|
HC PARTIAL REMOVAL BONE TARSAL/METATARSAL
|
Facility
|
IP
|
$9,060.00
|
|
|
Service Code
|
CPT 28122
|
| Hospital Charge Code |
76100406
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$5,525.69 |
| Max. Negotiated Rate |
$8,154.00 |
| Rate for Payer: Aetna Commercial |
$7,701.00
|
| Rate for Payer: BCBS Trust/PPO |
$7,001.57
|
| Rate for Payer: BCN Commercial |
$7,001.57
|
| Rate for Payer: Cash Price |
$7,248.00
|
| Rate for Payer: Cofinity Commercial |
$7,791.60
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$7,248.00
|
| Rate for Payer: Healthscope Commercial |
$8,154.00
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$6,795.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$7,701.00
|
| Rate for Payer: PHP Commercial |
$7,701.00
|
| Rate for Payer: Priority Health Cigna Priority Health |
$6,342.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$7,882.20
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$5,525.69
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$7,972.80
|
| Rate for Payer: UHC Core |
$7,565.10
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$6,795.00
|
|
|
HC PARTIAL REMOVAL BONE TARSAL/METATARSAL
|
Facility
|
OP
|
$9,060.00
|
|
|
Service Code
|
CPT 28122
|
| Hospital Charge Code |
76100406
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$2,123.34 |
| Max. Negotiated Rate |
$8,154.00 |
| Rate for Payer: Aetna Commercial |
$7,701.00
|
| Rate for Payer: Aetna Medicare |
$2,355.60
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$2,831.25
|
| Rate for Payer: Amish Plain Church Group Commercial |
$2,831.25
|
| Rate for Payer: BCBS Complete |
$2,229.50
|
| Rate for Payer: BCBS MAPPO |
$2,265.00
|
| Rate for Payer: BCBS Trust/PPO |
$7,044.15
|
| Rate for Payer: BCN Commercial |
$7,044.15
|
| Rate for Payer: BCN Medicare Advantage |
$2,265.00
|
| Rate for Payer: Cash Price |
$7,248.00
|
| Rate for Payer: Cash Price |
$7,248.00
|
| Rate for Payer: Cofinity Commercial |
$7,791.60
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$7,248.00
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,265.00
|
| Rate for Payer: Healthscope Commercial |
$8,154.00
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$6,795.00
|
| Rate for Payer: Mclaren Medicaid |
$2,123.34
|
| Rate for Payer: Meridian Medicaid |
$2,229.50
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$2,378.25
|
| Rate for Payer: MI Amish Medical Board Commercial |
$2,604.75
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$7,701.00
|
| Rate for Payer: PACE Senior Care Partners |
$2,151.75
|
| Rate for Payer: PACE SWMI |
$2,265.00
|
| Rate for Payer: PHP Commercial |
$7,701.00
|
| Rate for Payer: PHP Medicare Advantage |
$2,265.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,123.34
|
| Rate for Payer: Priority Health Cigna Priority Health |
$6,342.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$7,882.20
|
| Rate for Payer: Priority Health Medicare |
$2,265.00
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$5,525.69
|
| Rate for Payer: Railroad Medicare Medicare |
$2,265.00
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$7,972.80
|
| Rate for Payer: UHC Core |
$7,565.10
|
| Rate for Payer: UHC Dual Complete DSNP |
$2,265.00
|
| Rate for Payer: UHC Medicare Advantage |
$2,332.95
|
| Rate for Payer: VA VA |
$2,265.00
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$6,795.00
|
|
|
HC PARTIAL REMOVAL OF HYMEN
|
Facility
|
OP
|
$7,789.74
|
|
|
Service Code
|
CPT 56700
|
| Hospital Charge Code |
36100619
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$1,850.06 |
| Max. Negotiated Rate |
$7,010.77 |
| Rate for Payer: Aetna Commercial |
$6,621.28
|
| Rate for Payer: Aetna Medicare |
$2,025.33
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$2,434.29
|
| Rate for Payer: Amish Plain Church Group Commercial |
$2,434.29
|
| Rate for Payer: BCBS Complete |
$2,153.41
|
| Rate for Payer: BCBS MAPPO |
$1,947.44
|
| Rate for Payer: BCBS Trust/PPO |
$6,056.52
|
| Rate for Payer: BCN Commercial |
$6,056.52
|
| Rate for Payer: BCN Medicare Advantage |
$1,947.44
|
| Rate for Payer: Cash Price |
$6,231.79
|
| Rate for Payer: Cash Price |
$6,231.79
|
| Rate for Payer: Cofinity Commercial |
$6,699.18
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$6,231.79
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,947.44
|
| Rate for Payer: Healthscope Commercial |
$7,010.77
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$5,842.30
|
| Rate for Payer: Mclaren Medicaid |
$2,050.87
|
| Rate for Payer: Meridian Medicaid |
$2,153.41
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$2,044.81
|
| Rate for Payer: MI Amish Medical Board Commercial |
$2,239.55
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$6,621.28
|
| Rate for Payer: PACE Senior Care Partners |
$1,850.06
|
| Rate for Payer: PACE SWMI |
$1,947.44
|
| Rate for Payer: PHP Commercial |
$6,621.28
|
| Rate for Payer: PHP Medicare Advantage |
$1,947.44
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,050.87
|
| Rate for Payer: Priority Health Cigna Priority Health |
$5,452.82
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$6,777.07
|
| Rate for Payer: Priority Health Medicare |
$1,947.44
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$4,750.96
|
| Rate for Payer: Railroad Medicare Medicare |
$1,947.44
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$6,854.97
|
| Rate for Payer: UHC Core |
$6,504.43
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,947.44
|
| Rate for Payer: UHC Medicare Advantage |
$2,005.86
|
| Rate for Payer: VA VA |
$1,947.44
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$5,842.30
|
|
|
HC PARTIAL REMOVAL OF HYMEN
|
Facility
|
IP
|
$7,789.74
|
|
|
Service Code
|
CPT 56700
|
| Hospital Charge Code |
36100619
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$4,750.96 |
| Max. Negotiated Rate |
$7,010.77 |
| Rate for Payer: Aetna Commercial |
$6,621.28
|
| Rate for Payer: BCBS Trust/PPO |
$6,019.91
|
| Rate for Payer: BCN Commercial |
$6,019.91
|
| Rate for Payer: Cash Price |
$6,231.79
|
| Rate for Payer: Cofinity Commercial |
$6,699.18
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$6,231.79
|
| Rate for Payer: Healthscope Commercial |
$7,010.77
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$5,842.30
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$6,621.28
|
| Rate for Payer: PHP Commercial |
$6,621.28
|
| Rate for Payer: Priority Health Cigna Priority Health |
$5,452.82
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$6,777.07
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$4,750.96
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$6,854.97
|
| Rate for Payer: UHC Core |
$6,504.43
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$5,842.30
|
|
|
HC PARVOVIRUS B19 COMPONENT
|
Facility
|
OP
|
$23.10
|
|
|
Service Code
|
CPT 86747
|
| Hospital Charge Code |
30200314
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$5.49 |
| Max. Negotiated Rate |
$20.79 |
| Rate for Payer: Aetna Commercial |
$19.64
|
| Rate for Payer: Aetna Medicare |
$6.01
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$7.22
|
| Rate for Payer: Amish Plain Church Group Commercial |
$7.22
|
| Rate for Payer: BCBS Complete |
$11.65
|
| Rate for Payer: BCBS MAPPO |
$5.78
|
| Rate for Payer: BCBS Trust/PPO |
$17.96
|
| Rate for Payer: BCN Commercial |
$17.96
|
| Rate for Payer: BCN Medicare Advantage |
$5.78
|
| Rate for Payer: Cash Price |
$18.48
|
| Rate for Payer: Cash Price |
$18.48
|
| Rate for Payer: Cofinity Commercial |
$19.87
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$18.48
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$5.78
|
| Rate for Payer: Healthscope Commercial |
$20.79
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$17.32
|
| Rate for Payer: Mclaren Medicaid |
$11.09
|
| Rate for Payer: Meridian Medicaid |
$11.65
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$6.06
|
| Rate for Payer: MI Amish Medical Board Commercial |
$6.64
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$19.64
|
| Rate for Payer: PACE Senior Care Partners |
$5.49
|
| Rate for Payer: PACE SWMI |
$5.78
|
| Rate for Payer: PHP Commercial |
$19.64
|
| Rate for Payer: PHP Medicare Advantage |
$5.78
|
| Rate for Payer: Priority Health Choice Medicaid |
$11.09
|
| Rate for Payer: Priority Health Cigna Priority Health |
$16.17
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$20.10
|
| Rate for Payer: Priority Health Medicare |
$5.78
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$14.09
|
| Rate for Payer: Railroad Medicare Medicare |
$5.78
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$20.33
|
| Rate for Payer: UHC Core |
$19.29
|
| Rate for Payer: UHC Dual Complete DSNP |
$5.78
|
| Rate for Payer: UHC Medicare Advantage |
$5.95
|
| Rate for Payer: VA VA |
$5.78
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$17.32
|
|
|
HC PARVOVIRUS B19 COMPONENT
|
Facility
|
IP
|
$23.10
|
|
|
Service Code
|
CPT 86747
|
| Hospital Charge Code |
30200314
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$14.09 |
| Max. Negotiated Rate |
$20.79 |
| Rate for Payer: Aetna Commercial |
$19.64
|
| Rate for Payer: BCBS Trust/PPO |
$17.85
|
| Rate for Payer: BCN Commercial |
$17.85
|
| Rate for Payer: Cash Price |
$18.48
|
| Rate for Payer: Cofinity Commercial |
$19.87
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$18.48
|
| Rate for Payer: Healthscope Commercial |
$20.79
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$17.32
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$19.64
|
| Rate for Payer: PHP Commercial |
$19.64
|
| Rate for Payer: Priority Health Cigna Priority Health |
$16.17
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$20.10
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$14.09
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$20.33
|
| Rate for Payer: UHC Core |
$19.29
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$17.32
|
|
|
HC PARVOVIRUS B19 IGG
|
Facility
|
IP
|
$23.10
|
|
|
Service Code
|
CPT 86747
|
| Hospital Charge Code |
30200313
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$14.09 |
| Max. Negotiated Rate |
$20.79 |
| Rate for Payer: Aetna Commercial |
$19.64
|
| Rate for Payer: BCBS Trust/PPO |
$17.85
|
| Rate for Payer: BCN Commercial |
$17.85
|
| Rate for Payer: Cash Price |
$18.48
|
| Rate for Payer: Cofinity Commercial |
$19.87
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$18.48
|
| Rate for Payer: Healthscope Commercial |
$20.79
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$17.32
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$19.64
|
| Rate for Payer: PHP Commercial |
$19.64
|
| Rate for Payer: Priority Health Cigna Priority Health |
$16.17
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$20.10
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$14.09
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$20.33
|
| Rate for Payer: UHC Core |
$19.29
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$17.32
|
|
|
HC PARVOVIRUS B19 IGG
|
Facility
|
OP
|
$23.10
|
|
|
Service Code
|
CPT 86747
|
| Hospital Charge Code |
30200313
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$5.49 |
| Max. Negotiated Rate |
$20.79 |
| Rate for Payer: Aetna Commercial |
$19.64
|
| Rate for Payer: Aetna Medicare |
$6.01
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$7.22
|
| Rate for Payer: Amish Plain Church Group Commercial |
$7.22
|
| Rate for Payer: BCBS Complete |
$11.65
|
| Rate for Payer: BCBS MAPPO |
$5.78
|
| Rate for Payer: BCBS Trust/PPO |
$17.96
|
| Rate for Payer: BCN Commercial |
$17.96
|
| Rate for Payer: BCN Medicare Advantage |
$5.78
|
| Rate for Payer: Cash Price |
$18.48
|
| Rate for Payer: Cash Price |
$18.48
|
| Rate for Payer: Cofinity Commercial |
$19.87
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$18.48
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$5.78
|
| Rate for Payer: Healthscope Commercial |
$20.79
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$17.32
|
| Rate for Payer: Mclaren Medicaid |
$11.09
|
| Rate for Payer: Meridian Medicaid |
$11.65
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$6.06
|
| Rate for Payer: MI Amish Medical Board Commercial |
$6.64
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$19.64
|
| Rate for Payer: PACE Senior Care Partners |
$5.49
|
| Rate for Payer: PACE SWMI |
$5.78
|
| Rate for Payer: PHP Commercial |
$19.64
|
| Rate for Payer: PHP Medicare Advantage |
$5.78
|
| Rate for Payer: Priority Health Choice Medicaid |
$11.09
|
| Rate for Payer: Priority Health Cigna Priority Health |
$16.17
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$20.10
|
| Rate for Payer: Priority Health Medicare |
$5.78
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$14.09
|
| Rate for Payer: Railroad Medicare Medicare |
$5.78
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$20.33
|
| Rate for Payer: UHC Core |
$19.29
|
| Rate for Payer: UHC Dual Complete DSNP |
$5.78
|
| Rate for Payer: UHC Medicare Advantage |
$5.95
|
| Rate for Payer: VA VA |
$5.78
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$17.32
|
|
|
HC PASTE
|
Facility
|
OP
|
$30.48
|
|
| Hospital Charge Code |
27000131
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$7.24 |
| Max. Negotiated Rate |
$27.43 |
| Rate for Payer: Aetna Commercial |
$25.91
|
| Rate for Payer: Aetna Medicare |
$7.92
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$9.52
|
| Rate for Payer: Amish Plain Church Group Commercial |
$9.52
|
| Rate for Payer: BCBS Complete |
$12.19
|
| Rate for Payer: BCBS MAPPO |
$7.62
|
| Rate for Payer: BCBS Trust/PPO |
$23.70
|
| Rate for Payer: BCN Commercial |
$23.70
|
| Rate for Payer: BCN Medicare Advantage |
$7.62
|
| Rate for Payer: Cash Price |
$24.38
|
| Rate for Payer: Cofinity Commercial |
$26.21
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$24.38
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$7.62
|
| Rate for Payer: Healthscope Commercial |
$27.43
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$22.86
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$8.00
|
| Rate for Payer: MI Amish Medical Board Commercial |
$8.76
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$25.91
|
| Rate for Payer: PACE Senior Care Partners |
$7.24
|
| Rate for Payer: PACE SWMI |
$7.62
|
| Rate for Payer: PHP Commercial |
$25.91
|
| Rate for Payer: PHP Medicare Advantage |
$7.62
|
| Rate for Payer: Priority Health Cigna Priority Health |
$21.34
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$26.52
|
| Rate for Payer: Priority Health Medicare |
$7.62
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$18.59
|
| Rate for Payer: Railroad Medicare Medicare |
$7.62
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$26.82
|
| Rate for Payer: UHC Core |
$25.45
|
| Rate for Payer: UHC Dual Complete DSNP |
$7.62
|
| Rate for Payer: UHC Medicare Advantage |
$7.85
|
| Rate for Payer: VA VA |
$7.62
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$22.86
|
|
|
HC PASTE
|
Facility
|
IP
|
$30.48
|
|
| Hospital Charge Code |
27000131
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$18.59 |
| Max. Negotiated Rate |
$27.43 |
| Rate for Payer: Aetna Commercial |
$25.91
|
| Rate for Payer: BCBS Trust/PPO |
$23.55
|
| Rate for Payer: BCN Commercial |
$23.55
|
| Rate for Payer: Cash Price |
$24.38
|
| Rate for Payer: Cofinity Commercial |
$26.21
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$24.38
|
| Rate for Payer: Healthscope Commercial |
$27.43
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$22.86
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$25.91
|
| Rate for Payer: PHP Commercial |
$25.91
|
| Rate for Payer: Priority Health Cigna Priority Health |
$21.34
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$26.52
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$18.59
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$26.82
|
| Rate for Payer: UHC Core |
$25.45
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$22.86
|
|
|
HC PASTE NO STING
|
Facility
|
OP
|
$41.90
|
|
|
Service Code
|
HCPCS A4406
|
| Hospital Charge Code |
27000627
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$9.95 |
| Max. Negotiated Rate |
$37.71 |
| Rate for Payer: Aetna Commercial |
$35.62
|
| Rate for Payer: Aetna Medicare |
$10.89
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$13.09
|
| Rate for Payer: Amish Plain Church Group Commercial |
$13.09
|
| Rate for Payer: BCBS Complete |
$16.76
|
| Rate for Payer: BCBS MAPPO |
$10.48
|
| Rate for Payer: BCBS Trust/PPO |
$32.58
|
| Rate for Payer: BCN Commercial |
$32.58
|
| Rate for Payer: BCN Medicare Advantage |
$10.48
|
| Rate for Payer: Cash Price |
$33.52
|
| Rate for Payer: Cofinity Commercial |
$36.03
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$33.52
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$10.48
|
| Rate for Payer: Healthscope Commercial |
$37.71
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$31.42
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$11.00
|
| Rate for Payer: MI Amish Medical Board Commercial |
$12.05
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$35.62
|
| Rate for Payer: PACE Senior Care Partners |
$9.95
|
| Rate for Payer: PACE SWMI |
$10.48
|
| Rate for Payer: PHP Commercial |
$35.62
|
| Rate for Payer: PHP Medicare Advantage |
$10.48
|
| Rate for Payer: Priority Health Cigna Priority Health |
$29.33
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$36.45
|
| Rate for Payer: Priority Health Medicare |
$10.48
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$25.55
|
| Rate for Payer: Railroad Medicare Medicare |
$10.48
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$36.87
|
| Rate for Payer: UHC Core |
$34.99
|
| Rate for Payer: UHC Dual Complete DSNP |
$10.48
|
| Rate for Payer: UHC Medicare Advantage |
$10.79
|
| Rate for Payer: VA VA |
$10.48
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$31.42
|
|
|
HC PASTE NO STING
|
Facility
|
IP
|
$41.90
|
|
|
Service Code
|
HCPCS A4406
|
| Hospital Charge Code |
27000627
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$25.55 |
| Max. Negotiated Rate |
$37.71 |
| Rate for Payer: Aetna Commercial |
$35.62
|
| Rate for Payer: BCBS Trust/PPO |
$32.38
|
| Rate for Payer: BCN Commercial |
$32.38
|
| Rate for Payer: Cash Price |
$33.52
|
| Rate for Payer: Cofinity Commercial |
$36.03
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$33.52
|
| Rate for Payer: Healthscope Commercial |
$37.71
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$31.42
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$35.62
|
| Rate for Payer: PHP Commercial |
$35.62
|
| Rate for Payer: Priority Health Cigna Priority Health |
$29.33
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$36.45
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$25.55
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$36.87
|
| Rate for Payer: UHC Core |
$34.99
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$31.42
|
|
|
HC PATH CONSULT ON REFERRAL WITH SLIDE PREP
|
Facility
|
IP
|
$108.12
|
|
|
Service Code
|
CPT 88323
|
| Hospital Charge Code |
31000113
|
|
Hospital Revenue Code
|
310
|
| Min. Negotiated Rate |
$65.94 |
| Max. Negotiated Rate |
$97.31 |
| Rate for Payer: Aetna Commercial |
$91.90
|
| Rate for Payer: BCBS Trust/PPO |
$83.56
|
| Rate for Payer: BCN Commercial |
$83.56
|
| Rate for Payer: Cash Price |
$86.50
|
| Rate for Payer: Cofinity Commercial |
$92.98
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$86.50
|
| Rate for Payer: Healthscope Commercial |
$97.31
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$81.09
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$91.90
|
| Rate for Payer: PHP Commercial |
$91.90
|
| Rate for Payer: Priority Health Cigna Priority Health |
$75.68
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$94.06
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$65.94
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$95.15
|
| Rate for Payer: UHC Core |
$90.28
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$81.09
|
|
|
HC PATH CONSULT ON REFERRAL WITH SLIDE PREP
|
Facility
|
OP
|
$108.12
|
|
|
Service Code
|
CPT 88323
|
| Hospital Charge Code |
31000113
|
|
Hospital Revenue Code
|
310
|
| Min. Negotiated Rate |
$25.68 |
| Max. Negotiated Rate |
$97.31 |
| Rate for Payer: Aetna Commercial |
$91.90
|
| Rate for Payer: Aetna Medicare |
$28.11
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$33.79
|
| Rate for Payer: Amish Plain Church Group Commercial |
$33.79
|
| Rate for Payer: BCBS Complete |
$37.33
|
| Rate for Payer: BCBS MAPPO |
$27.03
|
| Rate for Payer: BCBS Trust/PPO |
$84.06
|
| Rate for Payer: BCN Commercial |
$84.06
|
| Rate for Payer: BCN Medicare Advantage |
$27.03
|
| Rate for Payer: Cash Price |
$86.50
|
| Rate for Payer: Cash Price |
$86.50
|
| Rate for Payer: Cofinity Commercial |
$92.98
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$86.50
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$27.03
|
| Rate for Payer: Healthscope Commercial |
$97.31
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$81.09
|
| Rate for Payer: Mclaren Medicaid |
$35.55
|
| Rate for Payer: Meridian Medicaid |
$37.33
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$28.38
|
| Rate for Payer: MI Amish Medical Board Commercial |
$31.08
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$91.90
|
| Rate for Payer: PACE Senior Care Partners |
$25.68
|
| Rate for Payer: PACE SWMI |
$27.03
|
| Rate for Payer: PHP Commercial |
$91.90
|
| Rate for Payer: PHP Medicare Advantage |
$27.03
|
| Rate for Payer: Priority Health Choice Medicaid |
$35.55
|
| Rate for Payer: Priority Health Cigna Priority Health |
$75.68
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$94.06
|
| Rate for Payer: Priority Health Medicare |
$27.03
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$65.94
|
| Rate for Payer: Railroad Medicare Medicare |
$27.03
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$95.15
|
| Rate for Payer: UHC Core |
$90.28
|
| Rate for Payer: UHC Dual Complete DSNP |
$27.03
|
| Rate for Payer: UHC Medicare Advantage |
$27.84
|
| Rate for Payer: VA VA |
$27.03
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$81.09
|
|
|
HC PATHOLOGY III DERM
|
Facility
|
OP
|
$99.96
|
|
|
Service Code
|
CPT 88304
|
| Hospital Charge Code |
31000111
|
|
Hospital Revenue Code
|
310
|
| Min. Negotiated Rate |
$23.74 |
| Max. Negotiated Rate |
$89.96 |
| Rate for Payer: Aetna Commercial |
$84.97
|
| Rate for Payer: Aetna Medicare |
$25.99
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$31.24
|
| Rate for Payer: Amish Plain Church Group Commercial |
$31.24
|
| Rate for Payer: BCBS Complete |
$37.33
|
| Rate for Payer: BCBS MAPPO |
$24.99
|
| Rate for Payer: BCBS Trust/PPO |
$77.72
|
| Rate for Payer: BCN Commercial |
$77.72
|
| Rate for Payer: BCN Medicare Advantage |
$24.99
|
| Rate for Payer: Cash Price |
$79.97
|
| Rate for Payer: Cash Price |
$79.97
|
| Rate for Payer: Cofinity Commercial |
$85.97
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$79.97
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$24.99
|
| Rate for Payer: Healthscope Commercial |
$89.96
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$74.97
|
| Rate for Payer: Mclaren Medicaid |
$35.55
|
| Rate for Payer: Meridian Medicaid |
$37.33
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$26.24
|
| Rate for Payer: MI Amish Medical Board Commercial |
$28.74
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$84.97
|
| Rate for Payer: PACE Senior Care Partners |
$23.74
|
| Rate for Payer: PACE SWMI |
$24.99
|
| Rate for Payer: PHP Commercial |
$84.97
|
| Rate for Payer: PHP Medicare Advantage |
$24.99
|
| Rate for Payer: Priority Health Choice Medicaid |
$35.55
|
| Rate for Payer: Priority Health Cigna Priority Health |
$69.97
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$86.97
|
| Rate for Payer: Priority Health Medicare |
$24.99
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$60.97
|
| Rate for Payer: Railroad Medicare Medicare |
$24.99
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$87.96
|
| Rate for Payer: UHC Core |
$83.47
|
| Rate for Payer: UHC Dual Complete DSNP |
$24.99
|
| Rate for Payer: UHC Medicare Advantage |
$25.74
|
| Rate for Payer: VA VA |
$24.99
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$74.97
|
|
|
HC PATHOLOGY III DERM
|
Facility
|
IP
|
$99.96
|
|
|
Service Code
|
CPT 88304
|
| Hospital Charge Code |
31000111
|
|
Hospital Revenue Code
|
310
|
| Min. Negotiated Rate |
$60.97 |
| Max. Negotiated Rate |
$89.96 |
| Rate for Payer: Aetna Commercial |
$84.97
|
| Rate for Payer: BCBS Trust/PPO |
$77.25
|
| Rate for Payer: BCN Commercial |
$77.25
|
| Rate for Payer: Cash Price |
$79.97
|
| Rate for Payer: Cofinity Commercial |
$85.97
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$79.97
|
| Rate for Payer: Healthscope Commercial |
$89.96
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$74.97
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$84.97
|
| Rate for Payer: PHP Commercial |
$84.97
|
| Rate for Payer: Priority Health Cigna Priority Health |
$69.97
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$86.97
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$60.97
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$87.96
|
| Rate for Payer: UHC Core |
$83.47
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$74.97
|
|
|
HC PATHOLOGY LEVEL I
|
Facility
|
IP
|
$44.06
|
|
|
Service Code
|
CPT 88300
|
| Hospital Charge Code |
31000045
|
|
Hospital Revenue Code
|
310
|
| Min. Negotiated Rate |
$26.87 |
| Max. Negotiated Rate |
$39.65 |
| Rate for Payer: Aetna Commercial |
$37.45
|
| Rate for Payer: BCBS Trust/PPO |
$34.05
|
| Rate for Payer: BCN Commercial |
$34.05
|
| Rate for Payer: Cash Price |
$35.25
|
| Rate for Payer: Cofinity Commercial |
$37.89
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$35.25
|
| Rate for Payer: Healthscope Commercial |
$39.65
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$33.04
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$37.45
|
| Rate for Payer: PHP Commercial |
$37.45
|
| Rate for Payer: Priority Health Cigna Priority Health |
$30.84
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$38.33
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$26.87
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$38.77
|
| Rate for Payer: UHC Core |
$36.79
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$33.04
|
|
|
HC PATHOLOGY LEVEL I
|
Facility
|
OP
|
$44.06
|
|
|
Service Code
|
CPT 88300
|
| Hospital Charge Code |
31000045
|
|
Hospital Revenue Code
|
310
|
| Min. Negotiated Rate |
$10.46 |
| Max. Negotiated Rate |
$39.65 |
| Rate for Payer: Aetna Commercial |
$37.45
|
| Rate for Payer: Aetna Medicare |
$11.46
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$13.77
|
| Rate for Payer: Amish Plain Church Group Commercial |
$13.77
|
| Rate for Payer: BCBS Complete |
$20.51
|
| Rate for Payer: BCBS MAPPO |
$11.02
|
| Rate for Payer: BCBS Trust/PPO |
$34.26
|
| Rate for Payer: BCN Commercial |
$34.26
|
| Rate for Payer: BCN Medicare Advantage |
$11.02
|
| Rate for Payer: Cash Price |
$35.25
|
| Rate for Payer: Cash Price |
$35.25
|
| Rate for Payer: Cofinity Commercial |
$37.89
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$35.25
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$11.02
|
| Rate for Payer: Healthscope Commercial |
$39.65
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$33.04
|
| Rate for Payer: Mclaren Medicaid |
$19.53
|
| Rate for Payer: Meridian Medicaid |
$20.51
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$11.57
|
| Rate for Payer: MI Amish Medical Board Commercial |
$12.67
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$37.45
|
| Rate for Payer: PACE Senior Care Partners |
$10.46
|
| Rate for Payer: PACE SWMI |
$11.02
|
| Rate for Payer: PHP Commercial |
$37.45
|
| Rate for Payer: PHP Medicare Advantage |
$11.02
|
| Rate for Payer: Priority Health Choice Medicaid |
$19.53
|
| Rate for Payer: Priority Health Cigna Priority Health |
$30.84
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$38.33
|
| Rate for Payer: Priority Health Medicare |
$11.02
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$26.87
|
| Rate for Payer: Railroad Medicare Medicare |
$11.02
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$38.77
|
| Rate for Payer: UHC Core |
$36.79
|
| Rate for Payer: UHC Dual Complete DSNP |
$11.02
|
| Rate for Payer: UHC Medicare Advantage |
$11.35
|
| Rate for Payer: VA VA |
$11.02
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$33.04
|
|
|
HC PATHOLOGY LEVEL II
|
Facility
|
IP
|
$96.59
|
|
|
Service Code
|
CPT 88302
|
| Hospital Charge Code |
31000046
|
|
Hospital Revenue Code
|
310
|
| Min. Negotiated Rate |
$58.91 |
| Max. Negotiated Rate |
$86.93 |
| Rate for Payer: Aetna Commercial |
$82.10
|
| Rate for Payer: BCBS Trust/PPO |
$74.64
|
| Rate for Payer: BCN Commercial |
$74.64
|
| Rate for Payer: Cash Price |
$77.27
|
| Rate for Payer: Cofinity Commercial |
$83.07
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$77.27
|
| Rate for Payer: Healthscope Commercial |
$86.93
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$72.44
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$82.10
|
| Rate for Payer: PHP Commercial |
$82.10
|
| Rate for Payer: Priority Health Cigna Priority Health |
$67.61
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$84.03
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$58.91
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$85.00
|
| Rate for Payer: UHC Core |
$80.65
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$72.44
|
|
|
HC PATHOLOGY LEVEL II
|
Facility
|
OP
|
$96.59
|
|
|
Service Code
|
CPT 88302
|
| Hospital Charge Code |
31000046
|
|
Hospital Revenue Code
|
310
|
| Min. Negotiated Rate |
$19.53 |
| Max. Negotiated Rate |
$86.93 |
| Rate for Payer: Aetna Commercial |
$82.10
|
| Rate for Payer: Aetna Medicare |
$25.11
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$30.18
|
| Rate for Payer: Amish Plain Church Group Commercial |
$30.18
|
| Rate for Payer: BCBS Complete |
$20.51
|
| Rate for Payer: BCBS MAPPO |
$24.15
|
| Rate for Payer: BCBS Trust/PPO |
$75.10
|
| Rate for Payer: BCN Commercial |
$75.10
|
| Rate for Payer: BCN Medicare Advantage |
$24.15
|
| Rate for Payer: Cash Price |
$77.27
|
| Rate for Payer: Cash Price |
$77.27
|
| Rate for Payer: Cofinity Commercial |
$83.07
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$77.27
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$24.15
|
| Rate for Payer: Healthscope Commercial |
$86.93
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$72.44
|
| Rate for Payer: Mclaren Medicaid |
$19.53
|
| Rate for Payer: Meridian Medicaid |
$20.51
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$25.35
|
| Rate for Payer: MI Amish Medical Board Commercial |
$27.77
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$82.10
|
| Rate for Payer: PACE Senior Care Partners |
$22.94
|
| Rate for Payer: PACE SWMI |
$24.15
|
| Rate for Payer: PHP Commercial |
$82.10
|
| Rate for Payer: PHP Medicare Advantage |
$24.15
|
| Rate for Payer: Priority Health Choice Medicaid |
$19.53
|
| Rate for Payer: Priority Health Cigna Priority Health |
$67.61
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$84.03
|
| Rate for Payer: Priority Health Medicare |
$24.15
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$58.91
|
| Rate for Payer: Railroad Medicare Medicare |
$24.15
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$85.00
|
| Rate for Payer: UHC Core |
$80.65
|
| Rate for Payer: UHC Dual Complete DSNP |
$24.15
|
| Rate for Payer: UHC Medicare Advantage |
$24.87
|
| Rate for Payer: VA VA |
$24.15
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$72.44
|
|
|
HC PATHOLOGY LEVEL III
|
Facility
|
IP
|
$146.37
|
|
|
Service Code
|
CPT 88304
|
| Hospital Charge Code |
31000047
|
|
Hospital Revenue Code
|
310
|
| Min. Negotiated Rate |
$89.27 |
| Max. Negotiated Rate |
$131.73 |
| Rate for Payer: Aetna Commercial |
$124.41
|
| Rate for Payer: BCBS Trust/PPO |
$113.11
|
| Rate for Payer: BCN Commercial |
$113.11
|
| Rate for Payer: Cash Price |
$117.10
|
| Rate for Payer: Cofinity Commercial |
$125.88
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$117.10
|
| Rate for Payer: Healthscope Commercial |
$131.73
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$109.78
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$124.41
|
| Rate for Payer: PHP Commercial |
$124.41
|
| Rate for Payer: Priority Health Cigna Priority Health |
$102.46
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$127.34
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$89.27
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$128.81
|
| Rate for Payer: UHC Core |
$122.22
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$109.78
|
|
|
HC PATHOLOGY LEVEL III
|
Facility
|
OP
|
$146.37
|
|
|
Service Code
|
CPT 88304
|
| Hospital Charge Code |
31000047
|
|
Hospital Revenue Code
|
310
|
| Min. Negotiated Rate |
$34.76 |
| Max. Negotiated Rate |
$131.73 |
| Rate for Payer: Aetna Commercial |
$124.41
|
| Rate for Payer: Aetna Medicare |
$38.06
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$45.74
|
| Rate for Payer: Amish Plain Church Group Commercial |
$45.74
|
| Rate for Payer: BCBS Complete |
$37.33
|
| Rate for Payer: BCBS MAPPO |
$36.59
|
| Rate for Payer: BCBS Trust/PPO |
$113.80
|
| Rate for Payer: BCN Commercial |
$113.80
|
| Rate for Payer: BCN Medicare Advantage |
$36.59
|
| Rate for Payer: Cash Price |
$117.10
|
| Rate for Payer: Cash Price |
$117.10
|
| Rate for Payer: Cofinity Commercial |
$125.88
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$117.10
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$36.59
|
| Rate for Payer: Healthscope Commercial |
$131.73
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$109.78
|
| Rate for Payer: Mclaren Medicaid |
$35.55
|
| Rate for Payer: Meridian Medicaid |
$37.33
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$38.42
|
| Rate for Payer: MI Amish Medical Board Commercial |
$42.08
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$124.41
|
| Rate for Payer: PACE Senior Care Partners |
$34.76
|
| Rate for Payer: PACE SWMI |
$36.59
|
| Rate for Payer: PHP Commercial |
$124.41
|
| Rate for Payer: PHP Medicare Advantage |
$36.59
|
| Rate for Payer: Priority Health Choice Medicaid |
$35.55
|
| Rate for Payer: Priority Health Cigna Priority Health |
$102.46
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$127.34
|
| Rate for Payer: Priority Health Medicare |
$36.59
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$89.27
|
| Rate for Payer: Railroad Medicare Medicare |
$36.59
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$128.81
|
| Rate for Payer: UHC Core |
$122.22
|
| Rate for Payer: UHC Dual Complete DSNP |
$36.59
|
| Rate for Payer: UHC Medicare Advantage |
$37.69
|
| Rate for Payer: VA VA |
$36.59
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$109.78
|
|
|
HC PATHOLOGY LEVEL IV
|
Facility
|
OP
|
$205.02
|
|
|
Service Code
|
CPT 88305
|
| Hospital Charge Code |
31000048
|
|
Hospital Revenue Code
|
310
|
| Min. Negotiated Rate |
$35.55 |
| Max. Negotiated Rate |
$184.52 |
| Rate for Payer: Aetna Commercial |
$174.27
|
| Rate for Payer: Aetna Medicare |
$53.31
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$64.07
|
| Rate for Payer: Amish Plain Church Group Commercial |
$64.07
|
| Rate for Payer: BCBS Complete |
$37.33
|
| Rate for Payer: BCBS MAPPO |
$51.26
|
| Rate for Payer: BCBS Trust/PPO |
$159.40
|
| Rate for Payer: BCCCP Commercial |
$71.93
|
| Rate for Payer: BCN Commercial |
$159.40
|
| Rate for Payer: BCN Medicare Advantage |
$51.26
|
| Rate for Payer: Cash Price |
$164.02
|
| Rate for Payer: Cash Price |
$164.02
|
| Rate for Payer: Cofinity Commercial |
$176.32
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$164.02
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$51.26
|
| Rate for Payer: Healthscope Commercial |
$184.52
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$153.76
|
| Rate for Payer: Mclaren Medicaid |
$35.55
|
| Rate for Payer: Meridian Medicaid |
$37.33
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$53.82
|
| Rate for Payer: MI Amish Medical Board Commercial |
$58.94
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$174.27
|
| Rate for Payer: PACE Senior Care Partners |
$48.69
|
| Rate for Payer: PACE SWMI |
$51.26
|
| Rate for Payer: PHP Commercial |
$174.27
|
| Rate for Payer: PHP Medicare Advantage |
$51.26
|
| Rate for Payer: Priority Health Choice Medicaid |
$35.55
|
| Rate for Payer: Priority Health Cigna Priority Health |
$143.51
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$178.37
|
| Rate for Payer: Priority Health Medicare |
$51.26
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$125.04
|
| Rate for Payer: Railroad Medicare Medicare |
$51.26
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$180.42
|
| Rate for Payer: UHC Core |
$171.19
|
| Rate for Payer: UHC Dual Complete DSNP |
$51.26
|
| Rate for Payer: UHC Medicare Advantage |
$52.79
|
| Rate for Payer: VA VA |
$51.26
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$153.76
|
|
|
HC PATHOLOGY LEVEL IV
|
Facility
|
IP
|
$205.02
|
|
|
Service Code
|
CPT 88305
|
| Hospital Charge Code |
31000048
|
|
Hospital Revenue Code
|
310
|
| Min. Negotiated Rate |
$125.04 |
| Max. Negotiated Rate |
$184.52 |
| Rate for Payer: Aetna Commercial |
$174.27
|
| Rate for Payer: BCBS Trust/PPO |
$158.44
|
| Rate for Payer: BCN Commercial |
$158.44
|
| Rate for Payer: Cash Price |
$164.02
|
| Rate for Payer: Cofinity Commercial |
$176.32
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$164.02
|
| Rate for Payer: Healthscope Commercial |
$184.52
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$153.76
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$174.27
|
| Rate for Payer: PHP Commercial |
$174.27
|
| Rate for Payer: Priority Health Cigna Priority Health |
$143.51
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$178.37
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$125.04
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$180.42
|
| Rate for Payer: UHC Core |
$171.19
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$153.76
|
|
|
HC PATHOLOGY LEVEL IV DERM
|
Facility
|
OP
|
$110.00
|
|
|
Service Code
|
CPT 88305
|
| Hospital Charge Code |
31000106
|
|
Hospital Revenue Code
|
310
|
| Min. Negotiated Rate |
$26.12 |
| Max. Negotiated Rate |
$99.00 |
| Rate for Payer: Aetna Commercial |
$93.50
|
| Rate for Payer: Aetna Medicare |
$28.60
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$34.38
|
| Rate for Payer: Amish Plain Church Group Commercial |
$34.38
|
| Rate for Payer: BCBS Complete |
$37.33
|
| Rate for Payer: BCBS MAPPO |
$27.50
|
| Rate for Payer: BCBS Trust/PPO |
$85.52
|
| Rate for Payer: BCCCP Commercial |
$71.93
|
| Rate for Payer: BCN Commercial |
$85.52
|
| Rate for Payer: BCN Medicare Advantage |
$27.50
|
| Rate for Payer: Cash Price |
$88.00
|
| Rate for Payer: Cash Price |
$88.00
|
| Rate for Payer: Cofinity Commercial |
$94.60
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$88.00
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$27.50
|
| Rate for Payer: Healthscope Commercial |
$99.00
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$82.50
|
| Rate for Payer: Mclaren Medicaid |
$35.55
|
| Rate for Payer: Meridian Medicaid |
$37.33
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$28.88
|
| Rate for Payer: MI Amish Medical Board Commercial |
$31.62
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$93.50
|
| Rate for Payer: PACE Senior Care Partners |
$26.12
|
| Rate for Payer: PACE SWMI |
$27.50
|
| Rate for Payer: PHP Commercial |
$93.50
|
| Rate for Payer: PHP Medicare Advantage |
$27.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$35.55
|
| Rate for Payer: Priority Health Cigna Priority Health |
$77.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$95.70
|
| Rate for Payer: Priority Health Medicare |
$27.50
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$67.09
|
| Rate for Payer: Railroad Medicare Medicare |
$27.50
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$96.80
|
| Rate for Payer: UHC Core |
$91.85
|
| Rate for Payer: UHC Dual Complete DSNP |
$27.50
|
| Rate for Payer: UHC Medicare Advantage |
$28.32
|
| Rate for Payer: VA VA |
$27.50
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$82.50
|
|
