|
HC MNT REASSESS & INTERVENT 15 MIN
|
Facility
|
OP
|
$122.56
|
|
|
Service Code
|
CPT 97803
|
| Hospital Charge Code |
94200003
|
|
Hospital Revenue Code
|
942
|
| Min. Negotiated Rate |
$29.11 |
| Max. Negotiated Rate |
$110.30 |
| Rate for Payer: Aetna Commercial |
$104.18
|
| Rate for Payer: Aetna Medicare |
$31.87
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$38.30
|
| Rate for Payer: Amish Plain Church Group Commercial |
$38.30
|
| Rate for Payer: BCBS Complete |
$49.02
|
| Rate for Payer: BCBS MAPPO |
$30.64
|
| Rate for Payer: BCBS Trust/PPO |
$100.76
|
| Rate for Payer: BCN Commercial |
$95.29
|
| Rate for Payer: BCN Medicare Advantage |
$30.64
|
| Rate for Payer: Cash Price |
$98.05
|
| Rate for Payer: Cofinity Commercial |
$105.40
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$98.05
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$30.64
|
| Rate for Payer: Healthscope Commercial |
$110.30
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$91.92
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$32.17
|
| Rate for Payer: MI Amish Medical Board Commercial |
$35.24
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$104.18
|
| Rate for Payer: Nomi Health Commercial |
$100.50
|
| Rate for Payer: PACE Senior Care Partners |
$29.11
|
| Rate for Payer: PACE SWMI |
$30.64
|
| Rate for Payer: PHP Commercial |
$104.18
|
| Rate for Payer: PHP Medicare Advantage |
$30.64
|
| Rate for Payer: Priority Health Cigna Priority Health |
$79.66
|
| Rate for Payer: Priority Health HMO/PPO |
$106.63
|
| Rate for Payer: Priority Health Medicare |
$30.95
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$82.12
|
| Rate for Payer: Railroad Medicare Medicare |
$30.64
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$107.85
|
| Rate for Payer: UHC Core |
$102.34
|
| Rate for Payer: UHC Dual Complete DSNP |
$30.64
|
| Rate for Payer: UHC Exchange |
$30.64
|
| Rate for Payer: UHC Medicare Advantage |
$30.64
|
| Rate for Payer: VA VA |
$30.64
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$91.92
|
|
|
HC MOG FACS, S
|
Facility
|
IP
|
$535.50
|
|
|
Service Code
|
CPT 86255
|
| Hospital Charge Code |
30200476
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$348.07 |
| Max. Negotiated Rate |
$481.95 |
| Rate for Payer: Aetna Commercial |
$455.18
|
| Rate for Payer: BCBS Trust/PPO |
$437.13
|
| Rate for Payer: BCN Commercial |
$413.83
|
| Rate for Payer: Cash Price |
$428.40
|
| Rate for Payer: Cofinity Commercial |
$460.53
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$428.40
|
| Rate for Payer: Healthscope Commercial |
$481.95
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$401.62
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$455.18
|
| Rate for Payer: Nomi Health Commercial |
$439.11
|
| Rate for Payer: PHP Commercial |
$455.18
|
| Rate for Payer: Priority Health Cigna Priority Health |
$348.07
|
| Rate for Payer: Priority Health HMO/PPO |
$465.88
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$358.79
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$471.24
|
| Rate for Payer: UHC Core |
$447.14
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$401.62
|
|
|
HC MOG FACS, S
|
Facility
|
OP
|
$535.50
|
|
|
Service Code
|
CPT 86255
|
| Hospital Charge Code |
30200476
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$8.71 |
| Max. Negotiated Rate |
$481.95 |
| Rate for Payer: Aetna Commercial |
$455.18
|
| Rate for Payer: Aetna Medicare |
$139.23
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$167.34
|
| Rate for Payer: Amish Plain Church Group Commercial |
$167.34
|
| Rate for Payer: BCBS Complete |
$9.15
|
| Rate for Payer: BCBS MAPPO |
$133.88
|
| Rate for Payer: BCBS Trust/PPO |
$440.23
|
| Rate for Payer: BCN Commercial |
$416.35
|
| Rate for Payer: BCN Medicare Advantage |
$133.88
|
| Rate for Payer: Cash Price |
$428.40
|
| Rate for Payer: Cash Price |
$428.40
|
| Rate for Payer: Cofinity Commercial |
$460.53
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$428.40
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$133.88
|
| Rate for Payer: Healthscope Commercial |
$481.95
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$401.62
|
| Rate for Payer: Mclaren Medicaid |
$8.71
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$140.57
|
| Rate for Payer: Meridian Medicaid |
$9.15
|
| Rate for Payer: MI Amish Medical Board Commercial |
$153.96
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$455.18
|
| Rate for Payer: Nomi Health Commercial |
$439.11
|
| Rate for Payer: PACE Senior Care Partners |
$127.18
|
| Rate for Payer: PACE SWMI |
$133.88
|
| Rate for Payer: PHP Commercial |
$455.18
|
| Rate for Payer: PHP Medicare Advantage |
$133.88
|
| Rate for Payer: Priority Health Choice Medicaid |
$8.71
|
| Rate for Payer: Priority Health Cigna Priority Health |
$348.07
|
| Rate for Payer: Priority Health HMO/PPO |
$465.88
|
| Rate for Payer: Priority Health Medicare |
$135.21
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$358.79
|
| Rate for Payer: Railroad Medicare Medicare |
$133.88
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$471.24
|
| Rate for Payer: UHC Core |
$447.14
|
| Rate for Payer: UHC Dual Complete DSNP |
$133.88
|
| Rate for Payer: UHC Exchange |
$133.88
|
| Rate for Payer: UHC Medicare Advantage |
$133.88
|
| Rate for Payer: UHCCP Medicaid |
$8.71
|
| Rate for Payer: VA VA |
$133.88
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$401.62
|
|
|
HC MOG FACS TITER, S
|
Facility
|
IP
|
$76.50
|
|
|
Service Code
|
CPT 86256
|
| Hospital Charge Code |
30200477
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$49.73 |
| Max. Negotiated Rate |
$68.85 |
| Rate for Payer: Aetna Commercial |
$65.03
|
| Rate for Payer: BCBS Trust/PPO |
$62.45
|
| Rate for Payer: BCN Commercial |
$59.12
|
| Rate for Payer: Cash Price |
$61.20
|
| Rate for Payer: Cofinity Commercial |
$65.79
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$61.20
|
| Rate for Payer: Healthscope Commercial |
$68.85
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$57.38
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$65.03
|
| Rate for Payer: Nomi Health Commercial |
$62.73
|
| Rate for Payer: PHP Commercial |
$65.03
|
| Rate for Payer: Priority Health Cigna Priority Health |
$49.73
|
| Rate for Payer: Priority Health HMO/PPO |
$66.56
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$51.26
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$67.32
|
| Rate for Payer: UHC Core |
$63.88
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$57.38
|
|
|
HC MOG FACS TITER, S
|
Facility
|
OP
|
$76.50
|
|
|
Service Code
|
CPT 86256
|
| Hospital Charge Code |
30200477
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$8.71 |
| Max. Negotiated Rate |
$68.85 |
| Rate for Payer: Aetna Commercial |
$65.03
|
| Rate for Payer: Aetna Medicare |
$19.89
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$23.91
|
| Rate for Payer: Amish Plain Church Group Commercial |
$23.91
|
| Rate for Payer: BCBS Complete |
$9.15
|
| Rate for Payer: BCBS MAPPO |
$19.12
|
| Rate for Payer: BCBS Trust/PPO |
$62.89
|
| Rate for Payer: BCN Commercial |
$59.48
|
| Rate for Payer: BCN Medicare Advantage |
$19.12
|
| Rate for Payer: Cash Price |
$61.20
|
| Rate for Payer: Cash Price |
$61.20
|
| Rate for Payer: Cofinity Commercial |
$65.79
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$61.20
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$19.12
|
| Rate for Payer: Healthscope Commercial |
$68.85
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$57.38
|
| Rate for Payer: Mclaren Medicaid |
$8.71
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$20.08
|
| Rate for Payer: Meridian Medicaid |
$9.15
|
| Rate for Payer: MI Amish Medical Board Commercial |
$21.99
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$65.03
|
| Rate for Payer: Nomi Health Commercial |
$62.73
|
| Rate for Payer: PACE Senior Care Partners |
$18.17
|
| Rate for Payer: PACE SWMI |
$19.12
|
| Rate for Payer: PHP Commercial |
$65.03
|
| Rate for Payer: PHP Medicare Advantage |
$19.12
|
| Rate for Payer: Priority Health Choice Medicaid |
$8.71
|
| Rate for Payer: Priority Health Cigna Priority Health |
$49.73
|
| Rate for Payer: Priority Health HMO/PPO |
$66.56
|
| Rate for Payer: Priority Health Medicare |
$19.32
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$51.26
|
| Rate for Payer: Railroad Medicare Medicare |
$19.12
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$67.32
|
| Rate for Payer: UHC Core |
$63.88
|
| Rate for Payer: UHC Dual Complete DSNP |
$19.12
|
| Rate for Payer: UHC Exchange |
$19.12
|
| Rate for Payer: UHC Medicare Advantage |
$19.12
|
| Rate for Payer: UHCCP Medicaid |
$8.71
|
| Rate for Payer: VA VA |
$19.12
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$57.38
|
|
|
HC MONITOR DOWNLOAD
|
Facility
|
OP
|
$755.95
|
|
|
Service Code
|
CPT 94776
|
| Hospital Charge Code |
41000013
|
|
Hospital Revenue Code
|
410
|
| Min. Negotiated Rate |
$113.12 |
| Max. Negotiated Rate |
$680.36 |
| Rate for Payer: Aetna Commercial |
$642.56
|
| Rate for Payer: Aetna Medicare |
$196.55
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$236.23
|
| Rate for Payer: Amish Plain Church Group Commercial |
$236.23
|
| Rate for Payer: BCBS Complete |
$118.78
|
| Rate for Payer: BCBS MAPPO |
$188.99
|
| Rate for Payer: BCBS Trust/PPO |
$621.47
|
| Rate for Payer: BCN Commercial |
$587.75
|
| Rate for Payer: BCN Medicare Advantage |
$188.99
|
| Rate for Payer: Cash Price |
$604.76
|
| Rate for Payer: Cash Price |
$604.76
|
| Rate for Payer: Cofinity Commercial |
$650.12
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$604.76
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$188.99
|
| Rate for Payer: Healthscope Commercial |
$680.36
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$566.96
|
| Rate for Payer: Mclaren Medicaid |
$113.12
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$198.44
|
| Rate for Payer: Meridian Medicaid |
$118.78
|
| Rate for Payer: MI Amish Medical Board Commercial |
$217.34
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$642.56
|
| Rate for Payer: Nomi Health Commercial |
$619.88
|
| Rate for Payer: PACE Senior Care Partners |
$179.54
|
| Rate for Payer: PACE SWMI |
$188.99
|
| Rate for Payer: PHP Commercial |
$642.56
|
| Rate for Payer: PHP Medicare Advantage |
$188.99
|
| Rate for Payer: Priority Health Choice Medicaid |
$113.12
|
| Rate for Payer: Priority Health Cigna Priority Health |
$491.37
|
| Rate for Payer: Priority Health HMO/PPO |
$657.68
|
| Rate for Payer: Priority Health Medicare |
$190.88
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$506.49
|
| Rate for Payer: Railroad Medicare Medicare |
$188.99
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$665.24
|
| Rate for Payer: UHC Core |
$631.22
|
| Rate for Payer: UHC Dual Complete DSNP |
$188.99
|
| Rate for Payer: UHC Exchange |
$188.99
|
| Rate for Payer: UHC Medicare Advantage |
$188.99
|
| Rate for Payer: UHCCP Medicaid |
$113.12
|
| Rate for Payer: VA VA |
$188.99
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$566.96
|
|
|
HC MONITOR DOWNLOAD
|
Facility
|
IP
|
$755.95
|
|
|
Service Code
|
CPT 94776
|
| Hospital Charge Code |
41000013
|
|
Hospital Revenue Code
|
410
|
| Min. Negotiated Rate |
$491.37 |
| Max. Negotiated Rate |
$680.36 |
| Rate for Payer: Aetna Commercial |
$642.56
|
| Rate for Payer: BCBS Trust/PPO |
$617.08
|
| Rate for Payer: BCN Commercial |
$584.20
|
| Rate for Payer: Cash Price |
$604.76
|
| Rate for Payer: Cofinity Commercial |
$650.12
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$604.76
|
| Rate for Payer: Healthscope Commercial |
$680.36
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$566.96
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$642.56
|
| Rate for Payer: Nomi Health Commercial |
$619.88
|
| Rate for Payer: PHP Commercial |
$642.56
|
| Rate for Payer: Priority Health Cigna Priority Health |
$491.37
|
| Rate for Payer: Priority Health HMO/PPO |
$657.68
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$506.49
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$665.24
|
| Rate for Payer: UHC Core |
$631.22
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$566.96
|
|
|
HC MONITORED EXERCISE
|
Facility
|
OP
|
$244.93
|
|
|
Service Code
|
CPT 93798
|
| Hospital Charge Code |
94300001
|
|
Hospital Revenue Code
|
943
|
| Min. Negotiated Rate |
$58.17 |
| Max. Negotiated Rate |
$220.44 |
| Rate for Payer: Aetna Commercial |
$208.19
|
| Rate for Payer: Aetna Medicare |
$63.68
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$76.54
|
| Rate for Payer: Amish Plain Church Group Commercial |
$76.54
|
| Rate for Payer: BCBS Complete |
$95.59
|
| Rate for Payer: BCBS MAPPO |
$61.23
|
| Rate for Payer: BCBS Trust/PPO |
$201.36
|
| Rate for Payer: BCN Commercial |
$190.43
|
| Rate for Payer: BCN Medicare Advantage |
$61.23
|
| Rate for Payer: Cash Price |
$195.94
|
| Rate for Payer: Cash Price |
$195.94
|
| Rate for Payer: Cofinity Commercial |
$210.64
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$195.94
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$61.23
|
| Rate for Payer: Healthscope Commercial |
$220.44
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$183.70
|
| Rate for Payer: Mclaren Medicaid |
$91.03
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$64.29
|
| Rate for Payer: Meridian Medicaid |
$95.59
|
| Rate for Payer: MI Amish Medical Board Commercial |
$70.42
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$208.19
|
| Rate for Payer: Nomi Health Commercial |
$200.84
|
| Rate for Payer: PACE Senior Care Partners |
$58.17
|
| Rate for Payer: PACE SWMI |
$61.23
|
| Rate for Payer: PHP Commercial |
$208.19
|
| Rate for Payer: PHP Medicare Advantage |
$61.23
|
| Rate for Payer: Priority Health Choice Medicaid |
$91.03
|
| Rate for Payer: Priority Health Cigna Priority Health |
$159.20
|
| Rate for Payer: Priority Health HMO/PPO |
$213.09
|
| Rate for Payer: Priority Health Medicare |
$61.84
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$164.10
|
| Rate for Payer: Railroad Medicare Medicare |
$61.23
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$215.54
|
| Rate for Payer: UHC Core |
$204.52
|
| Rate for Payer: UHC Dual Complete DSNP |
$61.23
|
| Rate for Payer: UHC Exchange |
$61.23
|
| Rate for Payer: UHC Medicare Advantage |
$61.23
|
| Rate for Payer: UHCCP Medicaid |
$91.03
|
| Rate for Payer: VA VA |
$61.23
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$183.70
|
|
|
HC MONITORED EXERCISE
|
Facility
|
IP
|
$244.93
|
|
|
Service Code
|
CPT 93798
|
| Hospital Charge Code |
94300001
|
|
Hospital Revenue Code
|
943
|
| Min. Negotiated Rate |
$159.20 |
| Max. Negotiated Rate |
$220.44 |
| Rate for Payer: Aetna Commercial |
$208.19
|
| Rate for Payer: BCBS Trust/PPO |
$199.94
|
| Rate for Payer: BCN Commercial |
$189.28
|
| Rate for Payer: Cash Price |
$195.94
|
| Rate for Payer: Cofinity Commercial |
$210.64
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$195.94
|
| Rate for Payer: Healthscope Commercial |
$220.44
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$183.70
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$208.19
|
| Rate for Payer: Nomi Health Commercial |
$200.84
|
| Rate for Payer: PHP Commercial |
$208.19
|
| Rate for Payer: Priority Health Cigna Priority Health |
$159.20
|
| Rate for Payer: Priority Health HMO/PPO |
$213.09
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$164.10
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$215.54
|
| Rate for Payer: UHC Core |
$204.52
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$183.70
|
|
|
HC MONITOR SET QUICK PRESSURE
|
Facility
|
IP
|
$437.50
|
|
| Hospital Charge Code |
27000707
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$284.38 |
| Max. Negotiated Rate |
$393.75 |
| Rate for Payer: Aetna Commercial |
$371.88
|
| Rate for Payer: BCBS Trust/PPO |
$357.13
|
| Rate for Payer: BCN Commercial |
$338.10
|
| Rate for Payer: Cash Price |
$350.00
|
| Rate for Payer: Cofinity Commercial |
$376.25
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$350.00
|
| Rate for Payer: Healthscope Commercial |
$393.75
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$328.12
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$371.88
|
| Rate for Payer: Nomi Health Commercial |
$358.75
|
| Rate for Payer: PHP Commercial |
$371.88
|
| Rate for Payer: Priority Health Cigna Priority Health |
$284.38
|
| Rate for Payer: Priority Health HMO/PPO |
$380.62
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$293.12
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$385.00
|
| Rate for Payer: UHC Core |
$365.31
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$328.12
|
|
|
HC MONITOR SET QUICK PRESSURE
|
Facility
|
OP
|
$437.50
|
|
| Hospital Charge Code |
27000707
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$103.91 |
| Max. Negotiated Rate |
$393.75 |
| Rate for Payer: Aetna Commercial |
$371.88
|
| Rate for Payer: Aetna Medicare |
$113.75
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$136.72
|
| Rate for Payer: Amish Plain Church Group Commercial |
$136.72
|
| Rate for Payer: BCBS Complete |
$175.00
|
| Rate for Payer: BCBS MAPPO |
$109.38
|
| Rate for Payer: BCBS Trust/PPO |
$359.67
|
| Rate for Payer: BCN Commercial |
$340.16
|
| Rate for Payer: BCN Medicare Advantage |
$109.38
|
| Rate for Payer: Cash Price |
$350.00
|
| Rate for Payer: Cofinity Commercial |
$376.25
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$350.00
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$109.38
|
| Rate for Payer: Healthscope Commercial |
$393.75
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$328.12
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$114.84
|
| Rate for Payer: MI Amish Medical Board Commercial |
$125.78
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$371.88
|
| Rate for Payer: Nomi Health Commercial |
$358.75
|
| Rate for Payer: PACE Senior Care Partners |
$103.91
|
| Rate for Payer: PACE SWMI |
$109.38
|
| Rate for Payer: PHP Commercial |
$371.88
|
| Rate for Payer: PHP Medicare Advantage |
$109.38
|
| Rate for Payer: Priority Health Cigna Priority Health |
$284.38
|
| Rate for Payer: Priority Health HMO/PPO |
$380.62
|
| Rate for Payer: Priority Health Medicare |
$110.47
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$293.12
|
| Rate for Payer: Railroad Medicare Medicare |
$109.38
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$385.00
|
| Rate for Payer: UHC Core |
$365.31
|
| Rate for Payer: UHC Dual Complete DSNP |
$109.38
|
| Rate for Payer: UHC Exchange |
$109.38
|
| Rate for Payer: UHC Medicare Advantage |
$109.38
|
| Rate for Payer: VA VA |
$109.38
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$328.12
|
|
|
HC MONO SCREENING MONOSPOT
|
Facility
|
OP
|
$26.01
|
|
|
Service Code
|
CPT 86308
|
| Hospital Charge Code |
30200186
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$3.75 |
| Max. Negotiated Rate |
$23.41 |
| Rate for Payer: Aetna Commercial |
$22.11
|
| Rate for Payer: Aetna Medicare |
$6.76
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$8.13
|
| Rate for Payer: Amish Plain Church Group Commercial |
$8.13
|
| Rate for Payer: BCBS Complete |
$3.93
|
| Rate for Payer: BCBS MAPPO |
$6.50
|
| Rate for Payer: BCBS Trust/PPO |
$21.38
|
| Rate for Payer: BCN Commercial |
$20.22
|
| Rate for Payer: BCN Medicare Advantage |
$6.50
|
| Rate for Payer: Cash Price |
$20.81
|
| Rate for Payer: Cash Price |
$20.81
|
| Rate for Payer: Cofinity Commercial |
$22.37
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$20.81
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$6.50
|
| Rate for Payer: Healthscope Commercial |
$23.41
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$19.51
|
| Rate for Payer: Mclaren Medicaid |
$3.75
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$6.83
|
| Rate for Payer: Meridian Medicaid |
$3.93
|
| Rate for Payer: MI Amish Medical Board Commercial |
$7.48
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$22.11
|
| Rate for Payer: Nomi Health Commercial |
$21.33
|
| Rate for Payer: PACE Senior Care Partners |
$6.18
|
| Rate for Payer: PACE SWMI |
$6.50
|
| Rate for Payer: PHP Commercial |
$22.11
|
| Rate for Payer: PHP Medicare Advantage |
$6.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$3.75
|
| Rate for Payer: Priority Health Cigna Priority Health |
$16.91
|
| Rate for Payer: Priority Health HMO/PPO |
$22.63
|
| Rate for Payer: Priority Health Medicare |
$6.57
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$17.43
|
| Rate for Payer: Railroad Medicare Medicare |
$6.50
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$22.89
|
| Rate for Payer: UHC Core |
$21.72
|
| Rate for Payer: UHC Dual Complete DSNP |
$6.50
|
| Rate for Payer: UHC Exchange |
$6.50
|
| Rate for Payer: UHC Medicare Advantage |
$6.50
|
| Rate for Payer: UHCCP Medicaid |
$3.75
|
| Rate for Payer: VA VA |
$6.50
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$19.51
|
|
|
HC MONO SCREENING MONOSPOT
|
Facility
|
IP
|
$26.01
|
|
|
Service Code
|
CPT 86308
|
| Hospital Charge Code |
30200186
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$16.91 |
| Max. Negotiated Rate |
$23.41 |
| Rate for Payer: Aetna Commercial |
$22.11
|
| Rate for Payer: BCBS Trust/PPO |
$21.23
|
| Rate for Payer: BCN Commercial |
$20.10
|
| Rate for Payer: Cash Price |
$20.81
|
| Rate for Payer: Cofinity Commercial |
$22.37
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$20.81
|
| Rate for Payer: Healthscope Commercial |
$23.41
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$19.51
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$22.11
|
| Rate for Payer: Nomi Health Commercial |
$21.33
|
| Rate for Payer: PHP Commercial |
$22.11
|
| Rate for Payer: Priority Health Cigna Priority Health |
$16.91
|
| Rate for Payer: Priority Health HMO/PPO |
$22.63
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$17.43
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$22.89
|
| Rate for Payer: UHC Core |
$21.72
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$19.51
|
|
|
HC MORPHINE LVL
|
Facility
|
OP
|
$119.34
|
|
|
Service Code
|
CPT 80361
|
| Hospital Charge Code |
30100578
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$28.34 |
| Max. Negotiated Rate |
$107.41 |
| Rate for Payer: Aetna Commercial |
$101.44
|
| Rate for Payer: Aetna Medicare |
$31.03
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$37.29
|
| Rate for Payer: Amish Plain Church Group Commercial |
$37.29
|
| Rate for Payer: BCBS Complete |
$47.74
|
| Rate for Payer: BCBS MAPPO |
$29.84
|
| Rate for Payer: BCBS Trust/PPO |
$98.11
|
| Rate for Payer: BCN Commercial |
$92.79
|
| Rate for Payer: BCN Medicare Advantage |
$29.84
|
| Rate for Payer: Cash Price |
$95.47
|
| Rate for Payer: Cofinity Commercial |
$102.63
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$95.47
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$29.84
|
| Rate for Payer: Healthscope Commercial |
$107.41
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$89.50
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$31.33
|
| Rate for Payer: MI Amish Medical Board Commercial |
$34.31
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$101.44
|
| Rate for Payer: Nomi Health Commercial |
$97.86
|
| Rate for Payer: PACE Senior Care Partners |
$28.34
|
| Rate for Payer: PACE SWMI |
$29.84
|
| Rate for Payer: PHP Commercial |
$101.44
|
| Rate for Payer: PHP Medicare Advantage |
$29.84
|
| Rate for Payer: Priority Health Cigna Priority Health |
$77.57
|
| Rate for Payer: Priority Health HMO/PPO |
$103.83
|
| Rate for Payer: Priority Health Medicare |
$30.13
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$79.96
|
| Rate for Payer: Railroad Medicare Medicare |
$29.84
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$105.02
|
| Rate for Payer: UHC Core |
$99.65
|
| Rate for Payer: UHC Dual Complete DSNP |
$29.84
|
| Rate for Payer: UHC Exchange |
$29.84
|
| Rate for Payer: UHC Medicare Advantage |
$29.84
|
| Rate for Payer: VA VA |
$29.84
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$89.50
|
|
|
HC MORPHINE LVL
|
Facility
|
IP
|
$119.34
|
|
|
Service Code
|
CPT 80361
|
| Hospital Charge Code |
30100578
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$77.57 |
| Max. Negotiated Rate |
$107.41 |
| Rate for Payer: Aetna Commercial |
$101.44
|
| Rate for Payer: BCBS Trust/PPO |
$97.42
|
| Rate for Payer: BCN Commercial |
$92.23
|
| Rate for Payer: Cash Price |
$95.47
|
| Rate for Payer: Cofinity Commercial |
$102.63
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$95.47
|
| Rate for Payer: Healthscope Commercial |
$107.41
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$89.50
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$101.44
|
| Rate for Payer: Nomi Health Commercial |
$97.86
|
| Rate for Payer: PHP Commercial |
$101.44
|
| Rate for Payer: Priority Health Cigna Priority Health |
$77.57
|
| Rate for Payer: Priority Health HMO/PPO |
$103.83
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$79.96
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$105.02
|
| Rate for Payer: UHC Core |
$99.65
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$89.50
|
|
|
HC MOUSE IGE
|
Facility
|
IP
|
$25.39
|
|
|
Service Code
|
CPT 86003
|
| Hospital Charge Code |
30200048
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$16.50 |
| Max. Negotiated Rate |
$22.85 |
| Rate for Payer: Aetna Commercial |
$21.58
|
| Rate for Payer: BCBS Trust/PPO |
$20.73
|
| Rate for Payer: BCN Commercial |
$19.62
|
| Rate for Payer: Cash Price |
$20.31
|
| Rate for Payer: Cofinity Commercial |
$21.84
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$20.31
|
| Rate for Payer: Healthscope Commercial |
$22.85
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$19.04
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$21.58
|
| Rate for Payer: Nomi Health Commercial |
$20.82
|
| Rate for Payer: PHP Commercial |
$21.58
|
| Rate for Payer: Priority Health Cigna Priority Health |
$16.50
|
| Rate for Payer: Priority Health HMO/PPO |
$22.09
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$17.01
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$22.34
|
| Rate for Payer: UHC Core |
$21.20
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$19.04
|
|
|
HC MOUSE IGE
|
Facility
|
OP
|
$25.39
|
|
|
Service Code
|
CPT 86003
|
| Hospital Charge Code |
30200048
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$3.77 |
| Max. Negotiated Rate |
$22.85 |
| Rate for Payer: Aetna Commercial |
$21.58
|
| Rate for Payer: Aetna Medicare |
$6.60
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$7.93
|
| Rate for Payer: Amish Plain Church Group Commercial |
$7.93
|
| Rate for Payer: BCBS Complete |
$3.96
|
| Rate for Payer: BCBS MAPPO |
$6.35
|
| Rate for Payer: BCBS Trust/PPO |
$20.87
|
| Rate for Payer: BCN Commercial |
$19.74
|
| Rate for Payer: BCN Medicare Advantage |
$6.35
|
| Rate for Payer: Cash Price |
$20.31
|
| Rate for Payer: Cash Price |
$20.31
|
| Rate for Payer: Cofinity Commercial |
$21.84
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$20.31
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$6.35
|
| Rate for Payer: Healthscope Commercial |
$22.85
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$19.04
|
| Rate for Payer: Mclaren Medicaid |
$3.77
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$6.66
|
| Rate for Payer: Meridian Medicaid |
$3.96
|
| Rate for Payer: MI Amish Medical Board Commercial |
$7.30
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$21.58
|
| Rate for Payer: Nomi Health Commercial |
$20.82
|
| Rate for Payer: PACE Senior Care Partners |
$6.03
|
| Rate for Payer: PACE SWMI |
$6.35
|
| Rate for Payer: PHP Commercial |
$21.58
|
| Rate for Payer: PHP Medicare Advantage |
$6.35
|
| Rate for Payer: Priority Health Choice Medicaid |
$3.77
|
| Rate for Payer: Priority Health Cigna Priority Health |
$16.50
|
| Rate for Payer: Priority Health HMO/PPO |
$22.09
|
| Rate for Payer: Priority Health Medicare |
$6.41
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$17.01
|
| Rate for Payer: Railroad Medicare Medicare |
$6.35
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$22.34
|
| Rate for Payer: UHC Core |
$21.20
|
| Rate for Payer: UHC Dual Complete DSNP |
$6.35
|
| Rate for Payer: UHC Exchange |
$6.35
|
| Rate for Payer: UHC Medicare Advantage |
$6.35
|
| Rate for Payer: UHCCP Medicaid |
$3.77
|
| Rate for Payer: VA VA |
$6.35
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$19.04
|
|
|
HC MPCDS CELL SORTING BM
|
Facility
|
IP
|
$170.78
|
|
|
Service Code
|
CPT 88184
|
| Hospital Charge Code |
31100048
|
|
Hospital Revenue Code
|
311
|
| Min. Negotiated Rate |
$111.01 |
| Max. Negotiated Rate |
$153.70 |
| Rate for Payer: Aetna Commercial |
$145.16
|
| Rate for Payer: BCBS Trust/PPO |
$139.41
|
| Rate for Payer: BCN Commercial |
$131.98
|
| Rate for Payer: Cash Price |
$136.62
|
| Rate for Payer: Cofinity Commercial |
$146.87
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$136.62
|
| Rate for Payer: Healthscope Commercial |
$153.70
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$128.09
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$145.16
|
| Rate for Payer: Nomi Health Commercial |
$140.04
|
| Rate for Payer: PHP Commercial |
$145.16
|
| Rate for Payer: Priority Health Cigna Priority Health |
$111.01
|
| Rate for Payer: Priority Health HMO/PPO |
$148.58
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$114.42
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$150.29
|
| Rate for Payer: UHC Core |
$142.60
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$128.09
|
|
|
HC MPCDS CELL SORTING BM
|
Facility
|
OP
|
$170.78
|
|
|
Service Code
|
CPT 88184
|
| Hospital Charge Code |
31100048
|
|
Hospital Revenue Code
|
311
|
| Min. Negotiated Rate |
$40.56 |
| Max. Negotiated Rate |
$273.10 |
| Rate for Payer: Aetna Commercial |
$145.16
|
| Rate for Payer: Aetna Medicare |
$44.40
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$53.37
|
| Rate for Payer: Amish Plain Church Group Commercial |
$53.37
|
| Rate for Payer: BCBS Complete |
$273.10
|
| Rate for Payer: BCBS MAPPO |
$42.70
|
| Rate for Payer: BCBS Trust/PPO |
$140.40
|
| Rate for Payer: BCN Commercial |
$132.78
|
| Rate for Payer: BCN Medicare Advantage |
$42.70
|
| Rate for Payer: Cash Price |
$136.62
|
| Rate for Payer: Cash Price |
$136.62
|
| Rate for Payer: Cofinity Commercial |
$146.87
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$136.62
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$42.70
|
| Rate for Payer: Healthscope Commercial |
$153.70
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$128.09
|
| Rate for Payer: Mclaren Medicaid |
$260.08
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$44.83
|
| Rate for Payer: Meridian Medicaid |
$273.10
|
| Rate for Payer: MI Amish Medical Board Commercial |
$49.10
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$145.16
|
| Rate for Payer: Nomi Health Commercial |
$140.04
|
| Rate for Payer: PACE Senior Care Partners |
$40.56
|
| Rate for Payer: PACE SWMI |
$42.70
|
| Rate for Payer: PHP Commercial |
$145.16
|
| Rate for Payer: PHP Medicare Advantage |
$42.70
|
| Rate for Payer: Priority Health Choice Medicaid |
$260.08
|
| Rate for Payer: Priority Health Cigna Priority Health |
$111.01
|
| Rate for Payer: Priority Health HMO/PPO |
$148.58
|
| Rate for Payer: Priority Health Medicare |
$43.12
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$114.42
|
| Rate for Payer: Railroad Medicare Medicare |
$42.70
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$150.29
|
| Rate for Payer: UHC Core |
$142.60
|
| Rate for Payer: UHC Dual Complete DSNP |
$42.70
|
| Rate for Payer: UHC Exchange |
$42.70
|
| Rate for Payer: UHC Medicare Advantage |
$42.70
|
| Rate for Payer: UHCCP Medicaid |
$260.08
|
| Rate for Payer: VA VA |
$42.70
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$128.09
|
|
|
HC MPCDS CELL SORTING BM CMPT
|
Facility
|
IP
|
$53.78
|
|
|
Service Code
|
CPT 88185
|
| Hospital Charge Code |
31100049
|
|
Hospital Revenue Code
|
311
|
| Min. Negotiated Rate |
$34.96 |
| Max. Negotiated Rate |
$48.40 |
| Rate for Payer: Aetna Commercial |
$45.71
|
| Rate for Payer: BCBS Trust/PPO |
$43.90
|
| Rate for Payer: BCN Commercial |
$41.56
|
| Rate for Payer: Cash Price |
$43.02
|
| Rate for Payer: Cofinity Commercial |
$46.25
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$43.02
|
| Rate for Payer: Healthscope Commercial |
$48.40
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$40.34
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$45.71
|
| Rate for Payer: Nomi Health Commercial |
$44.10
|
| Rate for Payer: PHP Commercial |
$45.71
|
| Rate for Payer: Priority Health Cigna Priority Health |
$34.96
|
| Rate for Payer: Priority Health HMO/PPO |
$46.79
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$36.03
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$47.33
|
| Rate for Payer: UHC Core |
$44.91
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$40.34
|
|
|
HC MPCDS CELL SORTING BM CMPT
|
Facility
|
OP
|
$53.78
|
|
|
Service Code
|
CPT 88185
|
| Hospital Charge Code |
31100049
|
|
Hospital Revenue Code
|
311
|
| Min. Negotiated Rate |
$12.77 |
| Max. Negotiated Rate |
$48.40 |
| Rate for Payer: Aetna Commercial |
$45.71
|
| Rate for Payer: Aetna Medicare |
$13.98
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$16.81
|
| Rate for Payer: Amish Plain Church Group Commercial |
$16.81
|
| Rate for Payer: BCBS Complete |
$21.51
|
| Rate for Payer: BCBS MAPPO |
$13.45
|
| Rate for Payer: BCBS Trust/PPO |
$44.21
|
| Rate for Payer: BCN Commercial |
$41.81
|
| Rate for Payer: BCN Medicare Advantage |
$13.45
|
| Rate for Payer: Cash Price |
$43.02
|
| Rate for Payer: Cofinity Commercial |
$46.25
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$43.02
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$13.45
|
| Rate for Payer: Healthscope Commercial |
$48.40
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$40.34
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$14.12
|
| Rate for Payer: MI Amish Medical Board Commercial |
$15.46
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$45.71
|
| Rate for Payer: Nomi Health Commercial |
$44.10
|
| Rate for Payer: PACE Senior Care Partners |
$12.77
|
| Rate for Payer: PACE SWMI |
$13.45
|
| Rate for Payer: PHP Commercial |
$45.71
|
| Rate for Payer: PHP Medicare Advantage |
$13.45
|
| Rate for Payer: Priority Health Cigna Priority Health |
$34.96
|
| Rate for Payer: Priority Health HMO/PPO |
$46.79
|
| Rate for Payer: Priority Health Medicare |
$13.58
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$36.03
|
| Rate for Payer: Railroad Medicare Medicare |
$13.45
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$47.33
|
| Rate for Payer: UHC Core |
$44.91
|
| Rate for Payer: UHC Dual Complete DSNP |
$13.45
|
| Rate for Payer: UHC Exchange |
$13.45
|
| Rate for Payer: UHC Medicare Advantage |
$13.45
|
| Rate for Payer: VA VA |
$13.45
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$40.34
|
|
|
HC MPL EXON 10 MUTATION DETECTION
|
Facility
|
IP
|
$379.75
|
|
|
Service Code
|
CPT 81339
|
| Hospital Charge Code |
31000149
|
|
Hospital Revenue Code
|
310
|
| Min. Negotiated Rate |
$246.84 |
| Max. Negotiated Rate |
$341.77 |
| Rate for Payer: Aetna Commercial |
$322.79
|
| Rate for Payer: BCBS Trust/PPO |
$309.99
|
| Rate for Payer: BCN Commercial |
$293.47
|
| Rate for Payer: Cash Price |
$303.80
|
| Rate for Payer: Cofinity Commercial |
$326.58
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$303.80
|
| Rate for Payer: Healthscope Commercial |
$341.77
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$284.81
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$322.79
|
| Rate for Payer: Nomi Health Commercial |
$311.39
|
| Rate for Payer: PHP Commercial |
$322.79
|
| Rate for Payer: Priority Health Cigna Priority Health |
$246.84
|
| Rate for Payer: Priority Health HMO/PPO |
$330.38
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$254.43
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$334.18
|
| Rate for Payer: UHC Core |
$317.09
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$284.81
|
|
|
HC MPL EXON 10 MUTATION DETECTION
|
Facility
|
OP
|
$379.75
|
|
|
Service Code
|
CPT 81339
|
| Hospital Charge Code |
31000149
|
|
Hospital Revenue Code
|
310
|
| Min. Negotiated Rate |
$90.19 |
| Max. Negotiated Rate |
$341.77 |
| Rate for Payer: Aetna Commercial |
$322.79
|
| Rate for Payer: Aetna Medicare |
$98.73
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$118.67
|
| Rate for Payer: Amish Plain Church Group Commercial |
$118.67
|
| Rate for Payer: BCBS Complete |
$140.60
|
| Rate for Payer: BCBS MAPPO |
$94.94
|
| Rate for Payer: BCBS Trust/PPO |
$312.19
|
| Rate for Payer: BCN Commercial |
$295.26
|
| Rate for Payer: BCN Medicare Advantage |
$94.94
|
| Rate for Payer: Cash Price |
$303.80
|
| Rate for Payer: Cash Price |
$303.80
|
| Rate for Payer: Cofinity Commercial |
$326.58
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$303.80
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$94.94
|
| Rate for Payer: Healthscope Commercial |
$341.77
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$284.81
|
| Rate for Payer: Mclaren Medicaid |
$133.90
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$99.68
|
| Rate for Payer: Meridian Medicaid |
$140.60
|
| Rate for Payer: MI Amish Medical Board Commercial |
$109.18
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$322.79
|
| Rate for Payer: Nomi Health Commercial |
$311.39
|
| Rate for Payer: PACE Senior Care Partners |
$90.19
|
| Rate for Payer: PACE SWMI |
$94.94
|
| Rate for Payer: PHP Commercial |
$322.79
|
| Rate for Payer: PHP Medicare Advantage |
$94.94
|
| Rate for Payer: Priority Health Choice Medicaid |
$133.90
|
| Rate for Payer: Priority Health Cigna Priority Health |
$246.84
|
| Rate for Payer: Priority Health HMO/PPO |
$330.38
|
| Rate for Payer: Priority Health Medicare |
$95.89
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$254.43
|
| Rate for Payer: Railroad Medicare Medicare |
$94.94
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$334.18
|
| Rate for Payer: UHC Core |
$317.09
|
| Rate for Payer: UHC Dual Complete DSNP |
$94.94
|
| Rate for Payer: UHC Exchange |
$94.94
|
| Rate for Payer: UHC Medicare Advantage |
$94.94
|
| Rate for Payer: UHCCP Medicaid |
$133.90
|
| Rate for Payer: VA VA |
$94.94
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$284.81
|
|
|
HC MPL EXON10 MUTATION DETECTION
|
Facility
|
OP
|
$600.31
|
|
|
Service Code
|
CPT 81170
|
| Hospital Charge Code |
30000109
|
|
Hospital Revenue Code
|
300
|
| Min. Negotiated Rate |
$142.57 |
| Max. Negotiated Rate |
$540.28 |
| Rate for Payer: Aetna Commercial |
$510.26
|
| Rate for Payer: Aetna Medicare |
$156.08
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$187.60
|
| Rate for Payer: Amish Plain Church Group Commercial |
$187.60
|
| Rate for Payer: BCBS Complete |
$227.76
|
| Rate for Payer: BCBS MAPPO |
$150.08
|
| Rate for Payer: BCBS Trust/PPO |
$493.51
|
| Rate for Payer: BCN Commercial |
$466.74
|
| Rate for Payer: BCN Medicare Advantage |
$150.08
|
| Rate for Payer: Cash Price |
$480.25
|
| Rate for Payer: Cash Price |
$480.25
|
| Rate for Payer: Cofinity Commercial |
$516.27
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$480.25
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$150.08
|
| Rate for Payer: Healthscope Commercial |
$540.28
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$450.23
|
| Rate for Payer: Mclaren Medicaid |
$216.90
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$157.58
|
| Rate for Payer: Meridian Medicaid |
$227.76
|
| Rate for Payer: MI Amish Medical Board Commercial |
$172.59
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$510.26
|
| Rate for Payer: Nomi Health Commercial |
$492.25
|
| Rate for Payer: PACE Senior Care Partners |
$142.57
|
| Rate for Payer: PACE SWMI |
$150.08
|
| Rate for Payer: PHP Commercial |
$510.26
|
| Rate for Payer: PHP Medicare Advantage |
$150.08
|
| Rate for Payer: Priority Health Choice Medicaid |
$216.90
|
| Rate for Payer: Priority Health Cigna Priority Health |
$390.20
|
| Rate for Payer: Priority Health HMO/PPO |
$522.27
|
| Rate for Payer: Priority Health Medicare |
$151.58
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$402.21
|
| Rate for Payer: Railroad Medicare Medicare |
$150.08
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$528.27
|
| Rate for Payer: UHC Core |
$501.26
|
| Rate for Payer: UHC Dual Complete DSNP |
$150.08
|
| Rate for Payer: UHC Exchange |
$150.08
|
| Rate for Payer: UHC Medicare Advantage |
$150.08
|
| Rate for Payer: UHCCP Medicaid |
$216.90
|
| Rate for Payer: VA VA |
$150.08
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$450.23
|
|
|
HC MPL EXON10 MUTATION DETECTION
|
Facility
|
IP
|
$600.31
|
|
|
Service Code
|
CPT 81170
|
| Hospital Charge Code |
30000109
|
|
Hospital Revenue Code
|
300
|
| Min. Negotiated Rate |
$390.20 |
| Max. Negotiated Rate |
$540.28 |
| Rate for Payer: Aetna Commercial |
$510.26
|
| Rate for Payer: BCBS Trust/PPO |
$490.03
|
| Rate for Payer: BCN Commercial |
$463.92
|
| Rate for Payer: Cash Price |
$480.25
|
| Rate for Payer: Cofinity Commercial |
$516.27
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$480.25
|
| Rate for Payer: Healthscope Commercial |
$540.28
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$450.23
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$510.26
|
| Rate for Payer: Nomi Health Commercial |
$492.25
|
| Rate for Payer: PHP Commercial |
$510.26
|
| Rate for Payer: Priority Health Cigna Priority Health |
$390.20
|
| Rate for Payer: Priority Health HMO/PPO |
$522.27
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$402.21
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$528.27
|
| Rate for Payer: UHC Core |
$501.26
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$450.23
|
|
