HC NM MECKELS OR ABD
|
Facility
|
IP
|
$1,123.57
|
|
Service Code
|
CPT 78290
|
Hospital Charge Code |
34100021
|
Hospital Revenue Code
|
341
|
Min. Negotiated Rate |
$685.27 |
Max. Negotiated Rate |
$1,011.21 |
Rate for Payer: Aetna Commercial |
$955.03
|
Rate for Payer: BCBS Trust/PPO |
$868.29
|
Rate for Payer: BCN Commercial |
$868.29
|
Rate for Payer: Cash Price |
$898.86
|
Rate for Payer: Cofinity Commercial |
$966.27
|
Rate for Payer: Encore Health Key Benefits Commercial |
$898.86
|
Rate for Payer: Healthscope Commercial |
$1,011.21
|
Rate for Payer: Lakeland Regional Health Systems Commercial |
$842.68
|
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$955.03
|
Rate for Payer: PHP Commercial |
$955.03
|
Rate for Payer: Priority Health Cigna Priority Health |
$786.50
|
Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$977.51
|
Rate for Payer: Priority Health Narrow/Tiered Network |
$685.27
|
Rate for Payer: UHC All Payor (Choice/PPO) |
$988.74
|
Rate for Payer: UHC Core |
$938.18
|
Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$842.68
|
|
HC NM MYOCARD PERF SPECT EF WM MU
|
Facility
|
IP
|
$5,027.66
|
|
Service Code
|
CPT 78452
|
Hospital Charge Code |
34100029
|
Hospital Revenue Code
|
341
|
Min. Negotiated Rate |
$3,066.37 |
Max. Negotiated Rate |
$4,524.89 |
Rate for Payer: Aetna Commercial |
$4,273.51
|
Rate for Payer: BCBS Trust/PPO |
$3,885.38
|
Rate for Payer: BCN Commercial |
$3,885.38
|
Rate for Payer: Cash Price |
$4,022.13
|
Rate for Payer: Cofinity Commercial |
$4,323.79
|
Rate for Payer: Encore Health Key Benefits Commercial |
$4,022.13
|
Rate for Payer: Healthscope Commercial |
$4,524.89
|
Rate for Payer: Lakeland Regional Health Systems Commercial |
$3,770.74
|
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$4,273.51
|
Rate for Payer: PHP Commercial |
$4,273.51
|
Rate for Payer: Priority Health Cigna Priority Health |
$3,519.36
|
Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$4,374.06
|
Rate for Payer: Priority Health Narrow/Tiered Network |
$3,066.37
|
Rate for Payer: UHC All Payor (Choice/PPO) |
$4,424.34
|
Rate for Payer: UHC Core |
$4,198.10
|
Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$3,770.74
|
|
HC NM MYOCARD PERF SPECT EF WM MU
|
Facility
|
OP
|
$5,027.66
|
|
Service Code
|
CPT 78452
|
Hospital Charge Code |
34100029
|
Hospital Revenue Code
|
341
|
Min. Negotiated Rate |
$931.49 |
Max. Negotiated Rate |
$4,524.89 |
Rate for Payer: Aetna Commercial |
$4,273.51
|
Rate for Payer: Aetna Medicare |
$1,307.19
|
Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,571.14
|
Rate for Payer: Amish Plain Church Group Commercial |
$1,571.14
|
Rate for Payer: BCBS Complete |
$978.06
|
Rate for Payer: BCBS MAPPO |
$1,256.92
|
Rate for Payer: BCBS Trust/PPO |
$3,909.01
|
Rate for Payer: BCN Commercial |
$3,909.01
|
Rate for Payer: BCN Medicare Advantage |
$1,256.92
|
Rate for Payer: Cash Price |
$4,022.13
|
Rate for Payer: Cash Price |
$4,022.13
|
Rate for Payer: Cofinity Commercial |
$4,323.79
|
Rate for Payer: Encore Health Key Benefits Commercial |
$4,022.13
|
Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,256.92
|
Rate for Payer: Healthscope Commercial |
$4,524.89
|
Rate for Payer: Lakeland Regional Health Systems Commercial |
$3,770.74
|
Rate for Payer: Mclaren Medicaid |
$931.49
|
Rate for Payer: Meridian Medicaid |
$978.06
|
Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,319.76
|
Rate for Payer: MI Amish Medical Board Commercial |
$1,445.45
|
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$4,273.51
|
Rate for Payer: PACE Senior Care Partners |
$1,194.07
|
Rate for Payer: PACE SWMI |
$1,256.92
|
Rate for Payer: PHP Commercial |
$4,273.51
|
Rate for Payer: PHP Medicare Advantage |
$1,256.92
|
Rate for Payer: Priority Health Choice Medicaid |
$931.49
|
Rate for Payer: Priority Health Cigna Priority Health |
$3,519.36
|
Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$4,374.06
|
Rate for Payer: Priority Health Medicare |
$1,256.92
|
Rate for Payer: Priority Health Narrow/Tiered Network |
$3,066.37
|
Rate for Payer: Railroad Medicare Medicare |
$1,256.92
|
Rate for Payer: UHC All Payor (Choice/PPO) |
$4,424.34
|
Rate for Payer: UHC Core |
$4,198.10
|
Rate for Payer: UHC Dual Complete DSNP |
$1,256.92
|
Rate for Payer: UHC Medicare Advantage |
$1,294.62
|
Rate for Payer: VA VA |
$1,256.92
|
Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$3,770.74
|
|
HC NM MYOCARD PERF SPECT EF WM SI
|
Facility
|
IP
|
$1,795.59
|
|
Service Code
|
CPT 78451
|
Hospital Charge Code |
34100067
|
Hospital Revenue Code
|
341
|
Min. Negotiated Rate |
$1,095.13 |
Max. Negotiated Rate |
$1,616.03 |
Rate for Payer: Aetna Commercial |
$1,526.25
|
Rate for Payer: BCBS Trust/PPO |
$1,387.63
|
Rate for Payer: BCN Commercial |
$1,387.63
|
Rate for Payer: Cash Price |
$1,436.47
|
Rate for Payer: Cofinity Commercial |
$1,544.21
|
Rate for Payer: Encore Health Key Benefits Commercial |
$1,436.47
|
Rate for Payer: Healthscope Commercial |
$1,616.03
|
Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,346.69
|
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,526.25
|
Rate for Payer: PHP Commercial |
$1,526.25
|
Rate for Payer: Priority Health Cigna Priority Health |
$1,256.91
|
Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,562.16
|
Rate for Payer: Priority Health Narrow/Tiered Network |
$1,095.13
|
Rate for Payer: UHC All Payor (Choice/PPO) |
$1,580.12
|
Rate for Payer: UHC Core |
$1,499.32
|
Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,346.69
|
|
HC NM MYOCARD PERF SPECT EF WM SI
|
Facility
|
OP
|
$1,795.59
|
|
Service Code
|
CPT 78451
|
Hospital Charge Code |
34100067
|
Hospital Revenue Code
|
341
|
Min. Negotiated Rate |
$426.45 |
Max. Negotiated Rate |
$1,616.03 |
Rate for Payer: Aetna Commercial |
$1,526.25
|
Rate for Payer: Aetna Medicare |
$466.85
|
Rate for Payer: Allen County Amish Medical Aid Commercial |
$561.12
|
Rate for Payer: Amish Plain Church Group Commercial |
$561.12
|
Rate for Payer: BCBS Complete |
$978.06
|
Rate for Payer: BCBS MAPPO |
$448.90
|
Rate for Payer: BCBS Trust/PPO |
$1,396.07
|
Rate for Payer: BCN Commercial |
$1,396.07
|
Rate for Payer: BCN Medicare Advantage |
$448.90
|
Rate for Payer: Cash Price |
$1,436.47
|
Rate for Payer: Cash Price |
$1,436.47
|
Rate for Payer: Cofinity Commercial |
$1,544.21
|
Rate for Payer: Encore Health Key Benefits Commercial |
$1,436.47
|
Rate for Payer: Health Alliance Plan Medicare Advantage |
$448.90
|
Rate for Payer: Healthscope Commercial |
$1,616.03
|
Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,346.69
|
Rate for Payer: Mclaren Medicaid |
$931.49
|
Rate for Payer: Meridian Medicaid |
$978.06
|
Rate for Payer: Meridian Wellcare - Medicare Advantage |
$471.34
|
Rate for Payer: MI Amish Medical Board Commercial |
$516.23
|
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,526.25
|
Rate for Payer: PACE Senior Care Partners |
$426.45
|
Rate for Payer: PACE SWMI |
$448.90
|
Rate for Payer: PHP Commercial |
$1,526.25
|
Rate for Payer: PHP Medicare Advantage |
$448.90
|
Rate for Payer: Priority Health Choice Medicaid |
$931.49
|
Rate for Payer: Priority Health Cigna Priority Health |
$1,256.91
|
Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,562.16
|
Rate for Payer: Priority Health Medicare |
$448.90
|
Rate for Payer: Priority Health Narrow/Tiered Network |
$1,095.13
|
Rate for Payer: Railroad Medicare Medicare |
$448.90
|
Rate for Payer: UHC All Payor (Choice/PPO) |
$1,580.12
|
Rate for Payer: UHC Core |
$1,499.32
|
Rate for Payer: UHC Dual Complete DSNP |
$448.90
|
Rate for Payer: UHC Medicare Advantage |
$462.36
|
Rate for Payer: VA VA |
$448.90
|
Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,346.69
|
|
HC NMO/AQP4 FACS TITER SERUM
|
Facility
|
IP
|
$100.00
|
|
Service Code
|
CPT 86256
|
Hospital Charge Code |
30200395
|
Hospital Revenue Code
|
302
|
Min. Negotiated Rate |
$60.99 |
Max. Negotiated Rate |
$90.00 |
Rate for Payer: Aetna Commercial |
$85.00
|
Rate for Payer: BCBS Trust/PPO |
$77.28
|
Rate for Payer: BCN Commercial |
$77.28
|
Rate for Payer: Cash Price |
$80.00
|
Rate for Payer: Cofinity Commercial |
$86.00
|
Rate for Payer: Encore Health Key Benefits Commercial |
$80.00
|
Rate for Payer: Healthscope Commercial |
$90.00
|
Rate for Payer: Lakeland Regional Health Systems Commercial |
$75.00
|
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$85.00
|
Rate for Payer: PHP Commercial |
$85.00
|
Rate for Payer: Priority Health Cigna Priority Health |
$70.00
|
Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$87.00
|
Rate for Payer: Priority Health Narrow/Tiered Network |
$60.99
|
Rate for Payer: UHC All Payor (Choice/PPO) |
$88.00
|
Rate for Payer: UHC Core |
$83.50
|
Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$75.00
|
|
HC NMO/AQP4 FACS TITER SERUM
|
Facility
|
OP
|
$100.00
|
|
Service Code
|
CPT 86256
|
Hospital Charge Code |
30200395
|
Hospital Revenue Code
|
302
|
Min. Negotiated Rate |
$8.89 |
Max. Negotiated Rate |
$90.00 |
Rate for Payer: Aetna Commercial |
$85.00
|
Rate for Payer: Aetna Medicare |
$26.00
|
Rate for Payer: Allen County Amish Medical Aid Commercial |
$31.25
|
Rate for Payer: Amish Plain Church Group Commercial |
$31.25
|
Rate for Payer: BCBS Complete |
$9.34
|
Rate for Payer: BCBS MAPPO |
$25.00
|
Rate for Payer: BCBS Trust/PPO |
$77.75
|
Rate for Payer: BCN Commercial |
$77.75
|
Rate for Payer: BCN Medicare Advantage |
$25.00
|
Rate for Payer: Cash Price |
$80.00
|
Rate for Payer: Cash Price |
$80.00
|
Rate for Payer: Cofinity Commercial |
$86.00
|
Rate for Payer: Encore Health Key Benefits Commercial |
$80.00
|
Rate for Payer: Health Alliance Plan Medicare Advantage |
$25.00
|
Rate for Payer: Healthscope Commercial |
$90.00
|
Rate for Payer: Lakeland Regional Health Systems Commercial |
$75.00
|
Rate for Payer: Mclaren Medicaid |
$8.89
|
Rate for Payer: Meridian Medicaid |
$9.34
|
Rate for Payer: Meridian Wellcare - Medicare Advantage |
$26.25
|
Rate for Payer: MI Amish Medical Board Commercial |
$28.75
|
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$85.00
|
Rate for Payer: PACE Senior Care Partners |
$23.75
|
Rate for Payer: PACE SWMI |
$25.00
|
Rate for Payer: PHP Commercial |
$85.00
|
Rate for Payer: PHP Medicare Advantage |
$25.00
|
Rate for Payer: Priority Health Choice Medicaid |
$8.89
|
Rate for Payer: Priority Health Cigna Priority Health |
$70.00
|
Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$87.00
|
Rate for Payer: Priority Health Medicare |
$25.00
|
Rate for Payer: Priority Health Narrow/Tiered Network |
$60.99
|
Rate for Payer: Railroad Medicare Medicare |
$25.00
|
Rate for Payer: UHC All Payor (Choice/PPO) |
$88.00
|
Rate for Payer: UHC Core |
$83.50
|
Rate for Payer: UHC Dual Complete DSNP |
$25.00
|
Rate for Payer: UHC Medicare Advantage |
$25.75
|
Rate for Payer: VA VA |
$25.00
|
Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$75.00
|
|
HC NMO/AQP4-IGG CBA, S
|
Facility
|
IP
|
$345.00
|
|
Service Code
|
CPT 86255
|
Hospital Charge Code |
30200422
|
Hospital Revenue Code
|
302
|
Min. Negotiated Rate |
$210.42 |
Max. Negotiated Rate |
$310.50 |
Rate for Payer: Aetna Commercial |
$293.25
|
Rate for Payer: BCBS Trust/PPO |
$266.62
|
Rate for Payer: BCN Commercial |
$266.62
|
Rate for Payer: Cash Price |
$276.00
|
Rate for Payer: Cofinity Commercial |
$296.70
|
Rate for Payer: Encore Health Key Benefits Commercial |
$276.00
|
Rate for Payer: Healthscope Commercial |
$310.50
|
Rate for Payer: Lakeland Regional Health Systems Commercial |
$258.75
|
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$293.25
|
Rate for Payer: PHP Commercial |
$293.25
|
Rate for Payer: Priority Health Cigna Priority Health |
$241.50
|
Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$300.15
|
Rate for Payer: Priority Health Narrow/Tiered Network |
$210.42
|
Rate for Payer: UHC All Payor (Choice/PPO) |
$303.60
|
Rate for Payer: UHC Core |
$288.08
|
Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$258.75
|
|
HC NMO/AQP4-IGG CBA, S
|
Facility
|
OP
|
$345.00
|
|
Service Code
|
CPT 86255
|
Hospital Charge Code |
30200422
|
Hospital Revenue Code
|
302
|
Min. Negotiated Rate |
$8.89 |
Max. Negotiated Rate |
$310.50 |
Rate for Payer: Aetna Commercial |
$293.25
|
Rate for Payer: Aetna Medicare |
$89.70
|
Rate for Payer: Allen County Amish Medical Aid Commercial |
$107.81
|
Rate for Payer: Amish Plain Church Group Commercial |
$107.81
|
Rate for Payer: BCBS Complete |
$9.34
|
Rate for Payer: BCBS MAPPO |
$86.25
|
Rate for Payer: BCBS Trust/PPO |
$268.24
|
Rate for Payer: BCN Commercial |
$268.24
|
Rate for Payer: BCN Medicare Advantage |
$86.25
|
Rate for Payer: Cash Price |
$276.00
|
Rate for Payer: Cash Price |
$276.00
|
Rate for Payer: Cofinity Commercial |
$296.70
|
Rate for Payer: Encore Health Key Benefits Commercial |
$276.00
|
Rate for Payer: Health Alliance Plan Medicare Advantage |
$86.25
|
Rate for Payer: Healthscope Commercial |
$310.50
|
Rate for Payer: Lakeland Regional Health Systems Commercial |
$258.75
|
Rate for Payer: Mclaren Medicaid |
$8.89
|
Rate for Payer: Meridian Medicaid |
$9.34
|
Rate for Payer: Meridian Wellcare - Medicare Advantage |
$90.56
|
Rate for Payer: MI Amish Medical Board Commercial |
$99.19
|
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$293.25
|
Rate for Payer: PACE Senior Care Partners |
$81.94
|
Rate for Payer: PACE SWMI |
$86.25
|
Rate for Payer: PHP Commercial |
$293.25
|
Rate for Payer: PHP Medicare Advantage |
$86.25
|
Rate for Payer: Priority Health Choice Medicaid |
$8.89
|
Rate for Payer: Priority Health Cigna Priority Health |
$241.50
|
Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$300.15
|
Rate for Payer: Priority Health Medicare |
$86.25
|
Rate for Payer: Priority Health Narrow/Tiered Network |
$210.42
|
Rate for Payer: Railroad Medicare Medicare |
$86.25
|
Rate for Payer: UHC All Payor (Choice/PPO) |
$303.60
|
Rate for Payer: UHC Core |
$288.08
|
Rate for Payer: UHC Dual Complete DSNP |
$86.25
|
Rate for Payer: UHC Medicare Advantage |
$88.84
|
Rate for Payer: VA VA |
$86.25
|
Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$258.75
|
|
HC NMO/AQUAPO 4 IGG CBA
|
Facility
|
IP
|
$344.00
|
|
Service Code
|
CPT 86255
|
Hospital Charge Code |
30200394
|
Hospital Revenue Code
|
302
|
Min. Negotiated Rate |
$209.81 |
Max. Negotiated Rate |
$309.60 |
Rate for Payer: Aetna Commercial |
$292.40
|
Rate for Payer: BCBS Trust/PPO |
$265.84
|
Rate for Payer: BCN Commercial |
$265.84
|
Rate for Payer: Cash Price |
$275.20
|
Rate for Payer: Cofinity Commercial |
$295.84
|
Rate for Payer: Encore Health Key Benefits Commercial |
$275.20
|
Rate for Payer: Healthscope Commercial |
$309.60
|
Rate for Payer: Lakeland Regional Health Systems Commercial |
$258.00
|
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$292.40
|
Rate for Payer: PHP Commercial |
$292.40
|
Rate for Payer: Priority Health Cigna Priority Health |
$240.80
|
Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$299.28
|
Rate for Payer: Priority Health Narrow/Tiered Network |
$209.81
|
Rate for Payer: UHC All Payor (Choice/PPO) |
$302.72
|
Rate for Payer: UHC Core |
$287.24
|
Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$258.00
|
|
HC NMO/AQUAPO 4 IGG CBA
|
Facility
|
OP
|
$344.00
|
|
Service Code
|
CPT 86255
|
Hospital Charge Code |
30200394
|
Hospital Revenue Code
|
302
|
Min. Negotiated Rate |
$8.89 |
Max. Negotiated Rate |
$309.60 |
Rate for Payer: Aetna Commercial |
$292.40
|
Rate for Payer: Aetna Medicare |
$89.44
|
Rate for Payer: Allen County Amish Medical Aid Commercial |
$107.50
|
Rate for Payer: Amish Plain Church Group Commercial |
$107.50
|
Rate for Payer: BCBS Complete |
$9.34
|
Rate for Payer: BCBS MAPPO |
$86.00
|
Rate for Payer: BCBS Trust/PPO |
$267.46
|
Rate for Payer: BCN Commercial |
$267.46
|
Rate for Payer: BCN Medicare Advantage |
$86.00
|
Rate for Payer: Cash Price |
$275.20
|
Rate for Payer: Cash Price |
$275.20
|
Rate for Payer: Cofinity Commercial |
$295.84
|
Rate for Payer: Encore Health Key Benefits Commercial |
$275.20
|
Rate for Payer: Health Alliance Plan Medicare Advantage |
$86.00
|
Rate for Payer: Healthscope Commercial |
$309.60
|
Rate for Payer: Lakeland Regional Health Systems Commercial |
$258.00
|
Rate for Payer: Mclaren Medicaid |
$8.89
|
Rate for Payer: Meridian Medicaid |
$9.34
|
Rate for Payer: Meridian Wellcare - Medicare Advantage |
$90.30
|
Rate for Payer: MI Amish Medical Board Commercial |
$98.90
|
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$292.40
|
Rate for Payer: PACE Senior Care Partners |
$81.70
|
Rate for Payer: PACE SWMI |
$86.00
|
Rate for Payer: PHP Commercial |
$292.40
|
Rate for Payer: PHP Medicare Advantage |
$86.00
|
Rate for Payer: Priority Health Choice Medicaid |
$8.89
|
Rate for Payer: Priority Health Cigna Priority Health |
$240.80
|
Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$299.28
|
Rate for Payer: Priority Health Medicare |
$86.00
|
Rate for Payer: Priority Health Narrow/Tiered Network |
$209.81
|
Rate for Payer: Railroad Medicare Medicare |
$86.00
|
Rate for Payer: UHC All Payor (Choice/PPO) |
$302.72
|
Rate for Payer: UHC Core |
$287.24
|
Rate for Payer: UHC Dual Complete DSNP |
$86.00
|
Rate for Payer: UHC Medicare Advantage |
$88.58
|
Rate for Payer: VA VA |
$86.00
|
Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$258.00
|
|
HC NM PARATHYROID SCAN
|
Facility
|
OP
|
$900.70
|
|
Service Code
|
CPT 78070
|
Hospital Charge Code |
34100007
|
Hospital Revenue Code
|
341
|
Min. Negotiated Rate |
$213.92 |
Max. Negotiated Rate |
$810.63 |
Rate for Payer: Aetna Commercial |
$765.60
|
Rate for Payer: Aetna Medicare |
$234.18
|
Rate for Payer: Allen County Amish Medical Aid Commercial |
$281.47
|
Rate for Payer: Amish Plain Church Group Commercial |
$281.47
|
Rate for Payer: BCBS Complete |
$284.09
|
Rate for Payer: BCBS MAPPO |
$225.18
|
Rate for Payer: BCBS Trust/PPO |
$700.29
|
Rate for Payer: BCN Commercial |
$700.29
|
Rate for Payer: BCN Medicare Advantage |
$225.18
|
Rate for Payer: Cash Price |
$720.56
|
Rate for Payer: Cash Price |
$720.56
|
Rate for Payer: Cofinity Commercial |
$774.60
|
Rate for Payer: Encore Health Key Benefits Commercial |
$720.56
|
Rate for Payer: Health Alliance Plan Medicare Advantage |
$225.18
|
Rate for Payer: Healthscope Commercial |
$810.63
|
Rate for Payer: Lakeland Regional Health Systems Commercial |
$675.52
|
Rate for Payer: Mclaren Medicaid |
$270.56
|
Rate for Payer: Meridian Medicaid |
$284.09
|
Rate for Payer: Meridian Wellcare - Medicare Advantage |
$236.43
|
Rate for Payer: MI Amish Medical Board Commercial |
$258.95
|
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$765.60
|
Rate for Payer: PACE Senior Care Partners |
$213.92
|
Rate for Payer: PACE SWMI |
$225.18
|
Rate for Payer: PHP Commercial |
$765.60
|
Rate for Payer: PHP Medicare Advantage |
$225.18
|
Rate for Payer: Priority Health Choice Medicaid |
$270.56
|
Rate for Payer: Priority Health Cigna Priority Health |
$630.49
|
Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$783.61
|
Rate for Payer: Priority Health Medicare |
$225.18
|
Rate for Payer: Priority Health Narrow/Tiered Network |
$549.34
|
Rate for Payer: Railroad Medicare Medicare |
$225.18
|
Rate for Payer: UHC All Payor (Choice/PPO) |
$792.62
|
Rate for Payer: UHC Core |
$752.08
|
Rate for Payer: UHC Dual Complete DSNP |
$225.18
|
Rate for Payer: UHC Medicare Advantage |
$231.93
|
Rate for Payer: VA VA |
$225.18
|
Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$675.52
|
|
HC NM PARATHYROID SCAN
|
Facility
|
IP
|
$900.70
|
|
Service Code
|
CPT 78070
|
Hospital Charge Code |
34100007
|
Hospital Revenue Code
|
341
|
Min. Negotiated Rate |
$549.34 |
Max. Negotiated Rate |
$810.63 |
Rate for Payer: Aetna Commercial |
$765.60
|
Rate for Payer: BCBS Trust/PPO |
$696.06
|
Rate for Payer: BCN Commercial |
$696.06
|
Rate for Payer: Cash Price |
$720.56
|
Rate for Payer: Cofinity Commercial |
$774.60
|
Rate for Payer: Encore Health Key Benefits Commercial |
$720.56
|
Rate for Payer: Healthscope Commercial |
$810.63
|
Rate for Payer: Lakeland Regional Health Systems Commercial |
$675.52
|
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$765.60
|
Rate for Payer: PHP Commercial |
$765.60
|
Rate for Payer: Priority Health Cigna Priority Health |
$630.49
|
Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$783.61
|
Rate for Payer: Priority Health Narrow/Tiered Network |
$549.34
|
Rate for Payer: UHC All Payor (Choice/PPO) |
$792.62
|
Rate for Payer: UHC Core |
$752.08
|
Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$675.52
|
|
HC NM PARATHYROID SESTAMIBI INJ O
|
Facility
|
OP
|
$400.20
|
|
Service Code
|
CPT 78808
|
Hospital Charge Code |
34100060
|
Hospital Revenue Code
|
341
|
Min. Negotiated Rate |
$95.05 |
Max. Negotiated Rate |
$360.18 |
Rate for Payer: Aetna Commercial |
$340.17
|
Rate for Payer: Aetna Medicare |
$104.05
|
Rate for Payer: Allen County Amish Medical Aid Commercial |
$125.06
|
Rate for Payer: Amish Plain Church Group Commercial |
$125.06
|
Rate for Payer: BCBS Complete |
$284.09
|
Rate for Payer: BCBS MAPPO |
$100.05
|
Rate for Payer: BCBS Trust/PPO |
$311.16
|
Rate for Payer: BCN Commercial |
$311.16
|
Rate for Payer: BCN Medicare Advantage |
$100.05
|
Rate for Payer: Cash Price |
$320.16
|
Rate for Payer: Cash Price |
$320.16
|
Rate for Payer: Cofinity Commercial |
$344.17
|
Rate for Payer: Encore Health Key Benefits Commercial |
$320.16
|
Rate for Payer: Health Alliance Plan Medicare Advantage |
$100.05
|
Rate for Payer: Healthscope Commercial |
$360.18
|
Rate for Payer: Lakeland Regional Health Systems Commercial |
$300.15
|
Rate for Payer: Mclaren Medicaid |
$270.56
|
Rate for Payer: Meridian Medicaid |
$284.09
|
Rate for Payer: Meridian Wellcare - Medicare Advantage |
$105.05
|
Rate for Payer: MI Amish Medical Board Commercial |
$115.06
|
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$340.17
|
Rate for Payer: PACE Senior Care Partners |
$95.05
|
Rate for Payer: PACE SWMI |
$100.05
|
Rate for Payer: PHP Commercial |
$340.17
|
Rate for Payer: PHP Medicare Advantage |
$100.05
|
Rate for Payer: Priority Health Choice Medicaid |
$270.56
|
Rate for Payer: Priority Health Cigna Priority Health |
$280.14
|
Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$348.17
|
Rate for Payer: Priority Health Medicare |
$100.05
|
Rate for Payer: Priority Health Narrow/Tiered Network |
$244.08
|
Rate for Payer: Railroad Medicare Medicare |
$100.05
|
Rate for Payer: UHC All Payor (Choice/PPO) |
$352.18
|
Rate for Payer: UHC Core |
$334.17
|
Rate for Payer: UHC Dual Complete DSNP |
$100.05
|
Rate for Payer: UHC Medicare Advantage |
$103.05
|
Rate for Payer: VA VA |
$100.05
|
Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$300.15
|
|
HC NM PARATHYROID SESTAMIBI INJ O
|
Facility
|
IP
|
$400.20
|
|
Service Code
|
CPT 78808
|
Hospital Charge Code |
34100060
|
Hospital Revenue Code
|
341
|
Min. Negotiated Rate |
$244.08 |
Max. Negotiated Rate |
$360.18 |
Rate for Payer: Aetna Commercial |
$340.17
|
Rate for Payer: BCBS Trust/PPO |
$309.27
|
Rate for Payer: BCN Commercial |
$309.27
|
Rate for Payer: Cash Price |
$320.16
|
Rate for Payer: Cofinity Commercial |
$344.17
|
Rate for Payer: Encore Health Key Benefits Commercial |
$320.16
|
Rate for Payer: Healthscope Commercial |
$360.18
|
Rate for Payer: Lakeland Regional Health Systems Commercial |
$300.15
|
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$340.17
|
Rate for Payer: PHP Commercial |
$340.17
|
Rate for Payer: Priority Health Cigna Priority Health |
$280.14
|
Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$348.17
|
Rate for Payer: Priority Health Narrow/Tiered Network |
$244.08
|
Rate for Payer: UHC All Payor (Choice/PPO) |
$352.18
|
Rate for Payer: UHC Core |
$334.17
|
Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$300.15
|
|
HC NM PARATHYROID SPECT SCAN
|
Facility
|
IP
|
$1,011.88
|
|
Service Code
|
CPT 78071
|
Hospital Charge Code |
34100077
|
Hospital Revenue Code
|
341
|
Min. Negotiated Rate |
$617.15 |
Max. Negotiated Rate |
$910.69 |
Rate for Payer: Aetna Commercial |
$860.10
|
Rate for Payer: BCBS Trust/PPO |
$781.98
|
Rate for Payer: BCN Commercial |
$781.98
|
Rate for Payer: Cash Price |
$809.50
|
Rate for Payer: Cofinity Commercial |
$870.22
|
Rate for Payer: Encore Health Key Benefits Commercial |
$809.50
|
Rate for Payer: Healthscope Commercial |
$910.69
|
Rate for Payer: Lakeland Regional Health Systems Commercial |
$758.91
|
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$860.10
|
Rate for Payer: PHP Commercial |
$860.10
|
Rate for Payer: Priority Health Cigna Priority Health |
$708.32
|
Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$880.34
|
Rate for Payer: Priority Health Narrow/Tiered Network |
$617.15
|
Rate for Payer: UHC All Payor (Choice/PPO) |
$890.45
|
Rate for Payer: UHC Core |
$844.92
|
Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$758.91
|
|
HC NM PARATHYROID SPECT SCAN
|
Facility
|
OP
|
$1,011.88
|
|
Service Code
|
CPT 78071
|
Hospital Charge Code |
34100077
|
Hospital Revenue Code
|
341
|
Min. Negotiated Rate |
$240.32 |
Max. Negotiated Rate |
$910.69 |
Rate for Payer: Aetna Commercial |
$860.10
|
Rate for Payer: Aetna Medicare |
$263.09
|
Rate for Payer: Allen County Amish Medical Aid Commercial |
$316.21
|
Rate for Payer: Amish Plain Church Group Commercial |
$316.21
|
Rate for Payer: BCBS Complete |
$284.09
|
Rate for Payer: BCBS MAPPO |
$252.97
|
Rate for Payer: BCBS Trust/PPO |
$786.74
|
Rate for Payer: BCN Commercial |
$786.74
|
Rate for Payer: BCN Medicare Advantage |
$252.97
|
Rate for Payer: Cash Price |
$809.50
|
Rate for Payer: Cash Price |
$809.50
|
Rate for Payer: Cofinity Commercial |
$870.22
|
Rate for Payer: Encore Health Key Benefits Commercial |
$809.50
|
Rate for Payer: Health Alliance Plan Medicare Advantage |
$252.97
|
Rate for Payer: Healthscope Commercial |
$910.69
|
Rate for Payer: Lakeland Regional Health Systems Commercial |
$758.91
|
Rate for Payer: Mclaren Medicaid |
$270.56
|
Rate for Payer: Meridian Medicaid |
$284.09
|
Rate for Payer: Meridian Wellcare - Medicare Advantage |
$265.62
|
Rate for Payer: MI Amish Medical Board Commercial |
$290.92
|
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$860.10
|
Rate for Payer: PACE Senior Care Partners |
$240.32
|
Rate for Payer: PACE SWMI |
$252.97
|
Rate for Payer: PHP Commercial |
$860.10
|
Rate for Payer: PHP Medicare Advantage |
$252.97
|
Rate for Payer: Priority Health Choice Medicaid |
$270.56
|
Rate for Payer: Priority Health Cigna Priority Health |
$708.32
|
Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$880.34
|
Rate for Payer: Priority Health Medicare |
$252.97
|
Rate for Payer: Priority Health Narrow/Tiered Network |
$617.15
|
Rate for Payer: Railroad Medicare Medicare |
$252.97
|
Rate for Payer: UHC All Payor (Choice/PPO) |
$890.45
|
Rate for Payer: UHC Core |
$844.92
|
Rate for Payer: UHC Dual Complete DSNP |
$252.97
|
Rate for Payer: UHC Medicare Advantage |
$260.56
|
Rate for Payer: VA VA |
$252.97
|
Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$758.91
|
|
HC NM PERFUSION QUANTITATIVE DIFF
|
Facility
|
OP
|
$1,195.27
|
|
Service Code
|
CPT 78597
|
Hospital Charge Code |
34100069
|
Hospital Revenue Code
|
341
|
Min. Negotiated Rate |
$270.56 |
Max. Negotiated Rate |
$1,075.74 |
Rate for Payer: Aetna Commercial |
$1,015.98
|
Rate for Payer: Aetna Medicare |
$310.77
|
Rate for Payer: Allen County Amish Medical Aid Commercial |
$373.52
|
Rate for Payer: Amish Plain Church Group Commercial |
$373.52
|
Rate for Payer: BCBS Complete |
$284.09
|
Rate for Payer: BCBS MAPPO |
$298.82
|
Rate for Payer: BCBS Trust/PPO |
$929.32
|
Rate for Payer: BCN Commercial |
$929.32
|
Rate for Payer: BCN Medicare Advantage |
$298.82
|
Rate for Payer: Cash Price |
$956.22
|
Rate for Payer: Cash Price |
$956.22
|
Rate for Payer: Cofinity Commercial |
$1,027.93
|
Rate for Payer: Encore Health Key Benefits Commercial |
$956.22
|
Rate for Payer: Health Alliance Plan Medicare Advantage |
$298.82
|
Rate for Payer: Healthscope Commercial |
$1,075.74
|
Rate for Payer: Lakeland Regional Health Systems Commercial |
$896.45
|
Rate for Payer: Mclaren Medicaid |
$270.56
|
Rate for Payer: Meridian Medicaid |
$284.09
|
Rate for Payer: Meridian Wellcare - Medicare Advantage |
$313.76
|
Rate for Payer: MI Amish Medical Board Commercial |
$343.64
|
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,015.98
|
Rate for Payer: PACE Senior Care Partners |
$283.88
|
Rate for Payer: PACE SWMI |
$298.82
|
Rate for Payer: PHP Commercial |
$1,015.98
|
Rate for Payer: PHP Medicare Advantage |
$298.82
|
Rate for Payer: Priority Health Choice Medicaid |
$270.56
|
Rate for Payer: Priority Health Cigna Priority Health |
$836.69
|
Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,039.88
|
Rate for Payer: Priority Health Medicare |
$298.82
|
Rate for Payer: Priority Health Narrow/Tiered Network |
$729.00
|
Rate for Payer: Railroad Medicare Medicare |
$298.82
|
Rate for Payer: UHC All Payor (Choice/PPO) |
$1,051.84
|
Rate for Payer: UHC Core |
$998.05
|
Rate for Payer: UHC Dual Complete DSNP |
$298.82
|
Rate for Payer: UHC Medicare Advantage |
$307.78
|
Rate for Payer: VA VA |
$298.82
|
Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$896.45
|
|
HC NM PERFUSION QUANTITATIVE DIFF
|
Facility
|
IP
|
$1,195.27
|
|
Service Code
|
CPT 78597
|
Hospital Charge Code |
34100069
|
Hospital Revenue Code
|
341
|
Min. Negotiated Rate |
$729.00 |
Max. Negotiated Rate |
$1,075.74 |
Rate for Payer: Aetna Commercial |
$1,015.98
|
Rate for Payer: BCBS Trust/PPO |
$923.70
|
Rate for Payer: BCN Commercial |
$923.70
|
Rate for Payer: Cash Price |
$956.22
|
Rate for Payer: Cofinity Commercial |
$1,027.93
|
Rate for Payer: Encore Health Key Benefits Commercial |
$956.22
|
Rate for Payer: Healthscope Commercial |
$1,075.74
|
Rate for Payer: Lakeland Regional Health Systems Commercial |
$896.45
|
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,015.98
|
Rate for Payer: PHP Commercial |
$1,015.98
|
Rate for Payer: Priority Health Cigna Priority Health |
$836.69
|
Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,039.88
|
Rate for Payer: Priority Health Narrow/Tiered Network |
$729.00
|
Rate for Payer: UHC All Payor (Choice/PPO) |
$1,051.84
|
Rate for Payer: UHC Core |
$998.05
|
Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$896.45
|
|
HC NM RADIOPHARM INTRACAVITARY AD
|
Facility
|
OP
|
$762.46
|
|
Service Code
|
CPT 79200
|
Hospital Charge Code |
34100064
|
Hospital Revenue Code
|
341
|
Min. Negotiated Rate |
$163.20 |
Max. Negotiated Rate |
$686.21 |
Rate for Payer: Aetna Commercial |
$648.09
|
Rate for Payer: Aetna Medicare |
$198.24
|
Rate for Payer: Allen County Amish Medical Aid Commercial |
$238.27
|
Rate for Payer: Amish Plain Church Group Commercial |
$238.27
|
Rate for Payer: BCBS Complete |
$171.36
|
Rate for Payer: BCBS MAPPO |
$190.62
|
Rate for Payer: BCBS Trust/PPO |
$592.81
|
Rate for Payer: BCN Commercial |
$592.81
|
Rate for Payer: BCN Medicare Advantage |
$190.62
|
Rate for Payer: Cash Price |
$609.97
|
Rate for Payer: Cash Price |
$609.97
|
Rate for Payer: Cofinity Commercial |
$655.72
|
Rate for Payer: Encore Health Key Benefits Commercial |
$609.97
|
Rate for Payer: Health Alliance Plan Medicare Advantage |
$190.62
|
Rate for Payer: Healthscope Commercial |
$686.21
|
Rate for Payer: Lakeland Regional Health Systems Commercial |
$571.84
|
Rate for Payer: Mclaren Medicaid |
$163.20
|
Rate for Payer: Meridian Medicaid |
$171.36
|
Rate for Payer: Meridian Wellcare - Medicare Advantage |
$200.15
|
Rate for Payer: MI Amish Medical Board Commercial |
$219.21
|
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$648.09
|
Rate for Payer: PACE Senior Care Partners |
$181.08
|
Rate for Payer: PACE SWMI |
$190.62
|
Rate for Payer: PHP Commercial |
$648.09
|
Rate for Payer: PHP Medicare Advantage |
$190.62
|
Rate for Payer: Priority Health Choice Medicaid |
$163.20
|
Rate for Payer: Priority Health Cigna Priority Health |
$533.72
|
Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$663.34
|
Rate for Payer: Priority Health Medicare |
$190.62
|
Rate for Payer: Priority Health Narrow/Tiered Network |
$465.02
|
Rate for Payer: Railroad Medicare Medicare |
$190.62
|
Rate for Payer: UHC All Payor (Choice/PPO) |
$670.96
|
Rate for Payer: UHC Core |
$636.65
|
Rate for Payer: UHC Dual Complete DSNP |
$190.62
|
Rate for Payer: UHC Medicare Advantage |
$196.33
|
Rate for Payer: VA VA |
$190.62
|
Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$571.84
|
|
HC NM RADIOPHARM INTRACAVITARY AD
|
Facility
|
IP
|
$762.46
|
|
Service Code
|
CPT 79200
|
Hospital Charge Code |
34100064
|
Hospital Revenue Code
|
341
|
Min. Negotiated Rate |
$465.02 |
Max. Negotiated Rate |
$686.21 |
Rate for Payer: Aetna Commercial |
$648.09
|
Rate for Payer: BCBS Trust/PPO |
$589.23
|
Rate for Payer: BCN Commercial |
$589.23
|
Rate for Payer: Cash Price |
$609.97
|
Rate for Payer: Cofinity Commercial |
$655.72
|
Rate for Payer: Encore Health Key Benefits Commercial |
$609.97
|
Rate for Payer: Healthscope Commercial |
$686.21
|
Rate for Payer: Lakeland Regional Health Systems Commercial |
$571.84
|
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$648.09
|
Rate for Payer: PHP Commercial |
$648.09
|
Rate for Payer: Priority Health Cigna Priority Health |
$533.72
|
Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$663.34
|
Rate for Payer: Priority Health Narrow/Tiered Network |
$465.02
|
Rate for Payer: UHC All Payor (Choice/PPO) |
$670.96
|
Rate for Payer: UHC Core |
$636.65
|
Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$571.84
|
|
HC NM RADIOPHARM IV ADMIN
|
Facility
|
OP
|
$762.46
|
|
Service Code
|
CPT 79101
|
Hospital Charge Code |
34100063
|
Hospital Revenue Code
|
341
|
Min. Negotiated Rate |
$163.20 |
Max. Negotiated Rate |
$686.21 |
Rate for Payer: Aetna Commercial |
$648.09
|
Rate for Payer: Aetna Medicare |
$198.24
|
Rate for Payer: Allen County Amish Medical Aid Commercial |
$238.27
|
Rate for Payer: Amish Plain Church Group Commercial |
$238.27
|
Rate for Payer: BCBS Complete |
$171.36
|
Rate for Payer: BCBS MAPPO |
$190.62
|
Rate for Payer: BCBS Trust/PPO |
$592.81
|
Rate for Payer: BCN Commercial |
$592.81
|
Rate for Payer: BCN Medicare Advantage |
$190.62
|
Rate for Payer: Cash Price |
$609.97
|
Rate for Payer: Cash Price |
$609.97
|
Rate for Payer: Cofinity Commercial |
$655.72
|
Rate for Payer: Encore Health Key Benefits Commercial |
$609.97
|
Rate for Payer: Health Alliance Plan Medicare Advantage |
$190.62
|
Rate for Payer: Healthscope Commercial |
$686.21
|
Rate for Payer: Lakeland Regional Health Systems Commercial |
$571.84
|
Rate for Payer: Mclaren Medicaid |
$163.20
|
Rate for Payer: Meridian Medicaid |
$171.36
|
Rate for Payer: Meridian Wellcare - Medicare Advantage |
$200.15
|
Rate for Payer: MI Amish Medical Board Commercial |
$219.21
|
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$648.09
|
Rate for Payer: PACE Senior Care Partners |
$181.08
|
Rate for Payer: PACE SWMI |
$190.62
|
Rate for Payer: PHP Commercial |
$648.09
|
Rate for Payer: PHP Medicare Advantage |
$190.62
|
Rate for Payer: Priority Health Choice Medicaid |
$163.20
|
Rate for Payer: Priority Health Cigna Priority Health |
$533.72
|
Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$663.34
|
Rate for Payer: Priority Health Medicare |
$190.62
|
Rate for Payer: Priority Health Narrow/Tiered Network |
$465.02
|
Rate for Payer: Railroad Medicare Medicare |
$190.62
|
Rate for Payer: UHC All Payor (Choice/PPO) |
$670.96
|
Rate for Payer: UHC Core |
$636.65
|
Rate for Payer: UHC Dual Complete DSNP |
$190.62
|
Rate for Payer: UHC Medicare Advantage |
$196.33
|
Rate for Payer: VA VA |
$190.62
|
Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$571.84
|
|
HC NM RADIOPHARM IV ADMIN
|
Facility
|
IP
|
$762.46
|
|
Service Code
|
CPT 79101
|
Hospital Charge Code |
34100063
|
Hospital Revenue Code
|
341
|
Min. Negotiated Rate |
$465.02 |
Max. Negotiated Rate |
$686.21 |
Rate for Payer: Aetna Commercial |
$648.09
|
Rate for Payer: BCBS Trust/PPO |
$589.23
|
Rate for Payer: BCN Commercial |
$589.23
|
Rate for Payer: Cash Price |
$609.97
|
Rate for Payer: Cofinity Commercial |
$655.72
|
Rate for Payer: Encore Health Key Benefits Commercial |
$609.97
|
Rate for Payer: Healthscope Commercial |
$686.21
|
Rate for Payer: Lakeland Regional Health Systems Commercial |
$571.84
|
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$648.09
|
Rate for Payer: PHP Commercial |
$648.09
|
Rate for Payer: Priority Health Cigna Priority Health |
$533.72
|
Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$663.34
|
Rate for Payer: Priority Health Narrow/Tiered Network |
$465.02
|
Rate for Payer: UHC All Payor (Choice/PPO) |
$670.96
|
Rate for Payer: UHC Core |
$636.65
|
Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$571.84
|
|
HC NM RADIOPHARM ORAL ADMIN
|
Facility
|
OP
|
$762.46
|
|
Service Code
|
CPT 79005
|
Hospital Charge Code |
34100062
|
Hospital Revenue Code
|
341
|
Min. Negotiated Rate |
$163.20 |
Max. Negotiated Rate |
$686.21 |
Rate for Payer: Aetna Commercial |
$648.09
|
Rate for Payer: Aetna Medicare |
$198.24
|
Rate for Payer: Allen County Amish Medical Aid Commercial |
$238.27
|
Rate for Payer: Amish Plain Church Group Commercial |
$238.27
|
Rate for Payer: BCBS Complete |
$171.36
|
Rate for Payer: BCBS MAPPO |
$190.62
|
Rate for Payer: BCBS Trust/PPO |
$592.81
|
Rate for Payer: BCN Commercial |
$592.81
|
Rate for Payer: BCN Medicare Advantage |
$190.62
|
Rate for Payer: Cash Price |
$609.97
|
Rate for Payer: Cash Price |
$609.97
|
Rate for Payer: Cofinity Commercial |
$655.72
|
Rate for Payer: Encore Health Key Benefits Commercial |
$609.97
|
Rate for Payer: Health Alliance Plan Medicare Advantage |
$190.62
|
Rate for Payer: Healthscope Commercial |
$686.21
|
Rate for Payer: Lakeland Regional Health Systems Commercial |
$571.84
|
Rate for Payer: Mclaren Medicaid |
$163.20
|
Rate for Payer: Meridian Medicaid |
$171.36
|
Rate for Payer: Meridian Wellcare - Medicare Advantage |
$200.15
|
Rate for Payer: MI Amish Medical Board Commercial |
$219.21
|
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$648.09
|
Rate for Payer: PACE Senior Care Partners |
$181.08
|
Rate for Payer: PACE SWMI |
$190.62
|
Rate for Payer: PHP Commercial |
$648.09
|
Rate for Payer: PHP Medicare Advantage |
$190.62
|
Rate for Payer: Priority Health Choice Medicaid |
$163.20
|
Rate for Payer: Priority Health Cigna Priority Health |
$533.72
|
Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$663.34
|
Rate for Payer: Priority Health Medicare |
$190.62
|
Rate for Payer: Priority Health Narrow/Tiered Network |
$465.02
|
Rate for Payer: Railroad Medicare Medicare |
$190.62
|
Rate for Payer: UHC All Payor (Choice/PPO) |
$670.96
|
Rate for Payer: UHC Core |
$636.65
|
Rate for Payer: UHC Dual Complete DSNP |
$190.62
|
Rate for Payer: UHC Medicare Advantage |
$196.33
|
Rate for Payer: VA VA |
$190.62
|
Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$571.84
|
|
HC NM RADIOPHARM ORAL ADMIN
|
Facility
|
IP
|
$762.46
|
|
Service Code
|
CPT 79005
|
Hospital Charge Code |
34100062
|
Hospital Revenue Code
|
341
|
Min. Negotiated Rate |
$465.02 |
Max. Negotiated Rate |
$686.21 |
Rate for Payer: Aetna Commercial |
$648.09
|
Rate for Payer: BCBS Trust/PPO |
$589.23
|
Rate for Payer: BCN Commercial |
$589.23
|
Rate for Payer: Cash Price |
$609.97
|
Rate for Payer: Cofinity Commercial |
$655.72
|
Rate for Payer: Encore Health Key Benefits Commercial |
$609.97
|
Rate for Payer: Healthscope Commercial |
$686.21
|
Rate for Payer: Lakeland Regional Health Systems Commercial |
$571.84
|
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$648.09
|
Rate for Payer: PHP Commercial |
$648.09
|
Rate for Payer: Priority Health Cigna Priority Health |
$533.72
|
Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$663.34
|
Rate for Payer: Priority Health Narrow/Tiered Network |
$465.02
|
Rate for Payer: UHC All Payor (Choice/PPO) |
$670.96
|
Rate for Payer: UHC Core |
$636.65
|
Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$571.84
|
|