|
HC ST JUDE TACHY (ICD) LEAD
|
Facility
|
IP
|
$8,004.63
|
|
|
Service Code
|
HCPCS C1895
|
| Hospital Charge Code |
27800029
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$4,882.02 |
| Max. Negotiated Rate |
$7,204.17 |
| Rate for Payer: Aetna Commercial |
$6,803.94
|
| Rate for Payer: BCBS Trust/PPO |
$6,185.98
|
| Rate for Payer: BCN Commercial |
$6,185.98
|
| Rate for Payer: Cash Price |
$6,403.70
|
| Rate for Payer: Cofinity Commercial |
$6,883.98
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$6,403.70
|
| Rate for Payer: Healthscope Commercial |
$7,204.17
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$6,003.47
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$6,803.94
|
| Rate for Payer: PHP Commercial |
$6,803.94
|
| Rate for Payer: Priority Health Cigna Priority Health |
$5,603.24
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$6,964.03
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$4,882.02
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$7,044.07
|
| Rate for Payer: UHC Core |
$6,683.87
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$6,003.47
|
|
|
HC STOOL CULTURE
|
Facility
|
IP
|
$39.17
|
|
|
Service Code
|
CPT 87045
|
| Hospital Charge Code |
30600073
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$23.89 |
| Max. Negotiated Rate |
$35.25 |
| Rate for Payer: Aetna Commercial |
$33.29
|
| Rate for Payer: BCBS Trust/PPO |
$30.27
|
| Rate for Payer: BCN Commercial |
$30.27
|
| Rate for Payer: Cash Price |
$31.34
|
| Rate for Payer: Cofinity Commercial |
$33.69
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$31.34
|
| Rate for Payer: Healthscope Commercial |
$35.25
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$29.38
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$33.29
|
| Rate for Payer: PHP Commercial |
$33.29
|
| Rate for Payer: Priority Health Cigna Priority Health |
$27.42
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$34.08
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$23.89
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$34.47
|
| Rate for Payer: UHC Core |
$32.71
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$29.38
|
|
|
HC STOOL CULTURE
|
Facility
|
OP
|
$39.17
|
|
|
Service Code
|
CPT 87045
|
| Hospital Charge Code |
30600073
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$6.97 |
| Max. Negotiated Rate |
$35.25 |
| Rate for Payer: Aetna Commercial |
$33.29
|
| Rate for Payer: Aetna Medicare |
$10.18
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$12.24
|
| Rate for Payer: Amish Plain Church Group Commercial |
$12.24
|
| Rate for Payer: BCBS Complete |
$7.32
|
| Rate for Payer: BCBS MAPPO |
$9.79
|
| Rate for Payer: BCBS Trust/PPO |
$30.45
|
| Rate for Payer: BCN Commercial |
$30.45
|
| Rate for Payer: BCN Medicare Advantage |
$9.79
|
| Rate for Payer: Cash Price |
$31.34
|
| Rate for Payer: Cash Price |
$31.34
|
| Rate for Payer: Cofinity Commercial |
$33.69
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$31.34
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$9.79
|
| Rate for Payer: Healthscope Commercial |
$35.25
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$29.38
|
| Rate for Payer: Mclaren Medicaid |
$6.97
|
| Rate for Payer: Meridian Medicaid |
$7.32
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$10.28
|
| Rate for Payer: MI Amish Medical Board Commercial |
$11.26
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$33.29
|
| Rate for Payer: PACE Senior Care Partners |
$9.30
|
| Rate for Payer: PACE SWMI |
$9.79
|
| Rate for Payer: PHP Commercial |
$33.29
|
| Rate for Payer: PHP Medicare Advantage |
$9.79
|
| Rate for Payer: Priority Health Choice Medicaid |
$6.97
|
| Rate for Payer: Priority Health Cigna Priority Health |
$27.42
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$34.08
|
| Rate for Payer: Priority Health Medicare |
$9.79
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$23.89
|
| Rate for Payer: Railroad Medicare Medicare |
$9.79
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$34.47
|
| Rate for Payer: UHC Core |
$32.71
|
| Rate for Payer: UHC Dual Complete DSNP |
$9.79
|
| Rate for Payer: UHC Medicare Advantage |
$10.09
|
| Rate for Payer: VA VA |
$9.79
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$29.38
|
|
|
HC STOOL CULTURE CMPT
|
Facility
|
OP
|
$39.17
|
|
|
Service Code
|
CPT 87046
|
| Hospital Charge Code |
30600074
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$6.97 |
| Max. Negotiated Rate |
$35.25 |
| Rate for Payer: Aetna Commercial |
$33.29
|
| Rate for Payer: Aetna Medicare |
$10.18
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$12.24
|
| Rate for Payer: Amish Plain Church Group Commercial |
$12.24
|
| Rate for Payer: BCBS Complete |
$7.32
|
| Rate for Payer: BCBS MAPPO |
$9.79
|
| Rate for Payer: BCBS Trust/PPO |
$30.45
|
| Rate for Payer: BCN Commercial |
$30.45
|
| Rate for Payer: BCN Medicare Advantage |
$9.79
|
| Rate for Payer: Cash Price |
$31.34
|
| Rate for Payer: Cash Price |
$31.34
|
| Rate for Payer: Cofinity Commercial |
$33.69
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$31.34
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$9.79
|
| Rate for Payer: Healthscope Commercial |
$35.25
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$29.38
|
| Rate for Payer: Mclaren Medicaid |
$6.97
|
| Rate for Payer: Meridian Medicaid |
$7.32
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$10.28
|
| Rate for Payer: MI Amish Medical Board Commercial |
$11.26
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$33.29
|
| Rate for Payer: PACE Senior Care Partners |
$9.30
|
| Rate for Payer: PACE SWMI |
$9.79
|
| Rate for Payer: PHP Commercial |
$33.29
|
| Rate for Payer: PHP Medicare Advantage |
$9.79
|
| Rate for Payer: Priority Health Choice Medicaid |
$6.97
|
| Rate for Payer: Priority Health Cigna Priority Health |
$27.42
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$34.08
|
| Rate for Payer: Priority Health Medicare |
$9.79
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$23.89
|
| Rate for Payer: Railroad Medicare Medicare |
$9.79
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$34.47
|
| Rate for Payer: UHC Core |
$32.71
|
| Rate for Payer: UHC Dual Complete DSNP |
$9.79
|
| Rate for Payer: UHC Medicare Advantage |
$10.09
|
| Rate for Payer: VA VA |
$9.79
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$29.38
|
|
|
HC STOOL CULTURE CMPT
|
Facility
|
IP
|
$39.17
|
|
|
Service Code
|
CPT 87046
|
| Hospital Charge Code |
30600074
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$23.89 |
| Max. Negotiated Rate |
$35.25 |
| Rate for Payer: Aetna Commercial |
$33.29
|
| Rate for Payer: BCBS Trust/PPO |
$30.27
|
| Rate for Payer: BCN Commercial |
$30.27
|
| Rate for Payer: Cash Price |
$31.34
|
| Rate for Payer: Cofinity Commercial |
$33.69
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$31.34
|
| Rate for Payer: Healthscope Commercial |
$35.25
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$29.38
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$33.29
|
| Rate for Payer: PHP Commercial |
$33.29
|
| Rate for Payer: Priority Health Cigna Priority Health |
$27.42
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$34.08
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$23.89
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$34.47
|
| Rate for Payer: UHC Core |
$32.71
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$29.38
|
|
|
HC STOOL CULTURE CMPT2
|
Facility
|
IP
|
$13.06
|
|
|
Service Code
|
CPT 87015
|
| Hospital Charge Code |
30600069
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$7.97 |
| Max. Negotiated Rate |
$11.75 |
| Rate for Payer: Aetna Commercial |
$11.10
|
| Rate for Payer: BCBS Trust/PPO |
$10.09
|
| Rate for Payer: BCN Commercial |
$10.09
|
| Rate for Payer: Cash Price |
$10.45
|
| Rate for Payer: Cofinity Commercial |
$11.23
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$10.45
|
| Rate for Payer: Healthscope Commercial |
$11.75
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$9.80
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$11.10
|
| Rate for Payer: PHP Commercial |
$11.10
|
| Rate for Payer: Priority Health Cigna Priority Health |
$9.14
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$11.36
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$7.97
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$11.49
|
| Rate for Payer: UHC Core |
$10.91
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$9.80
|
|
|
HC STOOL CULTURE CMPT2
|
Facility
|
OP
|
$13.06
|
|
|
Service Code
|
CPT 87015
|
| Hospital Charge Code |
30600069
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$3.10 |
| Max. Negotiated Rate |
$11.75 |
| Rate for Payer: Aetna Commercial |
$11.10
|
| Rate for Payer: Aetna Medicare |
$3.40
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$4.08
|
| Rate for Payer: Amish Plain Church Group Commercial |
$4.08
|
| Rate for Payer: BCBS Complete |
$5.18
|
| Rate for Payer: BCBS MAPPO |
$3.26
|
| Rate for Payer: BCBS Trust/PPO |
$10.15
|
| Rate for Payer: BCN Commercial |
$10.15
|
| Rate for Payer: BCN Medicare Advantage |
$3.26
|
| Rate for Payer: Cash Price |
$10.45
|
| Rate for Payer: Cash Price |
$10.45
|
| Rate for Payer: Cofinity Commercial |
$11.23
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$10.45
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$3.26
|
| Rate for Payer: Healthscope Commercial |
$11.75
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$9.80
|
| Rate for Payer: Mclaren Medicaid |
$4.93
|
| Rate for Payer: Meridian Medicaid |
$5.18
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$3.43
|
| Rate for Payer: MI Amish Medical Board Commercial |
$3.75
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$11.10
|
| Rate for Payer: PACE Senior Care Partners |
$3.10
|
| Rate for Payer: PACE SWMI |
$3.26
|
| Rate for Payer: PHP Commercial |
$11.10
|
| Rate for Payer: PHP Medicare Advantage |
$3.26
|
| Rate for Payer: Priority Health Choice Medicaid |
$4.93
|
| Rate for Payer: Priority Health Cigna Priority Health |
$9.14
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$11.36
|
| Rate for Payer: Priority Health Medicare |
$3.26
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$7.97
|
| Rate for Payer: Railroad Medicare Medicare |
$3.26
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$11.49
|
| Rate for Payer: UHC Core |
$10.91
|
| Rate for Payer: UHC Dual Complete DSNP |
$3.26
|
| Rate for Payer: UHC Medicare Advantage |
$3.36
|
| Rate for Payer: VA VA |
$3.26
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$9.80
|
|
|
HC STOOL CULTURE CMPT 3
|
Facility
|
OP
|
$41.72
|
|
|
Service Code
|
CPT 87899
|
| Hospital Charge Code |
30600177
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$9.91 |
| Max. Negotiated Rate |
$37.55 |
| Rate for Payer: Aetna Commercial |
$35.46
|
| Rate for Payer: Aetna Medicare |
$10.85
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$13.04
|
| Rate for Payer: Amish Plain Church Group Commercial |
$13.04
|
| Rate for Payer: BCBS Complete |
$12.45
|
| Rate for Payer: BCBS MAPPO |
$10.43
|
| Rate for Payer: BCBS Trust/PPO |
$32.44
|
| Rate for Payer: BCN Commercial |
$32.44
|
| Rate for Payer: BCN Medicare Advantage |
$10.43
|
| Rate for Payer: Cash Price |
$33.38
|
| Rate for Payer: Cash Price |
$33.38
|
| Rate for Payer: Cofinity Commercial |
$35.88
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$33.38
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$10.43
|
| Rate for Payer: Healthscope Commercial |
$37.55
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$31.29
|
| Rate for Payer: Mclaren Medicaid |
$11.86
|
| Rate for Payer: Meridian Medicaid |
$12.45
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$10.95
|
| Rate for Payer: MI Amish Medical Board Commercial |
$11.99
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$35.46
|
| Rate for Payer: PACE Senior Care Partners |
$9.91
|
| Rate for Payer: PACE SWMI |
$10.43
|
| Rate for Payer: PHP Commercial |
$35.46
|
| Rate for Payer: PHP Medicare Advantage |
$10.43
|
| Rate for Payer: Priority Health Choice Medicaid |
$11.86
|
| Rate for Payer: Priority Health Cigna Priority Health |
$29.20
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$36.30
|
| Rate for Payer: Priority Health Medicare |
$10.43
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$25.45
|
| Rate for Payer: Railroad Medicare Medicare |
$10.43
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$36.71
|
| Rate for Payer: UHC Core |
$34.84
|
| Rate for Payer: UHC Dual Complete DSNP |
$10.43
|
| Rate for Payer: UHC Medicare Advantage |
$10.74
|
| Rate for Payer: VA VA |
$10.43
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$31.29
|
|
|
HC STOOL CULTURE CMPT 3
|
Facility
|
IP
|
$41.72
|
|
|
Service Code
|
CPT 87899
|
| Hospital Charge Code |
30600177
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$25.45 |
| Max. Negotiated Rate |
$37.55 |
| Rate for Payer: Aetna Commercial |
$35.46
|
| Rate for Payer: BCBS Trust/PPO |
$32.24
|
| Rate for Payer: BCN Commercial |
$32.24
|
| Rate for Payer: Cash Price |
$33.38
|
| Rate for Payer: Cofinity Commercial |
$35.88
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$33.38
|
| Rate for Payer: Healthscope Commercial |
$37.55
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$31.29
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$35.46
|
| Rate for Payer: PHP Commercial |
$35.46
|
| Rate for Payer: Priority Health Cigna Priority Health |
$29.20
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$36.30
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$25.45
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$36.71
|
| Rate for Payer: UHC Core |
$34.84
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$31.29
|
|
|
HC STRAPPING ANKLE AND OR FOOT
|
Facility
|
IP
|
$131.88
|
|
|
Service Code
|
CPT 29540
|
| Hospital Charge Code |
42000005
|
|
Hospital Revenue Code
|
420
|
| Min. Negotiated Rate |
$80.43 |
| Max. Negotiated Rate |
$118.69 |
| Rate for Payer: Aetna Commercial |
$112.10
|
| Rate for Payer: BCBS Trust/PPO |
$101.92
|
| Rate for Payer: BCN Commercial |
$101.92
|
| Rate for Payer: Cash Price |
$105.50
|
| Rate for Payer: Cofinity Commercial |
$113.42
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$105.50
|
| Rate for Payer: Healthscope Commercial |
$118.69
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$98.91
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$112.10
|
| Rate for Payer: PHP Commercial |
$112.10
|
| Rate for Payer: Priority Health Cigna Priority Health |
$92.32
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$114.74
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$80.43
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$116.05
|
| Rate for Payer: UHC Core |
$110.12
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$98.91
|
|
|
HC STRAPPING ANKLE AND OR FOOT
|
Facility
|
OP
|
$131.88
|
|
|
Service Code
|
CPT 29540
|
| Hospital Charge Code |
42000005
|
|
Hospital Revenue Code
|
420
|
| Min. Negotiated Rate |
$31.32 |
| Max. Negotiated Rate |
$118.69 |
| Rate for Payer: Aetna Commercial |
$112.10
|
| Rate for Payer: Aetna Medicare |
$34.29
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$41.21
|
| Rate for Payer: Amish Plain Church Group Commercial |
$41.21
|
| Rate for Payer: BCBS Complete |
$108.53
|
| Rate for Payer: BCBS MAPPO |
$32.97
|
| Rate for Payer: BCBS Trust/PPO |
$102.54
|
| Rate for Payer: BCN Commercial |
$102.54
|
| Rate for Payer: BCN Medicare Advantage |
$32.97
|
| Rate for Payer: Cash Price |
$105.50
|
| Rate for Payer: Cash Price |
$105.50
|
| Rate for Payer: Cofinity Commercial |
$113.42
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$105.50
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$32.97
|
| Rate for Payer: Healthscope Commercial |
$118.69
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$98.91
|
| Rate for Payer: Mclaren Medicaid |
$103.36
|
| Rate for Payer: Meridian Medicaid |
$108.53
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$34.62
|
| Rate for Payer: MI Amish Medical Board Commercial |
$37.92
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$112.10
|
| Rate for Payer: PACE Senior Care Partners |
$31.32
|
| Rate for Payer: PACE SWMI |
$32.97
|
| Rate for Payer: PHP Commercial |
$112.10
|
| Rate for Payer: PHP Medicare Advantage |
$32.97
|
| Rate for Payer: Priority Health Choice Medicaid |
$103.36
|
| Rate for Payer: Priority Health Cigna Priority Health |
$92.32
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$114.74
|
| Rate for Payer: Priority Health Medicare |
$32.97
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$80.43
|
| Rate for Payer: Railroad Medicare Medicare |
$32.97
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$116.05
|
| Rate for Payer: UHC Core |
$110.12
|
| Rate for Payer: UHC Dual Complete DSNP |
$32.97
|
| Rate for Payer: UHC Medicare Advantage |
$33.96
|
| Rate for Payer: VA VA |
$32.97
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$98.91
|
|
|
HC STRAPPING CASTING UNLISTED
|
Facility
|
IP
|
$227.67
|
|
|
Service Code
|
CPT 29799
|
| Hospital Charge Code |
42000053
|
|
Hospital Revenue Code
|
420
|
| Min. Negotiated Rate |
$138.86 |
| Max. Negotiated Rate |
$204.90 |
| Rate for Payer: Aetna Commercial |
$193.52
|
| Rate for Payer: BCBS Trust/PPO |
$175.94
|
| Rate for Payer: BCN Commercial |
$175.94
|
| Rate for Payer: Cash Price |
$182.14
|
| Rate for Payer: Cofinity Commercial |
$195.80
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$182.14
|
| Rate for Payer: Healthscope Commercial |
$204.90
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$170.75
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$193.52
|
| Rate for Payer: PHP Commercial |
$193.52
|
| Rate for Payer: Priority Health Cigna Priority Health |
$159.37
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$198.07
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$138.86
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$200.35
|
| Rate for Payer: UHC Core |
$190.10
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$170.75
|
|
|
HC STRAPPING CASTING UNLISTED
|
Facility
|
OP
|
$227.67
|
|
|
Service Code
|
CPT 29799
|
| Hospital Charge Code |
42000053
|
|
Hospital Revenue Code
|
420
|
| Min. Negotiated Rate |
$54.07 |
| Max. Negotiated Rate |
$204.90 |
| Rate for Payer: Aetna Commercial |
$193.52
|
| Rate for Payer: Aetna Medicare |
$59.19
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$71.15
|
| Rate for Payer: Amish Plain Church Group Commercial |
$71.15
|
| Rate for Payer: BCBS Complete |
$108.53
|
| Rate for Payer: BCBS MAPPO |
$56.92
|
| Rate for Payer: BCBS Trust/PPO |
$177.01
|
| Rate for Payer: BCN Commercial |
$177.01
|
| Rate for Payer: BCN Medicare Advantage |
$56.92
|
| Rate for Payer: Cash Price |
$182.14
|
| Rate for Payer: Cash Price |
$182.14
|
| Rate for Payer: Cofinity Commercial |
$195.80
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$182.14
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$56.92
|
| Rate for Payer: Healthscope Commercial |
$204.90
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$170.75
|
| Rate for Payer: Mclaren Medicaid |
$103.36
|
| Rate for Payer: Meridian Medicaid |
$108.53
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$59.76
|
| Rate for Payer: MI Amish Medical Board Commercial |
$65.46
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$193.52
|
| Rate for Payer: PACE Senior Care Partners |
$54.07
|
| Rate for Payer: PACE SWMI |
$56.92
|
| Rate for Payer: PHP Commercial |
$193.52
|
| Rate for Payer: PHP Medicare Advantage |
$56.92
|
| Rate for Payer: Priority Health Choice Medicaid |
$103.36
|
| Rate for Payer: Priority Health Cigna Priority Health |
$159.37
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$198.07
|
| Rate for Payer: Priority Health Medicare |
$56.92
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$138.86
|
| Rate for Payer: Railroad Medicare Medicare |
$56.92
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$200.35
|
| Rate for Payer: UHC Core |
$190.10
|
| Rate for Payer: UHC Dual Complete DSNP |
$56.92
|
| Rate for Payer: UHC Medicare Advantage |
$58.63
|
| Rate for Payer: VA VA |
$56.92
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$170.75
|
|
|
HC STRAPPING CHEST KINESIOTAPING
|
Facility
|
IP
|
$119.28
|
|
|
Service Code
|
CPT 29200
|
| Hospital Charge Code |
42000052
|
|
Hospital Revenue Code
|
420
|
| Min. Negotiated Rate |
$72.75 |
| Max. Negotiated Rate |
$107.35 |
| Rate for Payer: Aetna Commercial |
$101.39
|
| Rate for Payer: BCBS Trust/PPO |
$92.18
|
| Rate for Payer: BCN Commercial |
$92.18
|
| Rate for Payer: Cash Price |
$95.42
|
| Rate for Payer: Cofinity Commercial |
$102.58
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$95.42
|
| Rate for Payer: Healthscope Commercial |
$107.35
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$89.46
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$101.39
|
| Rate for Payer: PHP Commercial |
$101.39
|
| Rate for Payer: Priority Health Cigna Priority Health |
$83.50
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$103.77
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$72.75
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$104.97
|
| Rate for Payer: UHC Core |
$99.60
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$89.46
|
|
|
HC STRAPPING CHEST KINESIOTAPING
|
Facility
|
OP
|
$119.28
|
|
|
Service Code
|
CPT 29200
|
| Hospital Charge Code |
42000052
|
|
Hospital Revenue Code
|
420
|
| Min. Negotiated Rate |
$28.33 |
| Max. Negotiated Rate |
$108.53 |
| Rate for Payer: Aetna Commercial |
$101.39
|
| Rate for Payer: Aetna Medicare |
$31.01
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$37.28
|
| Rate for Payer: Amish Plain Church Group Commercial |
$37.28
|
| Rate for Payer: BCBS Complete |
$108.53
|
| Rate for Payer: BCBS MAPPO |
$29.82
|
| Rate for Payer: BCBS Trust/PPO |
$92.74
|
| Rate for Payer: BCN Commercial |
$92.74
|
| Rate for Payer: BCN Medicare Advantage |
$29.82
|
| Rate for Payer: Cash Price |
$95.42
|
| Rate for Payer: Cash Price |
$95.42
|
| Rate for Payer: Cofinity Commercial |
$102.58
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$95.42
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$29.82
|
| Rate for Payer: Healthscope Commercial |
$107.35
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$89.46
|
| Rate for Payer: Mclaren Medicaid |
$103.36
|
| Rate for Payer: Meridian Medicaid |
$108.53
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$31.31
|
| Rate for Payer: MI Amish Medical Board Commercial |
$34.29
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$101.39
|
| Rate for Payer: PACE Senior Care Partners |
$28.33
|
| Rate for Payer: PACE SWMI |
$29.82
|
| Rate for Payer: PHP Commercial |
$101.39
|
| Rate for Payer: PHP Medicare Advantage |
$29.82
|
| Rate for Payer: Priority Health Choice Medicaid |
$103.36
|
| Rate for Payer: Priority Health Cigna Priority Health |
$83.50
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$103.77
|
| Rate for Payer: Priority Health Medicare |
$29.82
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$72.75
|
| Rate for Payer: Railroad Medicare Medicare |
$29.82
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$104.97
|
| Rate for Payer: UHC Core |
$99.60
|
| Rate for Payer: UHC Dual Complete DSNP |
$29.82
|
| Rate for Payer: UHC Medicare Advantage |
$30.71
|
| Rate for Payer: VA VA |
$29.82
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$89.46
|
|
|
HC STRAPPING ELBOW OR WRIST
|
Facility
|
OP
|
$96.90
|
|
|
Service Code
|
CPT 29260
|
| Hospital Charge Code |
42000002
|
|
Hospital Revenue Code
|
420
|
| Min. Negotiated Rate |
$23.01 |
| Max. Negotiated Rate |
$87.21 |
| Rate for Payer: Aetna Commercial |
$82.36
|
| Rate for Payer: Aetna Medicare |
$25.19
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$30.28
|
| Rate for Payer: Amish Plain Church Group Commercial |
$30.28
|
| Rate for Payer: BCBS Complete |
$42.13
|
| Rate for Payer: BCBS MAPPO |
$24.22
|
| Rate for Payer: BCBS Trust/PPO |
$75.34
|
| Rate for Payer: BCN Commercial |
$75.34
|
| Rate for Payer: BCN Medicare Advantage |
$24.22
|
| Rate for Payer: Cash Price |
$77.52
|
| Rate for Payer: Cash Price |
$77.52
|
| Rate for Payer: Cofinity Commercial |
$83.33
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$77.52
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$24.22
|
| Rate for Payer: Healthscope Commercial |
$87.21
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$72.68
|
| Rate for Payer: Mclaren Medicaid |
$40.13
|
| Rate for Payer: Meridian Medicaid |
$42.13
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$25.44
|
| Rate for Payer: MI Amish Medical Board Commercial |
$27.86
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$82.36
|
| Rate for Payer: PACE Senior Care Partners |
$23.01
|
| Rate for Payer: PACE SWMI |
$24.22
|
| Rate for Payer: PHP Commercial |
$82.36
|
| Rate for Payer: PHP Medicare Advantage |
$24.22
|
| Rate for Payer: Priority Health Choice Medicaid |
$40.13
|
| Rate for Payer: Priority Health Cigna Priority Health |
$67.83
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$84.30
|
| Rate for Payer: Priority Health Medicare |
$24.22
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$59.10
|
| Rate for Payer: Railroad Medicare Medicare |
$24.22
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$85.27
|
| Rate for Payer: UHC Core |
$80.91
|
| Rate for Payer: UHC Dual Complete DSNP |
$24.22
|
| Rate for Payer: UHC Medicare Advantage |
$24.95
|
| Rate for Payer: VA VA |
$24.22
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$72.68
|
|
|
HC STRAPPING ELBOW OR WRIST
|
Facility
|
IP
|
$96.90
|
|
|
Service Code
|
CPT 29260
|
| Hospital Charge Code |
42000002
|
|
Hospital Revenue Code
|
420
|
| Min. Negotiated Rate |
$59.10 |
| Max. Negotiated Rate |
$87.21 |
| Rate for Payer: Aetna Commercial |
$82.36
|
| Rate for Payer: BCBS Trust/PPO |
$74.88
|
| Rate for Payer: BCN Commercial |
$74.88
|
| Rate for Payer: Cash Price |
$77.52
|
| Rate for Payer: Cofinity Commercial |
$83.33
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$77.52
|
| Rate for Payer: Healthscope Commercial |
$87.21
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$72.68
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$82.36
|
| Rate for Payer: PHP Commercial |
$82.36
|
| Rate for Payer: Priority Health Cigna Priority Health |
$67.83
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$84.30
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$59.10
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$85.27
|
| Rate for Payer: UHC Core |
$80.91
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$72.68
|
|
|
HC STRAPPING HAND OR FINGER
|
Facility
|
OP
|
$108.87
|
|
|
Service Code
|
CPT 29280
|
| Hospital Charge Code |
43000006
|
|
Hospital Revenue Code
|
430
|
| Min. Negotiated Rate |
$25.86 |
| Max. Negotiated Rate |
$97.98 |
| Rate for Payer: Aetna Commercial |
$92.54
|
| Rate for Payer: Aetna Medicare |
$28.31
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$34.02
|
| Rate for Payer: Amish Plain Church Group Commercial |
$34.02
|
| Rate for Payer: BCBS Complete |
$42.13
|
| Rate for Payer: BCBS MAPPO |
$27.22
|
| Rate for Payer: BCBS Trust/PPO |
$84.65
|
| Rate for Payer: BCN Commercial |
$84.65
|
| Rate for Payer: BCN Medicare Advantage |
$27.22
|
| Rate for Payer: Cash Price |
$87.10
|
| Rate for Payer: Cash Price |
$87.10
|
| Rate for Payer: Cofinity Commercial |
$93.63
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$87.10
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$27.22
|
| Rate for Payer: Healthscope Commercial |
$97.98
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$81.65
|
| Rate for Payer: Mclaren Medicaid |
$40.13
|
| Rate for Payer: Meridian Medicaid |
$42.13
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$28.58
|
| Rate for Payer: MI Amish Medical Board Commercial |
$31.30
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$92.54
|
| Rate for Payer: PACE Senior Care Partners |
$25.86
|
| Rate for Payer: PACE SWMI |
$27.22
|
| Rate for Payer: PHP Commercial |
$92.54
|
| Rate for Payer: PHP Medicare Advantage |
$27.22
|
| Rate for Payer: Priority Health Choice Medicaid |
$40.13
|
| Rate for Payer: Priority Health Cigna Priority Health |
$76.21
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$94.72
|
| Rate for Payer: Priority Health Medicare |
$27.22
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$66.40
|
| Rate for Payer: Railroad Medicare Medicare |
$27.22
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$95.81
|
| Rate for Payer: UHC Core |
$90.91
|
| Rate for Payer: UHC Dual Complete DSNP |
$27.22
|
| Rate for Payer: UHC Medicare Advantage |
$28.03
|
| Rate for Payer: VA VA |
$27.22
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$81.65
|
|
|
HC STRAPPING HAND OR FINGER
|
Facility
|
IP
|
$108.87
|
|
|
Service Code
|
CPT 29280
|
| Hospital Charge Code |
43000006
|
|
Hospital Revenue Code
|
430
|
| Min. Negotiated Rate |
$66.40 |
| Max. Negotiated Rate |
$97.98 |
| Rate for Payer: Aetna Commercial |
$92.54
|
| Rate for Payer: BCBS Trust/PPO |
$84.13
|
| Rate for Payer: BCN Commercial |
$84.13
|
| Rate for Payer: Cash Price |
$87.10
|
| Rate for Payer: Cofinity Commercial |
$93.63
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$87.10
|
| Rate for Payer: Healthscope Commercial |
$97.98
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$81.65
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$92.54
|
| Rate for Payer: PHP Commercial |
$92.54
|
| Rate for Payer: Priority Health Cigna Priority Health |
$76.21
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$94.72
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$66.40
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$95.81
|
| Rate for Payer: UHC Core |
$90.91
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$81.65
|
|
|
HC STRAPPING HIP
|
Facility
|
IP
|
$120.95
|
|
|
Service Code
|
CPT 29520
|
| Hospital Charge Code |
42000003
|
|
Hospital Revenue Code
|
420
|
| Min. Negotiated Rate |
$73.77 |
| Max. Negotiated Rate |
$108.86 |
| Rate for Payer: Aetna Commercial |
$102.81
|
| Rate for Payer: BCBS Trust/PPO |
$93.47
|
| Rate for Payer: BCN Commercial |
$93.47
|
| Rate for Payer: Cash Price |
$96.76
|
| Rate for Payer: Cofinity Commercial |
$104.02
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$96.76
|
| Rate for Payer: Healthscope Commercial |
$108.86
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$90.71
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$102.81
|
| Rate for Payer: PHP Commercial |
$102.81
|
| Rate for Payer: Priority Health Cigna Priority Health |
$84.66
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$105.23
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$73.77
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$106.44
|
| Rate for Payer: UHC Core |
$100.99
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$90.71
|
|
|
HC STRAPPING HIP
|
Facility
|
OP
|
$120.95
|
|
|
Service Code
|
CPT 29520
|
| Hospital Charge Code |
42000003
|
|
Hospital Revenue Code
|
420
|
| Min. Negotiated Rate |
$28.73 |
| Max. Negotiated Rate |
$108.86 |
| Rate for Payer: Aetna Commercial |
$102.81
|
| Rate for Payer: Aetna Medicare |
$31.45
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$37.80
|
| Rate for Payer: Amish Plain Church Group Commercial |
$37.80
|
| Rate for Payer: BCBS Complete |
$87.99
|
| Rate for Payer: BCBS MAPPO |
$30.24
|
| Rate for Payer: BCBS Trust/PPO |
$94.04
|
| Rate for Payer: BCN Commercial |
$94.04
|
| Rate for Payer: BCN Medicare Advantage |
$30.24
|
| Rate for Payer: Cash Price |
$96.76
|
| Rate for Payer: Cash Price |
$96.76
|
| Rate for Payer: Cofinity Commercial |
$104.02
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$96.76
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$30.24
|
| Rate for Payer: Healthscope Commercial |
$108.86
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$90.71
|
| Rate for Payer: Mclaren Medicaid |
$83.80
|
| Rate for Payer: Meridian Medicaid |
$87.99
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$31.75
|
| Rate for Payer: MI Amish Medical Board Commercial |
$34.77
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$102.81
|
| Rate for Payer: PACE Senior Care Partners |
$28.73
|
| Rate for Payer: PACE SWMI |
$30.24
|
| Rate for Payer: PHP Commercial |
$102.81
|
| Rate for Payer: PHP Medicare Advantage |
$30.24
|
| Rate for Payer: Priority Health Choice Medicaid |
$83.80
|
| Rate for Payer: Priority Health Cigna Priority Health |
$84.66
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$105.23
|
| Rate for Payer: Priority Health Medicare |
$30.24
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$73.77
|
| Rate for Payer: Railroad Medicare Medicare |
$30.24
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$106.44
|
| Rate for Payer: UHC Core |
$100.99
|
| Rate for Payer: UHC Dual Complete DSNP |
$30.24
|
| Rate for Payer: UHC Medicare Advantage |
$31.14
|
| Rate for Payer: VA VA |
$30.24
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$90.71
|
|
|
HC STRAPPING KNEE
|
Facility
|
IP
|
$153.00
|
|
|
Service Code
|
CPT 29530
|
| Hospital Charge Code |
42000004
|
|
Hospital Revenue Code
|
420
|
| Min. Negotiated Rate |
$93.31 |
| Max. Negotiated Rate |
$137.70 |
| Rate for Payer: Aetna Commercial |
$130.05
|
| Rate for Payer: BCBS Trust/PPO |
$118.24
|
| Rate for Payer: BCN Commercial |
$118.24
|
| Rate for Payer: Cash Price |
$122.40
|
| Rate for Payer: Cofinity Commercial |
$131.58
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$122.40
|
| Rate for Payer: Healthscope Commercial |
$137.70
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$114.75
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$130.05
|
| Rate for Payer: PHP Commercial |
$130.05
|
| Rate for Payer: Priority Health Cigna Priority Health |
$107.10
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$133.11
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$93.31
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$134.64
|
| Rate for Payer: UHC Core |
$127.76
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$114.75
|
|
|
HC STRAPPING KNEE
|
Facility
|
OP
|
$153.00
|
|
|
Service Code
|
CPT 29530
|
| Hospital Charge Code |
42000004
|
|
Hospital Revenue Code
|
420
|
| Min. Negotiated Rate |
$36.34 |
| Max. Negotiated Rate |
$137.70 |
| Rate for Payer: Aetna Commercial |
$130.05
|
| Rate for Payer: Aetna Medicare |
$39.78
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$47.81
|
| Rate for Payer: Amish Plain Church Group Commercial |
$47.81
|
| Rate for Payer: BCBS Complete |
$87.99
|
| Rate for Payer: BCBS MAPPO |
$38.25
|
| Rate for Payer: BCBS Trust/PPO |
$118.96
|
| Rate for Payer: BCN Commercial |
$118.96
|
| Rate for Payer: BCN Medicare Advantage |
$38.25
|
| Rate for Payer: Cash Price |
$122.40
|
| Rate for Payer: Cash Price |
$122.40
|
| Rate for Payer: Cofinity Commercial |
$131.58
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$122.40
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$38.25
|
| Rate for Payer: Healthscope Commercial |
$137.70
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$114.75
|
| Rate for Payer: Mclaren Medicaid |
$83.80
|
| Rate for Payer: Meridian Medicaid |
$87.99
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$40.16
|
| Rate for Payer: MI Amish Medical Board Commercial |
$43.99
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$130.05
|
| Rate for Payer: PACE Senior Care Partners |
$36.34
|
| Rate for Payer: PACE SWMI |
$38.25
|
| Rate for Payer: PHP Commercial |
$130.05
|
| Rate for Payer: PHP Medicare Advantage |
$38.25
|
| Rate for Payer: Priority Health Choice Medicaid |
$83.80
|
| Rate for Payer: Priority Health Cigna Priority Health |
$107.10
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$133.11
|
| Rate for Payer: Priority Health Medicare |
$38.25
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$93.31
|
| Rate for Payer: Railroad Medicare Medicare |
$38.25
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$134.64
|
| Rate for Payer: UHC Core |
$127.76
|
| Rate for Payer: UHC Dual Complete DSNP |
$38.25
|
| Rate for Payer: UHC Medicare Advantage |
$39.40
|
| Rate for Payer: VA VA |
$38.25
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$114.75
|
|
|
HC STRAPPING SHOULDER
|
Facility
|
IP
|
$106.59
|
|
|
Service Code
|
CPT 29240
|
| Hospital Charge Code |
42000001
|
|
Hospital Revenue Code
|
420
|
| Min. Negotiated Rate |
$65.01 |
| Max. Negotiated Rate |
$95.93 |
| Rate for Payer: Aetna Commercial |
$90.60
|
| Rate for Payer: BCBS Trust/PPO |
$82.37
|
| Rate for Payer: BCN Commercial |
$82.37
|
| Rate for Payer: Cash Price |
$85.27
|
| Rate for Payer: Cofinity Commercial |
$91.67
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$85.27
|
| Rate for Payer: Healthscope Commercial |
$95.93
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$79.94
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$90.60
|
| Rate for Payer: PHP Commercial |
$90.60
|
| Rate for Payer: Priority Health Cigna Priority Health |
$74.61
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$92.73
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$65.01
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$93.80
|
| Rate for Payer: UHC Core |
$89.00
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$79.94
|
|
|
HC STRAPPING SHOULDER
|
Facility
|
OP
|
$106.59
|
|
|
Service Code
|
CPT 29240
|
| Hospital Charge Code |
42000001
|
|
Hospital Revenue Code
|
420
|
| Min. Negotiated Rate |
$25.32 |
| Max. Negotiated Rate |
$95.93 |
| Rate for Payer: Aetna Commercial |
$90.60
|
| Rate for Payer: Aetna Medicare |
$27.71
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$33.31
|
| Rate for Payer: Amish Plain Church Group Commercial |
$33.31
|
| Rate for Payer: BCBS Complete |
$87.99
|
| Rate for Payer: BCBS MAPPO |
$26.65
|
| Rate for Payer: BCBS Trust/PPO |
$82.87
|
| Rate for Payer: BCN Commercial |
$82.87
|
| Rate for Payer: BCN Medicare Advantage |
$26.65
|
| Rate for Payer: Cash Price |
$85.27
|
| Rate for Payer: Cash Price |
$85.27
|
| Rate for Payer: Cofinity Commercial |
$91.67
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$85.27
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$26.65
|
| Rate for Payer: Healthscope Commercial |
$95.93
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$79.94
|
| Rate for Payer: Mclaren Medicaid |
$83.80
|
| Rate for Payer: Meridian Medicaid |
$87.99
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$27.98
|
| Rate for Payer: MI Amish Medical Board Commercial |
$30.64
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$90.60
|
| Rate for Payer: PACE Senior Care Partners |
$25.32
|
| Rate for Payer: PACE SWMI |
$26.65
|
| Rate for Payer: PHP Commercial |
$90.60
|
| Rate for Payer: PHP Medicare Advantage |
$26.65
|
| Rate for Payer: Priority Health Choice Medicaid |
$83.80
|
| Rate for Payer: Priority Health Cigna Priority Health |
$74.61
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$92.73
|
| Rate for Payer: Priority Health Medicare |
$26.65
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$65.01
|
| Rate for Payer: Railroad Medicare Medicare |
$26.65
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$93.80
|
| Rate for Payer: UHC Core |
$89.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$26.65
|
| Rate for Payer: UHC Medicare Advantage |
$27.45
|
| Rate for Payer: VA VA |
$26.65
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$79.94
|
|
