|
HC NAIL BED REPAIR
|
Facility
|
OP
|
$772.78
|
|
|
Service Code
|
CPT 11760
|
| Hospital Charge Code |
45000077
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$136.24 |
| Max. Negotiated Rate |
$695.50 |
| Rate for Payer: Aetna Commercial |
$656.86
|
| Rate for Payer: Aetna Medicare |
$200.92
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$241.49
|
| Rate for Payer: Amish Plain Church Group Commercial |
$241.49
|
| Rate for Payer: BCBS Complete |
$143.04
|
| Rate for Payer: BCBS MAPPO |
$193.19
|
| Rate for Payer: BCBS Trust/PPO |
$635.30
|
| Rate for Payer: BCN Commercial |
$635.30
|
| Rate for Payer: BCN Medicare Advantage |
$193.19
|
| Rate for Payer: Cash Price |
$618.22
|
| Rate for Payer: Cofinity Commercial |
$664.59
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$618.22
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$193.19
|
| Rate for Payer: Healthscope Commercial |
$695.50
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$579.59
|
| Rate for Payer: Mclaren Medicaid |
$136.24
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$202.85
|
| Rate for Payer: Meridian Medicaid |
$143.04
|
| Rate for Payer: MI Amish Medical Board Commercial |
$222.17
|
| Rate for Payer: Molina Medicare/Medicaid |
$212.51
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$656.86
|
| Rate for Payer: Nomi Health Commercial |
$633.68
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$579.59
|
| Rate for Payer: PACE Senior Care Partners |
$183.54
|
| Rate for Payer: PACE SWMI |
$193.19
|
| Rate for Payer: PHP Commercial |
$656.86
|
| Rate for Payer: PHP Medicare Advantage |
$193.19
|
| Rate for Payer: Priority Health Choice Medicaid |
$136.24
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$672.32
|
| Rate for Payer: Priority Health Medicare |
$195.13
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$537.85
|
| Rate for Payer: Railroad Medicare Medicare |
$193.19
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$680.05
|
| Rate for Payer: UHC Core |
$645.27
|
| Rate for Payer: UHC Exchange |
$193.19
|
| Rate for Payer: UHC Medicaid |
$136.24
|
| Rate for Payer: UHC Medicare Advantage |
$193.19
|
| Rate for Payer: UHCCP Medicaid |
$136.24
|
| Rate for Payer: VA VA |
$193.19
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$579.59
|
|
|
HC NAIL PROCEDURE
|
Facility
|
OP
|
$277.25
|
|
| Hospital Charge Code |
45000047
|
|
Hospital Revenue Code
|
450
|
| Min. Negotiated Rate |
$48.88 |
| Max. Negotiated Rate |
$249.53 |
| Rate for Payer: Aetna Commercial |
$235.66
|
| Rate for Payer: Aetna Medicare |
$72.08
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$86.64
|
| Rate for Payer: Amish Plain Church Group Commercial |
$86.64
|
| Rate for Payer: BCBS Complete |
$51.32
|
| Rate for Payer: BCBS MAPPO |
$69.31
|
| Rate for Payer: BCBS Trust/PPO |
$227.93
|
| Rate for Payer: BCN Commercial |
$227.93
|
| Rate for Payer: BCN Medicare Advantage |
$69.31
|
| Rate for Payer: Cash Price |
$221.80
|
| Rate for Payer: Cash Price |
$221.80
|
| Rate for Payer: Cofinity Commercial |
$238.44
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$221.80
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$69.31
|
| Rate for Payer: Healthscope Commercial |
$249.53
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$207.94
|
| Rate for Payer: Mclaren Medicaid |
$48.88
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$72.78
|
| Rate for Payer: Meridian Medicaid |
$51.32
|
| Rate for Payer: MI Amish Medical Board Commercial |
$79.71
|
| Rate for Payer: Molina Medicare/Medicaid |
$76.24
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$235.66
|
| Rate for Payer: Nomi Health Commercial |
$227.34
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$207.94
|
| Rate for Payer: PACE Senior Care Partners |
$65.85
|
| Rate for Payer: PACE SWMI |
$69.31
|
| Rate for Payer: PHP Commercial |
$235.66
|
| Rate for Payer: PHP Medicare Advantage |
$69.31
|
| Rate for Payer: Priority Health Choice Medicaid |
$48.88
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$241.21
|
| Rate for Payer: Priority Health Medicare |
$70.01
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$192.97
|
| Rate for Payer: Railroad Medicare Medicare |
$69.31
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$243.98
|
| Rate for Payer: UHC Core |
$231.50
|
| Rate for Payer: UHC Exchange |
$69.31
|
| Rate for Payer: UHC Medicaid |
$48.88
|
| Rate for Payer: UHC Medicare Advantage |
$69.31
|
| Rate for Payer: UHCCP Medicaid |
$125.00
|
| Rate for Payer: VA VA |
$69.31
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$207.94
|
|
|
HC NAIL PROCEDURE
|
Facility
|
IP
|
$277.25
|
|
| Hospital Charge Code |
45000047
|
|
Hospital Revenue Code
|
450
|
| Min. Negotiated Rate |
$192.97 |
| Max. Negotiated Rate |
$249.53 |
| Rate for Payer: Aetna Commercial |
$235.66
|
| Rate for Payer: BCBS Trust/PPO |
$228.98
|
| Rate for Payer: BCN Commercial |
$228.98
|
| Rate for Payer: Cash Price |
$221.80
|
| Rate for Payer: Cofinity Commercial |
$238.44
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$221.80
|
| Rate for Payer: Healthscope Commercial |
$249.53
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$207.94
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$235.66
|
| Rate for Payer: Nomi Health Commercial |
$227.34
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$207.94
|
| Rate for Payer: PHP Commercial |
$235.66
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$241.21
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$192.97
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$243.98
|
| Rate for Payer: UHC Core |
$231.50
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$207.94
|
|
|
HC NA PHOSPHATE PER MCI
|
Facility
|
IP
|
$334.65
|
|
|
Service Code
|
HCPCS A9563
|
| Hospital Charge Code |
34400004
|
|
Hospital Revenue Code
|
344
|
| Min. Negotiated Rate |
$232.92 |
| Max. Negotiated Rate |
$301.19 |
| Rate for Payer: Aetna Commercial |
$284.45
|
| Rate for Payer: BCBS Trust/PPO |
$276.39
|
| Rate for Payer: BCN Commercial |
$276.39
|
| Rate for Payer: Cash Price |
$267.72
|
| Rate for Payer: Cofinity Commercial |
$287.80
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$267.72
|
| Rate for Payer: Healthscope Commercial |
$301.19
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$250.99
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$284.45
|
| Rate for Payer: Nomi Health Commercial |
$274.41
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$250.99
|
| Rate for Payer: PHP Commercial |
$284.45
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$291.15
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$232.92
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$294.49
|
| Rate for Payer: UHC Core |
$279.43
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$250.99
|
|
|
HC NA PHOSPHATE PER MCI
|
Facility
|
OP
|
$334.65
|
|
|
Service Code
|
HCPCS A9563
|
| Hospital Charge Code |
34400004
|
|
Hospital Revenue Code
|
344
|
| Min. Negotiated Rate |
$59.00 |
| Max. Negotiated Rate |
$301.19 |
| Rate for Payer: Aetna Commercial |
$284.45
|
| Rate for Payer: Aetna Medicare |
$87.01
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$104.58
|
| Rate for Payer: Amish Plain Church Group Commercial |
$104.58
|
| Rate for Payer: BCBS Complete |
$61.94
|
| Rate for Payer: BCBS MAPPO |
$83.66
|
| Rate for Payer: BCBS Trust/PPO |
$275.12
|
| Rate for Payer: BCN Commercial |
$275.12
|
| Rate for Payer: BCN Medicare Advantage |
$83.66
|
| Rate for Payer: Cash Price |
$267.72
|
| Rate for Payer: Cofinity Commercial |
$287.80
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$267.72
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$83.66
|
| Rate for Payer: Healthscope Commercial |
$301.19
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$250.99
|
| Rate for Payer: Mclaren Medicaid |
$59.00
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$87.85
|
| Rate for Payer: Meridian Medicaid |
$61.94
|
| Rate for Payer: MI Amish Medical Board Commercial |
$96.21
|
| Rate for Payer: Molina Medicare/Medicaid |
$92.03
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$284.45
|
| Rate for Payer: Nomi Health Commercial |
$274.41
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$250.99
|
| Rate for Payer: PACE Senior Care Partners |
$79.48
|
| Rate for Payer: PACE SWMI |
$83.66
|
| Rate for Payer: PHP Commercial |
$284.45
|
| Rate for Payer: PHP Medicare Advantage |
$83.66
|
| Rate for Payer: Priority Health Choice Medicaid |
$59.00
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$291.15
|
| Rate for Payer: Priority Health Medicare |
$84.50
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$232.92
|
| Rate for Payer: Railroad Medicare Medicare |
$83.66
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$294.49
|
| Rate for Payer: UHC Core |
$279.43
|
| Rate for Payer: UHC Exchange |
$83.66
|
| Rate for Payer: UHC Medicaid |
$59.00
|
| Rate for Payer: UHC Medicare Advantage |
$83.66
|
| Rate for Payer: UHCCP Medicaid |
$59.00
|
| Rate for Payer: VA VA |
$83.66
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$250.99
|
|
|
HC NASAL BONES COMP MIN 3 VW
|
Facility
|
IP
|
$202.79
|
|
|
Service Code
|
CPT 70160
|
| Hospital Charge Code |
32000011
|
|
Hospital Revenue Code
|
320
|
| Min. Negotiated Rate |
$141.14 |
| Max. Negotiated Rate |
$182.51 |
| Rate for Payer: Aetna Commercial |
$172.37
|
| Rate for Payer: BCBS Trust/PPO |
$167.48
|
| Rate for Payer: BCN Commercial |
$167.48
|
| Rate for Payer: Cash Price |
$162.23
|
| Rate for Payer: Cofinity Commercial |
$174.40
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$162.23
|
| Rate for Payer: Healthscope Commercial |
$182.51
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$152.09
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$172.37
|
| Rate for Payer: Nomi Health Commercial |
$166.29
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$152.09
|
| Rate for Payer: PHP Commercial |
$172.37
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$176.43
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$141.14
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$178.46
|
| Rate for Payer: UHC Core |
$169.33
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$152.09
|
|
|
HC NASAL BONES COMP MIN 3 VW
|
Facility
|
OP
|
$202.79
|
|
|
Service Code
|
CPT 70160
|
| Hospital Charge Code |
32000011
|
|
Hospital Revenue Code
|
320
|
| Min. Negotiated Rate |
$35.75 |
| Max. Negotiated Rate |
$182.51 |
| Rate for Payer: Aetna Commercial |
$172.37
|
| Rate for Payer: Aetna Medicare |
$52.73
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$63.37
|
| Rate for Payer: Amish Plain Church Group Commercial |
$63.37
|
| Rate for Payer: BCBS Complete |
$37.54
|
| Rate for Payer: BCBS MAPPO |
$50.70
|
| Rate for Payer: BCBS Trust/PPO |
$166.71
|
| Rate for Payer: BCN Commercial |
$166.71
|
| Rate for Payer: BCN Medicare Advantage |
$50.70
|
| Rate for Payer: Cash Price |
$162.23
|
| Rate for Payer: Cofinity Commercial |
$174.40
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$162.23
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$50.70
|
| Rate for Payer: Healthscope Commercial |
$182.51
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$152.09
|
| Rate for Payer: Mclaren Medicaid |
$35.75
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$53.23
|
| Rate for Payer: Meridian Medicaid |
$37.54
|
| Rate for Payer: MI Amish Medical Board Commercial |
$58.30
|
| Rate for Payer: Molina Medicare/Medicaid |
$55.77
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$172.37
|
| Rate for Payer: Nomi Health Commercial |
$166.29
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$152.09
|
| Rate for Payer: PACE Senior Care Partners |
$48.16
|
| Rate for Payer: PACE SWMI |
$50.70
|
| Rate for Payer: PHP Commercial |
$172.37
|
| Rate for Payer: PHP Medicare Advantage |
$50.70
|
| Rate for Payer: Priority Health Choice Medicaid |
$35.75
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$176.43
|
| Rate for Payer: Priority Health Medicare |
$51.20
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$141.14
|
| Rate for Payer: Railroad Medicare Medicare |
$50.70
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$178.46
|
| Rate for Payer: UHC Core |
$169.33
|
| Rate for Payer: UHC Exchange |
$50.70
|
| Rate for Payer: UHC Medicaid |
$35.75
|
| Rate for Payer: UHC Medicare Advantage |
$50.70
|
| Rate for Payer: UHCCP Medicaid |
$35.75
|
| Rate for Payer: VA VA |
$50.70
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$152.09
|
|
|
HC NASAL ENDOSCOPY DX
|
Facility
|
OP
|
$261.02
|
|
|
Service Code
|
CPT 31231
|
| Hospital Charge Code |
76100183
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$46.02 |
| Max. Negotiated Rate |
$234.92 |
| Rate for Payer: Aetna Commercial |
$221.87
|
| Rate for Payer: Aetna Medicare |
$67.87
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$81.57
|
| Rate for Payer: Amish Plain Church Group Commercial |
$81.57
|
| Rate for Payer: BCBS Complete |
$48.31
|
| Rate for Payer: BCBS MAPPO |
$65.25
|
| Rate for Payer: BCBS Trust/PPO |
$214.58
|
| Rate for Payer: BCN Commercial |
$214.58
|
| Rate for Payer: BCN Medicare Advantage |
$65.25
|
| Rate for Payer: Cash Price |
$208.82
|
| Rate for Payer: Cofinity Commercial |
$224.48
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$208.82
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$65.25
|
| Rate for Payer: Healthscope Commercial |
$234.92
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$195.76
|
| Rate for Payer: Mclaren Medicaid |
$46.02
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$68.52
|
| Rate for Payer: Meridian Medicaid |
$48.31
|
| Rate for Payer: MI Amish Medical Board Commercial |
$75.04
|
| Rate for Payer: Molina Medicare/Medicaid |
$71.78
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$221.87
|
| Rate for Payer: Nomi Health Commercial |
$214.04
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$195.76
|
| Rate for Payer: PACE Senior Care Partners |
$61.99
|
| Rate for Payer: PACE SWMI |
$65.25
|
| Rate for Payer: PHP Commercial |
$221.87
|
| Rate for Payer: PHP Medicare Advantage |
$65.25
|
| Rate for Payer: Priority Health Choice Medicaid |
$46.02
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$227.09
|
| Rate for Payer: Priority Health Medicare |
$65.91
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$181.67
|
| Rate for Payer: Railroad Medicare Medicare |
$65.25
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$229.70
|
| Rate for Payer: UHC Core |
$217.95
|
| Rate for Payer: UHC Exchange |
$65.25
|
| Rate for Payer: UHC Medicaid |
$46.02
|
| Rate for Payer: UHC Medicare Advantage |
$65.25
|
| Rate for Payer: UHCCP Medicaid |
$46.02
|
| Rate for Payer: VA VA |
$65.25
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$195.76
|
|
|
HC NASAL ENDOSCOPY DX
|
Facility
|
IP
|
$261.02
|
|
|
Service Code
|
CPT 31231
|
| Hospital Charge Code |
76100183
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$181.67 |
| Max. Negotiated Rate |
$234.92 |
| Rate for Payer: Aetna Commercial |
$221.87
|
| Rate for Payer: BCBS Trust/PPO |
$215.58
|
| Rate for Payer: BCN Commercial |
$215.58
|
| Rate for Payer: Cash Price |
$208.82
|
| Rate for Payer: Cofinity Commercial |
$224.48
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$208.82
|
| Rate for Payer: Healthscope Commercial |
$234.92
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$195.76
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$221.87
|
| Rate for Payer: Nomi Health Commercial |
$214.04
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$195.76
|
| Rate for Payer: PHP Commercial |
$221.87
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$227.09
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$181.67
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$229.70
|
| Rate for Payer: UHC Core |
$217.95
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$195.76
|
|
|
HC NASAL/SINUS ENDSC SURG W/BX POLYPEC/DBRD SPX
|
Facility
|
OP
|
$4,525.74
|
|
|
Service Code
|
CPT 31237
|
| Hospital Charge Code |
76100454
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$797.89 |
| Max. Negotiated Rate |
$4,073.17 |
| Rate for Payer: Aetna Commercial |
$3,846.88
|
| Rate for Payer: Aetna Medicare |
$1,176.69
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,414.29
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1,414.29
|
| Rate for Payer: BCBS Complete |
$837.71
|
| Rate for Payer: BCBS MAPPO |
$1,131.43
|
| Rate for Payer: BCBS Trust/PPO |
$3,720.61
|
| Rate for Payer: BCN Commercial |
$3,720.61
|
| Rate for Payer: BCN Medicare Advantage |
$1,131.43
|
| Rate for Payer: Cash Price |
$3,620.59
|
| Rate for Payer: Cofinity Commercial |
$3,892.14
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,620.59
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,131.43
|
| Rate for Payer: Healthscope Commercial |
$4,073.17
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$3,394.30
|
| Rate for Payer: Mclaren Medicaid |
$797.89
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,188.01
|
| Rate for Payer: Meridian Medicaid |
$837.71
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,301.15
|
| Rate for Payer: Molina Medicare/Medicaid |
$1,244.58
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,846.88
|
| Rate for Payer: Nomi Health Commercial |
$3,711.11
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$3,394.30
|
| Rate for Payer: PACE Senior Care Partners |
$1,074.86
|
| Rate for Payer: PACE SWMI |
$1,131.43
|
| Rate for Payer: PHP Commercial |
$3,846.88
|
| Rate for Payer: PHP Medicare Advantage |
$1,131.43
|
| Rate for Payer: Priority Health Choice Medicaid |
$797.89
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$3,937.39
|
| Rate for Payer: Priority Health Medicare |
$1,142.75
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$3,149.92
|
| Rate for Payer: Railroad Medicare Medicare |
$1,131.43
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$3,982.65
|
| Rate for Payer: UHC Core |
$3,778.99
|
| Rate for Payer: UHC Exchange |
$1,131.43
|
| Rate for Payer: UHC Medicaid |
$797.89
|
| Rate for Payer: UHC Medicare Advantage |
$1,131.43
|
| Rate for Payer: UHCCP Medicaid |
$797.89
|
| Rate for Payer: VA VA |
$1,131.43
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$3,394.30
|
|
|
HC NASAL/SINUS ENDSC SURG W/BX POLYPEC/DBRD SPX
|
Facility
|
IP
|
$4,525.74
|
|
|
Service Code
|
CPT 31237
|
| Hospital Charge Code |
76100454
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$3,149.92 |
| Max. Negotiated Rate |
$4,073.17 |
| Rate for Payer: Aetna Commercial |
$3,846.88
|
| Rate for Payer: BCBS Trust/PPO |
$3,737.81
|
| Rate for Payer: BCN Commercial |
$3,737.81
|
| Rate for Payer: Cash Price |
$3,620.59
|
| Rate for Payer: Cofinity Commercial |
$3,892.14
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,620.59
|
| Rate for Payer: Healthscope Commercial |
$4,073.17
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$3,394.30
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,846.88
|
| Rate for Payer: Nomi Health Commercial |
$3,711.11
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$3,394.30
|
| Rate for Payer: PHP Commercial |
$3,846.88
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$3,937.39
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$3,149.92
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$3,982.65
|
| Rate for Payer: UHC Core |
$3,778.99
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$3,394.30
|
|
|
HC NASAL/SINUS ENDSC SURG W/CONTROL NASAL HEMRR
|
Facility
|
OP
|
$4,078.98
|
|
|
Service Code
|
CPT 31238
|
| Hospital Charge Code |
76100533
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$719.12 |
| Max. Negotiated Rate |
$3,671.08 |
| Rate for Payer: Aetna Commercial |
$3,467.13
|
| Rate for Payer: Aetna Medicare |
$1,060.53
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,274.68
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1,274.68
|
| Rate for Payer: BCBS Complete |
$755.02
|
| Rate for Payer: BCBS MAPPO |
$1,019.75
|
| Rate for Payer: BCBS Trust/PPO |
$3,353.33
|
| Rate for Payer: BCN Commercial |
$3,353.33
|
| Rate for Payer: BCN Medicare Advantage |
$1,019.75
|
| Rate for Payer: Cash Price |
$3,263.18
|
| Rate for Payer: Cofinity Commercial |
$3,507.92
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,263.18
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,019.75
|
| Rate for Payer: Healthscope Commercial |
$3,671.08
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$3,059.24
|
| Rate for Payer: Mclaren Medicaid |
$719.12
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,070.73
|
| Rate for Payer: Meridian Medicaid |
$755.02
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,172.71
|
| Rate for Payer: Molina Medicare/Medicaid |
$1,121.72
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,467.13
|
| Rate for Payer: Nomi Health Commercial |
$3,344.76
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$3,059.24
|
| Rate for Payer: PACE Senior Care Partners |
$968.76
|
| Rate for Payer: PACE SWMI |
$1,019.75
|
| Rate for Payer: PHP Commercial |
$3,467.13
|
| Rate for Payer: PHP Medicare Advantage |
$1,019.75
|
| Rate for Payer: Priority Health Choice Medicaid |
$719.12
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$3,548.71
|
| Rate for Payer: Priority Health Medicare |
$1,029.94
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,838.97
|
| Rate for Payer: Railroad Medicare Medicare |
$1,019.75
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$3,589.50
|
| Rate for Payer: UHC Core |
$3,405.95
|
| Rate for Payer: UHC Exchange |
$1,019.75
|
| Rate for Payer: UHC Medicaid |
$719.12
|
| Rate for Payer: UHC Medicare Advantage |
$1,019.75
|
| Rate for Payer: UHCCP Medicaid |
$719.12
|
| Rate for Payer: VA VA |
$1,019.75
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$3,059.24
|
|
|
HC NASAL/SINUS ENDSC SURG W/CONTROL NASAL HEMRR
|
Facility
|
IP
|
$4,078.98
|
|
|
Service Code
|
CPT 31238
|
| Hospital Charge Code |
76100533
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$2,838.97 |
| Max. Negotiated Rate |
$3,671.08 |
| Rate for Payer: Aetna Commercial |
$3,467.13
|
| Rate for Payer: BCBS Trust/PPO |
$3,368.83
|
| Rate for Payer: BCN Commercial |
$3,368.83
|
| Rate for Payer: Cash Price |
$3,263.18
|
| Rate for Payer: Cofinity Commercial |
$3,507.92
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,263.18
|
| Rate for Payer: Healthscope Commercial |
$3,671.08
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$3,059.24
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,467.13
|
| Rate for Payer: Nomi Health Commercial |
$3,344.76
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$3,059.24
|
| Rate for Payer: PHP Commercial |
$3,467.13
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$3,548.71
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,838.97
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$3,589.50
|
| Rate for Payer: UHC Core |
$3,405.95
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$3,059.24
|
|
|
HC NASOPHARYNGOSCOPY
|
Facility
|
OP
|
$261.02
|
|
|
Service Code
|
CPT 92511
|
| Hospital Charge Code |
76100177
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$46.02 |
| Max. Negotiated Rate |
$234.92 |
| Rate for Payer: Aetna Commercial |
$221.87
|
| Rate for Payer: Aetna Medicare |
$67.87
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$81.57
|
| Rate for Payer: Amish Plain Church Group Commercial |
$81.57
|
| Rate for Payer: BCBS Complete |
$48.31
|
| Rate for Payer: BCBS MAPPO |
$65.25
|
| Rate for Payer: BCBS Trust/PPO |
$214.58
|
| Rate for Payer: BCN Commercial |
$214.58
|
| Rate for Payer: BCN Medicare Advantage |
$65.25
|
| Rate for Payer: Cash Price |
$208.82
|
| Rate for Payer: Cofinity Commercial |
$224.48
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$208.82
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$65.25
|
| Rate for Payer: Healthscope Commercial |
$234.92
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$195.76
|
| Rate for Payer: Mclaren Medicaid |
$46.02
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$68.52
|
| Rate for Payer: Meridian Medicaid |
$48.31
|
| Rate for Payer: MI Amish Medical Board Commercial |
$75.04
|
| Rate for Payer: Molina Medicare/Medicaid |
$71.78
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$221.87
|
| Rate for Payer: Nomi Health Commercial |
$214.04
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$195.76
|
| Rate for Payer: PACE Senior Care Partners |
$61.99
|
| Rate for Payer: PACE SWMI |
$65.25
|
| Rate for Payer: PHP Commercial |
$221.87
|
| Rate for Payer: PHP Medicare Advantage |
$65.25
|
| Rate for Payer: Priority Health Choice Medicaid |
$46.02
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$227.09
|
| Rate for Payer: Priority Health Medicare |
$65.91
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$181.67
|
| Rate for Payer: Railroad Medicare Medicare |
$65.25
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$229.70
|
| Rate for Payer: UHC Core |
$217.95
|
| Rate for Payer: UHC Exchange |
$65.25
|
| Rate for Payer: UHC Medicaid |
$46.02
|
| Rate for Payer: UHC Medicare Advantage |
$65.25
|
| Rate for Payer: UHCCP Medicaid |
$46.02
|
| Rate for Payer: VA VA |
$65.25
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$195.76
|
|
|
HC NASOPHARYNGOSCOPY
|
Facility
|
IP
|
$261.02
|
|
|
Service Code
|
CPT 92511
|
| Hospital Charge Code |
76100177
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$181.67 |
| Max. Negotiated Rate |
$234.92 |
| Rate for Payer: Aetna Commercial |
$221.87
|
| Rate for Payer: BCBS Trust/PPO |
$215.58
|
| Rate for Payer: BCN Commercial |
$215.58
|
| Rate for Payer: Cash Price |
$208.82
|
| Rate for Payer: Cofinity Commercial |
$224.48
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$208.82
|
| Rate for Payer: Healthscope Commercial |
$234.92
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$195.76
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$221.87
|
| Rate for Payer: Nomi Health Commercial |
$214.04
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$195.76
|
| Rate for Payer: PHP Commercial |
$221.87
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$227.09
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$181.67
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$229.70
|
| Rate for Payer: UHC Core |
$217.95
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$195.76
|
|
|
HC NASOPHARYNGOSCOPY DILAT EUSTACHIAN TUBE BI
|
Facility
|
IP
|
$16,728.00
|
|
|
Service Code
|
CPT 69706
|
| Hospital Charge Code |
76100518
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$11,642.69 |
| Max. Negotiated Rate |
$15,055.20 |
| Rate for Payer: Aetna Commercial |
$14,218.80
|
| Rate for Payer: BCBS Trust/PPO |
$13,815.66
|
| Rate for Payer: BCN Commercial |
$13,815.66
|
| Rate for Payer: Cash Price |
$13,382.40
|
| Rate for Payer: Cofinity Commercial |
$14,386.08
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$13,382.40
|
| Rate for Payer: Healthscope Commercial |
$15,055.20
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$12,546.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$14,218.80
|
| Rate for Payer: Nomi Health Commercial |
$13,716.96
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$12,546.00
|
| Rate for Payer: PHP Commercial |
$14,218.80
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$14,553.36
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$11,642.69
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$14,720.64
|
| Rate for Payer: UHC Core |
$13,967.88
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$12,546.00
|
|
|
HC NASOPHARYNGOSCOPY DILAT EUSTACHIAN TUBE BI
|
Facility
|
OP
|
$16,728.00
|
|
|
Service Code
|
CPT 69706
|
| Hospital Charge Code |
76100518
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$2,949.15 |
| Max. Negotiated Rate |
$15,055.20 |
| Rate for Payer: Aetna Commercial |
$14,218.80
|
| Rate for Payer: Aetna Medicare |
$4,349.28
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$5,227.50
|
| Rate for Payer: Amish Plain Church Group Commercial |
$5,227.50
|
| Rate for Payer: BCBS Complete |
$3,096.35
|
| Rate for Payer: BCBS MAPPO |
$4,182.00
|
| Rate for Payer: BCBS Trust/PPO |
$13,752.09
|
| Rate for Payer: BCN Commercial |
$13,752.09
|
| Rate for Payer: BCN Medicare Advantage |
$4,182.00
|
| Rate for Payer: Cash Price |
$13,382.40
|
| Rate for Payer: Cofinity Commercial |
$14,386.08
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$13,382.40
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$4,182.00
|
| Rate for Payer: Healthscope Commercial |
$15,055.20
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$12,546.00
|
| Rate for Payer: Mclaren Medicaid |
$2,949.15
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$4,391.10
|
| Rate for Payer: Meridian Medicaid |
$3,096.35
|
| Rate for Payer: MI Amish Medical Board Commercial |
$4,809.30
|
| Rate for Payer: Molina Medicare/Medicaid |
$4,600.20
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$14,218.80
|
| Rate for Payer: Nomi Health Commercial |
$13,716.96
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$12,546.00
|
| Rate for Payer: PACE Senior Care Partners |
$3,972.90
|
| Rate for Payer: PACE SWMI |
$4,182.00
|
| Rate for Payer: PHP Commercial |
$14,218.80
|
| Rate for Payer: PHP Medicare Advantage |
$4,182.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,949.15
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$14,553.36
|
| Rate for Payer: Priority Health Medicare |
$4,223.82
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$11,642.69
|
| Rate for Payer: Railroad Medicare Medicare |
$4,182.00
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$14,720.64
|
| Rate for Payer: UHC Core |
$13,967.88
|
| Rate for Payer: UHC Exchange |
$4,182.00
|
| Rate for Payer: UHC Medicaid |
$2,949.15
|
| Rate for Payer: UHC Medicare Advantage |
$4,182.00
|
| Rate for Payer: UHCCP Medicaid |
$2,949.15
|
| Rate for Payer: VA VA |
$4,182.00
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$12,546.00
|
|
|
HC NASOPHARYNGOSCOPY DILAT EUSTACHIAN TUBE UNI
|
Facility
|
IP
|
$16,728.00
|
|
|
Service Code
|
CPT 69705
|
| Hospital Charge Code |
76100519
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$11,642.69 |
| Max. Negotiated Rate |
$15,055.20 |
| Rate for Payer: Aetna Commercial |
$14,218.80
|
| Rate for Payer: BCBS Trust/PPO |
$13,815.66
|
| Rate for Payer: BCN Commercial |
$13,815.66
|
| Rate for Payer: Cash Price |
$13,382.40
|
| Rate for Payer: Cofinity Commercial |
$14,386.08
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$13,382.40
|
| Rate for Payer: Healthscope Commercial |
$15,055.20
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$12,546.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$14,218.80
|
| Rate for Payer: Nomi Health Commercial |
$13,716.96
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$12,546.00
|
| Rate for Payer: PHP Commercial |
$14,218.80
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$14,553.36
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$11,642.69
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$14,720.64
|
| Rate for Payer: UHC Core |
$13,967.88
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$12,546.00
|
|
|
HC NASOPHARYNGOSCOPY DILAT EUSTACHIAN TUBE UNI
|
Facility
|
OP
|
$16,728.00
|
|
|
Service Code
|
CPT 69705
|
| Hospital Charge Code |
76100519
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$2,949.15 |
| Max. Negotiated Rate |
$15,055.20 |
| Rate for Payer: Aetna Commercial |
$14,218.80
|
| Rate for Payer: Aetna Medicare |
$4,349.28
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$5,227.50
|
| Rate for Payer: Amish Plain Church Group Commercial |
$5,227.50
|
| Rate for Payer: BCBS Complete |
$3,096.35
|
| Rate for Payer: BCBS MAPPO |
$4,182.00
|
| Rate for Payer: BCBS Trust/PPO |
$13,752.09
|
| Rate for Payer: BCN Commercial |
$13,752.09
|
| Rate for Payer: BCN Medicare Advantage |
$4,182.00
|
| Rate for Payer: Cash Price |
$13,382.40
|
| Rate for Payer: Cofinity Commercial |
$14,386.08
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$13,382.40
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$4,182.00
|
| Rate for Payer: Healthscope Commercial |
$15,055.20
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$12,546.00
|
| Rate for Payer: Mclaren Medicaid |
$2,949.15
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$4,391.10
|
| Rate for Payer: Meridian Medicaid |
$3,096.35
|
| Rate for Payer: MI Amish Medical Board Commercial |
$4,809.30
|
| Rate for Payer: Molina Medicare/Medicaid |
$4,600.20
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$14,218.80
|
| Rate for Payer: Nomi Health Commercial |
$13,716.96
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$12,546.00
|
| Rate for Payer: PACE Senior Care Partners |
$3,972.90
|
| Rate for Payer: PACE SWMI |
$4,182.00
|
| Rate for Payer: PHP Commercial |
$14,218.80
|
| Rate for Payer: PHP Medicare Advantage |
$4,182.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,949.15
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$14,553.36
|
| Rate for Payer: Priority Health Medicare |
$4,223.82
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$11,642.69
|
| Rate for Payer: Railroad Medicare Medicare |
$4,182.00
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$14,720.64
|
| Rate for Payer: UHC Core |
$13,967.88
|
| Rate for Payer: UHC Exchange |
$4,182.00
|
| Rate for Payer: UHC Medicaid |
$2,949.15
|
| Rate for Payer: UHC Medicare Advantage |
$4,182.00
|
| Rate for Payer: UHCCP Medicaid |
$2,949.15
|
| Rate for Payer: VA VA |
$4,182.00
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$12,546.00
|
|
|
HC NASOTRACHEAL SUCTION
|
Facility
|
OP
|
$284.50
|
|
|
Service Code
|
CPT 31720
|
| Hospital Charge Code |
41000001
|
|
Hospital Revenue Code
|
410
|
| Min. Negotiated Rate |
$50.16 |
| Max. Negotiated Rate |
$256.05 |
| Rate for Payer: Aetna Commercial |
$241.82
|
| Rate for Payer: Aetna Medicare |
$73.97
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$88.91
|
| Rate for Payer: Amish Plain Church Group Commercial |
$88.91
|
| Rate for Payer: BCBS Complete |
$52.66
|
| Rate for Payer: BCBS MAPPO |
$71.12
|
| Rate for Payer: BCBS Trust/PPO |
$233.89
|
| Rate for Payer: BCN Commercial |
$233.89
|
| Rate for Payer: BCN Medicare Advantage |
$71.12
|
| Rate for Payer: Cash Price |
$227.60
|
| Rate for Payer: Cofinity Commercial |
$244.67
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$227.60
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$71.12
|
| Rate for Payer: Healthscope Commercial |
$256.05
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$213.38
|
| Rate for Payer: Mclaren Medicaid |
$50.16
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$74.68
|
| Rate for Payer: Meridian Medicaid |
$52.66
|
| Rate for Payer: MI Amish Medical Board Commercial |
$81.79
|
| Rate for Payer: Molina Medicare/Medicaid |
$78.24
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$241.82
|
| Rate for Payer: Nomi Health Commercial |
$233.29
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$213.38
|
| Rate for Payer: PACE Senior Care Partners |
$67.57
|
| Rate for Payer: PACE SWMI |
$71.12
|
| Rate for Payer: PHP Commercial |
$241.82
|
| Rate for Payer: PHP Medicare Advantage |
$71.12
|
| Rate for Payer: Priority Health Choice Medicaid |
$50.16
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$247.51
|
| Rate for Payer: Priority Health Medicare |
$71.84
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$198.01
|
| Rate for Payer: Railroad Medicare Medicare |
$71.12
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$250.36
|
| Rate for Payer: UHC Core |
$237.56
|
| Rate for Payer: UHC Exchange |
$71.12
|
| Rate for Payer: UHC Medicaid |
$50.16
|
| Rate for Payer: UHC Medicare Advantage |
$71.12
|
| Rate for Payer: UHCCP Medicaid |
$50.16
|
| Rate for Payer: VA VA |
$71.12
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$213.38
|
|
|
HC NASOTRACHEAL SUCTION
|
Facility
|
IP
|
$284.50
|
|
|
Service Code
|
CPT 31720
|
| Hospital Charge Code |
41000001
|
|
Hospital Revenue Code
|
410
|
| Min. Negotiated Rate |
$198.01 |
| Max. Negotiated Rate |
$256.05 |
| Rate for Payer: Aetna Commercial |
$241.82
|
| Rate for Payer: BCBS Trust/PPO |
$234.97
|
| Rate for Payer: BCN Commercial |
$234.97
|
| Rate for Payer: Cash Price |
$227.60
|
| Rate for Payer: Cofinity Commercial |
$244.67
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$227.60
|
| Rate for Payer: Healthscope Commercial |
$256.05
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$213.38
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$241.82
|
| Rate for Payer: Nomi Health Commercial |
$233.29
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$213.38
|
| Rate for Payer: PHP Commercial |
$241.82
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$247.51
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$198.01
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$250.36
|
| Rate for Payer: UHC Core |
$237.56
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$213.38
|
|
|
HC NCCU OBSERVATION PER HOUR
|
Facility
|
OP
|
$160.00
|
|
|
Service Code
|
HCPCS G0378
|
| Hospital Charge Code |
76200021
|
|
Hospital Revenue Code
|
762
|
| Min. Negotiated Rate |
$28.21 |
| Max. Negotiated Rate |
$850.00 |
| Rate for Payer: Aetna Commercial |
$136.00
|
| Rate for Payer: Aetna Medicare |
$41.60
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$50.00
|
| Rate for Payer: Amish Plain Church Group Commercial |
$50.00
|
| Rate for Payer: BCBS Complete |
$29.62
|
| Rate for Payer: BCBS MAPPO |
$40.00
|
| Rate for Payer: BCBS Trust/PPO |
$131.54
|
| Rate for Payer: BCN Commercial |
$131.54
|
| Rate for Payer: BCN Medicare Advantage |
$40.00
|
| Rate for Payer: Cash Price |
$128.00
|
| Rate for Payer: Cash Price |
$128.00
|
| Rate for Payer: Cofinity Commercial |
$137.60
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$128.00
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$40.00
|
| Rate for Payer: Healthscope Commercial |
$144.00
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$120.00
|
| Rate for Payer: Mclaren Medicaid |
$28.21
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$42.00
|
| Rate for Payer: Meridian Medicaid |
$29.62
|
| Rate for Payer: MI Amish Medical Board Commercial |
$46.00
|
| Rate for Payer: Molina Medicare/Medicaid |
$44.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$136.00
|
| Rate for Payer: Nomi Health Commercial |
$131.20
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$120.00
|
| Rate for Payer: PACE Senior Care Partners |
$38.00
|
| Rate for Payer: PACE SWMI |
$40.00
|
| Rate for Payer: PHP Commercial |
$136.00
|
| Rate for Payer: PHP Medicare Advantage |
$40.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$28.21
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$139.20
|
| Rate for Payer: Priority Health Medicare |
$40.40
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$111.36
|
| Rate for Payer: Railroad Medicare Medicare |
$40.00
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$140.80
|
| Rate for Payer: UHC Core |
$133.60
|
| Rate for Payer: UHC Exchange |
$40.00
|
| Rate for Payer: UHC Medicaid |
$28.21
|
| Rate for Payer: UHC Medicare Advantage |
$40.00
|
| Rate for Payer: UHCCP Medicaid |
$850.00
|
| Rate for Payer: VA VA |
$40.00
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$120.00
|
|
|
HC NCCU OBSERVATION PER HOUR
|
Facility
|
IP
|
$160.00
|
|
|
Service Code
|
HCPCS G0378
|
| Hospital Charge Code |
76200021
|
|
Hospital Revenue Code
|
762
|
| Min. Negotiated Rate |
$111.36 |
| Max. Negotiated Rate |
$144.00 |
| Rate for Payer: Aetna Commercial |
$136.00
|
| Rate for Payer: BCBS Trust/PPO |
$132.14
|
| Rate for Payer: BCN Commercial |
$132.14
|
| Rate for Payer: Cash Price |
$128.00
|
| Rate for Payer: Cofinity Commercial |
$137.60
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$128.00
|
| Rate for Payer: Healthscope Commercial |
$144.00
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$120.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$136.00
|
| Rate for Payer: Nomi Health Commercial |
$131.20
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$120.00
|
| Rate for Payer: PHP Commercial |
$136.00
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$139.20
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$111.36
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$140.80
|
| Rate for Payer: UHC Core |
$133.60
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$120.00
|
|
|
HC NCS 11-12 STUDIES INCL F&H WAVES
|
Facility
|
OP
|
$2,322.64
|
|
|
Service Code
|
CPT 95912
|
| Hospital Charge Code |
92200032
|
|
Hospital Revenue Code
|
922
|
| Min. Negotiated Rate |
$409.48 |
| Max. Negotiated Rate |
$2,090.38 |
| Rate for Payer: Aetna Commercial |
$1,974.24
|
| Rate for Payer: Aetna Medicare |
$603.89
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$725.83
|
| Rate for Payer: Amish Plain Church Group Commercial |
$725.83
|
| Rate for Payer: BCBS Complete |
$429.92
|
| Rate for Payer: BCBS MAPPO |
$580.66
|
| Rate for Payer: BCBS Trust/PPO |
$1,909.44
|
| Rate for Payer: BCN Commercial |
$1,909.44
|
| Rate for Payer: BCN Medicare Advantage |
$580.66
|
| Rate for Payer: Cash Price |
$1,858.11
|
| Rate for Payer: Cofinity Commercial |
$1,997.47
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,858.11
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$580.66
|
| Rate for Payer: Healthscope Commercial |
$2,090.38
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,741.98
|
| Rate for Payer: Mclaren Medicaid |
$409.48
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$609.69
|
| Rate for Payer: Meridian Medicaid |
$429.92
|
| Rate for Payer: MI Amish Medical Board Commercial |
$667.76
|
| Rate for Payer: Molina Medicare/Medicaid |
$638.73
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,974.24
|
| Rate for Payer: Nomi Health Commercial |
$1,904.56
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,741.98
|
| Rate for Payer: PACE Senior Care Partners |
$551.63
|
| Rate for Payer: PACE SWMI |
$580.66
|
| Rate for Payer: PHP Commercial |
$1,974.24
|
| Rate for Payer: PHP Medicare Advantage |
$580.66
|
| Rate for Payer: Priority Health Choice Medicaid |
$409.48
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$2,020.70
|
| Rate for Payer: Priority Health Medicare |
$586.47
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,616.56
|
| Rate for Payer: Railroad Medicare Medicare |
$580.66
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,043.92
|
| Rate for Payer: UHC Core |
$1,939.40
|
| Rate for Payer: UHC Exchange |
$580.66
|
| Rate for Payer: UHC Medicaid |
$409.48
|
| Rate for Payer: UHC Medicare Advantage |
$580.66
|
| Rate for Payer: UHCCP Medicaid |
$409.48
|
| Rate for Payer: VA VA |
$580.66
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,741.98
|
|
|
HC NCS 11-12 STUDIES INCL F&H WAVES
|
Facility
|
IP
|
$2,322.64
|
|
|
Service Code
|
CPT 95912
|
| Hospital Charge Code |
92200032
|
|
Hospital Revenue Code
|
922
|
| Min. Negotiated Rate |
$1,616.56 |
| Max. Negotiated Rate |
$2,090.38 |
| Rate for Payer: Aetna Commercial |
$1,974.24
|
| Rate for Payer: BCBS Trust/PPO |
$1,918.27
|
| Rate for Payer: BCN Commercial |
$1,918.27
|
| Rate for Payer: Cash Price |
$1,858.11
|
| Rate for Payer: Cofinity Commercial |
$1,997.47
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,858.11
|
| Rate for Payer: Healthscope Commercial |
$2,090.38
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,741.98
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,974.24
|
| Rate for Payer: Nomi Health Commercial |
$1,904.56
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,741.98
|
| Rate for Payer: PHP Commercial |
$1,974.24
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$2,020.70
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,616.56
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,043.92
|
| Rate for Payer: UHC Core |
$1,939.40
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,741.98
|
|
