|
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
|
|
|
HC MR MRA PELVIS WO W CON
|
Facility
|
IP
|
$2,297.10
|
|
|
Service Code
|
HCPCS C8920
|
| Hospital Charge Code |
61800003
|
|
Hospital Revenue Code
|
618
|
| 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 PELVIS WO W CON
|
Facility
|
OP
|
$2,297.10
|
|
|
Service Code
|
HCPCS C8920
|
| Hospital Charge Code |
61800003
|
|
Hospital Revenue Code
|
618
|
| 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 SPINAL CANAL W CON
|
Facility
|
IP
|
$1,979.46
|
|
|
Service Code
|
HCPCS C8931
|
| Hospital Charge Code |
61000072
|
|
Hospital Revenue Code
|
610
|
| Min. Negotiated Rate |
$1,377.70 |
| Max. Negotiated Rate |
$1,781.51 |
| Rate for Payer: Aetna Commercial |
$1,682.54
|
| Rate for Payer: BCBS Trust/PPO |
$1,634.84
|
| Rate for Payer: BCN Commercial |
$1,634.84
|
| Rate for Payer: Cash Price |
$1,583.57
|
| Rate for Payer: Cofinity Commercial |
$1,702.34
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,583.57
|
| Rate for Payer: Healthscope Commercial |
$1,781.51
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,484.60
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,682.54
|
| Rate for Payer: Nomi Health Commercial |
$1,623.16
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,484.60
|
| Rate for Payer: PHP Commercial |
$1,682.54
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$1,722.13
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,377.70
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,741.92
|
| Rate for Payer: UHC Core |
$1,652.85
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,484.60
|
|
|
HC MR MRA SPINAL CANAL W CON
|
Facility
|
OP
|
$1,979.46
|
|
|
Service Code
|
HCPCS C8931
|
| Hospital Charge Code |
61000072
|
|
Hospital Revenue Code
|
610
|
| Min. Negotiated Rate |
$348.98 |
| Max. Negotiated Rate |
$1,781.51 |
| Rate for Payer: Aetna Commercial |
$1,682.54
|
| Rate for Payer: Aetna Medicare |
$514.66
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$618.58
|
| Rate for Payer: Amish Plain Church Group Commercial |
$618.58
|
| Rate for Payer: BCBS Complete |
$366.40
|
| Rate for Payer: BCBS MAPPO |
$494.87
|
| Rate for Payer: BCBS Trust/PPO |
$1,627.31
|
| Rate for Payer: BCN Commercial |
$1,627.31
|
| Rate for Payer: BCN Medicare Advantage |
$494.87
|
| Rate for Payer: Cash Price |
$1,583.57
|
| Rate for Payer: Cofinity Commercial |
$1,702.34
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,583.57
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$494.87
|
| Rate for Payer: Healthscope Commercial |
$1,781.51
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,484.60
|
| Rate for Payer: Mclaren Medicaid |
$348.98
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$519.61
|
| Rate for Payer: Meridian Medicaid |
$366.40
|
| Rate for Payer: MI Amish Medical Board Commercial |
$569.09
|
| Rate for Payer: Molina Medicare/Medicaid |
$544.35
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,682.54
|
| Rate for Payer: Nomi Health Commercial |
$1,623.16
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,484.60
|
| Rate for Payer: PACE Senior Care Partners |
$470.12
|
| Rate for Payer: PACE SWMI |
$494.87
|
| Rate for Payer: PHP Commercial |
$1,682.54
|
| Rate for Payer: PHP Medicare Advantage |
$494.87
|
| Rate for Payer: Priority Health Choice Medicaid |
$348.98
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$1,722.13
|
| Rate for Payer: Priority Health Medicare |
$499.81
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,377.70
|
| Rate for Payer: Railroad Medicare Medicare |
$494.87
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,741.92
|
| Rate for Payer: UHC Core |
$1,652.85
|
| Rate for Payer: UHC Exchange |
$494.87
|
| Rate for Payer: UHC Medicaid |
$348.98
|
| Rate for Payer: UHC Medicare Advantage |
$494.87
|
| Rate for Payer: UHCCP Medicaid |
$348.98
|
| Rate for Payer: VA VA |
$494.87
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,484.60
|
|
|
HC MR MRA SPINAL CANAL WO CON
|
Facility
|
OP
|
$1,979.46
|
|
|
Service Code
|
HCPCS C8932
|
| Hospital Charge Code |
61000073
|
|
Hospital Revenue Code
|
610
|
| Min. Negotiated Rate |
$348.98 |
| Max. Negotiated Rate |
$1,781.51 |
| Rate for Payer: Aetna Commercial |
$1,682.54
|
| Rate for Payer: Aetna Medicare |
$514.66
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$618.58
|
| Rate for Payer: Amish Plain Church Group Commercial |
$618.58
|
| Rate for Payer: BCBS Complete |
$366.40
|
| Rate for Payer: BCBS MAPPO |
$494.87
|
| Rate for Payer: BCBS Trust/PPO |
$1,627.31
|
| Rate for Payer: BCN Commercial |
$1,627.31
|
| Rate for Payer: BCN Medicare Advantage |
$494.87
|
| Rate for Payer: Cash Price |
$1,583.57
|
| Rate for Payer: Cofinity Commercial |
$1,702.34
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,583.57
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$494.87
|
| Rate for Payer: Healthscope Commercial |
$1,781.51
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,484.60
|
| Rate for Payer: Mclaren Medicaid |
$348.98
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$519.61
|
| Rate for Payer: Meridian Medicaid |
$366.40
|
| Rate for Payer: MI Amish Medical Board Commercial |
$569.09
|
| Rate for Payer: Molina Medicare/Medicaid |
$544.35
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,682.54
|
| Rate for Payer: Nomi Health Commercial |
$1,623.16
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,484.60
|
| Rate for Payer: PACE Senior Care Partners |
$470.12
|
| Rate for Payer: PACE SWMI |
$494.87
|
| Rate for Payer: PHP Commercial |
$1,682.54
|
| Rate for Payer: PHP Medicare Advantage |
$494.87
|
| Rate for Payer: Priority Health Choice Medicaid |
$348.98
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$1,722.13
|
| Rate for Payer: Priority Health Medicare |
$499.81
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,377.70
|
| Rate for Payer: Railroad Medicare Medicare |
$494.87
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,741.92
|
| Rate for Payer: UHC Core |
$1,652.85
|
| Rate for Payer: UHC Exchange |
$494.87
|
| Rate for Payer: UHC Medicaid |
$348.98
|
| Rate for Payer: UHC Medicare Advantage |
$494.87
|
| Rate for Payer: UHCCP Medicaid |
$348.98
|
| Rate for Payer: VA VA |
$494.87
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,484.60
|
|
|
HC MR MRA SPINAL CANAL WO CON
|
Facility
|
IP
|
$1,979.46
|
|
|
Service Code
|
HCPCS C8932
|
| Hospital Charge Code |
61000073
|
|
Hospital Revenue Code
|
610
|
| Min. Negotiated Rate |
$1,377.70 |
| Max. Negotiated Rate |
$1,781.51 |
| Rate for Payer: Aetna Commercial |
$1,682.54
|
| Rate for Payer: BCBS Trust/PPO |
$1,634.84
|
| Rate for Payer: BCN Commercial |
$1,634.84
|
| Rate for Payer: Cash Price |
$1,583.57
|
| Rate for Payer: Cofinity Commercial |
$1,702.34
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,583.57
|
| Rate for Payer: Healthscope Commercial |
$1,781.51
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,484.60
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,682.54
|
| Rate for Payer: Nomi Health Commercial |
$1,623.16
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,484.60
|
| Rate for Payer: PHP Commercial |
$1,682.54
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$1,722.13
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,377.70
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,741.92
|
| Rate for Payer: UHC Core |
$1,652.85
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,484.60
|
|
|
HC MR MRA UPPER EXTREM BIL WO W C
|
Facility
|
OP
|
$2,164.97
|
|
|
Service Code
|
HCPCS C8936
|
| Hospital Charge Code |
61000074
|
|
Hospital Revenue Code
|
610
|
| Min. Negotiated Rate |
$381.68 |
| Max. Negotiated Rate |
$1,948.47 |
| Rate for Payer: Aetna Commercial |
$1,840.22
|
| Rate for Payer: Aetna Medicare |
$562.89
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$676.55
|
| Rate for Payer: Amish Plain Church Group Commercial |
$676.55
|
| Rate for Payer: BCBS Complete |
$400.74
|
| Rate for Payer: BCBS MAPPO |
$541.24
|
| Rate for Payer: BCBS Trust/PPO |
$1,779.82
|
| Rate for Payer: BCN Commercial |
$1,779.82
|
| Rate for Payer: BCN Medicare Advantage |
$541.24
|
| Rate for Payer: Cash Price |
$1,731.98
|
| Rate for Payer: Cofinity Commercial |
$1,861.87
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,731.98
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$541.24
|
| Rate for Payer: Healthscope Commercial |
$1,948.47
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,623.73
|
| Rate for Payer: Mclaren Medicaid |
$381.68
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$568.30
|
| Rate for Payer: Meridian Medicaid |
$400.74
|
| Rate for Payer: MI Amish Medical Board Commercial |
$622.43
|
| Rate for Payer: Molina Medicare/Medicaid |
$595.37
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,840.22
|
| Rate for Payer: Nomi Health Commercial |
$1,775.28
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,623.73
|
| Rate for Payer: PACE Senior Care Partners |
$514.18
|
| Rate for Payer: PACE SWMI |
$541.24
|
| Rate for Payer: PHP Commercial |
$1,840.22
|
| Rate for Payer: PHP Medicare Advantage |
$541.24
|
| Rate for Payer: Priority Health Choice Medicaid |
$381.68
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$1,883.52
|
| Rate for Payer: Priority Health Medicare |
$546.65
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,506.82
|
| Rate for Payer: Railroad Medicare Medicare |
$541.24
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,905.17
|
| Rate for Payer: UHC Core |
$1,807.75
|
| Rate for Payer: UHC Exchange |
$541.24
|
| Rate for Payer: UHC Medicaid |
$381.68
|
| Rate for Payer: UHC Medicare Advantage |
$541.24
|
| Rate for Payer: UHCCP Medicaid |
$381.68
|
| Rate for Payer: VA VA |
$541.24
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,623.73
|
|
|
HC MR MRA UPPER EXTREM BIL WO W C
|
Facility
|
IP
|
$2,164.97
|
|
|
Service Code
|
HCPCS C8936
|
| Hospital Charge Code |
61000074
|
|
Hospital Revenue Code
|
610
|
| Min. Negotiated Rate |
$1,506.82 |
| Max. Negotiated Rate |
$1,948.47 |
| Rate for Payer: Aetna Commercial |
$1,840.22
|
| Rate for Payer: BCBS Trust/PPO |
$1,788.05
|
| Rate for Payer: BCN Commercial |
$1,788.05
|
| Rate for Payer: Cash Price |
$1,731.98
|
| Rate for Payer: Cofinity Commercial |
$1,861.87
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,731.98
|
| Rate for Payer: Healthscope Commercial |
$1,948.47
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,623.73
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,840.22
|
| Rate for Payer: Nomi Health Commercial |
$1,775.28
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,623.73
|
| Rate for Payer: PHP Commercial |
$1,840.22
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$1,883.52
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,506.82
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,905.17
|
| Rate for Payer: UHC Core |
$1,807.75
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,623.73
|
|
|
HC MR MRA UPPER EXTREMITY BIL W CO
|
Facility
|
IP
|
$2,164.97
|
|
|
Service Code
|
HCPCS C8934
|
| Hospital Charge Code |
61000075
|
|
Hospital Revenue Code
|
610
|
| Min. Negotiated Rate |
$1,506.82 |
| Max. Negotiated Rate |
$1,948.47 |
| Rate for Payer: Aetna Commercial |
$1,840.22
|
| Rate for Payer: BCBS Trust/PPO |
$1,788.05
|
| Rate for Payer: BCN Commercial |
$1,788.05
|
| Rate for Payer: Cash Price |
$1,731.98
|
| Rate for Payer: Cofinity Commercial |
$1,861.87
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,731.98
|
| Rate for Payer: Healthscope Commercial |
$1,948.47
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,623.73
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,840.22
|
| Rate for Payer: Nomi Health Commercial |
$1,775.28
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,623.73
|
| Rate for Payer: PHP Commercial |
$1,840.22
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$1,883.52
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,506.82
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,905.17
|
| Rate for Payer: UHC Core |
$1,807.75
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,623.73
|
|
|
HC MR MRA UPPER EXTREMITY BIL W CO
|
Facility
|
OP
|
$2,164.97
|
|
|
Service Code
|
HCPCS C8934
|
| Hospital Charge Code |
61000075
|
|
Hospital Revenue Code
|
610
|
| Min. Negotiated Rate |
$381.68 |
| Max. Negotiated Rate |
$1,948.47 |
| Rate for Payer: Aetna Commercial |
$1,840.22
|
| Rate for Payer: Aetna Medicare |
$562.89
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$676.55
|
| Rate for Payer: Amish Plain Church Group Commercial |
$676.55
|
| Rate for Payer: BCBS Complete |
$400.74
|
| Rate for Payer: BCBS MAPPO |
$541.24
|
| Rate for Payer: BCBS Trust/PPO |
$1,779.82
|
| Rate for Payer: BCN Commercial |
$1,779.82
|
| Rate for Payer: BCN Medicare Advantage |
$541.24
|
| Rate for Payer: Cash Price |
$1,731.98
|
| Rate for Payer: Cofinity Commercial |
$1,861.87
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,731.98
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$541.24
|
| Rate for Payer: Healthscope Commercial |
$1,948.47
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,623.73
|
| Rate for Payer: Mclaren Medicaid |
$381.68
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$568.30
|
| Rate for Payer: Meridian Medicaid |
$400.74
|
| Rate for Payer: MI Amish Medical Board Commercial |
$622.43
|
| Rate for Payer: Molina Medicare/Medicaid |
$595.37
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,840.22
|
| Rate for Payer: Nomi Health Commercial |
$1,775.28
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,623.73
|
| Rate for Payer: PACE Senior Care Partners |
$514.18
|
| Rate for Payer: PACE SWMI |
$541.24
|
| Rate for Payer: PHP Commercial |
$1,840.22
|
| Rate for Payer: PHP Medicare Advantage |
$541.24
|
| Rate for Payer: Priority Health Choice Medicaid |
$381.68
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$1,883.52
|
| Rate for Payer: Priority Health Medicare |
$546.65
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,506.82
|
| Rate for Payer: Railroad Medicare Medicare |
$541.24
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,905.17
|
| Rate for Payer: UHC Core |
$1,807.75
|
| Rate for Payer: UHC Exchange |
$541.24
|
| Rate for Payer: UHC Medicaid |
$381.68
|
| Rate for Payer: UHC Medicare Advantage |
$541.24
|
| Rate for Payer: UHCCP Medicaid |
$381.68
|
| Rate for Payer: VA VA |
$541.24
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,623.73
|
|
|
HC MR MRA UPPER EXTREMITY BIL WO C
|
Facility
|
OP
|
$2,164.97
|
|
|
Service Code
|
HCPCS C8935
|
| Hospital Charge Code |
61000076
|
|
Hospital Revenue Code
|
610
|
| Min. Negotiated Rate |
$381.68 |
| Max. Negotiated Rate |
$1,948.47 |
| Rate for Payer: Aetna Commercial |
$1,840.22
|
| Rate for Payer: Aetna Medicare |
$562.89
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$676.55
|
| Rate for Payer: Amish Plain Church Group Commercial |
$676.55
|
| Rate for Payer: BCBS Complete |
$400.74
|
| Rate for Payer: BCBS MAPPO |
$541.24
|
| Rate for Payer: BCBS Trust/PPO |
$1,779.82
|
| Rate for Payer: BCN Commercial |
$1,779.82
|
| Rate for Payer: BCN Medicare Advantage |
$541.24
|
| Rate for Payer: Cash Price |
$1,731.98
|
| Rate for Payer: Cofinity Commercial |
$1,861.87
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,731.98
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$541.24
|
| Rate for Payer: Healthscope Commercial |
$1,948.47
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,623.73
|
| Rate for Payer: Mclaren Medicaid |
$381.68
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$568.30
|
| Rate for Payer: Meridian Medicaid |
$400.74
|
| Rate for Payer: MI Amish Medical Board Commercial |
$622.43
|
| Rate for Payer: Molina Medicare/Medicaid |
$595.37
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,840.22
|
| Rate for Payer: Nomi Health Commercial |
$1,775.28
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,623.73
|
| Rate for Payer: PACE Senior Care Partners |
$514.18
|
| Rate for Payer: PACE SWMI |
$541.24
|
| Rate for Payer: PHP Commercial |
$1,840.22
|
| Rate for Payer: PHP Medicare Advantage |
$541.24
|
| Rate for Payer: Priority Health Choice Medicaid |
$381.68
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$1,883.52
|
| Rate for Payer: Priority Health Medicare |
$546.65
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,506.82
|
| Rate for Payer: Railroad Medicare Medicare |
$541.24
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,905.17
|
| Rate for Payer: UHC Core |
$1,807.75
|
| Rate for Payer: UHC Exchange |
$541.24
|
| Rate for Payer: UHC Medicaid |
$381.68
|
| Rate for Payer: UHC Medicare Advantage |
$541.24
|
| Rate for Payer: UHCCP Medicaid |
$381.68
|
| Rate for Payer: VA VA |
$541.24
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,623.73
|
|
|
HC MR MRA UPPER EXTREMITY BIL WO C
|
Facility
|
IP
|
$2,164.97
|
|
|
Service Code
|
HCPCS C8935
|
| Hospital Charge Code |
61000076
|
|
Hospital Revenue Code
|
610
|
| Min. Negotiated Rate |
$1,506.82 |
| Max. Negotiated Rate |
$1,948.47 |
| Rate for Payer: Aetna Commercial |
$1,840.22
|
| Rate for Payer: BCBS Trust/PPO |
$1,788.05
|
| Rate for Payer: BCN Commercial |
$1,788.05
|
| Rate for Payer: Cash Price |
$1,731.98
|
| Rate for Payer: Cofinity Commercial |
$1,861.87
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,731.98
|
| Rate for Payer: Healthscope Commercial |
$1,948.47
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,623.73
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,840.22
|
| Rate for Payer: Nomi Health Commercial |
$1,775.28
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,623.73
|
| Rate for Payer: PHP Commercial |
$1,840.22
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$1,883.52
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,506.82
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,905.17
|
| Rate for Payer: UHC Core |
$1,807.75
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,623.73
|
|
|
HC MR MRA UPPER EXTREMITY W CO
|
Facility
|
IP
|
$1,941.17
|
|
|
Service Code
|
HCPCS C8934
|
| Hospital Charge Code |
61000077
|
|
Hospital Revenue Code
|
610
|
| Min. Negotiated Rate |
$1,351.05 |
| Max. Negotiated Rate |
$1,747.05 |
| Rate for Payer: Aetna Commercial |
$1,649.99
|
| Rate for Payer: Aetna Commercial |
$2,475.00
|
| Rate for Payer: BCBS Trust/PPO |
$1,603.21
|
| Rate for Payer: BCBS Trust/PPO |
$2,404.82
|
| Rate for Payer: BCN Commercial |
$1,603.21
|
| Rate for Payer: BCN Commercial |
$2,404.82
|
| Rate for Payer: Cash Price |
$1,552.94
|
| Rate for Payer: Cash Price |
$2,329.41
|
| Rate for Payer: Cofinity Commercial |
$2,504.11
|
| Rate for Payer: Cofinity Commercial |
$1,669.41
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,329.41
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,552.94
|
| Rate for Payer: Healthscope Commercial |
$1,747.05
|
| Rate for Payer: Healthscope Commercial |
$2,620.58
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,455.88
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,183.82
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,649.99
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,475.00
|
| Rate for Payer: Nomi Health Commercial |
$1,591.76
|
| Rate for Payer: Nomi Health Commercial |
$2,387.64
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,455.88
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,183.82
|
| Rate for Payer: PHP Commercial |
$2,475.00
|
| Rate for Payer: PHP Commercial |
$1,649.99
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$2,533.23
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$1,688.82
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,351.05
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,026.58
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,708.23
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,562.35
|
| Rate for Payer: UHC Core |
$1,620.88
|
| Rate for Payer: UHC Core |
$2,431.32
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,455.88
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,183.82
|
|
|
HC MR MRA UPPER EXTREMITY W CO
|
Facility
|
OP
|
$1,941.17
|
|
|
Service Code
|
HCPCS C8934
|
| Hospital Charge Code |
61000077
|
|
Hospital Revenue Code
|
610
|
| Min. Negotiated Rate |
$342.23 |
| Max. Negotiated Rate |
$1,747.05 |
| Rate for Payer: Aetna Commercial |
$1,649.99
|
| Rate for Payer: Aetna Commercial |
$2,475.00
|
| Rate for Payer: Aetna Medicare |
$757.06
|
| Rate for Payer: Aetna Medicare |
$504.70
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$909.92
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$606.62
|
| Rate for Payer: Amish Plain Church Group Commercial |
$606.62
|
| Rate for Payer: Amish Plain Church Group Commercial |
$909.92
|
| Rate for Payer: BCBS Complete |
$359.31
|
| Rate for Payer: BCBS Complete |
$538.97
|
| Rate for Payer: BCBS MAPPO |
$485.29
|
| Rate for Payer: BCBS MAPPO |
$727.94
|
| Rate for Payer: BCBS Trust/PPO |
$1,595.84
|
| Rate for Payer: BCBS Trust/PPO |
$2,393.76
|
| Rate for Payer: BCN Commercial |
$2,393.76
|
| Rate for Payer: BCN Commercial |
$1,595.84
|
| Rate for Payer: BCN Medicare Advantage |
$727.94
|
| Rate for Payer: BCN Medicare Advantage |
$485.29
|
| Rate for Payer: Cash Price |
$1,552.94
|
| Rate for Payer: Cash Price |
$2,329.41
|
| Rate for Payer: Cofinity Commercial |
$1,669.41
|
| Rate for Payer: Cofinity Commercial |
$2,504.11
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,329.41
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,552.94
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$727.94
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$485.29
|
| Rate for Payer: Healthscope Commercial |
$1,747.05
|
| Rate for Payer: Healthscope Commercial |
$2,620.58
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,455.88
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,183.82
|
| Rate for Payer: Mclaren Medicaid |
$513.34
|
| Rate for Payer: Mclaren Medicaid |
$342.23
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$764.34
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$509.56
|
| Rate for Payer: Meridian Medicaid |
$359.31
|
| Rate for Payer: Meridian Medicaid |
$538.97
|
| Rate for Payer: MI Amish Medical Board Commercial |
$837.13
|
| Rate for Payer: MI Amish Medical Board Commercial |
$558.09
|
| Rate for Payer: Molina Medicare/Medicaid |
$800.73
|
| Rate for Payer: Molina Medicare/Medicaid |
$533.82
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,475.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,649.99
|
| Rate for Payer: Nomi Health Commercial |
$2,387.64
|
| Rate for Payer: Nomi Health Commercial |
$1,591.76
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,455.88
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,183.82
|
| Rate for Payer: PACE Senior Care Partners |
$691.54
|
| Rate for Payer: PACE Senior Care Partners |
$461.03
|
| Rate for Payer: PACE SWMI |
$727.94
|
| Rate for Payer: PACE SWMI |
$485.29
|
| Rate for Payer: PHP Commercial |
$1,649.99
|
| Rate for Payer: PHP Commercial |
$2,475.00
|
| Rate for Payer: PHP Medicare Advantage |
$485.29
|
| Rate for Payer: PHP Medicare Advantage |
$727.94
|
| Rate for Payer: Priority Health Choice Medicaid |
$513.34
|
| Rate for Payer: Priority Health Choice Medicaid |
$342.23
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$2,533.23
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$1,688.82
|
| Rate for Payer: Priority Health Medicare |
$735.22
|
| Rate for Payer: Priority Health Medicare |
$490.15
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,351.05
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,026.58
|
| Rate for Payer: Railroad Medicare Medicare |
$485.29
|
| Rate for Payer: Railroad Medicare Medicare |
$727.94
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,708.23
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,562.35
|
| Rate for Payer: UHC Core |
$2,431.32
|
| Rate for Payer: UHC Core |
$1,620.88
|
| Rate for Payer: UHC Exchange |
$727.94
|
| Rate for Payer: UHC Exchange |
$485.29
|
| Rate for Payer: UHC Medicaid |
$513.34
|
| Rate for Payer: UHC Medicaid |
$342.23
|
| Rate for Payer: UHC Medicare Advantage |
$485.29
|
| Rate for Payer: UHC Medicare Advantage |
$727.94
|
| Rate for Payer: UHCCP Medicaid |
$342.23
|
| Rate for Payer: UHCCP Medicaid |
$513.34
|
| Rate for Payer: VA VA |
$485.29
|
| Rate for Payer: VA VA |
$727.94
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,183.82
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,455.88
|
|
|
HC MR MRA UPPER EXTREMITY WO C
|
Facility
|
OP
|
$1,791.87
|
|
|
Service Code
|
HCPCS C8935
|
| Hospital Charge Code |
61000078
|
|
Hospital Revenue Code
|
610
|
| Min. Negotiated Rate |
$315.91 |
| Max. Negotiated Rate |
$1,612.68 |
| Rate for Payer: Aetna Commercial |
$1,523.09
|
| Rate for Payer: Aetna Commercial |
$2,284.64
|
| Rate for Payer: Aetna Medicare |
$698.83
|
| Rate for Payer: Aetna Medicare |
$465.89
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$839.94
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$559.96
|
| Rate for Payer: Amish Plain Church Group Commercial |
$559.96
|
| Rate for Payer: Amish Plain Church Group Commercial |
$839.94
|
| Rate for Payer: BCBS Complete |
$331.68
|
| Rate for Payer: BCBS Complete |
$497.51
|
| Rate for Payer: BCBS MAPPO |
$447.97
|
| Rate for Payer: BCBS MAPPO |
$671.95
|
| Rate for Payer: BCBS Trust/PPO |
$1,473.10
|
| Rate for Payer: BCBS Trust/PPO |
$2,209.65
|
| Rate for Payer: BCN Commercial |
$2,209.65
|
| Rate for Payer: BCN Commercial |
$1,473.10
|
| Rate for Payer: BCN Medicare Advantage |
$671.95
|
| Rate for Payer: BCN Medicare Advantage |
$447.97
|
| Rate for Payer: Cash Price |
$1,433.50
|
| Rate for Payer: Cash Price |
$2,150.25
|
| Rate for Payer: Cofinity Commercial |
$1,541.01
|
| Rate for Payer: Cofinity Commercial |
$2,311.52
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,150.25
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,433.50
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$671.95
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$447.97
|
| Rate for Payer: Healthscope Commercial |
$1,612.68
|
| Rate for Payer: Healthscope Commercial |
$2,419.03
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,343.90
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,015.86
|
| Rate for Payer: Mclaren Medicaid |
$473.86
|
| Rate for Payer: Mclaren Medicaid |
$315.91
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$705.55
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$470.37
|
| Rate for Payer: Meridian Medicaid |
$331.68
|
| Rate for Payer: Meridian Medicaid |
$497.51
|
| Rate for Payer: MI Amish Medical Board Commercial |
$772.75
|
| Rate for Payer: MI Amish Medical Board Commercial |
$515.16
|
| Rate for Payer: Molina Medicare/Medicaid |
$739.15
|
| Rate for Payer: Molina Medicare/Medicaid |
$492.76
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,284.64
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,523.09
|
| Rate for Payer: Nomi Health Commercial |
$2,204.00
|
| Rate for Payer: Nomi Health Commercial |
$1,469.33
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,343.90
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,015.86
|
| Rate for Payer: PACE Senior Care Partners |
$638.35
|
| Rate for Payer: PACE Senior Care Partners |
$425.57
|
| Rate for Payer: PACE SWMI |
$671.95
|
| Rate for Payer: PACE SWMI |
$447.97
|
| Rate for Payer: PHP Commercial |
$1,523.09
|
| Rate for Payer: PHP Commercial |
$2,284.64
|
| Rate for Payer: PHP Medicare Advantage |
$447.97
|
| Rate for Payer: PHP Medicare Advantage |
$671.95
|
| Rate for Payer: Priority Health Choice Medicaid |
$473.86
|
| Rate for Payer: Priority Health Choice Medicaid |
$315.91
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$2,338.39
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$1,558.93
|
| Rate for Payer: Priority Health Medicare |
$678.67
|
| Rate for Payer: Priority Health Medicare |
$452.45
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,247.14
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,870.72
|
| Rate for Payer: Railroad Medicare Medicare |
$447.97
|
| Rate for Payer: Railroad Medicare Medicare |
$671.95
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,576.85
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,365.27
|
| Rate for Payer: UHC Core |
$2,244.32
|
| Rate for Payer: UHC Core |
$1,496.21
|
| Rate for Payer: UHC Exchange |
$671.95
|
| Rate for Payer: UHC Exchange |
$447.97
|
| Rate for Payer: UHC Medicaid |
$473.86
|
| Rate for Payer: UHC Medicaid |
$315.91
|
| Rate for Payer: UHC Medicare Advantage |
$447.97
|
| Rate for Payer: UHC Medicare Advantage |
$671.95
|
| Rate for Payer: UHCCP Medicaid |
$315.91
|
| Rate for Payer: UHCCP Medicaid |
$473.86
|
| Rate for Payer: VA VA |
$447.97
|
| Rate for Payer: VA VA |
$671.95
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,015.86
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,343.90
|
|
|
HC MR MRA UPPER EXTREMITY WO C
|
Facility
|
IP
|
$1,791.87
|
|
|
Service Code
|
HCPCS C8935
|
| Hospital Charge Code |
61000078
|
|
Hospital Revenue Code
|
610
|
| Min. Negotiated Rate |
$1,247.14 |
| Max. Negotiated Rate |
$1,612.68 |
| Rate for Payer: Aetna Commercial |
$1,523.09
|
| Rate for Payer: Aetna Commercial |
$2,284.64
|
| Rate for Payer: BCBS Trust/PPO |
$1,479.91
|
| Rate for Payer: BCBS Trust/PPO |
$2,219.86
|
| Rate for Payer: BCN Commercial |
$1,479.91
|
| Rate for Payer: BCN Commercial |
$2,219.86
|
| Rate for Payer: Cash Price |
$1,433.50
|
| Rate for Payer: Cash Price |
$2,150.25
|
| Rate for Payer: Cofinity Commercial |
$2,311.52
|
| Rate for Payer: Cofinity Commercial |
$1,541.01
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,150.25
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,433.50
|
| Rate for Payer: Healthscope Commercial |
$1,612.68
|
| Rate for Payer: Healthscope Commercial |
$2,419.03
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,343.90
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,015.86
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,523.09
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,284.64
|
| Rate for Payer: Nomi Health Commercial |
$1,469.33
|
| Rate for Payer: Nomi Health Commercial |
$2,204.00
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,343.90
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,015.86
|
| Rate for Payer: PHP Commercial |
$2,284.64
|
| Rate for Payer: PHP Commercial |
$1,523.09
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$2,338.39
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$1,558.93
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,247.14
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,870.72
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,576.85
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,365.27
|
| Rate for Payer: UHC Core |
$1,496.21
|
| Rate for Payer: UHC Core |
$2,244.32
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,343.90
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,015.86
|
|
|
HC MR MRA UPPER EXTREMITY WO W
|
Facility
|
OP
|
$2,090.37
|
|
|
Service Code
|
HCPCS C8936
|
| Hospital Charge Code |
61000079
|
|
Hospital Revenue Code
|
610
|
| Min. Negotiated Rate |
$368.53 |
| Max. Negotiated Rate |
$1,881.33 |
| Rate for Payer: Aetna Commercial |
$1,776.81
|
| Rate for Payer: Aetna Commercial |
$2,665.22
|
| Rate for Payer: Aetna Medicare |
$815.24
|
| Rate for Payer: Aetna Medicare |
$543.50
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$979.86
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$653.24
|
| Rate for Payer: Amish Plain Church Group Commercial |
$653.24
|
| Rate for Payer: Amish Plain Church Group Commercial |
$979.86
|
| Rate for Payer: BCBS Complete |
$386.93
|
| Rate for Payer: BCBS Complete |
$580.39
|
| Rate for Payer: BCBS MAPPO |
$522.59
|
| Rate for Payer: BCBS MAPPO |
$783.89
|
| Rate for Payer: BCBS Trust/PPO |
$1,718.49
|
| Rate for Payer: BCBS Trust/PPO |
$2,577.74
|
| Rate for Payer: BCN Commercial |
$2,577.74
|
| Rate for Payer: BCN Commercial |
$1,718.49
|
| Rate for Payer: BCN Medicare Advantage |
$783.89
|
| Rate for Payer: BCN Medicare Advantage |
$522.59
|
| Rate for Payer: Cash Price |
$1,672.30
|
| Rate for Payer: Cash Price |
$2,508.44
|
| Rate for Payer: Cofinity Commercial |
$1,797.72
|
| Rate for Payer: Cofinity Commercial |
$2,696.57
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,508.44
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,672.30
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$783.89
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$522.59
|
| Rate for Payer: Healthscope Commercial |
$1,881.33
|
| Rate for Payer: Healthscope Commercial |
$2,821.99
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,567.78
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,351.66
|
| Rate for Payer: Mclaren Medicaid |
$552.80
|
| Rate for Payer: Mclaren Medicaid |
$368.53
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$823.08
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$548.72
|
| Rate for Payer: Meridian Medicaid |
$386.93
|
| Rate for Payer: Meridian Medicaid |
$580.39
|
| Rate for Payer: MI Amish Medical Board Commercial |
$901.47
|
| Rate for Payer: MI Amish Medical Board Commercial |
$600.98
|
| Rate for Payer: Molina Medicare/Medicaid |
$862.28
|
| Rate for Payer: Molina Medicare/Medicaid |
$574.85
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,665.22
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,776.81
|
| Rate for Payer: Nomi Health Commercial |
$2,571.15
|
| Rate for Payer: Nomi Health Commercial |
$1,714.10
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,567.78
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,351.66
|
| Rate for Payer: PACE Senior Care Partners |
$744.69
|
| Rate for Payer: PACE Senior Care Partners |
$496.46
|
| Rate for Payer: PACE SWMI |
$783.89
|
| Rate for Payer: PACE SWMI |
$522.59
|
| Rate for Payer: PHP Commercial |
$1,776.81
|
| Rate for Payer: PHP Commercial |
$2,665.22
|
| Rate for Payer: PHP Medicare Advantage |
$522.59
|
| Rate for Payer: PHP Medicare Advantage |
$783.89
|
| Rate for Payer: Priority Health Choice Medicaid |
$552.80
|
| Rate for Payer: Priority Health Choice Medicaid |
$368.53
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$2,727.93
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$1,818.62
|
| Rate for Payer: Priority Health Medicare |
$791.73
|
| Rate for Payer: Priority Health Medicare |
$527.82
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,454.90
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,182.34
|
| Rate for Payer: Railroad Medicare Medicare |
$522.59
|
| Rate for Payer: Railroad Medicare Medicare |
$783.89
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,839.53
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,759.28
|
| Rate for Payer: UHC Core |
$2,618.18
|
| Rate for Payer: UHC Core |
$1,745.46
|
| Rate for Payer: UHC Exchange |
$783.89
|
| Rate for Payer: UHC Exchange |
$522.59
|
| Rate for Payer: UHC Medicaid |
$552.80
|
| Rate for Payer: UHC Medicaid |
$368.53
|
| Rate for Payer: UHC Medicare Advantage |
$522.59
|
| Rate for Payer: UHC Medicare Advantage |
$783.89
|
| Rate for Payer: UHCCP Medicaid |
$368.53
|
| Rate for Payer: UHCCP Medicaid |
$552.80
|
| Rate for Payer: VA VA |
$522.59
|
| Rate for Payer: VA VA |
$783.89
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,351.66
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,567.78
|
|
|
HC MR MRA UPPER EXTREMITY WO W
|
Facility
|
IP
|
$2,090.37
|
|
|
Service Code
|
HCPCS C8936
|
| Hospital Charge Code |
61000079
|
|
Hospital Revenue Code
|
610
|
| Min. Negotiated Rate |
$1,454.90 |
| Max. Negotiated Rate |
$1,881.33 |
| Rate for Payer: Aetna Commercial |
$1,776.81
|
| Rate for Payer: Aetna Commercial |
$2,665.22
|
| Rate for Payer: BCBS Trust/PPO |
$1,726.44
|
| Rate for Payer: BCBS Trust/PPO |
$2,589.65
|
| Rate for Payer: BCN Commercial |
$1,726.44
|
| Rate for Payer: BCN Commercial |
$2,589.65
|
| Rate for Payer: Cash Price |
$1,672.30
|
| Rate for Payer: Cash Price |
$2,508.44
|
| Rate for Payer: Cofinity Commercial |
$2,696.57
|
| Rate for Payer: Cofinity Commercial |
$1,797.72
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,508.44
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,672.30
|
| Rate for Payer: Healthscope Commercial |
$1,881.33
|
| Rate for Payer: Healthscope Commercial |
$2,821.99
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,567.78
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,351.66
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,776.81
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,665.22
|
| Rate for Payer: Nomi Health Commercial |
$1,714.10
|
| Rate for Payer: Nomi Health Commercial |
$2,571.15
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,567.78
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,351.66
|
| Rate for Payer: PHP Commercial |
$2,665.22
|
| Rate for Payer: PHP Commercial |
$1,776.81
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$2,727.93
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$1,818.62
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,454.90
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,182.34
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,839.53
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,759.28
|
| Rate for Payer: UHC Core |
$1,745.46
|
| Rate for Payer: UHC Core |
$2,618.18
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,567.78
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,351.66
|
|
|
HC MR MRCP
|
Facility
|
OP
|
$2,152.66
|
|
|
Service Code
|
CPT 74181
|
| Hospital Charge Code |
61000042
|
|
Hospital Revenue Code
|
610
|
| Min. Negotiated Rate |
$379.51 |
| Max. Negotiated Rate |
$1,937.39 |
| Rate for Payer: Aetna Commercial |
$1,829.76
|
| Rate for Payer: Aetna Medicare |
$559.69
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$672.71
|
| Rate for Payer: Amish Plain Church Group Commercial |
$672.71
|
| Rate for Payer: BCBS Complete |
$398.46
|
| Rate for Payer: BCBS MAPPO |
$538.16
|
| Rate for Payer: BCBS Trust/PPO |
$1,769.70
|
| Rate for Payer: BCN Commercial |
$1,769.70
|
| Rate for Payer: BCN Medicare Advantage |
$538.16
|
| Rate for Payer: Cash Price |
$1,722.13
|
| Rate for Payer: Cofinity Commercial |
$1,851.29
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,722.13
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$538.16
|
| Rate for Payer: Healthscope Commercial |
$1,937.39
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,614.49
|
| Rate for Payer: Mclaren Medicaid |
$379.51
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$565.07
|
| Rate for Payer: Meridian Medicaid |
$398.46
|
| Rate for Payer: MI Amish Medical Board Commercial |
$618.89
|
| Rate for Payer: Molina Medicare/Medicaid |
$591.98
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,829.76
|
| Rate for Payer: Nomi Health Commercial |
$1,765.18
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,614.49
|
| Rate for Payer: PACE Senior Care Partners |
$511.26
|
| Rate for Payer: PACE SWMI |
$538.16
|
| Rate for Payer: PHP Commercial |
$1,829.76
|
| Rate for Payer: PHP Medicare Advantage |
$538.16
|
| Rate for Payer: Priority Health Choice Medicaid |
$379.51
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$1,872.81
|
| Rate for Payer: Priority Health Medicare |
$543.55
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,498.25
|
| Rate for Payer: Railroad Medicare Medicare |
$538.16
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,894.34
|
| Rate for Payer: UHC Core |
$1,797.47
|
| Rate for Payer: UHC Exchange |
$538.16
|
| Rate for Payer: UHC Medicaid |
$379.51
|
| Rate for Payer: UHC Medicare Advantage |
$538.16
|
| Rate for Payer: UHCCP Medicaid |
$379.51
|
| Rate for Payer: VA VA |
$538.16
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,614.49
|
|
|
HC MR MRCP
|
Facility
|
IP
|
$2,152.66
|
|
|
Service Code
|
CPT 74181
|
| Hospital Charge Code |
61000042
|
|
Hospital Revenue Code
|
610
|
| Min. Negotiated Rate |
$1,498.25 |
| Max. Negotiated Rate |
$1,937.39 |
| Rate for Payer: Aetna Commercial |
$1,829.76
|
| Rate for Payer: BCBS Trust/PPO |
$1,777.88
|
| Rate for Payer: BCN Commercial |
$1,777.88
|
| Rate for Payer: Cash Price |
$1,722.13
|
| Rate for Payer: Cofinity Commercial |
$1,851.29
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,722.13
|
| Rate for Payer: Healthscope Commercial |
$1,937.39
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,614.49
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,829.76
|
| Rate for Payer: Nomi Health Commercial |
$1,765.18
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,614.49
|
| Rate for Payer: PHP Commercial |
$1,829.76
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$1,872.81
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,498.25
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,894.34
|
| Rate for Payer: UHC Core |
$1,797.47
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,614.49
|
|
|
HC MR NEEDLE PLACEMENT
|
Facility
|
IP
|
$1,025.52
|
|
|
Service Code
|
CPT 77021
|
| Hospital Charge Code |
61000081
|
|
Hospital Revenue Code
|
610
|
| Min. Negotiated Rate |
$713.76 |
| Max. Negotiated Rate |
$922.97 |
| Rate for Payer: Aetna Commercial |
$871.69
|
| Rate for Payer: BCBS Trust/PPO |
$846.98
|
| Rate for Payer: BCN Commercial |
$846.98
|
| Rate for Payer: Cash Price |
$820.42
|
| Rate for Payer: Cofinity Commercial |
$881.95
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$820.42
|
| Rate for Payer: Healthscope Commercial |
$922.97
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$769.14
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$871.69
|
| Rate for Payer: Nomi Health Commercial |
$840.93
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$769.14
|
| Rate for Payer: PHP Commercial |
$871.69
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$892.20
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$713.76
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$902.46
|
| Rate for Payer: UHC Core |
$856.31
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$769.14
|
|
|
HC MR NEEDLE PLACEMENT
|
Facility
|
OP
|
$1,025.52
|
|
|
Service Code
|
CPT 77021
|
| Hospital Charge Code |
61000081
|
|
Hospital Revenue Code
|
610
|
| Min. Negotiated Rate |
$180.80 |
| Max. Negotiated Rate |
$922.97 |
| Rate for Payer: Aetna Commercial |
$871.69
|
| Rate for Payer: Aetna Medicare |
$266.64
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$320.48
|
| Rate for Payer: Amish Plain Church Group Commercial |
$320.48
|
| Rate for Payer: BCBS Complete |
$189.82
|
| Rate for Payer: BCBS MAPPO |
$256.38
|
| Rate for Payer: BCBS Trust/PPO |
$843.08
|
| Rate for Payer: BCN Commercial |
$843.08
|
| Rate for Payer: BCN Medicare Advantage |
$256.38
|
| Rate for Payer: Cash Price |
$820.42
|
| Rate for Payer: Cofinity Commercial |
$881.95
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$820.42
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$256.38
|
| Rate for Payer: Healthscope Commercial |
$922.97
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$769.14
|
| Rate for Payer: Mclaren Medicaid |
$180.80
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$269.20
|
| Rate for Payer: Meridian Medicaid |
$189.82
|
| Rate for Payer: MI Amish Medical Board Commercial |
$294.84
|
| Rate for Payer: Molina Medicare/Medicaid |
$282.02
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$871.69
|
| Rate for Payer: Nomi Health Commercial |
$840.93
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$769.14
|
| Rate for Payer: PACE Senior Care Partners |
$243.56
|
| Rate for Payer: PACE SWMI |
$256.38
|
| Rate for Payer: PHP Commercial |
$871.69
|
| Rate for Payer: PHP Medicare Advantage |
$256.38
|
| Rate for Payer: Priority Health Choice Medicaid |
$180.80
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$892.20
|
| Rate for Payer: Priority Health Medicare |
$258.94
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$713.76
|
| Rate for Payer: Railroad Medicare Medicare |
$256.38
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$902.46
|
| Rate for Payer: UHC Core |
$856.31
|
| Rate for Payer: UHC Exchange |
$256.38
|
| Rate for Payer: UHC Medicaid |
$180.80
|
| Rate for Payer: UHC Medicare Advantage |
$256.38
|
| Rate for Payer: UHCCP Medicaid |
$180.80
|
| Rate for Payer: VA VA |
$256.38
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$769.14
|
|
|
HC MR ONLY HEAD W CON
|
Facility
|
OP
|
$2,261.31
|
|
|
Service Code
|
CPT 70545
|
| Hospital Charge Code |
61000005
|
|
Hospital Revenue Code
|
610
|
| Min. Negotiated Rate |
$398.67 |
| Max. Negotiated Rate |
$2,035.18 |
| Rate for Payer: Aetna Commercial |
$1,922.11
|
| Rate for Payer: Aetna Medicare |
$587.94
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$706.66
|
| Rate for Payer: Amish Plain Church Group Commercial |
$706.66
|
| Rate for Payer: BCBS Complete |
$418.57
|
| Rate for Payer: BCBS MAPPO |
$565.33
|
| Rate for Payer: BCBS Trust/PPO |
$1,859.02
|
| Rate for Payer: BCN Commercial |
$1,859.02
|
| Rate for Payer: BCN Medicare Advantage |
$565.33
|
| Rate for Payer: Cash Price |
$1,809.05
|
| Rate for Payer: Cofinity Commercial |
$1,944.73
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,809.05
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$565.33
|
| Rate for Payer: Healthscope Commercial |
$2,035.18
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,695.98
|
| Rate for Payer: Mclaren Medicaid |
$398.67
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$593.59
|
| Rate for Payer: Meridian Medicaid |
$418.57
|
| Rate for Payer: MI Amish Medical Board Commercial |
$650.13
|
| Rate for Payer: Molina Medicare/Medicaid |
$621.86
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,922.11
|
| Rate for Payer: Nomi Health Commercial |
$1,854.27
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,695.98
|
| Rate for Payer: PACE Senior Care Partners |
$537.06
|
| Rate for Payer: PACE SWMI |
$565.33
|
| Rate for Payer: PHP Commercial |
$1,922.11
|
| Rate for Payer: PHP Medicare Advantage |
$565.33
|
| Rate for Payer: Priority Health Choice Medicaid |
$398.67
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$1,967.34
|
| Rate for Payer: Priority Health Medicare |
$570.98
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,573.87
|
| Rate for Payer: Railroad Medicare Medicare |
$565.33
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,989.95
|
| Rate for Payer: UHC Core |
$1,888.19
|
| Rate for Payer: UHC Exchange |
$565.33
|
| Rate for Payer: UHC Medicaid |
$398.67
|
| Rate for Payer: UHC Medicare Advantage |
$565.33
|
| Rate for Payer: UHCCP Medicaid |
$398.67
|
| Rate for Payer: VA VA |
$565.33
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,695.98
|
|
|
HC MR ONLY HEAD W CON
|
Facility
|
IP
|
$2,261.31
|
|
|
Service Code
|
CPT 70545
|
| Hospital Charge Code |
61000005
|
|
Hospital Revenue Code
|
610
|
| Min. Negotiated Rate |
$1,573.87 |
| Max. Negotiated Rate |
$2,035.18 |
| Rate for Payer: Aetna Commercial |
$1,922.11
|
| Rate for Payer: BCBS Trust/PPO |
$1,867.62
|
| Rate for Payer: BCN Commercial |
$1,867.62
|
| Rate for Payer: Cash Price |
$1,809.05
|
| Rate for Payer: Cofinity Commercial |
$1,944.73
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,809.05
|
| Rate for Payer: Healthscope Commercial |
$2,035.18
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,695.98
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,922.11
|
| Rate for Payer: Nomi Health Commercial |
$1,854.27
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,695.98
|
| Rate for Payer: PHP Commercial |
$1,922.11
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$1,967.34
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,573.87
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,989.95
|
| Rate for Payer: UHC Core |
$1,888.19
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,695.98
|
|
