|
HC RAVAS CTO/DES
|
Facility
|
OP
|
$30,266.82
|
|
|
Service Code
|
CPT C9607
|
| Hospital Charge Code |
48100088
|
|
Hospital Revenue Code
|
481
|
| Min. Negotiated Rate |
$5,336.04 |
| Max. Negotiated Rate |
$27,240.14 |
| Rate for Payer: Aetna Commercial |
$25,726.80
|
| Rate for Payer: Aetna Medicare |
$7,869.37
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$9,458.38
|
| Rate for Payer: Amish Plain Church Group Commercial |
$9,458.38
|
| Rate for Payer: BCBS Complete |
$5,602.39
|
| Rate for Payer: BCBS MAPPO |
$7,566.70
|
| Rate for Payer: BCBS Trust/PPO |
$24,882.35
|
| Rate for Payer: BCN Commercial |
$24,882.35
|
| Rate for Payer: BCN Medicare Advantage |
$7,566.70
|
| Rate for Payer: Cash Price |
$24,213.46
|
| Rate for Payer: Cofinity Commercial |
$26,029.47
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$24,213.46
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$7,566.70
|
| Rate for Payer: Healthscope Commercial |
$27,240.14
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$22,700.12
|
| Rate for Payer: Mclaren Medicaid |
$5,336.04
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$7,945.04
|
| Rate for Payer: Meridian Medicaid |
$5,602.39
|
| Rate for Payer: MI Amish Medical Board Commercial |
$8,701.71
|
| Rate for Payer: Molina Medicare/Medicaid |
$8,323.38
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$25,726.80
|
| Rate for Payer: Nomi Health Commercial |
$24,818.79
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$22,700.12
|
| Rate for Payer: PACE Senior Care Partners |
$7,188.37
|
| Rate for Payer: PACE SWMI |
$7,566.70
|
| Rate for Payer: PHP Commercial |
$25,726.80
|
| Rate for Payer: PHP Medicare Advantage |
$7,566.70
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,336.04
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$26,332.13
|
| Rate for Payer: Priority Health Medicare |
$7,642.37
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$21,065.71
|
| Rate for Payer: Railroad Medicare Medicare |
$7,566.70
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$26,634.80
|
| Rate for Payer: UHC Core |
$25,272.79
|
| Rate for Payer: UHC Exchange |
$7,566.70
|
| Rate for Payer: UHC Medicaid |
$5,336.04
|
| Rate for Payer: UHC Medicare Advantage |
$7,566.70
|
| Rate for Payer: UHCCP Medicaid |
$5,336.04
|
| Rate for Payer: VA VA |
$7,566.70
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$22,700.12
|
|
|
HC RAVAS CTO/DES
|
Facility
|
IP
|
$30,266.82
|
|
|
Service Code
|
CPT C9607
|
| Hospital Charge Code |
48100088
|
|
Hospital Revenue Code
|
481
|
| Min. Negotiated Rate |
$21,065.71 |
| Max. Negotiated Rate |
$27,240.14 |
| Rate for Payer: Aetna Commercial |
$25,726.80
|
| Rate for Payer: BCBS Trust/PPO |
$24,997.37
|
| Rate for Payer: BCN Commercial |
$24,997.37
|
| Rate for Payer: Cash Price |
$24,213.46
|
| Rate for Payer: Cofinity Commercial |
$26,029.47
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$24,213.46
|
| Rate for Payer: Healthscope Commercial |
$27,240.14
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$22,700.12
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$25,726.80
|
| Rate for Payer: Nomi Health Commercial |
$24,818.79
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$22,700.12
|
| Rate for Payer: PHP Commercial |
$25,726.80
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$26,332.13
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$21,065.71
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$26,634.80
|
| Rate for Payer: UHC Core |
$25,272.79
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$22,700.12
|
|
|
HC RAVAS CTO/STENT
|
Facility
|
IP
|
$30,266.82
|
|
|
Service Code
|
CPT 92943
|
| Hospital Charge Code |
48100087
|
|
Hospital Revenue Code
|
481
|
| Min. Negotiated Rate |
$21,065.71 |
| Max. Negotiated Rate |
$27,240.14 |
| Rate for Payer: Aetna Commercial |
$25,726.80
|
| Rate for Payer: BCBS Trust/PPO |
$24,997.37
|
| Rate for Payer: BCN Commercial |
$24,997.37
|
| Rate for Payer: Cash Price |
$24,213.46
|
| Rate for Payer: Cofinity Commercial |
$26,029.47
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$24,213.46
|
| Rate for Payer: Healthscope Commercial |
$27,240.14
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$22,700.12
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$25,726.80
|
| Rate for Payer: Nomi Health Commercial |
$24,818.79
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$22,700.12
|
| Rate for Payer: PHP Commercial |
$25,726.80
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$26,332.13
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$21,065.71
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$26,634.80
|
| Rate for Payer: UHC Core |
$25,272.79
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$22,700.12
|
|
|
HC RAVAS CTO/STENT
|
Facility
|
OP
|
$30,266.82
|
|
|
Service Code
|
CPT 92943
|
| Hospital Charge Code |
48100087
|
|
Hospital Revenue Code
|
481
|
| Min. Negotiated Rate |
$5,336.04 |
| Max. Negotiated Rate |
$27,240.14 |
| Rate for Payer: Aetna Commercial |
$25,726.80
|
| Rate for Payer: Aetna Medicare |
$7,869.37
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$9,458.38
|
| Rate for Payer: Amish Plain Church Group Commercial |
$9,458.38
|
| Rate for Payer: BCBS Complete |
$5,602.39
|
| Rate for Payer: BCBS MAPPO |
$7,566.70
|
| Rate for Payer: BCBS Trust/PPO |
$24,882.35
|
| Rate for Payer: BCN Commercial |
$24,882.35
|
| Rate for Payer: BCN Medicare Advantage |
$7,566.70
|
| Rate for Payer: Cash Price |
$24,213.46
|
| Rate for Payer: Cofinity Commercial |
$26,029.47
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$24,213.46
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$7,566.70
|
| Rate for Payer: Healthscope Commercial |
$27,240.14
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$22,700.12
|
| Rate for Payer: Mclaren Medicaid |
$5,336.04
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$7,945.04
|
| Rate for Payer: Meridian Medicaid |
$5,602.39
|
| Rate for Payer: MI Amish Medical Board Commercial |
$8,701.71
|
| Rate for Payer: Molina Medicare/Medicaid |
$8,323.38
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$25,726.80
|
| Rate for Payer: Nomi Health Commercial |
$24,818.79
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$22,700.12
|
| Rate for Payer: PACE Senior Care Partners |
$7,188.37
|
| Rate for Payer: PACE SWMI |
$7,566.70
|
| Rate for Payer: PHP Commercial |
$25,726.80
|
| Rate for Payer: PHP Medicare Advantage |
$7,566.70
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,336.04
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$26,332.13
|
| Rate for Payer: Priority Health Medicare |
$7,642.37
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$21,065.71
|
| Rate for Payer: Railroad Medicare Medicare |
$7,566.70
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$26,634.80
|
| Rate for Payer: UHC Core |
$25,272.79
|
| Rate for Payer: UHC Exchange |
$7,566.70
|
| Rate for Payer: UHC Medicaid |
$5,336.04
|
| Rate for Payer: UHC Medicare Advantage |
$7,566.70
|
| Rate for Payer: UHCCP Medicaid |
$5,336.04
|
| Rate for Payer: VA VA |
$7,566.70
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$22,700.12
|
|
|
HC RBC LEUKO REDUCED
|
Facility
|
IP
|
$740.11
|
|
|
Service Code
|
HCPCS P9016
|
| Hospital Charge Code |
39000059
|
|
Hospital Revenue Code
|
390
|
| Min. Negotiated Rate |
$515.12 |
| Max. Negotiated Rate |
$666.10 |
| Rate for Payer: Aetna Commercial |
$629.09
|
| Rate for Payer: BCBS Trust/PPO |
$611.26
|
| Rate for Payer: BCN Commercial |
$611.26
|
| Rate for Payer: Cash Price |
$592.09
|
| Rate for Payer: Cofinity Commercial |
$636.49
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$592.09
|
| Rate for Payer: Healthscope Commercial |
$666.10
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$555.08
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$629.09
|
| Rate for Payer: Nomi Health Commercial |
$606.89
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$555.08
|
| Rate for Payer: PHP Commercial |
$629.09
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$643.90
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$515.12
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$651.30
|
| Rate for Payer: UHC Core |
$617.99
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$555.08
|
|
|
HC RBC LEUKO REDUCED
|
Facility
|
OP
|
$740.11
|
|
|
Service Code
|
HCPCS P9016
|
| Hospital Charge Code |
39000059
|
|
Hospital Revenue Code
|
390
|
| Min. Negotiated Rate |
$130.48 |
| Max. Negotiated Rate |
$666.10 |
| Rate for Payer: Aetna Commercial |
$629.09
|
| Rate for Payer: Aetna Medicare |
$192.43
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$231.28
|
| Rate for Payer: Amish Plain Church Group Commercial |
$231.28
|
| Rate for Payer: BCBS Complete |
$136.99
|
| Rate for Payer: BCBS MAPPO |
$185.03
|
| Rate for Payer: BCBS Trust/PPO |
$608.44
|
| Rate for Payer: BCN Commercial |
$608.44
|
| Rate for Payer: BCN Medicare Advantage |
$185.03
|
| Rate for Payer: Cash Price |
$592.09
|
| Rate for Payer: Cofinity Commercial |
$636.49
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$592.09
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$185.03
|
| Rate for Payer: Healthscope Commercial |
$666.10
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$555.08
|
| Rate for Payer: Mclaren Medicaid |
$130.48
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$194.28
|
| Rate for Payer: Meridian Medicaid |
$136.99
|
| Rate for Payer: MI Amish Medical Board Commercial |
$212.78
|
| Rate for Payer: Molina Medicare/Medicaid |
$203.53
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$629.09
|
| Rate for Payer: Nomi Health Commercial |
$606.89
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$555.08
|
| Rate for Payer: PACE Senior Care Partners |
$175.78
|
| Rate for Payer: PACE SWMI |
$185.03
|
| Rate for Payer: PHP Commercial |
$629.09
|
| Rate for Payer: PHP Medicare Advantage |
$185.03
|
| Rate for Payer: Priority Health Choice Medicaid |
$130.48
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$643.90
|
| Rate for Payer: Priority Health Medicare |
$186.88
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$515.12
|
| Rate for Payer: Railroad Medicare Medicare |
$185.03
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$651.30
|
| Rate for Payer: UHC Core |
$617.99
|
| Rate for Payer: UHC Exchange |
$185.03
|
| Rate for Payer: UHC Medicaid |
$130.48
|
| Rate for Payer: UHC Medicare Advantage |
$185.03
|
| Rate for Payer: UHCCP Medicaid |
$130.48
|
| Rate for Payer: VA VA |
$185.03
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$555.08
|
|
|
HC RBC LEUKO REDUCED IRRAD
|
Facility
|
OP
|
$1,282.23
|
|
|
Service Code
|
HCPCS P9040
|
| Hospital Charge Code |
39000072
|
|
Hospital Revenue Code
|
390
|
| Min. Negotiated Rate |
$226.06 |
| Max. Negotiated Rate |
$1,154.01 |
| Rate for Payer: Aetna Commercial |
$1,089.90
|
| Rate for Payer: Aetna Medicare |
$333.38
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$400.70
|
| Rate for Payer: Amish Plain Church Group Commercial |
$400.70
|
| Rate for Payer: BCBS Complete |
$237.34
|
| Rate for Payer: BCBS MAPPO |
$320.56
|
| Rate for Payer: BCBS Trust/PPO |
$1,054.12
|
| Rate for Payer: BCN Commercial |
$1,054.12
|
| Rate for Payer: BCN Medicare Advantage |
$320.56
|
| Rate for Payer: Cash Price |
$1,025.78
|
| Rate for Payer: Cofinity Commercial |
$1,102.72
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,025.78
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$320.56
|
| Rate for Payer: Healthscope Commercial |
$1,154.01
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$961.67
|
| Rate for Payer: Mclaren Medicaid |
$226.06
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$336.59
|
| Rate for Payer: Meridian Medicaid |
$237.34
|
| Rate for Payer: MI Amish Medical Board Commercial |
$368.64
|
| Rate for Payer: Molina Medicare/Medicaid |
$352.61
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,089.90
|
| Rate for Payer: Nomi Health Commercial |
$1,051.43
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$961.67
|
| Rate for Payer: PACE Senior Care Partners |
$304.53
|
| Rate for Payer: PACE SWMI |
$320.56
|
| Rate for Payer: PHP Commercial |
$1,089.90
|
| Rate for Payer: PHP Medicare Advantage |
$320.56
|
| Rate for Payer: Priority Health Choice Medicaid |
$226.06
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$1,115.54
|
| Rate for Payer: Priority Health Medicare |
$323.76
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$892.43
|
| Rate for Payer: Railroad Medicare Medicare |
$320.56
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,128.36
|
| Rate for Payer: UHC Core |
$1,070.66
|
| Rate for Payer: UHC Exchange |
$320.56
|
| Rate for Payer: UHC Medicaid |
$226.06
|
| Rate for Payer: UHC Medicare Advantage |
$320.56
|
| Rate for Payer: UHCCP Medicaid |
$226.06
|
| Rate for Payer: VA VA |
$320.56
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$961.67
|
|
|
HC RBC LEUKO REDUCED IRRAD
|
Facility
|
IP
|
$1,282.23
|
|
|
Service Code
|
HCPCS P9040
|
| Hospital Charge Code |
39000072
|
|
Hospital Revenue Code
|
390
|
| Min. Negotiated Rate |
$892.43 |
| Max. Negotiated Rate |
$1,154.01 |
| Rate for Payer: Aetna Commercial |
$1,089.90
|
| Rate for Payer: BCBS Trust/PPO |
$1,058.99
|
| Rate for Payer: BCN Commercial |
$1,058.99
|
| Rate for Payer: Cash Price |
$1,025.78
|
| Rate for Payer: Cofinity Commercial |
$1,102.72
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,025.78
|
| Rate for Payer: Healthscope Commercial |
$1,154.01
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$961.67
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,089.90
|
| Rate for Payer: Nomi Health Commercial |
$1,051.43
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$961.67
|
| Rate for Payer: PHP Commercial |
$1,089.90
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$1,115.54
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$892.43
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,128.36
|
| Rate for Payer: UHC Core |
$1,070.66
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$961.67
|
|
|
HC RECEPTOR ASSAY OTHER ENDOCRINE
|
Facility
|
IP
|
$208.05
|
|
|
Service Code
|
CPT 84235
|
| Hospital Charge Code |
30100418
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$144.80 |
| Max. Negotiated Rate |
$187.25 |
| Rate for Payer: Aetna Commercial |
$176.84
|
| Rate for Payer: BCBS Trust/PPO |
$171.83
|
| Rate for Payer: BCN Commercial |
$171.83
|
| Rate for Payer: Cash Price |
$166.44
|
| Rate for Payer: Cofinity Commercial |
$178.92
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$166.44
|
| Rate for Payer: Healthscope Commercial |
$187.25
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$156.04
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$176.84
|
| Rate for Payer: Nomi Health Commercial |
$170.60
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$156.04
|
| Rate for Payer: PHP Commercial |
$176.84
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$181.00
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$144.80
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$183.08
|
| Rate for Payer: UHC Core |
$173.72
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$156.04
|
|
|
HC RECEPTOR ASSAY OTHER ENDOCRINE
|
Facility
|
OP
|
$208.05
|
|
|
Service Code
|
CPT 84235
|
| Hospital Charge Code |
30100418
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$36.68 |
| Max. Negotiated Rate |
$187.25 |
| Rate for Payer: Aetna Commercial |
$176.84
|
| Rate for Payer: Aetna Medicare |
$54.09
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$65.02
|
| Rate for Payer: Amish Plain Church Group Commercial |
$65.02
|
| Rate for Payer: BCBS Complete |
$38.51
|
| Rate for Payer: BCBS MAPPO |
$52.01
|
| Rate for Payer: BCBS Trust/PPO |
$171.04
|
| Rate for Payer: BCN Commercial |
$171.04
|
| Rate for Payer: BCN Medicare Advantage |
$52.01
|
| Rate for Payer: Cash Price |
$166.44
|
| Rate for Payer: Cofinity Commercial |
$178.92
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$166.44
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$52.01
|
| Rate for Payer: Healthscope Commercial |
$187.25
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$156.04
|
| Rate for Payer: Mclaren Medicaid |
$36.68
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$54.61
|
| Rate for Payer: Meridian Medicaid |
$38.51
|
| Rate for Payer: MI Amish Medical Board Commercial |
$59.81
|
| Rate for Payer: Molina Medicare/Medicaid |
$57.21
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$176.84
|
| Rate for Payer: Nomi Health Commercial |
$170.60
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$156.04
|
| Rate for Payer: PACE Senior Care Partners |
$49.41
|
| Rate for Payer: PACE SWMI |
$52.01
|
| Rate for Payer: PHP Commercial |
$176.84
|
| Rate for Payer: PHP Medicare Advantage |
$52.01
|
| Rate for Payer: Priority Health Choice Medicaid |
$36.68
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$181.00
|
| Rate for Payer: Priority Health Medicare |
$52.53
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$144.80
|
| Rate for Payer: Railroad Medicare Medicare |
$52.01
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$183.08
|
| Rate for Payer: UHC Core |
$173.72
|
| Rate for Payer: UHC Exchange |
$52.01
|
| Rate for Payer: UHC Medicaid |
$36.68
|
| Rate for Payer: UHC Medicare Advantage |
$52.01
|
| Rate for Payer: UHCCP Medicaid |
$36.68
|
| Rate for Payer: VA VA |
$52.01
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$156.04
|
|
|
HC RECOVERY 1 ADD'L 15 MIN
|
Facility
|
IP
|
$160.15
|
|
| Hospital Charge Code |
71000020
|
|
Hospital Revenue Code
|
710
|
| Min. Negotiated Rate |
$111.46 |
| Max. Negotiated Rate |
$144.13 |
| Rate for Payer: Aetna Commercial |
$136.13
|
| Rate for Payer: BCBS Trust/PPO |
$132.27
|
| Rate for Payer: BCN Commercial |
$132.27
|
| Rate for Payer: Cash Price |
$128.12
|
| Rate for Payer: Cofinity Commercial |
$137.73
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$128.12
|
| Rate for Payer: Healthscope Commercial |
$144.13
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$120.11
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$136.13
|
| Rate for Payer: Nomi Health Commercial |
$131.32
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$120.11
|
| Rate for Payer: PHP Commercial |
$136.13
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$139.33
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$111.46
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$140.93
|
| Rate for Payer: UHC Core |
$133.73
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$120.11
|
|
|
HC RECOVERY 1 ADD'L 15 MIN
|
Facility
|
OP
|
$160.15
|
|
| Hospital Charge Code |
71000020
|
|
Hospital Revenue Code
|
710
|
| Min. Negotiated Rate |
$28.23 |
| Max. Negotiated Rate |
$144.13 |
| Rate for Payer: Aetna Commercial |
$136.13
|
| Rate for Payer: Aetna Medicare |
$41.64
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$50.05
|
| Rate for Payer: Amish Plain Church Group Commercial |
$50.05
|
| Rate for Payer: BCBS Complete |
$29.64
|
| Rate for Payer: BCBS MAPPO |
$40.04
|
| Rate for Payer: BCBS Trust/PPO |
$131.66
|
| Rate for Payer: BCN Commercial |
$131.66
|
| Rate for Payer: BCN Medicare Advantage |
$40.04
|
| Rate for Payer: Cash Price |
$128.12
|
| Rate for Payer: Cofinity Commercial |
$137.73
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$128.12
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$40.04
|
| Rate for Payer: Healthscope Commercial |
$144.13
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$120.11
|
| Rate for Payer: Mclaren Medicaid |
$28.23
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$42.04
|
| Rate for Payer: Meridian Medicaid |
$29.64
|
| Rate for Payer: MI Amish Medical Board Commercial |
$46.04
|
| Rate for Payer: Molina Medicare/Medicaid |
$44.04
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$136.13
|
| Rate for Payer: Nomi Health Commercial |
$131.32
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$120.11
|
| Rate for Payer: PACE Senior Care Partners |
$38.04
|
| Rate for Payer: PACE SWMI |
$40.04
|
| Rate for Payer: PHP Commercial |
$136.13
|
| Rate for Payer: PHP Medicare Advantage |
$40.04
|
| Rate for Payer: Priority Health Choice Medicaid |
$28.23
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$139.33
|
| Rate for Payer: Priority Health Medicare |
$40.44
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$111.46
|
| Rate for Payer: Railroad Medicare Medicare |
$40.04
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$140.93
|
| Rate for Payer: UHC Core |
$133.73
|
| Rate for Payer: UHC Exchange |
$40.04
|
| Rate for Payer: UHC Medicaid |
$28.23
|
| Rate for Payer: UHC Medicare Advantage |
$40.04
|
| Rate for Payer: UHCCP Medicaid |
$28.23
|
| Rate for Payer: VA VA |
$40.04
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$120.11
|
|
|
HC RECOVERY 1 BASE CHARGE
|
Facility
|
OP
|
$118.32
|
|
| Hospital Charge Code |
71000039
|
|
Hospital Revenue Code
|
710
|
| Min. Negotiated Rate |
$20.86 |
| Max. Negotiated Rate |
$106.49 |
| Rate for Payer: Aetna Commercial |
$100.57
|
| Rate for Payer: Aetna Medicare |
$30.76
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$36.98
|
| Rate for Payer: Amish Plain Church Group Commercial |
$36.98
|
| Rate for Payer: BCBS Complete |
$21.90
|
| Rate for Payer: BCBS MAPPO |
$29.58
|
| Rate for Payer: BCBS Trust/PPO |
$97.27
|
| Rate for Payer: BCN Commercial |
$97.27
|
| Rate for Payer: BCN Medicare Advantage |
$29.58
|
| Rate for Payer: Cash Price |
$94.66
|
| Rate for Payer: Cofinity Commercial |
$101.76
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$94.66
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$29.58
|
| Rate for Payer: Healthscope Commercial |
$106.49
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$88.74
|
| Rate for Payer: Mclaren Medicaid |
$20.86
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$31.06
|
| Rate for Payer: Meridian Medicaid |
$21.90
|
| Rate for Payer: MI Amish Medical Board Commercial |
$34.02
|
| Rate for Payer: Molina Medicare/Medicaid |
$32.54
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$100.57
|
| Rate for Payer: Nomi Health Commercial |
$97.02
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$88.74
|
| Rate for Payer: PACE Senior Care Partners |
$28.10
|
| Rate for Payer: PACE SWMI |
$29.58
|
| Rate for Payer: PHP Commercial |
$100.57
|
| Rate for Payer: PHP Medicare Advantage |
$29.58
|
| Rate for Payer: Priority Health Choice Medicaid |
$20.86
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$102.94
|
| Rate for Payer: Priority Health Medicare |
$29.88
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$82.35
|
| Rate for Payer: Railroad Medicare Medicare |
$29.58
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$104.12
|
| Rate for Payer: UHC Core |
$98.80
|
| Rate for Payer: UHC Exchange |
$29.58
|
| Rate for Payer: UHC Medicaid |
$20.86
|
| Rate for Payer: UHC Medicare Advantage |
$29.58
|
| Rate for Payer: UHCCP Medicaid |
$20.86
|
| Rate for Payer: VA VA |
$29.58
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$88.74
|
|
|
HC RECOVERY 1 BASE CHARGE
|
Facility
|
IP
|
$118.32
|
|
| Hospital Charge Code |
71000039
|
|
Hospital Revenue Code
|
710
|
| Min. Negotiated Rate |
$82.35 |
| Max. Negotiated Rate |
$106.49 |
| Rate for Payer: Aetna Commercial |
$100.57
|
| Rate for Payer: BCBS Trust/PPO |
$97.72
|
| Rate for Payer: BCN Commercial |
$97.72
|
| Rate for Payer: Cash Price |
$94.66
|
| Rate for Payer: Cofinity Commercial |
$101.76
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$94.66
|
| Rate for Payer: Healthscope Commercial |
$106.49
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$88.74
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$100.57
|
| Rate for Payer: Nomi Health Commercial |
$97.02
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$88.74
|
| Rate for Payer: PHP Commercial |
$100.57
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$102.94
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$82.35
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$104.12
|
| Rate for Payer: UHC Core |
$98.80
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$88.74
|
|
|
HC RECOVERY 1 EA MIN
|
Facility
|
OP
|
$15.30
|
|
| Hospital Charge Code |
71000034
|
|
Hospital Revenue Code
|
710
|
| Min. Negotiated Rate |
$2.70 |
| Max. Negotiated Rate |
$13.77 |
| Rate for Payer: Aetna Commercial |
$13.01
|
| Rate for Payer: Aetna Medicare |
$3.98
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$4.78
|
| Rate for Payer: Amish Plain Church Group Commercial |
$4.78
|
| Rate for Payer: BCBS Complete |
$2.83
|
| Rate for Payer: BCBS MAPPO |
$3.83
|
| Rate for Payer: BCBS Trust/PPO |
$12.58
|
| Rate for Payer: BCN Commercial |
$12.58
|
| Rate for Payer: BCN Medicare Advantage |
$3.83
|
| Rate for Payer: Cash Price |
$12.24
|
| Rate for Payer: Cofinity Commercial |
$13.16
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$12.24
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$3.83
|
| Rate for Payer: Healthscope Commercial |
$13.77
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$11.47
|
| Rate for Payer: Mclaren Medicaid |
$2.70
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$4.02
|
| Rate for Payer: Meridian Medicaid |
$2.83
|
| Rate for Payer: MI Amish Medical Board Commercial |
$4.40
|
| Rate for Payer: Molina Medicare/Medicaid |
$4.21
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$13.01
|
| Rate for Payer: Nomi Health Commercial |
$12.55
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$11.47
|
| Rate for Payer: PACE Senior Care Partners |
$3.63
|
| Rate for Payer: PACE SWMI |
$3.83
|
| Rate for Payer: PHP Commercial |
$13.01
|
| Rate for Payer: PHP Medicare Advantage |
$3.83
|
| Rate for Payer: Priority Health Choice Medicaid |
$2.70
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$13.31
|
| Rate for Payer: Priority Health Medicare |
$3.86
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$10.65
|
| Rate for Payer: Railroad Medicare Medicare |
$3.83
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$13.46
|
| Rate for Payer: UHC Core |
$12.78
|
| Rate for Payer: UHC Exchange |
$3.83
|
| Rate for Payer: UHC Medicaid |
$2.70
|
| Rate for Payer: UHC Medicare Advantage |
$3.83
|
| Rate for Payer: UHCCP Medicaid |
$2.70
|
| Rate for Payer: VA VA |
$3.83
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$11.47
|
|
|
HC RECOVERY 1 EA MIN
|
Facility
|
IP
|
$15.30
|
|
| Hospital Charge Code |
71000034
|
|
Hospital Revenue Code
|
710
|
| Min. Negotiated Rate |
$10.65 |
| Max. Negotiated Rate |
$13.77 |
| Rate for Payer: Aetna Commercial |
$13.01
|
| Rate for Payer: BCBS Trust/PPO |
$12.64
|
| Rate for Payer: BCN Commercial |
$12.64
|
| Rate for Payer: Cash Price |
$12.24
|
| Rate for Payer: Cofinity Commercial |
$13.16
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$12.24
|
| Rate for Payer: Healthscope Commercial |
$13.77
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$11.47
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$13.01
|
| Rate for Payer: Nomi Health Commercial |
$12.55
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$11.47
|
| Rate for Payer: PHP Commercial |
$13.01
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$13.31
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$10.65
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$13.46
|
| Rate for Payer: UHC Core |
$12.78
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$11.47
|
|
|
HC RECOVERY 1 INIT 30 MIN
|
Facility
|
IP
|
$378.09
|
|
| Hospital Charge Code |
71000021
|
|
Hospital Revenue Code
|
710
|
| Min. Negotiated Rate |
$263.15 |
| Max. Negotiated Rate |
$340.28 |
| Rate for Payer: Aetna Commercial |
$321.38
|
| Rate for Payer: BCBS Trust/PPO |
$312.26
|
| Rate for Payer: BCN Commercial |
$312.26
|
| Rate for Payer: Cash Price |
$302.47
|
| Rate for Payer: Cofinity Commercial |
$325.16
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$302.47
|
| Rate for Payer: Healthscope Commercial |
$340.28
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$283.57
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$321.38
|
| Rate for Payer: Nomi Health Commercial |
$310.03
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$283.57
|
| Rate for Payer: PHP Commercial |
$321.38
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$328.94
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$263.15
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$332.72
|
| Rate for Payer: UHC Core |
$315.71
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$283.57
|
|
|
HC RECOVERY 1 INIT 30 MIN
|
Facility
|
OP
|
$378.09
|
|
| Hospital Charge Code |
71000021
|
|
Hospital Revenue Code
|
710
|
| Min. Negotiated Rate |
$66.66 |
| Max. Negotiated Rate |
$340.28 |
| Rate for Payer: Aetna Commercial |
$321.38
|
| Rate for Payer: Aetna Medicare |
$98.30
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$118.15
|
| Rate for Payer: Amish Plain Church Group Commercial |
$118.15
|
| Rate for Payer: BCBS Complete |
$69.98
|
| Rate for Payer: BCBS MAPPO |
$94.52
|
| Rate for Payer: BCBS Trust/PPO |
$310.83
|
| Rate for Payer: BCN Commercial |
$310.83
|
| Rate for Payer: BCN Medicare Advantage |
$94.52
|
| Rate for Payer: Cash Price |
$302.47
|
| Rate for Payer: Cofinity Commercial |
$325.16
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$302.47
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$94.52
|
| Rate for Payer: Healthscope Commercial |
$340.28
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$283.57
|
| Rate for Payer: Mclaren Medicaid |
$66.66
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$99.25
|
| Rate for Payer: Meridian Medicaid |
$69.98
|
| Rate for Payer: MI Amish Medical Board Commercial |
$108.70
|
| Rate for Payer: Molina Medicare/Medicaid |
$103.97
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$321.38
|
| Rate for Payer: Nomi Health Commercial |
$310.03
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$283.57
|
| Rate for Payer: PACE Senior Care Partners |
$89.80
|
| Rate for Payer: PACE SWMI |
$94.52
|
| Rate for Payer: PHP Commercial |
$321.38
|
| Rate for Payer: PHP Medicare Advantage |
$94.52
|
| Rate for Payer: Priority Health Choice Medicaid |
$66.66
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$328.94
|
| Rate for Payer: Priority Health Medicare |
$95.47
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$263.15
|
| Rate for Payer: Railroad Medicare Medicare |
$94.52
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$332.72
|
| Rate for Payer: UHC Core |
$315.71
|
| Rate for Payer: UHC Exchange |
$94.52
|
| Rate for Payer: UHC Medicaid |
$66.66
|
| Rate for Payer: UHC Medicare Advantage |
$94.52
|
| Rate for Payer: UHCCP Medicaid |
$66.66
|
| Rate for Payer: VA VA |
$94.52
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$283.57
|
|
|
HC RECOVERY 2 ADD'L 15 MIN
|
Facility
|
OP
|
$187.51
|
|
| Hospital Charge Code |
71000022
|
|
Hospital Revenue Code
|
710
|
| Min. Negotiated Rate |
$33.06 |
| Max. Negotiated Rate |
$168.76 |
| Rate for Payer: Aetna Commercial |
$159.38
|
| Rate for Payer: Aetna Medicare |
$48.75
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$58.60
|
| Rate for Payer: Amish Plain Church Group Commercial |
$58.60
|
| Rate for Payer: BCBS Complete |
$34.71
|
| Rate for Payer: BCBS MAPPO |
$46.88
|
| Rate for Payer: BCBS Trust/PPO |
$154.15
|
| Rate for Payer: BCN Commercial |
$154.15
|
| Rate for Payer: BCN Medicare Advantage |
$46.88
|
| Rate for Payer: Cash Price |
$150.01
|
| Rate for Payer: Cofinity Commercial |
$161.26
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$150.01
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$46.88
|
| Rate for Payer: Healthscope Commercial |
$168.76
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$140.63
|
| Rate for Payer: Mclaren Medicaid |
$33.06
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$49.22
|
| Rate for Payer: Meridian Medicaid |
$34.71
|
| Rate for Payer: MI Amish Medical Board Commercial |
$53.91
|
| Rate for Payer: Molina Medicare/Medicaid |
$51.57
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$159.38
|
| Rate for Payer: Nomi Health Commercial |
$153.76
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$140.63
|
| Rate for Payer: PACE Senior Care Partners |
$44.53
|
| Rate for Payer: PACE SWMI |
$46.88
|
| Rate for Payer: PHP Commercial |
$159.38
|
| Rate for Payer: PHP Medicare Advantage |
$46.88
|
| Rate for Payer: Priority Health Choice Medicaid |
$33.06
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$163.13
|
| Rate for Payer: Priority Health Medicare |
$47.35
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$130.51
|
| Rate for Payer: Railroad Medicare Medicare |
$46.88
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$165.01
|
| Rate for Payer: UHC Core |
$156.57
|
| Rate for Payer: UHC Exchange |
$46.88
|
| Rate for Payer: UHC Medicaid |
$33.06
|
| Rate for Payer: UHC Medicare Advantage |
$46.88
|
| Rate for Payer: UHCCP Medicaid |
$33.06
|
| Rate for Payer: VA VA |
$46.88
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$140.63
|
|
|
HC RECOVERY 2 ADD'L 15 MIN
|
Facility
|
IP
|
$187.51
|
|
| Hospital Charge Code |
71000022
|
|
Hospital Revenue Code
|
710
|
| Min. Negotiated Rate |
$130.51 |
| Max. Negotiated Rate |
$168.76 |
| Rate for Payer: Aetna Commercial |
$159.38
|
| Rate for Payer: BCBS Trust/PPO |
$154.86
|
| Rate for Payer: BCN Commercial |
$154.86
|
| Rate for Payer: Cash Price |
$150.01
|
| Rate for Payer: Cofinity Commercial |
$161.26
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$150.01
|
| Rate for Payer: Healthscope Commercial |
$168.76
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$140.63
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$159.38
|
| Rate for Payer: Nomi Health Commercial |
$153.76
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$140.63
|
| Rate for Payer: PHP Commercial |
$159.38
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$163.13
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$130.51
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$165.01
|
| Rate for Payer: UHC Core |
$156.57
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$140.63
|
|
|
HC RECOVERY 2 BASE CHARGE
|
Facility
|
OP
|
$98.94
|
|
| Hospital Charge Code |
71000035
|
|
Hospital Revenue Code
|
710
|
| Min. Negotiated Rate |
$17.44 |
| Max. Negotiated Rate |
$89.05 |
| Rate for Payer: Aetna Commercial |
$84.10
|
| Rate for Payer: Aetna Medicare |
$25.72
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$30.92
|
| Rate for Payer: Amish Plain Church Group Commercial |
$30.92
|
| Rate for Payer: BCBS Complete |
$18.31
|
| Rate for Payer: BCBS MAPPO |
$24.73
|
| Rate for Payer: BCBS Trust/PPO |
$81.34
|
| Rate for Payer: BCN Commercial |
$81.34
|
| Rate for Payer: BCN Medicare Advantage |
$24.73
|
| Rate for Payer: Cash Price |
$79.15
|
| Rate for Payer: Cofinity Commercial |
$85.09
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$79.15
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$24.73
|
| Rate for Payer: Healthscope Commercial |
$89.05
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$74.20
|
| Rate for Payer: Mclaren Medicaid |
$17.44
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$25.97
|
| Rate for Payer: Meridian Medicaid |
$18.31
|
| Rate for Payer: MI Amish Medical Board Commercial |
$28.45
|
| Rate for Payer: Molina Medicare/Medicaid |
$27.21
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$84.10
|
| Rate for Payer: Nomi Health Commercial |
$81.13
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$74.20
|
| Rate for Payer: PACE Senior Care Partners |
$23.50
|
| Rate for Payer: PACE SWMI |
$24.73
|
| Rate for Payer: PHP Commercial |
$84.10
|
| Rate for Payer: PHP Medicare Advantage |
$24.73
|
| Rate for Payer: Priority Health Choice Medicaid |
$17.44
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$86.08
|
| Rate for Payer: Priority Health Medicare |
$24.98
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$68.86
|
| Rate for Payer: Railroad Medicare Medicare |
$24.73
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$87.07
|
| Rate for Payer: UHC Core |
$82.61
|
| Rate for Payer: UHC Exchange |
$24.73
|
| Rate for Payer: UHC Medicaid |
$17.44
|
| Rate for Payer: UHC Medicare Advantage |
$24.73
|
| Rate for Payer: UHCCP Medicaid |
$17.44
|
| Rate for Payer: VA VA |
$24.73
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$74.20
|
|
|
HC RECOVERY 2 BASE CHARGE
|
Facility
|
IP
|
$98.94
|
|
| Hospital Charge Code |
71000035
|
|
Hospital Revenue Code
|
710
|
| Min. Negotiated Rate |
$68.86 |
| Max. Negotiated Rate |
$89.05 |
| Rate for Payer: Aetna Commercial |
$84.10
|
| Rate for Payer: BCBS Trust/PPO |
$81.71
|
| Rate for Payer: BCN Commercial |
$81.71
|
| Rate for Payer: Cash Price |
$79.15
|
| Rate for Payer: Cofinity Commercial |
$85.09
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$79.15
|
| Rate for Payer: Healthscope Commercial |
$89.05
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$74.20
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$84.10
|
| Rate for Payer: Nomi Health Commercial |
$81.13
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$74.20
|
| Rate for Payer: PHP Commercial |
$84.10
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$86.08
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$68.86
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$87.07
|
| Rate for Payer: UHC Core |
$82.61
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$74.20
|
|
|
HC RECOVERY 2 EA MIN
|
Facility
|
IP
|
$12.24
|
|
| Hospital Charge Code |
71000036
|
|
Hospital Revenue Code
|
710
|
| Min. Negotiated Rate |
$8.52 |
| Max. Negotiated Rate |
$11.02 |
| Rate for Payer: Aetna Commercial |
$10.40
|
| Rate for Payer: BCBS Trust/PPO |
$10.11
|
| Rate for Payer: BCN Commercial |
$10.11
|
| Rate for Payer: Cash Price |
$9.79
|
| Rate for Payer: Cofinity Commercial |
$10.53
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$9.79
|
| Rate for Payer: Healthscope Commercial |
$11.02
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$9.18
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$10.40
|
| Rate for Payer: Nomi Health Commercial |
$10.04
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$9.18
|
| Rate for Payer: PHP Commercial |
$10.40
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$10.65
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$8.52
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$10.77
|
| Rate for Payer: UHC Core |
$10.22
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$9.18
|
|
|
HC RECOVERY 2 EA MIN
|
Facility
|
OP
|
$12.24
|
|
| Hospital Charge Code |
71000036
|
|
Hospital Revenue Code
|
710
|
| Min. Negotiated Rate |
$2.16 |
| Max. Negotiated Rate |
$11.02 |
| Rate for Payer: Aetna Commercial |
$10.40
|
| Rate for Payer: Aetna Medicare |
$3.18
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$3.83
|
| Rate for Payer: Amish Plain Church Group Commercial |
$3.83
|
| Rate for Payer: BCBS Complete |
$2.27
|
| Rate for Payer: BCBS MAPPO |
$3.06
|
| Rate for Payer: BCBS Trust/PPO |
$10.06
|
| Rate for Payer: BCN Commercial |
$10.06
|
| Rate for Payer: BCN Medicare Advantage |
$3.06
|
| Rate for Payer: Cash Price |
$9.79
|
| Rate for Payer: Cofinity Commercial |
$10.53
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$9.79
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$3.06
|
| Rate for Payer: Healthscope Commercial |
$11.02
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$9.18
|
| Rate for Payer: Mclaren Medicaid |
$2.16
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$3.21
|
| Rate for Payer: Meridian Medicaid |
$2.27
|
| Rate for Payer: MI Amish Medical Board Commercial |
$3.52
|
| Rate for Payer: Molina Medicare/Medicaid |
$3.37
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$10.40
|
| Rate for Payer: Nomi Health Commercial |
$10.04
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$9.18
|
| Rate for Payer: PACE Senior Care Partners |
$2.91
|
| Rate for Payer: PACE SWMI |
$3.06
|
| Rate for Payer: PHP Commercial |
$10.40
|
| Rate for Payer: PHP Medicare Advantage |
$3.06
|
| Rate for Payer: Priority Health Choice Medicaid |
$2.16
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$10.65
|
| Rate for Payer: Priority Health Medicare |
$3.09
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$8.52
|
| Rate for Payer: Railroad Medicare Medicare |
$3.06
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$10.77
|
| Rate for Payer: UHC Core |
$10.22
|
| Rate for Payer: UHC Exchange |
$3.06
|
| Rate for Payer: UHC Medicaid |
$2.16
|
| Rate for Payer: UHC Medicare Advantage |
$3.06
|
| Rate for Payer: UHCCP Medicaid |
$2.16
|
| Rate for Payer: VA VA |
$3.06
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$9.18
|
|
|
HC RECOVERY 2 INIT 30 MIN
|
Facility
|
OP
|
$338.20
|
|
| Hospital Charge Code |
71000023
|
|
Hospital Revenue Code
|
710
|
| Min. Negotiated Rate |
$59.62 |
| Max. Negotiated Rate |
$304.38 |
| Rate for Payer: Aetna Commercial |
$287.47
|
| Rate for Payer: Aetna Medicare |
$87.93
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$105.69
|
| Rate for Payer: Amish Plain Church Group Commercial |
$105.69
|
| Rate for Payer: BCBS Complete |
$62.60
|
| Rate for Payer: BCBS MAPPO |
$84.55
|
| Rate for Payer: BCBS Trust/PPO |
$278.03
|
| Rate for Payer: BCN Commercial |
$278.03
|
| Rate for Payer: BCN Medicare Advantage |
$84.55
|
| Rate for Payer: Cash Price |
$270.56
|
| Rate for Payer: Cofinity Commercial |
$290.85
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$270.56
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$84.55
|
| Rate for Payer: Healthscope Commercial |
$304.38
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$253.65
|
| Rate for Payer: Mclaren Medicaid |
$59.62
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$88.78
|
| Rate for Payer: Meridian Medicaid |
$62.60
|
| Rate for Payer: MI Amish Medical Board Commercial |
$97.23
|
| Rate for Payer: Molina Medicare/Medicaid |
$93.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$287.47
|
| Rate for Payer: Nomi Health Commercial |
$277.32
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$253.65
|
| Rate for Payer: PACE Senior Care Partners |
$80.32
|
| Rate for Payer: PACE SWMI |
$84.55
|
| Rate for Payer: PHP Commercial |
$287.47
|
| Rate for Payer: PHP Medicare Advantage |
$84.55
|
| Rate for Payer: Priority Health Choice Medicaid |
$59.62
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$294.23
|
| Rate for Payer: Priority Health Medicare |
$85.40
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$235.39
|
| Rate for Payer: Railroad Medicare Medicare |
$84.55
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$297.62
|
| Rate for Payer: UHC Core |
$282.40
|
| Rate for Payer: UHC Exchange |
$84.55
|
| Rate for Payer: UHC Medicaid |
$59.62
|
| Rate for Payer: UHC Medicare Advantage |
$84.55
|
| Rate for Payer: UHCCP Medicaid |
$59.62
|
| Rate for Payer: VA VA |
$84.55
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$253.65
|
|
