|
HC MR MRA CHEST WO CON
|
Facility
|
OP
|
$2,153.63
|
|
|
Service Code
|
HCPCS C8910
|
| Hospital Charge Code |
61000064
|
|
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 CHEST WO CON
|
Facility
|
IP
|
$2,153.63
|
|
|
Service Code
|
HCPCS C8910
|
| Hospital Charge Code |
61000064
|
|
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 CHEST WO W CON
|
Facility
|
OP
|
$2,782.39
|
|
|
Service Code
|
HCPCS C8911
|
| Hospital Charge Code |
61000065
|
|
Hospital Revenue Code
|
618
|
| 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 CHEST WO W CON
|
Facility
|
IP
|
$2,782.39
|
|
|
Service Code
|
HCPCS C8911
|
| Hospital Charge Code |
61000065
|
|
Hospital Revenue Code
|
618
|
| 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 LOWR EXTREM BIL W CON
|
Facility
|
OP
|
$2,440.78
|
|
|
Service Code
|
HCPCS C8912
|
| Hospital Charge Code |
61000066
|
|
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 MRA LOWR EXTREM BIL W CON
|
Facility
|
IP
|
$2,440.78
|
|
|
Service Code
|
HCPCS C8912
|
| Hospital Charge Code |
61000066
|
|
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 MRA LOWR EXTREM BIL WO CON
|
Facility
|
OP
|
$2,225.42
|
|
|
Service Code
|
HCPCS C8913
|
| Hospital Charge Code |
61000067
|
|
Hospital Revenue Code
|
610
|
| Min. Negotiated Rate |
$392.34 |
| Max. Negotiated Rate |
$2,002.88 |
| Rate for Payer: Aetna Commercial |
$1,891.61
|
| Rate for Payer: Aetna Medicare |
$578.61
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$695.44
|
| Rate for Payer: Amish Plain Church Group Commercial |
$695.44
|
| Rate for Payer: BCBS Complete |
$411.93
|
| Rate for Payer: BCBS MAPPO |
$556.36
|
| Rate for Payer: BCBS Trust/PPO |
$1,829.52
|
| Rate for Payer: BCN Commercial |
$1,829.52
|
| Rate for Payer: BCN Medicare Advantage |
$556.36
|
| Rate for Payer: Cash Price |
$1,780.34
|
| Rate for Payer: Cofinity Commercial |
$1,913.86
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,780.34
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$556.36
|
| Rate for Payer: Healthscope Commercial |
$2,002.88
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,669.07
|
| Rate for Payer: Mclaren Medicaid |
$392.34
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$584.17
|
| Rate for Payer: Meridian Medicaid |
$411.93
|
| Rate for Payer: MI Amish Medical Board Commercial |
$639.81
|
| Rate for Payer: Molina Medicare/Medicaid |
$611.99
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,891.61
|
| Rate for Payer: Nomi Health Commercial |
$1,824.84
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,669.07
|
| Rate for Payer: PACE Senior Care Partners |
$528.54
|
| Rate for Payer: PACE SWMI |
$556.36
|
| Rate for Payer: PHP Commercial |
$1,891.61
|
| Rate for Payer: PHP Medicare Advantage |
$556.36
|
| Rate for Payer: Priority Health Choice Medicaid |
$392.34
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$1,936.12
|
| Rate for Payer: Priority Health Medicare |
$561.92
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,548.89
|
| Rate for Payer: Railroad Medicare Medicare |
$556.36
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,958.37
|
| Rate for Payer: UHC Core |
$1,858.23
|
| Rate for Payer: UHC Exchange |
$556.36
|
| Rate for Payer: UHC Medicaid |
$392.34
|
| Rate for Payer: UHC Medicare Advantage |
$556.36
|
| Rate for Payer: UHCCP Medicaid |
$392.34
|
| Rate for Payer: VA VA |
$556.36
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,669.07
|
|
|
HC MR MRA LOWR EXTREM BIL WO CON
|
Facility
|
IP
|
$2,225.42
|
|
|
Service Code
|
HCPCS C8913
|
| Hospital Charge Code |
61000067
|
|
Hospital Revenue Code
|
610
|
| Min. Negotiated Rate |
$1,548.89 |
| Max. Negotiated Rate |
$2,002.88 |
| Rate for Payer: Aetna Commercial |
$1,891.61
|
| Rate for Payer: BCBS Trust/PPO |
$1,837.97
|
| Rate for Payer: BCN Commercial |
$1,837.97
|
| Rate for Payer: Cash Price |
$1,780.34
|
| Rate for Payer: Cofinity Commercial |
$1,913.86
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,780.34
|
| Rate for Payer: Healthscope Commercial |
$2,002.88
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,669.07
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,891.61
|
| Rate for Payer: Nomi Health Commercial |
$1,824.84
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,669.07
|
| Rate for Payer: PHP Commercial |
$1,891.61
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$1,936.12
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,548.89
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,958.37
|
| Rate for Payer: UHC Core |
$1,858.23
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,669.07
|
|
|
HC MR MRA LOWR EXTREM BIL WO W
|
Facility
|
IP
|
$2,727.83
|
|
|
Service Code
|
HCPCS C8914
|
| Hospital Charge Code |
61000068
|
|
Hospital Revenue Code
|
610
|
| Min. Negotiated Rate |
$1,898.57 |
| Max. Negotiated Rate |
$2,455.05 |
| Rate for Payer: Aetna Commercial |
$2,318.66
|
| Rate for Payer: BCBS Trust/PPO |
$2,252.91
|
| Rate for Payer: BCN Commercial |
$2,252.91
|
| Rate for Payer: Cash Price |
$2,182.26
|
| Rate for Payer: Cofinity Commercial |
$2,345.93
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,182.26
|
| Rate for Payer: Healthscope Commercial |
$2,455.05
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,045.87
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,318.66
|
| Rate for Payer: Nomi Health Commercial |
$2,236.82
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,045.87
|
| Rate for Payer: PHP Commercial |
$2,318.66
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$2,373.21
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,898.57
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,400.49
|
| Rate for Payer: UHC Core |
$2,277.74
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,045.87
|
|
|
HC MR MRA LOWR EXTREM BIL WO W
|
Facility
|
OP
|
$2,727.83
|
|
|
Service Code
|
HCPCS C8914
|
| Hospital Charge Code |
61000068
|
|
Hospital Revenue Code
|
610
|
| Min. Negotiated Rate |
$480.92 |
| Max. Negotiated Rate |
$2,455.05 |
| Rate for Payer: Aetna Commercial |
$2,318.66
|
| Rate for Payer: Aetna Medicare |
$709.24
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$852.45
|
| Rate for Payer: Amish Plain Church Group Commercial |
$852.45
|
| Rate for Payer: BCBS Complete |
$504.92
|
| Rate for Payer: BCBS MAPPO |
$681.96
|
| Rate for Payer: BCBS Trust/PPO |
$2,242.55
|
| Rate for Payer: BCN Commercial |
$2,242.55
|
| Rate for Payer: BCN Medicare Advantage |
$681.96
|
| Rate for Payer: Cash Price |
$2,182.26
|
| Rate for Payer: Cofinity Commercial |
$2,345.93
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,182.26
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$681.96
|
| Rate for Payer: Healthscope Commercial |
$2,455.05
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,045.87
|
| Rate for Payer: Mclaren Medicaid |
$480.92
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$716.06
|
| Rate for Payer: Meridian Medicaid |
$504.92
|
| Rate for Payer: MI Amish Medical Board Commercial |
$784.25
|
| Rate for Payer: Molina Medicare/Medicaid |
$750.15
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,318.66
|
| Rate for Payer: Nomi Health Commercial |
$2,236.82
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,045.87
|
| Rate for Payer: PACE Senior Care Partners |
$647.86
|
| Rate for Payer: PACE SWMI |
$681.96
|
| Rate for Payer: PHP Commercial |
$2,318.66
|
| Rate for Payer: PHP Medicare Advantage |
$681.96
|
| Rate for Payer: Priority Health Choice Medicaid |
$480.92
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$2,373.21
|
| Rate for Payer: Priority Health Medicare |
$688.78
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,898.57
|
| Rate for Payer: Railroad Medicare Medicare |
$681.96
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,400.49
|
| Rate for Payer: UHC Core |
$2,277.74
|
| Rate for Payer: UHC Exchange |
$681.96
|
| Rate for Payer: UHC Medicaid |
$480.92
|
| Rate for Payer: UHC Medicare Advantage |
$681.96
|
| Rate for Payer: UHCCP Medicaid |
$480.92
|
| Rate for Payer: VA VA |
$681.96
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,045.87
|
|
|
HC MR MRA LOWR EXTREM W CON
|
Facility
|
OP
|
$2,297.09
|
|
|
Service Code
|
HCPCS C8912
|
| Hospital Charge Code |
61000069
|
|
Hospital Revenue Code
|
610
|
| Min. Negotiated Rate |
$404.98 |
| Max. Negotiated Rate |
$2,067.38 |
| Rate for Payer: Aetna Commercial |
$1,952.53
|
| Rate for Payer: Aetna Commercial |
$2,928.79
|
| Rate for Payer: Aetna Medicare |
$895.87
|
| Rate for Payer: Aetna Medicare |
$597.24
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,076.76
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$717.84
|
| Rate for Payer: Amish Plain Church Group Commercial |
$717.84
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1,076.76
|
| Rate for Payer: BCBS Complete |
$425.19
|
| Rate for Payer: BCBS Complete |
$637.79
|
| Rate for Payer: BCBS MAPPO |
$574.27
|
| Rate for Payer: BCBS MAPPO |
$861.41
|
| Rate for Payer: BCBS Trust/PPO |
$1,888.44
|
| Rate for Payer: BCBS Trust/PPO |
$2,832.66
|
| Rate for Payer: BCN Commercial |
$2,832.66
|
| Rate for Payer: BCN Commercial |
$1,888.44
|
| Rate for Payer: BCN Medicare Advantage |
$861.41
|
| Rate for Payer: BCN Medicare Advantage |
$574.27
|
| Rate for Payer: Cash Price |
$1,837.67
|
| Rate for Payer: Cash Price |
$2,756.51
|
| Rate for Payer: Cofinity Commercial |
$1,975.50
|
| Rate for Payer: Cofinity Commercial |
$2,963.25
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,756.51
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,837.67
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$861.41
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$574.27
|
| Rate for Payer: Healthscope Commercial |
$2,067.38
|
| Rate for Payer: Healthscope Commercial |
$3,101.08
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,722.82
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,584.23
|
| Rate for Payer: Mclaren Medicaid |
$607.47
|
| Rate for Payer: Mclaren Medicaid |
$404.98
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$904.48
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$602.99
|
| Rate for Payer: Meridian Medicaid |
$425.19
|
| Rate for Payer: Meridian Medicaid |
$637.79
|
| Rate for Payer: MI Amish Medical Board Commercial |
$990.62
|
| Rate for Payer: MI Amish Medical Board Commercial |
$660.41
|
| Rate for Payer: Molina Medicare/Medicaid |
$947.55
|
| Rate for Payer: Molina Medicare/Medicaid |
$631.70
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,928.79
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,952.53
|
| Rate for Payer: Nomi Health Commercial |
$2,825.42
|
| Rate for Payer: Nomi Health Commercial |
$1,883.61
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,722.82
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,584.23
|
| Rate for Payer: PACE Senior Care Partners |
$818.34
|
| Rate for Payer: PACE Senior Care Partners |
$545.56
|
| Rate for Payer: PACE SWMI |
$861.41
|
| Rate for Payer: PACE SWMI |
$574.27
|
| Rate for Payer: PHP Commercial |
$1,952.53
|
| Rate for Payer: PHP Commercial |
$2,928.79
|
| Rate for Payer: PHP Medicare Advantage |
$574.27
|
| Rate for Payer: PHP Medicare Advantage |
$861.41
|
| Rate for Payer: Priority Health Choice Medicaid |
$607.47
|
| Rate for Payer: Priority Health Choice Medicaid |
$404.98
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$2,997.71
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$1,998.47
|
| Rate for Payer: Priority Health Medicare |
$870.02
|
| Rate for Payer: Priority Health Medicare |
$580.02
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,598.77
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,398.17
|
| Rate for Payer: Railroad Medicare Medicare |
$574.27
|
| Rate for Payer: Railroad Medicare Medicare |
$861.41
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,021.44
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$3,032.16
|
| Rate for Payer: UHC Core |
$2,877.11
|
| Rate for Payer: UHC Core |
$1,918.07
|
| Rate for Payer: UHC Exchange |
$861.41
|
| Rate for Payer: UHC Exchange |
$574.27
|
| Rate for Payer: UHC Medicaid |
$607.47
|
| Rate for Payer: UHC Medicaid |
$404.98
|
| Rate for Payer: UHC Medicare Advantage |
$574.27
|
| Rate for Payer: UHC Medicare Advantage |
$861.41
|
| Rate for Payer: UHCCP Medicaid |
$404.98
|
| Rate for Payer: UHCCP Medicaid |
$607.47
|
| Rate for Payer: VA VA |
$574.27
|
| Rate for Payer: VA VA |
$861.41
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,584.23
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,722.82
|
|
|
HC MR MRA LOWR EXTREM W CON
|
Facility
|
IP
|
$2,297.09
|
|
|
Service Code
|
HCPCS C8912
|
| Hospital Charge Code |
61000069
|
|
Hospital Revenue Code
|
610
|
| Min. Negotiated Rate |
$1,598.77 |
| Max. Negotiated Rate |
$2,067.38 |
| Rate for Payer: Aetna Commercial |
$1,952.53
|
| Rate for Payer: Aetna Commercial |
$2,928.79
|
| Rate for Payer: BCBS Trust/PPO |
$1,897.17
|
| Rate for Payer: BCBS Trust/PPO |
$2,845.75
|
| Rate for Payer: BCN Commercial |
$1,897.17
|
| Rate for Payer: BCN Commercial |
$2,845.75
|
| Rate for Payer: Cash Price |
$1,837.67
|
| Rate for Payer: Cash Price |
$2,756.51
|
| Rate for Payer: Cofinity Commercial |
$2,963.25
|
| Rate for Payer: Cofinity Commercial |
$1,975.50
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,756.51
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,837.67
|
| Rate for Payer: Healthscope Commercial |
$2,067.38
|
| Rate for Payer: Healthscope Commercial |
$3,101.08
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,722.82
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,584.23
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,952.53
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,928.79
|
| Rate for Payer: Nomi Health Commercial |
$1,883.61
|
| Rate for Payer: Nomi Health Commercial |
$2,825.42
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,722.82
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,584.23
|
| Rate for Payer: PHP Commercial |
$2,928.79
|
| Rate for Payer: PHP Commercial |
$1,952.53
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$2,997.71
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$1,998.47
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,598.77
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,398.17
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,021.44
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$3,032.16
|
| Rate for Payer: UHC Core |
$1,918.07
|
| Rate for Payer: UHC Core |
$2,877.11
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,722.82
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,584.23
|
|
|
HC MR MRA LOWR EXTREM WO CON
|
Facility
|
OP
|
$2,153.63
|
|
|
Service Code
|
HCPCS C8913
|
| Hospital Charge Code |
61000070
|
|
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 Commercial |
$2,745.87
|
| Rate for Payer: Aetna Medicare |
$839.91
|
| Rate for Payer: Aetna Medicare |
$559.94
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,009.51
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$673.01
|
| Rate for Payer: Amish Plain Church Group Commercial |
$673.01
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1,009.51
|
| Rate for Payer: BCBS Complete |
$398.64
|
| Rate for Payer: BCBS Complete |
$597.95
|
| Rate for Payer: BCBS MAPPO |
$538.41
|
| Rate for Payer: BCBS MAPPO |
$807.61
|
| Rate for Payer: BCBS Trust/PPO |
$1,770.50
|
| Rate for Payer: BCBS Trust/PPO |
$2,655.74
|
| Rate for Payer: BCN Commercial |
$2,655.74
|
| Rate for Payer: BCN Commercial |
$1,770.50
|
| Rate for Payer: BCN Medicare Advantage |
$807.61
|
| Rate for Payer: BCN Medicare Advantage |
$538.41
|
| Rate for Payer: Cash Price |
$1,722.90
|
| Rate for Payer: Cash Price |
$2,584.35
|
| Rate for Payer: Cofinity Commercial |
$1,852.12
|
| Rate for Payer: Cofinity Commercial |
$2,778.18
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,584.35
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,722.90
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$807.61
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$538.41
|
| Rate for Payer: Healthscope Commercial |
$1,938.27
|
| Rate for Payer: Healthscope Commercial |
$2,907.40
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,615.22
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,422.83
|
| Rate for Payer: Mclaren Medicaid |
$569.53
|
| Rate for Payer: Mclaren Medicaid |
$379.68
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$847.99
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$565.33
|
| Rate for Payer: Meridian Medicaid |
$398.64
|
| Rate for Payer: Meridian Medicaid |
$597.95
|
| Rate for Payer: MI Amish Medical Board Commercial |
$928.75
|
| Rate for Payer: MI Amish Medical Board Commercial |
$619.17
|
| Rate for Payer: Molina Medicare/Medicaid |
$888.37
|
| Rate for Payer: Molina Medicare/Medicaid |
$592.25
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,745.87
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,830.59
|
| Rate for Payer: Nomi Health Commercial |
$2,648.96
|
| Rate for Payer: Nomi Health Commercial |
$1,765.98
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,615.22
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,422.83
|
| Rate for Payer: PACE Senior Care Partners |
$767.23
|
| Rate for Payer: PACE Senior Care Partners |
$511.49
|
| Rate for Payer: PACE SWMI |
$807.61
|
| Rate for Payer: PACE SWMI |
$538.41
|
| Rate for Payer: PHP Commercial |
$1,830.59
|
| Rate for Payer: PHP Commercial |
$2,745.87
|
| Rate for Payer: PHP Medicare Advantage |
$538.41
|
| Rate for Payer: PHP Medicare Advantage |
$807.61
|
| Rate for Payer: Priority Health Choice Medicaid |
$569.53
|
| Rate for Payer: Priority Health Choice Medicaid |
$379.68
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$2,810.48
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$1,873.66
|
| Rate for Payer: Priority Health Medicare |
$815.69
|
| Rate for Payer: Priority Health Medicare |
$543.79
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,498.93
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,248.39
|
| Rate for Payer: Railroad Medicare Medicare |
$538.41
|
| Rate for Payer: Railroad Medicare Medicare |
$807.61
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,895.19
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,842.79
|
| Rate for Payer: UHC Core |
$2,697.42
|
| Rate for Payer: UHC Core |
$1,798.28
|
| Rate for Payer: UHC Exchange |
$807.61
|
| Rate for Payer: UHC Exchange |
$538.41
|
| Rate for Payer: UHC Medicaid |
$569.53
|
| Rate for Payer: UHC Medicaid |
$379.68
|
| Rate for Payer: UHC Medicare Advantage |
$538.41
|
| Rate for Payer: UHC Medicare Advantage |
$807.61
|
| Rate for Payer: UHCCP Medicaid |
$379.68
|
| Rate for Payer: UHCCP Medicaid |
$569.53
|
| Rate for Payer: VA VA |
$538.41
|
| Rate for Payer: VA VA |
$807.61
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,422.83
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,615.22
|
|
|
HC MR MRA LOWR EXTREM WO CON
|
Facility
|
IP
|
$2,153.63
|
|
|
Service Code
|
HCPCS C8913
|
| Hospital Charge Code |
61000070
|
|
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: Aetna Commercial |
$2,745.87
|
| Rate for Payer: BCBS Trust/PPO |
$1,778.68
|
| Rate for Payer: BCBS Trust/PPO |
$2,668.02
|
| Rate for Payer: BCN Commercial |
$1,778.68
|
| Rate for Payer: BCN Commercial |
$2,668.02
|
| Rate for Payer: Cash Price |
$1,722.90
|
| Rate for Payer: Cash Price |
$2,584.35
|
| Rate for Payer: Cofinity Commercial |
$2,778.18
|
| Rate for Payer: Cofinity Commercial |
$1,852.12
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,584.35
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,722.90
|
| Rate for Payer: Healthscope Commercial |
$1,938.27
|
| Rate for Payer: Healthscope Commercial |
$2,907.40
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,615.22
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,422.83
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,830.59
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,745.87
|
| Rate for Payer: Nomi Health Commercial |
$1,765.98
|
| Rate for Payer: Nomi Health Commercial |
$2,648.96
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,615.22
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,422.83
|
| Rate for Payer: PHP Commercial |
$2,745.87
|
| Rate for Payer: PHP Commercial |
$1,830.59
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$2,810.48
|
| 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: Priority Health Narrow/Tiered Network |
$2,248.39
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,895.19
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,842.79
|
| Rate for Payer: UHC Core |
$1,798.28
|
| Rate for Payer: UHC Core |
$2,697.42
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,615.22
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,422.83
|
|
|
HC MR MRA LOWR EXTREM WO W
|
Facility
|
OP
|
$2,584.24
|
|
|
Service Code
|
HCPCS C8914
|
| Hospital Charge Code |
61000071
|
|
Hospital Revenue Code
|
610
|
| Min. Negotiated Rate |
$455.60 |
| 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: Aetna Medicare |
$1,007.86
|
| Rate for Payer: Aetna Medicare |
$671.90
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,211.37
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$807.58
|
| Rate for Payer: Amish Plain Church Group Commercial |
$807.58
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1,211.37
|
| Rate for Payer: BCBS Complete |
$478.34
|
| Rate for Payer: BCBS Complete |
$717.52
|
| Rate for Payer: BCBS MAPPO |
$646.06
|
| Rate for Payer: BCBS MAPPO |
$969.09
|
| Rate for Payer: BCBS Trust/PPO |
$2,124.50
|
| Rate for Payer: BCBS Trust/PPO |
$3,186.76
|
| Rate for Payer: BCN Commercial |
$3,186.76
|
| Rate for Payer: BCN Commercial |
$2,124.50
|
| Rate for Payer: BCN Medicare Advantage |
$969.09
|
| Rate for Payer: BCN Medicare Advantage |
$646.06
|
| Rate for Payer: Cash Price |
$2,067.39
|
| Rate for Payer: Cash Price |
$3,101.10
|
| Rate for Payer: Cofinity Commercial |
$2,222.45
|
| Rate for Payer: Cofinity Commercial |
$3,333.68
|
| 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: Health Alliance Plan Medicare Advantage |
$969.09
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$646.06
|
| 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: Mclaren Medicaid |
$683.40
|
| Rate for Payer: Mclaren Medicaid |
$455.60
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,017.55
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$678.36
|
| Rate for Payer: Meridian Medicaid |
$478.34
|
| Rate for Payer: Meridian Medicaid |
$717.52
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,114.46
|
| Rate for Payer: MI Amish Medical Board Commercial |
$742.97
|
| Rate for Payer: Molina Medicare/Medicaid |
$1,066.00
|
| Rate for Payer: Molina Medicare/Medicaid |
$710.67
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,294.91
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,196.60
|
| Rate for Payer: Nomi Health Commercial |
$3,178.62
|
| Rate for Payer: Nomi Health Commercial |
$2,119.08
|
| 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: PACE Senior Care Partners |
$920.64
|
| Rate for Payer: PACE Senior Care Partners |
$613.76
|
| Rate for Payer: PACE SWMI |
$969.09
|
| Rate for Payer: PACE SWMI |
$646.06
|
| Rate for Payer: PHP Commercial |
$2,196.60
|
| Rate for Payer: PHP Commercial |
$3,294.91
|
| Rate for Payer: PHP Medicare Advantage |
$646.06
|
| Rate for Payer: PHP Medicare Advantage |
$969.09
|
| Rate for Payer: Priority Health Choice Medicaid |
$683.40
|
| Rate for Payer: Priority Health Choice Medicaid |
$455.60
|
| 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 Medicare |
$978.78
|
| Rate for Payer: Priority Health Medicare |
$652.52
|
| 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: Railroad Medicare Medicare |
$646.06
|
| Rate for Payer: Railroad Medicare Medicare |
$969.09
|
| 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 |
$3,236.77
|
| Rate for Payer: UHC Core |
$2,157.84
|
| Rate for Payer: UHC Exchange |
$969.09
|
| Rate for Payer: UHC Exchange |
$646.06
|
| Rate for Payer: UHC Medicaid |
$683.40
|
| Rate for Payer: UHC Medicaid |
$455.60
|
| Rate for Payer: UHC Medicare Advantage |
$646.06
|
| Rate for Payer: UHC Medicare Advantage |
$969.09
|
| Rate for Payer: UHCCP Medicaid |
$455.60
|
| Rate for Payer: UHCCP Medicaid |
$683.40
|
| Rate for Payer: VA VA |
$646.06
|
| Rate for Payer: VA VA |
$969.09
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,907.28
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,938.18
|
|
|
HC MR MRA LOWR EXTREM WO W
|
Facility
|
IP
|
$2,584.24
|
|
|
Service Code
|
HCPCS C8914
|
| Hospital Charge Code |
61000071
|
|
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 MRA NECK W CON
|
Facility
|
OP
|
$2,452.72
|
|
|
Service Code
|
CPT 70548
|
| Hospital Charge Code |
61000008
|
|
Hospital Revenue Code
|
610
|
| Min. Negotiated Rate |
$432.41 |
| Max. Negotiated Rate |
$2,207.45 |
| Rate for Payer: Aetna Commercial |
$2,084.81
|
| Rate for Payer: Aetna Medicare |
$637.71
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$766.48
|
| Rate for Payer: Amish Plain Church Group Commercial |
$766.48
|
| Rate for Payer: BCBS Complete |
$454.00
|
| Rate for Payer: BCBS MAPPO |
$613.18
|
| Rate for Payer: BCBS Trust/PPO |
$2,016.38
|
| Rate for Payer: BCN Commercial |
$2,016.38
|
| Rate for Payer: BCN Medicare Advantage |
$613.18
|
| Rate for Payer: Cash Price |
$1,962.18
|
| Rate for Payer: Cofinity Commercial |
$2,109.34
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,962.18
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$613.18
|
| Rate for Payer: Healthscope Commercial |
$2,207.45
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,839.54
|
| Rate for Payer: Mclaren Medicaid |
$432.41
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$643.84
|
| Rate for Payer: Meridian Medicaid |
$454.00
|
| Rate for Payer: MI Amish Medical Board Commercial |
$705.16
|
| Rate for Payer: Molina Medicare/Medicaid |
$674.50
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,084.81
|
| Rate for Payer: Nomi Health Commercial |
$2,011.23
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,839.54
|
| Rate for Payer: PACE Senior Care Partners |
$582.52
|
| Rate for Payer: PACE SWMI |
$613.18
|
| Rate for Payer: PHP Commercial |
$2,084.81
|
| Rate for Payer: PHP Medicare Advantage |
$613.18
|
| Rate for Payer: Priority Health Choice Medicaid |
$432.41
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$2,133.87
|
| Rate for Payer: Priority Health Medicare |
$619.31
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,707.09
|
| Rate for Payer: Railroad Medicare Medicare |
$613.18
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,158.39
|
| Rate for Payer: UHC Core |
$2,048.02
|
| Rate for Payer: UHC Exchange |
$613.18
|
| Rate for Payer: UHC Medicaid |
$432.41
|
| Rate for Payer: UHC Medicare Advantage |
$613.18
|
| Rate for Payer: UHCCP Medicaid |
$432.41
|
| Rate for Payer: VA VA |
$613.18
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,839.54
|
|
|
HC MR MRA NECK W CON
|
Facility
|
IP
|
$2,452.72
|
|
|
Service Code
|
CPT 70548
|
| Hospital Charge Code |
61000008
|
|
Hospital Revenue Code
|
610
|
| Min. Negotiated Rate |
$1,707.09 |
| Max. Negotiated Rate |
$2,207.45 |
| Rate for Payer: Aetna Commercial |
$2,084.81
|
| Rate for Payer: BCBS Trust/PPO |
$2,025.70
|
| Rate for Payer: BCN Commercial |
$2,025.70
|
| Rate for Payer: Cash Price |
$1,962.18
|
| Rate for Payer: Cofinity Commercial |
$2,109.34
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,962.18
|
| Rate for Payer: Healthscope Commercial |
$2,207.45
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,839.54
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,084.81
|
| Rate for Payer: Nomi Health Commercial |
$2,011.23
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,839.54
|
| Rate for Payer: PHP Commercial |
$2,084.81
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$2,133.87
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,707.09
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,158.39
|
| Rate for Payer: UHC Core |
$2,048.02
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,839.54
|
|
|
HC MR MRA NECK WO CON
|
Facility
|
IP
|
$2,044.95
|
|
|
Service Code
|
CPT 70547
|
| Hospital Charge Code |
61000007
|
|
Hospital Revenue Code
|
610
|
| Min. Negotiated Rate |
$1,423.29 |
| Max. Negotiated Rate |
$1,840.45 |
| Rate for Payer: Aetna Commercial |
$1,738.21
|
| Rate for Payer: BCBS Trust/PPO |
$1,688.92
|
| Rate for Payer: BCN Commercial |
$1,688.92
|
| Rate for Payer: Cash Price |
$1,635.96
|
| Rate for Payer: Cofinity Commercial |
$1,758.66
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,635.96
|
| Rate for Payer: Healthscope Commercial |
$1,840.45
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,533.71
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,738.21
|
| Rate for Payer: Nomi Health Commercial |
$1,676.86
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,533.71
|
| Rate for Payer: PHP Commercial |
$1,738.21
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$1,779.11
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,423.29
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,799.56
|
| Rate for Payer: UHC Core |
$1,707.53
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,533.71
|
|
|
HC MR MRA NECK WO CON
|
Facility
|
OP
|
$2,044.95
|
|
|
Service Code
|
CPT 70547
|
| Hospital Charge Code |
61000007
|
|
Hospital Revenue Code
|
610
|
| Min. Negotiated Rate |
$360.52 |
| Max. Negotiated Rate |
$1,840.45 |
| Rate for Payer: Aetna Commercial |
$1,738.21
|
| Rate for Payer: Aetna Medicare |
$531.69
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$639.05
|
| Rate for Payer: Amish Plain Church Group Commercial |
$639.05
|
| Rate for Payer: BCBS Complete |
$378.52
|
| Rate for Payer: BCBS MAPPO |
$511.24
|
| Rate for Payer: BCBS Trust/PPO |
$1,681.15
|
| Rate for Payer: BCN Commercial |
$1,681.15
|
| Rate for Payer: BCN Medicare Advantage |
$511.24
|
| Rate for Payer: Cash Price |
$1,635.96
|
| Rate for Payer: Cofinity Commercial |
$1,758.66
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,635.96
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$511.24
|
| Rate for Payer: Healthscope Commercial |
$1,840.45
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,533.71
|
| Rate for Payer: Mclaren Medicaid |
$360.52
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$536.80
|
| Rate for Payer: Meridian Medicaid |
$378.52
|
| Rate for Payer: MI Amish Medical Board Commercial |
$587.92
|
| Rate for Payer: Molina Medicare/Medicaid |
$562.36
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,738.21
|
| Rate for Payer: Nomi Health Commercial |
$1,676.86
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,533.71
|
| Rate for Payer: PACE Senior Care Partners |
$485.68
|
| Rate for Payer: PACE SWMI |
$511.24
|
| Rate for Payer: PHP Commercial |
$1,738.21
|
| Rate for Payer: PHP Medicare Advantage |
$511.24
|
| Rate for Payer: Priority Health Choice Medicaid |
$360.52
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$1,779.11
|
| Rate for Payer: Priority Health Medicare |
$516.35
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,423.29
|
| Rate for Payer: Railroad Medicare Medicare |
$511.24
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,799.56
|
| Rate for Payer: UHC Core |
$1,707.53
|
| Rate for Payer: UHC Exchange |
$511.24
|
| Rate for Payer: UHC Medicaid |
$360.52
|
| Rate for Payer: UHC Medicare Advantage |
$511.24
|
| Rate for Payer: UHCCP Medicaid |
$360.52
|
| Rate for Payer: VA VA |
$511.24
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,533.71
|
|
|
HC MR MRA NECK WO W CON
|
Facility
|
IP
|
$2,883.04
|
|
|
Service Code
|
CPT 70549
|
| Hospital Charge Code |
61000009
|
|
Hospital Revenue Code
|
615
|
| Min. Negotiated Rate |
$2,006.60 |
| Max. Negotiated Rate |
$2,594.74 |
| Rate for Payer: Aetna Commercial |
$2,450.58
|
| Rate for Payer: BCBS Trust/PPO |
$2,381.10
|
| Rate for Payer: BCN Commercial |
$2,381.10
|
| Rate for Payer: Cash Price |
$2,306.43
|
| Rate for Payer: Cofinity Commercial |
$2,479.41
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,306.43
|
| Rate for Payer: Healthscope Commercial |
$2,594.74
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,162.28
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,450.58
|
| Rate for Payer: Nomi Health Commercial |
$2,364.09
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,162.28
|
| Rate for Payer: PHP Commercial |
$2,450.58
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$2,508.24
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,006.60
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,537.08
|
| Rate for Payer: UHC Core |
$2,407.34
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,162.28
|
|
|
HC MR MRA NECK WO W CON
|
Facility
|
OP
|
$2,883.04
|
|
|
Service Code
|
CPT 70549
|
| Hospital Charge Code |
61000009
|
|
Hospital Revenue Code
|
615
|
| Min. Negotiated Rate |
$508.28 |
| Max. Negotiated Rate |
$2,594.74 |
| Rate for Payer: Aetna Commercial |
$2,450.58
|
| Rate for Payer: Aetna Medicare |
$749.59
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$900.95
|
| Rate for Payer: Amish Plain Church Group Commercial |
$900.95
|
| Rate for Payer: BCBS Complete |
$533.65
|
| Rate for Payer: BCBS MAPPO |
$720.76
|
| Rate for Payer: BCBS Trust/PPO |
$2,370.15
|
| Rate for Payer: BCN Commercial |
$2,370.15
|
| Rate for Payer: BCN Medicare Advantage |
$720.76
|
| Rate for Payer: Cash Price |
$2,306.43
|
| Rate for Payer: Cofinity Commercial |
$2,479.41
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,306.43
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$720.76
|
| Rate for Payer: Healthscope Commercial |
$2,594.74
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,162.28
|
| Rate for Payer: Mclaren Medicaid |
$508.28
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$756.80
|
| Rate for Payer: Meridian Medicaid |
$533.65
|
| Rate for Payer: MI Amish Medical Board Commercial |
$828.87
|
| Rate for Payer: Molina Medicare/Medicaid |
$792.84
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,450.58
|
| Rate for Payer: Nomi Health Commercial |
$2,364.09
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,162.28
|
| Rate for Payer: PACE Senior Care Partners |
$684.72
|
| Rate for Payer: PACE SWMI |
$720.76
|
| Rate for Payer: PHP Commercial |
$2,450.58
|
| Rate for Payer: PHP Medicare Advantage |
$720.76
|
| Rate for Payer: Priority Health Choice Medicaid |
$508.28
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$2,508.24
|
| Rate for Payer: Priority Health Medicare |
$727.97
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,006.60
|
| Rate for Payer: Railroad Medicare Medicare |
$720.76
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,537.08
|
| Rate for Payer: UHC Core |
$2,407.34
|
| Rate for Payer: UHC Exchange |
$720.76
|
| Rate for Payer: UHC Medicaid |
$508.28
|
| Rate for Payer: UHC Medicare Advantage |
$720.76
|
| Rate for Payer: UHCCP Medicaid |
$508.28
|
| Rate for Payer: VA VA |
$720.76
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,162.28
|
|
|
HC MR MRA PELVIS W CON
|
Facility
|
OP
|
$2,081.74
|
|
|
Service Code
|
HCPCS C8918
|
| Hospital Charge Code |
61800001
|
|
Hospital Revenue Code
|
618
|
| Min. Negotiated Rate |
$367.01 |
| Max. Negotiated Rate |
$1,873.57 |
| Rate for Payer: Aetna Commercial |
$1,769.48
|
| Rate for Payer: Aetna Medicare |
$541.25
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$650.54
|
| Rate for Payer: Amish Plain Church Group Commercial |
$650.54
|
| Rate for Payer: BCBS Complete |
$385.33
|
| Rate for Payer: BCBS MAPPO |
$520.43
|
| Rate for Payer: BCBS Trust/PPO |
$1,711.40
|
| Rate for Payer: BCN Commercial |
$1,711.40
|
| Rate for Payer: BCN Medicare Advantage |
$520.43
|
| Rate for Payer: Cash Price |
$1,665.39
|
| Rate for Payer: Cofinity Commercial |
$1,790.30
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,665.39
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$520.43
|
| Rate for Payer: Healthscope Commercial |
$1,873.57
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,561.31
|
| Rate for Payer: Mclaren Medicaid |
$367.01
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$546.46
|
| Rate for Payer: Meridian Medicaid |
$385.33
|
| Rate for Payer: MI Amish Medical Board Commercial |
$598.50
|
| Rate for Payer: Molina Medicare/Medicaid |
$572.48
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,769.48
|
| Rate for Payer: Nomi Health Commercial |
$1,707.03
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,561.31
|
| Rate for Payer: PACE Senior Care Partners |
$494.41
|
| Rate for Payer: PACE SWMI |
$520.43
|
| Rate for Payer: PHP Commercial |
$1,769.48
|
| Rate for Payer: PHP Medicare Advantage |
$520.43
|
| Rate for Payer: Priority Health Choice Medicaid |
$367.01
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$1,811.11
|
| Rate for Payer: Priority Health Medicare |
$525.64
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,448.89
|
| Rate for Payer: Railroad Medicare Medicare |
$520.43
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,831.93
|
| Rate for Payer: UHC Core |
$1,738.25
|
| Rate for Payer: UHC Exchange |
$520.43
|
| Rate for Payer: UHC Medicaid |
$367.01
|
| Rate for Payer: UHC Medicare Advantage |
$520.43
|
| Rate for Payer: UHCCP Medicaid |
$367.01
|
| Rate for Payer: VA VA |
$520.43
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,561.31
|
|
|
HC MR MRA PELVIS W CON
|
Facility
|
IP
|
$2,081.74
|
|
|
Service Code
|
HCPCS C8918
|
| Hospital Charge Code |
61800001
|
|
Hospital Revenue Code
|
618
|
| Min. Negotiated Rate |
$1,448.89 |
| Max. Negotiated Rate |
$1,873.57 |
| Rate for Payer: Aetna Commercial |
$1,769.48
|
| Rate for Payer: BCBS Trust/PPO |
$1,719.31
|
| Rate for Payer: BCN Commercial |
$1,719.31
|
| Rate for Payer: Cash Price |
$1,665.39
|
| Rate for Payer: Cofinity Commercial |
$1,790.30
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,665.39
|
| Rate for Payer: Healthscope Commercial |
$1,873.57
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,561.31
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,769.48
|
| Rate for Payer: Nomi Health Commercial |
$1,707.03
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,561.31
|
| Rate for Payer: PHP Commercial |
$1,769.48
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$1,811.11
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,448.89
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,831.93
|
| Rate for Payer: UHC Core |
$1,738.25
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,561.31
|
|
|
HC MR MRA PELVIS WO CON
|
Facility
|
IP
|
$1,938.16
|
|
|
Service Code
|
HCPCS C8919
|
| Hospital Charge Code |
61800002
|
|
Hospital Revenue Code
|
618
|
| Min. Negotiated Rate |
$1,348.96 |
| Max. Negotiated Rate |
$1,744.34 |
| Rate for Payer: Aetna Commercial |
$1,647.44
|
| Rate for Payer: BCBS Trust/PPO |
$1,600.73
|
| Rate for Payer: BCN Commercial |
$1,600.73
|
| Rate for Payer: Cash Price |
$1,550.53
|
| Rate for Payer: Cofinity Commercial |
$1,666.82
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,550.53
|
| Rate for Payer: Healthscope Commercial |
$1,744.34
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,453.62
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,647.44
|
| Rate for Payer: Nomi Health Commercial |
$1,589.29
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,453.62
|
| Rate for Payer: PHP Commercial |
$1,647.44
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$1,686.20
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,348.96
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,705.58
|
| Rate for Payer: UHC Core |
$1,618.36
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,453.62
|
|
