|
HC ENDOVENOUS ABLAT SUBS VEIN SEP ACCESS SITE EXTR
|
Facility
|
OP
|
$261.53
|
|
|
Service Code
|
CPT 36474
|
| Hospital Charge Code |
36100524
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$62.11 |
| Max. Negotiated Rate |
$235.38 |
| Rate for Payer: Aetna Commercial |
$222.30
|
| Rate for Payer: Aetna Medicare |
$68.00
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$81.73
|
| Rate for Payer: Amish Plain Church Group Commercial |
$81.73
|
| Rate for Payer: BCBS Complete |
$104.61
|
| Rate for Payer: BCBS MAPPO |
$65.38
|
| Rate for Payer: BCBS Trust/PPO |
$215.00
|
| Rate for Payer: BCN Commercial |
$203.34
|
| Rate for Payer: BCN Medicare Advantage |
$65.38
|
| Rate for Payer: Cash Price |
$209.22
|
| Rate for Payer: Cofinity Commercial |
$224.92
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$209.22
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$65.38
|
| Rate for Payer: Healthscope Commercial |
$235.38
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$196.15
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$68.65
|
| Rate for Payer: MI Amish Medical Board Commercial |
$75.19
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$222.30
|
| Rate for Payer: Nomi Health Commercial |
$214.45
|
| Rate for Payer: PACE Senior Care Partners |
$62.11
|
| Rate for Payer: PACE SWMI |
$65.38
|
| Rate for Payer: PHP Commercial |
$222.30
|
| Rate for Payer: PHP Medicare Advantage |
$65.38
|
| Rate for Payer: Priority Health Cigna Priority Health |
$169.99
|
| Rate for Payer: Priority Health HMO/PPO |
$227.53
|
| Rate for Payer: Priority Health Medicare |
$66.04
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$175.23
|
| Rate for Payer: Railroad Medicare Medicare |
$65.38
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$230.15
|
| Rate for Payer: UHC Core |
$218.38
|
| Rate for Payer: UHC Dual Complete DSNP |
$65.38
|
| Rate for Payer: UHC Exchange |
$65.38
|
| Rate for Payer: UHC Medicare Advantage |
$65.38
|
| Rate for Payer: VA VA |
$65.38
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$196.15
|
|
|
HC ENDOVENOUS ABLAT SUBS VEIN SEP ACCESS SITE EXTR
|
Facility
|
IP
|
$261.53
|
|
|
Service Code
|
CPT 36474
|
| Hospital Charge Code |
36100524
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$169.99 |
| Max. Negotiated Rate |
$235.38 |
| Rate for Payer: Aetna Commercial |
$222.30
|
| Rate for Payer: BCBS Trust/PPO |
$213.49
|
| Rate for Payer: BCN Commercial |
$202.11
|
| Rate for Payer: Cash Price |
$209.22
|
| Rate for Payer: Cofinity Commercial |
$224.92
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$209.22
|
| Rate for Payer: Healthscope Commercial |
$235.38
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$196.15
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$222.30
|
| Rate for Payer: Nomi Health Commercial |
$214.45
|
| Rate for Payer: PHP Commercial |
$222.30
|
| Rate for Payer: Priority Health Cigna Priority Health |
$169.99
|
| Rate for Payer: Priority Health HMO/PPO |
$227.53
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$175.23
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$230.15
|
| Rate for Payer: UHC Core |
$218.38
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$196.15
|
|
|
HC ENDOVENOUS LASER 1ST VEIN
|
Facility
|
IP
|
$4,122.36
|
|
|
Service Code
|
CPT 36478
|
| Hospital Charge Code |
76100184
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$2,679.53 |
| Max. Negotiated Rate |
$3,710.12 |
| Rate for Payer: Aetna Commercial |
$3,504.01
|
| Rate for Payer: BCBS Trust/PPO |
$3,365.08
|
| Rate for Payer: BCN Commercial |
$3,185.76
|
| Rate for Payer: Cash Price |
$3,297.89
|
| Rate for Payer: Cofinity Commercial |
$3,545.23
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,297.89
|
| Rate for Payer: Healthscope Commercial |
$3,710.12
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$3,091.77
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,504.01
|
| Rate for Payer: Nomi Health Commercial |
$3,380.34
|
| Rate for Payer: PHP Commercial |
$3,504.01
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,679.53
|
| Rate for Payer: Priority Health HMO/PPO |
$3,586.45
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,761.98
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$3,627.68
|
| Rate for Payer: UHC Core |
$3,442.17
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$3,091.77
|
|
|
HC ENDOVENOUS LASER 1ST VEIN
|
Facility
|
OP
|
$4,122.36
|
|
|
Service Code
|
CPT 36478
|
| Hospital Charge Code |
76100184
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$979.06 |
| Max. Negotiated Rate |
$3,710.12 |
| Rate for Payer: Aetna Commercial |
$3,504.01
|
| Rate for Payer: Aetna Medicare |
$1,071.81
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,288.24
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1,288.24
|
| Rate for Payer: BCBS Complete |
$2,341.27
|
| Rate for Payer: BCBS MAPPO |
$1,030.59
|
| Rate for Payer: BCBS Trust/PPO |
$3,388.99
|
| Rate for Payer: BCN Commercial |
$3,205.13
|
| Rate for Payer: BCN Medicare Advantage |
$1,030.59
|
| Rate for Payer: Cash Price |
$3,297.89
|
| Rate for Payer: Cash Price |
$3,297.89
|
| Rate for Payer: Cofinity Commercial |
$3,545.23
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,297.89
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,030.59
|
| Rate for Payer: Healthscope Commercial |
$3,710.12
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$3,091.77
|
| Rate for Payer: Mclaren Medicaid |
$2,229.63
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,082.12
|
| Rate for Payer: Meridian Medicaid |
$2,341.27
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,185.18
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,504.01
|
| Rate for Payer: Nomi Health Commercial |
$3,380.34
|
| Rate for Payer: PACE Senior Care Partners |
$979.06
|
| Rate for Payer: PACE SWMI |
$1,030.59
|
| Rate for Payer: PHP Commercial |
$3,504.01
|
| Rate for Payer: PHP Medicare Advantage |
$1,030.59
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,229.63
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,679.53
|
| Rate for Payer: Priority Health HMO/PPO |
$3,586.45
|
| Rate for Payer: Priority Health Medicare |
$1,040.90
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,761.98
|
| Rate for Payer: Railroad Medicare Medicare |
$1,030.59
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$3,627.68
|
| Rate for Payer: UHC Core |
$3,442.17
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,030.59
|
| Rate for Payer: UHC Exchange |
$1,030.59
|
| Rate for Payer: UHC Medicare Advantage |
$1,030.59
|
| Rate for Payer: UHCCP Medicaid |
$2,229.63
|
| Rate for Payer: VA VA |
$1,030.59
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$3,091.77
|
|
|
HC ENDOVENT
|
Facility
|
IP
|
$4,805.54
|
|
| Hospital Charge Code |
27000099
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$3,123.60 |
| Max. Negotiated Rate |
$4,324.99 |
| Rate for Payer: Aetna Commercial |
$4,084.71
|
| Rate for Payer: BCBS Trust/PPO |
$3,922.76
|
| Rate for Payer: BCN Commercial |
$3,713.72
|
| Rate for Payer: Cash Price |
$3,844.43
|
| Rate for Payer: Cofinity Commercial |
$4,132.76
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,844.43
|
| Rate for Payer: Healthscope Commercial |
$4,324.99
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$3,604.16
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$4,084.71
|
| Rate for Payer: Nomi Health Commercial |
$3,940.54
|
| Rate for Payer: PHP Commercial |
$4,084.71
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3,123.60
|
| Rate for Payer: Priority Health HMO/PPO |
$4,180.82
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$3,219.71
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$4,228.88
|
| Rate for Payer: UHC Core |
$4,012.63
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$3,604.16
|
|
|
HC ENDOVENT
|
Facility
|
OP
|
$4,805.54
|
|
| Hospital Charge Code |
27000099
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$1,141.32 |
| Max. Negotiated Rate |
$4,324.99 |
| Rate for Payer: Aetna Commercial |
$4,084.71
|
| Rate for Payer: Aetna Medicare |
$1,249.44
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,501.73
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1,501.73
|
| Rate for Payer: BCBS Complete |
$1,922.22
|
| Rate for Payer: BCBS MAPPO |
$1,201.38
|
| Rate for Payer: BCBS Trust/PPO |
$3,950.63
|
| Rate for Payer: BCN Commercial |
$3,736.31
|
| Rate for Payer: BCN Medicare Advantage |
$1,201.38
|
| Rate for Payer: Cash Price |
$3,844.43
|
| Rate for Payer: Cofinity Commercial |
$4,132.76
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,844.43
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,201.38
|
| Rate for Payer: Healthscope Commercial |
$4,324.99
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$3,604.16
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,261.45
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,381.59
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$4,084.71
|
| Rate for Payer: Nomi Health Commercial |
$3,940.54
|
| Rate for Payer: PACE Senior Care Partners |
$1,141.32
|
| Rate for Payer: PACE SWMI |
$1,201.38
|
| Rate for Payer: PHP Commercial |
$4,084.71
|
| Rate for Payer: PHP Medicare Advantage |
$1,201.38
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3,123.60
|
| Rate for Payer: Priority Health HMO/PPO |
$4,180.82
|
| Rate for Payer: Priority Health Medicare |
$1,213.40
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$3,219.71
|
| Rate for Payer: Railroad Medicare Medicare |
$1,201.38
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$4,228.88
|
| Rate for Payer: UHC Core |
$4,012.63
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,201.38
|
| Rate for Payer: UHC Exchange |
$1,201.38
|
| Rate for Payer: UHC Medicare Advantage |
$1,201.38
|
| Rate for Payer: VA VA |
$1,201.38
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$3,604.16
|
|
|
HC ENGLISH PLANTAIN IGE
|
Facility
|
OP
|
$25.39
|
|
|
Service Code
|
CPT 86003
|
| Hospital Charge Code |
30200084
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$3.77 |
| Max. Negotiated Rate |
$22.85 |
| Rate for Payer: Aetna Commercial |
$21.58
|
| Rate for Payer: Aetna Medicare |
$6.60
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$7.93
|
| Rate for Payer: Amish Plain Church Group Commercial |
$7.93
|
| Rate for Payer: BCBS Complete |
$3.96
|
| Rate for Payer: BCBS MAPPO |
$6.35
|
| Rate for Payer: BCBS Trust/PPO |
$20.87
|
| Rate for Payer: BCN Commercial |
$19.74
|
| Rate for Payer: BCN Medicare Advantage |
$6.35
|
| Rate for Payer: Cash Price |
$20.31
|
| Rate for Payer: Cash Price |
$20.31
|
| Rate for Payer: Cofinity Commercial |
$21.84
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$20.31
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$6.35
|
| Rate for Payer: Healthscope Commercial |
$22.85
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$19.04
|
| Rate for Payer: Mclaren Medicaid |
$3.77
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$6.66
|
| Rate for Payer: Meridian Medicaid |
$3.96
|
| Rate for Payer: MI Amish Medical Board Commercial |
$7.30
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$21.58
|
| Rate for Payer: Nomi Health Commercial |
$20.82
|
| Rate for Payer: PACE Senior Care Partners |
$6.03
|
| Rate for Payer: PACE SWMI |
$6.35
|
| Rate for Payer: PHP Commercial |
$21.58
|
| Rate for Payer: PHP Medicare Advantage |
$6.35
|
| Rate for Payer: Priority Health Choice Medicaid |
$3.77
|
| Rate for Payer: Priority Health Cigna Priority Health |
$16.50
|
| Rate for Payer: Priority Health HMO/PPO |
$22.09
|
| Rate for Payer: Priority Health Medicare |
$6.41
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$17.01
|
| Rate for Payer: Railroad Medicare Medicare |
$6.35
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$22.34
|
| Rate for Payer: UHC Core |
$21.20
|
| Rate for Payer: UHC Dual Complete DSNP |
$6.35
|
| Rate for Payer: UHC Exchange |
$6.35
|
| Rate for Payer: UHC Medicare Advantage |
$6.35
|
| Rate for Payer: UHCCP Medicaid |
$3.77
|
| Rate for Payer: VA VA |
$6.35
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$19.04
|
|
|
HC ENGLISH PLANTAIN IGE
|
Facility
|
IP
|
$25.39
|
|
|
Service Code
|
CPT 86003
|
| Hospital Charge Code |
30200084
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$16.50 |
| Max. Negotiated Rate |
$22.85 |
| Rate for Payer: Aetna Commercial |
$21.58
|
| Rate for Payer: BCBS Trust/PPO |
$20.73
|
| Rate for Payer: BCN Commercial |
$19.62
|
| Rate for Payer: Cash Price |
$20.31
|
| Rate for Payer: Cofinity Commercial |
$21.84
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$20.31
|
| Rate for Payer: Healthscope Commercial |
$22.85
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$19.04
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$21.58
|
| Rate for Payer: Nomi Health Commercial |
$20.82
|
| Rate for Payer: PHP Commercial |
$21.58
|
| Rate for Payer: Priority Health Cigna Priority Health |
$16.50
|
| Rate for Payer: Priority Health HMO/PPO |
$22.09
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$17.01
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$22.34
|
| Rate for Payer: UHC Core |
$21.20
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$19.04
|
|
|
HC ENSITE NAVX KIT
|
Facility
|
IP
|
$4,801.14
|
|
| Hospital Charge Code |
27200121
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$3,120.74 |
| Max. Negotiated Rate |
$4,321.03 |
| Rate for Payer: Aetna Commercial |
$4,080.97
|
| Rate for Payer: BCBS Trust/PPO |
$3,919.17
|
| Rate for Payer: BCN Commercial |
$3,710.32
|
| Rate for Payer: Cash Price |
$3,840.91
|
| Rate for Payer: Cofinity Commercial |
$4,128.98
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,840.91
|
| Rate for Payer: Healthscope Commercial |
$4,321.03
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$3,600.86
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$4,080.97
|
| Rate for Payer: Nomi Health Commercial |
$3,936.93
|
| Rate for Payer: PHP Commercial |
$4,080.97
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3,120.74
|
| Rate for Payer: Priority Health HMO/PPO |
$4,176.99
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$3,216.76
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$4,225.00
|
| Rate for Payer: UHC Core |
$4,008.95
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$3,600.86
|
|
|
HC ENSITE NAVX KIT
|
Facility
|
OP
|
$4,801.14
|
|
| Hospital Charge Code |
27200121
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$1,140.27 |
| Max. Negotiated Rate |
$4,321.03 |
| Rate for Payer: Aetna Commercial |
$4,080.97
|
| Rate for Payer: Aetna Medicare |
$1,248.30
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,500.36
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1,500.36
|
| Rate for Payer: BCBS Complete |
$1,920.46
|
| Rate for Payer: BCBS MAPPO |
$1,200.28
|
| Rate for Payer: BCBS Trust/PPO |
$3,947.02
|
| Rate for Payer: BCN Commercial |
$3,732.89
|
| Rate for Payer: BCN Medicare Advantage |
$1,200.28
|
| Rate for Payer: Cash Price |
$3,840.91
|
| Rate for Payer: Cofinity Commercial |
$4,128.98
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,840.91
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,200.28
|
| Rate for Payer: Healthscope Commercial |
$4,321.03
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$3,600.86
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,260.30
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,380.33
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$4,080.97
|
| Rate for Payer: Nomi Health Commercial |
$3,936.93
|
| Rate for Payer: PACE Senior Care Partners |
$1,140.27
|
| Rate for Payer: PACE SWMI |
$1,200.28
|
| Rate for Payer: PHP Commercial |
$4,080.97
|
| Rate for Payer: PHP Medicare Advantage |
$1,200.28
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3,120.74
|
| Rate for Payer: Priority Health HMO/PPO |
$4,176.99
|
| Rate for Payer: Priority Health Medicare |
$1,212.29
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$3,216.76
|
| Rate for Payer: Railroad Medicare Medicare |
$1,200.28
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$4,225.00
|
| Rate for Payer: UHC Core |
$4,008.95
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,200.28
|
| Rate for Payer: UHC Exchange |
$1,200.28
|
| Rate for Payer: UHC Medicare Advantage |
$1,200.28
|
| Rate for Payer: VA VA |
$1,200.28
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$3,600.86
|
|
|
HC ENTEROVIRUS
|
Facility
|
IP
|
$52.02
|
|
|
Service Code
|
CPT 87498
|
| Hospital Charge Code |
30600267
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$33.81 |
| Max. Negotiated Rate |
$46.82 |
| Rate for Payer: Aetna Commercial |
$44.22
|
| Rate for Payer: BCBS Trust/PPO |
$42.46
|
| Rate for Payer: BCN Commercial |
$40.20
|
| Rate for Payer: Cash Price |
$41.62
|
| Rate for Payer: Cofinity Commercial |
$44.74
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$41.62
|
| Rate for Payer: Healthscope Commercial |
$46.82
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$39.02
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$44.22
|
| Rate for Payer: Nomi Health Commercial |
$42.66
|
| Rate for Payer: PHP Commercial |
$44.22
|
| Rate for Payer: Priority Health Cigna Priority Health |
$33.81
|
| Rate for Payer: Priority Health HMO/PPO |
$45.26
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$34.85
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$45.78
|
| Rate for Payer: UHC Core |
$43.44
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$39.02
|
|
|
HC ENTEROVIRUS
|
Facility
|
OP
|
$52.02
|
|
|
Service Code
|
CPT 87498
|
| Hospital Charge Code |
30600267
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$12.35 |
| Max. Negotiated Rate |
$46.82 |
| Rate for Payer: Aetna Commercial |
$44.22
|
| Rate for Payer: Aetna Medicare |
$13.53
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$16.26
|
| Rate for Payer: Amish Plain Church Group Commercial |
$16.26
|
| Rate for Payer: BCBS Complete |
$26.64
|
| Rate for Payer: BCBS MAPPO |
$13.00
|
| Rate for Payer: BCBS Trust/PPO |
$42.77
|
| Rate for Payer: BCN Commercial |
$40.45
|
| Rate for Payer: BCN Medicare Advantage |
$13.00
|
| Rate for Payer: Cash Price |
$41.62
|
| Rate for Payer: Cash Price |
$41.62
|
| Rate for Payer: Cofinity Commercial |
$44.74
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$41.62
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$13.00
|
| Rate for Payer: Healthscope Commercial |
$46.82
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$39.02
|
| Rate for Payer: Mclaren Medicaid |
$25.37
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$13.66
|
| Rate for Payer: Meridian Medicaid |
$26.64
|
| Rate for Payer: MI Amish Medical Board Commercial |
$14.96
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$44.22
|
| Rate for Payer: Nomi Health Commercial |
$42.66
|
| Rate for Payer: PACE Senior Care Partners |
$12.35
|
| Rate for Payer: PACE SWMI |
$13.00
|
| Rate for Payer: PHP Commercial |
$44.22
|
| Rate for Payer: PHP Medicare Advantage |
$13.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$25.37
|
| Rate for Payer: Priority Health Cigna Priority Health |
$33.81
|
| Rate for Payer: Priority Health HMO/PPO |
$45.26
|
| Rate for Payer: Priority Health Medicare |
$13.14
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$34.85
|
| Rate for Payer: Railroad Medicare Medicare |
$13.00
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$45.78
|
| Rate for Payer: UHC Core |
$43.44
|
| Rate for Payer: UHC Dual Complete DSNP |
$13.00
|
| Rate for Payer: UHC Exchange |
$13.00
|
| Rate for Payer: UHC Medicare Advantage |
$13.00
|
| Rate for Payer: UHCCP Medicaid |
$25.37
|
| Rate for Payer: VA VA |
$13.00
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$39.02
|
|
|
HC ENTEROVIRUS BY PCR
|
Facility
|
IP
|
$244.80
|
|
|
Service Code
|
CPT 87498
|
| Hospital Charge Code |
30600168
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$159.12 |
| Max. Negotiated Rate |
$220.32 |
| Rate for Payer: Aetna Commercial |
$208.08
|
| Rate for Payer: BCBS Trust/PPO |
$199.83
|
| Rate for Payer: BCN Commercial |
$189.18
|
| Rate for Payer: Cash Price |
$195.84
|
| Rate for Payer: Cofinity Commercial |
$210.53
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$195.84
|
| Rate for Payer: Healthscope Commercial |
$220.32
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$183.60
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$208.08
|
| Rate for Payer: Nomi Health Commercial |
$200.74
|
| Rate for Payer: PHP Commercial |
$208.08
|
| Rate for Payer: Priority Health Cigna Priority Health |
$159.12
|
| Rate for Payer: Priority Health HMO/PPO |
$212.98
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$164.02
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$215.42
|
| Rate for Payer: UHC Core |
$204.41
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$183.60
|
|
|
HC ENTEROVIRUS BY PCR
|
Facility
|
OP
|
$244.80
|
|
|
Service Code
|
CPT 87498
|
| Hospital Charge Code |
30600168
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$25.37 |
| Max. Negotiated Rate |
$220.32 |
| Rate for Payer: Aetna Commercial |
$208.08
|
| Rate for Payer: Aetna Medicare |
$63.65
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$76.50
|
| Rate for Payer: Amish Plain Church Group Commercial |
$76.50
|
| Rate for Payer: BCBS Complete |
$26.64
|
| Rate for Payer: BCBS MAPPO |
$61.20
|
| Rate for Payer: BCBS Trust/PPO |
$201.25
|
| Rate for Payer: BCN Commercial |
$190.33
|
| Rate for Payer: BCN Medicare Advantage |
$61.20
|
| Rate for Payer: Cash Price |
$195.84
|
| Rate for Payer: Cash Price |
$195.84
|
| Rate for Payer: Cofinity Commercial |
$210.53
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$195.84
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$61.20
|
| Rate for Payer: Healthscope Commercial |
$220.32
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$183.60
|
| Rate for Payer: Mclaren Medicaid |
$25.37
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$64.26
|
| Rate for Payer: Meridian Medicaid |
$26.64
|
| Rate for Payer: MI Amish Medical Board Commercial |
$70.38
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$208.08
|
| Rate for Payer: Nomi Health Commercial |
$200.74
|
| Rate for Payer: PACE Senior Care Partners |
$58.14
|
| Rate for Payer: PACE SWMI |
$61.20
|
| Rate for Payer: PHP Commercial |
$208.08
|
| Rate for Payer: PHP Medicare Advantage |
$61.20
|
| Rate for Payer: Priority Health Choice Medicaid |
$25.37
|
| Rate for Payer: Priority Health Cigna Priority Health |
$159.12
|
| Rate for Payer: Priority Health HMO/PPO |
$212.98
|
| Rate for Payer: Priority Health Medicare |
$61.81
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$164.02
|
| Rate for Payer: Railroad Medicare Medicare |
$61.20
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$215.42
|
| Rate for Payer: UHC Core |
$204.41
|
| Rate for Payer: UHC Dual Complete DSNP |
$61.20
|
| Rate for Payer: UHC Exchange |
$61.20
|
| Rate for Payer: UHC Medicare Advantage |
$61.20
|
| Rate for Payer: UHCCP Medicaid |
$25.37
|
| Rate for Payer: VA VA |
$61.20
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$183.60
|
|
|
HC ENTEROVIRUS BY PCR CSF
|
Facility
|
IP
|
$205.73
|
|
|
Service Code
|
CPT 87498
|
| Hospital Charge Code |
30600153
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$133.72 |
| Max. Negotiated Rate |
$185.16 |
| Rate for Payer: Aetna Commercial |
$174.87
|
| Rate for Payer: BCBS Trust/PPO |
$167.94
|
| Rate for Payer: BCN Commercial |
$158.99
|
| Rate for Payer: Cash Price |
$164.58
|
| Rate for Payer: Cofinity Commercial |
$176.93
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$164.58
|
| Rate for Payer: Healthscope Commercial |
$185.16
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$154.30
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$174.87
|
| Rate for Payer: Nomi Health Commercial |
$168.70
|
| Rate for Payer: PHP Commercial |
$174.87
|
| Rate for Payer: Priority Health Cigna Priority Health |
$133.72
|
| Rate for Payer: Priority Health HMO/PPO |
$178.99
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$137.84
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$181.04
|
| Rate for Payer: UHC Core |
$171.78
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$154.30
|
|
|
HC ENTEROVIRUS BY PCR CSF
|
Facility
|
OP
|
$205.73
|
|
|
Service Code
|
CPT 87498
|
| Hospital Charge Code |
30600153
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$25.37 |
| Max. Negotiated Rate |
$185.16 |
| Rate for Payer: Aetna Commercial |
$174.87
|
| Rate for Payer: Aetna Medicare |
$53.49
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$64.29
|
| Rate for Payer: Amish Plain Church Group Commercial |
$64.29
|
| Rate for Payer: BCBS Complete |
$26.64
|
| Rate for Payer: BCBS MAPPO |
$51.43
|
| Rate for Payer: BCBS Trust/PPO |
$169.13
|
| Rate for Payer: BCN Commercial |
$159.96
|
| Rate for Payer: BCN Medicare Advantage |
$51.43
|
| Rate for Payer: Cash Price |
$164.58
|
| Rate for Payer: Cash Price |
$164.58
|
| Rate for Payer: Cofinity Commercial |
$176.93
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$164.58
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$51.43
|
| Rate for Payer: Healthscope Commercial |
$185.16
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$154.30
|
| Rate for Payer: Mclaren Medicaid |
$25.37
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$54.00
|
| Rate for Payer: Meridian Medicaid |
$26.64
|
| Rate for Payer: MI Amish Medical Board Commercial |
$59.15
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$174.87
|
| Rate for Payer: Nomi Health Commercial |
$168.70
|
| Rate for Payer: PACE Senior Care Partners |
$48.86
|
| Rate for Payer: PACE SWMI |
$51.43
|
| Rate for Payer: PHP Commercial |
$174.87
|
| Rate for Payer: PHP Medicare Advantage |
$51.43
|
| Rate for Payer: Priority Health Choice Medicaid |
$25.37
|
| Rate for Payer: Priority Health Cigna Priority Health |
$133.72
|
| Rate for Payer: Priority Health HMO/PPO |
$178.99
|
| Rate for Payer: Priority Health Medicare |
$51.95
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$137.84
|
| Rate for Payer: Railroad Medicare Medicare |
$51.43
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$181.04
|
| Rate for Payer: UHC Core |
$171.78
|
| Rate for Payer: UHC Dual Complete DSNP |
$51.43
|
| Rate for Payer: UHC Exchange |
$51.43
|
| Rate for Payer: UHC Medicare Advantage |
$51.43
|
| Rate for Payer: UHCCP Medicaid |
$25.37
|
| Rate for Payer: VA VA |
$51.43
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$154.30
|
|
|
HC ENTEROVIRUS PCR
|
Facility
|
OP
|
$98.84
|
|
|
Service Code
|
CPT 87498
|
| Hospital Charge Code |
30600292
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$23.47 |
| Max. Negotiated Rate |
$88.96 |
| Rate for Payer: Aetna Commercial |
$84.01
|
| Rate for Payer: Aetna Medicare |
$25.70
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$30.89
|
| Rate for Payer: Amish Plain Church Group Commercial |
$30.89
|
| Rate for Payer: BCBS Complete |
$26.64
|
| Rate for Payer: BCBS MAPPO |
$24.71
|
| Rate for Payer: BCBS Trust/PPO |
$81.26
|
| Rate for Payer: BCN Commercial |
$76.85
|
| Rate for Payer: BCN Medicare Advantage |
$24.71
|
| Rate for Payer: Cash Price |
$79.07
|
| Rate for Payer: Cash Price |
$79.07
|
| Rate for Payer: Cofinity Commercial |
$85.00
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$79.07
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$24.71
|
| Rate for Payer: Healthscope Commercial |
$88.96
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$74.13
|
| Rate for Payer: Mclaren Medicaid |
$25.37
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$25.95
|
| Rate for Payer: Meridian Medicaid |
$26.64
|
| Rate for Payer: MI Amish Medical Board Commercial |
$28.42
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$84.01
|
| Rate for Payer: Nomi Health Commercial |
$81.05
|
| Rate for Payer: PACE Senior Care Partners |
$23.47
|
| Rate for Payer: PACE SWMI |
$24.71
|
| Rate for Payer: PHP Commercial |
$84.01
|
| Rate for Payer: PHP Medicare Advantage |
$24.71
|
| Rate for Payer: Priority Health Choice Medicaid |
$25.37
|
| Rate for Payer: Priority Health Cigna Priority Health |
$64.25
|
| Rate for Payer: Priority Health HMO/PPO |
$85.99
|
| Rate for Payer: Priority Health Medicare |
$24.96
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$66.22
|
| Rate for Payer: Railroad Medicare Medicare |
$24.71
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$86.98
|
| Rate for Payer: UHC Core |
$82.53
|
| Rate for Payer: UHC Dual Complete DSNP |
$24.71
|
| Rate for Payer: UHC Exchange |
$24.71
|
| Rate for Payer: UHC Medicare Advantage |
$24.71
|
| Rate for Payer: UHCCP Medicaid |
$25.37
|
| Rate for Payer: VA VA |
$24.71
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$74.13
|
|
|
HC ENTEROVIRUS PCR
|
Facility
|
IP
|
$98.84
|
|
|
Service Code
|
CPT 87498
|
| Hospital Charge Code |
30600292
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$64.25 |
| Max. Negotiated Rate |
$88.96 |
| Rate for Payer: Aetna Commercial |
$84.01
|
| Rate for Payer: BCBS Trust/PPO |
$80.68
|
| Rate for Payer: BCN Commercial |
$76.38
|
| Rate for Payer: Cash Price |
$79.07
|
| Rate for Payer: Cofinity Commercial |
$85.00
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$79.07
|
| Rate for Payer: Healthscope Commercial |
$88.96
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$74.13
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$84.01
|
| Rate for Payer: Nomi Health Commercial |
$81.05
|
| Rate for Payer: PHP Commercial |
$84.01
|
| Rate for Payer: Priority Health Cigna Priority Health |
$64.25
|
| Rate for Payer: Priority Health HMO/PPO |
$85.99
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$66.22
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$86.98
|
| Rate for Payer: UHC Core |
$82.53
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$74.13
|
|
|
HC ENVIRONMENTAL CULTURE
|
Facility
|
IP
|
$37.56
|
|
|
Service Code
|
CPT 87070
|
| Hospital Charge Code |
30600076
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$24.41 |
| Max. Negotiated Rate |
$33.80 |
| Rate for Payer: Aetna Commercial |
$31.93
|
| Rate for Payer: BCBS Trust/PPO |
$30.66
|
| Rate for Payer: BCN Commercial |
$29.03
|
| Rate for Payer: Cash Price |
$30.05
|
| Rate for Payer: Cofinity Commercial |
$32.30
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$30.05
|
| Rate for Payer: Healthscope Commercial |
$33.80
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$28.17
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$31.93
|
| Rate for Payer: Nomi Health Commercial |
$30.80
|
| Rate for Payer: PHP Commercial |
$31.93
|
| Rate for Payer: Priority Health Cigna Priority Health |
$24.41
|
| Rate for Payer: Priority Health HMO/PPO |
$32.68
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$25.17
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$33.05
|
| Rate for Payer: UHC Core |
$31.36
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$28.17
|
|
|
HC ENVIRONMENTAL CULTURE
|
Facility
|
OP
|
$37.56
|
|
|
Service Code
|
CPT 87070
|
| Hospital Charge Code |
30600076
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$6.23 |
| Max. Negotiated Rate |
$33.80 |
| Rate for Payer: Aetna Commercial |
$31.93
|
| Rate for Payer: Aetna Medicare |
$9.77
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$11.74
|
| Rate for Payer: Amish Plain Church Group Commercial |
$11.74
|
| Rate for Payer: BCBS Complete |
$6.54
|
| Rate for Payer: BCBS MAPPO |
$9.39
|
| Rate for Payer: BCBS Trust/PPO |
$30.88
|
| Rate for Payer: BCN Commercial |
$29.20
|
| Rate for Payer: BCN Medicare Advantage |
$9.39
|
| Rate for Payer: Cash Price |
$30.05
|
| Rate for Payer: Cash Price |
$30.05
|
| Rate for Payer: Cofinity Commercial |
$32.30
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$30.05
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$9.39
|
| Rate for Payer: Healthscope Commercial |
$33.80
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$28.17
|
| Rate for Payer: Mclaren Medicaid |
$6.23
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$9.86
|
| Rate for Payer: Meridian Medicaid |
$6.54
|
| Rate for Payer: MI Amish Medical Board Commercial |
$10.80
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$31.93
|
| Rate for Payer: Nomi Health Commercial |
$30.80
|
| Rate for Payer: PACE Senior Care Partners |
$8.92
|
| Rate for Payer: PACE SWMI |
$9.39
|
| Rate for Payer: PHP Commercial |
$31.93
|
| Rate for Payer: PHP Medicare Advantage |
$9.39
|
| Rate for Payer: Priority Health Choice Medicaid |
$6.23
|
| Rate for Payer: Priority Health Cigna Priority Health |
$24.41
|
| Rate for Payer: Priority Health HMO/PPO |
$32.68
|
| Rate for Payer: Priority Health Medicare |
$9.48
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$25.17
|
| Rate for Payer: Railroad Medicare Medicare |
$9.39
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$33.05
|
| Rate for Payer: UHC Core |
$31.36
|
| Rate for Payer: UHC Dual Complete DSNP |
$9.39
|
| Rate for Payer: UHC Exchange |
$9.39
|
| Rate for Payer: UHC Medicare Advantage |
$9.39
|
| Rate for Payer: UHCCP Medicaid |
$6.23
|
| Rate for Payer: VA VA |
$9.39
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$28.17
|
|
|
HC ENZYME DETECTION
|
Facility
|
OP
|
$29.27
|
|
|
Service Code
|
CPT 87185
|
| Hospital Charge Code |
30600099
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$3.43 |
| Max. Negotiated Rate |
$26.34 |
| Rate for Payer: Aetna Commercial |
$24.88
|
| Rate for Payer: Aetna Medicare |
$7.61
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$9.15
|
| Rate for Payer: Amish Plain Church Group Commercial |
$9.15
|
| Rate for Payer: BCBS Complete |
$3.61
|
| Rate for Payer: BCBS MAPPO |
$7.32
|
| Rate for Payer: BCBS Trust/PPO |
$24.06
|
| Rate for Payer: BCN Commercial |
$22.76
|
| Rate for Payer: BCN Medicare Advantage |
$7.32
|
| Rate for Payer: Cash Price |
$23.42
|
| Rate for Payer: Cash Price |
$23.42
|
| Rate for Payer: Cofinity Commercial |
$25.17
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$23.42
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$7.32
|
| Rate for Payer: Healthscope Commercial |
$26.34
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$21.95
|
| Rate for Payer: Mclaren Medicaid |
$3.43
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$7.68
|
| Rate for Payer: Meridian Medicaid |
$3.61
|
| Rate for Payer: MI Amish Medical Board Commercial |
$8.42
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$24.88
|
| Rate for Payer: Nomi Health Commercial |
$24.00
|
| Rate for Payer: PACE Senior Care Partners |
$6.95
|
| Rate for Payer: PACE SWMI |
$7.32
|
| Rate for Payer: PHP Commercial |
$24.88
|
| Rate for Payer: PHP Medicare Advantage |
$7.32
|
| Rate for Payer: Priority Health Choice Medicaid |
$3.43
|
| Rate for Payer: Priority Health Cigna Priority Health |
$19.03
|
| Rate for Payer: Priority Health HMO/PPO |
$25.46
|
| Rate for Payer: Priority Health Medicare |
$7.39
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$19.61
|
| Rate for Payer: Railroad Medicare Medicare |
$7.32
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$25.76
|
| Rate for Payer: UHC Core |
$24.44
|
| Rate for Payer: UHC Dual Complete DSNP |
$7.32
|
| Rate for Payer: UHC Exchange |
$7.32
|
| Rate for Payer: UHC Medicare Advantage |
$7.32
|
| Rate for Payer: UHCCP Medicaid |
$3.43
|
| Rate for Payer: VA VA |
$7.32
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$21.95
|
|
|
HC ENZYME DETECTION
|
Facility
|
IP
|
$29.27
|
|
|
Service Code
|
CPT 87185
|
| Hospital Charge Code |
30600099
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$19.03 |
| Max. Negotiated Rate |
$26.34 |
| Rate for Payer: Aetna Commercial |
$24.88
|
| Rate for Payer: BCBS Trust/PPO |
$23.89
|
| Rate for Payer: BCN Commercial |
$22.62
|
| Rate for Payer: Cash Price |
$23.42
|
| Rate for Payer: Cofinity Commercial |
$25.17
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$23.42
|
| Rate for Payer: Healthscope Commercial |
$26.34
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$21.95
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$24.88
|
| Rate for Payer: Nomi Health Commercial |
$24.00
|
| Rate for Payer: PHP Commercial |
$24.88
|
| Rate for Payer: Priority Health Cigna Priority Health |
$19.03
|
| Rate for Payer: Priority Health HMO/PPO |
$25.46
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$19.61
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$25.76
|
| Rate for Payer: UHC Core |
$24.44
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$21.95
|
|
|
HC ENZYME HISTOCHEMISTRY
|
Facility
|
IP
|
$165.24
|
|
|
Service Code
|
CPT 88319
|
| Hospital Charge Code |
31200006
|
|
Hospital Revenue Code
|
312
|
| Min. Negotiated Rate |
$107.41 |
| Max. Negotiated Rate |
$148.72 |
| Rate for Payer: Aetna Commercial |
$140.45
|
| Rate for Payer: BCBS Trust/PPO |
$134.89
|
| Rate for Payer: BCN Commercial |
$127.70
|
| Rate for Payer: Cash Price |
$132.19
|
| Rate for Payer: Cofinity Commercial |
$142.11
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$132.19
|
| Rate for Payer: Healthscope Commercial |
$148.72
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$123.93
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$140.45
|
| Rate for Payer: Nomi Health Commercial |
$135.50
|
| Rate for Payer: PHP Commercial |
$140.45
|
| Rate for Payer: Priority Health Cigna Priority Health |
$107.41
|
| Rate for Payer: Priority Health HMO/PPO |
$143.76
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$110.71
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$145.41
|
| Rate for Payer: UHC Core |
$137.98
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$123.93
|
|
|
HC ENZYME HISTOCHEMISTRY
|
Facility
|
OP
|
$165.24
|
|
|
Service Code
|
CPT 88319
|
| Hospital Charge Code |
31200006
|
|
Hospital Revenue Code
|
312
|
| Min. Negotiated Rate |
$39.24 |
| Max. Negotiated Rate |
$607.65 |
| Rate for Payer: Aetna Commercial |
$140.45
|
| Rate for Payer: Aetna Medicare |
$42.96
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$51.64
|
| Rate for Payer: Amish Plain Church Group Commercial |
$51.64
|
| Rate for Payer: BCBS Complete |
$607.65
|
| Rate for Payer: BCBS MAPPO |
$41.31
|
| Rate for Payer: BCBS Trust/PPO |
$135.84
|
| Rate for Payer: BCN Commercial |
$128.47
|
| Rate for Payer: BCN Medicare Advantage |
$41.31
|
| Rate for Payer: Cash Price |
$132.19
|
| Rate for Payer: Cash Price |
$132.19
|
| Rate for Payer: Cofinity Commercial |
$142.11
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$132.19
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$41.31
|
| Rate for Payer: Healthscope Commercial |
$148.72
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$123.93
|
| Rate for Payer: Mclaren Medicaid |
$578.67
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$43.38
|
| Rate for Payer: Meridian Medicaid |
$607.65
|
| Rate for Payer: MI Amish Medical Board Commercial |
$47.51
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$140.45
|
| Rate for Payer: Nomi Health Commercial |
$135.50
|
| Rate for Payer: PACE Senior Care Partners |
$39.24
|
| Rate for Payer: PACE SWMI |
$41.31
|
| Rate for Payer: PHP Commercial |
$140.45
|
| Rate for Payer: PHP Medicare Advantage |
$41.31
|
| Rate for Payer: Priority Health Choice Medicaid |
$578.67
|
| Rate for Payer: Priority Health Cigna Priority Health |
$107.41
|
| Rate for Payer: Priority Health HMO/PPO |
$143.76
|
| Rate for Payer: Priority Health Medicare |
$41.72
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$110.71
|
| Rate for Payer: Railroad Medicare Medicare |
$41.31
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$145.41
|
| Rate for Payer: UHC Core |
$137.98
|
| Rate for Payer: UHC Dual Complete DSNP |
$41.31
|
| Rate for Payer: UHC Exchange |
$41.31
|
| Rate for Payer: UHC Medicare Advantage |
$41.31
|
| Rate for Payer: UHCCP Medicaid |
$578.67
|
| Rate for Payer: VA VA |
$41.31
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$123.93
|
|
|
HC EOSINOPHIL NASAL SMEAR
|
Facility
|
IP
|
$46.31
|
|
|
Service Code
|
CPT 89190
|
| Hospital Charge Code |
30000003
|
|
Hospital Revenue Code
|
300
|
| Min. Negotiated Rate |
$30.10 |
| Max. Negotiated Rate |
$41.68 |
| Rate for Payer: Aetna Commercial |
$39.36
|
| Rate for Payer: BCBS Trust/PPO |
$37.80
|
| Rate for Payer: BCN Commercial |
$35.79
|
| Rate for Payer: Cash Price |
$37.05
|
| Rate for Payer: Cofinity Commercial |
$39.83
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$37.05
|
| Rate for Payer: Healthscope Commercial |
$41.68
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$34.73
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$39.36
|
| Rate for Payer: Nomi Health Commercial |
$37.97
|
| Rate for Payer: PHP Commercial |
$39.36
|
| Rate for Payer: Priority Health Cigna Priority Health |
$30.10
|
| Rate for Payer: Priority Health HMO/PPO |
$40.29
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$31.03
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$40.75
|
| Rate for Payer: UHC Core |
$38.67
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$34.73
|
|
