|
HC ENDO CYTOLOGY/BRUSHING
|
Facility
|
IP
|
$1,805.46
|
|
| Hospital Charge Code |
36000012
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$1,173.55 |
| Max. Negotiated Rate |
$1,624.91 |
| Rate for Payer: Aetna Commercial |
$1,534.64
|
| Rate for Payer: BCBS Trust/PPO |
$1,473.80
|
| Rate for Payer: BCN Commercial |
$1,395.26
|
| Rate for Payer: Cash Price |
$1,444.37
|
| Rate for Payer: Cofinity Commercial |
$1,552.70
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,444.37
|
| Rate for Payer: Healthscope Commercial |
$1,624.91
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,354.10
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,534.64
|
| Rate for Payer: Nomi Health Commercial |
$1,480.48
|
| Rate for Payer: PHP Commercial |
$1,534.64
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,173.55
|
| Rate for Payer: Priority Health HMO/PPO |
$1,570.75
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,209.66
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,588.80
|
| Rate for Payer: UHC Core |
$1,507.56
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,354.10
|
|
|
HC ENDO CYTOLOGY/BRUSHING
|
Facility
|
OP
|
$1,805.46
|
|
| Hospital Charge Code |
36000012
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$428.80 |
| Max. Negotiated Rate |
$1,624.91 |
| Rate for Payer: Aetna Commercial |
$1,534.64
|
| Rate for Payer: Aetna Medicare |
$469.42
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$564.21
|
| Rate for Payer: Amish Plain Church Group Commercial |
$564.21
|
| Rate for Payer: BCBS Complete |
$722.18
|
| Rate for Payer: BCBS MAPPO |
$451.36
|
| Rate for Payer: BCBS Trust/PPO |
$1,484.27
|
| Rate for Payer: BCN Commercial |
$1,403.75
|
| Rate for Payer: BCN Medicare Advantage |
$451.36
|
| Rate for Payer: Cash Price |
$1,444.37
|
| Rate for Payer: Cofinity Commercial |
$1,552.70
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,444.37
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$451.36
|
| Rate for Payer: Healthscope Commercial |
$1,624.91
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,354.10
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$473.93
|
| Rate for Payer: MI Amish Medical Board Commercial |
$519.07
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,534.64
|
| Rate for Payer: Nomi Health Commercial |
$1,480.48
|
| Rate for Payer: PACE Senior Care Partners |
$428.80
|
| Rate for Payer: PACE SWMI |
$451.36
|
| Rate for Payer: PHP Commercial |
$1,534.64
|
| Rate for Payer: PHP Medicare Advantage |
$451.36
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,173.55
|
| Rate for Payer: Priority Health HMO/PPO |
$1,570.75
|
| Rate for Payer: Priority Health Medicare |
$455.88
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,209.66
|
| Rate for Payer: Railroad Medicare Medicare |
$451.36
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,588.80
|
| Rate for Payer: UHC Core |
$1,507.56
|
| Rate for Payer: UHC Dual Complete DSNP |
$451.36
|
| Rate for Payer: UHC Exchange |
$451.36
|
| Rate for Payer: UHC Medicare Advantage |
$451.36
|
| Rate for Payer: VA VA |
$451.36
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,354.10
|
|
|
HC ENDO DILATATION
|
Facility
|
IP
|
$1,330.39
|
|
| Hospital Charge Code |
36000115
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$864.75 |
| Max. Negotiated Rate |
$1,197.35 |
| Rate for Payer: Aetna Commercial |
$1,130.83
|
| Rate for Payer: BCBS Trust/PPO |
$1,086.00
|
| Rate for Payer: BCN Commercial |
$1,028.13
|
| Rate for Payer: Cash Price |
$1,064.31
|
| Rate for Payer: Cofinity Commercial |
$1,144.14
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,064.31
|
| Rate for Payer: Healthscope Commercial |
$1,197.35
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$997.79
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,130.83
|
| Rate for Payer: Nomi Health Commercial |
$1,090.92
|
| Rate for Payer: PHP Commercial |
$1,130.83
|
| Rate for Payer: Priority Health Cigna Priority Health |
$864.75
|
| Rate for Payer: Priority Health HMO/PPO |
$1,157.44
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$891.36
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,170.74
|
| Rate for Payer: UHC Core |
$1,110.88
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$997.79
|
|
|
HC ENDO DILATATION
|
Facility
|
OP
|
$1,330.39
|
|
| Hospital Charge Code |
36000115
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$315.97 |
| Max. Negotiated Rate |
$1,197.35 |
| Rate for Payer: Aetna Commercial |
$1,130.83
|
| Rate for Payer: Aetna Medicare |
$345.90
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$415.75
|
| Rate for Payer: Amish Plain Church Group Commercial |
$415.75
|
| Rate for Payer: BCBS Complete |
$532.16
|
| Rate for Payer: BCBS MAPPO |
$332.60
|
| Rate for Payer: BCBS Trust/PPO |
$1,093.71
|
| Rate for Payer: BCN Commercial |
$1,034.38
|
| Rate for Payer: BCN Medicare Advantage |
$332.60
|
| Rate for Payer: Cash Price |
$1,064.31
|
| Rate for Payer: Cofinity Commercial |
$1,144.14
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,064.31
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$332.60
|
| Rate for Payer: Healthscope Commercial |
$1,197.35
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$997.79
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$349.23
|
| Rate for Payer: MI Amish Medical Board Commercial |
$382.49
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,130.83
|
| Rate for Payer: Nomi Health Commercial |
$1,090.92
|
| Rate for Payer: PACE Senior Care Partners |
$315.97
|
| Rate for Payer: PACE SWMI |
$332.60
|
| Rate for Payer: PHP Commercial |
$1,130.83
|
| Rate for Payer: PHP Medicare Advantage |
$332.60
|
| Rate for Payer: Priority Health Cigna Priority Health |
$864.75
|
| Rate for Payer: Priority Health HMO/PPO |
$1,157.44
|
| Rate for Payer: Priority Health Medicare |
$335.92
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$891.36
|
| Rate for Payer: Railroad Medicare Medicare |
$332.60
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,170.74
|
| Rate for Payer: UHC Core |
$1,110.88
|
| Rate for Payer: UHC Dual Complete DSNP |
$332.60
|
| Rate for Payer: UHC Exchange |
$332.60
|
| Rate for Payer: UHC Medicare Advantage |
$332.60
|
| Rate for Payer: VA VA |
$332.60
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$997.79
|
|
|
HC ENDO FINE NEEDLE ASP/BIOPSY
|
Facility
|
IP
|
$1,074.53
|
|
| Hospital Charge Code |
36000103
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$698.44 |
| Max. Negotiated Rate |
$967.08 |
| Rate for Payer: Aetna Commercial |
$913.35
|
| Rate for Payer: BCBS Trust/PPO |
$877.14
|
| Rate for Payer: BCN Commercial |
$830.40
|
| Rate for Payer: Cash Price |
$859.62
|
| Rate for Payer: Cofinity Commercial |
$924.10
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$859.62
|
| Rate for Payer: Healthscope Commercial |
$967.08
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$805.90
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$913.35
|
| Rate for Payer: Nomi Health Commercial |
$881.11
|
| Rate for Payer: PHP Commercial |
$913.35
|
| Rate for Payer: Priority Health Cigna Priority Health |
$698.44
|
| Rate for Payer: Priority Health HMO/PPO |
$934.84
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$719.94
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$945.59
|
| Rate for Payer: UHC Core |
$897.23
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$805.90
|
|
|
HC ENDO FINE NEEDLE ASP/BIOPSY
|
Facility
|
OP
|
$1,074.53
|
|
| Hospital Charge Code |
36000103
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$255.20 |
| Max. Negotiated Rate |
$967.08 |
| Rate for Payer: Aetna Commercial |
$913.35
|
| Rate for Payer: Aetna Medicare |
$279.38
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$335.79
|
| Rate for Payer: Amish Plain Church Group Commercial |
$335.79
|
| Rate for Payer: BCBS Complete |
$429.81
|
| Rate for Payer: BCBS MAPPO |
$268.63
|
| Rate for Payer: BCBS Trust/PPO |
$883.37
|
| Rate for Payer: BCN Commercial |
$835.45
|
| Rate for Payer: BCN Medicare Advantage |
$268.63
|
| Rate for Payer: Cash Price |
$859.62
|
| Rate for Payer: Cofinity Commercial |
$924.10
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$859.62
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$268.63
|
| Rate for Payer: Healthscope Commercial |
$967.08
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$805.90
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$282.06
|
| Rate for Payer: MI Amish Medical Board Commercial |
$308.93
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$913.35
|
| Rate for Payer: Nomi Health Commercial |
$881.11
|
| Rate for Payer: PACE Senior Care Partners |
$255.20
|
| Rate for Payer: PACE SWMI |
$268.63
|
| Rate for Payer: PHP Commercial |
$913.35
|
| Rate for Payer: PHP Medicare Advantage |
$268.63
|
| Rate for Payer: Priority Health Cigna Priority Health |
$698.44
|
| Rate for Payer: Priority Health HMO/PPO |
$934.84
|
| Rate for Payer: Priority Health Medicare |
$271.32
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$719.94
|
| Rate for Payer: Railroad Medicare Medicare |
$268.63
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$945.59
|
| Rate for Payer: UHC Core |
$897.23
|
| Rate for Payer: UHC Dual Complete DSNP |
$268.63
|
| Rate for Payer: UHC Exchange |
$268.63
|
| Rate for Payer: UHC Medicare Advantage |
$268.63
|
| Rate for Payer: VA VA |
$268.63
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$805.90
|
|
|
HC ENDOFORM 2X2
|
Facility
|
IP
|
$39.02
|
|
| Hospital Charge Code |
27000459
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$25.36 |
| Max. Negotiated Rate |
$35.12 |
| Rate for Payer: Aetna Commercial |
$33.17
|
| Rate for Payer: BCBS Trust/PPO |
$31.85
|
| Rate for Payer: BCN Commercial |
$30.15
|
| Rate for Payer: Cash Price |
$31.22
|
| Rate for Payer: Cofinity Commercial |
$33.56
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$31.22
|
| Rate for Payer: Healthscope Commercial |
$35.12
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$29.26
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$33.17
|
| Rate for Payer: Nomi Health Commercial |
$32.00
|
| Rate for Payer: PHP Commercial |
$33.17
|
| Rate for Payer: Priority Health Cigna Priority Health |
$25.36
|
| Rate for Payer: Priority Health HMO/PPO |
$33.95
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$26.14
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$34.34
|
| Rate for Payer: UHC Core |
$32.58
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$29.26
|
|
|
HC ENDOFORM 2X2
|
Facility
|
OP
|
$39.02
|
|
| Hospital Charge Code |
27000459
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$9.27 |
| Max. Negotiated Rate |
$35.12 |
| Rate for Payer: Aetna Commercial |
$33.17
|
| Rate for Payer: Aetna Medicare |
$10.15
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$12.19
|
| Rate for Payer: Amish Plain Church Group Commercial |
$12.19
|
| Rate for Payer: BCBS Complete |
$15.61
|
| Rate for Payer: BCBS MAPPO |
$9.76
|
| Rate for Payer: BCBS Trust/PPO |
$32.08
|
| Rate for Payer: BCN Commercial |
$30.34
|
| Rate for Payer: BCN Medicare Advantage |
$9.76
|
| Rate for Payer: Cash Price |
$31.22
|
| Rate for Payer: Cofinity Commercial |
$33.56
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$31.22
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$9.76
|
| Rate for Payer: Healthscope Commercial |
$35.12
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$29.26
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$10.24
|
| Rate for Payer: MI Amish Medical Board Commercial |
$11.22
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$33.17
|
| Rate for Payer: Nomi Health Commercial |
$32.00
|
| Rate for Payer: PACE Senior Care Partners |
$9.27
|
| Rate for Payer: PACE SWMI |
$9.76
|
| Rate for Payer: PHP Commercial |
$33.17
|
| Rate for Payer: PHP Medicare Advantage |
$9.76
|
| Rate for Payer: Priority Health Cigna Priority Health |
$25.36
|
| Rate for Payer: Priority Health HMO/PPO |
$33.95
|
| Rate for Payer: Priority Health Medicare |
$9.85
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$26.14
|
| Rate for Payer: Railroad Medicare Medicare |
$9.76
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$34.34
|
| Rate for Payer: UHC Core |
$32.58
|
| Rate for Payer: UHC Dual Complete DSNP |
$9.76
|
| Rate for Payer: UHC Exchange |
$9.76
|
| Rate for Payer: UHC Medicare Advantage |
$9.76
|
| Rate for Payer: VA VA |
$9.76
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$29.26
|
|
|
HC ENDOFORM 4X4
|
Facility
|
IP
|
$135.72
|
|
| Hospital Charge Code |
27000460
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$88.22 |
| Max. Negotiated Rate |
$122.15 |
| Rate for Payer: Aetna Commercial |
$115.36
|
| Rate for Payer: BCBS Trust/PPO |
$110.79
|
| Rate for Payer: BCN Commercial |
$104.88
|
| Rate for Payer: Cash Price |
$108.58
|
| Rate for Payer: Cofinity Commercial |
$116.72
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$108.58
|
| Rate for Payer: Healthscope Commercial |
$122.15
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$101.79
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$115.36
|
| Rate for Payer: Nomi Health Commercial |
$111.29
|
| Rate for Payer: PHP Commercial |
$115.36
|
| Rate for Payer: Priority Health Cigna Priority Health |
$88.22
|
| Rate for Payer: Priority Health HMO/PPO |
$118.08
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$90.93
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$119.43
|
| Rate for Payer: UHC Core |
$113.33
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$101.79
|
|
|
HC ENDOFORM 4X4
|
Facility
|
OP
|
$135.72
|
|
| Hospital Charge Code |
27000460
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$32.23 |
| Max. Negotiated Rate |
$122.15 |
| Rate for Payer: Aetna Commercial |
$115.36
|
| Rate for Payer: Aetna Medicare |
$35.29
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$42.41
|
| Rate for Payer: Amish Plain Church Group Commercial |
$42.41
|
| Rate for Payer: BCBS Complete |
$54.29
|
| Rate for Payer: BCBS MAPPO |
$33.93
|
| Rate for Payer: BCBS Trust/PPO |
$111.58
|
| Rate for Payer: BCN Commercial |
$105.52
|
| Rate for Payer: BCN Medicare Advantage |
$33.93
|
| Rate for Payer: Cash Price |
$108.58
|
| Rate for Payer: Cofinity Commercial |
$116.72
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$108.58
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$33.93
|
| Rate for Payer: Healthscope Commercial |
$122.15
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$101.79
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$35.63
|
| Rate for Payer: MI Amish Medical Board Commercial |
$39.02
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$115.36
|
| Rate for Payer: Nomi Health Commercial |
$111.29
|
| Rate for Payer: PACE Senior Care Partners |
$32.23
|
| Rate for Payer: PACE SWMI |
$33.93
|
| Rate for Payer: PHP Commercial |
$115.36
|
| Rate for Payer: PHP Medicare Advantage |
$33.93
|
| Rate for Payer: Priority Health Cigna Priority Health |
$88.22
|
| Rate for Payer: Priority Health HMO/PPO |
$118.08
|
| Rate for Payer: Priority Health Medicare |
$34.27
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$90.93
|
| Rate for Payer: Railroad Medicare Medicare |
$33.93
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$119.43
|
| Rate for Payer: UHC Core |
$113.33
|
| Rate for Payer: UHC Dual Complete DSNP |
$33.93
|
| Rate for Payer: UHC Exchange |
$33.93
|
| Rate for Payer: UHC Medicare Advantage |
$33.93
|
| Rate for Payer: VA VA |
$33.93
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$101.79
|
|
|
HC ENDO HEMOSTASIS
|
Facility
|
IP
|
$125.46
|
|
| Hospital Charge Code |
36000116
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$81.55 |
| Max. Negotiated Rate |
$112.91 |
| Rate for Payer: Aetna Commercial |
$106.64
|
| Rate for Payer: BCBS Trust/PPO |
$102.41
|
| Rate for Payer: BCN Commercial |
$96.96
|
| Rate for Payer: Cash Price |
$100.37
|
| Rate for Payer: Cofinity Commercial |
$107.90
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$100.37
|
| Rate for Payer: Healthscope Commercial |
$112.91
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$94.10
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$106.64
|
| Rate for Payer: Nomi Health Commercial |
$102.88
|
| Rate for Payer: PHP Commercial |
$106.64
|
| Rate for Payer: Priority Health Cigna Priority Health |
$81.55
|
| Rate for Payer: Priority Health HMO/PPO |
$109.15
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$84.06
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$110.40
|
| Rate for Payer: UHC Core |
$104.76
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$94.10
|
|
|
HC ENDO HEMOSTASIS
|
Facility
|
OP
|
$125.46
|
|
| Hospital Charge Code |
36000116
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$29.80 |
| Max. Negotiated Rate |
$112.91 |
| Rate for Payer: Aetna Commercial |
$106.64
|
| Rate for Payer: Aetna Medicare |
$32.62
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$39.21
|
| Rate for Payer: Amish Plain Church Group Commercial |
$39.21
|
| Rate for Payer: BCBS Complete |
$50.18
|
| Rate for Payer: BCBS MAPPO |
$31.36
|
| Rate for Payer: BCBS Trust/PPO |
$103.14
|
| Rate for Payer: BCN Commercial |
$97.55
|
| Rate for Payer: BCN Medicare Advantage |
$31.36
|
| Rate for Payer: Cash Price |
$100.37
|
| Rate for Payer: Cofinity Commercial |
$107.90
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$100.37
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$31.36
|
| Rate for Payer: Healthscope Commercial |
$112.91
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$94.10
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$32.93
|
| Rate for Payer: MI Amish Medical Board Commercial |
$36.07
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$106.64
|
| Rate for Payer: Nomi Health Commercial |
$102.88
|
| Rate for Payer: PACE Senior Care Partners |
$29.80
|
| Rate for Payer: PACE SWMI |
$31.36
|
| Rate for Payer: PHP Commercial |
$106.64
|
| Rate for Payer: PHP Medicare Advantage |
$31.36
|
| Rate for Payer: Priority Health Cigna Priority Health |
$81.55
|
| Rate for Payer: Priority Health HMO/PPO |
$109.15
|
| Rate for Payer: Priority Health Medicare |
$31.68
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$84.06
|
| Rate for Payer: Railroad Medicare Medicare |
$31.36
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$110.40
|
| Rate for Payer: UHC Core |
$104.76
|
| Rate for Payer: UHC Dual Complete DSNP |
$31.36
|
| Rate for Payer: UHC Exchange |
$31.36
|
| Rate for Payer: UHC Medicare Advantage |
$31.36
|
| Rate for Payer: VA VA |
$31.36
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$94.10
|
|
|
HC ENDOLUMINAL BIOPSY OF BILIARY TREE
|
Facility
|
OP
|
$662.41
|
|
|
Service Code
|
CPT 47543
|
| Hospital Charge Code |
36100500
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$157.32 |
| Max. Negotiated Rate |
$596.17 |
| Rate for Payer: Aetna Commercial |
$563.05
|
| Rate for Payer: Aetna Medicare |
$172.23
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$207.00
|
| Rate for Payer: Amish Plain Church Group Commercial |
$207.00
|
| Rate for Payer: BCBS Complete |
$264.96
|
| Rate for Payer: BCBS MAPPO |
$165.60
|
| Rate for Payer: BCBS Trust/PPO |
$544.57
|
| Rate for Payer: BCN Commercial |
$515.02
|
| Rate for Payer: BCN Medicare Advantage |
$165.60
|
| Rate for Payer: Cash Price |
$529.93
|
| Rate for Payer: Cofinity Commercial |
$569.67
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$529.93
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$165.60
|
| Rate for Payer: Healthscope Commercial |
$596.17
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$496.81
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$173.88
|
| Rate for Payer: MI Amish Medical Board Commercial |
$190.44
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$563.05
|
| Rate for Payer: Nomi Health Commercial |
$543.18
|
| Rate for Payer: PACE Senior Care Partners |
$157.32
|
| Rate for Payer: PACE SWMI |
$165.60
|
| Rate for Payer: PHP Commercial |
$563.05
|
| Rate for Payer: PHP Medicare Advantage |
$165.60
|
| Rate for Payer: Priority Health Cigna Priority Health |
$430.57
|
| Rate for Payer: Priority Health HMO/PPO |
$576.30
|
| Rate for Payer: Priority Health Medicare |
$167.26
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$443.81
|
| Rate for Payer: Railroad Medicare Medicare |
$165.60
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$582.92
|
| Rate for Payer: UHC Core |
$553.11
|
| Rate for Payer: UHC Dual Complete DSNP |
$165.60
|
| Rate for Payer: UHC Exchange |
$165.60
|
| Rate for Payer: UHC Medicare Advantage |
$165.60
|
| Rate for Payer: VA VA |
$165.60
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$496.81
|
|
|
HC ENDOLUMINAL BIOPSY OF BILIARY TREE
|
Facility
|
IP
|
$662.41
|
|
|
Service Code
|
CPT 47543
|
| Hospital Charge Code |
36100500
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$430.57 |
| Max. Negotiated Rate |
$596.17 |
| Rate for Payer: Aetna Commercial |
$563.05
|
| Rate for Payer: BCBS Trust/PPO |
$540.73
|
| Rate for Payer: BCN Commercial |
$511.91
|
| Rate for Payer: Cash Price |
$529.93
|
| Rate for Payer: Cofinity Commercial |
$569.67
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$529.93
|
| Rate for Payer: Healthscope Commercial |
$596.17
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$496.81
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$563.05
|
| Rate for Payer: Nomi Health Commercial |
$543.18
|
| Rate for Payer: PHP Commercial |
$563.05
|
| Rate for Payer: Priority Health Cigna Priority Health |
$430.57
|
| Rate for Payer: Priority Health HMO/PPO |
$576.30
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$443.81
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$582.92
|
| Rate for Payer: UHC Core |
$553.11
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$496.81
|
|
|
HC ENDOLUMINAL BX URTR &/RNL PELVIS NONENDOSCOPIC
|
Facility
|
OP
|
$5,097.96
|
|
|
Service Code
|
CPT 50606
|
| Hospital Charge Code |
36100615
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$1,210.77 |
| Max. Negotiated Rate |
$4,588.16 |
| Rate for Payer: Aetna Commercial |
$4,333.27
|
| Rate for Payer: Aetna Medicare |
$1,325.47
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,593.11
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1,593.11
|
| Rate for Payer: BCBS Complete |
$2,039.18
|
| Rate for Payer: BCBS MAPPO |
$1,274.49
|
| Rate for Payer: BCBS Trust/PPO |
$4,191.03
|
| Rate for Payer: BCN Commercial |
$3,963.66
|
| Rate for Payer: BCN Medicare Advantage |
$1,274.49
|
| Rate for Payer: Cash Price |
$4,078.37
|
| Rate for Payer: Cofinity Commercial |
$4,384.25
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$4,078.37
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,274.49
|
| Rate for Payer: Healthscope Commercial |
$4,588.16
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$3,823.47
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,338.21
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,465.66
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$4,333.27
|
| Rate for Payer: Nomi Health Commercial |
$4,180.33
|
| Rate for Payer: PACE Senior Care Partners |
$1,210.77
|
| Rate for Payer: PACE SWMI |
$1,274.49
|
| Rate for Payer: PHP Commercial |
$4,333.27
|
| Rate for Payer: PHP Medicare Advantage |
$1,274.49
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3,313.67
|
| Rate for Payer: Priority Health HMO/PPO |
$4,435.23
|
| Rate for Payer: Priority Health Medicare |
$1,287.23
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$3,415.63
|
| Rate for Payer: Railroad Medicare Medicare |
$1,274.49
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$4,486.20
|
| Rate for Payer: UHC Core |
$4,256.80
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,274.49
|
| Rate for Payer: UHC Exchange |
$1,274.49
|
| Rate for Payer: UHC Medicare Advantage |
$1,274.49
|
| Rate for Payer: VA VA |
$1,274.49
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$3,823.47
|
|
|
HC ENDOLUMINAL BX URTR &/RNL PELVIS NONENDOSCOPIC
|
Facility
|
IP
|
$5,097.96
|
|
|
Service Code
|
CPT 50606
|
| Hospital Charge Code |
36100615
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$3,313.67 |
| Max. Negotiated Rate |
$4,588.16 |
| Rate for Payer: Aetna Commercial |
$4,333.27
|
| Rate for Payer: BCBS Trust/PPO |
$4,161.46
|
| Rate for Payer: BCN Commercial |
$3,939.70
|
| Rate for Payer: Cash Price |
$4,078.37
|
| Rate for Payer: Cofinity Commercial |
$4,384.25
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$4,078.37
|
| Rate for Payer: Healthscope Commercial |
$4,588.16
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$3,823.47
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$4,333.27
|
| Rate for Payer: Nomi Health Commercial |
$4,180.33
|
| Rate for Payer: PHP Commercial |
$4,333.27
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3,313.67
|
| Rate for Payer: Priority Health HMO/PPO |
$4,435.23
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$3,415.63
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$4,486.20
|
| Rate for Payer: UHC Core |
$4,256.80
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$3,823.47
|
|
|
HC ENDOMETR ABLATE THERMAL
|
Facility
|
OP
|
$13,353.53
|
|
|
Service Code
|
CPT 58353
|
| Hospital Charge Code |
76100336
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$3,171.46 |
| Max. Negotiated Rate |
$12,018.18 |
| Rate for Payer: Aetna Commercial |
$11,350.50
|
| Rate for Payer: Aetna Medicare |
$3,471.92
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$4,172.98
|
| Rate for Payer: Amish Plain Church Group Commercial |
$4,172.98
|
| Rate for Payer: BCBS Complete |
$3,671.97
|
| Rate for Payer: BCBS MAPPO |
$3,338.38
|
| Rate for Payer: BCBS Trust/PPO |
$10,977.94
|
| Rate for Payer: BCN Commercial |
$10,382.37
|
| Rate for Payer: BCN Medicare Advantage |
$3,338.38
|
| Rate for Payer: Cash Price |
$10,682.82
|
| Rate for Payer: Cash Price |
$10,682.82
|
| Rate for Payer: Cofinity Commercial |
$11,484.04
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$10,682.82
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$3,338.38
|
| Rate for Payer: Healthscope Commercial |
$12,018.18
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$10,015.15
|
| Rate for Payer: Mclaren Medicaid |
$3,496.88
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$3,505.30
|
| Rate for Payer: Meridian Medicaid |
$3,671.97
|
| Rate for Payer: MI Amish Medical Board Commercial |
$3,839.14
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$11,350.50
|
| Rate for Payer: Nomi Health Commercial |
$10,949.89
|
| Rate for Payer: PACE Senior Care Partners |
$3,171.46
|
| Rate for Payer: PACE SWMI |
$3,338.38
|
| Rate for Payer: PHP Commercial |
$11,350.50
|
| Rate for Payer: PHP Medicare Advantage |
$3,338.38
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,496.88
|
| Rate for Payer: Priority Health Cigna Priority Health |
$8,679.79
|
| Rate for Payer: Priority Health HMO/PPO |
$11,617.57
|
| Rate for Payer: Priority Health Medicare |
$3,371.77
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$8,946.87
|
| Rate for Payer: Railroad Medicare Medicare |
$3,338.38
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$11,751.11
|
| Rate for Payer: UHC Core |
$11,150.20
|
| Rate for Payer: UHC Dual Complete DSNP |
$3,338.38
|
| Rate for Payer: UHC Exchange |
$3,338.38
|
| Rate for Payer: UHC Medicare Advantage |
$3,338.38
|
| Rate for Payer: UHCCP Medicaid |
$3,496.88
|
| Rate for Payer: VA VA |
$3,338.38
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$10,015.15
|
|
|
HC ENDOMETR ABLATE THERMAL
|
Facility
|
IP
|
$13,353.53
|
|
|
Service Code
|
CPT 58353
|
| Hospital Charge Code |
76100336
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$8,679.79 |
| Max. Negotiated Rate |
$12,018.18 |
| Rate for Payer: Aetna Commercial |
$11,350.50
|
| Rate for Payer: BCBS Trust/PPO |
$10,900.49
|
| Rate for Payer: BCN Commercial |
$10,319.61
|
| Rate for Payer: Cash Price |
$10,682.82
|
| Rate for Payer: Cofinity Commercial |
$11,484.04
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$10,682.82
|
| Rate for Payer: Healthscope Commercial |
$12,018.18
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$10,015.15
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$11,350.50
|
| Rate for Payer: Nomi Health Commercial |
$10,949.89
|
| Rate for Payer: PHP Commercial |
$11,350.50
|
| Rate for Payer: Priority Health Cigna Priority Health |
$8,679.79
|
| Rate for Payer: Priority Health HMO/PPO |
$11,617.57
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$8,946.87
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$11,751.11
|
| Rate for Payer: UHC Core |
$11,150.20
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$10,015.15
|
|
|
HC ENDOMETR BX CONJUNCT W/COLP
|
Facility
|
IP
|
$723.08
|
|
|
Service Code
|
CPT 58110
|
| Hospital Charge Code |
76100335
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$470.00 |
| Max. Negotiated Rate |
$650.77 |
| Rate for Payer: Aetna Commercial |
$614.62
|
| Rate for Payer: BCBS Trust/PPO |
$590.25
|
| Rate for Payer: BCN Commercial |
$558.80
|
| Rate for Payer: Cash Price |
$578.46
|
| Rate for Payer: Cofinity Commercial |
$621.85
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$578.46
|
| Rate for Payer: Healthscope Commercial |
$650.77
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$542.31
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$614.62
|
| Rate for Payer: Nomi Health Commercial |
$592.93
|
| Rate for Payer: PHP Commercial |
$614.62
|
| Rate for Payer: Priority Health Cigna Priority Health |
$470.00
|
| Rate for Payer: Priority Health HMO/PPO |
$629.08
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$484.46
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$636.31
|
| Rate for Payer: UHC Core |
$603.77
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$542.31
|
|
|
HC ENDOMETR BX CONJUNCT W/COLP
|
Facility
|
OP
|
$723.08
|
|
|
Service Code
|
CPT 58110
|
| Hospital Charge Code |
76100335
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$171.73 |
| Max. Negotiated Rate |
$650.77 |
| Rate for Payer: Aetna Commercial |
$614.62
|
| Rate for Payer: Aetna Medicare |
$188.00
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$225.96
|
| Rate for Payer: Amish Plain Church Group Commercial |
$225.96
|
| Rate for Payer: BCBS Complete |
$289.23
|
| Rate for Payer: BCBS MAPPO |
$180.77
|
| Rate for Payer: BCBS Trust/PPO |
$594.44
|
| Rate for Payer: BCN Commercial |
$562.19
|
| Rate for Payer: BCN Medicare Advantage |
$180.77
|
| Rate for Payer: Cash Price |
$578.46
|
| Rate for Payer: Cofinity Commercial |
$621.85
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$578.46
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$180.77
|
| Rate for Payer: Healthscope Commercial |
$650.77
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$542.31
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$189.81
|
| Rate for Payer: MI Amish Medical Board Commercial |
$207.89
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$614.62
|
| Rate for Payer: Nomi Health Commercial |
$592.93
|
| Rate for Payer: PACE Senior Care Partners |
$171.73
|
| Rate for Payer: PACE SWMI |
$180.77
|
| Rate for Payer: PHP Commercial |
$614.62
|
| Rate for Payer: PHP Medicare Advantage |
$180.77
|
| Rate for Payer: Priority Health Cigna Priority Health |
$470.00
|
| Rate for Payer: Priority Health HMO/PPO |
$629.08
|
| Rate for Payer: Priority Health Medicare |
$182.58
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$484.46
|
| Rate for Payer: Railroad Medicare Medicare |
$180.77
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$636.31
|
| Rate for Payer: UHC Core |
$603.77
|
| Rate for Payer: UHC Dual Complete DSNP |
$180.77
|
| Rate for Payer: UHC Exchange |
$180.77
|
| Rate for Payer: UHC Medicare Advantage |
$180.77
|
| Rate for Payer: VA VA |
$180.77
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$542.31
|
|
|
HC ENDOMETRIAL SAMPLING
|
Facility
|
IP
|
$219.52
|
|
|
Service Code
|
CPT 58100
|
| Hospital Charge Code |
76100141
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$142.69 |
| Max. Negotiated Rate |
$197.57 |
| Rate for Payer: Aetna Commercial |
$186.59
|
| Rate for Payer: BCBS Trust/PPO |
$179.19
|
| Rate for Payer: BCN Commercial |
$169.65
|
| Rate for Payer: Cash Price |
$175.62
|
| Rate for Payer: Cofinity Commercial |
$188.79
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$175.62
|
| Rate for Payer: Healthscope Commercial |
$197.57
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$164.64
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$186.59
|
| Rate for Payer: Nomi Health Commercial |
$180.01
|
| Rate for Payer: PHP Commercial |
$186.59
|
| Rate for Payer: Priority Health Cigna Priority Health |
$142.69
|
| Rate for Payer: Priority Health HMO/PPO |
$190.98
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$147.08
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$193.18
|
| Rate for Payer: UHC Core |
$183.30
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$164.64
|
|
|
HC ENDOMETRIAL SAMPLING
|
Facility
|
OP
|
$219.52
|
|
|
Service Code
|
CPT 58100
|
| Hospital Charge Code |
76100141
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$52.14 |
| Max. Negotiated Rate |
$197.57 |
| Rate for Payer: Aetna Commercial |
$186.59
|
| Rate for Payer: Aetna Medicare |
$57.08
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$68.60
|
| Rate for Payer: Amish Plain Church Group Commercial |
$68.60
|
| Rate for Payer: BCBS Complete |
$149.64
|
| Rate for Payer: BCBS MAPPO |
$54.88
|
| Rate for Payer: BCBS Trust/PPO |
$180.47
|
| Rate for Payer: BCCCP Commercial |
$97.15
|
| Rate for Payer: BCN Commercial |
$170.68
|
| Rate for Payer: BCN Medicare Advantage |
$54.88
|
| Rate for Payer: Cash Price |
$175.62
|
| Rate for Payer: Cash Price |
$175.62
|
| Rate for Payer: Cofinity Commercial |
$188.79
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$175.62
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$54.88
|
| Rate for Payer: Healthscope Commercial |
$197.57
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$164.64
|
| Rate for Payer: Mclaren Medicaid |
$142.50
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$57.62
|
| Rate for Payer: Meridian Medicaid |
$149.64
|
| Rate for Payer: MI Amish Medical Board Commercial |
$63.11
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$186.59
|
| Rate for Payer: Nomi Health Commercial |
$180.01
|
| Rate for Payer: PACE Senior Care Partners |
$52.14
|
| Rate for Payer: PACE SWMI |
$54.88
|
| Rate for Payer: PHP Commercial |
$186.59
|
| Rate for Payer: PHP Medicare Advantage |
$54.88
|
| Rate for Payer: Priority Health Choice Medicaid |
$142.50
|
| Rate for Payer: Priority Health Cigna Priority Health |
$142.69
|
| Rate for Payer: Priority Health HMO/PPO |
$190.98
|
| Rate for Payer: Priority Health Medicare |
$55.43
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$147.08
|
| Rate for Payer: Railroad Medicare Medicare |
$54.88
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$193.18
|
| Rate for Payer: UHC Core |
$183.30
|
| Rate for Payer: UHC Dual Complete DSNP |
$54.88
|
| Rate for Payer: UHC Exchange |
$54.88
|
| Rate for Payer: UHC Medicare Advantage |
$54.88
|
| Rate for Payer: UHCCP Medicaid |
$142.50
|
| Rate for Payer: VA VA |
$54.88
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$164.64
|
|
|
HC ENDOMYOCARDIAL BIOPSY
|
Facility
|
IP
|
$2,865.80
|
|
|
Service Code
|
CPT 93505
|
| Hospital Charge Code |
48100025
|
|
Hospital Revenue Code
|
481
|
| Min. Negotiated Rate |
$1,862.77 |
| Max. Negotiated Rate |
$2,579.22 |
| Rate for Payer: Aetna Commercial |
$2,435.93
|
| Rate for Payer: BCBS Trust/PPO |
$2,339.35
|
| Rate for Payer: BCN Commercial |
$2,214.69
|
| Rate for Payer: Cash Price |
$2,292.64
|
| Rate for Payer: Cofinity Commercial |
$2,464.59
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,292.64
|
| Rate for Payer: Healthscope Commercial |
$2,579.22
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,149.35
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,435.93
|
| Rate for Payer: Nomi Health Commercial |
$2,349.96
|
| Rate for Payer: PHP Commercial |
$2,435.93
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,862.77
|
| Rate for Payer: Priority Health HMO/PPO |
$2,493.25
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,920.09
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,521.90
|
| Rate for Payer: UHC Core |
$2,392.94
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,149.35
|
|
|
HC ENDOMYOCARDIAL BIOPSY
|
Facility
|
OP
|
$2,865.80
|
|
|
Service Code
|
CPT 93505
|
| Hospital Charge Code |
48100025
|
|
Hospital Revenue Code
|
481
|
| Min. Negotiated Rate |
$680.63 |
| Max. Negotiated Rate |
$2,579.22 |
| Rate for Payer: Aetna Commercial |
$2,435.93
|
| Rate for Payer: Aetna Medicare |
$745.11
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$895.56
|
| Rate for Payer: Amish Plain Church Group Commercial |
$895.56
|
| Rate for Payer: BCBS Complete |
$2,341.27
|
| Rate for Payer: BCBS MAPPO |
$716.45
|
| Rate for Payer: BCBS Trust/PPO |
$2,355.97
|
| Rate for Payer: BCN Commercial |
$2,228.16
|
| Rate for Payer: BCN Medicare Advantage |
$716.45
|
| Rate for Payer: Cash Price |
$2,292.64
|
| Rate for Payer: Cash Price |
$2,292.64
|
| Rate for Payer: Cofinity Commercial |
$2,464.59
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,292.64
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$716.45
|
| Rate for Payer: Healthscope Commercial |
$2,579.22
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,149.35
|
| Rate for Payer: Mclaren Medicaid |
$2,229.63
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$752.27
|
| Rate for Payer: Meridian Medicaid |
$2,341.27
|
| Rate for Payer: MI Amish Medical Board Commercial |
$823.92
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,435.93
|
| Rate for Payer: Nomi Health Commercial |
$2,349.96
|
| Rate for Payer: PACE Senior Care Partners |
$680.63
|
| Rate for Payer: PACE SWMI |
$716.45
|
| Rate for Payer: PHP Commercial |
$2,435.93
|
| Rate for Payer: PHP Medicare Advantage |
$716.45
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,229.63
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,862.77
|
| Rate for Payer: Priority Health HMO/PPO |
$2,493.25
|
| Rate for Payer: Priority Health Medicare |
$723.61
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,920.09
|
| Rate for Payer: Railroad Medicare Medicare |
$716.45
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,521.90
|
| Rate for Payer: UHC Core |
$2,392.94
|
| Rate for Payer: UHC Dual Complete DSNP |
$716.45
|
| Rate for Payer: UHC Exchange |
$716.45
|
| Rate for Payer: UHC Medicare Advantage |
$716.45
|
| Rate for Payer: UHCCP Medicaid |
$2,229.63
|
| Rate for Payer: VA VA |
$716.45
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,149.35
|
|
|
HC ENDOMYSIAL IGA ANTIBODY.
|
Facility
|
OP
|
$80.11
|
|
|
Service Code
|
CPT 86255
|
| Hospital Charge Code |
30200426
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$8.71 |
| Max. Negotiated Rate |
$72.10 |
| Rate for Payer: Aetna Commercial |
$68.09
|
| Rate for Payer: Aetna Medicare |
$20.83
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$25.03
|
| Rate for Payer: Amish Plain Church Group Commercial |
$25.03
|
| Rate for Payer: BCBS Complete |
$9.15
|
| Rate for Payer: BCBS MAPPO |
$20.03
|
| Rate for Payer: BCBS Trust/PPO |
$65.86
|
| Rate for Payer: BCN Commercial |
$62.29
|
| Rate for Payer: BCN Medicare Advantage |
$20.03
|
| Rate for Payer: Cash Price |
$64.09
|
| Rate for Payer: Cash Price |
$64.09
|
| Rate for Payer: Cofinity Commercial |
$68.89
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$64.09
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$20.03
|
| Rate for Payer: Healthscope Commercial |
$72.10
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$60.08
|
| Rate for Payer: Mclaren Medicaid |
$8.71
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$21.03
|
| Rate for Payer: Meridian Medicaid |
$9.15
|
| Rate for Payer: MI Amish Medical Board Commercial |
$23.03
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$68.09
|
| Rate for Payer: Nomi Health Commercial |
$65.69
|
| Rate for Payer: PACE Senior Care Partners |
$19.03
|
| Rate for Payer: PACE SWMI |
$20.03
|
| Rate for Payer: PHP Commercial |
$68.09
|
| Rate for Payer: PHP Medicare Advantage |
$20.03
|
| Rate for Payer: Priority Health Choice Medicaid |
$8.71
|
| Rate for Payer: Priority Health Cigna Priority Health |
$52.07
|
| Rate for Payer: Priority Health HMO/PPO |
$69.70
|
| Rate for Payer: Priority Health Medicare |
$20.23
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$53.67
|
| Rate for Payer: Railroad Medicare Medicare |
$20.03
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$70.50
|
| Rate for Payer: UHC Core |
$66.89
|
| Rate for Payer: UHC Dual Complete DSNP |
$20.03
|
| Rate for Payer: UHC Exchange |
$20.03
|
| Rate for Payer: UHC Medicare Advantage |
$20.03
|
| Rate for Payer: UHCCP Medicaid |
$8.71
|
| Rate for Payer: VA VA |
$20.03
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$60.08
|
|
