|
HC MOUSE IGE
|
Facility
|
OP
|
$24.89
|
|
|
Service Code
|
CPT 86003
|
| Hospital Charge Code |
30200048
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$3.85 |
| Max. Negotiated Rate |
$22.40 |
| Rate for Payer: Aetna Commercial |
$21.16
|
| Rate for Payer: Aetna Medicare |
$6.47
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$7.78
|
| Rate for Payer: Amish Plain Church Group Commercial |
$7.78
|
| Rate for Payer: BCBS Complete |
$4.04
|
| Rate for Payer: BCBS MAPPO |
$6.22
|
| Rate for Payer: BCBS Trust/PPO |
$19.35
|
| Rate for Payer: BCN Commercial |
$19.35
|
| Rate for Payer: BCN Medicare Advantage |
$6.22
|
| Rate for Payer: Cash Price |
$19.91
|
| Rate for Payer: Cash Price |
$19.91
|
| Rate for Payer: Cofinity Commercial |
$21.41
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$19.91
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$6.22
|
| Rate for Payer: Healthscope Commercial |
$22.40
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$18.67
|
| Rate for Payer: Mclaren Medicaid |
$3.85
|
| Rate for Payer: Meridian Medicaid |
$4.04
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$6.53
|
| Rate for Payer: MI Amish Medical Board Commercial |
$7.16
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$21.16
|
| Rate for Payer: PACE Senior Care Partners |
$5.91
|
| Rate for Payer: PACE SWMI |
$6.22
|
| Rate for Payer: PHP Commercial |
$21.16
|
| Rate for Payer: PHP Medicare Advantage |
$6.22
|
| Rate for Payer: Priority Health Choice Medicaid |
$3.85
|
| Rate for Payer: Priority Health Cigna Priority Health |
$17.42
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$21.65
|
| Rate for Payer: Priority Health Medicare |
$6.22
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$15.18
|
| Rate for Payer: Railroad Medicare Medicare |
$6.22
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$21.90
|
| Rate for Payer: UHC Core |
$20.78
|
| Rate for Payer: UHC Dual Complete DSNP |
$6.22
|
| Rate for Payer: UHC Medicare Advantage |
$6.41
|
| Rate for Payer: VA VA |
$6.22
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$18.67
|
|
|
HC MOUSE IGE
|
Facility
|
IP
|
$24.89
|
|
|
Service Code
|
CPT 86003
|
| Hospital Charge Code |
30200048
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$15.18 |
| Max. Negotiated Rate |
$22.40 |
| Rate for Payer: Aetna Commercial |
$21.16
|
| Rate for Payer: BCBS Trust/PPO |
$19.23
|
| Rate for Payer: BCN Commercial |
$19.23
|
| Rate for Payer: Cash Price |
$19.91
|
| Rate for Payer: Cofinity Commercial |
$21.41
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$19.91
|
| Rate for Payer: Healthscope Commercial |
$22.40
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$18.67
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$21.16
|
| Rate for Payer: PHP Commercial |
$21.16
|
| Rate for Payer: Priority Health Cigna Priority Health |
$17.42
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$21.65
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$15.18
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$21.90
|
| Rate for Payer: UHC Core |
$20.78
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$18.67
|
|
|
HC MPCDS CELL SORTING BM
|
Facility
|
IP
|
$167.43
|
|
|
Service Code
|
CPT 88184
|
| Hospital Charge Code |
31100048
|
|
Hospital Revenue Code
|
311
|
| Min. Negotiated Rate |
$102.12 |
| Max. Negotiated Rate |
$150.69 |
| Rate for Payer: Aetna Commercial |
$142.32
|
| Rate for Payer: BCBS Trust/PPO |
$129.39
|
| Rate for Payer: BCN Commercial |
$129.39
|
| Rate for Payer: Cash Price |
$133.94
|
| Rate for Payer: Cofinity Commercial |
$143.99
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$133.94
|
| Rate for Payer: Healthscope Commercial |
$150.69
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$125.57
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$142.32
|
| Rate for Payer: PHP Commercial |
$142.32
|
| Rate for Payer: Priority Health Cigna Priority Health |
$117.20
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$145.66
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$102.12
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$147.34
|
| Rate for Payer: UHC Core |
$139.80
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$125.57
|
|
|
HC MPCDS CELL SORTING BM
|
Facility
|
OP
|
$167.43
|
|
|
Service Code
|
CPT 88184
|
| Hospital Charge Code |
31100048
|
|
Hospital Revenue Code
|
311
|
| Min. Negotiated Rate |
$39.76 |
| Max. Negotiated Rate |
$247.59 |
| Rate for Payer: Aetna Commercial |
$142.32
|
| Rate for Payer: Aetna Medicare |
$43.53
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$52.32
|
| Rate for Payer: Amish Plain Church Group Commercial |
$52.32
|
| Rate for Payer: BCBS Complete |
$247.59
|
| Rate for Payer: BCBS MAPPO |
$41.86
|
| Rate for Payer: BCBS Trust/PPO |
$130.18
|
| Rate for Payer: BCN Commercial |
$130.18
|
| Rate for Payer: BCN Medicare Advantage |
$41.86
|
| Rate for Payer: Cash Price |
$133.94
|
| Rate for Payer: Cash Price |
$133.94
|
| Rate for Payer: Cofinity Commercial |
$143.99
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$133.94
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$41.86
|
| Rate for Payer: Healthscope Commercial |
$150.69
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$125.57
|
| Rate for Payer: Mclaren Medicaid |
$235.80
|
| Rate for Payer: Meridian Medicaid |
$247.59
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$43.95
|
| Rate for Payer: MI Amish Medical Board Commercial |
$48.14
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$142.32
|
| Rate for Payer: PACE Senior Care Partners |
$39.76
|
| Rate for Payer: PACE SWMI |
$41.86
|
| Rate for Payer: PHP Commercial |
$142.32
|
| Rate for Payer: PHP Medicare Advantage |
$41.86
|
| Rate for Payer: Priority Health Choice Medicaid |
$235.80
|
| Rate for Payer: Priority Health Cigna Priority Health |
$117.20
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$145.66
|
| Rate for Payer: Priority Health Medicare |
$41.86
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$102.12
|
| Rate for Payer: Railroad Medicare Medicare |
$41.86
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$147.34
|
| Rate for Payer: UHC Core |
$139.80
|
| Rate for Payer: UHC Dual Complete DSNP |
$41.86
|
| Rate for Payer: UHC Medicare Advantage |
$43.11
|
| Rate for Payer: VA VA |
$41.86
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$125.57
|
|
|
HC MPCDS CELL SORTING BM CMPT
|
Facility
|
OP
|
$52.73
|
|
|
Service Code
|
CPT 88185
|
| Hospital Charge Code |
31100049
|
|
Hospital Revenue Code
|
311
|
| Min. Negotiated Rate |
$12.52 |
| Max. Negotiated Rate |
$47.46 |
| Rate for Payer: Aetna Commercial |
$44.82
|
| Rate for Payer: Aetna Medicare |
$13.71
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$16.48
|
| Rate for Payer: Amish Plain Church Group Commercial |
$16.48
|
| Rate for Payer: BCBS Complete |
$21.09
|
| Rate for Payer: BCBS MAPPO |
$13.18
|
| Rate for Payer: BCBS Trust/PPO |
$41.00
|
| Rate for Payer: BCN Commercial |
$41.00
|
| Rate for Payer: BCN Medicare Advantage |
$13.18
|
| Rate for Payer: Cash Price |
$42.18
|
| Rate for Payer: Cofinity Commercial |
$45.35
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$42.18
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$13.18
|
| Rate for Payer: Healthscope Commercial |
$47.46
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$39.55
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$13.84
|
| Rate for Payer: MI Amish Medical Board Commercial |
$15.16
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$44.82
|
| Rate for Payer: PACE Senior Care Partners |
$12.52
|
| Rate for Payer: PACE SWMI |
$13.18
|
| Rate for Payer: PHP Commercial |
$44.82
|
| Rate for Payer: PHP Medicare Advantage |
$13.18
|
| Rate for Payer: Priority Health Cigna Priority Health |
$36.91
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$45.88
|
| Rate for Payer: Priority Health Medicare |
$13.18
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$32.16
|
| Rate for Payer: Railroad Medicare Medicare |
$13.18
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$46.40
|
| Rate for Payer: UHC Core |
$44.03
|
| Rate for Payer: UHC Dual Complete DSNP |
$13.18
|
| Rate for Payer: UHC Medicare Advantage |
$13.58
|
| Rate for Payer: VA VA |
$13.18
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$39.55
|
|
|
HC MPCDS CELL SORTING BM CMPT
|
Facility
|
IP
|
$52.73
|
|
|
Service Code
|
CPT 88185
|
| Hospital Charge Code |
31100049
|
|
Hospital Revenue Code
|
311
|
| Min. Negotiated Rate |
$32.16 |
| Max. Negotiated Rate |
$47.46 |
| Rate for Payer: Aetna Commercial |
$44.82
|
| Rate for Payer: BCBS Trust/PPO |
$40.75
|
| Rate for Payer: BCN Commercial |
$40.75
|
| Rate for Payer: Cash Price |
$42.18
|
| Rate for Payer: Cofinity Commercial |
$45.35
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$42.18
|
| Rate for Payer: Healthscope Commercial |
$47.46
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$39.55
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$44.82
|
| Rate for Payer: PHP Commercial |
$44.82
|
| Rate for Payer: Priority Health Cigna Priority Health |
$36.91
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$45.88
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$32.16
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$46.40
|
| Rate for Payer: UHC Core |
$44.03
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$39.55
|
|
|
HC MPL EXON 10 MUTATION DETECTION
|
Facility
|
IP
|
$372.30
|
|
|
Service Code
|
CPT 81339
|
| Hospital Charge Code |
31000149
|
|
Hospital Revenue Code
|
310
|
| Min. Negotiated Rate |
$227.07 |
| Max. Negotiated Rate |
$335.07 |
| Rate for Payer: Aetna Commercial |
$316.46
|
| Rate for Payer: BCBS Trust/PPO |
$287.71
|
| Rate for Payer: BCN Commercial |
$287.71
|
| Rate for Payer: Cash Price |
$297.84
|
| Rate for Payer: Cofinity Commercial |
$320.18
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$297.84
|
| Rate for Payer: Healthscope Commercial |
$335.07
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$279.22
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$316.46
|
| Rate for Payer: PHP Commercial |
$316.46
|
| Rate for Payer: Priority Health Cigna Priority Health |
$260.61
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$323.90
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$227.07
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$327.62
|
| Rate for Payer: UHC Core |
$310.87
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$279.22
|
|
|
HC MPL EXON 10 MUTATION DETECTION
|
Facility
|
OP
|
$372.30
|
|
|
Service Code
|
CPT 81339
|
| Hospital Charge Code |
31000149
|
|
Hospital Revenue Code
|
310
|
| Min. Negotiated Rate |
$88.42 |
| Max. Negotiated Rate |
$335.07 |
| Rate for Payer: Aetna Commercial |
$316.46
|
| Rate for Payer: Aetna Medicare |
$96.80
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$116.34
|
| Rate for Payer: Amish Plain Church Group Commercial |
$116.34
|
| Rate for Payer: BCBS Complete |
$143.51
|
| Rate for Payer: BCBS MAPPO |
$93.08
|
| Rate for Payer: BCBS Trust/PPO |
$289.46
|
| Rate for Payer: BCN Commercial |
$289.46
|
| Rate for Payer: BCN Medicare Advantage |
$93.08
|
| Rate for Payer: Cash Price |
$297.84
|
| Rate for Payer: Cash Price |
$297.84
|
| Rate for Payer: Cofinity Commercial |
$320.18
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$297.84
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$93.08
|
| Rate for Payer: Healthscope Commercial |
$335.07
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$279.22
|
| Rate for Payer: Mclaren Medicaid |
$136.68
|
| Rate for Payer: Meridian Medicaid |
$143.51
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$97.73
|
| Rate for Payer: MI Amish Medical Board Commercial |
$107.04
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$316.46
|
| Rate for Payer: PACE Senior Care Partners |
$88.42
|
| Rate for Payer: PACE SWMI |
$93.08
|
| Rate for Payer: PHP Commercial |
$316.46
|
| Rate for Payer: PHP Medicare Advantage |
$93.08
|
| Rate for Payer: Priority Health Choice Medicaid |
$136.68
|
| Rate for Payer: Priority Health Cigna Priority Health |
$260.61
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$323.90
|
| Rate for Payer: Priority Health Medicare |
$93.08
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$227.07
|
| Rate for Payer: Railroad Medicare Medicare |
$93.08
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$327.62
|
| Rate for Payer: UHC Core |
$310.87
|
| Rate for Payer: UHC Dual Complete DSNP |
$93.08
|
| Rate for Payer: UHC Medicare Advantage |
$95.87
|
| Rate for Payer: VA VA |
$93.08
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$279.22
|
|
|
HC MPL EXON10 MUTATION DETECTION
|
Facility
|
OP
|
$588.54
|
|
|
Service Code
|
CPT 81170
|
| Hospital Charge Code |
30000109
|
|
Hospital Revenue Code
|
300
|
| Min. Negotiated Rate |
$139.78 |
| Max. Negotiated Rate |
$529.69 |
| Rate for Payer: Aetna Commercial |
$500.26
|
| Rate for Payer: Aetna Medicare |
$153.02
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$183.92
|
| Rate for Payer: Amish Plain Church Group Commercial |
$183.92
|
| Rate for Payer: BCBS Complete |
$232.47
|
| Rate for Payer: BCBS MAPPO |
$147.14
|
| Rate for Payer: BCBS Trust/PPO |
$457.59
|
| Rate for Payer: BCN Commercial |
$457.59
|
| Rate for Payer: BCN Medicare Advantage |
$147.14
|
| Rate for Payer: Cash Price |
$470.83
|
| Rate for Payer: Cash Price |
$470.83
|
| Rate for Payer: Cofinity Commercial |
$506.14
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$470.83
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$147.14
|
| Rate for Payer: Healthscope Commercial |
$529.69
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$441.40
|
| Rate for Payer: Mclaren Medicaid |
$221.40
|
| Rate for Payer: Meridian Medicaid |
$232.47
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$154.49
|
| Rate for Payer: MI Amish Medical Board Commercial |
$169.21
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$500.26
|
| Rate for Payer: PACE Senior Care Partners |
$139.78
|
| Rate for Payer: PACE SWMI |
$147.14
|
| Rate for Payer: PHP Commercial |
$500.26
|
| Rate for Payer: PHP Medicare Advantage |
$147.14
|
| Rate for Payer: Priority Health Choice Medicaid |
$221.40
|
| Rate for Payer: Priority Health Cigna Priority Health |
$411.98
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$512.03
|
| Rate for Payer: Priority Health Medicare |
$147.14
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$358.95
|
| Rate for Payer: Railroad Medicare Medicare |
$147.14
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$517.92
|
| Rate for Payer: UHC Core |
$491.43
|
| Rate for Payer: UHC Dual Complete DSNP |
$147.14
|
| Rate for Payer: UHC Medicare Advantage |
$151.55
|
| Rate for Payer: VA VA |
$147.14
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$441.40
|
|
|
HC MPL EXON10 MUTATION DETECTION
|
Facility
|
IP
|
$588.54
|
|
|
Service Code
|
CPT 81170
|
| Hospital Charge Code |
30000109
|
|
Hospital Revenue Code
|
300
|
| Min. Negotiated Rate |
$358.95 |
| Max. Negotiated Rate |
$529.69 |
| Rate for Payer: Aetna Commercial |
$500.26
|
| Rate for Payer: BCBS Trust/PPO |
$454.82
|
| Rate for Payer: BCN Commercial |
$454.82
|
| Rate for Payer: Cash Price |
$470.83
|
| Rate for Payer: Cofinity Commercial |
$506.14
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$470.83
|
| Rate for Payer: Healthscope Commercial |
$529.69
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$441.40
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$500.26
|
| Rate for Payer: PHP Commercial |
$500.26
|
| Rate for Payer: Priority Health Cigna Priority Health |
$411.98
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$512.03
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$358.95
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$517.92
|
| Rate for Payer: UHC Core |
$491.43
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$441.40
|
|
|
HC MPN, CALR GENE MUTATION, EXON 9
|
Facility
|
IP
|
$635.46
|
|
|
Service Code
|
CPT 81219
|
| Hospital Charge Code |
30000110
|
|
Hospital Revenue Code
|
300
|
| Min. Negotiated Rate |
$387.57 |
| Max. Negotiated Rate |
$571.91 |
| Rate for Payer: Aetna Commercial |
$540.14
|
| Rate for Payer: BCBS Trust/PPO |
$491.08
|
| Rate for Payer: BCN Commercial |
$491.08
|
| Rate for Payer: Cash Price |
$508.37
|
| Rate for Payer: Cofinity Commercial |
$546.50
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$508.37
|
| Rate for Payer: Healthscope Commercial |
$571.91
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$476.60
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$540.14
|
| Rate for Payer: PHP Commercial |
$540.14
|
| Rate for Payer: Priority Health Cigna Priority Health |
$444.82
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$552.85
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$387.57
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$559.20
|
| Rate for Payer: UHC Core |
$530.61
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$476.60
|
|
|
HC MPN, CALR GENE MUTATION, EXON 9
|
Facility
|
OP
|
$635.46
|
|
|
Service Code
|
CPT 81219
|
| Hospital Charge Code |
30000110
|
|
Hospital Revenue Code
|
300
|
| Min. Negotiated Rate |
$89.76 |
| Max. Negotiated Rate |
$571.91 |
| Rate for Payer: Aetna Commercial |
$540.14
|
| Rate for Payer: Aetna Medicare |
$165.22
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$198.58
|
| Rate for Payer: Amish Plain Church Group Commercial |
$198.58
|
| Rate for Payer: BCBS Complete |
$94.25
|
| Rate for Payer: BCBS MAPPO |
$158.86
|
| Rate for Payer: BCBS Trust/PPO |
$494.07
|
| Rate for Payer: BCN Commercial |
$494.07
|
| Rate for Payer: BCN Medicare Advantage |
$158.86
|
| Rate for Payer: Cash Price |
$508.37
|
| Rate for Payer: Cash Price |
$508.37
|
| Rate for Payer: Cofinity Commercial |
$546.50
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$508.37
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$158.86
|
| Rate for Payer: Healthscope Commercial |
$571.91
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$476.60
|
| Rate for Payer: Mclaren Medicaid |
$89.76
|
| Rate for Payer: Meridian Medicaid |
$94.25
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$166.81
|
| Rate for Payer: MI Amish Medical Board Commercial |
$182.69
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$540.14
|
| Rate for Payer: PACE Senior Care Partners |
$150.92
|
| Rate for Payer: PACE SWMI |
$158.86
|
| Rate for Payer: PHP Commercial |
$540.14
|
| Rate for Payer: PHP Medicare Advantage |
$158.86
|
| Rate for Payer: Priority Health Choice Medicaid |
$89.76
|
| Rate for Payer: Priority Health Cigna Priority Health |
$444.82
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$552.85
|
| Rate for Payer: Priority Health Medicare |
$158.86
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$387.57
|
| Rate for Payer: Railroad Medicare Medicare |
$158.86
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$559.20
|
| Rate for Payer: UHC Core |
$530.61
|
| Rate for Payer: UHC Dual Complete DSNP |
$158.86
|
| Rate for Payer: UHC Medicare Advantage |
$163.63
|
| Rate for Payer: VA VA |
$158.86
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$476.60
|
|
|
HC MPN (JAK2, V617F, CALR, MPL) REFLEX
|
Facility
|
IP
|
$403.92
|
|
|
Service Code
|
CPT 81270
|
| Hospital Charge Code |
30000107
|
|
Hospital Revenue Code
|
300
|
| Min. Negotiated Rate |
$246.35 |
| Max. Negotiated Rate |
$363.53 |
| Rate for Payer: Aetna Commercial |
$343.33
|
| Rate for Payer: BCBS Trust/PPO |
$312.15
|
| Rate for Payer: BCN Commercial |
$312.15
|
| Rate for Payer: Cash Price |
$323.14
|
| Rate for Payer: Cofinity Commercial |
$347.37
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$323.14
|
| Rate for Payer: Healthscope Commercial |
$363.53
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$302.94
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$343.33
|
| Rate for Payer: PHP Commercial |
$343.33
|
| Rate for Payer: Priority Health Cigna Priority Health |
$282.74
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$351.41
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$246.35
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$355.45
|
| Rate for Payer: UHC Core |
$337.27
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$302.94
|
|
|
HC MPN (JAK2, V617F, CALR, MPL) REFLEX
|
Facility
|
OP
|
$403.92
|
|
|
Service Code
|
CPT 81270
|
| Hospital Charge Code |
30000107
|
|
Hospital Revenue Code
|
300
|
| Min. Negotiated Rate |
$67.65 |
| Max. Negotiated Rate |
$363.53 |
| Rate for Payer: Aetna Commercial |
$343.33
|
| Rate for Payer: Aetna Medicare |
$105.02
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$126.22
|
| Rate for Payer: Amish Plain Church Group Commercial |
$126.22
|
| Rate for Payer: BCBS Complete |
$71.03
|
| Rate for Payer: BCBS MAPPO |
$100.98
|
| Rate for Payer: BCBS Trust/PPO |
$314.05
|
| Rate for Payer: BCN Commercial |
$314.05
|
| Rate for Payer: BCN Medicare Advantage |
$100.98
|
| Rate for Payer: Cash Price |
$323.14
|
| Rate for Payer: Cash Price |
$323.14
|
| Rate for Payer: Cofinity Commercial |
$347.37
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$323.14
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$100.98
|
| Rate for Payer: Healthscope Commercial |
$363.53
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$302.94
|
| Rate for Payer: Mclaren Medicaid |
$67.65
|
| Rate for Payer: Meridian Medicaid |
$71.03
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$106.03
|
| Rate for Payer: MI Amish Medical Board Commercial |
$116.13
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$343.33
|
| Rate for Payer: PACE Senior Care Partners |
$95.93
|
| Rate for Payer: PACE SWMI |
$100.98
|
| Rate for Payer: PHP Commercial |
$343.33
|
| Rate for Payer: PHP Medicare Advantage |
$100.98
|
| Rate for Payer: Priority Health Choice Medicaid |
$67.65
|
| Rate for Payer: Priority Health Cigna Priority Health |
$282.74
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$351.41
|
| Rate for Payer: Priority Health Medicare |
$100.98
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$246.35
|
| Rate for Payer: Railroad Medicare Medicare |
$100.98
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$355.45
|
| Rate for Payer: UHC Core |
$337.27
|
| Rate for Payer: UHC Dual Complete DSNP |
$100.98
|
| Rate for Payer: UHC Medicare Advantage |
$104.01
|
| Rate for Payer: VA VA |
$100.98
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$302.94
|
|
|
HC MR ABDOMEN W CON
|
Facility
|
OP
|
$2,318.35
|
|
|
Service Code
|
CPT 74182
|
| Hospital Charge Code |
61000043
|
|
Hospital Revenue Code
|
610
|
| Min. Negotiated Rate |
$252.28 |
| Max. Negotiated Rate |
$2,086.52 |
| Rate for Payer: Aetna Commercial |
$1,970.60
|
| Rate for Payer: Aetna Medicare |
$602.77
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$724.48
|
| Rate for Payer: Amish Plain Church Group Commercial |
$724.48
|
| Rate for Payer: BCBS Complete |
$264.89
|
| Rate for Payer: BCBS MAPPO |
$579.59
|
| Rate for Payer: BCBS Trust/PPO |
$1,802.52
|
| Rate for Payer: BCN Commercial |
$1,802.52
|
| Rate for Payer: BCN Medicare Advantage |
$579.59
|
| Rate for Payer: Cash Price |
$1,854.68
|
| Rate for Payer: Cash Price |
$1,854.68
|
| Rate for Payer: Cofinity Commercial |
$1,993.78
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,854.68
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$579.59
|
| Rate for Payer: Healthscope Commercial |
$2,086.52
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,738.76
|
| Rate for Payer: Mclaren Medicaid |
$252.28
|
| Rate for Payer: Meridian Medicaid |
$264.89
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$608.57
|
| Rate for Payer: MI Amish Medical Board Commercial |
$666.53
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,970.60
|
| Rate for Payer: PACE Senior Care Partners |
$550.61
|
| Rate for Payer: PACE SWMI |
$579.59
|
| Rate for Payer: PHP Commercial |
$1,970.60
|
| Rate for Payer: PHP Medicare Advantage |
$579.59
|
| Rate for Payer: Priority Health Choice Medicaid |
$252.28
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,622.84
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,016.96
|
| Rate for Payer: Priority Health Medicare |
$579.59
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,413.96
|
| Rate for Payer: Railroad Medicare Medicare |
$579.59
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,040.15
|
| Rate for Payer: UHC Core |
$1,935.82
|
| Rate for Payer: UHC Dual Complete DSNP |
$579.59
|
| Rate for Payer: UHC Medicare Advantage |
$596.98
|
| Rate for Payer: VA VA |
$579.59
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,738.76
|
|
|
HC MR ABDOMEN W CON
|
Facility
|
IP
|
$2,318.35
|
|
|
Service Code
|
CPT 74182
|
| Hospital Charge Code |
61000043
|
|
Hospital Revenue Code
|
610
|
| Min. Negotiated Rate |
$1,413.96 |
| Max. Negotiated Rate |
$2,086.52 |
| Rate for Payer: Aetna Commercial |
$1,970.60
|
| Rate for Payer: BCBS Trust/PPO |
$1,791.62
|
| Rate for Payer: BCN Commercial |
$1,791.62
|
| Rate for Payer: Cash Price |
$1,854.68
|
| Rate for Payer: Cofinity Commercial |
$1,993.78
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,854.68
|
| Rate for Payer: Healthscope Commercial |
$2,086.52
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,738.76
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,970.60
|
| Rate for Payer: PHP Commercial |
$1,970.60
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,622.84
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,016.96
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,413.96
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,040.15
|
| Rate for Payer: UHC Core |
$1,935.82
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,738.76
|
|
|
HC MR ABDOMEN WO CON
|
Facility
|
IP
|
$2,069.07
|
|
|
Service Code
|
CPT 74181
|
| Hospital Charge Code |
61000082
|
|
Hospital Revenue Code
|
610
|
| Min. Negotiated Rate |
$1,261.93 |
| Max. Negotiated Rate |
$1,862.16 |
| Rate for Payer: Aetna Commercial |
$1,758.71
|
| Rate for Payer: BCBS Trust/PPO |
$1,598.98
|
| Rate for Payer: BCN Commercial |
$1,598.98
|
| Rate for Payer: Cash Price |
$1,655.26
|
| Rate for Payer: Cofinity Commercial |
$1,779.40
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,655.26
|
| Rate for Payer: Healthscope Commercial |
$1,862.16
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,551.80
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,758.71
|
| Rate for Payer: PHP Commercial |
$1,758.71
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,448.35
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,800.09
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,261.93
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,820.78
|
| Rate for Payer: UHC Core |
$1,727.67
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,551.80
|
|
|
HC MR ABDOMEN WO CON
|
Facility
|
OP
|
$2,069.07
|
|
|
Service Code
|
CPT 74181
|
| Hospital Charge Code |
61000082
|
|
Hospital Revenue Code
|
610
|
| Min. Negotiated Rate |
$160.74 |
| Max. Negotiated Rate |
$1,862.16 |
| Rate for Payer: Aetna Commercial |
$1,758.71
|
| Rate for Payer: Aetna Medicare |
$537.96
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$646.58
|
| Rate for Payer: Amish Plain Church Group Commercial |
$646.58
|
| Rate for Payer: BCBS Complete |
$168.78
|
| Rate for Payer: BCBS MAPPO |
$517.27
|
| Rate for Payer: BCBS Trust/PPO |
$1,608.70
|
| Rate for Payer: BCN Commercial |
$1,608.70
|
| Rate for Payer: BCN Medicare Advantage |
$517.27
|
| Rate for Payer: Cash Price |
$1,655.26
|
| Rate for Payer: Cash Price |
$1,655.26
|
| Rate for Payer: Cofinity Commercial |
$1,779.40
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,655.26
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$517.27
|
| Rate for Payer: Healthscope Commercial |
$1,862.16
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,551.80
|
| Rate for Payer: Mclaren Medicaid |
$160.74
|
| Rate for Payer: Meridian Medicaid |
$168.78
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$543.13
|
| Rate for Payer: MI Amish Medical Board Commercial |
$594.86
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,758.71
|
| Rate for Payer: PACE Senior Care Partners |
$491.40
|
| Rate for Payer: PACE SWMI |
$517.27
|
| Rate for Payer: PHP Commercial |
$1,758.71
|
| Rate for Payer: PHP Medicare Advantage |
$517.27
|
| Rate for Payer: Priority Health Choice Medicaid |
$160.74
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,448.35
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,800.09
|
| Rate for Payer: Priority Health Medicare |
$517.27
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,261.93
|
| Rate for Payer: Railroad Medicare Medicare |
$517.27
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,820.78
|
| Rate for Payer: UHC Core |
$1,727.67
|
| Rate for Payer: UHC Dual Complete DSNP |
$517.27
|
| Rate for Payer: UHC Medicare Advantage |
$532.79
|
| Rate for Payer: VA VA |
$517.27
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,551.80
|
|
|
HC MR ABDOMEN WO W CON
|
Facility
|
IP
|
$3,029.71
|
|
|
Service Code
|
CPT 74183
|
| Hospital Charge Code |
61000044
|
|
Hospital Revenue Code
|
610
|
| Min. Negotiated Rate |
$1,847.82 |
| Max. Negotiated Rate |
$2,726.74 |
| Rate for Payer: Aetna Commercial |
$2,575.25
|
| Rate for Payer: BCBS Trust/PPO |
$2,341.36
|
| Rate for Payer: BCN Commercial |
$2,341.36
|
| Rate for Payer: Cash Price |
$2,423.77
|
| Rate for Payer: Cofinity Commercial |
$2,605.55
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,423.77
|
| Rate for Payer: Healthscope Commercial |
$2,726.74
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,272.28
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$2,575.25
|
| Rate for Payer: PHP Commercial |
$2,575.25
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,120.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,635.85
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,847.82
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,666.14
|
| Rate for Payer: UHC Core |
$2,529.81
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,272.28
|
|
|
HC MR ABDOMEN WO W CON
|
Facility
|
OP
|
$3,029.71
|
|
|
Service Code
|
CPT 74183
|
| Hospital Charge Code |
61000044
|
|
Hospital Revenue Code
|
610
|
| Min. Negotiated Rate |
$252.28 |
| Max. Negotiated Rate |
$2,726.74 |
| Rate for Payer: Aetna Commercial |
$2,575.25
|
| Rate for Payer: Aetna Medicare |
$787.72
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$946.78
|
| Rate for Payer: Amish Plain Church Group Commercial |
$946.78
|
| Rate for Payer: BCBS Complete |
$264.89
|
| Rate for Payer: BCBS MAPPO |
$757.43
|
| Rate for Payer: BCBS Trust/PPO |
$2,355.60
|
| Rate for Payer: BCN Commercial |
$2,355.60
|
| Rate for Payer: BCN Medicare Advantage |
$757.43
|
| Rate for Payer: Cash Price |
$2,423.77
|
| Rate for Payer: Cash Price |
$2,423.77
|
| Rate for Payer: Cofinity Commercial |
$2,605.55
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,423.77
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$757.43
|
| Rate for Payer: Healthscope Commercial |
$2,726.74
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,272.28
|
| Rate for Payer: Mclaren Medicaid |
$252.28
|
| Rate for Payer: Meridian Medicaid |
$264.89
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$795.30
|
| Rate for Payer: MI Amish Medical Board Commercial |
$871.04
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$2,575.25
|
| Rate for Payer: PACE Senior Care Partners |
$719.56
|
| Rate for Payer: PACE SWMI |
$757.43
|
| Rate for Payer: PHP Commercial |
$2,575.25
|
| Rate for Payer: PHP Medicare Advantage |
$757.43
|
| Rate for Payer: Priority Health Choice Medicaid |
$252.28
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,120.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,635.85
|
| Rate for Payer: Priority Health Medicare |
$757.43
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,847.82
|
| Rate for Payer: Railroad Medicare Medicare |
$757.43
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,666.14
|
| Rate for Payer: UHC Core |
$2,529.81
|
| Rate for Payer: UHC Dual Complete DSNP |
$757.43
|
| Rate for Payer: UHC Medicare Advantage |
$780.15
|
| Rate for Payer: VA VA |
$757.43
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,272.28
|
|
|
HC MRA HEAD WO CON
|
Facility
|
OP
|
$1,773.73
|
|
|
Service Code
|
CPT 70544
|
| Hospital Charge Code |
61500001
|
|
Hospital Revenue Code
|
615
|
| Min. Negotiated Rate |
$160.74 |
| Max. Negotiated Rate |
$1,596.36 |
| Rate for Payer: Aetna Commercial |
$1,507.67
|
| Rate for Payer: Aetna Medicare |
$461.17
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$554.29
|
| Rate for Payer: Amish Plain Church Group Commercial |
$554.29
|
| Rate for Payer: BCBS Complete |
$168.78
|
| Rate for Payer: BCBS MAPPO |
$443.43
|
| Rate for Payer: BCBS Trust/PPO |
$1,379.08
|
| Rate for Payer: BCN Commercial |
$1,379.08
|
| Rate for Payer: BCN Medicare Advantage |
$443.43
|
| Rate for Payer: Cash Price |
$1,418.98
|
| Rate for Payer: Cash Price |
$1,418.98
|
| Rate for Payer: Cofinity Commercial |
$1,525.41
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,418.98
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$443.43
|
| Rate for Payer: Healthscope Commercial |
$1,596.36
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,330.30
|
| Rate for Payer: Mclaren Medicaid |
$160.74
|
| Rate for Payer: Meridian Medicaid |
$168.78
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$465.60
|
| Rate for Payer: MI Amish Medical Board Commercial |
$509.95
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,507.67
|
| Rate for Payer: PACE Senior Care Partners |
$421.26
|
| Rate for Payer: PACE SWMI |
$443.43
|
| Rate for Payer: PHP Commercial |
$1,507.67
|
| Rate for Payer: PHP Medicare Advantage |
$443.43
|
| Rate for Payer: Priority Health Choice Medicaid |
$160.74
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,241.61
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,543.15
|
| Rate for Payer: Priority Health Medicare |
$443.43
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,081.80
|
| Rate for Payer: Railroad Medicare Medicare |
$443.43
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,560.88
|
| Rate for Payer: UHC Core |
$1,481.06
|
| Rate for Payer: UHC Dual Complete DSNP |
$443.43
|
| Rate for Payer: UHC Medicare Advantage |
$456.74
|
| Rate for Payer: VA VA |
$443.43
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,330.30
|
|
|
HC MRA HEAD WO CON
|
Facility
|
IP
|
$1,773.73
|
|
|
Service Code
|
CPT 70544
|
| Hospital Charge Code |
61500001
|
|
Hospital Revenue Code
|
615
|
| Min. Negotiated Rate |
$1,081.80 |
| Max. Negotiated Rate |
$1,596.36 |
| Rate for Payer: Aetna Commercial |
$1,507.67
|
| Rate for Payer: BCBS Trust/PPO |
$1,370.74
|
| Rate for Payer: BCN Commercial |
$1,370.74
|
| Rate for Payer: Cash Price |
$1,418.98
|
| Rate for Payer: Cofinity Commercial |
$1,525.41
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,418.98
|
| Rate for Payer: Healthscope Commercial |
$1,596.36
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,330.30
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,507.67
|
| Rate for Payer: PHP Commercial |
$1,507.67
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,241.61
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,543.15
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,081.80
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,560.88
|
| Rate for Payer: UHC Core |
$1,481.06
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,330.30
|
|
|
HC MRA HEAD WO W CON
|
Facility
|
IP
|
$2,992.94
|
|
|
Service Code
|
CPT 70546
|
| Hospital Charge Code |
61000006
|
|
Hospital Revenue Code
|
610
|
| Min. Negotiated Rate |
$1,825.39 |
| Max. Negotiated Rate |
$2,693.65 |
| Rate for Payer: Aetna Commercial |
$2,544.00
|
| Rate for Payer: BCBS Trust/PPO |
$2,312.94
|
| Rate for Payer: BCN Commercial |
$2,312.94
|
| Rate for Payer: Cash Price |
$2,394.35
|
| Rate for Payer: Cofinity Commercial |
$2,573.93
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,394.35
|
| Rate for Payer: Healthscope Commercial |
$2,693.65
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,244.70
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$2,544.00
|
| Rate for Payer: PHP Commercial |
$2,544.00
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,095.06
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,603.86
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,825.39
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,633.79
|
| Rate for Payer: UHC Core |
$2,499.10
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,244.70
|
|
|
HC MRA HEAD WO W CON
|
Facility
|
OP
|
$2,992.94
|
|
|
Service Code
|
CPT 70546
|
| Hospital Charge Code |
61000006
|
|
Hospital Revenue Code
|
610
|
| Min. Negotiated Rate |
$252.28 |
| Max. Negotiated Rate |
$2,693.65 |
| Rate for Payer: Aetna Commercial |
$2,544.00
|
| Rate for Payer: Aetna Medicare |
$778.16
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$935.29
|
| Rate for Payer: Amish Plain Church Group Commercial |
$935.29
|
| Rate for Payer: BCBS Complete |
$264.89
|
| Rate for Payer: BCBS MAPPO |
$748.24
|
| Rate for Payer: BCBS Trust/PPO |
$2,327.01
|
| Rate for Payer: BCN Commercial |
$2,327.01
|
| Rate for Payer: BCN Medicare Advantage |
$748.24
|
| Rate for Payer: Cash Price |
$2,394.35
|
| Rate for Payer: Cash Price |
$2,394.35
|
| Rate for Payer: Cofinity Commercial |
$2,573.93
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,394.35
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$748.24
|
| Rate for Payer: Healthscope Commercial |
$2,693.65
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,244.70
|
| Rate for Payer: Mclaren Medicaid |
$252.28
|
| Rate for Payer: Meridian Medicaid |
$264.89
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$785.65
|
| Rate for Payer: MI Amish Medical Board Commercial |
$860.47
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$2,544.00
|
| Rate for Payer: PACE Senior Care Partners |
$710.82
|
| Rate for Payer: PACE SWMI |
$748.24
|
| Rate for Payer: PHP Commercial |
$2,544.00
|
| Rate for Payer: PHP Medicare Advantage |
$748.24
|
| Rate for Payer: Priority Health Choice Medicaid |
$252.28
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,095.06
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,603.86
|
| Rate for Payer: Priority Health Medicare |
$748.24
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,825.39
|
| Rate for Payer: Railroad Medicare Medicare |
$748.24
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,633.79
|
| Rate for Payer: UHC Core |
$2,499.10
|
| Rate for Payer: UHC Dual Complete DSNP |
$748.24
|
| Rate for Payer: UHC Medicare Advantage |
$770.68
|
| Rate for Payer: VA VA |
$748.24
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,244.70
|
|
|
HC MR BONE MARROW BLOOD SUPPLY
|
Facility
|
IP
|
$1,384.85
|
|
|
Service Code
|
CPT 77084
|
| Hospital Charge Code |
61000051
|
|
Hospital Revenue Code
|
610
|
| Min. Negotiated Rate |
$844.62 |
| Max. Negotiated Rate |
$1,246.36 |
| Rate for Payer: Aetna Commercial |
$1,177.12
|
| Rate for Payer: BCBS Trust/PPO |
$1,070.21
|
| Rate for Payer: BCN Commercial |
$1,070.21
|
| Rate for Payer: Cash Price |
$1,107.88
|
| Rate for Payer: Cofinity Commercial |
$1,190.97
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,107.88
|
| Rate for Payer: Healthscope Commercial |
$1,246.36
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,038.64
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,177.12
|
| Rate for Payer: PHP Commercial |
$1,177.12
|
| Rate for Payer: Priority Health Cigna Priority Health |
$969.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,204.82
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$844.62
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,218.67
|
| Rate for Payer: UHC Core |
$1,156.35
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,038.64
|
|
