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Service Code CPT 83605
Hospital Charge Code 30100270
Hospital Revenue Code 301
Min. Negotiated Rate $8.54
Max. Negotiated Rate $52.33
Rate for Payer: Aetna Commercial $49.42
Rate for Payer: Aetna Medicare $15.12
Rate for Payer: Allen County Amish Medical Aid Commercial $18.17
Rate for Payer: Amish Plain Church Group Commercial $18.17
Rate for Payer: BCBS Complete $8.97
Rate for Payer: BCBS MAPPO $14.54
Rate for Payer: BCBS Trust/PPO $45.20
Rate for Payer: BCN Commercial $45.20
Rate for Payer: BCN Medicare Advantage $14.54
Rate for Payer: Cash Price $46.51
Rate for Payer: Cash Price $46.51
Rate for Payer: Cofinity Commercial $50.00
Rate for Payer: Encore Health Key Benefits Commercial $46.51
Rate for Payer: Health Alliance Plan Medicare Advantage $14.54
Rate for Payer: Healthscope Commercial $52.33
Rate for Payer: Lakeland Regional Health Systems Commercial $43.60
Rate for Payer: Mclaren Medicaid $8.54
Rate for Payer: Meridian Medicaid $8.97
Rate for Payer: Meridian Wellcare - Medicare Advantage $15.26
Rate for Payer: MI Amish Medical Board Commercial $16.72
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS $49.42
Rate for Payer: PACE Senior Care Partners $13.81
Rate for Payer: PACE SWMI $14.54
Rate for Payer: PHP Commercial $49.42
Rate for Payer: PHP Medicare Advantage $14.54
Rate for Payer: Priority Health Choice Medicaid $8.54
Rate for Payer: Priority Health Cigna Priority Health $40.70
Rate for Payer: Priority Health HMO/PPO/Tiered Network $50.58
Rate for Payer: Priority Health Medicare $14.54
Rate for Payer: Priority Health Narrow/Tiered Network $35.46
Rate for Payer: Railroad Medicare Medicare $14.54
Rate for Payer: UHC All Payor (Choice/PPO) $51.16
Rate for Payer: UHC Core $48.55
Rate for Payer: UHC Dual Complete DSNP $14.54
Rate for Payer: UHC Medicare Advantage $14.97
Rate for Payer: VA VA $14.54
Rate for Payer: Van Buren County Sheriff Dept. Commercial $43.60
Service Code CPT 82951
Hospital Charge Code 30100226
Hospital Revenue Code 301
Min. Negotiated Rate $9.50
Max. Negotiated Rate $82.99
Rate for Payer: Aetna Commercial $78.38
Rate for Payer: Aetna Medicare $23.97
Rate for Payer: Allen County Amish Medical Aid Commercial $28.82
Rate for Payer: Amish Plain Church Group Commercial $28.82
Rate for Payer: BCBS Complete $9.97
Rate for Payer: BCBS MAPPO $23.05
Rate for Payer: BCBS Trust/PPO $71.69
Rate for Payer: BCN Commercial $71.69
Rate for Payer: BCN Medicare Advantage $23.05
Rate for Payer: Cash Price $73.77
Rate for Payer: Cash Price $73.77
Rate for Payer: Cofinity Commercial $79.30
Rate for Payer: Encore Health Key Benefits Commercial $73.77
Rate for Payer: Health Alliance Plan Medicare Advantage $23.05
Rate for Payer: Healthscope Commercial $82.99
Rate for Payer: Lakeland Regional Health Systems Commercial $69.16
Rate for Payer: Mclaren Medicaid $9.50
Rate for Payer: Meridian Medicaid $9.97
Rate for Payer: Meridian Wellcare - Medicare Advantage $24.21
Rate for Payer: MI Amish Medical Board Commercial $26.51
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS $78.38
Rate for Payer: PACE Senior Care Partners $21.90
Rate for Payer: PACE SWMI $23.05
Rate for Payer: PHP Commercial $78.38
Rate for Payer: PHP Medicare Advantage $23.05
Rate for Payer: Priority Health Choice Medicaid $9.50
Rate for Payer: Priority Health Cigna Priority Health $64.55
Rate for Payer: Priority Health HMO/PPO/Tiered Network $80.22
Rate for Payer: Priority Health Medicare $23.05
Rate for Payer: Priority Health Narrow/Tiered Network $56.24
Rate for Payer: Railroad Medicare Medicare $23.05
Rate for Payer: UHC All Payor (Choice/PPO) $81.14
Rate for Payer: UHC Core $77.00
Rate for Payer: UHC Dual Complete DSNP $23.05
Rate for Payer: UHC Medicare Advantage $23.74
Rate for Payer: VA VA $23.05
Rate for Payer: Van Buren County Sheriff Dept. Commercial $69.16
Service Code CPT 82951
Hospital Charge Code 30100226
Hospital Revenue Code 301
Min. Negotiated Rate $56.24
Max. Negotiated Rate $82.99
Rate for Payer: Aetna Commercial $78.38
Rate for Payer: BCBS Trust/PPO $71.26
Rate for Payer: BCN Commercial $71.26
Rate for Payer: Cash Price $73.77
Rate for Payer: Cofinity Commercial $79.30
Rate for Payer: Encore Health Key Benefits Commercial $73.77
Rate for Payer: Healthscope Commercial $82.99
Rate for Payer: Lakeland Regional Health Systems Commercial $69.16
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS $78.38
Rate for Payer: PHP Commercial $78.38
Rate for Payer: Priority Health Cigna Priority Health $64.55
Rate for Payer: Priority Health HMO/PPO/Tiered Network $80.22
Rate for Payer: Priority Health Narrow/Tiered Network $56.24
Rate for Payer: UHC All Payor (Choice/PPO) $81.14
Rate for Payer: UHC Core $77.00
Rate for Payer: Van Buren County Sheriff Dept. Commercial $69.16
Service Code CPT 83521
Hospital Charge Code 30100308
Hospital Revenue Code 301
Min. Negotiated Rate $46.29
Max. Negotiated Rate $68.31
Rate for Payer: Aetna Commercial $64.52
Rate for Payer: BCBS Trust/PPO $58.66
Rate for Payer: BCN Commercial $58.66
Rate for Payer: Cash Price $60.72
Rate for Payer: Cofinity Commercial $65.27
Rate for Payer: Encore Health Key Benefits Commercial $60.72
Rate for Payer: Healthscope Commercial $68.31
Rate for Payer: Lakeland Regional Health Systems Commercial $56.92
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS $64.52
Rate for Payer: PHP Commercial $64.52
Rate for Payer: Priority Health Cigna Priority Health $53.13
Rate for Payer: Priority Health HMO/PPO/Tiered Network $66.03
Rate for Payer: Priority Health Narrow/Tiered Network $46.29
Rate for Payer: UHC All Payor (Choice/PPO) $66.79
Rate for Payer: UHC Core $63.38
Rate for Payer: Van Buren County Sheriff Dept. Commercial $56.92
Service Code CPT 83521
Hospital Charge Code 30100308
Hospital Revenue Code 301
Min. Negotiated Rate $12.75
Max. Negotiated Rate $68.31
Rate for Payer: Aetna Commercial $64.52
Rate for Payer: Aetna Medicare $19.73
Rate for Payer: Allen County Amish Medical Aid Commercial $23.72
Rate for Payer: Amish Plain Church Group Commercial $23.72
Rate for Payer: BCBS Complete $13.38
Rate for Payer: BCBS MAPPO $18.98
Rate for Payer: BCBS Trust/PPO $59.01
Rate for Payer: BCN Commercial $59.01
Rate for Payer: BCN Medicare Advantage $18.98
Rate for Payer: Cash Price $60.72
Rate for Payer: Cash Price $60.72
Rate for Payer: Cofinity Commercial $65.27
Rate for Payer: Encore Health Key Benefits Commercial $60.72
Rate for Payer: Health Alliance Plan Medicare Advantage $18.98
Rate for Payer: Healthscope Commercial $68.31
Rate for Payer: Lakeland Regional Health Systems Commercial $56.92
Rate for Payer: Mclaren Medicaid $12.75
Rate for Payer: Meridian Medicaid $13.38
Rate for Payer: Meridian Wellcare - Medicare Advantage $19.92
Rate for Payer: MI Amish Medical Board Commercial $21.82
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS $64.52
Rate for Payer: PACE Senior Care Partners $18.03
Rate for Payer: PACE SWMI $18.98
Rate for Payer: PHP Commercial $64.52
Rate for Payer: PHP Medicare Advantage $18.98
Rate for Payer: Priority Health Choice Medicaid $12.75
Rate for Payer: Priority Health Cigna Priority Health $53.13
Rate for Payer: Priority Health HMO/PPO/Tiered Network $66.03
Rate for Payer: Priority Health Medicare $18.98
Rate for Payer: Priority Health Narrow/Tiered Network $46.29
Rate for Payer: Railroad Medicare Medicare $18.98
Rate for Payer: UHC All Payor (Choice/PPO) $66.79
Rate for Payer: UHC Core $63.38
Rate for Payer: UHC Dual Complete DSNP $18.98
Rate for Payer: UHC Medicare Advantage $19.54
Rate for Payer: VA VA $18.98
Rate for Payer: Van Buren County Sheriff Dept. Commercial $56.92
Service Code CPT 86003
Hospital Charge Code 30200091
Hospital Revenue Code 302
Min. Negotiated Rate $3.85
Max. Negotiated Rate $22.40
Rate for Payer: Aetna Commercial $21.16
Rate for Payer: Aetna Medicare $6.47
Rate for Payer: Allen County Amish Medical Aid Commercial $7.78
Rate for Payer: Amish Plain Church Group Commercial $7.78
Rate for Payer: BCBS Complete $4.04
Rate for Payer: BCBS MAPPO $6.22
Rate for Payer: BCBS Trust/PPO $19.35
Rate for Payer: BCN Commercial $19.35
Rate for Payer: BCN Medicare Advantage $6.22
Rate for Payer: Cash Price $19.91
Rate for Payer: Cash Price $19.91
Rate for Payer: Cofinity Commercial $21.41
Rate for Payer: Encore Health Key Benefits Commercial $19.91
Rate for Payer: Health Alliance Plan Medicare Advantage $6.22
Rate for Payer: Healthscope Commercial $22.40
Rate for Payer: Lakeland Regional Health Systems Commercial $18.67
Rate for Payer: Mclaren Medicaid $3.85
Rate for Payer: Meridian Medicaid $4.04
Rate for Payer: Meridian Wellcare - Medicare Advantage $6.53
Rate for Payer: MI Amish Medical Board Commercial $7.16
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS $21.16
Rate for Payer: PACE Senior Care Partners $5.91
Rate for Payer: PACE SWMI $6.22
Rate for Payer: PHP Commercial $21.16
Rate for Payer: PHP Medicare Advantage $6.22
Rate for Payer: Priority Health Choice Medicaid $3.85
Rate for Payer: Priority Health Cigna Priority Health $17.42
Rate for Payer: Priority Health HMO/PPO/Tiered Network $21.65
Rate for Payer: Priority Health Medicare $6.22
Rate for Payer: Priority Health Narrow/Tiered Network $15.18
Rate for Payer: Railroad Medicare Medicare $6.22
Rate for Payer: UHC All Payor (Choice/PPO) $21.90
Rate for Payer: UHC Core $20.78
Rate for Payer: UHC Dual Complete DSNP $6.22
Rate for Payer: UHC Medicare Advantage $6.41
Rate for Payer: VA VA $6.22
Rate for Payer: Van Buren County Sheriff Dept. Commercial $18.67
Service Code CPT 86003
Hospital Charge Code 30200091
Hospital Revenue Code 302
Min. Negotiated Rate $15.18
Max. Negotiated Rate $22.40
Rate for Payer: Aetna Commercial $21.16
Rate for Payer: BCBS Trust/PPO $19.23
Rate for Payer: BCN Commercial $19.23
Rate for Payer: Cash Price $19.91
Rate for Payer: Cofinity Commercial $21.41
Rate for Payer: Encore Health Key Benefits Commercial $19.91
Rate for Payer: Healthscope Commercial $22.40
Rate for Payer: Lakeland Regional Health Systems Commercial $18.67
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS $21.16
Rate for Payer: PHP Commercial $21.16
Rate for Payer: Priority Health Cigna Priority Health $17.42
Rate for Payer: Priority Health HMO/PPO/Tiered Network $21.65
Rate for Payer: Priority Health Narrow/Tiered Network $15.18
Rate for Payer: UHC All Payor (Choice/PPO) $21.90
Rate for Payer: UHC Core $20.78
Rate for Payer: Van Buren County Sheriff Dept. Commercial $18.67
Service Code CPT 83664
Hospital Charge Code 30100278
Hospital Revenue Code 301
Min. Negotiated Rate $14.26
Max. Negotiated Rate $63.00
Rate for Payer: Aetna Commercial $59.50
Rate for Payer: Aetna Medicare $18.20
Rate for Payer: Allen County Amish Medical Aid Commercial $21.88
Rate for Payer: Amish Plain Church Group Commercial $21.88
Rate for Payer: BCBS Complete $14.97
Rate for Payer: BCBS MAPPO $17.50
Rate for Payer: BCBS Trust/PPO $54.42
Rate for Payer: BCN Commercial $54.42
Rate for Payer: BCN Medicare Advantage $17.50
Rate for Payer: Cash Price $56.00
Rate for Payer: Cash Price $56.00
Rate for Payer: Cofinity Commercial $60.20
Rate for Payer: Encore Health Key Benefits Commercial $56.00
Rate for Payer: Health Alliance Plan Medicare Advantage $17.50
Rate for Payer: Healthscope Commercial $63.00
Rate for Payer: Lakeland Regional Health Systems Commercial $52.50
Rate for Payer: Mclaren Medicaid $14.26
Rate for Payer: Meridian Medicaid $14.97
Rate for Payer: Meridian Wellcare - Medicare Advantage $18.38
Rate for Payer: MI Amish Medical Board Commercial $20.12
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS $59.50
Rate for Payer: PACE Senior Care Partners $16.62
Rate for Payer: PACE SWMI $17.50
Rate for Payer: PHP Commercial $59.50
Rate for Payer: PHP Medicare Advantage $17.50
Rate for Payer: Priority Health Choice Medicaid $14.26
Rate for Payer: Priority Health Cigna Priority Health $49.00
Rate for Payer: Priority Health HMO/PPO/Tiered Network $60.90
Rate for Payer: Priority Health Medicare $17.50
Rate for Payer: Priority Health Narrow/Tiered Network $42.69
Rate for Payer: Railroad Medicare Medicare $17.50
Rate for Payer: UHC All Payor (Choice/PPO) $61.60
Rate for Payer: UHC Core $58.45
Rate for Payer: UHC Dual Complete DSNP $17.50
Rate for Payer: UHC Medicare Advantage $18.02
Rate for Payer: VA VA $17.50
Rate for Payer: Van Buren County Sheriff Dept. Commercial $52.50
Service Code CPT 83664
Hospital Charge Code 30100278
Hospital Revenue Code 301
Min. Negotiated Rate $42.69
Max. Negotiated Rate $63.00
Rate for Payer: Aetna Commercial $59.50
Rate for Payer: BCBS Trust/PPO $54.10
Rate for Payer: BCN Commercial $54.10
Rate for Payer: Cash Price $56.00
Rate for Payer: Cofinity Commercial $60.20
Rate for Payer: Encore Health Key Benefits Commercial $56.00
Rate for Payer: Healthscope Commercial $63.00
Rate for Payer: Lakeland Regional Health Systems Commercial $52.50
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS $59.50
Rate for Payer: PHP Commercial $59.50
Rate for Payer: Priority Health Cigna Priority Health $49.00
Rate for Payer: Priority Health HMO/PPO/Tiered Network $60.90
Rate for Payer: Priority Health Narrow/Tiered Network $42.69
Rate for Payer: UHC All Payor (Choice/PPO) $61.60
Rate for Payer: UHC Core $58.45
Rate for Payer: Van Buren County Sheriff Dept. Commercial $52.50
Service Code CPT 80175
Hospital Charge Code 30100054
Hospital Revenue Code 301
Min. Negotiated Rate $32.35
Max. Negotiated Rate $47.74
Rate for Payer: Aetna Commercial $45.08
Rate for Payer: BCBS Trust/PPO $40.99
Rate for Payer: BCN Commercial $40.99
Rate for Payer: Cash Price $42.43
Rate for Payer: Cofinity Commercial $45.61
Rate for Payer: Encore Health Key Benefits Commercial $42.43
Rate for Payer: Healthscope Commercial $47.74
Rate for Payer: Lakeland Regional Health Systems Commercial $39.78
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS $45.08
Rate for Payer: PHP Commercial $45.08
Rate for Payer: Priority Health Cigna Priority Health $37.13
Rate for Payer: Priority Health HMO/PPO/Tiered Network $46.14
Rate for Payer: Priority Health Narrow/Tiered Network $32.35
Rate for Payer: UHC All Payor (Choice/PPO) $46.68
Rate for Payer: UHC Core $44.29
Rate for Payer: Van Buren County Sheriff Dept. Commercial $39.78
Service Code CPT 80175
Hospital Charge Code 30100054
Hospital Revenue Code 301
Min. Negotiated Rate $9.78
Max. Negotiated Rate $47.74
Rate for Payer: Aetna Commercial $45.08
Rate for Payer: Aetna Medicare $13.79
Rate for Payer: Allen County Amish Medical Aid Commercial $16.58
Rate for Payer: Amish Plain Church Group Commercial $16.58
Rate for Payer: BCBS Complete $10.27
Rate for Payer: BCBS MAPPO $13.26
Rate for Payer: BCBS Trust/PPO $41.24
Rate for Payer: BCN Commercial $41.24
Rate for Payer: BCN Medicare Advantage $13.26
Rate for Payer: Cash Price $42.43
Rate for Payer: Cash Price $42.43
Rate for Payer: Cofinity Commercial $45.61
Rate for Payer: Encore Health Key Benefits Commercial $42.43
Rate for Payer: Health Alliance Plan Medicare Advantage $13.26
Rate for Payer: Healthscope Commercial $47.74
Rate for Payer: Lakeland Regional Health Systems Commercial $39.78
Rate for Payer: Mclaren Medicaid $9.78
Rate for Payer: Meridian Medicaid $10.27
Rate for Payer: Meridian Wellcare - Medicare Advantage $13.92
Rate for Payer: MI Amish Medical Board Commercial $15.25
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS $45.08
Rate for Payer: PACE Senior Care Partners $12.60
Rate for Payer: PACE SWMI $13.26
Rate for Payer: PHP Commercial $45.08
Rate for Payer: PHP Medicare Advantage $13.26
Rate for Payer: Priority Health Choice Medicaid $9.78
Rate for Payer: Priority Health Cigna Priority Health $37.13
Rate for Payer: Priority Health HMO/PPO/Tiered Network $46.14
Rate for Payer: Priority Health Medicare $13.26
Rate for Payer: Priority Health Narrow/Tiered Network $32.35
Rate for Payer: Railroad Medicare Medicare $13.26
Rate for Payer: UHC All Payor (Choice/PPO) $46.68
Rate for Payer: UHC Core $44.29
Rate for Payer: UHC Dual Complete DSNP $13.26
Rate for Payer: UHC Medicare Advantage $13.66
Rate for Payer: VA VA $13.26
Rate for Payer: Van Buren County Sheriff Dept. Commercial $39.78
Service Code CPT 86235
Hospital Charge Code 30200160
Hospital Revenue Code 302
Min. Negotiated Rate $8.19
Max. Negotiated Rate $31.03
Rate for Payer: Aetna Commercial $29.31
Rate for Payer: Aetna Medicare $8.96
Rate for Payer: Allen County Amish Medical Aid Commercial $10.78
Rate for Payer: Amish Plain Church Group Commercial $10.78
Rate for Payer: BCBS Complete $13.89
Rate for Payer: BCBS MAPPO $8.62
Rate for Payer: BCBS Trust/PPO $26.81
Rate for Payer: BCN Commercial $26.81
Rate for Payer: BCN Medicare Advantage $8.62
Rate for Payer: Cash Price $27.58
Rate for Payer: Cash Price $27.58
Rate for Payer: Cofinity Commercial $29.65
Rate for Payer: Encore Health Key Benefits Commercial $27.58
Rate for Payer: Health Alliance Plan Medicare Advantage $8.62
Rate for Payer: Healthscope Commercial $31.03
Rate for Payer: Lakeland Regional Health Systems Commercial $25.86
Rate for Payer: Mclaren Medicaid $13.23
Rate for Payer: Meridian Medicaid $13.89
Rate for Payer: Meridian Wellcare - Medicare Advantage $9.05
Rate for Payer: MI Amish Medical Board Commercial $9.91
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS $29.31
Rate for Payer: PACE Senior Care Partners $8.19
Rate for Payer: PACE SWMI $8.62
Rate for Payer: PHP Commercial $29.31
Rate for Payer: PHP Medicare Advantage $8.62
Rate for Payer: Priority Health Choice Medicaid $13.23
Rate for Payer: Priority Health Cigna Priority Health $24.14
Rate for Payer: Priority Health HMO/PPO/Tiered Network $30.00
Rate for Payer: Priority Health Medicare $8.62
Rate for Payer: Priority Health Narrow/Tiered Network $21.03
Rate for Payer: Railroad Medicare Medicare $8.62
Rate for Payer: UHC All Payor (Choice/PPO) $30.34
Rate for Payer: UHC Core $28.79
Rate for Payer: UHC Dual Complete DSNP $8.62
Rate for Payer: UHC Medicare Advantage $8.88
Rate for Payer: VA VA $8.62
Rate for Payer: Van Buren County Sheriff Dept. Commercial $25.86
Service Code CPT 86235
Hospital Charge Code 30200160
Hospital Revenue Code 302
Min. Negotiated Rate $21.03
Max. Negotiated Rate $31.03
Rate for Payer: Aetna Commercial $29.31
Rate for Payer: BCBS Trust/PPO $26.65
Rate for Payer: BCN Commercial $26.65
Rate for Payer: Cash Price $27.58
Rate for Payer: Cofinity Commercial $29.65
Rate for Payer: Encore Health Key Benefits Commercial $27.58
Rate for Payer: Healthscope Commercial $31.03
Rate for Payer: Lakeland Regional Health Systems Commercial $25.86
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS $29.31
Rate for Payer: PHP Commercial $29.31
Rate for Payer: Priority Health Cigna Priority Health $24.14
Rate for Payer: Priority Health HMO/PPO/Tiered Network $30.00
Rate for Payer: Priority Health Narrow/Tiered Network $21.03
Rate for Payer: UHC All Payor (Choice/PPO) $30.34
Rate for Payer: UHC Core $28.79
Rate for Payer: Van Buren County Sheriff Dept. Commercial $25.86
Hospital Charge Code 36000113
Hospital Revenue Code 360
Min. Negotiated Rate $1,533.60
Max. Negotiated Rate $2,263.06
Rate for Payer: Aetna Commercial $2,137.33
Rate for Payer: BCBS Trust/PPO $1,943.21
Rate for Payer: BCN Commercial $1,943.21
Rate for Payer: Cash Price $2,011.61
Rate for Payer: Cofinity Commercial $2,162.48
Rate for Payer: Encore Health Key Benefits Commercial $2,011.61
Rate for Payer: Healthscope Commercial $2,263.06
Rate for Payer: Lakeland Regional Health Systems Commercial $1,885.88
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS $2,137.33
Rate for Payer: PHP Commercial $2,137.33
Rate for Payer: Priority Health Cigna Priority Health $1,760.16
Rate for Payer: Priority Health HMO/PPO/Tiered Network $2,187.62
Rate for Payer: Priority Health Narrow/Tiered Network $1,533.60
Rate for Payer: UHC All Payor (Choice/PPO) $2,212.77
Rate for Payer: UHC Core $2,099.62
Rate for Payer: Van Buren County Sheriff Dept. Commercial $1,885.88
Hospital Charge Code 36000113
Hospital Revenue Code 360
Min. Negotiated Rate $597.20
Max. Negotiated Rate $2,263.06
Rate for Payer: Aetna Commercial $2,137.33
Rate for Payer: Aetna Medicare $653.77
Rate for Payer: Allen County Amish Medical Aid Commercial $785.78
Rate for Payer: Amish Plain Church Group Commercial $785.78
Rate for Payer: BCBS Complete $1,005.80
Rate for Payer: BCBS MAPPO $628.63
Rate for Payer: BCBS Trust/PPO $1,955.03
Rate for Payer: BCN Commercial $1,955.03
Rate for Payer: BCN Medicare Advantage $628.63
Rate for Payer: Cash Price $2,011.61
Rate for Payer: Cofinity Commercial $2,162.48
Rate for Payer: Encore Health Key Benefits Commercial $2,011.61
Rate for Payer: Health Alliance Plan Medicare Advantage $628.63
Rate for Payer: Healthscope Commercial $2,263.06
Rate for Payer: Lakeland Regional Health Systems Commercial $1,885.88
Rate for Payer: Meridian Wellcare - Medicare Advantage $660.06
Rate for Payer: MI Amish Medical Board Commercial $722.92
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS $2,137.33
Rate for Payer: PACE Senior Care Partners $597.20
Rate for Payer: PACE SWMI $628.63
Rate for Payer: PHP Commercial $2,137.33
Rate for Payer: PHP Medicare Advantage $628.63
Rate for Payer: Priority Health Cigna Priority Health $1,760.16
Rate for Payer: Priority Health HMO/PPO/Tiered Network $2,187.62
Rate for Payer: Priority Health Medicare $628.63
Rate for Payer: Priority Health Narrow/Tiered Network $1,533.60
Rate for Payer: Railroad Medicare Medicare $628.63
Rate for Payer: UHC All Payor (Choice/PPO) $2,212.77
Rate for Payer: UHC Core $2,099.62
Rate for Payer: UHC Dual Complete DSNP $628.63
Rate for Payer: UHC Medicare Advantage $647.49
Rate for Payer: VA VA $628.63
Rate for Payer: Van Buren County Sheriff Dept. Commercial $1,885.88
Service Code CPT 31575
Hospital Charge Code 36100443
Hospital Revenue Code 761
Min. Negotiated Rate $190.24
Max. Negotiated Rate $280.73
Rate for Payer: Aetna Commercial $265.13
Rate for Payer: BCBS Trust/PPO $241.05
Rate for Payer: BCN Commercial $241.05
Rate for Payer: Cash Price $249.54
Rate for Payer: Cofinity Commercial $268.25
Rate for Payer: Encore Health Key Benefits Commercial $249.54
Rate for Payer: Healthscope Commercial $280.73
Rate for Payer: Lakeland Regional Health Systems Commercial $233.94
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS $265.13
Rate for Payer: PHP Commercial $265.13
Rate for Payer: Priority Health Cigna Priority Health $218.34
Rate for Payer: Priority Health HMO/PPO/Tiered Network $271.37
Rate for Payer: Priority Health Narrow/Tiered Network $190.24
Rate for Payer: UHC All Payor (Choice/PPO) $274.49
Rate for Payer: UHC Core $260.45
Rate for Payer: Van Buren County Sheriff Dept. Commercial $233.94
Service Code CPT 31575
Hospital Charge Code 36100443
Hospital Revenue Code 761
Min. Negotiated Rate $74.08
Max. Negotiated Rate $280.73
Rate for Payer: Aetna Commercial $265.13
Rate for Payer: Aetna Medicare $81.10
Rate for Payer: Allen County Amish Medical Aid Commercial $97.48
Rate for Payer: Amish Plain Church Group Commercial $97.48
Rate for Payer: BCBS Complete $136.44
Rate for Payer: BCBS MAPPO $77.98
Rate for Payer: BCBS Trust/PPO $242.52
Rate for Payer: BCN Commercial $242.52
Rate for Payer: BCN Medicare Advantage $77.98
Rate for Payer: Cash Price $249.54
Rate for Payer: Cash Price $249.54
Rate for Payer: Cofinity Commercial $268.25
Rate for Payer: Encore Health Key Benefits Commercial $249.54
Rate for Payer: Health Alliance Plan Medicare Advantage $77.98
Rate for Payer: Healthscope Commercial $280.73
Rate for Payer: Lakeland Regional Health Systems Commercial $233.94
Rate for Payer: Mclaren Medicaid $129.94
Rate for Payer: Meridian Medicaid $136.44
Rate for Payer: Meridian Wellcare - Medicare Advantage $81.88
Rate for Payer: MI Amish Medical Board Commercial $89.68
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS $265.13
Rate for Payer: PACE Senior Care Partners $74.08
Rate for Payer: PACE SWMI $77.98
Rate for Payer: PHP Commercial $265.13
Rate for Payer: PHP Medicare Advantage $77.98
Rate for Payer: Priority Health Choice Medicaid $129.94
Rate for Payer: Priority Health Cigna Priority Health $218.34
Rate for Payer: Priority Health HMO/PPO/Tiered Network $271.37
Rate for Payer: Priority Health Medicare $77.98
Rate for Payer: Priority Health Narrow/Tiered Network $190.24
Rate for Payer: Railroad Medicare Medicare $77.98
Rate for Payer: UHC All Payor (Choice/PPO) $274.49
Rate for Payer: UHC Core $260.45
Rate for Payer: UHC Dual Complete DSNP $77.98
Rate for Payer: UHC Medicare Advantage $80.32
Rate for Payer: VA VA $77.98
Rate for Payer: Van Buren County Sheriff Dept. Commercial $233.94
Service Code CPT 31579
Hospital Charge Code 76100455
Hospital Revenue Code 761
Min. Negotiated Rate $670.89
Max. Negotiated Rate $990.00
Rate for Payer: Aetna Commercial $935.00
Rate for Payer: BCBS Trust/PPO $850.08
Rate for Payer: BCN Commercial $850.08
Rate for Payer: Cash Price $880.00
Rate for Payer: Cofinity Commercial $946.00
Rate for Payer: Encore Health Key Benefits Commercial $880.00
Rate for Payer: Healthscope Commercial $990.00
Rate for Payer: Lakeland Regional Health Systems Commercial $825.00
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS $935.00
Rate for Payer: PHP Commercial $935.00
Rate for Payer: Priority Health Cigna Priority Health $770.00
Rate for Payer: Priority Health HMO/PPO/Tiered Network $957.00
Rate for Payer: Priority Health Narrow/Tiered Network $670.89
Rate for Payer: UHC All Payor (Choice/PPO) $968.00
Rate for Payer: UHC Core $918.50
Rate for Payer: Van Buren County Sheriff Dept. Commercial $825.00
Service Code CPT 31579
Hospital Charge Code 76100455
Hospital Revenue Code 761
Min. Negotiated Rate $261.25
Max. Negotiated Rate $990.00
Rate for Payer: Aetna Commercial $935.00
Rate for Payer: Aetna Medicare $286.00
Rate for Payer: Allen County Amish Medical Aid Commercial $343.75
Rate for Payer: Amish Plain Church Group Commercial $343.75
Rate for Payer: BCBS Complete $281.25
Rate for Payer: BCBS MAPPO $275.00
Rate for Payer: BCBS Trust/PPO $855.25
Rate for Payer: BCN Commercial $855.25
Rate for Payer: BCN Medicare Advantage $275.00
Rate for Payer: Cash Price $880.00
Rate for Payer: Cash Price $880.00
Rate for Payer: Cofinity Commercial $946.00
Rate for Payer: Encore Health Key Benefits Commercial $880.00
Rate for Payer: Health Alliance Plan Medicare Advantage $275.00
Rate for Payer: Healthscope Commercial $990.00
Rate for Payer: Lakeland Regional Health Systems Commercial $825.00
Rate for Payer: Mclaren Medicaid $267.86
Rate for Payer: Meridian Medicaid $281.25
Rate for Payer: Meridian Wellcare - Medicare Advantage $288.75
Rate for Payer: MI Amish Medical Board Commercial $316.25
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS $935.00
Rate for Payer: PACE Senior Care Partners $261.25
Rate for Payer: PACE SWMI $275.00
Rate for Payer: PHP Commercial $935.00
Rate for Payer: PHP Medicare Advantage $275.00
Rate for Payer: Priority Health Choice Medicaid $267.86
Rate for Payer: Priority Health Cigna Priority Health $770.00
Rate for Payer: Priority Health HMO/PPO/Tiered Network $957.00
Rate for Payer: Priority Health Medicare $275.00
Rate for Payer: Priority Health Narrow/Tiered Network $670.89
Rate for Payer: Railroad Medicare Medicare $275.00
Rate for Payer: UHC All Payor (Choice/PPO) $968.00
Rate for Payer: UHC Core $918.50
Rate for Payer: UHC Dual Complete DSNP $275.00
Rate for Payer: UHC Medicare Advantage $283.25
Rate for Payer: VA VA $275.00
Rate for Payer: Van Buren County Sheriff Dept. Commercial $825.00
Service Code HCPCS C1885
Hospital Charge Code 27200054
Hospital Revenue Code 272
Min. Negotiated Rate $2,953.42
Max. Negotiated Rate $4,358.22
Rate for Payer: Aetna Commercial $4,116.10
Rate for Payer: BCBS Trust/PPO $3,742.26
Rate for Payer: BCN Commercial $3,742.26
Rate for Payer: Cash Price $3,873.98
Rate for Payer: Cofinity Commercial $4,164.52
Rate for Payer: Encore Health Key Benefits Commercial $3,873.98
Rate for Payer: Healthscope Commercial $4,358.22
Rate for Payer: Lakeland Regional Health Systems Commercial $3,631.85
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS $4,116.10
Rate for Payer: PHP Commercial $4,116.10
Rate for Payer: Priority Health Cigna Priority Health $3,389.73
Rate for Payer: Priority Health HMO/PPO/Tiered Network $4,212.95
Rate for Payer: Priority Health Narrow/Tiered Network $2,953.42
Rate for Payer: UHC All Payor (Choice/PPO) $4,261.37
Rate for Payer: UHC Core $4,043.46
Rate for Payer: Van Buren County Sheriff Dept. Commercial $3,631.85
Service Code HCPCS C1885
Hospital Charge Code 27200054
Hospital Revenue Code 272
Min. Negotiated Rate $1,150.09
Max. Negotiated Rate $4,358.22
Rate for Payer: Aetna Commercial $4,116.10
Rate for Payer: Aetna Medicare $1,259.04
Rate for Payer: Allen County Amish Medical Aid Commercial $1,513.27
Rate for Payer: Amish Plain Church Group Commercial $1,513.27
Rate for Payer: BCBS Complete $1,936.99
Rate for Payer: BCBS MAPPO $1,210.62
Rate for Payer: BCBS Trust/PPO $3,765.02
Rate for Payer: BCN Commercial $3,765.02
Rate for Payer: BCN Medicare Advantage $1,210.62
Rate for Payer: Cash Price $3,873.98
Rate for Payer: Cofinity Commercial $4,164.52
Rate for Payer: Encore Health Key Benefits Commercial $3,873.98
Rate for Payer: Health Alliance Plan Medicare Advantage $1,210.62
Rate for Payer: Healthscope Commercial $4,358.22
Rate for Payer: Lakeland Regional Health Systems Commercial $3,631.85
Rate for Payer: Meridian Wellcare - Medicare Advantage $1,271.15
Rate for Payer: MI Amish Medical Board Commercial $1,392.21
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS $4,116.10
Rate for Payer: PACE Senior Care Partners $1,150.09
Rate for Payer: PACE SWMI $1,210.62
Rate for Payer: PHP Commercial $4,116.10
Rate for Payer: PHP Medicare Advantage $1,210.62
Rate for Payer: Priority Health Cigna Priority Health $3,389.73
Rate for Payer: Priority Health HMO/PPO/Tiered Network $4,212.95
Rate for Payer: Priority Health Medicare $1,210.62
Rate for Payer: Priority Health Narrow/Tiered Network $2,953.42
Rate for Payer: Railroad Medicare Medicare $1,210.62
Rate for Payer: UHC All Payor (Choice/PPO) $4,261.37
Rate for Payer: UHC Core $4,043.46
Rate for Payer: UHC Dual Complete DSNP $1,210.62
Rate for Payer: UHC Medicare Advantage $1,246.94
Rate for Payer: VA VA $1,210.62
Rate for Payer: Van Buren County Sheriff Dept. Commercial $3,631.85
Service Code CPT 86003
Hospital Charge Code 30200044
Hospital Revenue Code 302
Min. Negotiated Rate $21.40
Max. Negotiated Rate $31.58
Rate for Payer: Aetna Commercial $29.83
Rate for Payer: BCBS Trust/PPO $27.12
Rate for Payer: BCN Commercial $27.12
Rate for Payer: Cash Price $28.07
Rate for Payer: Cofinity Commercial $30.18
Rate for Payer: Encore Health Key Benefits Commercial $28.07
Rate for Payer: Healthscope Commercial $31.58
Rate for Payer: Lakeland Regional Health Systems Commercial $26.32
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS $29.83
Rate for Payer: PHP Commercial $29.83
Rate for Payer: Priority Health Cigna Priority Health $24.56
Rate for Payer: Priority Health HMO/PPO/Tiered Network $30.53
Rate for Payer: Priority Health Narrow/Tiered Network $21.40
Rate for Payer: UHC All Payor (Choice/PPO) $30.88
Rate for Payer: UHC Core $29.30
Rate for Payer: Van Buren County Sheriff Dept. Commercial $26.32
Service Code CPT 86003
Hospital Charge Code 30200044
Hospital Revenue Code 302
Min. Negotiated Rate $3.85
Max. Negotiated Rate $31.58
Rate for Payer: Aetna Commercial $29.83
Rate for Payer: Aetna Medicare $9.12
Rate for Payer: Allen County Amish Medical Aid Commercial $10.97
Rate for Payer: Amish Plain Church Group Commercial $10.97
Rate for Payer: BCBS Complete $4.04
Rate for Payer: BCBS MAPPO $8.77
Rate for Payer: BCBS Trust/PPO $27.28
Rate for Payer: BCN Commercial $27.28
Rate for Payer: BCN Medicare Advantage $8.77
Rate for Payer: Cash Price $28.07
Rate for Payer: Cash Price $28.07
Rate for Payer: Cofinity Commercial $30.18
Rate for Payer: Encore Health Key Benefits Commercial $28.07
Rate for Payer: Health Alliance Plan Medicare Advantage $8.77
Rate for Payer: Healthscope Commercial $31.58
Rate for Payer: Lakeland Regional Health Systems Commercial $26.32
Rate for Payer: Mclaren Medicaid $3.85
Rate for Payer: Meridian Medicaid $4.04
Rate for Payer: Meridian Wellcare - Medicare Advantage $9.21
Rate for Payer: MI Amish Medical Board Commercial $10.09
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS $29.83
Rate for Payer: PACE Senior Care Partners $8.33
Rate for Payer: PACE SWMI $8.77
Rate for Payer: PHP Commercial $29.83
Rate for Payer: PHP Medicare Advantage $8.77
Rate for Payer: Priority Health Choice Medicaid $3.85
Rate for Payer: Priority Health Cigna Priority Health $24.56
Rate for Payer: Priority Health HMO/PPO/Tiered Network $30.53
Rate for Payer: Priority Health Medicare $8.77
Rate for Payer: Priority Health Narrow/Tiered Network $21.40
Rate for Payer: Railroad Medicare Medicare $8.77
Rate for Payer: UHC All Payor (Choice/PPO) $30.88
Rate for Payer: UHC Core $29.30
Rate for Payer: UHC Dual Complete DSNP $8.77
Rate for Payer: UHC Medicare Advantage $9.04
Rate for Payer: VA VA $8.77
Rate for Payer: Van Buren County Sheriff Dept. Commercial $26.32
Service Code CPT 12041
Hospital Charge Code 76100228
Hospital Revenue Code 761
Min. Negotiated Rate $116.10
Max. Negotiated Rate $439.97
Rate for Payer: Aetna Commercial $415.53
Rate for Payer: Aetna Medicare $127.10
Rate for Payer: Allen County Amish Medical Aid Commercial $152.77
Rate for Payer: Amish Plain Church Group Commercial $152.77
Rate for Payer: BCBS Complete $274.65
Rate for Payer: BCBS MAPPO $122.22
Rate for Payer: BCBS Trust/PPO $380.09
Rate for Payer: BCN Commercial $380.09
Rate for Payer: BCN Medicare Advantage $122.22
Rate for Payer: Cash Price $391.09
Rate for Payer: Cash Price $391.09
Rate for Payer: Cofinity Commercial $420.42
Rate for Payer: Encore Health Key Benefits Commercial $391.09
Rate for Payer: Health Alliance Plan Medicare Advantage $122.22
Rate for Payer: Healthscope Commercial $439.97
Rate for Payer: Lakeland Regional Health Systems Commercial $366.64
Rate for Payer: Mclaren Medicaid $261.57
Rate for Payer: Meridian Medicaid $274.65
Rate for Payer: Meridian Wellcare - Medicare Advantage $128.33
Rate for Payer: MI Amish Medical Board Commercial $140.55
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS $415.53
Rate for Payer: PACE Senior Care Partners $116.10
Rate for Payer: PACE SWMI $122.22
Rate for Payer: PHP Commercial $415.53
Rate for Payer: PHP Medicare Advantage $122.22
Rate for Payer: Priority Health Choice Medicaid $261.57
Rate for Payer: Priority Health Cigna Priority Health $342.20
Rate for Payer: Priority Health HMO/PPO/Tiered Network $425.31
Rate for Payer: Priority Health Medicare $122.22
Rate for Payer: Priority Health Narrow/Tiered Network $298.16
Rate for Payer: Railroad Medicare Medicare $122.22
Rate for Payer: UHC All Payor (Choice/PPO) $430.20
Rate for Payer: UHC Core $408.20
Rate for Payer: UHC Dual Complete DSNP $122.22
Rate for Payer: UHC Medicare Advantage $125.88
Rate for Payer: VA VA $122.22
Rate for Payer: Van Buren County Sheriff Dept. Commercial $366.64
Service Code CPT 12041
Hospital Charge Code 76100228
Hospital Revenue Code 761
Min. Negotiated Rate $298.16
Max. Negotiated Rate $439.97
Rate for Payer: Aetna Commercial $415.53
Rate for Payer: BCBS Trust/PPO $377.79
Rate for Payer: BCN Commercial $377.79
Rate for Payer: Cash Price $391.09
Rate for Payer: Cofinity Commercial $420.42
Rate for Payer: Encore Health Key Benefits Commercial $391.09
Rate for Payer: Healthscope Commercial $439.97
Rate for Payer: Lakeland Regional Health Systems Commercial $366.64
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS $415.53
Rate for Payer: PHP Commercial $415.53
Rate for Payer: Priority Health Cigna Priority Health $342.20
Rate for Payer: Priority Health HMO/PPO/Tiered Network $425.31
Rate for Payer: Priority Health Narrow/Tiered Network $298.16
Rate for Payer: UHC All Payor (Choice/PPO) $430.20
Rate for Payer: UHC Core $408.20
Rate for Payer: Van Buren County Sheriff Dept. Commercial $366.64