|
HC LARYNGOSCOPY FIBEROPTIC
|
Facility
|
OP
|
$372.28
|
|
|
Service Code
|
CPT 31575
|
| Hospital Charge Code |
36100443
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$88.42 |
| Max. Negotiated Rate |
$335.05 |
| Rate for Payer: Aetna Commercial |
$316.44
|
| Rate for Payer: Aetna Medicare |
$96.79
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$116.34
|
| Rate for Payer: Amish Plain Church Group Commercial |
$116.34
|
| Rate for Payer: BCBS Complete |
$147.39
|
| Rate for Payer: BCBS MAPPO |
$93.07
|
| Rate for Payer: BCBS Trust/PPO |
$306.05
|
| Rate for Payer: BCN Commercial |
$289.45
|
| Rate for Payer: BCN Medicare Advantage |
$93.07
|
| Rate for Payer: Cash Price |
$297.82
|
| Rate for Payer: Cash Price |
$297.82
|
| Rate for Payer: Cofinity Commercial |
$320.16
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$297.82
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$93.07
|
| Rate for Payer: Healthscope Commercial |
$335.05
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$279.21
|
| Rate for Payer: Mclaren Medicaid |
$140.36
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$97.72
|
| Rate for Payer: Meridian Medicaid |
$147.39
|
| Rate for Payer: MI Amish Medical Board Commercial |
$107.03
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$316.44
|
| Rate for Payer: Nomi Health Commercial |
$305.27
|
| Rate for Payer: PACE Senior Care Partners |
$88.42
|
| Rate for Payer: PACE SWMI |
$93.07
|
| Rate for Payer: PHP Commercial |
$316.44
|
| Rate for Payer: PHP Medicare Advantage |
$93.07
|
| Rate for Payer: Priority Health Choice Medicaid |
$140.36
|
| Rate for Payer: Priority Health Cigna Priority Health |
$241.98
|
| Rate for Payer: Priority Health HMO/PPO |
$323.88
|
| Rate for Payer: Priority Health Medicare |
$94.00
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$249.43
|
| Rate for Payer: Railroad Medicare Medicare |
$93.07
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$327.61
|
| Rate for Payer: UHC Core |
$310.85
|
| Rate for Payer: UHC Dual Complete DSNP |
$93.07
|
| Rate for Payer: UHC Exchange |
$93.07
|
| Rate for Payer: UHC Medicare Advantage |
$93.07
|
| Rate for Payer: UHCCP Medicaid |
$140.36
|
| Rate for Payer: VA VA |
$93.07
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$279.21
|
|
|
HC LARYNGOSCOPY FLX/RGD TELESCOP W/STROBOSCOP
|
Facility
|
OP
|
$1,122.00
|
|
|
Service Code
|
CPT 31579
|
| Hospital Charge Code |
76100455
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$266.48 |
| Max. Negotiated Rate |
$1,009.80 |
| Rate for Payer: Aetna Commercial |
$953.70
|
| Rate for Payer: Aetna Medicare |
$291.72
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$350.62
|
| Rate for Payer: Amish Plain Church Group Commercial |
$350.62
|
| Rate for Payer: BCBS Complete |
$294.80
|
| Rate for Payer: BCBS MAPPO |
$280.50
|
| Rate for Payer: BCBS Trust/PPO |
$922.40
|
| Rate for Payer: BCN Commercial |
$872.36
|
| Rate for Payer: BCN Medicare Advantage |
$280.50
|
| Rate for Payer: Cash Price |
$897.60
|
| Rate for Payer: Cash Price |
$897.60
|
| Rate for Payer: Cofinity Commercial |
$964.92
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$897.60
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$280.50
|
| Rate for Payer: Healthscope Commercial |
$1,009.80
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$841.50
|
| Rate for Payer: Mclaren Medicaid |
$280.75
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$294.52
|
| Rate for Payer: Meridian Medicaid |
$294.80
|
| Rate for Payer: MI Amish Medical Board Commercial |
$322.57
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$953.70
|
| Rate for Payer: Nomi Health Commercial |
$920.04
|
| Rate for Payer: PACE Senior Care Partners |
$266.48
|
| Rate for Payer: PACE SWMI |
$280.50
|
| Rate for Payer: PHP Commercial |
$953.70
|
| Rate for Payer: PHP Medicare Advantage |
$280.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$280.75
|
| Rate for Payer: Priority Health Cigna Priority Health |
$729.30
|
| Rate for Payer: Priority Health HMO/PPO |
$976.14
|
| Rate for Payer: Priority Health Medicare |
$283.31
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$751.74
|
| Rate for Payer: Railroad Medicare Medicare |
$280.50
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$987.36
|
| Rate for Payer: UHC Core |
$936.87
|
| Rate for Payer: UHC Dual Complete DSNP |
$280.50
|
| Rate for Payer: UHC Exchange |
$280.50
|
| Rate for Payer: UHC Medicare Advantage |
$280.50
|
| Rate for Payer: UHCCP Medicaid |
$280.75
|
| Rate for Payer: VA VA |
$280.50
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$841.50
|
|
|
HC LARYNGOSCOPY FLX/RGD TELESCOP W/STROBOSCOP
|
Facility
|
IP
|
$1,122.00
|
|
|
Service Code
|
CPT 31579
|
| Hospital Charge Code |
76100455
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$729.30 |
| Max. Negotiated Rate |
$1,009.80 |
| Rate for Payer: Aetna Commercial |
$953.70
|
| Rate for Payer: BCBS Trust/PPO |
$915.89
|
| Rate for Payer: BCN Commercial |
$867.08
|
| Rate for Payer: Cash Price |
$897.60
|
| Rate for Payer: Cofinity Commercial |
$964.92
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$897.60
|
| Rate for Payer: Healthscope Commercial |
$1,009.80
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$841.50
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$953.70
|
| Rate for Payer: Nomi Health Commercial |
$920.04
|
| Rate for Payer: PHP Commercial |
$953.70
|
| Rate for Payer: Priority Health Cigna Priority Health |
$729.30
|
| Rate for Payer: Priority Health HMO/PPO |
$976.14
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$751.74
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$987.36
|
| Rate for Payer: UHC Core |
$936.87
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$841.50
|
|
|
HC LARYNGOSCOPY INDIRECT DIAGNOSTIC SPX
|
Facility
|
OP
|
$566.10
|
|
|
Service Code
|
CPT 31505
|
| Hospital Charge Code |
76100411
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$134.45 |
| Max. Negotiated Rate |
$509.49 |
| Rate for Payer: Aetna Commercial |
$481.19
|
| Rate for Payer: Aetna Medicare |
$147.19
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$176.91
|
| Rate for Payer: Amish Plain Church Group Commercial |
$176.91
|
| Rate for Payer: BCBS Complete |
$147.39
|
| Rate for Payer: BCBS MAPPO |
$141.53
|
| Rate for Payer: BCBS Trust/PPO |
$465.39
|
| Rate for Payer: BCN Commercial |
$440.14
|
| Rate for Payer: BCN Medicare Advantage |
$141.53
|
| Rate for Payer: Cash Price |
$452.88
|
| Rate for Payer: Cash Price |
$452.88
|
| Rate for Payer: Cofinity Commercial |
$486.85
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$452.88
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$141.53
|
| Rate for Payer: Healthscope Commercial |
$509.49
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$424.57
|
| Rate for Payer: Mclaren Medicaid |
$140.36
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$148.60
|
| Rate for Payer: Meridian Medicaid |
$147.39
|
| Rate for Payer: MI Amish Medical Board Commercial |
$162.75
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$481.19
|
| Rate for Payer: Nomi Health Commercial |
$464.20
|
| Rate for Payer: PACE Senior Care Partners |
$134.45
|
| Rate for Payer: PACE SWMI |
$141.53
|
| Rate for Payer: PHP Commercial |
$481.19
|
| Rate for Payer: PHP Medicare Advantage |
$141.53
|
| Rate for Payer: Priority Health Choice Medicaid |
$140.36
|
| Rate for Payer: Priority Health Cigna Priority Health |
$367.96
|
| Rate for Payer: Priority Health HMO/PPO |
$492.51
|
| Rate for Payer: Priority Health Medicare |
$142.94
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$379.29
|
| Rate for Payer: Railroad Medicare Medicare |
$141.53
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$498.17
|
| Rate for Payer: UHC Core |
$472.69
|
| Rate for Payer: UHC Dual Complete DSNP |
$141.53
|
| Rate for Payer: UHC Exchange |
$141.53
|
| Rate for Payer: UHC Medicare Advantage |
$141.53
|
| Rate for Payer: UHCCP Medicaid |
$140.36
|
| Rate for Payer: VA VA |
$141.53
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$424.57
|
|
|
HC LARYNGOSCOPY INDIRECT DIAGNOSTIC SPX
|
Facility
|
IP
|
$566.10
|
|
|
Service Code
|
CPT 31505
|
| Hospital Charge Code |
76100411
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$367.96 |
| Max. Negotiated Rate |
$509.49 |
| Rate for Payer: Aetna Commercial |
$481.19
|
| Rate for Payer: BCBS Trust/PPO |
$462.11
|
| Rate for Payer: BCN Commercial |
$437.48
|
| Rate for Payer: Cash Price |
$452.88
|
| Rate for Payer: Cofinity Commercial |
$486.85
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$452.88
|
| Rate for Payer: Healthscope Commercial |
$509.49
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$424.57
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$481.19
|
| Rate for Payer: Nomi Health Commercial |
$464.20
|
| Rate for Payer: PHP Commercial |
$481.19
|
| Rate for Payer: Priority Health Cigna Priority Health |
$367.96
|
| Rate for Payer: Priority Health HMO/PPO |
$492.51
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$379.29
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$498.17
|
| Rate for Payer: UHC Core |
$472.69
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$424.57
|
|
|
HC LASER CATHETER
|
Facility
|
IP
|
$4,939.32
|
|
|
Service Code
|
HCPCS C1885
|
| Hospital Charge Code |
27200054
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$3,210.56 |
| Max. Negotiated Rate |
$4,445.39 |
| Rate for Payer: Aetna Commercial |
$4,198.42
|
| Rate for Payer: BCBS Trust/PPO |
$4,031.97
|
| Rate for Payer: BCN Commercial |
$3,817.11
|
| Rate for Payer: Cash Price |
$3,951.46
|
| Rate for Payer: Cofinity Commercial |
$4,247.82
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,951.46
|
| Rate for Payer: Healthscope Commercial |
$4,445.39
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$3,704.49
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$4,198.42
|
| Rate for Payer: Nomi Health Commercial |
$4,050.24
|
| Rate for Payer: PHP Commercial |
$4,198.42
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3,210.56
|
| Rate for Payer: Priority Health HMO/PPO |
$4,297.21
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$3,309.34
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$4,346.60
|
| Rate for Payer: UHC Core |
$4,124.33
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$3,704.49
|
|
|
HC LASER CATHETER
|
Facility
|
OP
|
$4,939.32
|
|
|
Service Code
|
HCPCS C1885
|
| Hospital Charge Code |
27200054
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$1,173.09 |
| Max. Negotiated Rate |
$4,445.39 |
| Rate for Payer: Aetna Commercial |
$4,198.42
|
| Rate for Payer: Aetna Medicare |
$1,284.22
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,543.54
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1,543.54
|
| Rate for Payer: BCBS Complete |
$1,975.73
|
| Rate for Payer: BCBS MAPPO |
$1,234.83
|
| Rate for Payer: BCBS Trust/PPO |
$4,060.61
|
| Rate for Payer: BCN Commercial |
$3,840.32
|
| Rate for Payer: BCN Medicare Advantage |
$1,234.83
|
| Rate for Payer: Cash Price |
$3,951.46
|
| Rate for Payer: Cofinity Commercial |
$4,247.82
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,951.46
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,234.83
|
| Rate for Payer: Healthscope Commercial |
$4,445.39
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$3,704.49
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,296.57
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,420.05
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$4,198.42
|
| Rate for Payer: Nomi Health Commercial |
$4,050.24
|
| Rate for Payer: PACE Senior Care Partners |
$1,173.09
|
| Rate for Payer: PACE SWMI |
$1,234.83
|
| Rate for Payer: PHP Commercial |
$4,198.42
|
| Rate for Payer: PHP Medicare Advantage |
$1,234.83
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3,210.56
|
| Rate for Payer: Priority Health HMO/PPO |
$4,297.21
|
| Rate for Payer: Priority Health Medicare |
$1,247.18
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$3,309.34
|
| Rate for Payer: Railroad Medicare Medicare |
$1,234.83
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$4,346.60
|
| Rate for Payer: UHC Core |
$4,124.33
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,234.83
|
| Rate for Payer: UHC Exchange |
$1,234.83
|
| Rate for Payer: UHC Medicare Advantage |
$1,234.83
|
| Rate for Payer: VA VA |
$1,234.83
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$3,704.49
|
|
|
HC LATEX IGE
|
Facility
|
IP
|
$35.79
|
|
|
Service Code
|
CPT 86003
|
| Hospital Charge Code |
30200044
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$23.26 |
| Max. Negotiated Rate |
$32.21 |
| Rate for Payer: Aetna Commercial |
$30.42
|
| Rate for Payer: BCBS Trust/PPO |
$29.22
|
| Rate for Payer: BCN Commercial |
$27.66
|
| Rate for Payer: Cash Price |
$28.63
|
| Rate for Payer: Cofinity Commercial |
$30.78
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$28.63
|
| Rate for Payer: Healthscope Commercial |
$32.21
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$26.84
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$30.42
|
| Rate for Payer: Nomi Health Commercial |
$29.35
|
| Rate for Payer: PHP Commercial |
$30.42
|
| Rate for Payer: Priority Health Cigna Priority Health |
$23.26
|
| Rate for Payer: Priority Health HMO/PPO |
$31.14
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$23.98
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$31.50
|
| Rate for Payer: UHC Core |
$29.88
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$26.84
|
|
|
HC LATEX IGE
|
Facility
|
OP
|
$35.79
|
|
|
Service Code
|
CPT 86003
|
| Hospital Charge Code |
30200044
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$3.77 |
| Max. Negotiated Rate |
$32.21 |
| Rate for Payer: Aetna Commercial |
$30.42
|
| Rate for Payer: Aetna Medicare |
$9.31
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$11.18
|
| Rate for Payer: Amish Plain Church Group Commercial |
$11.18
|
| Rate for Payer: BCBS Complete |
$3.96
|
| Rate for Payer: BCBS MAPPO |
$8.95
|
| Rate for Payer: BCBS Trust/PPO |
$29.42
|
| Rate for Payer: BCN Commercial |
$27.83
|
| Rate for Payer: BCN Medicare Advantage |
$8.95
|
| Rate for Payer: Cash Price |
$28.63
|
| Rate for Payer: Cash Price |
$28.63
|
| Rate for Payer: Cofinity Commercial |
$30.78
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$28.63
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$8.95
|
| Rate for Payer: Healthscope Commercial |
$32.21
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$26.84
|
| Rate for Payer: Mclaren Medicaid |
$3.77
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$9.39
|
| Rate for Payer: Meridian Medicaid |
$3.96
|
| Rate for Payer: MI Amish Medical Board Commercial |
$10.29
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$30.42
|
| Rate for Payer: Nomi Health Commercial |
$29.35
|
| Rate for Payer: PACE Senior Care Partners |
$8.50
|
| Rate for Payer: PACE SWMI |
$8.95
|
| Rate for Payer: PHP Commercial |
$30.42
|
| Rate for Payer: PHP Medicare Advantage |
$8.95
|
| Rate for Payer: Priority Health Choice Medicaid |
$3.77
|
| Rate for Payer: Priority Health Cigna Priority Health |
$23.26
|
| Rate for Payer: Priority Health HMO/PPO |
$31.14
|
| Rate for Payer: Priority Health Medicare |
$9.04
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$23.98
|
| Rate for Payer: Railroad Medicare Medicare |
$8.95
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$31.50
|
| Rate for Payer: UHC Core |
$29.88
|
| Rate for Payer: UHC Dual Complete DSNP |
$8.95
|
| Rate for Payer: UHC Exchange |
$8.95
|
| Rate for Payer: UHC Medicare Advantage |
$8.95
|
| Rate for Payer: UHCCP Medicaid |
$3.77
|
| Rate for Payer: VA VA |
$8.95
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$26.84
|
|
|
HC LAYR CLOS WND REST BODY <2.5 CM
|
Facility
|
IP
|
$498.64
|
|
|
Service Code
|
CPT 12041
|
| Hospital Charge Code |
76100228
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$324.12 |
| Max. Negotiated Rate |
$448.78 |
| Rate for Payer: Aetna Commercial |
$423.84
|
| Rate for Payer: BCBS Trust/PPO |
$407.04
|
| Rate for Payer: BCN Commercial |
$385.35
|
| Rate for Payer: Cash Price |
$398.91
|
| Rate for Payer: Cofinity Commercial |
$428.83
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$398.91
|
| Rate for Payer: Healthscope Commercial |
$448.78
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$373.98
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$423.84
|
| Rate for Payer: Nomi Health Commercial |
$408.88
|
| Rate for Payer: PHP Commercial |
$423.84
|
| Rate for Payer: Priority Health Cigna Priority Health |
$324.12
|
| Rate for Payer: Priority Health HMO/PPO |
$433.82
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$334.09
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$438.80
|
| Rate for Payer: UHC Core |
$416.36
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$373.98
|
|
|
HC LAYR CLOS WND REST BODY <2.5 CM
|
Facility
|
OP
|
$498.64
|
|
|
Service Code
|
CPT 12041
|
| Hospital Charge Code |
76100228
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$118.43 |
| Max. Negotiated Rate |
$448.78 |
| Rate for Payer: Aetna Commercial |
$423.84
|
| Rate for Payer: Aetna Medicare |
$129.65
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$155.82
|
| Rate for Payer: Amish Plain Church Group Commercial |
$155.82
|
| Rate for Payer: BCBS Complete |
$303.32
|
| Rate for Payer: BCBS MAPPO |
$124.66
|
| Rate for Payer: BCBS Trust/PPO |
$409.93
|
| Rate for Payer: BCN Commercial |
$387.69
|
| Rate for Payer: BCN Medicare Advantage |
$124.66
|
| Rate for Payer: Cash Price |
$398.91
|
| Rate for Payer: Cash Price |
$398.91
|
| Rate for Payer: Cofinity Commercial |
$428.83
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$398.91
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$124.66
|
| Rate for Payer: Healthscope Commercial |
$448.78
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$373.98
|
| Rate for Payer: Mclaren Medicaid |
$288.86
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$130.89
|
| Rate for Payer: Meridian Medicaid |
$303.32
|
| Rate for Payer: MI Amish Medical Board Commercial |
$143.36
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$423.84
|
| Rate for Payer: Nomi Health Commercial |
$408.88
|
| Rate for Payer: PACE Senior Care Partners |
$118.43
|
| Rate for Payer: PACE SWMI |
$124.66
|
| Rate for Payer: PHP Commercial |
$423.84
|
| Rate for Payer: PHP Medicare Advantage |
$124.66
|
| Rate for Payer: Priority Health Choice Medicaid |
$288.86
|
| Rate for Payer: Priority Health Cigna Priority Health |
$324.12
|
| Rate for Payer: Priority Health HMO/PPO |
$433.82
|
| Rate for Payer: Priority Health Medicare |
$125.91
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$334.09
|
| Rate for Payer: Railroad Medicare Medicare |
$124.66
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$438.80
|
| Rate for Payer: UHC Core |
$416.36
|
| Rate for Payer: UHC Dual Complete DSNP |
$124.66
|
| Rate for Payer: UHC Exchange |
$124.66
|
| Rate for Payer: UHC Medicare Advantage |
$124.66
|
| Rate for Payer: UHCCP Medicaid |
$288.86
|
| Rate for Payer: VA VA |
$124.66
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$373.98
|
|
|
HC LC/CABG'S W INTERVENTION
|
Facility
|
OP
|
$11,013.34
|
|
|
Service Code
|
CPT 93459
|
| Hospital Charge Code |
48100050
|
|
Hospital Revenue Code
|
481
|
| Min. Negotiated Rate |
$2,325.46 |
| Max. Negotiated Rate |
$9,912.01 |
| Rate for Payer: Aetna Commercial |
$9,361.34
|
| Rate for Payer: Aetna Medicare |
$2,863.47
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$3,441.67
|
| Rate for Payer: Amish Plain Church Group Commercial |
$3,441.67
|
| Rate for Payer: BCBS Complete |
$2,441.90
|
| Rate for Payer: BCBS MAPPO |
$2,753.34
|
| Rate for Payer: BCBS Trust/PPO |
$9,054.07
|
| Rate for Payer: BCN Commercial |
$8,562.87
|
| Rate for Payer: BCN Medicare Advantage |
$2,753.34
|
| Rate for Payer: Cash Price |
$8,810.67
|
| Rate for Payer: Cash Price |
$8,810.67
|
| Rate for Payer: Cofinity Commercial |
$9,471.47
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$8,810.67
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,753.34
|
| Rate for Payer: Healthscope Commercial |
$9,912.01
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$8,260.00
|
| Rate for Payer: Mclaren Medicaid |
$2,325.46
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$2,891.00
|
| Rate for Payer: Meridian Medicaid |
$2,441.90
|
| Rate for Payer: MI Amish Medical Board Commercial |
$3,166.34
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$9,361.34
|
| Rate for Payer: Nomi Health Commercial |
$9,030.94
|
| Rate for Payer: PACE Senior Care Partners |
$2,615.67
|
| Rate for Payer: PACE SWMI |
$2,753.34
|
| Rate for Payer: PHP Commercial |
$9,361.34
|
| Rate for Payer: PHP Medicare Advantage |
$2,753.34
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,325.46
|
| Rate for Payer: Priority Health Cigna Priority Health |
$7,158.67
|
| Rate for Payer: Priority Health HMO/PPO |
$9,581.61
|
| Rate for Payer: Priority Health Medicare |
$2,780.87
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$7,378.94
|
| Rate for Payer: Railroad Medicare Medicare |
$2,753.34
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$9,691.74
|
| Rate for Payer: UHC Core |
$9,196.14
|
| Rate for Payer: UHC Dual Complete DSNP |
$2,753.34
|
| Rate for Payer: UHC Exchange |
$2,753.34
|
| Rate for Payer: UHC Medicare Advantage |
$2,753.34
|
| Rate for Payer: UHCCP Medicaid |
$2,325.46
|
| Rate for Payer: VA VA |
$2,753.34
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$8,260.00
|
|
|
HC LC/CABG'S W INTERVENTION
|
Facility
|
IP
|
$11,013.34
|
|
|
Service Code
|
CPT 93459
|
| Hospital Charge Code |
48100050
|
|
Hospital Revenue Code
|
481
|
| Min. Negotiated Rate |
$7,158.67 |
| Max. Negotiated Rate |
$9,912.01 |
| Rate for Payer: Aetna Commercial |
$9,361.34
|
| Rate for Payer: BCBS Trust/PPO |
$8,990.19
|
| Rate for Payer: BCN Commercial |
$8,511.11
|
| Rate for Payer: Cash Price |
$8,810.67
|
| Rate for Payer: Cofinity Commercial |
$9,471.47
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$8,810.67
|
| Rate for Payer: Healthscope Commercial |
$9,912.01
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$8,260.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$9,361.34
|
| Rate for Payer: Nomi Health Commercial |
$9,030.94
|
| Rate for Payer: PHP Commercial |
$9,361.34
|
| Rate for Payer: Priority Health Cigna Priority Health |
$7,158.67
|
| Rate for Payer: Priority Health HMO/PPO |
$9,581.61
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$7,378.94
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$9,691.74
|
| Rate for Payer: UHC Core |
$9,196.14
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$8,260.00
|
|
|
HC LDL DIRECT MEASURE
|
Facility
|
OP
|
$59.77
|
|
|
Service Code
|
CPT 83721
|
| Hospital Charge Code |
30100283
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$7.59 |
| Max. Negotiated Rate |
$53.79 |
| Rate for Payer: Aetna Commercial |
$50.80
|
| Rate for Payer: Aetna Medicare |
$15.54
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$18.68
|
| Rate for Payer: Amish Plain Church Group Commercial |
$18.68
|
| Rate for Payer: BCBS Complete |
$7.97
|
| Rate for Payer: BCBS MAPPO |
$14.94
|
| Rate for Payer: BCBS Trust/PPO |
$49.14
|
| Rate for Payer: BCN Commercial |
$46.47
|
| Rate for Payer: BCN Medicare Advantage |
$14.94
|
| Rate for Payer: Cash Price |
$47.82
|
| Rate for Payer: Cash Price |
$47.82
|
| Rate for Payer: Cofinity Commercial |
$51.40
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$47.82
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$14.94
|
| Rate for Payer: Healthscope Commercial |
$53.79
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$44.83
|
| Rate for Payer: Mclaren Medicaid |
$7.59
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$15.69
|
| Rate for Payer: Meridian Medicaid |
$7.97
|
| Rate for Payer: MI Amish Medical Board Commercial |
$17.18
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$50.80
|
| Rate for Payer: Nomi Health Commercial |
$49.01
|
| Rate for Payer: PACE Senior Care Partners |
$14.20
|
| Rate for Payer: PACE SWMI |
$14.94
|
| Rate for Payer: PHP Commercial |
$50.80
|
| Rate for Payer: PHP Medicare Advantage |
$14.94
|
| Rate for Payer: Priority Health Choice Medicaid |
$7.59
|
| Rate for Payer: Priority Health Cigna Priority Health |
$38.85
|
| Rate for Payer: Priority Health HMO/PPO |
$52.00
|
| Rate for Payer: Priority Health Medicare |
$15.09
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$40.05
|
| Rate for Payer: Railroad Medicare Medicare |
$14.94
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$52.60
|
| Rate for Payer: UHC Core |
$49.91
|
| Rate for Payer: UHC Dual Complete DSNP |
$14.94
|
| Rate for Payer: UHC Exchange |
$14.94
|
| Rate for Payer: UHC Medicare Advantage |
$14.94
|
| Rate for Payer: UHCCP Medicaid |
$7.59
|
| Rate for Payer: VA VA |
$14.94
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$44.83
|
|
|
HC LDL DIRECT MEASURE
|
Facility
|
IP
|
$59.77
|
|
|
Service Code
|
CPT 83721
|
| Hospital Charge Code |
30100283
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$38.85 |
| Max. Negotiated Rate |
$53.79 |
| Rate for Payer: Aetna Commercial |
$50.80
|
| Rate for Payer: BCBS Trust/PPO |
$48.79
|
| Rate for Payer: BCN Commercial |
$46.19
|
| Rate for Payer: Cash Price |
$47.82
|
| Rate for Payer: Cofinity Commercial |
$51.40
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$47.82
|
| Rate for Payer: Healthscope Commercial |
$53.79
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$44.83
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$50.80
|
| Rate for Payer: Nomi Health Commercial |
$49.01
|
| Rate for Payer: PHP Commercial |
$50.80
|
| Rate for Payer: Priority Health Cigna Priority Health |
$38.85
|
| Rate for Payer: Priority Health HMO/PPO |
$52.00
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$40.05
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$52.60
|
| Rate for Payer: UHC Core |
$49.91
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$44.83
|
|
|
HC LD RECOVERY 0-2 HRS
|
Facility
|
OP
|
$1,469.87
|
|
| Hospital Charge Code |
71000012
|
|
Hospital Revenue Code
|
710
|
| Min. Negotiated Rate |
$349.09 |
| Max. Negotiated Rate |
$1,322.88 |
| Rate for Payer: Aetna Commercial |
$1,249.39
|
| Rate for Payer: Aetna Medicare |
$382.17
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$459.33
|
| Rate for Payer: Amish Plain Church Group Commercial |
$459.33
|
| Rate for Payer: BCBS Complete |
$587.95
|
| Rate for Payer: BCBS MAPPO |
$367.47
|
| Rate for Payer: BCBS Trust/PPO |
$1,208.38
|
| Rate for Payer: BCN Commercial |
$1,142.82
|
| Rate for Payer: BCN Medicare Advantage |
$367.47
|
| Rate for Payer: Cash Price |
$1,175.90
|
| Rate for Payer: Cofinity Commercial |
$1,264.09
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,175.90
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$367.47
|
| Rate for Payer: Healthscope Commercial |
$1,322.88
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,102.40
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$385.84
|
| Rate for Payer: MI Amish Medical Board Commercial |
$422.59
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,249.39
|
| Rate for Payer: Nomi Health Commercial |
$1,205.29
|
| Rate for Payer: PACE Senior Care Partners |
$349.09
|
| Rate for Payer: PACE SWMI |
$367.47
|
| Rate for Payer: PHP Commercial |
$1,249.39
|
| Rate for Payer: PHP Medicare Advantage |
$367.47
|
| Rate for Payer: Priority Health Cigna Priority Health |
$955.42
|
| Rate for Payer: Priority Health HMO/PPO |
$1,278.79
|
| Rate for Payer: Priority Health Medicare |
$371.14
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$984.81
|
| Rate for Payer: Railroad Medicare Medicare |
$367.47
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,293.49
|
| Rate for Payer: UHC Core |
$1,227.34
|
| Rate for Payer: UHC Dual Complete DSNP |
$367.47
|
| Rate for Payer: UHC Exchange |
$367.47
|
| Rate for Payer: UHC Medicare Advantage |
$367.47
|
| Rate for Payer: VA VA |
$367.47
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,102.40
|
|
|
HC LD RECOVERY 0-2 HRS
|
Facility
|
IP
|
$1,469.87
|
|
| Hospital Charge Code |
71000012
|
|
Hospital Revenue Code
|
710
|
| Min. Negotiated Rate |
$955.42 |
| Max. Negotiated Rate |
$1,322.88 |
| Rate for Payer: Aetna Commercial |
$1,249.39
|
| Rate for Payer: BCBS Trust/PPO |
$1,199.85
|
| Rate for Payer: BCN Commercial |
$1,135.92
|
| Rate for Payer: Cash Price |
$1,175.90
|
| Rate for Payer: Cofinity Commercial |
$1,264.09
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,175.90
|
| Rate for Payer: Healthscope Commercial |
$1,322.88
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,102.40
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,249.39
|
| Rate for Payer: Nomi Health Commercial |
$1,205.29
|
| Rate for Payer: PHP Commercial |
$1,249.39
|
| Rate for Payer: Priority Health Cigna Priority Health |
$955.42
|
| Rate for Payer: Priority Health HMO/PPO |
$1,278.79
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$984.81
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,293.49
|
| Rate for Payer: UHC Core |
$1,227.34
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,102.40
|
|
|
HC LD RECOVERY 10 OR MORE HOURS
|
Facility
|
IP
|
$3,674.46
|
|
| Hospital Charge Code |
71000013
|
|
Hospital Revenue Code
|
710
|
| Min. Negotiated Rate |
$2,388.40 |
| Max. Negotiated Rate |
$3,307.01 |
| Rate for Payer: Aetna Commercial |
$3,123.29
|
| Rate for Payer: BCBS Trust/PPO |
$2,999.46
|
| Rate for Payer: BCN Commercial |
$2,839.62
|
| Rate for Payer: Cash Price |
$2,939.57
|
| Rate for Payer: Cofinity Commercial |
$3,160.04
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,939.57
|
| Rate for Payer: Healthscope Commercial |
$3,307.01
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,755.84
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,123.29
|
| Rate for Payer: Nomi Health Commercial |
$3,013.06
|
| Rate for Payer: PHP Commercial |
$3,123.29
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,388.40
|
| Rate for Payer: Priority Health HMO/PPO |
$3,196.78
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,461.89
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$3,233.52
|
| Rate for Payer: UHC Core |
$3,068.17
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,755.84
|
|
|
HC LD RECOVERY 10 OR MORE HOURS
|
Facility
|
OP
|
$3,674.46
|
|
| Hospital Charge Code |
71000013
|
|
Hospital Revenue Code
|
710
|
| Min. Negotiated Rate |
$872.68 |
| Max. Negotiated Rate |
$3,307.01 |
| Rate for Payer: Aetna Commercial |
$3,123.29
|
| Rate for Payer: Aetna Medicare |
$955.36
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,148.27
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1,148.27
|
| Rate for Payer: BCBS Complete |
$1,469.78
|
| Rate for Payer: BCBS MAPPO |
$918.62
|
| Rate for Payer: BCBS Trust/PPO |
$3,020.77
|
| Rate for Payer: BCN Commercial |
$2,856.89
|
| Rate for Payer: BCN Medicare Advantage |
$918.62
|
| Rate for Payer: Cash Price |
$2,939.57
|
| Rate for Payer: Cofinity Commercial |
$3,160.04
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,939.57
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$918.62
|
| Rate for Payer: Healthscope Commercial |
$3,307.01
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,755.84
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$964.55
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,056.41
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,123.29
|
| Rate for Payer: Nomi Health Commercial |
$3,013.06
|
| Rate for Payer: PACE Senior Care Partners |
$872.68
|
| Rate for Payer: PACE SWMI |
$918.62
|
| Rate for Payer: PHP Commercial |
$3,123.29
|
| Rate for Payer: PHP Medicare Advantage |
$918.62
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,388.40
|
| Rate for Payer: Priority Health HMO/PPO |
$3,196.78
|
| Rate for Payer: Priority Health Medicare |
$927.80
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,461.89
|
| Rate for Payer: Railroad Medicare Medicare |
$918.62
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$3,233.52
|
| Rate for Payer: UHC Core |
$3,068.17
|
| Rate for Payer: UHC Dual Complete DSNP |
$918.62
|
| Rate for Payer: UHC Exchange |
$918.62
|
| Rate for Payer: UHC Medicare Advantage |
$918.62
|
| Rate for Payer: VA VA |
$918.62
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,755.84
|
|
|
HC LD RECOVERY 2-4 HRS
|
Facility
|
OP
|
$2,939.47
|
|
| Hospital Charge Code |
71000014
|
|
Hospital Revenue Code
|
710
|
| Min. Negotiated Rate |
$698.12 |
| Max. Negotiated Rate |
$2,645.52 |
| Rate for Payer: Aetna Commercial |
$2,498.55
|
| Rate for Payer: Aetna Medicare |
$764.26
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$918.58
|
| Rate for Payer: Amish Plain Church Group Commercial |
$918.58
|
| Rate for Payer: BCBS Complete |
$1,175.79
|
| Rate for Payer: BCBS MAPPO |
$734.87
|
| Rate for Payer: BCBS Trust/PPO |
$2,416.54
|
| Rate for Payer: BCN Commercial |
$2,285.44
|
| Rate for Payer: BCN Medicare Advantage |
$734.87
|
| Rate for Payer: Cash Price |
$2,351.58
|
| Rate for Payer: Cofinity Commercial |
$2,527.94
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,351.58
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$734.87
|
| Rate for Payer: Healthscope Commercial |
$2,645.52
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,204.60
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$771.61
|
| Rate for Payer: MI Amish Medical Board Commercial |
$845.10
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,498.55
|
| Rate for Payer: Nomi Health Commercial |
$2,410.37
|
| Rate for Payer: PACE Senior Care Partners |
$698.12
|
| Rate for Payer: PACE SWMI |
$734.87
|
| Rate for Payer: PHP Commercial |
$2,498.55
|
| Rate for Payer: PHP Medicare Advantage |
$734.87
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,910.66
|
| Rate for Payer: Priority Health HMO/PPO |
$2,557.34
|
| Rate for Payer: Priority Health Medicare |
$742.22
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,969.44
|
| Rate for Payer: Railroad Medicare Medicare |
$734.87
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,586.73
|
| Rate for Payer: UHC Core |
$2,454.46
|
| Rate for Payer: UHC Dual Complete DSNP |
$734.87
|
| Rate for Payer: UHC Exchange |
$734.87
|
| Rate for Payer: UHC Medicare Advantage |
$734.87
|
| Rate for Payer: VA VA |
$734.87
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,204.60
|
|
|
HC LD RECOVERY 2-4 HRS
|
Facility
|
IP
|
$2,939.47
|
|
| Hospital Charge Code |
71000014
|
|
Hospital Revenue Code
|
710
|
| Min. Negotiated Rate |
$1,910.66 |
| Max. Negotiated Rate |
$2,645.52 |
| Rate for Payer: Aetna Commercial |
$2,498.55
|
| Rate for Payer: BCBS Trust/PPO |
$2,399.49
|
| Rate for Payer: BCN Commercial |
$2,271.62
|
| Rate for Payer: Cash Price |
$2,351.58
|
| Rate for Payer: Cofinity Commercial |
$2,527.94
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,351.58
|
| Rate for Payer: Healthscope Commercial |
$2,645.52
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,204.60
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,498.55
|
| Rate for Payer: Nomi Health Commercial |
$2,410.37
|
| Rate for Payer: PHP Commercial |
$2,498.55
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,910.66
|
| Rate for Payer: Priority Health HMO/PPO |
$2,557.34
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,969.44
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,586.73
|
| Rate for Payer: UHC Core |
$2,454.46
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,204.60
|
|
|
HC LD RECOVERY 4-6 HRS
|
Facility
|
IP
|
$3,266.13
|
|
| Hospital Charge Code |
71000015
|
|
Hospital Revenue Code
|
710
|
| Min. Negotiated Rate |
$2,122.98 |
| Max. Negotiated Rate |
$2,939.52 |
| Rate for Payer: Aetna Commercial |
$2,776.21
|
| Rate for Payer: BCBS Trust/PPO |
$2,666.14
|
| Rate for Payer: BCN Commercial |
$2,524.07
|
| Rate for Payer: Cash Price |
$2,612.90
|
| Rate for Payer: Cofinity Commercial |
$2,808.87
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,612.90
|
| Rate for Payer: Healthscope Commercial |
$2,939.52
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,449.60
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,776.21
|
| Rate for Payer: Nomi Health Commercial |
$2,678.23
|
| Rate for Payer: PHP Commercial |
$2,776.21
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,122.98
|
| Rate for Payer: Priority Health HMO/PPO |
$2,841.53
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,188.31
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,874.19
|
| Rate for Payer: UHC Core |
$2,727.22
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,449.60
|
|
|
HC LD RECOVERY 4-6 HRS
|
Facility
|
OP
|
$3,266.13
|
|
| Hospital Charge Code |
71000015
|
|
Hospital Revenue Code
|
710
|
| Min. Negotiated Rate |
$775.71 |
| Max. Negotiated Rate |
$2,939.52 |
| Rate for Payer: Aetna Commercial |
$2,776.21
|
| Rate for Payer: Aetna Medicare |
$849.19
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,020.67
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1,020.67
|
| Rate for Payer: BCBS Complete |
$1,306.45
|
| Rate for Payer: BCBS MAPPO |
$816.53
|
| Rate for Payer: BCBS Trust/PPO |
$2,685.09
|
| Rate for Payer: BCN Commercial |
$2,539.42
|
| Rate for Payer: BCN Medicare Advantage |
$816.53
|
| Rate for Payer: Cash Price |
$2,612.90
|
| Rate for Payer: Cofinity Commercial |
$2,808.87
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,612.90
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$816.53
|
| Rate for Payer: Healthscope Commercial |
$2,939.52
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,449.60
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$857.36
|
| Rate for Payer: MI Amish Medical Board Commercial |
$939.01
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,776.21
|
| Rate for Payer: Nomi Health Commercial |
$2,678.23
|
| Rate for Payer: PACE Senior Care Partners |
$775.71
|
| Rate for Payer: PACE SWMI |
$816.53
|
| Rate for Payer: PHP Commercial |
$2,776.21
|
| Rate for Payer: PHP Medicare Advantage |
$816.53
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,122.98
|
| Rate for Payer: Priority Health HMO/PPO |
$2,841.53
|
| Rate for Payer: Priority Health Medicare |
$824.70
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,188.31
|
| Rate for Payer: Railroad Medicare Medicare |
$816.53
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,874.19
|
| Rate for Payer: UHC Core |
$2,727.22
|
| Rate for Payer: UHC Dual Complete DSNP |
$816.53
|
| Rate for Payer: UHC Exchange |
$816.53
|
| Rate for Payer: UHC Medicare Advantage |
$816.53
|
| Rate for Payer: VA VA |
$816.53
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,449.60
|
|
|
HC LD RECOVERY 6-8 HRS
|
Facility
|
IP
|
$1,212.36
|
|
| Hospital Charge Code |
71000016
|
|
Hospital Revenue Code
|
710
|
| Min. Negotiated Rate |
$788.03 |
| Max. Negotiated Rate |
$1,091.12 |
| Rate for Payer: Aetna Commercial |
$1,030.51
|
| Rate for Payer: BCBS Trust/PPO |
$989.65
|
| Rate for Payer: BCN Commercial |
$936.91
|
| Rate for Payer: Cash Price |
$969.89
|
| Rate for Payer: Cofinity Commercial |
$1,042.63
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$969.89
|
| Rate for Payer: Healthscope Commercial |
$1,091.12
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$909.27
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,030.51
|
| Rate for Payer: Nomi Health Commercial |
$994.14
|
| Rate for Payer: PHP Commercial |
$1,030.51
|
| Rate for Payer: Priority Health Cigna Priority Health |
$788.03
|
| Rate for Payer: Priority Health HMO/PPO |
$1,054.75
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$812.28
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,066.88
|
| Rate for Payer: UHC Core |
$1,012.32
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$909.27
|
|
|
HC LD RECOVERY 6-8 HRS
|
Facility
|
OP
|
$1,212.36
|
|
| Hospital Charge Code |
71000016
|
|
Hospital Revenue Code
|
710
|
| Min. Negotiated Rate |
$287.94 |
| Max. Negotiated Rate |
$1,091.12 |
| Rate for Payer: Aetna Commercial |
$1,030.51
|
| Rate for Payer: Aetna Medicare |
$315.21
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$378.86
|
| Rate for Payer: Amish Plain Church Group Commercial |
$378.86
|
| Rate for Payer: BCBS Complete |
$484.94
|
| Rate for Payer: BCBS MAPPO |
$303.09
|
| Rate for Payer: BCBS Trust/PPO |
$996.68
|
| Rate for Payer: BCN Commercial |
$942.61
|
| Rate for Payer: BCN Medicare Advantage |
$303.09
|
| Rate for Payer: Cash Price |
$969.89
|
| Rate for Payer: Cofinity Commercial |
$1,042.63
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$969.89
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$303.09
|
| Rate for Payer: Healthscope Commercial |
$1,091.12
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$909.27
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$318.24
|
| Rate for Payer: MI Amish Medical Board Commercial |
$348.55
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,030.51
|
| Rate for Payer: Nomi Health Commercial |
$994.14
|
| Rate for Payer: PACE Senior Care Partners |
$287.94
|
| Rate for Payer: PACE SWMI |
$303.09
|
| Rate for Payer: PHP Commercial |
$1,030.51
|
| Rate for Payer: PHP Medicare Advantage |
$303.09
|
| Rate for Payer: Priority Health Cigna Priority Health |
$788.03
|
| Rate for Payer: Priority Health HMO/PPO |
$1,054.75
|
| Rate for Payer: Priority Health Medicare |
$306.12
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$812.28
|
| Rate for Payer: Railroad Medicare Medicare |
$303.09
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,066.88
|
| Rate for Payer: UHC Core |
$1,012.32
|
| Rate for Payer: UHC Dual Complete DSNP |
$303.09
|
| Rate for Payer: UHC Exchange |
$303.09
|
| Rate for Payer: UHC Medicare Advantage |
$303.09
|
| Rate for Payer: VA VA |
$303.09
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$909.27
|
|
