|
HC NEEDLE LOC WIRE
|
Facility
|
IP
|
$54.12
|
|
|
Service Code
|
HCPCS C1819
|
| Hospital Charge Code |
27200323
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$37.67 |
| Max. Negotiated Rate |
$48.71 |
| Rate for Payer: Aetna Commercial |
$46.00
|
| Rate for Payer: BCBS Trust/PPO |
$44.70
|
| Rate for Payer: BCN Commercial |
$44.70
|
| Rate for Payer: Cash Price |
$43.30
|
| Rate for Payer: Cofinity Commercial |
$46.54
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$43.30
|
| Rate for Payer: Healthscope Commercial |
$48.71
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$40.59
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$46.00
|
| Rate for Payer: Nomi Health Commercial |
$44.38
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$40.59
|
| Rate for Payer: PHP Commercial |
$46.00
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$47.08
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$37.67
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$47.63
|
| Rate for Payer: UHC Core |
$45.19
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$40.59
|
|
|
HC NEG PRES CANIST 1000CC
|
Facility
|
OP
|
$237.85
|
|
| Hospital Charge Code |
27200232
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$41.93 |
| Max. Negotiated Rate |
$214.06 |
| Rate for Payer: Aetna Commercial |
$202.17
|
| Rate for Payer: Aetna Medicare |
$61.84
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$74.33
|
| Rate for Payer: Amish Plain Church Group Commercial |
$74.33
|
| Rate for Payer: BCBS Complete |
$44.03
|
| Rate for Payer: BCBS MAPPO |
$59.46
|
| Rate for Payer: BCBS Trust/PPO |
$195.54
|
| Rate for Payer: BCN Commercial |
$195.54
|
| Rate for Payer: BCN Medicare Advantage |
$59.46
|
| Rate for Payer: Cash Price |
$190.28
|
| Rate for Payer: Cofinity Commercial |
$204.55
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$190.28
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$59.46
|
| Rate for Payer: Healthscope Commercial |
$214.06
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$178.39
|
| Rate for Payer: Mclaren Medicaid |
$41.93
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$62.44
|
| Rate for Payer: Meridian Medicaid |
$44.03
|
| Rate for Payer: MI Amish Medical Board Commercial |
$68.38
|
| Rate for Payer: Molina Medicare/Medicaid |
$65.41
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$202.17
|
| Rate for Payer: Nomi Health Commercial |
$195.04
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$178.39
|
| Rate for Payer: PACE Senior Care Partners |
$56.49
|
| Rate for Payer: PACE SWMI |
$59.46
|
| Rate for Payer: PHP Commercial |
$202.17
|
| Rate for Payer: PHP Medicare Advantage |
$59.46
|
| Rate for Payer: Priority Health Choice Medicaid |
$41.93
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$206.93
|
| Rate for Payer: Priority Health Medicare |
$60.06
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$165.54
|
| Rate for Payer: Railroad Medicare Medicare |
$59.46
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$209.31
|
| Rate for Payer: UHC Core |
$198.60
|
| Rate for Payer: UHC Exchange |
$59.46
|
| Rate for Payer: UHC Medicaid |
$41.93
|
| Rate for Payer: UHC Medicare Advantage |
$59.46
|
| Rate for Payer: UHCCP Medicaid |
$41.93
|
| Rate for Payer: VA VA |
$59.46
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$178.39
|
|
|
HC NEG PRES CANIST 1000CC
|
Facility
|
IP
|
$237.85
|
|
| Hospital Charge Code |
27200232
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$165.54 |
| Max. Negotiated Rate |
$214.06 |
| Rate for Payer: Aetna Commercial |
$202.17
|
| Rate for Payer: BCBS Trust/PPO |
$196.44
|
| Rate for Payer: BCN Commercial |
$196.44
|
| Rate for Payer: Cash Price |
$190.28
|
| Rate for Payer: Cofinity Commercial |
$204.55
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$190.28
|
| Rate for Payer: Healthscope Commercial |
$214.06
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$178.39
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$202.17
|
| Rate for Payer: Nomi Health Commercial |
$195.04
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$178.39
|
| Rate for Payer: PHP Commercial |
$202.17
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$206.93
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$165.54
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$209.31
|
| Rate for Payer: UHC Core |
$198.60
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$178.39
|
|
|
HC NEG PRES CANIST 500CC
|
Facility
|
IP
|
$154.49
|
|
| Hospital Charge Code |
27200136
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$107.53 |
| Max. Negotiated Rate |
$139.04 |
| Rate for Payer: Aetna Commercial |
$131.32
|
| Rate for Payer: BCBS Trust/PPO |
$127.59
|
| Rate for Payer: BCN Commercial |
$127.59
|
| Rate for Payer: Cash Price |
$123.59
|
| Rate for Payer: Cofinity Commercial |
$132.86
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$123.59
|
| Rate for Payer: Healthscope Commercial |
$139.04
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$115.87
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$131.32
|
| Rate for Payer: Nomi Health Commercial |
$126.68
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$115.87
|
| Rate for Payer: PHP Commercial |
$131.32
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$134.41
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$107.53
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$135.95
|
| Rate for Payer: UHC Core |
$129.00
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$115.87
|
|
|
HC NEG PRES CANIST 500CC
|
Facility
|
OP
|
$154.49
|
|
| Hospital Charge Code |
27200136
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$27.24 |
| Max. Negotiated Rate |
$139.04 |
| Rate for Payer: Aetna Commercial |
$131.32
|
| Rate for Payer: Aetna Medicare |
$40.17
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$48.28
|
| Rate for Payer: Amish Plain Church Group Commercial |
$48.28
|
| Rate for Payer: BCBS Complete |
$28.60
|
| Rate for Payer: BCBS MAPPO |
$38.62
|
| Rate for Payer: BCBS Trust/PPO |
$127.01
|
| Rate for Payer: BCN Commercial |
$127.01
|
| Rate for Payer: BCN Medicare Advantage |
$38.62
|
| Rate for Payer: Cash Price |
$123.59
|
| Rate for Payer: Cofinity Commercial |
$132.86
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$123.59
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$38.62
|
| Rate for Payer: Healthscope Commercial |
$139.04
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$115.87
|
| Rate for Payer: Mclaren Medicaid |
$27.24
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$40.55
|
| Rate for Payer: Meridian Medicaid |
$28.60
|
| Rate for Payer: MI Amish Medical Board Commercial |
$44.42
|
| Rate for Payer: Molina Medicare/Medicaid |
$42.48
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$131.32
|
| Rate for Payer: Nomi Health Commercial |
$126.68
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$115.87
|
| Rate for Payer: PACE Senior Care Partners |
$36.69
|
| Rate for Payer: PACE SWMI |
$38.62
|
| Rate for Payer: PHP Commercial |
$131.32
|
| Rate for Payer: PHP Medicare Advantage |
$38.62
|
| Rate for Payer: Priority Health Choice Medicaid |
$27.24
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$134.41
|
| Rate for Payer: Priority Health Medicare |
$39.01
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$107.53
|
| Rate for Payer: Railroad Medicare Medicare |
$38.62
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$135.95
|
| Rate for Payer: UHC Core |
$129.00
|
| Rate for Payer: UHC Exchange |
$38.62
|
| Rate for Payer: UHC Medicaid |
$27.24
|
| Rate for Payer: UHC Medicare Advantage |
$38.62
|
| Rate for Payer: UHCCP Medicaid |
$27.24
|
| Rate for Payer: VA VA |
$38.62
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$115.87
|
|
|
HC NEG PRES CLEANSE DRSG MED
|
Facility
|
IP
|
$521.12
|
|
| Hospital Charge Code |
27200229
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$362.70 |
| Max. Negotiated Rate |
$469.01 |
| Rate for Payer: Aetna Commercial |
$442.95
|
| Rate for Payer: BCBS Trust/PPO |
$430.39
|
| Rate for Payer: BCN Commercial |
$430.39
|
| Rate for Payer: Cash Price |
$416.90
|
| Rate for Payer: Cofinity Commercial |
$448.16
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$416.90
|
| Rate for Payer: Healthscope Commercial |
$469.01
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$390.84
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$442.95
|
| Rate for Payer: Nomi Health Commercial |
$427.32
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$390.84
|
| Rate for Payer: PHP Commercial |
$442.95
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$453.37
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$362.70
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$458.59
|
| Rate for Payer: UHC Core |
$435.14
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$390.84
|
|
|
HC NEG PRES CLEANSE DRSG MED
|
Facility
|
OP
|
$521.12
|
|
| Hospital Charge Code |
27200229
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$91.87 |
| Max. Negotiated Rate |
$469.01 |
| Rate for Payer: Aetna Commercial |
$442.95
|
| Rate for Payer: Aetna Medicare |
$135.49
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$162.85
|
| Rate for Payer: Amish Plain Church Group Commercial |
$162.85
|
| Rate for Payer: BCBS Complete |
$96.46
|
| Rate for Payer: BCBS MAPPO |
$130.28
|
| Rate for Payer: BCBS Trust/PPO |
$428.41
|
| Rate for Payer: BCN Commercial |
$428.41
|
| Rate for Payer: BCN Medicare Advantage |
$130.28
|
| Rate for Payer: Cash Price |
$416.90
|
| Rate for Payer: Cofinity Commercial |
$448.16
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$416.90
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$130.28
|
| Rate for Payer: Healthscope Commercial |
$469.01
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$390.84
|
| Rate for Payer: Mclaren Medicaid |
$91.87
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$136.79
|
| Rate for Payer: Meridian Medicaid |
$96.46
|
| Rate for Payer: MI Amish Medical Board Commercial |
$149.82
|
| Rate for Payer: Molina Medicare/Medicaid |
$143.31
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$442.95
|
| Rate for Payer: Nomi Health Commercial |
$427.32
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$390.84
|
| Rate for Payer: PACE Senior Care Partners |
$123.77
|
| Rate for Payer: PACE SWMI |
$130.28
|
| Rate for Payer: PHP Commercial |
$442.95
|
| Rate for Payer: PHP Medicare Advantage |
$130.28
|
| Rate for Payer: Priority Health Choice Medicaid |
$91.87
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$453.37
|
| Rate for Payer: Priority Health Medicare |
$131.58
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$362.70
|
| Rate for Payer: Railroad Medicare Medicare |
$130.28
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$458.59
|
| Rate for Payer: UHC Core |
$435.14
|
| Rate for Payer: UHC Exchange |
$130.28
|
| Rate for Payer: UHC Medicaid |
$91.87
|
| Rate for Payer: UHC Medicare Advantage |
$130.28
|
| Rate for Payer: UHCCP Medicaid |
$91.87
|
| Rate for Payer: VA VA |
$130.28
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$390.84
|
|
|
HC NEG PRES PEEL & PLACE DSG KIT LRG
|
Facility
|
IP
|
$405.03
|
|
| Hospital Charge Code |
27200404
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$281.90 |
| Max. Negotiated Rate |
$364.53 |
| Rate for Payer: Aetna Commercial |
$344.28
|
| Rate for Payer: BCBS Trust/PPO |
$334.51
|
| Rate for Payer: BCN Commercial |
$334.51
|
| Rate for Payer: Cash Price |
$324.02
|
| Rate for Payer: Cofinity Commercial |
$348.33
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$324.02
|
| Rate for Payer: Healthscope Commercial |
$364.53
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$303.77
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$344.28
|
| Rate for Payer: Nomi Health Commercial |
$332.12
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$303.77
|
| Rate for Payer: PHP Commercial |
$344.28
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$352.38
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$281.90
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$356.43
|
| Rate for Payer: UHC Core |
$338.20
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$303.77
|
|
|
HC NEG PRES PEEL & PLACE DSG KIT LRG
|
Facility
|
OP
|
$405.03
|
|
| Hospital Charge Code |
27200404
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$71.41 |
| Max. Negotiated Rate |
$364.53 |
| Rate for Payer: Aetna Commercial |
$344.28
|
| Rate for Payer: Aetna Medicare |
$105.31
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$126.57
|
| Rate for Payer: Amish Plain Church Group Commercial |
$126.57
|
| Rate for Payer: BCBS Complete |
$74.97
|
| Rate for Payer: BCBS MAPPO |
$101.26
|
| Rate for Payer: BCBS Trust/PPO |
$332.98
|
| Rate for Payer: BCN Commercial |
$332.98
|
| Rate for Payer: BCN Medicare Advantage |
$101.26
|
| Rate for Payer: Cash Price |
$324.02
|
| Rate for Payer: Cofinity Commercial |
$348.33
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$324.02
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$101.26
|
| Rate for Payer: Healthscope Commercial |
$364.53
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$303.77
|
| Rate for Payer: Mclaren Medicaid |
$71.41
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$106.32
|
| Rate for Payer: Meridian Medicaid |
$74.97
|
| Rate for Payer: MI Amish Medical Board Commercial |
$116.45
|
| Rate for Payer: Molina Medicare/Medicaid |
$111.38
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$344.28
|
| Rate for Payer: Nomi Health Commercial |
$332.12
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$303.77
|
| Rate for Payer: PACE Senior Care Partners |
$96.19
|
| Rate for Payer: PACE SWMI |
$101.26
|
| Rate for Payer: PHP Commercial |
$344.28
|
| Rate for Payer: PHP Medicare Advantage |
$101.26
|
| Rate for Payer: Priority Health Choice Medicaid |
$71.41
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$352.38
|
| Rate for Payer: Priority Health Medicare |
$102.27
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$281.90
|
| Rate for Payer: Railroad Medicare Medicare |
$101.26
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$356.43
|
| Rate for Payer: UHC Core |
$338.20
|
| Rate for Payer: UHC Exchange |
$101.26
|
| Rate for Payer: UHC Medicaid |
$71.41
|
| Rate for Payer: UHC Medicare Advantage |
$101.26
|
| Rate for Payer: UHCCP Medicaid |
$71.41
|
| Rate for Payer: VA VA |
$101.26
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$303.77
|
|
|
HC NEG PRES PEEL & PLACE DSG KIT MED
|
Facility
|
OP
|
$328.89
|
|
| Hospital Charge Code |
27200403
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$57.98 |
| Max. Negotiated Rate |
$296.00 |
| Rate for Payer: Aetna Commercial |
$279.56
|
| Rate for Payer: Aetna Medicare |
$85.51
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$102.78
|
| Rate for Payer: Amish Plain Church Group Commercial |
$102.78
|
| Rate for Payer: BCBS Complete |
$60.88
|
| Rate for Payer: BCBS MAPPO |
$82.22
|
| Rate for Payer: BCBS Trust/PPO |
$270.38
|
| Rate for Payer: BCN Commercial |
$270.38
|
| Rate for Payer: BCN Medicare Advantage |
$82.22
|
| Rate for Payer: Cash Price |
$263.11
|
| Rate for Payer: Cofinity Commercial |
$282.85
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$263.11
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$82.22
|
| Rate for Payer: Healthscope Commercial |
$296.00
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$246.67
|
| Rate for Payer: Mclaren Medicaid |
$57.98
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$86.33
|
| Rate for Payer: Meridian Medicaid |
$60.88
|
| Rate for Payer: MI Amish Medical Board Commercial |
$94.56
|
| Rate for Payer: Molina Medicare/Medicaid |
$90.44
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$279.56
|
| Rate for Payer: Nomi Health Commercial |
$269.69
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$246.67
|
| Rate for Payer: PACE Senior Care Partners |
$78.11
|
| Rate for Payer: PACE SWMI |
$82.22
|
| Rate for Payer: PHP Commercial |
$279.56
|
| Rate for Payer: PHP Medicare Advantage |
$82.22
|
| Rate for Payer: Priority Health Choice Medicaid |
$57.98
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$286.13
|
| Rate for Payer: Priority Health Medicare |
$83.04
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$228.91
|
| Rate for Payer: Railroad Medicare Medicare |
$82.22
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$289.42
|
| Rate for Payer: UHC Core |
$274.62
|
| Rate for Payer: UHC Exchange |
$82.22
|
| Rate for Payer: UHC Medicaid |
$57.98
|
| Rate for Payer: UHC Medicare Advantage |
$82.22
|
| Rate for Payer: UHCCP Medicaid |
$57.98
|
| Rate for Payer: VA VA |
$82.22
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$246.67
|
|
|
HC NEG PRES PEEL & PLACE DSG KIT MED
|
Facility
|
IP
|
$328.89
|
|
| Hospital Charge Code |
27200403
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$228.91 |
| Max. Negotiated Rate |
$296.00 |
| Rate for Payer: Aetna Commercial |
$279.56
|
| Rate for Payer: BCBS Trust/PPO |
$271.63
|
| Rate for Payer: BCN Commercial |
$271.63
|
| Rate for Payer: Cash Price |
$263.11
|
| Rate for Payer: Cofinity Commercial |
$282.85
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$263.11
|
| Rate for Payer: Healthscope Commercial |
$296.00
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$246.67
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$279.56
|
| Rate for Payer: Nomi Health Commercial |
$269.69
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$246.67
|
| Rate for Payer: PHP Commercial |
$279.56
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$286.13
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$228.91
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$289.42
|
| Rate for Payer: UHC Core |
$274.62
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$246.67
|
|
|
HC NEG PRES PEEL & PLACE DSG KIT SML
|
Facility
|
IP
|
$266.16
|
|
| Hospital Charge Code |
27200402
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$185.25 |
| Max. Negotiated Rate |
$239.54 |
| Rate for Payer: Aetna Commercial |
$226.24
|
| Rate for Payer: BCBS Trust/PPO |
$219.82
|
| Rate for Payer: BCN Commercial |
$219.82
|
| Rate for Payer: Cash Price |
$212.93
|
| Rate for Payer: Cofinity Commercial |
$228.90
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$212.93
|
| Rate for Payer: Healthscope Commercial |
$239.54
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$199.62
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$226.24
|
| Rate for Payer: Nomi Health Commercial |
$218.25
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$199.62
|
| Rate for Payer: PHP Commercial |
$226.24
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$231.56
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$185.25
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$234.22
|
| Rate for Payer: UHC Core |
$222.24
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$199.62
|
|
|
HC NEG PRES PEEL & PLACE DSG KIT SML
|
Facility
|
OP
|
$266.16
|
|
| Hospital Charge Code |
27200402
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$46.92 |
| Max. Negotiated Rate |
$239.54 |
| Rate for Payer: Aetna Commercial |
$226.24
|
| Rate for Payer: Aetna Medicare |
$69.20
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$83.17
|
| Rate for Payer: Amish Plain Church Group Commercial |
$83.17
|
| Rate for Payer: BCBS Complete |
$49.27
|
| Rate for Payer: BCBS MAPPO |
$66.54
|
| Rate for Payer: BCBS Trust/PPO |
$218.81
|
| Rate for Payer: BCN Commercial |
$218.81
|
| Rate for Payer: BCN Medicare Advantage |
$66.54
|
| Rate for Payer: Cash Price |
$212.93
|
| Rate for Payer: Cofinity Commercial |
$228.90
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$212.93
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$66.54
|
| Rate for Payer: Healthscope Commercial |
$239.54
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$199.62
|
| Rate for Payer: Mclaren Medicaid |
$46.92
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$69.87
|
| Rate for Payer: Meridian Medicaid |
$49.27
|
| Rate for Payer: MI Amish Medical Board Commercial |
$76.52
|
| Rate for Payer: Molina Medicare/Medicaid |
$73.19
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$226.24
|
| Rate for Payer: Nomi Health Commercial |
$218.25
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$199.62
|
| Rate for Payer: PACE Senior Care Partners |
$63.21
|
| Rate for Payer: PACE SWMI |
$66.54
|
| Rate for Payer: PHP Commercial |
$226.24
|
| Rate for Payer: PHP Medicare Advantage |
$66.54
|
| Rate for Payer: Priority Health Choice Medicaid |
$46.92
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$231.56
|
| Rate for Payer: Priority Health Medicare |
$67.21
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$185.25
|
| Rate for Payer: Railroad Medicare Medicare |
$66.54
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$234.22
|
| Rate for Payer: UHC Core |
$222.24
|
| Rate for Payer: UHC Exchange |
$66.54
|
| Rate for Payer: UHC Medicaid |
$46.92
|
| Rate for Payer: UHC Medicare Advantage |
$66.54
|
| Rate for Payer: UHCCP Medicaid |
$46.92
|
| Rate for Payer: VA VA |
$66.54
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$199.62
|
|
|
HC NEG PRESSURE DERMATAC DRAPE
|
Facility
|
IP
|
$65.79
|
|
| Hospital Charge Code |
27200374
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$45.79 |
| Max. Negotiated Rate |
$59.21 |
| Rate for Payer: Aetna Commercial |
$55.92
|
| Rate for Payer: BCBS Trust/PPO |
$54.34
|
| Rate for Payer: BCN Commercial |
$54.34
|
| Rate for Payer: Cash Price |
$52.63
|
| Rate for Payer: Cofinity Commercial |
$56.58
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$52.63
|
| Rate for Payer: Healthscope Commercial |
$59.21
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$49.34
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$55.92
|
| Rate for Payer: Nomi Health Commercial |
$53.95
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$49.34
|
| Rate for Payer: PHP Commercial |
$55.92
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$57.24
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$45.79
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$57.90
|
| Rate for Payer: UHC Core |
$54.93
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$49.34
|
|
|
HC NEG PRESSURE DERMATAC DRAPE
|
Facility
|
OP
|
$65.79
|
|
| Hospital Charge Code |
27200374
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$11.60 |
| Max. Negotiated Rate |
$59.21 |
| Rate for Payer: Aetna Commercial |
$55.92
|
| Rate for Payer: Aetna Medicare |
$17.11
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$20.56
|
| Rate for Payer: Amish Plain Church Group Commercial |
$20.56
|
| Rate for Payer: BCBS Complete |
$12.18
|
| Rate for Payer: BCBS MAPPO |
$16.45
|
| Rate for Payer: BCBS Trust/PPO |
$54.09
|
| Rate for Payer: BCN Commercial |
$54.09
|
| Rate for Payer: BCN Medicare Advantage |
$16.45
|
| Rate for Payer: Cash Price |
$52.63
|
| Rate for Payer: Cofinity Commercial |
$56.58
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$52.63
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$16.45
|
| Rate for Payer: Healthscope Commercial |
$59.21
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$49.34
|
| Rate for Payer: Mclaren Medicaid |
$11.60
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$17.27
|
| Rate for Payer: Meridian Medicaid |
$12.18
|
| Rate for Payer: MI Amish Medical Board Commercial |
$18.91
|
| Rate for Payer: Molina Medicare/Medicaid |
$18.09
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$55.92
|
| Rate for Payer: Nomi Health Commercial |
$53.95
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$49.34
|
| Rate for Payer: PACE Senior Care Partners |
$15.63
|
| Rate for Payer: PACE SWMI |
$16.45
|
| Rate for Payer: PHP Commercial |
$55.92
|
| Rate for Payer: PHP Medicare Advantage |
$16.45
|
| Rate for Payer: Priority Health Choice Medicaid |
$11.60
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$57.24
|
| Rate for Payer: Priority Health Medicare |
$16.61
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$45.79
|
| Rate for Payer: Railroad Medicare Medicare |
$16.45
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$57.90
|
| Rate for Payer: UHC Core |
$54.93
|
| Rate for Payer: UHC Exchange |
$16.45
|
| Rate for Payer: UHC Medicaid |
$11.60
|
| Rate for Payer: UHC Medicare Advantage |
$16.45
|
| Rate for Payer: UHCCP Medicaid |
$11.60
|
| Rate for Payer: VA VA |
$16.45
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$49.34
|
|
|
HC NEG PRESSURE WND TX DME GT 50 SQ CM
|
Facility
|
OP
|
$551.65
|
|
|
Service Code
|
CPT 97606
|
| Hospital Charge Code |
76100009
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$97.26 |
| Max. Negotiated Rate |
$496.49 |
| Rate for Payer: Aetna Commercial |
$468.90
|
| Rate for Payer: Aetna Medicare |
$143.43
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$172.39
|
| Rate for Payer: Amish Plain Church Group Commercial |
$172.39
|
| Rate for Payer: BCBS Complete |
$102.11
|
| Rate for Payer: BCBS MAPPO |
$137.91
|
| Rate for Payer: BCBS Trust/PPO |
$453.51
|
| Rate for Payer: BCN Commercial |
$453.51
|
| Rate for Payer: BCN Medicare Advantage |
$137.91
|
| Rate for Payer: Cash Price |
$441.32
|
| Rate for Payer: Cofinity Commercial |
$474.42
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$441.32
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$137.91
|
| Rate for Payer: Healthscope Commercial |
$496.49
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$413.74
|
| Rate for Payer: Mclaren Medicaid |
$97.26
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$144.81
|
| Rate for Payer: Meridian Medicaid |
$102.11
|
| Rate for Payer: MI Amish Medical Board Commercial |
$158.60
|
| Rate for Payer: Molina Medicare/Medicaid |
$151.70
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$468.90
|
| Rate for Payer: Nomi Health Commercial |
$452.35
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$413.74
|
| Rate for Payer: PACE Senior Care Partners |
$131.02
|
| Rate for Payer: PACE SWMI |
$137.91
|
| Rate for Payer: PHP Commercial |
$468.90
|
| Rate for Payer: PHP Medicare Advantage |
$137.91
|
| Rate for Payer: Priority Health Choice Medicaid |
$97.26
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$479.94
|
| Rate for Payer: Priority Health Medicare |
$139.29
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$383.95
|
| Rate for Payer: Railroad Medicare Medicare |
$137.91
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$485.45
|
| Rate for Payer: UHC Core |
$460.63
|
| Rate for Payer: UHC Exchange |
$137.91
|
| Rate for Payer: UHC Medicaid |
$97.26
|
| Rate for Payer: UHC Medicare Advantage |
$137.91
|
| Rate for Payer: UHCCP Medicaid |
$97.26
|
| Rate for Payer: VA VA |
$137.91
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$413.74
|
|
|
HC NEG PRESSURE WND TX DME GT 50 SQ CM
|
Facility
|
IP
|
$551.65
|
|
|
Service Code
|
CPT 97606
|
| Hospital Charge Code |
76100009
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$383.95 |
| Max. Negotiated Rate |
$496.49 |
| Rate for Payer: Aetna Commercial |
$468.90
|
| Rate for Payer: BCBS Trust/PPO |
$455.61
|
| Rate for Payer: BCN Commercial |
$455.61
|
| Rate for Payer: Cash Price |
$441.32
|
| Rate for Payer: Cofinity Commercial |
$474.42
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$441.32
|
| Rate for Payer: Healthscope Commercial |
$496.49
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$413.74
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$468.90
|
| Rate for Payer: Nomi Health Commercial |
$452.35
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$413.74
|
| Rate for Payer: PHP Commercial |
$468.90
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$479.94
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$383.95
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$485.45
|
| Rate for Payer: UHC Core |
$460.63
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$413.74
|
|
|
HC NEG PRESSURE WND TX DME UP TO 50 SQ CM
|
Facility
|
OP
|
$436.89
|
|
|
Service Code
|
CPT 97605
|
| Hospital Charge Code |
76100008
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$77.02 |
| Max. Negotiated Rate |
$393.20 |
| Rate for Payer: Aetna Commercial |
$371.36
|
| Rate for Payer: Aetna Medicare |
$113.59
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$136.53
|
| Rate for Payer: Amish Plain Church Group Commercial |
$136.53
|
| Rate for Payer: BCBS Complete |
$80.87
|
| Rate for Payer: BCBS MAPPO |
$109.22
|
| Rate for Payer: BCBS Trust/PPO |
$359.17
|
| Rate for Payer: BCN Commercial |
$359.17
|
| Rate for Payer: BCN Medicare Advantage |
$109.22
|
| Rate for Payer: Cash Price |
$349.51
|
| Rate for Payer: Cofinity Commercial |
$375.73
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$349.51
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$109.22
|
| Rate for Payer: Healthscope Commercial |
$393.20
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$327.67
|
| Rate for Payer: Mclaren Medicaid |
$77.02
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$114.68
|
| Rate for Payer: Meridian Medicaid |
$80.87
|
| Rate for Payer: MI Amish Medical Board Commercial |
$125.61
|
| Rate for Payer: Molina Medicare/Medicaid |
$120.14
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$371.36
|
| Rate for Payer: Nomi Health Commercial |
$358.25
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$327.67
|
| Rate for Payer: PACE Senior Care Partners |
$103.76
|
| Rate for Payer: PACE SWMI |
$109.22
|
| Rate for Payer: PHP Commercial |
$371.36
|
| Rate for Payer: PHP Medicare Advantage |
$109.22
|
| Rate for Payer: Priority Health Choice Medicaid |
$77.02
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$380.09
|
| Rate for Payer: Priority Health Medicare |
$110.31
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$304.08
|
| Rate for Payer: Railroad Medicare Medicare |
$109.22
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$384.46
|
| Rate for Payer: UHC Core |
$364.80
|
| Rate for Payer: UHC Exchange |
$109.22
|
| Rate for Payer: UHC Medicaid |
$77.02
|
| Rate for Payer: UHC Medicare Advantage |
$109.22
|
| Rate for Payer: UHCCP Medicaid |
$77.02
|
| Rate for Payer: VA VA |
$109.22
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$327.67
|
|
|
HC NEG PRESSURE WND TX DME UP TO 50 SQ CM
|
Facility
|
IP
|
$436.89
|
|
|
Service Code
|
CPT 97605
|
| Hospital Charge Code |
76100008
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$304.08 |
| Max. Negotiated Rate |
$393.20 |
| Rate for Payer: Aetna Commercial |
$371.36
|
| Rate for Payer: BCBS Trust/PPO |
$360.83
|
| Rate for Payer: BCN Commercial |
$360.83
|
| Rate for Payer: Cash Price |
$349.51
|
| Rate for Payer: Cofinity Commercial |
$375.73
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$349.51
|
| Rate for Payer: Healthscope Commercial |
$393.20
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$327.67
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$371.36
|
| Rate for Payer: Nomi Health Commercial |
$358.25
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$327.67
|
| Rate for Payer: PHP Commercial |
$371.36
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$380.09
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$304.08
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$384.46
|
| Rate for Payer: UHC Core |
$364.80
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$327.67
|
|
|
HC NEG PRES TRAC PAD
|
Facility
|
OP
|
$75.29
|
|
| Hospital Charge Code |
27000158
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$13.27 |
| Max. Negotiated Rate |
$67.76 |
| Rate for Payer: Aetna Commercial |
$64.00
|
| Rate for Payer: Aetna Medicare |
$19.58
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$23.53
|
| Rate for Payer: Amish Plain Church Group Commercial |
$23.53
|
| Rate for Payer: BCBS Complete |
$13.94
|
| Rate for Payer: BCBS MAPPO |
$18.82
|
| Rate for Payer: BCBS Trust/PPO |
$61.90
|
| Rate for Payer: BCN Commercial |
$61.90
|
| Rate for Payer: BCN Medicare Advantage |
$18.82
|
| Rate for Payer: Cash Price |
$60.23
|
| Rate for Payer: Cofinity Commercial |
$64.75
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$60.23
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$18.82
|
| Rate for Payer: Healthscope Commercial |
$67.76
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$56.47
|
| Rate for Payer: Mclaren Medicaid |
$13.27
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$19.76
|
| Rate for Payer: Meridian Medicaid |
$13.94
|
| Rate for Payer: MI Amish Medical Board Commercial |
$21.65
|
| Rate for Payer: Molina Medicare/Medicaid |
$20.70
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$64.00
|
| Rate for Payer: Nomi Health Commercial |
$61.74
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$56.47
|
| Rate for Payer: PACE Senior Care Partners |
$17.88
|
| Rate for Payer: PACE SWMI |
$18.82
|
| Rate for Payer: PHP Commercial |
$64.00
|
| Rate for Payer: PHP Medicare Advantage |
$18.82
|
| Rate for Payer: Priority Health Choice Medicaid |
$13.27
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$65.50
|
| Rate for Payer: Priority Health Medicare |
$19.01
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$52.40
|
| Rate for Payer: Railroad Medicare Medicare |
$18.82
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$66.26
|
| Rate for Payer: UHC Core |
$62.87
|
| Rate for Payer: UHC Exchange |
$18.82
|
| Rate for Payer: UHC Medicaid |
$13.27
|
| Rate for Payer: UHC Medicare Advantage |
$18.82
|
| Rate for Payer: UHCCP Medicaid |
$13.27
|
| Rate for Payer: VA VA |
$18.82
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$56.47
|
|
|
HC NEG PRES TRAC PAD
|
Facility
|
IP
|
$75.29
|
|
| Hospital Charge Code |
27000158
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$52.40 |
| Max. Negotiated Rate |
$67.76 |
| Rate for Payer: Aetna Commercial |
$64.00
|
| Rate for Payer: BCBS Trust/PPO |
$62.18
|
| Rate for Payer: BCN Commercial |
$62.18
|
| Rate for Payer: Cash Price |
$60.23
|
| Rate for Payer: Cofinity Commercial |
$64.75
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$60.23
|
| Rate for Payer: Healthscope Commercial |
$67.76
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$56.47
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$64.00
|
| Rate for Payer: Nomi Health Commercial |
$61.74
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$56.47
|
| Rate for Payer: PHP Commercial |
$64.00
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$65.50
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$52.40
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$66.26
|
| Rate for Payer: UHC Core |
$62.87
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$56.47
|
|
|
HC NEG PRES VF CASSETTE
|
Facility
|
IP
|
$217.13
|
|
| Hospital Charge Code |
27200230
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$151.12 |
| Max. Negotiated Rate |
$195.42 |
| Rate for Payer: Aetna Commercial |
$184.56
|
| Rate for Payer: BCBS Trust/PPO |
$179.33
|
| Rate for Payer: BCN Commercial |
$179.33
|
| Rate for Payer: Cash Price |
$173.70
|
| Rate for Payer: Cofinity Commercial |
$186.73
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$173.70
|
| Rate for Payer: Healthscope Commercial |
$195.42
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$162.85
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$184.56
|
| Rate for Payer: Nomi Health Commercial |
$178.05
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$162.85
|
| Rate for Payer: PHP Commercial |
$184.56
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$188.90
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$151.12
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$191.07
|
| Rate for Payer: UHC Core |
$181.30
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$162.85
|
|
|
HC NEG PRES VF CASSETTE
|
Facility
|
OP
|
$217.13
|
|
| Hospital Charge Code |
27200230
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$38.28 |
| Max. Negotiated Rate |
$195.42 |
| Rate for Payer: Aetna Commercial |
$184.56
|
| Rate for Payer: Aetna Medicare |
$56.45
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$67.85
|
| Rate for Payer: Amish Plain Church Group Commercial |
$67.85
|
| Rate for Payer: BCBS Complete |
$40.19
|
| Rate for Payer: BCBS MAPPO |
$54.28
|
| Rate for Payer: BCBS Trust/PPO |
$178.50
|
| Rate for Payer: BCN Commercial |
$178.50
|
| Rate for Payer: BCN Medicare Advantage |
$54.28
|
| Rate for Payer: Cash Price |
$173.70
|
| Rate for Payer: Cofinity Commercial |
$186.73
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$173.70
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$54.28
|
| Rate for Payer: Healthscope Commercial |
$195.42
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$162.85
|
| Rate for Payer: Mclaren Medicaid |
$38.28
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$57.00
|
| Rate for Payer: Meridian Medicaid |
$40.19
|
| Rate for Payer: MI Amish Medical Board Commercial |
$62.42
|
| Rate for Payer: Molina Medicare/Medicaid |
$59.71
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$184.56
|
| Rate for Payer: Nomi Health Commercial |
$178.05
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$162.85
|
| Rate for Payer: PACE Senior Care Partners |
$51.57
|
| Rate for Payer: PACE SWMI |
$54.28
|
| Rate for Payer: PHP Commercial |
$184.56
|
| Rate for Payer: PHP Medicare Advantage |
$54.28
|
| Rate for Payer: Priority Health Choice Medicaid |
$38.28
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$188.90
|
| Rate for Payer: Priority Health Medicare |
$54.83
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$151.12
|
| Rate for Payer: Railroad Medicare Medicare |
$54.28
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$191.07
|
| Rate for Payer: UHC Core |
$181.30
|
| Rate for Payer: UHC Exchange |
$54.28
|
| Rate for Payer: UHC Medicaid |
$38.28
|
| Rate for Payer: UHC Medicare Advantage |
$54.28
|
| Rate for Payer: UHCCP Medicaid |
$38.28
|
| Rate for Payer: VA VA |
$54.28
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$162.85
|
|
|
HC NEG PRES VF DRSG MED
|
Facility
|
IP
|
$454.00
|
|
| Hospital Charge Code |
27200228
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$315.98 |
| Max. Negotiated Rate |
$408.60 |
| Rate for Payer: Aetna Commercial |
$385.90
|
| Rate for Payer: BCBS Trust/PPO |
$374.96
|
| Rate for Payer: BCN Commercial |
$374.96
|
| Rate for Payer: Cash Price |
$363.20
|
| Rate for Payer: Cofinity Commercial |
$390.44
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$363.20
|
| Rate for Payer: Healthscope Commercial |
$408.60
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$340.50
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$385.90
|
| Rate for Payer: Nomi Health Commercial |
$372.28
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$340.50
|
| Rate for Payer: PHP Commercial |
$385.90
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$394.98
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$315.98
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$399.52
|
| Rate for Payer: UHC Core |
$379.09
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$340.50
|
|
|
HC NEG PRES VF DRSG MED
|
Facility
|
OP
|
$454.00
|
|
| Hospital Charge Code |
27200228
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$80.04 |
| Max. Negotiated Rate |
$408.60 |
| Rate for Payer: Aetna Commercial |
$385.90
|
| Rate for Payer: Aetna Medicare |
$118.04
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$141.88
|
| Rate for Payer: Amish Plain Church Group Commercial |
$141.88
|
| Rate for Payer: BCBS Complete |
$84.04
|
| Rate for Payer: BCBS MAPPO |
$113.50
|
| Rate for Payer: BCBS Trust/PPO |
$373.23
|
| Rate for Payer: BCN Commercial |
$373.23
|
| Rate for Payer: BCN Medicare Advantage |
$113.50
|
| Rate for Payer: Cash Price |
$363.20
|
| Rate for Payer: Cofinity Commercial |
$390.44
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$363.20
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$113.50
|
| Rate for Payer: Healthscope Commercial |
$408.60
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$340.50
|
| Rate for Payer: Mclaren Medicaid |
$80.04
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$119.17
|
| Rate for Payer: Meridian Medicaid |
$84.04
|
| Rate for Payer: MI Amish Medical Board Commercial |
$130.53
|
| Rate for Payer: Molina Medicare/Medicaid |
$124.85
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$385.90
|
| Rate for Payer: Nomi Health Commercial |
$372.28
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$340.50
|
| Rate for Payer: PACE Senior Care Partners |
$107.83
|
| Rate for Payer: PACE SWMI |
$113.50
|
| Rate for Payer: PHP Commercial |
$385.90
|
| Rate for Payer: PHP Medicare Advantage |
$113.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$80.04
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$394.98
|
| Rate for Payer: Priority Health Medicare |
$114.64
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$315.98
|
| Rate for Payer: Railroad Medicare Medicare |
$113.50
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$399.52
|
| Rate for Payer: UHC Core |
$379.09
|
| Rate for Payer: UHC Exchange |
$113.50
|
| Rate for Payer: UHC Medicaid |
$80.04
|
| Rate for Payer: UHC Medicare Advantage |
$113.50
|
| Rate for Payer: UHCCP Medicaid |
$80.04
|
| Rate for Payer: VA VA |
$113.50
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$340.50
|
|
