|
HC CT VIRTUAL COLON W CON DIAG
|
Facility
|
OP
|
$1,286.53
|
|
|
Service Code
|
CPT 74262
|
| Hospital Charge Code |
35000013
|
|
Hospital Revenue Code
|
350
|
| Min. Negotiated Rate |
$126.11 |
| Max. Negotiated Rate |
$1,157.88 |
| Rate for Payer: Aetna Commercial |
$1,093.55
|
| Rate for Payer: Aetna Medicare |
$334.50
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$402.04
|
| Rate for Payer: Amish Plain Church Group Commercial |
$402.04
|
| Rate for Payer: BCBS Complete |
$132.42
|
| Rate for Payer: BCBS MAPPO |
$321.63
|
| Rate for Payer: BCBS Trust/PPO |
$1,057.66
|
| Rate for Payer: BCN Commercial |
$1,000.28
|
| Rate for Payer: BCN Medicare Advantage |
$321.63
|
| Rate for Payer: Cash Price |
$1,029.22
|
| Rate for Payer: Cash Price |
$1,029.22
|
| Rate for Payer: Cofinity Commercial |
$1,106.42
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,029.22
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$321.63
|
| Rate for Payer: Healthscope Commercial |
$1,157.88
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$964.90
|
| Rate for Payer: Mclaren Medicaid |
$126.11
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$337.71
|
| Rate for Payer: Meridian Medicaid |
$132.42
|
| Rate for Payer: MI Amish Medical Board Commercial |
$369.88
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,093.55
|
| Rate for Payer: Nomi Health Commercial |
$1,054.95
|
| Rate for Payer: PACE Senior Care Partners |
$305.55
|
| Rate for Payer: PACE SWMI |
$321.63
|
| Rate for Payer: PHP Commercial |
$1,093.55
|
| Rate for Payer: PHP Medicare Advantage |
$321.63
|
| Rate for Payer: Priority Health Choice Medicaid |
$126.11
|
| Rate for Payer: Priority Health Cigna Priority Health |
$836.24
|
| Rate for Payer: Priority Health HMO/PPO |
$1,119.28
|
| Rate for Payer: Priority Health Medicare |
$324.85
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$861.98
|
| Rate for Payer: Railroad Medicare Medicare |
$321.63
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,132.15
|
| Rate for Payer: UHC Core |
$1,074.25
|
| Rate for Payer: UHC Dual Complete DSNP |
$321.63
|
| Rate for Payer: UHC Exchange |
$321.63
|
| Rate for Payer: UHC Medicare Advantage |
$321.63
|
| Rate for Payer: UHCCP Medicaid |
$126.11
|
| Rate for Payer: VA VA |
$321.63
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$964.90
|
|
|
HC CT VIRTUAL COLON W CON DIAG
|
Facility
|
IP
|
$1,286.53
|
|
|
Service Code
|
CPT 74262
|
| Hospital Charge Code |
35000013
|
|
Hospital Revenue Code
|
350
|
| Min. Negotiated Rate |
$836.24 |
| Max. Negotiated Rate |
$1,157.88 |
| Rate for Payer: Aetna Commercial |
$1,093.55
|
| Rate for Payer: BCBS Trust/PPO |
$1,050.19
|
| Rate for Payer: BCN Commercial |
$994.23
|
| Rate for Payer: Cash Price |
$1,029.22
|
| Rate for Payer: Cofinity Commercial |
$1,106.42
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,029.22
|
| Rate for Payer: Healthscope Commercial |
$1,157.88
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$964.90
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,093.55
|
| Rate for Payer: Nomi Health Commercial |
$1,054.95
|
| Rate for Payer: PHP Commercial |
$1,093.55
|
| Rate for Payer: Priority Health Cigna Priority Health |
$836.24
|
| Rate for Payer: Priority Health HMO/PPO |
$1,119.28
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$861.98
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,132.15
|
| Rate for Payer: UHC Core |
$1,074.25
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$964.90
|
|
|
HC CT VIRTUAL COLON WO CON DIAG
|
Facility
|
IP
|
$1,286.53
|
|
|
Service Code
|
CPT 74261
|
| Hospital Charge Code |
35000012
|
|
Hospital Revenue Code
|
350
|
| Min. Negotiated Rate |
$836.24 |
| Max. Negotiated Rate |
$1,157.88 |
| Rate for Payer: Aetna Commercial |
$1,093.55
|
| Rate for Payer: BCBS Trust/PPO |
$1,050.19
|
| Rate for Payer: BCN Commercial |
$994.23
|
| Rate for Payer: Cash Price |
$1,029.22
|
| Rate for Payer: Cofinity Commercial |
$1,106.42
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,029.22
|
| Rate for Payer: Healthscope Commercial |
$1,157.88
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$964.90
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,093.55
|
| Rate for Payer: Nomi Health Commercial |
$1,054.95
|
| Rate for Payer: PHP Commercial |
$1,093.55
|
| Rate for Payer: Priority Health Cigna Priority Health |
$836.24
|
| Rate for Payer: Priority Health HMO/PPO |
$1,119.28
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$861.98
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,132.15
|
| Rate for Payer: UHC Core |
$1,074.25
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$964.90
|
|
|
HC CT VIRTUAL COLON WO CON DIAG
|
Facility
|
OP
|
$1,286.53
|
|
|
Service Code
|
CPT 74261
|
| Hospital Charge Code |
35000012
|
|
Hospital Revenue Code
|
350
|
| Min. Negotiated Rate |
$75.33 |
| Max. Negotiated Rate |
$1,157.88 |
| Rate for Payer: Aetna Commercial |
$1,093.55
|
| Rate for Payer: Aetna Medicare |
$334.50
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$402.04
|
| Rate for Payer: Amish Plain Church Group Commercial |
$402.04
|
| Rate for Payer: BCBS Complete |
$79.10
|
| Rate for Payer: BCBS MAPPO |
$321.63
|
| Rate for Payer: BCBS Trust/PPO |
$1,057.66
|
| Rate for Payer: BCN Commercial |
$1,000.28
|
| Rate for Payer: BCN Medicare Advantage |
$321.63
|
| Rate for Payer: Cash Price |
$1,029.22
|
| Rate for Payer: Cash Price |
$1,029.22
|
| Rate for Payer: Cofinity Commercial |
$1,106.42
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,029.22
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$321.63
|
| Rate for Payer: Healthscope Commercial |
$1,157.88
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$964.90
|
| Rate for Payer: Mclaren Medicaid |
$75.33
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$337.71
|
| Rate for Payer: Meridian Medicaid |
$79.10
|
| Rate for Payer: MI Amish Medical Board Commercial |
$369.88
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,093.55
|
| Rate for Payer: Nomi Health Commercial |
$1,054.95
|
| Rate for Payer: PACE Senior Care Partners |
$305.55
|
| Rate for Payer: PACE SWMI |
$321.63
|
| Rate for Payer: PHP Commercial |
$1,093.55
|
| Rate for Payer: PHP Medicare Advantage |
$321.63
|
| Rate for Payer: Priority Health Choice Medicaid |
$75.33
|
| Rate for Payer: Priority Health Cigna Priority Health |
$836.24
|
| Rate for Payer: Priority Health HMO/PPO |
$1,119.28
|
| Rate for Payer: Priority Health Medicare |
$324.85
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$861.98
|
| Rate for Payer: Railroad Medicare Medicare |
$321.63
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,132.15
|
| Rate for Payer: UHC Core |
$1,074.25
|
| Rate for Payer: UHC Dual Complete DSNP |
$321.63
|
| Rate for Payer: UHC Exchange |
$321.63
|
| Rate for Payer: UHC Medicare Advantage |
$321.63
|
| Rate for Payer: UHCCP Medicaid |
$75.33
|
| Rate for Payer: VA VA |
$321.63
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$964.90
|
|
|
HC CT Z ABSCESS S T NECK THORAX
|
Facility
|
OP
|
$2,645.38
|
|
|
Service Code
|
CPT 21501
|
| Hospital Charge Code |
36100319
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$628.28 |
| Max. Negotiated Rate |
$2,380.84 |
| Rate for Payer: Aetna Commercial |
$2,248.57
|
| Rate for Payer: Aetna Medicare |
$687.80
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$826.68
|
| Rate for Payer: Amish Plain Church Group Commercial |
$826.68
|
| Rate for Payer: BCBS Complete |
$2,128.93
|
| Rate for Payer: BCBS MAPPO |
$661.34
|
| Rate for Payer: BCBS Trust/PPO |
$2,174.77
|
| Rate for Payer: BCN Commercial |
$2,056.78
|
| Rate for Payer: BCN Medicare Advantage |
$661.34
|
| Rate for Payer: Cash Price |
$2,116.30
|
| Rate for Payer: Cash Price |
$2,116.30
|
| Rate for Payer: Cofinity Commercial |
$2,275.03
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,116.30
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$661.34
|
| Rate for Payer: Healthscope Commercial |
$2,380.84
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,984.04
|
| Rate for Payer: Mclaren Medicaid |
$2,027.42
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$694.41
|
| Rate for Payer: Meridian Medicaid |
$2,128.93
|
| Rate for Payer: MI Amish Medical Board Commercial |
$760.55
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,248.57
|
| Rate for Payer: Nomi Health Commercial |
$2,169.21
|
| Rate for Payer: PACE Senior Care Partners |
$628.28
|
| Rate for Payer: PACE SWMI |
$661.34
|
| Rate for Payer: PHP Commercial |
$2,248.57
|
| Rate for Payer: PHP Medicare Advantage |
$661.34
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,027.42
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,719.50
|
| Rate for Payer: Priority Health HMO/PPO |
$2,301.48
|
| Rate for Payer: Priority Health Medicare |
$667.96
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,772.40
|
| Rate for Payer: Railroad Medicare Medicare |
$661.34
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,327.93
|
| Rate for Payer: UHC Core |
$2,208.89
|
| Rate for Payer: UHC Dual Complete DSNP |
$661.34
|
| Rate for Payer: UHC Exchange |
$661.34
|
| Rate for Payer: UHC Medicare Advantage |
$661.34
|
| Rate for Payer: UHCCP Medicaid |
$2,027.42
|
| Rate for Payer: VA VA |
$661.34
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,984.04
|
|
|
HC CT Z ABSCESS S T NECK THORAX
|
Facility
|
IP
|
$2,645.38
|
|
|
Service Code
|
CPT 21501
|
| Hospital Charge Code |
36100319
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$1,719.50 |
| Max. Negotiated Rate |
$2,380.84 |
| Rate for Payer: Aetna Commercial |
$2,248.57
|
| Rate for Payer: BCBS Trust/PPO |
$2,159.42
|
| Rate for Payer: BCN Commercial |
$2,044.35
|
| Rate for Payer: Cash Price |
$2,116.30
|
| Rate for Payer: Cofinity Commercial |
$2,275.03
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,116.30
|
| Rate for Payer: Healthscope Commercial |
$2,380.84
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,984.04
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,248.57
|
| Rate for Payer: Nomi Health Commercial |
$2,169.21
|
| Rate for Payer: PHP Commercial |
$2,248.57
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,719.50
|
| Rate for Payer: Priority Health HMO/PPO |
$2,301.48
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,772.40
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,327.93
|
| Rate for Payer: UHC Core |
$2,208.89
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,984.04
|
|
|
HC CULTURE ADDITIONAL ID
|
Facility
|
IP
|
$52.34
|
|
|
Service Code
|
CPT 87077
|
| Hospital Charge Code |
30600078
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$34.02 |
| Max. Negotiated Rate |
$47.11 |
| Rate for Payer: Aetna Commercial |
$44.49
|
| Rate for Payer: BCBS Trust/PPO |
$42.73
|
| Rate for Payer: BCN Commercial |
$40.45
|
| Rate for Payer: Cash Price |
$41.87
|
| Rate for Payer: Cofinity Commercial |
$45.01
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$41.87
|
| Rate for Payer: Healthscope Commercial |
$47.11
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$39.26
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$44.49
|
| Rate for Payer: Nomi Health Commercial |
$42.92
|
| Rate for Payer: PHP Commercial |
$44.49
|
| Rate for Payer: Priority Health Cigna Priority Health |
$34.02
|
| Rate for Payer: Priority Health HMO/PPO |
$45.54
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$35.07
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$46.06
|
| Rate for Payer: UHC Core |
$43.70
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$39.26
|
|
|
HC CULTURE ADDITIONAL ID
|
Facility
|
OP
|
$52.34
|
|
|
Service Code
|
CPT 87077
|
| Hospital Charge Code |
30600078
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$5.84 |
| Max. Negotiated Rate |
$47.11 |
| Rate for Payer: Aetna Commercial |
$44.49
|
| Rate for Payer: Aetna Medicare |
$13.61
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$16.36
|
| Rate for Payer: Amish Plain Church Group Commercial |
$16.36
|
| Rate for Payer: BCBS Complete |
$6.13
|
| Rate for Payer: BCBS MAPPO |
$13.08
|
| Rate for Payer: BCBS Trust/PPO |
$43.03
|
| Rate for Payer: BCN Commercial |
$40.69
|
| Rate for Payer: BCN Medicare Advantage |
$13.08
|
| Rate for Payer: Cash Price |
$41.87
|
| Rate for Payer: Cash Price |
$41.87
|
| Rate for Payer: Cofinity Commercial |
$45.01
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$41.87
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$13.08
|
| Rate for Payer: Healthscope Commercial |
$47.11
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$39.26
|
| Rate for Payer: Mclaren Medicaid |
$5.84
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$13.74
|
| Rate for Payer: Meridian Medicaid |
$6.13
|
| Rate for Payer: MI Amish Medical Board Commercial |
$15.05
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$44.49
|
| Rate for Payer: Nomi Health Commercial |
$42.92
|
| Rate for Payer: PACE Senior Care Partners |
$12.43
|
| Rate for Payer: PACE SWMI |
$13.08
|
| Rate for Payer: PHP Commercial |
$44.49
|
| Rate for Payer: PHP Medicare Advantage |
$13.08
|
| Rate for Payer: Priority Health Choice Medicaid |
$5.84
|
| Rate for Payer: Priority Health Cigna Priority Health |
$34.02
|
| Rate for Payer: Priority Health HMO/PPO |
$45.54
|
| Rate for Payer: Priority Health Medicare |
$13.22
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$35.07
|
| Rate for Payer: Railroad Medicare Medicare |
$13.08
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$46.06
|
| Rate for Payer: UHC Core |
$43.70
|
| Rate for Payer: UHC Dual Complete DSNP |
$13.08
|
| Rate for Payer: UHC Exchange |
$13.08
|
| Rate for Payer: UHC Medicare Advantage |
$13.08
|
| Rate for Payer: UHCCP Medicaid |
$5.84
|
| Rate for Payer: VA VA |
$13.08
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$39.26
|
|
|
HC CULTURE ENTERIC PATH STOOL
|
Facility
|
OP
|
$41.66
|
|
|
Service Code
|
CPT 87045
|
| Hospital Charge Code |
30600323
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$6.83 |
| Max. Negotiated Rate |
$37.49 |
| Rate for Payer: Aetna Commercial |
$35.41
|
| Rate for Payer: Aetna Medicare |
$10.83
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$13.02
|
| Rate for Payer: Amish Plain Church Group Commercial |
$13.02
|
| Rate for Payer: BCBS Complete |
$7.17
|
| Rate for Payer: BCBS MAPPO |
$10.42
|
| Rate for Payer: BCBS Trust/PPO |
$34.25
|
| Rate for Payer: BCN Commercial |
$32.39
|
| Rate for Payer: BCN Medicare Advantage |
$10.42
|
| Rate for Payer: Cash Price |
$33.33
|
| Rate for Payer: Cash Price |
$33.33
|
| Rate for Payer: Cofinity Commercial |
$35.83
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$33.33
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$10.42
|
| Rate for Payer: Healthscope Commercial |
$37.49
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$31.24
|
| Rate for Payer: Mclaren Medicaid |
$6.83
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$10.94
|
| Rate for Payer: Meridian Medicaid |
$7.17
|
| Rate for Payer: MI Amish Medical Board Commercial |
$11.98
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$35.41
|
| Rate for Payer: Nomi Health Commercial |
$34.16
|
| Rate for Payer: PACE Senior Care Partners |
$9.89
|
| Rate for Payer: PACE SWMI |
$10.42
|
| Rate for Payer: PHP Commercial |
$35.41
|
| Rate for Payer: PHP Medicare Advantage |
$10.42
|
| Rate for Payer: Priority Health Choice Medicaid |
$6.83
|
| Rate for Payer: Priority Health Cigna Priority Health |
$27.08
|
| Rate for Payer: Priority Health HMO/PPO |
$36.24
|
| Rate for Payer: Priority Health Medicare |
$10.52
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$27.91
|
| Rate for Payer: Railroad Medicare Medicare |
$10.42
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$36.66
|
| Rate for Payer: UHC Core |
$34.79
|
| Rate for Payer: UHC Dual Complete DSNP |
$10.42
|
| Rate for Payer: UHC Exchange |
$10.42
|
| Rate for Payer: UHC Medicare Advantage |
$10.42
|
| Rate for Payer: UHCCP Medicaid |
$6.83
|
| Rate for Payer: VA VA |
$10.42
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$31.24
|
|
|
HC CULTURE ENTERIC PATH STOOL
|
Facility
|
IP
|
$41.66
|
|
|
Service Code
|
CPT 87045
|
| Hospital Charge Code |
30600323
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$27.08 |
| Max. Negotiated Rate |
$37.49 |
| Rate for Payer: Aetna Commercial |
$35.41
|
| Rate for Payer: BCBS Trust/PPO |
$34.01
|
| Rate for Payer: BCN Commercial |
$32.19
|
| Rate for Payer: Cash Price |
$33.33
|
| Rate for Payer: Cofinity Commercial |
$35.83
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$33.33
|
| Rate for Payer: Healthscope Commercial |
$37.49
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$31.24
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$35.41
|
| Rate for Payer: Nomi Health Commercial |
$34.16
|
| Rate for Payer: PHP Commercial |
$35.41
|
| Rate for Payer: Priority Health Cigna Priority Health |
$27.08
|
| Rate for Payer: Priority Health HMO/PPO |
$36.24
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$27.91
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$36.66
|
| Rate for Payer: UHC Core |
$34.79
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$31.24
|
|
|
HC CULTURE ENTERIC PATH STOOL CMPT
|
Facility
|
OP
|
$15.65
|
|
|
Service Code
|
CPT 87046
|
| Hospital Charge Code |
30600324
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$3.72 |
| Max. Negotiated Rate |
$14.08 |
| Rate for Payer: Aetna Commercial |
$13.30
|
| Rate for Payer: Aetna Medicare |
$4.07
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$4.89
|
| Rate for Payer: Amish Plain Church Group Commercial |
$4.89
|
| Rate for Payer: BCBS Complete |
$7.17
|
| Rate for Payer: BCBS MAPPO |
$3.91
|
| Rate for Payer: BCBS Trust/PPO |
$12.87
|
| Rate for Payer: BCN Commercial |
$12.17
|
| Rate for Payer: BCN Medicare Advantage |
$3.91
|
| Rate for Payer: Cash Price |
$12.52
|
| Rate for Payer: Cash Price |
$12.52
|
| Rate for Payer: Cofinity Commercial |
$13.46
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$12.52
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$3.91
|
| Rate for Payer: Healthscope Commercial |
$14.08
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$11.74
|
| Rate for Payer: Mclaren Medicaid |
$6.83
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$4.11
|
| Rate for Payer: Meridian Medicaid |
$7.17
|
| Rate for Payer: MI Amish Medical Board Commercial |
$4.50
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$13.30
|
| Rate for Payer: Nomi Health Commercial |
$12.83
|
| Rate for Payer: PACE Senior Care Partners |
$3.72
|
| Rate for Payer: PACE SWMI |
$3.91
|
| Rate for Payer: PHP Commercial |
$13.30
|
| Rate for Payer: PHP Medicare Advantage |
$3.91
|
| Rate for Payer: Priority Health Choice Medicaid |
$6.83
|
| Rate for Payer: Priority Health Cigna Priority Health |
$10.17
|
| Rate for Payer: Priority Health HMO/PPO |
$13.62
|
| Rate for Payer: Priority Health Medicare |
$3.95
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$10.49
|
| Rate for Payer: Railroad Medicare Medicare |
$3.91
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$13.77
|
| Rate for Payer: UHC Core |
$13.07
|
| Rate for Payer: UHC Dual Complete DSNP |
$3.91
|
| Rate for Payer: UHC Exchange |
$3.91
|
| Rate for Payer: UHC Medicare Advantage |
$3.91
|
| Rate for Payer: UHCCP Medicaid |
$6.83
|
| Rate for Payer: VA VA |
$3.91
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$11.74
|
|
|
HC CULTURE ENTERIC PATH STOOL CMPT
|
Facility
|
IP
|
$15.65
|
|
|
Service Code
|
CPT 87046
|
| Hospital Charge Code |
30600324
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$10.17 |
| Max. Negotiated Rate |
$14.08 |
| Rate for Payer: Aetna Commercial |
$13.30
|
| Rate for Payer: BCBS Trust/PPO |
$12.78
|
| Rate for Payer: BCN Commercial |
$12.09
|
| Rate for Payer: Cash Price |
$12.52
|
| Rate for Payer: Cofinity Commercial |
$13.46
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$12.52
|
| Rate for Payer: Healthscope Commercial |
$14.08
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$11.74
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$13.30
|
| Rate for Payer: Nomi Health Commercial |
$12.83
|
| Rate for Payer: PHP Commercial |
$13.30
|
| Rate for Payer: Priority Health Cigna Priority Health |
$10.17
|
| Rate for Payer: Priority Health HMO/PPO |
$13.62
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$10.49
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$13.77
|
| Rate for Payer: UHC Core |
$13.07
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$11.74
|
|
|
HC CULTURE FUNGAL OTHER SOURCE
|
Facility
|
IP
|
$80.58
|
|
|
Service Code
|
CPT 87102
|
| Hospital Charge Code |
30600083
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$52.38 |
| Max. Negotiated Rate |
$72.52 |
| Rate for Payer: Aetna Commercial |
$68.49
|
| Rate for Payer: BCBS Trust/PPO |
$65.78
|
| Rate for Payer: BCN Commercial |
$62.27
|
| Rate for Payer: Cash Price |
$64.46
|
| Rate for Payer: Cofinity Commercial |
$69.30
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$64.46
|
| Rate for Payer: Healthscope Commercial |
$72.52
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$60.44
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$68.49
|
| Rate for Payer: Nomi Health Commercial |
$66.08
|
| Rate for Payer: PHP Commercial |
$68.49
|
| Rate for Payer: Priority Health Cigna Priority Health |
$52.38
|
| Rate for Payer: Priority Health HMO/PPO |
$70.10
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$53.99
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$70.91
|
| Rate for Payer: UHC Core |
$67.28
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$60.44
|
|
|
HC CULTURE FUNGAL OTHER SOURCE
|
Facility
|
OP
|
$80.58
|
|
|
Service Code
|
CPT 87102
|
| Hospital Charge Code |
30600083
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$6.08 |
| Max. Negotiated Rate |
$72.52 |
| Rate for Payer: Aetna Commercial |
$68.49
|
| Rate for Payer: Aetna Medicare |
$20.95
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$25.18
|
| Rate for Payer: Amish Plain Church Group Commercial |
$25.18
|
| Rate for Payer: BCBS Complete |
$6.38
|
| Rate for Payer: BCBS MAPPO |
$20.14
|
| Rate for Payer: BCBS Trust/PPO |
$66.24
|
| Rate for Payer: BCN Commercial |
$62.65
|
| Rate for Payer: BCN Medicare Advantage |
$20.14
|
| Rate for Payer: Cash Price |
$64.46
|
| Rate for Payer: Cash Price |
$64.46
|
| Rate for Payer: Cofinity Commercial |
$69.30
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$64.46
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$20.14
|
| Rate for Payer: Healthscope Commercial |
$72.52
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$60.44
|
| Rate for Payer: Mclaren Medicaid |
$6.08
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$21.15
|
| Rate for Payer: Meridian Medicaid |
$6.38
|
| Rate for Payer: MI Amish Medical Board Commercial |
$23.17
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$68.49
|
| Rate for Payer: Nomi Health Commercial |
$66.08
|
| Rate for Payer: PACE Senior Care Partners |
$19.14
|
| Rate for Payer: PACE SWMI |
$20.14
|
| Rate for Payer: PHP Commercial |
$68.49
|
| Rate for Payer: PHP Medicare Advantage |
$20.14
|
| Rate for Payer: Priority Health Choice Medicaid |
$6.08
|
| Rate for Payer: Priority Health Cigna Priority Health |
$52.38
|
| Rate for Payer: Priority Health HMO/PPO |
$70.10
|
| Rate for Payer: Priority Health Medicare |
$20.35
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$53.99
|
| Rate for Payer: Railroad Medicare Medicare |
$20.14
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$70.91
|
| Rate for Payer: UHC Core |
$67.28
|
| Rate for Payer: UHC Dual Complete DSNP |
$20.14
|
| Rate for Payer: UHC Exchange |
$20.14
|
| Rate for Payer: UHC Medicare Advantage |
$20.14
|
| Rate for Payer: UHCCP Medicaid |
$6.08
|
| Rate for Payer: VA VA |
$20.14
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$60.44
|
|
|
HC CULTURE FUNGAL SKIN, HAIR, NAIL
|
Facility
|
IP
|
$80.58
|
|
|
Service Code
|
CPT 87101
|
| Hospital Charge Code |
30600082
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$52.38 |
| Max. Negotiated Rate |
$72.52 |
| Rate for Payer: Aetna Commercial |
$68.49
|
| Rate for Payer: BCBS Trust/PPO |
$65.78
|
| Rate for Payer: BCN Commercial |
$62.27
|
| Rate for Payer: Cash Price |
$64.46
|
| Rate for Payer: Cofinity Commercial |
$69.30
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$64.46
|
| Rate for Payer: Healthscope Commercial |
$72.52
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$60.44
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$68.49
|
| Rate for Payer: Nomi Health Commercial |
$66.08
|
| Rate for Payer: PHP Commercial |
$68.49
|
| Rate for Payer: Priority Health Cigna Priority Health |
$52.38
|
| Rate for Payer: Priority Health HMO/PPO |
$70.10
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$53.99
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$70.91
|
| Rate for Payer: UHC Core |
$67.28
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$60.44
|
|
|
HC CULTURE FUNGAL SKIN, HAIR, NAIL
|
Facility
|
OP
|
$80.58
|
|
|
Service Code
|
CPT 87101
|
| Hospital Charge Code |
30600082
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$5.57 |
| Max. Negotiated Rate |
$72.52 |
| Rate for Payer: Aetna Commercial |
$68.49
|
| Rate for Payer: Aetna Medicare |
$20.95
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$25.18
|
| Rate for Payer: Amish Plain Church Group Commercial |
$25.18
|
| Rate for Payer: BCBS Complete |
$5.85
|
| Rate for Payer: BCBS MAPPO |
$20.14
|
| Rate for Payer: BCBS Trust/PPO |
$66.24
|
| Rate for Payer: BCN Commercial |
$62.65
|
| Rate for Payer: BCN Medicare Advantage |
$20.14
|
| Rate for Payer: Cash Price |
$64.46
|
| Rate for Payer: Cash Price |
$64.46
|
| Rate for Payer: Cofinity Commercial |
$69.30
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$64.46
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$20.14
|
| Rate for Payer: Healthscope Commercial |
$72.52
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$60.44
|
| Rate for Payer: Mclaren Medicaid |
$5.57
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$21.15
|
| Rate for Payer: Meridian Medicaid |
$5.85
|
| Rate for Payer: MI Amish Medical Board Commercial |
$23.17
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$68.49
|
| Rate for Payer: Nomi Health Commercial |
$66.08
|
| Rate for Payer: PACE Senior Care Partners |
$19.14
|
| Rate for Payer: PACE SWMI |
$20.14
|
| Rate for Payer: PHP Commercial |
$68.49
|
| Rate for Payer: PHP Medicare Advantage |
$20.14
|
| Rate for Payer: Priority Health Choice Medicaid |
$5.57
|
| Rate for Payer: Priority Health Cigna Priority Health |
$52.38
|
| Rate for Payer: Priority Health HMO/PPO |
$70.10
|
| Rate for Payer: Priority Health Medicare |
$20.35
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$53.99
|
| Rate for Payer: Railroad Medicare Medicare |
$20.14
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$70.91
|
| Rate for Payer: UHC Core |
$67.28
|
| Rate for Payer: UHC Dual Complete DSNP |
$20.14
|
| Rate for Payer: UHC Exchange |
$20.14
|
| Rate for Payer: UHC Medicare Advantage |
$20.14
|
| Rate for Payer: UHCCP Medicaid |
$5.57
|
| Rate for Payer: VA VA |
$20.14
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$60.44
|
|
|
HC CULTURE ID BLOOD PATHOGEN BY NUCLEIC ACID
|
Facility
|
OP
|
$624.24
|
|
|
Service Code
|
CPT 87154
|
| Hospital Charge Code |
30600329
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$148.26 |
| Max. Negotiated Rate |
$561.82 |
| Rate for Payer: Aetna Commercial |
$530.60
|
| Rate for Payer: Aetna Medicare |
$162.30
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$195.08
|
| Rate for Payer: Amish Plain Church Group Commercial |
$195.08
|
| Rate for Payer: BCBS Complete |
$165.55
|
| Rate for Payer: BCBS MAPPO |
$156.06
|
| Rate for Payer: BCBS Trust/PPO |
$513.19
|
| Rate for Payer: BCN Commercial |
$485.35
|
| Rate for Payer: BCN Medicare Advantage |
$156.06
|
| Rate for Payer: Cash Price |
$499.39
|
| Rate for Payer: Cash Price |
$499.39
|
| Rate for Payer: Cofinity Commercial |
$536.85
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$499.39
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$156.06
|
| Rate for Payer: Healthscope Commercial |
$561.82
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$468.18
|
| Rate for Payer: Mclaren Medicaid |
$157.66
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$163.86
|
| Rate for Payer: Meridian Medicaid |
$165.55
|
| Rate for Payer: MI Amish Medical Board Commercial |
$179.47
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$530.60
|
| Rate for Payer: Nomi Health Commercial |
$511.88
|
| Rate for Payer: PACE Senior Care Partners |
$148.26
|
| Rate for Payer: PACE SWMI |
$156.06
|
| Rate for Payer: PHP Commercial |
$530.60
|
| Rate for Payer: PHP Medicare Advantage |
$156.06
|
| Rate for Payer: Priority Health Choice Medicaid |
$157.66
|
| Rate for Payer: Priority Health Cigna Priority Health |
$405.76
|
| Rate for Payer: Priority Health HMO/PPO |
$543.09
|
| Rate for Payer: Priority Health Medicare |
$157.62
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$418.24
|
| Rate for Payer: Railroad Medicare Medicare |
$156.06
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$549.33
|
| Rate for Payer: UHC Core |
$521.24
|
| Rate for Payer: UHC Dual Complete DSNP |
$156.06
|
| Rate for Payer: UHC Exchange |
$156.06
|
| Rate for Payer: UHC Medicare Advantage |
$156.06
|
| Rate for Payer: UHCCP Medicaid |
$157.66
|
| Rate for Payer: VA VA |
$156.06
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$468.18
|
|
|
HC CULTURE ID BLOOD PATHOGEN BY NUCLEIC ACID
|
Facility
|
IP
|
$624.24
|
|
|
Service Code
|
CPT 87154
|
| Hospital Charge Code |
30600329
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$405.76 |
| Max. Negotiated Rate |
$561.82 |
| Rate for Payer: Aetna Commercial |
$530.60
|
| Rate for Payer: BCBS Trust/PPO |
$509.57
|
| Rate for Payer: BCN Commercial |
$482.41
|
| Rate for Payer: Cash Price |
$499.39
|
| Rate for Payer: Cofinity Commercial |
$536.85
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$499.39
|
| Rate for Payer: Healthscope Commercial |
$561.82
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$468.18
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$530.60
|
| Rate for Payer: Nomi Health Commercial |
$511.88
|
| Rate for Payer: PHP Commercial |
$530.60
|
| Rate for Payer: Priority Health Cigna Priority Health |
$405.76
|
| Rate for Payer: Priority Health HMO/PPO |
$543.09
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$418.24
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$549.33
|
| Rate for Payer: UHC Core |
$521.24
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$468.18
|
|
|
HC CULTURE OTHER SOURCE
|
Facility
|
IP
|
$46.82
|
|
|
Service Code
|
CPT 87070
|
| Hospital Charge Code |
30600075
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$30.43 |
| Max. Negotiated Rate |
$42.14 |
| Rate for Payer: Aetna Commercial |
$39.80
|
| Rate for Payer: BCBS Trust/PPO |
$38.22
|
| Rate for Payer: BCN Commercial |
$36.18
|
| Rate for Payer: Cash Price |
$37.46
|
| Rate for Payer: Cofinity Commercial |
$40.27
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$37.46
|
| Rate for Payer: Healthscope Commercial |
$42.14
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$35.12
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$39.80
|
| Rate for Payer: Nomi Health Commercial |
$38.39
|
| Rate for Payer: PHP Commercial |
$39.80
|
| Rate for Payer: Priority Health Cigna Priority Health |
$30.43
|
| Rate for Payer: Priority Health HMO/PPO |
$40.73
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$31.37
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$41.20
|
| Rate for Payer: UHC Core |
$39.09
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$35.12
|
|
|
HC CULTURE OTHER SOURCE
|
Facility
|
OP
|
$46.82
|
|
|
Service Code
|
CPT 87070
|
| Hospital Charge Code |
30600075
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$6.23 |
| Max. Negotiated Rate |
$42.14 |
| Rate for Payer: Aetna Commercial |
$39.80
|
| Rate for Payer: Aetna Medicare |
$12.17
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$14.63
|
| Rate for Payer: Amish Plain Church Group Commercial |
$14.63
|
| Rate for Payer: BCBS Complete |
$6.54
|
| Rate for Payer: BCBS MAPPO |
$11.70
|
| Rate for Payer: BCBS Trust/PPO |
$38.49
|
| Rate for Payer: BCN Commercial |
$36.40
|
| Rate for Payer: BCN Medicare Advantage |
$11.70
|
| Rate for Payer: Cash Price |
$37.46
|
| Rate for Payer: Cash Price |
$37.46
|
| Rate for Payer: Cofinity Commercial |
$40.27
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$37.46
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$11.70
|
| Rate for Payer: Healthscope Commercial |
$42.14
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$35.12
|
| Rate for Payer: Mclaren Medicaid |
$6.23
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$12.29
|
| Rate for Payer: Meridian Medicaid |
$6.54
|
| Rate for Payer: MI Amish Medical Board Commercial |
$13.46
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$39.80
|
| Rate for Payer: Nomi Health Commercial |
$38.39
|
| Rate for Payer: PACE Senior Care Partners |
$11.12
|
| Rate for Payer: PACE SWMI |
$11.70
|
| Rate for Payer: PHP Commercial |
$39.80
|
| Rate for Payer: PHP Medicare Advantage |
$11.70
|
| Rate for Payer: Priority Health Choice Medicaid |
$6.23
|
| Rate for Payer: Priority Health Cigna Priority Health |
$30.43
|
| Rate for Payer: Priority Health HMO/PPO |
$40.73
|
| Rate for Payer: Priority Health Medicare |
$11.82
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$31.37
|
| Rate for Payer: Railroad Medicare Medicare |
$11.70
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$41.20
|
| Rate for Payer: UHC Core |
$39.09
|
| Rate for Payer: UHC Dual Complete DSNP |
$11.70
|
| Rate for Payer: UHC Exchange |
$11.70
|
| Rate for Payer: UHC Medicare Advantage |
$11.70
|
| Rate for Payer: UHCCP Medicaid |
$6.23
|
| Rate for Payer: VA VA |
$11.70
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$35.12
|
|
|
HC CULTURE SCREENING
|
Facility
|
IP
|
$26.01
|
|
|
Service Code
|
CPT 87081
|
| Hospital Charge Code |
30600079
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$16.91 |
| Max. Negotiated Rate |
$23.41 |
| Rate for Payer: Aetna Commercial |
$22.11
|
| Rate for Payer: BCBS Trust/PPO |
$21.23
|
| Rate for Payer: BCN Commercial |
$20.10
|
| Rate for Payer: Cash Price |
$20.81
|
| Rate for Payer: Cofinity Commercial |
$22.37
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$20.81
|
| Rate for Payer: Healthscope Commercial |
$23.41
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$19.51
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$22.11
|
| Rate for Payer: Nomi Health Commercial |
$21.33
|
| Rate for Payer: PHP Commercial |
$22.11
|
| Rate for Payer: Priority Health Cigna Priority Health |
$16.91
|
| Rate for Payer: Priority Health HMO/PPO |
$22.63
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$17.43
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$22.89
|
| Rate for Payer: UHC Core |
$21.72
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$19.51
|
|
|
HC CULTURE SCREENING
|
Facility
|
OP
|
$26.01
|
|
|
Service Code
|
CPT 87081
|
| Hospital Charge Code |
30600079
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$4.79 |
| Max. Negotiated Rate |
$23.41 |
| Rate for Payer: Aetna Commercial |
$22.11
|
| Rate for Payer: Aetna Medicare |
$6.76
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$8.13
|
| Rate for Payer: Amish Plain Church Group Commercial |
$8.13
|
| Rate for Payer: BCBS Complete |
$5.03
|
| Rate for Payer: BCBS MAPPO |
$6.50
|
| Rate for Payer: BCBS Trust/PPO |
$21.38
|
| Rate for Payer: BCN Commercial |
$20.22
|
| Rate for Payer: BCN Medicare Advantage |
$6.50
|
| Rate for Payer: Cash Price |
$20.81
|
| Rate for Payer: Cash Price |
$20.81
|
| Rate for Payer: Cofinity Commercial |
$22.37
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$20.81
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$6.50
|
| Rate for Payer: Healthscope Commercial |
$23.41
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$19.51
|
| Rate for Payer: Mclaren Medicaid |
$4.79
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$6.83
|
| Rate for Payer: Meridian Medicaid |
$5.03
|
| Rate for Payer: MI Amish Medical Board Commercial |
$7.48
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$22.11
|
| Rate for Payer: Nomi Health Commercial |
$21.33
|
| Rate for Payer: PACE Senior Care Partners |
$6.18
|
| Rate for Payer: PACE SWMI |
$6.50
|
| Rate for Payer: PHP Commercial |
$22.11
|
| Rate for Payer: PHP Medicare Advantage |
$6.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$4.79
|
| Rate for Payer: Priority Health Cigna Priority Health |
$16.91
|
| Rate for Payer: Priority Health HMO/PPO |
$22.63
|
| Rate for Payer: Priority Health Medicare |
$6.57
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$17.43
|
| Rate for Payer: Railroad Medicare Medicare |
$6.50
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$22.89
|
| Rate for Payer: UHC Core |
$21.72
|
| Rate for Payer: UHC Dual Complete DSNP |
$6.50
|
| Rate for Payer: UHC Exchange |
$6.50
|
| Rate for Payer: UHC Medicare Advantage |
$6.50
|
| Rate for Payer: UHCCP Medicaid |
$4.79
|
| Rate for Payer: VA VA |
$6.50
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$19.51
|
|
|
HC CUVETTE HEMOCHRON JR ACT+
|
Facility
|
IP
|
$13.01
|
|
| Hospital Charge Code |
27000657
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$8.46 |
| Max. Negotiated Rate |
$11.71 |
| Rate for Payer: Aetna Commercial |
$11.06
|
| Rate for Payer: BCBS Trust/PPO |
$10.62
|
| Rate for Payer: BCN Commercial |
$10.05
|
| Rate for Payer: Cash Price |
$10.41
|
| Rate for Payer: Cofinity Commercial |
$11.19
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$10.41
|
| Rate for Payer: Healthscope Commercial |
$11.71
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$9.76
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$11.06
|
| Rate for Payer: Nomi Health Commercial |
$10.67
|
| Rate for Payer: PHP Commercial |
$11.06
|
| Rate for Payer: Priority Health Cigna Priority Health |
$8.46
|
| Rate for Payer: Priority Health HMO/PPO |
$11.32
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$8.72
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$11.45
|
| Rate for Payer: UHC Core |
$10.86
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$9.76
|
|
|
HC CUVETTE HEMOCHRON JR ACT+
|
Facility
|
OP
|
$13.01
|
|
| Hospital Charge Code |
27000657
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$3.09 |
| Max. Negotiated Rate |
$11.71 |
| Rate for Payer: Aetna Commercial |
$11.06
|
| Rate for Payer: Aetna Medicare |
$3.38
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$4.07
|
| Rate for Payer: Amish Plain Church Group Commercial |
$4.07
|
| Rate for Payer: BCBS Complete |
$5.20
|
| Rate for Payer: BCBS MAPPO |
$3.25
|
| Rate for Payer: BCBS Trust/PPO |
$10.70
|
| Rate for Payer: BCN Commercial |
$10.12
|
| Rate for Payer: BCN Medicare Advantage |
$3.25
|
| Rate for Payer: Cash Price |
$10.41
|
| Rate for Payer: Cofinity Commercial |
$11.19
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$10.41
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$3.25
|
| Rate for Payer: Healthscope Commercial |
$11.71
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$9.76
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$3.42
|
| Rate for Payer: MI Amish Medical Board Commercial |
$3.74
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$11.06
|
| Rate for Payer: Nomi Health Commercial |
$10.67
|
| Rate for Payer: PACE Senior Care Partners |
$3.09
|
| Rate for Payer: PACE SWMI |
$3.25
|
| Rate for Payer: PHP Commercial |
$11.06
|
| Rate for Payer: PHP Medicare Advantage |
$3.25
|
| Rate for Payer: Priority Health Cigna Priority Health |
$8.46
|
| Rate for Payer: Priority Health HMO/PPO |
$11.32
|
| Rate for Payer: Priority Health Medicare |
$3.29
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$8.72
|
| Rate for Payer: Railroad Medicare Medicare |
$3.25
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$11.45
|
| Rate for Payer: UHC Core |
$10.86
|
| Rate for Payer: UHC Dual Complete DSNP |
$3.25
|
| Rate for Payer: UHC Exchange |
$3.25
|
| Rate for Payer: UHC Medicare Advantage |
$3.25
|
| Rate for Payer: VA VA |
$3.25
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$9.76
|
|
|
HC CVC ACCESS TRAY
|
Facility
|
OP
|
$134.58
|
|
| Hospital Charge Code |
27000052
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$31.96 |
| Max. Negotiated Rate |
$121.12 |
| Rate for Payer: Aetna Commercial |
$114.39
|
| Rate for Payer: Aetna Medicare |
$34.99
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$42.06
|
| Rate for Payer: Amish Plain Church Group Commercial |
$42.06
|
| Rate for Payer: BCBS Complete |
$53.83
|
| Rate for Payer: BCBS MAPPO |
$33.64
|
| Rate for Payer: BCBS Trust/PPO |
$110.64
|
| Rate for Payer: BCN Commercial |
$104.64
|
| Rate for Payer: BCN Medicare Advantage |
$33.64
|
| Rate for Payer: Cash Price |
$107.66
|
| Rate for Payer: Cofinity Commercial |
$115.74
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$107.66
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$33.64
|
| Rate for Payer: Healthscope Commercial |
$121.12
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$100.94
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$35.33
|
| Rate for Payer: MI Amish Medical Board Commercial |
$38.69
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$114.39
|
| Rate for Payer: Nomi Health Commercial |
$110.36
|
| Rate for Payer: PACE Senior Care Partners |
$31.96
|
| Rate for Payer: PACE SWMI |
$33.64
|
| Rate for Payer: PHP Commercial |
$114.39
|
| Rate for Payer: PHP Medicare Advantage |
$33.64
|
| Rate for Payer: Priority Health Cigna Priority Health |
$87.48
|
| Rate for Payer: Priority Health HMO/PPO |
$117.08
|
| Rate for Payer: Priority Health Medicare |
$33.98
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$90.17
|
| Rate for Payer: Railroad Medicare Medicare |
$33.64
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$118.43
|
| Rate for Payer: UHC Core |
$112.37
|
| Rate for Payer: UHC Dual Complete DSNP |
$33.64
|
| Rate for Payer: UHC Exchange |
$33.64
|
| Rate for Payer: UHC Medicare Advantage |
$33.64
|
| Rate for Payer: VA VA |
$33.64
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$100.94
|
|
