|
HC MR LOWER EXTREM ANY JOINT WO W CON
|
Facility
|
IP
|
$2,584.24
|
|
|
Service Code
|
CPT 73723
|
| Hospital Charge Code |
61000039
|
|
Hospital Revenue Code
|
610
|
| Min. Negotiated Rate |
$1,798.63 |
| Max. Negotiated Rate |
$2,325.82 |
| Rate for Payer: Aetna Commercial |
$2,196.60
|
| Rate for Payer: Aetna Commercial |
$3,294.91
|
| Rate for Payer: BCBS Trust/PPO |
$2,134.32
|
| Rate for Payer: BCBS Trust/PPO |
$3,201.49
|
| Rate for Payer: BCN Commercial |
$2,134.32
|
| Rate for Payer: BCN Commercial |
$3,201.49
|
| Rate for Payer: Cash Price |
$2,067.39
|
| Rate for Payer: Cash Price |
$3,101.10
|
| Rate for Payer: Cofinity Commercial |
$3,333.68
|
| Rate for Payer: Cofinity Commercial |
$2,222.45
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,101.10
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,067.39
|
| Rate for Payer: Healthscope Commercial |
$2,325.82
|
| Rate for Payer: Healthscope Commercial |
$3,488.73
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,938.18
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,907.28
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,196.60
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,294.91
|
| Rate for Payer: Nomi Health Commercial |
$2,119.08
|
| Rate for Payer: Nomi Health Commercial |
$3,178.62
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,938.18
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,907.28
|
| Rate for Payer: PHP Commercial |
$3,294.91
|
| Rate for Payer: PHP Commercial |
$2,196.60
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$3,372.44
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$2,248.29
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,798.63
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,697.95
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,274.13
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$3,411.21
|
| Rate for Payer: UHC Core |
$2,157.84
|
| Rate for Payer: UHC Core |
$3,236.77
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,938.18
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,907.28
|
|
|
HC MR LOWER EXTREM BIL ANY JOINT W CON
|
Facility
|
IP
|
$2,440.78
|
|
|
Service Code
|
CPT 73722
|
| Hospital Charge Code |
61000038
|
|
Hospital Revenue Code
|
610
|
| Min. Negotiated Rate |
$1,698.78 |
| Max. Negotiated Rate |
$2,196.70 |
| Rate for Payer: Aetna Commercial |
$2,074.66
|
| Rate for Payer: BCBS Trust/PPO |
$2,015.84
|
| Rate for Payer: BCN Commercial |
$2,015.84
|
| Rate for Payer: Cash Price |
$1,952.62
|
| Rate for Payer: Cofinity Commercial |
$2,099.07
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,952.62
|
| Rate for Payer: Healthscope Commercial |
$2,196.70
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,830.59
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,074.66
|
| Rate for Payer: Nomi Health Commercial |
$2,001.44
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,830.59
|
| Rate for Payer: PHP Commercial |
$2,074.66
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$2,123.48
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,698.78
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,147.89
|
| Rate for Payer: UHC Core |
$2,038.05
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,830.59
|
|
|
HC MR LOWER EXTREM BIL ANY JOINT W CON
|
Facility
|
OP
|
$2,440.78
|
|
|
Service Code
|
CPT 73722
|
| Hospital Charge Code |
61000038
|
|
Hospital Revenue Code
|
610
|
| Min. Negotiated Rate |
$430.31 |
| Max. Negotiated Rate |
$2,196.70 |
| Rate for Payer: Aetna Commercial |
$2,074.66
|
| Rate for Payer: Aetna Medicare |
$634.60
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$762.74
|
| Rate for Payer: Amish Plain Church Group Commercial |
$762.74
|
| Rate for Payer: BCBS Complete |
$451.79
|
| Rate for Payer: BCBS MAPPO |
$610.20
|
| Rate for Payer: BCBS Trust/PPO |
$2,006.57
|
| Rate for Payer: BCN Commercial |
$2,006.57
|
| Rate for Payer: BCN Medicare Advantage |
$610.20
|
| Rate for Payer: Cash Price |
$1,952.62
|
| Rate for Payer: Cofinity Commercial |
$2,099.07
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,952.62
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$610.20
|
| Rate for Payer: Healthscope Commercial |
$2,196.70
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,830.59
|
| Rate for Payer: Mclaren Medicaid |
$430.31
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$640.70
|
| Rate for Payer: Meridian Medicaid |
$451.79
|
| Rate for Payer: MI Amish Medical Board Commercial |
$701.72
|
| Rate for Payer: Molina Medicare/Medicaid |
$671.21
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,074.66
|
| Rate for Payer: Nomi Health Commercial |
$2,001.44
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,830.59
|
| Rate for Payer: PACE Senior Care Partners |
$579.69
|
| Rate for Payer: PACE SWMI |
$610.20
|
| Rate for Payer: PHP Commercial |
$2,074.66
|
| Rate for Payer: PHP Medicare Advantage |
$610.20
|
| Rate for Payer: Priority Health Choice Medicaid |
$430.31
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$2,123.48
|
| Rate for Payer: Priority Health Medicare |
$616.30
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,698.78
|
| Rate for Payer: Railroad Medicare Medicare |
$610.20
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,147.89
|
| Rate for Payer: UHC Core |
$2,038.05
|
| Rate for Payer: UHC Exchange |
$610.20
|
| Rate for Payer: UHC Medicaid |
$430.31
|
| Rate for Payer: UHC Medicare Advantage |
$610.20
|
| Rate for Payer: UHCCP Medicaid |
$430.31
|
| Rate for Payer: VA VA |
$610.20
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,830.59
|
|
|
HC MR LOWER EXTREM BILAT ANY JOINT WO CON
|
Facility
|
OP
|
$2,010.99
|
|
|
Service Code
|
CPT 73721
|
| Hospital Charge Code |
61000036
|
|
Hospital Revenue Code
|
610
|
| Min. Negotiated Rate |
$354.54 |
| Max. Negotiated Rate |
$1,809.89 |
| Rate for Payer: Aetna Commercial |
$1,709.34
|
| Rate for Payer: Aetna Medicare |
$522.86
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$628.43
|
| Rate for Payer: Amish Plain Church Group Commercial |
$628.43
|
| Rate for Payer: BCBS Complete |
$372.23
|
| Rate for Payer: BCBS MAPPO |
$502.75
|
| Rate for Payer: BCBS Trust/PPO |
$1,653.23
|
| Rate for Payer: BCN Commercial |
$1,653.23
|
| Rate for Payer: BCN Medicare Advantage |
$502.75
|
| Rate for Payer: Cash Price |
$1,608.79
|
| Rate for Payer: Cofinity Commercial |
$1,729.45
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,608.79
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$502.75
|
| Rate for Payer: Healthscope Commercial |
$1,809.89
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,508.24
|
| Rate for Payer: Mclaren Medicaid |
$354.54
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$527.88
|
| Rate for Payer: Meridian Medicaid |
$372.23
|
| Rate for Payer: MI Amish Medical Board Commercial |
$578.16
|
| Rate for Payer: Molina Medicare/Medicaid |
$553.02
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,709.34
|
| Rate for Payer: Nomi Health Commercial |
$1,649.01
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,508.24
|
| Rate for Payer: PACE Senior Care Partners |
$477.61
|
| Rate for Payer: PACE SWMI |
$502.75
|
| Rate for Payer: PHP Commercial |
$1,709.34
|
| Rate for Payer: PHP Medicare Advantage |
$502.75
|
| Rate for Payer: Priority Health Choice Medicaid |
$354.54
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$1,749.56
|
| Rate for Payer: Priority Health Medicare |
$507.77
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,399.65
|
| Rate for Payer: Railroad Medicare Medicare |
$502.75
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,769.67
|
| Rate for Payer: UHC Core |
$1,679.18
|
| Rate for Payer: UHC Exchange |
$502.75
|
| Rate for Payer: UHC Medicaid |
$354.54
|
| Rate for Payer: UHC Medicare Advantage |
$502.75
|
| Rate for Payer: UHCCP Medicaid |
$354.54
|
| Rate for Payer: VA VA |
$502.75
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,508.24
|
|
|
HC MR LOWER EXTREM BILAT ANY JOINT WO CON
|
Facility
|
IP
|
$2,010.99
|
|
|
Service Code
|
CPT 73721
|
| Hospital Charge Code |
61000036
|
|
Hospital Revenue Code
|
610
|
| Min. Negotiated Rate |
$1,399.65 |
| Max. Negotiated Rate |
$1,809.89 |
| Rate for Payer: Aetna Commercial |
$1,709.34
|
| Rate for Payer: BCBS Trust/PPO |
$1,660.88
|
| Rate for Payer: BCN Commercial |
$1,660.88
|
| Rate for Payer: Cash Price |
$1,608.79
|
| Rate for Payer: Cofinity Commercial |
$1,729.45
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,608.79
|
| Rate for Payer: Healthscope Commercial |
$1,809.89
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,508.24
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,709.34
|
| Rate for Payer: Nomi Health Commercial |
$1,649.01
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,508.24
|
| Rate for Payer: PHP Commercial |
$1,709.34
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$1,749.56
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,399.65
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,769.67
|
| Rate for Payer: UHC Core |
$1,679.18
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,508.24
|
|
|
HC MR LOWER EXTREM BIL NO JOINT W CON
|
Facility
|
OP
|
$3,014.98
|
|
|
Service Code
|
CPT 73719
|
| Hospital Charge Code |
61000032
|
|
Hospital Revenue Code
|
610
|
| Min. Negotiated Rate |
$531.54 |
| Max. Negotiated Rate |
$2,713.48 |
| Rate for Payer: Aetna Commercial |
$2,562.73
|
| Rate for Payer: Aetna Medicare |
$783.89
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$942.18
|
| Rate for Payer: Amish Plain Church Group Commercial |
$942.18
|
| Rate for Payer: BCBS Complete |
$558.07
|
| Rate for Payer: BCBS MAPPO |
$753.75
|
| Rate for Payer: BCBS Trust/PPO |
$2,478.62
|
| Rate for Payer: BCN Commercial |
$2,478.62
|
| Rate for Payer: BCN Medicare Advantage |
$753.75
|
| Rate for Payer: Cash Price |
$2,411.98
|
| Rate for Payer: Cofinity Commercial |
$2,592.88
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,411.98
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$753.75
|
| Rate for Payer: Healthscope Commercial |
$2,713.48
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,261.24
|
| Rate for Payer: Mclaren Medicaid |
$531.54
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$791.43
|
| Rate for Payer: Meridian Medicaid |
$558.07
|
| Rate for Payer: MI Amish Medical Board Commercial |
$866.81
|
| Rate for Payer: Molina Medicare/Medicaid |
$829.12
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,562.73
|
| Rate for Payer: Nomi Health Commercial |
$2,472.28
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,261.24
|
| Rate for Payer: PACE Senior Care Partners |
$716.06
|
| Rate for Payer: PACE SWMI |
$753.75
|
| Rate for Payer: PHP Commercial |
$2,562.73
|
| Rate for Payer: PHP Medicare Advantage |
$753.75
|
| Rate for Payer: Priority Health Choice Medicaid |
$531.54
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$2,623.03
|
| Rate for Payer: Priority Health Medicare |
$761.28
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,098.43
|
| Rate for Payer: Railroad Medicare Medicare |
$753.75
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,653.18
|
| Rate for Payer: UHC Core |
$2,517.51
|
| Rate for Payer: UHC Exchange |
$753.75
|
| Rate for Payer: UHC Medicaid |
$531.54
|
| Rate for Payer: UHC Medicare Advantage |
$753.75
|
| Rate for Payer: UHCCP Medicaid |
$531.54
|
| Rate for Payer: VA VA |
$753.75
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,261.24
|
|
|
HC MR LOWER EXTREM BIL NO JOINT W CON
|
Facility
|
IP
|
$3,014.98
|
|
|
Service Code
|
CPT 73719
|
| Hospital Charge Code |
61000032
|
|
Hospital Revenue Code
|
610
|
| Min. Negotiated Rate |
$2,098.43 |
| Max. Negotiated Rate |
$2,713.48 |
| Rate for Payer: Aetna Commercial |
$2,562.73
|
| Rate for Payer: BCBS Trust/PPO |
$2,490.07
|
| Rate for Payer: BCN Commercial |
$2,490.07
|
| Rate for Payer: Cash Price |
$2,411.98
|
| Rate for Payer: Cofinity Commercial |
$2,592.88
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,411.98
|
| Rate for Payer: Healthscope Commercial |
$2,713.48
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,261.24
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,562.73
|
| Rate for Payer: Nomi Health Commercial |
$2,472.28
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,261.24
|
| Rate for Payer: PHP Commercial |
$2,562.73
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$2,623.03
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,098.43
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,653.18
|
| Rate for Payer: UHC Core |
$2,517.51
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,261.24
|
|
|
HC MR LOWER EXTREM BIL NO JOINT WO CON
|
Facility
|
IP
|
$2,343.04
|
|
|
Service Code
|
CPT 73718
|
| Hospital Charge Code |
61000030
|
|
Hospital Revenue Code
|
610
|
| Min. Negotiated Rate |
$1,630.76 |
| Max. Negotiated Rate |
$2,108.74 |
| Rate for Payer: Aetna Commercial |
$1,991.58
|
| Rate for Payer: BCBS Trust/PPO |
$1,935.12
|
| Rate for Payer: BCN Commercial |
$1,935.12
|
| Rate for Payer: Cash Price |
$1,874.43
|
| Rate for Payer: Cofinity Commercial |
$2,015.01
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,874.43
|
| Rate for Payer: Healthscope Commercial |
$2,108.74
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,757.28
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,991.58
|
| Rate for Payer: Nomi Health Commercial |
$1,921.29
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,757.28
|
| Rate for Payer: PHP Commercial |
$1,991.58
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$2,038.44
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,630.76
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,061.88
|
| Rate for Payer: UHC Core |
$1,956.44
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,757.28
|
|
|
HC MR LOWER EXTREM BIL NO JOINT WO CON
|
Facility
|
OP
|
$2,343.04
|
|
|
Service Code
|
CPT 73718
|
| Hospital Charge Code |
61000030
|
|
Hospital Revenue Code
|
610
|
| Min. Negotiated Rate |
$413.08 |
| Max. Negotiated Rate |
$2,108.74 |
| Rate for Payer: Aetna Commercial |
$1,991.58
|
| Rate for Payer: Aetna Medicare |
$609.19
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$732.20
|
| Rate for Payer: Amish Plain Church Group Commercial |
$732.20
|
| Rate for Payer: BCBS Complete |
$433.70
|
| Rate for Payer: BCBS MAPPO |
$585.76
|
| Rate for Payer: BCBS Trust/PPO |
$1,926.21
|
| Rate for Payer: BCN Commercial |
$1,926.21
|
| Rate for Payer: BCN Medicare Advantage |
$585.76
|
| Rate for Payer: Cash Price |
$1,874.43
|
| Rate for Payer: Cofinity Commercial |
$2,015.01
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,874.43
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$585.76
|
| Rate for Payer: Healthscope Commercial |
$2,108.74
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,757.28
|
| Rate for Payer: Mclaren Medicaid |
$413.08
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$615.05
|
| Rate for Payer: Meridian Medicaid |
$433.70
|
| Rate for Payer: MI Amish Medical Board Commercial |
$673.62
|
| Rate for Payer: Molina Medicare/Medicaid |
$644.34
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,991.58
|
| Rate for Payer: Nomi Health Commercial |
$1,921.29
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,757.28
|
| Rate for Payer: PACE Senior Care Partners |
$556.47
|
| Rate for Payer: PACE SWMI |
$585.76
|
| Rate for Payer: PHP Commercial |
$1,991.58
|
| Rate for Payer: PHP Medicare Advantage |
$585.76
|
| Rate for Payer: Priority Health Choice Medicaid |
$413.08
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$2,038.44
|
| Rate for Payer: Priority Health Medicare |
$591.62
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,630.76
|
| Rate for Payer: Railroad Medicare Medicare |
$585.76
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,061.88
|
| Rate for Payer: UHC Core |
$1,956.44
|
| Rate for Payer: UHC Exchange |
$585.76
|
| Rate for Payer: UHC Medicaid |
$413.08
|
| Rate for Payer: UHC Medicare Advantage |
$585.76
|
| Rate for Payer: UHCCP Medicaid |
$413.08
|
| Rate for Payer: VA VA |
$585.76
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,757.28
|
|
|
HC MR LOWER EXTREM NO JOINT BIL WO W CON
|
Facility
|
IP
|
$3,221.72
|
|
|
Service Code
|
CPT 73720
|
| Hospital Charge Code |
61000034
|
|
Hospital Revenue Code
|
610
|
| Min. Negotiated Rate |
$2,242.32 |
| Max. Negotiated Rate |
$2,899.55 |
| Rate for Payer: Aetna Commercial |
$2,738.46
|
| Rate for Payer: BCBS Trust/PPO |
$2,660.82
|
| Rate for Payer: BCN Commercial |
$2,660.82
|
| Rate for Payer: Cash Price |
$2,577.38
|
| Rate for Payer: Cofinity Commercial |
$2,770.68
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,577.38
|
| Rate for Payer: Healthscope Commercial |
$2,899.55
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,416.29
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,738.46
|
| Rate for Payer: Nomi Health Commercial |
$2,641.81
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,416.29
|
| Rate for Payer: PHP Commercial |
$2,738.46
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$2,802.90
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,242.32
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,835.11
|
| Rate for Payer: UHC Core |
$2,690.14
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,416.29
|
|
|
HC MR LOWER EXTREM NO JOINT BIL WO W CON
|
Facility
|
OP
|
$3,221.72
|
|
|
Service Code
|
CPT 73720
|
| Hospital Charge Code |
61000034
|
|
Hospital Revenue Code
|
610
|
| Min. Negotiated Rate |
$567.99 |
| Max. Negotiated Rate |
$2,899.55 |
| Rate for Payer: Aetna Commercial |
$2,738.46
|
| Rate for Payer: Aetna Medicare |
$837.65
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,006.79
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1,006.79
|
| Rate for Payer: BCBS Complete |
$596.34
|
| Rate for Payer: BCBS MAPPO |
$805.43
|
| Rate for Payer: BCBS Trust/PPO |
$2,648.58
|
| Rate for Payer: BCN Commercial |
$2,648.58
|
| Rate for Payer: BCN Medicare Advantage |
$805.43
|
| Rate for Payer: Cash Price |
$2,577.38
|
| Rate for Payer: Cofinity Commercial |
$2,770.68
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,577.38
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$805.43
|
| Rate for Payer: Healthscope Commercial |
$2,899.55
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,416.29
|
| Rate for Payer: Mclaren Medicaid |
$567.99
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$845.70
|
| Rate for Payer: Meridian Medicaid |
$596.34
|
| Rate for Payer: MI Amish Medical Board Commercial |
$926.24
|
| Rate for Payer: Molina Medicare/Medicaid |
$885.97
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,738.46
|
| Rate for Payer: Nomi Health Commercial |
$2,641.81
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,416.29
|
| Rate for Payer: PACE Senior Care Partners |
$765.16
|
| Rate for Payer: PACE SWMI |
$805.43
|
| Rate for Payer: PHP Commercial |
$2,738.46
|
| Rate for Payer: PHP Medicare Advantage |
$805.43
|
| Rate for Payer: Priority Health Choice Medicaid |
$567.99
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$2,802.90
|
| Rate for Payer: Priority Health Medicare |
$813.48
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,242.32
|
| Rate for Payer: Railroad Medicare Medicare |
$805.43
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,835.11
|
| Rate for Payer: UHC Core |
$2,690.14
|
| Rate for Payer: UHC Exchange |
$805.43
|
| Rate for Payer: UHC Medicaid |
$567.99
|
| Rate for Payer: UHC Medicare Advantage |
$805.43
|
| Rate for Payer: UHCCP Medicaid |
$567.99
|
| Rate for Payer: VA VA |
$805.43
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,416.29
|
|
|
HC MR LOWER EXTREM NO JOINT W CON
|
Facility
|
IP
|
$2,412.00
|
|
|
Service Code
|
CPT 73719
|
| Hospital Charge Code |
61000031
|
|
Hospital Revenue Code
|
610
|
| Min. Negotiated Rate |
$1,678.75 |
| Max. Negotiated Rate |
$2,170.80 |
| Rate for Payer: Aetna Commercial |
$2,050.20
|
| Rate for Payer: Aetna Commercial |
$3,075.31
|
| Rate for Payer: BCBS Trust/PPO |
$1,992.07
|
| Rate for Payer: BCBS Trust/PPO |
$2,988.11
|
| Rate for Payer: BCN Commercial |
$1,992.07
|
| Rate for Payer: BCN Commercial |
$2,988.11
|
| Rate for Payer: Cash Price |
$1,929.60
|
| Rate for Payer: Cash Price |
$2,894.41
|
| Rate for Payer: Cofinity Commercial |
$3,111.49
|
| Rate for Payer: Cofinity Commercial |
$2,074.32
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,894.41
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,929.60
|
| Rate for Payer: Healthscope Commercial |
$2,170.80
|
| Rate for Payer: Healthscope Commercial |
$3,256.21
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,809.00
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,713.51
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,050.20
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,075.31
|
| Rate for Payer: Nomi Health Commercial |
$1,977.84
|
| Rate for Payer: Nomi Health Commercial |
$2,966.77
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,809.00
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,713.51
|
| Rate for Payer: PHP Commercial |
$3,075.31
|
| Rate for Payer: PHP Commercial |
$2,050.20
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$3,147.67
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$2,098.44
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,678.75
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,518.13
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,122.56
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$3,183.85
|
| Rate for Payer: UHC Core |
$2,014.02
|
| Rate for Payer: UHC Core |
$3,021.04
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,809.00
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,713.51
|
|
|
HC MR LOWER EXTREM NO JOINT W CON
|
Facility
|
OP
|
$2,412.00
|
|
|
Service Code
|
CPT 73719
|
| Hospital Charge Code |
61000031
|
|
Hospital Revenue Code
|
610
|
| Min. Negotiated Rate |
$425.24 |
| Max. Negotiated Rate |
$2,170.80 |
| Rate for Payer: Aetna Commercial |
$2,050.20
|
| Rate for Payer: Aetna Commercial |
$3,075.31
|
| Rate for Payer: Aetna Medicare |
$940.68
|
| Rate for Payer: Aetna Medicare |
$627.12
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,130.63
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$753.75
|
| Rate for Payer: Amish Plain Church Group Commercial |
$753.75
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1,130.63
|
| Rate for Payer: BCBS Complete |
$446.46
|
| Rate for Payer: BCBS Complete |
$669.69
|
| Rate for Payer: BCBS MAPPO |
$603.00
|
| Rate for Payer: BCBS MAPPO |
$904.50
|
| Rate for Payer: BCBS Trust/PPO |
$1,982.91
|
| Rate for Payer: BCBS Trust/PPO |
$2,974.37
|
| Rate for Payer: BCN Commercial |
$2,974.37
|
| Rate for Payer: BCN Commercial |
$1,982.91
|
| Rate for Payer: BCN Medicare Advantage |
$904.50
|
| Rate for Payer: BCN Medicare Advantage |
$603.00
|
| Rate for Payer: Cash Price |
$1,929.60
|
| Rate for Payer: Cash Price |
$2,894.41
|
| Rate for Payer: Cofinity Commercial |
$2,074.32
|
| Rate for Payer: Cofinity Commercial |
$3,111.49
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,894.41
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,929.60
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$904.50
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$603.00
|
| Rate for Payer: Healthscope Commercial |
$2,170.80
|
| Rate for Payer: Healthscope Commercial |
$3,256.21
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,809.00
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,713.51
|
| Rate for Payer: Mclaren Medicaid |
$637.86
|
| Rate for Payer: Mclaren Medicaid |
$425.24
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$949.73
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$633.15
|
| Rate for Payer: Meridian Medicaid |
$446.46
|
| Rate for Payer: Meridian Medicaid |
$669.69
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,040.18
|
| Rate for Payer: MI Amish Medical Board Commercial |
$693.45
|
| Rate for Payer: Molina Medicare/Medicaid |
$994.95
|
| Rate for Payer: Molina Medicare/Medicaid |
$663.30
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,075.31
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,050.20
|
| Rate for Payer: Nomi Health Commercial |
$2,966.77
|
| Rate for Payer: Nomi Health Commercial |
$1,977.84
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,809.00
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,713.51
|
| Rate for Payer: PACE Senior Care Partners |
$859.28
|
| Rate for Payer: PACE Senior Care Partners |
$572.85
|
| Rate for Payer: PACE SWMI |
$904.50
|
| Rate for Payer: PACE SWMI |
$603.00
|
| Rate for Payer: PHP Commercial |
$2,050.20
|
| Rate for Payer: PHP Commercial |
$3,075.31
|
| Rate for Payer: PHP Medicare Advantage |
$603.00
|
| Rate for Payer: PHP Medicare Advantage |
$904.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$637.86
|
| Rate for Payer: Priority Health Choice Medicaid |
$425.24
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$3,147.67
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$2,098.44
|
| Rate for Payer: Priority Health Medicare |
$913.55
|
| Rate for Payer: Priority Health Medicare |
$609.03
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,678.75
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,518.13
|
| Rate for Payer: Railroad Medicare Medicare |
$603.00
|
| Rate for Payer: Railroad Medicare Medicare |
$904.50
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,122.56
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$3,183.85
|
| Rate for Payer: UHC Core |
$3,021.04
|
| Rate for Payer: UHC Core |
$2,014.02
|
| Rate for Payer: UHC Exchange |
$904.50
|
| Rate for Payer: UHC Exchange |
$603.00
|
| Rate for Payer: UHC Medicaid |
$637.86
|
| Rate for Payer: UHC Medicaid |
$425.24
|
| Rate for Payer: UHC Medicare Advantage |
$603.00
|
| Rate for Payer: UHC Medicare Advantage |
$904.50
|
| Rate for Payer: UHCCP Medicaid |
$425.24
|
| Rate for Payer: UHCCP Medicaid |
$637.86
|
| Rate for Payer: VA VA |
$603.00
|
| Rate for Payer: VA VA |
$904.50
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,713.51
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,809.00
|
|
|
HC MR LOWER EXTREM NO JOINT WO CON
|
Facility
|
IP
|
$2,175.58
|
|
|
Service Code
|
CPT 73718
|
| Hospital Charge Code |
61000029
|
|
Hospital Revenue Code
|
610
|
| Min. Negotiated Rate |
$1,514.20 |
| Max. Negotiated Rate |
$1,958.02 |
| Rate for Payer: Aetna Commercial |
$1,849.24
|
| Rate for Payer: Aetna Commercial |
$2,773.86
|
| Rate for Payer: BCBS Trust/PPO |
$1,796.81
|
| Rate for Payer: BCBS Trust/PPO |
$2,695.22
|
| Rate for Payer: BCN Commercial |
$1,796.81
|
| Rate for Payer: BCN Commercial |
$2,695.22
|
| Rate for Payer: Cash Price |
$1,740.46
|
| Rate for Payer: Cash Price |
$2,610.70
|
| Rate for Payer: Cofinity Commercial |
$2,806.50
|
| Rate for Payer: Cofinity Commercial |
$1,871.00
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,610.70
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,740.46
|
| Rate for Payer: Healthscope Commercial |
$1,958.02
|
| Rate for Payer: Healthscope Commercial |
$2,937.03
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,631.68
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,447.53
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,849.24
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,773.86
|
| Rate for Payer: Nomi Health Commercial |
$1,783.98
|
| Rate for Payer: Nomi Health Commercial |
$2,675.96
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,631.68
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,447.53
|
| Rate for Payer: PHP Commercial |
$2,773.86
|
| Rate for Payer: PHP Commercial |
$1,849.24
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$2,839.13
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$1,892.75
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,514.20
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,271.31
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,914.51
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,871.77
|
| Rate for Payer: UHC Core |
$1,816.61
|
| Rate for Payer: UHC Core |
$2,724.91
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,631.68
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,447.53
|
|
|
HC MR LOWER EXTREM NO JOINT WO CON
|
Facility
|
OP
|
$2,175.58
|
|
|
Service Code
|
CPT 73718
|
| Hospital Charge Code |
61000029
|
|
Hospital Revenue Code
|
610
|
| Min. Negotiated Rate |
$383.55 |
| Max. Negotiated Rate |
$1,958.02 |
| Rate for Payer: Aetna Commercial |
$1,849.24
|
| Rate for Payer: Aetna Commercial |
$2,773.86
|
| Rate for Payer: Aetna Medicare |
$848.48
|
| Rate for Payer: Aetna Medicare |
$565.65
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,019.80
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$679.87
|
| Rate for Payer: Amish Plain Church Group Commercial |
$679.87
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1,019.80
|
| Rate for Payer: BCBS Complete |
$402.70
|
| Rate for Payer: BCBS Complete |
$604.05
|
| Rate for Payer: BCBS MAPPO |
$543.89
|
| Rate for Payer: BCBS MAPPO |
$815.84
|
| Rate for Payer: BCBS Trust/PPO |
$1,788.54
|
| Rate for Payer: BCBS Trust/PPO |
$2,682.82
|
| Rate for Payer: BCN Commercial |
$2,682.82
|
| Rate for Payer: BCN Commercial |
$1,788.54
|
| Rate for Payer: BCN Medicare Advantage |
$815.84
|
| Rate for Payer: BCN Medicare Advantage |
$543.89
|
| Rate for Payer: Cash Price |
$1,740.46
|
| Rate for Payer: Cash Price |
$2,610.70
|
| Rate for Payer: Cofinity Commercial |
$1,871.00
|
| Rate for Payer: Cofinity Commercial |
$2,806.50
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,610.70
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,740.46
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$815.84
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$543.89
|
| Rate for Payer: Healthscope Commercial |
$1,958.02
|
| Rate for Payer: Healthscope Commercial |
$2,937.03
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,631.68
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,447.53
|
| Rate for Payer: Mclaren Medicaid |
$575.33
|
| Rate for Payer: Mclaren Medicaid |
$383.55
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$856.63
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$571.09
|
| Rate for Payer: Meridian Medicaid |
$402.70
|
| Rate for Payer: Meridian Medicaid |
$604.05
|
| Rate for Payer: MI Amish Medical Board Commercial |
$938.22
|
| Rate for Payer: MI Amish Medical Board Commercial |
$625.48
|
| Rate for Payer: Molina Medicare/Medicaid |
$897.43
|
| Rate for Payer: Molina Medicare/Medicaid |
$598.28
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,773.86
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,849.24
|
| Rate for Payer: Nomi Health Commercial |
$2,675.96
|
| Rate for Payer: Nomi Health Commercial |
$1,783.98
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,631.68
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,447.53
|
| Rate for Payer: PACE Senior Care Partners |
$775.05
|
| Rate for Payer: PACE Senior Care Partners |
$516.70
|
| Rate for Payer: PACE SWMI |
$815.84
|
| Rate for Payer: PACE SWMI |
$543.89
|
| Rate for Payer: PHP Commercial |
$1,849.24
|
| Rate for Payer: PHP Commercial |
$2,773.86
|
| Rate for Payer: PHP Medicare Advantage |
$543.89
|
| Rate for Payer: PHP Medicare Advantage |
$815.84
|
| Rate for Payer: Priority Health Choice Medicaid |
$575.33
|
| Rate for Payer: Priority Health Choice Medicaid |
$383.55
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$2,839.13
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$1,892.75
|
| Rate for Payer: Priority Health Medicare |
$824.00
|
| Rate for Payer: Priority Health Medicare |
$549.33
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,514.20
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,271.31
|
| Rate for Payer: Railroad Medicare Medicare |
$543.89
|
| Rate for Payer: Railroad Medicare Medicare |
$815.84
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,914.51
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,871.77
|
| Rate for Payer: UHC Core |
$2,724.91
|
| Rate for Payer: UHC Core |
$1,816.61
|
| Rate for Payer: UHC Exchange |
$815.84
|
| Rate for Payer: UHC Exchange |
$543.89
|
| Rate for Payer: UHC Medicaid |
$575.33
|
| Rate for Payer: UHC Medicaid |
$383.55
|
| Rate for Payer: UHC Medicare Advantage |
$543.89
|
| Rate for Payer: UHC Medicare Advantage |
$815.84
|
| Rate for Payer: UHCCP Medicaid |
$383.55
|
| Rate for Payer: UHCCP Medicaid |
$575.33
|
| Rate for Payer: VA VA |
$543.89
|
| Rate for Payer: VA VA |
$815.84
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,447.53
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,631.68
|
|
|
HC MR LOWER EXTREM NO JOINT WO W CON
|
Facility
|
IP
|
$3,090.29
|
|
|
Service Code
|
CPT 73720
|
| Hospital Charge Code |
61000033
|
|
Hospital Revenue Code
|
610
|
| Min. Negotiated Rate |
$2,150.84 |
| Max. Negotiated Rate |
$2,781.26 |
| Rate for Payer: Aetna Commercial |
$2,626.75
|
| Rate for Payer: Aetna Commercial |
$3,940.12
|
| Rate for Payer: BCBS Trust/PPO |
$2,552.27
|
| Rate for Payer: BCBS Trust/PPO |
$3,828.41
|
| Rate for Payer: BCN Commercial |
$2,552.27
|
| Rate for Payer: BCN Commercial |
$3,828.41
|
| Rate for Payer: Cash Price |
$2,472.23
|
| Rate for Payer: Cash Price |
$3,708.35
|
| Rate for Payer: Cofinity Commercial |
$3,986.48
|
| Rate for Payer: Cofinity Commercial |
$2,657.65
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,708.35
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,472.23
|
| Rate for Payer: Healthscope Commercial |
$2,781.26
|
| Rate for Payer: Healthscope Commercial |
$4,171.90
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,317.72
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$3,476.58
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,626.75
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,940.12
|
| Rate for Payer: Nomi Health Commercial |
$2,534.04
|
| Rate for Payer: Nomi Health Commercial |
$3,801.06
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,317.72
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$3,476.58
|
| Rate for Payer: PHP Commercial |
$3,940.12
|
| Rate for Payer: PHP Commercial |
$2,626.75
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$4,032.83
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$2,688.55
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,150.84
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$3,226.27
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,719.46
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$4,079.19
|
| Rate for Payer: UHC Core |
$2,580.39
|
| Rate for Payer: UHC Core |
$3,870.59
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,317.72
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$3,476.58
|
|
|
HC MR LOWER EXTREM NO JOINT WO W CON
|
Facility
|
OP
|
$3,090.29
|
|
|
Service Code
|
CPT 73720
|
| Hospital Charge Code |
61000033
|
|
Hospital Revenue Code
|
610
|
| Min. Negotiated Rate |
$544.82 |
| Max. Negotiated Rate |
$2,781.26 |
| Rate for Payer: Aetna Commercial |
$2,626.75
|
| Rate for Payer: Aetna Commercial |
$3,940.12
|
| Rate for Payer: Aetna Medicare |
$1,205.21
|
| Rate for Payer: Aetna Medicare |
$803.48
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,448.58
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$965.72
|
| Rate for Payer: Amish Plain Church Group Commercial |
$965.72
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1,448.58
|
| Rate for Payer: BCBS Complete |
$572.01
|
| Rate for Payer: BCBS Complete |
$858.02
|
| Rate for Payer: BCBS MAPPO |
$772.57
|
| Rate for Payer: BCBS MAPPO |
$1,158.86
|
| Rate for Payer: BCBS Trust/PPO |
$2,540.53
|
| Rate for Payer: BCBS Trust/PPO |
$3,810.80
|
| Rate for Payer: BCN Commercial |
$3,810.80
|
| Rate for Payer: BCN Commercial |
$2,540.53
|
| Rate for Payer: BCN Medicare Advantage |
$1,158.86
|
| Rate for Payer: BCN Medicare Advantage |
$772.57
|
| Rate for Payer: Cash Price |
$2,472.23
|
| Rate for Payer: Cash Price |
$3,708.35
|
| Rate for Payer: Cofinity Commercial |
$2,657.65
|
| Rate for Payer: Cofinity Commercial |
$3,986.48
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,708.35
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,472.23
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,158.86
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$772.57
|
| Rate for Payer: Healthscope Commercial |
$2,781.26
|
| Rate for Payer: Healthscope Commercial |
$4,171.90
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,317.72
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$3,476.58
|
| Rate for Payer: Mclaren Medicaid |
$817.23
|
| Rate for Payer: Mclaren Medicaid |
$544.82
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,216.80
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$811.20
|
| Rate for Payer: Meridian Medicaid |
$572.01
|
| Rate for Payer: Meridian Medicaid |
$858.02
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,332.69
|
| Rate for Payer: MI Amish Medical Board Commercial |
$888.46
|
| Rate for Payer: Molina Medicare/Medicaid |
$1,274.75
|
| Rate for Payer: Molina Medicare/Medicaid |
$849.83
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,940.12
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,626.75
|
| Rate for Payer: Nomi Health Commercial |
$3,801.06
|
| Rate for Payer: Nomi Health Commercial |
$2,534.04
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,317.72
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$3,476.58
|
| Rate for Payer: PACE Senior Care Partners |
$1,100.92
|
| Rate for Payer: PACE Senior Care Partners |
$733.94
|
| Rate for Payer: PACE SWMI |
$1,158.86
|
| Rate for Payer: PACE SWMI |
$772.57
|
| Rate for Payer: PHP Commercial |
$2,626.75
|
| Rate for Payer: PHP Commercial |
$3,940.12
|
| Rate for Payer: PHP Medicare Advantage |
$772.57
|
| Rate for Payer: PHP Medicare Advantage |
$1,158.86
|
| Rate for Payer: Priority Health Choice Medicaid |
$817.23
|
| Rate for Payer: Priority Health Choice Medicaid |
$544.82
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$4,032.83
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$2,688.55
|
| Rate for Payer: Priority Health Medicare |
$1,170.45
|
| Rate for Payer: Priority Health Medicare |
$780.30
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,150.84
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$3,226.27
|
| Rate for Payer: Railroad Medicare Medicare |
$772.57
|
| Rate for Payer: Railroad Medicare Medicare |
$1,158.86
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,719.46
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$4,079.19
|
| Rate for Payer: UHC Core |
$3,870.59
|
| Rate for Payer: UHC Core |
$2,580.39
|
| Rate for Payer: UHC Exchange |
$1,158.86
|
| Rate for Payer: UHC Exchange |
$772.57
|
| Rate for Payer: UHC Medicaid |
$817.23
|
| Rate for Payer: UHC Medicaid |
$544.82
|
| Rate for Payer: UHC Medicare Advantage |
$772.57
|
| Rate for Payer: UHC Medicare Advantage |
$1,158.86
|
| Rate for Payer: UHCCP Medicaid |
$544.82
|
| Rate for Payer: UHCCP Medicaid |
$817.23
|
| Rate for Payer: VA VA |
$772.57
|
| Rate for Payer: VA VA |
$1,158.86
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$3,476.58
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,317.72
|
|
|
HC MR MRA ABDOMEN W CON
|
Facility
|
OP
|
$2,297.10
|
|
|
Service Code
|
HCPCS C8900
|
| Hospital Charge Code |
61000060
|
|
Hospital Revenue Code
|
610
|
| Min. Negotiated Rate |
$404.98 |
| Max. Negotiated Rate |
$2,067.39 |
| Rate for Payer: Aetna Commercial |
$1,952.54
|
| Rate for Payer: Aetna Medicare |
$597.25
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$717.84
|
| Rate for Payer: Amish Plain Church Group Commercial |
$717.84
|
| Rate for Payer: BCBS Complete |
$425.19
|
| Rate for Payer: BCBS MAPPO |
$574.27
|
| Rate for Payer: BCBS Trust/PPO |
$1,888.45
|
| Rate for Payer: BCN Commercial |
$1,888.45
|
| Rate for Payer: BCN Medicare Advantage |
$574.27
|
| Rate for Payer: Cash Price |
$1,837.68
|
| Rate for Payer: Cofinity Commercial |
$1,975.51
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,837.68
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$574.27
|
| Rate for Payer: Healthscope Commercial |
$2,067.39
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,722.83
|
| Rate for Payer: Mclaren Medicaid |
$404.98
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$602.99
|
| Rate for Payer: Meridian Medicaid |
$425.19
|
| Rate for Payer: MI Amish Medical Board Commercial |
$660.42
|
| Rate for Payer: Molina Medicare/Medicaid |
$631.70
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,952.54
|
| Rate for Payer: Nomi Health Commercial |
$1,883.62
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,722.83
|
| Rate for Payer: PACE Senior Care Partners |
$545.56
|
| Rate for Payer: PACE SWMI |
$574.27
|
| Rate for Payer: PHP Commercial |
$1,952.54
|
| Rate for Payer: PHP Medicare Advantage |
$574.27
|
| Rate for Payer: Priority Health Choice Medicaid |
$404.98
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$1,998.48
|
| Rate for Payer: Priority Health Medicare |
$580.02
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,598.78
|
| Rate for Payer: Railroad Medicare Medicare |
$574.27
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,021.45
|
| Rate for Payer: UHC Core |
$1,918.08
|
| Rate for Payer: UHC Exchange |
$574.27
|
| Rate for Payer: UHC Medicaid |
$404.98
|
| Rate for Payer: UHC Medicare Advantage |
$574.27
|
| Rate for Payer: UHCCP Medicaid |
$404.98
|
| Rate for Payer: VA VA |
$574.27
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,722.83
|
|
|
HC MR MRA ABDOMEN W CON
|
Facility
|
IP
|
$2,297.10
|
|
|
Service Code
|
HCPCS C8900
|
| Hospital Charge Code |
61000060
|
|
Hospital Revenue Code
|
610
|
| Min. Negotiated Rate |
$1,598.78 |
| Max. Negotiated Rate |
$2,067.39 |
| Rate for Payer: Aetna Commercial |
$1,952.54
|
| Rate for Payer: BCBS Trust/PPO |
$1,897.17
|
| Rate for Payer: BCN Commercial |
$1,897.17
|
| Rate for Payer: Cash Price |
$1,837.68
|
| Rate for Payer: Cofinity Commercial |
$1,975.51
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,837.68
|
| Rate for Payer: Healthscope Commercial |
$2,067.39
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,722.83
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,952.54
|
| Rate for Payer: Nomi Health Commercial |
$1,883.62
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,722.83
|
| Rate for Payer: PHP Commercial |
$1,952.54
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$1,998.48
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,598.78
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,021.45
|
| Rate for Payer: UHC Core |
$1,918.08
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,722.83
|
|
|
HC MR MRA ABDOMEN WO CON
|
Facility
|
IP
|
$2,153.63
|
|
|
Service Code
|
HCPCS C8901
|
| Hospital Charge Code |
61000061
|
|
Hospital Revenue Code
|
610
|
| Min. Negotiated Rate |
$1,498.93 |
| Max. Negotiated Rate |
$1,938.27 |
| Rate for Payer: Aetna Commercial |
$1,830.59
|
| Rate for Payer: BCBS Trust/PPO |
$1,778.68
|
| Rate for Payer: BCN Commercial |
$1,778.68
|
| Rate for Payer: Cash Price |
$1,722.90
|
| Rate for Payer: Cofinity Commercial |
$1,852.12
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,722.90
|
| Rate for Payer: Healthscope Commercial |
$1,938.27
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,615.22
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,830.59
|
| Rate for Payer: Nomi Health Commercial |
$1,765.98
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,615.22
|
| Rate for Payer: PHP Commercial |
$1,830.59
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$1,873.66
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,498.93
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,895.19
|
| Rate for Payer: UHC Core |
$1,798.28
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,615.22
|
|
|
HC MR MRA ABDOMEN WO CON
|
Facility
|
OP
|
$2,153.63
|
|
|
Service Code
|
HCPCS C8901
|
| Hospital Charge Code |
61000061
|
|
Hospital Revenue Code
|
610
|
| Min. Negotiated Rate |
$379.68 |
| Max. Negotiated Rate |
$1,938.27 |
| Rate for Payer: Aetna Commercial |
$1,830.59
|
| Rate for Payer: Aetna Medicare |
$559.94
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$673.01
|
| Rate for Payer: Amish Plain Church Group Commercial |
$673.01
|
| Rate for Payer: BCBS Complete |
$398.64
|
| Rate for Payer: BCBS MAPPO |
$538.41
|
| Rate for Payer: BCBS Trust/PPO |
$1,770.50
|
| Rate for Payer: BCN Commercial |
$1,770.50
|
| Rate for Payer: BCN Medicare Advantage |
$538.41
|
| Rate for Payer: Cash Price |
$1,722.90
|
| Rate for Payer: Cofinity Commercial |
$1,852.12
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,722.90
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$538.41
|
| Rate for Payer: Healthscope Commercial |
$1,938.27
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,615.22
|
| Rate for Payer: Mclaren Medicaid |
$379.68
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$565.33
|
| Rate for Payer: Meridian Medicaid |
$398.64
|
| Rate for Payer: MI Amish Medical Board Commercial |
$619.17
|
| Rate for Payer: Molina Medicare/Medicaid |
$592.25
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,830.59
|
| Rate for Payer: Nomi Health Commercial |
$1,765.98
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,615.22
|
| Rate for Payer: PACE Senior Care Partners |
$511.49
|
| Rate for Payer: PACE SWMI |
$538.41
|
| Rate for Payer: PHP Commercial |
$1,830.59
|
| Rate for Payer: PHP Medicare Advantage |
$538.41
|
| Rate for Payer: Priority Health Choice Medicaid |
$379.68
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$1,873.66
|
| Rate for Payer: Priority Health Medicare |
$543.79
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,498.93
|
| Rate for Payer: Railroad Medicare Medicare |
$538.41
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,895.19
|
| Rate for Payer: UHC Core |
$1,798.28
|
| Rate for Payer: UHC Exchange |
$538.41
|
| Rate for Payer: UHC Medicaid |
$379.68
|
| Rate for Payer: UHC Medicare Advantage |
$538.41
|
| Rate for Payer: UHCCP Medicaid |
$379.68
|
| Rate for Payer: VA VA |
$538.41
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,615.22
|
|
|
HC MR MRA ABDOMEN WO W CON
|
Facility
|
OP
|
$2,782.39
|
|
|
Service Code
|
HCPCS C8902
|
| Hospital Charge Code |
61000062
|
|
Hospital Revenue Code
|
610
|
| Min. Negotiated Rate |
$490.54 |
| Max. Negotiated Rate |
$2,504.15 |
| Rate for Payer: Aetna Commercial |
$2,365.03
|
| Rate for Payer: Aetna Medicare |
$723.42
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$869.50
|
| Rate for Payer: Amish Plain Church Group Commercial |
$869.50
|
| Rate for Payer: BCBS Complete |
$515.02
|
| Rate for Payer: BCBS MAPPO |
$695.60
|
| Rate for Payer: BCBS Trust/PPO |
$2,287.40
|
| Rate for Payer: BCN Commercial |
$2,287.40
|
| Rate for Payer: BCN Medicare Advantage |
$695.60
|
| Rate for Payer: Cash Price |
$2,225.91
|
| Rate for Payer: Cofinity Commercial |
$2,392.86
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,225.91
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$695.60
|
| Rate for Payer: Healthscope Commercial |
$2,504.15
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,086.79
|
| Rate for Payer: Mclaren Medicaid |
$490.54
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$730.38
|
| Rate for Payer: Meridian Medicaid |
$515.02
|
| Rate for Payer: MI Amish Medical Board Commercial |
$799.94
|
| Rate for Payer: Molina Medicare/Medicaid |
$765.16
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,365.03
|
| Rate for Payer: Nomi Health Commercial |
$2,281.56
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,086.79
|
| Rate for Payer: PACE Senior Care Partners |
$660.82
|
| Rate for Payer: PACE SWMI |
$695.60
|
| Rate for Payer: PHP Commercial |
$2,365.03
|
| Rate for Payer: PHP Medicare Advantage |
$695.60
|
| Rate for Payer: Priority Health Choice Medicaid |
$490.54
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$2,420.68
|
| Rate for Payer: Priority Health Medicare |
$702.55
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,936.54
|
| Rate for Payer: Railroad Medicare Medicare |
$695.60
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,448.50
|
| Rate for Payer: UHC Core |
$2,323.30
|
| Rate for Payer: UHC Exchange |
$695.60
|
| Rate for Payer: UHC Medicaid |
$490.54
|
| Rate for Payer: UHC Medicare Advantage |
$695.60
|
| Rate for Payer: UHCCP Medicaid |
$490.54
|
| Rate for Payer: VA VA |
$695.60
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,086.79
|
|
|
HC MR MRA ABDOMEN WO W CON
|
Facility
|
IP
|
$2,782.39
|
|
|
Service Code
|
HCPCS C8902
|
| Hospital Charge Code |
61000062
|
|
Hospital Revenue Code
|
610
|
| Min. Negotiated Rate |
$1,936.54 |
| Max. Negotiated Rate |
$2,504.15 |
| Rate for Payer: Aetna Commercial |
$2,365.03
|
| Rate for Payer: BCBS Trust/PPO |
$2,297.98
|
| Rate for Payer: BCN Commercial |
$2,297.98
|
| Rate for Payer: Cash Price |
$2,225.91
|
| Rate for Payer: Cofinity Commercial |
$2,392.86
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,225.91
|
| Rate for Payer: Healthscope Commercial |
$2,504.15
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,086.79
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,365.03
|
| Rate for Payer: Nomi Health Commercial |
$2,281.56
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,086.79
|
| Rate for Payer: PHP Commercial |
$2,365.03
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$2,420.68
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,936.54
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,448.50
|
| Rate for Payer: UHC Core |
$2,323.30
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,086.79
|
|
|
HC MR MRA CHEST W CON
|
Facility
|
IP
|
$2,297.10
|
|
|
Service Code
|
HCPCS C8909
|
| Hospital Charge Code |
61000063
|
|
Hospital Revenue Code
|
610
|
| Min. Negotiated Rate |
$1,598.78 |
| Max. Negotiated Rate |
$2,067.39 |
| Rate for Payer: Aetna Commercial |
$1,952.54
|
| Rate for Payer: BCBS Trust/PPO |
$1,897.17
|
| Rate for Payer: BCN Commercial |
$1,897.17
|
| Rate for Payer: Cash Price |
$1,837.68
|
| Rate for Payer: Cofinity Commercial |
$1,975.51
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,837.68
|
| Rate for Payer: Healthscope Commercial |
$2,067.39
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,722.83
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,952.54
|
| Rate for Payer: Nomi Health Commercial |
$1,883.62
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,722.83
|
| Rate for Payer: PHP Commercial |
$1,952.54
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$1,998.48
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,598.78
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,021.45
|
| Rate for Payer: UHC Core |
$1,918.08
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,722.83
|
|
|
HC MR MRA CHEST W CON
|
Facility
|
OP
|
$2,297.10
|
|
|
Service Code
|
HCPCS C8909
|
| Hospital Charge Code |
61000063
|
|
Hospital Revenue Code
|
610
|
| Min. Negotiated Rate |
$404.98 |
| Max. Negotiated Rate |
$2,067.39 |
| Rate for Payer: Aetna Commercial |
$1,952.54
|
| Rate for Payer: Aetna Medicare |
$597.25
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$717.84
|
| Rate for Payer: Amish Plain Church Group Commercial |
$717.84
|
| Rate for Payer: BCBS Complete |
$425.19
|
| Rate for Payer: BCBS MAPPO |
$574.27
|
| Rate for Payer: BCBS Trust/PPO |
$1,888.45
|
| Rate for Payer: BCN Commercial |
$1,888.45
|
| Rate for Payer: BCN Medicare Advantage |
$574.27
|
| Rate for Payer: Cash Price |
$1,837.68
|
| Rate for Payer: Cofinity Commercial |
$1,975.51
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,837.68
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$574.27
|
| Rate for Payer: Healthscope Commercial |
$2,067.39
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,722.83
|
| Rate for Payer: Mclaren Medicaid |
$404.98
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$602.99
|
| Rate for Payer: Meridian Medicaid |
$425.19
|
| Rate for Payer: MI Amish Medical Board Commercial |
$660.42
|
| Rate for Payer: Molina Medicare/Medicaid |
$631.70
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,952.54
|
| Rate for Payer: Nomi Health Commercial |
$1,883.62
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,722.83
|
| Rate for Payer: PACE Senior Care Partners |
$545.56
|
| Rate for Payer: PACE SWMI |
$574.27
|
| Rate for Payer: PHP Commercial |
$1,952.54
|
| Rate for Payer: PHP Medicare Advantage |
$574.27
|
| Rate for Payer: Priority Health Choice Medicaid |
$404.98
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$1,998.48
|
| Rate for Payer: Priority Health Medicare |
$580.02
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,598.78
|
| Rate for Payer: Railroad Medicare Medicare |
$574.27
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,021.45
|
| Rate for Payer: UHC Core |
$1,918.08
|
| Rate for Payer: UHC Exchange |
$574.27
|
| Rate for Payer: UHC Medicaid |
$404.98
|
| Rate for Payer: UHC Medicare Advantage |
$574.27
|
| Rate for Payer: UHCCP Medicaid |
$404.98
|
| Rate for Payer: VA VA |
$574.27
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,722.83
|
|
