|
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 |
$54.82
|
| 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 |
$54.82
|
| Rate for Payer: Nomi Health Commercial |
$52.89
|
| Rate for Payer: PHP Commercial |
$54.82
|
| 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 |
$54.82
|
| 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 |
$54.82
|
| 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 |
$54.82
|
| 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 |
$297.19
|
| 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 |
$283.02
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$141.97
|
| Rate for Payer: Meridian Medicaid |
$297.19
|
| 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 |
$283.02
|
| 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 |
$283.02
|
| 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
|
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 |
$147.80
|
| 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 |
$140.75
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$112.43
|
| Rate for Payer: Meridian Medicaid |
$147.80
|
| 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 |
$140.75
|
| 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 |
$140.75
|
| Rate for Payer: VA VA |
$107.08
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$321.24
|
|
|
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 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
|
IP
|
$212.87
|
|
| Hospital Charge Code |
27200230
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$138.37 |
| Max. Negotiated Rate |
$191.58 |
| Rate for Payer: Aetna Commercial |
$180.94
|
| Rate for Payer: BCBS Trust/PPO |
$173.77
|
| Rate for Payer: BCN Commercial |
$164.51
|
| 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: Healthscope Commercial |
$191.58
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$159.65
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$180.94
|
| Rate for Payer: Nomi Health Commercial |
$174.55
|
| Rate for Payer: PHP Commercial |
$180.94
|
| Rate for Payer: Priority Health Cigna Priority Health |
$138.37
|
| Rate for Payer: Priority Health HMO/PPO |
$185.20
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$142.62
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$187.33
|
| Rate for Payer: UHC Core |
$177.75
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$159.65
|
|
|
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
|
|
|
HC NEG PRES VF DRSG MED
|
Facility
|
IP
|
$445.10
|
|
| Hospital Charge Code |
27200228
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$289.32 |
| Max. Negotiated Rate |
$400.59 |
| Rate for Payer: Aetna Commercial |
$378.34
|
| Rate for Payer: BCBS Trust/PPO |
$363.34
|
| Rate for Payer: BCN Commercial |
$343.97
|
| Rate for Payer: Cash Price |
$356.08
|
| Rate for Payer: Cofinity Commercial |
$382.79
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$356.08
|
| Rate for Payer: Healthscope Commercial |
$400.59
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$333.82
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$378.34
|
| Rate for Payer: Nomi Health Commercial |
$364.98
|
| Rate for Payer: PHP Commercial |
$378.34
|
| Rate for Payer: Priority Health Cigna Priority Health |
$289.32
|
| Rate for Payer: Priority Health HMO/PPO |
$387.24
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$298.22
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$391.69
|
| Rate for Payer: UHC Core |
$371.66
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$333.82
|
|
|
HC NEG PRES VF DRSG MED
|
Facility
|
OP
|
$445.10
|
|
| Hospital Charge Code |
27200228
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$105.71 |
| Max. Negotiated Rate |
$400.59 |
| Rate for Payer: Aetna Commercial |
$378.34
|
| Rate for Payer: Aetna Medicare |
$115.73
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$139.09
|
| Rate for Payer: Amish Plain Church Group Commercial |
$139.09
|
| Rate for Payer: BCBS Complete |
$178.04
|
| Rate for Payer: BCBS MAPPO |
$111.28
|
| Rate for Payer: BCBS Trust/PPO |
$365.92
|
| Rate for Payer: BCN Commercial |
$346.07
|
| Rate for Payer: BCN Medicare Advantage |
$111.28
|
| Rate for Payer: Cash Price |
$356.08
|
| Rate for Payer: Cofinity Commercial |
$382.79
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$356.08
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$111.28
|
| Rate for Payer: Healthscope Commercial |
$400.59
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$333.82
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$116.84
|
| Rate for Payer: MI Amish Medical Board Commercial |
$127.97
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$378.34
|
| Rate for Payer: Nomi Health Commercial |
$364.98
|
| Rate for Payer: PACE Senior Care Partners |
$105.71
|
| Rate for Payer: PACE SWMI |
$111.28
|
| Rate for Payer: PHP Commercial |
$378.34
|
| Rate for Payer: PHP Medicare Advantage |
$111.28
|
| Rate for Payer: Priority Health Cigna Priority Health |
$289.32
|
| Rate for Payer: Priority Health HMO/PPO |
$387.24
|
| Rate for Payer: Priority Health Medicare |
$112.39
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$298.22
|
| Rate for Payer: Railroad Medicare Medicare |
$111.28
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$391.69
|
| Rate for Payer: UHC Core |
$371.66
|
| Rate for Payer: UHC Dual Complete DSNP |
$111.28
|
| Rate for Payer: UHC Exchange |
$111.28
|
| Rate for Payer: UHC Medicare Advantage |
$111.28
|
| Rate for Payer: VA VA |
$111.28
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$333.82
|
|
|
HC NEG PRES VF DRSG SMA
|
Facility
|
OP
|
$379.30
|
|
| Hospital Charge Code |
27200227
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$90.08 |
| Max. Negotiated Rate |
$341.37 |
| Rate for Payer: Aetna Commercial |
$322.40
|
| Rate for Payer: Aetna Medicare |
$98.62
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$118.53
|
| Rate for Payer: Amish Plain Church Group Commercial |
$118.53
|
| Rate for Payer: BCBS Complete |
$151.72
|
| Rate for Payer: BCBS MAPPO |
$94.82
|
| Rate for Payer: BCBS Trust/PPO |
$311.82
|
| Rate for Payer: BCN Commercial |
$294.91
|
| Rate for Payer: BCN Medicare Advantage |
$94.82
|
| Rate for Payer: Cash Price |
$303.44
|
| Rate for Payer: Cofinity Commercial |
$326.20
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$303.44
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$94.82
|
| Rate for Payer: Healthscope Commercial |
$341.37
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$284.48
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$99.57
|
| Rate for Payer: MI Amish Medical Board Commercial |
$109.05
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$322.40
|
| Rate for Payer: Nomi Health Commercial |
$311.03
|
| Rate for Payer: PACE Senior Care Partners |
$90.08
|
| Rate for Payer: PACE SWMI |
$94.82
|
| Rate for Payer: PHP Commercial |
$322.40
|
| Rate for Payer: PHP Medicare Advantage |
$94.82
|
| Rate for Payer: Priority Health Cigna Priority Health |
$246.54
|
| Rate for Payer: Priority Health HMO/PPO |
$329.99
|
| Rate for Payer: Priority Health Medicare |
$95.77
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$254.13
|
| Rate for Payer: Railroad Medicare Medicare |
$94.82
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$333.78
|
| Rate for Payer: UHC Core |
$316.72
|
| Rate for Payer: UHC Dual Complete DSNP |
$94.82
|
| Rate for Payer: UHC Exchange |
$94.82
|
| Rate for Payer: UHC Medicare Advantage |
$94.82
|
| Rate for Payer: VA VA |
$94.82
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$284.48
|
|
|
HC NEG PRES VF DRSG SMA
|
Facility
|
IP
|
$379.30
|
|
| Hospital Charge Code |
27200227
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$246.54 |
| Max. Negotiated Rate |
$341.37 |
| Rate for Payer: Aetna Commercial |
$322.40
|
| Rate for Payer: BCBS Trust/PPO |
$309.62
|
| Rate for Payer: BCN Commercial |
$293.12
|
| Rate for Payer: Cash Price |
$303.44
|
| Rate for Payer: Cofinity Commercial |
$326.20
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$303.44
|
| Rate for Payer: Healthscope Commercial |
$341.37
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$284.48
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$322.40
|
| Rate for Payer: Nomi Health Commercial |
$311.03
|
| Rate for Payer: PHP Commercial |
$322.40
|
| Rate for Payer: Priority Health Cigna Priority Health |
$246.54
|
| Rate for Payer: Priority Health HMO/PPO |
$329.99
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$254.13
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$333.78
|
| Rate for Payer: UHC Core |
$316.72
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$284.48
|
|
|
HC NEG PRES VF DUO TRAC PAD
|
Facility
|
IP
|
$290.28
|
|
| Hospital Charge Code |
27200231
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$188.68 |
| Max. Negotiated Rate |
$261.25 |
| Rate for Payer: Aetna Commercial |
$246.74
|
| Rate for Payer: BCBS Trust/PPO |
$236.96
|
| Rate for Payer: BCN Commercial |
$224.33
|
| Rate for Payer: Cash Price |
$232.22
|
| Rate for Payer: Cofinity Commercial |
$249.64
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$232.22
|
| Rate for Payer: Healthscope Commercial |
$261.25
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$217.71
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$246.74
|
| Rate for Payer: Nomi Health Commercial |
$238.03
|
| Rate for Payer: PHP Commercial |
$246.74
|
| Rate for Payer: Priority Health Cigna Priority Health |
$188.68
|
| Rate for Payer: Priority Health HMO/PPO |
$252.54
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$194.49
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$255.45
|
| Rate for Payer: UHC Core |
$242.38
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$217.71
|
|
|
HC NEG PRES VF DUO TRAC PAD
|
Facility
|
OP
|
$290.28
|
|
| Hospital Charge Code |
27200231
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$68.94 |
| Max. Negotiated Rate |
$261.25 |
| Rate for Payer: Aetna Commercial |
$246.74
|
| Rate for Payer: Aetna Medicare |
$75.47
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$90.71
|
| Rate for Payer: Amish Plain Church Group Commercial |
$90.71
|
| Rate for Payer: BCBS Complete |
$116.11
|
| Rate for Payer: BCBS MAPPO |
$72.57
|
| Rate for Payer: BCBS Trust/PPO |
$238.64
|
| Rate for Payer: BCN Commercial |
$225.69
|
| Rate for Payer: BCN Medicare Advantage |
$72.57
|
| Rate for Payer: Cash Price |
$232.22
|
| Rate for Payer: Cofinity Commercial |
$249.64
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$232.22
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$72.57
|
| Rate for Payer: Healthscope Commercial |
$261.25
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$217.71
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$76.20
|
| Rate for Payer: MI Amish Medical Board Commercial |
$83.46
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$246.74
|
| Rate for Payer: Nomi Health Commercial |
$238.03
|
| Rate for Payer: PACE Senior Care Partners |
$68.94
|
| Rate for Payer: PACE SWMI |
$72.57
|
| Rate for Payer: PHP Commercial |
$246.74
|
| Rate for Payer: PHP Medicare Advantage |
$72.57
|
| Rate for Payer: Priority Health Cigna Priority Health |
$188.68
|
| Rate for Payer: Priority Health HMO/PPO |
$252.54
|
| Rate for Payer: Priority Health Medicare |
$73.30
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$194.49
|
| Rate for Payer: Railroad Medicare Medicare |
$72.57
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$255.45
|
| Rate for Payer: UHC Core |
$242.38
|
| Rate for Payer: UHC Dual Complete DSNP |
$72.57
|
| Rate for Payer: UHC Exchange |
$72.57
|
| Rate for Payer: UHC Medicare Advantage |
$72.57
|
| Rate for Payer: VA VA |
$72.57
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$217.71
|
|
|
HC NEG PRES WHT FOAM DRSG
|
Facility
|
IP
|
$180.10
|
|
| Hospital Charge Code |
27200158
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$117.06 |
| Max. Negotiated Rate |
$162.09 |
| Rate for Payer: Aetna Commercial |
$153.08
|
| Rate for Payer: BCBS Trust/PPO |
$147.02
|
| Rate for Payer: BCN Commercial |
$139.18
|
| Rate for Payer: Cash Price |
$144.08
|
| Rate for Payer: Cofinity Commercial |
$154.89
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$144.08
|
| Rate for Payer: Healthscope Commercial |
$162.09
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$135.08
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$153.08
|
| Rate for Payer: Nomi Health Commercial |
$147.68
|
| Rate for Payer: PHP Commercial |
$153.08
|
| Rate for Payer: Priority Health Cigna Priority Health |
$117.06
|
| Rate for Payer: Priority Health HMO/PPO |
$156.69
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$120.67
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$158.49
|
| Rate for Payer: UHC Core |
$150.38
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$135.08
|
|
|
HC NEG PRES WHT FOAM DRSG
|
Facility
|
OP
|
$180.10
|
|
| Hospital Charge Code |
27200158
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$42.77 |
| Max. Negotiated Rate |
$162.09 |
| Rate for Payer: Aetna Commercial |
$153.08
|
| Rate for Payer: Aetna Medicare |
$46.83
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$56.28
|
| Rate for Payer: Amish Plain Church Group Commercial |
$56.28
|
| Rate for Payer: BCBS Complete |
$72.04
|
| Rate for Payer: BCBS MAPPO |
$45.02
|
| Rate for Payer: BCBS Trust/PPO |
$148.06
|
| Rate for Payer: BCN Commercial |
$140.03
|
| Rate for Payer: BCN Medicare Advantage |
$45.02
|
| Rate for Payer: Cash Price |
$144.08
|
| Rate for Payer: Cofinity Commercial |
$154.89
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$144.08
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$45.02
|
| Rate for Payer: Healthscope Commercial |
$162.09
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$135.08
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$47.28
|
| Rate for Payer: MI Amish Medical Board Commercial |
$51.78
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$153.08
|
| Rate for Payer: Nomi Health Commercial |
$147.68
|
| Rate for Payer: PACE Senior Care Partners |
$42.77
|
| Rate for Payer: PACE SWMI |
$45.02
|
| Rate for Payer: PHP Commercial |
$153.08
|
| Rate for Payer: PHP Medicare Advantage |
$45.02
|
| Rate for Payer: Priority Health Cigna Priority Health |
$117.06
|
| Rate for Payer: Priority Health HMO/PPO |
$156.69
|
| Rate for Payer: Priority Health Medicare |
$45.48
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$120.67
|
| Rate for Payer: Railroad Medicare Medicare |
$45.02
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$158.49
|
| Rate for Payer: UHC Core |
$150.38
|
| Rate for Payer: UHC Dual Complete DSNP |
$45.02
|
| Rate for Payer: UHC Exchange |
$45.02
|
| Rate for Payer: UHC Medicare Advantage |
$45.02
|
| Rate for Payer: VA VA |
$45.02
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$135.08
|
|
|
HC NEG PRES WND THRPY DSG EXLGE
|
Facility
|
IP
|
$381.25
|
|
| Hospital Charge Code |
27200137
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$247.81 |
| Max. Negotiated Rate |
$343.12 |
| Rate for Payer: Aetna Commercial |
$324.06
|
| Rate for Payer: BCBS Trust/PPO |
$311.21
|
| Rate for Payer: BCN Commercial |
$294.63
|
| Rate for Payer: Cash Price |
$305.00
|
| Rate for Payer: Cofinity Commercial |
$327.88
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$305.00
|
| Rate for Payer: Healthscope Commercial |
$343.12
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$285.94
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$324.06
|
| Rate for Payer: Nomi Health Commercial |
$312.62
|
| Rate for Payer: PHP Commercial |
$324.06
|
| Rate for Payer: Priority Health Cigna Priority Health |
$247.81
|
| Rate for Payer: Priority Health HMO/PPO |
$331.69
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$255.44
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$335.50
|
| Rate for Payer: UHC Core |
$318.34
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$285.94
|
|
|
HC NEG PRES WND THRPY DSG EXLGE
|
Facility
|
OP
|
$381.25
|
|
| Hospital Charge Code |
27200137
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$90.55 |
| Max. Negotiated Rate |
$343.12 |
| Rate for Payer: Aetna Commercial |
$324.06
|
| Rate for Payer: Aetna Medicare |
$99.12
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$119.14
|
| Rate for Payer: Amish Plain Church Group Commercial |
$119.14
|
| Rate for Payer: BCBS Complete |
$152.50
|
| Rate for Payer: BCBS MAPPO |
$95.31
|
| Rate for Payer: BCBS Trust/PPO |
$313.43
|
| Rate for Payer: BCN Commercial |
$296.42
|
| Rate for Payer: BCN Medicare Advantage |
$95.31
|
| Rate for Payer: Cash Price |
$305.00
|
| Rate for Payer: Cofinity Commercial |
$327.88
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$305.00
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$95.31
|
| Rate for Payer: Healthscope Commercial |
$343.12
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$285.94
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$100.08
|
| Rate for Payer: MI Amish Medical Board Commercial |
$109.61
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$324.06
|
| Rate for Payer: Nomi Health Commercial |
$312.62
|
| Rate for Payer: PACE Senior Care Partners |
$90.55
|
| Rate for Payer: PACE SWMI |
$95.31
|
| Rate for Payer: PHP Commercial |
$324.06
|
| Rate for Payer: PHP Medicare Advantage |
$95.31
|
| Rate for Payer: Priority Health Cigna Priority Health |
$247.81
|
| Rate for Payer: Priority Health HMO/PPO |
$331.69
|
| Rate for Payer: Priority Health Medicare |
$96.27
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$255.44
|
| Rate for Payer: Railroad Medicare Medicare |
$95.31
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$335.50
|
| Rate for Payer: UHC Core |
$318.34
|
| Rate for Payer: UHC Dual Complete DSNP |
$95.31
|
| Rate for Payer: UHC Exchange |
$95.31
|
| Rate for Payer: UHC Medicare Advantage |
$95.31
|
| Rate for Payer: VA VA |
$95.31
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$285.94
|
|
|
HC NEG PRES WND THRPY DSG SET LAR
|
Facility
|
OP
|
$202.55
|
|
| Hospital Charge Code |
27200138
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$48.11 |
| Max. Negotiated Rate |
$182.30 |
| Rate for Payer: Aetna Commercial |
$172.17
|
| Rate for Payer: Aetna Medicare |
$52.66
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$63.30
|
| Rate for Payer: Amish Plain Church Group Commercial |
$63.30
|
| Rate for Payer: BCBS Complete |
$81.02
|
| Rate for Payer: BCBS MAPPO |
$50.64
|
| Rate for Payer: BCBS Trust/PPO |
$166.52
|
| Rate for Payer: BCN Commercial |
$157.48
|
| Rate for Payer: BCN Medicare Advantage |
$50.64
|
| Rate for Payer: Cash Price |
$162.04
|
| Rate for Payer: Cofinity Commercial |
$174.19
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$162.04
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$50.64
|
| Rate for Payer: Healthscope Commercial |
$182.30
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$151.91
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$53.17
|
| Rate for Payer: MI Amish Medical Board Commercial |
$58.23
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$172.17
|
| Rate for Payer: Nomi Health Commercial |
$166.09
|
| Rate for Payer: PACE Senior Care Partners |
$48.11
|
| Rate for Payer: PACE SWMI |
$50.64
|
| Rate for Payer: PHP Commercial |
$172.17
|
| Rate for Payer: PHP Medicare Advantage |
$50.64
|
| Rate for Payer: Priority Health Cigna Priority Health |
$131.66
|
| Rate for Payer: Priority Health HMO/PPO |
$176.22
|
| Rate for Payer: Priority Health Medicare |
$51.14
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$135.71
|
| Rate for Payer: Railroad Medicare Medicare |
$50.64
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$178.24
|
| Rate for Payer: UHC Core |
$169.13
|
| Rate for Payer: UHC Dual Complete DSNP |
$50.64
|
| Rate for Payer: UHC Exchange |
$50.64
|
| Rate for Payer: UHC Medicare Advantage |
$50.64
|
| Rate for Payer: VA VA |
$50.64
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$151.91
|
|
|
HC NEG PRES WND THRPY DSG SET LAR
|
Facility
|
IP
|
$202.55
|
|
| Hospital Charge Code |
27200138
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$131.66 |
| Max. Negotiated Rate |
$182.30 |
| Rate for Payer: Aetna Commercial |
$172.17
|
| Rate for Payer: BCBS Trust/PPO |
$165.34
|
| Rate for Payer: BCN Commercial |
$156.53
|
| Rate for Payer: Cash Price |
$162.04
|
| Rate for Payer: Cofinity Commercial |
$174.19
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$162.04
|
| Rate for Payer: Healthscope Commercial |
$182.30
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$151.91
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$172.17
|
| Rate for Payer: Nomi Health Commercial |
$166.09
|
| Rate for Payer: PHP Commercial |
$172.17
|
| Rate for Payer: Priority Health Cigna Priority Health |
$131.66
|
| Rate for Payer: Priority Health HMO/PPO |
$176.22
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$135.71
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$178.24
|
| Rate for Payer: UHC Core |
$169.13
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$151.91
|
|
|
HC NEG PRES WND THRPY DSG SET MED
|
Facility
|
OP
|
$145.92
|
|
| Hospital Charge Code |
27200139
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$34.66 |
| Max. Negotiated Rate |
$131.33 |
| Rate for Payer: Aetna Commercial |
$124.03
|
| Rate for Payer: Aetna Medicare |
$37.94
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$45.60
|
| Rate for Payer: Amish Plain Church Group Commercial |
$45.60
|
| Rate for Payer: BCBS Complete |
$58.37
|
| Rate for Payer: BCBS MAPPO |
$36.48
|
| Rate for Payer: BCBS Trust/PPO |
$119.96
|
| Rate for Payer: BCN Commercial |
$113.45
|
| Rate for Payer: BCN Medicare Advantage |
$36.48
|
| Rate for Payer: Cash Price |
$116.74
|
| Rate for Payer: Cofinity Commercial |
$125.49
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$116.74
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$36.48
|
| Rate for Payer: Healthscope Commercial |
$131.33
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$109.44
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$38.30
|
| Rate for Payer: MI Amish Medical Board Commercial |
$41.95
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$124.03
|
| Rate for Payer: Nomi Health Commercial |
$119.65
|
| Rate for Payer: PACE Senior Care Partners |
$34.66
|
| Rate for Payer: PACE SWMI |
$36.48
|
| Rate for Payer: PHP Commercial |
$124.03
|
| Rate for Payer: PHP Medicare Advantage |
$36.48
|
| Rate for Payer: Priority Health Cigna Priority Health |
$94.85
|
| Rate for Payer: Priority Health HMO/PPO |
$126.95
|
| Rate for Payer: Priority Health Medicare |
$36.84
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$97.77
|
| Rate for Payer: Railroad Medicare Medicare |
$36.48
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$128.41
|
| Rate for Payer: UHC Core |
$121.84
|
| Rate for Payer: UHC Dual Complete DSNP |
$36.48
|
| Rate for Payer: UHC Exchange |
$36.48
|
| Rate for Payer: UHC Medicare Advantage |
$36.48
|
| Rate for Payer: VA VA |
$36.48
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$109.44
|
|
|
HC NEG PRES WND THRPY DSG SET MED
|
Facility
|
IP
|
$145.92
|
|
| Hospital Charge Code |
27200139
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$94.85 |
| Max. Negotiated Rate |
$131.33 |
| Rate for Payer: Aetna Commercial |
$124.03
|
| Rate for Payer: BCBS Trust/PPO |
$119.11
|
| Rate for Payer: BCN Commercial |
$112.77
|
| Rate for Payer: Cash Price |
$116.74
|
| Rate for Payer: Cofinity Commercial |
$125.49
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$116.74
|
| Rate for Payer: Healthscope Commercial |
$131.33
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$109.44
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$124.03
|
| Rate for Payer: Nomi Health Commercial |
$119.65
|
| Rate for Payer: PHP Commercial |
$124.03
|
| Rate for Payer: Priority Health Cigna Priority Health |
$94.85
|
| Rate for Payer: Priority Health HMO/PPO |
$126.95
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$97.77
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$128.41
|
| Rate for Payer: UHC Core |
$121.84
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$109.44
|
|
|
HC NEG PRES WND THRPY DSG SET SIL
|
Facility
|
IP
|
$272.48
|
|
| Hospital Charge Code |
27200140
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$177.11 |
| Max. Negotiated Rate |
$245.23 |
| Rate for Payer: Aetna Commercial |
$231.61
|
| Rate for Payer: BCBS Trust/PPO |
$222.43
|
| Rate for Payer: BCN Commercial |
$210.57
|
| Rate for Payer: Cash Price |
$217.98
|
| Rate for Payer: Cofinity Commercial |
$234.33
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$217.98
|
| Rate for Payer: Healthscope Commercial |
$245.23
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$204.36
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$231.61
|
| Rate for Payer: Nomi Health Commercial |
$223.43
|
| Rate for Payer: PHP Commercial |
$231.61
|
| Rate for Payer: Priority Health Cigna Priority Health |
$177.11
|
| Rate for Payer: Priority Health HMO/PPO |
$237.06
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$182.56
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$239.78
|
| Rate for Payer: UHC Core |
$227.52
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$204.36
|
|
