|
HC CX ID BY PCR AMPLIFIED, C TROP
|
Facility
|
OP
|
$57.48
|
|
|
Service Code
|
CPT 87150
|
| Hospital Charge Code |
30600251
|
|
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 TROP
|
Facility
|
IP
|
$57.48
|
|
|
Service Code
|
CPT 87150
|
| Hospital Charge Code |
30600251
|
|
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, E CLOACAE
|
Facility
|
IP
|
$57.48
|
|
|
Service Code
|
CPT 87150
|
| Hospital Charge Code |
30600241
|
|
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, E CLOACAE
|
Facility
|
OP
|
$57.48
|
|
|
Service Code
|
CPT 87150
|
| Hospital Charge Code |
30600241
|
|
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, E COLI
|
Facility
|
IP
|
$57.48
|
|
|
Service Code
|
CPT 87150
|
| Hospital Charge Code |
30600242
|
|
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, E COLI
|
Facility
|
OP
|
$57.48
|
|
|
Service Code
|
CPT 87150
|
| Hospital Charge Code |
30600242
|
|
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, ENTERO
|
Facility
|
OP
|
$57.48
|
|
|
Service Code
|
CPT 87150
|
| Hospital Charge Code |
30600230
|
|
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, ENTERO
|
Facility
|
IP
|
$57.48
|
|
|
Service Code
|
CPT 87150
|
| Hospital Charge Code |
30600230
|
|
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, H FLU
|
Facility
|
IP
|
$57.48
|
|
|
Service Code
|
CPT 87150
|
| Hospital Charge Code |
30600237
|
|
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, H FLU
|
Facility
|
OP
|
$57.48
|
|
|
Service Code
|
CPT 87150
|
| Hospital Charge Code |
30600237
|
|
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, K OXY
|
Facility
|
OP
|
$57.48
|
|
|
Service Code
|
CPT 87150
|
| Hospital Charge Code |
30600243
|
|
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, K OXY
|
Facility
|
IP
|
$57.48
|
|
|
Service Code
|
CPT 87150
|
| Hospital Charge Code |
30600243
|
|
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, KPC
|
Facility
|
IP
|
$57.48
|
|
|
Service Code
|
CPT 87150
|
| Hospital Charge Code |
30600254
|
|
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, KPC
|
Facility
|
OP
|
$57.48
|
|
|
Service Code
|
CPT 87150
|
| Hospital Charge Code |
30600254
|
|
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, K PNEUMO
|
Facility
|
OP
|
$57.48
|
|
|
Service Code
|
CPT 87150
|
| Hospital Charge Code |
30600244
|
|
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, K PNEUMO
|
Facility
|
IP
|
$57.48
|
|
|
Service Code
|
CPT 87150
|
| Hospital Charge Code |
30600244
|
|
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, LISTERIA
|
Facility
|
OP
|
$57.48
|
|
|
Service Code
|
CPT 87150
|
| Hospital Charge Code |
30600231
|
|
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, LISTERIA
|
Facility
|
IP
|
$57.48
|
|
|
Service Code
|
CPT 87150
|
| Hospital Charge Code |
30600231
|
|
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, MECA
|
Facility
|
IP
|
$57.48
|
|
|
Service Code
|
CPT 87150
|
| Hospital Charge Code |
30600252
|
|
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, MECA
|
Facility
|
OP
|
$57.48
|
|
|
Service Code
|
CPT 87150
|
| Hospital Charge Code |
30600252
|
|
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, N MEN
|
Facility
|
IP
|
$57.48
|
|
|
Service Code
|
CPT 87150
|
| Hospital Charge Code |
30600238
|
|
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, N MEN
|
Facility
|
OP
|
$57.48
|
|
|
Service Code
|
CPT 87150
|
| Hospital Charge Code |
30600238
|
|
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, PROTEUS
|
Facility
|
OP
|
$57.48
|
|
|
Service Code
|
CPT 87150
|
| Hospital Charge Code |
30600245
|
|
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, PROTEUS
|
Facility
|
IP
|
$57.48
|
|
|
Service Code
|
CPT 87150
|
| Hospital Charge Code |
30600245
|
|
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, PSAR
|
Facility
|
IP
|
$57.48
|
|
|
Service Code
|
CPT 87150
|
| Hospital Charge Code |
30600239
|
|
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
|
|
