|
HC ENVIRONMENTAL CULTURE
|
Facility
|
IP
|
$38.31
|
|
|
Service Code
|
CPT 87070
|
| Hospital Charge Code |
30600076
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$26.66 |
| Max. Negotiated Rate |
$34.48 |
| Rate for Payer: Aetna Commercial |
$32.56
|
| Rate for Payer: BCBS Trust/PPO |
$31.64
|
| Rate for Payer: BCN Commercial |
$31.64
|
| 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: Healthscope Commercial |
$34.48
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$28.73
|
| 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: PHP Commercial |
$32.56
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$33.33
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$26.66
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$33.71
|
| Rate for Payer: UHC Core |
$31.99
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$28.73
|
|
|
HC ENZYME DETECTION
|
Facility
|
OP
|
$29.86
|
|
|
Service Code
|
CPT 87185
|
| Hospital Charge Code |
30600099
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$5.26 |
| Max. Negotiated Rate |
$26.87 |
| Rate for Payer: Aetna Commercial |
$25.38
|
| Rate for Payer: Aetna Medicare |
$7.76
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$9.33
|
| Rate for Payer: Amish Plain Church Group Commercial |
$9.33
|
| Rate for Payer: BCBS Complete |
$5.53
|
| Rate for Payer: BCBS MAPPO |
$7.46
|
| Rate for Payer: BCBS Trust/PPO |
$24.55
|
| Rate for Payer: BCN Commercial |
$24.55
|
| Rate for Payer: BCN Medicare Advantage |
$7.46
|
| Rate for Payer: Cash Price |
$23.89
|
| Rate for Payer: Cofinity Commercial |
$25.68
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$23.89
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$7.46
|
| Rate for Payer: Healthscope Commercial |
$26.87
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$22.39
|
| Rate for Payer: Mclaren Medicaid |
$5.26
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$7.84
|
| Rate for Payer: Meridian Medicaid |
$5.53
|
| Rate for Payer: MI Amish Medical Board Commercial |
$8.58
|
| Rate for Payer: Molina Medicare/Medicaid |
$8.21
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$25.38
|
| Rate for Payer: Nomi Health Commercial |
$24.49
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$22.39
|
| Rate for Payer: PACE Senior Care Partners |
$7.09
|
| Rate for Payer: PACE SWMI |
$7.46
|
| Rate for Payer: PHP Commercial |
$25.38
|
| Rate for Payer: PHP Medicare Advantage |
$7.46
|
| Rate for Payer: Priority Health Choice Medicaid |
$5.26
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$25.98
|
| Rate for Payer: Priority Health Medicare |
$7.54
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$20.78
|
| Rate for Payer: Railroad Medicare Medicare |
$7.46
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$26.28
|
| Rate for Payer: UHC Core |
$24.93
|
| Rate for Payer: UHC Exchange |
$7.46
|
| Rate for Payer: UHC Medicaid |
$5.26
|
| Rate for Payer: UHC Medicare Advantage |
$7.46
|
| Rate for Payer: UHCCP Medicaid |
$5.26
|
| Rate for Payer: VA VA |
$7.46
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$22.39
|
|
|
HC ENZYME DETECTION
|
Facility
|
IP
|
$29.86
|
|
|
Service Code
|
CPT 87185
|
| Hospital Charge Code |
30600099
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$20.78 |
| Max. Negotiated Rate |
$26.87 |
| Rate for Payer: Aetna Commercial |
$25.38
|
| Rate for Payer: BCBS Trust/PPO |
$24.66
|
| Rate for Payer: BCN Commercial |
$24.66
|
| Rate for Payer: Cash Price |
$23.89
|
| Rate for Payer: Cofinity Commercial |
$25.68
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$23.89
|
| Rate for Payer: Healthscope Commercial |
$26.87
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$22.39
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$25.38
|
| Rate for Payer: Nomi Health Commercial |
$24.49
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$22.39
|
| Rate for Payer: PHP Commercial |
$25.38
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$25.98
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$20.78
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$26.28
|
| Rate for Payer: UHC Core |
$24.93
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$22.39
|
|
|
HC ENZYME HISTOCHEMISTRY
|
Facility
|
OP
|
$168.54
|
|
|
Service Code
|
CPT 88319
|
| Hospital Charge Code |
31200006
|
|
Hospital Revenue Code
|
312
|
| Min. Negotiated Rate |
$29.71 |
| Max. Negotiated Rate |
$151.69 |
| Rate for Payer: Aetna Commercial |
$143.26
|
| Rate for Payer: Aetna Medicare |
$43.82
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$52.67
|
| Rate for Payer: Amish Plain Church Group Commercial |
$52.67
|
| Rate for Payer: BCBS Complete |
$31.20
|
| Rate for Payer: BCBS MAPPO |
$42.13
|
| Rate for Payer: BCBS Trust/PPO |
$138.56
|
| Rate for Payer: BCN Commercial |
$138.56
|
| Rate for Payer: BCN Medicare Advantage |
$42.13
|
| Rate for Payer: Cash Price |
$134.83
|
| Rate for Payer: Cofinity Commercial |
$144.94
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$134.83
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$42.13
|
| Rate for Payer: Healthscope Commercial |
$151.69
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$126.41
|
| Rate for Payer: Mclaren Medicaid |
$29.71
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$44.24
|
| Rate for Payer: Meridian Medicaid |
$31.20
|
| Rate for Payer: MI Amish Medical Board Commercial |
$48.46
|
| Rate for Payer: Molina Medicare/Medicaid |
$46.35
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$143.26
|
| Rate for Payer: Nomi Health Commercial |
$138.20
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$126.41
|
| Rate for Payer: PACE Senior Care Partners |
$40.03
|
| Rate for Payer: PACE SWMI |
$42.13
|
| Rate for Payer: PHP Commercial |
$143.26
|
| Rate for Payer: PHP Medicare Advantage |
$42.13
|
| Rate for Payer: Priority Health Choice Medicaid |
$29.71
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$146.63
|
| Rate for Payer: Priority Health Medicare |
$42.56
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$117.30
|
| Rate for Payer: Railroad Medicare Medicare |
$42.13
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$148.32
|
| Rate for Payer: UHC Core |
$140.73
|
| Rate for Payer: UHC Exchange |
$42.13
|
| Rate for Payer: UHC Medicaid |
$29.71
|
| Rate for Payer: UHC Medicare Advantage |
$42.13
|
| Rate for Payer: UHCCP Medicaid |
$29.71
|
| Rate for Payer: VA VA |
$42.13
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$126.41
|
|
|
HC ENZYME HISTOCHEMISTRY
|
Facility
|
IP
|
$168.54
|
|
|
Service Code
|
CPT 88319
|
| Hospital Charge Code |
31200006
|
|
Hospital Revenue Code
|
312
|
| Min. Negotiated Rate |
$117.30 |
| Max. Negotiated Rate |
$151.69 |
| Rate for Payer: Aetna Commercial |
$143.26
|
| Rate for Payer: BCBS Trust/PPO |
$139.20
|
| Rate for Payer: BCN Commercial |
$139.20
|
| Rate for Payer: Cash Price |
$134.83
|
| Rate for Payer: Cofinity Commercial |
$144.94
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$134.83
|
| Rate for Payer: Healthscope Commercial |
$151.69
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$126.41
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$143.26
|
| Rate for Payer: Nomi Health Commercial |
$138.20
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$126.41
|
| Rate for Payer: PHP Commercial |
$143.26
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$146.63
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$117.30
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$148.32
|
| Rate for Payer: UHC Core |
$140.73
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$126.41
|
|
|
HC EOSINOPHIL NASAL SMEAR
|
Facility
|
OP
|
$47.24
|
|
|
Service Code
|
CPT 89190
|
| Hospital Charge Code |
30000003
|
|
Hospital Revenue Code
|
300
|
| Min. Negotiated Rate |
$8.33 |
| Max. Negotiated Rate |
$42.52 |
| Rate for Payer: Aetna Commercial |
$40.15
|
| Rate for Payer: Aetna Medicare |
$12.28
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$14.76
|
| Rate for Payer: Amish Plain Church Group Commercial |
$14.76
|
| Rate for Payer: BCBS Complete |
$8.74
|
| Rate for Payer: BCBS MAPPO |
$11.81
|
| Rate for Payer: BCBS Trust/PPO |
$38.84
|
| Rate for Payer: BCN Commercial |
$38.84
|
| Rate for Payer: BCN Medicare Advantage |
$11.81
|
| Rate for Payer: Cash Price |
$37.79
|
| Rate for Payer: Cofinity Commercial |
$40.63
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$37.79
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$11.81
|
| Rate for Payer: Healthscope Commercial |
$42.52
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$35.43
|
| Rate for Payer: Mclaren Medicaid |
$8.33
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$12.40
|
| Rate for Payer: Meridian Medicaid |
$8.74
|
| Rate for Payer: MI Amish Medical Board Commercial |
$13.58
|
| Rate for Payer: Molina Medicare/Medicaid |
$12.99
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$40.15
|
| Rate for Payer: Nomi Health Commercial |
$38.74
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$35.43
|
| Rate for Payer: PACE Senior Care Partners |
$11.22
|
| Rate for Payer: PACE SWMI |
$11.81
|
| Rate for Payer: PHP Commercial |
$40.15
|
| Rate for Payer: PHP Medicare Advantage |
$11.81
|
| Rate for Payer: Priority Health Choice Medicaid |
$8.33
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$41.10
|
| Rate for Payer: Priority Health Medicare |
$11.93
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$32.88
|
| Rate for Payer: Railroad Medicare Medicare |
$11.81
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$41.57
|
| Rate for Payer: UHC Core |
$39.45
|
| Rate for Payer: UHC Exchange |
$11.81
|
| Rate for Payer: UHC Medicaid |
$8.33
|
| Rate for Payer: UHC Medicare Advantage |
$11.81
|
| Rate for Payer: UHCCP Medicaid |
$8.33
|
| Rate for Payer: VA VA |
$11.81
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$35.43
|
|
|
HC EOSINOPHIL NASAL SMEAR
|
Facility
|
IP
|
$47.24
|
|
|
Service Code
|
CPT 89190
|
| Hospital Charge Code |
30000003
|
|
Hospital Revenue Code
|
300
|
| Min. Negotiated Rate |
$32.88 |
| Max. Negotiated Rate |
$42.52 |
| Rate for Payer: Aetna Commercial |
$40.15
|
| Rate for Payer: BCBS Trust/PPO |
$39.02
|
| Rate for Payer: BCN Commercial |
$39.02
|
| Rate for Payer: Cash Price |
$37.79
|
| Rate for Payer: Cofinity Commercial |
$40.63
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$37.79
|
| Rate for Payer: Healthscope Commercial |
$42.52
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$35.43
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$40.15
|
| Rate for Payer: Nomi Health Commercial |
$38.74
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$35.43
|
| Rate for Payer: PHP Commercial |
$40.15
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$41.10
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$32.88
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$41.57
|
| Rate for Payer: UHC Core |
$39.45
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$35.43
|
|
|
HC EOVIST PER ML
|
Facility
|
IP
|
$31.94
|
|
|
Service Code
|
HCPCS A9581
|
| Hospital Charge Code |
63600009
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$22.23 |
| Max. Negotiated Rate |
$28.75 |
| Rate for Payer: Aetna Commercial |
$27.15
|
| Rate for Payer: BCBS Trust/PPO |
$26.38
|
| Rate for Payer: BCN Commercial |
$26.38
|
| Rate for Payer: Cash Price |
$25.55
|
| Rate for Payer: Cofinity Commercial |
$27.47
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$25.55
|
| Rate for Payer: Healthscope Commercial |
$28.75
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$23.95
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$27.15
|
| Rate for Payer: Nomi Health Commercial |
$26.19
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$23.95
|
| Rate for Payer: PHP Commercial |
$27.15
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$27.79
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$22.23
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$28.11
|
| Rate for Payer: UHC Core |
$26.67
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$23.95
|
|
|
HC EOVIST PER ML
|
Facility
|
OP
|
$31.94
|
|
|
Service Code
|
HCPCS A9581
|
| Hospital Charge Code |
63600009
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$5.63 |
| Max. Negotiated Rate |
$28.75 |
| Rate for Payer: Aetna Commercial |
$27.15
|
| Rate for Payer: Aetna Medicare |
$8.30
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$9.98
|
| Rate for Payer: Amish Plain Church Group Commercial |
$9.98
|
| Rate for Payer: BCBS Complete |
$5.91
|
| Rate for Payer: BCBS MAPPO |
$7.99
|
| Rate for Payer: BCBS Trust/PPO |
$26.26
|
| Rate for Payer: BCN Commercial |
$26.26
|
| Rate for Payer: BCN Medicare Advantage |
$7.99
|
| Rate for Payer: Cash Price |
$25.55
|
| Rate for Payer: Cofinity Commercial |
$27.47
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$25.55
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$7.99
|
| Rate for Payer: Healthscope Commercial |
$28.75
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$23.95
|
| Rate for Payer: Mclaren Medicaid |
$5.63
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$8.38
|
| Rate for Payer: Meridian Medicaid |
$5.91
|
| Rate for Payer: MI Amish Medical Board Commercial |
$9.18
|
| Rate for Payer: Molina Medicare/Medicaid |
$8.78
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$27.15
|
| Rate for Payer: Nomi Health Commercial |
$26.19
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$23.95
|
| Rate for Payer: PACE Senior Care Partners |
$7.59
|
| Rate for Payer: PACE SWMI |
$7.99
|
| Rate for Payer: PHP Commercial |
$27.15
|
| Rate for Payer: PHP Medicare Advantage |
$7.99
|
| Rate for Payer: Priority Health Choice Medicaid |
$5.63
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$27.79
|
| Rate for Payer: Priority Health Medicare |
$8.06
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$22.23
|
| Rate for Payer: Railroad Medicare Medicare |
$7.99
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$28.11
|
| Rate for Payer: UHC Core |
$26.67
|
| Rate for Payer: UHC Exchange |
$7.99
|
| Rate for Payer: UHC Medicaid |
$5.63
|
| Rate for Payer: UHC Medicare Advantage |
$7.99
|
| Rate for Payer: UHCCP Medicaid |
$5.63
|
| Rate for Payer: VA VA |
$7.99
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$23.95
|
|
|
HC EO W/O JOINTS CF
|
Facility
|
OP
|
$281.22
|
|
|
Service Code
|
HCPCS L3702
|
| Hospital Charge Code |
27400050
|
|
Hospital Revenue Code
|
274
|
| Min. Negotiated Rate |
$49.58 |
| Max. Negotiated Rate |
$253.10 |
| Rate for Payer: Aetna Commercial |
$239.04
|
| Rate for Payer: Aetna Medicare |
$73.12
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$87.88
|
| Rate for Payer: Amish Plain Church Group Commercial |
$87.88
|
| Rate for Payer: BCBS Complete |
$52.05
|
| Rate for Payer: BCBS MAPPO |
$70.31
|
| Rate for Payer: BCBS Trust/PPO |
$231.19
|
| Rate for Payer: BCN Commercial |
$231.19
|
| Rate for Payer: BCN Medicare Advantage |
$70.31
|
| Rate for Payer: Cash Price |
$224.98
|
| Rate for Payer: Cofinity Commercial |
$241.85
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$224.98
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$70.31
|
| Rate for Payer: Healthscope Commercial |
$253.10
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$210.91
|
| Rate for Payer: Mclaren Medicaid |
$49.58
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$73.82
|
| Rate for Payer: Meridian Medicaid |
$52.05
|
| Rate for Payer: MI Amish Medical Board Commercial |
$80.85
|
| Rate for Payer: Molina Medicare/Medicaid |
$77.34
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$239.04
|
| Rate for Payer: Nomi Health Commercial |
$230.60
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$210.91
|
| Rate for Payer: PACE Senior Care Partners |
$66.79
|
| Rate for Payer: PACE SWMI |
$70.31
|
| Rate for Payer: PHP Commercial |
$239.04
|
| Rate for Payer: PHP Medicare Advantage |
$70.31
|
| Rate for Payer: Priority Health Choice Medicaid |
$49.58
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$244.66
|
| Rate for Payer: Priority Health Medicare |
$71.01
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$195.73
|
| Rate for Payer: Railroad Medicare Medicare |
$70.31
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$247.47
|
| Rate for Payer: UHC Core |
$234.82
|
| Rate for Payer: UHC Exchange |
$70.31
|
| Rate for Payer: UHC Medicaid |
$49.58
|
| Rate for Payer: UHC Medicare Advantage |
$70.31
|
| Rate for Payer: UHCCP Medicaid |
$49.58
|
| Rate for Payer: VA VA |
$70.31
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$210.91
|
|
|
HC EO W/O JOINTS CF
|
Facility
|
IP
|
$281.22
|
|
|
Service Code
|
HCPCS L3702
|
| Hospital Charge Code |
27400050
|
|
Hospital Revenue Code
|
274
|
| Min. Negotiated Rate |
$195.73 |
| Max. Negotiated Rate |
$253.10 |
| Rate for Payer: Aetna Commercial |
$239.04
|
| Rate for Payer: BCBS Trust/PPO |
$232.26
|
| Rate for Payer: BCN Commercial |
$232.26
|
| Rate for Payer: Cash Price |
$224.98
|
| Rate for Payer: Cofinity Commercial |
$241.85
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$224.98
|
| Rate for Payer: Healthscope Commercial |
$253.10
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$210.91
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$239.04
|
| Rate for Payer: Nomi Health Commercial |
$230.60
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$210.91
|
| Rate for Payer: PHP Commercial |
$239.04
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$244.66
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$195.73
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$247.47
|
| Rate for Payer: UHC Core |
$234.82
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$210.91
|
|
|
HC EP+ABL ARRHYTHMIA
|
Facility
|
IP
|
$18,094.29
|
|
|
Service Code
|
CPT 93653
|
| Hospital Charge Code |
48100091
|
|
Hospital Revenue Code
|
481
|
| Min. Negotiated Rate |
$12,593.63 |
| Max. Negotiated Rate |
$16,284.86 |
| Rate for Payer: Aetna Commercial |
$15,380.15
|
| Rate for Payer: BCBS Trust/PPO |
$14,944.07
|
| Rate for Payer: BCN Commercial |
$14,944.07
|
| Rate for Payer: Cash Price |
$14,475.43
|
| Rate for Payer: Cofinity Commercial |
$15,561.09
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$14,475.43
|
| Rate for Payer: Healthscope Commercial |
$16,284.86
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$13,570.72
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$15,380.15
|
| Rate for Payer: Nomi Health Commercial |
$14,837.32
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$13,570.72
|
| Rate for Payer: PHP Commercial |
$15,380.15
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$15,742.03
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$12,593.63
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$15,922.98
|
| Rate for Payer: UHC Core |
$15,108.73
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$13,570.72
|
|
|
HC EP+ABL ARRHYTHMIA
|
Facility
|
OP
|
$18,094.29
|
|
|
Service Code
|
CPT 93653
|
| Hospital Charge Code |
48100091
|
|
Hospital Revenue Code
|
481
|
| Min. Negotiated Rate |
$3,190.02 |
| Max. Negotiated Rate |
$16,284.86 |
| Rate for Payer: Aetna Commercial |
$15,380.15
|
| Rate for Payer: Aetna Medicare |
$4,704.52
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$5,654.47
|
| Rate for Payer: Amish Plain Church Group Commercial |
$5,654.47
|
| Rate for Payer: BCBS Complete |
$3,349.25
|
| Rate for Payer: BCBS MAPPO |
$4,523.57
|
| Rate for Payer: BCBS Trust/PPO |
$14,875.32
|
| Rate for Payer: BCN Commercial |
$14,875.32
|
| Rate for Payer: BCN Medicare Advantage |
$4,523.57
|
| Rate for Payer: Cash Price |
$14,475.43
|
| Rate for Payer: Cofinity Commercial |
$15,561.09
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$14,475.43
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$4,523.57
|
| Rate for Payer: Healthscope Commercial |
$16,284.86
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$13,570.72
|
| Rate for Payer: Mclaren Medicaid |
$3,190.02
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$4,749.75
|
| Rate for Payer: Meridian Medicaid |
$3,349.25
|
| Rate for Payer: MI Amish Medical Board Commercial |
$5,202.11
|
| Rate for Payer: Molina Medicare/Medicaid |
$4,975.93
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$15,380.15
|
| Rate for Payer: Nomi Health Commercial |
$14,837.32
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$13,570.72
|
| Rate for Payer: PACE Senior Care Partners |
$4,297.39
|
| Rate for Payer: PACE SWMI |
$4,523.57
|
| Rate for Payer: PHP Commercial |
$15,380.15
|
| Rate for Payer: PHP Medicare Advantage |
$4,523.57
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,190.02
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$15,742.03
|
| Rate for Payer: Priority Health Medicare |
$4,568.81
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$12,593.63
|
| Rate for Payer: Railroad Medicare Medicare |
$4,523.57
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$15,922.98
|
| Rate for Payer: UHC Core |
$15,108.73
|
| Rate for Payer: UHC Exchange |
$4,523.57
|
| Rate for Payer: UHC Medicaid |
$3,190.02
|
| Rate for Payer: UHC Medicare Advantage |
$4,523.57
|
| Rate for Payer: UHCCP Medicaid |
$3,190.02
|
| Rate for Payer: VA VA |
$4,523.57
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$13,570.72
|
|
|
HC EP+ABL VT
|
Facility
|
OP
|
$18,094.29
|
|
|
Service Code
|
CPT 93654
|
| Hospital Charge Code |
48100092
|
|
Hospital Revenue Code
|
481
|
| Min. Negotiated Rate |
$3,190.02 |
| Max. Negotiated Rate |
$16,284.86 |
| Rate for Payer: Aetna Commercial |
$15,380.15
|
| Rate for Payer: Aetna Medicare |
$4,704.52
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$5,654.47
|
| Rate for Payer: Amish Plain Church Group Commercial |
$5,654.47
|
| Rate for Payer: BCBS Complete |
$3,349.25
|
| Rate for Payer: BCBS MAPPO |
$4,523.57
|
| Rate for Payer: BCBS Trust/PPO |
$14,875.32
|
| Rate for Payer: BCN Commercial |
$14,875.32
|
| Rate for Payer: BCN Medicare Advantage |
$4,523.57
|
| Rate for Payer: Cash Price |
$14,475.43
|
| Rate for Payer: Cofinity Commercial |
$15,561.09
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$14,475.43
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$4,523.57
|
| Rate for Payer: Healthscope Commercial |
$16,284.86
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$13,570.72
|
| Rate for Payer: Mclaren Medicaid |
$3,190.02
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$4,749.75
|
| Rate for Payer: Meridian Medicaid |
$3,349.25
|
| Rate for Payer: MI Amish Medical Board Commercial |
$5,202.11
|
| Rate for Payer: Molina Medicare/Medicaid |
$4,975.93
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$15,380.15
|
| Rate for Payer: Nomi Health Commercial |
$14,837.32
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$13,570.72
|
| Rate for Payer: PACE Senior Care Partners |
$4,297.39
|
| Rate for Payer: PACE SWMI |
$4,523.57
|
| Rate for Payer: PHP Commercial |
$15,380.15
|
| Rate for Payer: PHP Medicare Advantage |
$4,523.57
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,190.02
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$15,742.03
|
| Rate for Payer: Priority Health Medicare |
$4,568.81
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$12,593.63
|
| Rate for Payer: Railroad Medicare Medicare |
$4,523.57
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$15,922.98
|
| Rate for Payer: UHC Core |
$15,108.73
|
| Rate for Payer: UHC Exchange |
$4,523.57
|
| Rate for Payer: UHC Medicaid |
$3,190.02
|
| Rate for Payer: UHC Medicare Advantage |
$4,523.57
|
| Rate for Payer: UHCCP Medicaid |
$3,190.02
|
| Rate for Payer: VA VA |
$4,523.57
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$13,570.72
|
|
|
HC EP+ABL VT
|
Facility
|
IP
|
$18,094.29
|
|
|
Service Code
|
CPT 93654
|
| Hospital Charge Code |
48100092
|
|
Hospital Revenue Code
|
481
|
| Min. Negotiated Rate |
$12,593.63 |
| Max. Negotiated Rate |
$16,284.86 |
| Rate for Payer: Aetna Commercial |
$15,380.15
|
| Rate for Payer: BCBS Trust/PPO |
$14,944.07
|
| Rate for Payer: BCN Commercial |
$14,944.07
|
| Rate for Payer: Cash Price |
$14,475.43
|
| Rate for Payer: Cofinity Commercial |
$15,561.09
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$14,475.43
|
| Rate for Payer: Healthscope Commercial |
$16,284.86
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$13,570.72
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$15,380.15
|
| Rate for Payer: Nomi Health Commercial |
$14,837.32
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$13,570.72
|
| Rate for Payer: PHP Commercial |
$15,380.15
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$15,742.03
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$12,593.63
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$15,922.98
|
| Rate for Payer: UHC Core |
$15,108.73
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$13,570.72
|
|
|
HC EP AFTER DRUGS
|
Facility
|
IP
|
$7,572.41
|
|
|
Service Code
|
CPT 93623
|
| Hospital Charge Code |
48100039
|
|
Hospital Revenue Code
|
481
|
| Min. Negotiated Rate |
$5,270.40 |
| Max. Negotiated Rate |
$6,815.17 |
| Rate for Payer: Aetna Commercial |
$6,436.55
|
| Rate for Payer: BCBS Trust/PPO |
$6,254.05
|
| Rate for Payer: BCN Commercial |
$6,254.05
|
| Rate for Payer: Cash Price |
$6,057.93
|
| Rate for Payer: Cofinity Commercial |
$6,512.27
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$6,057.93
|
| Rate for Payer: Healthscope Commercial |
$6,815.17
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$5,679.31
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$6,436.55
|
| Rate for Payer: Nomi Health Commercial |
$6,209.38
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$5,679.31
|
| Rate for Payer: PHP Commercial |
$6,436.55
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$6,588.00
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$5,270.40
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$6,663.72
|
| Rate for Payer: UHC Core |
$6,322.96
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$5,679.31
|
|
|
HC EP AFTER DRUGS
|
Facility
|
OP
|
$7,572.41
|
|
|
Service Code
|
CPT 93623
|
| Hospital Charge Code |
48100039
|
|
Hospital Revenue Code
|
481
|
| Min. Negotiated Rate |
$1,335.02 |
| Max. Negotiated Rate |
$6,815.17 |
| Rate for Payer: Aetna Commercial |
$6,436.55
|
| Rate for Payer: Aetna Medicare |
$1,968.83
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$2,366.38
|
| Rate for Payer: Amish Plain Church Group Commercial |
$2,366.38
|
| Rate for Payer: BCBS Complete |
$1,401.65
|
| Rate for Payer: BCBS MAPPO |
$1,893.10
|
| Rate for Payer: BCBS Trust/PPO |
$6,225.28
|
| Rate for Payer: BCN Commercial |
$6,225.28
|
| Rate for Payer: BCN Medicare Advantage |
$1,893.10
|
| Rate for Payer: Cash Price |
$6,057.93
|
| Rate for Payer: Cofinity Commercial |
$6,512.27
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$6,057.93
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,893.10
|
| Rate for Payer: Healthscope Commercial |
$6,815.17
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$5,679.31
|
| Rate for Payer: Mclaren Medicaid |
$1,335.02
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,987.76
|
| Rate for Payer: Meridian Medicaid |
$1,401.65
|
| Rate for Payer: MI Amish Medical Board Commercial |
$2,177.07
|
| Rate for Payer: Molina Medicare/Medicaid |
$2,082.41
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$6,436.55
|
| Rate for Payer: Nomi Health Commercial |
$6,209.38
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$5,679.31
|
| Rate for Payer: PACE Senior Care Partners |
$1,798.45
|
| Rate for Payer: PACE SWMI |
$1,893.10
|
| Rate for Payer: PHP Commercial |
$6,436.55
|
| Rate for Payer: PHP Medicare Advantage |
$1,893.10
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,335.02
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$6,588.00
|
| Rate for Payer: Priority Health Medicare |
$1,912.03
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$5,270.40
|
| Rate for Payer: Railroad Medicare Medicare |
$1,893.10
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$6,663.72
|
| Rate for Payer: UHC Core |
$6,322.96
|
| Rate for Payer: UHC Exchange |
$1,893.10
|
| Rate for Payer: UHC Medicaid |
$1,335.02
|
| Rate for Payer: UHC Medicare Advantage |
$1,893.10
|
| Rate for Payer: UHCCP Medicaid |
$1,335.02
|
| Rate for Payer: VA VA |
$1,893.10
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$5,679.31
|
|
|
HC EP EVAL OF SQ ICD
|
Facility
|
OP
|
$3,409.67
|
|
|
Service Code
|
CPT 93644
|
| Hospital Charge Code |
48000027
|
|
Hospital Revenue Code
|
480
|
| Min. Negotiated Rate |
$601.12 |
| Max. Negotiated Rate |
$3,068.70 |
| Rate for Payer: Aetna Commercial |
$2,898.22
|
| Rate for Payer: Aetna Medicare |
$886.51
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,065.52
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1,065.52
|
| Rate for Payer: BCBS Complete |
$631.13
|
| Rate for Payer: BCBS MAPPO |
$852.42
|
| Rate for Payer: BCBS Trust/PPO |
$2,803.09
|
| Rate for Payer: BCN Commercial |
$2,803.09
|
| Rate for Payer: BCN Medicare Advantage |
$852.42
|
| Rate for Payer: Cash Price |
$2,727.74
|
| Rate for Payer: Cofinity Commercial |
$2,932.32
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,727.74
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$852.42
|
| Rate for Payer: Healthscope Commercial |
$3,068.70
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,557.25
|
| Rate for Payer: Mclaren Medicaid |
$601.12
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$895.04
|
| Rate for Payer: Meridian Medicaid |
$631.13
|
| Rate for Payer: MI Amish Medical Board Commercial |
$980.28
|
| Rate for Payer: Molina Medicare/Medicaid |
$937.66
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,898.22
|
| Rate for Payer: Nomi Health Commercial |
$2,795.93
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,557.25
|
| Rate for Payer: PACE Senior Care Partners |
$809.80
|
| Rate for Payer: PACE SWMI |
$852.42
|
| Rate for Payer: PHP Commercial |
$2,898.22
|
| Rate for Payer: PHP Medicare Advantage |
$852.42
|
| Rate for Payer: Priority Health Choice Medicaid |
$601.12
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$2,966.41
|
| Rate for Payer: Priority Health Medicare |
$860.94
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,373.13
|
| Rate for Payer: Railroad Medicare Medicare |
$852.42
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$3,000.51
|
| Rate for Payer: UHC Core |
$2,847.07
|
| Rate for Payer: UHC Exchange |
$852.42
|
| Rate for Payer: UHC Medicaid |
$601.12
|
| Rate for Payer: UHC Medicare Advantage |
$852.42
|
| Rate for Payer: UHCCP Medicaid |
$601.12
|
| Rate for Payer: VA VA |
$852.42
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,557.25
|
|
|
HC EP EVAL OF SQ ICD
|
Facility
|
IP
|
$3,409.67
|
|
|
Service Code
|
CPT 93644
|
| Hospital Charge Code |
48000027
|
|
Hospital Revenue Code
|
480
|
| Min. Negotiated Rate |
$2,373.13 |
| Max. Negotiated Rate |
$3,068.70 |
| Rate for Payer: Aetna Commercial |
$2,898.22
|
| Rate for Payer: BCBS Trust/PPO |
$2,816.05
|
| Rate for Payer: BCN Commercial |
$2,816.05
|
| Rate for Payer: Cash Price |
$2,727.74
|
| Rate for Payer: Cofinity Commercial |
$2,932.32
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,727.74
|
| Rate for Payer: Healthscope Commercial |
$3,068.70
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,557.25
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,898.22
|
| Rate for Payer: Nomi Health Commercial |
$2,795.93
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,557.25
|
| Rate for Payer: PHP Commercial |
$2,898.22
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$2,966.41
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,373.13
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$3,000.51
|
| Rate for Payer: UHC Core |
$2,847.07
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,557.25
|
|
|
HC EP EVALUATION OF GEN/LEADS
|
Facility
|
OP
|
$2,436.41
|
|
|
Service Code
|
CPT 93641
|
| Hospital Charge Code |
48100042
|
|
Hospital Revenue Code
|
481
|
| Min. Negotiated Rate |
$429.54 |
| Max. Negotiated Rate |
$2,192.77 |
| Rate for Payer: Aetna Commercial |
$2,070.95
|
| Rate for Payer: Aetna Medicare |
$633.47
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$761.38
|
| Rate for Payer: Amish Plain Church Group Commercial |
$761.38
|
| Rate for Payer: BCBS Complete |
$450.98
|
| Rate for Payer: BCBS MAPPO |
$609.10
|
| Rate for Payer: BCBS Trust/PPO |
$2,002.97
|
| Rate for Payer: BCN Commercial |
$2,002.97
|
| Rate for Payer: BCN Medicare Advantage |
$609.10
|
| Rate for Payer: Cash Price |
$1,949.13
|
| Rate for Payer: Cofinity Commercial |
$2,095.31
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,949.13
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$609.10
|
| Rate for Payer: Healthscope Commercial |
$2,192.77
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,827.31
|
| Rate for Payer: Mclaren Medicaid |
$429.54
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$639.56
|
| Rate for Payer: Meridian Medicaid |
$450.98
|
| Rate for Payer: MI Amish Medical Board Commercial |
$700.47
|
| Rate for Payer: Molina Medicare/Medicaid |
$670.01
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,070.95
|
| Rate for Payer: Nomi Health Commercial |
$1,997.86
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,827.31
|
| Rate for Payer: PACE Senior Care Partners |
$578.65
|
| Rate for Payer: PACE SWMI |
$609.10
|
| Rate for Payer: PHP Commercial |
$2,070.95
|
| Rate for Payer: PHP Medicare Advantage |
$609.10
|
| Rate for Payer: Priority Health Choice Medicaid |
$429.54
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$2,119.68
|
| Rate for Payer: Priority Health Medicare |
$615.19
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,695.74
|
| Rate for Payer: Railroad Medicare Medicare |
$609.10
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,144.04
|
| Rate for Payer: UHC Core |
$2,034.40
|
| Rate for Payer: UHC Exchange |
$609.10
|
| Rate for Payer: UHC Medicaid |
$429.54
|
| Rate for Payer: UHC Medicare Advantage |
$609.10
|
| Rate for Payer: UHCCP Medicaid |
$429.54
|
| Rate for Payer: VA VA |
$609.10
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,827.31
|
|
|
HC EP EVALUATION OF GEN/LEADS
|
Facility
|
IP
|
$2,436.41
|
|
|
Service Code
|
CPT 93641
|
| Hospital Charge Code |
48100042
|
|
Hospital Revenue Code
|
481
|
| Min. Negotiated Rate |
$1,695.74 |
| Max. Negotiated Rate |
$2,192.77 |
| Rate for Payer: Aetna Commercial |
$2,070.95
|
| Rate for Payer: BCBS Trust/PPO |
$2,012.23
|
| Rate for Payer: BCN Commercial |
$2,012.23
|
| Rate for Payer: Cash Price |
$1,949.13
|
| Rate for Payer: Cofinity Commercial |
$2,095.31
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,949.13
|
| Rate for Payer: Healthscope Commercial |
$2,192.77
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,827.31
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,070.95
|
| Rate for Payer: Nomi Health Commercial |
$1,997.86
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,827.31
|
| Rate for Payer: PHP Commercial |
$2,070.95
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$2,119.68
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,695.74
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,144.04
|
| Rate for Payer: UHC Core |
$2,034.40
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,827.31
|
|
|
HC EP EVALUATION OF LEADS
|
Facility
|
OP
|
$2,233.25
|
|
|
Service Code
|
CPT 93640
|
| Hospital Charge Code |
48100041
|
|
Hospital Revenue Code
|
481
|
| Min. Negotiated Rate |
$393.72 |
| Max. Negotiated Rate |
$2,009.92 |
| Rate for Payer: Aetna Commercial |
$1,898.26
|
| Rate for Payer: Aetna Medicare |
$580.64
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$697.89
|
| Rate for Payer: Amish Plain Church Group Commercial |
$697.89
|
| Rate for Payer: BCBS Complete |
$413.37
|
| Rate for Payer: BCBS MAPPO |
$558.31
|
| Rate for Payer: BCBS Trust/PPO |
$1,835.95
|
| Rate for Payer: BCN Commercial |
$1,835.95
|
| Rate for Payer: BCN Medicare Advantage |
$558.31
|
| Rate for Payer: Cash Price |
$1,786.60
|
| Rate for Payer: Cofinity Commercial |
$1,920.60
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,786.60
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$558.31
|
| Rate for Payer: Healthscope Commercial |
$2,009.92
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,674.94
|
| Rate for Payer: Mclaren Medicaid |
$393.72
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$586.23
|
| Rate for Payer: Meridian Medicaid |
$413.37
|
| Rate for Payer: MI Amish Medical Board Commercial |
$642.06
|
| Rate for Payer: Molina Medicare/Medicaid |
$614.14
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,898.26
|
| Rate for Payer: Nomi Health Commercial |
$1,831.27
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,674.94
|
| Rate for Payer: PACE Senior Care Partners |
$530.40
|
| Rate for Payer: PACE SWMI |
$558.31
|
| Rate for Payer: PHP Commercial |
$1,898.26
|
| Rate for Payer: PHP Medicare Advantage |
$558.31
|
| Rate for Payer: Priority Health Choice Medicaid |
$393.72
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$1,942.93
|
| Rate for Payer: Priority Health Medicare |
$563.90
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,554.34
|
| Rate for Payer: Railroad Medicare Medicare |
$558.31
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,965.26
|
| Rate for Payer: UHC Core |
$1,864.76
|
| Rate for Payer: UHC Exchange |
$558.31
|
| Rate for Payer: UHC Medicaid |
$393.72
|
| Rate for Payer: UHC Medicare Advantage |
$558.31
|
| Rate for Payer: UHCCP Medicaid |
$393.72
|
| Rate for Payer: VA VA |
$558.31
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,674.94
|
|
|
HC EP EVALUATION OF LEADS
|
Facility
|
IP
|
$2,233.25
|
|
|
Service Code
|
CPT 93640
|
| Hospital Charge Code |
48100041
|
|
Hospital Revenue Code
|
481
|
| Min. Negotiated Rate |
$1,554.34 |
| Max. Negotiated Rate |
$2,009.92 |
| Rate for Payer: Aetna Commercial |
$1,898.26
|
| Rate for Payer: BCBS Trust/PPO |
$1,844.44
|
| Rate for Payer: BCN Commercial |
$1,844.44
|
| Rate for Payer: Cash Price |
$1,786.60
|
| Rate for Payer: Cofinity Commercial |
$1,920.60
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,786.60
|
| Rate for Payer: Healthscope Commercial |
$2,009.92
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,674.94
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,898.26
|
| Rate for Payer: Nomi Health Commercial |
$1,831.27
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,674.94
|
| Rate for Payer: PHP Commercial |
$1,898.26
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$1,942.93
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,554.34
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,965.26
|
| Rate for Payer: UHC Core |
$1,864.76
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,674.94
|
|
|
HC EPIDURAL/LOCAL FLAT
|
Facility
|
OP
|
$688.50
|
|
| Hospital Charge Code |
37000023
|
|
Hospital Revenue Code
|
370
|
| Min. Negotiated Rate |
$121.38 |
| Max. Negotiated Rate |
$619.65 |
| Rate for Payer: Aetna Commercial |
$585.23
|
| Rate for Payer: Aetna Medicare |
$179.01
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$215.16
|
| Rate for Payer: Amish Plain Church Group Commercial |
$215.16
|
| Rate for Payer: BCBS Complete |
$127.44
|
| Rate for Payer: BCBS MAPPO |
$172.12
|
| Rate for Payer: BCBS Trust/PPO |
$566.02
|
| Rate for Payer: BCN Commercial |
$566.02
|
| Rate for Payer: BCN Medicare Advantage |
$172.12
|
| Rate for Payer: Cash Price |
$550.80
|
| Rate for Payer: Cofinity Commercial |
$592.11
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$550.80
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$172.12
|
| Rate for Payer: Healthscope Commercial |
$619.65
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$516.38
|
| Rate for Payer: Mclaren Medicaid |
$121.38
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$180.73
|
| Rate for Payer: Meridian Medicaid |
$127.44
|
| Rate for Payer: MI Amish Medical Board Commercial |
$197.94
|
| Rate for Payer: Molina Medicare/Medicaid |
$189.34
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$585.23
|
| Rate for Payer: Nomi Health Commercial |
$564.57
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$516.38
|
| Rate for Payer: PACE Senior Care Partners |
$163.52
|
| Rate for Payer: PACE SWMI |
$172.12
|
| Rate for Payer: PHP Commercial |
$585.23
|
| Rate for Payer: PHP Medicare Advantage |
$172.12
|
| Rate for Payer: Priority Health Choice Medicaid |
$121.38
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$599.00
|
| Rate for Payer: Priority Health Medicare |
$173.85
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$479.20
|
| Rate for Payer: Railroad Medicare Medicare |
$172.12
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$605.88
|
| Rate for Payer: UHC Core |
$574.90
|
| Rate for Payer: UHC Exchange |
$172.12
|
| Rate for Payer: UHC Medicaid |
$121.38
|
| Rate for Payer: UHC Medicare Advantage |
$172.12
|
| Rate for Payer: UHCCP Medicaid |
$121.38
|
| Rate for Payer: VA VA |
$172.12
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$516.38
|
|
|
HC EPIDURAL/LOCAL FLAT
|
Facility
|
IP
|
$688.50
|
|
| Hospital Charge Code |
37000023
|
|
Hospital Revenue Code
|
370
|
| Min. Negotiated Rate |
$479.20 |
| Max. Negotiated Rate |
$619.65 |
| Rate for Payer: Aetna Commercial |
$585.23
|
| Rate for Payer: BCBS Trust/PPO |
$568.63
|
| Rate for Payer: BCN Commercial |
$568.63
|
| Rate for Payer: Cash Price |
$550.80
|
| Rate for Payer: Cofinity Commercial |
$592.11
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$550.80
|
| Rate for Payer: Healthscope Commercial |
$619.65
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$516.38
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$585.23
|
| Rate for Payer: Nomi Health Commercial |
$564.57
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$516.38
|
| Rate for Payer: PHP Commercial |
$585.23
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$599.00
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$479.20
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$605.88
|
| Rate for Payer: UHC Core |
$574.90
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$516.38
|
|
