|
HC MR ELASTOGRAPHY
|
Facility
|
OP
|
$352.92
|
|
|
Service Code
|
CPT 76391
|
| Hospital Charge Code |
61000089
|
|
Hospital Revenue Code
|
610
|
| Min. Negotiated Rate |
$83.82 |
| Max. Negotiated Rate |
$317.63 |
| Rate for Payer: Aetna Commercial |
$299.98
|
| Rate for Payer: Aetna Medicare |
$91.76
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$110.29
|
| Rate for Payer: Amish Plain Church Group Commercial |
$110.29
|
| Rate for Payer: BCBS Complete |
$168.78
|
| Rate for Payer: BCBS MAPPO |
$88.23
|
| Rate for Payer: BCBS Trust/PPO |
$274.40
|
| Rate for Payer: BCN Commercial |
$274.40
|
| Rate for Payer: BCN Medicare Advantage |
$88.23
|
| Rate for Payer: Cash Price |
$282.34
|
| Rate for Payer: Cash Price |
$282.34
|
| Rate for Payer: Cofinity Commercial |
$303.51
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$282.34
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$88.23
|
| Rate for Payer: Healthscope Commercial |
$317.63
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$264.69
|
| Rate for Payer: Mclaren Medicaid |
$160.74
|
| Rate for Payer: Meridian Medicaid |
$168.78
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$92.64
|
| Rate for Payer: MI Amish Medical Board Commercial |
$101.46
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$299.98
|
| Rate for Payer: PACE Senior Care Partners |
$83.82
|
| Rate for Payer: PACE SWMI |
$88.23
|
| Rate for Payer: PHP Commercial |
$299.98
|
| Rate for Payer: PHP Medicare Advantage |
$88.23
|
| Rate for Payer: Priority Health Choice Medicaid |
$160.74
|
| Rate for Payer: Priority Health Cigna Priority Health |
$247.04
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$307.04
|
| Rate for Payer: Priority Health Medicare |
$88.23
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$215.25
|
| Rate for Payer: Railroad Medicare Medicare |
$88.23
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$310.57
|
| Rate for Payer: UHC Core |
$294.69
|
| Rate for Payer: UHC Dual Complete DSNP |
$88.23
|
| Rate for Payer: UHC Medicare Advantage |
$90.88
|
| Rate for Payer: VA VA |
$88.23
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$264.69
|
|
|
HC MR GUIDANCE FOR NEEDLE PLACEMENT
|
Facility
|
OP
|
$1,025.10
|
|
|
Service Code
|
CPT 77021
|
| Hospital Charge Code |
61100004
|
|
Hospital Revenue Code
|
611
|
| Min. Negotiated Rate |
$243.46 |
| Max. Negotiated Rate |
$922.59 |
| Rate for Payer: Aetna Commercial |
$871.34
|
| Rate for Payer: Aetna Medicare |
$266.53
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$320.34
|
| Rate for Payer: Amish Plain Church Group Commercial |
$320.34
|
| Rate for Payer: BCBS Complete |
$410.04
|
| Rate for Payer: BCBS MAPPO |
$256.28
|
| Rate for Payer: BCBS Trust/PPO |
$797.02
|
| Rate for Payer: BCN Commercial |
$797.02
|
| Rate for Payer: BCN Medicare Advantage |
$256.28
|
| Rate for Payer: Cash Price |
$820.08
|
| Rate for Payer: Cofinity Commercial |
$881.59
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$820.08
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$256.28
|
| Rate for Payer: Healthscope Commercial |
$922.59
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$768.82
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$269.09
|
| Rate for Payer: MI Amish Medical Board Commercial |
$294.72
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$871.34
|
| Rate for Payer: PACE Senior Care Partners |
$243.46
|
| Rate for Payer: PACE SWMI |
$256.28
|
| Rate for Payer: PHP Commercial |
$871.34
|
| Rate for Payer: PHP Medicare Advantage |
$256.28
|
| Rate for Payer: Priority Health Cigna Priority Health |
$717.57
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$891.84
|
| Rate for Payer: Priority Health Medicare |
$256.28
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$625.21
|
| Rate for Payer: Railroad Medicare Medicare |
$256.28
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$902.09
|
| Rate for Payer: UHC Core |
$855.96
|
| Rate for Payer: UHC Dual Complete DSNP |
$256.28
|
| Rate for Payer: UHC Medicare Advantage |
$263.96
|
| Rate for Payer: VA VA |
$256.28
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$768.82
|
|
|
HC MR GUIDANCE FOR NEEDLE PLACEMENT
|
Facility
|
IP
|
$1,025.10
|
|
|
Service Code
|
CPT 77021
|
| Hospital Charge Code |
61100004
|
|
Hospital Revenue Code
|
611
|
| Min. Negotiated Rate |
$625.21 |
| Max. Negotiated Rate |
$922.59 |
| Rate for Payer: Aetna Commercial |
$871.34
|
| Rate for Payer: BCBS Trust/PPO |
$792.20
|
| Rate for Payer: BCN Commercial |
$792.20
|
| Rate for Payer: Cash Price |
$820.08
|
| Rate for Payer: Cofinity Commercial |
$881.59
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$820.08
|
| Rate for Payer: Healthscope Commercial |
$922.59
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$768.82
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$871.34
|
| Rate for Payer: PHP Commercial |
$871.34
|
| Rate for Payer: Priority Health Cigna Priority Health |
$717.57
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$891.84
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$625.21
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$902.09
|
| Rate for Payer: UHC Core |
$855.96
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$768.82
|
|
|
HC MR LOWER EXTREM ANY JOINT BIL WO W CON
|
Facility
|
IP
|
$2,955.86
|
|
|
Service Code
|
CPT 73723
|
| Hospital Charge Code |
61000040
|
|
Hospital Revenue Code
|
610
|
| Min. Negotiated Rate |
$1,802.78 |
| Max. Negotiated Rate |
$2,660.27 |
| Rate for Payer: Aetna Commercial |
$2,512.48
|
| Rate for Payer: BCBS Trust/PPO |
$2,284.29
|
| Rate for Payer: BCN Commercial |
$2,284.29
|
| Rate for Payer: Cash Price |
$2,364.69
|
| Rate for Payer: Cofinity Commercial |
$2,542.04
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,364.69
|
| Rate for Payer: Healthscope Commercial |
$2,660.27
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,216.90
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$2,512.48
|
| Rate for Payer: PHP Commercial |
$2,512.48
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,069.10
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,571.60
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,802.78
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,601.16
|
| Rate for Payer: UHC Core |
$2,468.14
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,216.90
|
|
|
HC MR LOWER EXTREM ANY JOINT BIL WO W CON
|
Facility
|
OP
|
$2,955.86
|
|
|
Service Code
|
CPT 73723
|
| Hospital Charge Code |
61000040
|
|
Hospital Revenue Code
|
610
|
| Min. Negotiated Rate |
$252.28 |
| Max. Negotiated Rate |
$2,660.27 |
| Rate for Payer: Aetna Commercial |
$2,512.48
|
| Rate for Payer: Aetna Medicare |
$768.52
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$923.71
|
| Rate for Payer: Amish Plain Church Group Commercial |
$923.71
|
| Rate for Payer: BCBS Complete |
$264.89
|
| Rate for Payer: BCBS MAPPO |
$738.96
|
| Rate for Payer: BCBS Trust/PPO |
$2,298.18
|
| Rate for Payer: BCN Commercial |
$2,298.18
|
| Rate for Payer: BCN Medicare Advantage |
$738.96
|
| Rate for Payer: Cash Price |
$2,364.69
|
| Rate for Payer: Cash Price |
$2,364.69
|
| Rate for Payer: Cofinity Commercial |
$2,542.04
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,364.69
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$738.96
|
| Rate for Payer: Healthscope Commercial |
$2,660.27
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,216.90
|
| Rate for Payer: Mclaren Medicaid |
$252.28
|
| Rate for Payer: Meridian Medicaid |
$264.89
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$775.91
|
| Rate for Payer: MI Amish Medical Board Commercial |
$849.81
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$2,512.48
|
| Rate for Payer: PACE Senior Care Partners |
$702.02
|
| Rate for Payer: PACE SWMI |
$738.96
|
| Rate for Payer: PHP Commercial |
$2,512.48
|
| Rate for Payer: PHP Medicare Advantage |
$738.96
|
| Rate for Payer: Priority Health Choice Medicaid |
$252.28
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,069.10
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,571.60
|
| Rate for Payer: Priority Health Medicare |
$738.96
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,802.78
|
| Rate for Payer: Railroad Medicare Medicare |
$738.96
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,601.16
|
| Rate for Payer: UHC Core |
$2,468.14
|
| Rate for Payer: UHC Dual Complete DSNP |
$738.96
|
| Rate for Payer: UHC Medicare Advantage |
$761.13
|
| Rate for Payer: VA VA |
$738.96
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,216.90
|
|
|
HC MR LOWER EXTREM ANY JOINT W CON
|
Facility
|
IP
|
$3,378.09
|
|
|
Service Code
|
CPT 73722
|
| Hospital Charge Code |
61000037
|
|
Hospital Revenue Code
|
610
|
| Min. Negotiated Rate |
$2,060.30 |
| Max. Negotiated Rate |
$3,040.28 |
| Rate for Payer: Aetna Commercial |
$2,871.38
|
| Rate for Payer: Aetna Commercial |
$1,914.25
|
| Rate for Payer: BCBS Trust/PPO |
$2,610.59
|
| Rate for Payer: BCBS Trust/PPO |
$1,740.39
|
| Rate for Payer: BCN Commercial |
$1,740.39
|
| Rate for Payer: BCN Commercial |
$2,610.59
|
| Rate for Payer: Cash Price |
$2,702.47
|
| Rate for Payer: Cash Price |
$1,801.65
|
| Rate for Payer: Cofinity Commercial |
$2,905.16
|
| Rate for Payer: Cofinity Commercial |
$1,936.77
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,702.47
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,801.65
|
| Rate for Payer: Healthscope Commercial |
$2,026.85
|
| Rate for Payer: Healthscope Commercial |
$3,040.28
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,533.57
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,689.04
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,914.25
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$2,871.38
|
| Rate for Payer: PHP Commercial |
$2,871.38
|
| Rate for Payer: PHP Commercial |
$1,914.25
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,576.44
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,364.66
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,959.29
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,938.94
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,373.53
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,060.30
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,972.72
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,981.81
|
| Rate for Payer: UHC Core |
$1,880.47
|
| Rate for Payer: UHC Core |
$2,820.71
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,533.57
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,689.04
|
|
|
HC MR LOWER EXTREM ANY JOINT W CON
|
Facility
|
OP
|
$3,378.09
|
|
|
Service Code
|
CPT 73722
|
| Hospital Charge Code |
61000037
|
|
Hospital Revenue Code
|
610
|
| Min. Negotiated Rate |
$525.24 |
| Max. Negotiated Rate |
$3,040.28 |
| Rate for Payer: Aetna Commercial |
$2,871.38
|
| Rate for Payer: Aetna Commercial |
$1,914.25
|
| Rate for Payer: Aetna Medicare |
$878.30
|
| Rate for Payer: Aetna Medicare |
$585.54
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,055.65
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$703.77
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1,055.65
|
| Rate for Payer: Amish Plain Church Group Commercial |
$703.77
|
| Rate for Payer: BCBS Complete |
$551.50
|
| Rate for Payer: BCBS Complete |
$551.50
|
| Rate for Payer: BCBS MAPPO |
$563.02
|
| Rate for Payer: BCBS MAPPO |
$844.52
|
| Rate for Payer: BCBS Trust/PPO |
$2,626.46
|
| Rate for Payer: BCBS Trust/PPO |
$1,750.98
|
| Rate for Payer: BCN Commercial |
$1,750.98
|
| Rate for Payer: BCN Commercial |
$2,626.46
|
| Rate for Payer: BCN Medicare Advantage |
$563.02
|
| Rate for Payer: BCN Medicare Advantage |
$844.52
|
| Rate for Payer: Cash Price |
$2,702.47
|
| Rate for Payer: Cash Price |
$1,801.65
|
| Rate for Payer: Cash Price |
$1,801.65
|
| Rate for Payer: Cash Price |
$2,702.47
|
| Rate for Payer: Cofinity Commercial |
$1,936.77
|
| Rate for Payer: Cofinity Commercial |
$2,905.16
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,702.47
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,801.65
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$563.02
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$844.52
|
| Rate for Payer: Healthscope Commercial |
$3,040.28
|
| Rate for Payer: Healthscope Commercial |
$2,026.85
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,533.57
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,689.04
|
| Rate for Payer: Mclaren Medicaid |
$525.24
|
| Rate for Payer: Mclaren Medicaid |
$525.24
|
| Rate for Payer: Meridian Medicaid |
$551.50
|
| Rate for Payer: Meridian Medicaid |
$551.50
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$591.17
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$886.75
|
| Rate for Payer: MI Amish Medical Board Commercial |
$971.20
|
| Rate for Payer: MI Amish Medical Board Commercial |
$647.47
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,914.25
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$2,871.38
|
| Rate for Payer: PACE Senior Care Partners |
$534.86
|
| Rate for Payer: PACE Senior Care Partners |
$802.30
|
| Rate for Payer: PACE SWMI |
$844.52
|
| Rate for Payer: PACE SWMI |
$563.02
|
| Rate for Payer: PHP Commercial |
$2,871.38
|
| Rate for Payer: PHP Commercial |
$1,914.25
|
| Rate for Payer: PHP Medicare Advantage |
$563.02
|
| Rate for Payer: PHP Medicare Advantage |
$844.52
|
| Rate for Payer: Priority Health Choice Medicaid |
$525.24
|
| Rate for Payer: Priority Health Choice Medicaid |
$525.24
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,576.44
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,364.66
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,959.29
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,938.94
|
| Rate for Payer: Priority Health Medicare |
$563.02
|
| Rate for Payer: Priority Health Medicare |
$844.52
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,373.53
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,060.30
|
| Rate for Payer: Railroad Medicare Medicare |
$844.52
|
| Rate for Payer: Railroad Medicare Medicare |
$563.02
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,981.81
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,972.72
|
| Rate for Payer: UHC Core |
$1,880.47
|
| Rate for Payer: UHC Core |
$2,820.71
|
| Rate for Payer: UHC Dual Complete DSNP |
$844.52
|
| Rate for Payer: UHC Dual Complete DSNP |
$563.02
|
| Rate for Payer: UHC Medicare Advantage |
$579.91
|
| Rate for Payer: UHC Medicare Advantage |
$869.86
|
| Rate for Payer: VA VA |
$563.02
|
| Rate for Payer: VA VA |
$844.52
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,689.04
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,533.57
|
|
|
HC MR LOWER EXTREM ANY JOINT WO CON
|
Facility
|
OP
|
$1,932.90
|
|
|
Service Code
|
CPT 73721
|
| Hospital Charge Code |
61000035
|
|
Hospital Revenue Code
|
610
|
| Min. Negotiated Rate |
$160.74 |
| Max. Negotiated Rate |
$1,739.61 |
| Rate for Payer: Aetna Commercial |
$1,642.96
|
| Rate for Payer: Aetna Commercial |
$2,464.45
|
| Rate for Payer: Aetna Medicare |
$753.83
|
| Rate for Payer: Aetna Medicare |
$502.55
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$604.03
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$906.05
|
| Rate for Payer: Amish Plain Church Group Commercial |
$604.03
|
| Rate for Payer: Amish Plain Church Group Commercial |
$906.05
|
| Rate for Payer: BCBS Complete |
$168.78
|
| Rate for Payer: BCBS Complete |
$168.78
|
| Rate for Payer: BCBS MAPPO |
$724.84
|
| Rate for Payer: BCBS MAPPO |
$483.22
|
| Rate for Payer: BCBS Trust/PPO |
$2,254.24
|
| Rate for Payer: BCBS Trust/PPO |
$1,502.83
|
| Rate for Payer: BCN Commercial |
$2,254.24
|
| Rate for Payer: BCN Commercial |
$1,502.83
|
| Rate for Payer: BCN Medicare Advantage |
$483.22
|
| Rate for Payer: BCN Medicare Advantage |
$724.84
|
| Rate for Payer: Cash Price |
$1,546.32
|
| Rate for Payer: Cash Price |
$2,319.48
|
| Rate for Payer: Cash Price |
$1,546.32
|
| Rate for Payer: Cash Price |
$2,319.48
|
| Rate for Payer: Cofinity Commercial |
$2,493.44
|
| Rate for Payer: Cofinity Commercial |
$1,662.29
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,319.48
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,546.32
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$483.22
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$724.84
|
| Rate for Payer: Healthscope Commercial |
$2,609.42
|
| Rate for Payer: Healthscope Commercial |
$1,739.61
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,174.51
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,449.68
|
| Rate for Payer: Mclaren Medicaid |
$160.74
|
| Rate for Payer: Mclaren Medicaid |
$160.74
|
| Rate for Payer: Meridian Medicaid |
$168.78
|
| Rate for Payer: Meridian Medicaid |
$168.78
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$761.08
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$507.39
|
| Rate for Payer: MI Amish Medical Board Commercial |
$833.56
|
| Rate for Payer: MI Amish Medical Board Commercial |
$555.71
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,642.96
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$2,464.45
|
| Rate for Payer: PACE Senior Care Partners |
$688.60
|
| Rate for Payer: PACE Senior Care Partners |
$459.06
|
| Rate for Payer: PACE SWMI |
$483.22
|
| Rate for Payer: PACE SWMI |
$724.84
|
| Rate for Payer: PHP Commercial |
$1,642.96
|
| Rate for Payer: PHP Commercial |
$2,464.45
|
| Rate for Payer: PHP Medicare Advantage |
$724.84
|
| Rate for Payer: PHP Medicare Advantage |
$483.22
|
| Rate for Payer: Priority Health Choice Medicaid |
$160.74
|
| Rate for Payer: Priority Health Choice Medicaid |
$160.74
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,029.54
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,353.03
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,681.62
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,522.43
|
| Rate for Payer: Priority Health Medicare |
$483.22
|
| Rate for Payer: Priority Health Medicare |
$724.84
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,178.88
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,768.31
|
| Rate for Payer: Railroad Medicare Medicare |
$724.84
|
| Rate for Payer: Railroad Medicare Medicare |
$483.22
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,700.95
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,551.43
|
| Rate for Payer: UHC Core |
$1,613.97
|
| Rate for Payer: UHC Core |
$2,420.96
|
| Rate for Payer: UHC Dual Complete DSNP |
$483.22
|
| Rate for Payer: UHC Dual Complete DSNP |
$724.84
|
| Rate for Payer: UHC Medicare Advantage |
$497.72
|
| Rate for Payer: UHC Medicare Advantage |
$746.58
|
| Rate for Payer: VA VA |
$724.84
|
| Rate for Payer: VA VA |
$483.22
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,449.68
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,174.51
|
|
|
HC MR LOWER EXTREM ANY JOINT WO CON
|
Facility
|
IP
|
$2,899.35
|
|
|
Service Code
|
CPT 73721
|
| Hospital Charge Code |
61000035
|
|
Hospital Revenue Code
|
610
|
| Min. Negotiated Rate |
$1,768.31 |
| Max. Negotiated Rate |
$2,609.42 |
| Rate for Payer: Aetna Commercial |
$2,464.45
|
| Rate for Payer: Aetna Commercial |
$1,642.96
|
| Rate for Payer: BCBS Trust/PPO |
$1,493.75
|
| Rate for Payer: BCBS Trust/PPO |
$2,240.62
|
| Rate for Payer: BCN Commercial |
$1,493.75
|
| Rate for Payer: BCN Commercial |
$2,240.62
|
| Rate for Payer: Cash Price |
$2,319.48
|
| Rate for Payer: Cash Price |
$1,546.32
|
| Rate for Payer: Cofinity Commercial |
$2,493.44
|
| Rate for Payer: Cofinity Commercial |
$1,662.29
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,546.32
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,319.48
|
| Rate for Payer: Healthscope Commercial |
$2,609.42
|
| Rate for Payer: Healthscope Commercial |
$1,739.61
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,449.68
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,174.51
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,642.96
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$2,464.45
|
| Rate for Payer: PHP Commercial |
$2,464.45
|
| Rate for Payer: PHP Commercial |
$1,642.96
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,029.54
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,353.03
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,522.43
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,681.62
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,178.88
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,768.31
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,551.43
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,700.95
|
| Rate for Payer: UHC Core |
$1,613.97
|
| Rate for Payer: UHC Core |
$2,420.96
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,449.68
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,174.51
|
|
|
HC MR LOWER EXTREM ANY JOINT WO W CON
|
Facility
|
IP
|
$3,800.36
|
|
|
Service Code
|
CPT 73723
|
| Hospital Charge Code |
61000039
|
|
Hospital Revenue Code
|
610
|
| Min. Negotiated Rate |
$2,317.84 |
| Max. Negotiated Rate |
$3,420.32 |
| Rate for Payer: Aetna Commercial |
$3,230.31
|
| Rate for Payer: Aetna Commercial |
$2,153.53
|
| Rate for Payer: BCBS Trust/PPO |
$2,936.92
|
| Rate for Payer: BCBS Trust/PPO |
$1,957.94
|
| Rate for Payer: BCN Commercial |
$1,957.94
|
| Rate for Payer: BCN Commercial |
$2,936.92
|
| Rate for Payer: Cash Price |
$3,040.29
|
| Rate for Payer: Cash Price |
$2,026.86
|
| Rate for Payer: Cofinity Commercial |
$2,178.87
|
| Rate for Payer: Cofinity Commercial |
$3,268.31
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,026.86
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,040.29
|
| Rate for Payer: Healthscope Commercial |
$3,420.32
|
| Rate for Payer: Healthscope Commercial |
$2,280.21
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,850.27
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,900.18
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$2,153.53
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$3,230.31
|
| Rate for Payer: PHP Commercial |
$2,153.53
|
| Rate for Payer: PHP Commercial |
$3,230.31
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,660.25
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,773.50
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,204.21
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$3,306.31
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,317.84
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,545.22
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,229.54
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$3,344.32
|
| Rate for Payer: UHC Core |
$2,115.53
|
| Rate for Payer: UHC Core |
$3,173.30
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,900.18
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,850.27
|
|
|
HC MR LOWER EXTREM ANY JOINT WO W CON
|
Facility
|
OP
|
$3,800.36
|
|
|
Service Code
|
CPT 73723
|
| Hospital Charge Code |
61000039
|
|
Hospital Revenue Code
|
610
|
| Min. Negotiated Rate |
$252.28 |
| Max. Negotiated Rate |
$3,420.32 |
| Rate for Payer: Aetna Commercial |
$3,230.31
|
| Rate for Payer: Aetna Commercial |
$2,153.53
|
| Rate for Payer: Aetna Medicare |
$988.09
|
| Rate for Payer: Aetna Medicare |
$658.73
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,187.61
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$791.74
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1,187.61
|
| Rate for Payer: Amish Plain Church Group Commercial |
$791.74
|
| Rate for Payer: BCBS Complete |
$264.89
|
| Rate for Payer: BCBS Complete |
$264.89
|
| Rate for Payer: BCBS MAPPO |
$950.09
|
| Rate for Payer: BCBS MAPPO |
$633.39
|
| Rate for Payer: BCBS Trust/PPO |
$2,954.78
|
| Rate for Payer: BCBS Trust/PPO |
$1,969.85
|
| Rate for Payer: BCN Commercial |
$1,969.85
|
| Rate for Payer: BCN Commercial |
$2,954.78
|
| Rate for Payer: BCN Medicare Advantage |
$633.39
|
| Rate for Payer: BCN Medicare Advantage |
$950.09
|
| Rate for Payer: Cash Price |
$2,026.86
|
| Rate for Payer: Cash Price |
$3,040.29
|
| Rate for Payer: Cash Price |
$2,026.86
|
| Rate for Payer: Cash Price |
$3,040.29
|
| Rate for Payer: Cofinity Commercial |
$3,268.31
|
| Rate for Payer: Cofinity Commercial |
$2,178.87
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,026.86
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,040.29
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$633.39
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$950.09
|
| Rate for Payer: Healthscope Commercial |
$2,280.21
|
| Rate for Payer: Healthscope Commercial |
$3,420.32
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,900.18
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,850.27
|
| Rate for Payer: Mclaren Medicaid |
$252.28
|
| Rate for Payer: Mclaren Medicaid |
$252.28
|
| Rate for Payer: Meridian Medicaid |
$264.89
|
| Rate for Payer: Meridian Medicaid |
$264.89
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$997.59
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$665.06
|
| Rate for Payer: MI Amish Medical Board Commercial |
$728.40
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,092.60
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$2,153.53
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$3,230.31
|
| Rate for Payer: PACE Senior Care Partners |
$601.72
|
| Rate for Payer: PACE Senior Care Partners |
$902.59
|
| Rate for Payer: PACE SWMI |
$950.09
|
| Rate for Payer: PACE SWMI |
$633.39
|
| Rate for Payer: PHP Commercial |
$2,153.53
|
| Rate for Payer: PHP Commercial |
$3,230.31
|
| Rate for Payer: PHP Medicare Advantage |
$950.09
|
| Rate for Payer: PHP Medicare Advantage |
$633.39
|
| Rate for Payer: Priority Health Choice Medicaid |
$252.28
|
| Rate for Payer: Priority Health Choice Medicaid |
$252.28
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,773.50
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,660.25
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,204.21
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$3,306.31
|
| Rate for Payer: Priority Health Medicare |
$950.09
|
| Rate for Payer: Priority Health Medicare |
$633.39
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,317.84
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,545.22
|
| Rate for Payer: Railroad Medicare Medicare |
$950.09
|
| Rate for Payer: Railroad Medicare Medicare |
$633.39
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$3,344.32
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,229.54
|
| Rate for Payer: UHC Core |
$2,115.53
|
| Rate for Payer: UHC Core |
$3,173.30
|
| Rate for Payer: UHC Dual Complete DSNP |
$950.09
|
| Rate for Payer: UHC Dual Complete DSNP |
$633.39
|
| Rate for Payer: UHC Medicare Advantage |
$978.59
|
| Rate for Payer: UHC Medicare Advantage |
$652.39
|
| Rate for Payer: VA VA |
$633.39
|
| Rate for Payer: VA VA |
$950.09
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,900.18
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,850.27
|
|
|
HC MR LOWER EXTREM BIL ANY JOINT W CON
|
Facility
|
IP
|
$2,346.00
|
|
|
Service Code
|
CPT 73722
|
| Hospital Charge Code |
61000038
|
|
Hospital Revenue Code
|
610
|
| Min. Negotiated Rate |
$1,430.83 |
| Max. Negotiated Rate |
$2,111.40 |
| Rate for Payer: Aetna Commercial |
$1,994.10
|
| Rate for Payer: BCBS Trust/PPO |
$1,812.99
|
| Rate for Payer: BCN Commercial |
$1,812.99
|
| Rate for Payer: Cash Price |
$1,876.80
|
| Rate for Payer: Cofinity Commercial |
$2,017.56
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,876.80
|
| Rate for Payer: Healthscope Commercial |
$2,111.40
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,759.50
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,994.10
|
| Rate for Payer: PHP Commercial |
$1,994.10
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,642.20
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,041.02
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,430.83
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,064.48
|
| Rate for Payer: UHC Core |
$1,958.91
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,759.50
|
|
|
HC MR LOWER EXTREM BIL ANY JOINT W CON
|
Facility
|
OP
|
$2,346.00
|
|
|
Service Code
|
CPT 73722
|
| Hospital Charge Code |
61000038
|
|
Hospital Revenue Code
|
610
|
| Min. Negotiated Rate |
$525.24 |
| Max. Negotiated Rate |
$2,111.40 |
| Rate for Payer: Aetna Commercial |
$1,994.10
|
| Rate for Payer: Aetna Medicare |
$609.96
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$733.12
|
| Rate for Payer: Amish Plain Church Group Commercial |
$733.12
|
| Rate for Payer: BCBS Complete |
$551.50
|
| Rate for Payer: BCBS MAPPO |
$586.50
|
| Rate for Payer: BCBS Trust/PPO |
$1,824.02
|
| Rate for Payer: BCN Commercial |
$1,824.02
|
| Rate for Payer: BCN Medicare Advantage |
$586.50
|
| Rate for Payer: Cash Price |
$1,876.80
|
| Rate for Payer: Cash Price |
$1,876.80
|
| Rate for Payer: Cofinity Commercial |
$2,017.56
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,876.80
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$586.50
|
| Rate for Payer: Healthscope Commercial |
$2,111.40
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,759.50
|
| Rate for Payer: Mclaren Medicaid |
$525.24
|
| Rate for Payer: Meridian Medicaid |
$551.50
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$615.82
|
| Rate for Payer: MI Amish Medical Board Commercial |
$674.48
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,994.10
|
| Rate for Payer: PACE Senior Care Partners |
$557.18
|
| Rate for Payer: PACE SWMI |
$586.50
|
| Rate for Payer: PHP Commercial |
$1,994.10
|
| Rate for Payer: PHP Medicare Advantage |
$586.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$525.24
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,642.20
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,041.02
|
| Rate for Payer: Priority Health Medicare |
$586.50
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,430.83
|
| Rate for Payer: Railroad Medicare Medicare |
$586.50
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,064.48
|
| Rate for Payer: UHC Core |
$1,958.91
|
| Rate for Payer: UHC Dual Complete DSNP |
$586.50
|
| Rate for Payer: UHC Medicare Advantage |
$604.10
|
| Rate for Payer: VA VA |
$586.50
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,759.50
|
|
|
HC MR LOWER EXTREM BILAT ANY JOINT WO CON
|
Facility
|
OP
|
$1,932.90
|
|
|
Service Code
|
CPT 73721
|
| Hospital Charge Code |
61000036
|
|
Hospital Revenue Code
|
610
|
| Min. Negotiated Rate |
$160.74 |
| Max. Negotiated Rate |
$1,739.61 |
| Rate for Payer: Aetna Commercial |
$1,642.96
|
| Rate for Payer: Aetna Medicare |
$502.55
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$604.03
|
| Rate for Payer: Amish Plain Church Group Commercial |
$604.03
|
| Rate for Payer: BCBS Complete |
$168.78
|
| Rate for Payer: BCBS MAPPO |
$483.22
|
| Rate for Payer: BCBS Trust/PPO |
$1,502.83
|
| Rate for Payer: BCN Commercial |
$1,502.83
|
| Rate for Payer: BCN Medicare Advantage |
$483.22
|
| Rate for Payer: Cash Price |
$1,546.32
|
| Rate for Payer: Cash Price |
$1,546.32
|
| Rate for Payer: Cofinity Commercial |
$1,662.29
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,546.32
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$483.22
|
| Rate for Payer: Healthscope Commercial |
$1,739.61
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,449.68
|
| Rate for Payer: Mclaren Medicaid |
$160.74
|
| Rate for Payer: Meridian Medicaid |
$168.78
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$507.39
|
| Rate for Payer: MI Amish Medical Board Commercial |
$555.71
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,642.96
|
| Rate for Payer: PACE Senior Care Partners |
$459.06
|
| Rate for Payer: PACE SWMI |
$483.22
|
| Rate for Payer: PHP Commercial |
$1,642.96
|
| Rate for Payer: PHP Medicare Advantage |
$483.22
|
| Rate for Payer: Priority Health Choice Medicaid |
$160.74
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,353.03
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,681.62
|
| Rate for Payer: Priority Health Medicare |
$483.22
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,178.88
|
| Rate for Payer: Railroad Medicare Medicare |
$483.22
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,700.95
|
| Rate for Payer: UHC Core |
$1,613.97
|
| Rate for Payer: UHC Dual Complete DSNP |
$483.22
|
| Rate for Payer: UHC Medicare Advantage |
$497.72
|
| Rate for Payer: VA VA |
$483.22
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,449.68
|
|
|
HC MR LOWER EXTREM BILAT ANY JOINT WO CON
|
Facility
|
IP
|
$1,932.90
|
|
|
Service Code
|
CPT 73721
|
| Hospital Charge Code |
61000036
|
|
Hospital Revenue Code
|
610
|
| Min. Negotiated Rate |
$1,178.88 |
| Max. Negotiated Rate |
$1,739.61 |
| Rate for Payer: Aetna Commercial |
$1,642.96
|
| Rate for Payer: BCBS Trust/PPO |
$1,493.75
|
| Rate for Payer: BCN Commercial |
$1,493.75
|
| Rate for Payer: Cash Price |
$1,546.32
|
| Rate for Payer: Cofinity Commercial |
$1,662.29
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,546.32
|
| Rate for Payer: Healthscope Commercial |
$1,739.61
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,449.68
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,642.96
|
| Rate for Payer: PHP Commercial |
$1,642.96
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,353.03
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,681.62
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,178.88
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,700.95
|
| Rate for Payer: UHC Core |
$1,613.97
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,449.68
|
|
|
HC MR LOWER EXTREM BIL NO JOINT W CON
|
Facility
|
IP
|
$2,897.90
|
|
|
Service Code
|
CPT 73719
|
| Hospital Charge Code |
61000032
|
|
Hospital Revenue Code
|
610
|
| Min. Negotiated Rate |
$1,767.43 |
| Max. Negotiated Rate |
$2,608.11 |
| Rate for Payer: Aetna Commercial |
$2,463.22
|
| Rate for Payer: BCBS Trust/PPO |
$2,239.50
|
| Rate for Payer: BCN Commercial |
$2,239.50
|
| Rate for Payer: Cash Price |
$2,318.32
|
| Rate for Payer: Cofinity Commercial |
$2,492.19
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,318.32
|
| Rate for Payer: Healthscope Commercial |
$2,608.11
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,173.42
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$2,463.22
|
| Rate for Payer: PHP Commercial |
$2,463.22
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,028.53
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,521.17
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,767.43
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,550.15
|
| Rate for Payer: UHC Core |
$2,419.75
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,173.42
|
|
|
HC MR LOWER EXTREM BIL NO JOINT W CON
|
Facility
|
OP
|
$2,897.90
|
|
|
Service Code
|
CPT 73719
|
| Hospital Charge Code |
61000032
|
|
Hospital Revenue Code
|
610
|
| Min. Negotiated Rate |
$252.28 |
| Max. Negotiated Rate |
$2,608.11 |
| Rate for Payer: Aetna Commercial |
$2,463.22
|
| Rate for Payer: Aetna Medicare |
$753.45
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$905.59
|
| Rate for Payer: Amish Plain Church Group Commercial |
$905.59
|
| Rate for Payer: BCBS Complete |
$264.89
|
| Rate for Payer: BCBS MAPPO |
$724.48
|
| Rate for Payer: BCBS Trust/PPO |
$2,253.12
|
| Rate for Payer: BCN Commercial |
$2,253.12
|
| Rate for Payer: BCN Medicare Advantage |
$724.48
|
| Rate for Payer: Cash Price |
$2,318.32
|
| Rate for Payer: Cash Price |
$2,318.32
|
| Rate for Payer: Cofinity Commercial |
$2,492.19
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,318.32
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$724.48
|
| Rate for Payer: Healthscope Commercial |
$2,608.11
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,173.42
|
| Rate for Payer: Mclaren Medicaid |
$252.28
|
| Rate for Payer: Meridian Medicaid |
$264.89
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$760.70
|
| Rate for Payer: MI Amish Medical Board Commercial |
$833.15
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$2,463.22
|
| Rate for Payer: PACE Senior Care Partners |
$688.25
|
| Rate for Payer: PACE SWMI |
$724.48
|
| Rate for Payer: PHP Commercial |
$2,463.22
|
| Rate for Payer: PHP Medicare Advantage |
$724.48
|
| Rate for Payer: Priority Health Choice Medicaid |
$252.28
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,028.53
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,521.17
|
| Rate for Payer: Priority Health Medicare |
$724.48
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,767.43
|
| Rate for Payer: Railroad Medicare Medicare |
$724.48
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,550.15
|
| Rate for Payer: UHC Core |
$2,419.75
|
| Rate for Payer: UHC Dual Complete DSNP |
$724.48
|
| Rate for Payer: UHC Medicare Advantage |
$746.21
|
| Rate for Payer: VA VA |
$724.48
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,173.42
|
|
|
HC MR LOWER EXTREM BIL NO JOINT WO CON
|
Facility
|
IP
|
$2,252.06
|
|
|
Service Code
|
CPT 73718
|
| Hospital Charge Code |
61000030
|
|
Hospital Revenue Code
|
610
|
| Min. Negotiated Rate |
$1,373.53 |
| Max. Negotiated Rate |
$2,026.85 |
| Rate for Payer: Aetna Commercial |
$1,914.25
|
| Rate for Payer: BCBS Trust/PPO |
$1,740.39
|
| Rate for Payer: BCN Commercial |
$1,740.39
|
| Rate for Payer: Cash Price |
$1,801.65
|
| Rate for Payer: Cofinity Commercial |
$1,936.77
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,801.65
|
| Rate for Payer: Healthscope Commercial |
$2,026.85
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,689.04
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,914.25
|
| Rate for Payer: PHP Commercial |
$1,914.25
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,576.44
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,959.29
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,373.53
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,981.81
|
| Rate for Payer: UHC Core |
$1,880.47
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,689.04
|
|
|
HC MR LOWER EXTREM BIL NO JOINT WO CON
|
Facility
|
OP
|
$2,252.06
|
|
|
Service Code
|
CPT 73718
|
| Hospital Charge Code |
61000030
|
|
Hospital Revenue Code
|
610
|
| Min. Negotiated Rate |
$160.74 |
| Max. Negotiated Rate |
$2,026.85 |
| Rate for Payer: Aetna Commercial |
$1,914.25
|
| Rate for Payer: Aetna Medicare |
$585.54
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$703.77
|
| Rate for Payer: Amish Plain Church Group Commercial |
$703.77
|
| Rate for Payer: BCBS Complete |
$168.78
|
| Rate for Payer: BCBS MAPPO |
$563.02
|
| Rate for Payer: BCBS Trust/PPO |
$1,750.98
|
| Rate for Payer: BCN Commercial |
$1,750.98
|
| Rate for Payer: BCN Medicare Advantage |
$563.02
|
| Rate for Payer: Cash Price |
$1,801.65
|
| Rate for Payer: Cash Price |
$1,801.65
|
| Rate for Payer: Cofinity Commercial |
$1,936.77
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,801.65
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$563.02
|
| Rate for Payer: Healthscope Commercial |
$2,026.85
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,689.04
|
| Rate for Payer: Mclaren Medicaid |
$160.74
|
| Rate for Payer: Meridian Medicaid |
$168.78
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$591.17
|
| Rate for Payer: MI Amish Medical Board Commercial |
$647.47
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,914.25
|
| Rate for Payer: PACE Senior Care Partners |
$534.86
|
| Rate for Payer: PACE SWMI |
$563.02
|
| Rate for Payer: PHP Commercial |
$1,914.25
|
| Rate for Payer: PHP Medicare Advantage |
$563.02
|
| Rate for Payer: Priority Health Choice Medicaid |
$160.74
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,576.44
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,959.29
|
| Rate for Payer: Priority Health Medicare |
$563.02
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,373.53
|
| Rate for Payer: Railroad Medicare Medicare |
$563.02
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,981.81
|
| Rate for Payer: UHC Core |
$1,880.47
|
| Rate for Payer: UHC Dual Complete DSNP |
$563.02
|
| Rate for Payer: UHC Medicare Advantage |
$579.91
|
| Rate for Payer: VA VA |
$563.02
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,689.04
|
|
|
HC MR LOWER EXTREM NO JOINT BIL WO W CON
|
Facility
|
IP
|
$3,096.62
|
|
|
Service Code
|
CPT 73720
|
| Hospital Charge Code |
61000034
|
|
Hospital Revenue Code
|
610
|
| Min. Negotiated Rate |
$1,888.63 |
| Max. Negotiated Rate |
$2,786.96 |
| Rate for Payer: Aetna Commercial |
$2,632.13
|
| Rate for Payer: BCBS Trust/PPO |
$2,393.07
|
| Rate for Payer: BCN Commercial |
$2,393.07
|
| Rate for Payer: Cash Price |
$2,477.30
|
| Rate for Payer: Cofinity Commercial |
$2,663.09
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,477.30
|
| Rate for Payer: Healthscope Commercial |
$2,786.96
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,322.46
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$2,632.13
|
| Rate for Payer: PHP Commercial |
$2,632.13
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,167.63
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,694.06
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,888.63
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,725.03
|
| Rate for Payer: UHC Core |
$2,585.68
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,322.46
|
|
|
HC MR LOWER EXTREM NO JOINT BIL WO W CON
|
Facility
|
OP
|
$3,096.62
|
|
|
Service Code
|
CPT 73720
|
| Hospital Charge Code |
61000034
|
|
Hospital Revenue Code
|
610
|
| Min. Negotiated Rate |
$252.28 |
| Max. Negotiated Rate |
$2,786.96 |
| Rate for Payer: Aetna Commercial |
$2,632.13
|
| Rate for Payer: Aetna Medicare |
$805.12
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$967.69
|
| Rate for Payer: Amish Plain Church Group Commercial |
$967.69
|
| Rate for Payer: BCBS Complete |
$264.89
|
| Rate for Payer: BCBS MAPPO |
$774.16
|
| Rate for Payer: BCBS Trust/PPO |
$2,407.62
|
| Rate for Payer: BCN Commercial |
$2,407.62
|
| Rate for Payer: BCN Medicare Advantage |
$774.16
|
| Rate for Payer: Cash Price |
$2,477.30
|
| Rate for Payer: Cash Price |
$2,477.30
|
| Rate for Payer: Cofinity Commercial |
$2,663.09
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,477.30
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$774.16
|
| Rate for Payer: Healthscope Commercial |
$2,786.96
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,322.46
|
| Rate for Payer: Mclaren Medicaid |
$252.28
|
| Rate for Payer: Meridian Medicaid |
$264.89
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$812.86
|
| Rate for Payer: MI Amish Medical Board Commercial |
$890.28
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$2,632.13
|
| Rate for Payer: PACE Senior Care Partners |
$735.45
|
| Rate for Payer: PACE SWMI |
$774.16
|
| Rate for Payer: PHP Commercial |
$2,632.13
|
| Rate for Payer: PHP Medicare Advantage |
$774.16
|
| Rate for Payer: Priority Health Choice Medicaid |
$252.28
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,167.63
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,694.06
|
| Rate for Payer: Priority Health Medicare |
$774.16
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,888.63
|
| Rate for Payer: Railroad Medicare Medicare |
$774.16
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,725.03
|
| Rate for Payer: UHC Core |
$2,585.68
|
| Rate for Payer: UHC Dual Complete DSNP |
$774.16
|
| Rate for Payer: UHC Medicare Advantage |
$797.38
|
| Rate for Payer: VA VA |
$774.16
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,322.46
|
|
|
HC MR LOWER EXTREM NO JOINT W CON
|
Facility
|
OP
|
$2,364.71
|
|
|
Service Code
|
CPT 73719
|
| Hospital Charge Code |
61000031
|
|
Hospital Revenue Code
|
610
|
| Min. Negotiated Rate |
$252.28 |
| Max. Negotiated Rate |
$2,128.24 |
| Rate for Payer: Aetna Commercial |
$2,010.00
|
| Rate for Payer: Aetna Commercial |
$3,015.01
|
| Rate for Payer: Aetna Medicare |
$614.82
|
| Rate for Payer: Aetna Medicare |
$922.24
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$738.97
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,108.46
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1,108.46
|
| Rate for Payer: Amish Plain Church Group Commercial |
$738.97
|
| Rate for Payer: BCBS Complete |
$264.89
|
| Rate for Payer: BCBS Complete |
$264.89
|
| Rate for Payer: BCBS MAPPO |
$591.18
|
| Rate for Payer: BCBS MAPPO |
$886.77
|
| Rate for Payer: BCBS Trust/PPO |
$1,838.56
|
| Rate for Payer: BCBS Trust/PPO |
$2,757.85
|
| Rate for Payer: BCN Commercial |
$1,838.56
|
| Rate for Payer: BCN Commercial |
$2,757.85
|
| Rate for Payer: BCN Medicare Advantage |
$886.77
|
| Rate for Payer: BCN Medicare Advantage |
$591.18
|
| Rate for Payer: Cash Price |
$2,837.66
|
| Rate for Payer: Cash Price |
$2,837.66
|
| Rate for Payer: Cash Price |
$1,891.77
|
| Rate for Payer: Cash Price |
$1,891.77
|
| Rate for Payer: Cofinity Commercial |
$2,033.65
|
| Rate for Payer: Cofinity Commercial |
$3,050.48
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,837.66
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,891.77
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$886.77
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$591.18
|
| Rate for Payer: Healthscope Commercial |
$3,192.36
|
| Rate for Payer: Healthscope Commercial |
$2,128.24
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,660.30
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,773.53
|
| Rate for Payer: Mclaren Medicaid |
$252.28
|
| Rate for Payer: Mclaren Medicaid |
$252.28
|
| Rate for Payer: Meridian Medicaid |
$264.89
|
| Rate for Payer: Meridian Medicaid |
$264.89
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$620.74
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$931.11
|
| Rate for Payer: MI Amish Medical Board Commercial |
$679.85
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,019.78
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$3,015.01
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$2,010.00
|
| Rate for Payer: PACE Senior Care Partners |
$842.43
|
| Rate for Payer: PACE Senior Care Partners |
$561.62
|
| Rate for Payer: PACE SWMI |
$591.18
|
| Rate for Payer: PACE SWMI |
$886.77
|
| Rate for Payer: PHP Commercial |
$2,010.00
|
| Rate for Payer: PHP Commercial |
$3,015.01
|
| Rate for Payer: PHP Medicare Advantage |
$886.77
|
| Rate for Payer: PHP Medicare Advantage |
$591.18
|
| Rate for Payer: Priority Health Choice Medicaid |
$252.28
|
| Rate for Payer: Priority Health Choice Medicaid |
$252.28
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,655.30
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,482.95
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,057.30
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$3,085.95
|
| Rate for Payer: Priority Health Medicare |
$591.18
|
| Rate for Payer: Priority Health Medicare |
$886.77
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,163.36
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,442.24
|
| Rate for Payer: Railroad Medicare Medicare |
$886.77
|
| Rate for Payer: Railroad Medicare Medicare |
$591.18
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,080.94
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$3,121.42
|
| Rate for Payer: UHC Core |
$1,974.53
|
| Rate for Payer: UHC Core |
$2,961.80
|
| Rate for Payer: UHC Dual Complete DSNP |
$591.18
|
| Rate for Payer: UHC Dual Complete DSNP |
$886.77
|
| Rate for Payer: UHC Medicare Advantage |
$913.37
|
| Rate for Payer: UHC Medicare Advantage |
$608.91
|
| Rate for Payer: VA VA |
$591.18
|
| Rate for Payer: VA VA |
$886.77
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,660.30
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,773.53
|
|
|
HC MR LOWER EXTREM NO JOINT W CON
|
Facility
|
IP
|
$2,364.71
|
|
|
Service Code
|
CPT 73719
|
| Hospital Charge Code |
61000031
|
|
Hospital Revenue Code
|
610
|
| Min. Negotiated Rate |
$1,442.24 |
| Max. Negotiated Rate |
$2,128.24 |
| Rate for Payer: Aetna Commercial |
$2,010.00
|
| Rate for Payer: Aetna Commercial |
$3,015.01
|
| Rate for Payer: BCBS Trust/PPO |
$2,741.18
|
| Rate for Payer: BCBS Trust/PPO |
$1,827.45
|
| Rate for Payer: BCN Commercial |
$2,741.18
|
| Rate for Payer: BCN Commercial |
$1,827.45
|
| Rate for Payer: Cash Price |
$1,891.77
|
| Rate for Payer: Cash Price |
$2,837.66
|
| Rate for Payer: Cofinity Commercial |
$2,033.65
|
| Rate for Payer: Cofinity Commercial |
$3,050.48
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,837.66
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,891.77
|
| Rate for Payer: Healthscope Commercial |
$2,128.24
|
| Rate for Payer: Healthscope Commercial |
$3,192.36
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,660.30
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,773.53
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$2,010.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$3,015.01
|
| Rate for Payer: PHP Commercial |
$2,010.00
|
| Rate for Payer: PHP Commercial |
$3,015.01
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,655.30
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,482.95
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$3,085.95
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,057.30
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,442.24
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,163.36
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$3,121.42
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,080.94
|
| Rate for Payer: UHC Core |
$1,974.53
|
| Rate for Payer: UHC Core |
$2,961.80
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,660.30
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,773.53
|
|
|
HC MR LOWER EXTREM NO JOINT WO CON
|
Facility
|
OP
|
$3,199.38
|
|
|
Service Code
|
CPT 73718
|
| Hospital Charge Code |
61000029
|
|
Hospital Revenue Code
|
610
|
| Min. Negotiated Rate |
$160.74 |
| Max. Negotiated Rate |
$2,879.44 |
| Rate for Payer: Aetna Commercial |
$2,719.47
|
| Rate for Payer: Aetna Commercial |
$1,812.98
|
| Rate for Payer: Aetna Medicare |
$831.84
|
| Rate for Payer: Aetna Medicare |
$554.56
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$999.81
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$666.54
|
| Rate for Payer: Amish Plain Church Group Commercial |
$999.81
|
| Rate for Payer: Amish Plain Church Group Commercial |
$666.54
|
| Rate for Payer: BCBS Complete |
$168.78
|
| Rate for Payer: BCBS Complete |
$168.78
|
| Rate for Payer: BCBS MAPPO |
$799.84
|
| Rate for Payer: BCBS MAPPO |
$533.23
|
| Rate for Payer: BCBS Trust/PPO |
$2,487.52
|
| Rate for Payer: BCBS Trust/PPO |
$1,658.35
|
| Rate for Payer: BCN Commercial |
$1,658.35
|
| Rate for Payer: BCN Commercial |
$2,487.52
|
| Rate for Payer: BCN Medicare Advantage |
$533.23
|
| Rate for Payer: BCN Medicare Advantage |
$799.84
|
| Rate for Payer: Cash Price |
$1,706.34
|
| Rate for Payer: Cash Price |
$2,559.50
|
| Rate for Payer: Cash Price |
$1,706.34
|
| Rate for Payer: Cash Price |
$2,559.50
|
| Rate for Payer: Cofinity Commercial |
$2,751.47
|
| Rate for Payer: Cofinity Commercial |
$1,834.31
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,706.34
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,559.50
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$533.23
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$799.84
|
| Rate for Payer: Healthscope Commercial |
$1,919.63
|
| Rate for Payer: Healthscope Commercial |
$2,879.44
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,599.69
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,399.54
|
| Rate for Payer: Mclaren Medicaid |
$160.74
|
| Rate for Payer: Mclaren Medicaid |
$160.74
|
| Rate for Payer: Meridian Medicaid |
$168.78
|
| Rate for Payer: Meridian Medicaid |
$168.78
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$839.84
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$559.89
|
| Rate for Payer: MI Amish Medical Board Commercial |
$613.21
|
| Rate for Payer: MI Amish Medical Board Commercial |
$919.82
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,812.98
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$2,719.47
|
| Rate for Payer: PACE Senior Care Partners |
$506.57
|
| Rate for Payer: PACE Senior Care Partners |
$759.85
|
| Rate for Payer: PACE SWMI |
$799.84
|
| Rate for Payer: PACE SWMI |
$533.23
|
| Rate for Payer: PHP Commercial |
$1,812.98
|
| Rate for Payer: PHP Commercial |
$2,719.47
|
| Rate for Payer: PHP Medicare Advantage |
$799.84
|
| Rate for Payer: PHP Medicare Advantage |
$533.23
|
| Rate for Payer: Priority Health Choice Medicaid |
$160.74
|
| Rate for Payer: Priority Health Choice Medicaid |
$160.74
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,493.04
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,239.57
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,855.64
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,783.46
|
| Rate for Payer: Priority Health Medicare |
$799.84
|
| Rate for Payer: Priority Health Medicare |
$533.23
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,951.30
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,300.87
|
| Rate for Payer: Railroad Medicare Medicare |
$799.84
|
| Rate for Payer: Railroad Medicare Medicare |
$533.23
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,815.45
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,876.97
|
| Rate for Payer: UHC Core |
$1,780.99
|
| Rate for Payer: UHC Core |
$2,671.48
|
| Rate for Payer: UHC Dual Complete DSNP |
$799.84
|
| Rate for Payer: UHC Dual Complete DSNP |
$533.23
|
| Rate for Payer: UHC Medicare Advantage |
$823.84
|
| Rate for Payer: UHC Medicare Advantage |
$549.23
|
| Rate for Payer: VA VA |
$533.23
|
| Rate for Payer: VA VA |
$799.84
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,599.69
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,399.54
|
|
|
HC MR LOWER EXTREM NO JOINT WO CON
|
Facility
|
IP
|
$2,132.92
|
|
|
Service Code
|
CPT 73718
|
| Hospital Charge Code |
61000029
|
|
Hospital Revenue Code
|
610
|
| Min. Negotiated Rate |
$1,300.87 |
| Max. Negotiated Rate |
$1,919.63 |
| Rate for Payer: Aetna Commercial |
$1,812.98
|
| Rate for Payer: Aetna Commercial |
$2,719.47
|
| Rate for Payer: BCBS Trust/PPO |
$1,648.32
|
| Rate for Payer: BCBS Trust/PPO |
$2,472.48
|
| Rate for Payer: BCN Commercial |
$2,472.48
|
| Rate for Payer: BCN Commercial |
$1,648.32
|
| Rate for Payer: Cash Price |
$2,559.50
|
| Rate for Payer: Cash Price |
$1,706.34
|
| Rate for Payer: Cofinity Commercial |
$1,834.31
|
| Rate for Payer: Cofinity Commercial |
$2,751.47
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,559.50
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,706.34
|
| Rate for Payer: Healthscope Commercial |
$1,919.63
|
| Rate for Payer: Healthscope Commercial |
$2,879.44
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,599.69
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,399.54
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$2,719.47
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,812.98
|
| Rate for Payer: PHP Commercial |
$2,719.47
|
| Rate for Payer: PHP Commercial |
$1,812.98
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,493.04
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,239.57
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,855.64
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,783.46
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,951.30
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,300.87
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,815.45
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,876.97
|
| Rate for Payer: UHC Core |
$1,780.99
|
| Rate for Payer: UHC Core |
$2,671.48
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,599.69
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,399.54
|
|
