|
HC MNT REASSESS & INTERVENT 15 MIN
|
Facility
|
IP
|
$125.01
|
|
|
Service Code
|
CPT 97803
|
| Hospital Charge Code |
94200003
|
|
Hospital Revenue Code
|
942
|
| Min. Negotiated Rate |
$87.01 |
| Max. Negotiated Rate |
$112.51 |
| Rate for Payer: Aetna Commercial |
$106.26
|
| Rate for Payer: BCBS Trust/PPO |
$103.25
|
| Rate for Payer: BCN Commercial |
$103.25
|
| Rate for Payer: Cash Price |
$100.01
|
| Rate for Payer: Cofinity Commercial |
$107.51
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$100.01
|
| Rate for Payer: Healthscope Commercial |
$112.51
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$93.76
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$106.26
|
| Rate for Payer: Nomi Health Commercial |
$102.51
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$93.76
|
| Rate for Payer: PHP Commercial |
$106.26
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$108.76
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$87.01
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$110.01
|
| Rate for Payer: UHC Core |
$104.38
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$93.76
|
|
|
HC MOG FACS, S
|
Facility
|
IP
|
$546.21
|
|
|
Service Code
|
CPT 86255
|
| Hospital Charge Code |
30200476
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$380.16 |
| Max. Negotiated Rate |
$491.59 |
| Rate for Payer: Aetna Commercial |
$464.28
|
| Rate for Payer: BCBS Trust/PPO |
$451.11
|
| Rate for Payer: BCN Commercial |
$451.11
|
| Rate for Payer: Cash Price |
$436.97
|
| Rate for Payer: Cofinity Commercial |
$469.74
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$436.97
|
| Rate for Payer: Healthscope Commercial |
$491.59
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$409.66
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$464.28
|
| Rate for Payer: Nomi Health Commercial |
$447.89
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$409.66
|
| Rate for Payer: PHP Commercial |
$464.28
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$475.20
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$380.16
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$480.66
|
| Rate for Payer: UHC Core |
$456.09
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$409.66
|
|
|
HC MOG FACS, S
|
Facility
|
OP
|
$546.21
|
|
|
Service Code
|
CPT 86255
|
| Hospital Charge Code |
30200476
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$96.30 |
| Max. Negotiated Rate |
$491.59 |
| Rate for Payer: Aetna Commercial |
$464.28
|
| Rate for Payer: Aetna Medicare |
$142.01
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$170.69
|
| Rate for Payer: Amish Plain Church Group Commercial |
$170.69
|
| Rate for Payer: BCBS Complete |
$101.10
|
| Rate for Payer: BCBS MAPPO |
$136.55
|
| Rate for Payer: BCBS Trust/PPO |
$449.04
|
| Rate for Payer: BCN Commercial |
$449.04
|
| Rate for Payer: BCN Medicare Advantage |
$136.55
|
| Rate for Payer: Cash Price |
$436.97
|
| Rate for Payer: Cofinity Commercial |
$469.74
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$436.97
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$136.55
|
| Rate for Payer: Healthscope Commercial |
$491.59
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$409.66
|
| Rate for Payer: Mclaren Medicaid |
$96.30
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$143.38
|
| Rate for Payer: Meridian Medicaid |
$101.10
|
| Rate for Payer: MI Amish Medical Board Commercial |
$157.04
|
| Rate for Payer: Molina Medicare/Medicaid |
$150.21
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$464.28
|
| Rate for Payer: Nomi Health Commercial |
$447.89
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$409.66
|
| Rate for Payer: PACE Senior Care Partners |
$129.72
|
| Rate for Payer: PACE SWMI |
$136.55
|
| Rate for Payer: PHP Commercial |
$464.28
|
| Rate for Payer: PHP Medicare Advantage |
$136.55
|
| Rate for Payer: Priority Health Choice Medicaid |
$96.30
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$475.20
|
| Rate for Payer: Priority Health Medicare |
$137.92
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$380.16
|
| Rate for Payer: Railroad Medicare Medicare |
$136.55
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$480.66
|
| Rate for Payer: UHC Core |
$456.09
|
| Rate for Payer: UHC Exchange |
$136.55
|
| Rate for Payer: UHC Medicaid |
$96.30
|
| Rate for Payer: UHC Medicare Advantage |
$136.55
|
| Rate for Payer: UHCCP Medicaid |
$96.30
|
| Rate for Payer: VA VA |
$136.55
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$409.66
|
|
|
HC MOG FACS TITER, S
|
Facility
|
OP
|
$78.03
|
|
|
Service Code
|
CPT 86256
|
| Hospital Charge Code |
30200477
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$13.76 |
| Max. Negotiated Rate |
$70.23 |
| Rate for Payer: Aetna Commercial |
$66.33
|
| Rate for Payer: Aetna Medicare |
$20.29
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$24.38
|
| Rate for Payer: Amish Plain Church Group Commercial |
$24.38
|
| Rate for Payer: BCBS Complete |
$14.44
|
| Rate for Payer: BCBS MAPPO |
$19.51
|
| Rate for Payer: BCBS Trust/PPO |
$64.15
|
| Rate for Payer: BCN Commercial |
$64.15
|
| Rate for Payer: BCN Medicare Advantage |
$19.51
|
| Rate for Payer: Cash Price |
$62.42
|
| Rate for Payer: Cofinity Commercial |
$67.11
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$62.42
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$19.51
|
| Rate for Payer: Healthscope Commercial |
$70.23
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$58.52
|
| Rate for Payer: Mclaren Medicaid |
$13.76
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$20.48
|
| Rate for Payer: Meridian Medicaid |
$14.44
|
| Rate for Payer: MI Amish Medical Board Commercial |
$22.43
|
| Rate for Payer: Molina Medicare/Medicaid |
$21.46
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$66.33
|
| Rate for Payer: Nomi Health Commercial |
$63.98
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$58.52
|
| Rate for Payer: PACE Senior Care Partners |
$18.53
|
| Rate for Payer: PACE SWMI |
$19.51
|
| Rate for Payer: PHP Commercial |
$66.33
|
| Rate for Payer: PHP Medicare Advantage |
$19.51
|
| Rate for Payer: Priority Health Choice Medicaid |
$13.76
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$67.89
|
| Rate for Payer: Priority Health Medicare |
$19.70
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$54.31
|
| Rate for Payer: Railroad Medicare Medicare |
$19.51
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$68.67
|
| Rate for Payer: UHC Core |
$65.16
|
| Rate for Payer: UHC Exchange |
$19.51
|
| Rate for Payer: UHC Medicaid |
$13.76
|
| Rate for Payer: UHC Medicare Advantage |
$19.51
|
| Rate for Payer: UHCCP Medicaid |
$13.76
|
| Rate for Payer: VA VA |
$19.51
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$58.52
|
|
|
HC MOG FACS TITER, S
|
Facility
|
IP
|
$78.03
|
|
|
Service Code
|
CPT 86256
|
| Hospital Charge Code |
30200477
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$54.31 |
| Max. Negotiated Rate |
$70.23 |
| Rate for Payer: Aetna Commercial |
$66.33
|
| Rate for Payer: BCBS Trust/PPO |
$64.44
|
| Rate for Payer: BCN Commercial |
$64.44
|
| Rate for Payer: Cash Price |
$62.42
|
| Rate for Payer: Cofinity Commercial |
$67.11
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$62.42
|
| Rate for Payer: Healthscope Commercial |
$70.23
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$58.52
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$66.33
|
| Rate for Payer: Nomi Health Commercial |
$63.98
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$58.52
|
| Rate for Payer: PHP Commercial |
$66.33
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$67.89
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$54.31
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$68.67
|
| Rate for Payer: UHC Core |
$65.16
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$58.52
|
|
|
HC MONITOR DOWNLOAD
|
Facility
|
IP
|
$771.07
|
|
|
Service Code
|
CPT 94776
|
| Hospital Charge Code |
41000013
|
|
Hospital Revenue Code
|
410
|
| Min. Negotiated Rate |
$536.66 |
| Max. Negotiated Rate |
$693.96 |
| Rate for Payer: Aetna Commercial |
$655.41
|
| Rate for Payer: BCBS Trust/PPO |
$636.83
|
| Rate for Payer: BCN Commercial |
$636.83
|
| Rate for Payer: Cash Price |
$616.86
|
| Rate for Payer: Cofinity Commercial |
$663.12
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$616.86
|
| Rate for Payer: Healthscope Commercial |
$693.96
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$578.30
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$655.41
|
| Rate for Payer: Nomi Health Commercial |
$632.28
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$578.30
|
| Rate for Payer: PHP Commercial |
$655.41
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$670.83
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$536.66
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$678.54
|
| Rate for Payer: UHC Core |
$643.84
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$578.30
|
|
|
HC MONITOR DOWNLOAD
|
Facility
|
OP
|
$771.07
|
|
|
Service Code
|
CPT 94776
|
| Hospital Charge Code |
41000013
|
|
Hospital Revenue Code
|
410
|
| Min. Negotiated Rate |
$135.94 |
| Max. Negotiated Rate |
$693.96 |
| Rate for Payer: Aetna Commercial |
$655.41
|
| Rate for Payer: Aetna Medicare |
$200.48
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$240.96
|
| Rate for Payer: Amish Plain Church Group Commercial |
$240.96
|
| Rate for Payer: BCBS Complete |
$142.73
|
| Rate for Payer: BCBS MAPPO |
$192.77
|
| Rate for Payer: BCBS Trust/PPO |
$633.90
|
| Rate for Payer: BCN Commercial |
$633.90
|
| Rate for Payer: BCN Medicare Advantage |
$192.77
|
| Rate for Payer: Cash Price |
$616.86
|
| Rate for Payer: Cofinity Commercial |
$663.12
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$616.86
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$192.77
|
| Rate for Payer: Healthscope Commercial |
$693.96
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$578.30
|
| Rate for Payer: Mclaren Medicaid |
$135.94
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$202.41
|
| Rate for Payer: Meridian Medicaid |
$142.73
|
| Rate for Payer: MI Amish Medical Board Commercial |
$221.68
|
| Rate for Payer: Molina Medicare/Medicaid |
$212.04
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$655.41
|
| Rate for Payer: Nomi Health Commercial |
$632.28
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$578.30
|
| Rate for Payer: PACE Senior Care Partners |
$183.13
|
| Rate for Payer: PACE SWMI |
$192.77
|
| Rate for Payer: PHP Commercial |
$655.41
|
| Rate for Payer: PHP Medicare Advantage |
$192.77
|
| Rate for Payer: Priority Health Choice Medicaid |
$135.94
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$670.83
|
| Rate for Payer: Priority Health Medicare |
$194.70
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$536.66
|
| Rate for Payer: Railroad Medicare Medicare |
$192.77
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$678.54
|
| Rate for Payer: UHC Core |
$643.84
|
| Rate for Payer: UHC Exchange |
$192.77
|
| Rate for Payer: UHC Medicaid |
$135.94
|
| Rate for Payer: UHC Medicare Advantage |
$192.77
|
| Rate for Payer: UHCCP Medicaid |
$135.94
|
| Rate for Payer: VA VA |
$192.77
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$578.30
|
|
|
HC MONITORED EXERCISE
|
Facility
|
OP
|
$249.83
|
|
|
Service Code
|
CPT 93798
|
| Hospital Charge Code |
94300001
|
|
Hospital Revenue Code
|
943
|
| Min. Negotiated Rate |
$44.05 |
| Max. Negotiated Rate |
$224.85 |
| Rate for Payer: Aetna Commercial |
$212.36
|
| Rate for Payer: Aetna Medicare |
$64.96
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$78.07
|
| Rate for Payer: Amish Plain Church Group Commercial |
$78.07
|
| Rate for Payer: BCBS Complete |
$46.24
|
| Rate for Payer: BCBS MAPPO |
$62.46
|
| Rate for Payer: BCBS Trust/PPO |
$205.39
|
| Rate for Payer: BCN Commercial |
$205.39
|
| Rate for Payer: BCN Medicare Advantage |
$62.46
|
| Rate for Payer: Cash Price |
$199.86
|
| Rate for Payer: Cofinity Commercial |
$214.85
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$199.86
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$62.46
|
| Rate for Payer: Healthscope Commercial |
$224.85
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$187.37
|
| Rate for Payer: Mclaren Medicaid |
$44.05
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$65.58
|
| Rate for Payer: Meridian Medicaid |
$46.24
|
| Rate for Payer: MI Amish Medical Board Commercial |
$71.83
|
| Rate for Payer: Molina Medicare/Medicaid |
$68.70
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$212.36
|
| Rate for Payer: Nomi Health Commercial |
$204.86
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$187.37
|
| Rate for Payer: PACE Senior Care Partners |
$59.33
|
| Rate for Payer: PACE SWMI |
$62.46
|
| Rate for Payer: PHP Commercial |
$212.36
|
| Rate for Payer: PHP Medicare Advantage |
$62.46
|
| Rate for Payer: Priority Health Choice Medicaid |
$44.05
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$217.35
|
| Rate for Payer: Priority Health Medicare |
$63.08
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$173.88
|
| Rate for Payer: Railroad Medicare Medicare |
$62.46
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$219.85
|
| Rate for Payer: UHC Core |
$208.61
|
| Rate for Payer: UHC Exchange |
$62.46
|
| Rate for Payer: UHC Medicaid |
$44.05
|
| Rate for Payer: UHC Medicare Advantage |
$62.46
|
| Rate for Payer: UHCCP Medicaid |
$44.05
|
| Rate for Payer: VA VA |
$62.46
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$187.37
|
|
|
HC MONITORED EXERCISE
|
Facility
|
IP
|
$249.83
|
|
|
Service Code
|
CPT 93798
|
| Hospital Charge Code |
94300001
|
|
Hospital Revenue Code
|
943
|
| Min. Negotiated Rate |
$173.88 |
| Max. Negotiated Rate |
$224.85 |
| Rate for Payer: Aetna Commercial |
$212.36
|
| Rate for Payer: BCBS Trust/PPO |
$206.33
|
| Rate for Payer: BCN Commercial |
$206.33
|
| Rate for Payer: Cash Price |
$199.86
|
| Rate for Payer: Cofinity Commercial |
$214.85
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$199.86
|
| Rate for Payer: Healthscope Commercial |
$224.85
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$187.37
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$212.36
|
| Rate for Payer: Nomi Health Commercial |
$204.86
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$187.37
|
| Rate for Payer: PHP Commercial |
$212.36
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$217.35
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$173.88
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$219.85
|
| Rate for Payer: UHC Core |
$208.61
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$187.37
|
|
|
HC MONITOR SET QUICK PRESSURE
|
Facility
|
OP
|
$446.25
|
|
| Hospital Charge Code |
27000707
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$78.67 |
| Max. Negotiated Rate |
$401.62 |
| Rate for Payer: Aetna Commercial |
$379.31
|
| Rate for Payer: Aetna Medicare |
$116.03
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$139.45
|
| Rate for Payer: Amish Plain Church Group Commercial |
$139.45
|
| Rate for Payer: BCBS Complete |
$82.60
|
| Rate for Payer: BCBS MAPPO |
$111.56
|
| Rate for Payer: BCBS Trust/PPO |
$366.86
|
| Rate for Payer: BCN Commercial |
$366.86
|
| Rate for Payer: BCN Medicare Advantage |
$111.56
|
| Rate for Payer: Cash Price |
$357.00
|
| Rate for Payer: Cofinity Commercial |
$383.77
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$357.00
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$111.56
|
| Rate for Payer: Healthscope Commercial |
$401.62
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$334.69
|
| Rate for Payer: Mclaren Medicaid |
$78.67
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$117.14
|
| Rate for Payer: Meridian Medicaid |
$82.60
|
| Rate for Payer: MI Amish Medical Board Commercial |
$128.30
|
| Rate for Payer: Molina Medicare/Medicaid |
$122.72
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$379.31
|
| Rate for Payer: Nomi Health Commercial |
$365.93
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$334.69
|
| Rate for Payer: PACE Senior Care Partners |
$105.98
|
| Rate for Payer: PACE SWMI |
$111.56
|
| Rate for Payer: PHP Commercial |
$379.31
|
| Rate for Payer: PHP Medicare Advantage |
$111.56
|
| Rate for Payer: Priority Health Choice Medicaid |
$78.67
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$388.24
|
| Rate for Payer: Priority Health Medicare |
$112.68
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$310.59
|
| Rate for Payer: Railroad Medicare Medicare |
$111.56
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$392.70
|
| Rate for Payer: UHC Core |
$372.62
|
| Rate for Payer: UHC Exchange |
$111.56
|
| Rate for Payer: UHC Medicaid |
$78.67
|
| Rate for Payer: UHC Medicare Advantage |
$111.56
|
| Rate for Payer: UHCCP Medicaid |
$78.67
|
| Rate for Payer: VA VA |
$111.56
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$334.69
|
|
|
HC MONITOR SET QUICK PRESSURE
|
Facility
|
IP
|
$446.25
|
|
| Hospital Charge Code |
27000707
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$310.59 |
| Max. Negotiated Rate |
$401.62 |
| Rate for Payer: Aetna Commercial |
$379.31
|
| Rate for Payer: BCBS Trust/PPO |
$368.56
|
| Rate for Payer: BCN Commercial |
$368.56
|
| Rate for Payer: Cash Price |
$357.00
|
| Rate for Payer: Cofinity Commercial |
$383.77
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$357.00
|
| Rate for Payer: Healthscope Commercial |
$401.62
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$334.69
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$379.31
|
| Rate for Payer: Nomi Health Commercial |
$365.93
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$334.69
|
| Rate for Payer: PHP Commercial |
$379.31
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$388.24
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$310.59
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$392.70
|
| Rate for Payer: UHC Core |
$372.62
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$334.69
|
|
|
HC MONO SCREENING MONOSPOT
|
Facility
|
OP
|
$26.53
|
|
|
Service Code
|
CPT 86308
|
| Hospital Charge Code |
30200186
|
|
Hospital Revenue Code
|
302
|
| 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 MONO SCREENING MONOSPOT
|
Facility
|
IP
|
$26.53
|
|
|
Service Code
|
CPT 86308
|
| Hospital Charge Code |
30200186
|
|
Hospital Revenue Code
|
302
|
| 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 MORPHINE LVL
|
Facility
|
OP
|
$121.73
|
|
|
Service Code
|
CPT 80361
|
| Hospital Charge Code |
30100578
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$21.46 |
| Max. Negotiated Rate |
$109.56 |
| Rate for Payer: Aetna Commercial |
$103.47
|
| Rate for Payer: Aetna Medicare |
$31.65
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$38.04
|
| Rate for Payer: Amish Plain Church Group Commercial |
$38.04
|
| Rate for Payer: BCBS Complete |
$22.53
|
| Rate for Payer: BCBS MAPPO |
$30.43
|
| Rate for Payer: BCBS Trust/PPO |
$100.07
|
| Rate for Payer: BCN Commercial |
$100.07
|
| Rate for Payer: BCN Medicare Advantage |
$30.43
|
| Rate for Payer: Cash Price |
$97.38
|
| Rate for Payer: Cofinity Commercial |
$104.69
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$97.38
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$30.43
|
| Rate for Payer: Healthscope Commercial |
$109.56
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$91.30
|
| Rate for Payer: Mclaren Medicaid |
$21.46
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$31.95
|
| Rate for Payer: Meridian Medicaid |
$22.53
|
| Rate for Payer: MI Amish Medical Board Commercial |
$35.00
|
| Rate for Payer: Molina Medicare/Medicaid |
$33.48
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$103.47
|
| Rate for Payer: Nomi Health Commercial |
$99.82
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$91.30
|
| Rate for Payer: PACE Senior Care Partners |
$28.91
|
| Rate for Payer: PACE SWMI |
$30.43
|
| Rate for Payer: PHP Commercial |
$103.47
|
| Rate for Payer: PHP Medicare Advantage |
$30.43
|
| Rate for Payer: Priority Health Choice Medicaid |
$21.46
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$105.91
|
| Rate for Payer: Priority Health Medicare |
$30.74
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$84.72
|
| Rate for Payer: Railroad Medicare Medicare |
$30.43
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$107.12
|
| Rate for Payer: UHC Core |
$101.64
|
| Rate for Payer: UHC Exchange |
$30.43
|
| Rate for Payer: UHC Medicaid |
$21.46
|
| Rate for Payer: UHC Medicare Advantage |
$30.43
|
| Rate for Payer: UHCCP Medicaid |
$21.46
|
| Rate for Payer: VA VA |
$30.43
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$91.30
|
|
|
HC MORPHINE LVL
|
Facility
|
IP
|
$121.73
|
|
|
Service Code
|
CPT 80361
|
| Hospital Charge Code |
30100578
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$84.72 |
| Max. Negotiated Rate |
$109.56 |
| Rate for Payer: Aetna Commercial |
$103.47
|
| Rate for Payer: BCBS Trust/PPO |
$100.54
|
| Rate for Payer: BCN Commercial |
$100.54
|
| Rate for Payer: Cash Price |
$97.38
|
| Rate for Payer: Cofinity Commercial |
$104.69
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$97.38
|
| Rate for Payer: Healthscope Commercial |
$109.56
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$91.30
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$103.47
|
| Rate for Payer: Nomi Health Commercial |
$99.82
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$91.30
|
| Rate for Payer: PHP Commercial |
$103.47
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$105.91
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$84.72
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$107.12
|
| Rate for Payer: UHC Core |
$101.64
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$91.30
|
|
|
HC MOUSE IGE
|
Facility
|
OP
|
$25.90
|
|
|
Service Code
|
CPT 86003
|
| Hospital Charge Code |
30200048
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$4.57 |
| Max. Negotiated Rate |
$23.31 |
| Rate for Payer: Aetna Commercial |
$22.02
|
| Rate for Payer: Aetna Medicare |
$6.73
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$8.09
|
| Rate for Payer: Amish Plain Church Group Commercial |
$8.09
|
| Rate for Payer: BCBS Complete |
$4.79
|
| Rate for Payer: BCBS MAPPO |
$6.47
|
| Rate for Payer: BCBS Trust/PPO |
$21.29
|
| Rate for Payer: BCN Commercial |
$21.29
|
| Rate for Payer: BCN Medicare Advantage |
$6.47
|
| Rate for Payer: Cash Price |
$20.72
|
| Rate for Payer: Cofinity Commercial |
$22.27
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$20.72
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$6.47
|
| Rate for Payer: Healthscope Commercial |
$23.31
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$19.43
|
| Rate for Payer: Mclaren Medicaid |
$4.57
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$6.80
|
| Rate for Payer: Meridian Medicaid |
$4.79
|
| Rate for Payer: MI Amish Medical Board Commercial |
$7.45
|
| Rate for Payer: Molina Medicare/Medicaid |
$7.12
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$22.02
|
| Rate for Payer: Nomi Health Commercial |
$21.24
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$19.43
|
| Rate for Payer: PACE Senior Care Partners |
$6.15
|
| Rate for Payer: PACE SWMI |
$6.47
|
| Rate for Payer: PHP Commercial |
$22.02
|
| Rate for Payer: PHP Medicare Advantage |
$6.47
|
| Rate for Payer: Priority Health Choice Medicaid |
$4.57
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$22.53
|
| Rate for Payer: Priority Health Medicare |
$6.54
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$18.03
|
| Rate for Payer: Railroad Medicare Medicare |
$6.47
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$22.79
|
| Rate for Payer: UHC Core |
$21.63
|
| Rate for Payer: UHC Exchange |
$6.47
|
| Rate for Payer: UHC Medicaid |
$4.57
|
| Rate for Payer: UHC Medicare Advantage |
$6.47
|
| Rate for Payer: UHCCP Medicaid |
$4.57
|
| Rate for Payer: VA VA |
$6.47
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$19.43
|
|
|
HC MOUSE IGE
|
Facility
|
IP
|
$25.90
|
|
|
Service Code
|
CPT 86003
|
| Hospital Charge Code |
30200048
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$18.03 |
| Max. Negotiated Rate |
$23.31 |
| Rate for Payer: Aetna Commercial |
$22.02
|
| Rate for Payer: BCBS Trust/PPO |
$21.39
|
| Rate for Payer: BCN Commercial |
$21.39
|
| Rate for Payer: Cash Price |
$20.72
|
| Rate for Payer: Cofinity Commercial |
$22.27
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$20.72
|
| Rate for Payer: Healthscope Commercial |
$23.31
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$19.43
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$22.02
|
| Rate for Payer: Nomi Health Commercial |
$21.24
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$19.43
|
| Rate for Payer: PHP Commercial |
$22.02
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$22.53
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$18.03
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$22.79
|
| Rate for Payer: UHC Core |
$21.63
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$19.43
|
|
|
HC MPCDS CELL SORTING BM
|
Facility
|
OP
|
$174.20
|
|
|
Service Code
|
CPT 88184
|
| Hospital Charge Code |
31100048
|
|
Hospital Revenue Code
|
311
|
| Min. Negotiated Rate |
$30.71 |
| Max. Negotiated Rate |
$156.78 |
| Rate for Payer: Aetna Commercial |
$148.07
|
| Rate for Payer: Aetna Medicare |
$45.29
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$54.44
|
| Rate for Payer: Amish Plain Church Group Commercial |
$54.44
|
| Rate for Payer: BCBS Complete |
$32.24
|
| Rate for Payer: BCBS MAPPO |
$43.55
|
| Rate for Payer: BCBS Trust/PPO |
$143.21
|
| Rate for Payer: BCN Commercial |
$143.21
|
| Rate for Payer: BCN Medicare Advantage |
$43.55
|
| Rate for Payer: Cash Price |
$139.36
|
| Rate for Payer: Cofinity Commercial |
$149.81
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$139.36
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$43.55
|
| Rate for Payer: Healthscope Commercial |
$156.78
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$130.65
|
| Rate for Payer: Mclaren Medicaid |
$30.71
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$45.73
|
| Rate for Payer: Meridian Medicaid |
$32.24
|
| Rate for Payer: MI Amish Medical Board Commercial |
$50.08
|
| Rate for Payer: Molina Medicare/Medicaid |
$47.91
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$148.07
|
| Rate for Payer: Nomi Health Commercial |
$142.84
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$130.65
|
| Rate for Payer: PACE Senior Care Partners |
$41.37
|
| Rate for Payer: PACE SWMI |
$43.55
|
| Rate for Payer: PHP Commercial |
$148.07
|
| Rate for Payer: PHP Medicare Advantage |
$43.55
|
| Rate for Payer: Priority Health Choice Medicaid |
$30.71
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$151.55
|
| Rate for Payer: Priority Health Medicare |
$43.99
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$121.24
|
| Rate for Payer: Railroad Medicare Medicare |
$43.55
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$153.30
|
| Rate for Payer: UHC Core |
$145.46
|
| Rate for Payer: UHC Exchange |
$43.55
|
| Rate for Payer: UHC Medicaid |
$30.71
|
| Rate for Payer: UHC Medicare Advantage |
$43.55
|
| Rate for Payer: UHCCP Medicaid |
$30.71
|
| Rate for Payer: VA VA |
$43.55
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$130.65
|
|
|
HC MPCDS CELL SORTING BM
|
Facility
|
IP
|
$174.20
|
|
|
Service Code
|
CPT 88184
|
| Hospital Charge Code |
31100048
|
|
Hospital Revenue Code
|
311
|
| Min. Negotiated Rate |
$121.24 |
| Max. Negotiated Rate |
$156.78 |
| Rate for Payer: Aetna Commercial |
$148.07
|
| Rate for Payer: BCBS Trust/PPO |
$143.87
|
| Rate for Payer: BCN Commercial |
$143.87
|
| Rate for Payer: Cash Price |
$139.36
|
| Rate for Payer: Cofinity Commercial |
$149.81
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$139.36
|
| Rate for Payer: Healthscope Commercial |
$156.78
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$130.65
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$148.07
|
| Rate for Payer: Nomi Health Commercial |
$142.84
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$130.65
|
| Rate for Payer: PHP Commercial |
$148.07
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$151.55
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$121.24
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$153.30
|
| Rate for Payer: UHC Core |
$145.46
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$130.65
|
|
|
HC MPCDS CELL SORTING BM CMPT
|
Facility
|
OP
|
$54.86
|
|
|
Service Code
|
CPT 88185
|
| Hospital Charge Code |
31100049
|
|
Hospital Revenue Code
|
311
|
| Min. Negotiated Rate |
$9.67 |
| Max. Negotiated Rate |
$49.37 |
| Rate for Payer: Aetna Commercial |
$46.63
|
| Rate for Payer: Aetna Medicare |
$14.26
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$17.14
|
| Rate for Payer: Amish Plain Church Group Commercial |
$17.14
|
| Rate for Payer: BCBS Complete |
$10.15
|
| Rate for Payer: BCBS MAPPO |
$13.71
|
| Rate for Payer: BCBS Trust/PPO |
$45.10
|
| Rate for Payer: BCN Commercial |
$45.10
|
| Rate for Payer: BCN Medicare Advantage |
$13.71
|
| Rate for Payer: Cash Price |
$43.89
|
| Rate for Payer: Cofinity Commercial |
$47.18
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$43.89
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$13.71
|
| Rate for Payer: Healthscope Commercial |
$49.37
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$41.15
|
| Rate for Payer: Mclaren Medicaid |
$9.67
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$14.40
|
| Rate for Payer: Meridian Medicaid |
$10.15
|
| Rate for Payer: MI Amish Medical Board Commercial |
$15.77
|
| Rate for Payer: Molina Medicare/Medicaid |
$15.09
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$46.63
|
| Rate for Payer: Nomi Health Commercial |
$44.99
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$41.15
|
| Rate for Payer: PACE Senior Care Partners |
$13.03
|
| Rate for Payer: PACE SWMI |
$13.71
|
| Rate for Payer: PHP Commercial |
$46.63
|
| Rate for Payer: PHP Medicare Advantage |
$13.71
|
| Rate for Payer: Priority Health Choice Medicaid |
$9.67
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$47.73
|
| Rate for Payer: Priority Health Medicare |
$13.85
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$38.18
|
| Rate for Payer: Railroad Medicare Medicare |
$13.71
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$48.28
|
| Rate for Payer: UHC Core |
$45.81
|
| Rate for Payer: UHC Exchange |
$13.71
|
| Rate for Payer: UHC Medicaid |
$9.67
|
| Rate for Payer: UHC Medicare Advantage |
$13.71
|
| Rate for Payer: UHCCP Medicaid |
$9.67
|
| Rate for Payer: VA VA |
$13.71
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$41.15
|
|
|
HC MPCDS CELL SORTING BM CMPT
|
Facility
|
IP
|
$54.86
|
|
|
Service Code
|
CPT 88185
|
| Hospital Charge Code |
31100049
|
|
Hospital Revenue Code
|
311
|
| Min. Negotiated Rate |
$38.18 |
| Max. Negotiated Rate |
$49.37 |
| Rate for Payer: Aetna Commercial |
$46.63
|
| Rate for Payer: BCBS Trust/PPO |
$45.31
|
| Rate for Payer: BCN Commercial |
$45.31
|
| Rate for Payer: Cash Price |
$43.89
|
| Rate for Payer: Cofinity Commercial |
$47.18
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$43.89
|
| Rate for Payer: Healthscope Commercial |
$49.37
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$41.15
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$46.63
|
| Rate for Payer: Nomi Health Commercial |
$44.99
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$41.15
|
| Rate for Payer: PHP Commercial |
$46.63
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$47.73
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$38.18
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$48.28
|
| Rate for Payer: UHC Core |
$45.81
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$41.15
|
|
|
HC MPL EXON 10 MUTATION DETECTION
|
Facility
|
IP
|
$387.35
|
|
|
Service Code
|
CPT 81339
|
| Hospital Charge Code |
31000149
|
|
Hospital Revenue Code
|
310
|
| Min. Negotiated Rate |
$269.60 |
| Max. Negotiated Rate |
$348.62 |
| Rate for Payer: Aetna Commercial |
$329.25
|
| Rate for Payer: BCBS Trust/PPO |
$319.91
|
| Rate for Payer: BCN Commercial |
$319.91
|
| Rate for Payer: Cash Price |
$309.88
|
| Rate for Payer: Cofinity Commercial |
$333.12
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$309.88
|
| Rate for Payer: Healthscope Commercial |
$348.62
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$290.51
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$329.25
|
| Rate for Payer: Nomi Health Commercial |
$317.63
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$290.51
|
| Rate for Payer: PHP Commercial |
$329.25
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$336.99
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$269.60
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$340.87
|
| Rate for Payer: UHC Core |
$323.44
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$290.51
|
|
|
HC MPL EXON 10 MUTATION DETECTION
|
Facility
|
OP
|
$387.35
|
|
|
Service Code
|
CPT 81339
|
| Hospital Charge Code |
31000149
|
|
Hospital Revenue Code
|
310
|
| Min. Negotiated Rate |
$68.29 |
| Max. Negotiated Rate |
$348.62 |
| Rate for Payer: Aetna Commercial |
$329.25
|
| Rate for Payer: Aetna Medicare |
$100.71
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$121.05
|
| Rate for Payer: Amish Plain Church Group Commercial |
$121.05
|
| Rate for Payer: BCBS Complete |
$71.70
|
| Rate for Payer: BCBS MAPPO |
$96.84
|
| Rate for Payer: BCBS Trust/PPO |
$318.44
|
| Rate for Payer: BCN Commercial |
$318.44
|
| Rate for Payer: BCN Medicare Advantage |
$96.84
|
| Rate for Payer: Cash Price |
$309.88
|
| Rate for Payer: Cofinity Commercial |
$333.12
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$309.88
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$96.84
|
| Rate for Payer: Healthscope Commercial |
$348.62
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$290.51
|
| Rate for Payer: Mclaren Medicaid |
$68.29
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$101.68
|
| Rate for Payer: Meridian Medicaid |
$71.70
|
| Rate for Payer: MI Amish Medical Board Commercial |
$111.36
|
| Rate for Payer: Molina Medicare/Medicaid |
$106.52
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$329.25
|
| Rate for Payer: Nomi Health Commercial |
$317.63
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$290.51
|
| Rate for Payer: PACE Senior Care Partners |
$92.00
|
| Rate for Payer: PACE SWMI |
$96.84
|
| Rate for Payer: PHP Commercial |
$329.25
|
| Rate for Payer: PHP Medicare Advantage |
$96.84
|
| Rate for Payer: Priority Health Choice Medicaid |
$68.29
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$336.99
|
| Rate for Payer: Priority Health Medicare |
$97.81
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$269.60
|
| Rate for Payer: Railroad Medicare Medicare |
$96.84
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$340.87
|
| Rate for Payer: UHC Core |
$323.44
|
| Rate for Payer: UHC Exchange |
$96.84
|
| Rate for Payer: UHC Medicaid |
$68.29
|
| Rate for Payer: UHC Medicare Advantage |
$96.84
|
| Rate for Payer: UHCCP Medicaid |
$68.29
|
| Rate for Payer: VA VA |
$96.84
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$290.51
|
|
|
HC MPL EXON10 MUTATION DETECTION
|
Facility
|
IP
|
$612.32
|
|
|
Service Code
|
CPT 81170
|
| Hospital Charge Code |
30000109
|
|
Hospital Revenue Code
|
300
|
| Min. Negotiated Rate |
$426.17 |
| Max. Negotiated Rate |
$551.09 |
| Rate for Payer: Aetna Commercial |
$520.47
|
| Rate for Payer: BCBS Trust/PPO |
$505.72
|
| Rate for Payer: BCN Commercial |
$505.72
|
| Rate for Payer: Cash Price |
$489.86
|
| Rate for Payer: Cofinity Commercial |
$526.60
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$489.86
|
| Rate for Payer: Healthscope Commercial |
$551.09
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$459.24
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$520.47
|
| Rate for Payer: Nomi Health Commercial |
$502.10
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$459.24
|
| Rate for Payer: PHP Commercial |
$520.47
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$532.72
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$426.17
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$538.84
|
| Rate for Payer: UHC Core |
$511.29
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$459.24
|
|
|
HC MPL EXON10 MUTATION DETECTION
|
Facility
|
OP
|
$612.32
|
|
|
Service Code
|
CPT 81170
|
| Hospital Charge Code |
30000109
|
|
Hospital Revenue Code
|
300
|
| Min. Negotiated Rate |
$107.95 |
| Max. Negotiated Rate |
$551.09 |
| Rate for Payer: Aetna Commercial |
$520.47
|
| Rate for Payer: Aetna Medicare |
$159.20
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$191.35
|
| Rate for Payer: Amish Plain Church Group Commercial |
$191.35
|
| Rate for Payer: BCBS Complete |
$113.34
|
| Rate for Payer: BCBS MAPPO |
$153.08
|
| Rate for Payer: BCBS Trust/PPO |
$503.39
|
| Rate for Payer: BCN Commercial |
$503.39
|
| Rate for Payer: BCN Medicare Advantage |
$153.08
|
| Rate for Payer: Cash Price |
$489.86
|
| Rate for Payer: Cofinity Commercial |
$526.60
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$489.86
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$153.08
|
| Rate for Payer: Healthscope Commercial |
$551.09
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$459.24
|
| Rate for Payer: Mclaren Medicaid |
$107.95
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$160.73
|
| Rate for Payer: Meridian Medicaid |
$113.34
|
| Rate for Payer: MI Amish Medical Board Commercial |
$176.04
|
| Rate for Payer: Molina Medicare/Medicaid |
$168.39
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$520.47
|
| Rate for Payer: Nomi Health Commercial |
$502.10
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$459.24
|
| Rate for Payer: PACE Senior Care Partners |
$145.43
|
| Rate for Payer: PACE SWMI |
$153.08
|
| Rate for Payer: PHP Commercial |
$520.47
|
| Rate for Payer: PHP Medicare Advantage |
$153.08
|
| Rate for Payer: Priority Health Choice Medicaid |
$107.95
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$532.72
|
| Rate for Payer: Priority Health Medicare |
$154.61
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$426.17
|
| Rate for Payer: Railroad Medicare Medicare |
$153.08
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$538.84
|
| Rate for Payer: UHC Core |
$511.29
|
| Rate for Payer: UHC Exchange |
$153.08
|
| Rate for Payer: UHC Medicaid |
$107.95
|
| Rate for Payer: UHC Medicare Advantage |
$153.08
|
| Rate for Payer: UHCCP Medicaid |
$107.95
|
| Rate for Payer: VA VA |
$153.08
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$459.24
|
|
