|
HC ENDO BIOPSY
|
Facility
|
OP
|
$293.24
|
|
| Hospital Charge Code |
36000092
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$51.70 |
| Max. Negotiated Rate |
$263.92 |
| Rate for Payer: Aetna Commercial |
$249.25
|
| Rate for Payer: Aetna Medicare |
$76.24
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$91.64
|
| Rate for Payer: Amish Plain Church Group Commercial |
$91.64
|
| Rate for Payer: BCBS Complete |
$54.28
|
| Rate for Payer: BCBS MAPPO |
$73.31
|
| Rate for Payer: BCBS Trust/PPO |
$241.07
|
| Rate for Payer: BCN Commercial |
$241.07
|
| Rate for Payer: BCN Medicare Advantage |
$73.31
|
| Rate for Payer: Cash Price |
$234.59
|
| Rate for Payer: Cofinity Commercial |
$252.19
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$234.59
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$73.31
|
| Rate for Payer: Healthscope Commercial |
$263.92
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$219.93
|
| Rate for Payer: Mclaren Medicaid |
$51.70
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$76.98
|
| Rate for Payer: Meridian Medicaid |
$54.28
|
| Rate for Payer: MI Amish Medical Board Commercial |
$84.31
|
| Rate for Payer: Molina Medicare/Medicaid |
$80.64
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$249.25
|
| Rate for Payer: Nomi Health Commercial |
$240.46
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$219.93
|
| Rate for Payer: PACE Senior Care Partners |
$69.64
|
| Rate for Payer: PACE SWMI |
$73.31
|
| Rate for Payer: PHP Commercial |
$249.25
|
| Rate for Payer: PHP Medicare Advantage |
$73.31
|
| Rate for Payer: Priority Health Choice Medicaid |
$51.70
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$255.12
|
| Rate for Payer: Priority Health Medicare |
$74.04
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$204.10
|
| Rate for Payer: Railroad Medicare Medicare |
$73.31
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$258.05
|
| Rate for Payer: UHC Core |
$244.86
|
| Rate for Payer: UHC Exchange |
$73.31
|
| Rate for Payer: UHC Medicaid |
$51.70
|
| Rate for Payer: UHC Medicare Advantage |
$73.31
|
| Rate for Payer: UHCCP Medicaid |
$51.70
|
| Rate for Payer: VA VA |
$73.31
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$219.93
|
|
|
HC ENDO BIOPSY
|
Facility
|
IP
|
$293.24
|
|
| Hospital Charge Code |
36000092
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$204.10 |
| Max. Negotiated Rate |
$263.92 |
| Rate for Payer: Aetna Commercial |
$249.25
|
| Rate for Payer: BCBS Trust/PPO |
$242.19
|
| Rate for Payer: BCN Commercial |
$242.19
|
| Rate for Payer: Cash Price |
$234.59
|
| Rate for Payer: Cofinity Commercial |
$252.19
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$234.59
|
| Rate for Payer: Healthscope Commercial |
$263.92
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$219.93
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$249.25
|
| Rate for Payer: Nomi Health Commercial |
$240.46
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$219.93
|
| Rate for Payer: PHP Commercial |
$249.25
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$255.12
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$204.10
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$258.05
|
| Rate for Payer: UHC Core |
$244.86
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$219.93
|
|
|
HC ENDOCERVICAL CURETTAGE
|
Facility
|
IP
|
$689.79
|
|
|
Service Code
|
CPT 57505
|
| Hospital Charge Code |
76100071
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$480.09 |
| Max. Negotiated Rate |
$620.81 |
| Rate for Payer: Aetna Commercial |
$586.32
|
| Rate for Payer: BCBS Trust/PPO |
$569.70
|
| Rate for Payer: BCN Commercial |
$569.70
|
| Rate for Payer: Cash Price |
$551.83
|
| Rate for Payer: Cofinity Commercial |
$593.22
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$551.83
|
| Rate for Payer: Healthscope Commercial |
$620.81
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$517.34
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$586.32
|
| Rate for Payer: Nomi Health Commercial |
$565.63
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$517.34
|
| Rate for Payer: PHP Commercial |
$586.32
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$600.12
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$480.09
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$607.02
|
| Rate for Payer: UHC Core |
$575.97
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$517.34
|
|
|
HC ENDOCERVICAL CURETTAGE
|
Facility
|
OP
|
$689.79
|
|
|
Service Code
|
CPT 57505
|
| Hospital Charge Code |
76100071
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$121.61 |
| Max. Negotiated Rate |
$620.81 |
| Rate for Payer: Aetna Commercial |
$586.32
|
| Rate for Payer: Aetna Medicare |
$179.35
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$215.56
|
| Rate for Payer: Amish Plain Church Group Commercial |
$215.56
|
| Rate for Payer: BCBS Complete |
$127.68
|
| Rate for Payer: BCBS MAPPO |
$172.45
|
| Rate for Payer: BCBS Trust/PPO |
$567.08
|
| Rate for Payer: BCCCP Commercial |
$145.60
|
| Rate for Payer: BCN Commercial |
$567.08
|
| Rate for Payer: BCN Medicare Advantage |
$172.45
|
| Rate for Payer: Cash Price |
$551.83
|
| Rate for Payer: Cash Price |
$551.83
|
| Rate for Payer: Cofinity Commercial |
$593.22
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$551.83
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$172.45
|
| Rate for Payer: Healthscope Commercial |
$620.81
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$517.34
|
| Rate for Payer: Mclaren Medicaid |
$121.61
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$181.07
|
| Rate for Payer: Meridian Medicaid |
$127.68
|
| Rate for Payer: MI Amish Medical Board Commercial |
$198.31
|
| Rate for Payer: Molina Medicare/Medicaid |
$189.69
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$586.32
|
| Rate for Payer: Nomi Health Commercial |
$565.63
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$517.34
|
| Rate for Payer: PACE Senior Care Partners |
$163.83
|
| Rate for Payer: PACE SWMI |
$172.45
|
| Rate for Payer: PHP Commercial |
$586.32
|
| Rate for Payer: PHP Medicare Advantage |
$172.45
|
| Rate for Payer: Priority Health Choice Medicaid |
$121.61
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$600.12
|
| Rate for Payer: Priority Health Medicare |
$174.17
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$480.09
|
| Rate for Payer: Railroad Medicare Medicare |
$172.45
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$607.02
|
| Rate for Payer: UHC Core |
$575.97
|
| Rate for Payer: UHC Exchange |
$172.45
|
| Rate for Payer: UHC Medicaid |
$121.61
|
| Rate for Payer: UHC Medicare Advantage |
$172.45
|
| Rate for Payer: UHCCP Medicaid |
$121.61
|
| Rate for Payer: VA VA |
$172.45
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$517.34
|
|
|
HC ENDO CLIPPING
|
Facility
|
OP
|
$329.81
|
|
| Hospital Charge Code |
36000117
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$58.15 |
| Max. Negotiated Rate |
$296.83 |
| Rate for Payer: Aetna Commercial |
$280.34
|
| Rate for Payer: Aetna Medicare |
$85.75
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$103.07
|
| Rate for Payer: Amish Plain Church Group Commercial |
$103.07
|
| Rate for Payer: BCBS Complete |
$61.05
|
| Rate for Payer: BCBS MAPPO |
$82.45
|
| Rate for Payer: BCBS Trust/PPO |
$271.14
|
| Rate for Payer: BCN Commercial |
$271.14
|
| Rate for Payer: BCN Medicare Advantage |
$82.45
|
| Rate for Payer: Cash Price |
$263.85
|
| Rate for Payer: Cofinity Commercial |
$283.64
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$263.85
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$82.45
|
| Rate for Payer: Healthscope Commercial |
$296.83
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$247.36
|
| Rate for Payer: Mclaren Medicaid |
$58.15
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$86.58
|
| Rate for Payer: Meridian Medicaid |
$61.05
|
| Rate for Payer: MI Amish Medical Board Commercial |
$94.82
|
| Rate for Payer: Molina Medicare/Medicaid |
$90.70
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$280.34
|
| Rate for Payer: Nomi Health Commercial |
$270.44
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$247.36
|
| Rate for Payer: PACE Senior Care Partners |
$78.33
|
| Rate for Payer: PACE SWMI |
$82.45
|
| Rate for Payer: PHP Commercial |
$280.34
|
| Rate for Payer: PHP Medicare Advantage |
$82.45
|
| Rate for Payer: Priority Health Choice Medicaid |
$58.15
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$286.93
|
| Rate for Payer: Priority Health Medicare |
$83.28
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$229.55
|
| Rate for Payer: Railroad Medicare Medicare |
$82.45
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$290.23
|
| Rate for Payer: UHC Core |
$275.39
|
| Rate for Payer: UHC Exchange |
$82.45
|
| Rate for Payer: UHC Medicaid |
$58.15
|
| Rate for Payer: UHC Medicare Advantage |
$82.45
|
| Rate for Payer: UHCCP Medicaid |
$58.15
|
| Rate for Payer: VA VA |
$82.45
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$247.36
|
|
|
HC ENDO CLIPPING
|
Facility
|
IP
|
$329.81
|
|
| Hospital Charge Code |
36000117
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$229.55 |
| Max. Negotiated Rate |
$296.83 |
| Rate for Payer: Aetna Commercial |
$280.34
|
| Rate for Payer: BCBS Trust/PPO |
$272.39
|
| Rate for Payer: BCN Commercial |
$272.39
|
| Rate for Payer: Cash Price |
$263.85
|
| Rate for Payer: Cofinity Commercial |
$283.64
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$263.85
|
| Rate for Payer: Healthscope Commercial |
$296.83
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$247.36
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$280.34
|
| Rate for Payer: Nomi Health Commercial |
$270.44
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$247.36
|
| Rate for Payer: PHP Commercial |
$280.34
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$286.93
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$229.55
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$290.23
|
| Rate for Payer: UHC Core |
$275.39
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$247.36
|
|
|
HC ENDO CYTOLOGY/BRUSHING
|
Facility
|
OP
|
$1,841.57
|
|
| Hospital Charge Code |
36000012
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$324.67 |
| Max. Negotiated Rate |
$1,657.41 |
| Rate for Payer: Aetna Commercial |
$1,565.33
|
| Rate for Payer: Aetna Medicare |
$478.81
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$575.49
|
| Rate for Payer: Amish Plain Church Group Commercial |
$575.49
|
| Rate for Payer: BCBS Complete |
$340.87
|
| Rate for Payer: BCBS MAPPO |
$460.39
|
| Rate for Payer: BCBS Trust/PPO |
$1,513.95
|
| Rate for Payer: BCN Commercial |
$1,513.95
|
| Rate for Payer: BCN Medicare Advantage |
$460.39
|
| Rate for Payer: Cash Price |
$1,473.26
|
| Rate for Payer: Cofinity Commercial |
$1,583.75
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,473.26
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$460.39
|
| Rate for Payer: Healthscope Commercial |
$1,657.41
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,381.18
|
| Rate for Payer: Mclaren Medicaid |
$324.67
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$483.41
|
| Rate for Payer: Meridian Medicaid |
$340.87
|
| Rate for Payer: MI Amish Medical Board Commercial |
$529.45
|
| Rate for Payer: Molina Medicare/Medicaid |
$506.43
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,565.33
|
| Rate for Payer: Nomi Health Commercial |
$1,510.09
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,381.18
|
| Rate for Payer: PACE Senior Care Partners |
$437.37
|
| Rate for Payer: PACE SWMI |
$460.39
|
| Rate for Payer: PHP Commercial |
$1,565.33
|
| Rate for Payer: PHP Medicare Advantage |
$460.39
|
| Rate for Payer: Priority Health Choice Medicaid |
$324.67
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$1,602.17
|
| Rate for Payer: Priority Health Medicare |
$465.00
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,281.73
|
| Rate for Payer: Railroad Medicare Medicare |
$460.39
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,620.58
|
| Rate for Payer: UHC Core |
$1,537.71
|
| Rate for Payer: UHC Exchange |
$460.39
|
| Rate for Payer: UHC Medicaid |
$324.67
|
| Rate for Payer: UHC Medicare Advantage |
$460.39
|
| Rate for Payer: UHCCP Medicaid |
$324.67
|
| Rate for Payer: VA VA |
$460.39
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,381.18
|
|
|
HC ENDO CYTOLOGY/BRUSHING
|
Facility
|
IP
|
$1,841.57
|
|
| Hospital Charge Code |
36000012
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$1,281.73 |
| Max. Negotiated Rate |
$1,657.41 |
| Rate for Payer: Aetna Commercial |
$1,565.33
|
| Rate for Payer: BCBS Trust/PPO |
$1,520.95
|
| Rate for Payer: BCN Commercial |
$1,520.95
|
| Rate for Payer: Cash Price |
$1,473.26
|
| Rate for Payer: Cofinity Commercial |
$1,583.75
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,473.26
|
| Rate for Payer: Healthscope Commercial |
$1,657.41
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,381.18
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,565.33
|
| Rate for Payer: Nomi Health Commercial |
$1,510.09
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,381.18
|
| Rate for Payer: PHP Commercial |
$1,565.33
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$1,602.17
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,281.73
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,620.58
|
| Rate for Payer: UHC Core |
$1,537.71
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,381.18
|
|
|
HC ENDO DILATATION
|
Facility
|
OP
|
$1,357.00
|
|
| Hospital Charge Code |
36000115
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$239.24 |
| Max. Negotiated Rate |
$1,221.30 |
| Rate for Payer: Aetna Commercial |
$1,153.45
|
| Rate for Payer: Aetna Medicare |
$352.82
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$424.06
|
| Rate for Payer: Amish Plain Church Group Commercial |
$424.06
|
| Rate for Payer: BCBS Complete |
$251.18
|
| Rate for Payer: BCBS MAPPO |
$339.25
|
| Rate for Payer: BCBS Trust/PPO |
$1,115.59
|
| Rate for Payer: BCN Commercial |
$1,115.59
|
| Rate for Payer: BCN Medicare Advantage |
$339.25
|
| Rate for Payer: Cash Price |
$1,085.60
|
| Rate for Payer: Cofinity Commercial |
$1,167.02
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,085.60
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$339.25
|
| Rate for Payer: Healthscope Commercial |
$1,221.30
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,017.75
|
| Rate for Payer: Mclaren Medicaid |
$239.24
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$356.21
|
| Rate for Payer: Meridian Medicaid |
$251.18
|
| Rate for Payer: MI Amish Medical Board Commercial |
$390.14
|
| Rate for Payer: Molina Medicare/Medicaid |
$373.18
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,153.45
|
| Rate for Payer: Nomi Health Commercial |
$1,112.74
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,017.75
|
| Rate for Payer: PACE Senior Care Partners |
$322.29
|
| Rate for Payer: PACE SWMI |
$339.25
|
| Rate for Payer: PHP Commercial |
$1,153.45
|
| Rate for Payer: PHP Medicare Advantage |
$339.25
|
| Rate for Payer: Priority Health Choice Medicaid |
$239.24
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$1,180.59
|
| Rate for Payer: Priority Health Medicare |
$342.64
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$944.47
|
| Rate for Payer: Railroad Medicare Medicare |
$339.25
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,194.16
|
| Rate for Payer: UHC Core |
$1,133.10
|
| Rate for Payer: UHC Exchange |
$339.25
|
| Rate for Payer: UHC Medicaid |
$239.24
|
| Rate for Payer: UHC Medicare Advantage |
$339.25
|
| Rate for Payer: UHCCP Medicaid |
$239.24
|
| Rate for Payer: VA VA |
$339.25
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,017.75
|
|
|
HC ENDO DILATATION
|
Facility
|
IP
|
$1,357.00
|
|
| Hospital Charge Code |
36000115
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$944.47 |
| Max. Negotiated Rate |
$1,221.30 |
| Rate for Payer: Aetna Commercial |
$1,153.45
|
| Rate for Payer: BCBS Trust/PPO |
$1,120.75
|
| Rate for Payer: BCN Commercial |
$1,120.75
|
| Rate for Payer: Cash Price |
$1,085.60
|
| Rate for Payer: Cofinity Commercial |
$1,167.02
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,085.60
|
| Rate for Payer: Healthscope Commercial |
$1,221.30
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,017.75
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,153.45
|
| Rate for Payer: Nomi Health Commercial |
$1,112.74
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,017.75
|
| Rate for Payer: PHP Commercial |
$1,153.45
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$1,180.59
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$944.47
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,194.16
|
| Rate for Payer: UHC Core |
$1,133.10
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,017.75
|
|
|
HC ENDO FINE NEEDLE ASP/BIOPSY
|
Facility
|
IP
|
$1,096.02
|
|
| Hospital Charge Code |
36000103
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$762.83 |
| Max. Negotiated Rate |
$986.42 |
| Rate for Payer: Aetna Commercial |
$931.62
|
| Rate for Payer: BCBS Trust/PPO |
$905.20
|
| Rate for Payer: BCN Commercial |
$905.20
|
| Rate for Payer: Cash Price |
$876.82
|
| Rate for Payer: Cofinity Commercial |
$942.58
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$876.82
|
| Rate for Payer: Healthscope Commercial |
$986.42
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$822.01
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$931.62
|
| Rate for Payer: Nomi Health Commercial |
$898.74
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$822.01
|
| Rate for Payer: PHP Commercial |
$931.62
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$953.54
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$762.83
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$964.50
|
| Rate for Payer: UHC Core |
$915.18
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$822.01
|
|
|
HC ENDO FINE NEEDLE ASP/BIOPSY
|
Facility
|
OP
|
$1,096.02
|
|
| Hospital Charge Code |
36000103
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$193.23 |
| Max. Negotiated Rate |
$986.42 |
| Rate for Payer: Aetna Commercial |
$931.62
|
| Rate for Payer: Aetna Medicare |
$284.97
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$342.51
|
| Rate for Payer: Amish Plain Church Group Commercial |
$342.51
|
| Rate for Payer: BCBS Complete |
$202.87
|
| Rate for Payer: BCBS MAPPO |
$274.00
|
| Rate for Payer: BCBS Trust/PPO |
$901.04
|
| Rate for Payer: BCN Commercial |
$901.04
|
| Rate for Payer: BCN Medicare Advantage |
$274.00
|
| Rate for Payer: Cash Price |
$876.82
|
| Rate for Payer: Cofinity Commercial |
$942.58
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$876.82
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$274.00
|
| Rate for Payer: Healthscope Commercial |
$986.42
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$822.01
|
| Rate for Payer: Mclaren Medicaid |
$193.23
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$287.71
|
| Rate for Payer: Meridian Medicaid |
$202.87
|
| Rate for Payer: MI Amish Medical Board Commercial |
$315.11
|
| Rate for Payer: Molina Medicare/Medicaid |
$301.41
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$931.62
|
| Rate for Payer: Nomi Health Commercial |
$898.74
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$822.01
|
| Rate for Payer: PACE Senior Care Partners |
$260.30
|
| Rate for Payer: PACE SWMI |
$274.00
|
| Rate for Payer: PHP Commercial |
$931.62
|
| Rate for Payer: PHP Medicare Advantage |
$274.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$193.23
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$953.54
|
| Rate for Payer: Priority Health Medicare |
$276.75
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$762.83
|
| Rate for Payer: Railroad Medicare Medicare |
$274.00
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$964.50
|
| Rate for Payer: UHC Core |
$915.18
|
| Rate for Payer: UHC Exchange |
$274.00
|
| Rate for Payer: UHC Medicaid |
$193.23
|
| Rate for Payer: UHC Medicare Advantage |
$274.00
|
| Rate for Payer: UHCCP Medicaid |
$193.23
|
| Rate for Payer: VA VA |
$274.00
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$822.01
|
|
|
HC ENDOFORM 2X2
|
Facility
|
OP
|
$39.80
|
|
| Hospital Charge Code |
27000459
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$7.02 |
| Max. Negotiated Rate |
$35.82 |
| Rate for Payer: Aetna Commercial |
$33.83
|
| Rate for Payer: Aetna Medicare |
$10.35
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$12.44
|
| Rate for Payer: Amish Plain Church Group Commercial |
$12.44
|
| Rate for Payer: BCBS Complete |
$7.37
|
| Rate for Payer: BCBS MAPPO |
$9.95
|
| Rate for Payer: BCBS Trust/PPO |
$32.72
|
| Rate for Payer: BCN Commercial |
$32.72
|
| Rate for Payer: BCN Medicare Advantage |
$9.95
|
| Rate for Payer: Cash Price |
$31.84
|
| Rate for Payer: Cofinity Commercial |
$34.23
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$31.84
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$9.95
|
| Rate for Payer: Healthscope Commercial |
$35.82
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$29.85
|
| Rate for Payer: Mclaren Medicaid |
$7.02
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$10.45
|
| Rate for Payer: Meridian Medicaid |
$7.37
|
| Rate for Payer: MI Amish Medical Board Commercial |
$11.44
|
| Rate for Payer: Molina Medicare/Medicaid |
$10.95
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$33.83
|
| Rate for Payer: Nomi Health Commercial |
$32.64
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$29.85
|
| Rate for Payer: PACE Senior Care Partners |
$9.45
|
| Rate for Payer: PACE SWMI |
$9.95
|
| Rate for Payer: PHP Commercial |
$33.83
|
| Rate for Payer: PHP Medicare Advantage |
$9.95
|
| Rate for Payer: Priority Health Choice Medicaid |
$7.02
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$34.63
|
| Rate for Payer: Priority Health Medicare |
$10.05
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$27.70
|
| Rate for Payer: Railroad Medicare Medicare |
$9.95
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$35.02
|
| Rate for Payer: UHC Core |
$33.23
|
| Rate for Payer: UHC Exchange |
$9.95
|
| Rate for Payer: UHC Medicaid |
$7.02
|
| Rate for Payer: UHC Medicare Advantage |
$9.95
|
| Rate for Payer: UHCCP Medicaid |
$7.02
|
| Rate for Payer: VA VA |
$9.95
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$29.85
|
|
|
HC ENDOFORM 2X2
|
Facility
|
IP
|
$39.80
|
|
| Hospital Charge Code |
27000459
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$27.70 |
| Max. Negotiated Rate |
$35.82 |
| Rate for Payer: Aetna Commercial |
$33.83
|
| Rate for Payer: BCBS Trust/PPO |
$32.87
|
| Rate for Payer: BCN Commercial |
$32.87
|
| Rate for Payer: Cash Price |
$31.84
|
| Rate for Payer: Cofinity Commercial |
$34.23
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$31.84
|
| Rate for Payer: Healthscope Commercial |
$35.82
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$29.85
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$33.83
|
| Rate for Payer: Nomi Health Commercial |
$32.64
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$29.85
|
| Rate for Payer: PHP Commercial |
$33.83
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$34.63
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$27.70
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$35.02
|
| Rate for Payer: UHC Core |
$33.23
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$29.85
|
|
|
HC ENDOFORM 4X4
|
Facility
|
OP
|
$138.43
|
|
| Hospital Charge Code |
27000460
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$24.41 |
| Max. Negotiated Rate |
$124.59 |
| Rate for Payer: Aetna Commercial |
$117.67
|
| Rate for Payer: Aetna Medicare |
$35.99
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$43.26
|
| Rate for Payer: Amish Plain Church Group Commercial |
$43.26
|
| Rate for Payer: BCBS Complete |
$25.62
|
| Rate for Payer: BCBS MAPPO |
$34.61
|
| Rate for Payer: BCBS Trust/PPO |
$113.80
|
| Rate for Payer: BCN Commercial |
$113.80
|
| Rate for Payer: BCN Medicare Advantage |
$34.61
|
| Rate for Payer: Cash Price |
$110.74
|
| Rate for Payer: Cofinity Commercial |
$119.05
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$110.74
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$34.61
|
| Rate for Payer: Healthscope Commercial |
$124.59
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$103.82
|
| Rate for Payer: Mclaren Medicaid |
$24.41
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$36.34
|
| Rate for Payer: Meridian Medicaid |
$25.62
|
| Rate for Payer: MI Amish Medical Board Commercial |
$39.80
|
| Rate for Payer: Molina Medicare/Medicaid |
$38.07
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$117.67
|
| Rate for Payer: Nomi Health Commercial |
$113.51
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$103.82
|
| Rate for Payer: PACE Senior Care Partners |
$32.88
|
| Rate for Payer: PACE SWMI |
$34.61
|
| Rate for Payer: PHP Commercial |
$117.67
|
| Rate for Payer: PHP Medicare Advantage |
$34.61
|
| Rate for Payer: Priority Health Choice Medicaid |
$24.41
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$120.43
|
| Rate for Payer: Priority Health Medicare |
$34.95
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$96.35
|
| Rate for Payer: Railroad Medicare Medicare |
$34.61
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$121.82
|
| Rate for Payer: UHC Core |
$115.59
|
| Rate for Payer: UHC Exchange |
$34.61
|
| Rate for Payer: UHC Medicaid |
$24.41
|
| Rate for Payer: UHC Medicare Advantage |
$34.61
|
| Rate for Payer: UHCCP Medicaid |
$24.41
|
| Rate for Payer: VA VA |
$34.61
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$103.82
|
|
|
HC ENDOFORM 4X4
|
Facility
|
IP
|
$138.43
|
|
| Hospital Charge Code |
27000460
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$96.35 |
| Max. Negotiated Rate |
$124.59 |
| Rate for Payer: Aetna Commercial |
$117.67
|
| Rate for Payer: BCBS Trust/PPO |
$114.33
|
| Rate for Payer: BCN Commercial |
$114.33
|
| Rate for Payer: Cash Price |
$110.74
|
| Rate for Payer: Cofinity Commercial |
$119.05
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$110.74
|
| Rate for Payer: Healthscope Commercial |
$124.59
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$103.82
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$117.67
|
| Rate for Payer: Nomi Health Commercial |
$113.51
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$103.82
|
| Rate for Payer: PHP Commercial |
$117.67
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$120.43
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$96.35
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$121.82
|
| Rate for Payer: UHC Core |
$115.59
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$103.82
|
|
|
HC ENDO HEMOSTASIS
|
Facility
|
IP
|
$127.97
|
|
| Hospital Charge Code |
36000116
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$89.07 |
| Max. Negotiated Rate |
$115.17 |
| Rate for Payer: Aetna Commercial |
$108.77
|
| Rate for Payer: BCBS Trust/PPO |
$105.69
|
| Rate for Payer: BCN Commercial |
$105.69
|
| Rate for Payer: Cash Price |
$102.38
|
| Rate for Payer: Cofinity Commercial |
$110.05
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$102.38
|
| Rate for Payer: Healthscope Commercial |
$115.17
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$95.98
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$108.77
|
| Rate for Payer: Nomi Health Commercial |
$104.94
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$95.98
|
| Rate for Payer: PHP Commercial |
$108.77
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$111.33
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$89.07
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$112.61
|
| Rate for Payer: UHC Core |
$106.85
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$95.98
|
|
|
HC ENDO HEMOSTASIS
|
Facility
|
OP
|
$127.97
|
|
| Hospital Charge Code |
36000116
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$22.56 |
| Max. Negotiated Rate |
$115.17 |
| Rate for Payer: Aetna Commercial |
$108.77
|
| Rate for Payer: Aetna Medicare |
$33.27
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$39.99
|
| Rate for Payer: Amish Plain Church Group Commercial |
$39.99
|
| Rate for Payer: BCBS Complete |
$23.69
|
| Rate for Payer: BCBS MAPPO |
$31.99
|
| Rate for Payer: BCBS Trust/PPO |
$105.20
|
| Rate for Payer: BCN Commercial |
$105.20
|
| Rate for Payer: BCN Medicare Advantage |
$31.99
|
| Rate for Payer: Cash Price |
$102.38
|
| Rate for Payer: Cofinity Commercial |
$110.05
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$102.38
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$31.99
|
| Rate for Payer: Healthscope Commercial |
$115.17
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$95.98
|
| Rate for Payer: Mclaren Medicaid |
$22.56
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$33.59
|
| Rate for Payer: Meridian Medicaid |
$23.69
|
| Rate for Payer: MI Amish Medical Board Commercial |
$36.79
|
| Rate for Payer: Molina Medicare/Medicaid |
$35.19
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$108.77
|
| Rate for Payer: Nomi Health Commercial |
$104.94
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$95.98
|
| Rate for Payer: PACE Senior Care Partners |
$30.39
|
| Rate for Payer: PACE SWMI |
$31.99
|
| Rate for Payer: PHP Commercial |
$108.77
|
| Rate for Payer: PHP Medicare Advantage |
$31.99
|
| Rate for Payer: Priority Health Choice Medicaid |
$22.56
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$111.33
|
| Rate for Payer: Priority Health Medicare |
$32.31
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$89.07
|
| Rate for Payer: Railroad Medicare Medicare |
$31.99
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$112.61
|
| Rate for Payer: UHC Core |
$106.85
|
| Rate for Payer: UHC Exchange |
$31.99
|
| Rate for Payer: UHC Medicaid |
$22.56
|
| Rate for Payer: UHC Medicare Advantage |
$31.99
|
| Rate for Payer: UHCCP Medicaid |
$22.56
|
| Rate for Payer: VA VA |
$31.99
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$95.98
|
|
|
HC ENDOLUMINAL BIOPSY OF BILIARY TREE
|
Facility
|
OP
|
$675.66
|
|
|
Service Code
|
CPT 47543
|
| Hospital Charge Code |
36100500
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$119.12 |
| Max. Negotiated Rate |
$608.09 |
| Rate for Payer: Aetna Commercial |
$574.31
|
| Rate for Payer: Aetna Medicare |
$175.67
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$211.14
|
| Rate for Payer: Amish Plain Church Group Commercial |
$211.14
|
| Rate for Payer: BCBS Complete |
$125.06
|
| Rate for Payer: BCBS MAPPO |
$168.91
|
| Rate for Payer: BCBS Trust/PPO |
$555.46
|
| Rate for Payer: BCN Commercial |
$555.46
|
| Rate for Payer: BCN Medicare Advantage |
$168.91
|
| Rate for Payer: Cash Price |
$540.53
|
| Rate for Payer: Cofinity Commercial |
$581.07
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$540.53
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$168.91
|
| Rate for Payer: Healthscope Commercial |
$608.09
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$506.75
|
| Rate for Payer: Mclaren Medicaid |
$119.12
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$177.36
|
| Rate for Payer: Meridian Medicaid |
$125.06
|
| Rate for Payer: MI Amish Medical Board Commercial |
$194.25
|
| Rate for Payer: Molina Medicare/Medicaid |
$185.81
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$574.31
|
| Rate for Payer: Nomi Health Commercial |
$554.04
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$506.75
|
| Rate for Payer: PACE Senior Care Partners |
$160.47
|
| Rate for Payer: PACE SWMI |
$168.91
|
| Rate for Payer: PHP Commercial |
$574.31
|
| Rate for Payer: PHP Medicare Advantage |
$168.91
|
| Rate for Payer: Priority Health Choice Medicaid |
$119.12
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$587.82
|
| Rate for Payer: Priority Health Medicare |
$170.60
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$470.26
|
| Rate for Payer: Railroad Medicare Medicare |
$168.91
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$594.58
|
| Rate for Payer: UHC Core |
$564.18
|
| Rate for Payer: UHC Exchange |
$168.91
|
| Rate for Payer: UHC Medicaid |
$119.12
|
| Rate for Payer: UHC Medicare Advantage |
$168.91
|
| Rate for Payer: UHCCP Medicaid |
$119.12
|
| Rate for Payer: VA VA |
$168.91
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$506.75
|
|
|
HC ENDOLUMINAL BIOPSY OF BILIARY TREE
|
Facility
|
IP
|
$675.66
|
|
|
Service Code
|
CPT 47543
|
| Hospital Charge Code |
36100500
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$470.26 |
| Max. Negotiated Rate |
$608.09 |
| Rate for Payer: Aetna Commercial |
$574.31
|
| Rate for Payer: BCBS Trust/PPO |
$558.03
|
| Rate for Payer: BCN Commercial |
$558.03
|
| Rate for Payer: Cash Price |
$540.53
|
| Rate for Payer: Cofinity Commercial |
$581.07
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$540.53
|
| Rate for Payer: Healthscope Commercial |
$608.09
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$506.75
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$574.31
|
| Rate for Payer: Nomi Health Commercial |
$554.04
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$506.75
|
| Rate for Payer: PHP Commercial |
$574.31
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$587.82
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$470.26
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$594.58
|
| Rate for Payer: UHC Core |
$564.18
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$506.75
|
|
|
HC ENDOLUMINAL BX URTR &/RNL PELVIS NONENDOSCOPIC
|
Facility
|
OP
|
$5,199.92
|
|
|
Service Code
|
CPT 50606
|
| Hospital Charge Code |
36100615
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$916.75 |
| Max. Negotiated Rate |
$4,679.93 |
| Rate for Payer: Aetna Commercial |
$4,419.93
|
| Rate for Payer: Aetna Medicare |
$1,351.98
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,624.97
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1,624.97
|
| Rate for Payer: BCBS Complete |
$962.51
|
| Rate for Payer: BCBS MAPPO |
$1,299.98
|
| Rate for Payer: BCBS Trust/PPO |
$4,274.85
|
| Rate for Payer: BCN Commercial |
$4,274.85
|
| Rate for Payer: BCN Medicare Advantage |
$1,299.98
|
| Rate for Payer: Cash Price |
$4,159.94
|
| Rate for Payer: Cofinity Commercial |
$4,471.93
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$4,159.94
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,299.98
|
| Rate for Payer: Healthscope Commercial |
$4,679.93
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$3,899.94
|
| Rate for Payer: Mclaren Medicaid |
$916.75
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,364.98
|
| Rate for Payer: Meridian Medicaid |
$962.51
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,494.98
|
| Rate for Payer: Molina Medicare/Medicaid |
$1,429.98
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$4,419.93
|
| Rate for Payer: Nomi Health Commercial |
$4,263.93
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$3,899.94
|
| Rate for Payer: PACE Senior Care Partners |
$1,234.98
|
| Rate for Payer: PACE SWMI |
$1,299.98
|
| Rate for Payer: PHP Commercial |
$4,419.93
|
| Rate for Payer: PHP Medicare Advantage |
$1,299.98
|
| Rate for Payer: Priority Health Choice Medicaid |
$916.75
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$4,523.93
|
| Rate for Payer: Priority Health Medicare |
$1,312.98
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$3,619.14
|
| Rate for Payer: Railroad Medicare Medicare |
$1,299.98
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$4,575.93
|
| Rate for Payer: UHC Core |
$4,341.93
|
| Rate for Payer: UHC Exchange |
$1,299.98
|
| Rate for Payer: UHC Medicaid |
$916.75
|
| Rate for Payer: UHC Medicare Advantage |
$1,299.98
|
| Rate for Payer: UHCCP Medicaid |
$916.75
|
| Rate for Payer: VA VA |
$1,299.98
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$3,899.94
|
|
|
HC ENDOLUMINAL BX URTR &/RNL PELVIS NONENDOSCOPIC
|
Facility
|
IP
|
$5,199.92
|
|
|
Service Code
|
CPT 50606
|
| Hospital Charge Code |
36100615
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$3,619.14 |
| Max. Negotiated Rate |
$4,679.93 |
| Rate for Payer: Aetna Commercial |
$4,419.93
|
| Rate for Payer: BCBS Trust/PPO |
$4,294.61
|
| Rate for Payer: BCN Commercial |
$4,294.61
|
| Rate for Payer: Cash Price |
$4,159.94
|
| Rate for Payer: Cofinity Commercial |
$4,471.93
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$4,159.94
|
| Rate for Payer: Healthscope Commercial |
$4,679.93
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$3,899.94
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$4,419.93
|
| Rate for Payer: Nomi Health Commercial |
$4,263.93
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$3,899.94
|
| Rate for Payer: PHP Commercial |
$4,419.93
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$4,523.93
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$3,619.14
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$4,575.93
|
| Rate for Payer: UHC Core |
$4,341.93
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$3,899.94
|
|
|
HC ENDOMETR ABLATE THERMAL
|
Facility
|
IP
|
$13,620.60
|
|
|
Service Code
|
CPT 58353
|
| Hospital Charge Code |
76100336
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$9,479.94 |
| Max. Negotiated Rate |
$12,258.54 |
| Rate for Payer: Aetna Commercial |
$11,577.51
|
| Rate for Payer: BCBS Trust/PPO |
$11,249.25
|
| Rate for Payer: BCN Commercial |
$11,249.25
|
| Rate for Payer: Cash Price |
$10,896.48
|
| Rate for Payer: Cofinity Commercial |
$11,713.72
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$10,896.48
|
| Rate for Payer: Healthscope Commercial |
$12,258.54
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$10,215.45
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$11,577.51
|
| Rate for Payer: Nomi Health Commercial |
$11,168.89
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$10,215.45
|
| Rate for Payer: PHP Commercial |
$11,577.51
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$11,849.92
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$9,479.94
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$11,986.13
|
| Rate for Payer: UHC Core |
$11,373.20
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$10,215.45
|
|
|
HC ENDOMETR ABLATE THERMAL
|
Facility
|
OP
|
$13,620.60
|
|
|
Service Code
|
CPT 58353
|
| Hospital Charge Code |
76100336
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$2,401.31 |
| Max. Negotiated Rate |
$12,258.54 |
| Rate for Payer: Aetna Commercial |
$11,577.51
|
| Rate for Payer: Aetna Medicare |
$3,541.36
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$4,256.44
|
| Rate for Payer: Amish Plain Church Group Commercial |
$4,256.44
|
| Rate for Payer: BCBS Complete |
$2,521.17
|
| Rate for Payer: BCBS MAPPO |
$3,405.15
|
| Rate for Payer: BCBS Trust/PPO |
$11,197.50
|
| Rate for Payer: BCN Commercial |
$11,197.50
|
| Rate for Payer: BCN Medicare Advantage |
$3,405.15
|
| Rate for Payer: Cash Price |
$10,896.48
|
| Rate for Payer: Cofinity Commercial |
$11,713.72
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$10,896.48
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$3,405.15
|
| Rate for Payer: Healthscope Commercial |
$12,258.54
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$10,215.45
|
| Rate for Payer: Mclaren Medicaid |
$2,401.31
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$3,575.41
|
| Rate for Payer: Meridian Medicaid |
$2,521.17
|
| Rate for Payer: MI Amish Medical Board Commercial |
$3,915.92
|
| Rate for Payer: Molina Medicare/Medicaid |
$3,745.66
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$11,577.51
|
| Rate for Payer: Nomi Health Commercial |
$11,168.89
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$10,215.45
|
| Rate for Payer: PACE Senior Care Partners |
$3,234.89
|
| Rate for Payer: PACE SWMI |
$3,405.15
|
| Rate for Payer: PHP Commercial |
$11,577.51
|
| Rate for Payer: PHP Medicare Advantage |
$3,405.15
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,401.31
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$11,849.92
|
| Rate for Payer: Priority Health Medicare |
$3,439.20
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$9,479.94
|
| Rate for Payer: Railroad Medicare Medicare |
$3,405.15
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$11,986.13
|
| Rate for Payer: UHC Core |
$11,373.20
|
| Rate for Payer: UHC Exchange |
$3,405.15
|
| Rate for Payer: UHC Medicaid |
$2,401.31
|
| Rate for Payer: UHC Medicare Advantage |
$3,405.15
|
| Rate for Payer: UHCCP Medicaid |
$2,401.31
|
| Rate for Payer: VA VA |
$3,405.15
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$10,215.45
|
|
|
HC ENDOMETR BX CONJUNCT W/COLP
|
Facility
|
IP
|
$737.54
|
|
|
Service Code
|
CPT 58110
|
| Hospital Charge Code |
76100335
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$513.33 |
| Max. Negotiated Rate |
$663.79 |
| Rate for Payer: Aetna Commercial |
$626.91
|
| Rate for Payer: BCBS Trust/PPO |
$609.13
|
| Rate for Payer: BCN Commercial |
$609.13
|
| Rate for Payer: Cash Price |
$590.03
|
| Rate for Payer: Cofinity Commercial |
$634.28
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$590.03
|
| Rate for Payer: Healthscope Commercial |
$663.79
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$553.15
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$626.91
|
| Rate for Payer: Nomi Health Commercial |
$604.78
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$553.15
|
| Rate for Payer: PHP Commercial |
$626.91
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$641.66
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$513.33
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$649.04
|
| Rate for Payer: UHC Core |
$615.85
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$553.15
|
|
