|
HC XR WRIST MIN 3 VW
|
Facility
|
IP
|
$400.20
|
|
|
Service Code
|
CPT 73110
|
| Hospital Charge Code |
32000082
|
|
Hospital Revenue Code
|
320
|
| Min. Negotiated Rate |
$244.08 |
| Max. Negotiated Rate |
$360.18 |
| Rate for Payer: Aetna Commercial |
$340.17
|
| Rate for Payer: BCBS Trust/PPO |
$309.27
|
| Rate for Payer: BCN Commercial |
$309.27
|
| Rate for Payer: Cash Price |
$320.16
|
| Rate for Payer: Cofinity Commercial |
$344.17
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$320.16
|
| Rate for Payer: Healthscope Commercial |
$360.18
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$300.15
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$340.17
|
| Rate for Payer: PHP Commercial |
$340.17
|
| Rate for Payer: Priority Health Cigna Priority Health |
$280.14
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$348.17
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$244.08
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$352.18
|
| Rate for Payer: UHC Core |
$334.17
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$300.15
|
|
|
HC XR WRIST MIN 3 VW
|
Facility
|
OP
|
$400.20
|
|
|
Service Code
|
CPT 73110
|
| Hospital Charge Code |
32000082
|
|
Hospital Revenue Code
|
320
|
| Min. Negotiated Rate |
$59.61 |
| Max. Negotiated Rate |
$360.18 |
| Rate for Payer: Aetna Commercial |
$340.17
|
| Rate for Payer: Aetna Medicare |
$104.05
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$125.06
|
| Rate for Payer: Amish Plain Church Group Commercial |
$125.06
|
| Rate for Payer: BCBS Complete |
$62.59
|
| Rate for Payer: BCBS MAPPO |
$100.05
|
| Rate for Payer: BCBS Trust/PPO |
$311.16
|
| Rate for Payer: BCN Commercial |
$311.16
|
| Rate for Payer: BCN Medicare Advantage |
$100.05
|
| Rate for Payer: Cash Price |
$320.16
|
| Rate for Payer: Cash Price |
$320.16
|
| Rate for Payer: Cofinity Commercial |
$344.17
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$320.16
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$100.05
|
| Rate for Payer: Healthscope Commercial |
$360.18
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$300.15
|
| Rate for Payer: Mclaren Medicaid |
$59.61
|
| Rate for Payer: Meridian Medicaid |
$62.59
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$105.05
|
| Rate for Payer: MI Amish Medical Board Commercial |
$115.06
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$340.17
|
| Rate for Payer: PACE Senior Care Partners |
$95.05
|
| Rate for Payer: PACE SWMI |
$100.05
|
| Rate for Payer: PHP Commercial |
$340.17
|
| Rate for Payer: PHP Medicare Advantage |
$100.05
|
| Rate for Payer: Priority Health Choice Medicaid |
$59.61
|
| Rate for Payer: Priority Health Cigna Priority Health |
$280.14
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$348.17
|
| Rate for Payer: Priority Health Medicare |
$100.05
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$244.08
|
| Rate for Payer: Railroad Medicare Medicare |
$100.05
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$352.18
|
| Rate for Payer: UHC Core |
$334.17
|
| Rate for Payer: UHC Dual Complete DSNP |
$100.05
|
| Rate for Payer: UHC Medicare Advantage |
$103.05
|
| Rate for Payer: VA VA |
$100.05
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$300.15
|
|
|
HC XTRASORB 6X9 EACH
|
Facility
|
OP
|
$15.94
|
|
| Hospital Charge Code |
27200293
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$3.79 |
| Max. Negotiated Rate |
$14.35 |
| Rate for Payer: Aetna Commercial |
$13.55
|
| Rate for Payer: Aetna Medicare |
$4.14
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$4.98
|
| Rate for Payer: Amish Plain Church Group Commercial |
$4.98
|
| Rate for Payer: BCBS Complete |
$6.38
|
| Rate for Payer: BCBS MAPPO |
$3.98
|
| Rate for Payer: BCBS Trust/PPO |
$12.39
|
| Rate for Payer: BCN Commercial |
$12.39
|
| Rate for Payer: BCN Medicare Advantage |
$3.98
|
| Rate for Payer: Cash Price |
$12.75
|
| Rate for Payer: Cofinity Commercial |
$13.71
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$12.75
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$3.98
|
| Rate for Payer: Healthscope Commercial |
$14.35
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$11.96
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$4.18
|
| Rate for Payer: MI Amish Medical Board Commercial |
$4.58
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$13.55
|
| Rate for Payer: PACE Senior Care Partners |
$3.79
|
| Rate for Payer: PACE SWMI |
$3.98
|
| Rate for Payer: PHP Commercial |
$13.55
|
| Rate for Payer: PHP Medicare Advantage |
$3.98
|
| Rate for Payer: Priority Health Cigna Priority Health |
$11.16
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$13.87
|
| Rate for Payer: Priority Health Medicare |
$3.98
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$9.72
|
| Rate for Payer: Railroad Medicare Medicare |
$3.98
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$14.03
|
| Rate for Payer: UHC Core |
$13.31
|
| Rate for Payer: UHC Dual Complete DSNP |
$3.98
|
| Rate for Payer: UHC Medicare Advantage |
$4.10
|
| Rate for Payer: VA VA |
$3.98
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$11.96
|
|
|
HC XTRASORB 6X9 EACH
|
Facility
|
IP
|
$15.94
|
|
| Hospital Charge Code |
27200293
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$9.72 |
| Max. Negotiated Rate |
$14.35 |
| Rate for Payer: Aetna Commercial |
$13.55
|
| Rate for Payer: BCBS Trust/PPO |
$12.32
|
| Rate for Payer: BCN Commercial |
$12.32
|
| Rate for Payer: Cash Price |
$12.75
|
| Rate for Payer: Cofinity Commercial |
$13.71
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$12.75
|
| Rate for Payer: Healthscope Commercial |
$14.35
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$11.96
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$13.55
|
| Rate for Payer: PHP Commercial |
$13.55
|
| Rate for Payer: Priority Health Cigna Priority Health |
$11.16
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$13.87
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$9.72
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$14.03
|
| Rate for Payer: UHC Core |
$13.31
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$11.96
|
|
|
HC Y ADAPTER WITH VENT
|
Facility
|
IP
|
$52.53
|
|
| Hospital Charge Code |
27006702
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$32.04 |
| Max. Negotiated Rate |
$47.28 |
| Rate for Payer: Aetna Commercial |
$44.65
|
| Rate for Payer: BCBS Trust/PPO |
$40.60
|
| Rate for Payer: BCN Commercial |
$40.60
|
| Rate for Payer: Cash Price |
$42.02
|
| Rate for Payer: Cofinity Commercial |
$45.18
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$42.02
|
| Rate for Payer: Healthscope Commercial |
$47.28
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$39.40
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$44.65
|
| Rate for Payer: PHP Commercial |
$44.65
|
| Rate for Payer: Priority Health Cigna Priority Health |
$36.77
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$45.70
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$32.04
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$46.23
|
| Rate for Payer: UHC Core |
$43.86
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$39.40
|
|
|
HC Y ADAPTER WITH VENT
|
Facility
|
OP
|
$52.53
|
|
| Hospital Charge Code |
27006702
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$12.48 |
| Max. Negotiated Rate |
$47.28 |
| Rate for Payer: Aetna Commercial |
$44.65
|
| Rate for Payer: Aetna Medicare |
$13.66
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$16.42
|
| Rate for Payer: Amish Plain Church Group Commercial |
$16.42
|
| Rate for Payer: BCBS Complete |
$21.01
|
| Rate for Payer: BCBS MAPPO |
$13.13
|
| Rate for Payer: BCBS Trust/PPO |
$40.84
|
| Rate for Payer: BCN Commercial |
$40.84
|
| Rate for Payer: BCN Medicare Advantage |
$13.13
|
| Rate for Payer: Cash Price |
$42.02
|
| Rate for Payer: Cofinity Commercial |
$45.18
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$42.02
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$13.13
|
| Rate for Payer: Healthscope Commercial |
$47.28
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$39.40
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$13.79
|
| Rate for Payer: MI Amish Medical Board Commercial |
$15.10
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$44.65
|
| Rate for Payer: PACE Senior Care Partners |
$12.48
|
| Rate for Payer: PACE SWMI |
$13.13
|
| Rate for Payer: PHP Commercial |
$44.65
|
| Rate for Payer: PHP Medicare Advantage |
$13.13
|
| Rate for Payer: Priority Health Cigna Priority Health |
$36.77
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$45.70
|
| Rate for Payer: Priority Health Medicare |
$13.13
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$32.04
|
| Rate for Payer: Railroad Medicare Medicare |
$13.13
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$46.23
|
| Rate for Payer: UHC Core |
$43.86
|
| Rate for Payer: UHC Dual Complete DSNP |
$13.13
|
| Rate for Payer: UHC Medicare Advantage |
$13.53
|
| Rate for Payer: VA VA |
$13.13
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$39.40
|
|
|
HC YEAST BREWERS IGE
|
Facility
|
OP
|
$24.89
|
|
|
Service Code
|
CPT 86003
|
| Hospital Charge Code |
30200111
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$3.85 |
| Max. Negotiated Rate |
$22.40 |
| Rate for Payer: Aetna Commercial |
$21.16
|
| Rate for Payer: Aetna Medicare |
$6.47
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$7.78
|
| Rate for Payer: Amish Plain Church Group Commercial |
$7.78
|
| Rate for Payer: BCBS Complete |
$4.04
|
| Rate for Payer: BCBS MAPPO |
$6.22
|
| Rate for Payer: BCBS Trust/PPO |
$19.35
|
| Rate for Payer: BCN Commercial |
$19.35
|
| Rate for Payer: BCN Medicare Advantage |
$6.22
|
| Rate for Payer: Cash Price |
$19.91
|
| Rate for Payer: Cash Price |
$19.91
|
| Rate for Payer: Cofinity Commercial |
$21.41
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$19.91
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$6.22
|
| Rate for Payer: Healthscope Commercial |
$22.40
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$18.67
|
| Rate for Payer: Mclaren Medicaid |
$3.85
|
| Rate for Payer: Meridian Medicaid |
$4.04
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$6.53
|
| Rate for Payer: MI Amish Medical Board Commercial |
$7.16
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$21.16
|
| Rate for Payer: PACE Senior Care Partners |
$5.91
|
| Rate for Payer: PACE SWMI |
$6.22
|
| Rate for Payer: PHP Commercial |
$21.16
|
| Rate for Payer: PHP Medicare Advantage |
$6.22
|
| Rate for Payer: Priority Health Choice Medicaid |
$3.85
|
| Rate for Payer: Priority Health Cigna Priority Health |
$17.42
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$21.65
|
| Rate for Payer: Priority Health Medicare |
$6.22
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$15.18
|
| Rate for Payer: Railroad Medicare Medicare |
$6.22
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$21.90
|
| Rate for Payer: UHC Core |
$20.78
|
| Rate for Payer: UHC Dual Complete DSNP |
$6.22
|
| Rate for Payer: UHC Medicare Advantage |
$6.41
|
| Rate for Payer: VA VA |
$6.22
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$18.67
|
|
|
HC YEAST BREWERS IGE
|
Facility
|
IP
|
$24.89
|
|
|
Service Code
|
CPT 86003
|
| Hospital Charge Code |
30200111
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$15.18 |
| Max. Negotiated Rate |
$22.40 |
| Rate for Payer: Aetna Commercial |
$21.16
|
| Rate for Payer: BCBS Trust/PPO |
$19.23
|
| Rate for Payer: BCN Commercial |
$19.23
|
| Rate for Payer: Cash Price |
$19.91
|
| Rate for Payer: Cofinity Commercial |
$21.41
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$19.91
|
| Rate for Payer: Healthscope Commercial |
$22.40
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$18.67
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$21.16
|
| Rate for Payer: PHP Commercial |
$21.16
|
| Rate for Payer: Priority Health Cigna Priority Health |
$17.42
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$21.65
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$15.18
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$21.90
|
| Rate for Payer: UHC Core |
$20.78
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$18.67
|
|
|
HC YELLOW DOCK IGE
|
Facility
|
OP
|
$24.89
|
|
|
Service Code
|
CPT 86003
|
| Hospital Charge Code |
30200112
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$3.85 |
| Max. Negotiated Rate |
$22.40 |
| Rate for Payer: Aetna Commercial |
$21.16
|
| Rate for Payer: Aetna Medicare |
$6.47
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$7.78
|
| Rate for Payer: Amish Plain Church Group Commercial |
$7.78
|
| Rate for Payer: BCBS Complete |
$4.04
|
| Rate for Payer: BCBS MAPPO |
$6.22
|
| Rate for Payer: BCBS Trust/PPO |
$19.35
|
| Rate for Payer: BCN Commercial |
$19.35
|
| Rate for Payer: BCN Medicare Advantage |
$6.22
|
| Rate for Payer: Cash Price |
$19.91
|
| Rate for Payer: Cash Price |
$19.91
|
| Rate for Payer: Cofinity Commercial |
$21.41
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$19.91
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$6.22
|
| Rate for Payer: Healthscope Commercial |
$22.40
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$18.67
|
| Rate for Payer: Mclaren Medicaid |
$3.85
|
| Rate for Payer: Meridian Medicaid |
$4.04
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$6.53
|
| Rate for Payer: MI Amish Medical Board Commercial |
$7.16
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$21.16
|
| Rate for Payer: PACE Senior Care Partners |
$5.91
|
| Rate for Payer: PACE SWMI |
$6.22
|
| Rate for Payer: PHP Commercial |
$21.16
|
| Rate for Payer: PHP Medicare Advantage |
$6.22
|
| Rate for Payer: Priority Health Choice Medicaid |
$3.85
|
| Rate for Payer: Priority Health Cigna Priority Health |
$17.42
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$21.65
|
| Rate for Payer: Priority Health Medicare |
$6.22
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$15.18
|
| Rate for Payer: Railroad Medicare Medicare |
$6.22
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$21.90
|
| Rate for Payer: UHC Core |
$20.78
|
| Rate for Payer: UHC Dual Complete DSNP |
$6.22
|
| Rate for Payer: UHC Medicare Advantage |
$6.41
|
| Rate for Payer: VA VA |
$6.22
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$18.67
|
|
|
HC YELLOW DOCK IGE
|
Facility
|
IP
|
$24.89
|
|
|
Service Code
|
CPT 86003
|
| Hospital Charge Code |
30200112
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$15.18 |
| Max. Negotiated Rate |
$22.40 |
| Rate for Payer: Aetna Commercial |
$21.16
|
| Rate for Payer: BCBS Trust/PPO |
$19.23
|
| Rate for Payer: BCN Commercial |
$19.23
|
| Rate for Payer: Cash Price |
$19.91
|
| Rate for Payer: Cofinity Commercial |
$21.41
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$19.91
|
| Rate for Payer: Healthscope Commercial |
$22.40
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$18.67
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$21.16
|
| Rate for Payer: PHP Commercial |
$21.16
|
| Rate for Payer: Priority Health Cigna Priority Health |
$17.42
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$21.65
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$15.18
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$21.90
|
| Rate for Payer: UHC Core |
$20.78
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$18.67
|
|
|
HC YELLOW HORNET IGE
|
Facility
|
OP
|
$24.89
|
|
|
Service Code
|
CPT 86003
|
| Hospital Charge Code |
30200113
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$3.85 |
| Max. Negotiated Rate |
$22.40 |
| Rate for Payer: Aetna Commercial |
$21.16
|
| Rate for Payer: Aetna Medicare |
$6.47
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$7.78
|
| Rate for Payer: Amish Plain Church Group Commercial |
$7.78
|
| Rate for Payer: BCBS Complete |
$4.04
|
| Rate for Payer: BCBS MAPPO |
$6.22
|
| Rate for Payer: BCBS Trust/PPO |
$19.35
|
| Rate for Payer: BCN Commercial |
$19.35
|
| Rate for Payer: BCN Medicare Advantage |
$6.22
|
| Rate for Payer: Cash Price |
$19.91
|
| Rate for Payer: Cash Price |
$19.91
|
| Rate for Payer: Cofinity Commercial |
$21.41
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$19.91
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$6.22
|
| Rate for Payer: Healthscope Commercial |
$22.40
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$18.67
|
| Rate for Payer: Mclaren Medicaid |
$3.85
|
| Rate for Payer: Meridian Medicaid |
$4.04
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$6.53
|
| Rate for Payer: MI Amish Medical Board Commercial |
$7.16
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$21.16
|
| Rate for Payer: PACE Senior Care Partners |
$5.91
|
| Rate for Payer: PACE SWMI |
$6.22
|
| Rate for Payer: PHP Commercial |
$21.16
|
| Rate for Payer: PHP Medicare Advantage |
$6.22
|
| Rate for Payer: Priority Health Choice Medicaid |
$3.85
|
| Rate for Payer: Priority Health Cigna Priority Health |
$17.42
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$21.65
|
| Rate for Payer: Priority Health Medicare |
$6.22
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$15.18
|
| Rate for Payer: Railroad Medicare Medicare |
$6.22
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$21.90
|
| Rate for Payer: UHC Core |
$20.78
|
| Rate for Payer: UHC Dual Complete DSNP |
$6.22
|
| Rate for Payer: UHC Medicare Advantage |
$6.41
|
| Rate for Payer: VA VA |
$6.22
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$18.67
|
|
|
HC YELLOW HORNET IGE
|
Facility
|
IP
|
$24.89
|
|
|
Service Code
|
CPT 86003
|
| Hospital Charge Code |
30200113
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$15.18 |
| Max. Negotiated Rate |
$22.40 |
| Rate for Payer: Aetna Commercial |
$21.16
|
| Rate for Payer: BCBS Trust/PPO |
$19.23
|
| Rate for Payer: BCN Commercial |
$19.23
|
| Rate for Payer: Cash Price |
$19.91
|
| Rate for Payer: Cofinity Commercial |
$21.41
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$19.91
|
| Rate for Payer: Healthscope Commercial |
$22.40
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$18.67
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$21.16
|
| Rate for Payer: PHP Commercial |
$21.16
|
| Rate for Payer: Priority Health Cigna Priority Health |
$17.42
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$21.65
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$15.18
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$21.90
|
| Rate for Payer: UHC Core |
$20.78
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$18.67
|
|
|
HC YELLOW JACKET IGE
|
Facility
|
OP
|
$24.89
|
|
|
Service Code
|
CPT 86003
|
| Hospital Charge Code |
30200114
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$3.85 |
| Max. Negotiated Rate |
$22.40 |
| Rate for Payer: Aetna Commercial |
$21.16
|
| Rate for Payer: Aetna Medicare |
$6.47
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$7.78
|
| Rate for Payer: Amish Plain Church Group Commercial |
$7.78
|
| Rate for Payer: BCBS Complete |
$4.04
|
| Rate for Payer: BCBS MAPPO |
$6.22
|
| Rate for Payer: BCBS Trust/PPO |
$19.35
|
| Rate for Payer: BCN Commercial |
$19.35
|
| Rate for Payer: BCN Medicare Advantage |
$6.22
|
| Rate for Payer: Cash Price |
$19.91
|
| Rate for Payer: Cash Price |
$19.91
|
| Rate for Payer: Cofinity Commercial |
$21.41
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$19.91
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$6.22
|
| Rate for Payer: Healthscope Commercial |
$22.40
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$18.67
|
| Rate for Payer: Mclaren Medicaid |
$3.85
|
| Rate for Payer: Meridian Medicaid |
$4.04
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$6.53
|
| Rate for Payer: MI Amish Medical Board Commercial |
$7.16
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$21.16
|
| Rate for Payer: PACE Senior Care Partners |
$5.91
|
| Rate for Payer: PACE SWMI |
$6.22
|
| Rate for Payer: PHP Commercial |
$21.16
|
| Rate for Payer: PHP Medicare Advantage |
$6.22
|
| Rate for Payer: Priority Health Choice Medicaid |
$3.85
|
| Rate for Payer: Priority Health Cigna Priority Health |
$17.42
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$21.65
|
| Rate for Payer: Priority Health Medicare |
$6.22
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$15.18
|
| Rate for Payer: Railroad Medicare Medicare |
$6.22
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$21.90
|
| Rate for Payer: UHC Core |
$20.78
|
| Rate for Payer: UHC Dual Complete DSNP |
$6.22
|
| Rate for Payer: UHC Medicare Advantage |
$6.41
|
| Rate for Payer: VA VA |
$6.22
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$18.67
|
|
|
HC YELLOW JACKET IGE
|
Facility
|
IP
|
$24.89
|
|
|
Service Code
|
CPT 86003
|
| Hospital Charge Code |
30200114
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$15.18 |
| Max. Negotiated Rate |
$22.40 |
| Rate for Payer: Aetna Commercial |
$21.16
|
| Rate for Payer: BCBS Trust/PPO |
$19.23
|
| Rate for Payer: BCN Commercial |
$19.23
|
| Rate for Payer: Cash Price |
$19.91
|
| Rate for Payer: Cofinity Commercial |
$21.41
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$19.91
|
| Rate for Payer: Healthscope Commercial |
$22.40
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$18.67
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$21.16
|
| Rate for Payer: PHP Commercial |
$21.16
|
| Rate for Payer: Priority Health Cigna Priority Health |
$17.42
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$21.65
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$15.18
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$21.90
|
| Rate for Payer: UHC Core |
$20.78
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$18.67
|
|
|
HC Y SET ANTE/RETRO
|
Facility
|
IP
|
$41.25
|
|
| Hospital Charge Code |
27000661
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$25.16 |
| Max. Negotiated Rate |
$37.12 |
| Rate for Payer: Aetna Commercial |
$35.06
|
| Rate for Payer: BCBS Trust/PPO |
$31.88
|
| Rate for Payer: BCN Commercial |
$31.88
|
| Rate for Payer: Cash Price |
$33.00
|
| Rate for Payer: Cofinity Commercial |
$35.48
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$33.00
|
| Rate for Payer: Healthscope Commercial |
$37.12
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$30.94
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$35.06
|
| Rate for Payer: PHP Commercial |
$35.06
|
| Rate for Payer: Priority Health Cigna Priority Health |
$28.88
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$35.89
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$25.16
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$36.30
|
| Rate for Payer: UHC Core |
$34.44
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$30.94
|
|
|
HC Y SET ANTE/RETRO
|
Facility
|
OP
|
$41.25
|
|
| Hospital Charge Code |
27000661
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$9.80 |
| Max. Negotiated Rate |
$37.12 |
| Rate for Payer: Aetna Commercial |
$35.06
|
| Rate for Payer: Aetna Medicare |
$10.72
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$12.89
|
| Rate for Payer: Amish Plain Church Group Commercial |
$12.89
|
| Rate for Payer: BCBS Complete |
$16.50
|
| Rate for Payer: BCBS MAPPO |
$10.31
|
| Rate for Payer: BCBS Trust/PPO |
$32.07
|
| Rate for Payer: BCN Commercial |
$32.07
|
| Rate for Payer: BCN Medicare Advantage |
$10.31
|
| Rate for Payer: Cash Price |
$33.00
|
| Rate for Payer: Cofinity Commercial |
$35.48
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$33.00
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$10.31
|
| Rate for Payer: Healthscope Commercial |
$37.12
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$30.94
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$10.83
|
| Rate for Payer: MI Amish Medical Board Commercial |
$11.86
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$35.06
|
| Rate for Payer: PACE Senior Care Partners |
$9.80
|
| Rate for Payer: PACE SWMI |
$10.31
|
| Rate for Payer: PHP Commercial |
$35.06
|
| Rate for Payer: PHP Medicare Advantage |
$10.31
|
| Rate for Payer: Priority Health Cigna Priority Health |
$28.88
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$35.89
|
| Rate for Payer: Priority Health Medicare |
$10.31
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$25.16
|
| Rate for Payer: Railroad Medicare Medicare |
$10.31
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$36.30
|
| Rate for Payer: UHC Core |
$34.44
|
| Rate for Payer: UHC Dual Complete DSNP |
$10.31
|
| Rate for Payer: UHC Medicare Advantage |
$10.62
|
| Rate for Payer: VA VA |
$10.31
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$30.94
|
|
|
HC YTTRIUM 90 MICROSPHERES
|
Facility
|
OP
|
$49,783.83
|
|
|
Service Code
|
HCPCS C2616
|
| Hospital Charge Code |
27800106
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$11,823.66 |
| Max. Negotiated Rate |
$44,805.45 |
| Rate for Payer: Aetna Commercial |
$42,316.26
|
| Rate for Payer: Aetna Medicare |
$12,943.80
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$15,557.45
|
| Rate for Payer: Amish Plain Church Group Commercial |
$15,557.45
|
| Rate for Payer: BCBS Complete |
$12,417.60
|
| Rate for Payer: BCBS MAPPO |
$12,445.96
|
| Rate for Payer: BCBS Trust/PPO |
$38,706.93
|
| Rate for Payer: BCN Commercial |
$38,706.93
|
| Rate for Payer: BCN Medicare Advantage |
$12,445.96
|
| Rate for Payer: Cash Price |
$39,827.06
|
| Rate for Payer: Cash Price |
$39,827.06
|
| Rate for Payer: Cofinity Commercial |
$42,814.09
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$39,827.06
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$12,445.96
|
| Rate for Payer: Healthscope Commercial |
$44,805.45
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$37,337.87
|
| Rate for Payer: Mclaren Medicaid |
$11,826.29
|
| Rate for Payer: Meridian Medicaid |
$12,417.60
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$13,068.26
|
| Rate for Payer: MI Amish Medical Board Commercial |
$14,312.85
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$42,316.26
|
| Rate for Payer: PACE Senior Care Partners |
$11,823.66
|
| Rate for Payer: PACE SWMI |
$12,445.96
|
| Rate for Payer: PHP Commercial |
$42,316.26
|
| Rate for Payer: PHP Medicare Advantage |
$12,445.96
|
| Rate for Payer: Priority Health Choice Medicaid |
$11,826.29
|
| Rate for Payer: Priority Health Cigna Priority Health |
$34,848.68
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$43,311.93
|
| Rate for Payer: Priority Health Medicare |
$12,445.96
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$30,363.16
|
| Rate for Payer: Railroad Medicare Medicare |
$12,445.96
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$43,809.77
|
| Rate for Payer: UHC Core |
$41,569.50
|
| Rate for Payer: UHC Dual Complete DSNP |
$12,445.96
|
| Rate for Payer: UHC Medicare Advantage |
$12,819.34
|
| Rate for Payer: VA VA |
$12,445.96
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$37,337.87
|
|
|
HC YTTRIUM 90 MICROSPHERES
|
Facility
|
IP
|
$49,783.83
|
|
|
Service Code
|
HCPCS C2616
|
| Hospital Charge Code |
27800106
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$30,363.16 |
| Max. Negotiated Rate |
$44,805.45 |
| Rate for Payer: Aetna Commercial |
$42,316.26
|
| Rate for Payer: BCBS Trust/PPO |
$38,472.94
|
| Rate for Payer: BCN Commercial |
$38,472.94
|
| Rate for Payer: Cash Price |
$39,827.06
|
| Rate for Payer: Cofinity Commercial |
$42,814.09
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$39,827.06
|
| Rate for Payer: Healthscope Commercial |
$44,805.45
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$37,337.87
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$42,316.26
|
| Rate for Payer: PHP Commercial |
$42,316.26
|
| Rate for Payer: Priority Health Cigna Priority Health |
$34,848.68
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$43,311.93
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$30,363.16
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$43,809.77
|
| Rate for Payer: UHC Core |
$41,569.50
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$37,337.87
|
|
|
HC Y VENOUS BICAVAL
|
Facility
|
OP
|
$41.00
|
|
| Hospital Charge Code |
27000279
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$9.74 |
| Max. Negotiated Rate |
$36.90 |
| Rate for Payer: Aetna Commercial |
$34.85
|
| Rate for Payer: Aetna Medicare |
$10.66
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$12.81
|
| Rate for Payer: Amish Plain Church Group Commercial |
$12.81
|
| Rate for Payer: BCBS Complete |
$16.40
|
| Rate for Payer: BCBS MAPPO |
$10.25
|
| Rate for Payer: BCBS Trust/PPO |
$31.88
|
| Rate for Payer: BCN Commercial |
$31.88
|
| Rate for Payer: BCN Medicare Advantage |
$10.25
|
| Rate for Payer: Cash Price |
$32.80
|
| Rate for Payer: Cofinity Commercial |
$35.26
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$32.80
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$10.25
|
| Rate for Payer: Healthscope Commercial |
$36.90
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$30.75
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$10.76
|
| Rate for Payer: MI Amish Medical Board Commercial |
$11.79
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$34.85
|
| Rate for Payer: PACE Senior Care Partners |
$9.74
|
| Rate for Payer: PACE SWMI |
$10.25
|
| Rate for Payer: PHP Commercial |
$34.85
|
| Rate for Payer: PHP Medicare Advantage |
$10.25
|
| Rate for Payer: Priority Health Cigna Priority Health |
$28.70
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$35.67
|
| Rate for Payer: Priority Health Medicare |
$10.25
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$25.01
|
| Rate for Payer: Railroad Medicare Medicare |
$10.25
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$36.08
|
| Rate for Payer: UHC Core |
$34.24
|
| Rate for Payer: UHC Dual Complete DSNP |
$10.25
|
| Rate for Payer: UHC Medicare Advantage |
$10.56
|
| Rate for Payer: VA VA |
$10.25
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$30.75
|
|
|
HC Y VENOUS BICAVAL
|
Facility
|
IP
|
$41.00
|
|
| Hospital Charge Code |
27000279
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$25.01 |
| Max. Negotiated Rate |
$36.90 |
| Rate for Payer: Aetna Commercial |
$34.85
|
| Rate for Payer: BCBS Trust/PPO |
$31.68
|
| Rate for Payer: BCN Commercial |
$31.68
|
| Rate for Payer: Cash Price |
$32.80
|
| Rate for Payer: Cofinity Commercial |
$35.26
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$32.80
|
| Rate for Payer: Healthscope Commercial |
$36.90
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$30.75
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$34.85
|
| Rate for Payer: PHP Commercial |
$34.85
|
| Rate for Payer: Priority Health Cigna Priority Health |
$28.70
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$35.67
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$25.01
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$36.08
|
| Rate for Payer: UHC Core |
$34.24
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$30.75
|
|
|
HC Z ACCESS DEVICE
|
Facility
|
IP
|
$200.84
|
|
|
Service Code
|
HCPCS C1894
|
| Hospital Charge Code |
27200082
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$122.49 |
| Max. Negotiated Rate |
$180.76 |
| Rate for Payer: Aetna Commercial |
$170.71
|
| Rate for Payer: BCBS Trust/PPO |
$155.21
|
| Rate for Payer: BCN Commercial |
$155.21
|
| Rate for Payer: Cash Price |
$160.67
|
| Rate for Payer: Cofinity Commercial |
$172.72
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$160.67
|
| Rate for Payer: Healthscope Commercial |
$180.76
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$150.63
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$170.71
|
| Rate for Payer: PHP Commercial |
$170.71
|
| Rate for Payer: Priority Health Cigna Priority Health |
$140.59
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$174.73
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$122.49
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$176.74
|
| Rate for Payer: UHC Core |
$167.70
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$150.63
|
|
|
HC Z ACCESS DEVICE
|
Facility
|
OP
|
$200.84
|
|
|
Service Code
|
HCPCS C1894
|
| Hospital Charge Code |
27200082
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$47.70 |
| Max. Negotiated Rate |
$180.76 |
| Rate for Payer: Aetna Commercial |
$170.71
|
| Rate for Payer: Aetna Medicare |
$52.22
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$62.76
|
| Rate for Payer: Amish Plain Church Group Commercial |
$62.76
|
| Rate for Payer: BCBS Complete |
$80.34
|
| Rate for Payer: BCBS MAPPO |
$50.21
|
| Rate for Payer: BCBS Trust/PPO |
$156.15
|
| Rate for Payer: BCN Commercial |
$156.15
|
| Rate for Payer: BCN Medicare Advantage |
$50.21
|
| Rate for Payer: Cash Price |
$160.67
|
| Rate for Payer: Cofinity Commercial |
$172.72
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$160.67
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$50.21
|
| Rate for Payer: Healthscope Commercial |
$180.76
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$150.63
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$52.72
|
| Rate for Payer: MI Amish Medical Board Commercial |
$57.74
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$170.71
|
| Rate for Payer: PACE Senior Care Partners |
$47.70
|
| Rate for Payer: PACE SWMI |
$50.21
|
| Rate for Payer: PHP Commercial |
$170.71
|
| Rate for Payer: PHP Medicare Advantage |
$50.21
|
| Rate for Payer: Priority Health Cigna Priority Health |
$140.59
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$174.73
|
| Rate for Payer: Priority Health Medicare |
$50.21
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$122.49
|
| Rate for Payer: Railroad Medicare Medicare |
$50.21
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$176.74
|
| Rate for Payer: UHC Core |
$167.70
|
| Rate for Payer: UHC Dual Complete DSNP |
$50.21
|
| Rate for Payer: UHC Medicare Advantage |
$51.72
|
| Rate for Payer: VA VA |
$50.21
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$150.63
|
|
|
HC Z ACCULINK CAROTID STENT
|
Facility
|
IP
|
$6,779.33
|
|
|
Service Code
|
HCPCS C1876
|
| Hospital Charge Code |
27800036
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$4,134.71 |
| Max. Negotiated Rate |
$6,101.40 |
| Rate for Payer: Aetna Commercial |
$5,762.43
|
| Rate for Payer: BCBS Trust/PPO |
$5,239.07
|
| Rate for Payer: BCN Commercial |
$5,239.07
|
| Rate for Payer: Cash Price |
$5,423.46
|
| Rate for Payer: Cofinity Commercial |
$5,830.22
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$5,423.46
|
| Rate for Payer: Healthscope Commercial |
$6,101.40
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$5,084.50
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$5,762.43
|
| Rate for Payer: PHP Commercial |
$5,762.43
|
| Rate for Payer: Priority Health Cigna Priority Health |
$4,745.53
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$5,898.02
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$4,134.71
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$5,965.81
|
| Rate for Payer: UHC Core |
$5,660.74
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$5,084.50
|
|
|
HC Z ACCULINK CAROTID STENT
|
Facility
|
OP
|
$6,779.33
|
|
|
Service Code
|
HCPCS C1876
|
| Hospital Charge Code |
27800036
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$1,610.09 |
| Max. Negotiated Rate |
$6,101.40 |
| Rate for Payer: Aetna Commercial |
$5,762.43
|
| Rate for Payer: Aetna Medicare |
$1,762.63
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$2,118.54
|
| Rate for Payer: Amish Plain Church Group Commercial |
$2,118.54
|
| Rate for Payer: BCBS Complete |
$2,711.73
|
| Rate for Payer: BCBS MAPPO |
$1,694.83
|
| Rate for Payer: BCBS Trust/PPO |
$5,270.93
|
| Rate for Payer: BCN Commercial |
$5,270.93
|
| Rate for Payer: BCN Medicare Advantage |
$1,694.83
|
| Rate for Payer: Cash Price |
$5,423.46
|
| Rate for Payer: Cofinity Commercial |
$5,830.22
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$5,423.46
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,694.83
|
| Rate for Payer: Healthscope Commercial |
$6,101.40
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$5,084.50
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,779.57
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,949.06
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$5,762.43
|
| Rate for Payer: PACE Senior Care Partners |
$1,610.09
|
| Rate for Payer: PACE SWMI |
$1,694.83
|
| Rate for Payer: PHP Commercial |
$5,762.43
|
| Rate for Payer: PHP Medicare Advantage |
$1,694.83
|
| Rate for Payer: Priority Health Cigna Priority Health |
$4,745.53
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$5,898.02
|
| Rate for Payer: Priority Health Medicare |
$1,694.83
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$4,134.71
|
| Rate for Payer: Railroad Medicare Medicare |
$1,694.83
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$5,965.81
|
| Rate for Payer: UHC Core |
$5,660.74
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,694.83
|
| Rate for Payer: UHC Medicare Advantage |
$1,745.68
|
| Rate for Payer: VA VA |
$1,694.83
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$5,084.50
|
|
|
HC Z ACCUNET PROTECTIVE SYSTEM
|
Facility
|
OP
|
$6,241.28
|
|
|
Service Code
|
HCPCS C1884
|
| Hospital Charge Code |
27800037
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$1,482.30 |
| Max. Negotiated Rate |
$5,617.15 |
| Rate for Payer: Aetna Commercial |
$5,305.09
|
| Rate for Payer: Aetna Medicare |
$1,622.73
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,950.40
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1,950.40
|
| Rate for Payer: BCBS Complete |
$2,496.51
|
| Rate for Payer: BCBS MAPPO |
$1,560.32
|
| Rate for Payer: BCBS Trust/PPO |
$4,852.60
|
| Rate for Payer: BCN Commercial |
$4,852.60
|
| Rate for Payer: BCN Medicare Advantage |
$1,560.32
|
| Rate for Payer: Cash Price |
$4,993.02
|
| Rate for Payer: Cofinity Commercial |
$5,367.50
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$4,993.02
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,560.32
|
| Rate for Payer: Healthscope Commercial |
$5,617.15
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$4,680.96
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,638.34
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,794.37
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$5,305.09
|
| Rate for Payer: PACE Senior Care Partners |
$1,482.30
|
| Rate for Payer: PACE SWMI |
$1,560.32
|
| Rate for Payer: PHP Commercial |
$5,305.09
|
| Rate for Payer: PHP Medicare Advantage |
$1,560.32
|
| Rate for Payer: Priority Health Cigna Priority Health |
$4,368.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$5,429.91
|
| Rate for Payer: Priority Health Medicare |
$1,560.32
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$3,806.56
|
| Rate for Payer: Railroad Medicare Medicare |
$1,560.32
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$5,492.33
|
| Rate for Payer: UHC Core |
$5,211.47
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,560.32
|
| Rate for Payer: UHC Medicare Advantage |
$1,607.13
|
| Rate for Payer: VA VA |
$1,560.32
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$4,680.96
|
|
