|
HC PASTE
|
Facility
|
IP
|
$31.71
|
|
| Hospital Charge Code |
27000131
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$22.07 |
| Max. Negotiated Rate |
$28.54 |
| Rate for Payer: Aetna Commercial |
$26.95
|
| Rate for Payer: BCBS Trust/PPO |
$26.19
|
| Rate for Payer: BCN Commercial |
$26.19
|
| 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: Healthscope Commercial |
$28.54
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$23.78
|
| 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: PHP Commercial |
$26.95
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$27.59
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$22.07
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$27.90
|
| Rate for Payer: UHC Core |
$26.48
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$23.78
|
|
|
HC PASTE NO STING
|
Facility
|
OP
|
$43.59
|
|
|
Service Code
|
HCPCS A4406
|
| Hospital Charge Code |
27000627
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$7.68 |
| Max. Negotiated Rate |
$39.23 |
| Rate for Payer: Aetna Commercial |
$37.05
|
| Rate for Payer: Aetna Medicare |
$11.33
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$13.62
|
| Rate for Payer: Amish Plain Church Group Commercial |
$13.62
|
| Rate for Payer: BCBS Complete |
$8.07
|
| Rate for Payer: BCBS MAPPO |
$10.90
|
| Rate for Payer: BCBS Trust/PPO |
$35.84
|
| Rate for Payer: BCN Commercial |
$35.84
|
| Rate for Payer: BCN Medicare Advantage |
$10.90
|
| Rate for Payer: Cash Price |
$34.87
|
| Rate for Payer: Cofinity Commercial |
$37.49
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$34.87
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$10.90
|
| Rate for Payer: Healthscope Commercial |
$39.23
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$32.69
|
| Rate for Payer: Mclaren Medicaid |
$7.68
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$11.44
|
| Rate for Payer: Meridian Medicaid |
$8.07
|
| Rate for Payer: MI Amish Medical Board Commercial |
$12.53
|
| Rate for Payer: Molina Medicare/Medicaid |
$11.99
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$37.05
|
| Rate for Payer: Nomi Health Commercial |
$35.74
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$32.69
|
| Rate for Payer: PACE Senior Care Partners |
$10.35
|
| Rate for Payer: PACE SWMI |
$10.90
|
| Rate for Payer: PHP Commercial |
$37.05
|
| Rate for Payer: PHP Medicare Advantage |
$10.90
|
| Rate for Payer: Priority Health Choice Medicaid |
$7.68
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$37.92
|
| Rate for Payer: Priority Health Medicare |
$11.01
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$30.34
|
| Rate for Payer: Railroad Medicare Medicare |
$10.90
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$38.36
|
| Rate for Payer: UHC Core |
$36.40
|
| Rate for Payer: UHC Exchange |
$10.90
|
| Rate for Payer: UHC Medicaid |
$7.68
|
| Rate for Payer: UHC Medicare Advantage |
$10.90
|
| Rate for Payer: UHCCP Medicaid |
$7.68
|
| Rate for Payer: VA VA |
$10.90
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$32.69
|
|
|
HC PASTE NO STING
|
Facility
|
IP
|
$43.59
|
|
|
Service Code
|
HCPCS A4406
|
| Hospital Charge Code |
27000627
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$30.34 |
| Max. Negotiated Rate |
$39.23 |
| Rate for Payer: Aetna Commercial |
$37.05
|
| Rate for Payer: BCBS Trust/PPO |
$36.00
|
| Rate for Payer: BCN Commercial |
$36.00
|
| Rate for Payer: Cash Price |
$34.87
|
| Rate for Payer: Cofinity Commercial |
$37.49
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$34.87
|
| Rate for Payer: Healthscope Commercial |
$39.23
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$32.69
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$37.05
|
| Rate for Payer: Nomi Health Commercial |
$35.74
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$32.69
|
| Rate for Payer: PHP Commercial |
$37.05
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$37.92
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$30.34
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$38.36
|
| Rate for Payer: UHC Core |
$36.40
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$32.69
|
|
|
HC PATH CONSULT ON REFERRAL WITH SLIDE PREP
|
Facility
|
IP
|
$112.49
|
|
|
Service Code
|
CPT 88323
|
| Hospital Charge Code |
31000113
|
|
Hospital Revenue Code
|
310
|
| Min. Negotiated Rate |
$78.29 |
| Max. Negotiated Rate |
$101.24 |
| Rate for Payer: Aetna Commercial |
$95.62
|
| Rate for Payer: BCBS Trust/PPO |
$92.91
|
| Rate for Payer: BCN Commercial |
$92.91
|
| Rate for Payer: Cash Price |
$89.99
|
| Rate for Payer: Cofinity Commercial |
$96.74
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$89.99
|
| Rate for Payer: Healthscope Commercial |
$101.24
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$84.37
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$95.62
|
| Rate for Payer: Nomi Health Commercial |
$92.24
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$84.37
|
| Rate for Payer: PHP Commercial |
$95.62
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$97.87
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$78.29
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$98.99
|
| Rate for Payer: UHC Core |
$93.93
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$84.37
|
|
|
HC PATH CONSULT ON REFERRAL WITH SLIDE PREP
|
Facility
|
OP
|
$112.49
|
|
|
Service Code
|
CPT 88323
|
| Hospital Charge Code |
31000113
|
|
Hospital Revenue Code
|
310
|
| Min. Negotiated Rate |
$19.83 |
| Max. Negotiated Rate |
$101.24 |
| Rate for Payer: Aetna Commercial |
$95.62
|
| Rate for Payer: Aetna Medicare |
$29.25
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$35.15
|
| Rate for Payer: Amish Plain Church Group Commercial |
$35.15
|
| Rate for Payer: BCBS Complete |
$20.82
|
| Rate for Payer: BCBS MAPPO |
$28.12
|
| Rate for Payer: BCBS Trust/PPO |
$92.48
|
| Rate for Payer: BCN Commercial |
$92.48
|
| Rate for Payer: BCN Medicare Advantage |
$28.12
|
| Rate for Payer: Cash Price |
$89.99
|
| Rate for Payer: Cofinity Commercial |
$96.74
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$89.99
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$28.12
|
| Rate for Payer: Healthscope Commercial |
$101.24
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$84.37
|
| Rate for Payer: Mclaren Medicaid |
$19.83
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$29.53
|
| Rate for Payer: Meridian Medicaid |
$20.82
|
| Rate for Payer: MI Amish Medical Board Commercial |
$32.34
|
| Rate for Payer: Molina Medicare/Medicaid |
$30.93
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$95.62
|
| Rate for Payer: Nomi Health Commercial |
$92.24
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$84.37
|
| Rate for Payer: PACE Senior Care Partners |
$26.72
|
| Rate for Payer: PACE SWMI |
$28.12
|
| Rate for Payer: PHP Commercial |
$95.62
|
| Rate for Payer: PHP Medicare Advantage |
$28.12
|
| Rate for Payer: Priority Health Choice Medicaid |
$19.83
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$97.87
|
| Rate for Payer: Priority Health Medicare |
$28.40
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$78.29
|
| Rate for Payer: Railroad Medicare Medicare |
$28.12
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$98.99
|
| Rate for Payer: UHC Core |
$93.93
|
| Rate for Payer: UHC Exchange |
$28.12
|
| Rate for Payer: UHC Medicaid |
$19.83
|
| Rate for Payer: UHC Medicare Advantage |
$28.12
|
| Rate for Payer: UHCCP Medicaid |
$19.83
|
| Rate for Payer: VA VA |
$28.12
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$84.37
|
|
|
HC PATHOLOGY III DERM
|
Facility
|
OP
|
$104.00
|
|
|
Service Code
|
CPT 88304
|
| Hospital Charge Code |
31000111
|
|
Hospital Revenue Code
|
310
|
| Min. Negotiated Rate |
$18.34 |
| Max. Negotiated Rate |
$93.60 |
| Rate for Payer: Aetna Commercial |
$88.40
|
| Rate for Payer: Aetna Medicare |
$27.04
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$32.50
|
| Rate for Payer: Amish Plain Church Group Commercial |
$32.50
|
| Rate for Payer: BCBS Complete |
$19.25
|
| Rate for Payer: BCBS MAPPO |
$26.00
|
| Rate for Payer: BCBS Trust/PPO |
$85.50
|
| Rate for Payer: BCN Commercial |
$85.50
|
| Rate for Payer: BCN Medicare Advantage |
$26.00
|
| Rate for Payer: Cash Price |
$83.20
|
| Rate for Payer: Cofinity Commercial |
$89.44
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$83.20
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$26.00
|
| Rate for Payer: Healthscope Commercial |
$93.60
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$78.00
|
| Rate for Payer: Mclaren Medicaid |
$18.34
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$27.30
|
| Rate for Payer: Meridian Medicaid |
$19.25
|
| Rate for Payer: MI Amish Medical Board Commercial |
$29.90
|
| Rate for Payer: Molina Medicare/Medicaid |
$28.60
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$88.40
|
| Rate for Payer: Nomi Health Commercial |
$85.28
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$78.00
|
| Rate for Payer: PACE Senior Care Partners |
$24.70
|
| Rate for Payer: PACE SWMI |
$26.00
|
| Rate for Payer: PHP Commercial |
$88.40
|
| Rate for Payer: PHP Medicare Advantage |
$26.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$18.34
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$90.48
|
| Rate for Payer: Priority Health Medicare |
$26.26
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$72.38
|
| Rate for Payer: Railroad Medicare Medicare |
$26.00
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$91.52
|
| Rate for Payer: UHC Core |
$86.84
|
| Rate for Payer: UHC Exchange |
$26.00
|
| Rate for Payer: UHC Medicaid |
$18.34
|
| Rate for Payer: UHC Medicare Advantage |
$26.00
|
| Rate for Payer: UHCCP Medicaid |
$18.34
|
| Rate for Payer: VA VA |
$26.00
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$78.00
|
|
|
HC PATHOLOGY III DERM
|
Facility
|
IP
|
$104.00
|
|
|
Service Code
|
CPT 88304
|
| Hospital Charge Code |
31000111
|
|
Hospital Revenue Code
|
310
|
| Min. Negotiated Rate |
$72.38 |
| Max. Negotiated Rate |
$93.60 |
| Rate for Payer: Aetna Commercial |
$88.40
|
| Rate for Payer: BCBS Trust/PPO |
$85.89
|
| Rate for Payer: BCN Commercial |
$85.89
|
| Rate for Payer: Cash Price |
$83.20
|
| Rate for Payer: Cofinity Commercial |
$89.44
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$83.20
|
| Rate for Payer: Healthscope Commercial |
$93.60
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$78.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$88.40
|
| Rate for Payer: Nomi Health Commercial |
$85.28
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$78.00
|
| Rate for Payer: PHP Commercial |
$88.40
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$90.48
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$72.38
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$91.52
|
| Rate for Payer: UHC Core |
$86.84
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$78.00
|
|
|
HC PATHOLOGY LEVEL I
|
Facility
|
OP
|
$45.84
|
|
|
Service Code
|
CPT 88300
|
| Hospital Charge Code |
31000045
|
|
Hospital Revenue Code
|
310
|
| Min. Negotiated Rate |
$8.08 |
| Max. Negotiated Rate |
$41.26 |
| Rate for Payer: Aetna Commercial |
$38.96
|
| Rate for Payer: Aetna Medicare |
$11.92
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$14.32
|
| Rate for Payer: Amish Plain Church Group Commercial |
$14.32
|
| Rate for Payer: BCBS Complete |
$8.48
|
| Rate for Payer: BCBS MAPPO |
$11.46
|
| Rate for Payer: BCBS Trust/PPO |
$37.69
|
| Rate for Payer: BCN Commercial |
$37.69
|
| Rate for Payer: BCN Medicare Advantage |
$11.46
|
| Rate for Payer: Cash Price |
$36.67
|
| Rate for Payer: Cofinity Commercial |
$39.42
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$36.67
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$11.46
|
| Rate for Payer: Healthscope Commercial |
$41.26
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$34.38
|
| Rate for Payer: Mclaren Medicaid |
$8.08
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$12.03
|
| Rate for Payer: Meridian Medicaid |
$8.48
|
| Rate for Payer: MI Amish Medical Board Commercial |
$13.18
|
| Rate for Payer: Molina Medicare/Medicaid |
$12.61
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$38.96
|
| Rate for Payer: Nomi Health Commercial |
$37.59
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$34.38
|
| Rate for Payer: PACE Senior Care Partners |
$10.89
|
| Rate for Payer: PACE SWMI |
$11.46
|
| Rate for Payer: PHP Commercial |
$38.96
|
| Rate for Payer: PHP Medicare Advantage |
$11.46
|
| Rate for Payer: Priority Health Choice Medicaid |
$8.08
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$39.88
|
| Rate for Payer: Priority Health Medicare |
$11.57
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$31.90
|
| Rate for Payer: Railroad Medicare Medicare |
$11.46
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$40.34
|
| Rate for Payer: UHC Core |
$38.28
|
| Rate for Payer: UHC Exchange |
$11.46
|
| Rate for Payer: UHC Medicaid |
$8.08
|
| Rate for Payer: UHC Medicare Advantage |
$11.46
|
| Rate for Payer: UHCCP Medicaid |
$8.08
|
| Rate for Payer: VA VA |
$11.46
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$34.38
|
|
|
HC PATHOLOGY LEVEL I
|
Facility
|
IP
|
$45.84
|
|
|
Service Code
|
CPT 88300
|
| Hospital Charge Code |
31000045
|
|
Hospital Revenue Code
|
310
|
| Min. Negotiated Rate |
$31.90 |
| Max. Negotiated Rate |
$41.26 |
| Rate for Payer: Aetna Commercial |
$38.96
|
| Rate for Payer: BCBS Trust/PPO |
$37.86
|
| Rate for Payer: BCN Commercial |
$37.86
|
| Rate for Payer: Cash Price |
$36.67
|
| Rate for Payer: Cofinity Commercial |
$39.42
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$36.67
|
| Rate for Payer: Healthscope Commercial |
$41.26
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$34.38
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$38.96
|
| Rate for Payer: Nomi Health Commercial |
$37.59
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$34.38
|
| Rate for Payer: PHP Commercial |
$38.96
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$39.88
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$31.90
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$40.34
|
| Rate for Payer: UHC Core |
$38.28
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$34.38
|
|
|
HC PATHOLOGY LEVEL II
|
Facility
|
OP
|
$100.49
|
|
|
Service Code
|
CPT 88302
|
| Hospital Charge Code |
31000046
|
|
Hospital Revenue Code
|
310
|
| Min. Negotiated Rate |
$17.72 |
| Max. Negotiated Rate |
$90.44 |
| Rate for Payer: Aetna Commercial |
$85.42
|
| Rate for Payer: Aetna Medicare |
$26.13
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$31.40
|
| Rate for Payer: Amish Plain Church Group Commercial |
$31.40
|
| Rate for Payer: BCBS Complete |
$18.60
|
| Rate for Payer: BCBS MAPPO |
$25.12
|
| Rate for Payer: BCBS Trust/PPO |
$82.61
|
| Rate for Payer: BCN Commercial |
$82.61
|
| Rate for Payer: BCN Medicare Advantage |
$25.12
|
| Rate for Payer: Cash Price |
$80.39
|
| Rate for Payer: Cofinity Commercial |
$86.42
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$80.39
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$25.12
|
| Rate for Payer: Healthscope Commercial |
$90.44
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$75.37
|
| Rate for Payer: Mclaren Medicaid |
$17.72
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$26.38
|
| Rate for Payer: Meridian Medicaid |
$18.60
|
| Rate for Payer: MI Amish Medical Board Commercial |
$28.89
|
| Rate for Payer: Molina Medicare/Medicaid |
$27.63
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$85.42
|
| Rate for Payer: Nomi Health Commercial |
$82.40
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$75.37
|
| Rate for Payer: PACE Senior Care Partners |
$23.87
|
| Rate for Payer: PACE SWMI |
$25.12
|
| Rate for Payer: PHP Commercial |
$85.42
|
| Rate for Payer: PHP Medicare Advantage |
$25.12
|
| Rate for Payer: Priority Health Choice Medicaid |
$17.72
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$87.43
|
| Rate for Payer: Priority Health Medicare |
$25.37
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$69.94
|
| Rate for Payer: Railroad Medicare Medicare |
$25.12
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$88.43
|
| Rate for Payer: UHC Core |
$83.91
|
| Rate for Payer: UHC Exchange |
$25.12
|
| Rate for Payer: UHC Medicaid |
$17.72
|
| Rate for Payer: UHC Medicare Advantage |
$25.12
|
| Rate for Payer: UHCCP Medicaid |
$17.72
|
| Rate for Payer: VA VA |
$25.12
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$75.37
|
|
|
HC PATHOLOGY LEVEL II
|
Facility
|
IP
|
$100.49
|
|
|
Service Code
|
CPT 88302
|
| Hospital Charge Code |
31000046
|
|
Hospital Revenue Code
|
310
|
| Min. Negotiated Rate |
$69.94 |
| Max. Negotiated Rate |
$90.44 |
| Rate for Payer: Aetna Commercial |
$85.42
|
| Rate for Payer: BCBS Trust/PPO |
$82.99
|
| Rate for Payer: BCN Commercial |
$82.99
|
| Rate for Payer: Cash Price |
$80.39
|
| Rate for Payer: Cofinity Commercial |
$86.42
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$80.39
|
| Rate for Payer: Healthscope Commercial |
$90.44
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$75.37
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$85.42
|
| Rate for Payer: Nomi Health Commercial |
$82.40
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$75.37
|
| Rate for Payer: PHP Commercial |
$85.42
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$87.43
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$69.94
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$88.43
|
| Rate for Payer: UHC Core |
$83.91
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$75.37
|
|
|
HC PATHOLOGY LEVEL III
|
Facility
|
OP
|
$152.29
|
|
|
Service Code
|
CPT 88304
|
| Hospital Charge Code |
31000047
|
|
Hospital Revenue Code
|
310
|
| Min. Negotiated Rate |
$26.85 |
| Max. Negotiated Rate |
$137.06 |
| Rate for Payer: Aetna Commercial |
$129.45
|
| Rate for Payer: Aetna Medicare |
$39.60
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$47.59
|
| Rate for Payer: Amish Plain Church Group Commercial |
$47.59
|
| Rate for Payer: BCBS Complete |
$28.19
|
| Rate for Payer: BCBS MAPPO |
$38.07
|
| Rate for Payer: BCBS Trust/PPO |
$125.20
|
| Rate for Payer: BCN Commercial |
$125.20
|
| Rate for Payer: BCN Medicare Advantage |
$38.07
|
| Rate for Payer: Cash Price |
$121.83
|
| Rate for Payer: Cofinity Commercial |
$130.97
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$121.83
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$38.07
|
| Rate for Payer: Healthscope Commercial |
$137.06
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$114.22
|
| Rate for Payer: Mclaren Medicaid |
$26.85
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$39.98
|
| Rate for Payer: Meridian Medicaid |
$28.19
|
| Rate for Payer: MI Amish Medical Board Commercial |
$43.78
|
| Rate for Payer: Molina Medicare/Medicaid |
$41.88
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$129.45
|
| Rate for Payer: Nomi Health Commercial |
$124.88
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$114.22
|
| Rate for Payer: PACE Senior Care Partners |
$36.17
|
| Rate for Payer: PACE SWMI |
$38.07
|
| Rate for Payer: PHP Commercial |
$129.45
|
| Rate for Payer: PHP Medicare Advantage |
$38.07
|
| Rate for Payer: Priority Health Choice Medicaid |
$26.85
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$132.49
|
| Rate for Payer: Priority Health Medicare |
$38.45
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$105.99
|
| Rate for Payer: Railroad Medicare Medicare |
$38.07
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$134.02
|
| Rate for Payer: UHC Core |
$127.16
|
| Rate for Payer: UHC Exchange |
$38.07
|
| Rate for Payer: UHC Medicaid |
$26.85
|
| Rate for Payer: UHC Medicare Advantage |
$38.07
|
| Rate for Payer: UHCCP Medicaid |
$26.85
|
| Rate for Payer: VA VA |
$38.07
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$114.22
|
|
|
HC PATHOLOGY LEVEL III
|
Facility
|
IP
|
$152.29
|
|
|
Service Code
|
CPT 88304
|
| Hospital Charge Code |
31000047
|
|
Hospital Revenue Code
|
310
|
| Min. Negotiated Rate |
$105.99 |
| Max. Negotiated Rate |
$137.06 |
| Rate for Payer: Aetna Commercial |
$129.45
|
| Rate for Payer: BCBS Trust/PPO |
$125.78
|
| Rate for Payer: BCN Commercial |
$125.78
|
| Rate for Payer: Cash Price |
$121.83
|
| Rate for Payer: Cofinity Commercial |
$130.97
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$121.83
|
| Rate for Payer: Healthscope Commercial |
$137.06
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$114.22
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$129.45
|
| Rate for Payer: Nomi Health Commercial |
$124.88
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$114.22
|
| Rate for Payer: PHP Commercial |
$129.45
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$132.49
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$105.99
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$134.02
|
| Rate for Payer: UHC Core |
$127.16
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$114.22
|
|
|
HC PATHOLOGY LEVEL IV
|
Facility
|
OP
|
$213.30
|
|
|
Service Code
|
CPT 88305
|
| Hospital Charge Code |
31000048
|
|
Hospital Revenue Code
|
310
|
| Min. Negotiated Rate |
$37.60 |
| Max. Negotiated Rate |
$191.97 |
| Rate for Payer: Aetna Commercial |
$181.31
|
| Rate for Payer: Aetna Medicare |
$55.46
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$66.66
|
| Rate for Payer: Amish Plain Church Group Commercial |
$66.66
|
| Rate for Payer: BCBS Complete |
$39.48
|
| Rate for Payer: BCBS MAPPO |
$53.33
|
| Rate for Payer: BCBS Trust/PPO |
$175.35
|
| Rate for Payer: BCCCP Commercial |
$67.27
|
| Rate for Payer: BCN Commercial |
$175.35
|
| Rate for Payer: BCN Medicare Advantage |
$53.33
|
| Rate for Payer: Cash Price |
$170.64
|
| Rate for Payer: Cash Price |
$170.64
|
| Rate for Payer: Cofinity Commercial |
$183.44
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$170.64
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$53.33
|
| Rate for Payer: Healthscope Commercial |
$191.97
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$159.97
|
| Rate for Payer: Mclaren Medicaid |
$37.60
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$55.99
|
| Rate for Payer: Meridian Medicaid |
$39.48
|
| Rate for Payer: MI Amish Medical Board Commercial |
$61.32
|
| Rate for Payer: Molina Medicare/Medicaid |
$58.66
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$181.31
|
| Rate for Payer: Nomi Health Commercial |
$174.91
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$159.97
|
| Rate for Payer: PACE Senior Care Partners |
$50.66
|
| Rate for Payer: PACE SWMI |
$53.33
|
| Rate for Payer: PHP Commercial |
$181.31
|
| Rate for Payer: PHP Medicare Advantage |
$53.33
|
| Rate for Payer: Priority Health Choice Medicaid |
$37.60
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$185.57
|
| Rate for Payer: Priority Health Medicare |
$53.86
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$148.46
|
| Rate for Payer: Railroad Medicare Medicare |
$53.33
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$187.70
|
| Rate for Payer: UHC Core |
$178.11
|
| Rate for Payer: UHC Exchange |
$53.33
|
| Rate for Payer: UHC Medicaid |
$37.60
|
| Rate for Payer: UHC Medicare Advantage |
$53.33
|
| Rate for Payer: UHCCP Medicaid |
$37.60
|
| Rate for Payer: VA VA |
$53.33
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$159.97
|
|
|
HC PATHOLOGY LEVEL IV
|
Facility
|
IP
|
$213.30
|
|
|
Service Code
|
CPT 88305
|
| Hospital Charge Code |
31000048
|
|
Hospital Revenue Code
|
310
|
| Min. Negotiated Rate |
$148.46 |
| Max. Negotiated Rate |
$191.97 |
| Rate for Payer: Aetna Commercial |
$181.31
|
| Rate for Payer: BCBS Trust/PPO |
$176.16
|
| Rate for Payer: BCN Commercial |
$176.16
|
| Rate for Payer: Cash Price |
$170.64
|
| Rate for Payer: Cofinity Commercial |
$183.44
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$170.64
|
| Rate for Payer: Healthscope Commercial |
$191.97
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$159.97
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$181.31
|
| Rate for Payer: Nomi Health Commercial |
$174.91
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$159.97
|
| Rate for Payer: PHP Commercial |
$181.31
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$185.57
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$148.46
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$187.70
|
| Rate for Payer: UHC Core |
$178.11
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$159.97
|
|
|
HC PATHOLOGY LEVEL IV DERM
|
Facility
|
IP
|
$119.41
|
|
|
Service Code
|
CPT 88305
|
| Hospital Charge Code |
31000106
|
|
Hospital Revenue Code
|
310
|
| Min. Negotiated Rate |
$83.11 |
| Max. Negotiated Rate |
$107.47 |
| Rate for Payer: Aetna Commercial |
$101.50
|
| Rate for Payer: BCBS Trust/PPO |
$98.62
|
| Rate for Payer: BCN Commercial |
$98.62
|
| Rate for Payer: Cash Price |
$95.53
|
| Rate for Payer: Cofinity Commercial |
$102.69
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$95.53
|
| Rate for Payer: Healthscope Commercial |
$107.47
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$89.56
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$101.50
|
| Rate for Payer: Nomi Health Commercial |
$97.92
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$89.56
|
| Rate for Payer: PHP Commercial |
$101.50
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$103.89
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$83.11
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$105.08
|
| Rate for Payer: UHC Core |
$99.71
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$89.56
|
|
|
HC PATHOLOGY LEVEL IV DERM
|
Facility
|
OP
|
$119.41
|
|
|
Service Code
|
CPT 88305
|
| Hospital Charge Code |
31000106
|
|
Hospital Revenue Code
|
310
|
| Min. Negotiated Rate |
$21.05 |
| Max. Negotiated Rate |
$107.47 |
| Rate for Payer: Aetna Commercial |
$101.50
|
| Rate for Payer: Aetna Medicare |
$31.05
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$37.32
|
| Rate for Payer: Amish Plain Church Group Commercial |
$37.32
|
| Rate for Payer: BCBS Complete |
$22.10
|
| Rate for Payer: BCBS MAPPO |
$29.85
|
| Rate for Payer: BCBS Trust/PPO |
$98.17
|
| Rate for Payer: BCCCP Commercial |
$67.27
|
| Rate for Payer: BCN Commercial |
$98.17
|
| Rate for Payer: BCN Medicare Advantage |
$29.85
|
| Rate for Payer: Cash Price |
$95.53
|
| Rate for Payer: Cash Price |
$95.53
|
| Rate for Payer: Cofinity Commercial |
$102.69
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$95.53
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$29.85
|
| Rate for Payer: Healthscope Commercial |
$107.47
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$89.56
|
| Rate for Payer: Mclaren Medicaid |
$21.05
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$31.35
|
| Rate for Payer: Meridian Medicaid |
$22.10
|
| Rate for Payer: MI Amish Medical Board Commercial |
$34.33
|
| Rate for Payer: Molina Medicare/Medicaid |
$32.84
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$101.50
|
| Rate for Payer: Nomi Health Commercial |
$97.92
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$89.56
|
| Rate for Payer: PACE Senior Care Partners |
$28.36
|
| Rate for Payer: PACE SWMI |
$29.85
|
| Rate for Payer: PHP Commercial |
$101.50
|
| Rate for Payer: PHP Medicare Advantage |
$29.85
|
| Rate for Payer: Priority Health Choice Medicaid |
$21.05
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$103.89
|
| Rate for Payer: Priority Health Medicare |
$30.15
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$83.11
|
| Rate for Payer: Railroad Medicare Medicare |
$29.85
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$105.08
|
| Rate for Payer: UHC Core |
$99.71
|
| Rate for Payer: UHC Exchange |
$29.85
|
| Rate for Payer: UHC Medicaid |
$21.05
|
| Rate for Payer: UHC Medicare Advantage |
$29.85
|
| Rate for Payer: UHCCP Medicaid |
$21.05
|
| Rate for Payer: VA VA |
$29.85
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$89.56
|
|
|
HC PATHOLOGY LEVEL V
|
Facility
|
IP
|
$594.00
|
|
|
Service Code
|
CPT 88307
|
| Hospital Charge Code |
31000049
|
|
Hospital Revenue Code
|
310
|
| Min. Negotiated Rate |
$413.42 |
| Max. Negotiated Rate |
$534.60 |
| Rate for Payer: Aetna Commercial |
$504.90
|
| Rate for Payer: BCBS Trust/PPO |
$490.58
|
| Rate for Payer: BCN Commercial |
$490.58
|
| Rate for Payer: Cash Price |
$475.20
|
| Rate for Payer: Cofinity Commercial |
$510.84
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$475.20
|
| Rate for Payer: Healthscope Commercial |
$534.60
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$445.50
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$504.90
|
| Rate for Payer: Nomi Health Commercial |
$487.08
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$445.50
|
| Rate for Payer: PHP Commercial |
$504.90
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$516.78
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$413.42
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$522.72
|
| Rate for Payer: UHC Core |
$495.99
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$445.50
|
|
|
HC PATHOLOGY LEVEL V
|
Facility
|
OP
|
$594.00
|
|
|
Service Code
|
CPT 88307
|
| Hospital Charge Code |
31000049
|
|
Hospital Revenue Code
|
310
|
| Min. Negotiated Rate |
$104.72 |
| Max. Negotiated Rate |
$534.60 |
| Rate for Payer: Aetna Commercial |
$504.90
|
| Rate for Payer: Aetna Medicare |
$154.44
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$185.62
|
| Rate for Payer: Amish Plain Church Group Commercial |
$185.62
|
| Rate for Payer: BCBS Complete |
$109.95
|
| Rate for Payer: BCBS MAPPO |
$148.50
|
| Rate for Payer: BCBS Trust/PPO |
$488.33
|
| Rate for Payer: BCCCP Commercial |
$267.07
|
| Rate for Payer: BCN Commercial |
$488.33
|
| Rate for Payer: BCN Medicare Advantage |
$148.50
|
| Rate for Payer: Cash Price |
$475.20
|
| Rate for Payer: Cash Price |
$475.20
|
| Rate for Payer: Cofinity Commercial |
$510.84
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$475.20
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$148.50
|
| Rate for Payer: Healthscope Commercial |
$534.60
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$445.50
|
| Rate for Payer: Mclaren Medicaid |
$104.72
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$155.93
|
| Rate for Payer: Meridian Medicaid |
$109.95
|
| Rate for Payer: MI Amish Medical Board Commercial |
$170.78
|
| Rate for Payer: Molina Medicare/Medicaid |
$163.35
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$504.90
|
| Rate for Payer: Nomi Health Commercial |
$487.08
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$445.50
|
| Rate for Payer: PACE Senior Care Partners |
$141.07
|
| Rate for Payer: PACE SWMI |
$148.50
|
| Rate for Payer: PHP Commercial |
$504.90
|
| Rate for Payer: PHP Medicare Advantage |
$148.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$104.72
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$516.78
|
| Rate for Payer: Priority Health Medicare |
$149.99
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$413.42
|
| Rate for Payer: Railroad Medicare Medicare |
$148.50
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$522.72
|
| Rate for Payer: UHC Core |
$495.99
|
| Rate for Payer: UHC Exchange |
$148.50
|
| Rate for Payer: UHC Medicaid |
$104.72
|
| Rate for Payer: UHC Medicare Advantage |
$148.50
|
| Rate for Payer: UHCCP Medicaid |
$104.72
|
| Rate for Payer: VA VA |
$148.50
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$445.50
|
|
|
HC PATHOLOGY LEVEL VI
|
Facility
|
OP
|
$825.64
|
|
|
Service Code
|
CPT 88309
|
| Hospital Charge Code |
31000050
|
|
Hospital Revenue Code
|
310
|
| Min. Negotiated Rate |
$145.56 |
| Max. Negotiated Rate |
$743.08 |
| Rate for Payer: Aetna Commercial |
$701.79
|
| Rate for Payer: Aetna Medicare |
$214.67
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$258.01
|
| Rate for Payer: Amish Plain Church Group Commercial |
$258.01
|
| Rate for Payer: BCBS Complete |
$152.83
|
| Rate for Payer: BCBS MAPPO |
$206.41
|
| Rate for Payer: BCBS Trust/PPO |
$678.76
|
| Rate for Payer: BCN Commercial |
$678.76
|
| Rate for Payer: BCN Medicare Advantage |
$206.41
|
| Rate for Payer: Cash Price |
$660.51
|
| Rate for Payer: Cofinity Commercial |
$710.05
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$660.51
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$206.41
|
| Rate for Payer: Healthscope Commercial |
$743.08
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$619.23
|
| Rate for Payer: Mclaren Medicaid |
$145.56
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$216.73
|
| Rate for Payer: Meridian Medicaid |
$152.83
|
| Rate for Payer: MI Amish Medical Board Commercial |
$237.37
|
| Rate for Payer: Molina Medicare/Medicaid |
$227.05
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$701.79
|
| Rate for Payer: Nomi Health Commercial |
$677.02
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$619.23
|
| Rate for Payer: PACE Senior Care Partners |
$196.09
|
| Rate for Payer: PACE SWMI |
$206.41
|
| Rate for Payer: PHP Commercial |
$701.79
|
| Rate for Payer: PHP Medicare Advantage |
$206.41
|
| Rate for Payer: Priority Health Choice Medicaid |
$145.56
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$718.31
|
| Rate for Payer: Priority Health Medicare |
$208.47
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$574.65
|
| Rate for Payer: Railroad Medicare Medicare |
$206.41
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$726.56
|
| Rate for Payer: UHC Core |
$689.41
|
| Rate for Payer: UHC Exchange |
$206.41
|
| Rate for Payer: UHC Medicaid |
$145.56
|
| Rate for Payer: UHC Medicare Advantage |
$206.41
|
| Rate for Payer: UHCCP Medicaid |
$145.56
|
| Rate for Payer: VA VA |
$206.41
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$619.23
|
|
|
HC PATHOLOGY LEVEL VI
|
Facility
|
IP
|
$825.64
|
|
|
Service Code
|
CPT 88309
|
| Hospital Charge Code |
31000050
|
|
Hospital Revenue Code
|
310
|
| Min. Negotiated Rate |
$574.65 |
| Max. Negotiated Rate |
$743.08 |
| Rate for Payer: Aetna Commercial |
$701.79
|
| Rate for Payer: BCBS Trust/PPO |
$681.90
|
| Rate for Payer: BCN Commercial |
$681.90
|
| Rate for Payer: Cash Price |
$660.51
|
| Rate for Payer: Cofinity Commercial |
$710.05
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$660.51
|
| Rate for Payer: Healthscope Commercial |
$743.08
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$619.23
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$701.79
|
| Rate for Payer: Nomi Health Commercial |
$677.02
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$619.23
|
| Rate for Payer: PHP Commercial |
$701.79
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$718.31
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$574.65
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$726.56
|
| Rate for Payer: UHC Core |
$689.41
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$619.23
|
|
|
HC PATH SURGERY CYTO ADDITIONAL
|
Facility
|
IP
|
$58.36
|
|
|
Service Code
|
CPT 88334
|
| Hospital Charge Code |
30000068
|
|
Hospital Revenue Code
|
300
|
| Min. Negotiated Rate |
$40.62 |
| Max. Negotiated Rate |
$52.52 |
| Rate for Payer: Aetna Commercial |
$49.61
|
| Rate for Payer: BCBS Trust/PPO |
$48.20
|
| Rate for Payer: BCN Commercial |
$48.20
|
| Rate for Payer: Cash Price |
$46.69
|
| Rate for Payer: Cofinity Commercial |
$50.19
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$46.69
|
| Rate for Payer: Healthscope Commercial |
$52.52
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$43.77
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$49.61
|
| Rate for Payer: Nomi Health Commercial |
$47.86
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$43.77
|
| Rate for Payer: PHP Commercial |
$49.61
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$50.77
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$40.62
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$51.36
|
| Rate for Payer: UHC Core |
$48.73
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$43.77
|
|
|
HC PATH SURGERY CYTO ADDITIONAL
|
Facility
|
OP
|
$58.36
|
|
|
Service Code
|
CPT 88334
|
| Hospital Charge Code |
30000068
|
|
Hospital Revenue Code
|
300
|
| Min. Negotiated Rate |
$10.29 |
| Max. Negotiated Rate |
$52.52 |
| Rate for Payer: Aetna Commercial |
$49.61
|
| Rate for Payer: Aetna Medicare |
$15.17
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$18.24
|
| Rate for Payer: Amish Plain Church Group Commercial |
$18.24
|
| Rate for Payer: BCBS Complete |
$10.80
|
| Rate for Payer: BCBS MAPPO |
$14.59
|
| Rate for Payer: BCBS Trust/PPO |
$47.98
|
| Rate for Payer: BCN Commercial |
$47.98
|
| Rate for Payer: BCN Medicare Advantage |
$14.59
|
| Rate for Payer: Cash Price |
$46.69
|
| Rate for Payer: Cofinity Commercial |
$50.19
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$46.69
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$14.59
|
| Rate for Payer: Healthscope Commercial |
$52.52
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$43.77
|
| Rate for Payer: Mclaren Medicaid |
$10.29
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$15.32
|
| Rate for Payer: Meridian Medicaid |
$10.80
|
| Rate for Payer: MI Amish Medical Board Commercial |
$16.78
|
| Rate for Payer: Molina Medicare/Medicaid |
$16.05
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$49.61
|
| Rate for Payer: Nomi Health Commercial |
$47.86
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$43.77
|
| Rate for Payer: PACE Senior Care Partners |
$13.86
|
| Rate for Payer: PACE SWMI |
$14.59
|
| Rate for Payer: PHP Commercial |
$49.61
|
| Rate for Payer: PHP Medicare Advantage |
$14.59
|
| Rate for Payer: Priority Health Choice Medicaid |
$10.29
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$50.77
|
| Rate for Payer: Priority Health Medicare |
$14.74
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$40.62
|
| Rate for Payer: Railroad Medicare Medicare |
$14.59
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$51.36
|
| Rate for Payer: UHC Core |
$48.73
|
| Rate for Payer: UHC Exchange |
$14.59
|
| Rate for Payer: UHC Medicaid |
$10.29
|
| Rate for Payer: UHC Medicare Advantage |
$14.59
|
| Rate for Payer: UHCCP Medicaid |
$10.29
|
| Rate for Payer: VA VA |
$14.59
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$43.77
|
|
|
HC PATH SURGERY CYTO INITIAL SITE
|
Facility
|
IP
|
$92.32
|
|
|
Service Code
|
CPT 88333
|
| Hospital Charge Code |
30000067
|
|
Hospital Revenue Code
|
300
|
| Min. Negotiated Rate |
$64.25 |
| Max. Negotiated Rate |
$83.09 |
| Rate for Payer: Aetna Commercial |
$78.47
|
| Rate for Payer: BCBS Trust/PPO |
$76.25
|
| Rate for Payer: BCN Commercial |
$76.25
|
| Rate for Payer: Cash Price |
$73.86
|
| Rate for Payer: Cofinity Commercial |
$79.40
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$73.86
|
| Rate for Payer: Healthscope Commercial |
$83.09
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$69.24
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$78.47
|
| Rate for Payer: Nomi Health Commercial |
$75.70
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$69.24
|
| Rate for Payer: PHP Commercial |
$78.47
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$80.32
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$64.25
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$81.24
|
| Rate for Payer: UHC Core |
$77.09
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$69.24
|
|
|
HC PATH SURGERY CYTO INITIAL SITE
|
Facility
|
OP
|
$92.32
|
|
|
Service Code
|
CPT 88333
|
| Hospital Charge Code |
30000067
|
|
Hospital Revenue Code
|
300
|
| Min. Negotiated Rate |
$16.28 |
| Max. Negotiated Rate |
$83.09 |
| Rate for Payer: Aetna Commercial |
$78.47
|
| Rate for Payer: Aetna Medicare |
$24.00
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$28.85
|
| Rate for Payer: Amish Plain Church Group Commercial |
$28.85
|
| Rate for Payer: BCBS Complete |
$17.09
|
| Rate for Payer: BCBS MAPPO |
$23.08
|
| Rate for Payer: BCBS Trust/PPO |
$75.90
|
| Rate for Payer: BCN Commercial |
$75.90
|
| Rate for Payer: BCN Medicare Advantage |
$23.08
|
| Rate for Payer: Cash Price |
$73.86
|
| Rate for Payer: Cofinity Commercial |
$79.40
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$73.86
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$23.08
|
| Rate for Payer: Healthscope Commercial |
$83.09
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$69.24
|
| Rate for Payer: Mclaren Medicaid |
$16.28
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$24.23
|
| Rate for Payer: Meridian Medicaid |
$17.09
|
| Rate for Payer: MI Amish Medical Board Commercial |
$26.54
|
| Rate for Payer: Molina Medicare/Medicaid |
$25.39
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$78.47
|
| Rate for Payer: Nomi Health Commercial |
$75.70
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$69.24
|
| Rate for Payer: PACE Senior Care Partners |
$21.93
|
| Rate for Payer: PACE SWMI |
$23.08
|
| Rate for Payer: PHP Commercial |
$78.47
|
| Rate for Payer: PHP Medicare Advantage |
$23.08
|
| Rate for Payer: Priority Health Choice Medicaid |
$16.28
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$80.32
|
| Rate for Payer: Priority Health Medicare |
$23.31
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$64.25
|
| Rate for Payer: Railroad Medicare Medicare |
$23.08
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$81.24
|
| Rate for Payer: UHC Core |
$77.09
|
| Rate for Payer: UHC Exchange |
$23.08
|
| Rate for Payer: UHC Medicaid |
$16.28
|
| Rate for Payer: UHC Medicare Advantage |
$23.08
|
| Rate for Payer: UHCCP Medicaid |
$16.28
|
| Rate for Payer: VA VA |
$23.08
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$69.24
|
|
