|
HC NEG PRES VF CASSETTE
|
Facility
|
OP
|
$208.70
|
|
| Hospital Charge Code |
27200230
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$49.57 |
| Max. Negotiated Rate |
$187.83 |
| Rate for Payer: Aetna Commercial |
$177.40
|
| Rate for Payer: Aetna Medicare |
$54.26
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$65.22
|
| Rate for Payer: Amish Plain Church Group Commercial |
$65.22
|
| Rate for Payer: BCBS Complete |
$83.48
|
| Rate for Payer: BCBS MAPPO |
$52.18
|
| Rate for Payer: BCBS Trust/PPO |
$162.26
|
| Rate for Payer: BCN Commercial |
$162.26
|
| Rate for Payer: BCN Medicare Advantage |
$52.18
|
| 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: Health Alliance Plan Medicare Advantage |
$52.18
|
| Rate for Payer: Healthscope Commercial |
$187.83
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$156.52
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$54.78
|
| Rate for Payer: MI Amish Medical Board Commercial |
$60.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$177.40
|
| Rate for Payer: PACE Senior Care Partners |
$49.57
|
| Rate for Payer: PACE SWMI |
$52.18
|
| Rate for Payer: PHP Commercial |
$177.40
|
| Rate for Payer: PHP Medicare Advantage |
$52.18
|
| 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 Medicare |
$52.18
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$127.29
|
| Rate for Payer: Railroad Medicare Medicare |
$52.18
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$183.66
|
| Rate for Payer: UHC Core |
$174.26
|
| Rate for Payer: UHC Dual Complete DSNP |
$52.18
|
| Rate for Payer: UHC Medicare Advantage |
$53.74
|
| Rate for Payer: VA VA |
$52.18
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$156.52
|
|
|
HC NEG PRES VF DRSG MED
|
Facility
|
IP
|
$436.37
|
|
| Hospital Charge Code |
27200228
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$266.14 |
| Max. Negotiated Rate |
$392.73 |
| Rate for Payer: Aetna Commercial |
$370.91
|
| Rate for Payer: BCBS Trust/PPO |
$337.23
|
| Rate for Payer: BCN Commercial |
$337.23
|
| Rate for Payer: Cash Price |
$349.10
|
| Rate for Payer: Cofinity Commercial |
$375.28
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$349.10
|
| Rate for Payer: Healthscope Commercial |
$392.73
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$327.28
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$370.91
|
| Rate for Payer: PHP Commercial |
$370.91
|
| Rate for Payer: Priority Health Cigna Priority Health |
$305.46
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$379.64
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$266.14
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$384.01
|
| Rate for Payer: UHC Core |
$364.37
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$327.28
|
|
|
HC NEG PRES VF DRSG MED
|
Facility
|
OP
|
$436.37
|
|
| Hospital Charge Code |
27200228
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$103.64 |
| Max. Negotiated Rate |
$392.73 |
| Rate for Payer: Aetna Commercial |
$370.91
|
| Rate for Payer: Aetna Medicare |
$113.46
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$136.37
|
| Rate for Payer: Amish Plain Church Group Commercial |
$136.37
|
| Rate for Payer: BCBS Complete |
$174.55
|
| Rate for Payer: BCBS MAPPO |
$109.09
|
| Rate for Payer: BCBS Trust/PPO |
$339.28
|
| Rate for Payer: BCN Commercial |
$339.28
|
| Rate for Payer: BCN Medicare Advantage |
$109.09
|
| Rate for Payer: Cash Price |
$349.10
|
| Rate for Payer: Cofinity Commercial |
$375.28
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$349.10
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$109.09
|
| Rate for Payer: Healthscope Commercial |
$392.73
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$327.28
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$114.55
|
| Rate for Payer: MI Amish Medical Board Commercial |
$125.46
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$370.91
|
| Rate for Payer: PACE Senior Care Partners |
$103.64
|
| Rate for Payer: PACE SWMI |
$109.09
|
| Rate for Payer: PHP Commercial |
$370.91
|
| Rate for Payer: PHP Medicare Advantage |
$109.09
|
| Rate for Payer: Priority Health Cigna Priority Health |
$305.46
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$379.64
|
| Rate for Payer: Priority Health Medicare |
$109.09
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$266.14
|
| Rate for Payer: Railroad Medicare Medicare |
$109.09
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$384.01
|
| Rate for Payer: UHC Core |
$364.37
|
| Rate for Payer: UHC Dual Complete DSNP |
$109.09
|
| Rate for Payer: UHC Medicare Advantage |
$112.37
|
| Rate for Payer: VA VA |
$109.09
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$327.28
|
|
|
HC NEG PRES VF DRSG SMA
|
Facility
|
IP
|
$371.86
|
|
| Hospital Charge Code |
27200227
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$226.80 |
| Max. Negotiated Rate |
$334.67 |
| Rate for Payer: Aetna Commercial |
$316.08
|
| Rate for Payer: BCBS Trust/PPO |
$287.37
|
| Rate for Payer: BCN Commercial |
$287.37
|
| Rate for Payer: Cash Price |
$297.49
|
| Rate for Payer: Cofinity Commercial |
$319.80
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$297.49
|
| Rate for Payer: Healthscope Commercial |
$334.67
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$278.90
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$316.08
|
| Rate for Payer: PHP Commercial |
$316.08
|
| Rate for Payer: Priority Health Cigna Priority Health |
$260.30
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$323.52
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$226.80
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$327.24
|
| Rate for Payer: UHC Core |
$310.50
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$278.90
|
|
|
HC NEG PRES VF DRSG SMA
|
Facility
|
OP
|
$371.86
|
|
| Hospital Charge Code |
27200227
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$88.32 |
| Max. Negotiated Rate |
$334.67 |
| Rate for Payer: Aetna Commercial |
$316.08
|
| Rate for Payer: Aetna Medicare |
$96.68
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$116.21
|
| Rate for Payer: Amish Plain Church Group Commercial |
$116.21
|
| Rate for Payer: BCBS Complete |
$148.74
|
| Rate for Payer: BCBS MAPPO |
$92.96
|
| Rate for Payer: BCBS Trust/PPO |
$289.12
|
| Rate for Payer: BCN Commercial |
$289.12
|
| Rate for Payer: BCN Medicare Advantage |
$92.96
|
| Rate for Payer: Cash Price |
$297.49
|
| Rate for Payer: Cofinity Commercial |
$319.80
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$297.49
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$92.96
|
| Rate for Payer: Healthscope Commercial |
$334.67
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$278.90
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$97.61
|
| Rate for Payer: MI Amish Medical Board Commercial |
$106.91
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$316.08
|
| Rate for Payer: PACE Senior Care Partners |
$88.32
|
| Rate for Payer: PACE SWMI |
$92.96
|
| Rate for Payer: PHP Commercial |
$316.08
|
| Rate for Payer: PHP Medicare Advantage |
$92.96
|
| Rate for Payer: Priority Health Cigna Priority Health |
$260.30
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$323.52
|
| Rate for Payer: Priority Health Medicare |
$92.96
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$226.80
|
| Rate for Payer: Railroad Medicare Medicare |
$92.96
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$327.24
|
| Rate for Payer: UHC Core |
$310.50
|
| Rate for Payer: UHC Dual Complete DSNP |
$92.96
|
| Rate for Payer: UHC Medicare Advantage |
$95.75
|
| Rate for Payer: VA VA |
$92.96
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$278.90
|
|
|
HC NEG PRES VF DUO TRAC PAD
|
Facility
|
IP
|
$284.59
|
|
| Hospital Charge Code |
27200231
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$173.57 |
| Max. Negotiated Rate |
$256.13 |
| Rate for Payer: Aetna Commercial |
$241.90
|
| Rate for Payer: BCBS Trust/PPO |
$219.93
|
| Rate for Payer: BCN Commercial |
$219.93
|
| Rate for Payer: Cash Price |
$227.67
|
| Rate for Payer: Cofinity Commercial |
$244.75
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$227.67
|
| Rate for Payer: Healthscope Commercial |
$256.13
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$213.44
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$241.90
|
| Rate for Payer: PHP Commercial |
$241.90
|
| Rate for Payer: Priority Health Cigna Priority Health |
$199.21
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$247.59
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$173.57
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$250.44
|
| Rate for Payer: UHC Core |
$237.63
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$213.44
|
|
|
HC NEG PRES VF DUO TRAC PAD
|
Facility
|
OP
|
$284.59
|
|
| Hospital Charge Code |
27200231
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$67.59 |
| Max. Negotiated Rate |
$256.13 |
| Rate for Payer: Aetna Commercial |
$241.90
|
| Rate for Payer: Aetna Medicare |
$73.99
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$88.93
|
| Rate for Payer: Amish Plain Church Group Commercial |
$88.93
|
| Rate for Payer: BCBS Complete |
$113.84
|
| Rate for Payer: BCBS MAPPO |
$71.15
|
| Rate for Payer: BCBS Trust/PPO |
$221.27
|
| Rate for Payer: BCN Commercial |
$221.27
|
| Rate for Payer: BCN Medicare Advantage |
$71.15
|
| Rate for Payer: Cash Price |
$227.67
|
| Rate for Payer: Cofinity Commercial |
$244.75
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$227.67
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$71.15
|
| Rate for Payer: Healthscope Commercial |
$256.13
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$213.44
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$74.70
|
| Rate for Payer: MI Amish Medical Board Commercial |
$81.82
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$241.90
|
| Rate for Payer: PACE Senior Care Partners |
$67.59
|
| Rate for Payer: PACE SWMI |
$71.15
|
| Rate for Payer: PHP Commercial |
$241.90
|
| Rate for Payer: PHP Medicare Advantage |
$71.15
|
| Rate for Payer: Priority Health Cigna Priority Health |
$199.21
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$247.59
|
| Rate for Payer: Priority Health Medicare |
$71.15
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$173.57
|
| Rate for Payer: Railroad Medicare Medicare |
$71.15
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$250.44
|
| Rate for Payer: UHC Core |
$237.63
|
| Rate for Payer: UHC Dual Complete DSNP |
$71.15
|
| Rate for Payer: UHC Medicare Advantage |
$73.28
|
| Rate for Payer: VA VA |
$71.15
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$213.44
|
|
|
HC NEG PRES WHT FOAM DRSG
|
Facility
|
OP
|
$176.57
|
|
| Hospital Charge Code |
27200158
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$41.94 |
| Max. Negotiated Rate |
$158.91 |
| Rate for Payer: Aetna Commercial |
$150.08
|
| Rate for Payer: Aetna Medicare |
$45.91
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$55.18
|
| Rate for Payer: Amish Plain Church Group Commercial |
$55.18
|
| Rate for Payer: BCBS Complete |
$70.63
|
| Rate for Payer: BCBS MAPPO |
$44.14
|
| Rate for Payer: BCBS Trust/PPO |
$137.28
|
| Rate for Payer: BCN Commercial |
$137.28
|
| Rate for Payer: BCN Medicare Advantage |
$44.14
|
| Rate for Payer: Cash Price |
$141.26
|
| Rate for Payer: Cofinity Commercial |
$151.85
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$141.26
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$44.14
|
| Rate for Payer: Healthscope Commercial |
$158.91
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$132.43
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$46.35
|
| Rate for Payer: MI Amish Medical Board Commercial |
$50.76
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$150.08
|
| Rate for Payer: PACE Senior Care Partners |
$41.94
|
| Rate for Payer: PACE SWMI |
$44.14
|
| Rate for Payer: PHP Commercial |
$150.08
|
| Rate for Payer: PHP Medicare Advantage |
$44.14
|
| Rate for Payer: Priority Health Cigna Priority Health |
$123.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$153.62
|
| Rate for Payer: Priority Health Medicare |
$44.14
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$107.69
|
| Rate for Payer: Railroad Medicare Medicare |
$44.14
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$155.38
|
| Rate for Payer: UHC Core |
$147.44
|
| Rate for Payer: UHC Dual Complete DSNP |
$44.14
|
| Rate for Payer: UHC Medicare Advantage |
$45.47
|
| Rate for Payer: VA VA |
$44.14
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$132.43
|
|
|
HC NEG PRES WHT FOAM DRSG
|
Facility
|
IP
|
$176.57
|
|
| Hospital Charge Code |
27200158
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$107.69 |
| Max. Negotiated Rate |
$158.91 |
| Rate for Payer: Aetna Commercial |
$150.08
|
| Rate for Payer: BCBS Trust/PPO |
$136.45
|
| Rate for Payer: BCN Commercial |
$136.45
|
| Rate for Payer: Cash Price |
$141.26
|
| Rate for Payer: Cofinity Commercial |
$151.85
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$141.26
|
| Rate for Payer: Healthscope Commercial |
$158.91
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$132.43
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$150.08
|
| Rate for Payer: PHP Commercial |
$150.08
|
| Rate for Payer: Priority Health Cigna Priority Health |
$123.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$153.62
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$107.69
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$155.38
|
| Rate for Payer: UHC Core |
$147.44
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$132.43
|
|
|
HC NEG PRES WND THRPY DSG EXLGE
|
Facility
|
IP
|
$373.77
|
|
| Hospital Charge Code |
27200137
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$227.96 |
| Max. Negotiated Rate |
$336.39 |
| Rate for Payer: Aetna Commercial |
$317.70
|
| Rate for Payer: BCBS Trust/PPO |
$288.85
|
| Rate for Payer: BCN Commercial |
$288.85
|
| Rate for Payer: Cash Price |
$299.02
|
| Rate for Payer: Cofinity Commercial |
$321.44
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$299.02
|
| Rate for Payer: Healthscope Commercial |
$336.39
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$280.33
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$317.70
|
| Rate for Payer: PHP Commercial |
$317.70
|
| Rate for Payer: Priority Health Cigna Priority Health |
$261.64
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$325.18
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$227.96
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$328.92
|
| Rate for Payer: UHC Core |
$312.10
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$280.33
|
|
|
HC NEG PRES WND THRPY DSG EXLGE
|
Facility
|
OP
|
$373.77
|
|
| Hospital Charge Code |
27200137
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$88.77 |
| Max. Negotiated Rate |
$336.39 |
| Rate for Payer: Aetna Commercial |
$317.70
|
| Rate for Payer: Aetna Medicare |
$97.18
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$116.80
|
| Rate for Payer: Amish Plain Church Group Commercial |
$116.80
|
| Rate for Payer: BCBS Complete |
$149.51
|
| Rate for Payer: BCBS MAPPO |
$93.44
|
| Rate for Payer: BCBS Trust/PPO |
$290.61
|
| Rate for Payer: BCN Commercial |
$290.61
|
| Rate for Payer: BCN Medicare Advantage |
$93.44
|
| Rate for Payer: Cash Price |
$299.02
|
| Rate for Payer: Cofinity Commercial |
$321.44
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$299.02
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$93.44
|
| Rate for Payer: Healthscope Commercial |
$336.39
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$280.33
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$98.11
|
| Rate for Payer: MI Amish Medical Board Commercial |
$107.46
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$317.70
|
| Rate for Payer: PACE Senior Care Partners |
$88.77
|
| Rate for Payer: PACE SWMI |
$93.44
|
| Rate for Payer: PHP Commercial |
$317.70
|
| Rate for Payer: PHP Medicare Advantage |
$93.44
|
| Rate for Payer: Priority Health Cigna Priority Health |
$261.64
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$325.18
|
| Rate for Payer: Priority Health Medicare |
$93.44
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$227.96
|
| Rate for Payer: Railroad Medicare Medicare |
$93.44
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$328.92
|
| Rate for Payer: UHC Core |
$312.10
|
| Rate for Payer: UHC Dual Complete DSNP |
$93.44
|
| Rate for Payer: UHC Medicare Advantage |
$96.25
|
| Rate for Payer: VA VA |
$93.44
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$280.33
|
|
|
HC NEG PRES WND THRPY DSG SET LAR
|
Facility
|
OP
|
$198.58
|
|
| Hospital Charge Code |
27200138
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$47.16 |
| Max. Negotiated Rate |
$178.72 |
| Rate for Payer: Aetna Commercial |
$168.79
|
| Rate for Payer: Aetna Medicare |
$51.63
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$62.06
|
| Rate for Payer: Amish Plain Church Group Commercial |
$62.06
|
| Rate for Payer: BCBS Complete |
$79.43
|
| Rate for Payer: BCBS MAPPO |
$49.64
|
| Rate for Payer: BCBS Trust/PPO |
$154.40
|
| Rate for Payer: BCN Commercial |
$154.40
|
| Rate for Payer: BCN Medicare Advantage |
$49.64
|
| Rate for Payer: Cash Price |
$158.86
|
| Rate for Payer: Cofinity Commercial |
$170.78
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$158.86
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$49.64
|
| Rate for Payer: Healthscope Commercial |
$178.72
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$148.94
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$52.13
|
| Rate for Payer: MI Amish Medical Board Commercial |
$57.09
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$168.79
|
| Rate for Payer: PACE Senior Care Partners |
$47.16
|
| Rate for Payer: PACE SWMI |
$49.64
|
| Rate for Payer: PHP Commercial |
$168.79
|
| Rate for Payer: PHP Medicare Advantage |
$49.64
|
| Rate for Payer: Priority Health Cigna Priority Health |
$139.01
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$172.76
|
| Rate for Payer: Priority Health Medicare |
$49.64
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$121.11
|
| Rate for Payer: Railroad Medicare Medicare |
$49.64
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$174.75
|
| Rate for Payer: UHC Core |
$165.81
|
| Rate for Payer: UHC Dual Complete DSNP |
$49.64
|
| Rate for Payer: UHC Medicare Advantage |
$51.13
|
| Rate for Payer: VA VA |
$49.64
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$148.94
|
|
|
HC NEG PRES WND THRPY DSG SET LAR
|
Facility
|
IP
|
$198.58
|
|
| Hospital Charge Code |
27200138
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$121.11 |
| Max. Negotiated Rate |
$178.72 |
| Rate for Payer: Aetna Commercial |
$168.79
|
| Rate for Payer: BCBS Trust/PPO |
$153.46
|
| Rate for Payer: BCN Commercial |
$153.46
|
| Rate for Payer: Cash Price |
$158.86
|
| Rate for Payer: Cofinity Commercial |
$170.78
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$158.86
|
| Rate for Payer: Healthscope Commercial |
$178.72
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$148.94
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$168.79
|
| Rate for Payer: PHP Commercial |
$168.79
|
| Rate for Payer: Priority Health Cigna Priority Health |
$139.01
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$172.76
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$121.11
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$174.75
|
| Rate for Payer: UHC Core |
$165.81
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$148.94
|
|
|
HC NEG PRES WND THRPY DSG SET MED
|
Facility
|
OP
|
$143.06
|
|
| Hospital Charge Code |
27200139
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$33.98 |
| Max. Negotiated Rate |
$128.75 |
| Rate for Payer: Aetna Commercial |
$121.60
|
| Rate for Payer: Aetna Medicare |
$37.20
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$44.71
|
| Rate for Payer: Amish Plain Church Group Commercial |
$44.71
|
| Rate for Payer: BCBS Complete |
$57.22
|
| Rate for Payer: BCBS MAPPO |
$35.76
|
| Rate for Payer: BCBS Trust/PPO |
$111.23
|
| Rate for Payer: BCN Commercial |
$111.23
|
| Rate for Payer: BCN Medicare Advantage |
$35.76
|
| Rate for Payer: Cash Price |
$114.45
|
| Rate for Payer: Cofinity Commercial |
$123.03
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$114.45
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$35.76
|
| Rate for Payer: Healthscope Commercial |
$128.75
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$107.30
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$37.55
|
| Rate for Payer: MI Amish Medical Board Commercial |
$41.13
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$121.60
|
| Rate for Payer: PACE Senior Care Partners |
$33.98
|
| Rate for Payer: PACE SWMI |
$35.76
|
| Rate for Payer: PHP Commercial |
$121.60
|
| Rate for Payer: PHP Medicare Advantage |
$35.76
|
| Rate for Payer: Priority Health Cigna Priority Health |
$100.14
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$124.46
|
| Rate for Payer: Priority Health Medicare |
$35.76
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$87.25
|
| Rate for Payer: Railroad Medicare Medicare |
$35.76
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$125.89
|
| Rate for Payer: UHC Core |
$119.46
|
| Rate for Payer: UHC Dual Complete DSNP |
$35.76
|
| Rate for Payer: UHC Medicare Advantage |
$36.84
|
| Rate for Payer: VA VA |
$35.76
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$107.30
|
|
|
HC NEG PRES WND THRPY DSG SET MED
|
Facility
|
IP
|
$143.06
|
|
| Hospital Charge Code |
27200139
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$87.25 |
| Max. Negotiated Rate |
$128.75 |
| Rate for Payer: Aetna Commercial |
$121.60
|
| Rate for Payer: BCBS Trust/PPO |
$110.56
|
| Rate for Payer: BCN Commercial |
$110.56
|
| Rate for Payer: Cash Price |
$114.45
|
| Rate for Payer: Cofinity Commercial |
$123.03
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$114.45
|
| Rate for Payer: Healthscope Commercial |
$128.75
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$107.30
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$121.60
|
| Rate for Payer: PHP Commercial |
$121.60
|
| Rate for Payer: Priority Health Cigna Priority Health |
$100.14
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$124.46
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$87.25
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$125.89
|
| Rate for Payer: UHC Core |
$119.46
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$107.30
|
|
|
HC NEG PRES WND THRPY DSG SET SIL
|
Facility
|
IP
|
$267.14
|
|
| Hospital Charge Code |
27200140
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$162.93 |
| Max. Negotiated Rate |
$240.43 |
| Rate for Payer: Aetna Commercial |
$227.07
|
| Rate for Payer: BCBS Trust/PPO |
$206.45
|
| Rate for Payer: BCN Commercial |
$206.45
|
| Rate for Payer: Cash Price |
$213.71
|
| Rate for Payer: Cofinity Commercial |
$229.74
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$213.71
|
| Rate for Payer: Healthscope Commercial |
$240.43
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$200.36
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$227.07
|
| Rate for Payer: PHP Commercial |
$227.07
|
| Rate for Payer: Priority Health Cigna Priority Health |
$187.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$232.41
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$162.93
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$235.08
|
| Rate for Payer: UHC Core |
$223.06
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$200.36
|
|
|
HC NEG PRES WND THRPY DSG SET SIL
|
Facility
|
OP
|
$267.14
|
|
| Hospital Charge Code |
27200140
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$63.45 |
| Max. Negotiated Rate |
$240.43 |
| Rate for Payer: Aetna Commercial |
$227.07
|
| Rate for Payer: Aetna Medicare |
$69.46
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$83.48
|
| Rate for Payer: Amish Plain Church Group Commercial |
$83.48
|
| Rate for Payer: BCBS Complete |
$106.86
|
| Rate for Payer: BCBS MAPPO |
$66.78
|
| Rate for Payer: BCBS Trust/PPO |
$207.70
|
| Rate for Payer: BCN Commercial |
$207.70
|
| Rate for Payer: BCN Medicare Advantage |
$66.78
|
| Rate for Payer: Cash Price |
$213.71
|
| Rate for Payer: Cofinity Commercial |
$229.74
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$213.71
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$66.78
|
| Rate for Payer: Healthscope Commercial |
$240.43
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$200.36
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$70.12
|
| Rate for Payer: MI Amish Medical Board Commercial |
$76.80
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$227.07
|
| Rate for Payer: PACE Senior Care Partners |
$63.45
|
| Rate for Payer: PACE SWMI |
$66.78
|
| Rate for Payer: PHP Commercial |
$227.07
|
| Rate for Payer: PHP Medicare Advantage |
$66.78
|
| Rate for Payer: Priority Health Cigna Priority Health |
$187.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$232.41
|
| Rate for Payer: Priority Health Medicare |
$66.78
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$162.93
|
| Rate for Payer: Railroad Medicare Medicare |
$66.78
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$235.08
|
| Rate for Payer: UHC Core |
$223.06
|
| Rate for Payer: UHC Dual Complete DSNP |
$66.78
|
| Rate for Payer: UHC Medicare Advantage |
$68.79
|
| Rate for Payer: VA VA |
$66.78
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$200.36
|
|
|
HC NEG PRES WND THRPY DSG SET SMA
|
Facility
|
OP
|
$113.72
|
|
| Hospital Charge Code |
27200141
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$27.01 |
| Max. Negotiated Rate |
$102.35 |
| Rate for Payer: Aetna Commercial |
$96.66
|
| Rate for Payer: Aetna Medicare |
$29.57
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$35.54
|
| Rate for Payer: Amish Plain Church Group Commercial |
$35.54
|
| Rate for Payer: BCBS Complete |
$45.49
|
| Rate for Payer: BCBS MAPPO |
$28.43
|
| Rate for Payer: BCBS Trust/PPO |
$88.42
|
| Rate for Payer: BCN Commercial |
$88.42
|
| Rate for Payer: BCN Medicare Advantage |
$28.43
|
| Rate for Payer: Cash Price |
$90.98
|
| Rate for Payer: Cofinity Commercial |
$97.80
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$90.98
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$28.43
|
| Rate for Payer: Healthscope Commercial |
$102.35
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$85.29
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$29.85
|
| Rate for Payer: MI Amish Medical Board Commercial |
$32.69
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$96.66
|
| Rate for Payer: PACE Senior Care Partners |
$27.01
|
| Rate for Payer: PACE SWMI |
$28.43
|
| Rate for Payer: PHP Commercial |
$96.66
|
| Rate for Payer: PHP Medicare Advantage |
$28.43
|
| Rate for Payer: Priority Health Cigna Priority Health |
$79.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$98.94
|
| Rate for Payer: Priority Health Medicare |
$28.43
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$69.36
|
| Rate for Payer: Railroad Medicare Medicare |
$28.43
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$100.07
|
| Rate for Payer: UHC Core |
$94.96
|
| Rate for Payer: UHC Dual Complete DSNP |
$28.43
|
| Rate for Payer: UHC Medicare Advantage |
$29.28
|
| Rate for Payer: VA VA |
$28.43
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$85.29
|
|
|
HC NEG PRES WND THRPY DSG SET SMA
|
Facility
|
IP
|
$113.72
|
|
| Hospital Charge Code |
27200141
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$69.36 |
| Max. Negotiated Rate |
$102.35 |
| Rate for Payer: Aetna Commercial |
$96.66
|
| Rate for Payer: BCBS Trust/PPO |
$87.88
|
| Rate for Payer: BCN Commercial |
$87.88
|
| Rate for Payer: Cash Price |
$90.98
|
| Rate for Payer: Cofinity Commercial |
$97.80
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$90.98
|
| Rate for Payer: Healthscope Commercial |
$102.35
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$85.29
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$96.66
|
| Rate for Payer: PHP Commercial |
$96.66
|
| Rate for Payer: Priority Health Cigna Priority Health |
$79.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$98.94
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$69.36
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$100.07
|
| Rate for Payer: UHC Core |
$94.96
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$85.29
|
|
|
HC NEG PRES WOUND TX SET MED
|
Facility
|
OP
|
$78.42
|
|
| Hospital Charge Code |
27200127
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$18.62 |
| Max. Negotiated Rate |
$70.58 |
| Rate for Payer: Aetna Commercial |
$66.66
|
| Rate for Payer: Aetna Medicare |
$20.39
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$24.51
|
| Rate for Payer: Amish Plain Church Group Commercial |
$24.51
|
| Rate for Payer: BCBS Complete |
$31.37
|
| Rate for Payer: BCBS MAPPO |
$19.60
|
| Rate for Payer: BCBS Trust/PPO |
$60.97
|
| Rate for Payer: BCN Commercial |
$60.97
|
| Rate for Payer: BCN Medicare Advantage |
$19.60
|
| Rate for Payer: Cash Price |
$62.74
|
| Rate for Payer: Cofinity Commercial |
$67.44
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$62.74
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$19.60
|
| Rate for Payer: Healthscope Commercial |
$70.58
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$58.82
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$20.59
|
| Rate for Payer: MI Amish Medical Board Commercial |
$22.55
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$66.66
|
| Rate for Payer: PACE Senior Care Partners |
$18.62
|
| Rate for Payer: PACE SWMI |
$19.60
|
| Rate for Payer: PHP Commercial |
$66.66
|
| Rate for Payer: PHP Medicare Advantage |
$19.60
|
| Rate for Payer: Priority Health Cigna Priority Health |
$54.89
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$68.23
|
| Rate for Payer: Priority Health Medicare |
$19.60
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$47.83
|
| Rate for Payer: Railroad Medicare Medicare |
$19.60
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$69.01
|
| Rate for Payer: UHC Core |
$65.48
|
| Rate for Payer: UHC Dual Complete DSNP |
$19.60
|
| Rate for Payer: UHC Medicare Advantage |
$20.19
|
| Rate for Payer: VA VA |
$19.60
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$58.82
|
|
|
HC NEG PRES WOUND TX SET MED
|
Facility
|
IP
|
$78.42
|
|
| Hospital Charge Code |
27200127
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$47.83 |
| Max. Negotiated Rate |
$70.58 |
| Rate for Payer: Aetna Commercial |
$66.66
|
| Rate for Payer: BCBS Trust/PPO |
$60.60
|
| Rate for Payer: BCN Commercial |
$60.60
|
| Rate for Payer: Cash Price |
$62.74
|
| Rate for Payer: Cofinity Commercial |
$67.44
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$62.74
|
| Rate for Payer: Healthscope Commercial |
$70.58
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$58.82
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$66.66
|
| Rate for Payer: PHP Commercial |
$66.66
|
| Rate for Payer: Priority Health Cigna Priority Health |
$54.89
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$68.23
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$47.83
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$69.01
|
| Rate for Payer: UHC Core |
$65.48
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$58.82
|
|
|
HC NEG PRES WOUND TX SET SMALL
|
Facility
|
IP
|
$113.72
|
|
| Hospital Charge Code |
27200128
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$69.36 |
| Max. Negotiated Rate |
$102.35 |
| Rate for Payer: Aetna Commercial |
$96.66
|
| Rate for Payer: BCBS Trust/PPO |
$87.88
|
| Rate for Payer: BCN Commercial |
$87.88
|
| Rate for Payer: Cash Price |
$90.98
|
| Rate for Payer: Cofinity Commercial |
$97.80
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$90.98
|
| Rate for Payer: Healthscope Commercial |
$102.35
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$85.29
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$96.66
|
| Rate for Payer: PHP Commercial |
$96.66
|
| Rate for Payer: Priority Health Cigna Priority Health |
$79.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$98.94
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$69.36
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$100.07
|
| Rate for Payer: UHC Core |
$94.96
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$85.29
|
|
|
HC NEG PRES WOUND TX SET SMALL
|
Facility
|
OP
|
$113.72
|
|
| Hospital Charge Code |
27200128
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$27.01 |
| Max. Negotiated Rate |
$102.35 |
| Rate for Payer: Aetna Commercial |
$96.66
|
| Rate for Payer: Aetna Medicare |
$29.57
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$35.54
|
| Rate for Payer: Amish Plain Church Group Commercial |
$35.54
|
| Rate for Payer: BCBS Complete |
$45.49
|
| Rate for Payer: BCBS MAPPO |
$28.43
|
| Rate for Payer: BCBS Trust/PPO |
$88.42
|
| Rate for Payer: BCN Commercial |
$88.42
|
| Rate for Payer: BCN Medicare Advantage |
$28.43
|
| Rate for Payer: Cash Price |
$90.98
|
| Rate for Payer: Cofinity Commercial |
$97.80
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$90.98
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$28.43
|
| Rate for Payer: Healthscope Commercial |
$102.35
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$85.29
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$29.85
|
| Rate for Payer: MI Amish Medical Board Commercial |
$32.69
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$96.66
|
| Rate for Payer: PACE Senior Care Partners |
$27.01
|
| Rate for Payer: PACE SWMI |
$28.43
|
| Rate for Payer: PHP Commercial |
$96.66
|
| Rate for Payer: PHP Medicare Advantage |
$28.43
|
| Rate for Payer: Priority Health Cigna Priority Health |
$79.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$98.94
|
| Rate for Payer: Priority Health Medicare |
$28.43
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$69.36
|
| Rate for Payer: Railroad Medicare Medicare |
$28.43
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$100.07
|
| Rate for Payer: UHC Core |
$94.96
|
| Rate for Payer: UHC Dual Complete DSNP |
$28.43
|
| Rate for Payer: UHC Medicare Advantage |
$29.28
|
| Rate for Payer: VA VA |
$28.43
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$85.29
|
|
|
HC NEG PRES Y CONNECTOR
|
Facility
|
IP
|
$7.71
|
|
| Hospital Charge Code |
27000174
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$4.70 |
| Max. Negotiated Rate |
$6.94 |
| Rate for Payer: Aetna Commercial |
$6.55
|
| Rate for Payer: BCBS Trust/PPO |
$5.96
|
| Rate for Payer: BCN Commercial |
$5.96
|
| Rate for Payer: Cash Price |
$6.17
|
| Rate for Payer: Cofinity Commercial |
$6.63
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$6.17
|
| Rate for Payer: Healthscope Commercial |
$6.94
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$5.78
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$6.55
|
| Rate for Payer: PHP Commercial |
$6.55
|
| Rate for Payer: Priority Health Cigna Priority Health |
$5.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$6.71
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$4.70
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$6.78
|
| Rate for Payer: UHC Core |
$6.44
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$5.78
|
|
|
HC NEG PRES Y CONNECTOR
|
Facility
|
OP
|
$7.71
|
|
| Hospital Charge Code |
27000174
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$1.83 |
| Max. Negotiated Rate |
$6.94 |
| Rate for Payer: Aetna Commercial |
$6.55
|
| Rate for Payer: Aetna Medicare |
$2.00
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$2.41
|
| Rate for Payer: Amish Plain Church Group Commercial |
$2.41
|
| Rate for Payer: BCBS Complete |
$3.08
|
| Rate for Payer: BCBS MAPPO |
$1.93
|
| Rate for Payer: BCBS Trust/PPO |
$5.99
|
| Rate for Payer: BCN Commercial |
$5.99
|
| Rate for Payer: BCN Medicare Advantage |
$1.93
|
| Rate for Payer: Cash Price |
$6.17
|
| Rate for Payer: Cofinity Commercial |
$6.63
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$6.17
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1.93
|
| Rate for Payer: Healthscope Commercial |
$6.94
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$5.78
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$2.02
|
| Rate for Payer: MI Amish Medical Board Commercial |
$2.22
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$6.55
|
| Rate for Payer: PACE Senior Care Partners |
$1.83
|
| Rate for Payer: PACE SWMI |
$1.93
|
| Rate for Payer: PHP Commercial |
$6.55
|
| Rate for Payer: PHP Medicare Advantage |
$1.93
|
| Rate for Payer: Priority Health Cigna Priority Health |
$5.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$6.71
|
| Rate for Payer: Priority Health Medicare |
$1.93
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$4.70
|
| Rate for Payer: Railroad Medicare Medicare |
$1.93
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$6.78
|
| Rate for Payer: UHC Core |
$6.44
|
| Rate for Payer: UHC Dual Complete DSNP |
$1.93
|
| Rate for Payer: UHC Medicare Advantage |
$1.99
|
| Rate for Payer: VA VA |
$1.93
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$5.78
|
|
