|
HC PARANEOPLASTIC AUTOAB WB
|
Facility
|
OP
|
$164.38
|
|
|
Service Code
|
CPT 84182
|
| Hospital Charge Code |
30100678
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$28.98 |
| Max. Negotiated Rate |
$147.94 |
| Rate for Payer: Aetna Commercial |
$139.72
|
| Rate for Payer: Aetna Medicare |
$42.74
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$51.37
|
| Rate for Payer: Amish Plain Church Group Commercial |
$51.37
|
| Rate for Payer: BCBS Complete |
$30.43
|
| Rate for Payer: BCBS MAPPO |
$41.09
|
| Rate for Payer: BCBS Trust/PPO |
$135.14
|
| Rate for Payer: BCN Commercial |
$135.14
|
| Rate for Payer: BCN Medicare Advantage |
$41.09
|
| Rate for Payer: Cash Price |
$131.50
|
| Rate for Payer: Cofinity Commercial |
$141.37
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$131.50
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$41.09
|
| Rate for Payer: Healthscope Commercial |
$147.94
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$123.28
|
| Rate for Payer: Mclaren Medicaid |
$28.98
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$43.15
|
| Rate for Payer: Meridian Medicaid |
$30.43
|
| Rate for Payer: MI Amish Medical Board Commercial |
$47.26
|
| Rate for Payer: Molina Medicare/Medicaid |
$45.20
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$139.72
|
| Rate for Payer: Nomi Health Commercial |
$134.79
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$123.28
|
| Rate for Payer: PACE Senior Care Partners |
$39.04
|
| Rate for Payer: PACE SWMI |
$41.09
|
| Rate for Payer: PHP Commercial |
$139.72
|
| Rate for Payer: PHP Medicare Advantage |
$41.09
|
| Rate for Payer: Priority Health Choice Medicaid |
$28.98
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$143.01
|
| Rate for Payer: Priority Health Medicare |
$41.51
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$114.41
|
| Rate for Payer: Railroad Medicare Medicare |
$41.09
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$144.65
|
| Rate for Payer: UHC Core |
$137.26
|
| Rate for Payer: UHC Exchange |
$41.09
|
| Rate for Payer: UHC Medicaid |
$28.98
|
| Rate for Payer: UHC Medicare Advantage |
$41.09
|
| Rate for Payer: UHCCP Medicaid |
$28.98
|
| Rate for Payer: VA VA |
$41.09
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$123.28
|
|
|
HC PARANEOPLASTIC AUTOAB WB
|
Facility
|
IP
|
$164.38
|
|
|
Service Code
|
CPT 84182
|
| Hospital Charge Code |
30100678
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$114.41 |
| Max. Negotiated Rate |
$147.94 |
| Rate for Payer: Aetna Commercial |
$139.72
|
| Rate for Payer: BCBS Trust/PPO |
$135.76
|
| Rate for Payer: BCN Commercial |
$135.76
|
| Rate for Payer: Cash Price |
$131.50
|
| Rate for Payer: Cofinity Commercial |
$141.37
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$131.50
|
| Rate for Payer: Healthscope Commercial |
$147.94
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$123.28
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$139.72
|
| Rate for Payer: Nomi Health Commercial |
$134.79
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$123.28
|
| Rate for Payer: PHP Commercial |
$139.72
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$143.01
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$114.41
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$144.65
|
| Rate for Payer: UHC Core |
$137.26
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$123.28
|
|
|
HC PARASITIC EXAMINATION, STOOL
|
Facility
|
OP
|
$18.04
|
|
|
Service Code
|
CPT 87177
|
| Hospital Charge Code |
30600283
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$3.18 |
| Max. Negotiated Rate |
$16.24 |
| Rate for Payer: Aetna Commercial |
$15.33
|
| Rate for Payer: Aetna Medicare |
$4.69
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$5.64
|
| Rate for Payer: Amish Plain Church Group Commercial |
$5.64
|
| Rate for Payer: BCBS Complete |
$3.34
|
| Rate for Payer: BCBS MAPPO |
$4.51
|
| Rate for Payer: BCBS Trust/PPO |
$14.83
|
| Rate for Payer: BCN Commercial |
$14.83
|
| Rate for Payer: BCN Medicare Advantage |
$4.51
|
| Rate for Payer: Cash Price |
$14.43
|
| Rate for Payer: Cofinity Commercial |
$15.51
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$14.43
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$4.51
|
| Rate for Payer: Healthscope Commercial |
$16.24
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$13.53
|
| Rate for Payer: Mclaren Medicaid |
$3.18
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$4.74
|
| Rate for Payer: Meridian Medicaid |
$3.34
|
| Rate for Payer: MI Amish Medical Board Commercial |
$5.19
|
| Rate for Payer: Molina Medicare/Medicaid |
$4.96
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$15.33
|
| Rate for Payer: Nomi Health Commercial |
$14.79
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$13.53
|
| Rate for Payer: PACE Senior Care Partners |
$4.28
|
| Rate for Payer: PACE SWMI |
$4.51
|
| Rate for Payer: PHP Commercial |
$15.33
|
| Rate for Payer: PHP Medicare Advantage |
$4.51
|
| Rate for Payer: Priority Health Choice Medicaid |
$3.18
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$15.69
|
| Rate for Payer: Priority Health Medicare |
$4.56
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$12.56
|
| Rate for Payer: Railroad Medicare Medicare |
$4.51
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$15.88
|
| Rate for Payer: UHC Core |
$15.06
|
| Rate for Payer: UHC Exchange |
$4.51
|
| Rate for Payer: UHC Medicaid |
$3.18
|
| Rate for Payer: UHC Medicare Advantage |
$4.51
|
| Rate for Payer: UHCCP Medicaid |
$3.18
|
| Rate for Payer: VA VA |
$4.51
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$13.53
|
|
|
HC PARASITIC EXAMINATION, STOOL
|
Facility
|
IP
|
$18.04
|
|
|
Service Code
|
CPT 87177
|
| Hospital Charge Code |
30600283
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$12.56 |
| Max. Negotiated Rate |
$16.24 |
| Rate for Payer: Aetna Commercial |
$15.33
|
| Rate for Payer: BCBS Trust/PPO |
$14.90
|
| Rate for Payer: BCN Commercial |
$14.90
|
| Rate for Payer: Cash Price |
$14.43
|
| Rate for Payer: Cofinity Commercial |
$15.51
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$14.43
|
| Rate for Payer: Healthscope Commercial |
$16.24
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$13.53
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$15.33
|
| Rate for Payer: Nomi Health Commercial |
$14.79
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$13.53
|
| Rate for Payer: PHP Commercial |
$15.33
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$15.69
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$12.56
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$15.88
|
| Rate for Payer: UHC Core |
$15.06
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$13.53
|
|
|
HC PARASITIC SPECIAL STAIN
|
Facility
|
IP
|
$37.14
|
|
|
Service Code
|
CPT 87209
|
| Hospital Charge Code |
30600284
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$25.85 |
| Max. Negotiated Rate |
$33.43 |
| Rate for Payer: Aetna Commercial |
$31.57
|
| Rate for Payer: BCBS Trust/PPO |
$30.67
|
| Rate for Payer: BCN Commercial |
$30.67
|
| Rate for Payer: Cash Price |
$29.71
|
| Rate for Payer: Cofinity Commercial |
$31.94
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$29.71
|
| Rate for Payer: Healthscope Commercial |
$33.43
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$27.86
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$31.57
|
| Rate for Payer: Nomi Health Commercial |
$30.45
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$27.86
|
| Rate for Payer: PHP Commercial |
$31.57
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$32.31
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$25.85
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$32.68
|
| Rate for Payer: UHC Core |
$31.01
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$27.86
|
|
|
HC PARASITIC SPECIAL STAIN
|
Facility
|
OP
|
$37.14
|
|
|
Service Code
|
CPT 87209
|
| Hospital Charge Code |
30600284
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$6.55 |
| Max. Negotiated Rate |
$33.43 |
| Rate for Payer: Aetna Commercial |
$31.57
|
| Rate for Payer: Aetna Medicare |
$9.66
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$11.61
|
| Rate for Payer: Amish Plain Church Group Commercial |
$11.61
|
| Rate for Payer: BCBS Complete |
$6.87
|
| Rate for Payer: BCBS MAPPO |
$9.29
|
| Rate for Payer: BCBS Trust/PPO |
$30.53
|
| Rate for Payer: BCN Commercial |
$30.53
|
| Rate for Payer: BCN Medicare Advantage |
$9.29
|
| Rate for Payer: Cash Price |
$29.71
|
| Rate for Payer: Cofinity Commercial |
$31.94
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$29.71
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$9.29
|
| Rate for Payer: Healthscope Commercial |
$33.43
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$27.86
|
| Rate for Payer: Mclaren Medicaid |
$6.55
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$9.75
|
| Rate for Payer: Meridian Medicaid |
$6.87
|
| Rate for Payer: MI Amish Medical Board Commercial |
$10.68
|
| Rate for Payer: Molina Medicare/Medicaid |
$10.21
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$31.57
|
| Rate for Payer: Nomi Health Commercial |
$30.45
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$27.86
|
| Rate for Payer: PACE Senior Care Partners |
$8.82
|
| Rate for Payer: PACE SWMI |
$9.29
|
| Rate for Payer: PHP Commercial |
$31.57
|
| Rate for Payer: PHP Medicare Advantage |
$9.29
|
| Rate for Payer: Priority Health Choice Medicaid |
$6.55
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$32.31
|
| Rate for Payer: Priority Health Medicare |
$9.38
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$25.85
|
| Rate for Payer: Railroad Medicare Medicare |
$9.29
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$32.68
|
| Rate for Payer: UHC Core |
$31.01
|
| Rate for Payer: UHC Exchange |
$9.29
|
| Rate for Payer: UHC Medicaid |
$6.55
|
| Rate for Payer: UHC Medicare Advantage |
$9.29
|
| Rate for Payer: UHCCP Medicaid |
$6.55
|
| Rate for Payer: VA VA |
$9.29
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$27.86
|
|
|
HC PARATHYROID HORMONE INTACT
|
Facility
|
OP
|
$235.33
|
|
|
Service Code
|
CPT 83970
|
| Hospital Charge Code |
30100383
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$41.49 |
| Max. Negotiated Rate |
$211.80 |
| Rate for Payer: Aetna Commercial |
$200.03
|
| Rate for Payer: Aetna Medicare |
$61.19
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$73.54
|
| Rate for Payer: Amish Plain Church Group Commercial |
$73.54
|
| Rate for Payer: BCBS Complete |
$43.56
|
| Rate for Payer: BCBS MAPPO |
$58.83
|
| Rate for Payer: BCBS Trust/PPO |
$193.46
|
| Rate for Payer: BCN Commercial |
$193.46
|
| Rate for Payer: BCN Medicare Advantage |
$58.83
|
| Rate for Payer: Cash Price |
$188.26
|
| Rate for Payer: Cofinity Commercial |
$202.38
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$188.26
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$58.83
|
| Rate for Payer: Healthscope Commercial |
$211.80
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$176.50
|
| Rate for Payer: Mclaren Medicaid |
$41.49
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$61.77
|
| Rate for Payer: Meridian Medicaid |
$43.56
|
| Rate for Payer: MI Amish Medical Board Commercial |
$67.66
|
| Rate for Payer: Molina Medicare/Medicaid |
$64.72
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$200.03
|
| Rate for Payer: Nomi Health Commercial |
$192.97
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$176.50
|
| Rate for Payer: PACE Senior Care Partners |
$55.89
|
| Rate for Payer: PACE SWMI |
$58.83
|
| Rate for Payer: PHP Commercial |
$200.03
|
| Rate for Payer: PHP Medicare Advantage |
$58.83
|
| Rate for Payer: Priority Health Choice Medicaid |
$41.49
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$204.74
|
| Rate for Payer: Priority Health Medicare |
$59.42
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$163.79
|
| Rate for Payer: Railroad Medicare Medicare |
$58.83
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$207.09
|
| Rate for Payer: UHC Core |
$196.50
|
| Rate for Payer: UHC Exchange |
$58.83
|
| Rate for Payer: UHC Medicaid |
$41.49
|
| Rate for Payer: UHC Medicare Advantage |
$58.83
|
| Rate for Payer: UHCCP Medicaid |
$41.49
|
| Rate for Payer: VA VA |
$58.83
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$176.50
|
|
|
HC PARATHYROID HORMONE INTACT
|
Facility
|
IP
|
$235.33
|
|
|
Service Code
|
CPT 83970
|
| Hospital Charge Code |
30100383
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$163.79 |
| Max. Negotiated Rate |
$211.80 |
| Rate for Payer: Aetna Commercial |
$200.03
|
| Rate for Payer: BCBS Trust/PPO |
$194.36
|
| Rate for Payer: BCN Commercial |
$194.36
|
| Rate for Payer: Cash Price |
$188.26
|
| Rate for Payer: Cofinity Commercial |
$202.38
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$188.26
|
| Rate for Payer: Healthscope Commercial |
$211.80
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$176.50
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$200.03
|
| Rate for Payer: Nomi Health Commercial |
$192.97
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$176.50
|
| Rate for Payer: PHP Commercial |
$200.03
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$204.74
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$163.79
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$207.09
|
| Rate for Payer: UHC Core |
$196.50
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$176.50
|
|
|
HC PARATHYROID RELATED PROTEIN
|
Facility
|
IP
|
$61.55
|
|
|
Service Code
|
CPT 82397
|
| Hospital Charge Code |
30100150
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$42.84 |
| Max. Negotiated Rate |
$55.40 |
| Rate for Payer: Aetna Commercial |
$52.32
|
| Rate for Payer: BCBS Trust/PPO |
$50.83
|
| Rate for Payer: BCN Commercial |
$50.83
|
| Rate for Payer: Cash Price |
$49.24
|
| Rate for Payer: Cofinity Commercial |
$52.93
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$49.24
|
| Rate for Payer: Healthscope Commercial |
$55.40
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$46.16
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$52.32
|
| Rate for Payer: Nomi Health Commercial |
$50.47
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$46.16
|
| Rate for Payer: PHP Commercial |
$52.32
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$53.55
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$42.84
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$54.16
|
| Rate for Payer: UHC Core |
$51.39
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$46.16
|
|
|
HC PARATHYROID RELATED PROTEIN
|
Facility
|
OP
|
$61.55
|
|
|
Service Code
|
CPT 82397
|
| Hospital Charge Code |
30100150
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$10.85 |
| Max. Negotiated Rate |
$55.40 |
| Rate for Payer: Aetna Commercial |
$52.32
|
| Rate for Payer: Aetna Medicare |
$16.00
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$19.23
|
| Rate for Payer: Amish Plain Church Group Commercial |
$19.23
|
| Rate for Payer: BCBS Complete |
$11.39
|
| Rate for Payer: BCBS MAPPO |
$15.39
|
| Rate for Payer: BCBS Trust/PPO |
$50.60
|
| Rate for Payer: BCN Commercial |
$50.60
|
| Rate for Payer: BCN Medicare Advantage |
$15.39
|
| Rate for Payer: Cash Price |
$49.24
|
| Rate for Payer: Cofinity Commercial |
$52.93
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$49.24
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$15.39
|
| Rate for Payer: Healthscope Commercial |
$55.40
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$46.16
|
| Rate for Payer: Mclaren Medicaid |
$10.85
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$16.16
|
| Rate for Payer: Meridian Medicaid |
$11.39
|
| Rate for Payer: MI Amish Medical Board Commercial |
$17.70
|
| Rate for Payer: Molina Medicare/Medicaid |
$16.93
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$52.32
|
| Rate for Payer: Nomi Health Commercial |
$50.47
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$46.16
|
| Rate for Payer: PACE Senior Care Partners |
$14.62
|
| Rate for Payer: PACE SWMI |
$15.39
|
| Rate for Payer: PHP Commercial |
$52.32
|
| Rate for Payer: PHP Medicare Advantage |
$15.39
|
| Rate for Payer: Priority Health Choice Medicaid |
$10.85
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$53.55
|
| Rate for Payer: Priority Health Medicare |
$15.54
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$42.84
|
| Rate for Payer: Railroad Medicare Medicare |
$15.39
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$54.16
|
| Rate for Payer: UHC Core |
$51.39
|
| Rate for Payer: UHC Exchange |
$15.39
|
| Rate for Payer: UHC Medicaid |
$10.85
|
| Rate for Payer: UHC Medicare Advantage |
$15.39
|
| Rate for Payer: UHCCP Medicaid |
$10.85
|
| Rate for Payer: VA VA |
$15.39
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$46.16
|
|
|
HC PARIETAL CELL AB
|
Facility
|
IP
|
$56.24
|
|
|
Service Code
|
CPT 83516
|
| Hospital Charge Code |
30200002
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$39.14 |
| Max. Negotiated Rate |
$50.62 |
| Rate for Payer: Aetna Commercial |
$47.80
|
| Rate for Payer: BCBS Trust/PPO |
$46.45
|
| Rate for Payer: BCN Commercial |
$46.45
|
| Rate for Payer: Cash Price |
$44.99
|
| Rate for Payer: Cofinity Commercial |
$48.37
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$44.99
|
| Rate for Payer: Healthscope Commercial |
$50.62
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$42.18
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$47.80
|
| Rate for Payer: Nomi Health Commercial |
$46.12
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$42.18
|
| Rate for Payer: PHP Commercial |
$47.80
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$48.93
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$39.14
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$49.49
|
| Rate for Payer: UHC Core |
$46.96
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$42.18
|
|
|
HC PARIETAL CELL AB
|
Facility
|
OP
|
$56.24
|
|
|
Service Code
|
CPT 83516
|
| Hospital Charge Code |
30200002
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$9.92 |
| Max. Negotiated Rate |
$50.62 |
| Rate for Payer: Aetna Commercial |
$47.80
|
| Rate for Payer: Aetna Medicare |
$14.62
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$17.57
|
| Rate for Payer: Amish Plain Church Group Commercial |
$17.57
|
| Rate for Payer: BCBS Complete |
$10.41
|
| Rate for Payer: BCBS MAPPO |
$14.06
|
| Rate for Payer: BCBS Trust/PPO |
$46.23
|
| Rate for Payer: BCN Commercial |
$46.23
|
| Rate for Payer: BCN Medicare Advantage |
$14.06
|
| Rate for Payer: Cash Price |
$44.99
|
| Rate for Payer: Cofinity Commercial |
$48.37
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$44.99
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$14.06
|
| Rate for Payer: Healthscope Commercial |
$50.62
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$42.18
|
| Rate for Payer: Mclaren Medicaid |
$9.92
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$14.76
|
| Rate for Payer: Meridian Medicaid |
$10.41
|
| Rate for Payer: MI Amish Medical Board Commercial |
$16.17
|
| Rate for Payer: Molina Medicare/Medicaid |
$15.47
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$47.80
|
| Rate for Payer: Nomi Health Commercial |
$46.12
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$42.18
|
| Rate for Payer: PACE Senior Care Partners |
$13.36
|
| Rate for Payer: PACE SWMI |
$14.06
|
| Rate for Payer: PHP Commercial |
$47.80
|
| Rate for Payer: PHP Medicare Advantage |
$14.06
|
| Rate for Payer: Priority Health Choice Medicaid |
$9.92
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$48.93
|
| Rate for Payer: Priority Health Medicare |
$14.20
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$39.14
|
| Rate for Payer: Railroad Medicare Medicare |
$14.06
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$49.49
|
| Rate for Payer: UHC Core |
$46.96
|
| Rate for Payer: UHC Exchange |
$14.06
|
| Rate for Payer: UHC Medicaid |
$9.92
|
| Rate for Payer: UHC Medicare Advantage |
$14.06
|
| Rate for Payer: UHCCP Medicaid |
$9.92
|
| Rate for Payer: VA VA |
$14.06
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$42.18
|
|
|
HC PARTIAL EXC BONE; PHALANX OF TOE
|
Facility
|
OP
|
$2,904.52
|
|
|
Service Code
|
CPT 28124
|
| Hospital Charge Code |
76100285
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$512.07 |
| Max. Negotiated Rate |
$2,614.07 |
| Rate for Payer: Aetna Commercial |
$2,468.84
|
| Rate for Payer: Aetna Medicare |
$755.18
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$907.66
|
| Rate for Payer: Amish Plain Church Group Commercial |
$907.66
|
| Rate for Payer: BCBS Complete |
$537.63
|
| Rate for Payer: BCBS MAPPO |
$726.13
|
| Rate for Payer: BCBS Trust/PPO |
$2,387.81
|
| Rate for Payer: BCN Commercial |
$2,387.81
|
| Rate for Payer: BCN Medicare Advantage |
$726.13
|
| Rate for Payer: Cash Price |
$2,323.62
|
| Rate for Payer: Cofinity Commercial |
$2,497.89
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,323.62
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$726.13
|
| Rate for Payer: Healthscope Commercial |
$2,614.07
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,178.39
|
| Rate for Payer: Mclaren Medicaid |
$512.07
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$762.44
|
| Rate for Payer: Meridian Medicaid |
$537.63
|
| Rate for Payer: MI Amish Medical Board Commercial |
$835.05
|
| Rate for Payer: Molina Medicare/Medicaid |
$798.74
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,468.84
|
| Rate for Payer: Nomi Health Commercial |
$2,381.71
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,178.39
|
| Rate for Payer: PACE Senior Care Partners |
$689.82
|
| Rate for Payer: PACE SWMI |
$726.13
|
| Rate for Payer: PHP Commercial |
$2,468.84
|
| Rate for Payer: PHP Medicare Advantage |
$726.13
|
| Rate for Payer: Priority Health Choice Medicaid |
$512.07
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$2,526.93
|
| Rate for Payer: Priority Health Medicare |
$733.39
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,021.55
|
| Rate for Payer: Railroad Medicare Medicare |
$726.13
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,555.98
|
| Rate for Payer: UHC Core |
$2,425.27
|
| Rate for Payer: UHC Exchange |
$726.13
|
| Rate for Payer: UHC Medicaid |
$512.07
|
| Rate for Payer: UHC Medicare Advantage |
$726.13
|
| Rate for Payer: UHCCP Medicaid |
$512.07
|
| Rate for Payer: VA VA |
$726.13
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,178.39
|
|
|
HC PARTIAL EXC BONE; PHALANX OF TOE
|
Facility
|
IP
|
$2,904.52
|
|
|
Service Code
|
CPT 28124
|
| Hospital Charge Code |
76100285
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$2,021.55 |
| Max. Negotiated Rate |
$2,614.07 |
| Rate for Payer: Aetna Commercial |
$2,468.84
|
| Rate for Payer: BCBS Trust/PPO |
$2,398.84
|
| Rate for Payer: BCN Commercial |
$2,398.84
|
| Rate for Payer: Cash Price |
$2,323.62
|
| Rate for Payer: Cofinity Commercial |
$2,497.89
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,323.62
|
| Rate for Payer: Healthscope Commercial |
$2,614.07
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,178.39
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,468.84
|
| Rate for Payer: Nomi Health Commercial |
$2,381.71
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,178.39
|
| Rate for Payer: PHP Commercial |
$2,468.84
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$2,526.93
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,021.55
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,555.98
|
| Rate for Payer: UHC Core |
$2,425.27
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,178.39
|
|
|
HC PARTIAL REMOVAL BONE TARSAL/METATARSAL
|
Facility
|
OP
|
$9,426.02
|
|
|
Service Code
|
CPT 28122
|
| Hospital Charge Code |
76100406
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$1,661.81 |
| Max. Negotiated Rate |
$8,483.42 |
| Rate for Payer: Aetna Commercial |
$8,012.12
|
| Rate for Payer: Aetna Medicare |
$2,450.77
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$2,945.63
|
| Rate for Payer: Amish Plain Church Group Commercial |
$2,945.63
|
| Rate for Payer: BCBS Complete |
$1,744.76
|
| Rate for Payer: BCBS MAPPO |
$2,356.51
|
| Rate for Payer: BCBS Trust/PPO |
$7,749.13
|
| Rate for Payer: BCN Commercial |
$7,749.13
|
| Rate for Payer: BCN Medicare Advantage |
$2,356.51
|
| Rate for Payer: Cash Price |
$7,540.82
|
| Rate for Payer: Cofinity Commercial |
$8,106.38
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$7,540.82
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,356.51
|
| Rate for Payer: Healthscope Commercial |
$8,483.42
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$7,069.52
|
| Rate for Payer: Mclaren Medicaid |
$1,661.81
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$2,474.33
|
| Rate for Payer: Meridian Medicaid |
$1,744.76
|
| Rate for Payer: MI Amish Medical Board Commercial |
$2,709.98
|
| Rate for Payer: Molina Medicare/Medicaid |
$2,592.16
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$8,012.12
|
| Rate for Payer: Nomi Health Commercial |
$7,729.34
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$7,069.52
|
| Rate for Payer: PACE Senior Care Partners |
$2,238.68
|
| Rate for Payer: PACE SWMI |
$2,356.51
|
| Rate for Payer: PHP Commercial |
$8,012.12
|
| Rate for Payer: PHP Medicare Advantage |
$2,356.51
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,661.81
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$8,200.64
|
| Rate for Payer: Priority Health Medicare |
$2,380.07
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$6,560.51
|
| Rate for Payer: Railroad Medicare Medicare |
$2,356.51
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$8,294.90
|
| Rate for Payer: UHC Core |
$7,870.73
|
| Rate for Payer: UHC Exchange |
$2,356.51
|
| Rate for Payer: UHC Medicaid |
$1,661.81
|
| Rate for Payer: UHC Medicare Advantage |
$2,356.51
|
| Rate for Payer: UHCCP Medicaid |
$1,661.81
|
| Rate for Payer: VA VA |
$2,356.51
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$7,069.52
|
|
|
HC PARTIAL REMOVAL BONE TARSAL/METATARSAL
|
Facility
|
IP
|
$9,426.02
|
|
|
Service Code
|
CPT 28122
|
| Hospital Charge Code |
76100406
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$6,560.51 |
| Max. Negotiated Rate |
$8,483.42 |
| Rate for Payer: Aetna Commercial |
$8,012.12
|
| Rate for Payer: BCBS Trust/PPO |
$7,784.95
|
| Rate for Payer: BCN Commercial |
$7,784.95
|
| Rate for Payer: Cash Price |
$7,540.82
|
| Rate for Payer: Cofinity Commercial |
$8,106.38
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$7,540.82
|
| Rate for Payer: Healthscope Commercial |
$8,483.42
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$7,069.52
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$8,012.12
|
| Rate for Payer: Nomi Health Commercial |
$7,729.34
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$7,069.52
|
| Rate for Payer: PHP Commercial |
$8,012.12
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$8,200.64
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$6,560.51
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$8,294.90
|
| Rate for Payer: UHC Core |
$7,870.73
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$7,069.52
|
|
|
HC PARTIAL REMOVAL OF HYMEN
|
Facility
|
OP
|
$8,104.44
|
|
|
Service Code
|
CPT 56700
|
| Hospital Charge Code |
36100619
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$1,428.81 |
| Max. Negotiated Rate |
$7,294.00 |
| Rate for Payer: Aetna Commercial |
$6,888.77
|
| Rate for Payer: Aetna Medicare |
$2,107.15
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$2,532.64
|
| Rate for Payer: Amish Plain Church Group Commercial |
$2,532.64
|
| Rate for Payer: BCBS Complete |
$1,500.13
|
| Rate for Payer: BCBS MAPPO |
$2,026.11
|
| Rate for Payer: BCBS Trust/PPO |
$6,662.66
|
| Rate for Payer: BCN Commercial |
$6,662.66
|
| Rate for Payer: BCN Medicare Advantage |
$2,026.11
|
| Rate for Payer: Cash Price |
$6,483.55
|
| Rate for Payer: Cofinity Commercial |
$6,969.82
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$6,483.55
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,026.11
|
| Rate for Payer: Healthscope Commercial |
$7,294.00
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$6,078.33
|
| Rate for Payer: Mclaren Medicaid |
$1,428.81
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$2,127.42
|
| Rate for Payer: Meridian Medicaid |
$1,500.13
|
| Rate for Payer: MI Amish Medical Board Commercial |
$2,330.03
|
| Rate for Payer: Molina Medicare/Medicaid |
$2,228.72
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$6,888.77
|
| Rate for Payer: Nomi Health Commercial |
$6,645.64
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$6,078.33
|
| Rate for Payer: PACE Senior Care Partners |
$1,924.80
|
| Rate for Payer: PACE SWMI |
$2,026.11
|
| Rate for Payer: PHP Commercial |
$6,888.77
|
| Rate for Payer: PHP Medicare Advantage |
$2,026.11
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,428.81
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$7,050.86
|
| Rate for Payer: Priority Health Medicare |
$2,046.37
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$5,640.69
|
| Rate for Payer: Railroad Medicare Medicare |
$2,026.11
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$7,131.91
|
| Rate for Payer: UHC Core |
$6,767.21
|
| Rate for Payer: UHC Exchange |
$2,026.11
|
| Rate for Payer: UHC Medicaid |
$1,428.81
|
| Rate for Payer: UHC Medicare Advantage |
$2,026.11
|
| Rate for Payer: UHCCP Medicaid |
$1,428.81
|
| Rate for Payer: VA VA |
$2,026.11
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$6,078.33
|
|
|
HC PARTIAL REMOVAL OF HYMEN
|
Facility
|
IP
|
$8,104.44
|
|
|
Service Code
|
CPT 56700
|
| Hospital Charge Code |
36100619
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$5,640.69 |
| Max. Negotiated Rate |
$7,294.00 |
| Rate for Payer: Aetna Commercial |
$6,888.77
|
| Rate for Payer: BCBS Trust/PPO |
$6,693.46
|
| Rate for Payer: BCN Commercial |
$6,693.46
|
| Rate for Payer: Cash Price |
$6,483.55
|
| Rate for Payer: Cofinity Commercial |
$6,969.82
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$6,483.55
|
| Rate for Payer: Healthscope Commercial |
$7,294.00
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$6,078.33
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$6,888.77
|
| Rate for Payer: Nomi Health Commercial |
$6,645.64
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$6,078.33
|
| Rate for Payer: PHP Commercial |
$6,888.77
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$7,050.86
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$5,640.69
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$7,131.91
|
| Rate for Payer: UHC Core |
$6,767.21
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$6,078.33
|
|
|
HC PARVOVIRUS B19 COMPONENT
|
Facility
|
IP
|
$26.90
|
|
|
Service Code
|
CPT 86747
|
| Hospital Charge Code |
30200314
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$18.72 |
| Max. Negotiated Rate |
$24.21 |
| Rate for Payer: Aetna Commercial |
$22.86
|
| Rate for Payer: BCBS Trust/PPO |
$22.22
|
| Rate for Payer: BCN Commercial |
$22.22
|
| Rate for Payer: Cash Price |
$21.52
|
| Rate for Payer: Cofinity Commercial |
$23.13
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$21.52
|
| Rate for Payer: Healthscope Commercial |
$24.21
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$20.18
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$22.86
|
| Rate for Payer: Nomi Health Commercial |
$22.06
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$20.18
|
| Rate for Payer: PHP Commercial |
$22.86
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$23.40
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$18.72
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$23.67
|
| Rate for Payer: UHC Core |
$22.46
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$20.18
|
|
|
HC PARVOVIRUS B19 COMPONENT
|
Facility
|
OP
|
$26.90
|
|
|
Service Code
|
CPT 86747
|
| Hospital Charge Code |
30200314
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$4.74 |
| Max. Negotiated Rate |
$24.21 |
| Rate for Payer: Aetna Commercial |
$22.86
|
| Rate for Payer: Aetna Medicare |
$6.99
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$8.41
|
| Rate for Payer: Amish Plain Church Group Commercial |
$8.41
|
| Rate for Payer: BCBS Complete |
$4.98
|
| Rate for Payer: BCBS MAPPO |
$6.72
|
| Rate for Payer: BCBS Trust/PPO |
$22.11
|
| Rate for Payer: BCN Commercial |
$22.11
|
| Rate for Payer: BCN Medicare Advantage |
$6.72
|
| Rate for Payer: Cash Price |
$21.52
|
| Rate for Payer: Cofinity Commercial |
$23.13
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$21.52
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$6.72
|
| Rate for Payer: Healthscope Commercial |
$24.21
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$20.18
|
| Rate for Payer: Mclaren Medicaid |
$4.74
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$7.06
|
| Rate for Payer: Meridian Medicaid |
$4.98
|
| Rate for Payer: MI Amish Medical Board Commercial |
$7.73
|
| Rate for Payer: Molina Medicare/Medicaid |
$7.40
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$22.86
|
| Rate for Payer: Nomi Health Commercial |
$22.06
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$20.18
|
| Rate for Payer: PACE Senior Care Partners |
$6.39
|
| Rate for Payer: PACE SWMI |
$6.72
|
| Rate for Payer: PHP Commercial |
$22.86
|
| Rate for Payer: PHP Medicare Advantage |
$6.72
|
| Rate for Payer: Priority Health Choice Medicaid |
$4.74
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$23.40
|
| Rate for Payer: Priority Health Medicare |
$6.79
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$18.72
|
| Rate for Payer: Railroad Medicare Medicare |
$6.72
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$23.67
|
| Rate for Payer: UHC Core |
$22.46
|
| Rate for Payer: UHC Exchange |
$6.72
|
| Rate for Payer: UHC Medicaid |
$4.74
|
| Rate for Payer: UHC Medicare Advantage |
$6.72
|
| Rate for Payer: UHCCP Medicaid |
$4.74
|
| Rate for Payer: VA VA |
$6.72
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$20.18
|
|
|
HC PARVOVIRUS B19 IGG
|
Facility
|
OP
|
$26.90
|
|
|
Service Code
|
CPT 86747
|
| Hospital Charge Code |
30200313
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$4.74 |
| Max. Negotiated Rate |
$24.21 |
| Rate for Payer: Aetna Commercial |
$22.86
|
| Rate for Payer: Aetna Medicare |
$6.99
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$8.41
|
| Rate for Payer: Amish Plain Church Group Commercial |
$8.41
|
| Rate for Payer: BCBS Complete |
$4.98
|
| Rate for Payer: BCBS MAPPO |
$6.72
|
| Rate for Payer: BCBS Trust/PPO |
$22.11
|
| Rate for Payer: BCN Commercial |
$22.11
|
| Rate for Payer: BCN Medicare Advantage |
$6.72
|
| Rate for Payer: Cash Price |
$21.52
|
| Rate for Payer: Cofinity Commercial |
$23.13
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$21.52
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$6.72
|
| Rate for Payer: Healthscope Commercial |
$24.21
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$20.18
|
| Rate for Payer: Mclaren Medicaid |
$4.74
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$7.06
|
| Rate for Payer: Meridian Medicaid |
$4.98
|
| Rate for Payer: MI Amish Medical Board Commercial |
$7.73
|
| Rate for Payer: Molina Medicare/Medicaid |
$7.40
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$22.86
|
| Rate for Payer: Nomi Health Commercial |
$22.06
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$20.18
|
| Rate for Payer: PACE Senior Care Partners |
$6.39
|
| Rate for Payer: PACE SWMI |
$6.72
|
| Rate for Payer: PHP Commercial |
$22.86
|
| Rate for Payer: PHP Medicare Advantage |
$6.72
|
| Rate for Payer: Priority Health Choice Medicaid |
$4.74
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$23.40
|
| Rate for Payer: Priority Health Medicare |
$6.79
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$18.72
|
| Rate for Payer: Railroad Medicare Medicare |
$6.72
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$23.67
|
| Rate for Payer: UHC Core |
$22.46
|
| Rate for Payer: UHC Exchange |
$6.72
|
| Rate for Payer: UHC Medicaid |
$4.74
|
| Rate for Payer: UHC Medicare Advantage |
$6.72
|
| Rate for Payer: UHCCP Medicaid |
$4.74
|
| Rate for Payer: VA VA |
$6.72
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$20.18
|
|
|
HC PARVOVIRUS B19 IGG
|
Facility
|
IP
|
$26.90
|
|
|
Service Code
|
CPT 86747
|
| Hospital Charge Code |
30200313
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$18.72 |
| Max. Negotiated Rate |
$24.21 |
| Rate for Payer: Aetna Commercial |
$22.86
|
| Rate for Payer: BCBS Trust/PPO |
$22.22
|
| Rate for Payer: BCN Commercial |
$22.22
|
| Rate for Payer: Cash Price |
$21.52
|
| Rate for Payer: Cofinity Commercial |
$23.13
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$21.52
|
| Rate for Payer: Healthscope Commercial |
$24.21
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$20.18
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$22.86
|
| Rate for Payer: Nomi Health Commercial |
$22.06
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$20.18
|
| Rate for Payer: PHP Commercial |
$22.86
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$23.40
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$18.72
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$23.67
|
| Rate for Payer: UHC Core |
$22.46
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$20.18
|
|
|
HC PASCAL PRECISION TRANSCATH VALVE REPAIR SYS MITRAL
|
Facility
|
OP
|
$38,250.00
|
|
| Hospital Charge Code |
27800163
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$6,743.48 |
| Max. Negotiated Rate |
$34,425.00 |
| Rate for Payer: Aetna Commercial |
$32,512.50
|
| Rate for Payer: Aetna Medicare |
$9,945.00
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$11,953.12
|
| Rate for Payer: Amish Plain Church Group Commercial |
$11,953.12
|
| Rate for Payer: BCBS Complete |
$7,080.07
|
| Rate for Payer: BCBS MAPPO |
$9,562.50
|
| Rate for Payer: BCBS Trust/PPO |
$31,445.33
|
| Rate for Payer: BCN Commercial |
$31,445.33
|
| Rate for Payer: BCN Medicare Advantage |
$9,562.50
|
| Rate for Payer: Cash Price |
$30,600.00
|
| Rate for Payer: Cofinity Commercial |
$32,895.00
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$30,600.00
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$9,562.50
|
| Rate for Payer: Healthscope Commercial |
$34,425.00
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$28,687.50
|
| Rate for Payer: Mclaren Medicaid |
$6,743.48
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$10,040.62
|
| Rate for Payer: Meridian Medicaid |
$7,080.07
|
| Rate for Payer: MI Amish Medical Board Commercial |
$10,996.88
|
| Rate for Payer: Molina Medicare/Medicaid |
$10,518.75
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$32,512.50
|
| Rate for Payer: Nomi Health Commercial |
$31,365.00
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$28,687.50
|
| Rate for Payer: PACE Senior Care Partners |
$9,084.38
|
| Rate for Payer: PACE SWMI |
$9,562.50
|
| Rate for Payer: PHP Commercial |
$32,512.50
|
| Rate for Payer: PHP Medicare Advantage |
$9,562.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,743.48
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$33,277.50
|
| Rate for Payer: Priority Health Medicare |
$9,658.12
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$26,622.00
|
| Rate for Payer: Railroad Medicare Medicare |
$9,562.50
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$33,660.00
|
| Rate for Payer: UHC Core |
$31,938.75
|
| Rate for Payer: UHC Exchange |
$9,562.50
|
| Rate for Payer: UHC Medicaid |
$6,743.48
|
| Rate for Payer: UHC Medicare Advantage |
$9,562.50
|
| Rate for Payer: UHCCP Medicaid |
$6,743.48
|
| Rate for Payer: VA VA |
$9,562.50
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$28,687.50
|
|
|
HC PASCAL PRECISION TRANSCATH VALVE REPAIR SYS MITRAL
|
Facility
|
IP
|
$38,250.00
|
|
| Hospital Charge Code |
27800163
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$26,622.00 |
| Max. Negotiated Rate |
$34,425.00 |
| Rate for Payer: Aetna Commercial |
$32,512.50
|
| Rate for Payer: BCBS Trust/PPO |
$31,590.67
|
| Rate for Payer: BCN Commercial |
$31,590.67
|
| Rate for Payer: Cash Price |
$30,600.00
|
| Rate for Payer: Cofinity Commercial |
$32,895.00
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$30,600.00
|
| Rate for Payer: Healthscope Commercial |
$34,425.00
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$28,687.50
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$32,512.50
|
| Rate for Payer: Nomi Health Commercial |
$31,365.00
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$28,687.50
|
| Rate for Payer: PHP Commercial |
$32,512.50
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$33,277.50
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$26,622.00
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$33,660.00
|
| Rate for Payer: UHC Core |
$31,938.75
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$28,687.50
|
|
|
HC PASTE
|
Facility
|
OP
|
$31.71
|
|
| Hospital Charge Code |
27000131
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$5.59 |
| Max. Negotiated Rate |
$28.54 |
| Rate for Payer: Aetna Commercial |
$26.95
|
| Rate for Payer: Aetna Medicare |
$8.24
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$9.91
|
| Rate for Payer: Amish Plain Church Group Commercial |
$9.91
|
| Rate for Payer: BCBS Complete |
$5.87
|
| Rate for Payer: BCBS MAPPO |
$7.93
|
| Rate for Payer: BCBS Trust/PPO |
$26.07
|
| Rate for Payer: BCN Commercial |
$26.07
|
| Rate for Payer: BCN Medicare Advantage |
$7.93
|
| Rate for Payer: Cash Price |
$25.37
|
| Rate for Payer: Cofinity Commercial |
$27.27
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$25.37
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$7.93
|
| Rate for Payer: Healthscope Commercial |
$28.54
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$23.78
|
| Rate for Payer: Mclaren Medicaid |
$5.59
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$8.32
|
| Rate for Payer: Meridian Medicaid |
$5.87
|
| Rate for Payer: MI Amish Medical Board Commercial |
$9.12
|
| Rate for Payer: Molina Medicare/Medicaid |
$8.72
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$26.95
|
| Rate for Payer: Nomi Health Commercial |
$26.00
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$23.78
|
| Rate for Payer: PACE Senior Care Partners |
$7.53
|
| Rate for Payer: PACE SWMI |
$7.93
|
| Rate for Payer: PHP Commercial |
$26.95
|
| Rate for Payer: PHP Medicare Advantage |
$7.93
|
| Rate for Payer: Priority Health Choice Medicaid |
$5.59
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$27.59
|
| Rate for Payer: Priority Health Medicare |
$8.01
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$22.07
|
| Rate for Payer: Railroad Medicare Medicare |
$7.93
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$27.90
|
| Rate for Payer: UHC Core |
$26.48
|
| Rate for Payer: UHC Exchange |
$7.93
|
| Rate for Payer: UHC Medicaid |
$5.59
|
| Rate for Payer: UHC Medicare Advantage |
$7.93
|
| Rate for Payer: UHCCP Medicaid |
$5.59
|
| Rate for Payer: VA VA |
$7.93
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$23.78
|
|
