|
HC MGLUR1 AB CBA, S
|
Facility
|
OP
|
$260.10
|
|
|
Service Code
|
CPT 86255
|
| Hospital Charge Code |
30200464
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$45.86 |
| Max. Negotiated Rate |
$234.09 |
| Rate for Payer: Aetna Commercial |
$221.09
|
| Rate for Payer: Aetna Medicare |
$67.63
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$81.28
|
| Rate for Payer: Amish Plain Church Group Commercial |
$81.28
|
| Rate for Payer: BCBS Complete |
$48.14
|
| Rate for Payer: BCBS MAPPO |
$65.03
|
| Rate for Payer: BCBS Trust/PPO |
$213.83
|
| Rate for Payer: BCN Commercial |
$213.83
|
| Rate for Payer: BCN Medicare Advantage |
$65.03
|
| Rate for Payer: Cash Price |
$208.08
|
| Rate for Payer: Cofinity Commercial |
$223.69
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$208.08
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$65.03
|
| Rate for Payer: Healthscope Commercial |
$234.09
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$195.07
|
| Rate for Payer: Mclaren Medicaid |
$45.86
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$68.28
|
| Rate for Payer: Meridian Medicaid |
$48.14
|
| Rate for Payer: MI Amish Medical Board Commercial |
$74.78
|
| Rate for Payer: Molina Medicare/Medicaid |
$71.53
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$221.09
|
| Rate for Payer: Nomi Health Commercial |
$213.28
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$195.07
|
| Rate for Payer: PACE Senior Care Partners |
$61.77
|
| Rate for Payer: PACE SWMI |
$65.03
|
| Rate for Payer: PHP Commercial |
$221.09
|
| Rate for Payer: PHP Medicare Advantage |
$65.03
|
| Rate for Payer: Priority Health Choice Medicaid |
$45.86
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$226.29
|
| Rate for Payer: Priority Health Medicare |
$65.68
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$181.03
|
| Rate for Payer: Railroad Medicare Medicare |
$65.03
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$228.89
|
| Rate for Payer: UHC Core |
$217.18
|
| Rate for Payer: UHC Exchange |
$65.03
|
| Rate for Payer: UHC Medicaid |
$45.86
|
| Rate for Payer: UHC Medicare Advantage |
$65.03
|
| Rate for Payer: UHCCP Medicaid |
$45.86
|
| Rate for Payer: VA VA |
$65.03
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$195.07
|
|
|
HC MGLUR1 AB IFA, S
|
Facility
|
OP
|
$79.59
|
|
|
Service Code
|
CPT 86255
|
| Hospital Charge Code |
30200465
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$14.03 |
| Max. Negotiated Rate |
$71.63 |
| Rate for Payer: Aetna Commercial |
$67.65
|
| Rate for Payer: Aetna Medicare |
$20.69
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$24.87
|
| Rate for Payer: Amish Plain Church Group Commercial |
$24.87
|
| Rate for Payer: BCBS Complete |
$14.73
|
| Rate for Payer: BCBS MAPPO |
$19.90
|
| Rate for Payer: BCBS Trust/PPO |
$65.43
|
| Rate for Payer: BCN Commercial |
$65.43
|
| Rate for Payer: BCN Medicare Advantage |
$19.90
|
| Rate for Payer: Cash Price |
$63.67
|
| Rate for Payer: Cofinity Commercial |
$68.45
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$63.67
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$19.90
|
| Rate for Payer: Healthscope Commercial |
$71.63
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$59.69
|
| Rate for Payer: Mclaren Medicaid |
$14.03
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$20.89
|
| Rate for Payer: Meridian Medicaid |
$14.73
|
| Rate for Payer: MI Amish Medical Board Commercial |
$22.88
|
| Rate for Payer: Molina Medicare/Medicaid |
$21.89
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$67.65
|
| Rate for Payer: Nomi Health Commercial |
$65.26
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$59.69
|
| Rate for Payer: PACE Senior Care Partners |
$18.90
|
| Rate for Payer: PACE SWMI |
$19.90
|
| Rate for Payer: PHP Commercial |
$67.65
|
| Rate for Payer: PHP Medicare Advantage |
$19.90
|
| Rate for Payer: Priority Health Choice Medicaid |
$14.03
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$69.24
|
| Rate for Payer: Priority Health Medicare |
$20.10
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$55.39
|
| Rate for Payer: Railroad Medicare Medicare |
$19.90
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$70.04
|
| Rate for Payer: UHC Core |
$66.46
|
| Rate for Payer: UHC Exchange |
$19.90
|
| Rate for Payer: UHC Medicaid |
$14.03
|
| Rate for Payer: UHC Medicare Advantage |
$19.90
|
| Rate for Payer: UHCCP Medicaid |
$14.03
|
| Rate for Payer: VA VA |
$19.90
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$59.69
|
|
|
HC MGLUR1 AB IFA, S
|
Facility
|
IP
|
$79.59
|
|
|
Service Code
|
CPT 86255
|
| Hospital Charge Code |
30200465
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$55.39 |
| Max. Negotiated Rate |
$71.63 |
| Rate for Payer: Aetna Commercial |
$67.65
|
| Rate for Payer: BCBS Trust/PPO |
$65.73
|
| Rate for Payer: BCN Commercial |
$65.73
|
| Rate for Payer: Cash Price |
$63.67
|
| Rate for Payer: Cofinity Commercial |
$68.45
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$63.67
|
| Rate for Payer: Healthscope Commercial |
$71.63
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$59.69
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$67.65
|
| Rate for Payer: Nomi Health Commercial |
$65.26
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$59.69
|
| Rate for Payer: PHP Commercial |
$67.65
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$69.24
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$55.39
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$70.04
|
| Rate for Payer: UHC Core |
$66.46
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$59.69
|
|
|
HC MGLUR1 AB IFA TITER, S
|
Facility
|
IP
|
$79.59
|
|
|
Service Code
|
CPT 86255
|
| Hospital Charge Code |
30200466
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$55.39 |
| Max. Negotiated Rate |
$71.63 |
| Rate for Payer: Aetna Commercial |
$67.65
|
| Rate for Payer: BCBS Trust/PPO |
$65.73
|
| Rate for Payer: BCN Commercial |
$65.73
|
| Rate for Payer: Cash Price |
$63.67
|
| Rate for Payer: Cofinity Commercial |
$68.45
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$63.67
|
| Rate for Payer: Healthscope Commercial |
$71.63
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$59.69
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$67.65
|
| Rate for Payer: Nomi Health Commercial |
$65.26
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$59.69
|
| Rate for Payer: PHP Commercial |
$67.65
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$69.24
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$55.39
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$70.04
|
| Rate for Payer: UHC Core |
$66.46
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$59.69
|
|
|
HC MGLUR1 AB IFA TITER, S
|
Facility
|
OP
|
$79.59
|
|
|
Service Code
|
CPT 86255
|
| Hospital Charge Code |
30200466
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$14.03 |
| Max. Negotiated Rate |
$71.63 |
| Rate for Payer: Aetna Commercial |
$67.65
|
| Rate for Payer: Aetna Medicare |
$20.69
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$24.87
|
| Rate for Payer: Amish Plain Church Group Commercial |
$24.87
|
| Rate for Payer: BCBS Complete |
$14.73
|
| Rate for Payer: BCBS MAPPO |
$19.90
|
| Rate for Payer: BCBS Trust/PPO |
$65.43
|
| Rate for Payer: BCN Commercial |
$65.43
|
| Rate for Payer: BCN Medicare Advantage |
$19.90
|
| Rate for Payer: Cash Price |
$63.67
|
| Rate for Payer: Cofinity Commercial |
$68.45
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$63.67
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$19.90
|
| Rate for Payer: Healthscope Commercial |
$71.63
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$59.69
|
| Rate for Payer: Mclaren Medicaid |
$14.03
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$20.89
|
| Rate for Payer: Meridian Medicaid |
$14.73
|
| Rate for Payer: MI Amish Medical Board Commercial |
$22.88
|
| Rate for Payer: Molina Medicare/Medicaid |
$21.89
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$67.65
|
| Rate for Payer: Nomi Health Commercial |
$65.26
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$59.69
|
| Rate for Payer: PACE Senior Care Partners |
$18.90
|
| Rate for Payer: PACE SWMI |
$19.90
|
| Rate for Payer: PHP Commercial |
$67.65
|
| Rate for Payer: PHP Medicare Advantage |
$19.90
|
| Rate for Payer: Priority Health Choice Medicaid |
$14.03
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$69.24
|
| Rate for Payer: Priority Health Medicare |
$20.10
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$55.39
|
| Rate for Payer: Railroad Medicare Medicare |
$19.90
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$70.04
|
| Rate for Payer: UHC Core |
$66.46
|
| Rate for Payer: UHC Exchange |
$19.90
|
| Rate for Payer: UHC Medicaid |
$14.03
|
| Rate for Payer: UHC Medicare Advantage |
$19.90
|
| Rate for Payer: UHCCP Medicaid |
$14.03
|
| Rate for Payer: VA VA |
$19.90
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$59.69
|
|
|
HC M. GRAVIS EVAL, ADULT
|
Facility
|
IP
|
$73.23
|
|
|
Service Code
|
CPT 83519
|
| Hospital Charge Code |
30100603
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$50.97 |
| Max. Negotiated Rate |
$65.91 |
| Rate for Payer: Aetna Commercial |
$62.25
|
| Rate for Payer: BCBS Trust/PPO |
$60.48
|
| Rate for Payer: BCN Commercial |
$60.48
|
| Rate for Payer: Cash Price |
$58.58
|
| Rate for Payer: Cofinity Commercial |
$62.98
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$58.58
|
| Rate for Payer: Healthscope Commercial |
$65.91
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$54.92
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$62.25
|
| Rate for Payer: Nomi Health Commercial |
$60.05
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$54.92
|
| Rate for Payer: PHP Commercial |
$62.25
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$63.71
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$50.97
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$64.44
|
| Rate for Payer: UHC Core |
$61.15
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$54.92
|
|
|
HC M. GRAVIS EVAL, ADULT
|
Facility
|
OP
|
$73.23
|
|
|
Service Code
|
CPT 83519
|
| Hospital Charge Code |
30100603
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$12.91 |
| Max. Negotiated Rate |
$65.91 |
| Rate for Payer: Aetna Commercial |
$62.25
|
| Rate for Payer: Aetna Medicare |
$19.04
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$22.88
|
| Rate for Payer: Amish Plain Church Group Commercial |
$22.88
|
| Rate for Payer: BCBS Complete |
$13.55
|
| Rate for Payer: BCBS MAPPO |
$18.31
|
| Rate for Payer: BCBS Trust/PPO |
$60.20
|
| Rate for Payer: BCN Commercial |
$60.20
|
| Rate for Payer: BCN Medicare Advantage |
$18.31
|
| Rate for Payer: Cash Price |
$58.58
|
| Rate for Payer: Cofinity Commercial |
$62.98
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$58.58
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$18.31
|
| Rate for Payer: Healthscope Commercial |
$65.91
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$54.92
|
| Rate for Payer: Mclaren Medicaid |
$12.91
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$19.22
|
| Rate for Payer: Meridian Medicaid |
$13.55
|
| Rate for Payer: MI Amish Medical Board Commercial |
$21.05
|
| Rate for Payer: Molina Medicare/Medicaid |
$20.14
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$62.25
|
| Rate for Payer: Nomi Health Commercial |
$60.05
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$54.92
|
| Rate for Payer: PACE Senior Care Partners |
$17.39
|
| Rate for Payer: PACE SWMI |
$18.31
|
| Rate for Payer: PHP Commercial |
$62.25
|
| Rate for Payer: PHP Medicare Advantage |
$18.31
|
| Rate for Payer: Priority Health Choice Medicaid |
$12.91
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$63.71
|
| Rate for Payer: Priority Health Medicare |
$18.49
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$50.97
|
| Rate for Payer: Railroad Medicare Medicare |
$18.31
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$64.44
|
| Rate for Payer: UHC Core |
$61.15
|
| Rate for Payer: UHC Exchange |
$18.31
|
| Rate for Payer: UHC Medicaid |
$12.91
|
| Rate for Payer: UHC Medicare Advantage |
$18.31
|
| Rate for Payer: UHCCP Medicaid |
$12.91
|
| Rate for Payer: VA VA |
$18.31
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$54.92
|
|
|
HC M. GRAVIS EVAL, ADULT CMPT
|
Facility
|
IP
|
$73.23
|
|
|
Service Code
|
CPT 83519
|
| Hospital Charge Code |
30100604
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$50.97 |
| Max. Negotiated Rate |
$65.91 |
| Rate for Payer: Aetna Commercial |
$62.25
|
| Rate for Payer: BCBS Trust/PPO |
$60.48
|
| Rate for Payer: BCN Commercial |
$60.48
|
| Rate for Payer: Cash Price |
$58.58
|
| Rate for Payer: Cofinity Commercial |
$62.98
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$58.58
|
| Rate for Payer: Healthscope Commercial |
$65.91
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$54.92
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$62.25
|
| Rate for Payer: Nomi Health Commercial |
$60.05
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$54.92
|
| Rate for Payer: PHP Commercial |
$62.25
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$63.71
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$50.97
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$64.44
|
| Rate for Payer: UHC Core |
$61.15
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$54.92
|
|
|
HC M. GRAVIS EVAL, ADULT CMPT
|
Facility
|
OP
|
$73.23
|
|
|
Service Code
|
CPT 83519
|
| Hospital Charge Code |
30100604
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$12.91 |
| Max. Negotiated Rate |
$65.91 |
| Rate for Payer: Aetna Commercial |
$62.25
|
| Rate for Payer: Aetna Medicare |
$19.04
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$22.88
|
| Rate for Payer: Amish Plain Church Group Commercial |
$22.88
|
| Rate for Payer: BCBS Complete |
$13.55
|
| Rate for Payer: BCBS MAPPO |
$18.31
|
| Rate for Payer: BCBS Trust/PPO |
$60.20
|
| Rate for Payer: BCN Commercial |
$60.20
|
| Rate for Payer: BCN Medicare Advantage |
$18.31
|
| Rate for Payer: Cash Price |
$58.58
|
| Rate for Payer: Cofinity Commercial |
$62.98
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$58.58
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$18.31
|
| Rate for Payer: Healthscope Commercial |
$65.91
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$54.92
|
| Rate for Payer: Mclaren Medicaid |
$12.91
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$19.22
|
| Rate for Payer: Meridian Medicaid |
$13.55
|
| Rate for Payer: MI Amish Medical Board Commercial |
$21.05
|
| Rate for Payer: Molina Medicare/Medicaid |
$20.14
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$62.25
|
| Rate for Payer: Nomi Health Commercial |
$60.05
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$54.92
|
| Rate for Payer: PACE Senior Care Partners |
$17.39
|
| Rate for Payer: PACE SWMI |
$18.31
|
| Rate for Payer: PHP Commercial |
$62.25
|
| Rate for Payer: PHP Medicare Advantage |
$18.31
|
| Rate for Payer: Priority Health Choice Medicaid |
$12.91
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$63.71
|
| Rate for Payer: Priority Health Medicare |
$18.49
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$50.97
|
| Rate for Payer: Railroad Medicare Medicare |
$18.31
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$64.44
|
| Rate for Payer: UHC Core |
$61.15
|
| Rate for Payer: UHC Exchange |
$18.31
|
| Rate for Payer: UHC Medicaid |
$12.91
|
| Rate for Payer: UHC Medicare Advantage |
$18.31
|
| Rate for Payer: UHCCP Medicaid |
$12.91
|
| Rate for Payer: VA VA |
$18.31
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$54.92
|
|
|
HC M. GRAVIS EVAL, ADULT CMPT2
|
Facility
|
IP
|
$73.23
|
|
|
Service Code
|
CPT 83520
|
| Hospital Charge Code |
30100605
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$50.97 |
| Max. Negotiated Rate |
$65.91 |
| Rate for Payer: Aetna Commercial |
$62.25
|
| Rate for Payer: BCBS Trust/PPO |
$60.48
|
| Rate for Payer: BCN Commercial |
$60.48
|
| Rate for Payer: Cash Price |
$58.58
|
| Rate for Payer: Cofinity Commercial |
$62.98
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$58.58
|
| Rate for Payer: Healthscope Commercial |
$65.91
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$54.92
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$62.25
|
| Rate for Payer: Nomi Health Commercial |
$60.05
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$54.92
|
| Rate for Payer: PHP Commercial |
$62.25
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$63.71
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$50.97
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$64.44
|
| Rate for Payer: UHC Core |
$61.15
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$54.92
|
|
|
HC M. GRAVIS EVAL, ADULT CMPT2
|
Facility
|
OP
|
$73.23
|
|
|
Service Code
|
CPT 83520
|
| Hospital Charge Code |
30100605
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$12.91 |
| Max. Negotiated Rate |
$65.91 |
| Rate for Payer: Aetna Commercial |
$62.25
|
| Rate for Payer: Aetna Medicare |
$19.04
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$22.88
|
| Rate for Payer: Amish Plain Church Group Commercial |
$22.88
|
| Rate for Payer: BCBS Complete |
$13.55
|
| Rate for Payer: BCBS MAPPO |
$18.31
|
| Rate for Payer: BCBS Trust/PPO |
$60.20
|
| Rate for Payer: BCN Commercial |
$60.20
|
| Rate for Payer: BCN Medicare Advantage |
$18.31
|
| Rate for Payer: Cash Price |
$58.58
|
| Rate for Payer: Cofinity Commercial |
$62.98
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$58.58
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$18.31
|
| Rate for Payer: Healthscope Commercial |
$65.91
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$54.92
|
| Rate for Payer: Mclaren Medicaid |
$12.91
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$19.22
|
| Rate for Payer: Meridian Medicaid |
$13.55
|
| Rate for Payer: MI Amish Medical Board Commercial |
$21.05
|
| Rate for Payer: Molina Medicare/Medicaid |
$20.14
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$62.25
|
| Rate for Payer: Nomi Health Commercial |
$60.05
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$54.92
|
| Rate for Payer: PACE Senior Care Partners |
$17.39
|
| Rate for Payer: PACE SWMI |
$18.31
|
| Rate for Payer: PHP Commercial |
$62.25
|
| Rate for Payer: PHP Medicare Advantage |
$18.31
|
| Rate for Payer: Priority Health Choice Medicaid |
$12.91
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$63.71
|
| Rate for Payer: Priority Health Medicare |
$18.49
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$50.97
|
| Rate for Payer: Railroad Medicare Medicare |
$18.31
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$64.44
|
| Rate for Payer: UHC Core |
$61.15
|
| Rate for Payer: UHC Exchange |
$18.31
|
| Rate for Payer: UHC Medicaid |
$12.91
|
| Rate for Payer: UHC Medicare Advantage |
$18.31
|
| Rate for Payer: UHCCP Medicaid |
$12.91
|
| Rate for Payer: VA VA |
$18.31
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$54.92
|
|
|
HC MIC BY AGAR DILUTION
|
Facility
|
IP
|
$46.70
|
|
|
Service Code
|
CPT 87186
|
| Hospital Charge Code |
30600101
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$32.50 |
| Max. Negotiated Rate |
$42.03 |
| Rate for Payer: Aetna Commercial |
$39.70
|
| Rate for Payer: BCBS Trust/PPO |
$38.57
|
| Rate for Payer: BCN Commercial |
$38.57
|
| Rate for Payer: Cash Price |
$37.36
|
| Rate for Payer: Cofinity Commercial |
$40.16
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$37.36
|
| Rate for Payer: Healthscope Commercial |
$42.03
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$35.02
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$39.70
|
| Rate for Payer: Nomi Health Commercial |
$38.29
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$35.02
|
| Rate for Payer: PHP Commercial |
$39.70
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$40.63
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$32.50
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$41.10
|
| Rate for Payer: UHC Core |
$38.99
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$35.02
|
|
|
HC MIC BY AGAR DILUTION
|
Facility
|
OP
|
$46.70
|
|
|
Service Code
|
CPT 87186
|
| Hospital Charge Code |
30600101
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$8.23 |
| Max. Negotiated Rate |
$42.03 |
| Rate for Payer: Aetna Commercial |
$39.70
|
| Rate for Payer: Aetna Medicare |
$12.14
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$14.59
|
| Rate for Payer: Amish Plain Church Group Commercial |
$14.59
|
| Rate for Payer: BCBS Complete |
$8.64
|
| Rate for Payer: BCBS MAPPO |
$11.68
|
| Rate for Payer: BCBS Trust/PPO |
$38.39
|
| Rate for Payer: BCN Commercial |
$38.39
|
| Rate for Payer: BCN Medicare Advantage |
$11.68
|
| Rate for Payer: Cash Price |
$37.36
|
| Rate for Payer: Cofinity Commercial |
$40.16
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$37.36
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$11.68
|
| Rate for Payer: Healthscope Commercial |
$42.03
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$35.02
|
| Rate for Payer: Mclaren Medicaid |
$8.23
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$12.26
|
| Rate for Payer: Meridian Medicaid |
$8.64
|
| Rate for Payer: MI Amish Medical Board Commercial |
$13.43
|
| Rate for Payer: Molina Medicare/Medicaid |
$12.84
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$39.70
|
| Rate for Payer: Nomi Health Commercial |
$38.29
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$35.02
|
| Rate for Payer: PACE Senior Care Partners |
$11.09
|
| Rate for Payer: PACE SWMI |
$11.68
|
| Rate for Payer: PHP Commercial |
$39.70
|
| Rate for Payer: PHP Medicare Advantage |
$11.68
|
| Rate for Payer: Priority Health Choice Medicaid |
$8.23
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$40.63
|
| Rate for Payer: Priority Health Medicare |
$11.79
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$32.50
|
| Rate for Payer: Railroad Medicare Medicare |
$11.68
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$41.10
|
| Rate for Payer: UHC Core |
$38.99
|
| Rate for Payer: UHC Exchange |
$11.68
|
| Rate for Payer: UHC Medicaid |
$8.23
|
| Rate for Payer: UHC Medicare Advantage |
$11.68
|
| Rate for Payer: UHCCP Medicaid |
$8.23
|
| Rate for Payer: VA VA |
$11.68
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$35.02
|
|
|
HC MICRA AR LEADLESS PACEMAKER
|
Facility
|
IP
|
$17,576.26
|
|
|
Service Code
|
HCPCS C1786
|
| Hospital Charge Code |
27500013
|
|
Hospital Revenue Code
|
275
|
| Min. Negotiated Rate |
$12,233.08 |
| Max. Negotiated Rate |
$15,818.63 |
| Rate for Payer: Aetna Commercial |
$14,939.82
|
| Rate for Payer: BCBS Trust/PPO |
$14,516.23
|
| Rate for Payer: BCN Commercial |
$14,516.23
|
| Rate for Payer: Cash Price |
$14,061.01
|
| Rate for Payer: Cofinity Commercial |
$15,115.58
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$14,061.01
|
| Rate for Payer: Healthscope Commercial |
$15,818.63
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$13,182.19
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$14,939.82
|
| Rate for Payer: Nomi Health Commercial |
$14,412.53
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$13,182.19
|
| Rate for Payer: PHP Commercial |
$14,939.82
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$15,291.35
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$12,233.08
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$15,467.11
|
| Rate for Payer: UHC Core |
$14,676.18
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$13,182.19
|
|
|
HC MICRA AR LEADLESS PACEMAKER
|
Facility
|
OP
|
$17,576.26
|
|
|
Service Code
|
HCPCS C1786
|
| Hospital Charge Code |
27500013
|
|
Hospital Revenue Code
|
275
|
| Min. Negotiated Rate |
$3,098.69 |
| Max. Negotiated Rate |
$15,818.63 |
| Rate for Payer: Aetna Commercial |
$14,939.82
|
| Rate for Payer: Aetna Medicare |
$4,569.83
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$5,492.58
|
| Rate for Payer: Amish Plain Church Group Commercial |
$5,492.58
|
| Rate for Payer: BCBS Complete |
$3,253.37
|
| Rate for Payer: BCBS MAPPO |
$4,394.06
|
| Rate for Payer: BCBS Trust/PPO |
$14,449.44
|
| Rate for Payer: BCN Commercial |
$14,449.44
|
| Rate for Payer: BCN Medicare Advantage |
$4,394.06
|
| Rate for Payer: Cash Price |
$14,061.01
|
| Rate for Payer: Cofinity Commercial |
$15,115.58
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$14,061.01
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$4,394.06
|
| Rate for Payer: Healthscope Commercial |
$15,818.63
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$13,182.19
|
| Rate for Payer: Mclaren Medicaid |
$3,098.69
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$4,613.77
|
| Rate for Payer: Meridian Medicaid |
$3,253.37
|
| Rate for Payer: MI Amish Medical Board Commercial |
$5,053.17
|
| Rate for Payer: Molina Medicare/Medicaid |
$4,833.47
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$14,939.82
|
| Rate for Payer: Nomi Health Commercial |
$14,412.53
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$13,182.19
|
| Rate for Payer: PACE Senior Care Partners |
$4,174.36
|
| Rate for Payer: PACE SWMI |
$4,394.06
|
| Rate for Payer: PHP Commercial |
$14,939.82
|
| Rate for Payer: PHP Medicare Advantage |
$4,394.06
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,098.69
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$15,291.35
|
| Rate for Payer: Priority Health Medicare |
$4,438.01
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$12,233.08
|
| Rate for Payer: Railroad Medicare Medicare |
$4,394.06
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$15,467.11
|
| Rate for Payer: UHC Core |
$14,676.18
|
| Rate for Payer: UHC Exchange |
$4,394.06
|
| Rate for Payer: UHC Medicaid |
$3,098.69
|
| Rate for Payer: UHC Medicare Advantage |
$4,394.06
|
| Rate for Payer: UHCCP Medicaid |
$3,098.69
|
| Rate for Payer: VA VA |
$4,394.06
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$13,182.19
|
|
|
HC MICRA VV LEADLESS PACEMAKER
|
Facility
|
IP
|
$17,967.59
|
|
|
Service Code
|
HCPCS C1786
|
| Hospital Charge Code |
27500012
|
|
Hospital Revenue Code
|
275
|
| Min. Negotiated Rate |
$12,505.44 |
| Max. Negotiated Rate |
$16,170.83 |
| Rate for Payer: Aetna Commercial |
$15,272.45
|
| Rate for Payer: BCBS Trust/PPO |
$14,839.43
|
| Rate for Payer: BCN Commercial |
$14,839.43
|
| Rate for Payer: Cash Price |
$14,374.07
|
| Rate for Payer: Cofinity Commercial |
$15,452.13
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$14,374.07
|
| Rate for Payer: Healthscope Commercial |
$16,170.83
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$13,475.69
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$15,272.45
|
| Rate for Payer: Nomi Health Commercial |
$14,733.42
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$13,475.69
|
| Rate for Payer: PHP Commercial |
$15,272.45
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$15,631.80
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$12,505.44
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$15,811.48
|
| Rate for Payer: UHC Core |
$15,002.94
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$13,475.69
|
|
|
HC MICRA VV LEADLESS PACEMAKER
|
Facility
|
OP
|
$17,967.59
|
|
|
Service Code
|
HCPCS C1786
|
| Hospital Charge Code |
27500012
|
|
Hospital Revenue Code
|
275
|
| Min. Negotiated Rate |
$3,167.69 |
| Max. Negotiated Rate |
$16,170.83 |
| Rate for Payer: Aetna Commercial |
$15,272.45
|
| Rate for Payer: Aetna Medicare |
$4,671.57
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$5,614.87
|
| Rate for Payer: Amish Plain Church Group Commercial |
$5,614.87
|
| Rate for Payer: BCBS Complete |
$3,325.80
|
| Rate for Payer: BCBS MAPPO |
$4,491.90
|
| Rate for Payer: BCBS Trust/PPO |
$14,771.16
|
| Rate for Payer: BCN Commercial |
$14,771.16
|
| Rate for Payer: BCN Medicare Advantage |
$4,491.90
|
| Rate for Payer: Cash Price |
$14,374.07
|
| Rate for Payer: Cofinity Commercial |
$15,452.13
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$14,374.07
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$4,491.90
|
| Rate for Payer: Healthscope Commercial |
$16,170.83
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$13,475.69
|
| Rate for Payer: Mclaren Medicaid |
$3,167.69
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$4,716.49
|
| Rate for Payer: Meridian Medicaid |
$3,325.80
|
| Rate for Payer: MI Amish Medical Board Commercial |
$5,165.68
|
| Rate for Payer: Molina Medicare/Medicaid |
$4,941.09
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$15,272.45
|
| Rate for Payer: Nomi Health Commercial |
$14,733.42
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$13,475.69
|
| Rate for Payer: PACE Senior Care Partners |
$4,267.30
|
| Rate for Payer: PACE SWMI |
$4,491.90
|
| Rate for Payer: PHP Commercial |
$15,272.45
|
| Rate for Payer: PHP Medicare Advantage |
$4,491.90
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,167.69
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$15,631.80
|
| Rate for Payer: Priority Health Medicare |
$4,536.82
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$12,505.44
|
| Rate for Payer: Railroad Medicare Medicare |
$4,491.90
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$15,811.48
|
| Rate for Payer: UHC Core |
$15,002.94
|
| Rate for Payer: UHC Exchange |
$4,491.90
|
| Rate for Payer: UHC Medicaid |
$3,167.69
|
| Rate for Payer: UHC Medicare Advantage |
$4,491.90
|
| Rate for Payer: UHCCP Medicaid |
$3,167.69
|
| Rate for Payer: VA VA |
$4,491.90
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$13,475.69
|
|
|
HC MICRO ALBUMIN URINE
|
Facility
|
IP
|
$78.45
|
|
|
Service Code
|
CPT 82043
|
| Hospital Charge Code |
30100075
|
|
Hospital Revenue Code
|
301
|
| 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 MICRO ALBUMIN URINE
|
Facility
|
OP
|
$78.45
|
|
|
Service Code
|
CPT 82043
|
| Hospital Charge Code |
30100075
|
|
Hospital Revenue Code
|
301
|
| 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 MICROSPORIDIA DETECTION
|
Facility
|
OP
|
$23.35
|
|
|
Service Code
|
CPT 87015
|
| Hospital Charge Code |
30600070
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$4.12 |
| Max. Negotiated Rate |
$21.02 |
| Rate for Payer: Aetna Commercial |
$19.85
|
| Rate for Payer: Aetna Medicare |
$6.07
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$7.30
|
| Rate for Payer: Amish Plain Church Group Commercial |
$7.30
|
| Rate for Payer: BCBS Complete |
$4.32
|
| Rate for Payer: BCBS MAPPO |
$5.84
|
| Rate for Payer: BCBS Trust/PPO |
$19.20
|
| Rate for Payer: BCN Commercial |
$19.20
|
| Rate for Payer: BCN Medicare Advantage |
$5.84
|
| Rate for Payer: Cash Price |
$18.68
|
| Rate for Payer: Cofinity Commercial |
$20.08
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$18.68
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$5.84
|
| Rate for Payer: Healthscope Commercial |
$21.02
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$17.51
|
| Rate for Payer: Mclaren Medicaid |
$4.12
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$6.13
|
| Rate for Payer: Meridian Medicaid |
$4.32
|
| Rate for Payer: MI Amish Medical Board Commercial |
$6.71
|
| Rate for Payer: Molina Medicare/Medicaid |
$6.42
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$19.85
|
| Rate for Payer: Nomi Health Commercial |
$19.15
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$17.51
|
| Rate for Payer: PACE Senior Care Partners |
$5.55
|
| Rate for Payer: PACE SWMI |
$5.84
|
| Rate for Payer: PHP Commercial |
$19.85
|
| Rate for Payer: PHP Medicare Advantage |
$5.84
|
| Rate for Payer: Priority Health Choice Medicaid |
$4.12
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$20.31
|
| Rate for Payer: Priority Health Medicare |
$5.90
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$16.25
|
| Rate for Payer: Railroad Medicare Medicare |
$5.84
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$20.55
|
| Rate for Payer: UHC Core |
$19.50
|
| Rate for Payer: UHC Exchange |
$5.84
|
| Rate for Payer: UHC Medicaid |
$4.12
|
| Rate for Payer: UHC Medicare Advantage |
$5.84
|
| Rate for Payer: UHCCP Medicaid |
$4.12
|
| Rate for Payer: VA VA |
$5.84
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$17.51
|
|
|
HC MICROSPORIDIA DETECTION
|
Facility
|
IP
|
$23.35
|
|
|
Service Code
|
CPT 87015
|
| Hospital Charge Code |
30600070
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$16.25 |
| Max. Negotiated Rate |
$21.02 |
| Rate for Payer: Aetna Commercial |
$19.85
|
| Rate for Payer: BCBS Trust/PPO |
$19.28
|
| Rate for Payer: BCN Commercial |
$19.28
|
| Rate for Payer: Cash Price |
$18.68
|
| Rate for Payer: Cofinity Commercial |
$20.08
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$18.68
|
| Rate for Payer: Healthscope Commercial |
$21.02
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$17.51
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$19.85
|
| Rate for Payer: Nomi Health Commercial |
$19.15
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$17.51
|
| Rate for Payer: PHP Commercial |
$19.85
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$20.31
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$16.25
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$20.55
|
| Rate for Payer: UHC Core |
$19.50
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$17.51
|
|
|
HC MICROSPORIDIA DETECTION CMPT
|
Facility
|
OP
|
$33.29
|
|
|
Service Code
|
CPT 87207
|
| Hospital Charge Code |
30600107
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$5.87 |
| Max. Negotiated Rate |
$29.96 |
| Rate for Payer: Aetna Commercial |
$28.30
|
| Rate for Payer: Aetna Medicare |
$8.66
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$10.40
|
| Rate for Payer: Amish Plain Church Group Commercial |
$10.40
|
| Rate for Payer: BCBS Complete |
$6.16
|
| Rate for Payer: BCBS MAPPO |
$8.32
|
| Rate for Payer: BCBS Trust/PPO |
$27.37
|
| Rate for Payer: BCN Commercial |
$27.37
|
| Rate for Payer: BCN Medicare Advantage |
$8.32
|
| Rate for Payer: Cash Price |
$26.63
|
| Rate for Payer: Cofinity Commercial |
$28.63
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$26.63
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$8.32
|
| Rate for Payer: Healthscope Commercial |
$29.96
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$24.97
|
| Rate for Payer: Mclaren Medicaid |
$5.87
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$8.74
|
| Rate for Payer: Meridian Medicaid |
$6.16
|
| Rate for Payer: MI Amish Medical Board Commercial |
$9.57
|
| Rate for Payer: Molina Medicare/Medicaid |
$9.15
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$28.30
|
| Rate for Payer: Nomi Health Commercial |
$27.30
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$24.97
|
| Rate for Payer: PACE Senior Care Partners |
$7.91
|
| Rate for Payer: PACE SWMI |
$8.32
|
| Rate for Payer: PHP Commercial |
$28.30
|
| Rate for Payer: PHP Medicare Advantage |
$8.32
|
| Rate for Payer: Priority Health Choice Medicaid |
$5.87
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$28.96
|
| Rate for Payer: Priority Health Medicare |
$8.41
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$23.17
|
| Rate for Payer: Railroad Medicare Medicare |
$8.32
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$29.30
|
| Rate for Payer: UHC Core |
$27.80
|
| Rate for Payer: UHC Exchange |
$8.32
|
| Rate for Payer: UHC Medicaid |
$5.87
|
| Rate for Payer: UHC Medicare Advantage |
$8.32
|
| Rate for Payer: UHCCP Medicaid |
$5.87
|
| Rate for Payer: VA VA |
$8.32
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$24.97
|
|
|
HC MICROSPORIDIA DETECTION CMPT
|
Facility
|
IP
|
$33.29
|
|
|
Service Code
|
CPT 87207
|
| Hospital Charge Code |
30600107
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$23.17 |
| Max. Negotiated Rate |
$29.96 |
| Rate for Payer: Aetna Commercial |
$28.30
|
| Rate for Payer: BCBS Trust/PPO |
$27.49
|
| Rate for Payer: BCN Commercial |
$27.49
|
| Rate for Payer: Cash Price |
$26.63
|
| Rate for Payer: Cofinity Commercial |
$28.63
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$26.63
|
| Rate for Payer: Healthscope Commercial |
$29.96
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$24.97
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$28.30
|
| Rate for Payer: Nomi Health Commercial |
$27.30
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$24.97
|
| Rate for Payer: PHP Commercial |
$28.30
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$28.96
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$23.17
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$29.30
|
| Rate for Payer: UHC Core |
$27.80
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$24.97
|
|
|
HC MICROSPORIDIA PCR
|
Facility
|
IP
|
$382.87
|
|
|
Service Code
|
CPT 87798
|
| Hospital Charge Code |
30600285
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$266.48 |
| Max. Negotiated Rate |
$344.58 |
| Rate for Payer: Aetna Commercial |
$325.44
|
| Rate for Payer: BCBS Trust/PPO |
$316.21
|
| Rate for Payer: BCN Commercial |
$316.21
|
| Rate for Payer: Cash Price |
$306.30
|
| Rate for Payer: Cofinity Commercial |
$329.27
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$306.30
|
| Rate for Payer: Healthscope Commercial |
$344.58
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$287.15
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$325.44
|
| Rate for Payer: Nomi Health Commercial |
$313.95
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$287.15
|
| Rate for Payer: PHP Commercial |
$325.44
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$333.10
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$266.48
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$336.93
|
| Rate for Payer: UHC Core |
$319.70
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$287.15
|
|
|
HC MICROSPORIDIA PCR
|
Facility
|
OP
|
$382.87
|
|
|
Service Code
|
CPT 87798
|
| Hospital Charge Code |
30600285
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$67.50 |
| Max. Negotiated Rate |
$344.58 |
| Rate for Payer: Aetna Commercial |
$325.44
|
| Rate for Payer: Aetna Medicare |
$99.55
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$119.65
|
| Rate for Payer: Amish Plain Church Group Commercial |
$119.65
|
| Rate for Payer: BCBS Complete |
$70.87
|
| Rate for Payer: BCBS MAPPO |
$95.72
|
| Rate for Payer: BCBS Trust/PPO |
$314.76
|
| Rate for Payer: BCN Commercial |
$314.76
|
| Rate for Payer: BCN Medicare Advantage |
$95.72
|
| Rate for Payer: Cash Price |
$306.30
|
| Rate for Payer: Cofinity Commercial |
$329.27
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$306.30
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$95.72
|
| Rate for Payer: Healthscope Commercial |
$344.58
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$287.15
|
| Rate for Payer: Mclaren Medicaid |
$67.50
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$100.50
|
| Rate for Payer: Meridian Medicaid |
$70.87
|
| Rate for Payer: MI Amish Medical Board Commercial |
$110.08
|
| Rate for Payer: Molina Medicare/Medicaid |
$105.29
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$325.44
|
| Rate for Payer: Nomi Health Commercial |
$313.95
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$287.15
|
| Rate for Payer: PACE Senior Care Partners |
$90.93
|
| Rate for Payer: PACE SWMI |
$95.72
|
| Rate for Payer: PHP Commercial |
$325.44
|
| Rate for Payer: PHP Medicare Advantage |
$95.72
|
| Rate for Payer: Priority Health Choice Medicaid |
$67.50
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$333.10
|
| Rate for Payer: Priority Health Medicare |
$96.67
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$266.48
|
| Rate for Payer: Railroad Medicare Medicare |
$95.72
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$336.93
|
| Rate for Payer: UHC Core |
$319.70
|
| Rate for Payer: UHC Exchange |
$95.72
|
| Rate for Payer: UHC Medicaid |
$67.50
|
| Rate for Payer: UHC Medicare Advantage |
$95.72
|
| Rate for Payer: UHCCP Medicaid |
$67.50
|
| Rate for Payer: VA VA |
$95.72
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$287.15
|
|
