|
HC PARANEOPLAS AB EVAL CSF CMPT
|
Facility
|
IP
|
$80.58
|
|
|
Service Code
|
CPT 86255
|
| Hospital Charge Code |
30200471
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$49.15 |
| Max. Negotiated Rate |
$72.52 |
| Rate for Payer: Aetna Commercial |
$68.49
|
| Rate for Payer: BCBS Trust/PPO |
$62.27
|
| Rate for Payer: BCN Commercial |
$62.27
|
| 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: Healthscope Commercial |
$72.52
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$60.44
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$68.49
|
| Rate for Payer: PHP Commercial |
$68.49
|
| 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 Narrow/Tiered Network |
$49.15
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$70.91
|
| Rate for Payer: UHC Core |
$67.28
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$60.44
|
|
|
HC PARANEOPLASTIC AB CMPT
|
Facility
|
OP
|
$113.00
|
|
|
Service Code
|
CPT 86596
|
| Hospital Charge Code |
30200495
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$8.89 |
| Max. Negotiated Rate |
$101.70 |
| Rate for Payer: Aetna Commercial |
$96.05
|
| Rate for Payer: Aetna Medicare |
$29.38
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$35.31
|
| Rate for Payer: Amish Plain Church Group Commercial |
$35.31
|
| Rate for Payer: BCBS Complete |
$9.34
|
| Rate for Payer: BCBS MAPPO |
$28.25
|
| Rate for Payer: BCBS Trust/PPO |
$87.86
|
| Rate for Payer: BCN Commercial |
$87.86
|
| Rate for Payer: BCN Medicare Advantage |
$28.25
|
| Rate for Payer: Cash Price |
$90.40
|
| Rate for Payer: Cash Price |
$90.40
|
| Rate for Payer: Cofinity Commercial |
$97.18
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$90.40
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$28.25
|
| Rate for Payer: Healthscope Commercial |
$101.70
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$84.75
|
| Rate for Payer: Mclaren Medicaid |
$8.89
|
| Rate for Payer: Meridian Medicaid |
$9.34
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$29.66
|
| Rate for Payer: MI Amish Medical Board Commercial |
$32.49
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$96.05
|
| Rate for Payer: PACE Senior Care Partners |
$26.84
|
| Rate for Payer: PACE SWMI |
$28.25
|
| Rate for Payer: PHP Commercial |
$96.05
|
| Rate for Payer: PHP Medicare Advantage |
$28.25
|
| Rate for Payer: Priority Health Choice Medicaid |
$8.89
|
| Rate for Payer: Priority Health Cigna Priority Health |
$79.10
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$98.31
|
| Rate for Payer: Priority Health Medicare |
$28.25
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$68.92
|
| Rate for Payer: Railroad Medicare Medicare |
$28.25
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$99.44
|
| Rate for Payer: UHC Core |
$94.36
|
| Rate for Payer: UHC Dual Complete DSNP |
$28.25
|
| Rate for Payer: UHC Medicare Advantage |
$29.10
|
| Rate for Payer: VA VA |
$28.25
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$84.75
|
|
|
HC PARANEOPLASTIC AB CMPT
|
Facility
|
IP
|
$113.00
|
|
|
Service Code
|
CPT 86596
|
| Hospital Charge Code |
30200495
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$68.92 |
| Max. Negotiated Rate |
$101.70 |
| Rate for Payer: Aetna Commercial |
$96.05
|
| Rate for Payer: BCBS Trust/PPO |
$87.33
|
| Rate for Payer: BCN Commercial |
$87.33
|
| Rate for Payer: Cash Price |
$90.40
|
| Rate for Payer: Cofinity Commercial |
$97.18
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$90.40
|
| Rate for Payer: Healthscope Commercial |
$101.70
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$84.75
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$96.05
|
| Rate for Payer: PHP Commercial |
$96.05
|
| Rate for Payer: Priority Health Cigna Priority Health |
$79.10
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$98.31
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$68.92
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$99.44
|
| Rate for Payer: UHC Core |
$94.36
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$84.75
|
|
|
HC PARANEOPLASTIC ANTIBODIES
|
Facility
|
IP
|
$61.20
|
|
|
Service Code
|
CPT 83520
|
| Hospital Charge Code |
30100263
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$37.33 |
| Max. Negotiated Rate |
$55.08 |
| Rate for Payer: Aetna Commercial |
$52.02
|
| Rate for Payer: BCBS Trust/PPO |
$47.30
|
| Rate for Payer: BCN Commercial |
$47.30
|
| Rate for Payer: Cash Price |
$48.96
|
| Rate for Payer: Cofinity Commercial |
$52.63
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$48.96
|
| Rate for Payer: Healthscope Commercial |
$55.08
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$45.90
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$52.02
|
| Rate for Payer: PHP Commercial |
$52.02
|
| Rate for Payer: Priority Health Cigna Priority Health |
$42.84
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$53.24
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$37.33
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$53.86
|
| Rate for Payer: UHC Core |
$51.10
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$45.90
|
|
|
HC PARANEOPLASTIC ANTIBODIES
|
Facility
|
OP
|
$61.20
|
|
|
Service Code
|
CPT 83520
|
| Hospital Charge Code |
30100263
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$12.75 |
| Max. Negotiated Rate |
$55.08 |
| Rate for Payer: Aetna Commercial |
$52.02
|
| Rate for Payer: Aetna Medicare |
$15.91
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$19.12
|
| Rate for Payer: Amish Plain Church Group Commercial |
$19.12
|
| Rate for Payer: BCBS Complete |
$13.38
|
| Rate for Payer: BCBS MAPPO |
$15.30
|
| Rate for Payer: BCBS Trust/PPO |
$47.58
|
| Rate for Payer: BCN Commercial |
$47.58
|
| Rate for Payer: BCN Medicare Advantage |
$15.30
|
| Rate for Payer: Cash Price |
$48.96
|
| Rate for Payer: Cash Price |
$48.96
|
| Rate for Payer: Cofinity Commercial |
$52.63
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$48.96
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$15.30
|
| Rate for Payer: Healthscope Commercial |
$55.08
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$45.90
|
| Rate for Payer: Mclaren Medicaid |
$12.75
|
| Rate for Payer: Meridian Medicaid |
$13.38
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$16.06
|
| Rate for Payer: MI Amish Medical Board Commercial |
$17.60
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$52.02
|
| Rate for Payer: PACE Senior Care Partners |
$14.54
|
| Rate for Payer: PACE SWMI |
$15.30
|
| Rate for Payer: PHP Commercial |
$52.02
|
| Rate for Payer: PHP Medicare Advantage |
$15.30
|
| Rate for Payer: Priority Health Choice Medicaid |
$12.75
|
| Rate for Payer: Priority Health Cigna Priority Health |
$42.84
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$53.24
|
| Rate for Payer: Priority Health Medicare |
$15.30
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$37.33
|
| Rate for Payer: Railroad Medicare Medicare |
$15.30
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$53.86
|
| Rate for Payer: UHC Core |
$51.10
|
| Rate for Payer: UHC Dual Complete DSNP |
$15.30
|
| Rate for Payer: UHC Medicare Advantage |
$15.76
|
| Rate for Payer: VA VA |
$15.30
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$45.90
|
|
|
HC PARANEOPLASTIC ANTIBODIES CMPT
|
Facility
|
IP
|
$65.00
|
|
|
Service Code
|
CPT 83519
|
| Hospital Charge Code |
30200012
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$39.64 |
| Max. Negotiated Rate |
$58.50 |
| Rate for Payer: Aetna Commercial |
$55.25
|
| Rate for Payer: BCBS Trust/PPO |
$50.23
|
| Rate for Payer: BCN Commercial |
$50.23
|
| Rate for Payer: Cash Price |
$52.00
|
| Rate for Payer: Cofinity Commercial |
$55.90
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$52.00
|
| Rate for Payer: Healthscope Commercial |
$58.50
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$48.75
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$55.25
|
| Rate for Payer: PHP Commercial |
$55.25
|
| Rate for Payer: Priority Health Cigna Priority Health |
$45.50
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$56.55
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$39.64
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$57.20
|
| Rate for Payer: UHC Core |
$54.28
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$48.75
|
|
|
HC PARANEOPLASTIC ANTIBODIES CMPT
|
Facility
|
OP
|
$65.00
|
|
|
Service Code
|
CPT 83519
|
| Hospital Charge Code |
30200012
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$13.58 |
| Max. Negotiated Rate |
$58.50 |
| Rate for Payer: Aetna Commercial |
$55.25
|
| Rate for Payer: Aetna Medicare |
$16.90
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$20.31
|
| Rate for Payer: Amish Plain Church Group Commercial |
$20.31
|
| Rate for Payer: BCBS Complete |
$14.26
|
| Rate for Payer: BCBS MAPPO |
$16.25
|
| Rate for Payer: BCBS Trust/PPO |
$50.54
|
| Rate for Payer: BCN Commercial |
$50.54
|
| Rate for Payer: BCN Medicare Advantage |
$16.25
|
| Rate for Payer: Cash Price |
$52.00
|
| Rate for Payer: Cash Price |
$52.00
|
| Rate for Payer: Cofinity Commercial |
$55.90
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$52.00
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$16.25
|
| Rate for Payer: Healthscope Commercial |
$58.50
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$48.75
|
| Rate for Payer: Mclaren Medicaid |
$13.58
|
| Rate for Payer: Meridian Medicaid |
$14.26
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$17.06
|
| Rate for Payer: MI Amish Medical Board Commercial |
$18.69
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$55.25
|
| Rate for Payer: PACE Senior Care Partners |
$15.44
|
| Rate for Payer: PACE SWMI |
$16.25
|
| Rate for Payer: PHP Commercial |
$55.25
|
| Rate for Payer: PHP Medicare Advantage |
$16.25
|
| Rate for Payer: Priority Health Choice Medicaid |
$13.58
|
| Rate for Payer: Priority Health Cigna Priority Health |
$45.50
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$56.55
|
| Rate for Payer: Priority Health Medicare |
$16.25
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$39.64
|
| Rate for Payer: Railroad Medicare Medicare |
$16.25
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$57.20
|
| Rate for Payer: UHC Core |
$54.28
|
| Rate for Payer: UHC Dual Complete DSNP |
$16.25
|
| Rate for Payer: UHC Medicare Advantage |
$16.74
|
| Rate for Payer: VA VA |
$16.25
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$48.75
|
|
|
HC PARANEOPLASTIC ANTIBODIES CMPT2
|
Facility
|
IP
|
$61.20
|
|
|
Service Code
|
CPT 86256
|
| Hospital Charge Code |
30200181
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$37.33 |
| Max. Negotiated Rate |
$55.08 |
| Rate for Payer: Aetna Commercial |
$52.02
|
| Rate for Payer: BCBS Trust/PPO |
$47.30
|
| Rate for Payer: BCN Commercial |
$47.30
|
| Rate for Payer: Cash Price |
$48.96
|
| Rate for Payer: Cofinity Commercial |
$52.63
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$48.96
|
| Rate for Payer: Healthscope Commercial |
$55.08
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$45.90
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$52.02
|
| Rate for Payer: PHP Commercial |
$52.02
|
| Rate for Payer: Priority Health Cigna Priority Health |
$42.84
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$53.24
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$37.33
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$53.86
|
| Rate for Payer: UHC Core |
$51.10
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$45.90
|
|
|
HC PARANEOPLASTIC ANTIBODIES CMPT2
|
Facility
|
OP
|
$61.20
|
|
|
Service Code
|
CPT 86256
|
| Hospital Charge Code |
30200181
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$8.89 |
| Max. Negotiated Rate |
$55.08 |
| Rate for Payer: Aetna Commercial |
$52.02
|
| Rate for Payer: Aetna Medicare |
$15.91
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$19.12
|
| Rate for Payer: Amish Plain Church Group Commercial |
$19.12
|
| Rate for Payer: BCBS Complete |
$9.34
|
| Rate for Payer: BCBS MAPPO |
$15.30
|
| Rate for Payer: BCBS Trust/PPO |
$47.58
|
| Rate for Payer: BCN Commercial |
$47.58
|
| Rate for Payer: BCN Medicare Advantage |
$15.30
|
| Rate for Payer: Cash Price |
$48.96
|
| Rate for Payer: Cash Price |
$48.96
|
| Rate for Payer: Cofinity Commercial |
$52.63
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$48.96
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$15.30
|
| Rate for Payer: Healthscope Commercial |
$55.08
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$45.90
|
| Rate for Payer: Mclaren Medicaid |
$8.89
|
| Rate for Payer: Meridian Medicaid |
$9.34
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$16.06
|
| Rate for Payer: MI Amish Medical Board Commercial |
$17.60
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$52.02
|
| Rate for Payer: PACE Senior Care Partners |
$14.54
|
| Rate for Payer: PACE SWMI |
$15.30
|
| Rate for Payer: PHP Commercial |
$52.02
|
| Rate for Payer: PHP Medicare Advantage |
$15.30
|
| Rate for Payer: Priority Health Choice Medicaid |
$8.89
|
| Rate for Payer: Priority Health Cigna Priority Health |
$42.84
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$53.24
|
| Rate for Payer: Priority Health Medicare |
$15.30
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$37.33
|
| Rate for Payer: Railroad Medicare Medicare |
$15.30
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$53.86
|
| Rate for Payer: UHC Core |
$51.10
|
| Rate for Payer: UHC Dual Complete DSNP |
$15.30
|
| Rate for Payer: UHC Medicare Advantage |
$15.76
|
| Rate for Payer: VA VA |
$15.30
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$45.90
|
|
|
HC PARANEOPLASTIC ANTIBODIES SCREEN
|
Facility
|
OP
|
$61.20
|
|
|
Service Code
|
CPT 86255
|
| Hospital Charge Code |
30200396
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$8.89 |
| Max. Negotiated Rate |
$55.08 |
| Rate for Payer: Aetna Commercial |
$52.02
|
| Rate for Payer: Aetna Medicare |
$15.91
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$19.12
|
| Rate for Payer: Amish Plain Church Group Commercial |
$19.12
|
| Rate for Payer: BCBS Complete |
$9.34
|
| Rate for Payer: BCBS MAPPO |
$15.30
|
| Rate for Payer: BCBS Trust/PPO |
$47.58
|
| Rate for Payer: BCN Commercial |
$47.58
|
| Rate for Payer: BCN Medicare Advantage |
$15.30
|
| Rate for Payer: Cash Price |
$48.96
|
| Rate for Payer: Cash Price |
$48.96
|
| Rate for Payer: Cofinity Commercial |
$52.63
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$48.96
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$15.30
|
| Rate for Payer: Healthscope Commercial |
$55.08
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$45.90
|
| Rate for Payer: Mclaren Medicaid |
$8.89
|
| Rate for Payer: Meridian Medicaid |
$9.34
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$16.06
|
| Rate for Payer: MI Amish Medical Board Commercial |
$17.60
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$52.02
|
| Rate for Payer: PACE Senior Care Partners |
$14.54
|
| Rate for Payer: PACE SWMI |
$15.30
|
| Rate for Payer: PHP Commercial |
$52.02
|
| Rate for Payer: PHP Medicare Advantage |
$15.30
|
| Rate for Payer: Priority Health Choice Medicaid |
$8.89
|
| Rate for Payer: Priority Health Cigna Priority Health |
$42.84
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$53.24
|
| Rate for Payer: Priority Health Medicare |
$15.30
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$37.33
|
| Rate for Payer: Railroad Medicare Medicare |
$15.30
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$53.86
|
| Rate for Payer: UHC Core |
$51.10
|
| Rate for Payer: UHC Dual Complete DSNP |
$15.30
|
| Rate for Payer: UHC Medicare Advantage |
$15.76
|
| Rate for Payer: VA VA |
$15.30
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$45.90
|
|
|
HC PARANEOPLASTIC ANTIBODIES SCREEN
|
Facility
|
IP
|
$61.20
|
|
|
Service Code
|
CPT 86255
|
| Hospital Charge Code |
30200396
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$37.33 |
| Max. Negotiated Rate |
$55.08 |
| Rate for Payer: Aetna Commercial |
$52.02
|
| Rate for Payer: BCBS Trust/PPO |
$47.30
|
| Rate for Payer: BCN Commercial |
$47.30
|
| Rate for Payer: Cash Price |
$48.96
|
| Rate for Payer: Cofinity Commercial |
$52.63
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$48.96
|
| Rate for Payer: Healthscope Commercial |
$55.08
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$45.90
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$52.02
|
| Rate for Payer: PHP Commercial |
$52.02
|
| Rate for Payer: Priority Health Cigna Priority Health |
$42.84
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$53.24
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$37.33
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$53.86
|
| Rate for Payer: UHC Core |
$51.10
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$45.90
|
|
|
HC PARANEOPLASTIC AUTOAB WB
|
Facility
|
OP
|
$158.00
|
|
|
Service Code
|
CPT 84182
|
| Hospital Charge Code |
30100678
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$21.56 |
| Max. Negotiated Rate |
$142.20 |
| Rate for Payer: Aetna Commercial |
$134.30
|
| Rate for Payer: Aetna Medicare |
$41.08
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$49.38
|
| Rate for Payer: Amish Plain Church Group Commercial |
$49.38
|
| Rate for Payer: BCBS Complete |
$22.63
|
| Rate for Payer: BCBS MAPPO |
$39.50
|
| Rate for Payer: BCBS Trust/PPO |
$122.84
|
| Rate for Payer: BCN Commercial |
$122.84
|
| Rate for Payer: BCN Medicare Advantage |
$39.50
|
| Rate for Payer: Cash Price |
$126.40
|
| Rate for Payer: Cash Price |
$126.40
|
| Rate for Payer: Cofinity Commercial |
$135.88
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$126.40
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$39.50
|
| Rate for Payer: Healthscope Commercial |
$142.20
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$118.50
|
| Rate for Payer: Mclaren Medicaid |
$21.56
|
| Rate for Payer: Meridian Medicaid |
$22.63
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$41.48
|
| Rate for Payer: MI Amish Medical Board Commercial |
$45.42
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$134.30
|
| Rate for Payer: PACE Senior Care Partners |
$37.52
|
| Rate for Payer: PACE SWMI |
$39.50
|
| Rate for Payer: PHP Commercial |
$134.30
|
| Rate for Payer: PHP Medicare Advantage |
$39.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$21.56
|
| Rate for Payer: Priority Health Cigna Priority Health |
$110.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$137.46
|
| Rate for Payer: Priority Health Medicare |
$39.50
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$96.36
|
| Rate for Payer: Railroad Medicare Medicare |
$39.50
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$139.04
|
| Rate for Payer: UHC Core |
$131.93
|
| Rate for Payer: UHC Dual Complete DSNP |
$39.50
|
| Rate for Payer: UHC Medicare Advantage |
$40.68
|
| Rate for Payer: VA VA |
$39.50
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$118.50
|
|
|
HC PARANEOPLASTIC AUTOAB WB
|
Facility
|
IP
|
$158.00
|
|
|
Service Code
|
CPT 84182
|
| Hospital Charge Code |
30100678
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$96.36 |
| Max. Negotiated Rate |
$142.20 |
| Rate for Payer: Aetna Commercial |
$134.30
|
| Rate for Payer: BCBS Trust/PPO |
$122.10
|
| Rate for Payer: BCN Commercial |
$122.10
|
| Rate for Payer: Cash Price |
$126.40
|
| Rate for Payer: Cofinity Commercial |
$135.88
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$126.40
|
| Rate for Payer: Healthscope Commercial |
$142.20
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$118.50
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$134.30
|
| Rate for Payer: PHP Commercial |
$134.30
|
| Rate for Payer: Priority Health Cigna Priority Health |
$110.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$137.46
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$96.36
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$139.04
|
| Rate for Payer: UHC Core |
$131.93
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$118.50
|
|
|
HC PARASITIC EXAMINATION, STOOL
|
Facility
|
OP
|
$17.34
|
|
|
Service Code
|
CPT 87177
|
| Hospital Charge Code |
30600283
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$4.12 |
| Max. Negotiated Rate |
$15.61 |
| Rate for Payer: Aetna Commercial |
$14.74
|
| Rate for Payer: Aetna Medicare |
$4.51
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$5.42
|
| Rate for Payer: Amish Plain Church Group Commercial |
$5.42
|
| Rate for Payer: BCBS Complete |
$6.90
|
| Rate for Payer: BCBS MAPPO |
$4.34
|
| Rate for Payer: BCBS Trust/PPO |
$13.48
|
| Rate for Payer: BCN Commercial |
$13.48
|
| Rate for Payer: BCN Medicare Advantage |
$4.34
|
| Rate for Payer: Cash Price |
$13.87
|
| Rate for Payer: Cash Price |
$13.87
|
| Rate for Payer: Cofinity Commercial |
$14.91
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$13.87
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$4.34
|
| Rate for Payer: Healthscope Commercial |
$15.61
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$13.00
|
| Rate for Payer: Mclaren Medicaid |
$6.57
|
| Rate for Payer: Meridian Medicaid |
$6.90
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$4.55
|
| Rate for Payer: MI Amish Medical Board Commercial |
$4.99
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$14.74
|
| Rate for Payer: PACE Senior Care Partners |
$4.12
|
| Rate for Payer: PACE SWMI |
$4.34
|
| Rate for Payer: PHP Commercial |
$14.74
|
| Rate for Payer: PHP Medicare Advantage |
$4.34
|
| Rate for Payer: Priority Health Choice Medicaid |
$6.57
|
| Rate for Payer: Priority Health Cigna Priority Health |
$12.14
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$15.09
|
| Rate for Payer: Priority Health Medicare |
$4.34
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$10.58
|
| Rate for Payer: Railroad Medicare Medicare |
$4.34
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$15.26
|
| Rate for Payer: UHC Core |
$14.48
|
| Rate for Payer: UHC Dual Complete DSNP |
$4.34
|
| Rate for Payer: UHC Medicare Advantage |
$4.47
|
| Rate for Payer: VA VA |
$4.34
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$13.00
|
|
|
HC PARASITIC EXAMINATION, STOOL
|
Facility
|
IP
|
$17.34
|
|
|
Service Code
|
CPT 87177
|
| Hospital Charge Code |
30600283
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$10.58 |
| Max. Negotiated Rate |
$15.61 |
| Rate for Payer: Aetna Commercial |
$14.74
|
| Rate for Payer: BCBS Trust/PPO |
$13.40
|
| Rate for Payer: BCN Commercial |
$13.40
|
| Rate for Payer: Cash Price |
$13.87
|
| Rate for Payer: Cofinity Commercial |
$14.91
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$13.87
|
| Rate for Payer: Healthscope Commercial |
$15.61
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$13.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$14.74
|
| Rate for Payer: PHP Commercial |
$14.74
|
| Rate for Payer: Priority Health Cigna Priority Health |
$12.14
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$15.09
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$10.58
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$15.26
|
| Rate for Payer: UHC Core |
$14.48
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$13.00
|
|
|
HC PARASITIC SPECIAL STAIN
|
Facility
|
IP
|
$35.70
|
|
|
Service Code
|
CPT 87209
|
| Hospital Charge Code |
30600284
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$21.77 |
| Max. Negotiated Rate |
$32.13 |
| Rate for Payer: Aetna Commercial |
$30.34
|
| Rate for Payer: BCBS Trust/PPO |
$27.59
|
| Rate for Payer: BCN Commercial |
$27.59
|
| Rate for Payer: Cash Price |
$28.56
|
| Rate for Payer: Cofinity Commercial |
$30.70
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$28.56
|
| Rate for Payer: Healthscope Commercial |
$32.13
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$26.78
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$30.34
|
| Rate for Payer: PHP Commercial |
$30.34
|
| Rate for Payer: Priority Health Cigna Priority Health |
$24.99
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$31.06
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$21.77
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$31.42
|
| Rate for Payer: UHC Core |
$29.81
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$26.78
|
|
|
HC PARASITIC SPECIAL STAIN
|
Facility
|
OP
|
$35.70
|
|
|
Service Code
|
CPT 87209
|
| Hospital Charge Code |
30600284
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$8.48 |
| Max. Negotiated Rate |
$32.13 |
| Rate for Payer: Aetna Commercial |
$30.34
|
| Rate for Payer: Aetna Medicare |
$9.28
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$11.16
|
| Rate for Payer: Amish Plain Church Group Commercial |
$11.16
|
| Rate for Payer: BCBS Complete |
$13.93
|
| Rate for Payer: BCBS MAPPO |
$8.92
|
| Rate for Payer: BCBS Trust/PPO |
$27.76
|
| Rate for Payer: BCN Commercial |
$27.76
|
| Rate for Payer: BCN Medicare Advantage |
$8.92
|
| Rate for Payer: Cash Price |
$28.56
|
| Rate for Payer: Cash Price |
$28.56
|
| Rate for Payer: Cofinity Commercial |
$30.70
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$28.56
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$8.92
|
| Rate for Payer: Healthscope Commercial |
$32.13
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$26.78
|
| Rate for Payer: Mclaren Medicaid |
$13.27
|
| Rate for Payer: Meridian Medicaid |
$13.93
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$9.37
|
| Rate for Payer: MI Amish Medical Board Commercial |
$10.26
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$30.34
|
| Rate for Payer: PACE Senior Care Partners |
$8.48
|
| Rate for Payer: PACE SWMI |
$8.92
|
| Rate for Payer: PHP Commercial |
$30.34
|
| Rate for Payer: PHP Medicare Advantage |
$8.92
|
| Rate for Payer: Priority Health Choice Medicaid |
$13.27
|
| Rate for Payer: Priority Health Cigna Priority Health |
$24.99
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$31.06
|
| Rate for Payer: Priority Health Medicare |
$8.92
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$21.77
|
| Rate for Payer: Railroad Medicare Medicare |
$8.92
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$31.42
|
| Rate for Payer: UHC Core |
$29.81
|
| Rate for Payer: UHC Dual Complete DSNP |
$8.92
|
| Rate for Payer: UHC Medicare Advantage |
$9.19
|
| Rate for Payer: VA VA |
$8.92
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$26.78
|
|
|
HC PARATHYROID HORMONE INTACT
|
Facility
|
OP
|
$226.20
|
|
|
Service Code
|
CPT 83970
|
| Hospital Charge Code |
30100383
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$30.46 |
| Max. Negotiated Rate |
$203.58 |
| Rate for Payer: Aetna Commercial |
$192.27
|
| Rate for Payer: Aetna Medicare |
$58.81
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$70.69
|
| Rate for Payer: Amish Plain Church Group Commercial |
$70.69
|
| Rate for Payer: BCBS Complete |
$31.99
|
| Rate for Payer: BCBS MAPPO |
$56.55
|
| Rate for Payer: BCBS Trust/PPO |
$175.87
|
| Rate for Payer: BCN Commercial |
$175.87
|
| Rate for Payer: BCN Medicare Advantage |
$56.55
|
| Rate for Payer: Cash Price |
$180.96
|
| Rate for Payer: Cash Price |
$180.96
|
| Rate for Payer: Cofinity Commercial |
$194.53
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$180.96
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$56.55
|
| Rate for Payer: Healthscope Commercial |
$203.58
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$169.65
|
| Rate for Payer: Mclaren Medicaid |
$30.46
|
| Rate for Payer: Meridian Medicaid |
$31.99
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$59.38
|
| Rate for Payer: MI Amish Medical Board Commercial |
$65.03
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$192.27
|
| Rate for Payer: PACE Senior Care Partners |
$53.72
|
| Rate for Payer: PACE SWMI |
$56.55
|
| Rate for Payer: PHP Commercial |
$192.27
|
| Rate for Payer: PHP Medicare Advantage |
$56.55
|
| Rate for Payer: Priority Health Choice Medicaid |
$30.46
|
| Rate for Payer: Priority Health Cigna Priority Health |
$158.34
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$196.79
|
| Rate for Payer: Priority Health Medicare |
$56.55
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$137.96
|
| Rate for Payer: Railroad Medicare Medicare |
$56.55
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$199.06
|
| Rate for Payer: UHC Core |
$188.88
|
| Rate for Payer: UHC Dual Complete DSNP |
$56.55
|
| Rate for Payer: UHC Medicare Advantage |
$58.25
|
| Rate for Payer: VA VA |
$56.55
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$169.65
|
|
|
HC PARATHYROID HORMONE INTACT
|
Facility
|
IP
|
$226.20
|
|
|
Service Code
|
CPT 83970
|
| Hospital Charge Code |
30100383
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$137.96 |
| Max. Negotiated Rate |
$203.58 |
| Rate for Payer: Aetna Commercial |
$192.27
|
| Rate for Payer: BCBS Trust/PPO |
$174.81
|
| Rate for Payer: BCN Commercial |
$174.81
|
| Rate for Payer: Cash Price |
$180.96
|
| Rate for Payer: Cofinity Commercial |
$194.53
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$180.96
|
| Rate for Payer: Healthscope Commercial |
$203.58
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$169.65
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$192.27
|
| Rate for Payer: PHP Commercial |
$192.27
|
| Rate for Payer: Priority Health Cigna Priority Health |
$158.34
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$196.79
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$137.96
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$199.06
|
| Rate for Payer: UHC Core |
$188.88
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$169.65
|
|
|
HC PARATHYROID RELATED PROTEIN
|
Facility
|
OP
|
$59.16
|
|
|
Service Code
|
CPT 82397
|
| Hospital Charge Code |
30100150
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$10.42 |
| Max. Negotiated Rate |
$53.24 |
| Rate for Payer: Aetna Commercial |
$50.29
|
| Rate for Payer: Aetna Medicare |
$15.38
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$18.49
|
| Rate for Payer: Amish Plain Church Group Commercial |
$18.49
|
| Rate for Payer: BCBS Complete |
$10.94
|
| Rate for Payer: BCBS MAPPO |
$14.79
|
| Rate for Payer: BCBS Trust/PPO |
$46.00
|
| Rate for Payer: BCN Commercial |
$46.00
|
| Rate for Payer: BCN Medicare Advantage |
$14.79
|
| Rate for Payer: Cash Price |
$47.33
|
| Rate for Payer: Cash Price |
$47.33
|
| Rate for Payer: Cofinity Commercial |
$50.88
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$47.33
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$14.79
|
| Rate for Payer: Healthscope Commercial |
$53.24
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$44.37
|
| Rate for Payer: Mclaren Medicaid |
$10.42
|
| Rate for Payer: Meridian Medicaid |
$10.94
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$15.53
|
| Rate for Payer: MI Amish Medical Board Commercial |
$17.01
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$50.29
|
| Rate for Payer: PACE Senior Care Partners |
$14.05
|
| Rate for Payer: PACE SWMI |
$14.79
|
| Rate for Payer: PHP Commercial |
$50.29
|
| Rate for Payer: PHP Medicare Advantage |
$14.79
|
| Rate for Payer: Priority Health Choice Medicaid |
$10.42
|
| Rate for Payer: Priority Health Cigna Priority Health |
$41.41
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$51.47
|
| Rate for Payer: Priority Health Medicare |
$14.79
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$36.08
|
| Rate for Payer: Railroad Medicare Medicare |
$14.79
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$52.06
|
| Rate for Payer: UHC Core |
$49.40
|
| Rate for Payer: UHC Dual Complete DSNP |
$14.79
|
| Rate for Payer: UHC Medicare Advantage |
$15.23
|
| Rate for Payer: VA VA |
$14.79
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$44.37
|
|
|
HC PARATHYROID RELATED PROTEIN
|
Facility
|
IP
|
$59.16
|
|
|
Service Code
|
CPT 82397
|
| Hospital Charge Code |
30100150
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$36.08 |
| Max. Negotiated Rate |
$53.24 |
| Rate for Payer: Aetna Commercial |
$50.29
|
| Rate for Payer: BCBS Trust/PPO |
$45.72
|
| Rate for Payer: BCN Commercial |
$45.72
|
| Rate for Payer: Cash Price |
$47.33
|
| Rate for Payer: Cofinity Commercial |
$50.88
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$47.33
|
| Rate for Payer: Healthscope Commercial |
$53.24
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$44.37
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$50.29
|
| Rate for Payer: PHP Commercial |
$50.29
|
| Rate for Payer: Priority Health Cigna Priority Health |
$41.41
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$51.47
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$36.08
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$52.06
|
| Rate for Payer: UHC Core |
$49.40
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$44.37
|
|
|
HC PARIETAL CELL AB
|
Facility
|
IP
|
$54.06
|
|
|
Service Code
|
CPT 83516
|
| Hospital Charge Code |
30200002
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$32.97 |
| Max. Negotiated Rate |
$48.65 |
| Rate for Payer: Aetna Commercial |
$45.95
|
| Rate for Payer: BCBS Trust/PPO |
$41.78
|
| Rate for Payer: BCN Commercial |
$41.78
|
| Rate for Payer: Cash Price |
$43.25
|
| Rate for Payer: Cofinity Commercial |
$46.49
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$43.25
|
| Rate for Payer: Healthscope Commercial |
$48.65
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$40.54
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$45.95
|
| Rate for Payer: PHP Commercial |
$45.95
|
| Rate for Payer: Priority Health Cigna Priority Health |
$37.84
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$47.03
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$32.97
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$47.57
|
| Rate for Payer: UHC Core |
$45.14
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$40.54
|
|
|
HC PARIETAL CELL AB
|
Facility
|
OP
|
$54.06
|
|
|
Service Code
|
CPT 83516
|
| Hospital Charge Code |
30200002
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$8.51 |
| Max. Negotiated Rate |
$48.65 |
| Rate for Payer: Aetna Commercial |
$45.95
|
| Rate for Payer: Aetna Medicare |
$14.06
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$16.89
|
| Rate for Payer: Amish Plain Church Group Commercial |
$16.89
|
| Rate for Payer: BCBS Complete |
$8.93
|
| Rate for Payer: BCBS MAPPO |
$13.52
|
| Rate for Payer: BCBS Trust/PPO |
$42.03
|
| Rate for Payer: BCN Commercial |
$42.03
|
| Rate for Payer: BCN Medicare Advantage |
$13.52
|
| Rate for Payer: Cash Price |
$43.25
|
| Rate for Payer: Cash Price |
$43.25
|
| Rate for Payer: Cofinity Commercial |
$46.49
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$43.25
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$13.52
|
| Rate for Payer: Healthscope Commercial |
$48.65
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$40.54
|
| Rate for Payer: Mclaren Medicaid |
$8.51
|
| Rate for Payer: Meridian Medicaid |
$8.93
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$14.19
|
| Rate for Payer: MI Amish Medical Board Commercial |
$15.54
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$45.95
|
| Rate for Payer: PACE Senior Care Partners |
$12.84
|
| Rate for Payer: PACE SWMI |
$13.52
|
| Rate for Payer: PHP Commercial |
$45.95
|
| Rate for Payer: PHP Medicare Advantage |
$13.52
|
| Rate for Payer: Priority Health Choice Medicaid |
$8.51
|
| Rate for Payer: Priority Health Cigna Priority Health |
$37.84
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$47.03
|
| Rate for Payer: Priority Health Medicare |
$13.52
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$32.97
|
| Rate for Payer: Railroad Medicare Medicare |
$13.52
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$47.57
|
| Rate for Payer: UHC Core |
$45.14
|
| Rate for Payer: UHC Dual Complete DSNP |
$13.52
|
| Rate for Payer: UHC Medicare Advantage |
$13.92
|
| Rate for Payer: VA VA |
$13.52
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$40.54
|
|
|
HC PARTIAL EXC BONE; PHALANX OF TOE
|
Facility
|
OP
|
$2,791.74
|
|
|
Service Code
|
CPT 28124
|
| Hospital Charge Code |
76100285
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$663.04 |
| Max. Negotiated Rate |
$2,512.57 |
| Rate for Payer: Aetna Commercial |
$2,372.98
|
| Rate for Payer: Aetna Medicare |
$725.85
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$872.42
|
| Rate for Payer: Amish Plain Church Group Commercial |
$872.42
|
| Rate for Payer: BCBS Complete |
$2,229.50
|
| Rate for Payer: BCBS MAPPO |
$697.94
|
| Rate for Payer: BCBS Trust/PPO |
$2,170.58
|
| Rate for Payer: BCN Commercial |
$2,170.58
|
| Rate for Payer: BCN Medicare Advantage |
$697.94
|
| Rate for Payer: Cash Price |
$2,233.39
|
| Rate for Payer: Cash Price |
$2,233.39
|
| Rate for Payer: Cofinity Commercial |
$2,400.90
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,233.39
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$697.94
|
| Rate for Payer: Healthscope Commercial |
$2,512.57
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,093.80
|
| Rate for Payer: Mclaren Medicaid |
$2,123.34
|
| Rate for Payer: Meridian Medicaid |
$2,229.50
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$732.83
|
| Rate for Payer: MI Amish Medical Board Commercial |
$802.63
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$2,372.98
|
| Rate for Payer: PACE Senior Care Partners |
$663.04
|
| Rate for Payer: PACE SWMI |
$697.94
|
| Rate for Payer: PHP Commercial |
$2,372.98
|
| Rate for Payer: PHP Medicare Advantage |
$697.94
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,123.34
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,954.22
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,428.81
|
| Rate for Payer: Priority Health Medicare |
$697.94
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,702.68
|
| Rate for Payer: Railroad Medicare Medicare |
$697.94
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,456.73
|
| Rate for Payer: UHC Core |
$2,331.10
|
| Rate for Payer: UHC Dual Complete DSNP |
$697.94
|
| Rate for Payer: UHC Medicare Advantage |
$718.87
|
| Rate for Payer: VA VA |
$697.94
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,093.80
|
|
|
HC PARTIAL EXC BONE; PHALANX OF TOE
|
Facility
|
IP
|
$2,791.74
|
|
|
Service Code
|
CPT 28124
|
| Hospital Charge Code |
76100285
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$1,702.68 |
| Max. Negotiated Rate |
$2,512.57 |
| Rate for Payer: Aetna Commercial |
$2,372.98
|
| Rate for Payer: BCBS Trust/PPO |
$2,157.46
|
| Rate for Payer: BCN Commercial |
$2,157.46
|
| Rate for Payer: Cash Price |
$2,233.39
|
| Rate for Payer: Cofinity Commercial |
$2,400.90
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,233.39
|
| Rate for Payer: Healthscope Commercial |
$2,512.57
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,093.80
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$2,372.98
|
| Rate for Payer: PHP Commercial |
$2,372.98
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,954.22
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,428.81
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,702.68
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,456.73
|
| Rate for Payer: UHC Core |
$2,331.10
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,093.80
|
|
