|
HC ENDO STENT PLACEMENT
|
Facility
|
IP
|
$804.23
|
|
| Hospital Charge Code |
36000114
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$559.74 |
| Max. Negotiated Rate |
$723.81 |
| Rate for Payer: Aetna Commercial |
$683.60
|
| Rate for Payer: BCBS Trust/PPO |
$664.21
|
| Rate for Payer: BCN Commercial |
$664.21
|
| Rate for Payer: Cash Price |
$643.38
|
| Rate for Payer: Cofinity Commercial |
$691.64
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$643.38
|
| Rate for Payer: Healthscope Commercial |
$723.81
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$603.17
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$683.60
|
| Rate for Payer: Nomi Health Commercial |
$659.47
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$603.17
|
| Rate for Payer: PHP Commercial |
$683.60
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$699.68
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$559.74
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$707.72
|
| Rate for Payer: UHC Core |
$671.53
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$603.17
|
|
|
HC ENDO STENT PLACEMENT
|
Facility
|
OP
|
$804.23
|
|
| Hospital Charge Code |
36000114
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$141.79 |
| Max. Negotiated Rate |
$723.81 |
| Rate for Payer: Aetna Commercial |
$683.60
|
| Rate for Payer: Aetna Medicare |
$209.10
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$251.32
|
| Rate for Payer: Amish Plain Church Group Commercial |
$251.32
|
| Rate for Payer: BCBS Complete |
$148.86
|
| Rate for Payer: BCBS MAPPO |
$201.06
|
| Rate for Payer: BCBS Trust/PPO |
$661.16
|
| Rate for Payer: BCN Commercial |
$661.16
|
| Rate for Payer: BCN Medicare Advantage |
$201.06
|
| Rate for Payer: Cash Price |
$643.38
|
| Rate for Payer: Cofinity Commercial |
$691.64
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$643.38
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$201.06
|
| Rate for Payer: Healthscope Commercial |
$723.81
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$603.17
|
| Rate for Payer: Mclaren Medicaid |
$141.79
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$211.11
|
| Rate for Payer: Meridian Medicaid |
$148.86
|
| Rate for Payer: MI Amish Medical Board Commercial |
$231.22
|
| Rate for Payer: Molina Medicare/Medicaid |
$221.16
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$683.60
|
| Rate for Payer: Nomi Health Commercial |
$659.47
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$603.17
|
| Rate for Payer: PACE Senior Care Partners |
$191.00
|
| Rate for Payer: PACE SWMI |
$201.06
|
| Rate for Payer: PHP Commercial |
$683.60
|
| Rate for Payer: PHP Medicare Advantage |
$201.06
|
| Rate for Payer: Priority Health Choice Medicaid |
$141.79
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$699.68
|
| Rate for Payer: Priority Health Medicare |
$203.07
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$559.74
|
| Rate for Payer: Railroad Medicare Medicare |
$201.06
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$707.72
|
| Rate for Payer: UHC Core |
$671.53
|
| Rate for Payer: UHC Exchange |
$201.06
|
| Rate for Payer: UHC Medicaid |
$141.79
|
| Rate for Payer: UHC Medicare Advantage |
$201.06
|
| Rate for Payer: UHCCP Medicaid |
$141.79
|
| Rate for Payer: VA VA |
$201.06
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$603.17
|
|
|
HC ENDOVEN ABLTJ INCMPTNT VEIN XTR LASER 2ND+ VEINS
|
Facility
|
OP
|
$3,056.70
|
|
|
Service Code
|
CPT 36479
|
| Hospital Charge Code |
76100407
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$538.90 |
| Max. Negotiated Rate |
$2,751.03 |
| Rate for Payer: Aetna Commercial |
$2,598.20
|
| Rate for Payer: Aetna Medicare |
$794.74
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$955.22
|
| Rate for Payer: Amish Plain Church Group Commercial |
$955.22
|
| Rate for Payer: BCBS Complete |
$565.80
|
| Rate for Payer: BCBS MAPPO |
$764.17
|
| Rate for Payer: BCBS Trust/PPO |
$2,512.91
|
| Rate for Payer: BCN Commercial |
$2,512.91
|
| Rate for Payer: BCN Medicare Advantage |
$764.17
|
| Rate for Payer: Cash Price |
$2,445.36
|
| Rate for Payer: Cofinity Commercial |
$2,628.76
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,445.36
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$764.17
|
| Rate for Payer: Healthscope Commercial |
$2,751.03
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,292.53
|
| Rate for Payer: Mclaren Medicaid |
$538.90
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$802.38
|
| Rate for Payer: Meridian Medicaid |
$565.80
|
| Rate for Payer: MI Amish Medical Board Commercial |
$878.80
|
| Rate for Payer: Molina Medicare/Medicaid |
$840.59
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,598.20
|
| Rate for Payer: Nomi Health Commercial |
$2,506.49
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,292.53
|
| Rate for Payer: PACE Senior Care Partners |
$725.97
|
| Rate for Payer: PACE SWMI |
$764.17
|
| Rate for Payer: PHP Commercial |
$2,598.20
|
| Rate for Payer: PHP Medicare Advantage |
$764.17
|
| Rate for Payer: Priority Health Choice Medicaid |
$538.90
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$2,659.33
|
| Rate for Payer: Priority Health Medicare |
$771.82
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,127.46
|
| Rate for Payer: Railroad Medicare Medicare |
$764.17
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,689.90
|
| Rate for Payer: UHC Core |
$2,552.34
|
| Rate for Payer: UHC Exchange |
$764.17
|
| Rate for Payer: UHC Medicaid |
$538.90
|
| Rate for Payer: UHC Medicare Advantage |
$764.17
|
| Rate for Payer: UHCCP Medicaid |
$538.90
|
| Rate for Payer: VA VA |
$764.17
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,292.53
|
|
|
HC ENDOVEN ABLTJ INCMPTNT VEIN XTR LASER 2ND+ VEINS
|
Facility
|
IP
|
$3,056.70
|
|
|
Service Code
|
CPT 36479
|
| Hospital Charge Code |
76100407
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$2,127.46 |
| Max. Negotiated Rate |
$2,751.03 |
| Rate for Payer: Aetna Commercial |
$2,598.20
|
| Rate for Payer: BCBS Trust/PPO |
$2,524.53
|
| Rate for Payer: BCN Commercial |
$2,524.53
|
| Rate for Payer: Cash Price |
$2,445.36
|
| Rate for Payer: Cofinity Commercial |
$2,628.76
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,445.36
|
| Rate for Payer: Healthscope Commercial |
$2,751.03
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,292.53
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,598.20
|
| Rate for Payer: Nomi Health Commercial |
$2,506.49
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,292.53
|
| Rate for Payer: PHP Commercial |
$2,598.20
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$2,659.33
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,127.46
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,689.90
|
| Rate for Payer: UHC Core |
$2,552.34
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,292.53
|
|
|
HC ENDOVENOUS ABLAT EXTR W IMAGING PERC FIRST VEIN
|
Facility
|
IP
|
$4,160.46
|
|
|
Service Code
|
CPT 36473
|
| Hospital Charge Code |
36100523
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$2,895.68 |
| Max. Negotiated Rate |
$3,744.41 |
| Rate for Payer: Aetna Commercial |
$3,536.39
|
| Rate for Payer: BCBS Trust/PPO |
$3,436.12
|
| Rate for Payer: BCN Commercial |
$3,436.12
|
| Rate for Payer: Cash Price |
$3,328.37
|
| Rate for Payer: Cofinity Commercial |
$3,578.00
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,328.37
|
| Rate for Payer: Healthscope Commercial |
$3,744.41
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$3,120.34
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,536.39
|
| Rate for Payer: Nomi Health Commercial |
$3,411.58
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$3,120.34
|
| Rate for Payer: PHP Commercial |
$3,536.39
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$3,619.60
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,895.68
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$3,661.20
|
| Rate for Payer: UHC Core |
$3,473.98
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$3,120.34
|
|
|
HC ENDOVENOUS ABLAT EXTR W IMAGING PERC FIRST VEIN
|
Facility
|
OP
|
$4,160.46
|
|
|
Service Code
|
CPT 36473
|
| Hospital Charge Code |
36100523
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$733.49 |
| Max. Negotiated Rate |
$3,744.41 |
| Rate for Payer: Aetna Commercial |
$3,536.39
|
| Rate for Payer: Aetna Medicare |
$1,081.72
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,300.14
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1,300.14
|
| Rate for Payer: BCBS Complete |
$770.10
|
| Rate for Payer: BCBS MAPPO |
$1,040.12
|
| Rate for Payer: BCBS Trust/PPO |
$3,420.31
|
| Rate for Payer: BCN Commercial |
$3,420.31
|
| Rate for Payer: BCN Medicare Advantage |
$1,040.12
|
| Rate for Payer: Cash Price |
$3,328.37
|
| Rate for Payer: Cofinity Commercial |
$3,578.00
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,328.37
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,040.12
|
| Rate for Payer: Healthscope Commercial |
$3,744.41
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$3,120.34
|
| Rate for Payer: Mclaren Medicaid |
$733.49
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,092.12
|
| Rate for Payer: Meridian Medicaid |
$770.10
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,196.13
|
| Rate for Payer: Molina Medicare/Medicaid |
$1,144.13
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,536.39
|
| Rate for Payer: Nomi Health Commercial |
$3,411.58
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$3,120.34
|
| Rate for Payer: PACE Senior Care Partners |
$988.11
|
| Rate for Payer: PACE SWMI |
$1,040.12
|
| Rate for Payer: PHP Commercial |
$3,536.39
|
| Rate for Payer: PHP Medicare Advantage |
$1,040.12
|
| Rate for Payer: Priority Health Choice Medicaid |
$733.49
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$3,619.60
|
| Rate for Payer: Priority Health Medicare |
$1,050.52
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,895.68
|
| Rate for Payer: Railroad Medicare Medicare |
$1,040.12
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$3,661.20
|
| Rate for Payer: UHC Core |
$3,473.98
|
| Rate for Payer: UHC Exchange |
$1,040.12
|
| Rate for Payer: UHC Medicaid |
$733.49
|
| Rate for Payer: UHC Medicare Advantage |
$1,040.12
|
| Rate for Payer: UHCCP Medicaid |
$733.49
|
| Rate for Payer: VA VA |
$1,040.12
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$3,120.34
|
|
|
HC ENDOVENOUS ABLAT SUBS VEIN SEP ACCESS SITE EXTR
|
Facility
|
IP
|
$266.76
|
|
|
Service Code
|
CPT 36474
|
| Hospital Charge Code |
36100524
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$185.66 |
| Max. Negotiated Rate |
$240.08 |
| Rate for Payer: Aetna Commercial |
$226.75
|
| Rate for Payer: BCBS Trust/PPO |
$220.32
|
| Rate for Payer: BCN Commercial |
$220.32
|
| Rate for Payer: Cash Price |
$213.41
|
| Rate for Payer: Cofinity Commercial |
$229.41
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$213.41
|
| Rate for Payer: Healthscope Commercial |
$240.08
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$200.07
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$226.75
|
| Rate for Payer: Nomi Health Commercial |
$218.74
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$200.07
|
| Rate for Payer: PHP Commercial |
$226.75
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$232.08
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$185.66
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$234.75
|
| Rate for Payer: UHC Core |
$222.74
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$200.07
|
|
|
HC ENDOVENOUS ABLAT SUBS VEIN SEP ACCESS SITE EXTR
|
Facility
|
OP
|
$266.76
|
|
|
Service Code
|
CPT 36474
|
| Hospital Charge Code |
36100524
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$47.03 |
| Max. Negotiated Rate |
$240.08 |
| Rate for Payer: Aetna Commercial |
$226.75
|
| Rate for Payer: Aetna Medicare |
$69.36
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$83.36
|
| Rate for Payer: Amish Plain Church Group Commercial |
$83.36
|
| Rate for Payer: BCBS Complete |
$49.38
|
| Rate for Payer: BCBS MAPPO |
$66.69
|
| Rate for Payer: BCBS Trust/PPO |
$219.30
|
| Rate for Payer: BCN Commercial |
$219.30
|
| Rate for Payer: BCN Medicare Advantage |
$66.69
|
| Rate for Payer: Cash Price |
$213.41
|
| Rate for Payer: Cofinity Commercial |
$229.41
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$213.41
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$66.69
|
| Rate for Payer: Healthscope Commercial |
$240.08
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$200.07
|
| Rate for Payer: Mclaren Medicaid |
$47.03
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$70.02
|
| Rate for Payer: Meridian Medicaid |
$49.38
|
| Rate for Payer: MI Amish Medical Board Commercial |
$76.69
|
| Rate for Payer: Molina Medicare/Medicaid |
$73.36
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$226.75
|
| Rate for Payer: Nomi Health Commercial |
$218.74
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$200.07
|
| Rate for Payer: PACE Senior Care Partners |
$63.36
|
| Rate for Payer: PACE SWMI |
$66.69
|
| Rate for Payer: PHP Commercial |
$226.75
|
| Rate for Payer: PHP Medicare Advantage |
$66.69
|
| Rate for Payer: Priority Health Choice Medicaid |
$47.03
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$232.08
|
| Rate for Payer: Priority Health Medicare |
$67.36
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$185.66
|
| Rate for Payer: Railroad Medicare Medicare |
$66.69
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$234.75
|
| Rate for Payer: UHC Core |
$222.74
|
| Rate for Payer: UHC Exchange |
$66.69
|
| Rate for Payer: UHC Medicaid |
$47.03
|
| Rate for Payer: UHC Medicare Advantage |
$66.69
|
| Rate for Payer: UHCCP Medicaid |
$47.03
|
| Rate for Payer: VA VA |
$66.69
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$200.07
|
|
|
HC ENDOVENOUS LASER 1ST VEIN
|
Facility
|
OP
|
$4,204.81
|
|
|
Service Code
|
CPT 36478
|
| Hospital Charge Code |
76100184
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$741.31 |
| Max. Negotiated Rate |
$3,784.33 |
| Rate for Payer: Aetna Commercial |
$3,574.09
|
| Rate for Payer: Aetna Medicare |
$1,093.25
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,314.00
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1,314.00
|
| Rate for Payer: BCBS Complete |
$778.31
|
| Rate for Payer: BCBS MAPPO |
$1,051.20
|
| Rate for Payer: BCBS Trust/PPO |
$3,456.77
|
| Rate for Payer: BCN Commercial |
$3,456.77
|
| Rate for Payer: BCN Medicare Advantage |
$1,051.20
|
| Rate for Payer: Cash Price |
$3,363.85
|
| Rate for Payer: Cofinity Commercial |
$3,616.14
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,363.85
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,051.20
|
| Rate for Payer: Healthscope Commercial |
$3,784.33
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$3,153.61
|
| Rate for Payer: Mclaren Medicaid |
$741.31
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,103.76
|
| Rate for Payer: Meridian Medicaid |
$778.31
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,208.88
|
| Rate for Payer: Molina Medicare/Medicaid |
$1,156.32
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,574.09
|
| Rate for Payer: Nomi Health Commercial |
$3,447.94
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$3,153.61
|
| Rate for Payer: PACE Senior Care Partners |
$998.64
|
| Rate for Payer: PACE SWMI |
$1,051.20
|
| Rate for Payer: PHP Commercial |
$3,574.09
|
| Rate for Payer: PHP Medicare Advantage |
$1,051.20
|
| Rate for Payer: Priority Health Choice Medicaid |
$741.31
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$3,658.18
|
| Rate for Payer: Priority Health Medicare |
$1,061.71
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,926.55
|
| Rate for Payer: Railroad Medicare Medicare |
$1,051.20
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$3,700.23
|
| Rate for Payer: UHC Core |
$3,511.02
|
| Rate for Payer: UHC Exchange |
$1,051.20
|
| Rate for Payer: UHC Medicaid |
$741.31
|
| Rate for Payer: UHC Medicare Advantage |
$1,051.20
|
| Rate for Payer: UHCCP Medicaid |
$741.31
|
| Rate for Payer: VA VA |
$1,051.20
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$3,153.61
|
|
|
HC ENDOVENOUS LASER 1ST VEIN
|
Facility
|
IP
|
$4,204.81
|
|
|
Service Code
|
CPT 36478
|
| Hospital Charge Code |
76100184
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$2,926.55 |
| Max. Negotiated Rate |
$3,784.33 |
| Rate for Payer: Aetna Commercial |
$3,574.09
|
| Rate for Payer: BCBS Trust/PPO |
$3,472.75
|
| Rate for Payer: BCN Commercial |
$3,472.75
|
| Rate for Payer: Cash Price |
$3,363.85
|
| Rate for Payer: Cofinity Commercial |
$3,616.14
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,363.85
|
| Rate for Payer: Healthscope Commercial |
$3,784.33
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$3,153.61
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,574.09
|
| Rate for Payer: Nomi Health Commercial |
$3,447.94
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$3,153.61
|
| Rate for Payer: PHP Commercial |
$3,574.09
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$3,658.18
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,926.55
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$3,700.23
|
| Rate for Payer: UHC Core |
$3,511.02
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$3,153.61
|
|
|
HC ENDOVENT
|
Facility
|
IP
|
$4,901.65
|
|
| Hospital Charge Code |
27000099
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$3,411.55 |
| Max. Negotiated Rate |
$4,411.48 |
| Rate for Payer: Aetna Commercial |
$4,166.40
|
| Rate for Payer: BCBS Trust/PPO |
$4,048.27
|
| Rate for Payer: BCN Commercial |
$4,048.27
|
| Rate for Payer: Cash Price |
$3,921.32
|
| Rate for Payer: Cofinity Commercial |
$4,215.42
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,921.32
|
| Rate for Payer: Healthscope Commercial |
$4,411.48
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$3,676.24
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$4,166.40
|
| Rate for Payer: Nomi Health Commercial |
$4,019.35
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$3,676.24
|
| Rate for Payer: PHP Commercial |
$4,166.40
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$4,264.44
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$3,411.55
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$4,313.45
|
| Rate for Payer: UHC Core |
$4,092.88
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$3,676.24
|
|
|
HC ENDOVENT
|
Facility
|
OP
|
$4,901.65
|
|
| Hospital Charge Code |
27000099
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$864.16 |
| Max. Negotiated Rate |
$4,411.48 |
| Rate for Payer: Aetna Commercial |
$4,166.40
|
| Rate for Payer: Aetna Medicare |
$1,274.43
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,531.77
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1,531.77
|
| Rate for Payer: BCBS Complete |
$907.30
|
| Rate for Payer: BCBS MAPPO |
$1,225.41
|
| Rate for Payer: BCBS Trust/PPO |
$4,029.65
|
| Rate for Payer: BCN Commercial |
$4,029.65
|
| Rate for Payer: BCN Medicare Advantage |
$1,225.41
|
| Rate for Payer: Cash Price |
$3,921.32
|
| Rate for Payer: Cofinity Commercial |
$4,215.42
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,921.32
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,225.41
|
| Rate for Payer: Healthscope Commercial |
$4,411.48
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$3,676.24
|
| Rate for Payer: Mclaren Medicaid |
$864.16
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,286.68
|
| Rate for Payer: Meridian Medicaid |
$907.30
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,409.22
|
| Rate for Payer: Molina Medicare/Medicaid |
$1,347.95
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$4,166.40
|
| Rate for Payer: Nomi Health Commercial |
$4,019.35
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$3,676.24
|
| Rate for Payer: PACE Senior Care Partners |
$1,164.14
|
| Rate for Payer: PACE SWMI |
$1,225.41
|
| Rate for Payer: PHP Commercial |
$4,166.40
|
| Rate for Payer: PHP Medicare Advantage |
$1,225.41
|
| Rate for Payer: Priority Health Choice Medicaid |
$864.16
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$4,264.44
|
| Rate for Payer: Priority Health Medicare |
$1,237.67
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$3,411.55
|
| Rate for Payer: Railroad Medicare Medicare |
$1,225.41
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$4,313.45
|
| Rate for Payer: UHC Core |
$4,092.88
|
| Rate for Payer: UHC Exchange |
$1,225.41
|
| Rate for Payer: UHC Medicaid |
$864.16
|
| Rate for Payer: UHC Medicare Advantage |
$1,225.41
|
| Rate for Payer: UHCCP Medicaid |
$864.16
|
| Rate for Payer: VA VA |
$1,225.41
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$3,676.24
|
|
|
HC ENGLISH PLANTAIN IGE
|
Facility
|
IP
|
$25.90
|
|
|
Service Code
|
CPT 86003
|
| Hospital Charge Code |
30200084
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$18.03 |
| Max. Negotiated Rate |
$23.31 |
| Rate for Payer: Aetna Commercial |
$22.02
|
| Rate for Payer: BCBS Trust/PPO |
$21.39
|
| Rate for Payer: BCN Commercial |
$21.39
|
| Rate for Payer: Cash Price |
$20.72
|
| Rate for Payer: Cofinity Commercial |
$22.27
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$20.72
|
| Rate for Payer: Healthscope Commercial |
$23.31
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$19.43
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$22.02
|
| Rate for Payer: Nomi Health Commercial |
$21.24
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$19.43
|
| Rate for Payer: PHP Commercial |
$22.02
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$22.53
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$18.03
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$22.79
|
| Rate for Payer: UHC Core |
$21.63
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$19.43
|
|
|
HC ENGLISH PLANTAIN IGE
|
Facility
|
OP
|
$25.90
|
|
|
Service Code
|
CPT 86003
|
| Hospital Charge Code |
30200084
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$4.57 |
| Max. Negotiated Rate |
$23.31 |
| Rate for Payer: Aetna Commercial |
$22.02
|
| Rate for Payer: Aetna Medicare |
$6.73
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$8.09
|
| Rate for Payer: Amish Plain Church Group Commercial |
$8.09
|
| Rate for Payer: BCBS Complete |
$4.79
|
| Rate for Payer: BCBS MAPPO |
$6.47
|
| Rate for Payer: BCBS Trust/PPO |
$21.29
|
| Rate for Payer: BCN Commercial |
$21.29
|
| Rate for Payer: BCN Medicare Advantage |
$6.47
|
| Rate for Payer: Cash Price |
$20.72
|
| Rate for Payer: Cofinity Commercial |
$22.27
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$20.72
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$6.47
|
| Rate for Payer: Healthscope Commercial |
$23.31
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$19.43
|
| Rate for Payer: Mclaren Medicaid |
$4.57
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$6.80
|
| Rate for Payer: Meridian Medicaid |
$4.79
|
| Rate for Payer: MI Amish Medical Board Commercial |
$7.45
|
| Rate for Payer: Molina Medicare/Medicaid |
$7.12
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$22.02
|
| Rate for Payer: Nomi Health Commercial |
$21.24
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$19.43
|
| Rate for Payer: PACE Senior Care Partners |
$6.15
|
| Rate for Payer: PACE SWMI |
$6.47
|
| Rate for Payer: PHP Commercial |
$22.02
|
| Rate for Payer: PHP Medicare Advantage |
$6.47
|
| Rate for Payer: Priority Health Choice Medicaid |
$4.57
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$22.53
|
| Rate for Payer: Priority Health Medicare |
$6.54
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$18.03
|
| Rate for Payer: Railroad Medicare Medicare |
$6.47
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$22.79
|
| Rate for Payer: UHC Core |
$21.63
|
| Rate for Payer: UHC Exchange |
$6.47
|
| Rate for Payer: UHC Medicaid |
$4.57
|
| Rate for Payer: UHC Medicare Advantage |
$6.47
|
| Rate for Payer: UHCCP Medicaid |
$4.57
|
| Rate for Payer: VA VA |
$6.47
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$19.43
|
|
|
HC ENSITE NAVX KIT
|
Facility
|
IP
|
$4,897.16
|
|
| Hospital Charge Code |
27200121
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$3,408.42 |
| Max. Negotiated Rate |
$4,407.44 |
| Rate for Payer: Aetna Commercial |
$4,162.59
|
| Rate for Payer: BCBS Trust/PPO |
$4,044.56
|
| Rate for Payer: BCN Commercial |
$4,044.56
|
| Rate for Payer: Cash Price |
$3,917.73
|
| Rate for Payer: Cofinity Commercial |
$4,211.56
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,917.73
|
| Rate for Payer: Healthscope Commercial |
$4,407.44
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$3,672.87
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$4,162.59
|
| Rate for Payer: Nomi Health Commercial |
$4,015.67
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$3,672.87
|
| Rate for Payer: PHP Commercial |
$4,162.59
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$4,260.53
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$3,408.42
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$4,309.50
|
| Rate for Payer: UHC Core |
$4,089.13
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$3,672.87
|
|
|
HC ENSITE NAVX KIT
|
Facility
|
OP
|
$4,897.16
|
|
| Hospital Charge Code |
27200121
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$863.37 |
| Max. Negotiated Rate |
$4,407.44 |
| Rate for Payer: Aetna Commercial |
$4,162.59
|
| Rate for Payer: Aetna Medicare |
$1,273.26
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,530.36
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1,530.36
|
| Rate for Payer: BCBS Complete |
$906.46
|
| Rate for Payer: BCBS MAPPO |
$1,224.29
|
| Rate for Payer: BCBS Trust/PPO |
$4,025.96
|
| Rate for Payer: BCN Commercial |
$4,025.96
|
| Rate for Payer: BCN Medicare Advantage |
$1,224.29
|
| Rate for Payer: Cash Price |
$3,917.73
|
| Rate for Payer: Cofinity Commercial |
$4,211.56
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,917.73
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,224.29
|
| Rate for Payer: Healthscope Commercial |
$4,407.44
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$3,672.87
|
| Rate for Payer: Mclaren Medicaid |
$863.37
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,285.50
|
| Rate for Payer: Meridian Medicaid |
$906.46
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,407.93
|
| Rate for Payer: Molina Medicare/Medicaid |
$1,346.72
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$4,162.59
|
| Rate for Payer: Nomi Health Commercial |
$4,015.67
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$3,672.87
|
| Rate for Payer: PACE Senior Care Partners |
$1,163.08
|
| Rate for Payer: PACE SWMI |
$1,224.29
|
| Rate for Payer: PHP Commercial |
$4,162.59
|
| Rate for Payer: PHP Medicare Advantage |
$1,224.29
|
| Rate for Payer: Priority Health Choice Medicaid |
$863.37
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$4,260.53
|
| Rate for Payer: Priority Health Medicare |
$1,236.53
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$3,408.42
|
| Rate for Payer: Railroad Medicare Medicare |
$1,224.29
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$4,309.50
|
| Rate for Payer: UHC Core |
$4,089.13
|
| Rate for Payer: UHC Exchange |
$1,224.29
|
| Rate for Payer: UHC Medicaid |
$863.37
|
| Rate for Payer: UHC Medicare Advantage |
$1,224.29
|
| Rate for Payer: UHCCP Medicaid |
$863.37
|
| Rate for Payer: VA VA |
$1,224.29
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$3,672.87
|
|
|
HC ENTEROVIRUS
|
Facility
|
IP
|
$53.06
|
|
|
Service Code
|
CPT 87498
|
| Hospital Charge Code |
30600267
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$36.93 |
| Max. Negotiated Rate |
$47.75 |
| Rate for Payer: Aetna Commercial |
$45.10
|
| Rate for Payer: BCBS Trust/PPO |
$43.82
|
| Rate for Payer: BCN Commercial |
$43.82
|
| Rate for Payer: Cash Price |
$42.45
|
| Rate for Payer: Cofinity Commercial |
$45.63
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$42.45
|
| Rate for Payer: Healthscope Commercial |
$47.75
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$39.80
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$45.10
|
| Rate for Payer: Nomi Health Commercial |
$43.51
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$39.80
|
| Rate for Payer: PHP Commercial |
$45.10
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$46.16
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$36.93
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$46.69
|
| Rate for Payer: UHC Core |
$44.31
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$39.80
|
|
|
HC ENTEROVIRUS
|
Facility
|
OP
|
$53.06
|
|
|
Service Code
|
CPT 87498
|
| Hospital Charge Code |
30600267
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$9.35 |
| Max. Negotiated Rate |
$47.75 |
| Rate for Payer: Aetna Commercial |
$45.10
|
| Rate for Payer: Aetna Medicare |
$13.80
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$16.58
|
| Rate for Payer: Amish Plain Church Group Commercial |
$16.58
|
| Rate for Payer: BCBS Complete |
$9.82
|
| Rate for Payer: BCBS MAPPO |
$13.27
|
| Rate for Payer: BCBS Trust/PPO |
$43.62
|
| Rate for Payer: BCN Commercial |
$43.62
|
| Rate for Payer: BCN Medicare Advantage |
$13.27
|
| Rate for Payer: Cash Price |
$42.45
|
| Rate for Payer: Cofinity Commercial |
$45.63
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$42.45
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$13.27
|
| Rate for Payer: Healthscope Commercial |
$47.75
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$39.80
|
| Rate for Payer: Mclaren Medicaid |
$9.35
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$13.93
|
| Rate for Payer: Meridian Medicaid |
$9.82
|
| Rate for Payer: MI Amish Medical Board Commercial |
$15.25
|
| Rate for Payer: Molina Medicare/Medicaid |
$14.59
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$45.10
|
| Rate for Payer: Nomi Health Commercial |
$43.51
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$39.80
|
| Rate for Payer: PACE Senior Care Partners |
$12.60
|
| Rate for Payer: PACE SWMI |
$13.27
|
| Rate for Payer: PHP Commercial |
$45.10
|
| Rate for Payer: PHP Medicare Advantage |
$13.27
|
| Rate for Payer: Priority Health Choice Medicaid |
$9.35
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$46.16
|
| Rate for Payer: Priority Health Medicare |
$13.40
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$36.93
|
| Rate for Payer: Railroad Medicare Medicare |
$13.27
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$46.69
|
| Rate for Payer: UHC Core |
$44.31
|
| Rate for Payer: UHC Exchange |
$13.27
|
| Rate for Payer: UHC Medicaid |
$9.35
|
| Rate for Payer: UHC Medicare Advantage |
$13.27
|
| Rate for Payer: UHCCP Medicaid |
$9.35
|
| Rate for Payer: VA VA |
$13.27
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$39.80
|
|
|
HC ENTEROVIRUS BY PCR
|
Facility
|
IP
|
$249.70
|
|
|
Service Code
|
CPT 87498
|
| Hospital Charge Code |
30600168
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$173.79 |
| Max. Negotiated Rate |
$224.73 |
| Rate for Payer: Aetna Commercial |
$212.25
|
| Rate for Payer: BCBS Trust/PPO |
$206.23
|
| Rate for Payer: BCN Commercial |
$206.23
|
| Rate for Payer: Cash Price |
$199.76
|
| Rate for Payer: Cofinity Commercial |
$214.74
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$199.76
|
| Rate for Payer: Healthscope Commercial |
$224.73
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$187.28
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$212.25
|
| Rate for Payer: Nomi Health Commercial |
$204.75
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$187.28
|
| Rate for Payer: PHP Commercial |
$212.25
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$217.24
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$173.79
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$219.74
|
| Rate for Payer: UHC Core |
$208.50
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$187.28
|
|
|
HC ENTEROVIRUS BY PCR
|
Facility
|
OP
|
$249.70
|
|
|
Service Code
|
CPT 87498
|
| Hospital Charge Code |
30600168
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$44.02 |
| Max. Negotiated Rate |
$224.73 |
| Rate for Payer: Aetna Commercial |
$212.25
|
| Rate for Payer: Aetna Medicare |
$64.92
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$78.03
|
| Rate for Payer: Amish Plain Church Group Commercial |
$78.03
|
| Rate for Payer: BCBS Complete |
$46.22
|
| Rate for Payer: BCBS MAPPO |
$62.42
|
| Rate for Payer: BCBS Trust/PPO |
$205.28
|
| Rate for Payer: BCN Commercial |
$205.28
|
| Rate for Payer: BCN Medicare Advantage |
$62.42
|
| Rate for Payer: Cash Price |
$199.76
|
| Rate for Payer: Cofinity Commercial |
$214.74
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$199.76
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$62.42
|
| Rate for Payer: Healthscope Commercial |
$224.73
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$187.28
|
| Rate for Payer: Mclaren Medicaid |
$44.02
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$65.55
|
| Rate for Payer: Meridian Medicaid |
$46.22
|
| Rate for Payer: MI Amish Medical Board Commercial |
$71.79
|
| Rate for Payer: Molina Medicare/Medicaid |
$68.67
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$212.25
|
| Rate for Payer: Nomi Health Commercial |
$204.75
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$187.28
|
| Rate for Payer: PACE Senior Care Partners |
$59.30
|
| Rate for Payer: PACE SWMI |
$62.42
|
| Rate for Payer: PHP Commercial |
$212.25
|
| Rate for Payer: PHP Medicare Advantage |
$62.42
|
| Rate for Payer: Priority Health Choice Medicaid |
$44.02
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$217.24
|
| Rate for Payer: Priority Health Medicare |
$63.05
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$173.79
|
| Rate for Payer: Railroad Medicare Medicare |
$62.42
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$219.74
|
| Rate for Payer: UHC Core |
$208.50
|
| Rate for Payer: UHC Exchange |
$62.42
|
| Rate for Payer: UHC Medicaid |
$44.02
|
| Rate for Payer: UHC Medicare Advantage |
$62.42
|
| Rate for Payer: UHCCP Medicaid |
$44.02
|
| Rate for Payer: VA VA |
$62.42
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$187.28
|
|
|
HC ENTEROVIRUS BY PCR CSF
|
Facility
|
IP
|
$209.84
|
|
|
Service Code
|
CPT 87498
|
| Hospital Charge Code |
30600153
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$146.05 |
| Max. Negotiated Rate |
$188.86 |
| Rate for Payer: Aetna Commercial |
$178.36
|
| Rate for Payer: BCBS Trust/PPO |
$173.31
|
| Rate for Payer: BCN Commercial |
$173.31
|
| Rate for Payer: Cash Price |
$167.87
|
| Rate for Payer: Cofinity Commercial |
$180.46
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$167.87
|
| Rate for Payer: Healthscope Commercial |
$188.86
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$157.38
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$178.36
|
| Rate for Payer: Nomi Health Commercial |
$172.07
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$157.38
|
| Rate for Payer: PHP Commercial |
$178.36
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$182.56
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$146.05
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$184.66
|
| Rate for Payer: UHC Core |
$175.22
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$157.38
|
|
|
HC ENTEROVIRUS BY PCR CSF
|
Facility
|
OP
|
$209.84
|
|
|
Service Code
|
CPT 87498
|
| Hospital Charge Code |
30600153
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$36.99 |
| Max. Negotiated Rate |
$188.86 |
| Rate for Payer: Aetna Commercial |
$178.36
|
| Rate for Payer: Aetna Medicare |
$54.56
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$65.58
|
| Rate for Payer: Amish Plain Church Group Commercial |
$65.58
|
| Rate for Payer: BCBS Complete |
$38.84
|
| Rate for Payer: BCBS MAPPO |
$52.46
|
| Rate for Payer: BCBS Trust/PPO |
$172.51
|
| Rate for Payer: BCN Commercial |
$172.51
|
| Rate for Payer: BCN Medicare Advantage |
$52.46
|
| Rate for Payer: Cash Price |
$167.87
|
| Rate for Payer: Cofinity Commercial |
$180.46
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$167.87
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$52.46
|
| Rate for Payer: Healthscope Commercial |
$188.86
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$157.38
|
| Rate for Payer: Mclaren Medicaid |
$36.99
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$55.08
|
| Rate for Payer: Meridian Medicaid |
$38.84
|
| Rate for Payer: MI Amish Medical Board Commercial |
$60.33
|
| Rate for Payer: Molina Medicare/Medicaid |
$57.71
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$178.36
|
| Rate for Payer: Nomi Health Commercial |
$172.07
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$157.38
|
| Rate for Payer: PACE Senior Care Partners |
$49.84
|
| Rate for Payer: PACE SWMI |
$52.46
|
| Rate for Payer: PHP Commercial |
$178.36
|
| Rate for Payer: PHP Medicare Advantage |
$52.46
|
| Rate for Payer: Priority Health Choice Medicaid |
$36.99
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$182.56
|
| Rate for Payer: Priority Health Medicare |
$52.98
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$146.05
|
| Rate for Payer: Railroad Medicare Medicare |
$52.46
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$184.66
|
| Rate for Payer: UHC Core |
$175.22
|
| Rate for Payer: UHC Exchange |
$52.46
|
| Rate for Payer: UHC Medicaid |
$36.99
|
| Rate for Payer: UHC Medicare Advantage |
$52.46
|
| Rate for Payer: UHCCP Medicaid |
$36.99
|
| Rate for Payer: VA VA |
$52.46
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$157.38
|
|
|
HC ENTEROVIRUS PCR
|
Facility
|
OP
|
$100.82
|
|
|
Service Code
|
CPT 87498
|
| Hospital Charge Code |
30600292
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$17.77 |
| Max. Negotiated Rate |
$90.74 |
| Rate for Payer: Aetna Commercial |
$85.70
|
| Rate for Payer: Aetna Medicare |
$26.21
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$31.51
|
| Rate for Payer: Amish Plain Church Group Commercial |
$31.51
|
| Rate for Payer: BCBS Complete |
$18.66
|
| Rate for Payer: BCBS MAPPO |
$25.20
|
| Rate for Payer: BCBS Trust/PPO |
$82.88
|
| Rate for Payer: BCN Commercial |
$82.88
|
| Rate for Payer: BCN Medicare Advantage |
$25.20
|
| Rate for Payer: Cash Price |
$80.66
|
| Rate for Payer: Cofinity Commercial |
$86.71
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$80.66
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$25.20
|
| Rate for Payer: Healthscope Commercial |
$90.74
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$75.61
|
| Rate for Payer: Mclaren Medicaid |
$17.77
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$26.47
|
| Rate for Payer: Meridian Medicaid |
$18.66
|
| Rate for Payer: MI Amish Medical Board Commercial |
$28.99
|
| Rate for Payer: Molina Medicare/Medicaid |
$27.73
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$85.70
|
| Rate for Payer: Nomi Health Commercial |
$82.67
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$75.61
|
| Rate for Payer: PACE Senior Care Partners |
$23.94
|
| Rate for Payer: PACE SWMI |
$25.20
|
| Rate for Payer: PHP Commercial |
$85.70
|
| Rate for Payer: PHP Medicare Advantage |
$25.20
|
| Rate for Payer: Priority Health Choice Medicaid |
$17.77
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$87.71
|
| Rate for Payer: Priority Health Medicare |
$25.46
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$70.17
|
| Rate for Payer: Railroad Medicare Medicare |
$25.20
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$88.72
|
| Rate for Payer: UHC Core |
$84.18
|
| Rate for Payer: UHC Exchange |
$25.20
|
| Rate for Payer: UHC Medicaid |
$17.77
|
| Rate for Payer: UHC Medicare Advantage |
$25.20
|
| Rate for Payer: UHCCP Medicaid |
$17.77
|
| Rate for Payer: VA VA |
$25.20
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$75.61
|
|
|
HC ENTEROVIRUS PCR
|
Facility
|
IP
|
$100.82
|
|
|
Service Code
|
CPT 87498
|
| Hospital Charge Code |
30600292
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$70.17 |
| Max. Negotiated Rate |
$90.74 |
| Rate for Payer: Aetna Commercial |
$85.70
|
| Rate for Payer: BCBS Trust/PPO |
$83.27
|
| Rate for Payer: BCN Commercial |
$83.27
|
| Rate for Payer: Cash Price |
$80.66
|
| Rate for Payer: Cofinity Commercial |
$86.71
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$80.66
|
| Rate for Payer: Healthscope Commercial |
$90.74
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$75.61
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$85.70
|
| Rate for Payer: Nomi Health Commercial |
$82.67
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$75.61
|
| Rate for Payer: PHP Commercial |
$85.70
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$87.71
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$70.17
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$88.72
|
| Rate for Payer: UHC Core |
$84.18
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$75.61
|
|
|
HC ENVIRONMENTAL CULTURE
|
Facility
|
OP
|
$38.31
|
|
|
Service Code
|
CPT 87070
|
| Hospital Charge Code |
30600076
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$6.75 |
| Max. Negotiated Rate |
$34.48 |
| Rate for Payer: Aetna Commercial |
$32.56
|
| Rate for Payer: Aetna Medicare |
$9.96
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$11.97
|
| Rate for Payer: Amish Plain Church Group Commercial |
$11.97
|
| Rate for Payer: BCBS Complete |
$7.09
|
| Rate for Payer: BCBS MAPPO |
$9.58
|
| Rate for Payer: BCBS Trust/PPO |
$31.49
|
| Rate for Payer: BCN Commercial |
$31.49
|
| Rate for Payer: BCN Medicare Advantage |
$9.58
|
| Rate for Payer: Cash Price |
$30.65
|
| Rate for Payer: Cofinity Commercial |
$32.95
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$30.65
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$9.58
|
| Rate for Payer: Healthscope Commercial |
$34.48
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$28.73
|
| Rate for Payer: Mclaren Medicaid |
$6.75
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$10.06
|
| Rate for Payer: Meridian Medicaid |
$7.09
|
| Rate for Payer: MI Amish Medical Board Commercial |
$11.01
|
| Rate for Payer: Molina Medicare/Medicaid |
$10.54
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$32.56
|
| Rate for Payer: Nomi Health Commercial |
$31.41
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$28.73
|
| Rate for Payer: PACE Senior Care Partners |
$9.10
|
| Rate for Payer: PACE SWMI |
$9.58
|
| Rate for Payer: PHP Commercial |
$32.56
|
| Rate for Payer: PHP Medicare Advantage |
$9.58
|
| Rate for Payer: Priority Health Choice Medicaid |
$6.75
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$33.33
|
| Rate for Payer: Priority Health Medicare |
$9.67
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$26.66
|
| Rate for Payer: Railroad Medicare Medicare |
$9.58
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$33.71
|
| Rate for Payer: UHC Core |
$31.99
|
| Rate for Payer: UHC Exchange |
$9.58
|
| Rate for Payer: UHC Medicaid |
$6.75
|
| Rate for Payer: UHC Medicare Advantage |
$9.58
|
| Rate for Payer: UHCCP Medicaid |
$6.75
|
| Rate for Payer: VA VA |
$9.58
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$28.73
|
|
