|
HC HISTOPLASMA AB CONFIRMATION
|
Facility
|
IP
|
$26.01
|
|
|
Service Code
|
CPT 86698
|
| Hospital Charge Code |
30200288
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$18.10 |
| Max. Negotiated Rate |
$23.41 |
| Rate for Payer: Aetna Commercial |
$22.11
|
| Rate for Payer: BCBS Trust/PPO |
$21.48
|
| Rate for Payer: BCN Commercial |
$21.48
|
| Rate for Payer: Cash Price |
$20.81
|
| Rate for Payer: Cofinity Commercial |
$22.37
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$20.81
|
| Rate for Payer: Healthscope Commercial |
$23.41
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$19.51
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$22.11
|
| Rate for Payer: Nomi Health Commercial |
$21.33
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$19.51
|
| Rate for Payer: PHP Commercial |
$22.11
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$22.63
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$18.10
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$22.89
|
| Rate for Payer: UHC Core |
$21.72
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$19.51
|
|
|
HC HISTOPLASMA AB CONFIRMATION
|
Facility
|
OP
|
$26.01
|
|
|
Service Code
|
CPT 86698
|
| Hospital Charge Code |
30200288
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$4.59 |
| Max. Negotiated Rate |
$23.41 |
| Rate for Payer: Aetna Commercial |
$22.11
|
| Rate for Payer: Aetna Medicare |
$6.76
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$8.13
|
| Rate for Payer: Amish Plain Church Group Commercial |
$8.13
|
| Rate for Payer: BCBS Complete |
$4.81
|
| Rate for Payer: BCBS MAPPO |
$6.50
|
| Rate for Payer: BCBS Trust/PPO |
$21.38
|
| Rate for Payer: BCN Commercial |
$21.38
|
| Rate for Payer: BCN Medicare Advantage |
$6.50
|
| Rate for Payer: Cash Price |
$20.81
|
| Rate for Payer: Cofinity Commercial |
$22.37
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$20.81
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$6.50
|
| Rate for Payer: Healthscope Commercial |
$23.41
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$19.51
|
| Rate for Payer: Mclaren Medicaid |
$4.59
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$6.83
|
| Rate for Payer: Meridian Medicaid |
$4.81
|
| Rate for Payer: MI Amish Medical Board Commercial |
$7.48
|
| Rate for Payer: Molina Medicare/Medicaid |
$7.15
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$22.11
|
| Rate for Payer: Nomi Health Commercial |
$21.33
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$19.51
|
| Rate for Payer: PACE Senior Care Partners |
$6.18
|
| Rate for Payer: PACE SWMI |
$6.50
|
| Rate for Payer: PHP Commercial |
$22.11
|
| Rate for Payer: PHP Medicare Advantage |
$6.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$4.59
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$22.63
|
| Rate for Payer: Priority Health Medicare |
$6.57
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$18.10
|
| Rate for Payer: Railroad Medicare Medicare |
$6.50
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$22.89
|
| Rate for Payer: UHC Core |
$21.72
|
| Rate for Payer: UHC Exchange |
$6.50
|
| Rate for Payer: UHC Medicaid |
$4.59
|
| Rate for Payer: UHC Medicare Advantage |
$6.50
|
| Rate for Payer: UHCCP Medicaid |
$4.59
|
| Rate for Payer: VA VA |
$6.50
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$19.51
|
|
|
HC HISTOPLASMA AG CONFIRM
|
Facility
|
IP
|
$139.41
|
|
|
Service Code
|
CPT 87385
|
| Hospital Charge Code |
30600257
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$97.03 |
| Max. Negotiated Rate |
$125.47 |
| Rate for Payer: Aetna Commercial |
$118.50
|
| Rate for Payer: BCBS Trust/PPO |
$115.14
|
| Rate for Payer: BCN Commercial |
$115.14
|
| Rate for Payer: Cash Price |
$111.53
|
| Rate for Payer: Cofinity Commercial |
$119.89
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$111.53
|
| Rate for Payer: Healthscope Commercial |
$125.47
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$104.56
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$118.50
|
| Rate for Payer: Nomi Health Commercial |
$114.32
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$104.56
|
| Rate for Payer: PHP Commercial |
$118.50
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$121.29
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$97.03
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$122.68
|
| Rate for Payer: UHC Core |
$116.41
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$104.56
|
|
|
HC HISTOPLASMA AG CONFIRM
|
Facility
|
OP
|
$139.41
|
|
|
Service Code
|
CPT 87385
|
| Hospital Charge Code |
30600257
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$24.58 |
| Max. Negotiated Rate |
$125.47 |
| Rate for Payer: Aetna Commercial |
$118.50
|
| Rate for Payer: Aetna Medicare |
$36.25
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$43.57
|
| Rate for Payer: Amish Plain Church Group Commercial |
$43.57
|
| Rate for Payer: BCBS Complete |
$25.80
|
| Rate for Payer: BCBS MAPPO |
$34.85
|
| Rate for Payer: BCBS Trust/PPO |
$114.61
|
| Rate for Payer: BCN Commercial |
$114.61
|
| Rate for Payer: BCN Medicare Advantage |
$34.85
|
| Rate for Payer: Cash Price |
$111.53
|
| Rate for Payer: Cofinity Commercial |
$119.89
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$111.53
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$34.85
|
| Rate for Payer: Healthscope Commercial |
$125.47
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$104.56
|
| Rate for Payer: Mclaren Medicaid |
$24.58
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$36.60
|
| Rate for Payer: Meridian Medicaid |
$25.80
|
| Rate for Payer: MI Amish Medical Board Commercial |
$40.08
|
| Rate for Payer: Molina Medicare/Medicaid |
$38.34
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$118.50
|
| Rate for Payer: Nomi Health Commercial |
$114.32
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$104.56
|
| Rate for Payer: PACE Senior Care Partners |
$33.11
|
| Rate for Payer: PACE SWMI |
$34.85
|
| Rate for Payer: PHP Commercial |
$118.50
|
| Rate for Payer: PHP Medicare Advantage |
$34.85
|
| Rate for Payer: Priority Health Choice Medicaid |
$24.58
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$121.29
|
| Rate for Payer: Priority Health Medicare |
$35.20
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$97.03
|
| Rate for Payer: Railroad Medicare Medicare |
$34.85
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$122.68
|
| Rate for Payer: UHC Core |
$116.41
|
| Rate for Payer: UHC Exchange |
$34.85
|
| Rate for Payer: UHC Medicaid |
$24.58
|
| Rate for Payer: UHC Medicare Advantage |
$34.85
|
| Rate for Payer: UHCCP Medicaid |
$24.58
|
| Rate for Payer: VA VA |
$34.85
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$104.56
|
|
|
HC HISTOPLASMA ANTIGEN BLOOD
|
Facility
|
OP
|
$139.41
|
|
|
Service Code
|
CPT 87385
|
| Hospital Charge Code |
30600143
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$24.58 |
| Max. Negotiated Rate |
$125.47 |
| Rate for Payer: Aetna Commercial |
$118.50
|
| Rate for Payer: Aetna Medicare |
$36.25
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$43.57
|
| Rate for Payer: Amish Plain Church Group Commercial |
$43.57
|
| Rate for Payer: BCBS Complete |
$25.80
|
| Rate for Payer: BCBS MAPPO |
$34.85
|
| Rate for Payer: BCBS Trust/PPO |
$114.61
|
| Rate for Payer: BCN Commercial |
$114.61
|
| Rate for Payer: BCN Medicare Advantage |
$34.85
|
| Rate for Payer: Cash Price |
$111.53
|
| Rate for Payer: Cofinity Commercial |
$119.89
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$111.53
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$34.85
|
| Rate for Payer: Healthscope Commercial |
$125.47
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$104.56
|
| Rate for Payer: Mclaren Medicaid |
$24.58
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$36.60
|
| Rate for Payer: Meridian Medicaid |
$25.80
|
| Rate for Payer: MI Amish Medical Board Commercial |
$40.08
|
| Rate for Payer: Molina Medicare/Medicaid |
$38.34
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$118.50
|
| Rate for Payer: Nomi Health Commercial |
$114.32
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$104.56
|
| Rate for Payer: PACE Senior Care Partners |
$33.11
|
| Rate for Payer: PACE SWMI |
$34.85
|
| Rate for Payer: PHP Commercial |
$118.50
|
| Rate for Payer: PHP Medicare Advantage |
$34.85
|
| Rate for Payer: Priority Health Choice Medicaid |
$24.58
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$121.29
|
| Rate for Payer: Priority Health Medicare |
$35.20
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$97.03
|
| Rate for Payer: Railroad Medicare Medicare |
$34.85
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$122.68
|
| Rate for Payer: UHC Core |
$116.41
|
| Rate for Payer: UHC Exchange |
$34.85
|
| Rate for Payer: UHC Medicaid |
$24.58
|
| Rate for Payer: UHC Medicare Advantage |
$34.85
|
| Rate for Payer: UHCCP Medicaid |
$24.58
|
| Rate for Payer: VA VA |
$34.85
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$104.56
|
|
|
HC HISTOPLASMA ANTIGEN BLOOD
|
Facility
|
IP
|
$139.41
|
|
|
Service Code
|
CPT 87385
|
| Hospital Charge Code |
30600143
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$97.03 |
| Max. Negotiated Rate |
$125.47 |
| Rate for Payer: Aetna Commercial |
$118.50
|
| Rate for Payer: BCBS Trust/PPO |
$115.14
|
| Rate for Payer: BCN Commercial |
$115.14
|
| Rate for Payer: Cash Price |
$111.53
|
| Rate for Payer: Cofinity Commercial |
$119.89
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$111.53
|
| Rate for Payer: Healthscope Commercial |
$125.47
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$104.56
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$118.50
|
| Rate for Payer: Nomi Health Commercial |
$114.32
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$104.56
|
| Rate for Payer: PHP Commercial |
$118.50
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$121.29
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$97.03
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$122.68
|
| Rate for Payer: UHC Core |
$116.41
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$104.56
|
|
|
HC HISTOPLASMA ANTIGEN URINE
|
Facility
|
IP
|
$139.41
|
|
|
Service Code
|
CPT 87385
|
| Hospital Charge Code |
30600144
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$97.03 |
| Max. Negotiated Rate |
$125.47 |
| Rate for Payer: Aetna Commercial |
$118.50
|
| Rate for Payer: BCBS Trust/PPO |
$115.14
|
| Rate for Payer: BCN Commercial |
$115.14
|
| Rate for Payer: Cash Price |
$111.53
|
| Rate for Payer: Cofinity Commercial |
$119.89
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$111.53
|
| Rate for Payer: Healthscope Commercial |
$125.47
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$104.56
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$118.50
|
| Rate for Payer: Nomi Health Commercial |
$114.32
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$104.56
|
| Rate for Payer: PHP Commercial |
$118.50
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$121.29
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$97.03
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$122.68
|
| Rate for Payer: UHC Core |
$116.41
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$104.56
|
|
|
HC HISTOPLASMA ANTIGEN URINE
|
Facility
|
OP
|
$139.41
|
|
|
Service Code
|
CPT 87385
|
| Hospital Charge Code |
30600144
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$24.58 |
| Max. Negotiated Rate |
$125.47 |
| Rate for Payer: Aetna Commercial |
$118.50
|
| Rate for Payer: Aetna Medicare |
$36.25
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$43.57
|
| Rate for Payer: Amish Plain Church Group Commercial |
$43.57
|
| Rate for Payer: BCBS Complete |
$25.80
|
| Rate for Payer: BCBS MAPPO |
$34.85
|
| Rate for Payer: BCBS Trust/PPO |
$114.61
|
| Rate for Payer: BCN Commercial |
$114.61
|
| Rate for Payer: BCN Medicare Advantage |
$34.85
|
| Rate for Payer: Cash Price |
$111.53
|
| Rate for Payer: Cofinity Commercial |
$119.89
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$111.53
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$34.85
|
| Rate for Payer: Healthscope Commercial |
$125.47
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$104.56
|
| Rate for Payer: Mclaren Medicaid |
$24.58
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$36.60
|
| Rate for Payer: Meridian Medicaid |
$25.80
|
| Rate for Payer: MI Amish Medical Board Commercial |
$40.08
|
| Rate for Payer: Molina Medicare/Medicaid |
$38.34
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$118.50
|
| Rate for Payer: Nomi Health Commercial |
$114.32
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$104.56
|
| Rate for Payer: PACE Senior Care Partners |
$33.11
|
| Rate for Payer: PACE SWMI |
$34.85
|
| Rate for Payer: PHP Commercial |
$118.50
|
| Rate for Payer: PHP Medicare Advantage |
$34.85
|
| Rate for Payer: Priority Health Choice Medicaid |
$24.58
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$121.29
|
| Rate for Payer: Priority Health Medicare |
$35.20
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$97.03
|
| Rate for Payer: Railroad Medicare Medicare |
$34.85
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$122.68
|
| Rate for Payer: UHC Core |
$116.41
|
| Rate for Payer: UHC Exchange |
$34.85
|
| Rate for Payer: UHC Medicaid |
$24.58
|
| Rate for Payer: UHC Medicare Advantage |
$34.85
|
| Rate for Payer: UHCCP Medicaid |
$24.58
|
| Rate for Payer: VA VA |
$34.85
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$104.56
|
|
|
HC HIT ASSAY
|
Facility
|
IP
|
$180.41
|
|
|
Service Code
|
CPT 86022
|
| Hospital Charge Code |
30200411
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$125.57 |
| Max. Negotiated Rate |
$162.37 |
| Rate for Payer: Aetna Commercial |
$153.35
|
| Rate for Payer: BCBS Trust/PPO |
$149.00
|
| Rate for Payer: BCN Commercial |
$149.00
|
| Rate for Payer: Cash Price |
$144.33
|
| Rate for Payer: Cofinity Commercial |
$155.15
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$144.33
|
| Rate for Payer: Healthscope Commercial |
$162.37
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$135.31
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$153.35
|
| Rate for Payer: Nomi Health Commercial |
$147.94
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$135.31
|
| Rate for Payer: PHP Commercial |
$153.35
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$156.96
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$125.57
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$158.76
|
| Rate for Payer: UHC Core |
$150.64
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$135.31
|
|
|
HC HIT ASSAY
|
Facility
|
OP
|
$180.41
|
|
|
Service Code
|
CPT 86022
|
| Hospital Charge Code |
30200411
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$31.81 |
| Max. Negotiated Rate |
$162.37 |
| Rate for Payer: Aetna Commercial |
$153.35
|
| Rate for Payer: Aetna Medicare |
$46.91
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$56.38
|
| Rate for Payer: Amish Plain Church Group Commercial |
$56.38
|
| Rate for Payer: BCBS Complete |
$33.39
|
| Rate for Payer: BCBS MAPPO |
$45.10
|
| Rate for Payer: BCBS Trust/PPO |
$148.32
|
| Rate for Payer: BCN Commercial |
$148.32
|
| Rate for Payer: BCN Medicare Advantage |
$45.10
|
| Rate for Payer: Cash Price |
$144.33
|
| Rate for Payer: Cofinity Commercial |
$155.15
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$144.33
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$45.10
|
| Rate for Payer: Healthscope Commercial |
$162.37
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$135.31
|
| Rate for Payer: Mclaren Medicaid |
$31.81
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$47.36
|
| Rate for Payer: Meridian Medicaid |
$33.39
|
| Rate for Payer: MI Amish Medical Board Commercial |
$51.87
|
| Rate for Payer: Molina Medicare/Medicaid |
$49.61
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$153.35
|
| Rate for Payer: Nomi Health Commercial |
$147.94
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$135.31
|
| Rate for Payer: PACE Senior Care Partners |
$42.85
|
| Rate for Payer: PACE SWMI |
$45.10
|
| Rate for Payer: PHP Commercial |
$153.35
|
| Rate for Payer: PHP Medicare Advantage |
$45.10
|
| Rate for Payer: Priority Health Choice Medicaid |
$31.81
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$156.96
|
| Rate for Payer: Priority Health Medicare |
$45.55
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$125.57
|
| Rate for Payer: Railroad Medicare Medicare |
$45.10
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$158.76
|
| Rate for Payer: UHC Core |
$150.64
|
| Rate for Payer: UHC Exchange |
$45.10
|
| Rate for Payer: UHC Medicaid |
$31.81
|
| Rate for Payer: UHC Medicare Advantage |
$45.10
|
| Rate for Payer: UHCCP Medicaid |
$31.81
|
| Rate for Payer: VA VA |
$45.10
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$135.31
|
|
|
HC HIV 1,2 AB AND AG COMBO
|
Facility
|
OP
|
$50.94
|
|
|
Service Code
|
CPT 87389
|
| Hospital Charge Code |
30600261
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$8.98 |
| Max. Negotiated Rate |
$45.85 |
| Rate for Payer: Aetna Commercial |
$43.30
|
| Rate for Payer: Aetna Medicare |
$13.24
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$15.92
|
| Rate for Payer: Amish Plain Church Group Commercial |
$15.92
|
| Rate for Payer: BCBS Complete |
$9.43
|
| Rate for Payer: BCBS MAPPO |
$12.73
|
| Rate for Payer: BCBS Trust/PPO |
$41.88
|
| Rate for Payer: BCN Commercial |
$41.88
|
| Rate for Payer: BCN Medicare Advantage |
$12.73
|
| Rate for Payer: Cash Price |
$40.75
|
| Rate for Payer: Cofinity Commercial |
$43.81
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$40.75
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$12.73
|
| Rate for Payer: Healthscope Commercial |
$45.85
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$38.20
|
| Rate for Payer: Mclaren Medicaid |
$8.98
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$13.37
|
| Rate for Payer: Meridian Medicaid |
$9.43
|
| Rate for Payer: MI Amish Medical Board Commercial |
$14.65
|
| Rate for Payer: Molina Medicare/Medicaid |
$14.01
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$43.30
|
| Rate for Payer: Nomi Health Commercial |
$41.77
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$38.20
|
| Rate for Payer: PACE Senior Care Partners |
$12.10
|
| Rate for Payer: PACE SWMI |
$12.73
|
| Rate for Payer: PHP Commercial |
$43.30
|
| Rate for Payer: PHP Medicare Advantage |
$12.73
|
| Rate for Payer: Priority Health Choice Medicaid |
$8.98
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$44.32
|
| Rate for Payer: Priority Health Medicare |
$12.86
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$35.45
|
| Rate for Payer: Railroad Medicare Medicare |
$12.73
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$44.83
|
| Rate for Payer: UHC Core |
$42.53
|
| Rate for Payer: UHC Exchange |
$12.73
|
| Rate for Payer: UHC Medicaid |
$8.98
|
| Rate for Payer: UHC Medicare Advantage |
$12.73
|
| Rate for Payer: UHCCP Medicaid |
$8.98
|
| Rate for Payer: VA VA |
$12.73
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$38.20
|
|
|
HC HIV 1,2 AB AND AG COMBO
|
Facility
|
IP
|
$50.94
|
|
|
Service Code
|
CPT 87389
|
| Hospital Charge Code |
30600261
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$35.45 |
| Max. Negotiated Rate |
$45.85 |
| Rate for Payer: Aetna Commercial |
$43.30
|
| Rate for Payer: BCBS Trust/PPO |
$42.07
|
| Rate for Payer: BCN Commercial |
$42.07
|
| Rate for Payer: Cash Price |
$40.75
|
| Rate for Payer: Cofinity Commercial |
$43.81
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$40.75
|
| Rate for Payer: Healthscope Commercial |
$45.85
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$38.20
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$43.30
|
| Rate for Payer: Nomi Health Commercial |
$41.77
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$38.20
|
| Rate for Payer: PHP Commercial |
$43.30
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$44.32
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$35.45
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$44.83
|
| Rate for Payer: UHC Core |
$42.53
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$38.20
|
|
|
HC HIV 1/2 AB DIFF HIV1
|
Facility
|
IP
|
$78.03
|
|
|
Service Code
|
CPT 86701
|
| Hospital Charge Code |
30200381
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$54.31 |
| Max. Negotiated Rate |
$70.23 |
| Rate for Payer: Aetna Commercial |
$66.33
|
| Rate for Payer: BCBS Trust/PPO |
$64.44
|
| Rate for Payer: BCN Commercial |
$64.44
|
| Rate for Payer: Cash Price |
$62.42
|
| Rate for Payer: Cofinity Commercial |
$67.11
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$62.42
|
| Rate for Payer: Healthscope Commercial |
$70.23
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$58.52
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$66.33
|
| Rate for Payer: Nomi Health Commercial |
$63.98
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$58.52
|
| Rate for Payer: PHP Commercial |
$66.33
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$67.89
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$54.31
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$68.67
|
| Rate for Payer: UHC Core |
$65.16
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$58.52
|
|
|
HC HIV 1/2 AB DIFF HIV1
|
Facility
|
OP
|
$78.03
|
|
|
Service Code
|
CPT 86701
|
| Hospital Charge Code |
30200381
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$13.76 |
| Max. Negotiated Rate |
$70.23 |
| Rate for Payer: Aetna Commercial |
$66.33
|
| Rate for Payer: Aetna Medicare |
$20.29
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$24.38
|
| Rate for Payer: Amish Plain Church Group Commercial |
$24.38
|
| Rate for Payer: BCBS Complete |
$14.44
|
| Rate for Payer: BCBS MAPPO |
$19.51
|
| Rate for Payer: BCBS Trust/PPO |
$64.15
|
| Rate for Payer: BCN Commercial |
$64.15
|
| Rate for Payer: BCN Medicare Advantage |
$19.51
|
| Rate for Payer: Cash Price |
$62.42
|
| Rate for Payer: Cofinity Commercial |
$67.11
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$62.42
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$19.51
|
| Rate for Payer: Healthscope Commercial |
$70.23
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$58.52
|
| Rate for Payer: Mclaren Medicaid |
$13.76
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$20.48
|
| Rate for Payer: Meridian Medicaid |
$14.44
|
| Rate for Payer: MI Amish Medical Board Commercial |
$22.43
|
| Rate for Payer: Molina Medicare/Medicaid |
$21.46
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$66.33
|
| Rate for Payer: Nomi Health Commercial |
$63.98
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$58.52
|
| Rate for Payer: PACE Senior Care Partners |
$18.53
|
| Rate for Payer: PACE SWMI |
$19.51
|
| Rate for Payer: PHP Commercial |
$66.33
|
| Rate for Payer: PHP Medicare Advantage |
$19.51
|
| Rate for Payer: Priority Health Choice Medicaid |
$13.76
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$67.89
|
| Rate for Payer: Priority Health Medicare |
$19.70
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$54.31
|
| Rate for Payer: Railroad Medicare Medicare |
$19.51
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$68.67
|
| Rate for Payer: UHC Core |
$65.16
|
| Rate for Payer: UHC Exchange |
$19.51
|
| Rate for Payer: UHC Medicaid |
$13.76
|
| Rate for Payer: UHC Medicare Advantage |
$19.51
|
| Rate for Payer: UHCCP Medicaid |
$13.76
|
| Rate for Payer: VA VA |
$19.51
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$58.52
|
|
|
HC HIV 1/2 AB DIFF HIV2
|
Facility
|
IP
|
$78.03
|
|
|
Service Code
|
CPT 86702
|
| Hospital Charge Code |
30200382
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$54.31 |
| Max. Negotiated Rate |
$70.23 |
| Rate for Payer: Aetna Commercial |
$66.33
|
| Rate for Payer: BCBS Trust/PPO |
$64.44
|
| Rate for Payer: BCN Commercial |
$64.44
|
| Rate for Payer: Cash Price |
$62.42
|
| Rate for Payer: Cofinity Commercial |
$67.11
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$62.42
|
| Rate for Payer: Healthscope Commercial |
$70.23
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$58.52
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$66.33
|
| Rate for Payer: Nomi Health Commercial |
$63.98
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$58.52
|
| Rate for Payer: PHP Commercial |
$66.33
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$67.89
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$54.31
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$68.67
|
| Rate for Payer: UHC Core |
$65.16
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$58.52
|
|
|
HC HIV 1/2 AB DIFF HIV2
|
Facility
|
OP
|
$78.03
|
|
|
Service Code
|
CPT 86702
|
| Hospital Charge Code |
30200382
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$13.76 |
| Max. Negotiated Rate |
$70.23 |
| Rate for Payer: Aetna Commercial |
$66.33
|
| Rate for Payer: Aetna Medicare |
$20.29
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$24.38
|
| Rate for Payer: Amish Plain Church Group Commercial |
$24.38
|
| Rate for Payer: BCBS Complete |
$14.44
|
| Rate for Payer: BCBS MAPPO |
$19.51
|
| Rate for Payer: BCBS Trust/PPO |
$64.15
|
| Rate for Payer: BCN Commercial |
$64.15
|
| Rate for Payer: BCN Medicare Advantage |
$19.51
|
| Rate for Payer: Cash Price |
$62.42
|
| Rate for Payer: Cofinity Commercial |
$67.11
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$62.42
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$19.51
|
| Rate for Payer: Healthscope Commercial |
$70.23
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$58.52
|
| Rate for Payer: Mclaren Medicaid |
$13.76
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$20.48
|
| Rate for Payer: Meridian Medicaid |
$14.44
|
| Rate for Payer: MI Amish Medical Board Commercial |
$22.43
|
| Rate for Payer: Molina Medicare/Medicaid |
$21.46
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$66.33
|
| Rate for Payer: Nomi Health Commercial |
$63.98
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$58.52
|
| Rate for Payer: PACE Senior Care Partners |
$18.53
|
| Rate for Payer: PACE SWMI |
$19.51
|
| Rate for Payer: PHP Commercial |
$66.33
|
| Rate for Payer: PHP Medicare Advantage |
$19.51
|
| Rate for Payer: Priority Health Choice Medicaid |
$13.76
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$67.89
|
| Rate for Payer: Priority Health Medicare |
$19.70
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$54.31
|
| Rate for Payer: Railroad Medicare Medicare |
$19.51
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$68.67
|
| Rate for Payer: UHC Core |
$65.16
|
| Rate for Payer: UHC Exchange |
$19.51
|
| Rate for Payer: UHC Medicaid |
$13.76
|
| Rate for Payer: UHC Medicare Advantage |
$19.51
|
| Rate for Payer: UHCCP Medicaid |
$13.76
|
| Rate for Payer: VA VA |
$19.51
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$58.52
|
|
|
HC HIV 1 ANTIGEN
|
Facility
|
OP
|
$43.40
|
|
|
Service Code
|
CPT 87899
|
| Hospital Charge Code |
30600214
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$7.65 |
| Max. Negotiated Rate |
$39.06 |
| Rate for Payer: Aetna Commercial |
$36.89
|
| Rate for Payer: Aetna Medicare |
$11.28
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$13.56
|
| Rate for Payer: Amish Plain Church Group Commercial |
$13.56
|
| Rate for Payer: BCBS Complete |
$8.03
|
| Rate for Payer: BCBS MAPPO |
$10.85
|
| Rate for Payer: BCBS Trust/PPO |
$35.68
|
| Rate for Payer: BCN Commercial |
$35.68
|
| Rate for Payer: BCN Medicare Advantage |
$10.85
|
| Rate for Payer: Cash Price |
$34.72
|
| Rate for Payer: Cofinity Commercial |
$37.32
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$34.72
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$10.85
|
| Rate for Payer: Healthscope Commercial |
$39.06
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$32.55
|
| Rate for Payer: Mclaren Medicaid |
$7.65
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$11.39
|
| Rate for Payer: Meridian Medicaid |
$8.03
|
| Rate for Payer: MI Amish Medical Board Commercial |
$12.48
|
| Rate for Payer: Molina Medicare/Medicaid |
$11.94
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$36.89
|
| Rate for Payer: Nomi Health Commercial |
$35.59
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$32.55
|
| Rate for Payer: PACE Senior Care Partners |
$10.31
|
| Rate for Payer: PACE SWMI |
$10.85
|
| Rate for Payer: PHP Commercial |
$36.89
|
| Rate for Payer: PHP Medicare Advantage |
$10.85
|
| Rate for Payer: Priority Health Choice Medicaid |
$7.65
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$37.76
|
| Rate for Payer: Priority Health Medicare |
$10.96
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$30.21
|
| Rate for Payer: Railroad Medicare Medicare |
$10.85
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$38.19
|
| Rate for Payer: UHC Core |
$36.24
|
| Rate for Payer: UHC Exchange |
$10.85
|
| Rate for Payer: UHC Medicaid |
$7.65
|
| Rate for Payer: UHC Medicare Advantage |
$10.85
|
| Rate for Payer: UHCCP Medicaid |
$7.65
|
| Rate for Payer: VA VA |
$10.85
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$32.55
|
|
|
HC HIV 1 ANTIGEN
|
Facility
|
IP
|
$43.40
|
|
|
Service Code
|
CPT 87899
|
| Hospital Charge Code |
30600214
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$30.21 |
| Max. Negotiated Rate |
$39.06 |
| Rate for Payer: Aetna Commercial |
$36.89
|
| Rate for Payer: BCBS Trust/PPO |
$35.84
|
| Rate for Payer: BCN Commercial |
$35.84
|
| Rate for Payer: Cash Price |
$34.72
|
| Rate for Payer: Cofinity Commercial |
$37.32
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$34.72
|
| Rate for Payer: Healthscope Commercial |
$39.06
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$32.55
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$36.89
|
| Rate for Payer: Nomi Health Commercial |
$35.59
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$32.55
|
| Rate for Payer: PHP Commercial |
$36.89
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$37.76
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$30.21
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$38.19
|
| Rate for Payer: UHC Core |
$36.24
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$32.55
|
|
|
HC HIV 1 GENOTYPE
|
Facility
|
IP
|
$460.87
|
|
|
Service Code
|
CPT 87901
|
| Hospital Charge Code |
30600178
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$320.77 |
| Max. Negotiated Rate |
$414.78 |
| Rate for Payer: Aetna Commercial |
$391.74
|
| Rate for Payer: BCBS Trust/PPO |
$380.63
|
| Rate for Payer: BCN Commercial |
$380.63
|
| Rate for Payer: Cash Price |
$368.70
|
| Rate for Payer: Cofinity Commercial |
$396.35
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$368.70
|
| Rate for Payer: Healthscope Commercial |
$414.78
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$345.65
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$391.74
|
| Rate for Payer: Nomi Health Commercial |
$377.91
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$345.65
|
| Rate for Payer: PHP Commercial |
$391.74
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$400.96
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$320.77
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$405.57
|
| Rate for Payer: UHC Core |
$384.83
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$345.65
|
|
|
HC HIV 1 GENOTYPE
|
Facility
|
OP
|
$460.87
|
|
|
Service Code
|
CPT 87901
|
| Hospital Charge Code |
30600178
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$81.25 |
| Max. Negotiated Rate |
$414.78 |
| Rate for Payer: Aetna Commercial |
$391.74
|
| Rate for Payer: Aetna Medicare |
$119.83
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$144.02
|
| Rate for Payer: Amish Plain Church Group Commercial |
$144.02
|
| Rate for Payer: BCBS Complete |
$85.31
|
| Rate for Payer: BCBS MAPPO |
$115.22
|
| Rate for Payer: BCBS Trust/PPO |
$378.88
|
| Rate for Payer: BCN Commercial |
$378.88
|
| Rate for Payer: BCN Medicare Advantage |
$115.22
|
| Rate for Payer: Cash Price |
$368.70
|
| Rate for Payer: Cofinity Commercial |
$396.35
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$368.70
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$115.22
|
| Rate for Payer: Healthscope Commercial |
$414.78
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$345.65
|
| Rate for Payer: Mclaren Medicaid |
$81.25
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$120.98
|
| Rate for Payer: Meridian Medicaid |
$85.31
|
| Rate for Payer: MI Amish Medical Board Commercial |
$132.50
|
| Rate for Payer: Molina Medicare/Medicaid |
$126.74
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$391.74
|
| Rate for Payer: Nomi Health Commercial |
$377.91
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$345.65
|
| Rate for Payer: PACE Senior Care Partners |
$109.46
|
| Rate for Payer: PACE SWMI |
$115.22
|
| Rate for Payer: PHP Commercial |
$391.74
|
| Rate for Payer: PHP Medicare Advantage |
$115.22
|
| Rate for Payer: Priority Health Choice Medicaid |
$81.25
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$400.96
|
| Rate for Payer: Priority Health Medicare |
$116.37
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$320.77
|
| Rate for Payer: Railroad Medicare Medicare |
$115.22
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$405.57
|
| Rate for Payer: UHC Core |
$384.83
|
| Rate for Payer: UHC Exchange |
$115.22
|
| Rate for Payer: UHC Medicaid |
$81.25
|
| Rate for Payer: UHC Medicare Advantage |
$115.22
|
| Rate for Payer: UHCCP Medicaid |
$81.25
|
| Rate for Payer: VA VA |
$115.22
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$345.65
|
|
|
HC HIV 2 AB CONFIRMATION
|
Facility
|
IP
|
$88.43
|
|
|
Service Code
|
CPT 86689
|
| Hospital Charge Code |
30200383
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$61.55 |
| Max. Negotiated Rate |
$79.59 |
| Rate for Payer: Aetna Commercial |
$75.17
|
| Rate for Payer: BCBS Trust/PPO |
$73.03
|
| Rate for Payer: BCN Commercial |
$73.03
|
| Rate for Payer: Cash Price |
$70.74
|
| Rate for Payer: Cofinity Commercial |
$76.05
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$70.74
|
| Rate for Payer: Healthscope Commercial |
$79.59
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$66.32
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$75.17
|
| Rate for Payer: Nomi Health Commercial |
$72.51
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$66.32
|
| Rate for Payer: PHP Commercial |
$75.17
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$76.93
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$61.55
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$77.82
|
| Rate for Payer: UHC Core |
$73.84
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$66.32
|
|
|
HC HIV 2 AB CONFIRMATION
|
Facility
|
OP
|
$88.43
|
|
|
Service Code
|
CPT 86689
|
| Hospital Charge Code |
30200383
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$15.59 |
| Max. Negotiated Rate |
$79.59 |
| Rate for Payer: Aetna Commercial |
$75.17
|
| Rate for Payer: Aetna Medicare |
$22.99
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$27.63
|
| Rate for Payer: Amish Plain Church Group Commercial |
$27.63
|
| Rate for Payer: BCBS Complete |
$16.37
|
| Rate for Payer: BCBS MAPPO |
$22.11
|
| Rate for Payer: BCBS Trust/PPO |
$72.70
|
| Rate for Payer: BCN Commercial |
$72.70
|
| Rate for Payer: BCN Medicare Advantage |
$22.11
|
| Rate for Payer: Cash Price |
$70.74
|
| Rate for Payer: Cofinity Commercial |
$76.05
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$70.74
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$22.11
|
| Rate for Payer: Healthscope Commercial |
$79.59
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$66.32
|
| Rate for Payer: Mclaren Medicaid |
$15.59
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$23.21
|
| Rate for Payer: Meridian Medicaid |
$16.37
|
| Rate for Payer: MI Amish Medical Board Commercial |
$25.42
|
| Rate for Payer: Molina Medicare/Medicaid |
$24.32
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$75.17
|
| Rate for Payer: Nomi Health Commercial |
$72.51
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$66.32
|
| Rate for Payer: PACE Senior Care Partners |
$21.00
|
| Rate for Payer: PACE SWMI |
$22.11
|
| Rate for Payer: PHP Commercial |
$75.17
|
| Rate for Payer: PHP Medicare Advantage |
$22.11
|
| Rate for Payer: Priority Health Choice Medicaid |
$15.59
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$76.93
|
| Rate for Payer: Priority Health Medicare |
$22.33
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$61.55
|
| Rate for Payer: Railroad Medicare Medicare |
$22.11
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$77.82
|
| Rate for Payer: UHC Core |
$73.84
|
| Rate for Payer: UHC Exchange |
$22.11
|
| Rate for Payer: UHC Medicaid |
$15.59
|
| Rate for Payer: UHC Medicare Advantage |
$22.11
|
| Rate for Payer: UHCCP Medicaid |
$15.59
|
| Rate for Payer: VA VA |
$22.11
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$66.32
|
|
|
HC HIV ANTIBODY
|
Facility
|
IP
|
$49.94
|
|
|
Service Code
|
CPT 86703
|
| Hospital Charge Code |
30200292
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$34.76 |
| Max. Negotiated Rate |
$44.95 |
| Rate for Payer: Aetna Commercial |
$42.45
|
| Rate for Payer: BCBS Trust/PPO |
$41.25
|
| Rate for Payer: BCN Commercial |
$41.25
|
| Rate for Payer: Cash Price |
$39.95
|
| Rate for Payer: Cofinity Commercial |
$42.95
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$39.95
|
| Rate for Payer: Healthscope Commercial |
$44.95
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$37.45
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$42.45
|
| Rate for Payer: Nomi Health Commercial |
$40.95
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$37.45
|
| Rate for Payer: PHP Commercial |
$42.45
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$43.45
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$34.76
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$43.95
|
| Rate for Payer: UHC Core |
$41.70
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$37.45
|
|
|
HC HIV ANTIBODY
|
Facility
|
OP
|
$49.94
|
|
|
Service Code
|
CPT 86703
|
| Hospital Charge Code |
30200292
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$8.80 |
| Max. Negotiated Rate |
$44.95 |
| Rate for Payer: Aetna Commercial |
$42.45
|
| Rate for Payer: Aetna Medicare |
$12.98
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$15.61
|
| Rate for Payer: Amish Plain Church Group Commercial |
$15.61
|
| Rate for Payer: BCBS Complete |
$9.24
|
| Rate for Payer: BCBS MAPPO |
$12.48
|
| Rate for Payer: BCBS Trust/PPO |
$41.06
|
| Rate for Payer: BCN Commercial |
$41.06
|
| Rate for Payer: BCN Medicare Advantage |
$12.48
|
| Rate for Payer: Cash Price |
$39.95
|
| Rate for Payer: Cofinity Commercial |
$42.95
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$39.95
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$12.48
|
| Rate for Payer: Healthscope Commercial |
$44.95
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$37.45
|
| Rate for Payer: Mclaren Medicaid |
$8.80
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$13.11
|
| Rate for Payer: Meridian Medicaid |
$9.24
|
| Rate for Payer: MI Amish Medical Board Commercial |
$14.36
|
| Rate for Payer: Molina Medicare/Medicaid |
$13.73
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$42.45
|
| Rate for Payer: Nomi Health Commercial |
$40.95
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$37.45
|
| Rate for Payer: PACE Senior Care Partners |
$11.86
|
| Rate for Payer: PACE SWMI |
$12.48
|
| Rate for Payer: PHP Commercial |
$42.45
|
| Rate for Payer: PHP Medicare Advantage |
$12.48
|
| Rate for Payer: Priority Health Choice Medicaid |
$8.80
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$43.45
|
| Rate for Payer: Priority Health Medicare |
$12.61
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$34.76
|
| Rate for Payer: Railroad Medicare Medicare |
$12.48
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$43.95
|
| Rate for Payer: UHC Core |
$41.70
|
| Rate for Payer: UHC Exchange |
$12.48
|
| Rate for Payer: UHC Medicaid |
$8.80
|
| Rate for Payer: UHC Medicare Advantage |
$12.48
|
| Rate for Payer: UHCCP Medicaid |
$8.80
|
| Rate for Payer: VA VA |
$12.48
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$37.45
|
|
|
HC HIV DNA BY PCR
|
Facility
|
OP
|
$91.26
|
|
|
Service Code
|
CPT 87535
|
| Hospital Charge Code |
30600159
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$16.09 |
| Max. Negotiated Rate |
$82.13 |
| Rate for Payer: Aetna Commercial |
$77.57
|
| Rate for Payer: Aetna Medicare |
$23.73
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$28.52
|
| Rate for Payer: Amish Plain Church Group Commercial |
$28.52
|
| Rate for Payer: BCBS Complete |
$16.89
|
| Rate for Payer: BCBS MAPPO |
$22.82
|
| Rate for Payer: BCBS Trust/PPO |
$75.02
|
| Rate for Payer: BCN Commercial |
$75.02
|
| Rate for Payer: BCN Medicare Advantage |
$22.82
|
| Rate for Payer: Cash Price |
$73.01
|
| Rate for Payer: Cofinity Commercial |
$78.48
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$73.01
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$22.82
|
| Rate for Payer: Healthscope Commercial |
$82.13
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$68.44
|
| Rate for Payer: Mclaren Medicaid |
$16.09
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$23.96
|
| Rate for Payer: Meridian Medicaid |
$16.89
|
| Rate for Payer: MI Amish Medical Board Commercial |
$26.24
|
| Rate for Payer: Molina Medicare/Medicaid |
$25.10
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$77.57
|
| Rate for Payer: Nomi Health Commercial |
$74.83
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$68.44
|
| Rate for Payer: PACE Senior Care Partners |
$21.67
|
| Rate for Payer: PACE SWMI |
$22.82
|
| Rate for Payer: PHP Commercial |
$77.57
|
| Rate for Payer: PHP Medicare Advantage |
$22.82
|
| Rate for Payer: Priority Health Choice Medicaid |
$16.09
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$79.40
|
| Rate for Payer: Priority Health Medicare |
$23.04
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$63.52
|
| Rate for Payer: Railroad Medicare Medicare |
$22.82
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$80.31
|
| Rate for Payer: UHC Core |
$76.20
|
| Rate for Payer: UHC Exchange |
$22.82
|
| Rate for Payer: UHC Medicaid |
$16.09
|
| Rate for Payer: UHC Medicare Advantage |
$22.82
|
| Rate for Payer: UHCCP Medicaid |
$16.09
|
| Rate for Payer: VA VA |
$22.82
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$68.44
|
|
