|
HC OT Z STOCKINGS CUSTOM EA $250
|
Facility
|
OP
|
$260.10
|
|
|
Service Code
|
HCPCS A6549
|
| Hospital Charge Code |
98300100
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$45.86 |
| Max. Negotiated Rate |
$234.09 |
| Rate for Payer: Aetna Commercial |
$221.09
|
| Rate for Payer: Aetna Medicare |
$67.63
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$81.28
|
| Rate for Payer: Amish Plain Church Group Commercial |
$81.28
|
| Rate for Payer: BCBS Complete |
$48.14
|
| Rate for Payer: BCBS MAPPO |
$65.03
|
| Rate for Payer: BCBS Trust/PPO |
$213.83
|
| Rate for Payer: BCN Commercial |
$213.83
|
| Rate for Payer: BCN Medicare Advantage |
$65.03
|
| Rate for Payer: Cash Price |
$208.08
|
| Rate for Payer: Cofinity Commercial |
$223.69
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$208.08
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$65.03
|
| Rate for Payer: Healthscope Commercial |
$234.09
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$195.07
|
| Rate for Payer: Mclaren Medicaid |
$45.86
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$68.28
|
| Rate for Payer: Meridian Medicaid |
$48.14
|
| Rate for Payer: MI Amish Medical Board Commercial |
$74.78
|
| Rate for Payer: Molina Medicare/Medicaid |
$71.53
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$221.09
|
| Rate for Payer: Nomi Health Commercial |
$213.28
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$195.07
|
| Rate for Payer: PACE Senior Care Partners |
$61.77
|
| Rate for Payer: PACE SWMI |
$65.03
|
| Rate for Payer: PHP Commercial |
$221.09
|
| Rate for Payer: PHP Medicare Advantage |
$65.03
|
| Rate for Payer: Priority Health Choice Medicaid |
$45.86
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$226.29
|
| Rate for Payer: Priority Health Medicare |
$65.68
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$181.03
|
| Rate for Payer: Railroad Medicare Medicare |
$65.03
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$228.89
|
| Rate for Payer: UHC Core |
$217.18
|
| Rate for Payer: UHC Exchange |
$65.03
|
| Rate for Payer: UHC Medicaid |
$45.86
|
| Rate for Payer: UHC Medicare Advantage |
$65.03
|
| Rate for Payer: UHCCP Medicaid |
$45.86
|
| Rate for Payer: VA VA |
$65.03
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$195.07
|
|
|
HC OT Z STOCKINGS CUSTOM EA $275
|
Facility
|
IP
|
$286.11
|
|
|
Service Code
|
HCPCS A6549
|
| Hospital Charge Code |
98300101
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$199.13 |
| Max. Negotiated Rate |
$257.50 |
| Rate for Payer: Aetna Commercial |
$243.19
|
| Rate for Payer: BCBS Trust/PPO |
$236.30
|
| Rate for Payer: BCN Commercial |
$236.30
|
| Rate for Payer: Cash Price |
$228.89
|
| Rate for Payer: Cofinity Commercial |
$246.05
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$228.89
|
| Rate for Payer: Healthscope Commercial |
$257.50
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$214.58
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$243.19
|
| Rate for Payer: Nomi Health Commercial |
$234.61
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$214.58
|
| Rate for Payer: PHP Commercial |
$243.19
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$248.92
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$199.13
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$251.78
|
| Rate for Payer: UHC Core |
$238.90
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$214.58
|
|
|
HC OT Z STOCKINGS CUSTOM EA $275
|
Facility
|
OP
|
$286.11
|
|
|
Service Code
|
HCPCS A6549
|
| Hospital Charge Code |
98300101
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$50.44 |
| Max. Negotiated Rate |
$257.50 |
| Rate for Payer: Aetna Commercial |
$243.19
|
| Rate for Payer: Aetna Medicare |
$74.39
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$89.41
|
| Rate for Payer: Amish Plain Church Group Commercial |
$89.41
|
| Rate for Payer: BCBS Complete |
$52.96
|
| Rate for Payer: BCBS MAPPO |
$71.53
|
| Rate for Payer: BCBS Trust/PPO |
$235.21
|
| Rate for Payer: BCN Commercial |
$235.21
|
| Rate for Payer: BCN Medicare Advantage |
$71.53
|
| Rate for Payer: Cash Price |
$228.89
|
| Rate for Payer: Cofinity Commercial |
$246.05
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$228.89
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$71.53
|
| Rate for Payer: Healthscope Commercial |
$257.50
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$214.58
|
| Rate for Payer: Mclaren Medicaid |
$50.44
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$75.10
|
| Rate for Payer: Meridian Medicaid |
$52.96
|
| Rate for Payer: MI Amish Medical Board Commercial |
$82.26
|
| Rate for Payer: Molina Medicare/Medicaid |
$78.68
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$243.19
|
| Rate for Payer: Nomi Health Commercial |
$234.61
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$214.58
|
| Rate for Payer: PACE Senior Care Partners |
$67.95
|
| Rate for Payer: PACE SWMI |
$71.53
|
| Rate for Payer: PHP Commercial |
$243.19
|
| Rate for Payer: PHP Medicare Advantage |
$71.53
|
| Rate for Payer: Priority Health Choice Medicaid |
$50.44
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$248.92
|
| Rate for Payer: Priority Health Medicare |
$72.24
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$199.13
|
| Rate for Payer: Railroad Medicare Medicare |
$71.53
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$251.78
|
| Rate for Payer: UHC Core |
$238.90
|
| Rate for Payer: UHC Exchange |
$71.53
|
| Rate for Payer: UHC Medicaid |
$50.44
|
| Rate for Payer: UHC Medicare Advantage |
$71.53
|
| Rate for Payer: UHCCP Medicaid |
$50.44
|
| Rate for Payer: VA VA |
$71.53
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$214.58
|
|
|
HC OT Z STOCKINGS CUSTOM EA $300
|
Facility
|
OP
|
$312.12
|
|
|
Service Code
|
HCPCS A6549
|
| Hospital Charge Code |
98300102
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$55.03 |
| Max. Negotiated Rate |
$280.91 |
| Rate for Payer: Aetna Commercial |
$265.30
|
| Rate for Payer: Aetna Medicare |
$81.15
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$97.54
|
| Rate for Payer: Amish Plain Church Group Commercial |
$97.54
|
| Rate for Payer: BCBS Complete |
$57.77
|
| Rate for Payer: BCBS MAPPO |
$78.03
|
| Rate for Payer: BCBS Trust/PPO |
$256.59
|
| Rate for Payer: BCN Commercial |
$256.59
|
| Rate for Payer: BCN Medicare Advantage |
$78.03
|
| Rate for Payer: Cash Price |
$249.70
|
| Rate for Payer: Cofinity Commercial |
$268.42
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$249.70
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$78.03
|
| Rate for Payer: Healthscope Commercial |
$280.91
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$234.09
|
| Rate for Payer: Mclaren Medicaid |
$55.03
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$81.93
|
| Rate for Payer: Meridian Medicaid |
$57.77
|
| Rate for Payer: MI Amish Medical Board Commercial |
$89.73
|
| Rate for Payer: Molina Medicare/Medicaid |
$85.83
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$265.30
|
| Rate for Payer: Nomi Health Commercial |
$255.94
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$234.09
|
| Rate for Payer: PACE Senior Care Partners |
$74.13
|
| Rate for Payer: PACE SWMI |
$78.03
|
| Rate for Payer: PHP Commercial |
$265.30
|
| Rate for Payer: PHP Medicare Advantage |
$78.03
|
| Rate for Payer: Priority Health Choice Medicaid |
$55.03
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$271.54
|
| Rate for Payer: Priority Health Medicare |
$78.81
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$217.24
|
| Rate for Payer: Railroad Medicare Medicare |
$78.03
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$274.67
|
| Rate for Payer: UHC Core |
$260.62
|
| Rate for Payer: UHC Exchange |
$78.03
|
| Rate for Payer: UHC Medicaid |
$55.03
|
| Rate for Payer: UHC Medicare Advantage |
$78.03
|
| Rate for Payer: UHCCP Medicaid |
$55.03
|
| Rate for Payer: VA VA |
$78.03
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$234.09
|
|
|
HC OT Z STOCKINGS CUSTOM EA $300
|
Facility
|
IP
|
$312.12
|
|
|
Service Code
|
HCPCS A6549
|
| Hospital Charge Code |
98300102
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$217.24 |
| Max. Negotiated Rate |
$280.91 |
| Rate for Payer: Aetna Commercial |
$265.30
|
| Rate for Payer: BCBS Trust/PPO |
$257.78
|
| Rate for Payer: BCN Commercial |
$257.78
|
| Rate for Payer: Cash Price |
$249.70
|
| Rate for Payer: Cofinity Commercial |
$268.42
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$249.70
|
| Rate for Payer: Healthscope Commercial |
$280.91
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$234.09
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$265.30
|
| Rate for Payer: Nomi Health Commercial |
$255.94
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$234.09
|
| Rate for Payer: PHP Commercial |
$265.30
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$271.54
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$217.24
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$274.67
|
| Rate for Payer: UHC Core |
$260.62
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$234.09
|
|
|
HC OT Z STOCKINGS CUSTOM EA $325
|
Facility
|
IP
|
$338.13
|
|
|
Service Code
|
HCPCS A6549
|
| Hospital Charge Code |
98300103
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$235.34 |
| Max. Negotiated Rate |
$304.32 |
| Rate for Payer: Aetna Commercial |
$287.41
|
| Rate for Payer: BCBS Trust/PPO |
$279.26
|
| Rate for Payer: BCN Commercial |
$279.26
|
| Rate for Payer: Cash Price |
$270.50
|
| Rate for Payer: Cofinity Commercial |
$290.79
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$270.50
|
| Rate for Payer: Healthscope Commercial |
$304.32
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$253.60
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$287.41
|
| Rate for Payer: Nomi Health Commercial |
$277.27
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$253.60
|
| Rate for Payer: PHP Commercial |
$287.41
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$294.17
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$235.34
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$297.55
|
| Rate for Payer: UHC Core |
$282.34
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$253.60
|
|
|
HC OT Z STOCKINGS CUSTOM EA $325
|
Facility
|
OP
|
$338.13
|
|
|
Service Code
|
HCPCS A6549
|
| Hospital Charge Code |
98300103
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$59.61 |
| Max. Negotiated Rate |
$304.32 |
| Rate for Payer: Aetna Commercial |
$287.41
|
| Rate for Payer: Aetna Medicare |
$87.91
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$105.67
|
| Rate for Payer: Amish Plain Church Group Commercial |
$105.67
|
| Rate for Payer: BCBS Complete |
$62.59
|
| Rate for Payer: BCBS MAPPO |
$84.53
|
| Rate for Payer: BCBS Trust/PPO |
$277.98
|
| Rate for Payer: BCN Commercial |
$277.98
|
| Rate for Payer: BCN Medicare Advantage |
$84.53
|
| Rate for Payer: Cash Price |
$270.50
|
| Rate for Payer: Cofinity Commercial |
$290.79
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$270.50
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$84.53
|
| Rate for Payer: Healthscope Commercial |
$304.32
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$253.60
|
| Rate for Payer: Mclaren Medicaid |
$59.61
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$88.76
|
| Rate for Payer: Meridian Medicaid |
$62.59
|
| Rate for Payer: MI Amish Medical Board Commercial |
$97.21
|
| Rate for Payer: Molina Medicare/Medicaid |
$92.99
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$287.41
|
| Rate for Payer: Nomi Health Commercial |
$277.27
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$253.60
|
| Rate for Payer: PACE Senior Care Partners |
$80.31
|
| Rate for Payer: PACE SWMI |
$84.53
|
| Rate for Payer: PHP Commercial |
$287.41
|
| Rate for Payer: PHP Medicare Advantage |
$84.53
|
| Rate for Payer: Priority Health Choice Medicaid |
$59.61
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$294.17
|
| Rate for Payer: Priority Health Medicare |
$85.38
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$235.34
|
| Rate for Payer: Railroad Medicare Medicare |
$84.53
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$297.55
|
| Rate for Payer: UHC Core |
$282.34
|
| Rate for Payer: UHC Exchange |
$84.53
|
| Rate for Payer: UHC Medicaid |
$59.61
|
| Rate for Payer: UHC Medicare Advantage |
$84.53
|
| Rate for Payer: UHCCP Medicaid |
$59.61
|
| Rate for Payer: VA VA |
$84.53
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$253.60
|
|
|
HC OT Z STOCKINGS CUSTOM EA $350
|
Facility
|
OP
|
$364.14
|
|
|
Service Code
|
HCPCS A6549
|
| Hospital Charge Code |
98300104
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$64.20 |
| Max. Negotiated Rate |
$327.73 |
| Rate for Payer: Aetna Commercial |
$309.52
|
| Rate for Payer: Aetna Medicare |
$94.68
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$113.79
|
| Rate for Payer: Amish Plain Church Group Commercial |
$113.79
|
| Rate for Payer: BCBS Complete |
$67.40
|
| Rate for Payer: BCBS MAPPO |
$91.03
|
| Rate for Payer: BCBS Trust/PPO |
$299.36
|
| Rate for Payer: BCN Commercial |
$299.36
|
| Rate for Payer: BCN Medicare Advantage |
$91.03
|
| Rate for Payer: Cash Price |
$291.31
|
| Rate for Payer: Cofinity Commercial |
$313.16
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$291.31
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$91.03
|
| Rate for Payer: Healthscope Commercial |
$327.73
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$273.11
|
| Rate for Payer: Mclaren Medicaid |
$64.20
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$95.59
|
| Rate for Payer: Meridian Medicaid |
$67.40
|
| Rate for Payer: MI Amish Medical Board Commercial |
$104.69
|
| Rate for Payer: Molina Medicare/Medicaid |
$100.14
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$309.52
|
| Rate for Payer: Nomi Health Commercial |
$298.59
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$273.11
|
| Rate for Payer: PACE Senior Care Partners |
$86.48
|
| Rate for Payer: PACE SWMI |
$91.03
|
| Rate for Payer: PHP Commercial |
$309.52
|
| Rate for Payer: PHP Medicare Advantage |
$91.03
|
| Rate for Payer: Priority Health Choice Medicaid |
$64.20
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$316.80
|
| Rate for Payer: Priority Health Medicare |
$91.95
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$253.44
|
| Rate for Payer: Railroad Medicare Medicare |
$91.03
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$320.44
|
| Rate for Payer: UHC Core |
$304.06
|
| Rate for Payer: UHC Exchange |
$91.03
|
| Rate for Payer: UHC Medicaid |
$64.20
|
| Rate for Payer: UHC Medicare Advantage |
$91.03
|
| Rate for Payer: UHCCP Medicaid |
$64.20
|
| Rate for Payer: VA VA |
$91.03
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$273.11
|
|
|
HC OT Z STOCKINGS CUSTOM EA $350
|
Facility
|
IP
|
$364.14
|
|
|
Service Code
|
HCPCS A6549
|
| Hospital Charge Code |
98300104
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$253.44 |
| Max. Negotiated Rate |
$327.73 |
| Rate for Payer: Aetna Commercial |
$309.52
|
| Rate for Payer: BCBS Trust/PPO |
$300.74
|
| Rate for Payer: BCN Commercial |
$300.74
|
| Rate for Payer: Cash Price |
$291.31
|
| Rate for Payer: Cofinity Commercial |
$313.16
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$291.31
|
| Rate for Payer: Healthscope Commercial |
$327.73
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$273.11
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$309.52
|
| Rate for Payer: Nomi Health Commercial |
$298.59
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$273.11
|
| Rate for Payer: PHP Commercial |
$309.52
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$316.80
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$253.44
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$320.44
|
| Rate for Payer: UHC Core |
$304.06
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$273.11
|
|
|
HC OT Z STOCKINGS CUSTOM EA $375
|
Facility
|
OP
|
$390.15
|
|
|
Service Code
|
HCPCS A6549
|
| Hospital Charge Code |
98300105
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$68.78 |
| Max. Negotiated Rate |
$351.13 |
| Rate for Payer: Aetna Commercial |
$331.63
|
| Rate for Payer: Aetna Medicare |
$101.44
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$121.92
|
| Rate for Payer: Amish Plain Church Group Commercial |
$121.92
|
| Rate for Payer: BCBS Complete |
$72.22
|
| Rate for Payer: BCBS MAPPO |
$97.54
|
| Rate for Payer: BCBS Trust/PPO |
$320.74
|
| Rate for Payer: BCN Commercial |
$320.74
|
| Rate for Payer: BCN Medicare Advantage |
$97.54
|
| Rate for Payer: Cash Price |
$312.12
|
| Rate for Payer: Cofinity Commercial |
$335.53
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$312.12
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$97.54
|
| Rate for Payer: Healthscope Commercial |
$351.13
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$292.61
|
| Rate for Payer: Mclaren Medicaid |
$68.78
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$102.41
|
| Rate for Payer: Meridian Medicaid |
$72.22
|
| Rate for Payer: MI Amish Medical Board Commercial |
$112.17
|
| Rate for Payer: Molina Medicare/Medicaid |
$107.29
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$331.63
|
| Rate for Payer: Nomi Health Commercial |
$319.92
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$292.61
|
| Rate for Payer: PACE Senior Care Partners |
$92.66
|
| Rate for Payer: PACE SWMI |
$97.54
|
| Rate for Payer: PHP Commercial |
$331.63
|
| Rate for Payer: PHP Medicare Advantage |
$97.54
|
| Rate for Payer: Priority Health Choice Medicaid |
$68.78
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$339.43
|
| Rate for Payer: Priority Health Medicare |
$98.51
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$271.54
|
| Rate for Payer: Railroad Medicare Medicare |
$97.54
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$343.33
|
| Rate for Payer: UHC Core |
$325.78
|
| Rate for Payer: UHC Exchange |
$97.54
|
| Rate for Payer: UHC Medicaid |
$68.78
|
| Rate for Payer: UHC Medicare Advantage |
$97.54
|
| Rate for Payer: UHCCP Medicaid |
$68.78
|
| Rate for Payer: VA VA |
$97.54
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$292.61
|
|
|
HC OT Z STOCKINGS CUSTOM EA $375
|
Facility
|
IP
|
$390.15
|
|
|
Service Code
|
HCPCS A6549
|
| Hospital Charge Code |
98300105
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$271.54 |
| Max. Negotiated Rate |
$351.13 |
| Rate for Payer: Aetna Commercial |
$331.63
|
| Rate for Payer: BCBS Trust/PPO |
$322.22
|
| Rate for Payer: BCN Commercial |
$322.22
|
| Rate for Payer: Cash Price |
$312.12
|
| Rate for Payer: Cofinity Commercial |
$335.53
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$312.12
|
| Rate for Payer: Healthscope Commercial |
$351.13
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$292.61
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$331.63
|
| Rate for Payer: Nomi Health Commercial |
$319.92
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$292.61
|
| Rate for Payer: PHP Commercial |
$331.63
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$339.43
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$271.54
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$343.33
|
| Rate for Payer: UHC Core |
$325.78
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$292.61
|
|
|
HC OT Z STOCKINGS CUSTOM EA $40
|
Facility
|
IP
|
$41.62
|
|
|
Service Code
|
HCPCS A6549
|
| Hospital Charge Code |
98300106
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$28.97 |
| Max. Negotiated Rate |
$37.46 |
| Rate for Payer: Aetna Commercial |
$35.38
|
| Rate for Payer: BCBS Trust/PPO |
$34.37
|
| Rate for Payer: BCN Commercial |
$34.37
|
| Rate for Payer: Cash Price |
$33.30
|
| Rate for Payer: Cofinity Commercial |
$35.79
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$33.30
|
| Rate for Payer: Healthscope Commercial |
$37.46
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$31.21
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$35.38
|
| Rate for Payer: Nomi Health Commercial |
$34.13
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$31.21
|
| Rate for Payer: PHP Commercial |
$35.38
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$36.21
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$28.97
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$36.63
|
| Rate for Payer: UHC Core |
$34.75
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$31.21
|
|
|
HC OT Z STOCKINGS CUSTOM EA $40
|
Facility
|
OP
|
$41.62
|
|
|
Service Code
|
HCPCS A6549
|
| Hospital Charge Code |
98300106
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$7.34 |
| Max. Negotiated Rate |
$37.46 |
| Rate for Payer: Aetna Commercial |
$35.38
|
| Rate for Payer: Aetna Medicare |
$10.82
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$13.01
|
| Rate for Payer: Amish Plain Church Group Commercial |
$13.01
|
| Rate for Payer: BCBS Complete |
$7.70
|
| Rate for Payer: BCBS MAPPO |
$10.40
|
| Rate for Payer: BCBS Trust/PPO |
$34.22
|
| Rate for Payer: BCN Commercial |
$34.22
|
| Rate for Payer: BCN Medicare Advantage |
$10.40
|
| Rate for Payer: Cash Price |
$33.30
|
| Rate for Payer: Cofinity Commercial |
$35.79
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$33.30
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$10.40
|
| Rate for Payer: Healthscope Commercial |
$37.46
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$31.21
|
| Rate for Payer: Mclaren Medicaid |
$7.34
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$10.93
|
| Rate for Payer: Meridian Medicaid |
$7.70
|
| Rate for Payer: MI Amish Medical Board Commercial |
$11.97
|
| Rate for Payer: Molina Medicare/Medicaid |
$11.45
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$35.38
|
| Rate for Payer: Nomi Health Commercial |
$34.13
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$31.21
|
| Rate for Payer: PACE Senior Care Partners |
$9.88
|
| Rate for Payer: PACE SWMI |
$10.40
|
| Rate for Payer: PHP Commercial |
$35.38
|
| Rate for Payer: PHP Medicare Advantage |
$10.40
|
| Rate for Payer: Priority Health Choice Medicaid |
$7.34
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$36.21
|
| Rate for Payer: Priority Health Medicare |
$10.51
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$28.97
|
| Rate for Payer: Railroad Medicare Medicare |
$10.40
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$36.63
|
| Rate for Payer: UHC Core |
$34.75
|
| Rate for Payer: UHC Exchange |
$10.40
|
| Rate for Payer: UHC Medicaid |
$7.34
|
| Rate for Payer: UHC Medicare Advantage |
$10.40
|
| Rate for Payer: UHCCP Medicaid |
$7.34
|
| Rate for Payer: VA VA |
$10.40
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$31.21
|
|
|
HC OT Z STOCKINGS CUSTOM EA $400
|
Facility
|
OP
|
$416.16
|
|
|
Service Code
|
HCPCS A6549
|
| Hospital Charge Code |
98300107
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$73.37 |
| Max. Negotiated Rate |
$374.54 |
| Rate for Payer: Aetna Commercial |
$353.74
|
| Rate for Payer: Aetna Medicare |
$108.20
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$130.05
|
| Rate for Payer: Amish Plain Church Group Commercial |
$130.05
|
| Rate for Payer: BCBS Complete |
$77.03
|
| Rate for Payer: BCBS MAPPO |
$104.04
|
| Rate for Payer: BCBS Trust/PPO |
$342.13
|
| Rate for Payer: BCN Commercial |
$342.13
|
| Rate for Payer: BCN Medicare Advantage |
$104.04
|
| Rate for Payer: Cash Price |
$332.93
|
| Rate for Payer: Cofinity Commercial |
$357.90
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$332.93
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$104.04
|
| Rate for Payer: Healthscope Commercial |
$374.54
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$312.12
|
| Rate for Payer: Mclaren Medicaid |
$73.37
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$109.24
|
| Rate for Payer: Meridian Medicaid |
$77.03
|
| Rate for Payer: MI Amish Medical Board Commercial |
$119.65
|
| Rate for Payer: Molina Medicare/Medicaid |
$114.44
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$353.74
|
| Rate for Payer: Nomi Health Commercial |
$341.25
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$312.12
|
| Rate for Payer: PACE Senior Care Partners |
$98.84
|
| Rate for Payer: PACE SWMI |
$104.04
|
| Rate for Payer: PHP Commercial |
$353.74
|
| Rate for Payer: PHP Medicare Advantage |
$104.04
|
| Rate for Payer: Priority Health Choice Medicaid |
$73.37
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$362.06
|
| Rate for Payer: Priority Health Medicare |
$105.08
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$289.65
|
| Rate for Payer: Railroad Medicare Medicare |
$104.04
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$366.22
|
| Rate for Payer: UHC Core |
$347.49
|
| Rate for Payer: UHC Exchange |
$104.04
|
| Rate for Payer: UHC Medicaid |
$73.37
|
| Rate for Payer: UHC Medicare Advantage |
$104.04
|
| Rate for Payer: UHCCP Medicaid |
$73.37
|
| Rate for Payer: VA VA |
$104.04
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$312.12
|
|
|
HC OT Z STOCKINGS CUSTOM EA $400
|
Facility
|
IP
|
$416.16
|
|
|
Service Code
|
HCPCS A6549
|
| Hospital Charge Code |
98300107
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$289.65 |
| Max. Negotiated Rate |
$374.54 |
| Rate for Payer: Aetna Commercial |
$353.74
|
| Rate for Payer: BCBS Trust/PPO |
$343.71
|
| Rate for Payer: BCN Commercial |
$343.71
|
| Rate for Payer: Cash Price |
$332.93
|
| Rate for Payer: Cofinity Commercial |
$357.90
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$332.93
|
| Rate for Payer: Healthscope Commercial |
$374.54
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$312.12
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$353.74
|
| Rate for Payer: Nomi Health Commercial |
$341.25
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$312.12
|
| Rate for Payer: PHP Commercial |
$353.74
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$362.06
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$289.65
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$366.22
|
| Rate for Payer: UHC Core |
$347.49
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$312.12
|
|
|
HC OT Z STOCKINGS CUSTOM EA $425
|
Facility
|
IP
|
$442.17
|
|
|
Service Code
|
HCPCS A6549
|
| Hospital Charge Code |
98300108
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$307.75 |
| Max. Negotiated Rate |
$397.95 |
| Rate for Payer: Aetna Commercial |
$375.84
|
| Rate for Payer: BCBS Trust/PPO |
$365.19
|
| Rate for Payer: BCN Commercial |
$365.19
|
| Rate for Payer: Cash Price |
$353.74
|
| Rate for Payer: Cofinity Commercial |
$380.27
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$353.74
|
| Rate for Payer: Healthscope Commercial |
$397.95
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$331.63
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$375.84
|
| Rate for Payer: Nomi Health Commercial |
$362.58
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$331.63
|
| Rate for Payer: PHP Commercial |
$375.84
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$384.69
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$307.75
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$389.11
|
| Rate for Payer: UHC Core |
$369.21
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$331.63
|
|
|
HC OT Z STOCKINGS CUSTOM EA $425
|
Facility
|
OP
|
$442.17
|
|
|
Service Code
|
HCPCS A6549
|
| Hospital Charge Code |
98300108
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$77.95 |
| Max. Negotiated Rate |
$397.95 |
| Rate for Payer: Aetna Commercial |
$375.84
|
| Rate for Payer: Aetna Medicare |
$114.96
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$138.18
|
| Rate for Payer: Amish Plain Church Group Commercial |
$138.18
|
| Rate for Payer: BCBS Complete |
$81.85
|
| Rate for Payer: BCBS MAPPO |
$110.54
|
| Rate for Payer: BCBS Trust/PPO |
$363.51
|
| Rate for Payer: BCN Commercial |
$363.51
|
| Rate for Payer: BCN Medicare Advantage |
$110.54
|
| Rate for Payer: Cash Price |
$353.74
|
| Rate for Payer: Cofinity Commercial |
$380.27
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$353.74
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$110.54
|
| Rate for Payer: Healthscope Commercial |
$397.95
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$331.63
|
| Rate for Payer: Mclaren Medicaid |
$77.95
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$116.07
|
| Rate for Payer: Meridian Medicaid |
$81.85
|
| Rate for Payer: MI Amish Medical Board Commercial |
$127.12
|
| Rate for Payer: Molina Medicare/Medicaid |
$121.60
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$375.84
|
| Rate for Payer: Nomi Health Commercial |
$362.58
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$331.63
|
| Rate for Payer: PACE Senior Care Partners |
$105.02
|
| Rate for Payer: PACE SWMI |
$110.54
|
| Rate for Payer: PHP Commercial |
$375.84
|
| Rate for Payer: PHP Medicare Advantage |
$110.54
|
| Rate for Payer: Priority Health Choice Medicaid |
$77.95
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$384.69
|
| Rate for Payer: Priority Health Medicare |
$111.65
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$307.75
|
| Rate for Payer: Railroad Medicare Medicare |
$110.54
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$389.11
|
| Rate for Payer: UHC Core |
$369.21
|
| Rate for Payer: UHC Exchange |
$110.54
|
| Rate for Payer: UHC Medicaid |
$77.95
|
| Rate for Payer: UHC Medicare Advantage |
$110.54
|
| Rate for Payer: UHCCP Medicaid |
$77.95
|
| Rate for Payer: VA VA |
$110.54
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$331.63
|
|
|
HC OT Z STOCKINGS CUSTOM EA $450
|
Facility
|
OP
|
$468.18
|
|
|
Service Code
|
HCPCS A6549
|
| Hospital Charge Code |
98300109
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$82.54 |
| Max. Negotiated Rate |
$421.36 |
| Rate for Payer: Aetna Commercial |
$397.95
|
| Rate for Payer: Aetna Medicare |
$121.73
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$146.31
|
| Rate for Payer: Amish Plain Church Group Commercial |
$146.31
|
| Rate for Payer: BCBS Complete |
$86.66
|
| Rate for Payer: BCBS MAPPO |
$117.05
|
| Rate for Payer: BCBS Trust/PPO |
$384.89
|
| Rate for Payer: BCN Commercial |
$384.89
|
| Rate for Payer: BCN Medicare Advantage |
$117.05
|
| Rate for Payer: Cash Price |
$374.54
|
| Rate for Payer: Cofinity Commercial |
$402.63
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$374.54
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$117.05
|
| Rate for Payer: Healthscope Commercial |
$421.36
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$351.13
|
| Rate for Payer: Mclaren Medicaid |
$82.54
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$122.90
|
| Rate for Payer: Meridian Medicaid |
$86.66
|
| Rate for Payer: MI Amish Medical Board Commercial |
$134.60
|
| Rate for Payer: Molina Medicare/Medicaid |
$128.75
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$397.95
|
| Rate for Payer: Nomi Health Commercial |
$383.91
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$351.13
|
| Rate for Payer: PACE Senior Care Partners |
$111.19
|
| Rate for Payer: PACE SWMI |
$117.05
|
| Rate for Payer: PHP Commercial |
$397.95
|
| Rate for Payer: PHP Medicare Advantage |
$117.05
|
| Rate for Payer: Priority Health Choice Medicaid |
$82.54
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$407.32
|
| Rate for Payer: Priority Health Medicare |
$118.22
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$325.85
|
| Rate for Payer: Railroad Medicare Medicare |
$117.05
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$412.00
|
| Rate for Payer: UHC Core |
$390.93
|
| Rate for Payer: UHC Exchange |
$117.05
|
| Rate for Payer: UHC Medicaid |
$82.54
|
| Rate for Payer: UHC Medicare Advantage |
$117.05
|
| Rate for Payer: UHCCP Medicaid |
$82.54
|
| Rate for Payer: VA VA |
$117.05
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$351.13
|
|
|
HC OT Z STOCKINGS CUSTOM EA $450
|
Facility
|
IP
|
$468.18
|
|
|
Service Code
|
HCPCS A6549
|
| Hospital Charge Code |
98300109
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$325.85 |
| Max. Negotiated Rate |
$421.36 |
| Rate for Payer: Aetna Commercial |
$397.95
|
| Rate for Payer: BCBS Trust/PPO |
$386.67
|
| Rate for Payer: BCN Commercial |
$386.67
|
| Rate for Payer: Cash Price |
$374.54
|
| Rate for Payer: Cofinity Commercial |
$402.63
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$374.54
|
| Rate for Payer: Healthscope Commercial |
$421.36
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$351.13
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$397.95
|
| Rate for Payer: Nomi Health Commercial |
$383.91
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$351.13
|
| Rate for Payer: PHP Commercial |
$397.95
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$407.32
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$325.85
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$412.00
|
| Rate for Payer: UHC Core |
$390.93
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$351.13
|
|
|
HC OT Z STOCKINGS CUSTOM EA $50
|
Facility
|
OP
|
$52.02
|
|
|
Service Code
|
HCPCS A6549
|
| Hospital Charge Code |
98300110
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$9.17 |
| Max. Negotiated Rate |
$46.82 |
| Rate for Payer: Aetna Commercial |
$44.22
|
| Rate for Payer: Aetna Medicare |
$13.53
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$16.26
|
| Rate for Payer: Amish Plain Church Group Commercial |
$16.26
|
| Rate for Payer: BCBS Complete |
$9.63
|
| Rate for Payer: BCBS MAPPO |
$13.01
|
| Rate for Payer: BCBS Trust/PPO |
$42.77
|
| Rate for Payer: BCN Commercial |
$42.77
|
| Rate for Payer: BCN Medicare Advantage |
$13.01
|
| Rate for Payer: Cash Price |
$41.62
|
| Rate for Payer: Cofinity Commercial |
$44.74
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$41.62
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$13.01
|
| Rate for Payer: Healthscope Commercial |
$46.82
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$39.02
|
| Rate for Payer: Mclaren Medicaid |
$9.17
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$13.66
|
| Rate for Payer: Meridian Medicaid |
$9.63
|
| Rate for Payer: MI Amish Medical Board Commercial |
$14.96
|
| Rate for Payer: Molina Medicare/Medicaid |
$14.31
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$44.22
|
| Rate for Payer: Nomi Health Commercial |
$42.66
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$39.02
|
| Rate for Payer: PACE Senior Care Partners |
$12.35
|
| Rate for Payer: PACE SWMI |
$13.01
|
| Rate for Payer: PHP Commercial |
$44.22
|
| Rate for Payer: PHP Medicare Advantage |
$13.01
|
| Rate for Payer: Priority Health Choice Medicaid |
$9.17
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$45.26
|
| Rate for Payer: Priority Health Medicare |
$13.14
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$36.21
|
| Rate for Payer: Railroad Medicare Medicare |
$13.01
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$45.78
|
| Rate for Payer: UHC Core |
$43.44
|
| Rate for Payer: UHC Exchange |
$13.01
|
| Rate for Payer: UHC Medicaid |
$9.17
|
| Rate for Payer: UHC Medicare Advantage |
$13.01
|
| Rate for Payer: UHCCP Medicaid |
$9.17
|
| Rate for Payer: VA VA |
$13.01
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$39.02
|
|
|
HC OT Z STOCKINGS CUSTOM EA $50
|
Facility
|
IP
|
$52.02
|
|
|
Service Code
|
HCPCS A6549
|
| Hospital Charge Code |
98300110
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$36.21 |
| Max. Negotiated Rate |
$46.82 |
| Rate for Payer: Aetna Commercial |
$44.22
|
| Rate for Payer: BCBS Trust/PPO |
$42.96
|
| Rate for Payer: BCN Commercial |
$42.96
|
| Rate for Payer: Cash Price |
$41.62
|
| Rate for Payer: Cofinity Commercial |
$44.74
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$41.62
|
| Rate for Payer: Healthscope Commercial |
$46.82
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$39.02
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$44.22
|
| Rate for Payer: Nomi Health Commercial |
$42.66
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$39.02
|
| Rate for Payer: PHP Commercial |
$44.22
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$45.26
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$36.21
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$45.78
|
| Rate for Payer: UHC Core |
$43.44
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$39.02
|
|
|
HC OT Z STOCKINGS CUSTOM EA $60
|
Facility
|
OP
|
$62.42
|
|
|
Service Code
|
HCPCS A6549
|
| Hospital Charge Code |
98300111
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$11.00 |
| Max. Negotiated Rate |
$56.18 |
| Rate for Payer: Aetna Commercial |
$53.06
|
| Rate for Payer: Aetna Medicare |
$16.23
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$19.51
|
| Rate for Payer: Amish Plain Church Group Commercial |
$19.51
|
| Rate for Payer: BCBS Complete |
$11.55
|
| Rate for Payer: BCBS MAPPO |
$15.61
|
| Rate for Payer: BCBS Trust/PPO |
$51.32
|
| Rate for Payer: BCN Commercial |
$51.32
|
| Rate for Payer: BCN Medicare Advantage |
$15.61
|
| Rate for Payer: Cash Price |
$49.94
|
| Rate for Payer: Cofinity Commercial |
$53.68
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$49.94
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$15.61
|
| Rate for Payer: Healthscope Commercial |
$56.18
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$46.81
|
| Rate for Payer: Mclaren Medicaid |
$11.00
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$16.39
|
| Rate for Payer: Meridian Medicaid |
$11.55
|
| Rate for Payer: MI Amish Medical Board Commercial |
$17.95
|
| Rate for Payer: Molina Medicare/Medicaid |
$17.17
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$53.06
|
| Rate for Payer: Nomi Health Commercial |
$51.18
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$46.81
|
| Rate for Payer: PACE Senior Care Partners |
$14.82
|
| Rate for Payer: PACE SWMI |
$15.61
|
| Rate for Payer: PHP Commercial |
$53.06
|
| Rate for Payer: PHP Medicare Advantage |
$15.61
|
| Rate for Payer: Priority Health Choice Medicaid |
$11.00
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$54.31
|
| Rate for Payer: Priority Health Medicare |
$15.76
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$43.44
|
| Rate for Payer: Railroad Medicare Medicare |
$15.61
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$54.93
|
| Rate for Payer: UHC Core |
$52.12
|
| Rate for Payer: UHC Exchange |
$15.61
|
| Rate for Payer: UHC Medicaid |
$11.00
|
| Rate for Payer: UHC Medicare Advantage |
$15.61
|
| Rate for Payer: UHCCP Medicaid |
$11.00
|
| Rate for Payer: VA VA |
$15.61
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$46.81
|
|
|
HC OT Z STOCKINGS CUSTOM EA $60
|
Facility
|
IP
|
$62.42
|
|
|
Service Code
|
HCPCS A6549
|
| Hospital Charge Code |
98300111
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$43.44 |
| Max. Negotiated Rate |
$56.18 |
| Rate for Payer: Aetna Commercial |
$53.06
|
| Rate for Payer: BCBS Trust/PPO |
$51.55
|
| Rate for Payer: BCN Commercial |
$51.55
|
| Rate for Payer: Cash Price |
$49.94
|
| Rate for Payer: Cofinity Commercial |
$53.68
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$49.94
|
| Rate for Payer: Healthscope Commercial |
$56.18
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$46.81
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$53.06
|
| Rate for Payer: Nomi Health Commercial |
$51.18
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$46.81
|
| Rate for Payer: PHP Commercial |
$53.06
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$54.31
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$43.44
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$54.93
|
| Rate for Payer: UHC Core |
$52.12
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$46.81
|
|
|
HC OT Z STOCKINGS CUSTOM EA $70
|
Facility
|
OP
|
$72.83
|
|
|
Service Code
|
HCPCS A6549
|
| Hospital Charge Code |
98300112
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$12.84 |
| Max. Negotiated Rate |
$65.55 |
| Rate for Payer: Aetna Commercial |
$61.91
|
| Rate for Payer: Aetna Medicare |
$18.94
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$22.76
|
| Rate for Payer: Amish Plain Church Group Commercial |
$22.76
|
| Rate for Payer: BCBS Complete |
$13.48
|
| Rate for Payer: BCBS MAPPO |
$18.21
|
| Rate for Payer: BCBS Trust/PPO |
$59.87
|
| Rate for Payer: BCN Commercial |
$59.87
|
| Rate for Payer: BCN Medicare Advantage |
$18.21
|
| Rate for Payer: Cash Price |
$58.26
|
| Rate for Payer: Cofinity Commercial |
$62.63
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$58.26
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$18.21
|
| Rate for Payer: Healthscope Commercial |
$65.55
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$54.62
|
| Rate for Payer: Mclaren Medicaid |
$12.84
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$19.12
|
| Rate for Payer: Meridian Medicaid |
$13.48
|
| Rate for Payer: MI Amish Medical Board Commercial |
$20.94
|
| Rate for Payer: Molina Medicare/Medicaid |
$20.03
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$61.91
|
| Rate for Payer: Nomi Health Commercial |
$59.72
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$54.62
|
| Rate for Payer: PACE Senior Care Partners |
$17.30
|
| Rate for Payer: PACE SWMI |
$18.21
|
| Rate for Payer: PHP Commercial |
$61.91
|
| Rate for Payer: PHP Medicare Advantage |
$18.21
|
| Rate for Payer: Priority Health Choice Medicaid |
$12.84
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$63.36
|
| Rate for Payer: Priority Health Medicare |
$18.39
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$50.69
|
| Rate for Payer: Railroad Medicare Medicare |
$18.21
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$64.09
|
| Rate for Payer: UHC Core |
$60.81
|
| Rate for Payer: UHC Exchange |
$18.21
|
| Rate for Payer: UHC Medicaid |
$12.84
|
| Rate for Payer: UHC Medicare Advantage |
$18.21
|
| Rate for Payer: UHCCP Medicaid |
$12.84
|
| Rate for Payer: VA VA |
$18.21
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$54.62
|
|
|
HC OT Z STOCKINGS CUSTOM EA $70
|
Facility
|
IP
|
$72.83
|
|
|
Service Code
|
HCPCS A6549
|
| Hospital Charge Code |
98300112
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$50.69 |
| Max. Negotiated Rate |
$65.55 |
| Rate for Payer: Aetna Commercial |
$61.91
|
| Rate for Payer: BCBS Trust/PPO |
$60.15
|
| Rate for Payer: BCN Commercial |
$60.15
|
| Rate for Payer: Cash Price |
$58.26
|
| Rate for Payer: Cofinity Commercial |
$62.63
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$58.26
|
| Rate for Payer: Healthscope Commercial |
$65.55
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$54.62
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$61.91
|
| Rate for Payer: Nomi Health Commercial |
$59.72
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$54.62
|
| Rate for Payer: PHP Commercial |
$61.91
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$63.36
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$50.69
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$64.09
|
| Rate for Payer: UHC Core |
$60.81
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$54.62
|
|
