|
HC FLOW CYTOMETRY, CELL SURFACE, ADDL
|
Facility
|
IP
|
$64.85
|
|
|
Service Code
|
CPT 88185
|
| Hospital Charge Code |
31100041
|
|
Hospital Revenue Code
|
311
|
| Min. Negotiated Rate |
$45.14 |
| Max. Negotiated Rate |
$58.37 |
| Rate for Payer: Aetna Commercial |
$55.12
|
| Rate for Payer: BCBS Trust/PPO |
$53.56
|
| Rate for Payer: BCN Commercial |
$53.56
|
| Rate for Payer: Cash Price |
$51.88
|
| Rate for Payer: Cofinity Commercial |
$55.77
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$51.88
|
| Rate for Payer: Healthscope Commercial |
$58.37
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$48.64
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$55.12
|
| Rate for Payer: Nomi Health Commercial |
$53.18
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$48.64
|
| Rate for Payer: PHP Commercial |
$55.12
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$56.42
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$45.14
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$57.07
|
| Rate for Payer: UHC Core |
$54.15
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$48.64
|
|
|
HC FLOW CYTOMETRY, CELL SURFACE, FIRST
|
Facility
|
OP
|
$223.09
|
|
|
Service Code
|
CPT 88184
|
| Hospital Charge Code |
31100040
|
|
Hospital Revenue Code
|
311
|
| Min. Negotiated Rate |
$39.33 |
| Max. Negotiated Rate |
$200.78 |
| Rate for Payer: Aetna Commercial |
$189.63
|
| Rate for Payer: Aetna Medicare |
$58.00
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$69.72
|
| Rate for Payer: Amish Plain Church Group Commercial |
$69.72
|
| Rate for Payer: BCBS Complete |
$41.29
|
| Rate for Payer: BCBS MAPPO |
$55.77
|
| Rate for Payer: BCBS Trust/PPO |
$183.40
|
| Rate for Payer: BCN Commercial |
$183.40
|
| Rate for Payer: BCN Medicare Advantage |
$55.77
|
| Rate for Payer: Cash Price |
$178.47
|
| Rate for Payer: Cofinity Commercial |
$191.86
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$178.47
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$55.77
|
| Rate for Payer: Healthscope Commercial |
$200.78
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$167.32
|
| Rate for Payer: Mclaren Medicaid |
$39.33
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$58.56
|
| Rate for Payer: Meridian Medicaid |
$41.29
|
| Rate for Payer: MI Amish Medical Board Commercial |
$64.14
|
| Rate for Payer: Molina Medicare/Medicaid |
$61.35
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$189.63
|
| Rate for Payer: Nomi Health Commercial |
$182.93
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$167.32
|
| Rate for Payer: PACE Senior Care Partners |
$52.98
|
| Rate for Payer: PACE SWMI |
$55.77
|
| Rate for Payer: PHP Commercial |
$189.63
|
| Rate for Payer: PHP Medicare Advantage |
$55.77
|
| Rate for Payer: Priority Health Choice Medicaid |
$39.33
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$194.09
|
| Rate for Payer: Priority Health Medicare |
$56.33
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$155.27
|
| Rate for Payer: Railroad Medicare Medicare |
$55.77
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$196.32
|
| Rate for Payer: UHC Core |
$186.28
|
| Rate for Payer: UHC Exchange |
$55.77
|
| Rate for Payer: UHC Medicaid |
$39.33
|
| Rate for Payer: UHC Medicare Advantage |
$55.77
|
| Rate for Payer: UHCCP Medicaid |
$39.33
|
| Rate for Payer: VA VA |
$55.77
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$167.32
|
|
|
HC FLOW CYTOMETRY, CELL SURFACE, FIRST
|
Facility
|
IP
|
$223.09
|
|
|
Service Code
|
CPT 88184
|
| Hospital Charge Code |
31100040
|
|
Hospital Revenue Code
|
311
|
| Min. Negotiated Rate |
$155.27 |
| Max. Negotiated Rate |
$200.78 |
| Rate for Payer: Aetna Commercial |
$189.63
|
| Rate for Payer: BCBS Trust/PPO |
$184.25
|
| Rate for Payer: BCN Commercial |
$184.25
|
| Rate for Payer: Cash Price |
$178.47
|
| Rate for Payer: Cofinity Commercial |
$191.86
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$178.47
|
| Rate for Payer: Healthscope Commercial |
$200.78
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$167.32
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$189.63
|
| Rate for Payer: Nomi Health Commercial |
$182.93
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$167.32
|
| Rate for Payer: PHP Commercial |
$189.63
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$194.09
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$155.27
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$196.32
|
| Rate for Payer: UHC Core |
$186.28
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$167.32
|
|
|
HC FLUID CREATININE
|
Facility
|
OP
|
$21.23
|
|
|
Service Code
|
CPT 82570
|
| Hospital Charge Code |
30100498
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$3.74 |
| Max. Negotiated Rate |
$19.11 |
| Rate for Payer: Aetna Commercial |
$18.05
|
| Rate for Payer: Aetna Medicare |
$5.52
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$6.63
|
| Rate for Payer: Amish Plain Church Group Commercial |
$6.63
|
| Rate for Payer: BCBS Complete |
$3.93
|
| Rate for Payer: BCBS MAPPO |
$5.31
|
| Rate for Payer: BCBS Trust/PPO |
$17.45
|
| Rate for Payer: BCN Commercial |
$17.45
|
| Rate for Payer: BCN Medicare Advantage |
$5.31
|
| Rate for Payer: Cash Price |
$16.98
|
| Rate for Payer: Cofinity Commercial |
$18.26
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$16.98
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$5.31
|
| Rate for Payer: Healthscope Commercial |
$19.11
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$15.92
|
| Rate for Payer: Mclaren Medicaid |
$3.74
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$5.57
|
| Rate for Payer: Meridian Medicaid |
$3.93
|
| Rate for Payer: MI Amish Medical Board Commercial |
$6.10
|
| Rate for Payer: Molina Medicare/Medicaid |
$5.84
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$18.05
|
| Rate for Payer: Nomi Health Commercial |
$17.41
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$15.92
|
| Rate for Payer: PACE Senior Care Partners |
$5.04
|
| Rate for Payer: PACE SWMI |
$5.31
|
| Rate for Payer: PHP Commercial |
$18.05
|
| Rate for Payer: PHP Medicare Advantage |
$5.31
|
| Rate for Payer: Priority Health Choice Medicaid |
$3.74
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$18.47
|
| Rate for Payer: Priority Health Medicare |
$5.36
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$14.78
|
| Rate for Payer: Railroad Medicare Medicare |
$5.31
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$18.68
|
| Rate for Payer: UHC Core |
$17.73
|
| Rate for Payer: UHC Exchange |
$5.31
|
| Rate for Payer: UHC Medicaid |
$3.74
|
| Rate for Payer: UHC Medicare Advantage |
$5.31
|
| Rate for Payer: UHCCP Medicaid |
$3.74
|
| Rate for Payer: VA VA |
$5.31
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$15.92
|
|
|
HC FLUID CREATININE
|
Facility
|
IP
|
$21.23
|
|
|
Service Code
|
CPT 82570
|
| Hospital Charge Code |
30100498
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$14.78 |
| Max. Negotiated Rate |
$19.11 |
| Rate for Payer: Aetna Commercial |
$18.05
|
| Rate for Payer: BCBS Trust/PPO |
$17.53
|
| Rate for Payer: BCN Commercial |
$17.53
|
| Rate for Payer: Cash Price |
$16.98
|
| Rate for Payer: Cofinity Commercial |
$18.26
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$16.98
|
| Rate for Payer: Healthscope Commercial |
$19.11
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$15.92
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$18.05
|
| Rate for Payer: Nomi Health Commercial |
$17.41
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$15.92
|
| Rate for Payer: PHP Commercial |
$18.05
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$18.47
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$14.78
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$18.68
|
| Rate for Payer: UHC Core |
$17.73
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$15.92
|
|
|
HC FLUIDOTHERAPY
|
Facility
|
IP
|
$110.36
|
|
|
Service Code
|
CPT 97022
|
| Hospital Charge Code |
42000051
|
|
Hospital Revenue Code
|
420
|
| Min. Negotiated Rate |
$76.81 |
| Max. Negotiated Rate |
$99.32 |
| Rate for Payer: Aetna Commercial |
$93.81
|
| Rate for Payer: BCBS Trust/PPO |
$91.15
|
| Rate for Payer: BCN Commercial |
$91.15
|
| Rate for Payer: Cash Price |
$88.29
|
| Rate for Payer: Cofinity Commercial |
$94.91
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$88.29
|
| Rate for Payer: Healthscope Commercial |
$99.32
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$82.77
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$93.81
|
| Rate for Payer: Nomi Health Commercial |
$90.50
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$82.77
|
| Rate for Payer: PHP Commercial |
$93.81
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$96.01
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$76.81
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$97.12
|
| Rate for Payer: UHC Core |
$92.15
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$82.77
|
|
|
HC FLUIDOTHERAPY
|
Facility
|
OP
|
$110.36
|
|
|
Service Code
|
CPT 97022
|
| Hospital Charge Code |
42000051
|
|
Hospital Revenue Code
|
420
|
| Min. Negotiated Rate |
$19.46 |
| Max. Negotiated Rate |
$99.32 |
| Rate for Payer: Aetna Commercial |
$93.81
|
| Rate for Payer: Aetna Medicare |
$28.69
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$34.49
|
| Rate for Payer: Amish Plain Church Group Commercial |
$34.49
|
| Rate for Payer: BCBS Complete |
$20.43
|
| Rate for Payer: BCBS MAPPO |
$27.59
|
| Rate for Payer: BCBS Trust/PPO |
$90.73
|
| Rate for Payer: BCN Commercial |
$90.73
|
| Rate for Payer: BCN Medicare Advantage |
$27.59
|
| Rate for Payer: Cash Price |
$88.29
|
| Rate for Payer: Cofinity Commercial |
$94.91
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$88.29
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$27.59
|
| Rate for Payer: Healthscope Commercial |
$99.32
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$82.77
|
| Rate for Payer: Mclaren Medicaid |
$19.46
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$28.97
|
| Rate for Payer: Meridian Medicaid |
$20.43
|
| Rate for Payer: MI Amish Medical Board Commercial |
$31.73
|
| Rate for Payer: Molina Medicare/Medicaid |
$30.35
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$93.81
|
| Rate for Payer: Nomi Health Commercial |
$90.50
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$82.77
|
| Rate for Payer: PACE Senior Care Partners |
$26.21
|
| Rate for Payer: PACE SWMI |
$27.59
|
| Rate for Payer: PHP Commercial |
$93.81
|
| Rate for Payer: PHP Medicare Advantage |
$27.59
|
| Rate for Payer: Priority Health Choice Medicaid |
$19.46
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$96.01
|
| Rate for Payer: Priority Health Medicare |
$27.87
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$76.81
|
| Rate for Payer: Railroad Medicare Medicare |
$27.59
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$97.12
|
| Rate for Payer: UHC Core |
$92.15
|
| Rate for Payer: UHC Exchange |
$27.59
|
| Rate for Payer: UHC Medicaid |
$19.46
|
| Rate for Payer: UHC Medicare Advantage |
$27.59
|
| Rate for Payer: UHCCP Medicaid |
$19.46
|
| Rate for Payer: VA VA |
$27.59
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$82.77
|
|
|
HC FLUID SMEAR AND INTERPRETATION
|
Facility
|
OP
|
$134.34
|
|
|
Service Code
|
CPT 88108
|
| Hospital Charge Code |
31100002
|
|
Hospital Revenue Code
|
311
|
| Min. Negotiated Rate |
$23.68 |
| Max. Negotiated Rate |
$120.91 |
| Rate for Payer: Aetna Commercial |
$114.19
|
| Rate for Payer: Aetna Medicare |
$34.93
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$41.98
|
| Rate for Payer: Amish Plain Church Group Commercial |
$41.98
|
| Rate for Payer: BCBS Complete |
$24.87
|
| Rate for Payer: BCBS MAPPO |
$33.59
|
| Rate for Payer: BCBS Trust/PPO |
$110.44
|
| Rate for Payer: BCN Commercial |
$110.44
|
| Rate for Payer: BCN Medicare Advantage |
$33.59
|
| Rate for Payer: Cash Price |
$107.47
|
| Rate for Payer: Cofinity Commercial |
$115.53
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$107.47
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$33.59
|
| Rate for Payer: Healthscope Commercial |
$120.91
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$100.75
|
| Rate for Payer: Mclaren Medicaid |
$23.68
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$35.26
|
| Rate for Payer: Meridian Medicaid |
$24.87
|
| Rate for Payer: MI Amish Medical Board Commercial |
$38.62
|
| Rate for Payer: Molina Medicare/Medicaid |
$36.94
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$114.19
|
| Rate for Payer: Nomi Health Commercial |
$110.16
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$100.75
|
| Rate for Payer: PACE Senior Care Partners |
$31.91
|
| Rate for Payer: PACE SWMI |
$33.59
|
| Rate for Payer: PHP Commercial |
$114.19
|
| Rate for Payer: PHP Medicare Advantage |
$33.59
|
| Rate for Payer: Priority Health Choice Medicaid |
$23.68
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$116.88
|
| Rate for Payer: Priority Health Medicare |
$33.92
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$93.50
|
| Rate for Payer: Railroad Medicare Medicare |
$33.59
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$118.22
|
| Rate for Payer: UHC Core |
$112.17
|
| Rate for Payer: UHC Exchange |
$33.59
|
| Rate for Payer: UHC Medicaid |
$23.68
|
| Rate for Payer: UHC Medicare Advantage |
$33.59
|
| Rate for Payer: UHCCP Medicaid |
$23.68
|
| Rate for Payer: VA VA |
$33.59
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$100.75
|
|
|
HC FLUID SMEAR AND INTERPRETATION
|
Facility
|
IP
|
$134.34
|
|
|
Service Code
|
CPT 88108
|
| Hospital Charge Code |
31100002
|
|
Hospital Revenue Code
|
311
|
| Min. Negotiated Rate |
$93.50 |
| Max. Negotiated Rate |
$120.91 |
| Rate for Payer: Aetna Commercial |
$114.19
|
| Rate for Payer: BCBS Trust/PPO |
$110.95
|
| Rate for Payer: BCN Commercial |
$110.95
|
| Rate for Payer: Cash Price |
$107.47
|
| Rate for Payer: Cofinity Commercial |
$115.53
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$107.47
|
| Rate for Payer: Healthscope Commercial |
$120.91
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$100.75
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$114.19
|
| Rate for Payer: Nomi Health Commercial |
$110.16
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$100.75
|
| Rate for Payer: PHP Commercial |
$114.19
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$116.88
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$93.50
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$118.22
|
| Rate for Payer: UHC Core |
$112.17
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$100.75
|
|
|
HC FLUID SMEAR WITH INTERPRETATION
|
Facility
|
IP
|
$114.19
|
|
|
Service Code
|
CPT 88108
|
| Hospital Charge Code |
31100030
|
|
Hospital Revenue Code
|
311
|
| Min. Negotiated Rate |
$79.48 |
| Max. Negotiated Rate |
$102.77 |
| Rate for Payer: Aetna Commercial |
$97.06
|
| Rate for Payer: BCBS Trust/PPO |
$94.31
|
| Rate for Payer: BCN Commercial |
$94.31
|
| Rate for Payer: Cash Price |
$91.35
|
| Rate for Payer: Cofinity Commercial |
$98.20
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$91.35
|
| Rate for Payer: Healthscope Commercial |
$102.77
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$85.64
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$97.06
|
| Rate for Payer: Nomi Health Commercial |
$93.64
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$85.64
|
| Rate for Payer: PHP Commercial |
$97.06
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$99.35
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$79.48
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$100.49
|
| Rate for Payer: UHC Core |
$95.35
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$85.64
|
|
|
HC FLUID SMEAR WITH INTERPRETATION
|
Facility
|
OP
|
$114.19
|
|
|
Service Code
|
CPT 88108
|
| Hospital Charge Code |
31100030
|
|
Hospital Revenue Code
|
311
|
| Min. Negotiated Rate |
$20.13 |
| Max. Negotiated Rate |
$102.77 |
| Rate for Payer: Aetna Commercial |
$97.06
|
| Rate for Payer: Aetna Medicare |
$29.69
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$35.68
|
| Rate for Payer: Amish Plain Church Group Commercial |
$35.68
|
| Rate for Payer: BCBS Complete |
$21.14
|
| Rate for Payer: BCBS MAPPO |
$28.55
|
| Rate for Payer: BCBS Trust/PPO |
$93.88
|
| Rate for Payer: BCN Commercial |
$93.88
|
| Rate for Payer: BCN Medicare Advantage |
$28.55
|
| Rate for Payer: Cash Price |
$91.35
|
| Rate for Payer: Cofinity Commercial |
$98.20
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$91.35
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$28.55
|
| Rate for Payer: Healthscope Commercial |
$102.77
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$85.64
|
| Rate for Payer: Mclaren Medicaid |
$20.13
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$29.97
|
| Rate for Payer: Meridian Medicaid |
$21.14
|
| Rate for Payer: MI Amish Medical Board Commercial |
$32.83
|
| Rate for Payer: Molina Medicare/Medicaid |
$31.40
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$97.06
|
| Rate for Payer: Nomi Health Commercial |
$93.64
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$85.64
|
| Rate for Payer: PACE Senior Care Partners |
$27.12
|
| Rate for Payer: PACE SWMI |
$28.55
|
| Rate for Payer: PHP Commercial |
$97.06
|
| Rate for Payer: PHP Medicare Advantage |
$28.55
|
| Rate for Payer: Priority Health Choice Medicaid |
$20.13
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$99.35
|
| Rate for Payer: Priority Health Medicare |
$28.83
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$79.48
|
| Rate for Payer: Railroad Medicare Medicare |
$28.55
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$100.49
|
| Rate for Payer: UHC Core |
$95.35
|
| Rate for Payer: UHC Exchange |
$28.55
|
| Rate for Payer: UHC Medicaid |
$20.13
|
| Rate for Payer: UHC Medicare Advantage |
$28.55
|
| Rate for Payer: UHCCP Medicaid |
$20.13
|
| Rate for Payer: VA VA |
$28.55
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$85.64
|
|
|
HC FLUTTER VALVE SUPPLY
|
Facility
|
OP
|
$121.06
|
|
| Hospital Charge Code |
27000078
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$21.34 |
| Max. Negotiated Rate |
$108.95 |
| Rate for Payer: Aetna Commercial |
$102.90
|
| Rate for Payer: Aetna Medicare |
$31.48
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$37.83
|
| Rate for Payer: Amish Plain Church Group Commercial |
$37.83
|
| Rate for Payer: BCBS Complete |
$22.41
|
| Rate for Payer: BCBS MAPPO |
$30.27
|
| Rate for Payer: BCBS Trust/PPO |
$99.52
|
| Rate for Payer: BCN Commercial |
$99.52
|
| Rate for Payer: BCN Medicare Advantage |
$30.27
|
| Rate for Payer: Cash Price |
$96.85
|
| Rate for Payer: Cofinity Commercial |
$104.11
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$96.85
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$30.27
|
| Rate for Payer: Healthscope Commercial |
$108.95
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$90.80
|
| Rate for Payer: Mclaren Medicaid |
$21.34
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$31.78
|
| Rate for Payer: Meridian Medicaid |
$22.41
|
| Rate for Payer: MI Amish Medical Board Commercial |
$34.80
|
| Rate for Payer: Molina Medicare/Medicaid |
$33.29
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$102.90
|
| Rate for Payer: Nomi Health Commercial |
$99.27
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$90.80
|
| Rate for Payer: PACE Senior Care Partners |
$28.75
|
| Rate for Payer: PACE SWMI |
$30.27
|
| Rate for Payer: PHP Commercial |
$102.90
|
| Rate for Payer: PHP Medicare Advantage |
$30.27
|
| Rate for Payer: Priority Health Choice Medicaid |
$21.34
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$105.32
|
| Rate for Payer: Priority Health Medicare |
$30.57
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$84.26
|
| Rate for Payer: Railroad Medicare Medicare |
$30.27
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$106.53
|
| Rate for Payer: UHC Core |
$101.09
|
| Rate for Payer: UHC Exchange |
$30.27
|
| Rate for Payer: UHC Medicaid |
$21.34
|
| Rate for Payer: UHC Medicare Advantage |
$30.27
|
| Rate for Payer: UHCCP Medicaid |
$21.34
|
| Rate for Payer: VA VA |
$30.27
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$90.80
|
|
|
HC FLUTTER VALVE SUPPLY
|
Facility
|
IP
|
$121.06
|
|
| Hospital Charge Code |
27000078
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$84.26 |
| Max. Negotiated Rate |
$108.95 |
| Rate for Payer: Aetna Commercial |
$102.90
|
| Rate for Payer: BCBS Trust/PPO |
$99.98
|
| Rate for Payer: BCN Commercial |
$99.98
|
| Rate for Payer: Cash Price |
$96.85
|
| Rate for Payer: Cofinity Commercial |
$104.11
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$96.85
|
| Rate for Payer: Healthscope Commercial |
$108.95
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$90.80
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$102.90
|
| Rate for Payer: Nomi Health Commercial |
$99.27
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$90.80
|
| Rate for Payer: PHP Commercial |
$102.90
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$105.32
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$84.26
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$106.53
|
| Rate for Payer: UHC Core |
$101.09
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$90.80
|
|
|
HC FLU VAC,SPLIT VIRUS, PT 3 YRS OR OLDER, IM
|
Facility
|
IP
|
$26.53
|
|
|
Service Code
|
CPT Q2038
|
| Hospital Charge Code |
63600113
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$18.46 |
| Max. Negotiated Rate |
$23.88 |
| Rate for Payer: Aetna Commercial |
$22.55
|
| Rate for Payer: BCBS Trust/PPO |
$21.91
|
| Rate for Payer: BCN Commercial |
$21.91
|
| Rate for Payer: Cash Price |
$21.22
|
| Rate for Payer: Cofinity Commercial |
$22.82
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$21.22
|
| Rate for Payer: Healthscope Commercial |
$23.88
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$19.90
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$22.55
|
| Rate for Payer: Nomi Health Commercial |
$21.75
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$19.90
|
| Rate for Payer: PHP Commercial |
$22.55
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$23.08
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$18.46
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$23.35
|
| Rate for Payer: UHC Core |
$22.15
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$19.90
|
|
|
HC FLU VAC,SPLIT VIRUS, PT 3 YRS OR OLDER, IM
|
Facility
|
OP
|
$26.53
|
|
|
Service Code
|
CPT Q2038
|
| Hospital Charge Code |
63600113
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$4.68 |
| Max. Negotiated Rate |
$23.88 |
| Rate for Payer: Aetna Commercial |
$22.55
|
| Rate for Payer: Aetna Medicare |
$6.90
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$8.29
|
| Rate for Payer: Amish Plain Church Group Commercial |
$8.29
|
| Rate for Payer: BCBS Complete |
$4.91
|
| Rate for Payer: BCBS MAPPO |
$6.63
|
| Rate for Payer: BCBS Trust/PPO |
$21.81
|
| Rate for Payer: BCN Commercial |
$21.81
|
| Rate for Payer: BCN Medicare Advantage |
$6.63
|
| Rate for Payer: Cash Price |
$21.22
|
| Rate for Payer: Cofinity Commercial |
$22.82
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$21.22
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$6.63
|
| Rate for Payer: Healthscope Commercial |
$23.88
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$19.90
|
| Rate for Payer: Mclaren Medicaid |
$4.68
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$6.96
|
| Rate for Payer: Meridian Medicaid |
$4.91
|
| Rate for Payer: MI Amish Medical Board Commercial |
$7.63
|
| Rate for Payer: Molina Medicare/Medicaid |
$7.30
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$22.55
|
| Rate for Payer: Nomi Health Commercial |
$21.75
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$19.90
|
| Rate for Payer: PACE Senior Care Partners |
$6.30
|
| Rate for Payer: PACE SWMI |
$6.63
|
| Rate for Payer: PHP Commercial |
$22.55
|
| Rate for Payer: PHP Medicare Advantage |
$6.63
|
| Rate for Payer: Priority Health Choice Medicaid |
$4.68
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$23.08
|
| Rate for Payer: Priority Health Medicare |
$6.70
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$18.46
|
| Rate for Payer: Railroad Medicare Medicare |
$6.63
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$23.35
|
| Rate for Payer: UHC Core |
$22.15
|
| Rate for Payer: UHC Exchange |
$6.63
|
| Rate for Payer: UHC Medicaid |
$4.68
|
| Rate for Payer: UHC Medicare Advantage |
$6.63
|
| Rate for Payer: UHCCP Medicaid |
$4.68
|
| Rate for Payer: VA VA |
$6.63
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$19.90
|
|
|
HC FNA BX 1ST LESION CT GUIDE
|
Facility
|
OP
|
$926.44
|
|
|
Service Code
|
CPT 10009
|
| Hospital Charge Code |
36100558
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$163.33 |
| Max. Negotiated Rate |
$833.80 |
| Rate for Payer: Aetna Commercial |
$787.47
|
| Rate for Payer: Aetna Medicare |
$240.87
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$289.51
|
| Rate for Payer: Amish Plain Church Group Commercial |
$289.51
|
| Rate for Payer: BCBS Complete |
$171.48
|
| Rate for Payer: BCBS MAPPO |
$231.61
|
| Rate for Payer: BCBS Trust/PPO |
$761.63
|
| Rate for Payer: BCCCP Commercial |
$391.24
|
| Rate for Payer: BCN Commercial |
$761.63
|
| Rate for Payer: BCN Medicare Advantage |
$231.61
|
| Rate for Payer: Cash Price |
$741.15
|
| Rate for Payer: Cash Price |
$741.15
|
| Rate for Payer: Cofinity Commercial |
$796.74
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$741.15
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$231.61
|
| Rate for Payer: Healthscope Commercial |
$833.80
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$694.83
|
| Rate for Payer: Mclaren Medicaid |
$163.33
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$243.19
|
| Rate for Payer: Meridian Medicaid |
$171.48
|
| Rate for Payer: MI Amish Medical Board Commercial |
$266.35
|
| Rate for Payer: Molina Medicare/Medicaid |
$254.77
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$787.47
|
| Rate for Payer: Nomi Health Commercial |
$759.68
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$694.83
|
| Rate for Payer: PACE Senior Care Partners |
$220.03
|
| Rate for Payer: PACE SWMI |
$231.61
|
| Rate for Payer: PHP Commercial |
$787.47
|
| Rate for Payer: PHP Medicare Advantage |
$231.61
|
| Rate for Payer: Priority Health Choice Medicaid |
$163.33
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$806.00
|
| Rate for Payer: Priority Health Medicare |
$233.93
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$644.80
|
| Rate for Payer: Railroad Medicare Medicare |
$231.61
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$815.27
|
| Rate for Payer: UHC Core |
$773.58
|
| Rate for Payer: UHC Exchange |
$231.61
|
| Rate for Payer: UHC Medicaid |
$163.33
|
| Rate for Payer: UHC Medicare Advantage |
$231.61
|
| Rate for Payer: UHCCP Medicaid |
$163.33
|
| Rate for Payer: VA VA |
$231.61
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$694.83
|
|
|
HC FNA BX 1ST LESION CT GUIDE
|
Facility
|
IP
|
$926.44
|
|
|
Service Code
|
CPT 10009
|
| Hospital Charge Code |
36100558
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$644.80 |
| Max. Negotiated Rate |
$833.80 |
| Rate for Payer: Aetna Commercial |
$787.47
|
| Rate for Payer: BCBS Trust/PPO |
$765.15
|
| Rate for Payer: BCN Commercial |
$765.15
|
| Rate for Payer: Cash Price |
$741.15
|
| Rate for Payer: Cofinity Commercial |
$796.74
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$741.15
|
| Rate for Payer: Healthscope Commercial |
$833.80
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$694.83
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$787.47
|
| Rate for Payer: Nomi Health Commercial |
$759.68
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$694.83
|
| Rate for Payer: PHP Commercial |
$787.47
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$806.00
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$644.80
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$815.27
|
| Rate for Payer: UHC Core |
$773.58
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$694.83
|
|
|
HC FNA BX 1ST LESION FLUORO GUIDE
|
Facility
|
OP
|
$926.44
|
|
|
Service Code
|
CPT 10007
|
| Hospital Charge Code |
36100556
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$163.33 |
| Max. Negotiated Rate |
$833.80 |
| Rate for Payer: Aetna Commercial |
$787.47
|
| Rate for Payer: Aetna Medicare |
$240.87
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$289.51
|
| Rate for Payer: Amish Plain Church Group Commercial |
$289.51
|
| Rate for Payer: BCBS Complete |
$171.48
|
| Rate for Payer: BCBS MAPPO |
$231.61
|
| Rate for Payer: BCBS Trust/PPO |
$761.63
|
| Rate for Payer: BCCCP Commercial |
$284.96
|
| Rate for Payer: BCN Commercial |
$761.63
|
| Rate for Payer: BCN Medicare Advantage |
$231.61
|
| Rate for Payer: Cash Price |
$741.15
|
| Rate for Payer: Cash Price |
$741.15
|
| Rate for Payer: Cofinity Commercial |
$796.74
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$741.15
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$231.61
|
| Rate for Payer: Healthscope Commercial |
$833.80
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$694.83
|
| Rate for Payer: Mclaren Medicaid |
$163.33
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$243.19
|
| Rate for Payer: Meridian Medicaid |
$171.48
|
| Rate for Payer: MI Amish Medical Board Commercial |
$266.35
|
| Rate for Payer: Molina Medicare/Medicaid |
$254.77
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$787.47
|
| Rate for Payer: Nomi Health Commercial |
$759.68
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$694.83
|
| Rate for Payer: PACE Senior Care Partners |
$220.03
|
| Rate for Payer: PACE SWMI |
$231.61
|
| Rate for Payer: PHP Commercial |
$787.47
|
| Rate for Payer: PHP Medicare Advantage |
$231.61
|
| Rate for Payer: Priority Health Choice Medicaid |
$163.33
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$806.00
|
| Rate for Payer: Priority Health Medicare |
$233.93
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$644.80
|
| Rate for Payer: Railroad Medicare Medicare |
$231.61
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$815.27
|
| Rate for Payer: UHC Core |
$773.58
|
| Rate for Payer: UHC Exchange |
$231.61
|
| Rate for Payer: UHC Medicaid |
$163.33
|
| Rate for Payer: UHC Medicare Advantage |
$231.61
|
| Rate for Payer: UHCCP Medicaid |
$163.33
|
| Rate for Payer: VA VA |
$231.61
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$694.83
|
|
|
HC FNA BX 1ST LESION FLUORO GUIDE
|
Facility
|
IP
|
$926.44
|
|
|
Service Code
|
CPT 10007
|
| Hospital Charge Code |
36100556
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$644.80 |
| Max. Negotiated Rate |
$833.80 |
| Rate for Payer: Aetna Commercial |
$787.47
|
| Rate for Payer: BCBS Trust/PPO |
$765.15
|
| Rate for Payer: BCN Commercial |
$765.15
|
| Rate for Payer: Cash Price |
$741.15
|
| Rate for Payer: Cofinity Commercial |
$796.74
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$741.15
|
| Rate for Payer: Healthscope Commercial |
$833.80
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$694.83
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$787.47
|
| Rate for Payer: Nomi Health Commercial |
$759.68
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$694.83
|
| Rate for Payer: PHP Commercial |
$787.47
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$806.00
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$644.80
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$815.27
|
| Rate for Payer: UHC Core |
$773.58
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$694.83
|
|
|
HC FNA BX 1ST LESION MR GUIDE
|
Facility
|
IP
|
$926.44
|
|
|
Service Code
|
CPT 10011
|
| Hospital Charge Code |
36100560
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$644.80 |
| Max. Negotiated Rate |
$833.80 |
| Rate for Payer: Aetna Commercial |
$787.47
|
| Rate for Payer: BCBS Trust/PPO |
$765.15
|
| Rate for Payer: BCN Commercial |
$765.15
|
| Rate for Payer: Cash Price |
$741.15
|
| Rate for Payer: Cofinity Commercial |
$796.74
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$741.15
|
| Rate for Payer: Healthscope Commercial |
$833.80
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$694.83
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$787.47
|
| Rate for Payer: Nomi Health Commercial |
$759.68
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$694.83
|
| Rate for Payer: PHP Commercial |
$787.47
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$806.00
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$644.80
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$815.27
|
| Rate for Payer: UHC Core |
$773.58
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$694.83
|
|
|
HC FNA BX 1ST LESION MR GUIDE
|
Facility
|
OP
|
$926.44
|
|
|
Service Code
|
CPT 10011
|
| Hospital Charge Code |
36100560
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$163.33 |
| Max. Negotiated Rate |
$833.80 |
| Rate for Payer: Aetna Commercial |
$787.47
|
| Rate for Payer: Aetna Medicare |
$240.87
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$289.51
|
| Rate for Payer: Amish Plain Church Group Commercial |
$289.51
|
| Rate for Payer: BCBS Complete |
$171.48
|
| Rate for Payer: BCBS MAPPO |
$231.61
|
| Rate for Payer: BCBS Trust/PPO |
$761.63
|
| Rate for Payer: BCCCP Commercial |
$391.24
|
| Rate for Payer: BCN Commercial |
$761.63
|
| Rate for Payer: BCN Medicare Advantage |
$231.61
|
| Rate for Payer: Cash Price |
$741.15
|
| Rate for Payer: Cash Price |
$741.15
|
| Rate for Payer: Cofinity Commercial |
$796.74
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$741.15
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$231.61
|
| Rate for Payer: Healthscope Commercial |
$833.80
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$694.83
|
| Rate for Payer: Mclaren Medicaid |
$163.33
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$243.19
|
| Rate for Payer: Meridian Medicaid |
$171.48
|
| Rate for Payer: MI Amish Medical Board Commercial |
$266.35
|
| Rate for Payer: Molina Medicare/Medicaid |
$254.77
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$787.47
|
| Rate for Payer: Nomi Health Commercial |
$759.68
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$694.83
|
| Rate for Payer: PACE Senior Care Partners |
$220.03
|
| Rate for Payer: PACE SWMI |
$231.61
|
| Rate for Payer: PHP Commercial |
$787.47
|
| Rate for Payer: PHP Medicare Advantage |
$231.61
|
| Rate for Payer: Priority Health Choice Medicaid |
$163.33
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$806.00
|
| Rate for Payer: Priority Health Medicare |
$233.93
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$644.80
|
| Rate for Payer: Railroad Medicare Medicare |
$231.61
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$815.27
|
| Rate for Payer: UHC Core |
$773.58
|
| Rate for Payer: UHC Exchange |
$231.61
|
| Rate for Payer: UHC Medicaid |
$163.33
|
| Rate for Payer: UHC Medicare Advantage |
$231.61
|
| Rate for Payer: UHCCP Medicaid |
$163.33
|
| Rate for Payer: VA VA |
$231.61
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$694.83
|
|
|
HC FNA BX 1ST LESION US GUIDE
|
Facility
|
OP
|
$1,089.92
|
|
|
Service Code
|
CPT 10005
|
| Hospital Charge Code |
36100554
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$126.90 |
| Max. Negotiated Rate |
$980.93 |
| Rate for Payer: Aetna Commercial |
$926.43
|
| Rate for Payer: Aetna Medicare |
$283.38
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$340.60
|
| Rate for Payer: Amish Plain Church Group Commercial |
$340.60
|
| Rate for Payer: BCBS Complete |
$201.74
|
| Rate for Payer: BCBS MAPPO |
$272.48
|
| Rate for Payer: BCBS Trust/PPO |
$896.02
|
| Rate for Payer: BCCCP Commercial |
$126.90
|
| Rate for Payer: BCN Commercial |
$896.02
|
| Rate for Payer: BCN Medicare Advantage |
$272.48
|
| Rate for Payer: Cash Price |
$871.94
|
| Rate for Payer: Cash Price |
$871.94
|
| Rate for Payer: Cofinity Commercial |
$937.33
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$871.94
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$272.48
|
| Rate for Payer: Healthscope Commercial |
$980.93
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$817.44
|
| Rate for Payer: Mclaren Medicaid |
$192.15
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$286.10
|
| Rate for Payer: Meridian Medicaid |
$201.74
|
| Rate for Payer: MI Amish Medical Board Commercial |
$313.35
|
| Rate for Payer: Molina Medicare/Medicaid |
$299.73
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$926.43
|
| Rate for Payer: Nomi Health Commercial |
$893.73
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$817.44
|
| Rate for Payer: PACE Senior Care Partners |
$258.86
|
| Rate for Payer: PACE SWMI |
$272.48
|
| Rate for Payer: PHP Commercial |
$926.43
|
| Rate for Payer: PHP Medicare Advantage |
$272.48
|
| Rate for Payer: Priority Health Choice Medicaid |
$192.15
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$948.23
|
| Rate for Payer: Priority Health Medicare |
$275.20
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$758.58
|
| Rate for Payer: Railroad Medicare Medicare |
$272.48
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$959.13
|
| Rate for Payer: UHC Core |
$910.08
|
| Rate for Payer: UHC Exchange |
$272.48
|
| Rate for Payer: UHC Medicaid |
$192.15
|
| Rate for Payer: UHC Medicare Advantage |
$272.48
|
| Rate for Payer: UHCCP Medicaid |
$192.15
|
| Rate for Payer: VA VA |
$272.48
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$817.44
|
|
|
HC FNA BX 1ST LESION US GUIDE
|
Facility
|
IP
|
$1,089.92
|
|
|
Service Code
|
CPT 10005
|
| Hospital Charge Code |
36100554
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$758.58 |
| Max. Negotiated Rate |
$980.93 |
| Rate for Payer: Aetna Commercial |
$926.43
|
| Rate for Payer: BCBS Trust/PPO |
$900.16
|
| Rate for Payer: BCN Commercial |
$900.16
|
| Rate for Payer: Cash Price |
$871.94
|
| Rate for Payer: Cofinity Commercial |
$937.33
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$871.94
|
| Rate for Payer: Healthscope Commercial |
$980.93
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$817.44
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$926.43
|
| Rate for Payer: Nomi Health Commercial |
$893.73
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$817.44
|
| Rate for Payer: PHP Commercial |
$926.43
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$948.23
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$758.58
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$959.13
|
| Rate for Payer: UHC Core |
$910.08
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$817.44
|
|
|
HC FNA BX EACH ADDL CT GUIDE
|
Facility
|
IP
|
$153.88
|
|
|
Service Code
|
CPT 10010
|
| Hospital Charge Code |
36100559
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$107.10 |
| Max. Negotiated Rate |
$138.49 |
| Rate for Payer: Aetna Commercial |
$130.80
|
| Rate for Payer: BCBS Trust/PPO |
$127.09
|
| Rate for Payer: BCN Commercial |
$127.09
|
| Rate for Payer: Cash Price |
$123.10
|
| Rate for Payer: Cofinity Commercial |
$132.34
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$123.10
|
| Rate for Payer: Healthscope Commercial |
$138.49
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$115.41
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$130.80
|
| Rate for Payer: Nomi Health Commercial |
$126.18
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$115.41
|
| Rate for Payer: PHP Commercial |
$130.80
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$133.88
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$107.10
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$135.41
|
| Rate for Payer: UHC Core |
$128.49
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$115.41
|
|
|
HC FNA BX EACH ADDL CT GUIDE
|
Facility
|
OP
|
$153.88
|
|
|
Service Code
|
CPT 10010
|
| Hospital Charge Code |
36100559
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$27.13 |
| Max. Negotiated Rate |
$221.53 |
| Rate for Payer: Aetna Commercial |
$130.80
|
| Rate for Payer: Aetna Medicare |
$40.01
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$48.09
|
| Rate for Payer: Amish Plain Church Group Commercial |
$48.09
|
| Rate for Payer: BCBS Complete |
$28.48
|
| Rate for Payer: BCBS MAPPO |
$38.47
|
| Rate for Payer: BCBS Trust/PPO |
$126.50
|
| Rate for Payer: BCCCP Commercial |
$221.53
|
| Rate for Payer: BCN Commercial |
$126.50
|
| Rate for Payer: BCN Medicare Advantage |
$38.47
|
| Rate for Payer: Cash Price |
$123.10
|
| Rate for Payer: Cash Price |
$123.10
|
| Rate for Payer: Cofinity Commercial |
$132.34
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$123.10
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$38.47
|
| Rate for Payer: Healthscope Commercial |
$138.49
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$115.41
|
| Rate for Payer: Mclaren Medicaid |
$27.13
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$40.39
|
| Rate for Payer: Meridian Medicaid |
$28.48
|
| Rate for Payer: MI Amish Medical Board Commercial |
$44.24
|
| Rate for Payer: Molina Medicare/Medicaid |
$42.32
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$130.80
|
| Rate for Payer: Nomi Health Commercial |
$126.18
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$115.41
|
| Rate for Payer: PACE Senior Care Partners |
$36.55
|
| Rate for Payer: PACE SWMI |
$38.47
|
| Rate for Payer: PHP Commercial |
$130.80
|
| Rate for Payer: PHP Medicare Advantage |
$38.47
|
| Rate for Payer: Priority Health Choice Medicaid |
$27.13
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$133.88
|
| Rate for Payer: Priority Health Medicare |
$38.85
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$107.10
|
| Rate for Payer: Railroad Medicare Medicare |
$38.47
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$135.41
|
| Rate for Payer: UHC Core |
$128.49
|
| Rate for Payer: UHC Exchange |
$38.47
|
| Rate for Payer: UHC Medicaid |
$27.13
|
| Rate for Payer: UHC Medicare Advantage |
$38.47
|
| Rate for Payer: UHCCP Medicaid |
$27.13
|
| Rate for Payer: VA VA |
$38.47
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$115.41
|
|
