|
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 |
$41.35
|
| 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 |
$41.35
|
|
|
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 |
$2,463.31
|
| 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 |
$2,345.85
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$747.49
|
| Rate for Payer: Meridian Medicaid |
$2,463.31
|
| 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 |
$2,345.85
|
| 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 |
$2,345.85
|
| 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
|
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 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 |
$2,463.31
|
| 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 |
$2,345.85
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$2,425.82
|
| Rate for Payer: Meridian Medicaid |
$2,463.31
|
| 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 |
$2,345.85
|
| 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 |
$2,345.85
|
| Rate for Payer: VA VA |
$2,310.30
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$6,930.90
|
|
|
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 |
$2,413.90
|
| 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 |
$2,298.80
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$2,085.70
|
| Rate for Payer: Meridian Medicaid |
$2,413.90
|
| 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 |
$2,298.80
|
| 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 |
$2,298.80
|
| Rate for Payer: VA VA |
$1,986.38
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$5,959.15
|
|
|
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 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 |
$18.43
|
| 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 |
$18.43
|
|
|
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 |
$18.43
|
| 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 |
$18.43
|
|
|
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 |
$18.43
|
| 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 |
$18.43
|
|
|
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 |
$18.43
|
| 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 |
$18.43
|
|
|
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
|
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 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 |
$10.69
|
| Rate for Payer: BCBS Trust/PPO |
$35.14
|
| Rate for Payer: BCN Commercial |
$33.23
|
| Rate for Payer: BCN Medicare Advantage |
$10.69
|
| 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 |
$10.69
|
| Rate for Payer: Healthscope Commercial |
$38.47
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$32.05
|
| 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 |
$10.69
|
| Rate for Payer: PHP Commercial |
$36.33
|
| Rate for Payer: PHP Medicare Advantage |
$10.69
|
| 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 |
$10.69
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$37.61
|
| Rate for Payer: UHC Core |
$35.69
|
| Rate for Payer: UHC Dual Complete DSNP |
$10.69
|
| Rate for Payer: UHC Exchange |
$10.69
|
| Rate for Payer: UHC Medicare Advantage |
$10.69
|
| Rate for Payer: VA VA |
$10.69
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$32.05
|
|
|
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 |
$32.05
|
| 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 |
$32.05
|
|
|
HC PATH CONSULT ON REFERRAL WITH SLIDE PREP
|
Facility
|
OP
|
$110.28
|
|
|
Service Code
|
CPT 88323
|
| Hospital Charge Code |
31000113
|
|
Hospital Revenue Code
|
310
|
| Min. Negotiated Rate |
$26.19 |
| Max. Negotiated Rate |
$99.25 |
| Rate for Payer: Aetna Commercial |
$93.74
|
| Rate for Payer: Aetna Medicare |
$28.67
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$34.46
|
| Rate for Payer: Amish Plain Church Group Commercial |
$34.46
|
| Rate for Payer: BCBS Complete |
$40.56
|
| Rate for Payer: BCBS MAPPO |
$27.57
|
| Rate for Payer: BCBS Trust/PPO |
$90.66
|
| Rate for Payer: BCN Commercial |
$85.74
|
| Rate for Payer: BCN Medicare Advantage |
$27.57
|
| Rate for Payer: Cash Price |
$88.22
|
| 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: Health Alliance Plan Medicare Advantage |
$27.57
|
| Rate for Payer: Healthscope Commercial |
$99.25
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$82.71
|
| Rate for Payer: Mclaren Medicaid |
$38.63
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$28.95
|
| Rate for Payer: Meridian Medicaid |
$40.56
|
| Rate for Payer: MI Amish Medical Board Commercial |
$31.71
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$93.74
|
| Rate for Payer: Nomi Health Commercial |
$90.43
|
| Rate for Payer: PACE Senior Care Partners |
$26.19
|
| Rate for Payer: PACE SWMI |
$27.57
|
| Rate for Payer: PHP Commercial |
$93.74
|
| Rate for Payer: PHP Medicare Advantage |
$27.57
|
| Rate for Payer: Priority Health Choice Medicaid |
$38.63
|
| Rate for Payer: Priority Health Cigna Priority Health |
$71.68
|
| Rate for Payer: Priority Health HMO/PPO |
$95.94
|
| Rate for Payer: Priority Health Medicare |
$27.85
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$73.89
|
| Rate for Payer: Railroad Medicare Medicare |
$27.57
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$97.05
|
| Rate for Payer: UHC Core |
$92.08
|
| Rate for Payer: UHC Dual Complete DSNP |
$27.57
|
| Rate for Payer: UHC Exchange |
$27.57
|
| Rate for Payer: UHC Medicare Advantage |
$27.57
|
| Rate for Payer: UHCCP Medicaid |
$38.63
|
| Rate for Payer: VA VA |
$27.57
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$82.71
|
|
|
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
|
|
|
HC PATHOLOGY III DERM
|
Facility
|
IP
|
$101.96
|
|
|
Service Code
|
CPT 88304
|
| Hospital Charge Code |
31000111
|
|
Hospital Revenue Code
|
310
|
| Min. Negotiated Rate |
$66.27 |
| Max. Negotiated Rate |
$91.76 |
| Rate for Payer: Aetna Commercial |
$86.67
|
| Rate for Payer: BCBS Trust/PPO |
$83.23
|
| Rate for Payer: BCN Commercial |
$78.79
|
| Rate for Payer: Cash Price |
$81.57
|
| Rate for Payer: Cofinity Commercial |
$87.69
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$81.57
|
| Rate for Payer: Healthscope Commercial |
$91.76
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$76.47
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$86.67
|
| Rate for Payer: Nomi Health Commercial |
$83.61
|
| Rate for Payer: PHP Commercial |
$86.67
|
| Rate for Payer: Priority Health Cigna Priority Health |
$66.27
|
| Rate for Payer: Priority Health HMO/PPO |
$88.71
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$68.31
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$89.72
|
| Rate for Payer: UHC Core |
$85.14
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$76.47
|
|
|
HC PATHOLOGY III DERM
|
Facility
|
OP
|
$101.96
|
|
|
Service Code
|
CPT 88304
|
| Hospital Charge Code |
31000111
|
|
Hospital Revenue Code
|
310
|
| Min. Negotiated Rate |
$24.22 |
| Max. Negotiated Rate |
$91.76 |
| Rate for Payer: Aetna Commercial |
$86.67
|
| Rate for Payer: Aetna Medicare |
$26.51
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$31.86
|
| Rate for Payer: Amish Plain Church Group Commercial |
$31.86
|
| Rate for Payer: BCBS Complete |
$40.56
|
| Rate for Payer: BCBS MAPPO |
$25.49
|
| Rate for Payer: BCBS Trust/PPO |
$83.82
|
| Rate for Payer: BCN Commercial |
$79.27
|
| Rate for Payer: BCN Medicare Advantage |
$25.49
|
| Rate for Payer: Cash Price |
$81.57
|
| Rate for Payer: Cash Price |
$81.57
|
| Rate for Payer: Cofinity Commercial |
$87.69
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$81.57
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$25.49
|
| Rate for Payer: Healthscope Commercial |
$91.76
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$76.47
|
| Rate for Payer: Mclaren Medicaid |
$38.63
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$26.76
|
| Rate for Payer: Meridian Medicaid |
$40.56
|
| Rate for Payer: MI Amish Medical Board Commercial |
$29.31
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$86.67
|
| Rate for Payer: Nomi Health Commercial |
$83.61
|
| Rate for Payer: PACE Senior Care Partners |
$24.22
|
| Rate for Payer: PACE SWMI |
$25.49
|
| Rate for Payer: PHP Commercial |
$86.67
|
| Rate for Payer: PHP Medicare Advantage |
$25.49
|
| Rate for Payer: Priority Health Choice Medicaid |
$38.63
|
| Rate for Payer: Priority Health Cigna Priority Health |
$66.27
|
| Rate for Payer: Priority Health HMO/PPO |
$88.71
|
| Rate for Payer: Priority Health Medicare |
$25.74
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$68.31
|
| Rate for Payer: Railroad Medicare Medicare |
$25.49
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$89.72
|
| Rate for Payer: UHC Core |
$85.14
|
| Rate for Payer: UHC Dual Complete DSNP |
$25.49
|
| Rate for Payer: UHC Exchange |
$25.49
|
| Rate for Payer: UHC Medicare Advantage |
$25.49
|
| Rate for Payer: UHCCP Medicaid |
$38.63
|
| Rate for Payer: VA VA |
$25.49
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$76.47
|
|
|
HC PATHOLOGY LEVEL I
|
Facility
|
IP
|
$44.94
|
|
|
Service Code
|
CPT 88300
|
| Hospital Charge Code |
31000045
|
|
Hospital Revenue Code
|
310
|
| Min. Negotiated Rate |
$29.21 |
| Max. Negotiated Rate |
$40.45 |
| Rate for Payer: Aetna Commercial |
$38.20
|
| Rate for Payer: BCBS Trust/PPO |
$36.68
|
| Rate for Payer: BCN Commercial |
$34.73
|
| Rate for Payer: Cash Price |
$35.95
|
| Rate for Payer: Cofinity Commercial |
$38.65
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$35.95
|
| Rate for Payer: Healthscope Commercial |
$40.45
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$33.70
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$38.20
|
| Rate for Payer: Nomi Health Commercial |
$36.85
|
| Rate for Payer: PHP Commercial |
$38.20
|
| Rate for Payer: Priority Health Cigna Priority Health |
$29.21
|
| Rate for Payer: Priority Health HMO/PPO |
$39.10
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$30.11
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$39.55
|
| Rate for Payer: UHC Core |
$37.52
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$33.70
|
|
|
HC PATHOLOGY LEVEL I
|
Facility
|
OP
|
$44.94
|
|
|
Service Code
|
CPT 88300
|
| Hospital Charge Code |
31000045
|
|
Hospital Revenue Code
|
310
|
| Min. Negotiated Rate |
$10.67 |
| Max. Negotiated Rate |
$40.45 |
| Rate for Payer: Aetna Commercial |
$38.20
|
| Rate for Payer: Aetna Medicare |
$11.68
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$14.04
|
| Rate for Payer: Amish Plain Church Group Commercial |
$14.04
|
| Rate for Payer: BCBS Complete |
$18.59
|
| Rate for Payer: BCBS MAPPO |
$11.23
|
| Rate for Payer: BCBS Trust/PPO |
$36.95
|
| Rate for Payer: BCN Commercial |
$34.94
|
| Rate for Payer: BCN Medicare Advantage |
$11.23
|
| Rate for Payer: Cash Price |
$35.95
|
| Rate for Payer: Cash Price |
$35.95
|
| Rate for Payer: Cofinity Commercial |
$38.65
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$35.95
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$11.23
|
| Rate for Payer: Healthscope Commercial |
$40.45
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$33.70
|
| Rate for Payer: Mclaren Medicaid |
$17.71
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$11.80
|
| Rate for Payer: Meridian Medicaid |
$18.59
|
| Rate for Payer: MI Amish Medical Board Commercial |
$12.92
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$38.20
|
| Rate for Payer: Nomi Health Commercial |
$36.85
|
| Rate for Payer: PACE Senior Care Partners |
$10.67
|
| Rate for Payer: PACE SWMI |
$11.23
|
| Rate for Payer: PHP Commercial |
$38.20
|
| Rate for Payer: PHP Medicare Advantage |
$11.23
|
| Rate for Payer: Priority Health Choice Medicaid |
$17.71
|
| Rate for Payer: Priority Health Cigna Priority Health |
$29.21
|
| Rate for Payer: Priority Health HMO/PPO |
$39.10
|
| Rate for Payer: Priority Health Medicare |
$11.35
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$30.11
|
| Rate for Payer: Railroad Medicare Medicare |
$11.23
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$39.55
|
| Rate for Payer: UHC Core |
$37.52
|
| Rate for Payer: UHC Dual Complete DSNP |
$11.23
|
| Rate for Payer: UHC Exchange |
$11.23
|
| Rate for Payer: UHC Medicare Advantage |
$11.23
|
| Rate for Payer: UHCCP Medicaid |
$17.71
|
| Rate for Payer: VA VA |
$11.23
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$33.70
|
|
|
HC PATHOLOGY LEVEL II
|
Facility
|
IP
|
$98.52
|
|
|
Service Code
|
CPT 88302
|
| Hospital Charge Code |
31000046
|
|
Hospital Revenue Code
|
310
|
| Min. Negotiated Rate |
$64.04 |
| Max. Negotiated Rate |
$88.67 |
| Rate for Payer: Aetna Commercial |
$83.74
|
| Rate for Payer: BCBS Trust/PPO |
$80.42
|
| Rate for Payer: BCN Commercial |
$76.14
|
| Rate for Payer: Cash Price |
$78.82
|
| Rate for Payer: Cofinity Commercial |
$84.73
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$78.82
|
| Rate for Payer: Healthscope Commercial |
$88.67
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$73.89
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$83.74
|
| Rate for Payer: Nomi Health Commercial |
$80.79
|
| Rate for Payer: PHP Commercial |
$83.74
|
| Rate for Payer: Priority Health Cigna Priority Health |
$64.04
|
| Rate for Payer: Priority Health HMO/PPO |
$85.71
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$66.01
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$86.70
|
| Rate for Payer: UHC Core |
$82.26
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$73.89
|
|
|
HC PATHOLOGY LEVEL II
|
Facility
|
OP
|
$98.52
|
|
|
Service Code
|
CPT 88302
|
| Hospital Charge Code |
31000046
|
|
Hospital Revenue Code
|
310
|
| Min. Negotiated Rate |
$23.40 |
| Max. Negotiated Rate |
$88.67 |
| Rate for Payer: Aetna Commercial |
$83.74
|
| Rate for Payer: Aetna Medicare |
$25.62
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$30.79
|
| Rate for Payer: Amish Plain Church Group Commercial |
$30.79
|
| Rate for Payer: BCBS Complete |
$29.80
|
| Rate for Payer: BCBS MAPPO |
$24.63
|
| Rate for Payer: BCBS Trust/PPO |
$80.99
|
| Rate for Payer: BCN Commercial |
$76.60
|
| Rate for Payer: BCN Medicare Advantage |
$24.63
|
| Rate for Payer: Cash Price |
$78.82
|
| Rate for Payer: Cash Price |
$78.82
|
| Rate for Payer: Cofinity Commercial |
$84.73
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$78.82
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$24.63
|
| Rate for Payer: Healthscope Commercial |
$88.67
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$73.89
|
| Rate for Payer: Mclaren Medicaid |
$28.38
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$25.86
|
| Rate for Payer: Meridian Medicaid |
$29.80
|
| Rate for Payer: MI Amish Medical Board Commercial |
$28.32
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$83.74
|
| Rate for Payer: Nomi Health Commercial |
$80.79
|
| Rate for Payer: PACE Senior Care Partners |
$23.40
|
| Rate for Payer: PACE SWMI |
$24.63
|
| Rate for Payer: PHP Commercial |
$83.74
|
| Rate for Payer: PHP Medicare Advantage |
$24.63
|
| Rate for Payer: Priority Health Choice Medicaid |
$28.38
|
| Rate for Payer: Priority Health Cigna Priority Health |
$64.04
|
| Rate for Payer: Priority Health HMO/PPO |
$85.71
|
| Rate for Payer: Priority Health Medicare |
$24.88
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$66.01
|
| Rate for Payer: Railroad Medicare Medicare |
$24.63
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$86.70
|
| Rate for Payer: UHC Core |
$82.26
|
| Rate for Payer: UHC Dual Complete DSNP |
$24.63
|
| Rate for Payer: UHC Exchange |
$24.63
|
| Rate for Payer: UHC Medicare Advantage |
$24.63
|
| Rate for Payer: UHCCP Medicaid |
$28.38
|
| Rate for Payer: VA VA |
$24.63
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$73.89
|
|
|
HC PATHOLOGY LEVEL III
|
Facility
|
OP
|
$149.30
|
|
|
Service Code
|
CPT 88304
|
| Hospital Charge Code |
31000047
|
|
Hospital Revenue Code
|
310
|
| Min. Negotiated Rate |
$35.46 |
| Max. Negotiated Rate |
$134.37 |
| Rate for Payer: Aetna Commercial |
$126.91
|
| Rate for Payer: Aetna Medicare |
$38.82
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$46.66
|
| Rate for Payer: Amish Plain Church Group Commercial |
$46.66
|
| Rate for Payer: BCBS Complete |
$40.56
|
| Rate for Payer: BCBS MAPPO |
$37.33
|
| Rate for Payer: BCBS Trust/PPO |
$122.74
|
| Rate for Payer: BCN Commercial |
$116.08
|
| Rate for Payer: BCN Medicare Advantage |
$37.33
|
| Rate for Payer: Cash Price |
$119.44
|
| Rate for Payer: Cash Price |
$119.44
|
| Rate for Payer: Cofinity Commercial |
$128.40
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$119.44
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$37.33
|
| Rate for Payer: Healthscope Commercial |
$134.37
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$111.97
|
| Rate for Payer: Mclaren Medicaid |
$38.63
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$39.19
|
| Rate for Payer: Meridian Medicaid |
$40.56
|
| Rate for Payer: MI Amish Medical Board Commercial |
$42.92
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$126.91
|
| Rate for Payer: Nomi Health Commercial |
$122.43
|
| Rate for Payer: PACE Senior Care Partners |
$35.46
|
| Rate for Payer: PACE SWMI |
$37.33
|
| Rate for Payer: PHP Commercial |
$126.91
|
| Rate for Payer: PHP Medicare Advantage |
$37.33
|
| Rate for Payer: Priority Health Choice Medicaid |
$38.63
|
| Rate for Payer: Priority Health Cigna Priority Health |
$97.05
|
| Rate for Payer: Priority Health HMO/PPO |
$129.89
|
| Rate for Payer: Priority Health Medicare |
$37.70
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$100.03
|
| Rate for Payer: Railroad Medicare Medicare |
$37.33
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$131.38
|
| Rate for Payer: UHC Core |
$124.67
|
| Rate for Payer: UHC Dual Complete DSNP |
$37.33
|
| Rate for Payer: UHC Exchange |
$37.33
|
| Rate for Payer: UHC Medicare Advantage |
$37.33
|
| Rate for Payer: UHCCP Medicaid |
$38.63
|
| Rate for Payer: VA VA |
$37.33
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$111.97
|
|
|
HC PATHOLOGY LEVEL III
|
Facility
|
IP
|
$149.30
|
|
|
Service Code
|
CPT 88304
|
| Hospital Charge Code |
31000047
|
|
Hospital Revenue Code
|
310
|
| Min. Negotiated Rate |
$97.05 |
| Max. Negotiated Rate |
$134.37 |
| Rate for Payer: Aetna Commercial |
$126.91
|
| Rate for Payer: BCBS Trust/PPO |
$121.87
|
| Rate for Payer: BCN Commercial |
$115.38
|
| Rate for Payer: Cash Price |
$119.44
|
| Rate for Payer: Cofinity Commercial |
$128.40
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$119.44
|
| Rate for Payer: Healthscope Commercial |
$134.37
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$111.97
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$126.91
|
| Rate for Payer: Nomi Health Commercial |
$122.43
|
| Rate for Payer: PHP Commercial |
$126.91
|
| Rate for Payer: Priority Health Cigna Priority Health |
$97.05
|
| Rate for Payer: Priority Health HMO/PPO |
$129.89
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$100.03
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$131.38
|
| Rate for Payer: UHC Core |
$124.67
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$111.97
|
|
