|
HC PAIN CLINIC DRUG SCREEN, U
|
Facility
|
OP
|
$161.16
|
|
|
Service Code
|
CPT 80307
|
| Hospital Charge Code |
30100680
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$38.28 |
| Max. Negotiated Rate |
$145.04 |
| Rate for Payer: Aetna Commercial |
$136.99
|
| Rate for Payer: Aetna Medicare |
$41.90
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$50.36
|
| Rate for Payer: Amish Plain Church Group Commercial |
$50.36
|
| Rate for Payer: BCBS Complete |
$48.15
|
| Rate for Payer: BCBS MAPPO |
$40.29
|
| Rate for Payer: BCBS Trust/PPO |
$125.30
|
| Rate for Payer: BCN Commercial |
$125.30
|
| Rate for Payer: BCN Medicare Advantage |
$40.29
|
| Rate for Payer: Cash Price |
$128.93
|
| Rate for Payer: Cash Price |
$128.93
|
| Rate for Payer: Cofinity Commercial |
$138.60
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$128.93
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$40.29
|
| Rate for Payer: Healthscope Commercial |
$145.04
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$120.87
|
| Rate for Payer: Mclaren Medicaid |
$45.86
|
| Rate for Payer: Meridian Medicaid |
$48.15
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$42.30
|
| Rate for Payer: MI Amish Medical Board Commercial |
$46.33
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$136.99
|
| Rate for Payer: PACE Senior Care Partners |
$38.28
|
| Rate for Payer: PACE SWMI |
$40.29
|
| Rate for Payer: PHP Commercial |
$136.99
|
| Rate for Payer: PHP Medicare Advantage |
$40.29
|
| Rate for Payer: Priority Health Choice Medicaid |
$45.86
|
| Rate for Payer: Priority Health Cigna Priority Health |
$112.81
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$140.21
|
| Rate for Payer: Priority Health Medicare |
$40.29
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$98.29
|
| Rate for Payer: Railroad Medicare Medicare |
$40.29
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$141.82
|
| Rate for Payer: UHC Core |
$134.57
|
| Rate for Payer: UHC Dual Complete DSNP |
$40.29
|
| Rate for Payer: UHC Medicare Advantage |
$41.50
|
| Rate for Payer: VA VA |
$40.29
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$120.87
|
|
|
HC PAIN CLINIC DRUG SCREEN, U
|
Facility
|
IP
|
$161.16
|
|
|
Service Code
|
CPT 80307
|
| Hospital Charge Code |
30100680
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$98.29 |
| Max. Negotiated Rate |
$145.04 |
| Rate for Payer: Aetna Commercial |
$136.99
|
| Rate for Payer: BCBS Trust/PPO |
$124.54
|
| Rate for Payer: BCN Commercial |
$124.54
|
| Rate for Payer: Cash Price |
$128.93
|
| Rate for Payer: Cofinity Commercial |
$138.60
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$128.93
|
| Rate for Payer: Healthscope Commercial |
$145.04
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$120.87
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$136.99
|
| Rate for Payer: PHP Commercial |
$136.99
|
| Rate for Payer: Priority Health Cigna Priority Health |
$112.81
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$140.21
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$98.29
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$141.82
|
| Rate for Payer: UHC Core |
$134.57
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$120.87
|
|
|
HC PAIN PUMP ADJUSTMENT
|
Facility
|
IP
|
$151.79
|
|
|
Service Code
|
CPT 99211
|
| Hospital Charge Code |
76100028
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$92.58 |
| Max. Negotiated Rate |
$136.61 |
| Rate for Payer: Aetna Commercial |
$129.02
|
| Rate for Payer: BCBS Trust/PPO |
$117.30
|
| Rate for Payer: BCN Commercial |
$117.30
|
| Rate for Payer: Cash Price |
$121.43
|
| Rate for Payer: Cofinity Commercial |
$130.54
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$121.43
|
| Rate for Payer: Healthscope Commercial |
$136.61
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$113.84
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$129.02
|
| Rate for Payer: PHP Commercial |
$129.02
|
| Rate for Payer: Priority Health Cigna Priority Health |
$106.25
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$132.06
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$92.58
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$133.58
|
| Rate for Payer: UHC Core |
$126.74
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$113.84
|
|
|
HC PAIN PUMP ADJUSTMENT
|
Facility
|
OP
|
$151.79
|
|
|
Service Code
|
CPT 99211
|
| Hospital Charge Code |
76100028
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$22.00 |
| Max. Negotiated Rate |
$136.61 |
| Rate for Payer: Aetna Commercial |
$129.02
|
| Rate for Payer: Aetna Medicare |
$39.47
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$47.43
|
| Rate for Payer: Amish Plain Church Group Commercial |
$47.43
|
| Rate for Payer: BCBS Complete |
$60.72
|
| Rate for Payer: BCBS MAPPO |
$37.95
|
| Rate for Payer: BCBS Trust/PPO |
$118.02
|
| Rate for Payer: BCCCP Commercial |
$22.00
|
| Rate for Payer: BCN Commercial |
$118.02
|
| Rate for Payer: BCN Medicare Advantage |
$37.95
|
| Rate for Payer: Cash Price |
$121.43
|
| Rate for Payer: Cash Price |
$121.43
|
| Rate for Payer: Cofinity Commercial |
$130.54
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$121.43
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$37.95
|
| Rate for Payer: Healthscope Commercial |
$136.61
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$113.84
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$39.84
|
| Rate for Payer: MI Amish Medical Board Commercial |
$43.64
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$129.02
|
| Rate for Payer: PACE Senior Care Partners |
$36.05
|
| Rate for Payer: PACE SWMI |
$37.95
|
| Rate for Payer: PHP Commercial |
$129.02
|
| Rate for Payer: PHP Medicare Advantage |
$37.95
|
| Rate for Payer: Priority Health Cigna Priority Health |
$106.25
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$132.06
|
| Rate for Payer: Priority Health Medicare |
$37.95
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$92.58
|
| Rate for Payer: Railroad Medicare Medicare |
$37.95
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$133.58
|
| Rate for Payer: UHC Core |
$126.74
|
| Rate for Payer: UHC Dual Complete DSNP |
$37.95
|
| Rate for Payer: UHC Medicare Advantage |
$39.09
|
| Rate for Payer: VA VA |
$37.95
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$113.84
|
|
|
HC PAIN PUMP SUPPLY
|
Facility
|
OP
|
$905.51
|
|
| Hospital Charge Code |
27000130
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$215.06 |
| Max. Negotiated Rate |
$814.96 |
| Rate for Payer: Aetna Commercial |
$769.68
|
| Rate for Payer: Aetna Medicare |
$235.43
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$282.97
|
| Rate for Payer: Amish Plain Church Group Commercial |
$282.97
|
| Rate for Payer: BCBS Complete |
$362.20
|
| Rate for Payer: BCBS MAPPO |
$226.38
|
| Rate for Payer: BCBS Trust/PPO |
$704.03
|
| Rate for Payer: BCN Commercial |
$704.03
|
| Rate for Payer: BCN Medicare Advantage |
$226.38
|
| Rate for Payer: Cash Price |
$724.41
|
| Rate for Payer: Cofinity Commercial |
$778.74
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$724.41
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$226.38
|
| Rate for Payer: Healthscope Commercial |
$814.96
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$679.13
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$237.70
|
| Rate for Payer: MI Amish Medical Board Commercial |
$260.33
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$769.68
|
| Rate for Payer: PACE Senior Care Partners |
$215.06
|
| Rate for Payer: PACE SWMI |
$226.38
|
| Rate for Payer: PHP Commercial |
$769.68
|
| Rate for Payer: PHP Medicare Advantage |
$226.38
|
| Rate for Payer: Priority Health Cigna Priority Health |
$633.86
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$787.79
|
| Rate for Payer: Priority Health Medicare |
$226.38
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$552.27
|
| Rate for Payer: Railroad Medicare Medicare |
$226.38
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$796.85
|
| Rate for Payer: UHC Core |
$756.10
|
| Rate for Payer: UHC Dual Complete DSNP |
$226.38
|
| Rate for Payer: UHC Medicare Advantage |
$233.17
|
| Rate for Payer: VA VA |
$226.38
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$679.13
|
|
|
HC PAIN PUMP SUPPLY
|
Facility
|
IP
|
$905.51
|
|
| Hospital Charge Code |
27000130
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$552.27 |
| Max. Negotiated Rate |
$814.96 |
| Rate for Payer: Aetna Commercial |
$769.68
|
| Rate for Payer: BCBS Trust/PPO |
$699.78
|
| Rate for Payer: BCN Commercial |
$699.78
|
| Rate for Payer: Cash Price |
$724.41
|
| Rate for Payer: Cofinity Commercial |
$778.74
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$724.41
|
| Rate for Payer: Healthscope Commercial |
$814.96
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$679.13
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$769.68
|
| Rate for Payer: PHP Commercial |
$769.68
|
| Rate for Payer: Priority Health Cigna Priority Health |
$633.86
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$787.79
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$552.27
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$796.85
|
| Rate for Payer: UHC Core |
$756.10
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$679.13
|
|
|
HC PANCREATIC AMYLASE
|
Facility
|
IP
|
$66.00
|
|
|
Service Code
|
CPT 82150
|
| Hospital Charge Code |
30100100
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$40.25 |
| Max. Negotiated Rate |
$59.40 |
| Rate for Payer: Aetna Commercial |
$56.10
|
| Rate for Payer: BCBS Trust/PPO |
$51.00
|
| Rate for Payer: BCN Commercial |
$51.00
|
| Rate for Payer: Cash Price |
$52.80
|
| Rate for Payer: Cofinity Commercial |
$56.76
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$52.80
|
| Rate for Payer: Healthscope Commercial |
$59.40
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$49.50
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$56.10
|
| Rate for Payer: PHP Commercial |
$56.10
|
| Rate for Payer: Priority Health Cigna Priority Health |
$46.20
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$57.42
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$40.25
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$58.08
|
| Rate for Payer: UHC Core |
$55.11
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$49.50
|
|
|
HC PANCREATIC AMYLASE
|
Facility
|
OP
|
$66.00
|
|
|
Service Code
|
CPT 82150
|
| Hospital Charge Code |
30100100
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$4.78 |
| Max. Negotiated Rate |
$59.40 |
| Rate for Payer: Aetna Commercial |
$56.10
|
| Rate for Payer: Aetna Medicare |
$17.16
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$20.62
|
| Rate for Payer: Amish Plain Church Group Commercial |
$20.62
|
| Rate for Payer: BCBS Complete |
$5.02
|
| Rate for Payer: BCBS MAPPO |
$16.50
|
| Rate for Payer: BCBS Trust/PPO |
$51.32
|
| Rate for Payer: BCN Commercial |
$51.32
|
| Rate for Payer: BCN Medicare Advantage |
$16.50
|
| Rate for Payer: Cash Price |
$52.80
|
| Rate for Payer: Cash Price |
$52.80
|
| Rate for Payer: Cofinity Commercial |
$56.76
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$52.80
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$16.50
|
| Rate for Payer: Healthscope Commercial |
$59.40
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$49.50
|
| Rate for Payer: Mclaren Medicaid |
$4.78
|
| Rate for Payer: Meridian Medicaid |
$5.02
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$17.32
|
| Rate for Payer: MI Amish Medical Board Commercial |
$18.98
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$56.10
|
| Rate for Payer: PACE Senior Care Partners |
$15.68
|
| Rate for Payer: PACE SWMI |
$16.50
|
| Rate for Payer: PHP Commercial |
$56.10
|
| Rate for Payer: PHP Medicare Advantage |
$16.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$4.78
|
| Rate for Payer: Priority Health Cigna Priority Health |
$46.20
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$57.42
|
| Rate for Payer: Priority Health Medicare |
$16.50
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$40.25
|
| Rate for Payer: Railroad Medicare Medicare |
$16.50
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$58.08
|
| Rate for Payer: UHC Core |
$55.11
|
| Rate for Payer: UHC Dual Complete DSNP |
$16.50
|
| Rate for Payer: UHC Medicare Advantage |
$17.00
|
| Rate for Payer: VA VA |
$16.50
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$49.50
|
|
|
HC PANCREATIC ELAST IN STOOL
|
Facility
|
OP
|
$115.00
|
|
|
Service Code
|
CPT 82653
|
| Hospital Charge Code |
30100632
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$16.95 |
| Max. Negotiated Rate |
$103.50 |
| Rate for Payer: Aetna Commercial |
$97.75
|
| Rate for Payer: Aetna Medicare |
$29.90
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$35.94
|
| Rate for Payer: Amish Plain Church Group Commercial |
$35.94
|
| Rate for Payer: BCBS Complete |
$17.80
|
| Rate for Payer: BCBS MAPPO |
$28.75
|
| Rate for Payer: BCBS Trust/PPO |
$89.41
|
| Rate for Payer: BCN Commercial |
$89.41
|
| Rate for Payer: BCN Medicare Advantage |
$28.75
|
| Rate for Payer: Cash Price |
$92.00
|
| Rate for Payer: Cash Price |
$92.00
|
| Rate for Payer: Cofinity Commercial |
$98.90
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$92.00
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$28.75
|
| Rate for Payer: Healthscope Commercial |
$103.50
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$86.25
|
| Rate for Payer: Mclaren Medicaid |
$16.95
|
| Rate for Payer: Meridian Medicaid |
$17.80
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$30.19
|
| Rate for Payer: MI Amish Medical Board Commercial |
$33.06
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$97.75
|
| Rate for Payer: PACE Senior Care Partners |
$27.31
|
| Rate for Payer: PACE SWMI |
$28.75
|
| Rate for Payer: PHP Commercial |
$97.75
|
| Rate for Payer: PHP Medicare Advantage |
$28.75
|
| Rate for Payer: Priority Health Choice Medicaid |
$16.95
|
| Rate for Payer: Priority Health Cigna Priority Health |
$80.50
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$100.05
|
| Rate for Payer: Priority Health Medicare |
$28.75
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$70.14
|
| Rate for Payer: Railroad Medicare Medicare |
$28.75
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$101.20
|
| Rate for Payer: UHC Core |
$96.02
|
| Rate for Payer: UHC Dual Complete DSNP |
$28.75
|
| Rate for Payer: UHC Medicare Advantage |
$29.61
|
| Rate for Payer: VA VA |
$28.75
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$86.25
|
|
|
HC PANCREATIC ELAST IN STOOL
|
Facility
|
IP
|
$115.00
|
|
|
Service Code
|
CPT 82653
|
| Hospital Charge Code |
30100632
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$70.14 |
| Max. Negotiated Rate |
$103.50 |
| Rate for Payer: Aetna Commercial |
$97.75
|
| Rate for Payer: BCBS Trust/PPO |
$88.87
|
| Rate for Payer: BCN Commercial |
$88.87
|
| Rate for Payer: Cash Price |
$92.00
|
| Rate for Payer: Cofinity Commercial |
$98.90
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$92.00
|
| Rate for Payer: Healthscope Commercial |
$103.50
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$86.25
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$97.75
|
| Rate for Payer: PHP Commercial |
$97.75
|
| Rate for Payer: Priority Health Cigna Priority Health |
$80.50
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$100.05
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$70.14
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$101.20
|
| Rate for Payer: UHC Core |
$96.02
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$86.25
|
|
|
HC PAPER WASP IGE
|
Facility
|
IP
|
$24.89
|
|
|
Service Code
|
CPT 86003
|
| Hospital Charge Code |
30200096
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$15.18 |
| Max. Negotiated Rate |
$22.40 |
| Rate for Payer: Aetna Commercial |
$21.16
|
| Rate for Payer: BCBS Trust/PPO |
$19.23
|
| Rate for Payer: BCN Commercial |
$19.23
|
| Rate for Payer: Cash Price |
$19.91
|
| Rate for Payer: Cofinity Commercial |
$21.41
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$19.91
|
| Rate for Payer: Healthscope Commercial |
$22.40
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$18.67
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$21.16
|
| Rate for Payer: PHP Commercial |
$21.16
|
| Rate for Payer: Priority Health Cigna Priority Health |
$17.42
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$21.65
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$15.18
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$21.90
|
| Rate for Payer: UHC Core |
$20.78
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$18.67
|
|
|
HC PAPER WASP IGE
|
Facility
|
OP
|
$24.89
|
|
|
Service Code
|
CPT 86003
|
| Hospital Charge Code |
30200096
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$3.85 |
| Max. Negotiated Rate |
$22.40 |
| Rate for Payer: Aetna Commercial |
$21.16
|
| Rate for Payer: Aetna Medicare |
$6.47
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$7.78
|
| Rate for Payer: Amish Plain Church Group Commercial |
$7.78
|
| Rate for Payer: BCBS Complete |
$4.04
|
| Rate for Payer: BCBS MAPPO |
$6.22
|
| Rate for Payer: BCBS Trust/PPO |
$19.35
|
| Rate for Payer: BCN Commercial |
$19.35
|
| Rate for Payer: BCN Medicare Advantage |
$6.22
|
| Rate for Payer: Cash Price |
$19.91
|
| Rate for Payer: Cash Price |
$19.91
|
| Rate for Payer: Cofinity Commercial |
$21.41
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$19.91
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$6.22
|
| Rate for Payer: Healthscope Commercial |
$22.40
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$18.67
|
| Rate for Payer: Mclaren Medicaid |
$3.85
|
| Rate for Payer: Meridian Medicaid |
$4.04
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$6.53
|
| Rate for Payer: MI Amish Medical Board Commercial |
$7.16
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$21.16
|
| Rate for Payer: PACE Senior Care Partners |
$5.91
|
| Rate for Payer: PACE SWMI |
$6.22
|
| Rate for Payer: PHP Commercial |
$21.16
|
| Rate for Payer: PHP Medicare Advantage |
$6.22
|
| Rate for Payer: Priority Health Choice Medicaid |
$3.85
|
| Rate for Payer: Priority Health Cigna Priority Health |
$17.42
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$21.65
|
| Rate for Payer: Priority Health Medicare |
$6.22
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$15.18
|
| Rate for Payer: Railroad Medicare Medicare |
$6.22
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$21.90
|
| Rate for Payer: UHC Core |
$20.78
|
| Rate for Payer: UHC Dual Complete DSNP |
$6.22
|
| Rate for Payer: UHC Medicare Advantage |
$6.41
|
| Rate for Payer: VA VA |
$6.22
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$18.67
|
|
|
HC PAP NAP
|
Facility
|
IP
|
$2,266.90
|
|
|
Service Code
|
CPT 95807
|
| Hospital Charge Code |
92000019
|
|
Hospital Revenue Code
|
920
|
| Min. Negotiated Rate |
$1,382.58 |
| Max. Negotiated Rate |
$2,040.21 |
| Rate for Payer: Aetna Commercial |
$1,926.86
|
| Rate for Payer: BCBS Trust/PPO |
$1,751.86
|
| Rate for Payer: BCN Commercial |
$1,751.86
|
| Rate for Payer: Cash Price |
$1,813.52
|
| Rate for Payer: Cofinity Commercial |
$1,949.53
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,813.52
|
| Rate for Payer: Healthscope Commercial |
$2,040.21
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,700.18
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,926.86
|
| Rate for Payer: PHP Commercial |
$1,926.86
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,586.83
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,972.20
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,382.58
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,994.87
|
| Rate for Payer: UHC Core |
$1,892.86
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,700.18
|
|
|
HC PAP NAP
|
Facility
|
OP
|
$2,266.90
|
|
|
Service Code
|
CPT 95807
|
| Hospital Charge Code |
92000019
|
|
Hospital Revenue Code
|
920
|
| Min. Negotiated Rate |
$351.60 |
| Max. Negotiated Rate |
$2,040.21 |
| Rate for Payer: Aetna Commercial |
$1,926.86
|
| Rate for Payer: Aetna Medicare |
$589.39
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$708.41
|
| Rate for Payer: Amish Plain Church Group Commercial |
$708.41
|
| Rate for Payer: BCBS Complete |
$369.18
|
| Rate for Payer: BCBS MAPPO |
$566.72
|
| Rate for Payer: BCBS Trust/PPO |
$1,762.51
|
| Rate for Payer: BCN Commercial |
$1,762.51
|
| Rate for Payer: BCN Medicare Advantage |
$566.72
|
| Rate for Payer: Cash Price |
$1,813.52
|
| Rate for Payer: Cash Price |
$1,813.52
|
| Rate for Payer: Cofinity Commercial |
$1,949.53
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,813.52
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$566.72
|
| Rate for Payer: Healthscope Commercial |
$2,040.21
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,700.18
|
| Rate for Payer: Mclaren Medicaid |
$351.60
|
| Rate for Payer: Meridian Medicaid |
$369.18
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$595.06
|
| Rate for Payer: MI Amish Medical Board Commercial |
$651.73
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,926.86
|
| Rate for Payer: PACE Senior Care Partners |
$538.39
|
| Rate for Payer: PACE SWMI |
$566.72
|
| Rate for Payer: PHP Commercial |
$1,926.86
|
| Rate for Payer: PHP Medicare Advantage |
$566.72
|
| Rate for Payer: Priority Health Choice Medicaid |
$351.60
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,586.83
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,972.20
|
| Rate for Payer: Priority Health Medicare |
$566.72
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,382.58
|
| Rate for Payer: Railroad Medicare Medicare |
$566.72
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,994.87
|
| Rate for Payer: UHC Core |
$1,892.86
|
| Rate for Payer: UHC Dual Complete DSNP |
$566.72
|
| Rate for Payer: UHC Medicare Advantage |
$583.73
|
| Rate for Payer: VA VA |
$566.72
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,700.18
|
|
|
HC PAP SMEAR, SCREENING
|
Facility
|
OP
|
$55.00
|
|
|
Service Code
|
HCPCS P3000
|
| Hospital Charge Code |
31100027
|
|
Hospital Revenue Code
|
311
|
| Min. Negotiated Rate |
$12.77 |
| Max. Negotiated Rate |
$49.50 |
| Rate for Payer: Aetna Commercial |
$46.75
|
| Rate for Payer: Aetna Medicare |
$14.30
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$17.19
|
| Rate for Payer: Amish Plain Church Group Commercial |
$17.19
|
| Rate for Payer: BCBS Complete |
$13.41
|
| Rate for Payer: BCBS MAPPO |
$13.75
|
| Rate for Payer: BCBS Trust/PPO |
$42.76
|
| Rate for Payer: BCN Commercial |
$42.76
|
| Rate for Payer: BCN Medicare Advantage |
$13.75
|
| Rate for Payer: Cash Price |
$44.00
|
| Rate for Payer: Cash Price |
$44.00
|
| Rate for Payer: Cofinity Commercial |
$47.30
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$44.00
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$13.75
|
| Rate for Payer: Healthscope Commercial |
$49.50
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$41.25
|
| Rate for Payer: Mclaren Medicaid |
$12.77
|
| Rate for Payer: Meridian Medicaid |
$13.41
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$14.44
|
| Rate for Payer: MI Amish Medical Board Commercial |
$15.81
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$46.75
|
| Rate for Payer: PACE Senior Care Partners |
$13.06
|
| Rate for Payer: PACE SWMI |
$13.75
|
| Rate for Payer: PHP Commercial |
$46.75
|
| Rate for Payer: PHP Medicare Advantage |
$13.75
|
| Rate for Payer: Priority Health Choice Medicaid |
$12.77
|
| Rate for Payer: Priority Health Cigna Priority Health |
$38.50
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$47.85
|
| Rate for Payer: Priority Health Medicare |
$13.75
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$33.54
|
| Rate for Payer: Railroad Medicare Medicare |
$13.75
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$48.40
|
| Rate for Payer: UHC Core |
$45.92
|
| Rate for Payer: UHC Dual Complete DSNP |
$13.75
|
| Rate for Payer: UHC Medicare Advantage |
$14.16
|
| Rate for Payer: VA VA |
$13.75
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$41.25
|
|
|
HC PAP SMEAR, SCREENING
|
Facility
|
IP
|
$55.00
|
|
|
Service Code
|
HCPCS P3000
|
| Hospital Charge Code |
31100027
|
|
Hospital Revenue Code
|
311
|
| Min. Negotiated Rate |
$33.54 |
| Max. Negotiated Rate |
$49.50 |
| Rate for Payer: Aetna Commercial |
$46.75
|
| Rate for Payer: BCBS Trust/PPO |
$42.50
|
| Rate for Payer: BCN Commercial |
$42.50
|
| Rate for Payer: Cash Price |
$44.00
|
| Rate for Payer: Cofinity Commercial |
$47.30
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$44.00
|
| Rate for Payer: Healthscope Commercial |
$49.50
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$41.25
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$46.75
|
| Rate for Payer: PHP Commercial |
$46.75
|
| Rate for Payer: Priority Health Cigna Priority Health |
$38.50
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$47.85
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$33.54
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$48.40
|
| Rate for Payer: UHC Core |
$45.92
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$41.25
|
|
|
HC PARACENTESIS
|
Facility
|
IP
|
$976.19
|
|
| Hospital Charge Code |
36000078
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$595.38 |
| Max. Negotiated Rate |
$878.57 |
| Rate for Payer: Aetna Commercial |
$829.76
|
| Rate for Payer: BCBS Trust/PPO |
$754.40
|
| Rate for Payer: BCN Commercial |
$754.40
|
| Rate for Payer: Cash Price |
$780.95
|
| Rate for Payer: Cofinity Commercial |
$839.52
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$780.95
|
| Rate for Payer: Healthscope Commercial |
$878.57
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$732.14
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$829.76
|
| Rate for Payer: PHP Commercial |
$829.76
|
| Rate for Payer: Priority Health Cigna Priority Health |
$683.33
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$849.29
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$595.38
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$859.05
|
| Rate for Payer: UHC Core |
$815.12
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$732.14
|
|
|
HC PARACENTESIS
|
Facility
|
OP
|
$976.19
|
|
| Hospital Charge Code |
36000078
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$231.85 |
| Max. Negotiated Rate |
$878.57 |
| Rate for Payer: Aetna Commercial |
$829.76
|
| Rate for Payer: Aetna Medicare |
$253.81
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$305.06
|
| Rate for Payer: Amish Plain Church Group Commercial |
$305.06
|
| Rate for Payer: BCBS Complete |
$390.48
|
| Rate for Payer: BCBS MAPPO |
$244.05
|
| Rate for Payer: BCBS Trust/PPO |
$758.99
|
| Rate for Payer: BCN Commercial |
$758.99
|
| Rate for Payer: BCN Medicare Advantage |
$244.05
|
| Rate for Payer: Cash Price |
$780.95
|
| Rate for Payer: Cofinity Commercial |
$839.52
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$780.95
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$244.05
|
| Rate for Payer: Healthscope Commercial |
$878.57
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$732.14
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$256.25
|
| Rate for Payer: MI Amish Medical Board Commercial |
$280.65
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$829.76
|
| Rate for Payer: PACE Senior Care Partners |
$231.85
|
| Rate for Payer: PACE SWMI |
$244.05
|
| Rate for Payer: PHP Commercial |
$829.76
|
| Rate for Payer: PHP Medicare Advantage |
$244.05
|
| Rate for Payer: Priority Health Cigna Priority Health |
$683.33
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$849.29
|
| Rate for Payer: Priority Health Medicare |
$244.05
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$595.38
|
| Rate for Payer: Railroad Medicare Medicare |
$244.05
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$859.05
|
| Rate for Payer: UHC Core |
$815.12
|
| Rate for Payer: UHC Dual Complete DSNP |
$244.05
|
| Rate for Payer: UHC Medicare Advantage |
$251.37
|
| Rate for Payer: VA VA |
$244.05
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$732.14
|
|
|
HC PARACERVIAL/PUDENDAL ANES
|
Facility
|
IP
|
$372.88
|
|
| Hospital Charge Code |
37000004
|
|
Hospital Revenue Code
|
370
|
| Min. Negotiated Rate |
$227.42 |
| Max. Negotiated Rate |
$335.59 |
| Rate for Payer: Aetna Commercial |
$316.95
|
| Rate for Payer: BCBS Trust/PPO |
$288.16
|
| Rate for Payer: BCN Commercial |
$288.16
|
| Rate for Payer: Cash Price |
$298.30
|
| Rate for Payer: Cofinity Commercial |
$320.68
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$298.30
|
| Rate for Payer: Healthscope Commercial |
$335.59
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$279.66
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$316.95
|
| Rate for Payer: PHP Commercial |
$316.95
|
| Rate for Payer: Priority Health Cigna Priority Health |
$261.02
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$324.41
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$227.42
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$328.13
|
| Rate for Payer: UHC Core |
$311.35
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$279.66
|
|
|
HC PARACERVIAL/PUDENDAL ANES
|
Facility
|
OP
|
$372.88
|
|
| Hospital Charge Code |
37000004
|
|
Hospital Revenue Code
|
370
|
| Min. Negotiated Rate |
$88.56 |
| Max. Negotiated Rate |
$335.59 |
| Rate for Payer: Aetna Commercial |
$316.95
|
| Rate for Payer: Aetna Medicare |
$96.95
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$116.52
|
| Rate for Payer: Amish Plain Church Group Commercial |
$116.52
|
| Rate for Payer: BCBS Complete |
$149.15
|
| Rate for Payer: BCBS MAPPO |
$93.22
|
| Rate for Payer: BCBS Trust/PPO |
$289.91
|
| Rate for Payer: BCN Commercial |
$289.91
|
| Rate for Payer: BCN Medicare Advantage |
$93.22
|
| Rate for Payer: Cash Price |
$298.30
|
| Rate for Payer: Cofinity Commercial |
$320.68
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$298.30
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$93.22
|
| Rate for Payer: Healthscope Commercial |
$335.59
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$279.66
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$97.88
|
| Rate for Payer: MI Amish Medical Board Commercial |
$107.20
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$316.95
|
| Rate for Payer: PACE Senior Care Partners |
$88.56
|
| Rate for Payer: PACE SWMI |
$93.22
|
| Rate for Payer: PHP Commercial |
$316.95
|
| Rate for Payer: PHP Medicare Advantage |
$93.22
|
| Rate for Payer: Priority Health Cigna Priority Health |
$261.02
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$324.41
|
| Rate for Payer: Priority Health Medicare |
$93.22
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$227.42
|
| Rate for Payer: Railroad Medicare Medicare |
$93.22
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$328.13
|
| Rate for Payer: UHC Core |
$311.35
|
| Rate for Payer: UHC Dual Complete DSNP |
$93.22
|
| Rate for Payer: UHC Medicare Advantage |
$96.02
|
| Rate for Payer: VA VA |
$93.22
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$279.66
|
|
|
HC PARAFFIN BATH
|
Facility
|
IP
|
$63.24
|
|
|
Service Code
|
CPT 97018
|
| Hospital Charge Code |
43000008
|
|
Hospital Revenue Code
|
430
|
| Min. Negotiated Rate |
$38.57 |
| Max. Negotiated Rate |
$56.92 |
| Rate for Payer: Aetna Commercial |
$53.75
|
| Rate for Payer: BCBS Trust/PPO |
$48.87
|
| Rate for Payer: BCN Commercial |
$48.87
|
| Rate for Payer: Cash Price |
$50.59
|
| Rate for Payer: Cofinity Commercial |
$54.39
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$50.59
|
| Rate for Payer: Healthscope Commercial |
$56.92
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$47.43
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$53.75
|
| Rate for Payer: PHP Commercial |
$53.75
|
| Rate for Payer: Priority Health Cigna Priority Health |
$44.27
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$55.02
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$38.57
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$55.65
|
| Rate for Payer: UHC Core |
$52.81
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$47.43
|
|
|
HC PARAFFIN BATH
|
Facility
|
OP
|
$63.24
|
|
|
Service Code
|
CPT 97018
|
| Hospital Charge Code |
43000008
|
|
Hospital Revenue Code
|
430
|
| Min. Negotiated Rate |
$15.02 |
| Max. Negotiated Rate |
$56.92 |
| Rate for Payer: Aetna Commercial |
$53.75
|
| Rate for Payer: Aetna Medicare |
$16.44
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$19.76
|
| Rate for Payer: Amish Plain Church Group Commercial |
$19.76
|
| Rate for Payer: BCBS Complete |
$25.30
|
| Rate for Payer: BCBS MAPPO |
$15.81
|
| Rate for Payer: BCBS Trust/PPO |
$49.17
|
| Rate for Payer: BCN Commercial |
$49.17
|
| Rate for Payer: BCN Medicare Advantage |
$15.81
|
| Rate for Payer: Cash Price |
$50.59
|
| Rate for Payer: Cofinity Commercial |
$54.39
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$50.59
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$15.81
|
| Rate for Payer: Healthscope Commercial |
$56.92
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$47.43
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$16.60
|
| Rate for Payer: MI Amish Medical Board Commercial |
$18.18
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$53.75
|
| Rate for Payer: PACE Senior Care Partners |
$15.02
|
| Rate for Payer: PACE SWMI |
$15.81
|
| Rate for Payer: PHP Commercial |
$53.75
|
| Rate for Payer: PHP Medicare Advantage |
$15.81
|
| Rate for Payer: Priority Health Cigna Priority Health |
$44.27
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$55.02
|
| Rate for Payer: Priority Health Medicare |
$15.81
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$38.57
|
| Rate for Payer: Railroad Medicare Medicare |
$15.81
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$55.65
|
| Rate for Payer: UHC Core |
$52.81
|
| Rate for Payer: UHC Dual Complete DSNP |
$15.81
|
| Rate for Payer: UHC Medicare Advantage |
$16.28
|
| Rate for Payer: VA VA |
$15.81
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$47.43
|
|
|
HC PARANEOPLAS AB EVAL CSF
|
Facility
|
IP
|
$104.00
|
|
|
Service Code
|
CPT 86255
|
| Hospital Charge Code |
30200470
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$63.43 |
| Max. Negotiated Rate |
$93.60 |
| Rate for Payer: Aetna Commercial |
$88.40
|
| Rate for Payer: BCBS Trust/PPO |
$80.37
|
| Rate for Payer: BCN Commercial |
$80.37
|
| Rate for Payer: Cash Price |
$83.20
|
| Rate for Payer: Cofinity Commercial |
$89.44
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$83.20
|
| Rate for Payer: Healthscope Commercial |
$93.60
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$78.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$88.40
|
| Rate for Payer: PHP Commercial |
$88.40
|
| Rate for Payer: Priority Health Cigna Priority Health |
$72.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$90.48
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$63.43
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$91.52
|
| Rate for Payer: UHC Core |
$86.84
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$78.00
|
|
|
HC PARANEOPLAS AB EVAL CSF
|
Facility
|
OP
|
$104.00
|
|
|
Service Code
|
CPT 86255
|
| Hospital Charge Code |
30200470
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$8.89 |
| Max. Negotiated Rate |
$93.60 |
| Rate for Payer: Aetna Commercial |
$88.40
|
| Rate for Payer: Aetna Medicare |
$27.04
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$32.50
|
| Rate for Payer: Amish Plain Church Group Commercial |
$32.50
|
| Rate for Payer: BCBS Complete |
$9.34
|
| Rate for Payer: BCBS MAPPO |
$26.00
|
| Rate for Payer: BCBS Trust/PPO |
$80.86
|
| Rate for Payer: BCN Commercial |
$80.86
|
| Rate for Payer: BCN Medicare Advantage |
$26.00
|
| Rate for Payer: Cash Price |
$83.20
|
| Rate for Payer: Cash Price |
$83.20
|
| Rate for Payer: Cofinity Commercial |
$89.44
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$83.20
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$26.00
|
| Rate for Payer: Healthscope Commercial |
$93.60
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$78.00
|
| Rate for Payer: Mclaren Medicaid |
$8.89
|
| Rate for Payer: Meridian Medicaid |
$9.34
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$27.30
|
| Rate for Payer: MI Amish Medical Board Commercial |
$29.90
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$88.40
|
| Rate for Payer: PACE Senior Care Partners |
$24.70
|
| Rate for Payer: PACE SWMI |
$26.00
|
| Rate for Payer: PHP Commercial |
$88.40
|
| Rate for Payer: PHP Medicare Advantage |
$26.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$8.89
|
| Rate for Payer: Priority Health Cigna Priority Health |
$72.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$90.48
|
| Rate for Payer: Priority Health Medicare |
$26.00
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$63.43
|
| Rate for Payer: Railroad Medicare Medicare |
$26.00
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$91.52
|
| Rate for Payer: UHC Core |
$86.84
|
| Rate for Payer: UHC Dual Complete DSNP |
$26.00
|
| Rate for Payer: UHC Medicare Advantage |
$26.78
|
| Rate for Payer: VA VA |
$26.00
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$78.00
|
|
|
HC PARANEOPLAS AB EVAL CSF CMPT
|
Facility
|
OP
|
$80.58
|
|
|
Service Code
|
CPT 86255
|
| Hospital Charge Code |
30200471
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$8.89 |
| Max. Negotiated Rate |
$72.52 |
| Rate for Payer: Aetna Commercial |
$68.49
|
| Rate for Payer: Aetna Medicare |
$20.95
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$25.18
|
| Rate for Payer: Amish Plain Church Group Commercial |
$25.18
|
| Rate for Payer: BCBS Complete |
$9.34
|
| Rate for Payer: BCBS MAPPO |
$20.14
|
| Rate for Payer: BCBS Trust/PPO |
$62.65
|
| Rate for Payer: BCN Commercial |
$62.65
|
| Rate for Payer: BCN Medicare Advantage |
$20.14
|
| Rate for Payer: Cash Price |
$64.46
|
| Rate for Payer: Cash Price |
$64.46
|
| Rate for Payer: Cofinity Commercial |
$69.30
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$64.46
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$20.14
|
| Rate for Payer: Healthscope Commercial |
$72.52
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$60.44
|
| Rate for Payer: Mclaren Medicaid |
$8.89
|
| Rate for Payer: Meridian Medicaid |
$9.34
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$21.15
|
| Rate for Payer: MI Amish Medical Board Commercial |
$23.17
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$68.49
|
| Rate for Payer: PACE Senior Care Partners |
$19.14
|
| Rate for Payer: PACE SWMI |
$20.14
|
| Rate for Payer: PHP Commercial |
$68.49
|
| Rate for Payer: PHP Medicare Advantage |
$20.14
|
| Rate for Payer: Priority Health Choice Medicaid |
$8.89
|
| Rate for Payer: Priority Health Cigna Priority Health |
$56.41
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$70.10
|
| Rate for Payer: Priority Health Medicare |
$20.14
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$49.15
|
| Rate for Payer: Railroad Medicare Medicare |
$20.14
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$70.91
|
| Rate for Payer: UHC Core |
$67.28
|
| Rate for Payer: UHC Dual Complete DSNP |
$20.14
|
| Rate for Payer: UHC Medicare Advantage |
$20.75
|
| Rate for Payer: VA VA |
$20.14
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$60.44
|
|
