|
HC HEART CATH CORONARIES CABG'S
|
Facility
|
IP
|
$12,456.64
|
|
|
Service Code
|
CPT 93459
|
| Hospital Charge Code |
48100018
|
|
Hospital Revenue Code
|
481
|
| Min. Negotiated Rate |
$8,669.82 |
| Max. Negotiated Rate |
$11,210.98 |
| Rate for Payer: Aetna Commercial |
$10,588.14
|
| Rate for Payer: BCBS Trust/PPO |
$10,287.94
|
| Rate for Payer: BCN Commercial |
$10,287.94
|
| Rate for Payer: Cash Price |
$9,965.31
|
| Rate for Payer: Cofinity Commercial |
$10,712.71
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$9,965.31
|
| Rate for Payer: Healthscope Commercial |
$11,210.98
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$9,342.48
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$10,588.14
|
| Rate for Payer: Nomi Health Commercial |
$10,214.44
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$9,342.48
|
| Rate for Payer: PHP Commercial |
$10,588.14
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$10,837.28
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$8,669.82
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$10,961.84
|
| Rate for Payer: UHC Core |
$10,401.29
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$9,342.48
|
|
|
HC HEART CATH EXCHANGE WIRE
|
Facility
|
IP
|
$55.67
|
|
|
Service Code
|
HCPCS C1769
|
| Hospital Charge Code |
27200047
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$38.75 |
| Max. Negotiated Rate |
$50.10 |
| Rate for Payer: Aetna Commercial |
$47.32
|
| Rate for Payer: BCBS Trust/PPO |
$45.98
|
| Rate for Payer: BCN Commercial |
$45.98
|
| Rate for Payer: Cash Price |
$44.54
|
| Rate for Payer: Cofinity Commercial |
$47.88
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$44.54
|
| Rate for Payer: Healthscope Commercial |
$50.10
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$41.75
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$47.32
|
| Rate for Payer: Nomi Health Commercial |
$45.65
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$41.75
|
| Rate for Payer: PHP Commercial |
$47.32
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$48.43
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$38.75
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$48.99
|
| Rate for Payer: UHC Core |
$46.48
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$41.75
|
|
|
HC HEART CATH EXCHANGE WIRE
|
Facility
|
OP
|
$55.67
|
|
|
Service Code
|
HCPCS C1769
|
| Hospital Charge Code |
27200047
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$9.81 |
| Max. Negotiated Rate |
$50.10 |
| Rate for Payer: Aetna Commercial |
$47.32
|
| Rate for Payer: Aetna Medicare |
$14.47
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$17.40
|
| Rate for Payer: Amish Plain Church Group Commercial |
$17.40
|
| Rate for Payer: BCBS Complete |
$10.30
|
| Rate for Payer: BCBS MAPPO |
$13.92
|
| Rate for Payer: BCBS Trust/PPO |
$45.77
|
| Rate for Payer: BCN Commercial |
$45.77
|
| Rate for Payer: BCN Medicare Advantage |
$13.92
|
| Rate for Payer: Cash Price |
$44.54
|
| Rate for Payer: Cofinity Commercial |
$47.88
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$44.54
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$13.92
|
| Rate for Payer: Healthscope Commercial |
$50.10
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$41.75
|
| Rate for Payer: Mclaren Medicaid |
$9.81
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$14.61
|
| Rate for Payer: Meridian Medicaid |
$10.30
|
| Rate for Payer: MI Amish Medical Board Commercial |
$16.01
|
| Rate for Payer: Molina Medicare/Medicaid |
$15.31
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$47.32
|
| Rate for Payer: Nomi Health Commercial |
$45.65
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$41.75
|
| Rate for Payer: PACE Senior Care Partners |
$13.22
|
| Rate for Payer: PACE SWMI |
$13.92
|
| Rate for Payer: PHP Commercial |
$47.32
|
| Rate for Payer: PHP Medicare Advantage |
$13.92
|
| Rate for Payer: Priority Health Choice Medicaid |
$9.81
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$48.43
|
| Rate for Payer: Priority Health Medicare |
$14.06
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$38.75
|
| Rate for Payer: Railroad Medicare Medicare |
$13.92
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$48.99
|
| Rate for Payer: UHC Core |
$46.48
|
| Rate for Payer: UHC Exchange |
$13.92
|
| Rate for Payer: UHC Medicaid |
$9.81
|
| Rate for Payer: UHC Medicare Advantage |
$13.92
|
| Rate for Payer: UHCCP Medicaid |
$9.81
|
| Rate for Payer: VA VA |
$13.92
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$41.75
|
|
|
HC HEART CATH LT ONLY
|
Facility
|
IP
|
$8,650.65
|
|
|
Service Code
|
CPT 93452
|
| Hospital Charge Code |
48100011
|
|
Hospital Revenue Code
|
481
|
| Min. Negotiated Rate |
$6,020.85 |
| Max. Negotiated Rate |
$7,785.59 |
| Rate for Payer: Aetna Commercial |
$7,353.05
|
| Rate for Payer: BCBS Trust/PPO |
$7,144.57
|
| Rate for Payer: BCN Commercial |
$7,144.57
|
| Rate for Payer: Cash Price |
$6,920.52
|
| Rate for Payer: Cofinity Commercial |
$7,439.56
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$6,920.52
|
| Rate for Payer: Healthscope Commercial |
$7,785.59
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$6,487.99
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$7,353.05
|
| Rate for Payer: Nomi Health Commercial |
$7,093.53
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$6,487.99
|
| Rate for Payer: PHP Commercial |
$7,353.05
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$7,526.07
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$6,020.85
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$7,612.57
|
| Rate for Payer: UHC Core |
$7,223.29
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$6,487.99
|
|
|
HC HEART CATH LT ONLY
|
Facility
|
OP
|
$8,650.65
|
|
|
Service Code
|
CPT 93452
|
| Hospital Charge Code |
48100011
|
|
Hospital Revenue Code
|
481
|
| Min. Negotiated Rate |
$1,525.11 |
| Max. Negotiated Rate |
$7,785.59 |
| Rate for Payer: Aetna Commercial |
$7,353.05
|
| Rate for Payer: Aetna Medicare |
$2,249.17
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$2,703.33
|
| Rate for Payer: Amish Plain Church Group Commercial |
$2,703.33
|
| Rate for Payer: BCBS Complete |
$1,601.24
|
| Rate for Payer: BCBS MAPPO |
$2,162.66
|
| Rate for Payer: BCBS Trust/PPO |
$7,111.70
|
| Rate for Payer: BCN Commercial |
$7,111.70
|
| Rate for Payer: BCN Medicare Advantage |
$2,162.66
|
| Rate for Payer: Cash Price |
$6,920.52
|
| Rate for Payer: Cofinity Commercial |
$7,439.56
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$6,920.52
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,162.66
|
| Rate for Payer: Healthscope Commercial |
$7,785.59
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$6,487.99
|
| Rate for Payer: Mclaren Medicaid |
$1,525.11
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$2,270.80
|
| Rate for Payer: Meridian Medicaid |
$1,601.24
|
| Rate for Payer: MI Amish Medical Board Commercial |
$2,487.06
|
| Rate for Payer: Molina Medicare/Medicaid |
$2,378.93
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$7,353.05
|
| Rate for Payer: Nomi Health Commercial |
$7,093.53
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$6,487.99
|
| Rate for Payer: PACE Senior Care Partners |
$2,054.53
|
| Rate for Payer: PACE SWMI |
$2,162.66
|
| Rate for Payer: PHP Commercial |
$7,353.05
|
| Rate for Payer: PHP Medicare Advantage |
$2,162.66
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,525.11
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$7,526.07
|
| Rate for Payer: Priority Health Medicare |
$2,184.29
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$6,020.85
|
| Rate for Payer: Railroad Medicare Medicare |
$2,162.66
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$7,612.57
|
| Rate for Payer: UHC Core |
$7,223.29
|
| Rate for Payer: UHC Exchange |
$2,162.66
|
| Rate for Payer: UHC Medicaid |
$1,525.11
|
| Rate for Payer: UHC Medicare Advantage |
$2,162.66
|
| Rate for Payer: UHCCP Medicaid |
$1,525.11
|
| Rate for Payer: VA VA |
$2,162.66
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$6,487.99
|
|
|
HC HEART CATH LT/RT/C/CABGS
|
Facility
|
IP
|
$15,402.66
|
|
|
Service Code
|
CPT 93461
|
| Hospital Charge Code |
48100052
|
|
Hospital Revenue Code
|
481
|
| Min. Negotiated Rate |
$10,720.25 |
| Max. Negotiated Rate |
$13,862.39 |
| Rate for Payer: Aetna Commercial |
$13,092.26
|
| Rate for Payer: BCBS Trust/PPO |
$12,721.06
|
| Rate for Payer: BCN Commercial |
$12,721.06
|
| Rate for Payer: Cash Price |
$12,322.13
|
| Rate for Payer: Cofinity Commercial |
$13,246.29
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$12,322.13
|
| Rate for Payer: Healthscope Commercial |
$13,862.39
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$11,552.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$13,092.26
|
| Rate for Payer: Nomi Health Commercial |
$12,630.18
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$11,552.00
|
| Rate for Payer: PHP Commercial |
$13,092.26
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$13,400.31
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$10,720.25
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$13,554.34
|
| Rate for Payer: UHC Core |
$12,861.22
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$11,552.00
|
|
|
HC HEART CATH LT/RT/C/CABGS
|
Facility
|
OP
|
$15,402.66
|
|
|
Service Code
|
CPT 93461
|
| Hospital Charge Code |
48100052
|
|
Hospital Revenue Code
|
481
|
| Min. Negotiated Rate |
$2,715.49 |
| Max. Negotiated Rate |
$13,862.39 |
| Rate for Payer: Aetna Commercial |
$13,092.26
|
| Rate for Payer: Aetna Medicare |
$4,004.69
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$4,813.33
|
| Rate for Payer: Amish Plain Church Group Commercial |
$4,813.33
|
| Rate for Payer: BCBS Complete |
$2,851.03
|
| Rate for Payer: BCBS MAPPO |
$3,850.66
|
| Rate for Payer: BCBS Trust/PPO |
$12,662.53
|
| Rate for Payer: BCN Commercial |
$12,662.53
|
| Rate for Payer: BCN Medicare Advantage |
$3,850.66
|
| Rate for Payer: Cash Price |
$12,322.13
|
| Rate for Payer: Cofinity Commercial |
$13,246.29
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$12,322.13
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$3,850.66
|
| Rate for Payer: Healthscope Commercial |
$13,862.39
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$11,552.00
|
| Rate for Payer: Mclaren Medicaid |
$2,715.49
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$4,043.20
|
| Rate for Payer: Meridian Medicaid |
$2,851.03
|
| Rate for Payer: MI Amish Medical Board Commercial |
$4,428.26
|
| Rate for Payer: Molina Medicare/Medicaid |
$4,235.73
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$13,092.26
|
| Rate for Payer: Nomi Health Commercial |
$12,630.18
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$11,552.00
|
| Rate for Payer: PACE Senior Care Partners |
$3,658.13
|
| Rate for Payer: PACE SWMI |
$3,850.66
|
| Rate for Payer: PHP Commercial |
$13,092.26
|
| Rate for Payer: PHP Medicare Advantage |
$3,850.66
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,715.49
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$13,400.31
|
| Rate for Payer: Priority Health Medicare |
$3,889.17
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$10,720.25
|
| Rate for Payer: Railroad Medicare Medicare |
$3,850.66
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$13,554.34
|
| Rate for Payer: UHC Core |
$12,861.22
|
| Rate for Payer: UHC Exchange |
$3,850.66
|
| Rate for Payer: UHC Medicaid |
$2,715.49
|
| Rate for Payer: UHC Medicare Advantage |
$3,850.66
|
| Rate for Payer: UHCCP Medicaid |
$2,715.49
|
| Rate for Payer: VA VA |
$3,850.66
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$11,552.00
|
|
|
HC HEART CATH LT/RT CORONARIES
|
Facility
|
IP
|
$13,019.87
|
|
|
Service Code
|
CPT 93460
|
| Hospital Charge Code |
48100019
|
|
Hospital Revenue Code
|
481
|
| Min. Negotiated Rate |
$9,061.83 |
| Max. Negotiated Rate |
$11,717.88 |
| Rate for Payer: Aetna Commercial |
$11,066.89
|
| Rate for Payer: BCBS Trust/PPO |
$10,753.11
|
| Rate for Payer: BCN Commercial |
$10,753.11
|
| Rate for Payer: Cash Price |
$10,415.90
|
| Rate for Payer: Cofinity Commercial |
$11,197.09
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$10,415.90
|
| Rate for Payer: Healthscope Commercial |
$11,717.88
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$9,764.90
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$11,066.89
|
| Rate for Payer: Nomi Health Commercial |
$10,676.29
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$9,764.90
|
| Rate for Payer: PHP Commercial |
$11,066.89
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$11,327.29
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$9,061.83
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$11,457.49
|
| Rate for Payer: UHC Core |
$10,871.59
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$9,764.90
|
|
|
HC HEART CATH LT/RT CORONARIES
|
Facility
|
OP
|
$13,019.87
|
|
|
Service Code
|
CPT 93460
|
| Hospital Charge Code |
48100019
|
|
Hospital Revenue Code
|
481
|
| Min. Negotiated Rate |
$2,295.40 |
| Max. Negotiated Rate |
$11,717.88 |
| Rate for Payer: Aetna Commercial |
$11,066.89
|
| Rate for Payer: Aetna Medicare |
$3,385.17
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$4,068.71
|
| Rate for Payer: Amish Plain Church Group Commercial |
$4,068.71
|
| Rate for Payer: BCBS Complete |
$2,409.98
|
| Rate for Payer: BCBS MAPPO |
$3,254.97
|
| Rate for Payer: BCBS Trust/PPO |
$10,703.64
|
| Rate for Payer: BCN Commercial |
$10,703.64
|
| Rate for Payer: BCN Medicare Advantage |
$3,254.97
|
| Rate for Payer: Cash Price |
$10,415.90
|
| Rate for Payer: Cofinity Commercial |
$11,197.09
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$10,415.90
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$3,254.97
|
| Rate for Payer: Healthscope Commercial |
$11,717.88
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$9,764.90
|
| Rate for Payer: Mclaren Medicaid |
$2,295.40
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$3,417.72
|
| Rate for Payer: Meridian Medicaid |
$2,409.98
|
| Rate for Payer: MI Amish Medical Board Commercial |
$3,743.21
|
| Rate for Payer: Molina Medicare/Medicaid |
$3,580.46
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$11,066.89
|
| Rate for Payer: Nomi Health Commercial |
$10,676.29
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$9,764.90
|
| Rate for Payer: PACE Senior Care Partners |
$3,092.22
|
| Rate for Payer: PACE SWMI |
$3,254.97
|
| Rate for Payer: PHP Commercial |
$11,066.89
|
| Rate for Payer: PHP Medicare Advantage |
$3,254.97
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,295.40
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$11,327.29
|
| Rate for Payer: Priority Health Medicare |
$3,287.52
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$9,061.83
|
| Rate for Payer: Railroad Medicare Medicare |
$3,254.97
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$11,457.49
|
| Rate for Payer: UHC Core |
$10,871.59
|
| Rate for Payer: UHC Exchange |
$3,254.97
|
| Rate for Payer: UHC Medicaid |
$2,295.40
|
| Rate for Payer: UHC Medicare Advantage |
$3,254.97
|
| Rate for Payer: UHCCP Medicaid |
$2,295.40
|
| Rate for Payer: VA VA |
$3,254.97
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$9,764.90
|
|
|
HC HEART CATH LT/RT ONLY
|
Facility
|
IP
|
$9,140.84
|
|
|
Service Code
|
CPT 93453
|
| Hospital Charge Code |
48100012
|
|
Hospital Revenue Code
|
481
|
| Min. Negotiated Rate |
$6,362.02 |
| Max. Negotiated Rate |
$8,226.76 |
| Rate for Payer: Aetna Commercial |
$7,769.71
|
| Rate for Payer: BCBS Trust/PPO |
$7,549.42
|
| Rate for Payer: BCN Commercial |
$7,549.42
|
| Rate for Payer: Cash Price |
$7,312.67
|
| Rate for Payer: Cofinity Commercial |
$7,861.12
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$7,312.67
|
| Rate for Payer: Healthscope Commercial |
$8,226.76
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$6,855.63
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$7,769.71
|
| Rate for Payer: Nomi Health Commercial |
$7,495.49
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$6,855.63
|
| Rate for Payer: PHP Commercial |
$7,769.71
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$7,952.53
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$6,362.02
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$8,043.94
|
| Rate for Payer: UHC Core |
$7,632.60
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$6,855.63
|
|
|
HC HEART CATH LT/RT ONLY
|
Facility
|
OP
|
$9,140.84
|
|
|
Service Code
|
CPT 93453
|
| Hospital Charge Code |
48100012
|
|
Hospital Revenue Code
|
481
|
| Min. Negotiated Rate |
$1,611.53 |
| Max. Negotiated Rate |
$8,226.76 |
| Rate for Payer: Aetna Commercial |
$7,769.71
|
| Rate for Payer: Aetna Medicare |
$2,376.62
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$2,856.51
|
| Rate for Payer: Amish Plain Church Group Commercial |
$2,856.51
|
| Rate for Payer: BCBS Complete |
$1,691.97
|
| Rate for Payer: BCBS MAPPO |
$2,285.21
|
| Rate for Payer: BCBS Trust/PPO |
$7,514.68
|
| Rate for Payer: BCN Commercial |
$7,514.68
|
| Rate for Payer: BCN Medicare Advantage |
$2,285.21
|
| Rate for Payer: Cash Price |
$7,312.67
|
| Rate for Payer: Cofinity Commercial |
$7,861.12
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$7,312.67
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,285.21
|
| Rate for Payer: Healthscope Commercial |
$8,226.76
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$6,855.63
|
| Rate for Payer: Mclaren Medicaid |
$1,611.53
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$2,399.47
|
| Rate for Payer: Meridian Medicaid |
$1,691.97
|
| Rate for Payer: MI Amish Medical Board Commercial |
$2,627.99
|
| Rate for Payer: Molina Medicare/Medicaid |
$2,513.73
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$7,769.71
|
| Rate for Payer: Nomi Health Commercial |
$7,495.49
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$6,855.63
|
| Rate for Payer: PACE Senior Care Partners |
$2,170.95
|
| Rate for Payer: PACE SWMI |
$2,285.21
|
| Rate for Payer: PHP Commercial |
$7,769.71
|
| Rate for Payer: PHP Medicare Advantage |
$2,285.21
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,611.53
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$7,952.53
|
| Rate for Payer: Priority Health Medicare |
$2,308.06
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$6,362.02
|
| Rate for Payer: Railroad Medicare Medicare |
$2,285.21
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$8,043.94
|
| Rate for Payer: UHC Core |
$7,632.60
|
| Rate for Payer: UHC Exchange |
$2,285.21
|
| Rate for Payer: UHC Medicaid |
$1,611.53
|
| Rate for Payer: UHC Medicare Advantage |
$2,285.21
|
| Rate for Payer: UHCCP Medicaid |
$1,611.53
|
| Rate for Payer: VA VA |
$2,285.21
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$6,855.63
|
|
|
HC HEART CATH LT W CORONARIES
|
Facility
|
OP
|
$13,107.11
|
|
|
Service Code
|
CPT 93458
|
| Hospital Charge Code |
48100017
|
|
Hospital Revenue Code
|
481
|
| Min. Negotiated Rate |
$2,310.78 |
| Max. Negotiated Rate |
$11,796.40 |
| Rate for Payer: Aetna Commercial |
$11,141.04
|
| Rate for Payer: Aetna Medicare |
$3,407.85
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$4,095.97
|
| Rate for Payer: Amish Plain Church Group Commercial |
$4,095.97
|
| Rate for Payer: BCBS Complete |
$2,426.13
|
| Rate for Payer: BCBS MAPPO |
$3,276.78
|
| Rate for Payer: BCBS Trust/PPO |
$10,775.36
|
| Rate for Payer: BCN Commercial |
$10,775.36
|
| Rate for Payer: BCN Medicare Advantage |
$3,276.78
|
| Rate for Payer: Cash Price |
$10,485.69
|
| Rate for Payer: Cofinity Commercial |
$11,272.11
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$10,485.69
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$3,276.78
|
| Rate for Payer: Healthscope Commercial |
$11,796.40
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$9,830.33
|
| Rate for Payer: Mclaren Medicaid |
$2,310.78
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$3,440.62
|
| Rate for Payer: Meridian Medicaid |
$2,426.13
|
| Rate for Payer: MI Amish Medical Board Commercial |
$3,768.29
|
| Rate for Payer: Molina Medicare/Medicaid |
$3,604.46
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$11,141.04
|
| Rate for Payer: Nomi Health Commercial |
$10,747.83
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$9,830.33
|
| Rate for Payer: PACE Senior Care Partners |
$3,112.94
|
| Rate for Payer: PACE SWMI |
$3,276.78
|
| Rate for Payer: PHP Commercial |
$11,141.04
|
| Rate for Payer: PHP Medicare Advantage |
$3,276.78
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,310.78
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$11,403.19
|
| Rate for Payer: Priority Health Medicare |
$3,309.55
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$9,122.55
|
| Rate for Payer: Railroad Medicare Medicare |
$3,276.78
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$11,534.26
|
| Rate for Payer: UHC Core |
$10,944.44
|
| Rate for Payer: UHC Exchange |
$3,276.78
|
| Rate for Payer: UHC Medicaid |
$2,310.78
|
| Rate for Payer: UHC Medicare Advantage |
$3,276.78
|
| Rate for Payer: UHCCP Medicaid |
$2,310.78
|
| Rate for Payer: VA VA |
$3,276.78
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$9,830.33
|
|
|
HC HEART CATH LT W CORONARIES
|
Facility
|
IP
|
$13,107.11
|
|
|
Service Code
|
CPT 93458
|
| Hospital Charge Code |
48100017
|
|
Hospital Revenue Code
|
481
|
| Min. Negotiated Rate |
$9,122.55 |
| Max. Negotiated Rate |
$11,796.40 |
| Rate for Payer: Aetna Commercial |
$11,141.04
|
| Rate for Payer: BCBS Trust/PPO |
$10,825.16
|
| Rate for Payer: BCN Commercial |
$10,825.16
|
| Rate for Payer: Cash Price |
$10,485.69
|
| Rate for Payer: Cofinity Commercial |
$11,272.11
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$10,485.69
|
| Rate for Payer: Healthscope Commercial |
$11,796.40
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$9,830.33
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$11,141.04
|
| Rate for Payer: Nomi Health Commercial |
$10,747.83
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$9,830.33
|
| Rate for Payer: PHP Commercial |
$11,141.04
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$11,403.19
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$9,122.55
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$11,534.26
|
| Rate for Payer: UHC Core |
$10,944.44
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$9,830.33
|
|
|
HC HEART CATH NEEDLE
|
Facility
|
IP
|
$43.96
|
|
| Hospital Charge Code |
62200006
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$30.60 |
| Max. Negotiated Rate |
$39.56 |
| Rate for Payer: Aetna Commercial |
$37.37
|
| Rate for Payer: BCBS Trust/PPO |
$36.31
|
| Rate for Payer: BCN Commercial |
$36.31
|
| Rate for Payer: Cash Price |
$35.17
|
| Rate for Payer: Cofinity Commercial |
$37.81
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$35.17
|
| Rate for Payer: Healthscope Commercial |
$39.56
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$32.97
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$37.37
|
| Rate for Payer: Nomi Health Commercial |
$36.05
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$32.97
|
| Rate for Payer: PHP Commercial |
$37.37
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$38.25
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$30.60
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$38.68
|
| Rate for Payer: UHC Core |
$36.71
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$32.97
|
|
|
HC HEART CATH NEEDLE
|
Facility
|
OP
|
$43.96
|
|
| Hospital Charge Code |
62200006
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$7.75 |
| Max. Negotiated Rate |
$39.56 |
| Rate for Payer: Aetna Commercial |
$37.37
|
| Rate for Payer: Aetna Medicare |
$11.43
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$13.74
|
| Rate for Payer: Amish Plain Church Group Commercial |
$13.74
|
| Rate for Payer: BCBS Complete |
$8.14
|
| Rate for Payer: BCBS MAPPO |
$10.99
|
| Rate for Payer: BCBS Trust/PPO |
$36.14
|
| Rate for Payer: BCN Commercial |
$36.14
|
| Rate for Payer: BCN Medicare Advantage |
$10.99
|
| Rate for Payer: Cash Price |
$35.17
|
| Rate for Payer: Cofinity Commercial |
$37.81
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$35.17
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$10.99
|
| Rate for Payer: Healthscope Commercial |
$39.56
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$32.97
|
| Rate for Payer: Mclaren Medicaid |
$7.75
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$11.54
|
| Rate for Payer: Meridian Medicaid |
$8.14
|
| Rate for Payer: MI Amish Medical Board Commercial |
$12.64
|
| Rate for Payer: Molina Medicare/Medicaid |
$12.09
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$37.37
|
| Rate for Payer: Nomi Health Commercial |
$36.05
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$32.97
|
| Rate for Payer: PACE Senior Care Partners |
$10.44
|
| Rate for Payer: PACE SWMI |
$10.99
|
| Rate for Payer: PHP Commercial |
$37.37
|
| Rate for Payer: PHP Medicare Advantage |
$10.99
|
| Rate for Payer: Priority Health Choice Medicaid |
$7.75
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$38.25
|
| Rate for Payer: Priority Health Medicare |
$11.10
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$30.60
|
| Rate for Payer: Railroad Medicare Medicare |
$10.99
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$38.68
|
| Rate for Payer: UHC Core |
$36.71
|
| Rate for Payer: UHC Exchange |
$10.99
|
| Rate for Payer: UHC Medicaid |
$7.75
|
| Rate for Payer: UHC Medicare Advantage |
$10.99
|
| Rate for Payer: UHCCP Medicaid |
$7.75
|
| Rate for Payer: VA VA |
$10.99
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$32.97
|
|
|
HC HEART CATH PACK
|
Facility
|
IP
|
$528.75
|
|
| Hospital Charge Code |
62200007
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$368.01 |
| Max. Negotiated Rate |
$475.88 |
| Rate for Payer: Aetna Commercial |
$449.44
|
| Rate for Payer: BCBS Trust/PPO |
$436.69
|
| Rate for Payer: BCN Commercial |
$436.69
|
| Rate for Payer: Cash Price |
$423.00
|
| Rate for Payer: Cofinity Commercial |
$454.73
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$423.00
|
| Rate for Payer: Healthscope Commercial |
$475.88
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$396.56
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$449.44
|
| Rate for Payer: Nomi Health Commercial |
$433.57
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$396.56
|
| Rate for Payer: PHP Commercial |
$449.44
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$460.01
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$368.01
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$465.30
|
| Rate for Payer: UHC Core |
$441.51
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$396.56
|
|
|
HC HEART CATH PACK
|
Facility
|
OP
|
$528.75
|
|
| Hospital Charge Code |
62200007
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$93.22 |
| Max. Negotiated Rate |
$475.88 |
| Rate for Payer: Aetna Commercial |
$449.44
|
| Rate for Payer: Aetna Medicare |
$137.47
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$165.23
|
| Rate for Payer: Amish Plain Church Group Commercial |
$165.23
|
| Rate for Payer: BCBS Complete |
$97.87
|
| Rate for Payer: BCBS MAPPO |
$132.19
|
| Rate for Payer: BCBS Trust/PPO |
$434.69
|
| Rate for Payer: BCN Commercial |
$434.69
|
| Rate for Payer: BCN Medicare Advantage |
$132.19
|
| Rate for Payer: Cash Price |
$423.00
|
| Rate for Payer: Cofinity Commercial |
$454.73
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$423.00
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$132.19
|
| Rate for Payer: Healthscope Commercial |
$475.88
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$396.56
|
| Rate for Payer: Mclaren Medicaid |
$93.22
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$138.80
|
| Rate for Payer: Meridian Medicaid |
$97.87
|
| Rate for Payer: MI Amish Medical Board Commercial |
$152.02
|
| Rate for Payer: Molina Medicare/Medicaid |
$145.41
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$449.44
|
| Rate for Payer: Nomi Health Commercial |
$433.57
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$396.56
|
| Rate for Payer: PACE Senior Care Partners |
$125.58
|
| Rate for Payer: PACE SWMI |
$132.19
|
| Rate for Payer: PHP Commercial |
$449.44
|
| Rate for Payer: PHP Medicare Advantage |
$132.19
|
| Rate for Payer: Priority Health Choice Medicaid |
$93.22
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$460.01
|
| Rate for Payer: Priority Health Medicare |
$133.51
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$368.01
|
| Rate for Payer: Railroad Medicare Medicare |
$132.19
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$465.30
|
| Rate for Payer: UHC Core |
$441.51
|
| Rate for Payer: UHC Exchange |
$132.19
|
| Rate for Payer: UHC Medicaid |
$93.22
|
| Rate for Payer: UHC Medicare Advantage |
$132.19
|
| Rate for Payer: UHCCP Medicaid |
$93.22
|
| Rate for Payer: VA VA |
$132.19
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$396.56
|
|
|
HC HEART CATH RT ONLY
|
Facility
|
IP
|
$9,742.66
|
|
|
Service Code
|
CPT 93451
|
| Hospital Charge Code |
48100010
|
|
Hospital Revenue Code
|
481
|
| Min. Negotiated Rate |
$6,780.89 |
| Max. Negotiated Rate |
$8,768.39 |
| Rate for Payer: Aetna Commercial |
$8,281.26
|
| Rate for Payer: BCBS Trust/PPO |
$8,046.46
|
| Rate for Payer: BCN Commercial |
$8,046.46
|
| Rate for Payer: Cash Price |
$7,794.13
|
| Rate for Payer: Cofinity Commercial |
$8,378.69
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$7,794.13
|
| Rate for Payer: Healthscope Commercial |
$8,768.39
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$7,306.99
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$8,281.26
|
| Rate for Payer: Nomi Health Commercial |
$7,988.98
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$7,306.99
|
| Rate for Payer: PHP Commercial |
$8,281.26
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$8,476.11
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$6,780.89
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$8,573.54
|
| Rate for Payer: UHC Core |
$8,135.12
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$7,306.99
|
|
|
HC HEART CATH RT ONLY
|
Facility
|
OP
|
$9,742.66
|
|
|
Service Code
|
CPT 93451
|
| Hospital Charge Code |
48100010
|
|
Hospital Revenue Code
|
481
|
| Min. Negotiated Rate |
$1,717.63 |
| Max. Negotiated Rate |
$8,768.39 |
| Rate for Payer: Aetna Commercial |
$8,281.26
|
| Rate for Payer: Aetna Medicare |
$2,533.09
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$3,044.58
|
| Rate for Payer: Amish Plain Church Group Commercial |
$3,044.58
|
| Rate for Payer: BCBS Complete |
$1,803.37
|
| Rate for Payer: BCBS MAPPO |
$2,435.66
|
| Rate for Payer: BCBS Trust/PPO |
$8,009.44
|
| Rate for Payer: BCN Commercial |
$8,009.44
|
| Rate for Payer: BCN Medicare Advantage |
$2,435.66
|
| Rate for Payer: Cash Price |
$7,794.13
|
| Rate for Payer: Cofinity Commercial |
$8,378.69
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$7,794.13
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,435.66
|
| Rate for Payer: Healthscope Commercial |
$8,768.39
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$7,306.99
|
| Rate for Payer: Mclaren Medicaid |
$1,717.63
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$2,557.45
|
| Rate for Payer: Meridian Medicaid |
$1,803.37
|
| Rate for Payer: MI Amish Medical Board Commercial |
$2,801.01
|
| Rate for Payer: Molina Medicare/Medicaid |
$2,679.23
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$8,281.26
|
| Rate for Payer: Nomi Health Commercial |
$7,988.98
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$7,306.99
|
| Rate for Payer: PACE Senior Care Partners |
$2,313.88
|
| Rate for Payer: PACE SWMI |
$2,435.66
|
| Rate for Payer: PHP Commercial |
$8,281.26
|
| Rate for Payer: PHP Medicare Advantage |
$2,435.66
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,717.63
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$8,476.11
|
| Rate for Payer: Priority Health Medicare |
$2,460.02
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$6,780.89
|
| Rate for Payer: Railroad Medicare Medicare |
$2,435.66
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$8,573.54
|
| Rate for Payer: UHC Core |
$8,135.12
|
| Rate for Payer: UHC Exchange |
$2,435.66
|
| Rate for Payer: UHC Medicaid |
$1,717.63
|
| Rate for Payer: UHC Medicare Advantage |
$2,435.66
|
| Rate for Payer: UHCCP Medicaid |
$1,717.63
|
| Rate for Payer: VA VA |
$2,435.66
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$7,306.99
|
|
|
HC HEART CATH WIRE
|
Facility
|
IP
|
$33.94
|
|
|
Service Code
|
HCPCS C1769
|
| Hospital Charge Code |
27200048
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$23.62 |
| Max. Negotiated Rate |
$30.55 |
| Rate for Payer: Aetna Commercial |
$28.85
|
| Rate for Payer: BCBS Trust/PPO |
$28.03
|
| Rate for Payer: BCN Commercial |
$28.03
|
| Rate for Payer: Cash Price |
$27.15
|
| Rate for Payer: Cofinity Commercial |
$29.19
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$27.15
|
| Rate for Payer: Healthscope Commercial |
$30.55
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$25.45
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$28.85
|
| Rate for Payer: Nomi Health Commercial |
$27.83
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$25.45
|
| Rate for Payer: PHP Commercial |
$28.85
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$29.53
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$23.62
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$29.87
|
| Rate for Payer: UHC Core |
$28.34
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$25.45
|
|
|
HC HEART CATH WIRE
|
Facility
|
OP
|
$33.94
|
|
|
Service Code
|
HCPCS C1769
|
| Hospital Charge Code |
27200048
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$5.98 |
| Max. Negotiated Rate |
$30.55 |
| Rate for Payer: Aetna Commercial |
$28.85
|
| Rate for Payer: Aetna Medicare |
$8.82
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$10.61
|
| Rate for Payer: Amish Plain Church Group Commercial |
$10.61
|
| Rate for Payer: BCBS Complete |
$6.28
|
| Rate for Payer: BCBS MAPPO |
$8.48
|
| Rate for Payer: BCBS Trust/PPO |
$27.90
|
| Rate for Payer: BCN Commercial |
$27.90
|
| Rate for Payer: BCN Medicare Advantage |
$8.48
|
| Rate for Payer: Cash Price |
$27.15
|
| Rate for Payer: Cofinity Commercial |
$29.19
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$27.15
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$8.48
|
| Rate for Payer: Healthscope Commercial |
$30.55
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$25.45
|
| Rate for Payer: Mclaren Medicaid |
$5.98
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$8.91
|
| Rate for Payer: Meridian Medicaid |
$6.28
|
| Rate for Payer: MI Amish Medical Board Commercial |
$9.76
|
| Rate for Payer: Molina Medicare/Medicaid |
$9.33
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$28.85
|
| Rate for Payer: Nomi Health Commercial |
$27.83
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$25.45
|
| Rate for Payer: PACE Senior Care Partners |
$8.06
|
| Rate for Payer: PACE SWMI |
$8.48
|
| Rate for Payer: PHP Commercial |
$28.85
|
| Rate for Payer: PHP Medicare Advantage |
$8.48
|
| Rate for Payer: Priority Health Choice Medicaid |
$5.98
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$29.53
|
| Rate for Payer: Priority Health Medicare |
$8.57
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$23.62
|
| Rate for Payer: Railroad Medicare Medicare |
$8.48
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$29.87
|
| Rate for Payer: UHC Core |
$28.34
|
| Rate for Payer: UHC Exchange |
$8.48
|
| Rate for Payer: UHC Medicaid |
$5.98
|
| Rate for Payer: UHC Medicare Advantage |
$8.48
|
| Rate for Payer: UHCCP Medicaid |
$5.98
|
| Rate for Payer: VA VA |
$8.48
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$25.45
|
|
|
HC HEAVY METAL ARSENIC
|
Facility
|
OP
|
$33.96
|
|
|
Service Code
|
CPT 82175
|
| Hospital Charge Code |
30100111
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$5.99 |
| Max. Negotiated Rate |
$30.56 |
| Rate for Payer: Aetna Commercial |
$28.87
|
| Rate for Payer: Aetna Medicare |
$8.83
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$10.61
|
| Rate for Payer: Amish Plain Church Group Commercial |
$10.61
|
| Rate for Payer: BCBS Complete |
$6.29
|
| Rate for Payer: BCBS MAPPO |
$8.49
|
| Rate for Payer: BCBS Trust/PPO |
$27.92
|
| Rate for Payer: BCN Commercial |
$27.92
|
| Rate for Payer: BCN Medicare Advantage |
$8.49
|
| Rate for Payer: Cash Price |
$27.17
|
| Rate for Payer: Cofinity Commercial |
$29.21
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$27.17
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$8.49
|
| Rate for Payer: Healthscope Commercial |
$30.56
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$25.47
|
| Rate for Payer: Mclaren Medicaid |
$5.99
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$8.91
|
| Rate for Payer: Meridian Medicaid |
$6.29
|
| Rate for Payer: MI Amish Medical Board Commercial |
$9.76
|
| Rate for Payer: Molina Medicare/Medicaid |
$9.34
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$28.87
|
| Rate for Payer: Nomi Health Commercial |
$27.85
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$25.47
|
| Rate for Payer: PACE Senior Care Partners |
$8.07
|
| Rate for Payer: PACE SWMI |
$8.49
|
| Rate for Payer: PHP Commercial |
$28.87
|
| Rate for Payer: PHP Medicare Advantage |
$8.49
|
| Rate for Payer: Priority Health Choice Medicaid |
$5.99
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$29.55
|
| Rate for Payer: Priority Health Medicare |
$8.57
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$23.64
|
| Rate for Payer: Railroad Medicare Medicare |
$8.49
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$29.88
|
| Rate for Payer: UHC Core |
$28.36
|
| Rate for Payer: UHC Exchange |
$8.49
|
| Rate for Payer: UHC Medicaid |
$5.99
|
| Rate for Payer: UHC Medicare Advantage |
$8.49
|
| Rate for Payer: UHCCP Medicaid |
$5.99
|
| Rate for Payer: VA VA |
$8.49
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$25.47
|
|
|
HC HEAVY METAL ARSENIC
|
Facility
|
IP
|
$33.96
|
|
|
Service Code
|
CPT 82175
|
| Hospital Charge Code |
30100111
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$23.64 |
| Max. Negotiated Rate |
$30.56 |
| Rate for Payer: Aetna Commercial |
$28.87
|
| Rate for Payer: BCBS Trust/PPO |
$28.05
|
| Rate for Payer: BCN Commercial |
$28.05
|
| Rate for Payer: Cash Price |
$27.17
|
| Rate for Payer: Cofinity Commercial |
$29.21
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$27.17
|
| Rate for Payer: Healthscope Commercial |
$30.56
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$25.47
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$28.87
|
| Rate for Payer: Nomi Health Commercial |
$27.85
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$25.47
|
| Rate for Payer: PHP Commercial |
$28.87
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$29.55
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$23.64
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$29.88
|
| Rate for Payer: UHC Core |
$28.36
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$25.47
|
|
|
HC HEAVY METAL MERCURY
|
Facility
|
IP
|
$29.12
|
|
|
Service Code
|
CPT 83825
|
| Hospital Charge Code |
30100293
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$20.27 |
| Max. Negotiated Rate |
$26.21 |
| Rate for Payer: Aetna Commercial |
$24.75
|
| Rate for Payer: BCBS Trust/PPO |
$24.05
|
| Rate for Payer: BCN Commercial |
$24.05
|
| Rate for Payer: Cash Price |
$23.30
|
| Rate for Payer: Cofinity Commercial |
$25.04
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$23.30
|
| Rate for Payer: Healthscope Commercial |
$26.21
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$21.84
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$24.75
|
| Rate for Payer: Nomi Health Commercial |
$23.88
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$21.84
|
| Rate for Payer: PHP Commercial |
$24.75
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$25.33
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$20.27
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$25.63
|
| Rate for Payer: UHC Core |
$24.32
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$21.84
|
|
|
HC HEAVY METAL MERCURY
|
Facility
|
OP
|
$29.12
|
|
|
Service Code
|
CPT 83825
|
| Hospital Charge Code |
30100293
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$5.13 |
| Max. Negotiated Rate |
$26.21 |
| Rate for Payer: Aetna Commercial |
$24.75
|
| Rate for Payer: Aetna Medicare |
$7.57
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$9.10
|
| Rate for Payer: Amish Plain Church Group Commercial |
$9.10
|
| Rate for Payer: BCBS Complete |
$5.39
|
| Rate for Payer: BCBS MAPPO |
$7.28
|
| Rate for Payer: BCBS Trust/PPO |
$23.94
|
| Rate for Payer: BCN Commercial |
$23.94
|
| Rate for Payer: BCN Medicare Advantage |
$7.28
|
| Rate for Payer: Cash Price |
$23.30
|
| Rate for Payer: Cofinity Commercial |
$25.04
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$23.30
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$7.28
|
| Rate for Payer: Healthscope Commercial |
$26.21
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$21.84
|
| Rate for Payer: Mclaren Medicaid |
$5.13
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$7.64
|
| Rate for Payer: Meridian Medicaid |
$5.39
|
| Rate for Payer: MI Amish Medical Board Commercial |
$8.37
|
| Rate for Payer: Molina Medicare/Medicaid |
$8.01
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$24.75
|
| Rate for Payer: Nomi Health Commercial |
$23.88
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$21.84
|
| Rate for Payer: PACE Senior Care Partners |
$6.92
|
| Rate for Payer: PACE SWMI |
$7.28
|
| Rate for Payer: PHP Commercial |
$24.75
|
| Rate for Payer: PHP Medicare Advantage |
$7.28
|
| Rate for Payer: Priority Health Choice Medicaid |
$5.13
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$25.33
|
| Rate for Payer: Priority Health Medicare |
$7.35
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$20.27
|
| Rate for Payer: Railroad Medicare Medicare |
$7.28
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$25.63
|
| Rate for Payer: UHC Core |
$24.32
|
| Rate for Payer: UHC Exchange |
$7.28
|
| Rate for Payer: UHC Medicaid |
$5.13
|
| Rate for Payer: UHC Medicare Advantage |
$7.28
|
| Rate for Payer: UHCCP Medicaid |
$5.13
|
| Rate for Payer: VA VA |
$7.28
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$21.84
|
|
