|
HC PARASITIC EXAMINATION, STOOL
|
Facility
|
OP
|
$17.69
|
|
|
Service Code
|
CPT 87177
|
| Hospital Charge Code |
30600283
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$4.20 |
| Max. Negotiated Rate |
$15.92 |
| Rate for Payer: Aetna Commercial |
$15.04
|
| Rate for Payer: Aetna Medicare |
$4.60
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$5.53
|
| Rate for Payer: Amish Plain Church Group Commercial |
$5.53
|
| Rate for Payer: BCBS Complete |
$6.76
|
| Rate for Payer: BCBS MAPPO |
$4.42
|
| Rate for Payer: BCBS Trust/PPO |
$14.54
|
| Rate for Payer: BCN Commercial |
$13.75
|
| Rate for Payer: BCN Medicare Advantage |
$4.42
|
| Rate for Payer: Cash Price |
$14.15
|
| Rate for Payer: Cash Price |
$14.15
|
| Rate for Payer: Cofinity Commercial |
$15.21
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$14.15
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$4.42
|
| Rate for Payer: Healthscope Commercial |
$15.92
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$13.27
|
| Rate for Payer: Mclaren Medicaid |
$6.43
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$4.64
|
| Rate for Payer: Meridian Medicaid |
$6.76
|
| Rate for Payer: MI Amish Medical Board Commercial |
$5.09
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$15.04
|
| Rate for Payer: Nomi Health Commercial |
$14.51
|
| Rate for Payer: PACE Senior Care Partners |
$4.20
|
| Rate for Payer: PACE SWMI |
$4.42
|
| Rate for Payer: PHP Commercial |
$15.04
|
| Rate for Payer: PHP Medicare Advantage |
$4.42
|
| Rate for Payer: Priority Health Choice Medicaid |
$6.43
|
| Rate for Payer: Priority Health Cigna Priority Health |
$11.50
|
| Rate for Payer: Priority Health HMO/PPO |
$15.39
|
| Rate for Payer: Priority Health Medicare |
$4.47
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$11.85
|
| Rate for Payer: Railroad Medicare Medicare |
$4.42
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$15.57
|
| Rate for Payer: UHC Core |
$14.77
|
| Rate for Payer: UHC Dual Complete DSNP |
$4.42
|
| Rate for Payer: UHC Exchange |
$4.42
|
| Rate for Payer: UHC Medicare Advantage |
$4.42
|
| Rate for Payer: UHCCP Medicaid |
$6.43
|
| Rate for Payer: VA VA |
$4.42
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$13.27
|
|
|
HC PARASITIC EXAMINATION, STOOL
|
Facility
|
IP
|
$17.69
|
|
|
Service Code
|
CPT 87177
|
| Hospital Charge Code |
30600283
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$11.50 |
| Max. Negotiated Rate |
$15.92 |
| Rate for Payer: Aetna Commercial |
$15.04
|
| Rate for Payer: BCBS Trust/PPO |
$14.44
|
| Rate for Payer: BCN Commercial |
$13.67
|
| Rate for Payer: Cash Price |
$14.15
|
| Rate for Payer: Cofinity Commercial |
$15.21
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$14.15
|
| Rate for Payer: Healthscope Commercial |
$15.92
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$13.27
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$15.04
|
| Rate for Payer: Nomi Health Commercial |
$14.51
|
| Rate for Payer: PHP Commercial |
$15.04
|
| Rate for Payer: Priority Health Cigna Priority Health |
$11.50
|
| Rate for Payer: Priority Health HMO/PPO |
$15.39
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$11.85
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$15.57
|
| Rate for Payer: UHC Core |
$14.77
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$13.27
|
|
|
HC PARASITIC SPECIAL STAIN
|
Facility
|
OP
|
$36.41
|
|
|
Service Code
|
CPT 87209
|
| Hospital Charge Code |
30600284
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$8.65 |
| Max. Negotiated Rate |
$32.77 |
| Rate for Payer: Aetna Commercial |
$30.95
|
| Rate for Payer: Aetna Medicare |
$9.47
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$11.38
|
| Rate for Payer: Amish Plain Church Group Commercial |
$11.38
|
| Rate for Payer: BCBS Complete |
$13.65
|
| Rate for Payer: BCBS MAPPO |
$9.10
|
| Rate for Payer: BCBS Trust/PPO |
$29.93
|
| Rate for Payer: BCN Commercial |
$28.31
|
| Rate for Payer: BCN Medicare Advantage |
$9.10
|
| Rate for Payer: Cash Price |
$29.13
|
| Rate for Payer: Cash Price |
$29.13
|
| Rate for Payer: Cofinity Commercial |
$31.31
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$29.13
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$9.10
|
| Rate for Payer: Healthscope Commercial |
$32.77
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$27.31
|
| Rate for Payer: Mclaren Medicaid |
$13.00
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$9.56
|
| Rate for Payer: Meridian Medicaid |
$13.65
|
| Rate for Payer: MI Amish Medical Board Commercial |
$10.47
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$30.95
|
| Rate for Payer: Nomi Health Commercial |
$29.86
|
| Rate for Payer: PACE Senior Care Partners |
$8.65
|
| Rate for Payer: PACE SWMI |
$9.10
|
| Rate for Payer: PHP Commercial |
$30.95
|
| Rate for Payer: PHP Medicare Advantage |
$9.10
|
| Rate for Payer: Priority Health Choice Medicaid |
$13.00
|
| Rate for Payer: Priority Health Cigna Priority Health |
$23.67
|
| Rate for Payer: Priority Health HMO/PPO |
$31.68
|
| Rate for Payer: Priority Health Medicare |
$9.19
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$24.39
|
| Rate for Payer: Railroad Medicare Medicare |
$9.10
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$32.04
|
| Rate for Payer: UHC Core |
$30.40
|
| Rate for Payer: UHC Dual Complete DSNP |
$9.10
|
| Rate for Payer: UHC Exchange |
$9.10
|
| Rate for Payer: UHC Medicare Advantage |
$9.10
|
| Rate for Payer: UHCCP Medicaid |
$13.00
|
| Rate for Payer: VA VA |
$9.10
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$27.31
|
|
|
HC PARASITIC SPECIAL STAIN
|
Facility
|
IP
|
$36.41
|
|
|
Service Code
|
CPT 87209
|
| Hospital Charge Code |
30600284
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$23.67 |
| Max. Negotiated Rate |
$32.77 |
| Rate for Payer: Aetna Commercial |
$30.95
|
| Rate for Payer: BCBS Trust/PPO |
$29.72
|
| Rate for Payer: BCN Commercial |
$28.14
|
| Rate for Payer: Cash Price |
$29.13
|
| Rate for Payer: Cofinity Commercial |
$31.31
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$29.13
|
| Rate for Payer: Healthscope Commercial |
$32.77
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$27.31
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$30.95
|
| Rate for Payer: Nomi Health Commercial |
$29.86
|
| Rate for Payer: PHP Commercial |
$30.95
|
| Rate for Payer: Priority Health Cigna Priority Health |
$23.67
|
| Rate for Payer: Priority Health HMO/PPO |
$31.68
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$24.39
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$32.04
|
| Rate for Payer: UHC Core |
$30.40
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$27.31
|
|
|
HC PARATHYROID HORMONE INTACT
|
Facility
|
IP
|
$230.72
|
|
|
Service Code
|
CPT 83970
|
| Hospital Charge Code |
30100383
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$149.97 |
| Max. Negotiated Rate |
$207.65 |
| Rate for Payer: Aetna Commercial |
$196.11
|
| Rate for Payer: BCBS Trust/PPO |
$188.34
|
| Rate for Payer: BCN Commercial |
$178.30
|
| Rate for Payer: Cash Price |
$184.58
|
| Rate for Payer: Cofinity Commercial |
$198.42
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$184.58
|
| Rate for Payer: Healthscope Commercial |
$207.65
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$173.04
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$196.11
|
| Rate for Payer: Nomi Health Commercial |
$189.19
|
| Rate for Payer: PHP Commercial |
$196.11
|
| Rate for Payer: Priority Health Cigna Priority Health |
$149.97
|
| Rate for Payer: Priority Health HMO/PPO |
$200.73
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$154.58
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$203.03
|
| Rate for Payer: UHC Core |
$192.65
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$173.04
|
|
|
HC PARATHYROID HORMONE INTACT
|
Facility
|
OP
|
$230.72
|
|
|
Service Code
|
CPT 83970
|
| Hospital Charge Code |
30100383
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$29.85 |
| Max. Negotiated Rate |
$207.65 |
| Rate for Payer: Aetna Commercial |
$196.11
|
| Rate for Payer: Aetna Medicare |
$59.99
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$72.10
|
| Rate for Payer: Amish Plain Church Group Commercial |
$72.10
|
| Rate for Payer: BCBS Complete |
$31.34
|
| Rate for Payer: BCBS MAPPO |
$57.68
|
| Rate for Payer: BCBS Trust/PPO |
$189.67
|
| Rate for Payer: BCN Commercial |
$179.38
|
| Rate for Payer: BCN Medicare Advantage |
$57.68
|
| Rate for Payer: Cash Price |
$184.58
|
| Rate for Payer: Cash Price |
$184.58
|
| Rate for Payer: Cofinity Commercial |
$198.42
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$184.58
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$57.68
|
| Rate for Payer: Healthscope Commercial |
$207.65
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$173.04
|
| Rate for Payer: Mclaren Medicaid |
$29.85
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$60.56
|
| Rate for Payer: Meridian Medicaid |
$31.34
|
| Rate for Payer: MI Amish Medical Board Commercial |
$66.33
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$196.11
|
| Rate for Payer: Nomi Health Commercial |
$189.19
|
| Rate for Payer: PACE Senior Care Partners |
$54.80
|
| Rate for Payer: PACE SWMI |
$57.68
|
| Rate for Payer: PHP Commercial |
$196.11
|
| Rate for Payer: PHP Medicare Advantage |
$57.68
|
| Rate for Payer: Priority Health Choice Medicaid |
$29.85
|
| Rate for Payer: Priority Health Cigna Priority Health |
$149.97
|
| Rate for Payer: Priority Health HMO/PPO |
$200.73
|
| Rate for Payer: Priority Health Medicare |
$58.26
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$154.58
|
| Rate for Payer: Railroad Medicare Medicare |
$57.68
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$203.03
|
| Rate for Payer: UHC Core |
$192.65
|
| Rate for Payer: UHC Dual Complete DSNP |
$57.68
|
| Rate for Payer: UHC Exchange |
$57.68
|
| Rate for Payer: UHC Medicare Advantage |
$57.68
|
| Rate for Payer: UHCCP Medicaid |
$29.85
|
| Rate for Payer: VA VA |
$57.68
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$173.04
|
|
|
HC PARATHYROID RELATED PROTEIN
|
Facility
|
OP
|
$60.34
|
|
|
Service Code
|
CPT 82397
|
| Hospital Charge Code |
30100150
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$10.21 |
| Max. Negotiated Rate |
$54.31 |
| Rate for Payer: Aetna Commercial |
$51.29
|
| Rate for Payer: Aetna Medicare |
$15.69
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$18.86
|
| Rate for Payer: Amish Plain Church Group Commercial |
$18.86
|
| Rate for Payer: BCBS Complete |
$10.72
|
| Rate for Payer: BCBS MAPPO |
$15.08
|
| Rate for Payer: BCBS Trust/PPO |
$49.61
|
| Rate for Payer: BCN Commercial |
$46.91
|
| Rate for Payer: BCN Medicare Advantage |
$15.08
|
| Rate for Payer: Cash Price |
$48.27
|
| Rate for Payer: Cash Price |
$48.27
|
| Rate for Payer: Cofinity Commercial |
$51.89
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$48.27
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$15.08
|
| Rate for Payer: Healthscope Commercial |
$54.31
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$45.26
|
| Rate for Payer: Mclaren Medicaid |
$10.21
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$15.84
|
| Rate for Payer: Meridian Medicaid |
$10.72
|
| Rate for Payer: MI Amish Medical Board Commercial |
$17.35
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$51.29
|
| Rate for Payer: Nomi Health Commercial |
$49.48
|
| Rate for Payer: PACE Senior Care Partners |
$14.33
|
| Rate for Payer: PACE SWMI |
$15.08
|
| Rate for Payer: PHP Commercial |
$51.29
|
| Rate for Payer: PHP Medicare Advantage |
$15.08
|
| Rate for Payer: Priority Health Choice Medicaid |
$10.21
|
| Rate for Payer: Priority Health Cigna Priority Health |
$39.22
|
| Rate for Payer: Priority Health HMO/PPO |
$52.50
|
| Rate for Payer: Priority Health Medicare |
$15.24
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$40.43
|
| Rate for Payer: Railroad Medicare Medicare |
$15.08
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$53.10
|
| Rate for Payer: UHC Core |
$50.38
|
| Rate for Payer: UHC Dual Complete DSNP |
$15.08
|
| Rate for Payer: UHC Exchange |
$15.08
|
| Rate for Payer: UHC Medicare Advantage |
$15.08
|
| Rate for Payer: UHCCP Medicaid |
$10.21
|
| Rate for Payer: VA VA |
$15.08
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$45.26
|
|
|
HC PARATHYROID RELATED PROTEIN
|
Facility
|
IP
|
$60.34
|
|
|
Service Code
|
CPT 82397
|
| Hospital Charge Code |
30100150
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$39.22 |
| Max. Negotiated Rate |
$54.31 |
| Rate for Payer: Aetna Commercial |
$51.29
|
| Rate for Payer: BCBS Trust/PPO |
$49.26
|
| Rate for Payer: BCN Commercial |
$46.63
|
| Rate for Payer: Cash Price |
$48.27
|
| Rate for Payer: Cofinity Commercial |
$51.89
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$48.27
|
| Rate for Payer: Healthscope Commercial |
$54.31
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$45.26
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$51.29
|
| Rate for Payer: Nomi Health Commercial |
$49.48
|
| Rate for Payer: PHP Commercial |
$51.29
|
| Rate for Payer: Priority Health Cigna Priority Health |
$39.22
|
| Rate for Payer: Priority Health HMO/PPO |
$52.50
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$40.43
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$53.10
|
| Rate for Payer: UHC Core |
$50.38
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$45.26
|
|
|
HC PARIETAL CELL AB
|
Facility
|
OP
|
$55.14
|
|
|
Service Code
|
CPT 83516
|
| Hospital Charge Code |
30200002
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$8.34 |
| Max. Negotiated Rate |
$49.63 |
| Rate for Payer: Aetna Commercial |
$46.87
|
| Rate for Payer: Aetna Medicare |
$14.34
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$17.23
|
| Rate for Payer: Amish Plain Church Group Commercial |
$17.23
|
| Rate for Payer: BCBS Complete |
$8.75
|
| Rate for Payer: BCBS MAPPO |
$13.78
|
| Rate for Payer: BCBS Trust/PPO |
$45.33
|
| Rate for Payer: BCN Commercial |
$42.87
|
| Rate for Payer: BCN Medicare Advantage |
$13.78
|
| Rate for Payer: Cash Price |
$44.11
|
| Rate for Payer: Cash Price |
$44.11
|
| Rate for Payer: Cofinity Commercial |
$47.42
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$44.11
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$13.78
|
| Rate for Payer: Healthscope Commercial |
$49.63
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$41.36
|
| Rate for Payer: Mclaren Medicaid |
$8.34
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$14.47
|
| Rate for Payer: Meridian Medicaid |
$8.75
|
| Rate for Payer: MI Amish Medical Board Commercial |
$15.85
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$46.87
|
| Rate for Payer: Nomi Health Commercial |
$45.21
|
| Rate for Payer: PACE Senior Care Partners |
$13.10
|
| Rate for Payer: PACE SWMI |
$13.78
|
| Rate for Payer: PHP Commercial |
$46.87
|
| Rate for Payer: PHP Medicare Advantage |
$13.78
|
| Rate for Payer: Priority Health Choice Medicaid |
$8.34
|
| Rate for Payer: Priority Health Cigna Priority Health |
$35.84
|
| Rate for Payer: Priority Health HMO/PPO |
$47.97
|
| Rate for Payer: Priority Health Medicare |
$13.92
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$36.94
|
| Rate for Payer: Railroad Medicare Medicare |
$13.78
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$48.52
|
| Rate for Payer: UHC Core |
$46.04
|
| Rate for Payer: UHC Dual Complete DSNP |
$13.78
|
| Rate for Payer: UHC Exchange |
$13.78
|
| Rate for Payer: UHC Medicare Advantage |
$13.78
|
| Rate for Payer: UHCCP Medicaid |
$8.34
|
| Rate for Payer: VA VA |
$13.78
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$41.36
|
|
|
HC PARIETAL CELL AB
|
Facility
|
IP
|
$55.14
|
|
|
Service Code
|
CPT 83516
|
| Hospital Charge Code |
30200002
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$35.84 |
| Max. Negotiated Rate |
$49.63 |
| Rate for Payer: Aetna Commercial |
$46.87
|
| Rate for Payer: BCBS Trust/PPO |
$45.01
|
| Rate for Payer: BCN Commercial |
$42.61
|
| Rate for Payer: Cash Price |
$44.11
|
| Rate for Payer: Cofinity Commercial |
$47.42
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$44.11
|
| Rate for Payer: Healthscope Commercial |
$49.63
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$41.36
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$46.87
|
| Rate for Payer: Nomi Health Commercial |
$45.21
|
| Rate for Payer: PHP Commercial |
$46.87
|
| Rate for Payer: Priority Health Cigna Priority Health |
$35.84
|
| Rate for Payer: Priority Health HMO/PPO |
$47.97
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$36.94
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$48.52
|
| Rate for Payer: UHC Core |
$46.04
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$41.36
|
|
|
HC PARTIAL EXC BONE; PHALANX OF TOE
|
Facility
|
IP
|
$2,847.57
|
|
|
Service Code
|
CPT 28124
|
| Hospital Charge Code |
76100285
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$1,850.92 |
| Max. Negotiated Rate |
$2,562.81 |
| Rate for Payer: Aetna Commercial |
$2,420.43
|
| Rate for Payer: BCBS Trust/PPO |
$2,324.47
|
| Rate for Payer: BCN Commercial |
$2,200.60
|
| Rate for Payer: Cash Price |
$2,278.06
|
| Rate for Payer: Cofinity Commercial |
$2,448.91
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,278.06
|
| Rate for Payer: Healthscope Commercial |
$2,562.81
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,135.68
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,420.43
|
| Rate for Payer: Nomi Health Commercial |
$2,335.01
|
| Rate for Payer: PHP Commercial |
$2,420.43
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,850.92
|
| Rate for Payer: Priority Health HMO/PPO |
$2,477.39
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,907.87
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,505.86
|
| Rate for Payer: UHC Core |
$2,377.72
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,135.68
|
|
|
HC PARTIAL EXC BONE; PHALANX OF TOE
|
Facility
|
OP
|
$2,847.57
|
|
|
Service Code
|
CPT 28124
|
| Hospital Charge Code |
76100285
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$676.30 |
| Max. Negotiated Rate |
$2,562.81 |
| Rate for Payer: Aetna Commercial |
$2,420.43
|
| Rate for Payer: Aetna Medicare |
$740.37
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$889.87
|
| Rate for Payer: Amish Plain Church Group Commercial |
$889.87
|
| Rate for Payer: BCBS Complete |
$2,413.50
|
| Rate for Payer: BCBS MAPPO |
$711.89
|
| Rate for Payer: BCBS Trust/PPO |
$2,340.99
|
| Rate for Payer: BCN Commercial |
$2,213.99
|
| Rate for Payer: BCN Medicare Advantage |
$711.89
|
| Rate for Payer: Cash Price |
$2,278.06
|
| Rate for Payer: Cash Price |
$2,278.06
|
| Rate for Payer: Cofinity Commercial |
$2,448.91
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,278.06
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$711.89
|
| Rate for Payer: Healthscope Commercial |
$2,562.81
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,135.68
|
| Rate for Payer: Mclaren Medicaid |
$2,298.42
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$747.49
|
| Rate for Payer: Meridian Medicaid |
$2,413.50
|
| Rate for Payer: MI Amish Medical Board Commercial |
$818.68
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,420.43
|
| Rate for Payer: Nomi Health Commercial |
$2,335.01
|
| Rate for Payer: PACE Senior Care Partners |
$676.30
|
| Rate for Payer: PACE SWMI |
$711.89
|
| Rate for Payer: PHP Commercial |
$2,420.43
|
| Rate for Payer: PHP Medicare Advantage |
$711.89
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,298.42
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,850.92
|
| Rate for Payer: Priority Health HMO/PPO |
$2,477.39
|
| Rate for Payer: Priority Health Medicare |
$719.01
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,907.87
|
| Rate for Payer: Railroad Medicare Medicare |
$711.89
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,505.86
|
| Rate for Payer: UHC Core |
$2,377.72
|
| Rate for Payer: UHC Dual Complete DSNP |
$711.89
|
| Rate for Payer: UHC Exchange |
$711.89
|
| Rate for Payer: UHC Medicare Advantage |
$711.89
|
| Rate for Payer: UHCCP Medicaid |
$2,298.42
|
| Rate for Payer: VA VA |
$711.89
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,135.68
|
|
|
HC PARTIAL REMOVAL BONE TARSAL/METATARSAL
|
Facility
|
OP
|
$9,241.20
|
|
|
Service Code
|
CPT 28122
|
| Hospital Charge Code |
76100406
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$2,194.78 |
| Max. Negotiated Rate |
$8,317.08 |
| Rate for Payer: Aetna Commercial |
$7,855.02
|
| Rate for Payer: Aetna Medicare |
$2,402.71
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$2,887.88
|
| Rate for Payer: Amish Plain Church Group Commercial |
$2,887.88
|
| Rate for Payer: BCBS Complete |
$2,413.50
|
| Rate for Payer: BCBS MAPPO |
$2,310.30
|
| Rate for Payer: BCBS Trust/PPO |
$7,597.19
|
| Rate for Payer: BCN Commercial |
$7,185.03
|
| Rate for Payer: BCN Medicare Advantage |
$2,310.30
|
| Rate for Payer: Cash Price |
$7,392.96
|
| Rate for Payer: Cash Price |
$7,392.96
|
| Rate for Payer: Cofinity Commercial |
$7,947.43
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$7,392.96
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,310.30
|
| Rate for Payer: Healthscope Commercial |
$8,317.08
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$6,930.90
|
| Rate for Payer: Mclaren Medicaid |
$2,298.42
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$2,425.82
|
| Rate for Payer: Meridian Medicaid |
$2,413.50
|
| Rate for Payer: MI Amish Medical Board Commercial |
$2,656.84
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$7,855.02
|
| Rate for Payer: Nomi Health Commercial |
$7,577.78
|
| Rate for Payer: PACE Senior Care Partners |
$2,194.78
|
| Rate for Payer: PACE SWMI |
$2,310.30
|
| Rate for Payer: PHP Commercial |
$7,855.02
|
| Rate for Payer: PHP Medicare Advantage |
$2,310.30
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,298.42
|
| Rate for Payer: Priority Health Cigna Priority Health |
$6,006.78
|
| Rate for Payer: Priority Health HMO/PPO |
$8,039.84
|
| Rate for Payer: Priority Health Medicare |
$2,333.40
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$6,191.60
|
| Rate for Payer: Railroad Medicare Medicare |
$2,310.30
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$8,132.26
|
| Rate for Payer: UHC Core |
$7,716.40
|
| Rate for Payer: UHC Dual Complete DSNP |
$2,310.30
|
| Rate for Payer: UHC Exchange |
$2,310.30
|
| Rate for Payer: UHC Medicare Advantage |
$2,310.30
|
| Rate for Payer: UHCCP Medicaid |
$2,298.42
|
| Rate for Payer: VA VA |
$2,310.30
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$6,930.90
|
|
|
HC PARTIAL REMOVAL BONE TARSAL/METATARSAL
|
Facility
|
IP
|
$9,241.20
|
|
|
Service Code
|
CPT 28122
|
| Hospital Charge Code |
76100406
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$6,006.78 |
| Max. Negotiated Rate |
$8,317.08 |
| Rate for Payer: Aetna Commercial |
$7,855.02
|
| Rate for Payer: BCBS Trust/PPO |
$7,543.59
|
| Rate for Payer: BCN Commercial |
$7,141.60
|
| Rate for Payer: Cash Price |
$7,392.96
|
| Rate for Payer: Cofinity Commercial |
$7,947.43
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$7,392.96
|
| Rate for Payer: Healthscope Commercial |
$8,317.08
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$6,930.90
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$7,855.02
|
| Rate for Payer: Nomi Health Commercial |
$7,577.78
|
| Rate for Payer: PHP Commercial |
$7,855.02
|
| Rate for Payer: Priority Health Cigna Priority Health |
$6,006.78
|
| Rate for Payer: Priority Health HMO/PPO |
$8,039.84
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$6,191.60
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$8,132.26
|
| Rate for Payer: UHC Core |
$7,716.40
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$6,930.90
|
|
|
HC PARTIAL REMOVAL OF HYMEN
|
Facility
|
IP
|
$7,945.53
|
|
|
Service Code
|
CPT 56700
|
| Hospital Charge Code |
36100619
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$5,164.59 |
| Max. Negotiated Rate |
$7,150.98 |
| Rate for Payer: Aetna Commercial |
$6,753.70
|
| Rate for Payer: BCBS Trust/PPO |
$6,485.94
|
| Rate for Payer: BCN Commercial |
$6,140.31
|
| Rate for Payer: Cash Price |
$6,356.42
|
| Rate for Payer: Cofinity Commercial |
$6,833.16
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$6,356.42
|
| Rate for Payer: Healthscope Commercial |
$7,150.98
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$5,959.15
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$6,753.70
|
| Rate for Payer: Nomi Health Commercial |
$6,515.33
|
| Rate for Payer: PHP Commercial |
$6,753.70
|
| Rate for Payer: Priority Health Cigna Priority Health |
$5,164.59
|
| Rate for Payer: Priority Health HMO/PPO |
$6,912.61
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$5,323.51
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$6,992.07
|
| Rate for Payer: UHC Core |
$6,634.52
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$5,959.15
|
|
|
HC PARTIAL REMOVAL OF HYMEN
|
Facility
|
OP
|
$7,945.53
|
|
|
Service Code
|
CPT 56700
|
| Hospital Charge Code |
36100619
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$1,887.06 |
| Max. Negotiated Rate |
$7,150.98 |
| Rate for Payer: Aetna Commercial |
$6,753.70
|
| Rate for Payer: Aetna Medicare |
$2,065.84
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$2,482.98
|
| Rate for Payer: Amish Plain Church Group Commercial |
$2,482.98
|
| Rate for Payer: BCBS Complete |
$2,365.09
|
| Rate for Payer: BCBS MAPPO |
$1,986.38
|
| Rate for Payer: BCBS Trust/PPO |
$6,532.02
|
| Rate for Payer: BCN Commercial |
$6,177.65
|
| Rate for Payer: BCN Medicare Advantage |
$1,986.38
|
| Rate for Payer: Cash Price |
$6,356.42
|
| Rate for Payer: Cash Price |
$6,356.42
|
| Rate for Payer: Cofinity Commercial |
$6,833.16
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$6,356.42
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,986.38
|
| Rate for Payer: Healthscope Commercial |
$7,150.98
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$5,959.15
|
| Rate for Payer: Mclaren Medicaid |
$2,252.32
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$2,085.70
|
| Rate for Payer: Meridian Medicaid |
$2,365.09
|
| Rate for Payer: MI Amish Medical Board Commercial |
$2,284.34
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$6,753.70
|
| Rate for Payer: Nomi Health Commercial |
$6,515.33
|
| Rate for Payer: PACE Senior Care Partners |
$1,887.06
|
| Rate for Payer: PACE SWMI |
$1,986.38
|
| Rate for Payer: PHP Commercial |
$6,753.70
|
| Rate for Payer: PHP Medicare Advantage |
$1,986.38
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,252.32
|
| Rate for Payer: Priority Health Cigna Priority Health |
$5,164.59
|
| Rate for Payer: Priority Health HMO/PPO |
$6,912.61
|
| Rate for Payer: Priority Health Medicare |
$2,006.25
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$5,323.51
|
| Rate for Payer: Railroad Medicare Medicare |
$1,986.38
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$6,992.07
|
| Rate for Payer: UHC Core |
$6,634.52
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,986.38
|
| Rate for Payer: UHC Exchange |
$1,986.38
|
| Rate for Payer: UHC Medicare Advantage |
$1,986.38
|
| Rate for Payer: UHCCP Medicaid |
$2,252.32
|
| Rate for Payer: VA VA |
$1,986.38
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$5,959.15
|
|
|
HC PARVOVIRUS B19 COMPONENT
|
Facility
|
OP
|
$24.58
|
|
|
Service Code
|
CPT 86747
|
| Hospital Charge Code |
30200314
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$5.84 |
| Max. Negotiated Rate |
$22.12 |
| Rate for Payer: Aetna Commercial |
$20.89
|
| Rate for Payer: Aetna Medicare |
$6.39
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$7.68
|
| Rate for Payer: Amish Plain Church Group Commercial |
$7.68
|
| Rate for Payer: BCBS Complete |
$11.41
|
| Rate for Payer: BCBS MAPPO |
$6.14
|
| Rate for Payer: BCBS Trust/PPO |
$20.21
|
| Rate for Payer: BCN Commercial |
$19.11
|
| Rate for Payer: BCN Medicare Advantage |
$6.14
|
| Rate for Payer: Cash Price |
$19.66
|
| Rate for Payer: Cash Price |
$19.66
|
| Rate for Payer: Cofinity Commercial |
$21.14
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$19.66
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$6.14
|
| Rate for Payer: Healthscope Commercial |
$22.12
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$18.44
|
| Rate for Payer: Mclaren Medicaid |
$10.87
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$6.45
|
| Rate for Payer: Meridian Medicaid |
$11.41
|
| Rate for Payer: MI Amish Medical Board Commercial |
$7.07
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$20.89
|
| Rate for Payer: Nomi Health Commercial |
$20.16
|
| Rate for Payer: PACE Senior Care Partners |
$5.84
|
| Rate for Payer: PACE SWMI |
$6.14
|
| Rate for Payer: PHP Commercial |
$20.89
|
| Rate for Payer: PHP Medicare Advantage |
$6.14
|
| Rate for Payer: Priority Health Choice Medicaid |
$10.87
|
| Rate for Payer: Priority Health Cigna Priority Health |
$15.98
|
| Rate for Payer: Priority Health HMO/PPO |
$21.38
|
| Rate for Payer: Priority Health Medicare |
$6.21
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$16.47
|
| Rate for Payer: Railroad Medicare Medicare |
$6.14
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$21.63
|
| Rate for Payer: UHC Core |
$20.52
|
| Rate for Payer: UHC Dual Complete DSNP |
$6.14
|
| Rate for Payer: UHC Exchange |
$6.14
|
| Rate for Payer: UHC Medicare Advantage |
$6.14
|
| Rate for Payer: UHCCP Medicaid |
$10.87
|
| Rate for Payer: VA VA |
$6.14
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$18.44
|
|
|
HC PARVOVIRUS B19 COMPONENT
|
Facility
|
IP
|
$24.58
|
|
|
Service Code
|
CPT 86747
|
| Hospital Charge Code |
30200314
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$15.98 |
| Max. Negotiated Rate |
$22.12 |
| Rate for Payer: Aetna Commercial |
$20.89
|
| Rate for Payer: BCBS Trust/PPO |
$20.06
|
| Rate for Payer: BCN Commercial |
$19.00
|
| Rate for Payer: Cash Price |
$19.66
|
| Rate for Payer: Cofinity Commercial |
$21.14
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$19.66
|
| Rate for Payer: Healthscope Commercial |
$22.12
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$18.44
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$20.89
|
| Rate for Payer: Nomi Health Commercial |
$20.16
|
| Rate for Payer: PHP Commercial |
$20.89
|
| Rate for Payer: Priority Health Cigna Priority Health |
$15.98
|
| Rate for Payer: Priority Health HMO/PPO |
$21.38
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$16.47
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$21.63
|
| Rate for Payer: UHC Core |
$20.52
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$18.44
|
|
|
HC PARVOVIRUS B19 IGG
|
Facility
|
IP
|
$24.58
|
|
|
Service Code
|
CPT 86747
|
| Hospital Charge Code |
30200313
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$15.98 |
| Max. Negotiated Rate |
$22.12 |
| Rate for Payer: Aetna Commercial |
$20.89
|
| Rate for Payer: BCBS Trust/PPO |
$20.06
|
| Rate for Payer: BCN Commercial |
$19.00
|
| Rate for Payer: Cash Price |
$19.66
|
| Rate for Payer: Cofinity Commercial |
$21.14
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$19.66
|
| Rate for Payer: Healthscope Commercial |
$22.12
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$18.44
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$20.89
|
| Rate for Payer: Nomi Health Commercial |
$20.16
|
| Rate for Payer: PHP Commercial |
$20.89
|
| Rate for Payer: Priority Health Cigna Priority Health |
$15.98
|
| Rate for Payer: Priority Health HMO/PPO |
$21.38
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$16.47
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$21.63
|
| Rate for Payer: UHC Core |
$20.52
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$18.44
|
|
|
HC PARVOVIRUS B19 IGG
|
Facility
|
OP
|
$24.58
|
|
|
Service Code
|
CPT 86747
|
| Hospital Charge Code |
30200313
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$5.84 |
| Max. Negotiated Rate |
$22.12 |
| Rate for Payer: Aetna Commercial |
$20.89
|
| Rate for Payer: Aetna Medicare |
$6.39
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$7.68
|
| Rate for Payer: Amish Plain Church Group Commercial |
$7.68
|
| Rate for Payer: BCBS Complete |
$11.41
|
| Rate for Payer: BCBS MAPPO |
$6.14
|
| Rate for Payer: BCBS Trust/PPO |
$20.21
|
| Rate for Payer: BCN Commercial |
$19.11
|
| Rate for Payer: BCN Medicare Advantage |
$6.14
|
| Rate for Payer: Cash Price |
$19.66
|
| Rate for Payer: Cash Price |
$19.66
|
| Rate for Payer: Cofinity Commercial |
$21.14
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$19.66
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$6.14
|
| Rate for Payer: Healthscope Commercial |
$22.12
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$18.44
|
| Rate for Payer: Mclaren Medicaid |
$10.87
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$6.45
|
| Rate for Payer: Meridian Medicaid |
$11.41
|
| Rate for Payer: MI Amish Medical Board Commercial |
$7.07
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$20.89
|
| Rate for Payer: Nomi Health Commercial |
$20.16
|
| Rate for Payer: PACE Senior Care Partners |
$5.84
|
| Rate for Payer: PACE SWMI |
$6.14
|
| Rate for Payer: PHP Commercial |
$20.89
|
| Rate for Payer: PHP Medicare Advantage |
$6.14
|
| Rate for Payer: Priority Health Choice Medicaid |
$10.87
|
| Rate for Payer: Priority Health Cigna Priority Health |
$15.98
|
| Rate for Payer: Priority Health HMO/PPO |
$21.38
|
| Rate for Payer: Priority Health Medicare |
$6.21
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$16.47
|
| Rate for Payer: Railroad Medicare Medicare |
$6.14
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$21.63
|
| Rate for Payer: UHC Core |
$20.52
|
| Rate for Payer: UHC Dual Complete DSNP |
$6.14
|
| Rate for Payer: UHC Exchange |
$6.14
|
| Rate for Payer: UHC Medicare Advantage |
$6.14
|
| Rate for Payer: UHCCP Medicaid |
$10.87
|
| Rate for Payer: VA VA |
$6.14
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$18.44
|
|
|
HC PASTE
|
Facility
|
IP
|
$31.09
|
|
| Hospital Charge Code |
27000131
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$20.21 |
| Max. Negotiated Rate |
$27.98 |
| Rate for Payer: Aetna Commercial |
$26.43
|
| Rate for Payer: BCBS Trust/PPO |
$25.38
|
| Rate for Payer: BCN Commercial |
$24.03
|
| Rate for Payer: Cash Price |
$24.87
|
| Rate for Payer: Cofinity Commercial |
$26.74
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$24.87
|
| Rate for Payer: Healthscope Commercial |
$27.98
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$23.32
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$26.43
|
| Rate for Payer: Nomi Health Commercial |
$25.49
|
| Rate for Payer: PHP Commercial |
$26.43
|
| Rate for Payer: Priority Health Cigna Priority Health |
$20.21
|
| Rate for Payer: Priority Health HMO/PPO |
$27.05
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$20.83
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$27.36
|
| Rate for Payer: UHC Core |
$25.96
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$23.32
|
|
|
HC PASTE
|
Facility
|
OP
|
$31.09
|
|
| Hospital Charge Code |
27000131
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$7.38 |
| Max. Negotiated Rate |
$27.98 |
| Rate for Payer: Aetna Commercial |
$26.43
|
| Rate for Payer: Aetna Medicare |
$8.08
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$9.72
|
| Rate for Payer: Amish Plain Church Group Commercial |
$9.72
|
| Rate for Payer: BCBS Complete |
$12.44
|
| Rate for Payer: BCBS MAPPO |
$7.77
|
| Rate for Payer: BCBS Trust/PPO |
$25.56
|
| Rate for Payer: BCN Commercial |
$24.17
|
| Rate for Payer: BCN Medicare Advantage |
$7.77
|
| Rate for Payer: Cash Price |
$24.87
|
| Rate for Payer: Cofinity Commercial |
$26.74
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$24.87
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$7.77
|
| Rate for Payer: Healthscope Commercial |
$27.98
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$23.32
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$8.16
|
| Rate for Payer: MI Amish Medical Board Commercial |
$8.94
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$26.43
|
| Rate for Payer: Nomi Health Commercial |
$25.49
|
| Rate for Payer: PACE Senior Care Partners |
$7.38
|
| Rate for Payer: PACE SWMI |
$7.77
|
| Rate for Payer: PHP Commercial |
$26.43
|
| Rate for Payer: PHP Medicare Advantage |
$7.77
|
| Rate for Payer: Priority Health Cigna Priority Health |
$20.21
|
| Rate for Payer: Priority Health HMO/PPO |
$27.05
|
| Rate for Payer: Priority Health Medicare |
$7.85
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$20.83
|
| Rate for Payer: Railroad Medicare Medicare |
$7.77
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$27.36
|
| Rate for Payer: UHC Core |
$25.96
|
| Rate for Payer: UHC Dual Complete DSNP |
$7.77
|
| Rate for Payer: UHC Exchange |
$7.77
|
| Rate for Payer: UHC Medicare Advantage |
$7.77
|
| Rate for Payer: VA VA |
$7.77
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$23.32
|
|
|
HC PASTE NO STING
|
Facility
|
IP
|
$42.74
|
|
|
Service Code
|
HCPCS A4406
|
| Hospital Charge Code |
27000627
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$27.78 |
| Max. Negotiated Rate |
$38.47 |
| Rate for Payer: Aetna Commercial |
$36.33
|
| Rate for Payer: BCBS Trust/PPO |
$34.89
|
| Rate for Payer: BCN Commercial |
$33.03
|
| Rate for Payer: Cash Price |
$34.19
|
| Rate for Payer: Cofinity Commercial |
$36.76
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$34.19
|
| Rate for Payer: Healthscope Commercial |
$38.47
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$32.06
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$36.33
|
| Rate for Payer: Nomi Health Commercial |
$35.05
|
| Rate for Payer: PHP Commercial |
$36.33
|
| Rate for Payer: Priority Health Cigna Priority Health |
$27.78
|
| Rate for Payer: Priority Health HMO/PPO |
$37.18
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$28.64
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$37.61
|
| Rate for Payer: UHC Core |
$35.69
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$32.06
|
|
|
HC PASTE NO STING
|
Facility
|
OP
|
$42.74
|
|
|
Service Code
|
HCPCS A4406
|
| Hospital Charge Code |
27000627
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$10.15 |
| Max. Negotiated Rate |
$38.47 |
| Rate for Payer: Aetna Commercial |
$36.33
|
| Rate for Payer: Aetna Medicare |
$11.11
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$13.36
|
| Rate for Payer: Amish Plain Church Group Commercial |
$13.36
|
| Rate for Payer: BCBS Complete |
$17.10
|
| Rate for Payer: BCBS MAPPO |
$10.68
|
| Rate for Payer: BCBS Trust/PPO |
$35.14
|
| Rate for Payer: BCN Commercial |
$33.23
|
| Rate for Payer: BCN Medicare Advantage |
$10.68
|
| Rate for Payer: Cash Price |
$34.19
|
| Rate for Payer: Cofinity Commercial |
$36.76
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$34.19
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$10.68
|
| Rate for Payer: Healthscope Commercial |
$38.47
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$32.06
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$11.22
|
| Rate for Payer: MI Amish Medical Board Commercial |
$12.29
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$36.33
|
| Rate for Payer: Nomi Health Commercial |
$35.05
|
| Rate for Payer: PACE Senior Care Partners |
$10.15
|
| Rate for Payer: PACE SWMI |
$10.68
|
| Rate for Payer: PHP Commercial |
$36.33
|
| Rate for Payer: PHP Medicare Advantage |
$10.68
|
| Rate for Payer: Priority Health Cigna Priority Health |
$27.78
|
| Rate for Payer: Priority Health HMO/PPO |
$37.18
|
| Rate for Payer: Priority Health Medicare |
$10.79
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$28.64
|
| Rate for Payer: Railroad Medicare Medicare |
$10.68
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$37.61
|
| Rate for Payer: UHC Core |
$35.69
|
| Rate for Payer: UHC Dual Complete DSNP |
$10.68
|
| Rate for Payer: UHC Exchange |
$10.68
|
| Rate for Payer: UHC Medicare Advantage |
$10.68
|
| Rate for Payer: VA VA |
$10.68
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$32.06
|
|
|
HC PATH CONSULT ON REFERRAL WITH SLIDE PREP
|
Facility
|
IP
|
$110.28
|
|
|
Service Code
|
CPT 88323
|
| Hospital Charge Code |
31000113
|
|
Hospital Revenue Code
|
310
|
| Min. Negotiated Rate |
$71.68 |
| Max. Negotiated Rate |
$99.25 |
| Rate for Payer: Aetna Commercial |
$93.74
|
| Rate for Payer: BCBS Trust/PPO |
$90.02
|
| Rate for Payer: BCN Commercial |
$85.22
|
| Rate for Payer: Cash Price |
$88.22
|
| Rate for Payer: Cofinity Commercial |
$94.84
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$88.22
|
| Rate for Payer: Healthscope Commercial |
$99.25
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$82.71
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$93.74
|
| Rate for Payer: Nomi Health Commercial |
$90.43
|
| Rate for Payer: PHP Commercial |
$93.74
|
| Rate for Payer: Priority Health Cigna Priority Health |
$71.68
|
| Rate for Payer: Priority Health HMO/PPO |
$95.94
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$73.89
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$97.05
|
| Rate for Payer: UHC Core |
$92.08
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$82.71
|
|
