|
HC NEEDLE BRACHYTHERAPY EACH
|
Facility
|
OP
|
$73.90
|
|
|
Service Code
|
HCPCS C1715
|
| Hospital Charge Code |
27200247
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$17.55 |
| Max. Negotiated Rate |
$66.51 |
| Rate for Payer: Aetna Commercial |
$62.81
|
| Rate for Payer: Aetna Medicare |
$19.21
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$23.09
|
| Rate for Payer: Amish Plain Church Group Commercial |
$23.09
|
| Rate for Payer: BCBS Complete |
$29.56
|
| Rate for Payer: BCBS MAPPO |
$18.48
|
| Rate for Payer: BCBS Trust/PPO |
$60.75
|
| Rate for Payer: BCN Commercial |
$57.46
|
| Rate for Payer: BCN Medicare Advantage |
$18.48
|
| Rate for Payer: Cash Price |
$59.12
|
| Rate for Payer: Cofinity Commercial |
$63.55
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$59.12
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$18.48
|
| Rate for Payer: Healthscope Commercial |
$66.51
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$55.42
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$19.40
|
| Rate for Payer: MI Amish Medical Board Commercial |
$21.25
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$62.81
|
| Rate for Payer: Nomi Health Commercial |
$60.60
|
| Rate for Payer: PACE Senior Care Partners |
$17.55
|
| Rate for Payer: PACE SWMI |
$18.48
|
| Rate for Payer: PHP Commercial |
$62.81
|
| Rate for Payer: PHP Medicare Advantage |
$18.48
|
| Rate for Payer: Priority Health Cigna Priority Health |
$48.03
|
| Rate for Payer: Priority Health HMO/PPO |
$64.29
|
| Rate for Payer: Priority Health Medicare |
$18.66
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$49.51
|
| Rate for Payer: Railroad Medicare Medicare |
$18.48
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$65.03
|
| Rate for Payer: UHC Core |
$61.71
|
| Rate for Payer: UHC Dual Complete DSNP |
$18.48
|
| Rate for Payer: UHC Exchange |
$18.48
|
| Rate for Payer: UHC Medicare Advantage |
$18.48
|
| Rate for Payer: VA VA |
$18.48
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$55.42
|
|
|
HC NEEDLE BRACHYTHERAPY EACH
|
Facility
|
IP
|
$73.90
|
|
|
Service Code
|
HCPCS C1715
|
| Hospital Charge Code |
27200247
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$48.03 |
| Max. Negotiated Rate |
$66.51 |
| Rate for Payer: Aetna Commercial |
$62.81
|
| Rate for Payer: BCBS Trust/PPO |
$60.32
|
| Rate for Payer: BCN Commercial |
$57.11
|
| Rate for Payer: Cash Price |
$59.12
|
| Rate for Payer: Cofinity Commercial |
$63.55
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$59.12
|
| Rate for Payer: Healthscope Commercial |
$66.51
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$55.42
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$62.81
|
| Rate for Payer: Nomi Health Commercial |
$60.60
|
| Rate for Payer: PHP Commercial |
$62.81
|
| Rate for Payer: Priority Health Cigna Priority Health |
$48.03
|
| Rate for Payer: Priority Health HMO/PPO |
$64.29
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$49.51
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$65.03
|
| Rate for Payer: UHC Core |
$61.71
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$55.42
|
|
|
HC NEEDLE INSERT W/O INJECT 1 OR 2 MUSCLES
|
Facility
|
IP
|
$52.02
|
|
|
Service Code
|
CPT 20560
|
| Hospital Charge Code |
76100364
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$33.81 |
| Max. Negotiated Rate |
$46.82 |
| Rate for Payer: Aetna Commercial |
$44.22
|
| Rate for Payer: BCBS Trust/PPO |
$42.46
|
| Rate for Payer: BCN Commercial |
$40.20
|
| Rate for Payer: Cash Price |
$41.62
|
| Rate for Payer: Cofinity Commercial |
$44.74
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$41.62
|
| Rate for Payer: Healthscope Commercial |
$46.82
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$39.02
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$44.22
|
| Rate for Payer: Nomi Health Commercial |
$42.66
|
| Rate for Payer: PHP Commercial |
$44.22
|
| Rate for Payer: Priority Health Cigna Priority Health |
$33.81
|
| Rate for Payer: Priority Health HMO/PPO |
$45.26
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$34.85
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$45.78
|
| Rate for Payer: UHC Core |
$43.44
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$39.02
|
|
|
HC NEEDLE INSERT W/O INJECT 1 OR 2 MUSCLES
|
Facility
|
OP
|
$52.02
|
|
|
Service Code
|
CPT 20560
|
| Hospital Charge Code |
76100364
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$12.35 |
| Max. Negotiated Rate |
$46.82 |
| Rate for Payer: Aetna Commercial |
$44.22
|
| Rate for Payer: Aetna Medicare |
$13.53
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$16.26
|
| Rate for Payer: Amish Plain Church Group Commercial |
$16.26
|
| Rate for Payer: BCBS Complete |
$18.59
|
| Rate for Payer: BCBS MAPPO |
$13.01
|
| Rate for Payer: BCBS Trust/PPO |
$42.77
|
| Rate for Payer: BCN Commercial |
$40.45
|
| Rate for Payer: BCN Medicare Advantage |
$13.01
|
| Rate for Payer: Cash Price |
$41.62
|
| Rate for Payer: Cash Price |
$41.62
|
| Rate for Payer: Cofinity Commercial |
$44.74
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$41.62
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$13.01
|
| Rate for Payer: Healthscope Commercial |
$46.82
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$39.02
|
| Rate for Payer: Mclaren Medicaid |
$17.71
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$13.66
|
| Rate for Payer: Meridian Medicaid |
$18.59
|
| Rate for Payer: MI Amish Medical Board Commercial |
$14.96
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$44.22
|
| Rate for Payer: Nomi Health Commercial |
$42.66
|
| Rate for Payer: PACE Senior Care Partners |
$12.35
|
| Rate for Payer: PACE SWMI |
$13.01
|
| Rate for Payer: PHP Commercial |
$44.22
|
| Rate for Payer: PHP Medicare Advantage |
$13.01
|
| Rate for Payer: Priority Health Choice Medicaid |
$17.71
|
| Rate for Payer: Priority Health Cigna Priority Health |
$33.81
|
| Rate for Payer: Priority Health HMO/PPO |
$45.26
|
| Rate for Payer: Priority Health Medicare |
$13.14
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$34.85
|
| Rate for Payer: Railroad Medicare Medicare |
$13.01
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$45.78
|
| Rate for Payer: UHC Core |
$43.44
|
| Rate for Payer: UHC Dual Complete DSNP |
$13.01
|
| Rate for Payer: UHC Exchange |
$13.01
|
| Rate for Payer: UHC Medicare Advantage |
$13.01
|
| Rate for Payer: UHCCP Medicaid |
$17.71
|
| Rate for Payer: VA VA |
$13.01
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$39.02
|
|
|
HC NEEDLE INSERT W/O INJECTION, 1 OR 2 MUSCLES
|
Facility
|
OP
|
$30.60
|
|
|
Service Code
|
CPT 20560
|
| Hospital Charge Code |
42000060
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$7.27 |
| Max. Negotiated Rate |
$27.54 |
| Rate for Payer: Aetna Commercial |
$26.01
|
| Rate for Payer: Aetna Medicare |
$7.96
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$9.56
|
| Rate for Payer: Amish Plain Church Group Commercial |
$9.56
|
| Rate for Payer: BCBS Complete |
$18.59
|
| Rate for Payer: BCBS MAPPO |
$7.65
|
| Rate for Payer: BCBS Trust/PPO |
$25.16
|
| Rate for Payer: BCN Commercial |
$23.79
|
| Rate for Payer: BCN Medicare Advantage |
$7.65
|
| Rate for Payer: Cash Price |
$24.48
|
| Rate for Payer: Cash Price |
$24.48
|
| Rate for Payer: Cofinity Commercial |
$26.32
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$24.48
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$7.65
|
| Rate for Payer: Healthscope Commercial |
$27.54
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$22.95
|
| Rate for Payer: Mclaren Medicaid |
$17.71
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$8.03
|
| Rate for Payer: Meridian Medicaid |
$18.59
|
| Rate for Payer: MI Amish Medical Board Commercial |
$8.80
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$26.01
|
| Rate for Payer: Nomi Health Commercial |
$25.09
|
| Rate for Payer: PACE Senior Care Partners |
$7.27
|
| Rate for Payer: PACE SWMI |
$7.65
|
| Rate for Payer: PHP Commercial |
$26.01
|
| Rate for Payer: PHP Medicare Advantage |
$7.65
|
| Rate for Payer: Priority Health Choice Medicaid |
$17.71
|
| Rate for Payer: Priority Health Cigna Priority Health |
$19.89
|
| Rate for Payer: Priority Health HMO/PPO |
$26.62
|
| Rate for Payer: Priority Health Medicare |
$7.73
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$20.50
|
| Rate for Payer: Railroad Medicare Medicare |
$7.65
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$26.93
|
| Rate for Payer: UHC Core |
$25.55
|
| Rate for Payer: UHC Dual Complete DSNP |
$7.65
|
| Rate for Payer: UHC Exchange |
$7.65
|
| Rate for Payer: UHC Medicare Advantage |
$7.65
|
| Rate for Payer: UHCCP Medicaid |
$17.71
|
| Rate for Payer: VA VA |
$7.65
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$22.95
|
|
|
HC NEEDLE INSERT W/O INJECTION, 1 OR 2 MUSCLES
|
Facility
|
IP
|
$30.60
|
|
|
Service Code
|
CPT 20560
|
| Hospital Charge Code |
42000060
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$19.89 |
| Max. Negotiated Rate |
$27.54 |
| Rate for Payer: Aetna Commercial |
$26.01
|
| Rate for Payer: BCBS Trust/PPO |
$24.98
|
| Rate for Payer: BCN Commercial |
$23.65
|
| Rate for Payer: Cash Price |
$24.48
|
| Rate for Payer: Cofinity Commercial |
$26.32
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$24.48
|
| Rate for Payer: Healthscope Commercial |
$27.54
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$22.95
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$26.01
|
| Rate for Payer: Nomi Health Commercial |
$25.09
|
| Rate for Payer: PHP Commercial |
$26.01
|
| Rate for Payer: Priority Health Cigna Priority Health |
$19.89
|
| Rate for Payer: Priority Health HMO/PPO |
$26.62
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$20.50
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$26.93
|
| Rate for Payer: UHC Core |
$25.55
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$22.95
|
|
|
HC NEEDLE INSERT W/O INJECTION, 3 OR MORE MUSCLES
|
Facility
|
OP
|
$51.00
|
|
|
Service Code
|
CPT 20561
|
| Hospital Charge Code |
42000061
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$12.11 |
| Max. Negotiated Rate |
$45.90 |
| Rate for Payer: Aetna Commercial |
$43.35
|
| Rate for Payer: Aetna Medicare |
$13.26
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$15.94
|
| Rate for Payer: Amish Plain Church Group Commercial |
$15.94
|
| Rate for Payer: BCBS Complete |
$18.59
|
| Rate for Payer: BCBS MAPPO |
$12.75
|
| Rate for Payer: BCBS Trust/PPO |
$41.93
|
| Rate for Payer: BCN Commercial |
$39.65
|
| Rate for Payer: BCN Medicare Advantage |
$12.75
|
| Rate for Payer: Cash Price |
$40.80
|
| Rate for Payer: Cash Price |
$40.80
|
| Rate for Payer: Cofinity Commercial |
$43.86
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$40.80
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$12.75
|
| Rate for Payer: Healthscope Commercial |
$45.90
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$38.25
|
| Rate for Payer: Mclaren Medicaid |
$17.71
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$13.39
|
| Rate for Payer: Meridian Medicaid |
$18.59
|
| Rate for Payer: MI Amish Medical Board Commercial |
$14.66
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$43.35
|
| Rate for Payer: Nomi Health Commercial |
$41.82
|
| Rate for Payer: PACE Senior Care Partners |
$12.11
|
| Rate for Payer: PACE SWMI |
$12.75
|
| Rate for Payer: PHP Commercial |
$43.35
|
| Rate for Payer: PHP Medicare Advantage |
$12.75
|
| Rate for Payer: Priority Health Choice Medicaid |
$17.71
|
| Rate for Payer: Priority Health Cigna Priority Health |
$33.15
|
| Rate for Payer: Priority Health HMO/PPO |
$44.37
|
| Rate for Payer: Priority Health Medicare |
$12.88
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$34.17
|
| Rate for Payer: Railroad Medicare Medicare |
$12.75
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$44.88
|
| Rate for Payer: UHC Core |
$42.59
|
| Rate for Payer: UHC Dual Complete DSNP |
$12.75
|
| Rate for Payer: UHC Exchange |
$12.75
|
| Rate for Payer: UHC Medicare Advantage |
$12.75
|
| Rate for Payer: UHCCP Medicaid |
$17.71
|
| Rate for Payer: VA VA |
$12.75
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$38.25
|
|
|
HC NEEDLE INSERT W/O INJECTION, 3 OR MORE MUSCLES
|
Facility
|
IP
|
$51.00
|
|
|
Service Code
|
CPT 20561
|
| Hospital Charge Code |
42000061
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$33.15 |
| Max. Negotiated Rate |
$45.90 |
| Rate for Payer: Aetna Commercial |
$43.35
|
| Rate for Payer: BCBS Trust/PPO |
$41.63
|
| Rate for Payer: BCN Commercial |
$39.41
|
| Rate for Payer: Cash Price |
$40.80
|
| Rate for Payer: Cofinity Commercial |
$43.86
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$40.80
|
| Rate for Payer: Healthscope Commercial |
$45.90
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$38.25
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$43.35
|
| Rate for Payer: Nomi Health Commercial |
$41.82
|
| Rate for Payer: PHP Commercial |
$43.35
|
| Rate for Payer: Priority Health Cigna Priority Health |
$33.15
|
| Rate for Payer: Priority Health HMO/PPO |
$44.37
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$34.17
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$44.88
|
| Rate for Payer: UHC Core |
$42.59
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$38.25
|
|
|
HC NEEDLE LOC WIRE
|
Facility
|
IP
|
$53.06
|
|
|
Service Code
|
HCPCS C1819
|
| Hospital Charge Code |
27200323
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$34.49 |
| Max. Negotiated Rate |
$47.75 |
| Rate for Payer: Aetna Commercial |
$45.10
|
| Rate for Payer: BCBS Trust/PPO |
$43.31
|
| Rate for Payer: BCN Commercial |
$41.00
|
| Rate for Payer: Cash Price |
$42.45
|
| Rate for Payer: Cofinity Commercial |
$45.63
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$42.45
|
| Rate for Payer: Healthscope Commercial |
$47.75
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$39.80
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$45.10
|
| Rate for Payer: Nomi Health Commercial |
$43.51
|
| Rate for Payer: PHP Commercial |
$45.10
|
| Rate for Payer: Priority Health Cigna Priority Health |
$34.49
|
| Rate for Payer: Priority Health HMO/PPO |
$46.16
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$35.55
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$46.69
|
| Rate for Payer: UHC Core |
$44.31
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$39.80
|
|
|
HC NEEDLE LOC WIRE
|
Facility
|
OP
|
$53.06
|
|
|
Service Code
|
HCPCS C1819
|
| Hospital Charge Code |
27200323
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$12.60 |
| Max. Negotiated Rate |
$47.75 |
| Rate for Payer: Aetna Commercial |
$45.10
|
| Rate for Payer: Aetna Medicare |
$13.80
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$16.58
|
| Rate for Payer: Amish Plain Church Group Commercial |
$16.58
|
| Rate for Payer: BCBS Complete |
$21.22
|
| Rate for Payer: BCBS MAPPO |
$13.27
|
| Rate for Payer: BCBS Trust/PPO |
$43.62
|
| Rate for Payer: BCN Commercial |
$41.25
|
| Rate for Payer: BCN Medicare Advantage |
$13.27
|
| Rate for Payer: Cash Price |
$42.45
|
| Rate for Payer: Cofinity Commercial |
$45.63
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$42.45
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$13.27
|
| Rate for Payer: Healthscope Commercial |
$47.75
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$39.80
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$13.93
|
| Rate for Payer: MI Amish Medical Board Commercial |
$15.25
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$45.10
|
| Rate for Payer: Nomi Health Commercial |
$43.51
|
| Rate for Payer: PACE Senior Care Partners |
$12.60
|
| Rate for Payer: PACE SWMI |
$13.27
|
| Rate for Payer: PHP Commercial |
$45.10
|
| Rate for Payer: PHP Medicare Advantage |
$13.27
|
| Rate for Payer: Priority Health Cigna Priority Health |
$34.49
|
| Rate for Payer: Priority Health HMO/PPO |
$46.16
|
| Rate for Payer: Priority Health Medicare |
$13.40
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$35.55
|
| Rate for Payer: Railroad Medicare Medicare |
$13.27
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$46.69
|
| Rate for Payer: UHC Core |
$44.31
|
| Rate for Payer: UHC Dual Complete DSNP |
$13.27
|
| Rate for Payer: UHC Exchange |
$13.27
|
| Rate for Payer: UHC Medicare Advantage |
$13.27
|
| Rate for Payer: VA VA |
$13.27
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$39.80
|
|
|
HC NEG PRES CANIST 1000CC
|
Facility
|
OP
|
$233.19
|
|
| Hospital Charge Code |
27200232
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$55.38 |
| Max. Negotiated Rate |
$209.87 |
| Rate for Payer: Aetna Commercial |
$198.21
|
| Rate for Payer: Aetna Medicare |
$60.63
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$72.87
|
| Rate for Payer: Amish Plain Church Group Commercial |
$72.87
|
| Rate for Payer: BCBS Complete |
$93.28
|
| Rate for Payer: BCBS MAPPO |
$58.30
|
| Rate for Payer: BCBS Trust/PPO |
$191.71
|
| Rate for Payer: BCN Commercial |
$181.31
|
| Rate for Payer: BCN Medicare Advantage |
$58.30
|
| Rate for Payer: Cash Price |
$186.55
|
| Rate for Payer: Cofinity Commercial |
$200.54
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$186.55
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$58.30
|
| Rate for Payer: Healthscope Commercial |
$209.87
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$174.89
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$61.21
|
| Rate for Payer: MI Amish Medical Board Commercial |
$67.04
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$198.21
|
| Rate for Payer: Nomi Health Commercial |
$191.22
|
| Rate for Payer: PACE Senior Care Partners |
$55.38
|
| Rate for Payer: PACE SWMI |
$58.30
|
| Rate for Payer: PHP Commercial |
$198.21
|
| Rate for Payer: PHP Medicare Advantage |
$58.30
|
| Rate for Payer: Priority Health Cigna Priority Health |
$151.57
|
| Rate for Payer: Priority Health HMO/PPO |
$202.88
|
| Rate for Payer: Priority Health Medicare |
$58.88
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$156.24
|
| Rate for Payer: Railroad Medicare Medicare |
$58.30
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$205.21
|
| Rate for Payer: UHC Core |
$194.71
|
| Rate for Payer: UHC Dual Complete DSNP |
$58.30
|
| Rate for Payer: UHC Exchange |
$58.30
|
| Rate for Payer: UHC Medicare Advantage |
$58.30
|
| Rate for Payer: VA VA |
$58.30
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$174.89
|
|
|
HC NEG PRES CANIST 1000CC
|
Facility
|
IP
|
$233.19
|
|
| Hospital Charge Code |
27200232
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$151.57 |
| Max. Negotiated Rate |
$209.87 |
| Rate for Payer: Aetna Commercial |
$198.21
|
| Rate for Payer: BCBS Trust/PPO |
$190.35
|
| Rate for Payer: BCN Commercial |
$180.21
|
| Rate for Payer: Cash Price |
$186.55
|
| Rate for Payer: Cofinity Commercial |
$200.54
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$186.55
|
| Rate for Payer: Healthscope Commercial |
$209.87
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$174.89
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$198.21
|
| Rate for Payer: Nomi Health Commercial |
$191.22
|
| Rate for Payer: PHP Commercial |
$198.21
|
| Rate for Payer: Priority Health Cigna Priority Health |
$151.57
|
| Rate for Payer: Priority Health HMO/PPO |
$202.88
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$156.24
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$205.21
|
| Rate for Payer: UHC Core |
$194.71
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$174.89
|
|
|
HC NEG PRES CANIST 500CC
|
Facility
|
IP
|
$151.46
|
|
| Hospital Charge Code |
27200136
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$98.45 |
| Max. Negotiated Rate |
$136.31 |
| Rate for Payer: Aetna Commercial |
$128.74
|
| Rate for Payer: BCBS Trust/PPO |
$123.64
|
| Rate for Payer: BCN Commercial |
$117.05
|
| Rate for Payer: Cash Price |
$121.17
|
| Rate for Payer: Cofinity Commercial |
$130.26
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$121.17
|
| Rate for Payer: Healthscope Commercial |
$136.31
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$113.59
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$128.74
|
| Rate for Payer: Nomi Health Commercial |
$124.20
|
| Rate for Payer: PHP Commercial |
$128.74
|
| Rate for Payer: Priority Health Cigna Priority Health |
$98.45
|
| Rate for Payer: Priority Health HMO/PPO |
$131.77
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$101.48
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$133.28
|
| Rate for Payer: UHC Core |
$126.47
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$113.59
|
|
|
HC NEG PRES CANIST 500CC
|
Facility
|
OP
|
$151.46
|
|
| Hospital Charge Code |
27200136
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$35.97 |
| Max. Negotiated Rate |
$136.31 |
| Rate for Payer: Aetna Commercial |
$128.74
|
| Rate for Payer: Aetna Medicare |
$39.38
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$47.33
|
| Rate for Payer: Amish Plain Church Group Commercial |
$47.33
|
| Rate for Payer: BCBS Complete |
$60.58
|
| Rate for Payer: BCBS MAPPO |
$37.87
|
| Rate for Payer: BCBS Trust/PPO |
$124.52
|
| Rate for Payer: BCN Commercial |
$117.76
|
| Rate for Payer: BCN Medicare Advantage |
$37.87
|
| Rate for Payer: Cash Price |
$121.17
|
| Rate for Payer: Cofinity Commercial |
$130.26
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$121.17
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$37.87
|
| Rate for Payer: Healthscope Commercial |
$136.31
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$113.59
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$39.76
|
| Rate for Payer: MI Amish Medical Board Commercial |
$43.54
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$128.74
|
| Rate for Payer: Nomi Health Commercial |
$124.20
|
| Rate for Payer: PACE Senior Care Partners |
$35.97
|
| Rate for Payer: PACE SWMI |
$37.87
|
| Rate for Payer: PHP Commercial |
$128.74
|
| Rate for Payer: PHP Medicare Advantage |
$37.87
|
| Rate for Payer: Priority Health Cigna Priority Health |
$98.45
|
| Rate for Payer: Priority Health HMO/PPO |
$131.77
|
| Rate for Payer: Priority Health Medicare |
$38.24
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$101.48
|
| Rate for Payer: Railroad Medicare Medicare |
$37.87
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$133.28
|
| Rate for Payer: UHC Core |
$126.47
|
| Rate for Payer: UHC Dual Complete DSNP |
$37.87
|
| Rate for Payer: UHC Exchange |
$37.87
|
| Rate for Payer: UHC Medicare Advantage |
$37.87
|
| Rate for Payer: VA VA |
$37.87
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$113.59
|
|
|
HC NEG PRES CLEANSE DRSG MED
|
Facility
|
OP
|
$510.90
|
|
| Hospital Charge Code |
27200229
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$121.34 |
| Max. Negotiated Rate |
$459.81 |
| Rate for Payer: Aetna Commercial |
$434.26
|
| Rate for Payer: Aetna Medicare |
$132.83
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$159.66
|
| Rate for Payer: Amish Plain Church Group Commercial |
$159.66
|
| Rate for Payer: BCBS Complete |
$204.36
|
| Rate for Payer: BCBS MAPPO |
$127.72
|
| Rate for Payer: BCBS Trust/PPO |
$420.01
|
| Rate for Payer: BCN Commercial |
$397.22
|
| Rate for Payer: BCN Medicare Advantage |
$127.72
|
| Rate for Payer: Cash Price |
$408.72
|
| Rate for Payer: Cofinity Commercial |
$439.37
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$408.72
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$127.72
|
| Rate for Payer: Healthscope Commercial |
$459.81
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$383.18
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$134.11
|
| Rate for Payer: MI Amish Medical Board Commercial |
$146.88
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$434.26
|
| Rate for Payer: Nomi Health Commercial |
$418.94
|
| Rate for Payer: PACE Senior Care Partners |
$121.34
|
| Rate for Payer: PACE SWMI |
$127.72
|
| Rate for Payer: PHP Commercial |
$434.26
|
| Rate for Payer: PHP Medicare Advantage |
$127.72
|
| Rate for Payer: Priority Health Cigna Priority Health |
$332.08
|
| Rate for Payer: Priority Health HMO/PPO |
$444.48
|
| Rate for Payer: Priority Health Medicare |
$129.00
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$342.30
|
| Rate for Payer: Railroad Medicare Medicare |
$127.72
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$449.59
|
| Rate for Payer: UHC Core |
$426.60
|
| Rate for Payer: UHC Dual Complete DSNP |
$127.72
|
| Rate for Payer: UHC Exchange |
$127.72
|
| Rate for Payer: UHC Medicare Advantage |
$127.72
|
| Rate for Payer: VA VA |
$127.72
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$383.18
|
|
|
HC NEG PRES CLEANSE DRSG MED
|
Facility
|
IP
|
$510.90
|
|
| Hospital Charge Code |
27200229
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$332.08 |
| Max. Negotiated Rate |
$459.81 |
| Rate for Payer: Aetna Commercial |
$434.26
|
| Rate for Payer: BCBS Trust/PPO |
$417.05
|
| Rate for Payer: BCN Commercial |
$394.82
|
| Rate for Payer: Cash Price |
$408.72
|
| Rate for Payer: Cofinity Commercial |
$439.37
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$408.72
|
| Rate for Payer: Healthscope Commercial |
$459.81
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$383.18
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$434.26
|
| Rate for Payer: Nomi Health Commercial |
$418.94
|
| Rate for Payer: PHP Commercial |
$434.26
|
| Rate for Payer: Priority Health Cigna Priority Health |
$332.08
|
| Rate for Payer: Priority Health HMO/PPO |
$444.48
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$342.30
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$449.59
|
| Rate for Payer: UHC Core |
$426.60
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$383.18
|
|
|
HC NEG PRESSURE DERMATAC DRAPE
|
Facility
|
IP
|
$64.50
|
|
| Hospital Charge Code |
27200374
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$41.92 |
| Max. Negotiated Rate |
$58.05 |
| Rate for Payer: Aetna Commercial |
$54.83
|
| Rate for Payer: BCBS Trust/PPO |
$52.65
|
| Rate for Payer: BCN Commercial |
$49.85
|
| Rate for Payer: Cash Price |
$51.60
|
| Rate for Payer: Cofinity Commercial |
$55.47
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$51.60
|
| Rate for Payer: Healthscope Commercial |
$58.05
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$48.38
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$54.83
|
| Rate for Payer: Nomi Health Commercial |
$52.89
|
| Rate for Payer: PHP Commercial |
$54.83
|
| Rate for Payer: Priority Health Cigna Priority Health |
$41.92
|
| Rate for Payer: Priority Health HMO/PPO |
$56.12
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$43.22
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$56.76
|
| Rate for Payer: UHC Core |
$53.86
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$48.38
|
|
|
HC NEG PRESSURE DERMATAC DRAPE
|
Facility
|
OP
|
$64.50
|
|
| Hospital Charge Code |
27200374
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$15.32 |
| Max. Negotiated Rate |
$58.05 |
| Rate for Payer: Aetna Commercial |
$54.83
|
| Rate for Payer: Aetna Medicare |
$16.77
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$20.16
|
| Rate for Payer: Amish Plain Church Group Commercial |
$20.16
|
| Rate for Payer: BCBS Complete |
$25.80
|
| Rate for Payer: BCBS MAPPO |
$16.12
|
| Rate for Payer: BCBS Trust/PPO |
$53.03
|
| Rate for Payer: BCN Commercial |
$50.15
|
| Rate for Payer: BCN Medicare Advantage |
$16.12
|
| Rate for Payer: Cash Price |
$51.60
|
| Rate for Payer: Cofinity Commercial |
$55.47
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$51.60
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$16.12
|
| Rate for Payer: Healthscope Commercial |
$58.05
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$48.38
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$16.93
|
| Rate for Payer: MI Amish Medical Board Commercial |
$18.54
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$54.83
|
| Rate for Payer: Nomi Health Commercial |
$52.89
|
| Rate for Payer: PACE Senior Care Partners |
$15.32
|
| Rate for Payer: PACE SWMI |
$16.12
|
| Rate for Payer: PHP Commercial |
$54.83
|
| Rate for Payer: PHP Medicare Advantage |
$16.12
|
| Rate for Payer: Priority Health Cigna Priority Health |
$41.92
|
| Rate for Payer: Priority Health HMO/PPO |
$56.12
|
| Rate for Payer: Priority Health Medicare |
$16.29
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$43.22
|
| Rate for Payer: Railroad Medicare Medicare |
$16.12
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$56.76
|
| Rate for Payer: UHC Core |
$53.86
|
| Rate for Payer: UHC Dual Complete DSNP |
$16.12
|
| Rate for Payer: UHC Exchange |
$16.12
|
| Rate for Payer: UHC Medicare Advantage |
$16.12
|
| Rate for Payer: VA VA |
$16.12
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$48.38
|
|
|
HC NEG PRESSURE WND TX DME GT 50 SQ CM
|
Facility
|
IP
|
$540.83
|
|
|
Service Code
|
CPT 97606
|
| Hospital Charge Code |
76100009
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$351.54 |
| Max. Negotiated Rate |
$486.75 |
| Rate for Payer: Aetna Commercial |
$459.71
|
| Rate for Payer: BCBS Trust/PPO |
$441.48
|
| Rate for Payer: BCN Commercial |
$417.95
|
| Rate for Payer: Cash Price |
$432.66
|
| Rate for Payer: Cofinity Commercial |
$465.11
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$432.66
|
| Rate for Payer: Healthscope Commercial |
$486.75
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$405.62
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$459.71
|
| Rate for Payer: Nomi Health Commercial |
$443.48
|
| Rate for Payer: PHP Commercial |
$459.71
|
| Rate for Payer: Priority Health Cigna Priority Health |
$351.54
|
| Rate for Payer: Priority Health HMO/PPO |
$470.52
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$362.36
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$475.93
|
| Rate for Payer: UHC Core |
$451.59
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$405.62
|
|
|
HC NEG PRESSURE WND TX DME GT 50 SQ CM
|
Facility
|
OP
|
$540.83
|
|
|
Service Code
|
CPT 97606
|
| Hospital Charge Code |
76100009
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$128.45 |
| Max. Negotiated Rate |
$486.75 |
| Rate for Payer: Aetna Commercial |
$459.71
|
| Rate for Payer: Aetna Medicare |
$140.62
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$169.01
|
| Rate for Payer: Amish Plain Church Group Commercial |
$169.01
|
| Rate for Payer: BCBS Complete |
$303.32
|
| Rate for Payer: BCBS MAPPO |
$135.21
|
| Rate for Payer: BCBS Trust/PPO |
$444.62
|
| Rate for Payer: BCN Commercial |
$420.50
|
| Rate for Payer: BCN Medicare Advantage |
$135.21
|
| Rate for Payer: Cash Price |
$432.66
|
| Rate for Payer: Cash Price |
$432.66
|
| Rate for Payer: Cofinity Commercial |
$465.11
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$432.66
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$135.21
|
| Rate for Payer: Healthscope Commercial |
$486.75
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$405.62
|
| Rate for Payer: Mclaren Medicaid |
$288.86
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$141.97
|
| Rate for Payer: Meridian Medicaid |
$303.32
|
| Rate for Payer: MI Amish Medical Board Commercial |
$155.49
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$459.71
|
| Rate for Payer: Nomi Health Commercial |
$443.48
|
| Rate for Payer: PACE Senior Care Partners |
$128.45
|
| Rate for Payer: PACE SWMI |
$135.21
|
| Rate for Payer: PHP Commercial |
$459.71
|
| Rate for Payer: PHP Medicare Advantage |
$135.21
|
| Rate for Payer: Priority Health Choice Medicaid |
$288.86
|
| Rate for Payer: Priority Health Cigna Priority Health |
$351.54
|
| Rate for Payer: Priority Health HMO/PPO |
$470.52
|
| Rate for Payer: Priority Health Medicare |
$136.56
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$362.36
|
| Rate for Payer: Railroad Medicare Medicare |
$135.21
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$475.93
|
| Rate for Payer: UHC Core |
$451.59
|
| Rate for Payer: UHC Dual Complete DSNP |
$135.21
|
| Rate for Payer: UHC Exchange |
$135.21
|
| Rate for Payer: UHC Medicare Advantage |
$135.21
|
| Rate for Payer: UHCCP Medicaid |
$288.86
|
| Rate for Payer: VA VA |
$135.21
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$405.62
|
|
|
HC NEG PRESSURE WND TX DME UP TO 50 SQ CM
|
Facility
|
IP
|
$428.32
|
|
|
Service Code
|
CPT 97605
|
| Hospital Charge Code |
76100008
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$278.41 |
| Max. Negotiated Rate |
$385.49 |
| Rate for Payer: Aetna Commercial |
$364.07
|
| Rate for Payer: BCBS Trust/PPO |
$349.64
|
| Rate for Payer: BCN Commercial |
$331.01
|
| Rate for Payer: Cash Price |
$342.66
|
| Rate for Payer: Cofinity Commercial |
$368.36
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$342.66
|
| Rate for Payer: Healthscope Commercial |
$385.49
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$321.24
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$364.07
|
| Rate for Payer: Nomi Health Commercial |
$351.22
|
| Rate for Payer: PHP Commercial |
$364.07
|
| Rate for Payer: Priority Health Cigna Priority Health |
$278.41
|
| Rate for Payer: Priority Health HMO/PPO |
$372.64
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$286.97
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$376.92
|
| Rate for Payer: UHC Core |
$357.65
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$321.24
|
|
|
HC NEG PRESSURE WND TX DME UP TO 50 SQ CM
|
Facility
|
OP
|
$428.32
|
|
|
Service Code
|
CPT 97605
|
| Hospital Charge Code |
76100008
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$101.73 |
| Max. Negotiated Rate |
$385.49 |
| Rate for Payer: Aetna Commercial |
$364.07
|
| Rate for Payer: Aetna Medicare |
$111.36
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$133.85
|
| Rate for Payer: Amish Plain Church Group Commercial |
$133.85
|
| Rate for Payer: BCBS Complete |
$150.85
|
| Rate for Payer: BCBS MAPPO |
$107.08
|
| Rate for Payer: BCBS Trust/PPO |
$352.12
|
| Rate for Payer: BCN Commercial |
$333.02
|
| Rate for Payer: BCN Medicare Advantage |
$107.08
|
| Rate for Payer: Cash Price |
$342.66
|
| Rate for Payer: Cash Price |
$342.66
|
| Rate for Payer: Cofinity Commercial |
$368.36
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$342.66
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$107.08
|
| Rate for Payer: Healthscope Commercial |
$385.49
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$321.24
|
| Rate for Payer: Mclaren Medicaid |
$143.66
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$112.43
|
| Rate for Payer: Meridian Medicaid |
$150.85
|
| Rate for Payer: MI Amish Medical Board Commercial |
$123.14
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$364.07
|
| Rate for Payer: Nomi Health Commercial |
$351.22
|
| Rate for Payer: PACE Senior Care Partners |
$101.73
|
| Rate for Payer: PACE SWMI |
$107.08
|
| Rate for Payer: PHP Commercial |
$364.07
|
| Rate for Payer: PHP Medicare Advantage |
$107.08
|
| Rate for Payer: Priority Health Choice Medicaid |
$143.66
|
| Rate for Payer: Priority Health Cigna Priority Health |
$278.41
|
| Rate for Payer: Priority Health HMO/PPO |
$372.64
|
| Rate for Payer: Priority Health Medicare |
$108.15
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$286.97
|
| Rate for Payer: Railroad Medicare Medicare |
$107.08
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$376.92
|
| Rate for Payer: UHC Core |
$357.65
|
| Rate for Payer: UHC Dual Complete DSNP |
$107.08
|
| Rate for Payer: UHC Exchange |
$107.08
|
| Rate for Payer: UHC Medicare Advantage |
$107.08
|
| Rate for Payer: UHCCP Medicaid |
$143.66
|
| Rate for Payer: VA VA |
$107.08
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$321.24
|
|
|
HC NEG PRES TRAC PAD
|
Facility
|
IP
|
$73.81
|
|
| Hospital Charge Code |
27000158
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$47.98 |
| Max. Negotiated Rate |
$66.43 |
| Rate for Payer: Aetna Commercial |
$62.74
|
| Rate for Payer: BCBS Trust/PPO |
$60.25
|
| Rate for Payer: BCN Commercial |
$57.04
|
| Rate for Payer: Cash Price |
$59.05
|
| Rate for Payer: Cofinity Commercial |
$63.48
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$59.05
|
| Rate for Payer: Healthscope Commercial |
$66.43
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$55.36
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$62.74
|
| Rate for Payer: Nomi Health Commercial |
$60.52
|
| Rate for Payer: PHP Commercial |
$62.74
|
| Rate for Payer: Priority Health Cigna Priority Health |
$47.98
|
| Rate for Payer: Priority Health HMO/PPO |
$64.21
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$49.45
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$64.95
|
| Rate for Payer: UHC Core |
$61.63
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$55.36
|
|
|
HC NEG PRES TRAC PAD
|
Facility
|
OP
|
$73.81
|
|
| Hospital Charge Code |
27000158
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$17.53 |
| Max. Negotiated Rate |
$66.43 |
| Rate for Payer: Aetna Commercial |
$62.74
|
| Rate for Payer: Aetna Medicare |
$19.19
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$23.07
|
| Rate for Payer: Amish Plain Church Group Commercial |
$23.07
|
| Rate for Payer: BCBS Complete |
$29.52
|
| Rate for Payer: BCBS MAPPO |
$18.45
|
| Rate for Payer: BCBS Trust/PPO |
$60.68
|
| Rate for Payer: BCN Commercial |
$57.39
|
| Rate for Payer: BCN Medicare Advantage |
$18.45
|
| Rate for Payer: Cash Price |
$59.05
|
| Rate for Payer: Cofinity Commercial |
$63.48
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$59.05
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$18.45
|
| Rate for Payer: Healthscope Commercial |
$66.43
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$55.36
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$19.38
|
| Rate for Payer: MI Amish Medical Board Commercial |
$21.22
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$62.74
|
| Rate for Payer: Nomi Health Commercial |
$60.52
|
| Rate for Payer: PACE Senior Care Partners |
$17.53
|
| Rate for Payer: PACE SWMI |
$18.45
|
| Rate for Payer: PHP Commercial |
$62.74
|
| Rate for Payer: PHP Medicare Advantage |
$18.45
|
| Rate for Payer: Priority Health Cigna Priority Health |
$47.98
|
| Rate for Payer: Priority Health HMO/PPO |
$64.21
|
| Rate for Payer: Priority Health Medicare |
$18.64
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$49.45
|
| Rate for Payer: Railroad Medicare Medicare |
$18.45
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$64.95
|
| Rate for Payer: UHC Core |
$61.63
|
| Rate for Payer: UHC Dual Complete DSNP |
$18.45
|
| Rate for Payer: UHC Exchange |
$18.45
|
| Rate for Payer: UHC Medicare Advantage |
$18.45
|
| Rate for Payer: VA VA |
$18.45
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$55.36
|
|
|
HC NEG PRES VF CASSETTE
|
Facility
|
OP
|
$212.87
|
|
| Hospital Charge Code |
27200230
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$50.56 |
| Max. Negotiated Rate |
$191.58 |
| Rate for Payer: Aetna Commercial |
$180.94
|
| Rate for Payer: Aetna Medicare |
$55.35
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$66.52
|
| Rate for Payer: Amish Plain Church Group Commercial |
$66.52
|
| Rate for Payer: BCBS Complete |
$85.15
|
| Rate for Payer: BCBS MAPPO |
$53.22
|
| Rate for Payer: BCBS Trust/PPO |
$175.00
|
| Rate for Payer: BCN Commercial |
$165.51
|
| Rate for Payer: BCN Medicare Advantage |
$53.22
|
| Rate for Payer: Cash Price |
$170.30
|
| Rate for Payer: Cofinity Commercial |
$183.07
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$170.30
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$53.22
|
| Rate for Payer: Healthscope Commercial |
$191.58
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$159.65
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$55.88
|
| Rate for Payer: MI Amish Medical Board Commercial |
$61.20
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$180.94
|
| Rate for Payer: Nomi Health Commercial |
$174.55
|
| Rate for Payer: PACE Senior Care Partners |
$50.56
|
| Rate for Payer: PACE SWMI |
$53.22
|
| Rate for Payer: PHP Commercial |
$180.94
|
| Rate for Payer: PHP Medicare Advantage |
$53.22
|
| Rate for Payer: Priority Health Cigna Priority Health |
$138.37
|
| Rate for Payer: Priority Health HMO/PPO |
$185.20
|
| Rate for Payer: Priority Health Medicare |
$53.75
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$142.62
|
| Rate for Payer: Railroad Medicare Medicare |
$53.22
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$187.33
|
| Rate for Payer: UHC Core |
$177.75
|
| Rate for Payer: UHC Dual Complete DSNP |
$53.22
|
| Rate for Payer: UHC Exchange |
$53.22
|
| Rate for Payer: UHC Medicare Advantage |
$53.22
|
| Rate for Payer: VA VA |
$53.22
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$159.65
|
|
