|
HC EXC TUMOR SOFT TISSUE THIGH/KNEE, SQ <3CM
|
Facility
|
IP
|
$2,142.08
|
|
|
Service Code
|
CPT 27327
|
| Hospital Charge Code |
76100248
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$1,392.35 |
| Max. Negotiated Rate |
$1,927.87 |
| Rate for Payer: Aetna Commercial |
$1,820.77
|
| Rate for Payer: BCBS Trust/PPO |
$1,748.58
|
| Rate for Payer: BCN Commercial |
$1,655.40
|
| Rate for Payer: Cash Price |
$1,713.66
|
| Rate for Payer: Cofinity Commercial |
$1,842.19
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,713.66
|
| Rate for Payer: Healthscope Commercial |
$1,927.87
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,606.56
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,820.77
|
| Rate for Payer: Nomi Health Commercial |
$1,756.51
|
| Rate for Payer: PHP Commercial |
$1,820.77
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,392.35
|
| Rate for Payer: Priority Health HMO/PPO |
$1,863.61
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,435.19
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,885.03
|
| Rate for Payer: UHC Core |
$1,788.64
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,606.56
|
|
|
HC EXC TUMOR SOFT TISSUE THIGH/KNEE, SQ 3CM OR >
|
Facility
|
IP
|
$3,618.87
|
|
|
Service Code
|
CPT 27337
|
| Hospital Charge Code |
76100249
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$2,352.27 |
| Max. Negotiated Rate |
$3,256.98 |
| Rate for Payer: Aetna Commercial |
$3,076.04
|
| Rate for Payer: BCBS Trust/PPO |
$2,954.08
|
| Rate for Payer: BCN Commercial |
$2,796.66
|
| Rate for Payer: Cash Price |
$2,895.10
|
| Rate for Payer: Cofinity Commercial |
$3,112.23
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,895.10
|
| Rate for Payer: Healthscope Commercial |
$3,256.98
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,714.15
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,076.04
|
| Rate for Payer: Nomi Health Commercial |
$2,967.47
|
| Rate for Payer: PHP Commercial |
$3,076.04
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,352.27
|
| Rate for Payer: Priority Health HMO/PPO |
$3,148.42
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,424.64
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$3,184.61
|
| Rate for Payer: UHC Core |
$3,021.76
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,714.15
|
|
|
HC EXC TUMOR SOFT TISSUE THIGH/KNEE, SQ 3CM OR >
|
Facility
|
OP
|
$3,618.87
|
|
|
Service Code
|
CPT 27337
|
| Hospital Charge Code |
76100249
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$859.48 |
| Max. Negotiated Rate |
$3,256.98 |
| Rate for Payer: Aetna Commercial |
$3,076.04
|
| Rate for Payer: Aetna Medicare |
$940.91
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,130.90
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1,130.90
|
| Rate for Payer: BCBS Complete |
$2,128.93
|
| Rate for Payer: BCBS MAPPO |
$904.72
|
| Rate for Payer: BCBS Trust/PPO |
$2,975.07
|
| Rate for Payer: BCN Commercial |
$2,813.67
|
| Rate for Payer: BCN Medicare Advantage |
$904.72
|
| Rate for Payer: Cash Price |
$2,895.10
|
| Rate for Payer: Cash Price |
$2,895.10
|
| Rate for Payer: Cofinity Commercial |
$3,112.23
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,895.10
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$904.72
|
| Rate for Payer: Healthscope Commercial |
$3,256.98
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,714.15
|
| Rate for Payer: Mclaren Medicaid |
$2,027.42
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$949.95
|
| Rate for Payer: Meridian Medicaid |
$2,128.93
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,040.43
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,076.04
|
| Rate for Payer: Nomi Health Commercial |
$2,967.47
|
| Rate for Payer: PACE Senior Care Partners |
$859.48
|
| Rate for Payer: PACE SWMI |
$904.72
|
| Rate for Payer: PHP Commercial |
$3,076.04
|
| Rate for Payer: PHP Medicare Advantage |
$904.72
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,027.42
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,352.27
|
| Rate for Payer: Priority Health HMO/PPO |
$3,148.42
|
| Rate for Payer: Priority Health Medicare |
$913.76
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,424.64
|
| Rate for Payer: Railroad Medicare Medicare |
$904.72
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$3,184.61
|
| Rate for Payer: UHC Core |
$3,021.76
|
| Rate for Payer: UHC Dual Complete DSNP |
$904.72
|
| Rate for Payer: UHC Exchange |
$904.72
|
| Rate for Payer: UHC Medicare Advantage |
$904.72
|
| Rate for Payer: UHCCP Medicaid |
$2,027.42
|
| Rate for Payer: VA VA |
$904.72
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,714.15
|
|
|
HC EXC TUMOR SOFT TISSUE UPPER ARM/ELBOW SUBQ 3CM/>
|
Facility
|
IP
|
$4,031.01
|
|
|
Service Code
|
CPT 24071
|
| Hospital Charge Code |
76100324
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$2,620.16 |
| Max. Negotiated Rate |
$3,627.91 |
| Rate for Payer: Aetna Commercial |
$3,426.36
|
| Rate for Payer: BCBS Trust/PPO |
$3,290.51
|
| Rate for Payer: BCN Commercial |
$3,115.16
|
| Rate for Payer: Cash Price |
$3,224.81
|
| Rate for Payer: Cofinity Commercial |
$3,466.67
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,224.81
|
| Rate for Payer: Healthscope Commercial |
$3,627.91
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$3,023.26
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,426.36
|
| Rate for Payer: Nomi Health Commercial |
$3,305.43
|
| Rate for Payer: PHP Commercial |
$3,426.36
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,620.16
|
| Rate for Payer: Priority Health HMO/PPO |
$3,506.98
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,700.78
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$3,547.29
|
| Rate for Payer: UHC Core |
$3,365.89
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$3,023.26
|
|
|
HC EXC TUMOR SOFT TISSUE UPPER ARM/ELBOW SUBQ 3CM/>
|
Facility
|
OP
|
$4,031.01
|
|
|
Service Code
|
CPT 24071
|
| Hospital Charge Code |
76100324
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$957.36 |
| Max. Negotiated Rate |
$3,627.91 |
| Rate for Payer: Aetna Commercial |
$3,426.36
|
| Rate for Payer: Aetna Medicare |
$1,048.06
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,259.69
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1,259.69
|
| Rate for Payer: BCBS Complete |
$2,128.93
|
| Rate for Payer: BCBS MAPPO |
$1,007.75
|
| Rate for Payer: BCBS Trust/PPO |
$3,313.89
|
| Rate for Payer: BCN Commercial |
$3,134.11
|
| Rate for Payer: BCN Medicare Advantage |
$1,007.75
|
| Rate for Payer: Cash Price |
$3,224.81
|
| Rate for Payer: Cash Price |
$3,224.81
|
| Rate for Payer: Cofinity Commercial |
$3,466.67
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,224.81
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,007.75
|
| Rate for Payer: Healthscope Commercial |
$3,627.91
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$3,023.26
|
| Rate for Payer: Mclaren Medicaid |
$2,027.42
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,058.14
|
| Rate for Payer: Meridian Medicaid |
$2,128.93
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,158.92
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,426.36
|
| Rate for Payer: Nomi Health Commercial |
$3,305.43
|
| Rate for Payer: PACE Senior Care Partners |
$957.36
|
| Rate for Payer: PACE SWMI |
$1,007.75
|
| Rate for Payer: PHP Commercial |
$3,426.36
|
| Rate for Payer: PHP Medicare Advantage |
$1,007.75
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,027.42
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,620.16
|
| Rate for Payer: Priority Health HMO/PPO |
$3,506.98
|
| Rate for Payer: Priority Health Medicare |
$1,017.83
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,700.78
|
| Rate for Payer: Railroad Medicare Medicare |
$1,007.75
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$3,547.29
|
| Rate for Payer: UHC Core |
$3,365.89
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,007.75
|
| Rate for Payer: UHC Exchange |
$1,007.75
|
| Rate for Payer: UHC Medicare Advantage |
$1,007.75
|
| Rate for Payer: UHCCP Medicaid |
$2,027.42
|
| Rate for Payer: VA VA |
$1,007.75
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$3,023.26
|
|
|
HC EXC TUMOR SOFT TISS UPR ARM/ELBOW SUBFASC <5CM
|
Facility
|
IP
|
$7,960.00
|
|
|
Service Code
|
CPT 24076
|
| Hospital Charge Code |
76100527
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$5,174.00 |
| Max. Negotiated Rate |
$7,164.00 |
| Rate for Payer: Aetna Commercial |
$6,766.00
|
| Rate for Payer: BCBS Trust/PPO |
$6,497.75
|
| Rate for Payer: BCN Commercial |
$6,151.49
|
| Rate for Payer: Cash Price |
$6,368.00
|
| Rate for Payer: Cofinity Commercial |
$6,845.60
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$6,368.00
|
| Rate for Payer: Healthscope Commercial |
$7,164.00
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$5,970.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$6,766.00
|
| Rate for Payer: Nomi Health Commercial |
$6,527.20
|
| Rate for Payer: PHP Commercial |
$6,766.00
|
| Rate for Payer: Priority Health Cigna Priority Health |
$5,174.00
|
| Rate for Payer: Priority Health HMO/PPO |
$6,925.20
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$5,333.20
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$7,004.80
|
| Rate for Payer: UHC Core |
$6,646.60
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$5,970.00
|
|
|
HC EXC TUMOR SOFT TISS UPR ARM/ELBOW SUBFASC <5CM
|
Facility
|
OP
|
$7,960.00
|
|
|
Service Code
|
CPT 24076
|
| Hospital Charge Code |
76100527
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$1,890.50 |
| Max. Negotiated Rate |
$7,164.00 |
| Rate for Payer: Aetna Commercial |
$6,766.00
|
| Rate for Payer: Aetna Medicare |
$2,069.60
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$2,487.50
|
| Rate for Payer: Amish Plain Church Group Commercial |
$2,487.50
|
| Rate for Payer: BCBS Complete |
$2,128.93
|
| Rate for Payer: BCBS MAPPO |
$1,990.00
|
| Rate for Payer: BCBS Trust/PPO |
$6,543.92
|
| Rate for Payer: BCN Commercial |
$6,188.90
|
| Rate for Payer: BCN Medicare Advantage |
$1,990.00
|
| Rate for Payer: Cash Price |
$6,368.00
|
| Rate for Payer: Cash Price |
$6,368.00
|
| Rate for Payer: Cofinity Commercial |
$6,845.60
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$6,368.00
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,990.00
|
| Rate for Payer: Healthscope Commercial |
$7,164.00
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$5,970.00
|
| Rate for Payer: Mclaren Medicaid |
$2,027.42
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$2,089.50
|
| Rate for Payer: Meridian Medicaid |
$2,128.93
|
| Rate for Payer: MI Amish Medical Board Commercial |
$2,288.50
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$6,766.00
|
| Rate for Payer: Nomi Health Commercial |
$6,527.20
|
| Rate for Payer: PACE Senior Care Partners |
$1,890.50
|
| Rate for Payer: PACE SWMI |
$1,990.00
|
| Rate for Payer: PHP Commercial |
$6,766.00
|
| Rate for Payer: PHP Medicare Advantage |
$1,990.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,027.42
|
| Rate for Payer: Priority Health Cigna Priority Health |
$5,174.00
|
| Rate for Payer: Priority Health HMO/PPO |
$6,925.20
|
| Rate for Payer: Priority Health Medicare |
$2,009.90
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$5,333.20
|
| Rate for Payer: Railroad Medicare Medicare |
$1,990.00
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$7,004.80
|
| Rate for Payer: UHC Core |
$6,646.60
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,990.00
|
| Rate for Payer: UHC Exchange |
$1,990.00
|
| Rate for Payer: UHC Medicare Advantage |
$1,990.00
|
| Rate for Payer: UHCCP Medicaid |
$2,027.42
|
| Rate for Payer: VA VA |
$1,990.00
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$5,970.00
|
|
|
HC EXC TUMOR UPPER ARM/ELBOW SUBQ <3CM
|
Facility
|
OP
|
$2,927.69
|
|
|
Service Code
|
CPT 24075
|
| Hospital Charge Code |
76100310
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$695.33 |
| Max. Negotiated Rate |
$2,634.92 |
| Rate for Payer: Aetna Commercial |
$2,488.54
|
| Rate for Payer: Aetna Medicare |
$761.20
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$914.90
|
| Rate for Payer: Amish Plain Church Group Commercial |
$914.90
|
| Rate for Payer: BCBS Complete |
$1,205.21
|
| Rate for Payer: BCBS MAPPO |
$731.92
|
| Rate for Payer: BCBS Trust/PPO |
$2,406.85
|
| Rate for Payer: BCN Commercial |
$2,276.28
|
| Rate for Payer: BCN Medicare Advantage |
$731.92
|
| Rate for Payer: Cash Price |
$2,342.15
|
| Rate for Payer: Cash Price |
$2,342.15
|
| Rate for Payer: Cofinity Commercial |
$2,517.81
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,342.15
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$731.92
|
| Rate for Payer: Healthscope Commercial |
$2,634.92
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,195.77
|
| Rate for Payer: Mclaren Medicaid |
$1,147.75
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$768.52
|
| Rate for Payer: Meridian Medicaid |
$1,205.21
|
| Rate for Payer: MI Amish Medical Board Commercial |
$841.71
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,488.54
|
| Rate for Payer: Nomi Health Commercial |
$2,400.71
|
| Rate for Payer: PACE Senior Care Partners |
$695.33
|
| Rate for Payer: PACE SWMI |
$731.92
|
| Rate for Payer: PHP Commercial |
$2,488.54
|
| Rate for Payer: PHP Medicare Advantage |
$731.92
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,147.75
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,903.00
|
| Rate for Payer: Priority Health HMO/PPO |
$2,547.09
|
| Rate for Payer: Priority Health Medicare |
$739.24
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,961.55
|
| Rate for Payer: Railroad Medicare Medicare |
$731.92
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,576.37
|
| Rate for Payer: UHC Core |
$2,444.62
|
| Rate for Payer: UHC Dual Complete DSNP |
$731.92
|
| Rate for Payer: UHC Exchange |
$731.92
|
| Rate for Payer: UHC Medicare Advantage |
$731.92
|
| Rate for Payer: UHCCP Medicaid |
$1,147.75
|
| Rate for Payer: VA VA |
$731.92
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,195.77
|
|
|
HC EXC TUMOR UPPER ARM/ELBOW SUBQ <3CM
|
Facility
|
IP
|
$2,927.69
|
|
|
Service Code
|
CPT 24075
|
| Hospital Charge Code |
76100310
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$1,903.00 |
| Max. Negotiated Rate |
$2,634.92 |
| Rate for Payer: Aetna Commercial |
$2,488.54
|
| Rate for Payer: BCBS Trust/PPO |
$2,389.87
|
| Rate for Payer: BCN Commercial |
$2,262.52
|
| Rate for Payer: Cash Price |
$2,342.15
|
| Rate for Payer: Cofinity Commercial |
$2,517.81
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,342.15
|
| Rate for Payer: Healthscope Commercial |
$2,634.92
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,195.77
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,488.54
|
| Rate for Payer: Nomi Health Commercial |
$2,400.71
|
| Rate for Payer: PHP Commercial |
$2,488.54
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,903.00
|
| Rate for Payer: Priority Health HMO/PPO |
$2,547.09
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,961.55
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,576.37
|
| Rate for Payer: UHC Core |
$2,444.62
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,195.77
|
|
|
HC EXERCISE CHALLENGE
|
Facility
|
OP
|
$1,020.24
|
|
|
Service Code
|
CPT 93464
|
| Hospital Charge Code |
48100108
|
|
Hospital Revenue Code
|
481
|
| Min. Negotiated Rate |
$242.31 |
| Max. Negotiated Rate |
$918.22 |
| Rate for Payer: Aetna Commercial |
$867.20
|
| Rate for Payer: Aetna Medicare |
$265.26
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$318.82
|
| Rate for Payer: Amish Plain Church Group Commercial |
$318.82
|
| Rate for Payer: BCBS Complete |
$408.10
|
| Rate for Payer: BCBS MAPPO |
$255.06
|
| Rate for Payer: BCBS Trust/PPO |
$838.74
|
| Rate for Payer: BCN Commercial |
$793.24
|
| Rate for Payer: BCN Medicare Advantage |
$255.06
|
| Rate for Payer: Cash Price |
$816.19
|
| Rate for Payer: Cofinity Commercial |
$877.41
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$816.19
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$255.06
|
| Rate for Payer: Healthscope Commercial |
$918.22
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$765.18
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$267.81
|
| Rate for Payer: MI Amish Medical Board Commercial |
$293.32
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$867.20
|
| Rate for Payer: Nomi Health Commercial |
$836.60
|
| Rate for Payer: PACE Senior Care Partners |
$242.31
|
| Rate for Payer: PACE SWMI |
$255.06
|
| Rate for Payer: PHP Commercial |
$867.20
|
| Rate for Payer: PHP Medicare Advantage |
$255.06
|
| Rate for Payer: Priority Health Cigna Priority Health |
$663.16
|
| Rate for Payer: Priority Health HMO/PPO |
$887.61
|
| Rate for Payer: Priority Health Medicare |
$257.61
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$683.56
|
| Rate for Payer: Railroad Medicare Medicare |
$255.06
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$897.81
|
| Rate for Payer: UHC Core |
$851.90
|
| Rate for Payer: UHC Dual Complete DSNP |
$255.06
|
| Rate for Payer: UHC Exchange |
$255.06
|
| Rate for Payer: UHC Medicare Advantage |
$255.06
|
| Rate for Payer: VA VA |
$255.06
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$765.18
|
|
|
HC EXERCISE CHALLENGE
|
Facility
|
IP
|
$1,020.24
|
|
|
Service Code
|
CPT 93464
|
| Hospital Charge Code |
48100108
|
|
Hospital Revenue Code
|
481
|
| Min. Negotiated Rate |
$663.16 |
| Max. Negotiated Rate |
$918.22 |
| Rate for Payer: Aetna Commercial |
$867.20
|
| Rate for Payer: BCBS Trust/PPO |
$832.82
|
| Rate for Payer: BCN Commercial |
$788.44
|
| Rate for Payer: Cash Price |
$816.19
|
| Rate for Payer: Cofinity Commercial |
$877.41
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$816.19
|
| Rate for Payer: Healthscope Commercial |
$918.22
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$765.18
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$867.20
|
| Rate for Payer: Nomi Health Commercial |
$836.60
|
| Rate for Payer: PHP Commercial |
$867.20
|
| Rate for Payer: Priority Health Cigna Priority Health |
$663.16
|
| Rate for Payer: Priority Health HMO/PPO |
$887.61
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$683.56
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$897.81
|
| Rate for Payer: UHC Core |
$851.90
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$765.18
|
|
|
HC EXERCISE TEST FOR BRONCHOSPASM W/EKG
|
Facility
|
OP
|
$344.70
|
|
|
Service Code
|
CPT 94617
|
| Hospital Charge Code |
46000033
|
|
Hospital Revenue Code
|
460
|
| Min. Negotiated Rate |
$81.87 |
| Max. Negotiated Rate |
$310.23 |
| Rate for Payer: Aetna Commercial |
$293.00
|
| Rate for Payer: Aetna Medicare |
$89.62
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$107.72
|
| Rate for Payer: Amish Plain Church Group Commercial |
$107.72
|
| Rate for Payer: BCBS Complete |
$95.88
|
| Rate for Payer: BCBS MAPPO |
$86.18
|
| Rate for Payer: BCBS Trust/PPO |
$283.38
|
| Rate for Payer: BCN Commercial |
$268.00
|
| Rate for Payer: BCN Medicare Advantage |
$86.18
|
| Rate for Payer: Cash Price |
$275.76
|
| Rate for Payer: Cash Price |
$275.76
|
| Rate for Payer: Cofinity Commercial |
$296.44
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$275.76
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$86.18
|
| Rate for Payer: Healthscope Commercial |
$310.23
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$258.52
|
| Rate for Payer: Mclaren Medicaid |
$91.31
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$90.48
|
| Rate for Payer: Meridian Medicaid |
$95.88
|
| Rate for Payer: MI Amish Medical Board Commercial |
$99.10
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$293.00
|
| Rate for Payer: Nomi Health Commercial |
$282.65
|
| Rate for Payer: PACE Senior Care Partners |
$81.87
|
| Rate for Payer: PACE SWMI |
$86.18
|
| Rate for Payer: PHP Commercial |
$293.00
|
| Rate for Payer: PHP Medicare Advantage |
$86.18
|
| Rate for Payer: Priority Health Choice Medicaid |
$91.31
|
| Rate for Payer: Priority Health Cigna Priority Health |
$224.06
|
| Rate for Payer: Priority Health HMO/PPO |
$299.89
|
| Rate for Payer: Priority Health Medicare |
$87.04
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$230.95
|
| Rate for Payer: Railroad Medicare Medicare |
$86.18
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$303.34
|
| Rate for Payer: UHC Core |
$287.82
|
| Rate for Payer: UHC Dual Complete DSNP |
$86.18
|
| Rate for Payer: UHC Exchange |
$86.18
|
| Rate for Payer: UHC Medicare Advantage |
$86.18
|
| Rate for Payer: UHCCP Medicaid |
$91.31
|
| Rate for Payer: VA VA |
$86.18
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$258.52
|
|
|
HC EXERCISE TEST FOR BRONCHOSPASM W/EKG
|
Facility
|
IP
|
$344.70
|
|
|
Service Code
|
CPT 94617
|
| Hospital Charge Code |
46000033
|
|
Hospital Revenue Code
|
460
|
| Min. Negotiated Rate |
$224.06 |
| Max. Negotiated Rate |
$310.23 |
| Rate for Payer: Aetna Commercial |
$293.00
|
| Rate for Payer: BCBS Trust/PPO |
$281.38
|
| Rate for Payer: BCN Commercial |
$266.38
|
| Rate for Payer: Cash Price |
$275.76
|
| Rate for Payer: Cofinity Commercial |
$296.44
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$275.76
|
| Rate for Payer: Healthscope Commercial |
$310.23
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$258.52
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$293.00
|
| Rate for Payer: Nomi Health Commercial |
$282.65
|
| Rate for Payer: PHP Commercial |
$293.00
|
| Rate for Payer: Priority Health Cigna Priority Health |
$224.06
|
| Rate for Payer: Priority Health HMO/PPO |
$299.89
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$230.95
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$303.34
|
| Rate for Payer: UHC Core |
$287.82
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$258.52
|
|
|
HC EXERCISE TEST FOR BRONCHOSPASM WO ECG
|
Facility
|
OP
|
$136.25
|
|
|
Service Code
|
CPT 94619
|
| Hospital Charge Code |
46000032
|
|
Hospital Revenue Code
|
460
|
| Min. Negotiated Rate |
$32.36 |
| Max. Negotiated Rate |
$122.62 |
| Rate for Payer: Aetna Commercial |
$115.81
|
| Rate for Payer: Aetna Medicare |
$35.42
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$42.58
|
| Rate for Payer: Amish Plain Church Group Commercial |
$42.58
|
| Rate for Payer: BCBS Complete |
$44.19
|
| Rate for Payer: BCBS MAPPO |
$34.06
|
| Rate for Payer: BCBS Trust/PPO |
$112.01
|
| Rate for Payer: BCN Commercial |
$105.93
|
| Rate for Payer: BCN Medicare Advantage |
$34.06
|
| Rate for Payer: Cash Price |
$109.00
|
| Rate for Payer: Cash Price |
$109.00
|
| Rate for Payer: Cofinity Commercial |
$117.18
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$109.00
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$34.06
|
| Rate for Payer: Healthscope Commercial |
$122.62
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$102.19
|
| Rate for Payer: Mclaren Medicaid |
$42.08
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$35.77
|
| Rate for Payer: Meridian Medicaid |
$44.19
|
| Rate for Payer: MI Amish Medical Board Commercial |
$39.17
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$115.81
|
| Rate for Payer: Nomi Health Commercial |
$111.72
|
| Rate for Payer: PACE Senior Care Partners |
$32.36
|
| Rate for Payer: PACE SWMI |
$34.06
|
| Rate for Payer: PHP Commercial |
$115.81
|
| Rate for Payer: PHP Medicare Advantage |
$34.06
|
| Rate for Payer: Priority Health Choice Medicaid |
$42.08
|
| Rate for Payer: Priority Health Cigna Priority Health |
$88.56
|
| Rate for Payer: Priority Health HMO/PPO |
$118.54
|
| Rate for Payer: Priority Health Medicare |
$34.40
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$91.29
|
| Rate for Payer: Railroad Medicare Medicare |
$34.06
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$119.90
|
| Rate for Payer: UHC Core |
$113.77
|
| Rate for Payer: UHC Dual Complete DSNP |
$34.06
|
| Rate for Payer: UHC Exchange |
$34.06
|
| Rate for Payer: UHC Medicare Advantage |
$34.06
|
| Rate for Payer: UHCCP Medicaid |
$42.08
|
| Rate for Payer: VA VA |
$34.06
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$102.19
|
|
|
HC EXERCISE TEST FOR BRONCHOSPASM WO ECG
|
Facility
|
IP
|
$136.25
|
|
|
Service Code
|
CPT 94619
|
| Hospital Charge Code |
46000032
|
|
Hospital Revenue Code
|
460
|
| Min. Negotiated Rate |
$88.56 |
| Max. Negotiated Rate |
$122.62 |
| Rate for Payer: Aetna Commercial |
$115.81
|
| Rate for Payer: BCBS Trust/PPO |
$111.22
|
| Rate for Payer: BCN Commercial |
$105.29
|
| Rate for Payer: Cash Price |
$109.00
|
| Rate for Payer: Cofinity Commercial |
$117.18
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$109.00
|
| Rate for Payer: Healthscope Commercial |
$122.62
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$102.19
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$115.81
|
| Rate for Payer: Nomi Health Commercial |
$111.72
|
| Rate for Payer: PHP Commercial |
$115.81
|
| Rate for Payer: Priority Health Cigna Priority Health |
$88.56
|
| Rate for Payer: Priority Health HMO/PPO |
$118.54
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$91.29
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$119.90
|
| Rate for Payer: UHC Core |
$113.77
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$102.19
|
|
|
HC EXPLORE WOUND EXTREMITY
|
Facility
|
IP
|
$1,942.34
|
|
|
Service Code
|
CPT 20103
|
| Hospital Charge Code |
45000007
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$1,262.52 |
| Max. Negotiated Rate |
$1,748.11 |
| Rate for Payer: Aetna Commercial |
$1,650.99
|
| Rate for Payer: BCBS Trust/PPO |
$1,585.53
|
| Rate for Payer: BCN Commercial |
$1,501.04
|
| Rate for Payer: Cash Price |
$1,553.87
|
| Rate for Payer: Cofinity Commercial |
$1,670.41
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,553.87
|
| Rate for Payer: Healthscope Commercial |
$1,748.11
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,456.76
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,650.99
|
| Rate for Payer: Nomi Health Commercial |
$1,592.72
|
| Rate for Payer: PHP Commercial |
$1,650.99
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,262.52
|
| Rate for Payer: Priority Health HMO/PPO |
$1,689.84
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,301.37
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,709.26
|
| Rate for Payer: UHC Core |
$1,621.85
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,456.76
|
|
|
HC EXPLORE WOUND EXTREMITY
|
Facility
|
OP
|
$1,942.34
|
|
|
Service Code
|
CPT 20103
|
| Hospital Charge Code |
45000007
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$461.31 |
| Max. Negotiated Rate |
$1,748.11 |
| Rate for Payer: Aetna Commercial |
$1,650.99
|
| Rate for Payer: Aetna Medicare |
$505.01
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$606.98
|
| Rate for Payer: Amish Plain Church Group Commercial |
$606.98
|
| Rate for Payer: BCBS Complete |
$1,205.21
|
| Rate for Payer: BCBS MAPPO |
$485.58
|
| Rate for Payer: BCBS Trust/PPO |
$1,596.80
|
| Rate for Payer: BCN Commercial |
$1,510.17
|
| Rate for Payer: BCN Medicare Advantage |
$485.58
|
| Rate for Payer: Cash Price |
$1,553.87
|
| Rate for Payer: Cash Price |
$1,553.87
|
| Rate for Payer: Cofinity Commercial |
$1,670.41
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,553.87
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$485.58
|
| Rate for Payer: Healthscope Commercial |
$1,748.11
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,456.76
|
| Rate for Payer: Mclaren Medicaid |
$1,147.75
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$509.86
|
| Rate for Payer: Meridian Medicaid |
$1,205.21
|
| Rate for Payer: MI Amish Medical Board Commercial |
$558.42
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,650.99
|
| Rate for Payer: Nomi Health Commercial |
$1,592.72
|
| Rate for Payer: PACE Senior Care Partners |
$461.31
|
| Rate for Payer: PACE SWMI |
$485.58
|
| Rate for Payer: PHP Commercial |
$1,650.99
|
| Rate for Payer: PHP Medicare Advantage |
$485.58
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,147.75
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,262.52
|
| Rate for Payer: Priority Health HMO/PPO |
$1,689.84
|
| Rate for Payer: Priority Health Medicare |
$490.44
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,301.37
|
| Rate for Payer: Railroad Medicare Medicare |
$485.58
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,709.26
|
| Rate for Payer: UHC Core |
$1,621.85
|
| Rate for Payer: UHC Dual Complete DSNP |
$485.58
|
| Rate for Payer: UHC Exchange |
$485.58
|
| Rate for Payer: UHC Medicare Advantage |
$485.58
|
| Rate for Payer: UHCCP Medicaid |
$1,147.75
|
| Rate for Payer: VA VA |
$485.58
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,456.76
|
|
|
HC EXTENDED RECOVERY 0-6 HRS
|
Facility
|
IP
|
$1,760.92
|
|
| Hospital Charge Code |
71000005
|
|
Hospital Revenue Code
|
710
|
| Min. Negotiated Rate |
$1,144.60 |
| Max. Negotiated Rate |
$1,584.83 |
| Rate for Payer: Aetna Commercial |
$1,496.78
|
| Rate for Payer: BCBS Trust/PPO |
$1,437.44
|
| Rate for Payer: BCN Commercial |
$1,360.84
|
| Rate for Payer: Cash Price |
$1,408.74
|
| Rate for Payer: Cofinity Commercial |
$1,514.39
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,408.74
|
| Rate for Payer: Healthscope Commercial |
$1,584.83
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,320.69
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,496.78
|
| Rate for Payer: Nomi Health Commercial |
$1,443.95
|
| Rate for Payer: PHP Commercial |
$1,496.78
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,144.60
|
| Rate for Payer: Priority Health HMO/PPO |
$1,532.00
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,179.82
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,549.61
|
| Rate for Payer: UHC Core |
$1,470.37
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,320.69
|
|
|
HC EXTENDED RECOVERY 0-6 HRS
|
Facility
|
OP
|
$1,760.92
|
|
| Hospital Charge Code |
71000005
|
|
Hospital Revenue Code
|
710
|
| Min. Negotiated Rate |
$418.22 |
| Max. Negotiated Rate |
$1,584.83 |
| Rate for Payer: Aetna Commercial |
$1,496.78
|
| Rate for Payer: Aetna Medicare |
$457.84
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$550.29
|
| Rate for Payer: Amish Plain Church Group Commercial |
$550.29
|
| Rate for Payer: BCBS Complete |
$704.37
|
| Rate for Payer: BCBS MAPPO |
$440.23
|
| Rate for Payer: BCBS Trust/PPO |
$1,447.65
|
| Rate for Payer: BCN Commercial |
$1,369.12
|
| Rate for Payer: BCN Medicare Advantage |
$440.23
|
| Rate for Payer: Cash Price |
$1,408.74
|
| Rate for Payer: Cofinity Commercial |
$1,514.39
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,408.74
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$440.23
|
| Rate for Payer: Healthscope Commercial |
$1,584.83
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,320.69
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$462.24
|
| Rate for Payer: MI Amish Medical Board Commercial |
$506.26
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,496.78
|
| Rate for Payer: Nomi Health Commercial |
$1,443.95
|
| Rate for Payer: PACE Senior Care Partners |
$418.22
|
| Rate for Payer: PACE SWMI |
$440.23
|
| Rate for Payer: PHP Commercial |
$1,496.78
|
| Rate for Payer: PHP Medicare Advantage |
$440.23
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,144.60
|
| Rate for Payer: Priority Health HMO/PPO |
$1,532.00
|
| Rate for Payer: Priority Health Medicare |
$444.63
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,179.82
|
| Rate for Payer: Railroad Medicare Medicare |
$440.23
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,549.61
|
| Rate for Payer: UHC Core |
$1,470.37
|
| Rate for Payer: UHC Dual Complete DSNP |
$440.23
|
| Rate for Payer: UHC Exchange |
$440.23
|
| Rate for Payer: UHC Medicare Advantage |
$440.23
|
| Rate for Payer: VA VA |
$440.23
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,320.69
|
|
|
HC EXTENDED RECOVERY 12-18 HRS
|
Facility
|
IP
|
$2,058.81
|
|
| Hospital Charge Code |
71000006
|
|
Hospital Revenue Code
|
710
|
| Min. Negotiated Rate |
$1,338.23 |
| Max. Negotiated Rate |
$1,852.93 |
| Rate for Payer: Aetna Commercial |
$1,749.99
|
| Rate for Payer: BCBS Trust/PPO |
$1,680.61
|
| Rate for Payer: BCN Commercial |
$1,591.05
|
| Rate for Payer: Cash Price |
$1,647.05
|
| Rate for Payer: Cofinity Commercial |
$1,770.58
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,647.05
|
| Rate for Payer: Healthscope Commercial |
$1,852.93
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,544.11
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,749.99
|
| Rate for Payer: Nomi Health Commercial |
$1,688.22
|
| Rate for Payer: PHP Commercial |
$1,749.99
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,338.23
|
| Rate for Payer: Priority Health HMO/PPO |
$1,791.16
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,379.40
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,811.75
|
| Rate for Payer: UHC Core |
$1,719.11
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,544.11
|
|
|
HC EXTENDED RECOVERY 12-18 HRS
|
Facility
|
OP
|
$2,058.81
|
|
| Hospital Charge Code |
71000006
|
|
Hospital Revenue Code
|
710
|
| Min. Negotiated Rate |
$488.97 |
| Max. Negotiated Rate |
$1,852.93 |
| Rate for Payer: Aetna Commercial |
$1,749.99
|
| Rate for Payer: Aetna Medicare |
$535.29
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$643.38
|
| Rate for Payer: Amish Plain Church Group Commercial |
$643.38
|
| Rate for Payer: BCBS Complete |
$823.52
|
| Rate for Payer: BCBS MAPPO |
$514.70
|
| Rate for Payer: BCBS Trust/PPO |
$1,692.55
|
| Rate for Payer: BCN Commercial |
$1,600.72
|
| Rate for Payer: BCN Medicare Advantage |
$514.70
|
| Rate for Payer: Cash Price |
$1,647.05
|
| Rate for Payer: Cofinity Commercial |
$1,770.58
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,647.05
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$514.70
|
| Rate for Payer: Healthscope Commercial |
$1,852.93
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,544.11
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$540.44
|
| Rate for Payer: MI Amish Medical Board Commercial |
$591.91
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,749.99
|
| Rate for Payer: Nomi Health Commercial |
$1,688.22
|
| Rate for Payer: PACE Senior Care Partners |
$488.97
|
| Rate for Payer: PACE SWMI |
$514.70
|
| Rate for Payer: PHP Commercial |
$1,749.99
|
| Rate for Payer: PHP Medicare Advantage |
$514.70
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,338.23
|
| Rate for Payer: Priority Health HMO/PPO |
$1,791.16
|
| Rate for Payer: Priority Health Medicare |
$519.85
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,379.40
|
| Rate for Payer: Railroad Medicare Medicare |
$514.70
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,811.75
|
| Rate for Payer: UHC Core |
$1,719.11
|
| Rate for Payer: UHC Dual Complete DSNP |
$514.70
|
| Rate for Payer: UHC Exchange |
$514.70
|
| Rate for Payer: UHC Medicare Advantage |
$514.70
|
| Rate for Payer: VA VA |
$514.70
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,544.11
|
|
|
HC EXTENDED RECOVERY 18-24 HRS
|
Facility
|
OP
|
$2,250.28
|
|
| Hospital Charge Code |
71000007
|
|
Hospital Revenue Code
|
710
|
| Min. Negotiated Rate |
$534.44 |
| Max. Negotiated Rate |
$2,025.25 |
| Rate for Payer: Aetna Commercial |
$1,912.74
|
| Rate for Payer: Aetna Medicare |
$585.07
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$703.21
|
| Rate for Payer: Amish Plain Church Group Commercial |
$703.21
|
| Rate for Payer: BCBS Complete |
$900.11
|
| Rate for Payer: BCBS MAPPO |
$562.57
|
| Rate for Payer: BCBS Trust/PPO |
$1,849.96
|
| Rate for Payer: BCN Commercial |
$1,749.59
|
| Rate for Payer: BCN Medicare Advantage |
$562.57
|
| Rate for Payer: Cash Price |
$1,800.22
|
| Rate for Payer: Cofinity Commercial |
$1,935.24
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,800.22
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$562.57
|
| Rate for Payer: Healthscope Commercial |
$2,025.25
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,687.71
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$590.70
|
| Rate for Payer: MI Amish Medical Board Commercial |
$646.96
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,912.74
|
| Rate for Payer: Nomi Health Commercial |
$1,845.23
|
| Rate for Payer: PACE Senior Care Partners |
$534.44
|
| Rate for Payer: PACE SWMI |
$562.57
|
| Rate for Payer: PHP Commercial |
$1,912.74
|
| Rate for Payer: PHP Medicare Advantage |
$562.57
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,462.68
|
| Rate for Payer: Priority Health HMO/PPO |
$1,957.74
|
| Rate for Payer: Priority Health Medicare |
$568.20
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,507.69
|
| Rate for Payer: Railroad Medicare Medicare |
$562.57
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,980.25
|
| Rate for Payer: UHC Core |
$1,878.98
|
| Rate for Payer: UHC Dual Complete DSNP |
$562.57
|
| Rate for Payer: UHC Exchange |
$562.57
|
| Rate for Payer: UHC Medicare Advantage |
$562.57
|
| Rate for Payer: VA VA |
$562.57
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,687.71
|
|
|
HC EXTENDED RECOVERY 18-24 HRS
|
Facility
|
IP
|
$2,250.28
|
|
| Hospital Charge Code |
71000007
|
|
Hospital Revenue Code
|
710
|
| Min. Negotiated Rate |
$1,462.68 |
| Max. Negotiated Rate |
$2,025.25 |
| Rate for Payer: Aetna Commercial |
$1,912.74
|
| Rate for Payer: BCBS Trust/PPO |
$1,836.90
|
| Rate for Payer: BCN Commercial |
$1,739.02
|
| Rate for Payer: Cash Price |
$1,800.22
|
| Rate for Payer: Cofinity Commercial |
$1,935.24
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,800.22
|
| Rate for Payer: Healthscope Commercial |
$2,025.25
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,687.71
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,912.74
|
| Rate for Payer: Nomi Health Commercial |
$1,845.23
|
| Rate for Payer: PHP Commercial |
$1,912.74
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,462.68
|
| Rate for Payer: Priority Health HMO/PPO |
$1,957.74
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,507.69
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,980.25
|
| Rate for Payer: UHC Core |
$1,878.98
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,687.71
|
|
|
HC EXTENDED RECOVERY 6-12 HRS
|
Facility
|
IP
|
$1,925.80
|
|
| Hospital Charge Code |
71000008
|
|
Hospital Revenue Code
|
710
|
| Min. Negotiated Rate |
$1,251.77 |
| Max. Negotiated Rate |
$1,733.22 |
| Rate for Payer: Aetna Commercial |
$1,636.93
|
| Rate for Payer: BCBS Trust/PPO |
$1,572.03
|
| Rate for Payer: BCN Commercial |
$1,488.26
|
| Rate for Payer: Cash Price |
$1,540.64
|
| Rate for Payer: Cofinity Commercial |
$1,656.19
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,540.64
|
| Rate for Payer: Healthscope Commercial |
$1,733.22
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,444.35
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,636.93
|
| Rate for Payer: Nomi Health Commercial |
$1,579.16
|
| Rate for Payer: PHP Commercial |
$1,636.93
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,251.77
|
| Rate for Payer: Priority Health HMO/PPO |
$1,675.45
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,290.29
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,694.70
|
| Rate for Payer: UHC Core |
$1,608.04
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,444.35
|
|
|
HC EXTENDED RECOVERY 6-12 HRS
|
Facility
|
OP
|
$1,925.80
|
|
| Hospital Charge Code |
71000008
|
|
Hospital Revenue Code
|
710
|
| Min. Negotiated Rate |
$457.38 |
| Max. Negotiated Rate |
$1,733.22 |
| Rate for Payer: Aetna Commercial |
$1,636.93
|
| Rate for Payer: Aetna Medicare |
$500.71
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$601.81
|
| Rate for Payer: Amish Plain Church Group Commercial |
$601.81
|
| Rate for Payer: BCBS Complete |
$770.32
|
| Rate for Payer: BCBS MAPPO |
$481.45
|
| Rate for Payer: BCBS Trust/PPO |
$1,583.20
|
| Rate for Payer: BCN Commercial |
$1,497.31
|
| Rate for Payer: BCN Medicare Advantage |
$481.45
|
| Rate for Payer: Cash Price |
$1,540.64
|
| Rate for Payer: Cofinity Commercial |
$1,656.19
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,540.64
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$481.45
|
| Rate for Payer: Healthscope Commercial |
$1,733.22
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,444.35
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$505.52
|
| Rate for Payer: MI Amish Medical Board Commercial |
$553.67
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,636.93
|
| Rate for Payer: Nomi Health Commercial |
$1,579.16
|
| Rate for Payer: PACE Senior Care Partners |
$457.38
|
| Rate for Payer: PACE SWMI |
$481.45
|
| Rate for Payer: PHP Commercial |
$1,636.93
|
| Rate for Payer: PHP Medicare Advantage |
$481.45
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,251.77
|
| Rate for Payer: Priority Health HMO/PPO |
$1,675.45
|
| Rate for Payer: Priority Health Medicare |
$486.26
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,290.29
|
| Rate for Payer: Railroad Medicare Medicare |
$481.45
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,694.70
|
| Rate for Payer: UHC Core |
$1,608.04
|
| Rate for Payer: UHC Dual Complete DSNP |
$481.45
|
| Rate for Payer: UHC Exchange |
$481.45
|
| Rate for Payer: UHC Medicare Advantage |
$481.45
|
| Rate for Payer: VA VA |
$481.45
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,444.35
|
|
