|
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 |
$1,200.29
|
| Rate for Payer: BCBS Trust/PPO |
$3,947.02
|
| Rate for Payer: BCN Commercial |
$3,732.89
|
| Rate for Payer: BCN Medicare Advantage |
$1,200.29
|
| 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 |
$1,200.29
|
| 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 |
$1,200.29
|
| Rate for Payer: PHP Commercial |
$4,080.97
|
| Rate for Payer: PHP Medicare Advantage |
$1,200.29
|
| 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 |
$1,200.29
|
| 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 |
$1,200.29
|
| Rate for Payer: UHC Exchange |
$1,200.29
|
| Rate for Payer: UHC Medicare Advantage |
$1,200.29
|
| Rate for Payer: VA VA |
$1,200.29
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$3,600.86
|
|
|
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 |
$13.01
|
| Rate for Payer: BCBS Trust/PPO |
$42.77
|
| Rate for Payer: BCN Commercial |
$40.45
|
| Rate for Payer: BCN Medicare Advantage |
$13.01
|
| 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 |
$13.01
|
| 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 |
$13.01
|
| Rate for Payer: PHP Commercial |
$44.22
|
| Rate for Payer: PHP Medicare Advantage |
$13.01
|
| 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 |
$13.01
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$45.78
|
| Rate for Payer: UHC Core |
$43.44
|
| Rate for Payer: UHC Dual Complete DSNP |
$13.01
|
| Rate for Payer: UHC Exchange |
$13.01
|
| Rate for Payer: UHC Medicare Advantage |
$13.01
|
| Rate for Payer: UHCCP Medicaid |
$25.37
|
| Rate for Payer: VA VA |
$13.01
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$39.02
|
|
|
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 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
|
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 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 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
|
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 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 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 |
$620.19 |
| 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 |
$620.19
|
| 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 |
$590.62
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$43.38
|
| Rate for Payer: Meridian Medicaid |
$620.19
|
| 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 |
$590.62
|
| 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 |
$590.62
|
| Rate for Payer: VA VA |
$41.31
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$123.93
|
|
|
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 EOSINOPHIL NASAL SMEAR
|
Facility
|
OP
|
$46.31
|
|
|
Service Code
|
CPT 89190
|
| Hospital Charge Code |
30000003
|
|
Hospital Revenue Code
|
300
|
| Min. Negotiated Rate |
$4.19 |
| Max. Negotiated Rate |
$41.68 |
| Rate for Payer: Aetna Commercial |
$39.36
|
| Rate for Payer: Aetna Medicare |
$12.04
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$14.47
|
| Rate for Payer: Amish Plain Church Group Commercial |
$14.47
|
| Rate for Payer: BCBS Complete |
$4.40
|
| Rate for Payer: BCBS MAPPO |
$11.58
|
| Rate for Payer: BCBS Trust/PPO |
$38.07
|
| Rate for Payer: BCN Commercial |
$36.01
|
| Rate for Payer: BCN Medicare Advantage |
$11.58
|
| Rate for Payer: Cash Price |
$37.05
|
| 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: Health Alliance Plan Medicare Advantage |
$11.58
|
| Rate for Payer: Healthscope Commercial |
$41.68
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$34.73
|
| Rate for Payer: Mclaren Medicaid |
$4.19
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$12.16
|
| Rate for Payer: Meridian Medicaid |
$4.40
|
| Rate for Payer: MI Amish Medical Board Commercial |
$13.31
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$39.36
|
| Rate for Payer: Nomi Health Commercial |
$37.97
|
| Rate for Payer: PACE Senior Care Partners |
$11.00
|
| Rate for Payer: PACE SWMI |
$11.58
|
| Rate for Payer: PHP Commercial |
$39.36
|
| Rate for Payer: PHP Medicare Advantage |
$11.58
|
| Rate for Payer: Priority Health Choice Medicaid |
$4.19
|
| Rate for Payer: Priority Health Cigna Priority Health |
$30.10
|
| Rate for Payer: Priority Health HMO/PPO |
$40.29
|
| Rate for Payer: Priority Health Medicare |
$11.69
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$31.03
|
| Rate for Payer: Railroad Medicare Medicare |
$11.58
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$40.75
|
| Rate for Payer: UHC Core |
$38.67
|
| Rate for Payer: UHC Dual Complete DSNP |
$11.58
|
| Rate for Payer: UHC Exchange |
$11.58
|
| Rate for Payer: UHC Medicare Advantage |
$11.58
|
| Rate for Payer: UHCCP Medicaid |
$4.19
|
| Rate for Payer: VA VA |
$11.58
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$34.73
|
|
|
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
|
|
|
HC EOVIST PER ML
|
Facility
|
IP
|
$31.31
|
|
|
Service Code
|
HCPCS A9581
|
| Hospital Charge Code |
63600009
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$20.35 |
| Max. Negotiated Rate |
$28.18 |
| Rate for Payer: Aetna Commercial |
$26.61
|
| Rate for Payer: BCBS Trust/PPO |
$25.56
|
| Rate for Payer: BCN Commercial |
$24.20
|
| Rate for Payer: Cash Price |
$25.05
|
| Rate for Payer: Cofinity Commercial |
$26.93
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$25.05
|
| Rate for Payer: Healthscope Commercial |
$28.18
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$23.48
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$26.61
|
| Rate for Payer: Nomi Health Commercial |
$25.67
|
| Rate for Payer: PHP Commercial |
$26.61
|
| Rate for Payer: Priority Health Cigna Priority Health |
$20.35
|
| Rate for Payer: Priority Health HMO/PPO |
$27.24
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$20.98
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$27.55
|
| Rate for Payer: UHC Core |
$26.14
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$23.48
|
|
|
HC EOVIST PER ML
|
Facility
|
OP
|
$31.31
|
|
|
Service Code
|
HCPCS A9581
|
| Hospital Charge Code |
63600009
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$7.44 |
| Max. Negotiated Rate |
$28.18 |
| Rate for Payer: Aetna Commercial |
$26.61
|
| Rate for Payer: Aetna Medicare |
$8.14
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$9.78
|
| Rate for Payer: Amish Plain Church Group Commercial |
$9.78
|
| Rate for Payer: BCBS Complete |
$12.52
|
| Rate for Payer: BCBS MAPPO |
$7.83
|
| Rate for Payer: BCBS Trust/PPO |
$25.74
|
| Rate for Payer: BCN Commercial |
$24.34
|
| Rate for Payer: BCN Medicare Advantage |
$7.83
|
| Rate for Payer: Cash Price |
$25.05
|
| Rate for Payer: Cofinity Commercial |
$26.93
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$25.05
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$7.83
|
| Rate for Payer: Healthscope Commercial |
$28.18
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$23.48
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$8.22
|
| Rate for Payer: MI Amish Medical Board Commercial |
$9.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$26.61
|
| Rate for Payer: Nomi Health Commercial |
$25.67
|
| Rate for Payer: PACE Senior Care Partners |
$7.44
|
| Rate for Payer: PACE SWMI |
$7.83
|
| Rate for Payer: PHP Commercial |
$26.61
|
| Rate for Payer: PHP Medicare Advantage |
$7.83
|
| Rate for Payer: Priority Health Cigna Priority Health |
$20.35
|
| Rate for Payer: Priority Health HMO/PPO |
$27.24
|
| Rate for Payer: Priority Health Medicare |
$7.91
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$20.98
|
| Rate for Payer: Railroad Medicare Medicare |
$7.83
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$27.55
|
| Rate for Payer: UHC Core |
$26.14
|
| Rate for Payer: UHC Dual Complete DSNP |
$7.83
|
| Rate for Payer: UHC Exchange |
$7.83
|
| Rate for Payer: UHC Medicare Advantage |
$7.83
|
| Rate for Payer: VA VA |
$7.83
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$23.48
|
|
|
HC EO W/O JOINTS CF
|
Facility
|
OP
|
$275.71
|
|
|
Service Code
|
HCPCS L3702
|
| Hospital Charge Code |
27400050
|
|
Hospital Revenue Code
|
274
|
| Min. Negotiated Rate |
$65.48 |
| Max. Negotiated Rate |
$248.14 |
| Rate for Payer: Aetna Commercial |
$234.35
|
| Rate for Payer: Aetna Medicare |
$71.68
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$86.16
|
| Rate for Payer: Amish Plain Church Group Commercial |
$86.16
|
| Rate for Payer: BCBS Complete |
$110.28
|
| Rate for Payer: BCBS MAPPO |
$68.93
|
| Rate for Payer: BCBS Trust/PPO |
$226.66
|
| Rate for Payer: BCN Commercial |
$214.36
|
| Rate for Payer: BCN Medicare Advantage |
$68.93
|
| Rate for Payer: Cash Price |
$220.57
|
| Rate for Payer: Cofinity Commercial |
$237.11
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$220.57
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$68.93
|
| Rate for Payer: Healthscope Commercial |
$248.14
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$206.78
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$72.37
|
| Rate for Payer: MI Amish Medical Board Commercial |
$79.27
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$234.35
|
| Rate for Payer: Nomi Health Commercial |
$226.08
|
| Rate for Payer: PACE Senior Care Partners |
$65.48
|
| Rate for Payer: PACE SWMI |
$68.93
|
| Rate for Payer: PHP Commercial |
$234.35
|
| Rate for Payer: PHP Medicare Advantage |
$68.93
|
| Rate for Payer: Priority Health Cigna Priority Health |
$179.21
|
| Rate for Payer: Priority Health HMO/PPO |
$239.87
|
| Rate for Payer: Priority Health Medicare |
$69.62
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$184.73
|
| Rate for Payer: Railroad Medicare Medicare |
$68.93
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$242.62
|
| Rate for Payer: UHC Core |
$230.22
|
| Rate for Payer: UHC Dual Complete DSNP |
$68.93
|
| Rate for Payer: UHC Exchange |
$68.93
|
| Rate for Payer: UHC Medicare Advantage |
$68.93
|
| Rate for Payer: VA VA |
$68.93
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$206.78
|
|
|
HC EO W/O JOINTS CF
|
Facility
|
IP
|
$275.71
|
|
|
Service Code
|
HCPCS L3702
|
| Hospital Charge Code |
27400050
|
|
Hospital Revenue Code
|
274
|
| Min. Negotiated Rate |
$179.21 |
| Max. Negotiated Rate |
$248.14 |
| Rate for Payer: Aetna Commercial |
$234.35
|
| Rate for Payer: BCBS Trust/PPO |
$225.06
|
| Rate for Payer: BCN Commercial |
$213.07
|
| Rate for Payer: Cash Price |
$220.57
|
| Rate for Payer: Cofinity Commercial |
$237.11
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$220.57
|
| Rate for Payer: Healthscope Commercial |
$248.14
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$206.78
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$234.35
|
| Rate for Payer: Nomi Health Commercial |
$226.08
|
| Rate for Payer: PHP Commercial |
$234.35
|
| Rate for Payer: Priority Health Cigna Priority Health |
$179.21
|
| Rate for Payer: Priority Health HMO/PPO |
$239.87
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$184.73
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$242.62
|
| Rate for Payer: UHC Core |
$230.22
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$206.78
|
|
|
HC EP+ABL ARRHYTHMIA
|
Facility
|
IP
|
$17,739.50
|
|
|
Service Code
|
CPT 93653
|
| Hospital Charge Code |
48100091
|
|
Hospital Revenue Code
|
481
|
| Min. Negotiated Rate |
$11,530.67 |
| Max. Negotiated Rate |
$15,965.55 |
| Rate for Payer: Aetna Commercial |
$15,078.58
|
| Rate for Payer: BCBS Trust/PPO |
$14,480.75
|
| Rate for Payer: BCN Commercial |
$13,709.09
|
| Rate for Payer: Cash Price |
$14,191.60
|
| Rate for Payer: Cofinity Commercial |
$15,255.97
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$14,191.60
|
| Rate for Payer: Healthscope Commercial |
$15,965.55
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$13,304.62
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$15,078.58
|
| Rate for Payer: Nomi Health Commercial |
$14,546.39
|
| Rate for Payer: PHP Commercial |
$15,078.58
|
| Rate for Payer: Priority Health Cigna Priority Health |
$11,530.67
|
| Rate for Payer: Priority Health HMO/PPO |
$15,433.36
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$11,885.47
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$15,610.76
|
| Rate for Payer: UHC Core |
$14,812.48
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$13,304.62
|
|
|
HC EP+ABL ARRHYTHMIA
|
Facility
|
OP
|
$17,739.50
|
|
|
Service Code
|
CPT 93653
|
| Hospital Charge Code |
48100091
|
|
Hospital Revenue Code
|
481
|
| Min. Negotiated Rate |
$4,213.13 |
| Max. Negotiated Rate |
$18,624.92 |
| Rate for Payer: Aetna Commercial |
$15,078.58
|
| Rate for Payer: Aetna Medicare |
$4,612.27
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$5,543.59
|
| Rate for Payer: Amish Plain Church Group Commercial |
$5,543.59
|
| Rate for Payer: BCBS Complete |
$18,624.92
|
| Rate for Payer: BCBS MAPPO |
$4,434.88
|
| Rate for Payer: BCBS Trust/PPO |
$14,583.64
|
| Rate for Payer: BCN Commercial |
$13,792.46
|
| Rate for Payer: BCN Medicare Advantage |
$4,434.88
|
| Rate for Payer: Cash Price |
$14,191.60
|
| Rate for Payer: Cash Price |
$14,191.60
|
| Rate for Payer: Cofinity Commercial |
$15,255.97
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$14,191.60
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$4,434.88
|
| Rate for Payer: Healthscope Commercial |
$15,965.55
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$13,304.62
|
| Rate for Payer: Mclaren Medicaid |
$17,736.85
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$4,656.62
|
| Rate for Payer: Meridian Medicaid |
$18,624.92
|
| Rate for Payer: MI Amish Medical Board Commercial |
$5,100.11
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$15,078.58
|
| Rate for Payer: Nomi Health Commercial |
$14,546.39
|
| Rate for Payer: PACE Senior Care Partners |
$4,213.13
|
| Rate for Payer: PACE SWMI |
$4,434.88
|
| Rate for Payer: PHP Commercial |
$15,078.58
|
| Rate for Payer: PHP Medicare Advantage |
$4,434.88
|
| Rate for Payer: Priority Health Choice Medicaid |
$17,736.85
|
| Rate for Payer: Priority Health Cigna Priority Health |
$11,530.67
|
| Rate for Payer: Priority Health HMO/PPO |
$15,433.36
|
| Rate for Payer: Priority Health Medicare |
$4,479.22
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$11,885.47
|
| Rate for Payer: Railroad Medicare Medicare |
$4,434.88
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$15,610.76
|
| Rate for Payer: UHC Core |
$14,812.48
|
| Rate for Payer: UHC Dual Complete DSNP |
$4,434.88
|
| Rate for Payer: UHC Exchange |
$4,434.88
|
| Rate for Payer: UHC Medicare Advantage |
$4,434.88
|
| Rate for Payer: UHCCP Medicaid |
$17,736.85
|
| Rate for Payer: VA VA |
$4,434.88
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$13,304.62
|
|
|
HC EP+ABL VT
|
Facility
|
OP
|
$17,739.50
|
|
|
Service Code
|
CPT 93654
|
| Hospital Charge Code |
48100092
|
|
Hospital Revenue Code
|
481
|
| Min. Negotiated Rate |
$4,213.13 |
| Max. Negotiated Rate |
$18,624.92 |
| Rate for Payer: Aetna Commercial |
$15,078.58
|
| Rate for Payer: Aetna Medicare |
$4,612.27
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$5,543.59
|
| Rate for Payer: Amish Plain Church Group Commercial |
$5,543.59
|
| Rate for Payer: BCBS Complete |
$18,624.92
|
| Rate for Payer: BCBS MAPPO |
$4,434.88
|
| Rate for Payer: BCBS Trust/PPO |
$14,583.64
|
| Rate for Payer: BCN Commercial |
$13,792.46
|
| Rate for Payer: BCN Medicare Advantage |
$4,434.88
|
| Rate for Payer: Cash Price |
$14,191.60
|
| Rate for Payer: Cash Price |
$14,191.60
|
| Rate for Payer: Cofinity Commercial |
$15,255.97
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$14,191.60
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$4,434.88
|
| Rate for Payer: Healthscope Commercial |
$15,965.55
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$13,304.62
|
| Rate for Payer: Mclaren Medicaid |
$17,736.85
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$4,656.62
|
| Rate for Payer: Meridian Medicaid |
$18,624.92
|
| Rate for Payer: MI Amish Medical Board Commercial |
$5,100.11
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$15,078.58
|
| Rate for Payer: Nomi Health Commercial |
$14,546.39
|
| Rate for Payer: PACE Senior Care Partners |
$4,213.13
|
| Rate for Payer: PACE SWMI |
$4,434.88
|
| Rate for Payer: PHP Commercial |
$15,078.58
|
| Rate for Payer: PHP Medicare Advantage |
$4,434.88
|
| Rate for Payer: Priority Health Choice Medicaid |
$17,736.85
|
| Rate for Payer: Priority Health Cigna Priority Health |
$11,530.67
|
| Rate for Payer: Priority Health HMO/PPO |
$15,433.36
|
| Rate for Payer: Priority Health Medicare |
$4,479.22
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$11,885.47
|
| Rate for Payer: Railroad Medicare Medicare |
$4,434.88
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$15,610.76
|
| Rate for Payer: UHC Core |
$14,812.48
|
| Rate for Payer: UHC Dual Complete DSNP |
$4,434.88
|
| Rate for Payer: UHC Exchange |
$4,434.88
|
| Rate for Payer: UHC Medicare Advantage |
$4,434.88
|
| Rate for Payer: UHCCP Medicaid |
$17,736.85
|
| Rate for Payer: VA VA |
$4,434.88
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$13,304.62
|
|
|
HC EP+ABL VT
|
Facility
|
IP
|
$17,739.50
|
|
|
Service Code
|
CPT 93654
|
| Hospital Charge Code |
48100092
|
|
Hospital Revenue Code
|
481
|
| Min. Negotiated Rate |
$11,530.67 |
| Max. Negotiated Rate |
$15,965.55 |
| Rate for Payer: Aetna Commercial |
$15,078.58
|
| Rate for Payer: BCBS Trust/PPO |
$14,480.75
|
| Rate for Payer: BCN Commercial |
$13,709.09
|
| Rate for Payer: Cash Price |
$14,191.60
|
| Rate for Payer: Cofinity Commercial |
$15,255.97
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$14,191.60
|
| Rate for Payer: Healthscope Commercial |
$15,965.55
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$13,304.62
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$15,078.58
|
| Rate for Payer: Nomi Health Commercial |
$14,546.39
|
| Rate for Payer: PHP Commercial |
$15,078.58
|
| Rate for Payer: Priority Health Cigna Priority Health |
$11,530.67
|
| Rate for Payer: Priority Health HMO/PPO |
$15,433.36
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$11,885.47
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$15,610.76
|
| Rate for Payer: UHC Core |
$14,812.48
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$13,304.62
|
|
