|
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 |
$10.41
|
| Rate for Payer: BCBS Trust/PPO |
$34.25
|
| Rate for Payer: BCN Commercial |
$32.39
|
| Rate for Payer: BCN Medicare Advantage |
$10.41
|
| 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 |
$10.41
|
| Rate for Payer: Healthscope Commercial |
$37.49
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$31.25
|
| 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 |
$10.41
|
| Rate for Payer: PHP Commercial |
$35.41
|
| Rate for Payer: PHP Medicare Advantage |
$10.41
|
| 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 |
$10.41
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$36.66
|
| Rate for Payer: UHC Core |
$34.79
|
| Rate for Payer: UHC Dual Complete DSNP |
$10.41
|
| Rate for Payer: UHC Exchange |
$10.41
|
| Rate for Payer: UHC Medicare Advantage |
$10.41
|
| Rate for Payer: UHCCP Medicaid |
$6.83
|
| Rate for Payer: VA VA |
$10.41
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$31.25
|
|
|
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 |
$14.09 |
| 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 |
$14.09
|
| 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 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 |
$14.09 |
| 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 |
$14.09
|
| 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 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 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 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 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 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 |
$195.07
|
| Rate for Payer: Amish Plain Church Group Commercial |
$195.07
|
| 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 |
$11.71
|
| Rate for Payer: BCBS Trust/PPO |
$38.49
|
| Rate for Payer: BCN Commercial |
$36.40
|
| Rate for Payer: BCN Medicare Advantage |
$11.71
|
| 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 |
$11.71
|
| 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 |
$11.71
|
| Rate for Payer: PHP Commercial |
$39.80
|
| Rate for Payer: PHP Medicare Advantage |
$11.71
|
| 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 |
$11.71
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$41.20
|
| Rate for Payer: UHC Core |
$39.09
|
| Rate for Payer: UHC Dual Complete DSNP |
$11.71
|
| Rate for Payer: UHC Exchange |
$11.71
|
| Rate for Payer: UHC Medicare Advantage |
$11.71
|
| Rate for Payer: UHCCP Medicaid |
$6.23
|
| Rate for Payer: VA VA |
$11.71
|
| 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
|
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 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 CVC ACCESS TRAY
|
Facility
|
IP
|
$134.58
|
|
| Hospital Charge Code |
27000052
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$87.48 |
| Max. Negotiated Rate |
$121.12 |
| Rate for Payer: Aetna Commercial |
$114.39
|
| Rate for Payer: BCBS Trust/PPO |
$109.86
|
| Rate for Payer: BCN Commercial |
$104.00
|
| 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: Healthscope Commercial |
$121.12
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$100.94
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$114.39
|
| Rate for Payer: Nomi Health Commercial |
$110.36
|
| Rate for Payer: PHP Commercial |
$114.39
|
| Rate for Payer: Priority Health Cigna Priority Health |
$87.48
|
| Rate for Payer: Priority Health HMO/PPO |
$117.08
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$90.17
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$118.43
|
| Rate for Payer: UHC Core |
$112.37
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$100.94
|
|
|
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 |
$33.65
|
| Rate for Payer: BCBS Trust/PPO |
$110.64
|
| Rate for Payer: BCN Commercial |
$104.64
|
| Rate for Payer: BCN Medicare Advantage |
$33.65
|
| 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 |
$33.65
|
| 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 |
$33.65
|
| Rate for Payer: PHP Commercial |
$114.39
|
| Rate for Payer: PHP Medicare Advantage |
$33.65
|
| 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 |
$33.65
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$118.43
|
| Rate for Payer: UHC Core |
$112.37
|
| Rate for Payer: UHC Dual Complete DSNP |
$33.65
|
| Rate for Payer: UHC Exchange |
$33.65
|
| Rate for Payer: UHC Medicare Advantage |
$33.65
|
| Rate for Payer: VA VA |
$33.65
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$100.94
|
|
|
HC CVC INSERT
|
Facility
|
IP
|
$2,545.54
|
|
| Hospital Charge Code |
45000036
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$1,654.60 |
| Max. Negotiated Rate |
$2,290.99 |
| Rate for Payer: Aetna Commercial |
$2,163.71
|
| Rate for Payer: BCBS Trust/PPO |
$2,077.92
|
| Rate for Payer: BCN Commercial |
$1,967.19
|
| Rate for Payer: Cash Price |
$2,036.43
|
| Rate for Payer: Cofinity Commercial |
$2,189.16
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,036.43
|
| Rate for Payer: Healthscope Commercial |
$2,290.99
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,909.15
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,163.71
|
| Rate for Payer: Nomi Health Commercial |
$2,087.34
|
| Rate for Payer: PHP Commercial |
$2,163.71
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,654.60
|
| Rate for Payer: Priority Health HMO/PPO |
$2,214.62
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,705.51
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,240.08
|
| Rate for Payer: UHC Core |
$2,125.53
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,909.15
|
|
|
HC CVC INSERT
|
Facility
|
OP
|
$2,545.54
|
|
| Hospital Charge Code |
45000036
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$604.57 |
| Max. Negotiated Rate |
$2,290.99 |
| Rate for Payer: Aetna Commercial |
$2,163.71
|
| Rate for Payer: Aetna Medicare |
$661.84
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$795.48
|
| Rate for Payer: Amish Plain Church Group Commercial |
$795.48
|
| Rate for Payer: BCBS Complete |
$1,018.22
|
| Rate for Payer: BCBS MAPPO |
$636.38
|
| Rate for Payer: BCBS Trust/PPO |
$2,092.69
|
| Rate for Payer: BCN Commercial |
$1,979.16
|
| Rate for Payer: BCN Medicare Advantage |
$636.38
|
| Rate for Payer: Cash Price |
$2,036.43
|
| Rate for Payer: Cofinity Commercial |
$2,189.16
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,036.43
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$636.38
|
| Rate for Payer: Healthscope Commercial |
$2,290.99
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,909.15
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$668.20
|
| Rate for Payer: MI Amish Medical Board Commercial |
$731.84
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,163.71
|
| Rate for Payer: Nomi Health Commercial |
$2,087.34
|
| Rate for Payer: PACE Senior Care Partners |
$604.57
|
| Rate for Payer: PACE SWMI |
$636.38
|
| Rate for Payer: PHP Commercial |
$2,163.71
|
| Rate for Payer: PHP Medicare Advantage |
$636.38
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,654.60
|
| Rate for Payer: Priority Health HMO/PPO |
$2,214.62
|
| Rate for Payer: Priority Health Medicare |
$642.75
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,705.51
|
| Rate for Payer: Railroad Medicare Medicare |
$636.38
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,240.08
|
| Rate for Payer: UHC Core |
$2,125.53
|
| Rate for Payer: UHC Dual Complete DSNP |
$636.38
|
| Rate for Payer: UHC Exchange |
$636.38
|
| Rate for Payer: UHC Medicare Advantage |
$636.38
|
| Rate for Payer: VA VA |
$636.38
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,909.15
|
|
|
HC CVS PSEUDOANEURYSM COMPRESSION
|
Facility
|
OP
|
$816.54
|
|
|
Service Code
|
CPT 76936
|
| Hospital Charge Code |
40200042
|
|
Hospital Revenue Code
|
402
|
| Min. Negotiated Rate |
$193.93 |
| Max. Negotiated Rate |
$734.89 |
| Rate for Payer: Aetna Commercial |
$694.06
|
| Rate for Payer: Aetna Medicare |
$212.30
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$255.17
|
| Rate for Payer: Amish Plain Church Group Commercial |
$255.17
|
| Rate for Payer: BCBS Complete |
$236.41
|
| Rate for Payer: BCBS MAPPO |
$204.13
|
| Rate for Payer: BCBS Trust/PPO |
$671.28
|
| Rate for Payer: BCN Commercial |
$634.86
|
| Rate for Payer: BCN Medicare Advantage |
$204.13
|
| Rate for Payer: Cash Price |
$653.23
|
| Rate for Payer: Cash Price |
$653.23
|
| Rate for Payer: Cofinity Commercial |
$702.22
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$653.23
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$204.13
|
| Rate for Payer: Healthscope Commercial |
$734.89
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$612.40
|
| Rate for Payer: Mclaren Medicaid |
$225.14
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$214.34
|
| Rate for Payer: Meridian Medicaid |
$236.41
|
| Rate for Payer: MI Amish Medical Board Commercial |
$234.76
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$694.06
|
| Rate for Payer: Nomi Health Commercial |
$669.56
|
| Rate for Payer: PACE Senior Care Partners |
$193.93
|
| Rate for Payer: PACE SWMI |
$204.13
|
| Rate for Payer: PHP Commercial |
$694.06
|
| Rate for Payer: PHP Medicare Advantage |
$204.13
|
| Rate for Payer: Priority Health Choice Medicaid |
$225.14
|
| Rate for Payer: Priority Health Cigna Priority Health |
$530.75
|
| Rate for Payer: Priority Health HMO/PPO |
$710.39
|
| Rate for Payer: Priority Health Medicare |
$206.18
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$547.08
|
| Rate for Payer: Railroad Medicare Medicare |
$204.13
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$718.56
|
| Rate for Payer: UHC Core |
$681.81
|
| Rate for Payer: UHC Dual Complete DSNP |
$204.13
|
| Rate for Payer: UHC Exchange |
$204.13
|
| Rate for Payer: UHC Medicare Advantage |
$204.13
|
| Rate for Payer: UHCCP Medicaid |
$225.14
|
| Rate for Payer: VA VA |
$204.13
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$612.40
|
|
|
HC CVS PSEUDOANEURYSM COMPRESSION
|
Facility
|
IP
|
$816.54
|
|
|
Service Code
|
CPT 76936
|
| Hospital Charge Code |
40200042
|
|
Hospital Revenue Code
|
402
|
| Min. Negotiated Rate |
$530.75 |
| Max. Negotiated Rate |
$734.89 |
| Rate for Payer: Aetna Commercial |
$694.06
|
| Rate for Payer: BCBS Trust/PPO |
$666.54
|
| Rate for Payer: BCN Commercial |
$631.02
|
| Rate for Payer: Cash Price |
$653.23
|
| Rate for Payer: Cofinity Commercial |
$702.22
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$653.23
|
| Rate for Payer: Healthscope Commercial |
$734.89
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$612.40
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$694.06
|
| Rate for Payer: Nomi Health Commercial |
$669.56
|
| Rate for Payer: PHP Commercial |
$694.06
|
| Rate for Payer: Priority Health Cigna Priority Health |
$530.75
|
| Rate for Payer: Priority Health HMO/PPO |
$710.39
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$547.08
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$718.56
|
| Rate for Payer: UHC Core |
$681.81
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$612.40
|
|
|
HC CVVHD INSERTION
|
Facility
|
IP
|
$416.84
|
|
| Hospital Charge Code |
27000053
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$270.95 |
| Max. Negotiated Rate |
$375.16 |
| Rate for Payer: Aetna Commercial |
$354.31
|
| Rate for Payer: BCBS Trust/PPO |
$340.27
|
| Rate for Payer: BCN Commercial |
$322.13
|
| Rate for Payer: Cash Price |
$333.47
|
| Rate for Payer: Cofinity Commercial |
$358.48
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$333.47
|
| Rate for Payer: Healthscope Commercial |
$375.16
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$312.63
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$354.31
|
| Rate for Payer: Nomi Health Commercial |
$341.81
|
| Rate for Payer: PHP Commercial |
$354.31
|
| Rate for Payer: Priority Health Cigna Priority Health |
$270.95
|
| Rate for Payer: Priority Health HMO/PPO |
$362.65
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$279.28
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$366.82
|
| Rate for Payer: UHC Core |
$348.06
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$312.63
|
|
|
HC CVVHD INSERTION
|
Facility
|
OP
|
$416.84
|
|
| Hospital Charge Code |
27000053
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$99.00 |
| Max. Negotiated Rate |
$375.16 |
| Rate for Payer: Aetna Commercial |
$354.31
|
| Rate for Payer: Aetna Medicare |
$108.38
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$130.26
|
| Rate for Payer: Amish Plain Church Group Commercial |
$130.26
|
| Rate for Payer: BCBS Complete |
$166.74
|
| Rate for Payer: BCBS MAPPO |
$104.21
|
| Rate for Payer: BCBS Trust/PPO |
$342.68
|
| Rate for Payer: BCN Commercial |
$324.09
|
| Rate for Payer: BCN Medicare Advantage |
$104.21
|
| Rate for Payer: Cash Price |
$333.47
|
| Rate for Payer: Cofinity Commercial |
$358.48
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$333.47
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$104.21
|
| Rate for Payer: Healthscope Commercial |
$375.16
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$312.63
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$109.42
|
| Rate for Payer: MI Amish Medical Board Commercial |
$119.84
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$354.31
|
| Rate for Payer: Nomi Health Commercial |
$341.81
|
| Rate for Payer: PACE Senior Care Partners |
$99.00
|
| Rate for Payer: PACE SWMI |
$104.21
|
| Rate for Payer: PHP Commercial |
$354.31
|
| Rate for Payer: PHP Medicare Advantage |
$104.21
|
| Rate for Payer: Priority Health Cigna Priority Health |
$270.95
|
| Rate for Payer: Priority Health HMO/PPO |
$362.65
|
| Rate for Payer: Priority Health Medicare |
$105.25
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$279.28
|
| Rate for Payer: Railroad Medicare Medicare |
$104.21
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$366.82
|
| Rate for Payer: UHC Core |
$348.06
|
| Rate for Payer: UHC Dual Complete DSNP |
$104.21
|
| Rate for Payer: UHC Exchange |
$104.21
|
| Rate for Payer: UHC Medicare Advantage |
$104.21
|
| Rate for Payer: VA VA |
$104.21
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$312.63
|
|
|
HC CVVH SUBSEQUENT CARTRIDGE
|
Facility
|
IP
|
$631.45
|
|
| Hospital Charge Code |
27000611
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$410.44 |
| Max. Negotiated Rate |
$568.30 |
| Rate for Payer: Aetna Commercial |
$536.73
|
| Rate for Payer: BCBS Trust/PPO |
$515.45
|
| Rate for Payer: BCN Commercial |
$487.98
|
| Rate for Payer: Cash Price |
$505.16
|
| Rate for Payer: Cofinity Commercial |
$543.05
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$505.16
|
| Rate for Payer: Healthscope Commercial |
$568.30
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$473.59
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$536.73
|
| Rate for Payer: Nomi Health Commercial |
$517.79
|
| Rate for Payer: PHP Commercial |
$536.73
|
| Rate for Payer: Priority Health Cigna Priority Health |
$410.44
|
| Rate for Payer: Priority Health HMO/PPO |
$549.36
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$423.07
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$555.68
|
| Rate for Payer: UHC Core |
$527.26
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$473.59
|
|
|
HC CVVH SUBSEQUENT CARTRIDGE
|
Facility
|
OP
|
$631.45
|
|
| Hospital Charge Code |
27000611
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$149.97 |
| Max. Negotiated Rate |
$568.30 |
| Rate for Payer: Aetna Commercial |
$536.73
|
| Rate for Payer: Aetna Medicare |
$164.18
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$197.33
|
| Rate for Payer: Amish Plain Church Group Commercial |
$197.33
|
| Rate for Payer: BCBS Complete |
$252.58
|
| Rate for Payer: BCBS MAPPO |
$157.86
|
| Rate for Payer: BCBS Trust/PPO |
$519.12
|
| Rate for Payer: BCN Commercial |
$490.95
|
| Rate for Payer: BCN Medicare Advantage |
$157.86
|
| Rate for Payer: Cash Price |
$505.16
|
| Rate for Payer: Cofinity Commercial |
$543.05
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$505.16
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$157.86
|
| Rate for Payer: Healthscope Commercial |
$568.30
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$473.59
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$165.76
|
| Rate for Payer: MI Amish Medical Board Commercial |
$181.54
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$536.73
|
| Rate for Payer: Nomi Health Commercial |
$517.79
|
| Rate for Payer: PACE Senior Care Partners |
$149.97
|
| Rate for Payer: PACE SWMI |
$157.86
|
| Rate for Payer: PHP Commercial |
$536.73
|
| Rate for Payer: PHP Medicare Advantage |
$157.86
|
| Rate for Payer: Priority Health Cigna Priority Health |
$410.44
|
| Rate for Payer: Priority Health HMO/PPO |
$549.36
|
| Rate for Payer: Priority Health Medicare |
$159.44
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$423.07
|
| Rate for Payer: Railroad Medicare Medicare |
$157.86
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$555.68
|
| Rate for Payer: UHC Core |
$527.26
|
| Rate for Payer: UHC Dual Complete DSNP |
$157.86
|
| Rate for Payer: UHC Exchange |
$157.86
|
| Rate for Payer: UHC Medicare Advantage |
$157.86
|
| Rate for Payer: VA VA |
$157.86
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$473.59
|
|
