|
HC NEEDLE 1 EXTREMITY NON PARASPINAL
|
Facility
|
IP
|
$247.66
|
|
|
Service Code
|
CPT 95870
|
| Hospital Charge Code |
92200009
|
|
Hospital Revenue Code
|
922
|
| Min. Negotiated Rate |
$151.05 |
| Max. Negotiated Rate |
$222.89 |
| Rate for Payer: Aetna Commercial |
$210.51
|
| Rate for Payer: BCBS Trust/PPO |
$191.39
|
| Rate for Payer: BCN Commercial |
$191.39
|
| Rate for Payer: Cash Price |
$198.13
|
| Rate for Payer: Cofinity Commercial |
$212.99
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$198.13
|
| Rate for Payer: Healthscope Commercial |
$222.89
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$185.74
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$210.51
|
| Rate for Payer: PHP Commercial |
$210.51
|
| Rate for Payer: Priority Health Cigna Priority Health |
$173.36
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$215.46
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$151.05
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$217.94
|
| Rate for Payer: UHC Core |
$206.80
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$185.74
|
|
|
HC NEEDLE 1 EXTREMITY NON PARASPINAL
|
Facility
|
OP
|
$247.66
|
|
|
Service Code
|
CPT 95870
|
| Hospital Charge Code |
92200009
|
|
Hospital Revenue Code
|
922
|
| Min. Negotiated Rate |
$58.82 |
| Max. Negotiated Rate |
$222.89 |
| Rate for Payer: Aetna Commercial |
$210.51
|
| Rate for Payer: Aetna Medicare |
$64.39
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$77.39
|
| Rate for Payer: Amish Plain Church Group Commercial |
$77.39
|
| Rate for Payer: BCBS Complete |
$87.99
|
| Rate for Payer: BCBS MAPPO |
$61.92
|
| Rate for Payer: BCBS Trust/PPO |
$192.56
|
| Rate for Payer: BCN Commercial |
$192.56
|
| Rate for Payer: BCN Medicare Advantage |
$61.92
|
| Rate for Payer: Cash Price |
$198.13
|
| Rate for Payer: Cash Price |
$198.13
|
| Rate for Payer: Cofinity Commercial |
$212.99
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$198.13
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$61.92
|
| Rate for Payer: Healthscope Commercial |
$222.89
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$185.74
|
| Rate for Payer: Mclaren Medicaid |
$83.80
|
| Rate for Payer: Meridian Medicaid |
$87.99
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$65.01
|
| Rate for Payer: MI Amish Medical Board Commercial |
$71.20
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$210.51
|
| Rate for Payer: PACE Senior Care Partners |
$58.82
|
| Rate for Payer: PACE SWMI |
$61.92
|
| Rate for Payer: PHP Commercial |
$210.51
|
| Rate for Payer: PHP Medicare Advantage |
$61.92
|
| Rate for Payer: Priority Health Choice Medicaid |
$83.80
|
| Rate for Payer: Priority Health Cigna Priority Health |
$173.36
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$215.46
|
| Rate for Payer: Priority Health Medicare |
$61.92
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$151.05
|
| Rate for Payer: Railroad Medicare Medicare |
$61.92
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$217.94
|
| Rate for Payer: UHC Core |
$206.80
|
| Rate for Payer: UHC Dual Complete DSNP |
$61.92
|
| Rate for Payer: UHC Medicare Advantage |
$63.77
|
| Rate for Payer: VA VA |
$61.92
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$185.74
|
|
|
HC NEEDLE BRACHYTHERAPY EACH
|
Facility
|
IP
|
$72.45
|
|
|
Service Code
|
HCPCS C1715
|
| Hospital Charge Code |
27200247
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$44.19 |
| Max. Negotiated Rate |
$65.20 |
| Rate for Payer: Aetna Commercial |
$61.58
|
| Rate for Payer: BCBS Trust/PPO |
$55.99
|
| Rate for Payer: BCN Commercial |
$55.99
|
| Rate for Payer: Cash Price |
$57.96
|
| Rate for Payer: Cofinity Commercial |
$62.31
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$57.96
|
| Rate for Payer: Healthscope Commercial |
$65.20
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$54.34
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$61.58
|
| Rate for Payer: PHP Commercial |
$61.58
|
| Rate for Payer: Priority Health Cigna Priority Health |
$50.72
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$63.03
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$44.19
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$63.76
|
| Rate for Payer: UHC Core |
$60.50
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$54.34
|
|
|
HC NEEDLE BRACHYTHERAPY EACH
|
Facility
|
OP
|
$72.45
|
|
|
Service Code
|
HCPCS C1715
|
| Hospital Charge Code |
27200247
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$17.21 |
| Max. Negotiated Rate |
$65.20 |
| Rate for Payer: Aetna Commercial |
$61.58
|
| Rate for Payer: Aetna Medicare |
$18.84
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$22.64
|
| Rate for Payer: Amish Plain Church Group Commercial |
$22.64
|
| Rate for Payer: BCBS Complete |
$28.98
|
| Rate for Payer: BCBS MAPPO |
$18.11
|
| Rate for Payer: BCBS Trust/PPO |
$56.33
|
| Rate for Payer: BCN Commercial |
$56.33
|
| Rate for Payer: BCN Medicare Advantage |
$18.11
|
| Rate for Payer: Cash Price |
$57.96
|
| Rate for Payer: Cofinity Commercial |
$62.31
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$57.96
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$18.11
|
| Rate for Payer: Healthscope Commercial |
$65.20
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$54.34
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$19.02
|
| Rate for Payer: MI Amish Medical Board Commercial |
$20.83
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$61.58
|
| Rate for Payer: PACE Senior Care Partners |
$17.21
|
| Rate for Payer: PACE SWMI |
$18.11
|
| Rate for Payer: PHP Commercial |
$61.58
|
| Rate for Payer: PHP Medicare Advantage |
$18.11
|
| Rate for Payer: Priority Health Cigna Priority Health |
$50.72
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$63.03
|
| Rate for Payer: Priority Health Medicare |
$18.11
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$44.19
|
| Rate for Payer: Railroad Medicare Medicare |
$18.11
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$63.76
|
| Rate for Payer: UHC Core |
$60.50
|
| Rate for Payer: UHC Dual Complete DSNP |
$18.11
|
| Rate for Payer: UHC Medicare Advantage |
$18.66
|
| Rate for Payer: VA VA |
$18.11
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$54.34
|
|
|
HC NEEDLE INSERT W/O INJECT 1 OR 2 MUSCLES
|
Facility
|
OP
|
$51.00
|
|
|
Service Code
|
CPT 20560
|
| Hospital Charge Code |
76100364
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$12.11 |
| Max. Negotiated Rate |
$45.90 |
| Rate for Payer: Aetna Commercial |
$43.35
|
| Rate for Payer: Aetna Medicare |
$13.26
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$15.94
|
| Rate for Payer: Amish Plain Church Group Commercial |
$15.94
|
| Rate for Payer: BCBS Complete |
$20.51
|
| Rate for Payer: BCBS MAPPO |
$12.75
|
| Rate for Payer: BCBS Trust/PPO |
$39.65
|
| Rate for Payer: BCN Commercial |
$39.65
|
| Rate for Payer: BCN Medicare Advantage |
$12.75
|
| Rate for Payer: Cash Price |
$40.80
|
| Rate for Payer: Cash Price |
$40.80
|
| Rate for Payer: Cofinity Commercial |
$43.86
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$40.80
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$12.75
|
| Rate for Payer: Healthscope Commercial |
$45.90
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$38.25
|
| Rate for Payer: Mclaren Medicaid |
$19.53
|
| Rate for Payer: Meridian Medicaid |
$20.51
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$13.39
|
| Rate for Payer: MI Amish Medical Board Commercial |
$14.66
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$43.35
|
| Rate for Payer: PACE Senior Care Partners |
$12.11
|
| Rate for Payer: PACE SWMI |
$12.75
|
| Rate for Payer: PHP Commercial |
$43.35
|
| Rate for Payer: PHP Medicare Advantage |
$12.75
|
| Rate for Payer: Priority Health Choice Medicaid |
$19.53
|
| Rate for Payer: Priority Health Cigna Priority Health |
$35.70
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$44.37
|
| Rate for Payer: Priority Health Medicare |
$12.75
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$31.10
|
| Rate for Payer: Railroad Medicare Medicare |
$12.75
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$44.88
|
| Rate for Payer: UHC Core |
$42.58
|
| Rate for Payer: UHC Dual Complete DSNP |
$12.75
|
| Rate for Payer: UHC Medicare Advantage |
$13.13
|
| Rate for Payer: VA VA |
$12.75
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$38.25
|
|
|
HC NEEDLE INSERT W/O INJECT 1 OR 2 MUSCLES
|
Facility
|
IP
|
$51.00
|
|
|
Service Code
|
CPT 20560
|
| Hospital Charge Code |
76100364
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$31.10 |
| Max. Negotiated Rate |
$45.90 |
| Rate for Payer: Aetna Commercial |
$43.35
|
| Rate for Payer: BCBS Trust/PPO |
$39.41
|
| Rate for Payer: BCN Commercial |
$39.41
|
| Rate for Payer: Cash Price |
$40.80
|
| Rate for Payer: Cofinity Commercial |
$43.86
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$40.80
|
| Rate for Payer: Healthscope Commercial |
$45.90
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$38.25
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$43.35
|
| Rate for Payer: PHP Commercial |
$43.35
|
| Rate for Payer: Priority Health Cigna Priority Health |
$35.70
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$44.37
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$31.10
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$44.88
|
| Rate for Payer: UHC Core |
$42.58
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$38.25
|
|
|
HC NEEDLE INSERT W/O INJECTION, 1 OR 2 MUSCLES
|
Facility
|
OP
|
$30.00
|
|
|
Service Code
|
CPT 20560
|
| Hospital Charge Code |
42000060
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$7.12 |
| Max. Negotiated Rate |
$27.00 |
| Rate for Payer: Aetna Commercial |
$25.50
|
| Rate for Payer: Aetna Medicare |
$7.80
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$9.38
|
| Rate for Payer: Amish Plain Church Group Commercial |
$9.38
|
| Rate for Payer: BCBS Complete |
$20.51
|
| Rate for Payer: BCBS MAPPO |
$7.50
|
| Rate for Payer: BCBS Trust/PPO |
$23.32
|
| Rate for Payer: BCN Commercial |
$23.32
|
| Rate for Payer: BCN Medicare Advantage |
$7.50
|
| Rate for Payer: Cash Price |
$24.00
|
| Rate for Payer: Cash Price |
$24.00
|
| Rate for Payer: Cofinity Commercial |
$25.80
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$24.00
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$7.50
|
| Rate for Payer: Healthscope Commercial |
$27.00
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$22.50
|
| Rate for Payer: Mclaren Medicaid |
$19.53
|
| Rate for Payer: Meridian Medicaid |
$20.51
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$7.88
|
| Rate for Payer: MI Amish Medical Board Commercial |
$8.62
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$25.50
|
| Rate for Payer: PACE Senior Care Partners |
$7.12
|
| Rate for Payer: PACE SWMI |
$7.50
|
| Rate for Payer: PHP Commercial |
$25.50
|
| Rate for Payer: PHP Medicare Advantage |
$7.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$19.53
|
| Rate for Payer: Priority Health Cigna Priority Health |
$21.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$26.10
|
| Rate for Payer: Priority Health Medicare |
$7.50
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$18.30
|
| Rate for Payer: Railroad Medicare Medicare |
$7.50
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$26.40
|
| Rate for Payer: UHC Core |
$25.05
|
| Rate for Payer: UHC Dual Complete DSNP |
$7.50
|
| Rate for Payer: UHC Medicare Advantage |
$7.72
|
| Rate for Payer: VA VA |
$7.50
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$22.50
|
|
|
HC NEEDLE INSERT W/O INJECTION, 1 OR 2 MUSCLES
|
Facility
|
IP
|
$30.00
|
|
|
Service Code
|
CPT 20560
|
| Hospital Charge Code |
42000060
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$18.30 |
| Max. Negotiated Rate |
$27.00 |
| Rate for Payer: Aetna Commercial |
$25.50
|
| Rate for Payer: BCBS Trust/PPO |
$23.18
|
| Rate for Payer: BCN Commercial |
$23.18
|
| Rate for Payer: Cash Price |
$24.00
|
| Rate for Payer: Cofinity Commercial |
$25.80
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$24.00
|
| Rate for Payer: Healthscope Commercial |
$27.00
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$22.50
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$25.50
|
| Rate for Payer: PHP Commercial |
$25.50
|
| Rate for Payer: Priority Health Cigna Priority Health |
$21.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$26.10
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$18.30
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$26.40
|
| Rate for Payer: UHC Core |
$25.05
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$22.50
|
|
|
HC NEEDLE INSERT W/O INJECTION, 3 OR MORE MUSCLES
|
Facility
|
OP
|
$50.00
|
|
|
Service Code
|
CPT 20561
|
| Hospital Charge Code |
42000061
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$11.88 |
| Max. Negotiated Rate |
$45.00 |
| Rate for Payer: Aetna Commercial |
$42.50
|
| Rate for Payer: Aetna Medicare |
$13.00
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$15.62
|
| Rate for Payer: Amish Plain Church Group Commercial |
$15.62
|
| Rate for Payer: BCBS Complete |
$20.51
|
| Rate for Payer: BCBS MAPPO |
$12.50
|
| Rate for Payer: BCBS Trust/PPO |
$38.88
|
| Rate for Payer: BCN Commercial |
$38.88
|
| Rate for Payer: BCN Medicare Advantage |
$12.50
|
| Rate for Payer: Cash Price |
$40.00
|
| Rate for Payer: Cash Price |
$40.00
|
| Rate for Payer: Cofinity Commercial |
$43.00
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$40.00
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$12.50
|
| Rate for Payer: Healthscope Commercial |
$45.00
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$37.50
|
| Rate for Payer: Mclaren Medicaid |
$19.53
|
| Rate for Payer: Meridian Medicaid |
$20.51
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$13.12
|
| Rate for Payer: MI Amish Medical Board Commercial |
$14.38
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$42.50
|
| Rate for Payer: PACE Senior Care Partners |
$11.88
|
| Rate for Payer: PACE SWMI |
$12.50
|
| Rate for Payer: PHP Commercial |
$42.50
|
| Rate for Payer: PHP Medicare Advantage |
$12.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$19.53
|
| Rate for Payer: Priority Health Cigna Priority Health |
$35.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$43.50
|
| Rate for Payer: Priority Health Medicare |
$12.50
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$30.50
|
| Rate for Payer: Railroad Medicare Medicare |
$12.50
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$44.00
|
| Rate for Payer: UHC Core |
$41.75
|
| Rate for Payer: UHC Dual Complete DSNP |
$12.50
|
| Rate for Payer: UHC Medicare Advantage |
$12.88
|
| Rate for Payer: VA VA |
$12.50
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$37.50
|
|
|
HC NEEDLE INSERT W/O INJECTION, 3 OR MORE MUSCLES
|
Facility
|
IP
|
$50.00
|
|
|
Service Code
|
CPT 20561
|
| Hospital Charge Code |
42000061
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$30.50 |
| Max. Negotiated Rate |
$45.00 |
| Rate for Payer: Aetna Commercial |
$42.50
|
| Rate for Payer: BCBS Trust/PPO |
$38.64
|
| Rate for Payer: BCN Commercial |
$38.64
|
| Rate for Payer: Cash Price |
$40.00
|
| Rate for Payer: Cofinity Commercial |
$43.00
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$40.00
|
| Rate for Payer: Healthscope Commercial |
$45.00
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$37.50
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$42.50
|
| Rate for Payer: PHP Commercial |
$42.50
|
| Rate for Payer: Priority Health Cigna Priority Health |
$35.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$43.50
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$30.50
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$44.00
|
| Rate for Payer: UHC Core |
$41.75
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$37.50
|
|
|
HC NEEDLE LOC WIRE
|
Facility
|
IP
|
$52.02
|
|
|
Service Code
|
HCPCS C1819
|
| Hospital Charge Code |
27200323
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$31.73 |
| Max. Negotiated Rate |
$46.82 |
| Rate for Payer: Aetna Commercial |
$44.22
|
| Rate for Payer: BCBS Trust/PPO |
$40.20
|
| Rate for Payer: BCN Commercial |
$40.20
|
| Rate for Payer: Cash Price |
$41.62
|
| Rate for Payer: Cofinity Commercial |
$44.74
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$41.62
|
| Rate for Payer: Healthscope Commercial |
$46.82
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$39.02
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$44.22
|
| Rate for Payer: PHP Commercial |
$44.22
|
| Rate for Payer: Priority Health Cigna Priority Health |
$36.41
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$45.26
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$31.73
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$45.78
|
| Rate for Payer: UHC Core |
$43.44
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$39.02
|
|
|
HC NEEDLE LOC WIRE
|
Facility
|
OP
|
$52.02
|
|
|
Service Code
|
HCPCS C1819
|
| Hospital Charge Code |
27200323
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$12.35 |
| Max. Negotiated Rate |
$46.82 |
| Rate for Payer: Aetna Commercial |
$44.22
|
| Rate for Payer: Aetna Medicare |
$13.53
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$16.26
|
| Rate for Payer: Amish Plain Church Group Commercial |
$16.26
|
| Rate for Payer: BCBS Complete |
$20.81
|
| Rate for Payer: BCBS MAPPO |
$13.00
|
| Rate for Payer: BCBS Trust/PPO |
$40.45
|
| Rate for Payer: BCN Commercial |
$40.45
|
| Rate for Payer: BCN Medicare Advantage |
$13.00
|
| Rate for Payer: Cash Price |
$41.62
|
| Rate for Payer: Cofinity Commercial |
$44.74
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$41.62
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$13.00
|
| Rate for Payer: Healthscope Commercial |
$46.82
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$39.02
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$13.66
|
| Rate for Payer: MI Amish Medical Board Commercial |
$14.96
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$44.22
|
| Rate for Payer: PACE Senior Care Partners |
$12.35
|
| Rate for Payer: PACE SWMI |
$13.00
|
| Rate for Payer: PHP Commercial |
$44.22
|
| Rate for Payer: PHP Medicare Advantage |
$13.00
|
| Rate for Payer: Priority Health Cigna Priority Health |
$36.41
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$45.26
|
| Rate for Payer: Priority Health Medicare |
$13.00
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$31.73
|
| Rate for Payer: Railroad Medicare Medicare |
$13.00
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$45.78
|
| Rate for Payer: UHC Core |
$43.44
|
| Rate for Payer: UHC Dual Complete DSNP |
$13.00
|
| Rate for Payer: UHC Medicare Advantage |
$13.40
|
| Rate for Payer: VA VA |
$13.00
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$39.02
|
|
|
HC NEG PRES CANIST 1000CC
|
Facility
|
OP
|
$228.62
|
|
| Hospital Charge Code |
27200232
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$54.30 |
| Max. Negotiated Rate |
$205.76 |
| Rate for Payer: Aetna Commercial |
$194.33
|
| Rate for Payer: Aetna Medicare |
$59.44
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$71.44
|
| Rate for Payer: Amish Plain Church Group Commercial |
$71.44
|
| Rate for Payer: BCBS Complete |
$91.45
|
| Rate for Payer: BCBS MAPPO |
$57.16
|
| Rate for Payer: BCBS Trust/PPO |
$177.75
|
| Rate for Payer: BCN Commercial |
$177.75
|
| Rate for Payer: BCN Medicare Advantage |
$57.16
|
| Rate for Payer: Cash Price |
$182.90
|
| Rate for Payer: Cofinity Commercial |
$196.61
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$182.90
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$57.16
|
| Rate for Payer: Healthscope Commercial |
$205.76
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$171.46
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$60.01
|
| Rate for Payer: MI Amish Medical Board Commercial |
$65.73
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$194.33
|
| Rate for Payer: PACE Senior Care Partners |
$54.30
|
| Rate for Payer: PACE SWMI |
$57.16
|
| Rate for Payer: PHP Commercial |
$194.33
|
| Rate for Payer: PHP Medicare Advantage |
$57.16
|
| Rate for Payer: Priority Health Cigna Priority Health |
$160.03
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$198.90
|
| Rate for Payer: Priority Health Medicare |
$57.16
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$139.44
|
| Rate for Payer: Railroad Medicare Medicare |
$57.16
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$201.19
|
| Rate for Payer: UHC Core |
$190.90
|
| Rate for Payer: UHC Dual Complete DSNP |
$57.16
|
| Rate for Payer: UHC Medicare Advantage |
$58.87
|
| Rate for Payer: VA VA |
$57.16
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$171.46
|
|
|
HC NEG PRES CANIST 1000CC
|
Facility
|
IP
|
$228.62
|
|
| Hospital Charge Code |
27200232
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$139.44 |
| Max. Negotiated Rate |
$205.76 |
| Rate for Payer: Aetna Commercial |
$194.33
|
| Rate for Payer: BCBS Trust/PPO |
$176.68
|
| Rate for Payer: BCN Commercial |
$176.68
|
| Rate for Payer: Cash Price |
$182.90
|
| Rate for Payer: Cofinity Commercial |
$196.61
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$182.90
|
| Rate for Payer: Healthscope Commercial |
$205.76
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$171.46
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$194.33
|
| Rate for Payer: PHP Commercial |
$194.33
|
| Rate for Payer: Priority Health Cigna Priority Health |
$160.03
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$198.90
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$139.44
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$201.19
|
| Rate for Payer: UHC Core |
$190.90
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$171.46
|
|
|
HC NEG PRES CANIST 500CC
|
Facility
|
OP
|
$148.49
|
|
| Hospital Charge Code |
27200136
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$35.27 |
| Max. Negotiated Rate |
$133.64 |
| Rate for Payer: Aetna Commercial |
$126.22
|
| Rate for Payer: Aetna Medicare |
$38.61
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$46.40
|
| Rate for Payer: Amish Plain Church Group Commercial |
$46.40
|
| Rate for Payer: BCBS Complete |
$59.40
|
| Rate for Payer: BCBS MAPPO |
$37.12
|
| Rate for Payer: BCBS Trust/PPO |
$115.45
|
| Rate for Payer: BCN Commercial |
$115.45
|
| Rate for Payer: BCN Medicare Advantage |
$37.12
|
| Rate for Payer: Cash Price |
$118.79
|
| Rate for Payer: Cofinity Commercial |
$127.70
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$118.79
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$37.12
|
| Rate for Payer: Healthscope Commercial |
$133.64
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$111.37
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$38.98
|
| Rate for Payer: MI Amish Medical Board Commercial |
$42.69
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$126.22
|
| Rate for Payer: PACE Senior Care Partners |
$35.27
|
| Rate for Payer: PACE SWMI |
$37.12
|
| Rate for Payer: PHP Commercial |
$126.22
|
| Rate for Payer: PHP Medicare Advantage |
$37.12
|
| Rate for Payer: Priority Health Cigna Priority Health |
$103.94
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$129.19
|
| Rate for Payer: Priority Health Medicare |
$37.12
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$90.56
|
| Rate for Payer: Railroad Medicare Medicare |
$37.12
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$130.67
|
| Rate for Payer: UHC Core |
$123.99
|
| Rate for Payer: UHC Dual Complete DSNP |
$37.12
|
| Rate for Payer: UHC Medicare Advantage |
$38.24
|
| Rate for Payer: VA VA |
$37.12
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$111.37
|
|
|
HC NEG PRES CANIST 500CC
|
Facility
|
IP
|
$148.49
|
|
| Hospital Charge Code |
27200136
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$90.56 |
| Max. Negotiated Rate |
$133.64 |
| Rate for Payer: Aetna Commercial |
$126.22
|
| Rate for Payer: BCBS Trust/PPO |
$114.75
|
| Rate for Payer: BCN Commercial |
$114.75
|
| Rate for Payer: Cash Price |
$118.79
|
| Rate for Payer: Cofinity Commercial |
$127.70
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$118.79
|
| Rate for Payer: Healthscope Commercial |
$133.64
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$111.37
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$126.22
|
| Rate for Payer: PHP Commercial |
$126.22
|
| Rate for Payer: Priority Health Cigna Priority Health |
$103.94
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$129.19
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$90.56
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$130.67
|
| Rate for Payer: UHC Core |
$123.99
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$111.37
|
|
|
HC NEG PRES CLEANSE DRSG MED
|
Facility
|
OP
|
$500.88
|
|
| Hospital Charge Code |
27200229
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$118.96 |
| Max. Negotiated Rate |
$450.79 |
| Rate for Payer: Aetna Commercial |
$425.75
|
| Rate for Payer: Aetna Medicare |
$130.23
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$156.52
|
| Rate for Payer: Amish Plain Church Group Commercial |
$156.52
|
| Rate for Payer: BCBS Complete |
$200.35
|
| Rate for Payer: BCBS MAPPO |
$125.22
|
| Rate for Payer: BCBS Trust/PPO |
$389.43
|
| Rate for Payer: BCN Commercial |
$389.43
|
| Rate for Payer: BCN Medicare Advantage |
$125.22
|
| Rate for Payer: Cash Price |
$400.70
|
| Rate for Payer: Cofinity Commercial |
$430.76
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$400.70
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$125.22
|
| Rate for Payer: Healthscope Commercial |
$450.79
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$375.66
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$131.48
|
| Rate for Payer: MI Amish Medical Board Commercial |
$144.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$425.75
|
| Rate for Payer: PACE Senior Care Partners |
$118.96
|
| Rate for Payer: PACE SWMI |
$125.22
|
| Rate for Payer: PHP Commercial |
$425.75
|
| Rate for Payer: PHP Medicare Advantage |
$125.22
|
| Rate for Payer: Priority Health Cigna Priority Health |
$350.62
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$435.77
|
| Rate for Payer: Priority Health Medicare |
$125.22
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$305.49
|
| Rate for Payer: Railroad Medicare Medicare |
$125.22
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$440.77
|
| Rate for Payer: UHC Core |
$418.23
|
| Rate for Payer: UHC Dual Complete DSNP |
$125.22
|
| Rate for Payer: UHC Medicare Advantage |
$128.98
|
| Rate for Payer: VA VA |
$125.22
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$375.66
|
|
|
HC NEG PRES CLEANSE DRSG MED
|
Facility
|
IP
|
$500.88
|
|
| Hospital Charge Code |
27200229
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$305.49 |
| Max. Negotiated Rate |
$450.79 |
| Rate for Payer: Aetna Commercial |
$425.75
|
| Rate for Payer: BCBS Trust/PPO |
$387.08
|
| Rate for Payer: BCN Commercial |
$387.08
|
| Rate for Payer: Cash Price |
$400.70
|
| Rate for Payer: Cofinity Commercial |
$430.76
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$400.70
|
| Rate for Payer: Healthscope Commercial |
$450.79
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$375.66
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$425.75
|
| Rate for Payer: PHP Commercial |
$425.75
|
| Rate for Payer: Priority Health Cigna Priority Health |
$350.62
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$435.77
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$305.49
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$440.77
|
| Rate for Payer: UHC Core |
$418.23
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$375.66
|
|
|
HC NEG PRESSURE WND TX DME GT 50 SQ CM
|
Facility
|
IP
|
$530.23
|
|
|
Service Code
|
CPT 97606
|
| Hospital Charge Code |
76100009
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$323.39 |
| Max. Negotiated Rate |
$477.21 |
| Rate for Payer: Aetna Commercial |
$450.70
|
| Rate for Payer: BCBS Trust/PPO |
$409.76
|
| Rate for Payer: BCN Commercial |
$409.76
|
| Rate for Payer: Cash Price |
$424.18
|
| Rate for Payer: Cofinity Commercial |
$456.00
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$424.18
|
| Rate for Payer: Healthscope Commercial |
$477.21
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$397.67
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$450.70
|
| Rate for Payer: PHP Commercial |
$450.70
|
| Rate for Payer: Priority Health Cigna Priority Health |
$371.16
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$461.30
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$323.39
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$466.60
|
| Rate for Payer: UHC Core |
$442.74
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$397.67
|
|
|
HC NEG PRESSURE WND TX DME GT 50 SQ CM
|
Facility
|
OP
|
$530.23
|
|
|
Service Code
|
CPT 97606
|
| Hospital Charge Code |
76100009
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$125.93 |
| Max. Negotiated Rate |
$477.21 |
| Rate for Payer: Aetna Commercial |
$450.70
|
| Rate for Payer: Aetna Medicare |
$137.86
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$165.70
|
| Rate for Payer: Amish Plain Church Group Commercial |
$165.70
|
| Rate for Payer: BCBS Complete |
$274.65
|
| Rate for Payer: BCBS MAPPO |
$132.56
|
| Rate for Payer: BCBS Trust/PPO |
$412.25
|
| Rate for Payer: BCN Commercial |
$412.25
|
| Rate for Payer: BCN Medicare Advantage |
$132.56
|
| Rate for Payer: Cash Price |
$424.18
|
| Rate for Payer: Cash Price |
$424.18
|
| Rate for Payer: Cofinity Commercial |
$456.00
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$424.18
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$132.56
|
| Rate for Payer: Healthscope Commercial |
$477.21
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$397.67
|
| Rate for Payer: Mclaren Medicaid |
$261.57
|
| Rate for Payer: Meridian Medicaid |
$274.65
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$139.19
|
| Rate for Payer: MI Amish Medical Board Commercial |
$152.44
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$450.70
|
| Rate for Payer: PACE Senior Care Partners |
$125.93
|
| Rate for Payer: PACE SWMI |
$132.56
|
| Rate for Payer: PHP Commercial |
$450.70
|
| Rate for Payer: PHP Medicare Advantage |
$132.56
|
| Rate for Payer: Priority Health Choice Medicaid |
$261.57
|
| Rate for Payer: Priority Health Cigna Priority Health |
$371.16
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$461.30
|
| Rate for Payer: Priority Health Medicare |
$132.56
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$323.39
|
| Rate for Payer: Railroad Medicare Medicare |
$132.56
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$466.60
|
| Rate for Payer: UHC Core |
$442.74
|
| Rate for Payer: UHC Dual Complete DSNP |
$132.56
|
| Rate for Payer: UHC Medicare Advantage |
$136.53
|
| Rate for Payer: VA VA |
$132.56
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$397.67
|
|
|
HC NEG PRESSURE WND TX DME UP TO 50 SQ CM
|
Facility
|
OP
|
$419.92
|
|
|
Service Code
|
CPT 97605
|
| Hospital Charge Code |
76100008
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$99.73 |
| Max. Negotiated Rate |
$377.93 |
| Rate for Payer: Aetna Commercial |
$356.93
|
| Rate for Payer: Aetna Medicare |
$109.18
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$131.22
|
| Rate for Payer: Amish Plain Church Group Commercial |
$131.22
|
| Rate for Payer: BCBS Complete |
$137.89
|
| Rate for Payer: BCBS MAPPO |
$104.98
|
| Rate for Payer: BCBS Trust/PPO |
$326.49
|
| Rate for Payer: BCN Commercial |
$326.49
|
| Rate for Payer: BCN Medicare Advantage |
$104.98
|
| Rate for Payer: Cash Price |
$335.94
|
| Rate for Payer: Cash Price |
$335.94
|
| Rate for Payer: Cofinity Commercial |
$361.13
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$335.94
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$104.98
|
| Rate for Payer: Healthscope Commercial |
$377.93
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$314.94
|
| Rate for Payer: Mclaren Medicaid |
$131.33
|
| Rate for Payer: Meridian Medicaid |
$137.89
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$110.23
|
| Rate for Payer: MI Amish Medical Board Commercial |
$120.73
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$356.93
|
| Rate for Payer: PACE Senior Care Partners |
$99.73
|
| Rate for Payer: PACE SWMI |
$104.98
|
| Rate for Payer: PHP Commercial |
$356.93
|
| Rate for Payer: PHP Medicare Advantage |
$104.98
|
| Rate for Payer: Priority Health Choice Medicaid |
$131.33
|
| Rate for Payer: Priority Health Cigna Priority Health |
$293.94
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$365.33
|
| Rate for Payer: Priority Health Medicare |
$104.98
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$256.11
|
| Rate for Payer: Railroad Medicare Medicare |
$104.98
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$369.53
|
| Rate for Payer: UHC Core |
$350.63
|
| Rate for Payer: UHC Dual Complete DSNP |
$104.98
|
| Rate for Payer: UHC Medicare Advantage |
$108.13
|
| Rate for Payer: VA VA |
$104.98
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$314.94
|
|
|
HC NEG PRESSURE WND TX DME UP TO 50 SQ CM
|
Facility
|
IP
|
$419.92
|
|
|
Service Code
|
CPT 97605
|
| Hospital Charge Code |
76100008
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$256.11 |
| Max. Negotiated Rate |
$377.93 |
| Rate for Payer: Aetna Commercial |
$356.93
|
| Rate for Payer: BCBS Trust/PPO |
$324.51
|
| Rate for Payer: BCN Commercial |
$324.51
|
| Rate for Payer: Cash Price |
$335.94
|
| Rate for Payer: Cofinity Commercial |
$361.13
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$335.94
|
| Rate for Payer: Healthscope Commercial |
$377.93
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$314.94
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$356.93
|
| Rate for Payer: PHP Commercial |
$356.93
|
| Rate for Payer: Priority Health Cigna Priority Health |
$293.94
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$365.33
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$256.11
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$369.53
|
| Rate for Payer: UHC Core |
$350.63
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$314.94
|
|
|
HC NEG PRES TRAC PAD
|
Facility
|
IP
|
$72.36
|
|
| Hospital Charge Code |
27000158
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$44.13 |
| Max. Negotiated Rate |
$65.12 |
| Rate for Payer: Aetna Commercial |
$61.51
|
| Rate for Payer: BCBS Trust/PPO |
$55.92
|
| Rate for Payer: BCN Commercial |
$55.92
|
| Rate for Payer: Cash Price |
$57.89
|
| Rate for Payer: Cofinity Commercial |
$62.23
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$57.89
|
| Rate for Payer: Healthscope Commercial |
$65.12
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$54.27
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$61.51
|
| Rate for Payer: PHP Commercial |
$61.51
|
| Rate for Payer: Priority Health Cigna Priority Health |
$50.65
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$62.95
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$44.13
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$63.68
|
| Rate for Payer: UHC Core |
$60.42
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$54.27
|
|
|
HC NEG PRES TRAC PAD
|
Facility
|
OP
|
$72.36
|
|
| Hospital Charge Code |
27000158
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$17.19 |
| Max. Negotiated Rate |
$65.12 |
| Rate for Payer: Aetna Commercial |
$61.51
|
| Rate for Payer: Aetna Medicare |
$18.81
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$22.61
|
| Rate for Payer: Amish Plain Church Group Commercial |
$22.61
|
| Rate for Payer: BCBS Complete |
$28.94
|
| Rate for Payer: BCBS MAPPO |
$18.09
|
| Rate for Payer: BCBS Trust/PPO |
$56.26
|
| Rate for Payer: BCN Commercial |
$56.26
|
| Rate for Payer: BCN Medicare Advantage |
$18.09
|
| Rate for Payer: Cash Price |
$57.89
|
| Rate for Payer: Cofinity Commercial |
$62.23
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$57.89
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$18.09
|
| Rate for Payer: Healthscope Commercial |
$65.12
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$54.27
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$18.99
|
| Rate for Payer: MI Amish Medical Board Commercial |
$20.80
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$61.51
|
| Rate for Payer: PACE Senior Care Partners |
$17.19
|
| Rate for Payer: PACE SWMI |
$18.09
|
| Rate for Payer: PHP Commercial |
$61.51
|
| Rate for Payer: PHP Medicare Advantage |
$18.09
|
| Rate for Payer: Priority Health Cigna Priority Health |
$50.65
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$62.95
|
| Rate for Payer: Priority Health Medicare |
$18.09
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$44.13
|
| Rate for Payer: Railroad Medicare Medicare |
$18.09
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$63.68
|
| Rate for Payer: UHC Core |
$60.42
|
| Rate for Payer: UHC Dual Complete DSNP |
$18.09
|
| Rate for Payer: UHC Medicare Advantage |
$18.63
|
| Rate for Payer: VA VA |
$18.09
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$54.27
|
|
|
HC NEG PRES VF CASSETTE
|
Facility
|
IP
|
$208.70
|
|
| Hospital Charge Code |
27200230
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$127.29 |
| Max. Negotiated Rate |
$187.83 |
| Rate for Payer: Aetna Commercial |
$177.40
|
| Rate for Payer: BCBS Trust/PPO |
$161.28
|
| Rate for Payer: BCN Commercial |
$161.28
|
| Rate for Payer: Cash Price |
$166.96
|
| Rate for Payer: Cofinity Commercial |
$179.48
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$166.96
|
| Rate for Payer: Healthscope Commercial |
$187.83
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$156.52
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$177.40
|
| Rate for Payer: PHP Commercial |
$177.40
|
| Rate for Payer: Priority Health Cigna Priority Health |
$146.09
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$181.57
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$127.29
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$183.66
|
| Rate for Payer: UHC Core |
$174.26
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$156.52
|
|
