|
HC LYSIS INTRANASAL SYNECHIA
|
Facility
|
IP
|
$1,404.54
|
|
|
Service Code
|
CPT 30560
|
| Hospital Charge Code |
76100452
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$977.56 |
| Max. Negotiated Rate |
$1,264.09 |
| Rate for Payer: Aetna Commercial |
$1,193.86
|
| Rate for Payer: BCBS Trust/PPO |
$1,160.01
|
| Rate for Payer: BCN Commercial |
$1,160.01
|
| Rate for Payer: Cash Price |
$1,123.63
|
| Rate for Payer: Cofinity Commercial |
$1,207.90
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,123.63
|
| Rate for Payer: Healthscope Commercial |
$1,264.09
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,053.40
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,193.86
|
| Rate for Payer: Nomi Health Commercial |
$1,151.72
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,053.40
|
| Rate for Payer: PHP Commercial |
$1,193.86
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$1,221.95
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$977.56
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,236.00
|
| Rate for Payer: UHC Core |
$1,172.79
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,053.40
|
|
|
HC LYSIS OF LABIAL LESION(S)
|
Facility
|
IP
|
$7,940.33
|
|
|
Service Code
|
CPT 56441
|
| Hospital Charge Code |
76100516
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$5,526.47 |
| Max. Negotiated Rate |
$7,146.30 |
| Rate for Payer: Aetna Commercial |
$6,749.28
|
| Rate for Payer: BCBS Trust/PPO |
$6,557.92
|
| Rate for Payer: BCN Commercial |
$6,557.92
|
| Rate for Payer: Cash Price |
$6,352.26
|
| Rate for Payer: Cofinity Commercial |
$6,828.68
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$6,352.26
|
| Rate for Payer: Healthscope Commercial |
$7,146.30
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$5,955.25
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$6,749.28
|
| Rate for Payer: Nomi Health Commercial |
$6,511.07
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$5,955.25
|
| Rate for Payer: PHP Commercial |
$6,749.28
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$6,908.09
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$5,526.47
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$6,987.49
|
| Rate for Payer: UHC Core |
$6,630.18
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$5,955.25
|
|
|
HC LYSIS OF LABIAL LESION(S)
|
Facility
|
OP
|
$7,940.33
|
|
|
Service Code
|
CPT 56441
|
| Hospital Charge Code |
76100516
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$1,399.88 |
| Max. Negotiated Rate |
$7,146.30 |
| Rate for Payer: Aetna Commercial |
$6,749.28
|
| Rate for Payer: Aetna Medicare |
$2,064.49
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$2,481.35
|
| Rate for Payer: Amish Plain Church Group Commercial |
$2,481.35
|
| Rate for Payer: BCBS Complete |
$1,469.76
|
| Rate for Payer: BCBS MAPPO |
$1,985.08
|
| Rate for Payer: BCBS Trust/PPO |
$6,527.75
|
| Rate for Payer: BCN Commercial |
$6,527.75
|
| Rate for Payer: BCN Medicare Advantage |
$1,985.08
|
| Rate for Payer: Cash Price |
$6,352.26
|
| Rate for Payer: Cofinity Commercial |
$6,828.68
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$6,352.26
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,985.08
|
| Rate for Payer: Healthscope Commercial |
$7,146.30
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$5,955.25
|
| Rate for Payer: Mclaren Medicaid |
$1,399.88
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$2,084.34
|
| Rate for Payer: Meridian Medicaid |
$1,469.76
|
| Rate for Payer: MI Amish Medical Board Commercial |
$2,282.84
|
| Rate for Payer: Molina Medicare/Medicaid |
$2,183.59
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$6,749.28
|
| Rate for Payer: Nomi Health Commercial |
$6,511.07
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$5,955.25
|
| Rate for Payer: PACE Senior Care Partners |
$1,885.83
|
| Rate for Payer: PACE SWMI |
$1,985.08
|
| Rate for Payer: PHP Commercial |
$6,749.28
|
| Rate for Payer: PHP Medicare Advantage |
$1,985.08
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,399.88
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$6,908.09
|
| Rate for Payer: Priority Health Medicare |
$2,004.93
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$5,526.47
|
| Rate for Payer: Railroad Medicare Medicare |
$1,985.08
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$6,987.49
|
| Rate for Payer: UHC Core |
$6,630.18
|
| Rate for Payer: UHC Exchange |
$1,985.08
|
| Rate for Payer: UHC Medicaid |
$1,399.88
|
| Rate for Payer: UHC Medicare Advantage |
$1,985.08
|
| Rate for Payer: UHCCP Medicaid |
$1,399.88
|
| Rate for Payer: VA VA |
$1,985.08
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$5,955.25
|
|
|
HC LYSOZYME (MURAMIDASE)
|
Facility
|
OP
|
$66.59
|
|
|
Service Code
|
CPT 85549
|
| Hospital Charge Code |
30500108
|
|
Hospital Revenue Code
|
305
|
| Min. Negotiated Rate |
$11.74 |
| Max. Negotiated Rate |
$59.93 |
| Rate for Payer: Aetna Commercial |
$56.60
|
| Rate for Payer: Aetna Medicare |
$17.31
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$20.81
|
| Rate for Payer: Amish Plain Church Group Commercial |
$20.81
|
| Rate for Payer: BCBS Complete |
$12.33
|
| Rate for Payer: BCBS MAPPO |
$16.65
|
| Rate for Payer: BCBS Trust/PPO |
$54.74
|
| Rate for Payer: BCN Commercial |
$54.74
|
| Rate for Payer: BCN Medicare Advantage |
$16.65
|
| Rate for Payer: Cash Price |
$53.27
|
| Rate for Payer: Cofinity Commercial |
$57.27
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$53.27
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$16.65
|
| Rate for Payer: Healthscope Commercial |
$59.93
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$49.94
|
| Rate for Payer: Mclaren Medicaid |
$11.74
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$17.48
|
| Rate for Payer: Meridian Medicaid |
$12.33
|
| Rate for Payer: MI Amish Medical Board Commercial |
$19.14
|
| Rate for Payer: Molina Medicare/Medicaid |
$18.31
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$56.60
|
| Rate for Payer: Nomi Health Commercial |
$54.60
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$49.94
|
| Rate for Payer: PACE Senior Care Partners |
$15.82
|
| Rate for Payer: PACE SWMI |
$16.65
|
| Rate for Payer: PHP Commercial |
$56.60
|
| Rate for Payer: PHP Medicare Advantage |
$16.65
|
| Rate for Payer: Priority Health Choice Medicaid |
$11.74
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$57.93
|
| Rate for Payer: Priority Health Medicare |
$16.81
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$46.35
|
| Rate for Payer: Railroad Medicare Medicare |
$16.65
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$58.60
|
| Rate for Payer: UHC Core |
$55.60
|
| Rate for Payer: UHC Exchange |
$16.65
|
| Rate for Payer: UHC Medicaid |
$11.74
|
| Rate for Payer: UHC Medicare Advantage |
$16.65
|
| Rate for Payer: UHCCP Medicaid |
$11.74
|
| Rate for Payer: VA VA |
$16.65
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$49.94
|
|
|
HC LYSOZYME (MURAMIDASE)
|
Facility
|
IP
|
$66.59
|
|
|
Service Code
|
CPT 85549
|
| Hospital Charge Code |
30500108
|
|
Hospital Revenue Code
|
305
|
| Min. Negotiated Rate |
$46.35 |
| Max. Negotiated Rate |
$59.93 |
| Rate for Payer: Aetna Commercial |
$56.60
|
| Rate for Payer: BCBS Trust/PPO |
$55.00
|
| Rate for Payer: BCN Commercial |
$55.00
|
| Rate for Payer: Cash Price |
$53.27
|
| Rate for Payer: Cofinity Commercial |
$57.27
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$53.27
|
| Rate for Payer: Healthscope Commercial |
$59.93
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$49.94
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$56.60
|
| Rate for Payer: Nomi Health Commercial |
$54.60
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$49.94
|
| Rate for Payer: PHP Commercial |
$56.60
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$57.93
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$46.35
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$58.60
|
| Rate for Payer: UHC Core |
$55.60
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$49.94
|
|
|
HC MAC/REGIONAL PER MINUTE
|
Facility
|
IP
|
$14.28
|
|
| Hospital Charge Code |
37000025
|
|
Hospital Revenue Code
|
370
|
| Min. Negotiated Rate |
$9.94 |
| Max. Negotiated Rate |
$12.85 |
| Rate for Payer: Aetna Commercial |
$12.14
|
| Rate for Payer: BCBS Trust/PPO |
$11.79
|
| Rate for Payer: BCN Commercial |
$11.79
|
| Rate for Payer: Cash Price |
$11.42
|
| Rate for Payer: Cofinity Commercial |
$12.28
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$11.42
|
| Rate for Payer: Healthscope Commercial |
$12.85
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$10.71
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$12.14
|
| Rate for Payer: Nomi Health Commercial |
$11.71
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$10.71
|
| Rate for Payer: PHP Commercial |
$12.14
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$12.42
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$9.94
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$12.57
|
| Rate for Payer: UHC Core |
$11.92
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$10.71
|
|
|
HC MAC/REGIONAL PER MINUTE
|
Facility
|
OP
|
$14.28
|
|
| Hospital Charge Code |
37000025
|
|
Hospital Revenue Code
|
370
|
| Min. Negotiated Rate |
$2.52 |
| Max. Negotiated Rate |
$12.85 |
| Rate for Payer: Aetna Commercial |
$12.14
|
| Rate for Payer: Aetna Medicare |
$3.71
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$4.46
|
| Rate for Payer: Amish Plain Church Group Commercial |
$4.46
|
| Rate for Payer: BCBS Complete |
$2.64
|
| Rate for Payer: BCBS MAPPO |
$3.57
|
| Rate for Payer: BCBS Trust/PPO |
$11.74
|
| Rate for Payer: BCN Commercial |
$11.74
|
| Rate for Payer: BCN Medicare Advantage |
$3.57
|
| Rate for Payer: Cash Price |
$11.42
|
| Rate for Payer: Cofinity Commercial |
$12.28
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$11.42
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$3.57
|
| Rate for Payer: Healthscope Commercial |
$12.85
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$10.71
|
| Rate for Payer: Mclaren Medicaid |
$2.52
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$3.75
|
| Rate for Payer: Meridian Medicaid |
$2.64
|
| Rate for Payer: MI Amish Medical Board Commercial |
$4.11
|
| Rate for Payer: Molina Medicare/Medicaid |
$3.93
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$12.14
|
| Rate for Payer: Nomi Health Commercial |
$11.71
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$10.71
|
| Rate for Payer: PACE Senior Care Partners |
$3.39
|
| Rate for Payer: PACE SWMI |
$3.57
|
| Rate for Payer: PHP Commercial |
$12.14
|
| Rate for Payer: PHP Medicare Advantage |
$3.57
|
| Rate for Payer: Priority Health Choice Medicaid |
$2.52
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$12.42
|
| Rate for Payer: Priority Health Medicare |
$3.61
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$9.94
|
| Rate for Payer: Railroad Medicare Medicare |
$3.57
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$12.57
|
| Rate for Payer: UHC Core |
$11.92
|
| Rate for Payer: UHC Exchange |
$3.57
|
| Rate for Payer: UHC Medicaid |
$2.52
|
| Rate for Payer: UHC Medicare Advantage |
$3.57
|
| Rate for Payer: UHCCP Medicaid |
$2.52
|
| Rate for Payer: VA VA |
$3.57
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$10.71
|
|
|
HC MACROSCOPIC EXAM ARTHROPOD
|
Facility
|
OP
|
$45.84
|
|
|
Service Code
|
CPT 87168
|
| Hospital Charge Code |
30600092
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$8.08 |
| Max. Negotiated Rate |
$41.26 |
| Rate for Payer: Aetna Commercial |
$38.96
|
| Rate for Payer: Aetna Medicare |
$11.92
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$14.32
|
| Rate for Payer: Amish Plain Church Group Commercial |
$14.32
|
| Rate for Payer: BCBS Complete |
$8.48
|
| Rate for Payer: BCBS MAPPO |
$11.46
|
| Rate for Payer: BCBS Trust/PPO |
$37.69
|
| Rate for Payer: BCN Commercial |
$37.69
|
| Rate for Payer: BCN Medicare Advantage |
$11.46
|
| Rate for Payer: Cash Price |
$36.67
|
| Rate for Payer: Cofinity Commercial |
$39.42
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$36.67
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$11.46
|
| Rate for Payer: Healthscope Commercial |
$41.26
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$34.38
|
| Rate for Payer: Mclaren Medicaid |
$8.08
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$12.03
|
| Rate for Payer: Meridian Medicaid |
$8.48
|
| Rate for Payer: MI Amish Medical Board Commercial |
$13.18
|
| Rate for Payer: Molina Medicare/Medicaid |
$12.61
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$38.96
|
| Rate for Payer: Nomi Health Commercial |
$37.59
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$34.38
|
| Rate for Payer: PACE Senior Care Partners |
$10.89
|
| Rate for Payer: PACE SWMI |
$11.46
|
| Rate for Payer: PHP Commercial |
$38.96
|
| Rate for Payer: PHP Medicare Advantage |
$11.46
|
| Rate for Payer: Priority Health Choice Medicaid |
$8.08
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$39.88
|
| Rate for Payer: Priority Health Medicare |
$11.57
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$31.90
|
| Rate for Payer: Railroad Medicare Medicare |
$11.46
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$40.34
|
| Rate for Payer: UHC Core |
$38.28
|
| Rate for Payer: UHC Exchange |
$11.46
|
| Rate for Payer: UHC Medicaid |
$8.08
|
| Rate for Payer: UHC Medicare Advantage |
$11.46
|
| Rate for Payer: UHCCP Medicaid |
$8.08
|
| Rate for Payer: VA VA |
$11.46
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$34.38
|
|
|
HC MACROSCOPIC EXAM ARTHROPOD
|
Facility
|
IP
|
$45.84
|
|
|
Service Code
|
CPT 87168
|
| Hospital Charge Code |
30600092
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$31.90 |
| Max. Negotiated Rate |
$41.26 |
| Rate for Payer: Aetna Commercial |
$38.96
|
| Rate for Payer: BCBS Trust/PPO |
$37.86
|
| Rate for Payer: BCN Commercial |
$37.86
|
| Rate for Payer: Cash Price |
$36.67
|
| Rate for Payer: Cofinity Commercial |
$39.42
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$36.67
|
| Rate for Payer: Healthscope Commercial |
$41.26
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$34.38
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$38.96
|
| Rate for Payer: Nomi Health Commercial |
$37.59
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$34.38
|
| Rate for Payer: PHP Commercial |
$38.96
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$39.88
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$31.90
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$40.34
|
| Rate for Payer: UHC Core |
$38.28
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$34.38
|
|
|
HC MACROSCOPIC EXAM PARASITE
|
Facility
|
IP
|
$44.94
|
|
|
Service Code
|
CPT 87169
|
| Hospital Charge Code |
30600093
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$31.28 |
| Max. Negotiated Rate |
$40.45 |
| Rate for Payer: Aetna Commercial |
$38.20
|
| Rate for Payer: BCBS Trust/PPO |
$37.12
|
| Rate for Payer: BCN Commercial |
$37.12
|
| Rate for Payer: Cash Price |
$35.95
|
| Rate for Payer: Cofinity Commercial |
$38.65
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$35.95
|
| Rate for Payer: Healthscope Commercial |
$40.45
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$33.70
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$38.20
|
| Rate for Payer: Nomi Health Commercial |
$36.85
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$33.70
|
| Rate for Payer: PHP Commercial |
$38.20
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$39.10
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$31.28
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$39.55
|
| Rate for Payer: UHC Core |
$37.52
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$33.70
|
|
|
HC MACROSCOPIC EXAM PARASITE
|
Facility
|
OP
|
$44.94
|
|
|
Service Code
|
CPT 87169
|
| Hospital Charge Code |
30600093
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$7.92 |
| Max. Negotiated Rate |
$40.45 |
| Rate for Payer: Aetna Commercial |
$38.20
|
| Rate for Payer: Aetna Medicare |
$11.68
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$14.04
|
| Rate for Payer: Amish Plain Church Group Commercial |
$14.04
|
| Rate for Payer: BCBS Complete |
$8.32
|
| Rate for Payer: BCBS MAPPO |
$11.23
|
| Rate for Payer: BCBS Trust/PPO |
$36.95
|
| Rate for Payer: BCN Commercial |
$36.95
|
| Rate for Payer: BCN Medicare Advantage |
$11.23
|
| Rate for Payer: Cash Price |
$35.95
|
| Rate for Payer: Cofinity Commercial |
$38.65
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$35.95
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$11.23
|
| Rate for Payer: Healthscope Commercial |
$40.45
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$33.70
|
| Rate for Payer: Mclaren Medicaid |
$7.92
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$11.80
|
| Rate for Payer: Meridian Medicaid |
$8.32
|
| Rate for Payer: MI Amish Medical Board Commercial |
$12.92
|
| Rate for Payer: Molina Medicare/Medicaid |
$12.36
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$38.20
|
| Rate for Payer: Nomi Health Commercial |
$36.85
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$33.70
|
| Rate for Payer: PACE Senior Care Partners |
$10.67
|
| Rate for Payer: PACE SWMI |
$11.23
|
| Rate for Payer: PHP Commercial |
$38.20
|
| Rate for Payer: PHP Medicare Advantage |
$11.23
|
| Rate for Payer: Priority Health Choice Medicaid |
$7.92
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$39.10
|
| Rate for Payer: Priority Health Medicare |
$11.35
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$31.28
|
| Rate for Payer: Railroad Medicare Medicare |
$11.23
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$39.55
|
| Rate for Payer: UHC Core |
$37.52
|
| Rate for Payer: UHC Exchange |
$11.23
|
| Rate for Payer: UHC Medicaid |
$7.92
|
| Rate for Payer: UHC Medicare Advantage |
$11.23
|
| Rate for Payer: UHCCP Medicaid |
$7.92
|
| Rate for Payer: VA VA |
$11.23
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$33.70
|
|
|
HC MAG 3 TC 99M PER STUDY
|
Facility
|
OP
|
$994.85
|
|
|
Service Code
|
HCPCS A9562
|
| Hospital Charge Code |
34300016
|
|
Hospital Revenue Code
|
343
|
| Min. Negotiated Rate |
$175.39 |
| Max. Negotiated Rate |
$895.37 |
| Rate for Payer: Aetna Commercial |
$845.62
|
| Rate for Payer: Aetna Medicare |
$258.66
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$310.89
|
| Rate for Payer: Amish Plain Church Group Commercial |
$310.89
|
| Rate for Payer: BCBS Complete |
$184.15
|
| Rate for Payer: BCBS MAPPO |
$248.71
|
| Rate for Payer: BCBS Trust/PPO |
$817.87
|
| Rate for Payer: BCN Commercial |
$817.87
|
| Rate for Payer: BCN Medicare Advantage |
$248.71
|
| Rate for Payer: Cash Price |
$795.88
|
| Rate for Payer: Cofinity Commercial |
$855.57
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$795.88
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$248.71
|
| Rate for Payer: Healthscope Commercial |
$895.37
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$746.14
|
| Rate for Payer: Mclaren Medicaid |
$175.39
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$261.15
|
| Rate for Payer: Meridian Medicaid |
$184.15
|
| Rate for Payer: MI Amish Medical Board Commercial |
$286.02
|
| Rate for Payer: Molina Medicare/Medicaid |
$273.58
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$845.62
|
| Rate for Payer: Nomi Health Commercial |
$815.78
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$746.14
|
| Rate for Payer: PACE Senior Care Partners |
$236.28
|
| Rate for Payer: PACE SWMI |
$248.71
|
| Rate for Payer: PHP Commercial |
$845.62
|
| Rate for Payer: PHP Medicare Advantage |
$248.71
|
| Rate for Payer: Priority Health Choice Medicaid |
$175.39
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$865.52
|
| Rate for Payer: Priority Health Medicare |
$251.20
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$692.42
|
| Rate for Payer: Railroad Medicare Medicare |
$248.71
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$875.47
|
| Rate for Payer: UHC Core |
$830.70
|
| Rate for Payer: UHC Exchange |
$248.71
|
| Rate for Payer: UHC Medicaid |
$175.39
|
| Rate for Payer: UHC Medicare Advantage |
$248.71
|
| Rate for Payer: UHCCP Medicaid |
$175.39
|
| Rate for Payer: VA VA |
$248.71
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$746.14
|
|
|
HC MAG 3 TC 99M PER STUDY
|
Facility
|
IP
|
$994.85
|
|
|
Service Code
|
HCPCS A9562
|
| Hospital Charge Code |
34300016
|
|
Hospital Revenue Code
|
343
|
| Min. Negotiated Rate |
$692.42 |
| Max. Negotiated Rate |
$895.37 |
| Rate for Payer: Aetna Commercial |
$845.62
|
| Rate for Payer: BCBS Trust/PPO |
$821.65
|
| Rate for Payer: BCN Commercial |
$821.65
|
| Rate for Payer: Cash Price |
$795.88
|
| Rate for Payer: Cofinity Commercial |
$855.57
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$795.88
|
| Rate for Payer: Healthscope Commercial |
$895.37
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$746.14
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$845.62
|
| Rate for Payer: Nomi Health Commercial |
$815.78
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$746.14
|
| Rate for Payer: PHP Commercial |
$845.62
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$865.52
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$692.42
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$875.47
|
| Rate for Payer: UHC Core |
$830.70
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$746.14
|
|
|
HC MAGGOT THERAPY
|
Facility
|
IP
|
$1,114.27
|
|
| Hospital Charge Code |
27000634
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$775.53 |
| Max. Negotiated Rate |
$1,002.84 |
| Rate for Payer: Aetna Commercial |
$947.13
|
| Rate for Payer: BCBS Trust/PPO |
$920.28
|
| Rate for Payer: BCN Commercial |
$920.28
|
| Rate for Payer: Cash Price |
$891.42
|
| Rate for Payer: Cofinity Commercial |
$958.27
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$891.42
|
| Rate for Payer: Healthscope Commercial |
$1,002.84
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$835.70
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$947.13
|
| Rate for Payer: Nomi Health Commercial |
$913.70
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$835.70
|
| Rate for Payer: PHP Commercial |
$947.13
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$969.41
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$775.53
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$980.56
|
| Rate for Payer: UHC Core |
$930.42
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$835.70
|
|
|
HC MAGGOT THERAPY
|
Facility
|
OP
|
$1,114.27
|
|
| Hospital Charge Code |
27000634
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$196.45 |
| Max. Negotiated Rate |
$1,002.84 |
| Rate for Payer: Aetna Commercial |
$947.13
|
| Rate for Payer: Aetna Medicare |
$289.71
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$348.21
|
| Rate for Payer: Amish Plain Church Group Commercial |
$348.21
|
| Rate for Payer: BCBS Complete |
$206.25
|
| Rate for Payer: BCBS MAPPO |
$278.57
|
| Rate for Payer: BCBS Trust/PPO |
$916.04
|
| Rate for Payer: BCN Commercial |
$916.04
|
| Rate for Payer: BCN Medicare Advantage |
$278.57
|
| Rate for Payer: Cash Price |
$891.42
|
| Rate for Payer: Cofinity Commercial |
$958.27
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$891.42
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$278.57
|
| Rate for Payer: Healthscope Commercial |
$1,002.84
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$835.70
|
| Rate for Payer: Mclaren Medicaid |
$196.45
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$292.50
|
| Rate for Payer: Meridian Medicaid |
$206.25
|
| Rate for Payer: MI Amish Medical Board Commercial |
$320.35
|
| Rate for Payer: Molina Medicare/Medicaid |
$306.42
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$947.13
|
| Rate for Payer: Nomi Health Commercial |
$913.70
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$835.70
|
| Rate for Payer: PACE Senior Care Partners |
$264.64
|
| Rate for Payer: PACE SWMI |
$278.57
|
| Rate for Payer: PHP Commercial |
$947.13
|
| Rate for Payer: PHP Medicare Advantage |
$278.57
|
| Rate for Payer: Priority Health Choice Medicaid |
$196.45
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$969.41
|
| Rate for Payer: Priority Health Medicare |
$281.35
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$775.53
|
| Rate for Payer: Railroad Medicare Medicare |
$278.57
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$980.56
|
| Rate for Payer: UHC Core |
$930.42
|
| Rate for Payer: UHC Exchange |
$278.57
|
| Rate for Payer: UHC Medicaid |
$196.45
|
| Rate for Payer: UHC Medicare Advantage |
$278.57
|
| Rate for Payer: UHCCP Medicaid |
$196.45
|
| Rate for Payer: VA VA |
$278.57
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$835.70
|
|
|
HC MAGNESIUM LEVEL
|
Facility
|
IP
|
$26.53
|
|
|
Service Code
|
CPT 83735
|
| Hospital Charge Code |
30100284
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$18.46 |
| Max. Negotiated Rate |
$23.88 |
| Rate for Payer: Aetna Commercial |
$22.55
|
| Rate for Payer: BCBS Trust/PPO |
$21.91
|
| Rate for Payer: BCN Commercial |
$21.91
|
| Rate for Payer: Cash Price |
$21.22
|
| Rate for Payer: Cofinity Commercial |
$22.82
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$21.22
|
| Rate for Payer: Healthscope Commercial |
$23.88
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$19.90
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$22.55
|
| Rate for Payer: Nomi Health Commercial |
$21.75
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$19.90
|
| Rate for Payer: PHP Commercial |
$22.55
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$23.08
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$18.46
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$23.35
|
| Rate for Payer: UHC Core |
$22.15
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$19.90
|
|
|
HC MAGNESIUM LEVEL
|
Facility
|
OP
|
$26.53
|
|
|
Service Code
|
CPT 83735
|
| Hospital Charge Code |
30100284
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$4.68 |
| Max. Negotiated Rate |
$23.88 |
| Rate for Payer: Aetna Commercial |
$22.55
|
| Rate for Payer: Aetna Medicare |
$6.90
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$8.29
|
| Rate for Payer: Amish Plain Church Group Commercial |
$8.29
|
| Rate for Payer: BCBS Complete |
$4.91
|
| Rate for Payer: BCBS MAPPO |
$6.63
|
| Rate for Payer: BCBS Trust/PPO |
$21.81
|
| Rate for Payer: BCN Commercial |
$21.81
|
| Rate for Payer: BCN Medicare Advantage |
$6.63
|
| Rate for Payer: Cash Price |
$21.22
|
| Rate for Payer: Cofinity Commercial |
$22.82
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$21.22
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$6.63
|
| Rate for Payer: Healthscope Commercial |
$23.88
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$19.90
|
| Rate for Payer: Mclaren Medicaid |
$4.68
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$6.96
|
| Rate for Payer: Meridian Medicaid |
$4.91
|
| Rate for Payer: MI Amish Medical Board Commercial |
$7.63
|
| Rate for Payer: Molina Medicare/Medicaid |
$7.30
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$22.55
|
| Rate for Payer: Nomi Health Commercial |
$21.75
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$19.90
|
| Rate for Payer: PACE Senior Care Partners |
$6.30
|
| Rate for Payer: PACE SWMI |
$6.63
|
| Rate for Payer: PHP Commercial |
$22.55
|
| Rate for Payer: PHP Medicare Advantage |
$6.63
|
| Rate for Payer: Priority Health Choice Medicaid |
$4.68
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$23.08
|
| Rate for Payer: Priority Health Medicare |
$6.70
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$18.46
|
| Rate for Payer: Railroad Medicare Medicare |
$6.63
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$23.35
|
| Rate for Payer: UHC Core |
$22.15
|
| Rate for Payer: UHC Exchange |
$6.63
|
| Rate for Payer: UHC Medicaid |
$4.68
|
| Rate for Payer: UHC Medicare Advantage |
$6.63
|
| Rate for Payer: UHCCP Medicaid |
$4.68
|
| Rate for Payer: VA VA |
$6.63
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$19.90
|
|
|
HC MAKENA 10 MG
|
Facility
|
IP
|
$2.65
|
|
|
Service Code
|
HCPCS J1726
|
| Hospital Charge Code |
63600141
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$1.84 |
| Max. Negotiated Rate |
$2.38 |
| Rate for Payer: Aetna Commercial |
$2.25
|
| Rate for Payer: BCBS Trust/PPO |
$2.19
|
| Rate for Payer: BCN Commercial |
$2.19
|
| Rate for Payer: Cash Price |
$2.12
|
| Rate for Payer: Cofinity Commercial |
$2.28
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2.12
|
| Rate for Payer: Healthscope Commercial |
$2.38
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1.99
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2.25
|
| Rate for Payer: Nomi Health Commercial |
$2.17
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1.99
|
| Rate for Payer: PHP Commercial |
$2.25
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$2.31
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1.84
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2.33
|
| Rate for Payer: UHC Core |
$2.21
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1.99
|
|
|
HC MAKENA 10 MG
|
Facility
|
OP
|
$2.65
|
|
|
Service Code
|
HCPCS J1726
|
| Hospital Charge Code |
63600141
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$0.47 |
| Max. Negotiated Rate |
$2.38 |
| Rate for Payer: Aetna Commercial |
$2.25
|
| Rate for Payer: Aetna Medicare |
$0.69
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$0.83
|
| Rate for Payer: Amish Plain Church Group Commercial |
$0.83
|
| Rate for Payer: BCBS Complete |
$0.49
|
| Rate for Payer: BCBS MAPPO |
$0.66
|
| Rate for Payer: BCBS Trust/PPO |
$2.18
|
| Rate for Payer: BCN Commercial |
$2.18
|
| Rate for Payer: BCN Medicare Advantage |
$0.66
|
| Rate for Payer: Cash Price |
$2.12
|
| Rate for Payer: Cofinity Commercial |
$2.28
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2.12
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$0.66
|
| Rate for Payer: Healthscope Commercial |
$2.38
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1.99
|
| Rate for Payer: Mclaren Medicaid |
$0.47
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$0.70
|
| Rate for Payer: Meridian Medicaid |
$0.49
|
| Rate for Payer: MI Amish Medical Board Commercial |
$0.76
|
| Rate for Payer: Molina Medicare/Medicaid |
$0.73
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2.25
|
| Rate for Payer: Nomi Health Commercial |
$2.17
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1.99
|
| Rate for Payer: PACE Senior Care Partners |
$0.63
|
| Rate for Payer: PACE SWMI |
$0.66
|
| Rate for Payer: PHP Commercial |
$2.25
|
| Rate for Payer: PHP Medicare Advantage |
$0.66
|
| Rate for Payer: Priority Health Choice Medicaid |
$0.47
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$2.31
|
| Rate for Payer: Priority Health Medicare |
$0.67
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1.84
|
| Rate for Payer: Railroad Medicare Medicare |
$0.66
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2.33
|
| Rate for Payer: UHC Core |
$2.21
|
| Rate for Payer: UHC Exchange |
$0.66
|
| Rate for Payer: UHC Medicaid |
$0.47
|
| Rate for Payer: UHC Medicare Advantage |
$0.66
|
| Rate for Payer: UHCCP Medicaid |
$0.47
|
| Rate for Payer: VA VA |
$0.66
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1.99
|
|
|
HC MALARIA SMEAR
|
Facility
|
OP
|
$78.45
|
|
|
Service Code
|
CPT 87207
|
| Hospital Charge Code |
30600106
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$13.83 |
| Max. Negotiated Rate |
$70.61 |
| Rate for Payer: Aetna Commercial |
$66.68
|
| Rate for Payer: Aetna Medicare |
$20.40
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$24.52
|
| Rate for Payer: Amish Plain Church Group Commercial |
$24.52
|
| Rate for Payer: BCBS Complete |
$14.52
|
| Rate for Payer: BCBS MAPPO |
$19.61
|
| Rate for Payer: BCBS Trust/PPO |
$64.49
|
| Rate for Payer: BCN Commercial |
$64.49
|
| Rate for Payer: BCN Medicare Advantage |
$19.61
|
| Rate for Payer: Cash Price |
$62.76
|
| Rate for Payer: Cofinity Commercial |
$67.47
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$62.76
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$19.61
|
| Rate for Payer: Healthscope Commercial |
$70.61
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$58.84
|
| Rate for Payer: Mclaren Medicaid |
$13.83
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$20.59
|
| Rate for Payer: Meridian Medicaid |
$14.52
|
| Rate for Payer: MI Amish Medical Board Commercial |
$22.55
|
| Rate for Payer: Molina Medicare/Medicaid |
$21.57
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$66.68
|
| Rate for Payer: Nomi Health Commercial |
$64.33
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$58.84
|
| Rate for Payer: PACE Senior Care Partners |
$18.63
|
| Rate for Payer: PACE SWMI |
$19.61
|
| Rate for Payer: PHP Commercial |
$66.68
|
| Rate for Payer: PHP Medicare Advantage |
$19.61
|
| Rate for Payer: Priority Health Choice Medicaid |
$13.83
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$68.25
|
| Rate for Payer: Priority Health Medicare |
$19.81
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$54.60
|
| Rate for Payer: Railroad Medicare Medicare |
$19.61
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$69.04
|
| Rate for Payer: UHC Core |
$65.51
|
| Rate for Payer: UHC Exchange |
$19.61
|
| Rate for Payer: UHC Medicaid |
$13.83
|
| Rate for Payer: UHC Medicare Advantage |
$19.61
|
| Rate for Payer: UHCCP Medicaid |
$13.83
|
| Rate for Payer: VA VA |
$19.61
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$58.84
|
|
|
HC MALARIA SMEAR
|
Facility
|
IP
|
$78.45
|
|
|
Service Code
|
CPT 87207
|
| Hospital Charge Code |
30600106
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$54.60 |
| Max. Negotiated Rate |
$70.61 |
| Rate for Payer: Aetna Commercial |
$66.68
|
| Rate for Payer: BCBS Trust/PPO |
$64.79
|
| Rate for Payer: BCN Commercial |
$64.79
|
| Rate for Payer: Cash Price |
$62.76
|
| Rate for Payer: Cofinity Commercial |
$67.47
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$62.76
|
| Rate for Payer: Healthscope Commercial |
$70.61
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$58.84
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$66.68
|
| Rate for Payer: Nomi Health Commercial |
$64.33
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$58.84
|
| Rate for Payer: PHP Commercial |
$66.68
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$68.25
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$54.60
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$69.04
|
| Rate for Payer: UHC Core |
$65.51
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$58.84
|
|
|
HC MALLEABLE SS VE
|
Facility
|
IP
|
$186.00
|
|
| Hospital Charge Code |
27000716
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$129.46 |
| Max. Negotiated Rate |
$167.40 |
| Rate for Payer: Aetna Commercial |
$158.10
|
| Rate for Payer: BCBS Trust/PPO |
$153.62
|
| Rate for Payer: BCN Commercial |
$153.62
|
| Rate for Payer: Cash Price |
$148.80
|
| Rate for Payer: Cofinity Commercial |
$159.96
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$148.80
|
| Rate for Payer: Healthscope Commercial |
$167.40
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$139.50
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$158.10
|
| Rate for Payer: Nomi Health Commercial |
$152.52
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$139.50
|
| Rate for Payer: PHP Commercial |
$158.10
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$161.82
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$129.46
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$163.68
|
| Rate for Payer: UHC Core |
$155.31
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$139.50
|
|
|
HC MALLEABLE SS VE
|
Facility
|
OP
|
$186.00
|
|
| Hospital Charge Code |
27000716
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$32.79 |
| Max. Negotiated Rate |
$167.40 |
| Rate for Payer: Aetna Commercial |
$158.10
|
| Rate for Payer: Aetna Medicare |
$48.36
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$58.12
|
| Rate for Payer: Amish Plain Church Group Commercial |
$58.12
|
| Rate for Payer: BCBS Complete |
$34.43
|
| Rate for Payer: BCBS MAPPO |
$46.50
|
| Rate for Payer: BCBS Trust/PPO |
$152.91
|
| Rate for Payer: BCN Commercial |
$152.91
|
| Rate for Payer: BCN Medicare Advantage |
$46.50
|
| Rate for Payer: Cash Price |
$148.80
|
| Rate for Payer: Cofinity Commercial |
$159.96
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$148.80
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$46.50
|
| Rate for Payer: Healthscope Commercial |
$167.40
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$139.50
|
| Rate for Payer: Mclaren Medicaid |
$32.79
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$48.83
|
| Rate for Payer: Meridian Medicaid |
$34.43
|
| Rate for Payer: MI Amish Medical Board Commercial |
$53.48
|
| Rate for Payer: Molina Medicare/Medicaid |
$51.15
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$158.10
|
| Rate for Payer: Nomi Health Commercial |
$152.52
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$139.50
|
| Rate for Payer: PACE Senior Care Partners |
$44.17
|
| Rate for Payer: PACE SWMI |
$46.50
|
| Rate for Payer: PHP Commercial |
$158.10
|
| Rate for Payer: PHP Medicare Advantage |
$46.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$32.79
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$161.82
|
| Rate for Payer: Priority Health Medicare |
$46.97
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$129.46
|
| Rate for Payer: Railroad Medicare Medicare |
$46.50
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$163.68
|
| Rate for Payer: UHC Core |
$155.31
|
| Rate for Payer: UHC Exchange |
$46.50
|
| Rate for Payer: UHC Medicaid |
$32.79
|
| Rate for Payer: UHC Medicare Advantage |
$46.50
|
| Rate for Payer: UHCCP Medicaid |
$32.79
|
| Rate for Payer: VA VA |
$46.50
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$139.50
|
|
|
HC MALONEY/BOUGIE DILATATION
|
Facility
|
IP
|
$1,357.00
|
|
| Hospital Charge Code |
36000074
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$944.47 |
| Max. Negotiated Rate |
$1,221.30 |
| Rate for Payer: Aetna Commercial |
$1,153.45
|
| Rate for Payer: BCBS Trust/PPO |
$1,120.75
|
| Rate for Payer: BCN Commercial |
$1,120.75
|
| Rate for Payer: Cash Price |
$1,085.60
|
| Rate for Payer: Cofinity Commercial |
$1,167.02
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,085.60
|
| Rate for Payer: Healthscope Commercial |
$1,221.30
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,017.75
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,153.45
|
| Rate for Payer: Nomi Health Commercial |
$1,112.74
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,017.75
|
| Rate for Payer: PHP Commercial |
$1,153.45
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$1,180.59
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$944.47
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,194.16
|
| Rate for Payer: UHC Core |
$1,133.10
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,017.75
|
|
|
HC MALONEY/BOUGIE DILATATION
|
Facility
|
OP
|
$1,357.00
|
|
| Hospital Charge Code |
36000074
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$239.24 |
| Max. Negotiated Rate |
$1,221.30 |
| Rate for Payer: Aetna Commercial |
$1,153.45
|
| Rate for Payer: Aetna Medicare |
$352.82
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$424.06
|
| Rate for Payer: Amish Plain Church Group Commercial |
$424.06
|
| Rate for Payer: BCBS Complete |
$251.18
|
| Rate for Payer: BCBS MAPPO |
$339.25
|
| Rate for Payer: BCBS Trust/PPO |
$1,115.59
|
| Rate for Payer: BCN Commercial |
$1,115.59
|
| Rate for Payer: BCN Medicare Advantage |
$339.25
|
| Rate for Payer: Cash Price |
$1,085.60
|
| Rate for Payer: Cofinity Commercial |
$1,167.02
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,085.60
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$339.25
|
| Rate for Payer: Healthscope Commercial |
$1,221.30
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,017.75
|
| Rate for Payer: Mclaren Medicaid |
$239.24
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$356.21
|
| Rate for Payer: Meridian Medicaid |
$251.18
|
| Rate for Payer: MI Amish Medical Board Commercial |
$390.14
|
| Rate for Payer: Molina Medicare/Medicaid |
$373.18
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,153.45
|
| Rate for Payer: Nomi Health Commercial |
$1,112.74
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,017.75
|
| Rate for Payer: PACE Senior Care Partners |
$322.29
|
| Rate for Payer: PACE SWMI |
$339.25
|
| Rate for Payer: PHP Commercial |
$1,153.45
|
| Rate for Payer: PHP Medicare Advantage |
$339.25
|
| Rate for Payer: Priority Health Choice Medicaid |
$239.24
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$1,180.59
|
| Rate for Payer: Priority Health Medicare |
$342.64
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$944.47
|
| Rate for Payer: Railroad Medicare Medicare |
$339.25
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,194.16
|
| Rate for Payer: UHC Core |
$1,133.10
|
| Rate for Payer: UHC Exchange |
$339.25
|
| Rate for Payer: UHC Medicaid |
$239.24
|
| Rate for Payer: UHC Medicare Advantage |
$339.25
|
| Rate for Payer: UHCCP Medicaid |
$239.24
|
| Rate for Payer: VA VA |
$339.25
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,017.75
|
|
