|
HC NEG PRES VF DRSG SMA
|
Facility
|
IP
|
$386.89
|
|
| Hospital Charge Code |
27200227
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$269.28 |
| Max. Negotiated Rate |
$348.20 |
| Rate for Payer: Aetna Commercial |
$328.86
|
| Rate for Payer: BCBS Trust/PPO |
$319.53
|
| Rate for Payer: BCN Commercial |
$319.53
|
| Rate for Payer: Cash Price |
$309.51
|
| Rate for Payer: Cofinity Commercial |
$332.73
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$309.51
|
| Rate for Payer: Healthscope Commercial |
$348.20
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$290.17
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$328.86
|
| Rate for Payer: Nomi Health Commercial |
$317.25
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$290.17
|
| Rate for Payer: PHP Commercial |
$328.86
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$336.59
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$269.28
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$340.46
|
| Rate for Payer: UHC Core |
$323.05
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$290.17
|
|
|
HC NEG PRES VF DRSG SMA
|
Facility
|
OP
|
$386.89
|
|
| Hospital Charge Code |
27200227
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$68.21 |
| Max. Negotiated Rate |
$348.20 |
| Rate for Payer: Aetna Commercial |
$328.86
|
| Rate for Payer: Aetna Medicare |
$100.59
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$120.90
|
| Rate for Payer: Amish Plain Church Group Commercial |
$120.90
|
| Rate for Payer: BCBS Complete |
$71.61
|
| Rate for Payer: BCBS MAPPO |
$96.72
|
| Rate for Payer: BCBS Trust/PPO |
$318.06
|
| Rate for Payer: BCN Commercial |
$318.06
|
| Rate for Payer: BCN Medicare Advantage |
$96.72
|
| Rate for Payer: Cash Price |
$309.51
|
| Rate for Payer: Cofinity Commercial |
$332.73
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$309.51
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$96.72
|
| Rate for Payer: Healthscope Commercial |
$348.20
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$290.17
|
| Rate for Payer: Mclaren Medicaid |
$68.21
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$101.56
|
| Rate for Payer: Meridian Medicaid |
$71.61
|
| Rate for Payer: MI Amish Medical Board Commercial |
$111.23
|
| Rate for Payer: Molina Medicare/Medicaid |
$106.39
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$328.86
|
| Rate for Payer: Nomi Health Commercial |
$317.25
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$290.17
|
| Rate for Payer: PACE Senior Care Partners |
$91.89
|
| Rate for Payer: PACE SWMI |
$96.72
|
| Rate for Payer: PHP Commercial |
$328.86
|
| Rate for Payer: PHP Medicare Advantage |
$96.72
|
| Rate for Payer: Priority Health Choice Medicaid |
$68.21
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$336.59
|
| Rate for Payer: Priority Health Medicare |
$97.69
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$269.28
|
| Rate for Payer: Railroad Medicare Medicare |
$96.72
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$340.46
|
| Rate for Payer: UHC Core |
$323.05
|
| Rate for Payer: UHC Exchange |
$96.72
|
| Rate for Payer: UHC Medicaid |
$68.21
|
| Rate for Payer: UHC Medicare Advantage |
$96.72
|
| Rate for Payer: UHCCP Medicaid |
$68.21
|
| Rate for Payer: VA VA |
$96.72
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$290.17
|
|
|
HC NEG PRES VF DUO TRAC PAD
|
Facility
|
IP
|
$296.09
|
|
| Hospital Charge Code |
27200231
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$206.08 |
| Max. Negotiated Rate |
$266.48 |
| Rate for Payer: Aetna Commercial |
$251.68
|
| Rate for Payer: BCBS Trust/PPO |
$244.54
|
| Rate for Payer: BCN Commercial |
$244.54
|
| Rate for Payer: Cash Price |
$236.87
|
| Rate for Payer: Cofinity Commercial |
$254.64
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$236.87
|
| Rate for Payer: Healthscope Commercial |
$266.48
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$222.07
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$251.68
|
| Rate for Payer: Nomi Health Commercial |
$242.79
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$222.07
|
| Rate for Payer: PHP Commercial |
$251.68
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$257.60
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$206.08
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$260.56
|
| Rate for Payer: UHC Core |
$247.24
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$222.07
|
|
|
HC NEG PRES VF DUO TRAC PAD
|
Facility
|
OP
|
$296.09
|
|
| Hospital Charge Code |
27200231
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$52.20 |
| Max. Negotiated Rate |
$266.48 |
| Rate for Payer: Aetna Commercial |
$251.68
|
| Rate for Payer: Aetna Medicare |
$76.98
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$92.53
|
| Rate for Payer: Amish Plain Church Group Commercial |
$92.53
|
| Rate for Payer: BCBS Complete |
$54.81
|
| Rate for Payer: BCBS MAPPO |
$74.02
|
| Rate for Payer: BCBS Trust/PPO |
$243.42
|
| Rate for Payer: BCN Commercial |
$243.42
|
| Rate for Payer: BCN Medicare Advantage |
$74.02
|
| Rate for Payer: Cash Price |
$236.87
|
| Rate for Payer: Cofinity Commercial |
$254.64
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$236.87
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$74.02
|
| Rate for Payer: Healthscope Commercial |
$266.48
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$222.07
|
| Rate for Payer: Mclaren Medicaid |
$52.20
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$77.72
|
| Rate for Payer: Meridian Medicaid |
$54.81
|
| Rate for Payer: MI Amish Medical Board Commercial |
$85.13
|
| Rate for Payer: Molina Medicare/Medicaid |
$81.42
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$251.68
|
| Rate for Payer: Nomi Health Commercial |
$242.79
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$222.07
|
| Rate for Payer: PACE Senior Care Partners |
$70.32
|
| Rate for Payer: PACE SWMI |
$74.02
|
| Rate for Payer: PHP Commercial |
$251.68
|
| Rate for Payer: PHP Medicare Advantage |
$74.02
|
| Rate for Payer: Priority Health Choice Medicaid |
$52.20
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$257.60
|
| Rate for Payer: Priority Health Medicare |
$74.76
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$206.08
|
| Rate for Payer: Railroad Medicare Medicare |
$74.02
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$260.56
|
| Rate for Payer: UHC Core |
$247.24
|
| Rate for Payer: UHC Exchange |
$74.02
|
| Rate for Payer: UHC Medicaid |
$52.20
|
| Rate for Payer: UHC Medicare Advantage |
$74.02
|
| Rate for Payer: UHCCP Medicaid |
$52.20
|
| Rate for Payer: VA VA |
$74.02
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$222.07
|
|
|
HC NEG PRES WHT FOAM DRSG
|
Facility
|
OP
|
$183.70
|
|
| Hospital Charge Code |
27200158
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$32.39 |
| Max. Negotiated Rate |
$165.33 |
| Rate for Payer: Aetna Commercial |
$156.15
|
| Rate for Payer: Aetna Medicare |
$47.76
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$57.41
|
| Rate for Payer: Amish Plain Church Group Commercial |
$57.41
|
| Rate for Payer: BCBS Complete |
$34.00
|
| Rate for Payer: BCBS MAPPO |
$45.92
|
| Rate for Payer: BCBS Trust/PPO |
$151.02
|
| Rate for Payer: BCN Commercial |
$151.02
|
| Rate for Payer: BCN Medicare Advantage |
$45.92
|
| Rate for Payer: Cash Price |
$146.96
|
| Rate for Payer: Cofinity Commercial |
$157.98
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$146.96
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$45.92
|
| Rate for Payer: Healthscope Commercial |
$165.33
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$137.78
|
| Rate for Payer: Mclaren Medicaid |
$32.39
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$48.22
|
| Rate for Payer: Meridian Medicaid |
$34.00
|
| Rate for Payer: MI Amish Medical Board Commercial |
$52.81
|
| Rate for Payer: Molina Medicare/Medicaid |
$50.52
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$156.15
|
| Rate for Payer: Nomi Health Commercial |
$150.63
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$137.78
|
| Rate for Payer: PACE Senior Care Partners |
$43.63
|
| Rate for Payer: PACE SWMI |
$45.92
|
| Rate for Payer: PHP Commercial |
$156.15
|
| Rate for Payer: PHP Medicare Advantage |
$45.92
|
| Rate for Payer: Priority Health Choice Medicaid |
$32.39
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$159.82
|
| Rate for Payer: Priority Health Medicare |
$46.38
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$127.86
|
| Rate for Payer: Railroad Medicare Medicare |
$45.92
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$161.66
|
| Rate for Payer: UHC Core |
$153.39
|
| Rate for Payer: UHC Exchange |
$45.92
|
| Rate for Payer: UHC Medicaid |
$32.39
|
| Rate for Payer: UHC Medicare Advantage |
$45.92
|
| Rate for Payer: UHCCP Medicaid |
$32.39
|
| Rate for Payer: VA VA |
$45.92
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$137.78
|
|
|
HC NEG PRES WHT FOAM DRSG
|
Facility
|
IP
|
$183.70
|
|
| Hospital Charge Code |
27200158
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$127.86 |
| Max. Negotiated Rate |
$165.33 |
| Rate for Payer: Aetna Commercial |
$156.15
|
| Rate for Payer: BCBS Trust/PPO |
$151.72
|
| Rate for Payer: BCN Commercial |
$151.72
|
| Rate for Payer: Cash Price |
$146.96
|
| Rate for Payer: Cofinity Commercial |
$157.98
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$146.96
|
| Rate for Payer: Healthscope Commercial |
$165.33
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$137.78
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$156.15
|
| Rate for Payer: Nomi Health Commercial |
$150.63
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$137.78
|
| Rate for Payer: PHP Commercial |
$156.15
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$159.82
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$127.86
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$161.66
|
| Rate for Payer: UHC Core |
$153.39
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$137.78
|
|
|
HC NEG PRES WND THRPY DSG EXLGE
|
Facility
|
IP
|
$388.88
|
|
| Hospital Charge Code |
27200137
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$270.66 |
| Max. Negotiated Rate |
$349.99 |
| Rate for Payer: Aetna Commercial |
$330.55
|
| Rate for Payer: BCBS Trust/PPO |
$321.18
|
| Rate for Payer: BCN Commercial |
$321.18
|
| Rate for Payer: Cash Price |
$311.10
|
| Rate for Payer: Cofinity Commercial |
$334.44
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$311.10
|
| Rate for Payer: Healthscope Commercial |
$349.99
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$291.66
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$330.55
|
| Rate for Payer: Nomi Health Commercial |
$318.88
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$291.66
|
| Rate for Payer: PHP Commercial |
$330.55
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$338.33
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$270.66
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$342.21
|
| Rate for Payer: UHC Core |
$324.71
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$291.66
|
|
|
HC NEG PRES WND THRPY DSG EXLGE
|
Facility
|
OP
|
$388.88
|
|
| Hospital Charge Code |
27200137
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$68.56 |
| Max. Negotiated Rate |
$349.99 |
| Rate for Payer: Aetna Commercial |
$330.55
|
| Rate for Payer: Aetna Medicare |
$101.11
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$121.53
|
| Rate for Payer: Amish Plain Church Group Commercial |
$121.53
|
| Rate for Payer: BCBS Complete |
$71.98
|
| Rate for Payer: BCBS MAPPO |
$97.22
|
| Rate for Payer: BCBS Trust/PPO |
$319.70
|
| Rate for Payer: BCN Commercial |
$319.70
|
| Rate for Payer: BCN Medicare Advantage |
$97.22
|
| Rate for Payer: Cash Price |
$311.10
|
| Rate for Payer: Cofinity Commercial |
$334.44
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$311.10
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$97.22
|
| Rate for Payer: Healthscope Commercial |
$349.99
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$291.66
|
| Rate for Payer: Mclaren Medicaid |
$68.56
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$102.08
|
| Rate for Payer: Meridian Medicaid |
$71.98
|
| Rate for Payer: MI Amish Medical Board Commercial |
$111.80
|
| Rate for Payer: Molina Medicare/Medicaid |
$106.94
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$330.55
|
| Rate for Payer: Nomi Health Commercial |
$318.88
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$291.66
|
| Rate for Payer: PACE Senior Care Partners |
$92.36
|
| Rate for Payer: PACE SWMI |
$97.22
|
| Rate for Payer: PHP Commercial |
$330.55
|
| Rate for Payer: PHP Medicare Advantage |
$97.22
|
| Rate for Payer: Priority Health Choice Medicaid |
$68.56
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$338.33
|
| Rate for Payer: Priority Health Medicare |
$98.19
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$270.66
|
| Rate for Payer: Railroad Medicare Medicare |
$97.22
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$342.21
|
| Rate for Payer: UHC Core |
$324.71
|
| Rate for Payer: UHC Exchange |
$97.22
|
| Rate for Payer: UHC Medicaid |
$68.56
|
| Rate for Payer: UHC Medicare Advantage |
$97.22
|
| Rate for Payer: UHCCP Medicaid |
$68.56
|
| Rate for Payer: VA VA |
$97.22
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$291.66
|
|
|
HC NEG PRES WND THRPY DSG SET LAR
|
Facility
|
OP
|
$206.60
|
|
| Hospital Charge Code |
27200138
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$36.42 |
| Max. Negotiated Rate |
$185.94 |
| Rate for Payer: Aetna Commercial |
$175.61
|
| Rate for Payer: Aetna Medicare |
$53.72
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$64.56
|
| Rate for Payer: Amish Plain Church Group Commercial |
$64.56
|
| Rate for Payer: BCBS Complete |
$38.24
|
| Rate for Payer: BCBS MAPPO |
$51.65
|
| Rate for Payer: BCBS Trust/PPO |
$169.85
|
| Rate for Payer: BCN Commercial |
$169.85
|
| Rate for Payer: BCN Medicare Advantage |
$51.65
|
| Rate for Payer: Cash Price |
$165.28
|
| Rate for Payer: Cofinity Commercial |
$177.68
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$165.28
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$51.65
|
| Rate for Payer: Healthscope Commercial |
$185.94
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$154.95
|
| Rate for Payer: Mclaren Medicaid |
$36.42
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$54.23
|
| Rate for Payer: Meridian Medicaid |
$38.24
|
| Rate for Payer: MI Amish Medical Board Commercial |
$59.40
|
| Rate for Payer: Molina Medicare/Medicaid |
$56.81
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$175.61
|
| Rate for Payer: Nomi Health Commercial |
$169.41
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$154.95
|
| Rate for Payer: PACE Senior Care Partners |
$49.07
|
| Rate for Payer: PACE SWMI |
$51.65
|
| Rate for Payer: PHP Commercial |
$175.61
|
| Rate for Payer: PHP Medicare Advantage |
$51.65
|
| Rate for Payer: Priority Health Choice Medicaid |
$36.42
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$179.74
|
| Rate for Payer: Priority Health Medicare |
$52.17
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$143.79
|
| Rate for Payer: Railroad Medicare Medicare |
$51.65
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$181.81
|
| Rate for Payer: UHC Core |
$172.51
|
| Rate for Payer: UHC Exchange |
$51.65
|
| Rate for Payer: UHC Medicaid |
$36.42
|
| Rate for Payer: UHC Medicare Advantage |
$51.65
|
| Rate for Payer: UHCCP Medicaid |
$36.42
|
| Rate for Payer: VA VA |
$51.65
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$154.95
|
|
|
HC NEG PRES WND THRPY DSG SET LAR
|
Facility
|
IP
|
$206.60
|
|
| Hospital Charge Code |
27200138
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$143.79 |
| Max. Negotiated Rate |
$185.94 |
| Rate for Payer: Aetna Commercial |
$175.61
|
| Rate for Payer: BCBS Trust/PPO |
$170.63
|
| Rate for Payer: BCN Commercial |
$170.63
|
| Rate for Payer: Cash Price |
$165.28
|
| Rate for Payer: Cofinity Commercial |
$177.68
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$165.28
|
| Rate for Payer: Healthscope Commercial |
$185.94
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$154.95
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$175.61
|
| Rate for Payer: Nomi Health Commercial |
$169.41
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$154.95
|
| Rate for Payer: PHP Commercial |
$175.61
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$179.74
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$143.79
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$181.81
|
| Rate for Payer: UHC Core |
$172.51
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$154.95
|
|
|
HC NEG PRES WND THRPY DSG SET MED
|
Facility
|
OP
|
$148.84
|
|
| Hospital Charge Code |
27200139
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$26.24 |
| Max. Negotiated Rate |
$133.96 |
| Rate for Payer: Aetna Commercial |
$126.51
|
| Rate for Payer: Aetna Medicare |
$38.70
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$46.51
|
| Rate for Payer: Amish Plain Church Group Commercial |
$46.51
|
| Rate for Payer: BCBS Complete |
$27.55
|
| Rate for Payer: BCBS MAPPO |
$37.21
|
| Rate for Payer: BCBS Trust/PPO |
$122.36
|
| Rate for Payer: BCN Commercial |
$122.36
|
| Rate for Payer: BCN Medicare Advantage |
$37.21
|
| Rate for Payer: Cash Price |
$119.07
|
| Rate for Payer: Cofinity Commercial |
$128.00
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$119.07
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$37.21
|
| Rate for Payer: Healthscope Commercial |
$133.96
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$111.63
|
| Rate for Payer: Mclaren Medicaid |
$26.24
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$39.07
|
| Rate for Payer: Meridian Medicaid |
$27.55
|
| Rate for Payer: MI Amish Medical Board Commercial |
$42.79
|
| Rate for Payer: Molina Medicare/Medicaid |
$40.93
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$126.51
|
| Rate for Payer: Nomi Health Commercial |
$122.05
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$111.63
|
| Rate for Payer: PACE Senior Care Partners |
$35.35
|
| Rate for Payer: PACE SWMI |
$37.21
|
| Rate for Payer: PHP Commercial |
$126.51
|
| Rate for Payer: PHP Medicare Advantage |
$37.21
|
| Rate for Payer: Priority Health Choice Medicaid |
$26.24
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$129.49
|
| Rate for Payer: Priority Health Medicare |
$37.58
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$103.59
|
| Rate for Payer: Railroad Medicare Medicare |
$37.21
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$130.98
|
| Rate for Payer: UHC Core |
$124.28
|
| Rate for Payer: UHC Exchange |
$37.21
|
| Rate for Payer: UHC Medicaid |
$26.24
|
| Rate for Payer: UHC Medicare Advantage |
$37.21
|
| Rate for Payer: UHCCP Medicaid |
$26.24
|
| Rate for Payer: VA VA |
$37.21
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$111.63
|
|
|
HC NEG PRES WND THRPY DSG SET MED
|
Facility
|
IP
|
$148.84
|
|
| Hospital Charge Code |
27200139
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$103.59 |
| Max. Negotiated Rate |
$133.96 |
| Rate for Payer: Aetna Commercial |
$126.51
|
| Rate for Payer: BCBS Trust/PPO |
$122.93
|
| Rate for Payer: BCN Commercial |
$122.93
|
| Rate for Payer: Cash Price |
$119.07
|
| Rate for Payer: Cofinity Commercial |
$128.00
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$119.07
|
| Rate for Payer: Healthscope Commercial |
$133.96
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$111.63
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$126.51
|
| Rate for Payer: Nomi Health Commercial |
$122.05
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$111.63
|
| Rate for Payer: PHP Commercial |
$126.51
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$129.49
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$103.59
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$130.98
|
| Rate for Payer: UHC Core |
$124.28
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$111.63
|
|
|
HC NEG PRES WND THRPY DSG SET SIL
|
Facility
|
OP
|
$277.93
|
|
| Hospital Charge Code |
27200140
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$49.00 |
| Max. Negotiated Rate |
$250.14 |
| Rate for Payer: Aetna Commercial |
$236.24
|
| Rate for Payer: Aetna Medicare |
$72.26
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$86.85
|
| Rate for Payer: Amish Plain Church Group Commercial |
$86.85
|
| Rate for Payer: BCBS Complete |
$51.44
|
| Rate for Payer: BCBS MAPPO |
$69.48
|
| Rate for Payer: BCBS Trust/PPO |
$228.49
|
| Rate for Payer: BCN Commercial |
$228.49
|
| Rate for Payer: BCN Medicare Advantage |
$69.48
|
| Rate for Payer: Cash Price |
$222.34
|
| Rate for Payer: Cofinity Commercial |
$239.02
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$222.34
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$69.48
|
| Rate for Payer: Healthscope Commercial |
$250.14
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$208.45
|
| Rate for Payer: Mclaren Medicaid |
$49.00
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$72.96
|
| Rate for Payer: Meridian Medicaid |
$51.44
|
| Rate for Payer: MI Amish Medical Board Commercial |
$79.90
|
| Rate for Payer: Molina Medicare/Medicaid |
$76.43
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$236.24
|
| Rate for Payer: Nomi Health Commercial |
$227.90
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$208.45
|
| Rate for Payer: PACE Senior Care Partners |
$66.01
|
| Rate for Payer: PACE SWMI |
$69.48
|
| Rate for Payer: PHP Commercial |
$236.24
|
| Rate for Payer: PHP Medicare Advantage |
$69.48
|
| Rate for Payer: Priority Health Choice Medicaid |
$49.00
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$241.80
|
| Rate for Payer: Priority Health Medicare |
$70.18
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$193.44
|
| Rate for Payer: Railroad Medicare Medicare |
$69.48
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$244.58
|
| Rate for Payer: UHC Core |
$232.07
|
| Rate for Payer: UHC Exchange |
$69.48
|
| Rate for Payer: UHC Medicaid |
$49.00
|
| Rate for Payer: UHC Medicare Advantage |
$69.48
|
| Rate for Payer: UHCCP Medicaid |
$49.00
|
| Rate for Payer: VA VA |
$69.48
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$208.45
|
|
|
HC NEG PRES WND THRPY DSG SET SIL
|
Facility
|
IP
|
$277.93
|
|
| Hospital Charge Code |
27200140
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$193.44 |
| Max. Negotiated Rate |
$250.14 |
| Rate for Payer: Aetna Commercial |
$236.24
|
| Rate for Payer: BCBS Trust/PPO |
$229.54
|
| Rate for Payer: BCN Commercial |
$229.54
|
| Rate for Payer: Cash Price |
$222.34
|
| Rate for Payer: Cofinity Commercial |
$239.02
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$222.34
|
| Rate for Payer: Healthscope Commercial |
$250.14
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$208.45
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$236.24
|
| Rate for Payer: Nomi Health Commercial |
$227.90
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$208.45
|
| Rate for Payer: PHP Commercial |
$236.24
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$241.80
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$193.44
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$244.58
|
| Rate for Payer: UHC Core |
$232.07
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$208.45
|
|
|
HC NEG PRES WND THRPY DSG SET SMA
|
Facility
|
OP
|
$118.31
|
|
| Hospital Charge Code |
27200141
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$20.86 |
| Max. Negotiated Rate |
$106.48 |
| Rate for Payer: Aetna Commercial |
$100.56
|
| Rate for Payer: Aetna Medicare |
$30.76
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$36.97
|
| Rate for Payer: Amish Plain Church Group Commercial |
$36.97
|
| Rate for Payer: BCBS Complete |
$21.90
|
| Rate for Payer: BCBS MAPPO |
$29.58
|
| Rate for Payer: BCBS Trust/PPO |
$97.26
|
| Rate for Payer: BCN Commercial |
$97.26
|
| Rate for Payer: BCN Medicare Advantage |
$29.58
|
| Rate for Payer: Cash Price |
$94.65
|
| Rate for Payer: Cofinity Commercial |
$101.75
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$94.65
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$29.58
|
| Rate for Payer: Healthscope Commercial |
$106.48
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$88.73
|
| Rate for Payer: Mclaren Medicaid |
$20.86
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$31.06
|
| Rate for Payer: Meridian Medicaid |
$21.90
|
| Rate for Payer: MI Amish Medical Board Commercial |
$34.01
|
| Rate for Payer: Molina Medicare/Medicaid |
$32.54
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$100.56
|
| Rate for Payer: Nomi Health Commercial |
$97.01
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$88.73
|
| Rate for Payer: PACE Senior Care Partners |
$28.10
|
| Rate for Payer: PACE SWMI |
$29.58
|
| Rate for Payer: PHP Commercial |
$100.56
|
| Rate for Payer: PHP Medicare Advantage |
$29.58
|
| Rate for Payer: Priority Health Choice Medicaid |
$20.86
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$102.93
|
| Rate for Payer: Priority Health Medicare |
$29.87
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$82.34
|
| Rate for Payer: Railroad Medicare Medicare |
$29.58
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$104.11
|
| Rate for Payer: UHC Core |
$98.79
|
| Rate for Payer: UHC Exchange |
$29.58
|
| Rate for Payer: UHC Medicaid |
$20.86
|
| Rate for Payer: UHC Medicare Advantage |
$29.58
|
| Rate for Payer: UHCCP Medicaid |
$20.86
|
| Rate for Payer: VA VA |
$29.58
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$88.73
|
|
|
HC NEG PRES WND THRPY DSG SET SMA
|
Facility
|
IP
|
$118.31
|
|
| Hospital Charge Code |
27200141
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$82.34 |
| Max. Negotiated Rate |
$106.48 |
| Rate for Payer: Aetna Commercial |
$100.56
|
| Rate for Payer: BCBS Trust/PPO |
$97.71
|
| Rate for Payer: BCN Commercial |
$97.71
|
| Rate for Payer: Cash Price |
$94.65
|
| Rate for Payer: Cofinity Commercial |
$101.75
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$94.65
|
| Rate for Payer: Healthscope Commercial |
$106.48
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$88.73
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$100.56
|
| Rate for Payer: Nomi Health Commercial |
$97.01
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$88.73
|
| Rate for Payer: PHP Commercial |
$100.56
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$102.93
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$82.34
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$104.11
|
| Rate for Payer: UHC Core |
$98.79
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$88.73
|
|
|
HC NEG PRES WOUND TX SET MED
|
Facility
|
OP
|
$81.59
|
|
| Hospital Charge Code |
27200127
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$14.38 |
| Max. Negotiated Rate |
$73.43 |
| Rate for Payer: Aetna Commercial |
$69.35
|
| Rate for Payer: Aetna Medicare |
$21.21
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$25.50
|
| Rate for Payer: Amish Plain Church Group Commercial |
$25.50
|
| Rate for Payer: BCBS Complete |
$15.10
|
| Rate for Payer: BCBS MAPPO |
$20.40
|
| Rate for Payer: BCBS Trust/PPO |
$67.08
|
| Rate for Payer: BCN Commercial |
$67.08
|
| Rate for Payer: BCN Medicare Advantage |
$20.40
|
| Rate for Payer: Cash Price |
$65.27
|
| Rate for Payer: Cofinity Commercial |
$70.17
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$65.27
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$20.40
|
| Rate for Payer: Healthscope Commercial |
$73.43
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$61.19
|
| Rate for Payer: Mclaren Medicaid |
$14.38
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$21.42
|
| Rate for Payer: Meridian Medicaid |
$15.10
|
| Rate for Payer: MI Amish Medical Board Commercial |
$23.46
|
| Rate for Payer: Molina Medicare/Medicaid |
$22.44
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$69.35
|
| Rate for Payer: Nomi Health Commercial |
$66.90
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$61.19
|
| Rate for Payer: PACE Senior Care Partners |
$19.38
|
| Rate for Payer: PACE SWMI |
$20.40
|
| Rate for Payer: PHP Commercial |
$69.35
|
| Rate for Payer: PHP Medicare Advantage |
$20.40
|
| Rate for Payer: Priority Health Choice Medicaid |
$14.38
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$70.98
|
| Rate for Payer: Priority Health Medicare |
$20.60
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$56.79
|
| Rate for Payer: Railroad Medicare Medicare |
$20.40
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$71.80
|
| Rate for Payer: UHC Core |
$68.13
|
| Rate for Payer: UHC Exchange |
$20.40
|
| Rate for Payer: UHC Medicaid |
$14.38
|
| Rate for Payer: UHC Medicare Advantage |
$20.40
|
| Rate for Payer: UHCCP Medicaid |
$14.38
|
| Rate for Payer: VA VA |
$20.40
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$61.19
|
|
|
HC NEG PRES WOUND TX SET MED
|
Facility
|
IP
|
$81.59
|
|
| Hospital Charge Code |
27200127
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$56.79 |
| Max. Negotiated Rate |
$73.43 |
| Rate for Payer: Aetna Commercial |
$69.35
|
| Rate for Payer: BCBS Trust/PPO |
$67.39
|
| Rate for Payer: BCN Commercial |
$67.39
|
| Rate for Payer: Cash Price |
$65.27
|
| Rate for Payer: Cofinity Commercial |
$70.17
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$65.27
|
| Rate for Payer: Healthscope Commercial |
$73.43
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$61.19
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$69.35
|
| Rate for Payer: Nomi Health Commercial |
$66.90
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$61.19
|
| Rate for Payer: PHP Commercial |
$69.35
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$70.98
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$56.79
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$71.80
|
| Rate for Payer: UHC Core |
$68.13
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$61.19
|
|
|
HC NEG PRES WOUND TX SET SMALL
|
Facility
|
OP
|
$118.31
|
|
| Hospital Charge Code |
27200128
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$20.86 |
| Max. Negotiated Rate |
$106.48 |
| Rate for Payer: Aetna Commercial |
$100.56
|
| Rate for Payer: Aetna Medicare |
$30.76
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$36.97
|
| Rate for Payer: Amish Plain Church Group Commercial |
$36.97
|
| Rate for Payer: BCBS Complete |
$21.90
|
| Rate for Payer: BCBS MAPPO |
$29.58
|
| Rate for Payer: BCBS Trust/PPO |
$97.26
|
| Rate for Payer: BCN Commercial |
$97.26
|
| Rate for Payer: BCN Medicare Advantage |
$29.58
|
| Rate for Payer: Cash Price |
$94.65
|
| Rate for Payer: Cofinity Commercial |
$101.75
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$94.65
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$29.58
|
| Rate for Payer: Healthscope Commercial |
$106.48
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$88.73
|
| Rate for Payer: Mclaren Medicaid |
$20.86
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$31.06
|
| Rate for Payer: Meridian Medicaid |
$21.90
|
| Rate for Payer: MI Amish Medical Board Commercial |
$34.01
|
| Rate for Payer: Molina Medicare/Medicaid |
$32.54
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$100.56
|
| Rate for Payer: Nomi Health Commercial |
$97.01
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$88.73
|
| Rate for Payer: PACE Senior Care Partners |
$28.10
|
| Rate for Payer: PACE SWMI |
$29.58
|
| Rate for Payer: PHP Commercial |
$100.56
|
| Rate for Payer: PHP Medicare Advantage |
$29.58
|
| Rate for Payer: Priority Health Choice Medicaid |
$20.86
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$102.93
|
| Rate for Payer: Priority Health Medicare |
$29.87
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$82.34
|
| Rate for Payer: Railroad Medicare Medicare |
$29.58
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$104.11
|
| Rate for Payer: UHC Core |
$98.79
|
| Rate for Payer: UHC Exchange |
$29.58
|
| Rate for Payer: UHC Medicaid |
$20.86
|
| Rate for Payer: UHC Medicare Advantage |
$29.58
|
| Rate for Payer: UHCCP Medicaid |
$20.86
|
| Rate for Payer: VA VA |
$29.58
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$88.73
|
|
|
HC NEG PRES WOUND TX SET SMALL
|
Facility
|
IP
|
$118.31
|
|
| Hospital Charge Code |
27200128
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$82.34 |
| Max. Negotiated Rate |
$106.48 |
| Rate for Payer: Aetna Commercial |
$100.56
|
| Rate for Payer: BCBS Trust/PPO |
$97.71
|
| Rate for Payer: BCN Commercial |
$97.71
|
| Rate for Payer: Cash Price |
$94.65
|
| Rate for Payer: Cofinity Commercial |
$101.75
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$94.65
|
| Rate for Payer: Healthscope Commercial |
$106.48
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$88.73
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$100.56
|
| Rate for Payer: Nomi Health Commercial |
$97.01
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$88.73
|
| Rate for Payer: PHP Commercial |
$100.56
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$102.93
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$82.34
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$104.11
|
| Rate for Payer: UHC Core |
$98.79
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$88.73
|
|
|
HC NEG PRES Y CONNECTOR
|
Facility
|
OP
|
$8.02
|
|
| Hospital Charge Code |
27000174
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$1.41 |
| Max. Negotiated Rate |
$7.22 |
| Rate for Payer: Aetna Commercial |
$6.82
|
| Rate for Payer: Aetna Medicare |
$2.09
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$2.51
|
| Rate for Payer: Amish Plain Church Group Commercial |
$2.51
|
| Rate for Payer: BCBS Complete |
$1.48
|
| Rate for Payer: BCBS MAPPO |
$2.00
|
| Rate for Payer: BCBS Trust/PPO |
$6.59
|
| Rate for Payer: BCN Commercial |
$6.59
|
| Rate for Payer: BCN Medicare Advantage |
$2.00
|
| Rate for Payer: Cash Price |
$6.42
|
| Rate for Payer: Cofinity Commercial |
$6.90
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$6.42
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2.00
|
| Rate for Payer: Healthscope Commercial |
$7.22
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$6.01
|
| Rate for Payer: Mclaren Medicaid |
$1.41
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$2.11
|
| Rate for Payer: Meridian Medicaid |
$1.48
|
| Rate for Payer: MI Amish Medical Board Commercial |
$2.31
|
| Rate for Payer: Molina Medicare/Medicaid |
$2.21
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$6.82
|
| Rate for Payer: Nomi Health Commercial |
$6.58
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$6.01
|
| Rate for Payer: PACE Senior Care Partners |
$1.90
|
| Rate for Payer: PACE SWMI |
$2.00
|
| Rate for Payer: PHP Commercial |
$6.82
|
| Rate for Payer: PHP Medicare Advantage |
$2.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$1.41
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$6.98
|
| Rate for Payer: Priority Health Medicare |
$2.03
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$5.58
|
| Rate for Payer: Railroad Medicare Medicare |
$2.00
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$7.06
|
| Rate for Payer: UHC Core |
$6.70
|
| Rate for Payer: UHC Exchange |
$2.00
|
| Rate for Payer: UHC Medicaid |
$1.41
|
| Rate for Payer: UHC Medicare Advantage |
$2.00
|
| Rate for Payer: UHCCP Medicaid |
$1.41
|
| Rate for Payer: VA VA |
$2.00
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$6.01
|
|
|
HC NEG PRES Y CONNECTOR
|
Facility
|
IP
|
$8.02
|
|
| Hospital Charge Code |
27000174
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$5.58 |
| Max. Negotiated Rate |
$7.22 |
| Rate for Payer: Aetna Commercial |
$6.82
|
| Rate for Payer: BCBS Trust/PPO |
$6.62
|
| Rate for Payer: BCN Commercial |
$6.62
|
| Rate for Payer: Cash Price |
$6.42
|
| Rate for Payer: Cofinity Commercial |
$6.90
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$6.42
|
| Rate for Payer: Healthscope Commercial |
$7.22
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$6.01
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$6.82
|
| Rate for Payer: Nomi Health Commercial |
$6.58
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$6.01
|
| Rate for Payer: PHP Commercial |
$6.82
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$6.98
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$5.58
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$7.06
|
| Rate for Payer: UHC Core |
$6.70
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$6.01
|
|
|
HC NEISSERIA GONORRHOEAE AMP DNA
|
Facility
|
IP
|
$68.98
|
|
|
Service Code
|
CPT 87591
|
| Hospital Charge Code |
30600163
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$48.01 |
| Max. Negotiated Rate |
$62.08 |
| Rate for Payer: Aetna Commercial |
$58.63
|
| Rate for Payer: BCBS Trust/PPO |
$56.97
|
| Rate for Payer: BCN Commercial |
$56.97
|
| Rate for Payer: Cash Price |
$55.18
|
| Rate for Payer: Cofinity Commercial |
$59.32
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$55.18
|
| Rate for Payer: Healthscope Commercial |
$62.08
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$51.73
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$58.63
|
| Rate for Payer: Nomi Health Commercial |
$56.56
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$51.73
|
| Rate for Payer: PHP Commercial |
$58.63
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$60.01
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$48.01
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$60.70
|
| Rate for Payer: UHC Core |
$57.60
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$51.73
|
|
|
HC NEISSERIA GONORRHOEAE AMP DNA
|
Facility
|
OP
|
$68.98
|
|
|
Service Code
|
CPT 87591
|
| Hospital Charge Code |
30600163
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$12.16 |
| Max. Negotiated Rate |
$62.08 |
| Rate for Payer: Aetna Commercial |
$58.63
|
| Rate for Payer: Aetna Medicare |
$17.93
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$21.56
|
| Rate for Payer: Amish Plain Church Group Commercial |
$21.56
|
| Rate for Payer: BCBS Complete |
$12.77
|
| Rate for Payer: BCBS MAPPO |
$17.25
|
| Rate for Payer: BCBS Trust/PPO |
$56.71
|
| Rate for Payer: BCN Commercial |
$56.71
|
| Rate for Payer: BCN Medicare Advantage |
$17.25
|
| Rate for Payer: Cash Price |
$55.18
|
| Rate for Payer: Cofinity Commercial |
$59.32
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$55.18
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$17.25
|
| Rate for Payer: Healthscope Commercial |
$62.08
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$51.73
|
| Rate for Payer: Mclaren Medicaid |
$12.16
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$18.11
|
| Rate for Payer: Meridian Medicaid |
$12.77
|
| Rate for Payer: MI Amish Medical Board Commercial |
$19.83
|
| Rate for Payer: Molina Medicare/Medicaid |
$18.97
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$58.63
|
| Rate for Payer: Nomi Health Commercial |
$56.56
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$51.73
|
| Rate for Payer: PACE Senior Care Partners |
$16.38
|
| Rate for Payer: PACE SWMI |
$17.25
|
| Rate for Payer: PHP Commercial |
$58.63
|
| Rate for Payer: PHP Medicare Advantage |
$17.25
|
| Rate for Payer: Priority Health Choice Medicaid |
$12.16
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$60.01
|
| Rate for Payer: Priority Health Medicare |
$17.42
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$48.01
|
| Rate for Payer: Railroad Medicare Medicare |
$17.25
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$60.70
|
| Rate for Payer: UHC Core |
$57.60
|
| Rate for Payer: UHC Exchange |
$17.25
|
| Rate for Payer: UHC Medicaid |
$12.16
|
| Rate for Payer: UHC Medicare Advantage |
$17.25
|
| Rate for Payer: UHCCP Medicaid |
$12.16
|
| Rate for Payer: VA VA |
$17.25
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$51.73
|
|
|
HC NEISSERIA MENINGITITIS
|
Facility
|
IP
|
$53.06
|
|
|
Service Code
|
CPT 87798
|
| Hospital Charge Code |
30600275
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$36.93 |
| Max. Negotiated Rate |
$47.75 |
| Rate for Payer: Aetna Commercial |
$45.10
|
| Rate for Payer: BCBS Trust/PPO |
$43.82
|
| Rate for Payer: BCN Commercial |
$43.82
|
| Rate for Payer: Cash Price |
$42.45
|
| Rate for Payer: Cofinity Commercial |
$45.63
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$42.45
|
| Rate for Payer: Healthscope Commercial |
$47.75
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$39.80
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$45.10
|
| Rate for Payer: Nomi Health Commercial |
$43.51
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$39.80
|
| Rate for Payer: PHP Commercial |
$45.10
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$46.16
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$36.93
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$46.69
|
| Rate for Payer: UHC Core |
$44.31
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$39.80
|
|
