|
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 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 |
$1,909.16
|
| 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 |
$1,909.16
|
|
|
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 |
$1,909.16
|
| 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 |
$1,909.16
|
|
|
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 |
$231.63
|
| Rate for Payer: BCBS MAPPO |
$204.14
|
| Rate for Payer: BCBS Trust/PPO |
$671.28
|
| Rate for Payer: BCN Commercial |
$634.86
|
| Rate for Payer: BCN Medicare Advantage |
$204.14
|
| 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 |
$204.14
|
| Rate for Payer: Healthscope Commercial |
$734.89
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$612.40
|
| Rate for Payer: Mclaren Medicaid |
$220.59
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$214.34
|
| Rate for Payer: Meridian Medicaid |
$231.63
|
| 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 |
$204.14
|
| Rate for Payer: PHP Commercial |
$694.06
|
| Rate for Payer: PHP Medicare Advantage |
$204.14
|
| Rate for Payer: Priority Health Choice Medicaid |
$220.59
|
| 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 |
$204.14
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$718.56
|
| Rate for Payer: UHC Core |
$681.81
|
| Rate for Payer: UHC Dual Complete DSNP |
$204.14
|
| Rate for Payer: UHC Exchange |
$204.14
|
| Rate for Payer: UHC Medicare Advantage |
$204.14
|
| Rate for Payer: UHCCP Medicaid |
$220.59
|
| Rate for Payer: VA VA |
$204.14
|
| 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
|
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
|
|
|
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 CX ID BY PCR AMP, ENTEROBACTERIACEA
|
Facility
|
IP
|
$57.48
|
|
|
Service Code
|
CPT 87150
|
| Hospital Charge Code |
30600240
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$37.36 |
| Max. Negotiated Rate |
$51.73 |
| Rate for Payer: Aetna Commercial |
$48.86
|
| Rate for Payer: BCBS Trust/PPO |
$46.92
|
| Rate for Payer: BCN Commercial |
$44.42
|
| Rate for Payer: Cash Price |
$45.98
|
| Rate for Payer: Cofinity Commercial |
$49.43
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$45.98
|
| Rate for Payer: Healthscope Commercial |
$51.73
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$43.11
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$48.86
|
| Rate for Payer: Nomi Health Commercial |
$47.13
|
| Rate for Payer: PHP Commercial |
$48.86
|
| Rate for Payer: Priority Health Cigna Priority Health |
$37.36
|
| Rate for Payer: Priority Health HMO/PPO |
$50.01
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$38.51
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$50.58
|
| Rate for Payer: UHC Core |
$48.00
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$43.11
|
|
|
HC CX ID BY PCR AMP, ENTEROBACTERIACEA
|
Facility
|
OP
|
$57.48
|
|
|
Service Code
|
CPT 87150
|
| Hospital Charge Code |
30600240
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$13.65 |
| Max. Negotiated Rate |
$51.73 |
| Rate for Payer: Aetna Commercial |
$48.86
|
| Rate for Payer: Aetna Medicare |
$14.94
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$17.96
|
| Rate for Payer: Amish Plain Church Group Commercial |
$17.96
|
| Rate for Payer: BCBS Complete |
$26.64
|
| Rate for Payer: BCBS MAPPO |
$14.37
|
| Rate for Payer: BCBS Trust/PPO |
$47.25
|
| Rate for Payer: BCN Commercial |
$44.69
|
| Rate for Payer: BCN Medicare Advantage |
$14.37
|
| Rate for Payer: Cash Price |
$45.98
|
| Rate for Payer: Cash Price |
$45.98
|
| Rate for Payer: Cofinity Commercial |
$49.43
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$45.98
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$14.37
|
| Rate for Payer: Healthscope Commercial |
$51.73
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$43.11
|
| Rate for Payer: Mclaren Medicaid |
$25.37
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$15.09
|
| Rate for Payer: Meridian Medicaid |
$26.64
|
| Rate for Payer: MI Amish Medical Board Commercial |
$16.53
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$48.86
|
| Rate for Payer: Nomi Health Commercial |
$47.13
|
| Rate for Payer: PACE Senior Care Partners |
$13.65
|
| Rate for Payer: PACE SWMI |
$14.37
|
| Rate for Payer: PHP Commercial |
$48.86
|
| Rate for Payer: PHP Medicare Advantage |
$14.37
|
| Rate for Payer: Priority Health Choice Medicaid |
$25.37
|
| Rate for Payer: Priority Health Cigna Priority Health |
$37.36
|
| Rate for Payer: Priority Health HMO/PPO |
$50.01
|
| Rate for Payer: Priority Health Medicare |
$14.51
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$38.51
|
| Rate for Payer: Railroad Medicare Medicare |
$14.37
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$50.58
|
| Rate for Payer: UHC Core |
$48.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$14.37
|
| Rate for Payer: UHC Exchange |
$14.37
|
| Rate for Payer: UHC Medicare Advantage |
$14.37
|
| Rate for Payer: UHCCP Medicaid |
$25.37
|
| Rate for Payer: VA VA |
$14.37
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$43.11
|
|
|
HC CX ID BY PCR AMPLIFED, C GLA
|
Facility
|
OP
|
$57.48
|
|
|
Service Code
|
CPT 87150
|
| Hospital Charge Code |
30600248
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$13.65 |
| Max. Negotiated Rate |
$51.73 |
| Rate for Payer: Aetna Commercial |
$48.86
|
| Rate for Payer: Aetna Medicare |
$14.94
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$17.96
|
| Rate for Payer: Amish Plain Church Group Commercial |
$17.96
|
| Rate for Payer: BCBS Complete |
$26.64
|
| Rate for Payer: BCBS MAPPO |
$14.37
|
| Rate for Payer: BCBS Trust/PPO |
$47.25
|
| Rate for Payer: BCN Commercial |
$44.69
|
| Rate for Payer: BCN Medicare Advantage |
$14.37
|
| Rate for Payer: Cash Price |
$45.98
|
| Rate for Payer: Cash Price |
$45.98
|
| Rate for Payer: Cofinity Commercial |
$49.43
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$45.98
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$14.37
|
| Rate for Payer: Healthscope Commercial |
$51.73
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$43.11
|
| Rate for Payer: Mclaren Medicaid |
$25.37
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$15.09
|
| Rate for Payer: Meridian Medicaid |
$26.64
|
| Rate for Payer: MI Amish Medical Board Commercial |
$16.53
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$48.86
|
| Rate for Payer: Nomi Health Commercial |
$47.13
|
| Rate for Payer: PACE Senior Care Partners |
$13.65
|
| Rate for Payer: PACE SWMI |
$14.37
|
| Rate for Payer: PHP Commercial |
$48.86
|
| Rate for Payer: PHP Medicare Advantage |
$14.37
|
| Rate for Payer: Priority Health Choice Medicaid |
$25.37
|
| Rate for Payer: Priority Health Cigna Priority Health |
$37.36
|
| Rate for Payer: Priority Health HMO/PPO |
$50.01
|
| Rate for Payer: Priority Health Medicare |
$14.51
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$38.51
|
| Rate for Payer: Railroad Medicare Medicare |
$14.37
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$50.58
|
| Rate for Payer: UHC Core |
$48.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$14.37
|
| Rate for Payer: UHC Exchange |
$14.37
|
| Rate for Payer: UHC Medicare Advantage |
$14.37
|
| Rate for Payer: UHCCP Medicaid |
$25.37
|
| Rate for Payer: VA VA |
$14.37
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$43.11
|
|
|
HC CX ID BY PCR AMPLIFED, C GLA
|
Facility
|
IP
|
$57.48
|
|
|
Service Code
|
CPT 87150
|
| Hospital Charge Code |
30600248
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$37.36 |
| Max. Negotiated Rate |
$51.73 |
| Rate for Payer: Aetna Commercial |
$48.86
|
| Rate for Payer: BCBS Trust/PPO |
$46.92
|
| Rate for Payer: BCN Commercial |
$44.42
|
| Rate for Payer: Cash Price |
$45.98
|
| Rate for Payer: Cofinity Commercial |
$49.43
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$45.98
|
| Rate for Payer: Healthscope Commercial |
$51.73
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$43.11
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$48.86
|
| Rate for Payer: Nomi Health Commercial |
$47.13
|
| Rate for Payer: PHP Commercial |
$48.86
|
| Rate for Payer: Priority Health Cigna Priority Health |
$37.36
|
| Rate for Payer: Priority Health HMO/PPO |
$50.01
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$38.51
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$50.58
|
| Rate for Payer: UHC Core |
$48.00
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$43.11
|
|
|
HC CX ID BY PCR AMPLIFIED, ACIN
|
Facility
|
OP
|
$57.48
|
|
|
Service Code
|
CPT 87150
|
| Hospital Charge Code |
30600236
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$13.65 |
| Max. Negotiated Rate |
$51.73 |
| Rate for Payer: Aetna Commercial |
$48.86
|
| Rate for Payer: Aetna Medicare |
$14.94
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$17.96
|
| Rate for Payer: Amish Plain Church Group Commercial |
$17.96
|
| Rate for Payer: BCBS Complete |
$26.64
|
| Rate for Payer: BCBS MAPPO |
$14.37
|
| Rate for Payer: BCBS Trust/PPO |
$47.25
|
| Rate for Payer: BCN Commercial |
$44.69
|
| Rate for Payer: BCN Medicare Advantage |
$14.37
|
| Rate for Payer: Cash Price |
$45.98
|
| Rate for Payer: Cash Price |
$45.98
|
| Rate for Payer: Cofinity Commercial |
$49.43
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$45.98
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$14.37
|
| Rate for Payer: Healthscope Commercial |
$51.73
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$43.11
|
| Rate for Payer: Mclaren Medicaid |
$25.37
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$15.09
|
| Rate for Payer: Meridian Medicaid |
$26.64
|
| Rate for Payer: MI Amish Medical Board Commercial |
$16.53
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$48.86
|
| Rate for Payer: Nomi Health Commercial |
$47.13
|
| Rate for Payer: PACE Senior Care Partners |
$13.65
|
| Rate for Payer: PACE SWMI |
$14.37
|
| Rate for Payer: PHP Commercial |
$48.86
|
| Rate for Payer: PHP Medicare Advantage |
$14.37
|
| Rate for Payer: Priority Health Choice Medicaid |
$25.37
|
| Rate for Payer: Priority Health Cigna Priority Health |
$37.36
|
| Rate for Payer: Priority Health HMO/PPO |
$50.01
|
| Rate for Payer: Priority Health Medicare |
$14.51
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$38.51
|
| Rate for Payer: Railroad Medicare Medicare |
$14.37
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$50.58
|
| Rate for Payer: UHC Core |
$48.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$14.37
|
| Rate for Payer: UHC Exchange |
$14.37
|
| Rate for Payer: UHC Medicare Advantage |
$14.37
|
| Rate for Payer: UHCCP Medicaid |
$25.37
|
| Rate for Payer: VA VA |
$14.37
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$43.11
|
|
|
HC CX ID BY PCR AMPLIFIED, ACIN
|
Facility
|
IP
|
$57.48
|
|
|
Service Code
|
CPT 87150
|
| Hospital Charge Code |
30600236
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$37.36 |
| Max. Negotiated Rate |
$51.73 |
| Rate for Payer: Aetna Commercial |
$48.86
|
| Rate for Payer: BCBS Trust/PPO |
$46.92
|
| Rate for Payer: BCN Commercial |
$44.42
|
| Rate for Payer: Cash Price |
$45.98
|
| Rate for Payer: Cofinity Commercial |
$49.43
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$45.98
|
| Rate for Payer: Healthscope Commercial |
$51.73
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$43.11
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$48.86
|
| Rate for Payer: Nomi Health Commercial |
$47.13
|
| Rate for Payer: PHP Commercial |
$48.86
|
| Rate for Payer: Priority Health Cigna Priority Health |
$37.36
|
| Rate for Payer: Priority Health HMO/PPO |
$50.01
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$38.51
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$50.58
|
| Rate for Payer: UHC Core |
$48.00
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$43.11
|
|
|
HC CX ID BY PCR AMPLIFIED, BSA
|
Facility
|
IP
|
$57.48
|
|
|
Service Code
|
CPT 87150
|
| Hospital Charge Code |
30600235
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$37.36 |
| Max. Negotiated Rate |
$51.73 |
| Rate for Payer: Aetna Commercial |
$48.86
|
| Rate for Payer: BCBS Trust/PPO |
$46.92
|
| Rate for Payer: BCN Commercial |
$44.42
|
| Rate for Payer: Cash Price |
$45.98
|
| Rate for Payer: Cofinity Commercial |
$49.43
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$45.98
|
| Rate for Payer: Healthscope Commercial |
$51.73
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$43.11
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$48.86
|
| Rate for Payer: Nomi Health Commercial |
$47.13
|
| Rate for Payer: PHP Commercial |
$48.86
|
| Rate for Payer: Priority Health Cigna Priority Health |
$37.36
|
| Rate for Payer: Priority Health HMO/PPO |
$50.01
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$38.51
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$50.58
|
| Rate for Payer: UHC Core |
$48.00
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$43.11
|
|
|
HC CX ID BY PCR AMPLIFIED, BSA
|
Facility
|
OP
|
$57.48
|
|
|
Service Code
|
CPT 87150
|
| Hospital Charge Code |
30600235
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$13.65 |
| Max. Negotiated Rate |
$51.73 |
| Rate for Payer: Aetna Commercial |
$48.86
|
| Rate for Payer: Aetna Medicare |
$14.94
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$17.96
|
| Rate for Payer: Amish Plain Church Group Commercial |
$17.96
|
| Rate for Payer: BCBS Complete |
$26.64
|
| Rate for Payer: BCBS MAPPO |
$14.37
|
| Rate for Payer: BCBS Trust/PPO |
$47.25
|
| Rate for Payer: BCN Commercial |
$44.69
|
| Rate for Payer: BCN Medicare Advantage |
$14.37
|
| Rate for Payer: Cash Price |
$45.98
|
| Rate for Payer: Cash Price |
$45.98
|
| Rate for Payer: Cofinity Commercial |
$49.43
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$45.98
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$14.37
|
| Rate for Payer: Healthscope Commercial |
$51.73
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$43.11
|
| Rate for Payer: Mclaren Medicaid |
$25.37
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$15.09
|
| Rate for Payer: Meridian Medicaid |
$26.64
|
| Rate for Payer: MI Amish Medical Board Commercial |
$16.53
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$48.86
|
| Rate for Payer: Nomi Health Commercial |
$47.13
|
| Rate for Payer: PACE Senior Care Partners |
$13.65
|
| Rate for Payer: PACE SWMI |
$14.37
|
| Rate for Payer: PHP Commercial |
$48.86
|
| Rate for Payer: PHP Medicare Advantage |
$14.37
|
| Rate for Payer: Priority Health Choice Medicaid |
$25.37
|
| Rate for Payer: Priority Health Cigna Priority Health |
$37.36
|
| Rate for Payer: Priority Health HMO/PPO |
$50.01
|
| Rate for Payer: Priority Health Medicare |
$14.51
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$38.51
|
| Rate for Payer: Railroad Medicare Medicare |
$14.37
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$50.58
|
| Rate for Payer: UHC Core |
$48.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$14.37
|
| Rate for Payer: UHC Exchange |
$14.37
|
| Rate for Payer: UHC Medicare Advantage |
$14.37
|
| Rate for Payer: UHCCP Medicaid |
$25.37
|
| Rate for Payer: VA VA |
$14.37
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$43.11
|
|
|
HC CX ID BY PCR AMPLIFIED, BSB
|
Facility
|
OP
|
$57.48
|
|
|
Service Code
|
CPT 87150
|
| Hospital Charge Code |
30600234
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$13.65 |
| Max. Negotiated Rate |
$51.73 |
| Rate for Payer: Aetna Commercial |
$48.86
|
| Rate for Payer: Aetna Medicare |
$14.94
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$17.96
|
| Rate for Payer: Amish Plain Church Group Commercial |
$17.96
|
| Rate for Payer: BCBS Complete |
$26.64
|
| Rate for Payer: BCBS MAPPO |
$14.37
|
| Rate for Payer: BCBS Trust/PPO |
$47.25
|
| Rate for Payer: BCN Commercial |
$44.69
|
| Rate for Payer: BCN Medicare Advantage |
$14.37
|
| Rate for Payer: Cash Price |
$45.98
|
| Rate for Payer: Cash Price |
$45.98
|
| Rate for Payer: Cofinity Commercial |
$49.43
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$45.98
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$14.37
|
| Rate for Payer: Healthscope Commercial |
$51.73
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$43.11
|
| Rate for Payer: Mclaren Medicaid |
$25.37
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$15.09
|
| Rate for Payer: Meridian Medicaid |
$26.64
|
| Rate for Payer: MI Amish Medical Board Commercial |
$16.53
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$48.86
|
| Rate for Payer: Nomi Health Commercial |
$47.13
|
| Rate for Payer: PACE Senior Care Partners |
$13.65
|
| Rate for Payer: PACE SWMI |
$14.37
|
| Rate for Payer: PHP Commercial |
$48.86
|
| Rate for Payer: PHP Medicare Advantage |
$14.37
|
| Rate for Payer: Priority Health Choice Medicaid |
$25.37
|
| Rate for Payer: Priority Health Cigna Priority Health |
$37.36
|
| Rate for Payer: Priority Health HMO/PPO |
$50.01
|
| Rate for Payer: Priority Health Medicare |
$14.51
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$38.51
|
| Rate for Payer: Railroad Medicare Medicare |
$14.37
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$50.58
|
| Rate for Payer: UHC Core |
$48.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$14.37
|
| Rate for Payer: UHC Exchange |
$14.37
|
| Rate for Payer: UHC Medicare Advantage |
$14.37
|
| Rate for Payer: UHCCP Medicaid |
$25.37
|
| Rate for Payer: VA VA |
$14.37
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$43.11
|
|
|
HC CX ID BY PCR AMPLIFIED, BSB
|
Facility
|
IP
|
$57.48
|
|
|
Service Code
|
CPT 87150
|
| Hospital Charge Code |
30600234
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$37.36 |
| Max. Negotiated Rate |
$51.73 |
| Rate for Payer: Aetna Commercial |
$48.86
|
| Rate for Payer: BCBS Trust/PPO |
$46.92
|
| Rate for Payer: BCN Commercial |
$44.42
|
| Rate for Payer: Cash Price |
$45.98
|
| Rate for Payer: Cofinity Commercial |
$49.43
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$45.98
|
| Rate for Payer: Healthscope Commercial |
$51.73
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$43.11
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$48.86
|
| Rate for Payer: Nomi Health Commercial |
$47.13
|
| Rate for Payer: PHP Commercial |
$48.86
|
| Rate for Payer: Priority Health Cigna Priority Health |
$37.36
|
| Rate for Payer: Priority Health HMO/PPO |
$50.01
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$38.51
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$50.58
|
| Rate for Payer: UHC Core |
$48.00
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$43.11
|
|
|
HC CX ID BY PCR AMPLIFIED, C ALB
|
Facility
|
OP
|
$57.48
|
|
|
Service Code
|
CPT 87150
|
| Hospital Charge Code |
30600247
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$13.65 |
| Max. Negotiated Rate |
$51.73 |
| Rate for Payer: Aetna Commercial |
$48.86
|
| Rate for Payer: Aetna Medicare |
$14.94
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$17.96
|
| Rate for Payer: Amish Plain Church Group Commercial |
$17.96
|
| Rate for Payer: BCBS Complete |
$26.64
|
| Rate for Payer: BCBS MAPPO |
$14.37
|
| Rate for Payer: BCBS Trust/PPO |
$47.25
|
| Rate for Payer: BCN Commercial |
$44.69
|
| Rate for Payer: BCN Medicare Advantage |
$14.37
|
| Rate for Payer: Cash Price |
$45.98
|
| Rate for Payer: Cash Price |
$45.98
|
| Rate for Payer: Cofinity Commercial |
$49.43
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$45.98
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$14.37
|
| Rate for Payer: Healthscope Commercial |
$51.73
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$43.11
|
| Rate for Payer: Mclaren Medicaid |
$25.37
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$15.09
|
| Rate for Payer: Meridian Medicaid |
$26.64
|
| Rate for Payer: MI Amish Medical Board Commercial |
$16.53
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$48.86
|
| Rate for Payer: Nomi Health Commercial |
$47.13
|
| Rate for Payer: PACE Senior Care Partners |
$13.65
|
| Rate for Payer: PACE SWMI |
$14.37
|
| Rate for Payer: PHP Commercial |
$48.86
|
| Rate for Payer: PHP Medicare Advantage |
$14.37
|
| Rate for Payer: Priority Health Choice Medicaid |
$25.37
|
| Rate for Payer: Priority Health Cigna Priority Health |
$37.36
|
| Rate for Payer: Priority Health HMO/PPO |
$50.01
|
| Rate for Payer: Priority Health Medicare |
$14.51
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$38.51
|
| Rate for Payer: Railroad Medicare Medicare |
$14.37
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$50.58
|
| Rate for Payer: UHC Core |
$48.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$14.37
|
| Rate for Payer: UHC Exchange |
$14.37
|
| Rate for Payer: UHC Medicare Advantage |
$14.37
|
| Rate for Payer: UHCCP Medicaid |
$25.37
|
| Rate for Payer: VA VA |
$14.37
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$43.11
|
|
|
HC CX ID BY PCR AMPLIFIED, C ALB
|
Facility
|
IP
|
$57.48
|
|
|
Service Code
|
CPT 87150
|
| Hospital Charge Code |
30600247
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$37.36 |
| Max. Negotiated Rate |
$51.73 |
| Rate for Payer: Aetna Commercial |
$48.86
|
| Rate for Payer: BCBS Trust/PPO |
$46.92
|
| Rate for Payer: BCN Commercial |
$44.42
|
| Rate for Payer: Cash Price |
$45.98
|
| Rate for Payer: Cofinity Commercial |
$49.43
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$45.98
|
| Rate for Payer: Healthscope Commercial |
$51.73
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$43.11
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$48.86
|
| Rate for Payer: Nomi Health Commercial |
$47.13
|
| Rate for Payer: PHP Commercial |
$48.86
|
| Rate for Payer: Priority Health Cigna Priority Health |
$37.36
|
| Rate for Payer: Priority Health HMO/PPO |
$50.01
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$38.51
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$50.58
|
| Rate for Payer: UHC Core |
$48.00
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$43.11
|
|
|
HC CX ID BY PCR AMPLIFIED, C KRU
|
Facility
|
OP
|
$57.48
|
|
|
Service Code
|
CPT 87150
|
| Hospital Charge Code |
30600249
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$13.65 |
| Max. Negotiated Rate |
$51.73 |
| Rate for Payer: Aetna Commercial |
$48.86
|
| Rate for Payer: Aetna Medicare |
$14.94
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$17.96
|
| Rate for Payer: Amish Plain Church Group Commercial |
$17.96
|
| Rate for Payer: BCBS Complete |
$26.64
|
| Rate for Payer: BCBS MAPPO |
$14.37
|
| Rate for Payer: BCBS Trust/PPO |
$47.25
|
| Rate for Payer: BCN Commercial |
$44.69
|
| Rate for Payer: BCN Medicare Advantage |
$14.37
|
| Rate for Payer: Cash Price |
$45.98
|
| Rate for Payer: Cash Price |
$45.98
|
| Rate for Payer: Cofinity Commercial |
$49.43
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$45.98
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$14.37
|
| Rate for Payer: Healthscope Commercial |
$51.73
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$43.11
|
| Rate for Payer: Mclaren Medicaid |
$25.37
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$15.09
|
| Rate for Payer: Meridian Medicaid |
$26.64
|
| Rate for Payer: MI Amish Medical Board Commercial |
$16.53
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$48.86
|
| Rate for Payer: Nomi Health Commercial |
$47.13
|
| Rate for Payer: PACE Senior Care Partners |
$13.65
|
| Rate for Payer: PACE SWMI |
$14.37
|
| Rate for Payer: PHP Commercial |
$48.86
|
| Rate for Payer: PHP Medicare Advantage |
$14.37
|
| Rate for Payer: Priority Health Choice Medicaid |
$25.37
|
| Rate for Payer: Priority Health Cigna Priority Health |
$37.36
|
| Rate for Payer: Priority Health HMO/PPO |
$50.01
|
| Rate for Payer: Priority Health Medicare |
$14.51
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$38.51
|
| Rate for Payer: Railroad Medicare Medicare |
$14.37
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$50.58
|
| Rate for Payer: UHC Core |
$48.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$14.37
|
| Rate for Payer: UHC Exchange |
$14.37
|
| Rate for Payer: UHC Medicare Advantage |
$14.37
|
| Rate for Payer: UHCCP Medicaid |
$25.37
|
| Rate for Payer: VA VA |
$14.37
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$43.11
|
|
|
HC CX ID BY PCR AMPLIFIED, C KRU
|
Facility
|
IP
|
$57.48
|
|
|
Service Code
|
CPT 87150
|
| Hospital Charge Code |
30600249
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$37.36 |
| Max. Negotiated Rate |
$51.73 |
| Rate for Payer: Aetna Commercial |
$48.86
|
| Rate for Payer: BCBS Trust/PPO |
$46.92
|
| Rate for Payer: BCN Commercial |
$44.42
|
| Rate for Payer: Cash Price |
$45.98
|
| Rate for Payer: Cofinity Commercial |
$49.43
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$45.98
|
| Rate for Payer: Healthscope Commercial |
$51.73
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$43.11
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$48.86
|
| Rate for Payer: Nomi Health Commercial |
$47.13
|
| Rate for Payer: PHP Commercial |
$48.86
|
| Rate for Payer: Priority Health Cigna Priority Health |
$37.36
|
| Rate for Payer: Priority Health HMO/PPO |
$50.01
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$38.51
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$50.58
|
| Rate for Payer: UHC Core |
$48.00
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$43.11
|
|
|
HC CX ID BY PCR AMPLIFIED, C PARA
|
Facility
|
OP
|
$57.48
|
|
|
Service Code
|
CPT 87150
|
| Hospital Charge Code |
30600250
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$13.65 |
| Max. Negotiated Rate |
$51.73 |
| Rate for Payer: Aetna Commercial |
$48.86
|
| Rate for Payer: Aetna Medicare |
$14.94
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$17.96
|
| Rate for Payer: Amish Plain Church Group Commercial |
$17.96
|
| Rate for Payer: BCBS Complete |
$26.64
|
| Rate for Payer: BCBS MAPPO |
$14.37
|
| Rate for Payer: BCBS Trust/PPO |
$47.25
|
| Rate for Payer: BCN Commercial |
$44.69
|
| Rate for Payer: BCN Medicare Advantage |
$14.37
|
| Rate for Payer: Cash Price |
$45.98
|
| Rate for Payer: Cash Price |
$45.98
|
| Rate for Payer: Cofinity Commercial |
$49.43
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$45.98
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$14.37
|
| Rate for Payer: Healthscope Commercial |
$51.73
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$43.11
|
| Rate for Payer: Mclaren Medicaid |
$25.37
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$15.09
|
| Rate for Payer: Meridian Medicaid |
$26.64
|
| Rate for Payer: MI Amish Medical Board Commercial |
$16.53
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$48.86
|
| Rate for Payer: Nomi Health Commercial |
$47.13
|
| Rate for Payer: PACE Senior Care Partners |
$13.65
|
| Rate for Payer: PACE SWMI |
$14.37
|
| Rate for Payer: PHP Commercial |
$48.86
|
| Rate for Payer: PHP Medicare Advantage |
$14.37
|
| Rate for Payer: Priority Health Choice Medicaid |
$25.37
|
| Rate for Payer: Priority Health Cigna Priority Health |
$37.36
|
| Rate for Payer: Priority Health HMO/PPO |
$50.01
|
| Rate for Payer: Priority Health Medicare |
$14.51
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$38.51
|
| Rate for Payer: Railroad Medicare Medicare |
$14.37
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$50.58
|
| Rate for Payer: UHC Core |
$48.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$14.37
|
| Rate for Payer: UHC Exchange |
$14.37
|
| Rate for Payer: UHC Medicare Advantage |
$14.37
|
| Rate for Payer: UHCCP Medicaid |
$25.37
|
| Rate for Payer: VA VA |
$14.37
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$43.11
|
|
|
HC CX ID BY PCR AMPLIFIED, C PARA
|
Facility
|
IP
|
$57.48
|
|
|
Service Code
|
CPT 87150
|
| Hospital Charge Code |
30600250
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$37.36 |
| Max. Negotiated Rate |
$51.73 |
| Rate for Payer: Aetna Commercial |
$48.86
|
| Rate for Payer: BCBS Trust/PPO |
$46.92
|
| Rate for Payer: BCN Commercial |
$44.42
|
| Rate for Payer: Cash Price |
$45.98
|
| Rate for Payer: Cofinity Commercial |
$49.43
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$45.98
|
| Rate for Payer: Healthscope Commercial |
$51.73
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$43.11
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$48.86
|
| Rate for Payer: Nomi Health Commercial |
$47.13
|
| Rate for Payer: PHP Commercial |
$48.86
|
| Rate for Payer: Priority Health Cigna Priority Health |
$37.36
|
| Rate for Payer: Priority Health HMO/PPO |
$50.01
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$38.51
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$50.58
|
| Rate for Payer: UHC Core |
$48.00
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$43.11
|
|
