rate for Payer: Cofinity Commercial |
$523.84
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$487.30
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$152.28
|
| Rate for Payer: Healthscope Commercial |
$548.21
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$456.84
|
| Rate for Payer: Mclaren Medicaid |
$107.39
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$159.89
|
| Rate for Payer: Meridian Medicaid |
$112.75
|
| Rate for Payer: MI Amish Medical Board Commercial |
$175.12
|
| Rate for Payer: Molina Medicare/Medicaid |
$167.51
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$517.75
|
| Rate for Payer: Nomi Health Commercial |
$499.48
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$456.84
|
| Rate for Payer: PACE Senior Care Partners |
$144.67
|
| Rate for Payer: PACE SWMI |
$152.28
|
| Rate for Payer: PHP Commercial |
$517.75
|
| Rate for Payer: PHP Medicare Advantage |
$152.28
|
| Rate for Payer: Priority Health Choice Medicaid |
$107.39
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$529.93
|
| Rate for Payer: Priority Health Medicare |
$153.80
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$423.95
|
| Rate for Payer: Railroad Medicare Medicare |
$152.28
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$536.03
|
| Rate for Payer: UHC Core |
$508.62
|
| Rate for Payer: UHC Exchange |
$152.28
|
| Rate for Payer: UHC Medicaid |
$107.39
|
| Rate for Payer: UHC Medicare Advantage |
$152.28
|
| Rate for Payer: UHCCP Medicaid |
$107.39
|
| Rate for Payer: VA VA |
$152.28
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$456.84
|
|
|
HC EMG NEEDLE EXAM 2 EXT
|
Facility
|
IP
|
$718.69
|
|
|
Service Code
|
CPT 95861
|
| Hospital Charge Code |
92200002
|
|
Hospital Revenue Code
|
922
|
| Min. Negotiated Rate |
$500.21 |
| Max. Negotiated Rate |
$646.82 |
| Rate for Payer: Aetna Commercial |
$610.89
|
| Rate for Payer: BCBS Trust/PPO |
$593.57
|
| Rate for Payer: BCN Commercial |
$593.57
|
| Rate for Payer: Cash Price |
$574.95
|
| Rate for Payer: Cofinity Commercial |
$618.07
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$574.95
|
| Rate for Payer: Healthscope Commercial |
$646.82
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$539.02
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$610.89
|
| Rate for Payer: Nomi Health Commercial |
$589.33
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$539.02
|
| Rate for Payer: PHP Commercial |
$610.89
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$625.26
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$500.21
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$632.45
|
| Rate for Payer: UHC Core |
$600.11
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$539.02
|
|
|
HC EMG NEEDLE EXAM 2 EXT
|
Facility
|
OP
|
$718.69
|
|
|
Service Code
|
CPT 95861
|
| Hospital Charge Code |
92200002
|
|
Hospital Revenue Code
|
922
|
| Min. Negotiated Rate |
$126.71 |
| Max. Negotiated Rate |
$646.82 |
| Rate for Payer: Aetna Commercial |
$610.89
|
| Rate for Payer: Aetna Medicare |
$186.86
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$224.59
|
| Rate for Payer: Amish Plain Church Group Commercial |
$224.59
|
| Rate for Payer: BCBS Complete |
$133.03
|
| Rate for Payer: BCBS MAPPO |
$179.67
|
| Rate for Payer: BCBS Trust/PPO |
$590.84
|
| Rate for Payer: BCN Commercial |
$590.84
|
| Rate for Payer: BCN Medicare Advantage |
$179.67
|
| Rate for Payer: Cash Price |
$574.95
|
| Rate for Payer: Cofinity Commercial |
$618.07
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$574.95
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$179.67
|
| Rate for Payer: Healthscope Commercial |
$646.82
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$539.02
|
| Rate for Payer: Mclaren Medicaid |
$126.71
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$188.66
|
| Rate for Payer: Meridian Medicaid |
$133.03
|
| Rate for Payer: MI Amish Medical Board Commercial |
$206.62
|
| Rate for Payer: Molina Medicare/Medicaid |
$197.64
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$610.89
|
| Rate for Payer: Nomi Health Commercial |
$589.33
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$539.02
|
| Rate for Payer: PACE Senior Care Partners |
$170.69
|
| Rate for Payer: PACE SWMI |
$179.67
|
| Rate for Payer: PHP Commercial |
$610.89
|
| Rate for Payer: PHP Medicare Advantage |
$179.67
|
| Rate for Payer: Priority Health Choice Medicaid |
$126.71
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$625.26
|
| Rate for Payer: Priority Health Medicare |
$181.47
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$500.21
|
| Rate for Payer: Railroad Medicare Medicare |
$179.67
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$632.45
|
| Rate for Payer: UHC Core |
$600.11
|
| Rate for Payer: UHC Exchange |
$179.67
|
| Rate for Payer: UHC Medicaid |
$126.71
|
| Rate for Payer: UHC Medicare Advantage |
$179.67
|
| Rate for Payer: UHCCP Medicaid |
$126.71
|
| Rate for Payer: VA VA |
$179.67
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$539.02
|
|
|
HC EMG NEEDLE EXAM 3 EXT
|
Facility
|
IP
|
$664.15
|
|
|
Service Code
|
CPT 95863
|
| Hospital Charge Code |
92200003
|
|
Hospital Revenue Code
|
922
|
| Min. Negotiated Rate |
$462.25 |
| Max. Negotiated Rate |
$597.74 |
| Rate for Payer: Aetna Commercial |
$564.53
|
| Rate for Payer: BCBS Trust/PPO |
$548.52
|
| Rate for Payer: BCN Commercial |
$548.52
|
| Rate for Payer: Cash Price |
$531.32
|
| Rate for Payer: Cofinity Commercial |
$571.17
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$531.32
|
| Rate for Payer: Healthscope Commercial |
$597.74
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$498.11
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$564.53
|
| Rate for Payer: Nomi Health Commercial |
$544.60
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$498.11
|
| Rate for Payer: PHP Commercial |
$564.53
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$577.81
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$462.25
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$584.45
|
| Rate for Payer: UHC Core |
$554.57
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$498.11
|
|
|
HC EMG NEEDLE EXAM 3 EXT
|
Facility
|
OP
|
$664.15
|
|
|
Service Code
|
CPT 95863
|
| Hospital Charge Code |
92200003
|
|
Hospital Revenue Code
|
922
|
| Min. Negotiated Rate |
$117.09 |
| Max. Negotiated Rate |
$597.74 |
| Rate for Payer: Aetna Commercial |
$564.53
|
| Rate for Payer: Aetna Medicare |
$172.68
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$207.55
|
| Rate for Payer: Amish Plain Church Group Commercial |
$207.55
|
| Rate for Payer: BCBS Complete |
$122.93
|
| Rate for Payer: BCBS MAPPO |
$166.04
|
| Rate for Payer: BCBS Trust/PPO |
$546.00
|
| Rate for Payer: BCN Commercial |
$546.00
|
| Rate for Payer: BCN Medicare Advantage |
$166.04
|
| Rate for Payer: Cash Price |
$531.32
|
| Rate for Payer: Cofinity Commercial |
$571.17
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$531.32
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$166.04
|
| Rate for Payer: Healthscope Commercial |
$597.74
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$498.11
|
| Rate for Payer: Mclaren Medicaid |
$117.09
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$174.34
|
| Rate for Payer: Meridian Medicaid |
$122.93
|
| Rate for Payer: MI Amish Medical Board Commercial |
$190.94
|
| Rate for Payer: Molina Medicare/Medicaid |
$182.64
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$564.53
|
| Rate for Payer: Nomi Health Commercial |
$544.60
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$498.11
|
| Rate for Payer: PACE Senior Care Partners |
$157.74
|
| Rate for Payer: PACE SWMI |
$166.04
|
| Rate for Payer: PHP Commercial |
$564.53
|
| Rate for Payer: PHP Medicare Advantage |
$166.04
|
| Rate for Payer: Priority Health Choice Medicaid |
$117.09
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$577.81
|
| Rate for Payer: Priority Health Medicare |
$167.70
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$462.25
|
| Rate for Payer: Railroad Medicare Medicare |
$166.04
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$584.45
|
| Rate for Payer: UHC Core |
$554.57
|
| Rate for Payer: UHC Exchange |
$166.04
|
| Rate for Payer: UHC Medicaid |
$117.09
|
| Rate for Payer: UHC Medicare Advantage |
$166.04
|
| Rate for Payer: UHCCP Medicaid |
$117.09
|
| Rate for Payer: VA VA |
$166.04
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$498.11
|
|
|
HC EMG NEEDLE EXAM 4 EXT
|
Facility
|
IP
|
$832.87
|
|
|
Service Code
|
CPT 95864
|
| Hospital Charge Code |
92200004
|
|
Hospital Revenue Code
|
922
|
| 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 EMG NEEDLE EXAM 4 EXT
|
Facility
|
OP
|
$832.87
|
|
|
Service Code
|
CPT 95864
|
| Hospital Charge Code |
92200004
|
|
Hospital Revenue Code
|
922
|
| 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 EMG NEEDLE EXAM CRANIAL BILAT NCS
|
Facility
|
OP
|
$832.87
|
|
|
Service Code
|
CPT 95868
|
| Hospital Charge Code |
92200007
|
|
Hospital Revenue Code
|
922
|
| 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 EMG NEEDLE EXAM CRANIAL BILAT NCS
|
Facility
|
IP
|
$832.87
|
|
|
Service Code
|
CPT 95868
|
| Hospital Charge Code |
92200007
|
|
Hospital Revenue Code
|
922
|
| 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 EMG NEEDLE EXAM CRANIAL UNILAT WO NCS
|
Facility
|
IP
|
$749.63
|
|
|
Service Code
|
CPT 95867
|
| Hospital Charge Code |
92200006
|
|
Hospital Revenue Code
|
922
|
| Min. Negotiated Rate |
$521.74 |
| Max. Negotiated Rate |
$674.67 |
| Rate for Payer: Aetna Commercial |
$637.19
|
| Rate for Payer: BCBS Trust/PPO |
$619.12
|
| Rate for Payer: BCN Commercial |
$619.12
|
| Rate for Payer: Cash Price |
$599.70
|
| Rate for Payer: Cofinity Commercial |
$644.68
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$599.70
|
| Rate for Payer: Healthscope Commercial |
$674.67
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$562.22
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$637.19
|
| Rate for Payer: Nomi Health Commercial |
$614.70
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$562.22
|
| Rate for Payer: PHP Commercial |
$637.19
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$652.18
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$521.74
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$659.67
|
| Rate for Payer: UHC Core |
$625.94
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$562.22
|
|
|
HC EMG NEEDLE EXAM CRANIAL UNILAT WO NCS
|
Facility
|
OP
|
$749.63
|
|
|
Service Code
|
CPT 95867
|
| Hospital Charge Code |
92200006
|
|
Hospital Revenue Code
|
922
|
| Min. Negotiated Rate |
$132.16 |
| Max. Negotiated Rate |
$674.67 |
| Rate for Payer: Aetna Commercial |
$637.19
|
| Rate for Payer: Aetna Medicare |
$194.90
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$234.26
|
| Rate for Payer: Amish Plain Church Group Commercial |
$234.26
|
| Rate for Payer: BCBS Complete |
$138.76
|
| Rate for Payer: BCBS MAPPO |
$187.41
|
| Rate for Payer: BCBS Trust/PPO |
$616.27
|
| Rate for Payer: BCN Commercial |
$616.27
|
| Rate for Payer: BCN Medicare Advantage |
$187.41
|
| Rate for Payer: Cash Price |
$599.70
|
| Rate for Payer: Cofinity Commercial |
$644.68
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$599.70
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$187.41
|
| Rate for Payer: Healthscope Commercial |
$674.67
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$562.22
|
| Rate for Payer: Mclaren Medicaid |
$132.16
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$196.78
|
| Rate for Payer: Meridian Medicaid |
$138.76
|
| Rate for Payer: MI Amish Medical Board Commercial |
$215.52
|
| Rate for Payer: Molina Medicare/Medicaid |
$206.15
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$637.19
|
| Rate for Payer: Nomi Health Commercial |
$614.70
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$562.22
|
| Rate for Payer: PACE Senior Care Partners |
$178.04
|
| Rate for Payer: PACE SWMI |
$187.41
|
| Rate for Payer: PHP Commercial |
$637.19
|
| Rate for Payer: PHP Medicare Advantage |
$187.41
|
| Rate for Payer: Priority Health Choice Medicaid |
$132.16
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$652.18
|
| Rate for Payer: Priority Health Medicare |
$189.28
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$521.74
|
| Rate for Payer: Railroad Medicare Medicare |
$187.41
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$659.67
|
| Rate for Payer: UHC Core |
$625.94
|
| Rate for Payer: UHC Exchange |
$187.41
|
| Rate for Payer: UHC Medicaid |
$132.16
|
| Rate for Payer: UHC Medicare Advantage |
$187.41
|
| Rate for Payer: UHCCP Medicaid |
$132.16
|
| Rate for Payer: VA VA |
$187.41
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$562.22
|
|
|
HC EMG NEEDLE EXAM WITH NCS LIMITED
|
Facility
|
IP
|
$382.48
|
|
|
Service Code
|
CPT 95885
|
| Hospital Charge Code |
92200022
|
|
Hospital Revenue Code
|
922
|
| Min. Negotiated Rate |
$266.21 |
| Max. Negotiated Rate |
$344.23 |
| Rate for Payer: Aetna Commercial |
$325.11
|
| Rate for Payer: BCBS Trust/PPO |
$315.89
|
| Rate for Payer: BCN Commercial |
$315.89
|
| Rate for Payer: Cash Price |
$305.98
|
| Rate for Payer: Cofinity Commercial |
$328.93
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$305.98
|
| Rate for Payer: Healthscope Commercial |
$344.23
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$286.86
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$325.11
|
| Rate for Payer: Nomi Health Commercial |
$313.63
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$286.86
|
| Rate for Payer: PHP Commercial |
$325.11
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$332.76
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$266.21
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$336.58
|
| Rate for Payer: UHC Core |
$319.37
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$286.86
|
|
|
HC EMG NEEDLE EXAM WITH NCS LIMITED
|
Facility
|
OP
|
$382.48
|
|
|
Service Code
|
CPT 95885
|
| Hospital Charge Code |
92200022
|
|
Hospital Revenue Code
|
922
|
| Min. Negotiated Rate |
$67.43 |
| Max. Negotiated Rate |
$344.23 |
| Rate for Payer: Aetna Commercial |
$325.11
|
| Rate for Payer: Aetna Medicare |
$99.44
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$119.53
|
| Rate for Payer: Amish Plain Church Group Commercial |
$119.53
|
| Rate for Payer: BCBS Complete |
$70.80
|
| Rate for Payer: BCBS MAPPO |
$95.62
|
| Rate for Payer: BCBS Trust/PPO |
$314.44
|
| Rate for Payer: BCN Commercial |
$314.44
|
| Rate for Payer: BCN Medicare Advantage |
$95.62
|
| Rate for Payer: Cash Price |
$305.98
|
| Rate for Payer: Cofinity Commercial |
$328.93
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$305.98
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$95.62
|
| Rate for Payer: Healthscope Commercial |
$344.23
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$286.86
|
| Rate for Payer: Mclaren Medicaid |
$67.43
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$100.40
|
| Rate for Payer: Meridian Medicaid |
$70.80
|
| Rate for Payer: MI Amish Medical Board Commercial |
$109.96
|
| Rate for Payer: Molina Medicare/Medicaid |
$105.18
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$325.11
|
| Rate for Payer: Nomi Health Commercial |
$313.63
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$286.86
|
| Rate for Payer: PACE Senior Care Partners |
$90.84
|
| Rate for Payer: PACE SWMI |
$95.62
|
| Rate for Payer: PHP Commercial |
$325.11
|
| Rate for Payer: PHP Medicare Advantage |
$95.62
|
| Rate for Payer: Priority Health Choice Medicaid |
$67.43
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$332.76
|
| Rate for Payer: Priority Health Medicare |
$96.58
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$266.21
|
| Rate for Payer: Railroad Medicare Medicare |
$95.62
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$336.58
|
| Rate for Payer: UHC Core |
$319.37
|
| Rate for Payer: UHC Exchange |
$95.62
|
| Rate for Payer: UHC Medicaid |
$67.43
|
| Rate for Payer: UHC Medicare Advantage |
$95.62
|
| Rate for Payer: UHCCP Medicaid |
$67.43
|
| Rate for Payer: VA VA |
$95.62
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$286.86
|
|
|
HC EMG NEEDLE EXAM WITH NCV COMPLETE
|
Facility
|
OP
|
$463.17
|
|
|
Service Code
|
CPT 95886
|
| Hospital Charge Code |
92200023
|
|
Hospital Revenue Code
|
922
|
| Min. Negotiated Rate |
$81.66 |
| Max. Negotiated Rate |
$416.85 |
| Rate for Payer: Aetna Commercial |
$393.69
|
| Rate for Payer: Aetna Medicare |
$120.42
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$144.74
|
| Rate for Payer: Amish Plain Church Group Commercial |
$144.74
|
| Rate for Payer: BCBS Complete |
$85.73
|
| Rate for Payer: BCBS MAPPO |
$115.79
|
| Rate for Payer: BCBS Trust/PPO |
$380.77
|
| Rate for Payer: BCN Commercial |
$380.77
|
| Rate for Payer: BCN Medicare Advantage |
$115.79
|
| Rate for Payer: Cash Price |
$370.54
|
| Rate for Payer: Cofinity Commercial |
$398.33
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$370.54
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$115.79
|
| Rate for Payer: Healthscope Commercial |
$416.85
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$347.38
|
| Rate for Payer: Mclaren Medicaid |
$81.66
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$121.58
|
| Rate for Payer: Meridian Medicaid |
$85.73
|
| Rate for Payer: MI Amish Medical Board Commercial |
$133.16
|
| Rate for Payer: Molina Medicare/Medicaid |
$127.37
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$393.69
|
| Rate for Payer: Nomi Health Commercial |
$379.80
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$347.38
|
| Rate for Payer: PACE Senior Care Partners |
$110.00
|
| Rate for Payer: PACE SWMI |
$115.79
|
| Rate for Payer: PHP Commercial |
$393.69
|
| Rate for Payer: PHP Medicare Advantage |
$115.79
|
| Rate for Payer: Priority Health Choice Medicaid |
$81.66
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$402.96
|
| Rate for Payer: Priority Health Medicare |
$116.95
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$322.37
|
| Rate for Payer: Railroad Medicare Medicare |
$115.79
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$407.59
|
| Rate for Payer: UHC Core |
$386.75
|
| Rate for Payer: UHC Exchange |
$115.79
|
| Rate for Payer: UHC Medicaid |
$81.66
|
| Rate for Payer: UHC Medicare Advantage |
$115.79
|
| Rate for Payer: UHCCP Medicaid |
$81.66
|
| Rate for Payer: VA VA |
$115.79
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$347.38
|
|
|
HC EMG NEEDLE EXAM WITH NCV COMPLETE
|
Facility
|
IP
|
$463.17
|
|
|
Service Code
|
CPT 95886
|
| Hospital Charge Code |
92200023
|
|
Hospital Revenue Code
|
922
|
| Min. Negotiated Rate |
$322.37 |
| Max. Negotiated Rate |
$416.85 |
| Rate for Payer: Aetna Commercial |
$393.69
|
| Rate for Payer: BCBS Trust/PPO |
$382.53
|
| Rate for Payer: BCN Commercial |
$382.53
|
| Rate for Payer: Cash Price |
$370.54
|
| Rate for Payer: Cofinity Commercial |
$398.33
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$370.54
|
| Rate for Payer: Healthscope Commercial |
$416.85
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$347.38
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$393.69
|
| Rate for Payer: Nomi Health Commercial |
$379.80
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$347.38
|
| Rate for Payer: PHP Commercial |
$393.69
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$402.96
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$322.37
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$407.59
|
| Rate for Payer: UHC Core |
$386.75
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$347.38
|
|
|
HC EMG NEEDLE FROM LARYNX
|
Facility
|
IP
|
$406.10
|
|
|
Service Code
|
CPT 95865
|
| Hospital Charge Code |
92200005
|
|
Hospital Revenue Code
|
922
|
| Min. Negotiated Rate |
$282.65 |
| Max. Negotiated Rate |
$365.49 |
| Rate for Payer: Aetna Commercial |
$345.19
|
| Rate for Payer: BCBS Trust/PPO |
$335.40
|
| Rate for Payer: BCN Commercial |
$335.40
|
| Rate for Payer: Cash Price |
$324.88
|
| Rate for Payer: Cofinity Commercial |
$349.25
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$324.88
|
| Rate for Payer: Healthscope Commercial |
$365.49
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$304.57
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$345.19
|
| Rate for Payer: Nomi Health Commercial |
$333.00
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$304.57
|
| Rate for Payer: PHP Commercial |
$345.19
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$353.31
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$282.65
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$357.37
|
| Rate for Payer: UHC Core |
$339.09
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$304.57
|
|
|
HC EMG NEEDLE FROM LARYNX
|
Facility
|
OP
|
$406.10
|
|
|
Service Code
|
CPT 95865
|
| Hospital Charge Code |
92200005
|
|
Hospital Revenue Code
|
922
|
| Min. Negotiated Rate |
$71.60 |
| Max. Negotiated Rate |
$365.49 |
| Rate for Payer: Aetna Commercial |
$345.19
|
| Rate for Payer: Aetna Medicare |
$105.59
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$126.91
|
| Rate for Payer: Amish Plain Church Group Commercial |
$126.91
|
| Rate for Payer: BCBS Complete |
$75.17
|
| Rate for Payer: BCBS MAPPO |
$101.53
|
| Rate for Payer: BCBS Trust/PPO |
$333.85
|
| Rate for Payer: BCN Commercial |
$333.85
|
| Rate for Payer: BCN Medicare Advantage |
$101.53
|
| Rate for Payer: Cash Price |
$324.88
|
| Rate for Payer: Cofinity Commercial |
$349.25
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$324.88
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$101.53
|
| Rate for Payer: Healthscope Commercial |
$365.49
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$304.57
|
| Rate for Payer: Mclaren Medicaid |
$71.60
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$106.60
|
| Rate for Payer: Meridian Medicaid |
$75.17
|
| Rate for Payer: MI Amish Medical Board Commercial |
$116.75
|
| Rate for Payer: Molina Medicare/Medicaid |
$111.68
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$345.19
|
| Rate for Payer: Nomi Health Commercial |
$333.00
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$304.57
|
| Rate for Payer: PACE Senior Care Partners |
$96.45
|
| Rate for Payer: PACE SWMI |
$101.53
|
| Rate for Payer: PHP Commercial |
$345.19
|
| Rate for Payer: PHP Medicare Advantage |
$101.53
|
| Rate for Payer: Priority Health Choice Medicaid |
$71.60
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$353.31
|
| Rate for Payer: Priority Health Medicare |
$102.54
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$282.65
|
| Rate for Payer: Railroad Medicare Medicare |
$101.53
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$357.37
|
| Rate for Payer: UHC Core |
$339.09
|
| Rate for Payer: UHC Exchange |
$101.53
|
| Rate for Payer: UHC Medicaid |
$71.60
|
| Rate for Payer: UHC Medicare Advantage |
$101.53
|
| Rate for Payer: UHCCP Medicaid |
$71.60
|
| Rate for Payer: VA VA |
$101.53
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$304.57
|
|
|
HC EMG REPETITIVE STIMULATION
|
Facility
|
IP
|
$447.79
|
|
|
Service Code
|
CPT 95937
|
| Hospital Charge Code |
92200021
|
|
Hospital Revenue Code
|
922
|
| Min. Negotiated Rate |
$311.66 |
| Max. Negotiated Rate |
$403.01 |
| Rate for Payer: Aetna Commercial |
$380.62
|
| Rate for Payer: BCBS Trust/PPO |
$369.83
|
| Rate for Payer: BCN Commercial |
$369.83
|
| Rate for Payer: Cash Price |
$358.23
|
| Rate for Payer: Cofinity Commercial |
$385.10
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$358.23
|
| Rate for Payer: Healthscope Commercial |
$403.01
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$335.84
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$380.62
|
| Rate for Payer: Nomi Health Commercial |
$367.19
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$335.84
|
| Rate for Payer: PHP Commercial |
$380.62
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$389.58
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$311.66
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$394.06
|
| Rate for Payer: UHC Core |
$373.90
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$335.84
|
|
|
HC EMG REPETITIVE STIMULATION
|
Facility
|
OP
|
$447.79
|
|
|
Service Code
|
CPT 95937
|
| Hospital Charge Code |
92200021
|
|
Hospital Revenue Code
|
922
|
| Min. Negotiated Rate |
$78.95 |
| Max. Negotiated Rate |
$403.01 |
| Rate for Payer: Aetna Commercial |
$380.62
|
| Rate for Payer: Aetna Medicare |
$116.43
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$139.93
|
| Rate for Payer: Amish Plain Church Group Commercial |
$139.93
|
| Rate for Payer: BCBS Complete |
$82.89
|
| Rate for Payer: BCBS MAPPO |
$111.95
|
| Rate for Payer: BCBS Trust/PPO |
$368.13
|
| Rate for Payer: BCN Commercial |
$368.13
|
| Rate for Payer: BCN Medicare Advantage |
$111.95
|
| Rate for Payer: Cash Price |
$358.23
|
| Rate for Payer: Cofinity Commercial |
$385.10
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$358.23
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$111.95
|
| Rate for Payer: Healthscope Commercial |
$403.01
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$335.84
|
| Rate for Payer: Mclaren Medicaid |
$78.95
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$117.54
|
| Rate for Payer: Meridian Medicaid |
$82.89
|
| Rate for Payer: MI Amish Medical Board Commercial |
$128.74
|
| Rate for Payer: Molina Medicare/Medicaid |
$123.14
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$380.62
|
| Rate for Payer: Nomi Health Commercial |
$367.19
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$335.84
|
| Rate for Payer: PACE Senior Care Partners |
$106.35
|
| Rate for Payer: PACE SWMI |
$111.95
|
| Rate for Payer: PHP Commercial |
$380.62
|
| Rate for Payer: PHP Medicare Advantage |
$111.95
|
| Rate for Payer: Priority Health Choice Medicaid |
$78.95
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$389.58
|
| Rate for Payer: Priority Health Medicare |
$113.07
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$311.66
|
| Rate for Payer: Railroad Medicare Medicare |
$111.95
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$394.06
|
| Rate for Payer: UHC Core |
$373.90
|
| Rate for Payer: UHC Exchange |
$111.95
|
| Rate for Payer: UHC Medicaid |
$78.95
|
| Rate for Payer: UHC Medicare Advantage |
$111.95
|
| Rate for Payer: UHCCP Medicaid |
$78.95
|
| Rate for Payer: VA VA |
$111.95
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$335.84
|
|
|
HC EMG SINGLE FIBER
|
Facility
|
OP
|
$468.74
|
|
|
Service Code
|
CPT 95872
|
| Hospital Charge Code |
92200010
|
|
Hospital Revenue Code
|
922
|
| Min. Negotiated Rate |
$82.64 |
| Max. Negotiated Rate |
$421.87 |
| Rate for Payer: Aetna Commercial |
$398.43
|
| Rate for Payer: Aetna Medicare |
$121.87
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$146.48
|
| Rate for Payer: Amish Plain Church Group Commercial |
$146.48
|
| Rate for Payer: BCBS Complete |
$86.76
|
| Rate for Payer: BCBS MAPPO |
$117.19
|
| Rate for Payer: BCBS Trust/PPO |
$385.35
|
| Rate for Payer: BCN Commercial |
$385.35
|
| Rate for Payer: BCN Medicare Advantage |
$117.19
|
| Rate for Payer: Cash Price |
$374.99
|
| Rate for Payer: Cofinity Commercial |
$403.12
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$374.99
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$117.19
|
| Rate for Payer: Healthscope Commercial |
$421.87
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$351.56
|
| Rate for Payer: Mclaren Medicaid |
$82.64
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$123.04
|
| Rate for Payer: Meridian Medicaid |
$86.76
|
| Rate for Payer: MI Amish Medical Board Commercial |
$134.76
|
| Rate for Payer: Molina Medicare/Medicaid |
$128.90
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$398.43
|
| Rate for Payer: Nomi Health Commercial |
$384.37
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$351.56
|
| Rate for Payer: PACE Senior Care Partners |
$111.33
|
| Rate for Payer: PACE SWMI |
$117.19
|
| Rate for Payer: PHP Commercial |
$398.43
|
| Rate for Payer: PHP Medicare Advantage |
$117.19
|
| Rate for Payer: Priority Health Choice Medicaid |
$82.64
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$407.80
|
| Rate for Payer: Priority Health Medicare |
$118.36
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$326.24
|
| Rate for Payer: Railroad Medicare Medicare |
$117.19
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$412.49
|
| Rate for Payer: UHC Core |
$391.40
|
| Rate for Payer: UHC Exchange |
$117.19
|
| Rate for Payer: UHC Medicaid |
$82.64
|
| Rate for Payer: UHC Medicare Advantage |
$117.19
|
| Rate for Payer: UHCCP Medicaid |
$82.64
|
| Rate for Payer: VA VA |
$117.19
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$351.56
|
|
|
HC EMG SINGLE FIBER
|
Facility
|
IP
|
$468.74
|
|
|
Service Code
|
CPT 95872
|
| Hospital Charge Code |
92200010
|
|
Hospital Revenue Code
|
922
|
| Min. Negotiated Rate |
$326.24 |
| Max. Negotiated Rate |
$421.87 |
| Rate for Payer: Aetna Commercial |
$398.43
|
| Rate for Payer: BCBS Trust/PPO |
$387.13
|
| Rate for Payer: BCN Commercial |
$387.13
|
| Rate for Payer: Cash Price |
$374.99
|
| Rate for Payer: Cofinity Commercial |
$403.12
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$374.99
|
| Rate for Payer: Healthscope Commercial |
$421.87
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$351.56
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$398.43
|
| Rate for Payer: Nomi Health Commercial |
$384.37
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$351.56
|
| Rate for Payer: PHP Commercial |
$398.43
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$407.80
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$326.24
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$412.49
|
| Rate for Payer: UHC Core |
$391.40
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$351.56
|
|
|
HC EMG SURFACE FROM LARYNX
|
Facility
|
OP
|
$283.43
|
|
|
Service Code
|
CPT 95999
|
| Hospital Charge Code |
92000010
|
|
Hospital Revenue Code
|
920
|
| Min. Negotiated Rate |
$49.97 |
| Max. Negotiated Rate |
$255.09 |
| Rate for Payer: Aetna Commercial |
$240.92
|
| Rate for Payer: Aetna Medicare |
$73.69
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$88.57
|
| Rate for Payer: Amish Plain Church Group Commercial |
$88.57
|
| Rate for Payer: BCBS Complete |
$52.46
|
| Rate for Payer: BCBS MAPPO |
$70.86
|
| Rate for Payer: BCBS Trust/PPO |
$233.01
|
| Rate for Payer: BCN Commercial |
$233.01
|
| Rate for Payer: BCN Medicare Advantage |
$70.86
|
| Rate for Payer: Cash Price |
$226.74
|
| Rate for Payer: Cofinity Commercial |
$243.75
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$226.74
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$70.86
|
| Rate for Payer: Healthscope Commercial |
$255.09
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$212.57
|
| Rate for Payer: Mclaren Medicaid |
$49.97
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$74.40
|
| Rate for Payer: Meridian Medicaid |
$52.46
|
| Rate for Payer: MI Amish Medical Board Commercial |
$81.49
|
| Rate for Payer: Molina Medicare/Medicaid |
$77.94
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$240.92
|
| Rate for Payer: Nomi Health Commercial |
$232.41
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$212.57
|
| Rate for Payer: PACE Senior Care Partners |
$67.31
|
| Rate for Payer: PACE SWMI |
$70.86
|
| Rate for Payer: PHP Commercial |
$240.92
|
| Rate for Payer: PHP Medicare Advantage |
$70.86
|
| Rate for Payer: Priority Health Choice Medicaid |
$49.97
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$246.58
|
| Rate for Payer: Priority Health Medicare |
$71.57
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$197.27
|
| Rate for Payer: Railroad Medicare Medicare |
$70.86
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$249.42
|
| Rate for Payer: UHC Core |
$236.66
|
| Rate for Payer: UHC Exchange |
$70.86
|
| Rate for Payer: UHC Medicaid |
$49.97
|
| Rate for Payer: UHC Medicare Advantage |
$70.86
|
| Rate for Payer: UHCCP Medicaid |
$49.97
|
| Rate for Payer: VA VA |
$70.86
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$212.57
|
|
