|
HC DEVICE NOT RETURNED CADD PUMP
|
Facility
|
IP
|
$3,723.00
|
|
| Hospital Charge Code |
27000642
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$2,419.95 |
| Max. Negotiated Rate |
$3,350.70 |
| Rate for Payer: Aetna Commercial |
$3,164.55
|
| Rate for Payer: BCBS Trust/PPO |
$3,039.08
|
| Rate for Payer: BCN Commercial |
$2,877.13
|
| Rate for Payer: Cash Price |
$2,978.40
|
| Rate for Payer: Cofinity Commercial |
$3,201.78
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,978.40
|
| Rate for Payer: Healthscope Commercial |
$3,350.70
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,792.25
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,164.55
|
| Rate for Payer: Nomi Health Commercial |
$3,052.86
|
| Rate for Payer: PHP Commercial |
$3,164.55
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,419.95
|
| Rate for Payer: Priority Health HMO/PPO |
$3,239.01
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,494.41
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$3,276.24
|
| Rate for Payer: UHC Core |
$3,108.70
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,792.25
|
|
|
HC DEVICE NOT RETURNED CADD PUMP
|
Facility
|
OP
|
$3,723.00
|
|
| Hospital Charge Code |
27000642
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$884.21 |
| Max. Negotiated Rate |
$3,350.70 |
| Rate for Payer: Aetna Commercial |
$3,164.55
|
| Rate for Payer: Aetna Medicare |
$967.98
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,163.44
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1,163.44
|
| Rate for Payer: BCBS Complete |
$1,489.20
|
| Rate for Payer: BCBS MAPPO |
$930.75
|
| Rate for Payer: BCBS Trust/PPO |
$3,060.68
|
| Rate for Payer: BCN Commercial |
$2,894.63
|
| Rate for Payer: BCN Medicare Advantage |
$930.75
|
| Rate for Payer: Cash Price |
$2,978.40
|
| Rate for Payer: Cofinity Commercial |
$3,201.78
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,978.40
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$930.75
|
| Rate for Payer: Healthscope Commercial |
$3,350.70
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,792.25
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$977.29
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,070.36
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,164.55
|
| Rate for Payer: Nomi Health Commercial |
$3,052.86
|
| Rate for Payer: PACE Senior Care Partners |
$884.21
|
| Rate for Payer: PACE SWMI |
$930.75
|
| Rate for Payer: PHP Commercial |
$3,164.55
|
| Rate for Payer: PHP Medicare Advantage |
$930.75
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,419.95
|
| Rate for Payer: Priority Health HMO/PPO |
$3,239.01
|
| Rate for Payer: Priority Health Medicare |
$940.06
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,494.41
|
| Rate for Payer: Railroad Medicare Medicare |
$930.75
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$3,276.24
|
| Rate for Payer: UHC Core |
$3,108.70
|
| Rate for Payer: UHC Dual Complete DSNP |
$930.75
|
| Rate for Payer: UHC Exchange |
$930.75
|
| Rate for Payer: UHC Medicare Advantage |
$930.75
|
| Rate for Payer: VA VA |
$930.75
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,792.25
|
|
|
HC DEVICE NOT RETURNED HOLTER MONITOR
|
Facility
|
IP
|
$652.00
|
|
| Hospital Charge Code |
27000705
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$423.80 |
| Max. Negotiated Rate |
$586.80 |
| Rate for Payer: Aetna Commercial |
$554.20
|
| Rate for Payer: BCBS Trust/PPO |
$532.23
|
| Rate for Payer: BCN Commercial |
$503.87
|
| Rate for Payer: Cash Price |
$521.60
|
| Rate for Payer: Cofinity Commercial |
$560.72
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$521.60
|
| Rate for Payer: Healthscope Commercial |
$586.80
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$489.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$554.20
|
| Rate for Payer: Nomi Health Commercial |
$534.64
|
| Rate for Payer: PHP Commercial |
$554.20
|
| Rate for Payer: Priority Health Cigna Priority Health |
$423.80
|
| Rate for Payer: Priority Health HMO/PPO |
$567.24
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$436.84
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$573.76
|
| Rate for Payer: UHC Core |
$544.42
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$489.00
|
|
|
HC DEVICE NOT RETURNED HOLTER MONITOR
|
Facility
|
OP
|
$652.00
|
|
| Hospital Charge Code |
27000705
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$154.85 |
| Max. Negotiated Rate |
$586.80 |
| Rate for Payer: Aetna Commercial |
$554.20
|
| Rate for Payer: Aetna Medicare |
$169.52
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$203.75
|
| Rate for Payer: Amish Plain Church Group Commercial |
$203.75
|
| Rate for Payer: BCBS Complete |
$260.80
|
| Rate for Payer: BCBS MAPPO |
$163.00
|
| Rate for Payer: BCBS Trust/PPO |
$536.01
|
| Rate for Payer: BCN Commercial |
$506.93
|
| Rate for Payer: BCN Medicare Advantage |
$163.00
|
| Rate for Payer: Cash Price |
$521.60
|
| Rate for Payer: Cofinity Commercial |
$560.72
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$521.60
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$163.00
|
| Rate for Payer: Healthscope Commercial |
$586.80
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$489.00
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$171.15
|
| Rate for Payer: MI Amish Medical Board Commercial |
$187.45
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$554.20
|
| Rate for Payer: Nomi Health Commercial |
$534.64
|
| Rate for Payer: PACE Senior Care Partners |
$154.85
|
| Rate for Payer: PACE SWMI |
$163.00
|
| Rate for Payer: PHP Commercial |
$554.20
|
| Rate for Payer: PHP Medicare Advantage |
$163.00
|
| Rate for Payer: Priority Health Cigna Priority Health |
$423.80
|
| Rate for Payer: Priority Health HMO/PPO |
$567.24
|
| Rate for Payer: Priority Health Medicare |
$164.63
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$436.84
|
| Rate for Payer: Railroad Medicare Medicare |
$163.00
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$573.76
|
| Rate for Payer: UHC Core |
$544.42
|
| Rate for Payer: UHC Dual Complete DSNP |
$163.00
|
| Rate for Payer: UHC Exchange |
$163.00
|
| Rate for Payer: UHC Medicare Advantage |
$163.00
|
| Rate for Payer: VA VA |
$163.00
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$489.00
|
|
|
HC DEVICE NOT RETURNED RU SLEEPING
|
Professional
|
Both
|
$505.00
|
|
|
Service Code
|
HCPCS 00614
|
| Hospital Charge Code |
27000614
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$202.00 |
| Max. Negotiated Rate |
$328.25 |
| Rate for Payer: Aetna Medicare |
$252.50
|
| Rate for Payer: BCBS Complete |
$202.00
|
| Rate for Payer: Cash Price |
$404.00
|
| Rate for Payer: Priority Health Cigna Priority Health |
$328.25
|
|
|
HC DEVICE NOT RETURNED RU SLEEPING
|
Facility
|
OP
|
$495.00
|
|
| Hospital Charge Code |
27000614
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$117.56 |
| Max. Negotiated Rate |
$445.50 |
| Rate for Payer: Aetna Commercial |
$420.75
|
| Rate for Payer: Aetna Medicare |
$128.70
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$154.69
|
| Rate for Payer: Amish Plain Church Group Commercial |
$154.69
|
| Rate for Payer: BCBS Complete |
$198.00
|
| Rate for Payer: BCBS MAPPO |
$123.75
|
| Rate for Payer: BCBS Trust/PPO |
$406.94
|
| Rate for Payer: BCN Commercial |
$384.86
|
| Rate for Payer: BCN Medicare Advantage |
$123.75
|
| Rate for Payer: Cash Price |
$396.00
|
| Rate for Payer: Cofinity Commercial |
$425.70
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$396.00
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$123.75
|
| Rate for Payer: Healthscope Commercial |
$445.50
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$371.25
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$129.94
|
| Rate for Payer: MI Amish Medical Board Commercial |
$142.31
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$420.75
|
| Rate for Payer: Nomi Health Commercial |
$405.90
|
| Rate for Payer: PACE Senior Care Partners |
$117.56
|
| Rate for Payer: PACE SWMI |
$123.75
|
| Rate for Payer: PHP Commercial |
$420.75
|
| Rate for Payer: PHP Medicare Advantage |
$123.75
|
| Rate for Payer: Priority Health Cigna Priority Health |
$321.75
|
| Rate for Payer: Priority Health HMO/PPO |
$430.65
|
| Rate for Payer: Priority Health Medicare |
$124.99
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$331.65
|
| Rate for Payer: Railroad Medicare Medicare |
$123.75
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$435.60
|
| Rate for Payer: UHC Core |
$413.32
|
| Rate for Payer: UHC Dual Complete DSNP |
$123.75
|
| Rate for Payer: UHC Exchange |
$123.75
|
| Rate for Payer: UHC Medicare Advantage |
$123.75
|
| Rate for Payer: VA VA |
$123.75
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$371.25
|
|
|
HC DEVICE NOT RETURNED RU SLEEPING
|
Facility
|
IP
|
$495.00
|
|
| Hospital Charge Code |
27000614
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$321.75 |
| Max. Negotiated Rate |
$445.50 |
| Rate for Payer: Aetna Commercial |
$420.75
|
| Rate for Payer: BCBS Trust/PPO |
$404.07
|
| Rate for Payer: BCN Commercial |
$382.54
|
| Rate for Payer: Cash Price |
$396.00
|
| Rate for Payer: Cofinity Commercial |
$425.70
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$396.00
|
| Rate for Payer: Healthscope Commercial |
$445.50
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$371.25
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$420.75
|
| Rate for Payer: Nomi Health Commercial |
$405.90
|
| Rate for Payer: PHP Commercial |
$420.75
|
| Rate for Payer: Priority Health Cigna Priority Health |
$321.75
|
| Rate for Payer: Priority Health HMO/PPO |
$430.65
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$331.65
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$435.60
|
| Rate for Payer: UHC Core |
$413.32
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$371.25
|
|
|
HC DEVICE NOT RETURNED RU SLEEPING
|
Professional
|
Both
|
$505.00
|
|
|
Service Code
|
HCPCS 00614
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$202.00 |
| Max. Negotiated Rate |
$328.25 |
| Rate for Payer: Aetna Medicare |
$252.50
|
| Rate for Payer: BCBS Complete |
$202.00
|
| Rate for Payer: Cash Price |
$404.00
|
| Rate for Payer: Priority Health Cigna Priority Health |
$328.25
|
|
|
HC DEVICE NOT RETURNED WATCHPAT
|
Facility
|
IP
|
$4,950.00
|
|
| Hospital Charge Code |
27000604
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$3,217.50 |
| Max. Negotiated Rate |
$4,455.00 |
| Rate for Payer: Aetna Commercial |
$4,207.50
|
| Rate for Payer: BCBS Trust/PPO |
$4,040.68
|
| Rate for Payer: BCN Commercial |
$3,825.36
|
| Rate for Payer: Cash Price |
$3,960.00
|
| Rate for Payer: Cofinity Commercial |
$4,257.00
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,960.00
|
| Rate for Payer: Healthscope Commercial |
$4,455.00
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$3,712.50
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$4,207.50
|
| Rate for Payer: Nomi Health Commercial |
$4,059.00
|
| Rate for Payer: PHP Commercial |
$4,207.50
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3,217.50
|
| Rate for Payer: Priority Health HMO/PPO |
$4,306.50
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$3,316.50
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$4,356.00
|
| Rate for Payer: UHC Core |
$4,133.25
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$3,712.50
|
|
|
HC DEVICE NOT RETURNED WATCHPAT
|
Facility
|
OP
|
$4,950.00
|
|
| Hospital Charge Code |
27000604
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$1,175.62 |
| Max. Negotiated Rate |
$4,455.00 |
| Rate for Payer: Aetna Commercial |
$4,207.50
|
| Rate for Payer: Aetna Medicare |
$1,287.00
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,546.88
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1,546.88
|
| Rate for Payer: BCBS Complete |
$1,980.00
|
| Rate for Payer: BCBS MAPPO |
$1,237.50
|
| Rate for Payer: BCBS Trust/PPO |
$4,069.39
|
| Rate for Payer: BCN Commercial |
$3,848.62
|
| Rate for Payer: BCN Medicare Advantage |
$1,237.50
|
| Rate for Payer: Cash Price |
$3,960.00
|
| Rate for Payer: Cofinity Commercial |
$4,257.00
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,960.00
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,237.50
|
| Rate for Payer: Healthscope Commercial |
$4,455.00
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$3,712.50
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,299.38
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,423.12
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$4,207.50
|
| Rate for Payer: Nomi Health Commercial |
$4,059.00
|
| Rate for Payer: PACE Senior Care Partners |
$1,175.62
|
| Rate for Payer: PACE SWMI |
$1,237.50
|
| Rate for Payer: PHP Commercial |
$4,207.50
|
| Rate for Payer: PHP Medicare Advantage |
$1,237.50
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3,217.50
|
| Rate for Payer: Priority Health HMO/PPO |
$4,306.50
|
| Rate for Payer: Priority Health Medicare |
$1,249.88
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$3,316.50
|
| Rate for Payer: Railroad Medicare Medicare |
$1,237.50
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$4,356.00
|
| Rate for Payer: UHC Core |
$4,133.25
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,237.50
|
| Rate for Payer: UHC Exchange |
$1,237.50
|
| Rate for Payer: UHC Medicare Advantage |
$1,237.50
|
| Rate for Payer: VA VA |
$1,237.50
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$3,712.50
|
|
|
HC DEVICE NOT RETURNED WATCHPAT
|
Professional
|
Both
|
$5,049.00
|
|
|
Service Code
|
HCPCS 00604
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$2,019.60 |
| Max. Negotiated Rate |
$3,281.85 |
| Rate for Payer: Aetna Medicare |
$2,524.50
|
| Rate for Payer: BCBS Complete |
$2,019.60
|
| Rate for Payer: Cash Price |
$4,039.20
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3,281.85
|
|
|
HC DEVICE NOT RETURNED WATCHPAT
|
Professional
|
Both
|
$5,049.00
|
|
|
Service Code
|
HCPCS 00604
|
| Hospital Charge Code |
27000604
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$2,019.60 |
| Max. Negotiated Rate |
$3,281.85 |
| Rate for Payer: Aetna Medicare |
$2,524.50
|
| Rate for Payer: BCBS Complete |
$2,019.60
|
| Rate for Payer: Cash Price |
$4,039.20
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3,281.85
|
|
|
HC DEXA BONE DENSITY
|
Facility
|
OP
|
$541.62
|
|
|
Service Code
|
CPT 77080
|
| Hospital Charge Code |
32000260
|
|
Hospital Revenue Code
|
320
|
| Min. Negotiated Rate |
$76.88 |
| Max. Negotiated Rate |
$487.46 |
| Rate for Payer: Aetna Commercial |
$460.38
|
| Rate for Payer: Aetna Medicare |
$140.82
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$169.26
|
| Rate for Payer: Amish Plain Church Group Commercial |
$169.26
|
| Rate for Payer: BCBS Complete |
$80.73
|
| Rate for Payer: BCBS MAPPO |
$135.41
|
| Rate for Payer: BCBS Trust/PPO |
$445.27
|
| Rate for Payer: BCN Commercial |
$421.11
|
| Rate for Payer: BCN Medicare Advantage |
$135.41
|
| Rate for Payer: Cash Price |
$433.30
|
| Rate for Payer: Cash Price |
$433.30
|
| Rate for Payer: Cofinity Commercial |
$465.79
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$433.30
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$135.41
|
| Rate for Payer: Healthscope Commercial |
$487.46
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$406.21
|
| Rate for Payer: Mclaren Medicaid |
$76.88
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$142.18
|
| Rate for Payer: Meridian Medicaid |
$80.73
|
| Rate for Payer: MI Amish Medical Board Commercial |
$155.72
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$460.38
|
| Rate for Payer: Nomi Health Commercial |
$444.13
|
| Rate for Payer: PACE Senior Care Partners |
$128.63
|
| Rate for Payer: PACE SWMI |
$135.41
|
| Rate for Payer: PHP Commercial |
$460.38
|
| Rate for Payer: PHP Medicare Advantage |
$135.41
|
| Rate for Payer: Priority Health Choice Medicaid |
$76.88
|
| Rate for Payer: Priority Health Cigna Priority Health |
$352.05
|
| Rate for Payer: Priority Health HMO/PPO |
$471.21
|
| Rate for Payer: Priority Health Medicare |
$136.76
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$362.89
|
| Rate for Payer: Railroad Medicare Medicare |
$135.41
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$476.63
|
| Rate for Payer: UHC Core |
$452.25
|
| Rate for Payer: UHC Dual Complete DSNP |
$135.41
|
| Rate for Payer: UHC Exchange |
$135.41
|
| Rate for Payer: UHC Medicare Advantage |
$135.41
|
| Rate for Payer: UHCCP Medicaid |
$76.88
|
| Rate for Payer: VA VA |
$135.41
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$406.21
|
|
|
HC DEXA BONE DENSITY
|
Facility
|
IP
|
$541.62
|
|
|
Service Code
|
CPT 77080
|
| Hospital Charge Code |
32000260
|
|
Hospital Revenue Code
|
320
|
| Min. Negotiated Rate |
$352.05 |
| Max. Negotiated Rate |
$487.46 |
| Rate for Payer: Aetna Commercial |
$460.38
|
| Rate for Payer: BCBS Trust/PPO |
$442.12
|
| Rate for Payer: BCN Commercial |
$418.56
|
| Rate for Payer: Cash Price |
$433.30
|
| Rate for Payer: Cofinity Commercial |
$465.79
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$433.30
|
| Rate for Payer: Healthscope Commercial |
$487.46
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$406.21
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$460.38
|
| Rate for Payer: Nomi Health Commercial |
$444.13
|
| Rate for Payer: PHP Commercial |
$460.38
|
| Rate for Payer: Priority Health Cigna Priority Health |
$352.05
|
| Rate for Payer: Priority Health HMO/PPO |
$471.21
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$362.89
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$476.63
|
| Rate for Payer: UHC Core |
$452.25
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$406.21
|
|
|
HC DEXA BONE DENSITY APPENDICULAR
|
Facility
|
OP
|
$204.23
|
|
|
Service Code
|
CPT 77081
|
| Hospital Charge Code |
32000261
|
|
Hospital Revenue Code
|
320
|
| Min. Negotiated Rate |
$48.50 |
| Max. Negotiated Rate |
$183.81 |
| Rate for Payer: Aetna Commercial |
$173.60
|
| Rate for Payer: Aetna Medicare |
$53.10
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$63.82
|
| Rate for Payer: Amish Plain Church Group Commercial |
$63.82
|
| Rate for Payer: BCBS Complete |
$66.85
|
| Rate for Payer: BCBS MAPPO |
$51.06
|
| Rate for Payer: BCBS Trust/PPO |
$167.90
|
| Rate for Payer: BCN Commercial |
$158.79
|
| Rate for Payer: BCN Medicare Advantage |
$51.06
|
| Rate for Payer: Cash Price |
$163.38
|
| Rate for Payer: Cash Price |
$163.38
|
| Rate for Payer: Cofinity Commercial |
$175.64
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$163.38
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$51.06
|
| Rate for Payer: Healthscope Commercial |
$183.81
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$153.17
|
| Rate for Payer: Mclaren Medicaid |
$63.66
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$53.61
|
| Rate for Payer: Meridian Medicaid |
$66.85
|
| Rate for Payer: MI Amish Medical Board Commercial |
$58.72
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$173.60
|
| Rate for Payer: Nomi Health Commercial |
$167.47
|
| Rate for Payer: PACE Senior Care Partners |
$48.50
|
| Rate for Payer: PACE SWMI |
$51.06
|
| Rate for Payer: PHP Commercial |
$173.60
|
| Rate for Payer: PHP Medicare Advantage |
$51.06
|
| Rate for Payer: Priority Health Choice Medicaid |
$63.66
|
| Rate for Payer: Priority Health Cigna Priority Health |
$132.75
|
| Rate for Payer: Priority Health HMO/PPO |
$177.68
|
| Rate for Payer: Priority Health Medicare |
$51.57
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$136.83
|
| Rate for Payer: Railroad Medicare Medicare |
$51.06
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$179.72
|
| Rate for Payer: UHC Core |
$170.53
|
| Rate for Payer: UHC Dual Complete DSNP |
$51.06
|
| Rate for Payer: UHC Exchange |
$51.06
|
| Rate for Payer: UHC Medicare Advantage |
$51.06
|
| Rate for Payer: UHCCP Medicaid |
$63.66
|
| Rate for Payer: VA VA |
$51.06
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$153.17
|
|
|
HC DEXA BONE DENSITY APPENDICULAR
|
Facility
|
IP
|
$204.23
|
|
|
Service Code
|
CPT 77081
|
| Hospital Charge Code |
32000261
|
|
Hospital Revenue Code
|
320
|
| Min. Negotiated Rate |
$132.75 |
| Max. Negotiated Rate |
$183.81 |
| Rate for Payer: Aetna Commercial |
$173.60
|
| Rate for Payer: BCBS Trust/PPO |
$166.71
|
| Rate for Payer: BCN Commercial |
$157.83
|
| Rate for Payer: Cash Price |
$163.38
|
| Rate for Payer: Cofinity Commercial |
$175.64
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$163.38
|
| Rate for Payer: Healthscope Commercial |
$183.81
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$153.17
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$173.60
|
| Rate for Payer: Nomi Health Commercial |
$167.47
|
| Rate for Payer: PHP Commercial |
$173.60
|
| Rate for Payer: Priority Health Cigna Priority Health |
$132.75
|
| Rate for Payer: Priority Health HMO/PPO |
$177.68
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$136.83
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$179.72
|
| Rate for Payer: UHC Core |
$170.53
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$153.17
|
|
|
HC DEXAMETHASONE DEXA
|
Facility
|
IP
|
$150.43
|
|
|
Service Code
|
CPT 80299
|
| Hospital Charge Code |
30100751
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$97.78 |
| Max. Negotiated Rate |
$135.39 |
| Rate for Payer: Aetna Commercial |
$127.87
|
| Rate for Payer: BCBS Trust/PPO |
$122.80
|
| Rate for Payer: BCN Commercial |
$116.25
|
| Rate for Payer: Cash Price |
$120.34
|
| Rate for Payer: Cofinity Commercial |
$129.37
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$120.34
|
| Rate for Payer: Healthscope Commercial |
$135.39
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$112.82
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$127.87
|
| Rate for Payer: Nomi Health Commercial |
$123.35
|
| Rate for Payer: PHP Commercial |
$127.87
|
| Rate for Payer: Priority Health Cigna Priority Health |
$97.78
|
| Rate for Payer: Priority Health HMO/PPO |
$130.87
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$100.79
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$132.38
|
| Rate for Payer: UHC Core |
$125.61
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$112.82
|
|
|
HC DEXAMETHASONE DEXA
|
Facility
|
OP
|
$150.43
|
|
|
Service Code
|
CPT 80299
|
| Hospital Charge Code |
30100751
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$13.48 |
| Max. Negotiated Rate |
$135.39 |
| Rate for Payer: Aetna Commercial |
$127.87
|
| Rate for Payer: Aetna Medicare |
$39.11
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$47.01
|
| Rate for Payer: Amish Plain Church Group Commercial |
$47.01
|
| Rate for Payer: BCBS Complete |
$14.15
|
| Rate for Payer: BCBS MAPPO |
$37.61
|
| Rate for Payer: BCBS Trust/PPO |
$123.67
|
| Rate for Payer: BCN Commercial |
$116.96
|
| Rate for Payer: BCN Medicare Advantage |
$37.61
|
| Rate for Payer: Cash Price |
$120.34
|
| Rate for Payer: Cash Price |
$120.34
|
| Rate for Payer: Cofinity Commercial |
$129.37
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$120.34
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$37.61
|
| Rate for Payer: Healthscope Commercial |
$135.39
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$112.82
|
| Rate for Payer: Mclaren Medicaid |
$13.48
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$39.49
|
| Rate for Payer: Meridian Medicaid |
$14.15
|
| Rate for Payer: MI Amish Medical Board Commercial |
$43.25
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$127.87
|
| Rate for Payer: Nomi Health Commercial |
$123.35
|
| Rate for Payer: PACE Senior Care Partners |
$35.73
|
| Rate for Payer: PACE SWMI |
$37.61
|
| Rate for Payer: PHP Commercial |
$127.87
|
| Rate for Payer: PHP Medicare Advantage |
$37.61
|
| Rate for Payer: Priority Health Choice Medicaid |
$13.48
|
| Rate for Payer: Priority Health Cigna Priority Health |
$97.78
|
| Rate for Payer: Priority Health HMO/PPO |
$130.87
|
| Rate for Payer: Priority Health Medicare |
$37.98
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$100.79
|
| Rate for Payer: Railroad Medicare Medicare |
$37.61
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$132.38
|
| Rate for Payer: UHC Core |
$125.61
|
| Rate for Payer: UHC Dual Complete DSNP |
$37.61
|
| Rate for Payer: UHC Exchange |
$37.61
|
| Rate for Payer: UHC Medicare Advantage |
$37.61
|
| Rate for Payer: UHCCP Medicaid |
$13.48
|
| Rate for Payer: VA VA |
$37.61
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$112.82
|
|
|
HC DEXAMETHASONE SODIUM PHOS, PER 1 MG
|
Facility
|
IP
|
$10.40
|
|
|
Service Code
|
HCPCS J1100
|
| Hospital Charge Code |
63600138
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$6.76 |
| Max. Negotiated Rate |
$9.36 |
| Rate for Payer: Aetna Commercial |
$8.84
|
| Rate for Payer: BCBS Trust/PPO |
$8.49
|
| Rate for Payer: BCN Commercial |
$8.04
|
| Rate for Payer: Cash Price |
$8.32
|
| Rate for Payer: Cofinity Commercial |
$8.94
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$8.32
|
| Rate for Payer: Healthscope Commercial |
$9.36
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$7.80
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$8.84
|
| Rate for Payer: Nomi Health Commercial |
$8.53
|
| Rate for Payer: PHP Commercial |
$8.84
|
| Rate for Payer: Priority Health Cigna Priority Health |
$6.76
|
| Rate for Payer: Priority Health HMO/PPO |
$9.05
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$6.97
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$9.15
|
| Rate for Payer: UHC Core |
$8.68
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$7.80
|
|
|
HC DEXAMETHASONE SODIUM PHOS, PER 1 MG
|
Facility
|
OP
|
$10.40
|
|
|
Service Code
|
HCPCS J1100
|
| Hospital Charge Code |
63600138
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$2.47 |
| Max. Negotiated Rate |
$9.36 |
| Rate for Payer: Aetna Commercial |
$8.84
|
| Rate for Payer: Aetna Medicare |
$2.70
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$3.25
|
| Rate for Payer: Amish Plain Church Group Commercial |
$3.25
|
| Rate for Payer: BCBS Complete |
$4.16
|
| Rate for Payer: BCBS MAPPO |
$2.60
|
| Rate for Payer: BCBS Trust/PPO |
$8.55
|
| Rate for Payer: BCN Commercial |
$8.09
|
| Rate for Payer: BCN Medicare Advantage |
$2.60
|
| Rate for Payer: Cash Price |
$8.32
|
| Rate for Payer: Cofinity Commercial |
$8.94
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$8.32
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2.60
|
| Rate for Payer: Healthscope Commercial |
$9.36
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$7.80
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$2.73
|
| Rate for Payer: MI Amish Medical Board Commercial |
$2.99
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$8.84
|
| Rate for Payer: Nomi Health Commercial |
$8.53
|
| Rate for Payer: PACE Senior Care Partners |
$2.47
|
| Rate for Payer: PACE SWMI |
$2.60
|
| Rate for Payer: PHP Commercial |
$8.84
|
| Rate for Payer: PHP Medicare Advantage |
$2.60
|
| Rate for Payer: Priority Health Cigna Priority Health |
$6.76
|
| Rate for Payer: Priority Health HMO/PPO |
$9.05
|
| Rate for Payer: Priority Health Medicare |
$2.63
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$6.97
|
| Rate for Payer: Railroad Medicare Medicare |
$2.60
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$9.15
|
| Rate for Payer: UHC Core |
$8.68
|
| Rate for Payer: UHC Dual Complete DSNP |
$2.60
|
| Rate for Payer: UHC Exchange |
$2.60
|
| Rate for Payer: UHC Medicare Advantage |
$2.60
|
| Rate for Payer: VA VA |
$2.60
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$7.80
|
|
|
HC DGTZ GLS MCRSCP MPHMTRC ALYS
|
Facility
|
OP
|
$18.72
|
|
|
Service Code
|
CPT 0763T
|
| Hospital Charge Code |
31200021
|
|
Hospital Revenue Code
|
312
|
| Min. Negotiated Rate |
$4.45 |
| Max. Negotiated Rate |
$16.85 |
| Rate for Payer: Aetna Commercial |
$15.91
|
| Rate for Payer: Aetna Medicare |
$4.87
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$5.85
|
| Rate for Payer: Amish Plain Church Group Commercial |
$5.85
|
| Rate for Payer: BCBS Complete |
$7.49
|
| Rate for Payer: BCBS MAPPO |
$4.68
|
| Rate for Payer: BCBS Trust/PPO |
$15.39
|
| Rate for Payer: BCN Commercial |
$14.55
|
| Rate for Payer: BCN Medicare Advantage |
$4.68
|
| Rate for Payer: Cash Price |
$14.98
|
| Rate for Payer: Cofinity Commercial |
$16.10
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$14.98
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$4.68
|
| Rate for Payer: Healthscope Commercial |
$16.85
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$14.04
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$4.91
|
| Rate for Payer: MI Amish Medical Board Commercial |
$5.38
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$15.91
|
| Rate for Payer: Nomi Health Commercial |
$15.35
|
| Rate for Payer: PACE Senior Care Partners |
$4.45
|
| Rate for Payer: PACE SWMI |
$4.68
|
| Rate for Payer: PHP Commercial |
$15.91
|
| Rate for Payer: PHP Medicare Advantage |
$4.68
|
| Rate for Payer: Priority Health Cigna Priority Health |
$12.17
|
| Rate for Payer: Priority Health HMO/PPO |
$16.29
|
| Rate for Payer: Priority Health Medicare |
$4.73
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$12.54
|
| Rate for Payer: Railroad Medicare Medicare |
$4.68
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$16.47
|
| Rate for Payer: UHC Core |
$15.63
|
| Rate for Payer: UHC Dual Complete DSNP |
$4.68
|
| Rate for Payer: UHC Exchange |
$4.68
|
| Rate for Payer: UHC Medicare Advantage |
$4.68
|
| Rate for Payer: VA VA |
$4.68
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$14.04
|
|
|
HC DGTZ GLS MCRSCP MPHMTRC ALYS
|
Facility
|
IP
|
$18.72
|
|
|
Service Code
|
CPT 0763T
|
| Hospital Charge Code |
31200021
|
|
Hospital Revenue Code
|
312
|
| Min. Negotiated Rate |
$12.17 |
| Max. Negotiated Rate |
$16.85 |
| Rate for Payer: Aetna Commercial |
$15.91
|
| Rate for Payer: BCBS Trust/PPO |
$15.28
|
| Rate for Payer: BCN Commercial |
$14.47
|
| Rate for Payer: Cash Price |
$14.98
|
| Rate for Payer: Cofinity Commercial |
$16.10
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$14.98
|
| Rate for Payer: Healthscope Commercial |
$16.85
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$14.04
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$15.91
|
| Rate for Payer: Nomi Health Commercial |
$15.35
|
| Rate for Payer: PHP Commercial |
$15.91
|
| Rate for Payer: Priority Health Cigna Priority Health |
$12.17
|
| Rate for Payer: Priority Health HMO/PPO |
$16.29
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$12.54
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$16.47
|
| Rate for Payer: UHC Core |
$15.63
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$14.04
|
|
|
HC DGTZ GLS MCRSCP SLD LEVEL II
|
Facility
|
OP
|
$18.72
|
|
|
Service Code
|
CPT 0751T
|
| Hospital Charge Code |
31200009
|
|
Hospital Revenue Code
|
312
|
| Min. Negotiated Rate |
$4.45 |
| Max. Negotiated Rate |
$16.85 |
| Rate for Payer: Aetna Commercial |
$15.91
|
| Rate for Payer: Aetna Medicare |
$4.87
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$5.85
|
| Rate for Payer: Amish Plain Church Group Commercial |
$5.85
|
| Rate for Payer: BCBS Complete |
$7.49
|
| Rate for Payer: BCBS MAPPO |
$4.68
|
| Rate for Payer: BCBS Trust/PPO |
$15.39
|
| Rate for Payer: BCN Commercial |
$14.55
|
| Rate for Payer: BCN Medicare Advantage |
$4.68
|
| Rate for Payer: Cash Price |
$14.98
|
| Rate for Payer: Cofinity Commercial |
$16.10
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$14.98
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$4.68
|
| Rate for Payer: Healthscope Commercial |
$16.85
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$14.04
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$4.91
|
| Rate for Payer: MI Amish Medical Board Commercial |
$5.38
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$15.91
|
| Rate for Payer: Nomi Health Commercial |
$15.35
|
| Rate for Payer: PACE Senior Care Partners |
$4.45
|
| Rate for Payer: PACE SWMI |
$4.68
|
| Rate for Payer: PHP Commercial |
$15.91
|
| Rate for Payer: PHP Medicare Advantage |
$4.68
|
| Rate for Payer: Priority Health Cigna Priority Health |
$12.17
|
| Rate for Payer: Priority Health HMO/PPO |
$16.29
|
| Rate for Payer: Priority Health Medicare |
$4.73
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$12.54
|
| Rate for Payer: Railroad Medicare Medicare |
$4.68
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$16.47
|
| Rate for Payer: UHC Core |
$15.63
|
| Rate for Payer: UHC Dual Complete DSNP |
$4.68
|
| Rate for Payer: UHC Exchange |
$4.68
|
| Rate for Payer: UHC Medicare Advantage |
$4.68
|
| Rate for Payer: VA VA |
$4.68
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$14.04
|
|
|
HC DGTZ GLS MCRSCP SLD LEVEL II
|
Facility
|
IP
|
$18.72
|
|
|
Service Code
|
CPT 0751T
|
| Hospital Charge Code |
31200009
|
|
Hospital Revenue Code
|
312
|
| Min. Negotiated Rate |
$12.17 |
| Max. Negotiated Rate |
$16.85 |
| Rate for Payer: Aetna Commercial |
$15.91
|
| Rate for Payer: BCBS Trust/PPO |
$15.28
|
| Rate for Payer: BCN Commercial |
$14.47
|
| Rate for Payer: Cash Price |
$14.98
|
| Rate for Payer: Cofinity Commercial |
$16.10
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$14.98
|
| Rate for Payer: Healthscope Commercial |
$16.85
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$14.04
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$15.91
|
| Rate for Payer: Nomi Health Commercial |
$15.35
|
| Rate for Payer: PHP Commercial |
$15.91
|
| Rate for Payer: Priority Health Cigna Priority Health |
$12.17
|
| Rate for Payer: Priority Health HMO/PPO |
$16.29
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$12.54
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$16.47
|
| Rate for Payer: UHC Core |
$15.63
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$14.04
|
|
|
HC DGTZ GLS MCRSCP SLD LEVEL IV
|
Facility
|
OP
|
$18.72
|
|
|
Service Code
|
CPT 0753T
|
| Hospital Charge Code |
31200011
|
|
Hospital Revenue Code
|
312
|
| Min. Negotiated Rate |
$4.45 |
| Max. Negotiated Rate |
$16.85 |
| Rate for Payer: Aetna Commercial |
$15.91
|
| Rate for Payer: Aetna Medicare |
$4.87
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$5.85
|
| Rate for Payer: Amish Plain Church Group Commercial |
$5.85
|
| Rate for Payer: BCBS Complete |
$7.49
|
| Rate for Payer: BCBS MAPPO |
$4.68
|
| Rate for Payer: BCBS Trust/PPO |
$15.39
|
| Rate for Payer: BCN Commercial |
$14.55
|
| Rate for Payer: BCN Medicare Advantage |
$4.68
|
| Rate for Payer: Cash Price |
$14.98
|
| Rate for Payer: Cofinity Commercial |
$16.10
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$14.98
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$4.68
|
| Rate for Payer: Healthscope Commercial |
$16.85
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$14.04
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$4.91
|
| Rate for Payer: MI Amish Medical Board Commercial |
$5.38
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$15.91
|
| Rate for Payer: Nomi Health Commercial |
$15.35
|
| Rate for Payer: PACE Senior Care Partners |
$4.45
|
| Rate for Payer: PACE SWMI |
$4.68
|
| Rate for Payer: PHP Commercial |
$15.91
|
| Rate for Payer: PHP Medicare Advantage |
$4.68
|
| Rate for Payer: Priority Health Cigna Priority Health |
$12.17
|
| Rate for Payer: Priority Health HMO/PPO |
$16.29
|
| Rate for Payer: Priority Health Medicare |
$4.73
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$12.54
|
| Rate for Payer: Railroad Medicare Medicare |
$4.68
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$16.47
|
| Rate for Payer: UHC Core |
$15.63
|
| Rate for Payer: UHC Dual Complete DSNP |
$4.68
|
| Rate for Payer: UHC Exchange |
$4.68
|
| Rate for Payer: UHC Medicare Advantage |
$4.68
|
| Rate for Payer: VA VA |
$4.68
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$14.04
|
|
