|
HC PAPER WASP IGE
|
Facility
|
OP
|
$25.90
|
|
|
Service Code
|
CPT 86003
|
| Hospital Charge Code |
30200096
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$4.57 |
| Max. Negotiated Rate |
$23.31 |
| Rate for Payer: Aetna Commercial |
$22.02
|
| Rate for Payer: Aetna Medicare |
$6.73
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$8.09
|
| Rate for Payer: Amish Plain Church Group Commercial |
$8.09
|
| Rate for Payer: BCBS Complete |
$4.79
|
| Rate for Payer: BCBS MAPPO |
$6.47
|
| Rate for Payer: BCBS Trust/PPO |
$21.29
|
| Rate for Payer: BCN Commercial |
$21.29
|
| Rate for Payer: BCN Medicare Advantage |
$6.47
|
| Rate for Payer: Cash Price |
$20.72
|
| Rate for Payer: Cofinity Commercial |
$22.27
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$20.72
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$6.47
|
| Rate for Payer: Healthscope Commercial |
$23.31
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$19.43
|
| Rate for Payer: Mclaren Medicaid |
$4.57
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$6.80
|
| Rate for Payer: Meridian Medicaid |
$4.79
|
| Rate for Payer: MI Amish Medical Board Commercial |
$7.45
|
| Rate for Payer: Molina Medicare/Medicaid |
$7.12
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$22.02
|
| Rate for Payer: Nomi Health Commercial |
$21.24
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$19.43
|
| Rate for Payer: PACE Senior Care Partners |
$6.15
|
| Rate for Payer: PACE SWMI |
$6.47
|
| Rate for Payer: PHP Commercial |
$22.02
|
| Rate for Payer: PHP Medicare Advantage |
$6.47
|
| Rate for Payer: Priority Health Choice Medicaid |
$4.57
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$22.53
|
| Rate for Payer: Priority Health Medicare |
$6.54
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$18.03
|
| Rate for Payer: Railroad Medicare Medicare |
$6.47
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$22.79
|
| Rate for Payer: UHC Core |
$21.63
|
| Rate for Payer: UHC Exchange |
$6.47
|
| Rate for Payer: UHC Medicaid |
$4.57
|
| Rate for Payer: UHC Medicare Advantage |
$6.47
|
| Rate for Payer: UHCCP Medicaid |
$4.57
|
| Rate for Payer: VA VA |
$6.47
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$19.43
|
|
|
HC PAP NAP
|
Facility
|
OP
|
$2,358.48
|
|
|
Service Code
|
CPT 95807
|
| Hospital Charge Code |
92000019
|
|
Hospital Revenue Code
|
920
|
| Min. Negotiated Rate |
$415.80 |
| Max. Negotiated Rate |
$2,122.63 |
| Rate for Payer: Aetna Commercial |
$2,004.71
|
| Rate for Payer: Aetna Medicare |
$613.20
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$737.02
|
| Rate for Payer: Amish Plain Church Group Commercial |
$737.02
|
| Rate for Payer: BCBS Complete |
$436.55
|
| Rate for Payer: BCBS MAPPO |
$589.62
|
| Rate for Payer: BCBS Trust/PPO |
$1,938.91
|
| Rate for Payer: BCN Commercial |
$1,938.91
|
| Rate for Payer: BCN Medicare Advantage |
$589.62
|
| Rate for Payer: Cash Price |
$1,886.78
|
| Rate for Payer: Cofinity Commercial |
$2,028.29
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,886.78
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$589.62
|
| Rate for Payer: Healthscope Commercial |
$2,122.63
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,768.86
|
| Rate for Payer: Mclaren Medicaid |
$415.80
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$619.10
|
| Rate for Payer: Meridian Medicaid |
$436.55
|
| Rate for Payer: MI Amish Medical Board Commercial |
$678.06
|
| Rate for Payer: Molina Medicare/Medicaid |
$648.58
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,004.71
|
| Rate for Payer: Nomi Health Commercial |
$1,933.95
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,768.86
|
| Rate for Payer: PACE Senior Care Partners |
$560.14
|
| Rate for Payer: PACE SWMI |
$589.62
|
| Rate for Payer: PHP Commercial |
$2,004.71
|
| Rate for Payer: PHP Medicare Advantage |
$589.62
|
| Rate for Payer: Priority Health Choice Medicaid |
$415.80
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$2,051.88
|
| Rate for Payer: Priority Health Medicare |
$595.52
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,641.50
|
| Rate for Payer: Railroad Medicare Medicare |
$589.62
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,075.46
|
| Rate for Payer: UHC Core |
$1,969.33
|
| Rate for Payer: UHC Exchange |
$589.62
|
| Rate for Payer: UHC Medicaid |
$415.80
|
| Rate for Payer: UHC Medicare Advantage |
$589.62
|
| Rate for Payer: UHCCP Medicaid |
$415.80
|
| Rate for Payer: VA VA |
$589.62
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,768.86
|
|
|
HC PAP NAP
|
Facility
|
IP
|
$2,358.48
|
|
|
Service Code
|
CPT 95807
|
| Hospital Charge Code |
92000019
|
|
Hospital Revenue Code
|
920
|
| Min. Negotiated Rate |
$1,641.50 |
| Max. Negotiated Rate |
$2,122.63 |
| Rate for Payer: Aetna Commercial |
$2,004.71
|
| Rate for Payer: BCBS Trust/PPO |
$1,947.87
|
| Rate for Payer: BCN Commercial |
$1,947.87
|
| Rate for Payer: Cash Price |
$1,886.78
|
| Rate for Payer: Cofinity Commercial |
$2,028.29
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,886.78
|
| Rate for Payer: Healthscope Commercial |
$2,122.63
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,768.86
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,004.71
|
| Rate for Payer: Nomi Health Commercial |
$1,933.95
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,768.86
|
| Rate for Payer: PHP Commercial |
$2,004.71
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$2,051.88
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,641.50
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,075.46
|
| Rate for Payer: UHC Core |
$1,969.33
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,768.86
|
|
|
HC PAP SMEAR, SCREENING
|
Facility
|
OP
|
$57.22
|
|
|
Service Code
|
HCPCS P3000
|
| Hospital Charge Code |
31100027
|
|
Hospital Revenue Code
|
311
|
| Min. Negotiated Rate |
$10.09 |
| Max. Negotiated Rate |
$51.50 |
| Rate for Payer: Aetna Commercial |
$48.64
|
| Rate for Payer: Aetna Medicare |
$14.88
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$17.88
|
| Rate for Payer: Amish Plain Church Group Commercial |
$17.88
|
| Rate for Payer: BCBS Complete |
$10.59
|
| Rate for Payer: BCBS MAPPO |
$14.30
|
| Rate for Payer: BCBS Trust/PPO |
$47.04
|
| Rate for Payer: BCN Commercial |
$47.04
|
| Rate for Payer: BCN Medicare Advantage |
$14.30
|
| Rate for Payer: Cash Price |
$45.78
|
| Rate for Payer: Cofinity Commercial |
$49.21
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$45.78
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$14.30
|
| Rate for Payer: Healthscope Commercial |
$51.50
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$42.91
|
| Rate for Payer: Mclaren Medicaid |
$10.09
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$15.02
|
| Rate for Payer: Meridian Medicaid |
$10.59
|
| Rate for Payer: MI Amish Medical Board Commercial |
$16.45
|
| Rate for Payer: Molina Medicare/Medicaid |
$15.74
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$48.64
|
| Rate for Payer: Nomi Health Commercial |
$46.92
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$42.91
|
| Rate for Payer: PACE Senior Care Partners |
$13.59
|
| Rate for Payer: PACE SWMI |
$14.30
|
| Rate for Payer: PHP Commercial |
$48.64
|
| Rate for Payer: PHP Medicare Advantage |
$14.30
|
| Rate for Payer: Priority Health Choice Medicaid |
$10.09
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$49.78
|
| Rate for Payer: Priority Health Medicare |
$14.45
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$39.83
|
| Rate for Payer: Railroad Medicare Medicare |
$14.30
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$50.35
|
| Rate for Payer: UHC Core |
$47.78
|
| Rate for Payer: UHC Exchange |
$14.30
|
| Rate for Payer: UHC Medicaid |
$10.09
|
| Rate for Payer: UHC Medicare Advantage |
$14.30
|
| Rate for Payer: UHCCP Medicaid |
$10.09
|
| Rate for Payer: VA VA |
$14.30
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$42.91
|
|
|
HC PAP SMEAR, SCREENING
|
Facility
|
IP
|
$57.22
|
|
|
Service Code
|
HCPCS P3000
|
| Hospital Charge Code |
31100027
|
|
Hospital Revenue Code
|
311
|
| Min. Negotiated Rate |
$39.83 |
| Max. Negotiated Rate |
$51.50 |
| Rate for Payer: Aetna Commercial |
$48.64
|
| Rate for Payer: BCBS Trust/PPO |
$47.26
|
| Rate for Payer: BCN Commercial |
$47.26
|
| Rate for Payer: Cash Price |
$45.78
|
| Rate for Payer: Cofinity Commercial |
$49.21
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$45.78
|
| Rate for Payer: Healthscope Commercial |
$51.50
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$42.91
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$48.64
|
| Rate for Payer: Nomi Health Commercial |
$46.92
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$42.91
|
| Rate for Payer: PHP Commercial |
$48.64
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$49.78
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$39.83
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$50.35
|
| Rate for Payer: UHC Core |
$47.78
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$42.91
|
|
|
HC PARACENTESIS
|
Facility
|
IP
|
$1,015.62
|
|
| Hospital Charge Code |
36000078
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$706.87 |
| Max. Negotiated Rate |
$914.06 |
| Rate for Payer: Aetna Commercial |
$863.28
|
| Rate for Payer: BCBS Trust/PPO |
$838.80
|
| Rate for Payer: BCN Commercial |
$838.80
|
| Rate for Payer: Cash Price |
$812.50
|
| Rate for Payer: Cofinity Commercial |
$873.43
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$812.50
|
| Rate for Payer: Healthscope Commercial |
$914.06
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$761.72
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$863.28
|
| Rate for Payer: Nomi Health Commercial |
$832.81
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$761.72
|
| Rate for Payer: PHP Commercial |
$863.28
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$883.59
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$706.87
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$893.75
|
| Rate for Payer: UHC Core |
$848.04
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$761.72
|
|
|
HC PARACENTESIS
|
Facility
|
OP
|
$1,015.62
|
|
| Hospital Charge Code |
36000078
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$179.05 |
| Max. Negotiated Rate |
$914.06 |
| Rate for Payer: Aetna Commercial |
$863.28
|
| Rate for Payer: Aetna Medicare |
$264.06
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$317.38
|
| Rate for Payer: Amish Plain Church Group Commercial |
$317.38
|
| Rate for Payer: BCBS Complete |
$187.99
|
| Rate for Payer: BCBS MAPPO |
$253.91
|
| Rate for Payer: BCBS Trust/PPO |
$834.94
|
| Rate for Payer: BCN Commercial |
$834.94
|
| Rate for Payer: BCN Medicare Advantage |
$253.91
|
| Rate for Payer: Cash Price |
$812.50
|
| Rate for Payer: Cofinity Commercial |
$873.43
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$812.50
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$253.91
|
| Rate for Payer: Healthscope Commercial |
$914.06
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$761.72
|
| Rate for Payer: Mclaren Medicaid |
$179.05
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$266.60
|
| Rate for Payer: Meridian Medicaid |
$187.99
|
| Rate for Payer: MI Amish Medical Board Commercial |
$291.99
|
| Rate for Payer: Molina Medicare/Medicaid |
$279.30
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$863.28
|
| Rate for Payer: Nomi Health Commercial |
$832.81
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$761.72
|
| Rate for Payer: PACE Senior Care Partners |
$241.21
|
| Rate for Payer: PACE SWMI |
$253.91
|
| Rate for Payer: PHP Commercial |
$863.28
|
| Rate for Payer: PHP Medicare Advantage |
$253.91
|
| Rate for Payer: Priority Health Choice Medicaid |
$179.05
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$883.59
|
| Rate for Payer: Priority Health Medicare |
$256.44
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$706.87
|
| Rate for Payer: Railroad Medicare Medicare |
$253.91
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$893.75
|
| Rate for Payer: UHC Core |
$848.04
|
| Rate for Payer: UHC Exchange |
$253.91
|
| Rate for Payer: UHC Medicaid |
$179.05
|
| Rate for Payer: UHC Medicare Advantage |
$253.91
|
| Rate for Payer: UHCCP Medicaid |
$179.05
|
| Rate for Payer: VA VA |
$253.91
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$761.72
|
|
|
HC PARACERVIAL/PUDENDAL ANES
|
Facility
|
IP
|
$387.95
|
|
| Hospital Charge Code |
37000004
|
|
Hospital Revenue Code
|
370
|
| Min. Negotiated Rate |
$270.01 |
| Max. Negotiated Rate |
$349.15 |
| Rate for Payer: Aetna Commercial |
$329.76
|
| Rate for Payer: BCBS Trust/PPO |
$320.41
|
| Rate for Payer: BCN Commercial |
$320.41
|
| Rate for Payer: Cash Price |
$310.36
|
| Rate for Payer: Cofinity Commercial |
$333.64
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$310.36
|
| Rate for Payer: Healthscope Commercial |
$349.15
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$290.96
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$329.76
|
| Rate for Payer: Nomi Health Commercial |
$318.12
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$290.96
|
| Rate for Payer: PHP Commercial |
$329.76
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$337.52
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$270.01
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$341.40
|
| Rate for Payer: UHC Core |
$323.94
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$290.96
|
|
|
HC PARACERVIAL/PUDENDAL ANES
|
Facility
|
OP
|
$387.95
|
|
| Hospital Charge Code |
37000004
|
|
Hospital Revenue Code
|
370
|
| Min. Negotiated Rate |
$68.40 |
| Max. Negotiated Rate |
$349.15 |
| Rate for Payer: Aetna Commercial |
$329.76
|
| Rate for Payer: Aetna Medicare |
$100.87
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$121.23
|
| Rate for Payer: Amish Plain Church Group Commercial |
$121.23
|
| Rate for Payer: BCBS Complete |
$71.81
|
| Rate for Payer: BCBS MAPPO |
$96.99
|
| Rate for Payer: BCBS Trust/PPO |
$318.93
|
| Rate for Payer: BCN Commercial |
$318.93
|
| Rate for Payer: BCN Medicare Advantage |
$96.99
|
| Rate for Payer: Cash Price |
$310.36
|
| Rate for Payer: Cofinity Commercial |
$333.64
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$310.36
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$96.99
|
| Rate for Payer: Healthscope Commercial |
$349.15
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$290.96
|
| Rate for Payer: Mclaren Medicaid |
$68.40
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$101.84
|
| Rate for Payer: Meridian Medicaid |
$71.81
|
| Rate for Payer: MI Amish Medical Board Commercial |
$111.54
|
| Rate for Payer: Molina Medicare/Medicaid |
$106.69
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$329.76
|
| Rate for Payer: Nomi Health Commercial |
$318.12
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$290.96
|
| Rate for Payer: PACE Senior Care Partners |
$92.14
|
| Rate for Payer: PACE SWMI |
$96.99
|
| Rate for Payer: PHP Commercial |
$329.76
|
| Rate for Payer: PHP Medicare Advantage |
$96.99
|
| Rate for Payer: Priority Health Choice Medicaid |
$68.40
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$337.52
|
| Rate for Payer: Priority Health Medicare |
$97.96
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$270.01
|
| Rate for Payer: Railroad Medicare Medicare |
$96.99
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$341.40
|
| Rate for Payer: UHC Core |
$323.94
|
| Rate for Payer: UHC Exchange |
$96.99
|
| Rate for Payer: UHC Medicaid |
$68.40
|
| Rate for Payer: UHC Medicare Advantage |
$96.99
|
| Rate for Payer: UHCCP Medicaid |
$68.40
|
| Rate for Payer: VA VA |
$96.99
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$290.96
|
|
|
HC PARAFFIN BATH
|
Facility
|
OP
|
$65.79
|
|
|
Service Code
|
CPT 97018
|
| Hospital Charge Code |
43000008
|
|
Hospital Revenue Code
|
430
|
| Min. Negotiated Rate |
$11.60 |
| Max. Negotiated Rate |
$59.21 |
| Rate for Payer: Aetna Commercial |
$55.92
|
| Rate for Payer: Aetna Medicare |
$17.11
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$20.56
|
| Rate for Payer: Amish Plain Church Group Commercial |
$20.56
|
| Rate for Payer: BCBS Complete |
$12.18
|
| Rate for Payer: BCBS MAPPO |
$16.45
|
| Rate for Payer: BCBS Trust/PPO |
$54.09
|
| Rate for Payer: BCN Commercial |
$54.09
|
| Rate for Payer: BCN Medicare Advantage |
$16.45
|
| Rate for Payer: Cash Price |
$52.63
|
| Rate for Payer: Cofinity Commercial |
$56.58
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$52.63
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$16.45
|
| Rate for Payer: Healthscope Commercial |
$59.21
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$49.34
|
| Rate for Payer: Mclaren Medicaid |
$11.60
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$17.27
|
| Rate for Payer: Meridian Medicaid |
$12.18
|
| Rate for Payer: MI Amish Medical Board Commercial |
$18.91
|
| Rate for Payer: Molina Medicare/Medicaid |
$18.09
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$55.92
|
| Rate for Payer: Nomi Health Commercial |
$53.95
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$49.34
|
| Rate for Payer: PACE Senior Care Partners |
$15.63
|
| Rate for Payer: PACE SWMI |
$16.45
|
| Rate for Payer: PHP Commercial |
$55.92
|
| Rate for Payer: PHP Medicare Advantage |
$16.45
|
| Rate for Payer: Priority Health Choice Medicaid |
$11.60
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$57.24
|
| Rate for Payer: Priority Health Medicare |
$16.61
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$45.79
|
| Rate for Payer: Railroad Medicare Medicare |
$16.45
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$57.90
|
| Rate for Payer: UHC Core |
$54.93
|
| Rate for Payer: UHC Exchange |
$16.45
|
| Rate for Payer: UHC Medicaid |
$11.60
|
| Rate for Payer: UHC Medicare Advantage |
$16.45
|
| Rate for Payer: UHCCP Medicaid |
$11.60
|
| Rate for Payer: VA VA |
$16.45
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$49.34
|
|
|
HC PARAFFIN BATH
|
Facility
|
IP
|
$65.79
|
|
|
Service Code
|
CPT 97018
|
| Hospital Charge Code |
43000008
|
|
Hospital Revenue Code
|
430
|
| Min. Negotiated Rate |
$45.79 |
| Max. Negotiated Rate |
$59.21 |
| Rate for Payer: Aetna Commercial |
$55.92
|
| Rate for Payer: BCBS Trust/PPO |
$54.34
|
| Rate for Payer: BCN Commercial |
$54.34
|
| Rate for Payer: Cash Price |
$52.63
|
| Rate for Payer: Cofinity Commercial |
$56.58
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$52.63
|
| Rate for Payer: Healthscope Commercial |
$59.21
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$49.34
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$55.92
|
| Rate for Payer: Nomi Health Commercial |
$53.95
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$49.34
|
| Rate for Payer: PHP Commercial |
$55.92
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$57.24
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$45.79
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$57.90
|
| Rate for Payer: UHC Core |
$54.93
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$49.34
|
|
|
HC PARANEOPLAS AB EVAL CSF
|
Facility
|
OP
|
$108.20
|
|
|
Service Code
|
CPT 86255
|
| Hospital Charge Code |
30200470
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$19.08 |
| Max. Negotiated Rate |
$97.38 |
| Rate for Payer: Aetna Commercial |
$91.97
|
| Rate for Payer: Aetna Medicare |
$28.13
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$33.81
|
| Rate for Payer: Amish Plain Church Group Commercial |
$33.81
|
| Rate for Payer: BCBS Complete |
$20.03
|
| Rate for Payer: BCBS MAPPO |
$27.05
|
| Rate for Payer: BCBS Trust/PPO |
$88.95
|
| Rate for Payer: BCN Commercial |
$88.95
|
| Rate for Payer: BCN Medicare Advantage |
$27.05
|
| Rate for Payer: Cash Price |
$86.56
|
| Rate for Payer: Cofinity Commercial |
$93.05
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$86.56
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$27.05
|
| Rate for Payer: Healthscope Commercial |
$97.38
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$81.15
|
| Rate for Payer: Mclaren Medicaid |
$19.08
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$28.40
|
| Rate for Payer: Meridian Medicaid |
$20.03
|
| Rate for Payer: MI Amish Medical Board Commercial |
$31.11
|
| Rate for Payer: Molina Medicare/Medicaid |
$29.75
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$91.97
|
| Rate for Payer: Nomi Health Commercial |
$88.72
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$81.15
|
| Rate for Payer: PACE Senior Care Partners |
$25.70
|
| Rate for Payer: PACE SWMI |
$27.05
|
| Rate for Payer: PHP Commercial |
$91.97
|
| Rate for Payer: PHP Medicare Advantage |
$27.05
|
| Rate for Payer: Priority Health Choice Medicaid |
$19.08
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$94.13
|
| Rate for Payer: Priority Health Medicare |
$27.32
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$75.31
|
| Rate for Payer: Railroad Medicare Medicare |
$27.05
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$95.22
|
| Rate for Payer: UHC Core |
$90.35
|
| Rate for Payer: UHC Exchange |
$27.05
|
| Rate for Payer: UHC Medicaid |
$19.08
|
| Rate for Payer: UHC Medicare Advantage |
$27.05
|
| Rate for Payer: UHCCP Medicaid |
$19.08
|
| Rate for Payer: VA VA |
$27.05
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$81.15
|
|
|
HC PARANEOPLAS AB EVAL CSF
|
Facility
|
IP
|
$108.20
|
|
|
Service Code
|
CPT 86255
|
| Hospital Charge Code |
30200470
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$75.31 |
| Max. Negotiated Rate |
$97.38 |
| Rate for Payer: Aetna Commercial |
$91.97
|
| Rate for Payer: BCBS Trust/PPO |
$89.36
|
| Rate for Payer: BCN Commercial |
$89.36
|
| Rate for Payer: Cash Price |
$86.56
|
| Rate for Payer: Cofinity Commercial |
$93.05
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$86.56
|
| Rate for Payer: Healthscope Commercial |
$97.38
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$81.15
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$91.97
|
| Rate for Payer: Nomi Health Commercial |
$88.72
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$81.15
|
| Rate for Payer: PHP Commercial |
$91.97
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$94.13
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$75.31
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$95.22
|
| Rate for Payer: UHC Core |
$90.35
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$81.15
|
|
|
HC PARANEOPLAS AB EVAL CSF CMPT
|
Facility
|
OP
|
$83.83
|
|
|
Service Code
|
CPT 86255
|
| Hospital Charge Code |
30200471
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$14.78 |
| Max. Negotiated Rate |
$75.45 |
| Rate for Payer: Aetna Commercial |
$71.26
|
| Rate for Payer: Aetna Medicare |
$21.80
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$26.20
|
| Rate for Payer: Amish Plain Church Group Commercial |
$26.20
|
| Rate for Payer: BCBS Complete |
$15.52
|
| Rate for Payer: BCBS MAPPO |
$20.96
|
| Rate for Payer: BCBS Trust/PPO |
$68.92
|
| Rate for Payer: BCN Commercial |
$68.92
|
| Rate for Payer: BCN Medicare Advantage |
$20.96
|
| Rate for Payer: Cash Price |
$67.06
|
| Rate for Payer: Cofinity Commercial |
$72.09
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$67.06
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$20.96
|
| Rate for Payer: Healthscope Commercial |
$75.45
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$62.87
|
| Rate for Payer: Mclaren Medicaid |
$14.78
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$22.01
|
| Rate for Payer: Meridian Medicaid |
$15.52
|
| Rate for Payer: MI Amish Medical Board Commercial |
$24.10
|
| Rate for Payer: Molina Medicare/Medicaid |
$23.05
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$71.26
|
| Rate for Payer: Nomi Health Commercial |
$68.74
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$62.87
|
| Rate for Payer: PACE Senior Care Partners |
$19.91
|
| Rate for Payer: PACE SWMI |
$20.96
|
| Rate for Payer: PHP Commercial |
$71.26
|
| Rate for Payer: PHP Medicare Advantage |
$20.96
|
| Rate for Payer: Priority Health Choice Medicaid |
$14.78
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$72.93
|
| Rate for Payer: Priority Health Medicare |
$21.17
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$58.35
|
| Rate for Payer: Railroad Medicare Medicare |
$20.96
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$73.77
|
| Rate for Payer: UHC Core |
$70.00
|
| Rate for Payer: UHC Exchange |
$20.96
|
| Rate for Payer: UHC Medicaid |
$14.78
|
| Rate for Payer: UHC Medicare Advantage |
$20.96
|
| Rate for Payer: UHCCP Medicaid |
$14.78
|
| Rate for Payer: VA VA |
$20.96
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$62.87
|
|
|
HC PARANEOPLAS AB EVAL CSF CMPT
|
Facility
|
IP
|
$83.83
|
|
|
Service Code
|
CPT 86255
|
| Hospital Charge Code |
30200471
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$58.35 |
| Max. Negotiated Rate |
$75.45 |
| Rate for Payer: Aetna Commercial |
$71.26
|
| Rate for Payer: BCBS Trust/PPO |
$69.24
|
| Rate for Payer: BCN Commercial |
$69.24
|
| Rate for Payer: Cash Price |
$67.06
|
| Rate for Payer: Cofinity Commercial |
$72.09
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$67.06
|
| Rate for Payer: Healthscope Commercial |
$75.45
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$62.87
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$71.26
|
| Rate for Payer: Nomi Health Commercial |
$68.74
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$62.87
|
| Rate for Payer: PHP Commercial |
$71.26
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$72.93
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$58.35
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$73.77
|
| Rate for Payer: UHC Core |
$70.00
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$62.87
|
|
|
HC PARANEOPLASTIC AB CMPT
|
Facility
|
IP
|
$117.57
|
|
|
Service Code
|
CPT 86596
|
| Hospital Charge Code |
30200495
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$81.83 |
| Max. Negotiated Rate |
$105.81 |
| Rate for Payer: Aetna Commercial |
$99.93
|
| Rate for Payer: BCBS Trust/PPO |
$97.10
|
| Rate for Payer: BCN Commercial |
$97.10
|
| Rate for Payer: Cash Price |
$94.06
|
| Rate for Payer: Cofinity Commercial |
$101.11
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$94.06
|
| Rate for Payer: Healthscope Commercial |
$105.81
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$88.18
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$99.93
|
| Rate for Payer: Nomi Health Commercial |
$96.41
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$88.18
|
| Rate for Payer: PHP Commercial |
$99.93
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$102.29
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$81.83
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$103.46
|
| Rate for Payer: UHC Core |
$98.17
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$88.18
|
|
|
HC PARANEOPLASTIC AB CMPT
|
Facility
|
OP
|
$117.57
|
|
|
Service Code
|
CPT 86596
|
| Hospital Charge Code |
30200495
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$20.73 |
| Max. Negotiated Rate |
$105.81 |
| Rate for Payer: Aetna Commercial |
$99.93
|
| Rate for Payer: Aetna Medicare |
$30.57
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$36.74
|
| Rate for Payer: Amish Plain Church Group Commercial |
$36.74
|
| Rate for Payer: BCBS Complete |
$21.76
|
| Rate for Payer: BCBS MAPPO |
$29.39
|
| Rate for Payer: BCBS Trust/PPO |
$96.65
|
| Rate for Payer: BCN Commercial |
$96.65
|
| Rate for Payer: BCN Medicare Advantage |
$29.39
|
| Rate for Payer: Cash Price |
$94.06
|
| Rate for Payer: Cofinity Commercial |
$101.11
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$94.06
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$29.39
|
| Rate for Payer: Healthscope Commercial |
$105.81
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$88.18
|
| Rate for Payer: Mclaren Medicaid |
$20.73
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$30.86
|
| Rate for Payer: Meridian Medicaid |
$21.76
|
| Rate for Payer: MI Amish Medical Board Commercial |
$33.80
|
| Rate for Payer: Molina Medicare/Medicaid |
$32.33
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$99.93
|
| Rate for Payer: Nomi Health Commercial |
$96.41
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$88.18
|
| Rate for Payer: PACE Senior Care Partners |
$27.92
|
| Rate for Payer: PACE SWMI |
$29.39
|
| Rate for Payer: PHP Commercial |
$99.93
|
| Rate for Payer: PHP Medicare Advantage |
$29.39
|
| Rate for Payer: Priority Health Choice Medicaid |
$20.73
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$102.29
|
| Rate for Payer: Priority Health Medicare |
$29.69
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$81.83
|
| Rate for Payer: Railroad Medicare Medicare |
$29.39
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$103.46
|
| Rate for Payer: UHC Core |
$98.17
|
| Rate for Payer: UHC Exchange |
$29.39
|
| Rate for Payer: UHC Medicaid |
$20.73
|
| Rate for Payer: UHC Medicare Advantage |
$29.39
|
| Rate for Payer: UHCCP Medicaid |
$20.73
|
| Rate for Payer: VA VA |
$29.39
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$88.18
|
|
|
HC PARANEOPLASTIC ANTIBODIES
|
Facility
|
OP
|
$63.67
|
|
|
Service Code
|
CPT 83520
|
| Hospital Charge Code |
30100263
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$11.23 |
| Max. Negotiated Rate |
$57.30 |
| Rate for Payer: Aetna Commercial |
$54.12
|
| Rate for Payer: Aetna Medicare |
$16.55
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$19.90
|
| Rate for Payer: Amish Plain Church Group Commercial |
$19.90
|
| Rate for Payer: BCBS Complete |
$11.79
|
| Rate for Payer: BCBS MAPPO |
$15.92
|
| Rate for Payer: BCBS Trust/PPO |
$52.34
|
| Rate for Payer: BCN Commercial |
$52.34
|
| Rate for Payer: BCN Medicare Advantage |
$15.92
|
| Rate for Payer: Cash Price |
$50.94
|
| Rate for Payer: Cofinity Commercial |
$54.76
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$50.94
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$15.92
|
| Rate for Payer: Healthscope Commercial |
$57.30
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$47.75
|
| Rate for Payer: Mclaren Medicaid |
$11.23
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$16.71
|
| Rate for Payer: Meridian Medicaid |
$11.79
|
| Rate for Payer: MI Amish Medical Board Commercial |
$18.31
|
| Rate for Payer: Molina Medicare/Medicaid |
$17.51
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$54.12
|
| Rate for Payer: Nomi Health Commercial |
$52.21
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$47.75
|
| Rate for Payer: PACE Senior Care Partners |
$15.12
|
| Rate for Payer: PACE SWMI |
$15.92
|
| Rate for Payer: PHP Commercial |
$54.12
|
| Rate for Payer: PHP Medicare Advantage |
$15.92
|
| Rate for Payer: Priority Health Choice Medicaid |
$11.23
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$55.39
|
| Rate for Payer: Priority Health Medicare |
$16.08
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$44.31
|
| Rate for Payer: Railroad Medicare Medicare |
$15.92
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$56.03
|
| Rate for Payer: UHC Core |
$53.16
|
| Rate for Payer: UHC Exchange |
$15.92
|
| Rate for Payer: UHC Medicaid |
$11.23
|
| Rate for Payer: UHC Medicare Advantage |
$15.92
|
| Rate for Payer: UHCCP Medicaid |
$11.23
|
| Rate for Payer: VA VA |
$15.92
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$47.75
|
|
|
HC PARANEOPLASTIC ANTIBODIES
|
Facility
|
IP
|
$63.67
|
|
|
Service Code
|
CPT 83520
|
| Hospital Charge Code |
30100263
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$44.31 |
| Max. Negotiated Rate |
$57.30 |
| Rate for Payer: Aetna Commercial |
$54.12
|
| Rate for Payer: BCBS Trust/PPO |
$52.59
|
| Rate for Payer: BCN Commercial |
$52.59
|
| Rate for Payer: Cash Price |
$50.94
|
| Rate for Payer: Cofinity Commercial |
$54.76
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$50.94
|
| Rate for Payer: Healthscope Commercial |
$57.30
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$47.75
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$54.12
|
| Rate for Payer: Nomi Health Commercial |
$52.21
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$47.75
|
| Rate for Payer: PHP Commercial |
$54.12
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$55.39
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$44.31
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$56.03
|
| Rate for Payer: UHC Core |
$53.16
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$47.75
|
|
|
HC PARANEOPLASTIC ANTIBODIES CMPT
|
Facility
|
IP
|
$67.63
|
|
|
Service Code
|
CPT 83519
|
| Hospital Charge Code |
30200012
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$47.07 |
| Max. Negotiated Rate |
$60.87 |
| Rate for Payer: Aetna Commercial |
$57.49
|
| Rate for Payer: BCBS Trust/PPO |
$55.86
|
| Rate for Payer: BCN Commercial |
$55.86
|
| Rate for Payer: Cash Price |
$54.10
|
| Rate for Payer: Cofinity Commercial |
$58.16
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$54.10
|
| Rate for Payer: Healthscope Commercial |
$60.87
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$50.72
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$57.49
|
| Rate for Payer: Nomi Health Commercial |
$55.46
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$50.72
|
| Rate for Payer: PHP Commercial |
$57.49
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$58.84
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$47.07
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$59.51
|
| Rate for Payer: UHC Core |
$56.47
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$50.72
|
|
|
HC PARANEOPLASTIC ANTIBODIES CMPT
|
Facility
|
OP
|
$67.63
|
|
|
Service Code
|
CPT 83519
|
| Hospital Charge Code |
30200012
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$11.92 |
| Max. Negotiated Rate |
$60.87 |
| Rate for Payer: Aetna Commercial |
$57.49
|
| Rate for Payer: Aetna Medicare |
$17.58
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$21.13
|
| Rate for Payer: Amish Plain Church Group Commercial |
$21.13
|
| Rate for Payer: BCBS Complete |
$12.52
|
| Rate for Payer: BCBS MAPPO |
$16.91
|
| Rate for Payer: BCBS Trust/PPO |
$55.60
|
| Rate for Payer: BCN Commercial |
$55.60
|
| Rate for Payer: BCN Medicare Advantage |
$16.91
|
| Rate for Payer: Cash Price |
$54.10
|
| Rate for Payer: Cofinity Commercial |
$58.16
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$54.10
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$16.91
|
| Rate for Payer: Healthscope Commercial |
$60.87
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$50.72
|
| Rate for Payer: Mclaren Medicaid |
$11.92
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$17.75
|
| Rate for Payer: Meridian Medicaid |
$12.52
|
| Rate for Payer: MI Amish Medical Board Commercial |
$19.44
|
| Rate for Payer: Molina Medicare/Medicaid |
$18.60
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$57.49
|
| Rate for Payer: Nomi Health Commercial |
$55.46
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$50.72
|
| Rate for Payer: PACE Senior Care Partners |
$16.06
|
| Rate for Payer: PACE SWMI |
$16.91
|
| Rate for Payer: PHP Commercial |
$57.49
|
| Rate for Payer: PHP Medicare Advantage |
$16.91
|
| Rate for Payer: Priority Health Choice Medicaid |
$11.92
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$58.84
|
| Rate for Payer: Priority Health Medicare |
$17.08
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$47.07
|
| Rate for Payer: Railroad Medicare Medicare |
$16.91
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$59.51
|
| Rate for Payer: UHC Core |
$56.47
|
| Rate for Payer: UHC Exchange |
$16.91
|
| Rate for Payer: UHC Medicaid |
$11.92
|
| Rate for Payer: UHC Medicare Advantage |
$16.91
|
| Rate for Payer: UHCCP Medicaid |
$11.92
|
| Rate for Payer: VA VA |
$16.91
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$50.72
|
|
|
HC PARANEOPLASTIC ANTIBODIES CMPT2
|
Facility
|
OP
|
$63.67
|
|
|
Service Code
|
CPT 86256
|
| Hospital Charge Code |
30200181
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$11.23 |
| Max. Negotiated Rate |
$57.30 |
| Rate for Payer: Aetna Commercial |
$54.12
|
| Rate for Payer: Aetna Medicare |
$16.55
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$19.90
|
| Rate for Payer: Amish Plain Church Group Commercial |
$19.90
|
| Rate for Payer: BCBS Complete |
$11.79
|
| Rate for Payer: BCBS MAPPO |
$15.92
|
| Rate for Payer: BCBS Trust/PPO |
$52.34
|
| Rate for Payer: BCN Commercial |
$52.34
|
| Rate for Payer: BCN Medicare Advantage |
$15.92
|
| Rate for Payer: Cash Price |
$50.94
|
| Rate for Payer: Cofinity Commercial |
$54.76
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$50.94
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$15.92
|
| Rate for Payer: Healthscope Commercial |
$57.30
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$47.75
|
| Rate for Payer: Mclaren Medicaid |
$11.23
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$16.71
|
| Rate for Payer: Meridian Medicaid |
$11.79
|
| Rate for Payer: MI Amish Medical Board Commercial |
$18.31
|
| Rate for Payer: Molina Medicare/Medicaid |
$17.51
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$54.12
|
| Rate for Payer: Nomi Health Commercial |
$52.21
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$47.75
|
| Rate for Payer: PACE Senior Care Partners |
$15.12
|
| Rate for Payer: PACE SWMI |
$15.92
|
| Rate for Payer: PHP Commercial |
$54.12
|
| Rate for Payer: PHP Medicare Advantage |
$15.92
|
| Rate for Payer: Priority Health Choice Medicaid |
$11.23
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$55.39
|
| Rate for Payer: Priority Health Medicare |
$16.08
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$44.31
|
| Rate for Payer: Railroad Medicare Medicare |
$15.92
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$56.03
|
| Rate for Payer: UHC Core |
$53.16
|
| Rate for Payer: UHC Exchange |
$15.92
|
| Rate for Payer: UHC Medicaid |
$11.23
|
| Rate for Payer: UHC Medicare Advantage |
$15.92
|
| Rate for Payer: UHCCP Medicaid |
$11.23
|
| Rate for Payer: VA VA |
$15.92
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$47.75
|
|
|
HC PARANEOPLASTIC ANTIBODIES CMPT2
|
Facility
|
IP
|
$63.67
|
|
|
Service Code
|
CPT 86256
|
| Hospital Charge Code |
30200181
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$44.31 |
| Max. Negotiated Rate |
$57.30 |
| Rate for Payer: Aetna Commercial |
$54.12
|
| Rate for Payer: BCBS Trust/PPO |
$52.59
|
| Rate for Payer: BCN Commercial |
$52.59
|
| Rate for Payer: Cash Price |
$50.94
|
| Rate for Payer: Cofinity Commercial |
$54.76
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$50.94
|
| Rate for Payer: Healthscope Commercial |
$57.30
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$47.75
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$54.12
|
| Rate for Payer: Nomi Health Commercial |
$52.21
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$47.75
|
| Rate for Payer: PHP Commercial |
$54.12
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$55.39
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$44.31
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$56.03
|
| Rate for Payer: UHC Core |
$53.16
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$47.75
|
|
|
HC PARANEOPLASTIC ANTIBODIES SCREEN
|
Facility
|
IP
|
$63.67
|
|
|
Service Code
|
CPT 86255
|
| Hospital Charge Code |
30200396
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$44.31 |
| Max. Negotiated Rate |
$57.30 |
| Rate for Payer: Aetna Commercial |
$54.12
|
| Rate for Payer: BCBS Trust/PPO |
$52.59
|
| Rate for Payer: BCN Commercial |
$52.59
|
| Rate for Payer: Cash Price |
$50.94
|
| Rate for Payer: Cofinity Commercial |
$54.76
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$50.94
|
| Rate for Payer: Healthscope Commercial |
$57.30
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$47.75
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$54.12
|
| Rate for Payer: Nomi Health Commercial |
$52.21
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$47.75
|
| Rate for Payer: PHP Commercial |
$54.12
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$55.39
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$44.31
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$56.03
|
| Rate for Payer: UHC Core |
$53.16
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$47.75
|
|
|
HC PARANEOPLASTIC ANTIBODIES SCREEN
|
Facility
|
OP
|
$63.67
|
|
|
Service Code
|
CPT 86255
|
| Hospital Charge Code |
30200396
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$11.23 |
| Max. Negotiated Rate |
$57.30 |
| Rate for Payer: Aetna Commercial |
$54.12
|
| Rate for Payer: Aetna Medicare |
$16.55
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$19.90
|
| Rate for Payer: Amish Plain Church Group Commercial |
$19.90
|
| Rate for Payer: BCBS Complete |
$11.79
|
| Rate for Payer: BCBS MAPPO |
$15.92
|
| Rate for Payer: BCBS Trust/PPO |
$52.34
|
| Rate for Payer: BCN Commercial |
$52.34
|
| Rate for Payer: BCN Medicare Advantage |
$15.92
|
| Rate for Payer: Cash Price |
$50.94
|
| Rate for Payer: Cofinity Commercial |
$54.76
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$50.94
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$15.92
|
| Rate for Payer: Healthscope Commercial |
$57.30
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$47.75
|
| Rate for Payer: Mclaren Medicaid |
$11.23
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$16.71
|
| Rate for Payer: Meridian Medicaid |
$11.79
|
| Rate for Payer: MI Amish Medical Board Commercial |
$18.31
|
| Rate for Payer: Molina Medicare/Medicaid |
$17.51
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$54.12
|
| Rate for Payer: Nomi Health Commercial |
$52.21
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$47.75
|
| Rate for Payer: PACE Senior Care Partners |
$15.12
|
| Rate for Payer: PACE SWMI |
$15.92
|
| Rate for Payer: PHP Commercial |
$54.12
|
| Rate for Payer: PHP Medicare Advantage |
$15.92
|
| Rate for Payer: Priority Health Choice Medicaid |
$11.23
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$55.39
|
| Rate for Payer: Priority Health Medicare |
$16.08
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$44.31
|
| Rate for Payer: Railroad Medicare Medicare |
$15.92
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$56.03
|
| Rate for Payer: UHC Core |
$53.16
|
| Rate for Payer: UHC Exchange |
$15.92
|
| Rate for Payer: UHC Medicaid |
$11.23
|
| Rate for Payer: UHC Medicare Advantage |
$15.92
|
| Rate for Payer: UHCCP Medicaid |
$11.23
|
| Rate for Payer: VA VA |
$15.92
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$47.75
|
|
