|
HC MR SPINE THORACIC WO LIMITED
|
Facility
|
OP
|
$725.33
|
|
|
Service Code
|
CPT 72146
|
| Hospital Charge Code |
61200005
|
|
Hospital Revenue Code
|
612
|
| Min. Negotiated Rate |
$127.88 |
| Max. Negotiated Rate |
$652.80 |
| Rate for Payer: Aetna Commercial |
$616.53
|
| Rate for Payer: Aetna Medicare |
$188.59
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$226.67
|
| Rate for Payer: Amish Plain Church Group Commercial |
$226.67
|
| Rate for Payer: BCBS Complete |
$134.26
|
| Rate for Payer: BCBS MAPPO |
$181.33
|
| Rate for Payer: BCBS Trust/PPO |
$596.29
|
| Rate for Payer: BCN Commercial |
$596.29
|
| Rate for Payer: BCN Medicare Advantage |
$181.33
|
| Rate for Payer: Cash Price |
$580.26
|
| Rate for Payer: Cofinity Commercial |
$623.78
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$580.26
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$181.33
|
| Rate for Payer: Healthscope Commercial |
$652.80
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$544.00
|
| Rate for Payer: Mclaren Medicaid |
$127.88
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$190.40
|
| Rate for Payer: Meridian Medicaid |
$134.26
|
| Rate for Payer: MI Amish Medical Board Commercial |
$208.53
|
| Rate for Payer: Molina Medicare/Medicaid |
$199.47
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$616.53
|
| Rate for Payer: Nomi Health Commercial |
$594.77
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$544.00
|
| Rate for Payer: PACE Senior Care Partners |
$172.27
|
| Rate for Payer: PACE SWMI |
$181.33
|
| Rate for Payer: PHP Commercial |
$616.53
|
| Rate for Payer: PHP Medicare Advantage |
$181.33
|
| Rate for Payer: Priority Health Choice Medicaid |
$127.88
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$631.04
|
| Rate for Payer: Priority Health Medicare |
$183.15
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$504.83
|
| Rate for Payer: Railroad Medicare Medicare |
$181.33
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$638.29
|
| Rate for Payer: UHC Core |
$605.65
|
| Rate for Payer: UHC Exchange |
$181.33
|
| Rate for Payer: UHC Medicaid |
$127.88
|
| Rate for Payer: UHC Medicare Advantage |
$181.33
|
| Rate for Payer: UHCCP Medicaid |
$127.88
|
| Rate for Payer: VA VA |
$181.33
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$544.00
|
|
|
HC MR SPINE THORACIC WO LIMITED
|
Facility
|
IP
|
$725.33
|
|
|
Service Code
|
CPT 72146
|
| Hospital Charge Code |
61200005
|
|
Hospital Revenue Code
|
612
|
| Min. Negotiated Rate |
$504.83 |
| Max. Negotiated Rate |
$652.80 |
| Rate for Payer: Aetna Commercial |
$616.53
|
| Rate for Payer: BCBS Trust/PPO |
$599.05
|
| Rate for Payer: BCN Commercial |
$599.05
|
| Rate for Payer: Cash Price |
$580.26
|
| Rate for Payer: Cofinity Commercial |
$623.78
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$580.26
|
| Rate for Payer: Healthscope Commercial |
$652.80
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$544.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$616.53
|
| Rate for Payer: Nomi Health Commercial |
$594.77
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$544.00
|
| Rate for Payer: PHP Commercial |
$616.53
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$631.04
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$504.83
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$638.29
|
| Rate for Payer: UHC Core |
$605.65
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$544.00
|
|
|
HC MR SPINE THORACIC WO W CON
|
Facility
|
IP
|
$2,692.61
|
|
|
Service Code
|
CPT 72157
|
| Hospital Charge Code |
61200015
|
|
Hospital Revenue Code
|
612
|
| Min. Negotiated Rate |
$1,874.06 |
| Max. Negotiated Rate |
$2,423.35 |
| Rate for Payer: Aetna Commercial |
$2,288.72
|
| Rate for Payer: BCBS Trust/PPO |
$2,223.83
|
| Rate for Payer: BCN Commercial |
$2,223.83
|
| Rate for Payer: Cash Price |
$2,154.09
|
| Rate for Payer: Cofinity Commercial |
$2,315.64
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,154.09
|
| Rate for Payer: Healthscope Commercial |
$2,423.35
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,019.46
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,288.72
|
| Rate for Payer: Nomi Health Commercial |
$2,207.94
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,019.46
|
| Rate for Payer: PHP Commercial |
$2,288.72
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$2,342.57
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,874.06
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,369.50
|
| Rate for Payer: UHC Core |
$2,248.33
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,019.46
|
|
|
HC MR SPINE THORACIC WO W CON
|
Facility
|
OP
|
$2,692.61
|
|
|
Service Code
|
CPT 72157
|
| Hospital Charge Code |
61200015
|
|
Hospital Revenue Code
|
612
|
| Min. Negotiated Rate |
$474.71 |
| Max. Negotiated Rate |
$2,423.35 |
| Rate for Payer: Aetna Commercial |
$2,288.72
|
| Rate for Payer: Aetna Medicare |
$700.08
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$841.44
|
| Rate for Payer: Amish Plain Church Group Commercial |
$841.44
|
| Rate for Payer: BCBS Complete |
$498.40
|
| Rate for Payer: BCBS MAPPO |
$673.15
|
| Rate for Payer: BCBS Trust/PPO |
$2,213.59
|
| Rate for Payer: BCN Commercial |
$2,213.59
|
| Rate for Payer: BCN Medicare Advantage |
$673.15
|
| Rate for Payer: Cash Price |
$2,154.09
|
| Rate for Payer: Cofinity Commercial |
$2,315.64
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,154.09
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$673.15
|
| Rate for Payer: Healthscope Commercial |
$2,423.35
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,019.46
|
| Rate for Payer: Mclaren Medicaid |
$474.71
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$706.81
|
| Rate for Payer: Meridian Medicaid |
$498.40
|
| Rate for Payer: MI Amish Medical Board Commercial |
$774.13
|
| Rate for Payer: Molina Medicare/Medicaid |
$740.47
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,288.72
|
| Rate for Payer: Nomi Health Commercial |
$2,207.94
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,019.46
|
| Rate for Payer: PACE Senior Care Partners |
$639.49
|
| Rate for Payer: PACE SWMI |
$673.15
|
| Rate for Payer: PHP Commercial |
$2,288.72
|
| Rate for Payer: PHP Medicare Advantage |
$673.15
|
| Rate for Payer: Priority Health Choice Medicaid |
$474.71
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$2,342.57
|
| Rate for Payer: Priority Health Medicare |
$679.88
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,874.06
|
| Rate for Payer: Railroad Medicare Medicare |
$673.15
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,369.50
|
| Rate for Payer: UHC Core |
$2,248.33
|
| Rate for Payer: UHC Exchange |
$673.15
|
| Rate for Payer: UHC Medicaid |
$474.71
|
| Rate for Payer: UHC Medicare Advantage |
$673.15
|
| Rate for Payer: UHCCP Medicaid |
$474.71
|
| Rate for Payer: VA VA |
$673.15
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,019.46
|
|
|
HC MR SPINE THORACIC WO W LTD
|
Facility
|
IP
|
$942.99
|
|
|
Service Code
|
CPT 72157
|
| Hospital Charge Code |
61200016
|
|
Hospital Revenue Code
|
612
|
| Min. Negotiated Rate |
$656.32 |
| Max. Negotiated Rate |
$848.69 |
| Rate for Payer: Aetna Commercial |
$801.54
|
| Rate for Payer: BCBS Trust/PPO |
$778.82
|
| Rate for Payer: BCN Commercial |
$778.82
|
| Rate for Payer: Cash Price |
$754.39
|
| Rate for Payer: Cofinity Commercial |
$810.97
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$754.39
|
| Rate for Payer: Healthscope Commercial |
$848.69
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$707.24
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$801.54
|
| Rate for Payer: Nomi Health Commercial |
$773.25
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$707.24
|
| Rate for Payer: PHP Commercial |
$801.54
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$820.40
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$656.32
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$829.83
|
| Rate for Payer: UHC Core |
$787.40
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$707.24
|
|
|
HC MR SPINE THORACIC WO W LTD
|
Facility
|
OP
|
$942.99
|
|
|
Service Code
|
CPT 72157
|
| Hospital Charge Code |
61200016
|
|
Hospital Revenue Code
|
612
|
| Min. Negotiated Rate |
$166.25 |
| Max. Negotiated Rate |
$848.69 |
| Rate for Payer: Aetna Commercial |
$801.54
|
| Rate for Payer: Aetna Medicare |
$245.18
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$294.68
|
| Rate for Payer: Amish Plain Church Group Commercial |
$294.68
|
| Rate for Payer: BCBS Complete |
$174.55
|
| Rate for Payer: BCBS MAPPO |
$235.75
|
| Rate for Payer: BCBS Trust/PPO |
$775.23
|
| Rate for Payer: BCN Commercial |
$775.23
|
| Rate for Payer: BCN Medicare Advantage |
$235.75
|
| Rate for Payer: Cash Price |
$754.39
|
| Rate for Payer: Cofinity Commercial |
$810.97
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$754.39
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$235.75
|
| Rate for Payer: Healthscope Commercial |
$848.69
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$707.24
|
| Rate for Payer: Mclaren Medicaid |
$166.25
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$247.53
|
| Rate for Payer: Meridian Medicaid |
$174.55
|
| Rate for Payer: MI Amish Medical Board Commercial |
$271.11
|
| Rate for Payer: Molina Medicare/Medicaid |
$259.32
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$801.54
|
| Rate for Payer: Nomi Health Commercial |
$773.25
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$707.24
|
| Rate for Payer: PACE Senior Care Partners |
$223.96
|
| Rate for Payer: PACE SWMI |
$235.75
|
| Rate for Payer: PHP Commercial |
$801.54
|
| Rate for Payer: PHP Medicare Advantage |
$235.75
|
| Rate for Payer: Priority Health Choice Medicaid |
$166.25
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$820.40
|
| Rate for Payer: Priority Health Medicare |
$238.10
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$656.32
|
| Rate for Payer: Railroad Medicare Medicare |
$235.75
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$829.83
|
| Rate for Payer: UHC Core |
$787.40
|
| Rate for Payer: UHC Exchange |
$235.75
|
| Rate for Payer: UHC Medicaid |
$166.25
|
| Rate for Payer: UHC Medicare Advantage |
$235.75
|
| Rate for Payer: UHCCP Medicaid |
$166.25
|
| Rate for Payer: VA VA |
$235.75
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$707.24
|
|
|
HC MR TEMPOROMANDIBULAR JTS
|
Facility
|
OP
|
$2,114.36
|
|
|
Service Code
|
CPT 70336
|
| Hospital Charge Code |
61000001
|
|
Hospital Revenue Code
|
610
|
| Min. Negotiated Rate |
$372.76 |
| Max. Negotiated Rate |
$1,902.92 |
| Rate for Payer: Aetna Commercial |
$1,797.21
|
| Rate for Payer: Aetna Medicare |
$549.73
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$660.74
|
| Rate for Payer: Amish Plain Church Group Commercial |
$660.74
|
| Rate for Payer: BCBS Complete |
$391.37
|
| Rate for Payer: BCBS MAPPO |
$528.59
|
| Rate for Payer: BCBS Trust/PPO |
$1,738.22
|
| Rate for Payer: BCN Commercial |
$1,738.22
|
| Rate for Payer: BCN Medicare Advantage |
$528.59
|
| Rate for Payer: Cash Price |
$1,691.49
|
| Rate for Payer: Cofinity Commercial |
$1,818.35
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,691.49
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$528.59
|
| Rate for Payer: Healthscope Commercial |
$1,902.92
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,585.77
|
| Rate for Payer: Mclaren Medicaid |
$372.76
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$555.02
|
| Rate for Payer: Meridian Medicaid |
$391.37
|
| Rate for Payer: MI Amish Medical Board Commercial |
$607.88
|
| Rate for Payer: Molina Medicare/Medicaid |
$581.45
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,797.21
|
| Rate for Payer: Nomi Health Commercial |
$1,733.78
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,585.77
|
| Rate for Payer: PACE Senior Care Partners |
$502.16
|
| Rate for Payer: PACE SWMI |
$528.59
|
| Rate for Payer: PHP Commercial |
$1,797.21
|
| Rate for Payer: PHP Medicare Advantage |
$528.59
|
| Rate for Payer: Priority Health Choice Medicaid |
$372.76
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$1,839.49
|
| Rate for Payer: Priority Health Medicare |
$533.88
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,471.59
|
| Rate for Payer: Railroad Medicare Medicare |
$528.59
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,860.64
|
| Rate for Payer: UHC Core |
$1,765.49
|
| Rate for Payer: UHC Exchange |
$528.59
|
| Rate for Payer: UHC Medicaid |
$372.76
|
| Rate for Payer: UHC Medicare Advantage |
$528.59
|
| Rate for Payer: UHCCP Medicaid |
$372.76
|
| Rate for Payer: VA VA |
$528.59
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,585.77
|
|
|
HC MR TEMPOROMANDIBULAR JTS
|
Facility
|
IP
|
$2,114.36
|
|
|
Service Code
|
CPT 70336
|
| Hospital Charge Code |
61000001
|
|
Hospital Revenue Code
|
610
|
| Min. Negotiated Rate |
$1,471.59 |
| Max. Negotiated Rate |
$1,902.92 |
| Rate for Payer: Aetna Commercial |
$1,797.21
|
| Rate for Payer: BCBS Trust/PPO |
$1,746.25
|
| Rate for Payer: BCN Commercial |
$1,746.25
|
| Rate for Payer: Cash Price |
$1,691.49
|
| Rate for Payer: Cofinity Commercial |
$1,818.35
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,691.49
|
| Rate for Payer: Healthscope Commercial |
$1,902.92
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,585.77
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,797.21
|
| Rate for Payer: Nomi Health Commercial |
$1,733.78
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,585.77
|
| Rate for Payer: PHP Commercial |
$1,797.21
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$1,839.49
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,471.59
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,860.64
|
| Rate for Payer: UHC Core |
$1,765.49
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,585.77
|
|
|
HC MR UPPER EXTREM ANY JOINT BIL WO W CON
|
Facility
|
IP
|
$2,635.94
|
|
|
Service Code
|
CPT 73223
|
| Hospital Charge Code |
61000027
|
|
Hospital Revenue Code
|
610
|
| Min. Negotiated Rate |
$1,834.61 |
| Max. Negotiated Rate |
$2,372.35 |
| Rate for Payer: Aetna Commercial |
$2,240.55
|
| Rate for Payer: BCBS Trust/PPO |
$2,177.02
|
| Rate for Payer: BCN Commercial |
$2,177.02
|
| Rate for Payer: Cash Price |
$2,108.75
|
| Rate for Payer: Cofinity Commercial |
$2,266.91
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,108.75
|
| Rate for Payer: Healthscope Commercial |
$2,372.35
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,976.95
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,240.55
|
| Rate for Payer: Nomi Health Commercial |
$2,161.47
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,976.95
|
| Rate for Payer: PHP Commercial |
$2,240.55
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$2,293.27
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,834.61
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,319.63
|
| Rate for Payer: UHC Core |
$2,201.01
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,976.95
|
|
|
HC MR UPPER EXTREM ANY JOINT BIL WO W CON
|
Facility
|
OP
|
$2,635.94
|
|
|
Service Code
|
CPT 73223
|
| Hospital Charge Code |
61000027
|
|
Hospital Revenue Code
|
610
|
| Min. Negotiated Rate |
$464.72 |
| Max. Negotiated Rate |
$2,372.35 |
| Rate for Payer: Aetna Commercial |
$2,240.55
|
| Rate for Payer: Aetna Medicare |
$685.34
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$823.73
|
| Rate for Payer: Amish Plain Church Group Commercial |
$823.73
|
| Rate for Payer: BCBS Complete |
$487.91
|
| Rate for Payer: BCBS MAPPO |
$658.99
|
| Rate for Payer: BCBS Trust/PPO |
$2,167.01
|
| Rate for Payer: BCN Commercial |
$2,167.01
|
| Rate for Payer: BCN Medicare Advantage |
$658.99
|
| Rate for Payer: Cash Price |
$2,108.75
|
| Rate for Payer: Cofinity Commercial |
$2,266.91
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,108.75
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$658.99
|
| Rate for Payer: Healthscope Commercial |
$2,372.35
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,976.95
|
| Rate for Payer: Mclaren Medicaid |
$464.72
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$691.93
|
| Rate for Payer: Meridian Medicaid |
$487.91
|
| Rate for Payer: MI Amish Medical Board Commercial |
$757.83
|
| Rate for Payer: Molina Medicare/Medicaid |
$724.88
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,240.55
|
| Rate for Payer: Nomi Health Commercial |
$2,161.47
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,976.95
|
| Rate for Payer: PACE Senior Care Partners |
$626.04
|
| Rate for Payer: PACE SWMI |
$658.99
|
| Rate for Payer: PHP Commercial |
$2,240.55
|
| Rate for Payer: PHP Medicare Advantage |
$658.99
|
| Rate for Payer: Priority Health Choice Medicaid |
$464.72
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$2,293.27
|
| Rate for Payer: Priority Health Medicare |
$665.57
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,834.61
|
| Rate for Payer: Railroad Medicare Medicare |
$658.99
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,319.63
|
| Rate for Payer: UHC Core |
$2,201.01
|
| Rate for Payer: UHC Exchange |
$658.99
|
| Rate for Payer: UHC Medicaid |
$464.72
|
| Rate for Payer: UHC Medicare Advantage |
$658.99
|
| Rate for Payer: UHCCP Medicaid |
$464.72
|
| Rate for Payer: VA VA |
$658.99
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,976.95
|
|
|
HC MR UPPER EXTREM ANY JOINT W CON
|
Facility
|
OP
|
$2,336.68
|
|
|
Service Code
|
CPT 73222
|
| Hospital Charge Code |
61000024
|
|
Hospital Revenue Code
|
610
|
| Min. Negotiated Rate |
$411.96 |
| Max. Negotiated Rate |
$2,103.01 |
| Rate for Payer: Aetna Commercial |
$1,986.18
|
| Rate for Payer: Aetna Commercial |
$2,979.28
|
| Rate for Payer: Aetna Medicare |
$911.31
|
| Rate for Payer: Aetna Medicare |
$607.54
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,095.32
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$730.21
|
| Rate for Payer: Amish Plain Church Group Commercial |
$730.21
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1,095.32
|
| Rate for Payer: BCBS Complete |
$432.52
|
| Rate for Payer: BCBS Complete |
$648.78
|
| Rate for Payer: BCBS MAPPO |
$584.17
|
| Rate for Payer: BCBS MAPPO |
$876.26
|
| Rate for Payer: BCBS Trust/PPO |
$1,920.98
|
| Rate for Payer: BCBS Trust/PPO |
$2,881.49
|
| Rate for Payer: BCN Commercial |
$2,881.49
|
| Rate for Payer: BCN Commercial |
$1,920.98
|
| Rate for Payer: BCN Medicare Advantage |
$876.26
|
| Rate for Payer: BCN Medicare Advantage |
$584.17
|
| Rate for Payer: Cash Price |
$1,869.34
|
| Rate for Payer: Cash Price |
$2,804.02
|
| Rate for Payer: Cofinity Commercial |
$2,009.54
|
| Rate for Payer: Cofinity Commercial |
$3,014.33
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,804.02
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,869.34
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$876.26
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$584.17
|
| Rate for Payer: Healthscope Commercial |
$2,103.01
|
| Rate for Payer: Healthscope Commercial |
$3,154.53
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,752.51
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,628.77
|
| Rate for Payer: Mclaren Medicaid |
$617.94
|
| Rate for Payer: Mclaren Medicaid |
$411.96
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$920.07
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$613.38
|
| Rate for Payer: Meridian Medicaid |
$432.52
|
| Rate for Payer: Meridian Medicaid |
$648.78
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,007.70
|
| Rate for Payer: MI Amish Medical Board Commercial |
$671.80
|
| Rate for Payer: Molina Medicare/Medicaid |
$963.88
|
| Rate for Payer: Molina Medicare/Medicaid |
$642.59
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,979.28
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,986.18
|
| Rate for Payer: Nomi Health Commercial |
$2,874.12
|
| Rate for Payer: Nomi Health Commercial |
$1,916.08
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,752.51
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,628.77
|
| Rate for Payer: PACE Senior Care Partners |
$832.44
|
| Rate for Payer: PACE Senior Care Partners |
$554.96
|
| Rate for Payer: PACE SWMI |
$876.26
|
| Rate for Payer: PACE SWMI |
$584.17
|
| Rate for Payer: PHP Commercial |
$1,986.18
|
| Rate for Payer: PHP Commercial |
$2,979.28
|
| Rate for Payer: PHP Medicare Advantage |
$584.17
|
| Rate for Payer: PHP Medicare Advantage |
$876.26
|
| Rate for Payer: Priority Health Choice Medicaid |
$617.94
|
| Rate for Payer: Priority Health Choice Medicaid |
$411.96
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$3,049.38
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$2,032.91
|
| Rate for Payer: Priority Health Medicare |
$885.02
|
| Rate for Payer: Priority Health Medicare |
$590.01
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,626.33
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,439.50
|
| Rate for Payer: Railroad Medicare Medicare |
$584.17
|
| Rate for Payer: Railroad Medicare Medicare |
$876.26
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,056.28
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$3,084.43
|
| Rate for Payer: UHC Core |
$2,926.70
|
| Rate for Payer: UHC Core |
$1,951.13
|
| Rate for Payer: UHC Exchange |
$876.26
|
| Rate for Payer: UHC Exchange |
$584.17
|
| Rate for Payer: UHC Medicaid |
$617.94
|
| Rate for Payer: UHC Medicaid |
$411.96
|
| Rate for Payer: UHC Medicare Advantage |
$584.17
|
| Rate for Payer: UHC Medicare Advantage |
$876.26
|
| Rate for Payer: UHCCP Medicaid |
$411.96
|
| Rate for Payer: UHCCP Medicaid |
$617.94
|
| Rate for Payer: VA VA |
$584.17
|
| Rate for Payer: VA VA |
$876.26
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,628.77
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,752.51
|
|
|
HC MR UPPER EXTREM ANY JOINT W CON
|
Facility
|
IP
|
$2,336.68
|
|
|
Service Code
|
CPT 73222
|
| Hospital Charge Code |
61000024
|
|
Hospital Revenue Code
|
610
|
| Min. Negotiated Rate |
$1,626.33 |
| Max. Negotiated Rate |
$2,103.01 |
| Rate for Payer: Aetna Commercial |
$1,986.18
|
| Rate for Payer: Aetna Commercial |
$2,979.28
|
| Rate for Payer: BCBS Trust/PPO |
$1,929.86
|
| Rate for Payer: BCBS Trust/PPO |
$2,894.80
|
| Rate for Payer: BCN Commercial |
$1,929.86
|
| Rate for Payer: BCN Commercial |
$2,894.80
|
| Rate for Payer: Cash Price |
$1,869.34
|
| Rate for Payer: Cash Price |
$2,804.02
|
| Rate for Payer: Cofinity Commercial |
$3,014.33
|
| Rate for Payer: Cofinity Commercial |
$2,009.54
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,804.02
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,869.34
|
| Rate for Payer: Healthscope Commercial |
$2,103.01
|
| Rate for Payer: Healthscope Commercial |
$3,154.53
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,752.51
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,628.77
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,986.18
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,979.28
|
| Rate for Payer: Nomi Health Commercial |
$1,916.08
|
| Rate for Payer: Nomi Health Commercial |
$2,874.12
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,752.51
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,628.77
|
| Rate for Payer: PHP Commercial |
$2,979.28
|
| Rate for Payer: PHP Commercial |
$1,986.18
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$3,049.38
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$2,032.91
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,626.33
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,439.50
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,056.28
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$3,084.43
|
| Rate for Payer: UHC Core |
$1,951.13
|
| Rate for Payer: UHC Core |
$2,926.70
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,752.51
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,628.77
|
|
|
HC MR UPPER EXTREM ANY JOINT WO CON
|
Facility
|
IP
|
$2,035.12
|
|
|
Service Code
|
CPT 73221
|
| Hospital Charge Code |
61000022
|
|
Hospital Revenue Code
|
610
|
| Min. Negotiated Rate |
$1,416.44 |
| Max. Negotiated Rate |
$1,831.61 |
| Rate for Payer: Aetna Commercial |
$1,729.85
|
| Rate for Payer: Aetna Commercial |
$2,594.79
|
| Rate for Payer: BCBS Trust/PPO |
$1,680.81
|
| Rate for Payer: BCBS Trust/PPO |
$2,521.22
|
| Rate for Payer: BCN Commercial |
$1,680.81
|
| Rate for Payer: BCN Commercial |
$2,521.22
|
| Rate for Payer: Cash Price |
$1,628.10
|
| Rate for Payer: Cash Price |
$2,442.15
|
| Rate for Payer: Cofinity Commercial |
$2,625.31
|
| Rate for Payer: Cofinity Commercial |
$1,750.20
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,442.15
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,628.10
|
| Rate for Payer: Healthscope Commercial |
$1,831.61
|
| Rate for Payer: Healthscope Commercial |
$2,747.42
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,526.34
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,289.52
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,729.85
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,594.79
|
| Rate for Payer: Nomi Health Commercial |
$1,668.80
|
| Rate for Payer: Nomi Health Commercial |
$2,503.21
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,526.34
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,289.52
|
| Rate for Payer: PHP Commercial |
$2,594.79
|
| Rate for Payer: PHP Commercial |
$1,729.85
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$2,655.84
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$1,770.55
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,416.44
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,124.67
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,790.91
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,686.37
|
| Rate for Payer: UHC Core |
$1,699.33
|
| Rate for Payer: UHC Core |
$2,549.00
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,526.34
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,289.52
|
|
|
HC MR UPPER EXTREM ANY JOINT WO CON
|
Facility
|
OP
|
$2,035.12
|
|
|
Service Code
|
CPT 73221
|
| Hospital Charge Code |
61000022
|
|
Hospital Revenue Code
|
610
|
| Min. Negotiated Rate |
$358.79 |
| Max. Negotiated Rate |
$1,831.61 |
| Rate for Payer: Aetna Commercial |
$1,729.85
|
| Rate for Payer: Aetna Commercial |
$2,594.79
|
| Rate for Payer: Aetna Medicare |
$793.70
|
| Rate for Payer: Aetna Medicare |
$529.13
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$953.97
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$635.98
|
| Rate for Payer: Amish Plain Church Group Commercial |
$635.98
|
| Rate for Payer: Amish Plain Church Group Commercial |
$953.97
|
| Rate for Payer: BCBS Complete |
$376.70
|
| Rate for Payer: BCBS Complete |
$565.05
|
| Rate for Payer: BCBS MAPPO |
$508.78
|
| Rate for Payer: BCBS MAPPO |
$763.17
|
| Rate for Payer: BCBS Trust/PPO |
$1,673.07
|
| Rate for Payer: BCBS Trust/PPO |
$2,509.62
|
| Rate for Payer: BCN Commercial |
$2,509.62
|
| Rate for Payer: BCN Commercial |
$1,673.07
|
| Rate for Payer: BCN Medicare Advantage |
$763.17
|
| Rate for Payer: BCN Medicare Advantage |
$508.78
|
| Rate for Payer: Cash Price |
$1,628.10
|
| Rate for Payer: Cash Price |
$2,442.15
|
| Rate for Payer: Cofinity Commercial |
$1,750.20
|
| Rate for Payer: Cofinity Commercial |
$2,625.31
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,442.15
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,628.10
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$763.17
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$508.78
|
| Rate for Payer: Healthscope Commercial |
$1,831.61
|
| Rate for Payer: Healthscope Commercial |
$2,747.42
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,526.34
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,289.52
|
| Rate for Payer: Mclaren Medicaid |
$538.19
|
| Rate for Payer: Mclaren Medicaid |
$358.79
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$801.33
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$534.22
|
| Rate for Payer: Meridian Medicaid |
$376.70
|
| Rate for Payer: Meridian Medicaid |
$565.05
|
| Rate for Payer: MI Amish Medical Board Commercial |
$877.65
|
| Rate for Payer: MI Amish Medical Board Commercial |
$585.10
|
| Rate for Payer: Molina Medicare/Medicaid |
$839.49
|
| Rate for Payer: Molina Medicare/Medicaid |
$559.66
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,594.79
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,729.85
|
| Rate for Payer: Nomi Health Commercial |
$2,503.21
|
| Rate for Payer: Nomi Health Commercial |
$1,668.80
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,526.34
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,289.52
|
| Rate for Payer: PACE Senior Care Partners |
$725.01
|
| Rate for Payer: PACE Senior Care Partners |
$483.34
|
| Rate for Payer: PACE SWMI |
$763.17
|
| Rate for Payer: PACE SWMI |
$508.78
|
| Rate for Payer: PHP Commercial |
$1,729.85
|
| Rate for Payer: PHP Commercial |
$2,594.79
|
| Rate for Payer: PHP Medicare Advantage |
$508.78
|
| Rate for Payer: PHP Medicare Advantage |
$763.17
|
| Rate for Payer: Priority Health Choice Medicaid |
$538.19
|
| Rate for Payer: Priority Health Choice Medicaid |
$358.79
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$2,655.84
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$1,770.55
|
| Rate for Payer: Priority Health Medicare |
$770.80
|
| Rate for Payer: Priority Health Medicare |
$513.87
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,416.44
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,124.67
|
| Rate for Payer: Railroad Medicare Medicare |
$508.78
|
| Rate for Payer: Railroad Medicare Medicare |
$763.17
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,790.91
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,686.37
|
| Rate for Payer: UHC Core |
$2,549.00
|
| Rate for Payer: UHC Core |
$1,699.33
|
| Rate for Payer: UHC Exchange |
$763.17
|
| Rate for Payer: UHC Exchange |
$508.78
|
| Rate for Payer: UHC Medicaid |
$538.19
|
| Rate for Payer: UHC Medicaid |
$358.79
|
| Rate for Payer: UHC Medicare Advantage |
$508.78
|
| Rate for Payer: UHC Medicare Advantage |
$763.17
|
| Rate for Payer: UHCCP Medicaid |
$358.79
|
| Rate for Payer: UHCCP Medicaid |
$538.19
|
| Rate for Payer: VA VA |
$508.78
|
| Rate for Payer: VA VA |
$763.17
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,289.52
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,526.34
|
|
|
HC MR UPPER EXTREM ANY JOINT WO W CON
|
Facility
|
OP
|
$2,508.56
|
|
|
Service Code
|
CPT 73223
|
| Hospital Charge Code |
61000026
|
|
Hospital Revenue Code
|
610
|
| Min. Negotiated Rate |
$442.26 |
| Max. Negotiated Rate |
$2,257.70 |
| Rate for Payer: Aetna Commercial |
$2,132.28
|
| Rate for Payer: Aetna Commercial |
$3,198.41
|
| Rate for Payer: Aetna Medicare |
$978.34
|
| Rate for Payer: Aetna Medicare |
$652.23
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,175.88
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$783.92
|
| Rate for Payer: Amish Plain Church Group Commercial |
$783.92
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1,175.88
|
| Rate for Payer: BCBS Complete |
$464.33
|
| Rate for Payer: BCBS Complete |
$696.50
|
| Rate for Payer: BCBS MAPPO |
$627.14
|
| Rate for Payer: BCBS MAPPO |
$940.71
|
| Rate for Payer: BCBS Trust/PPO |
$2,062.29
|
| Rate for Payer: BCBS Trust/PPO |
$3,093.42
|
| Rate for Payer: BCN Commercial |
$3,093.42
|
| Rate for Payer: BCN Commercial |
$2,062.29
|
| Rate for Payer: BCN Medicare Advantage |
$940.71
|
| Rate for Payer: BCN Medicare Advantage |
$627.14
|
| Rate for Payer: Cash Price |
$2,006.85
|
| Rate for Payer: Cash Price |
$3,010.26
|
| Rate for Payer: Cofinity Commercial |
$2,157.36
|
| Rate for Payer: Cofinity Commercial |
$3,236.03
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,010.26
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,006.85
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$940.71
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$627.14
|
| Rate for Payer: Healthscope Commercial |
$2,257.70
|
| Rate for Payer: Healthscope Commercial |
$3,386.55
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,881.42
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,822.12
|
| Rate for Payer: Mclaren Medicaid |
$663.39
|
| Rate for Payer: Mclaren Medicaid |
$442.26
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$987.74
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$658.50
|
| Rate for Payer: Meridian Medicaid |
$464.33
|
| Rate for Payer: Meridian Medicaid |
$696.50
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,081.81
|
| Rate for Payer: MI Amish Medical Board Commercial |
$721.21
|
| Rate for Payer: Molina Medicare/Medicaid |
$1,034.78
|
| Rate for Payer: Molina Medicare/Medicaid |
$689.85
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,198.41
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,132.28
|
| Rate for Payer: Nomi Health Commercial |
$3,085.52
|
| Rate for Payer: Nomi Health Commercial |
$2,057.02
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,881.42
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,822.12
|
| Rate for Payer: PACE Senior Care Partners |
$893.67
|
| Rate for Payer: PACE Senior Care Partners |
$595.78
|
| Rate for Payer: PACE SWMI |
$940.71
|
| Rate for Payer: PACE SWMI |
$627.14
|
| Rate for Payer: PHP Commercial |
$2,132.28
|
| Rate for Payer: PHP Commercial |
$3,198.41
|
| Rate for Payer: PHP Medicare Advantage |
$627.14
|
| Rate for Payer: PHP Medicare Advantage |
$940.71
|
| Rate for Payer: Priority Health Choice Medicaid |
$663.39
|
| Rate for Payer: Priority Health Choice Medicaid |
$442.26
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$3,273.66
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$2,182.45
|
| Rate for Payer: Priority Health Medicare |
$950.11
|
| Rate for Payer: Priority Health Medicare |
$633.41
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,745.96
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,618.93
|
| Rate for Payer: Railroad Medicare Medicare |
$627.14
|
| Rate for Payer: Railroad Medicare Medicare |
$940.71
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,207.53
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$3,311.29
|
| Rate for Payer: UHC Core |
$3,141.96
|
| Rate for Payer: UHC Core |
$2,094.65
|
| Rate for Payer: UHC Exchange |
$940.71
|
| Rate for Payer: UHC Exchange |
$627.14
|
| Rate for Payer: UHC Medicaid |
$663.39
|
| Rate for Payer: UHC Medicaid |
$442.26
|
| Rate for Payer: UHC Medicare Advantage |
$627.14
|
| Rate for Payer: UHC Medicare Advantage |
$940.71
|
| Rate for Payer: UHCCP Medicaid |
$442.26
|
| Rate for Payer: UHCCP Medicaid |
$663.39
|
| Rate for Payer: VA VA |
$627.14
|
| Rate for Payer: VA VA |
$940.71
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,822.12
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,881.42
|
|
|
HC MR UPPER EXTREM ANY JOINT WO W CON
|
Facility
|
IP
|
$2,508.56
|
|
|
Service Code
|
CPT 73223
|
| Hospital Charge Code |
61000026
|
|
Hospital Revenue Code
|
610
|
| Min. Negotiated Rate |
$1,745.96 |
| Max. Negotiated Rate |
$2,257.70 |
| Rate for Payer: Aetna Commercial |
$2,132.28
|
| Rate for Payer: Aetna Commercial |
$3,198.41
|
| Rate for Payer: BCBS Trust/PPO |
$2,071.82
|
| Rate for Payer: BCBS Trust/PPO |
$3,107.72
|
| Rate for Payer: BCN Commercial |
$2,071.82
|
| Rate for Payer: BCN Commercial |
$3,107.72
|
| Rate for Payer: Cash Price |
$2,006.85
|
| Rate for Payer: Cash Price |
$3,010.26
|
| Rate for Payer: Cofinity Commercial |
$3,236.03
|
| Rate for Payer: Cofinity Commercial |
$2,157.36
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,010.26
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,006.85
|
| Rate for Payer: Healthscope Commercial |
$2,257.70
|
| Rate for Payer: Healthscope Commercial |
$3,386.55
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,881.42
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,822.12
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,132.28
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,198.41
|
| Rate for Payer: Nomi Health Commercial |
$2,057.02
|
| Rate for Payer: Nomi Health Commercial |
$3,085.52
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,881.42
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,822.12
|
| Rate for Payer: PHP Commercial |
$3,198.41
|
| Rate for Payer: PHP Commercial |
$2,132.28
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$3,273.66
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$2,182.45
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,745.96
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,618.93
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,207.53
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$3,311.29
|
| Rate for Payer: UHC Core |
$2,094.65
|
| Rate for Payer: UHC Core |
$3,141.96
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,881.42
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,822.12
|
|
|
HC MR UPPER EXTREM BIL ANY JOINT W CON
|
Facility
|
IP
|
$2,562.71
|
|
|
Service Code
|
CPT 73222
|
| Hospital Charge Code |
61000025
|
|
Hospital Revenue Code
|
610
|
| Min. Negotiated Rate |
$1,783.65 |
| Max. Negotiated Rate |
$2,306.44 |
| Rate for Payer: Aetna Commercial |
$2,178.30
|
| Rate for Payer: BCBS Trust/PPO |
$2,116.54
|
| Rate for Payer: BCN Commercial |
$2,116.54
|
| Rate for Payer: Cash Price |
$2,050.17
|
| Rate for Payer: Cofinity Commercial |
$2,203.93
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,050.17
|
| Rate for Payer: Healthscope Commercial |
$2,306.44
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,922.03
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,178.30
|
| Rate for Payer: Nomi Health Commercial |
$2,101.42
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,922.03
|
| Rate for Payer: PHP Commercial |
$2,178.30
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$2,229.56
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,783.65
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,255.18
|
| Rate for Payer: UHC Core |
$2,139.86
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,922.03
|
|
|
HC MR UPPER EXTREM BIL ANY JOINT W CON
|
Facility
|
OP
|
$2,562.71
|
|
|
Service Code
|
CPT 73222
|
| Hospital Charge Code |
61000025
|
|
Hospital Revenue Code
|
610
|
| Min. Negotiated Rate |
$451.81 |
| Max. Negotiated Rate |
$2,306.44 |
| Rate for Payer: Aetna Commercial |
$2,178.30
|
| Rate for Payer: Aetna Medicare |
$666.30
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$800.85
|
| Rate for Payer: Amish Plain Church Group Commercial |
$800.85
|
| Rate for Payer: BCBS Complete |
$474.36
|
| Rate for Payer: BCBS MAPPO |
$640.68
|
| Rate for Payer: BCBS Trust/PPO |
$2,106.80
|
| Rate for Payer: BCN Commercial |
$2,106.80
|
| Rate for Payer: BCN Medicare Advantage |
$640.68
|
| Rate for Payer: Cash Price |
$2,050.17
|
| Rate for Payer: Cofinity Commercial |
$2,203.93
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,050.17
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$640.68
|
| Rate for Payer: Healthscope Commercial |
$2,306.44
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,922.03
|
| Rate for Payer: Mclaren Medicaid |
$451.81
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$672.71
|
| Rate for Payer: Meridian Medicaid |
$474.36
|
| Rate for Payer: MI Amish Medical Board Commercial |
$736.78
|
| Rate for Payer: Molina Medicare/Medicaid |
$704.75
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,178.30
|
| Rate for Payer: Nomi Health Commercial |
$2,101.42
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,922.03
|
| Rate for Payer: PACE Senior Care Partners |
$608.64
|
| Rate for Payer: PACE SWMI |
$640.68
|
| Rate for Payer: PHP Commercial |
$2,178.30
|
| Rate for Payer: PHP Medicare Advantage |
$640.68
|
| Rate for Payer: Priority Health Choice Medicaid |
$451.81
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$2,229.56
|
| Rate for Payer: Priority Health Medicare |
$647.08
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,783.65
|
| Rate for Payer: Railroad Medicare Medicare |
$640.68
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,255.18
|
| Rate for Payer: UHC Core |
$2,139.86
|
| Rate for Payer: UHC Exchange |
$640.68
|
| Rate for Payer: UHC Medicaid |
$451.81
|
| Rate for Payer: UHC Medicare Advantage |
$640.68
|
| Rate for Payer: UHCCP Medicaid |
$451.81
|
| Rate for Payer: VA VA |
$640.68
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,922.03
|
|
|
HC MR UPPER EXTREM BIL ANY JOINT WO CON
|
Facility
|
OP
|
$2,343.04
|
|
|
Service Code
|
CPT 73221
|
| Hospital Charge Code |
61000023
|
|
Hospital Revenue Code
|
610
|
| Min. Negotiated Rate |
$413.08 |
| Max. Negotiated Rate |
$2,108.74 |
| Rate for Payer: Aetna Commercial |
$1,991.58
|
| Rate for Payer: Aetna Medicare |
$609.19
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$732.20
|
| Rate for Payer: Amish Plain Church Group Commercial |
$732.20
|
| Rate for Payer: BCBS Complete |
$433.70
|
| Rate for Payer: BCBS MAPPO |
$585.76
|
| Rate for Payer: BCBS Trust/PPO |
$1,926.21
|
| Rate for Payer: BCN Commercial |
$1,926.21
|
| Rate for Payer: BCN Medicare Advantage |
$585.76
|
| Rate for Payer: Cash Price |
$1,874.43
|
| Rate for Payer: Cofinity Commercial |
$2,015.01
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,874.43
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$585.76
|
| Rate for Payer: Healthscope Commercial |
$2,108.74
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,757.28
|
| Rate for Payer: Mclaren Medicaid |
$413.08
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$615.05
|
| Rate for Payer: Meridian Medicaid |
$433.70
|
| Rate for Payer: MI Amish Medical Board Commercial |
$673.62
|
| Rate for Payer: Molina Medicare/Medicaid |
$644.34
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,991.58
|
| Rate for Payer: Nomi Health Commercial |
$1,921.29
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,757.28
|
| Rate for Payer: PACE Senior Care Partners |
$556.47
|
| Rate for Payer: PACE SWMI |
$585.76
|
| Rate for Payer: PHP Commercial |
$1,991.58
|
| Rate for Payer: PHP Medicare Advantage |
$585.76
|
| Rate for Payer: Priority Health Choice Medicaid |
$413.08
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$2,038.44
|
| Rate for Payer: Priority Health Medicare |
$591.62
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,630.76
|
| Rate for Payer: Railroad Medicare Medicare |
$585.76
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,061.88
|
| Rate for Payer: UHC Core |
$1,956.44
|
| Rate for Payer: UHC Exchange |
$585.76
|
| Rate for Payer: UHC Medicaid |
$413.08
|
| Rate for Payer: UHC Medicare Advantage |
$585.76
|
| Rate for Payer: UHCCP Medicaid |
$413.08
|
| Rate for Payer: VA VA |
$585.76
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,757.28
|
|
|
HC MR UPPER EXTREM BIL ANY JOINT WO CON
|
Facility
|
IP
|
$2,343.04
|
|
|
Service Code
|
CPT 73221
|
| Hospital Charge Code |
61000023
|
|
Hospital Revenue Code
|
610
|
| Min. Negotiated Rate |
$1,630.76 |
| Max. Negotiated Rate |
$2,108.74 |
| Rate for Payer: Aetna Commercial |
$1,991.58
|
| Rate for Payer: BCBS Trust/PPO |
$1,935.12
|
| Rate for Payer: BCN Commercial |
$1,935.12
|
| Rate for Payer: Cash Price |
$1,874.43
|
| Rate for Payer: Cofinity Commercial |
$2,015.01
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,874.43
|
| Rate for Payer: Healthscope Commercial |
$2,108.74
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,757.28
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,991.58
|
| Rate for Payer: Nomi Health Commercial |
$1,921.29
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,757.28
|
| Rate for Payer: PHP Commercial |
$1,991.58
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$2,038.44
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,630.76
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,061.88
|
| Rate for Payer: UHC Core |
$1,956.44
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,757.28
|
|
|
HC MR UPPER EXTREM BIL NO JOINT W CON
|
Facility
|
IP
|
$2,512.46
|
|
|
Service Code
|
CPT 73219
|
| Hospital Charge Code |
61000019
|
|
Hospital Revenue Code
|
610
|
| Min. Negotiated Rate |
$1,748.67 |
| Max. Negotiated Rate |
$2,261.21 |
| Rate for Payer: Aetna Commercial |
$2,135.59
|
| Rate for Payer: BCBS Trust/PPO |
$2,075.04
|
| Rate for Payer: BCN Commercial |
$2,075.04
|
| Rate for Payer: Cash Price |
$2,009.97
|
| Rate for Payer: Cofinity Commercial |
$2,160.72
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,009.97
|
| Rate for Payer: Healthscope Commercial |
$2,261.21
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,884.35
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,135.59
|
| Rate for Payer: Nomi Health Commercial |
$2,060.22
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,884.35
|
| Rate for Payer: PHP Commercial |
$2,135.59
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$2,185.84
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,748.67
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,210.96
|
| Rate for Payer: UHC Core |
$2,097.90
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,884.35
|
|
|
HC MR UPPER EXTREM BIL NO JOINT W CON
|
Facility
|
OP
|
$2,512.46
|
|
|
Service Code
|
CPT 73219
|
| Hospital Charge Code |
61000019
|
|
Hospital Revenue Code
|
610
|
| Min. Negotiated Rate |
$442.95 |
| Max. Negotiated Rate |
$2,261.21 |
| Rate for Payer: Aetna Commercial |
$2,135.59
|
| Rate for Payer: Aetna Medicare |
$653.24
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$785.14
|
| Rate for Payer: Amish Plain Church Group Commercial |
$785.14
|
| Rate for Payer: BCBS Complete |
$465.06
|
| Rate for Payer: BCBS MAPPO |
$628.12
|
| Rate for Payer: BCBS Trust/PPO |
$2,065.49
|
| Rate for Payer: BCN Commercial |
$2,065.49
|
| Rate for Payer: BCN Medicare Advantage |
$628.12
|
| Rate for Payer: Cash Price |
$2,009.97
|
| Rate for Payer: Cofinity Commercial |
$2,160.72
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,009.97
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$628.12
|
| Rate for Payer: Healthscope Commercial |
$2,261.21
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,884.35
|
| Rate for Payer: Mclaren Medicaid |
$442.95
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$659.52
|
| Rate for Payer: Meridian Medicaid |
$465.06
|
| Rate for Payer: MI Amish Medical Board Commercial |
$722.33
|
| Rate for Payer: Molina Medicare/Medicaid |
$690.93
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,135.59
|
| Rate for Payer: Nomi Health Commercial |
$2,060.22
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,884.35
|
| Rate for Payer: PACE Senior Care Partners |
$596.71
|
| Rate for Payer: PACE SWMI |
$628.12
|
| Rate for Payer: PHP Commercial |
$2,135.59
|
| Rate for Payer: PHP Medicare Advantage |
$628.12
|
| Rate for Payer: Priority Health Choice Medicaid |
$442.95
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$2,185.84
|
| Rate for Payer: Priority Health Medicare |
$634.40
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,748.67
|
| Rate for Payer: Railroad Medicare Medicare |
$628.12
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,210.96
|
| Rate for Payer: UHC Core |
$2,097.90
|
| Rate for Payer: UHC Exchange |
$628.12
|
| Rate for Payer: UHC Medicaid |
$442.95
|
| Rate for Payer: UHC Medicare Advantage |
$628.12
|
| Rate for Payer: UHCCP Medicaid |
$442.95
|
| Rate for Payer: VA VA |
$628.12
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,884.35
|
|
|
HC MR UPPER EXTREM BIL NO JOINT WO CON
|
Facility
|
IP
|
$2,343.04
|
|
|
Service Code
|
CPT 73218
|
| Hospital Charge Code |
61000017
|
|
Hospital Revenue Code
|
610
|
| Min. Negotiated Rate |
$1,630.76 |
| Max. Negotiated Rate |
$2,108.74 |
| Rate for Payer: Aetna Commercial |
$1,991.58
|
| Rate for Payer: BCBS Trust/PPO |
$1,935.12
|
| Rate for Payer: BCN Commercial |
$1,935.12
|
| Rate for Payer: Cash Price |
$1,874.43
|
| Rate for Payer: Cofinity Commercial |
$2,015.01
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,874.43
|
| Rate for Payer: Healthscope Commercial |
$2,108.74
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,757.28
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,991.58
|
| Rate for Payer: Nomi Health Commercial |
$1,921.29
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,757.28
|
| Rate for Payer: PHP Commercial |
$1,991.58
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$2,038.44
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,630.76
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,061.88
|
| Rate for Payer: UHC Core |
$1,956.44
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,757.28
|
|
|
HC MR UPPER EXTREM BIL NO JOINT WO CON
|
Facility
|
OP
|
$2,343.04
|
|
|
Service Code
|
CPT 73218
|
| Hospital Charge Code |
61000017
|
|
Hospital Revenue Code
|
610
|
| Min. Negotiated Rate |
$413.08 |
| Max. Negotiated Rate |
$2,108.74 |
| Rate for Payer: Aetna Commercial |
$1,991.58
|
| Rate for Payer: Aetna Medicare |
$609.19
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$732.20
|
| Rate for Payer: Amish Plain Church Group Commercial |
$732.20
|
| Rate for Payer: BCBS Complete |
$433.70
|
| Rate for Payer: BCBS MAPPO |
$585.76
|
| Rate for Payer: BCBS Trust/PPO |
$1,926.21
|
| Rate for Payer: BCN Commercial |
$1,926.21
|
| Rate for Payer: BCN Medicare Advantage |
$585.76
|
| Rate for Payer: Cash Price |
$1,874.43
|
| Rate for Payer: Cofinity Commercial |
$2,015.01
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,874.43
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$585.76
|
| Rate for Payer: Healthscope Commercial |
$2,108.74
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,757.28
|
| Rate for Payer: Mclaren Medicaid |
$413.08
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$615.05
|
| Rate for Payer: Meridian Medicaid |
$433.70
|
| Rate for Payer: MI Amish Medical Board Commercial |
$673.62
|
| Rate for Payer: Molina Medicare/Medicaid |
$644.34
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,991.58
|
| Rate for Payer: Nomi Health Commercial |
$1,921.29
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,757.28
|
| Rate for Payer: PACE Senior Care Partners |
$556.47
|
| Rate for Payer: PACE SWMI |
$585.76
|
| Rate for Payer: PHP Commercial |
$1,991.58
|
| Rate for Payer: PHP Medicare Advantage |
$585.76
|
| Rate for Payer: Priority Health Choice Medicaid |
$413.08
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$2,038.44
|
| Rate for Payer: Priority Health Medicare |
$591.62
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,630.76
|
| Rate for Payer: Railroad Medicare Medicare |
$585.76
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,061.88
|
| Rate for Payer: UHC Core |
$1,956.44
|
| Rate for Payer: UHC Exchange |
$585.76
|
| Rate for Payer: UHC Medicaid |
$413.08
|
| Rate for Payer: UHC Medicare Advantage |
$585.76
|
| Rate for Payer: UHCCP Medicaid |
$413.08
|
| Rate for Payer: VA VA |
$585.76
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,757.28
|
|
|
HC MR UPPER EXTREM BIL NO JOINT WO W CON
|
Facility
|
IP
|
$2,635.94
|
|
|
Service Code
|
CPT 73220
|
| Hospital Charge Code |
61000021
|
|
Hospital Revenue Code
|
610
|
| Min. Negotiated Rate |
$1,834.61 |
| Max. Negotiated Rate |
$2,372.35 |
| Rate for Payer: Aetna Commercial |
$2,240.55
|
| Rate for Payer: BCBS Trust/PPO |
$2,177.02
|
| Rate for Payer: BCN Commercial |
$2,177.02
|
| Rate for Payer: Cash Price |
$2,108.75
|
| Rate for Payer: Cofinity Commercial |
$2,266.91
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,108.75
|
| Rate for Payer: Healthscope Commercial |
$2,372.35
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,976.95
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,240.55
|
| Rate for Payer: Nomi Health Commercial |
$2,161.47
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,976.95
|
| Rate for Payer: PHP Commercial |
$2,240.55
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$2,293.27
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,834.61
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,319.63
|
| Rate for Payer: UHC Core |
$2,201.01
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,976.95
|
|
