|
HC RESERVOIR TANDEM Y
|
Facility
|
IP
|
$31.21
|
|
| Hospital Charge Code |
27000667
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$21.72 |
| Max. Negotiated Rate |
$28.09 |
| Rate for Payer: Aetna Commercial |
$26.53
|
| Rate for Payer: BCBS Trust/PPO |
$25.78
|
| Rate for Payer: BCN Commercial |
$25.78
|
| Rate for Payer: Cash Price |
$24.97
|
| Rate for Payer: Cofinity Commercial |
$26.84
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$24.97
|
| Rate for Payer: Healthscope Commercial |
$28.09
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$23.41
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$26.53
|
| Rate for Payer: Nomi Health Commercial |
$25.59
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$23.41
|
| Rate for Payer: PHP Commercial |
$26.53
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$27.15
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$21.72
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$27.46
|
| Rate for Payer: UHC Core |
$26.06
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$23.41
|
|
|
HC RESERVOIR TANDEM Y
|
Facility
|
OP
|
$31.21
|
|
| Hospital Charge Code |
27000667
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$5.50 |
| Max. Negotiated Rate |
$28.09 |
| Rate for Payer: Aetna Commercial |
$26.53
|
| Rate for Payer: Aetna Medicare |
$8.11
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$9.75
|
| Rate for Payer: Amish Plain Church Group Commercial |
$9.75
|
| Rate for Payer: BCBS Complete |
$5.78
|
| Rate for Payer: BCBS MAPPO |
$7.80
|
| Rate for Payer: BCBS Trust/PPO |
$25.66
|
| Rate for Payer: BCN Commercial |
$25.66
|
| Rate for Payer: BCN Medicare Advantage |
$7.80
|
| Rate for Payer: Cash Price |
$24.97
|
| Rate for Payer: Cofinity Commercial |
$26.84
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$24.97
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$7.80
|
| Rate for Payer: Healthscope Commercial |
$28.09
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$23.41
|
| Rate for Payer: Mclaren Medicaid |
$5.50
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$8.19
|
| Rate for Payer: Meridian Medicaid |
$5.78
|
| Rate for Payer: MI Amish Medical Board Commercial |
$8.97
|
| Rate for Payer: Molina Medicare/Medicaid |
$8.58
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$26.53
|
| Rate for Payer: Nomi Health Commercial |
$25.59
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$23.41
|
| Rate for Payer: PACE Senior Care Partners |
$7.41
|
| Rate for Payer: PACE SWMI |
$7.80
|
| Rate for Payer: PHP Commercial |
$26.53
|
| Rate for Payer: PHP Medicare Advantage |
$7.80
|
| Rate for Payer: Priority Health Choice Medicaid |
$5.50
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$27.15
|
| Rate for Payer: Priority Health Medicare |
$7.88
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$21.72
|
| Rate for Payer: Railroad Medicare Medicare |
$7.80
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$27.46
|
| Rate for Payer: UHC Core |
$26.06
|
| Rate for Payer: UHC Exchange |
$7.80
|
| Rate for Payer: UHC Medicaid |
$5.50
|
| Rate for Payer: UHC Medicare Advantage |
$7.80
|
| Rate for Payer: UHCCP Medicaid |
$5.50
|
| Rate for Payer: VA VA |
$7.80
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$23.41
|
|
|
HC RESERVOIR VEN STAND ALONE
|
Facility
|
OP
|
$858.33
|
|
| Hospital Charge Code |
27000653
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$151.32 |
| Max. Negotiated Rate |
$772.50 |
| Rate for Payer: Aetna Commercial |
$729.58
|
| Rate for Payer: Aetna Medicare |
$223.17
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$268.23
|
| Rate for Payer: Amish Plain Church Group Commercial |
$268.23
|
| Rate for Payer: BCBS Complete |
$158.88
|
| Rate for Payer: BCBS MAPPO |
$214.58
|
| Rate for Payer: BCBS Trust/PPO |
$705.63
|
| Rate for Payer: BCN Commercial |
$705.63
|
| Rate for Payer: BCN Medicare Advantage |
$214.58
|
| Rate for Payer: Cash Price |
$686.66
|
| Rate for Payer: Cofinity Commercial |
$738.16
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$686.66
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$214.58
|
| Rate for Payer: Healthscope Commercial |
$772.50
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$643.75
|
| Rate for Payer: Mclaren Medicaid |
$151.32
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$225.31
|
| Rate for Payer: Meridian Medicaid |
$158.88
|
| Rate for Payer: MI Amish Medical Board Commercial |
$246.77
|
| Rate for Payer: Molina Medicare/Medicaid |
$236.04
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$729.58
|
| Rate for Payer: Nomi Health Commercial |
$703.83
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$643.75
|
| Rate for Payer: PACE Senior Care Partners |
$203.85
|
| Rate for Payer: PACE SWMI |
$214.58
|
| Rate for Payer: PHP Commercial |
$729.58
|
| Rate for Payer: PHP Medicare Advantage |
$214.58
|
| Rate for Payer: Priority Health Choice Medicaid |
$151.32
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$746.75
|
| Rate for Payer: Priority Health Medicare |
$216.73
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$597.40
|
| Rate for Payer: Railroad Medicare Medicare |
$214.58
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$755.33
|
| Rate for Payer: UHC Core |
$716.71
|
| Rate for Payer: UHC Exchange |
$214.58
|
| Rate for Payer: UHC Medicaid |
$151.32
|
| Rate for Payer: UHC Medicare Advantage |
$214.58
|
| Rate for Payer: UHCCP Medicaid |
$151.32
|
| Rate for Payer: VA VA |
$214.58
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$643.75
|
|
|
HC RESERVOIR VEN STAND ALONE
|
Facility
|
IP
|
$858.33
|
|
| Hospital Charge Code |
27000653
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$597.40 |
| Max. Negotiated Rate |
$772.50 |
| Rate for Payer: Aetna Commercial |
$729.58
|
| Rate for Payer: BCBS Trust/PPO |
$708.89
|
| Rate for Payer: BCN Commercial |
$708.89
|
| Rate for Payer: Cash Price |
$686.66
|
| Rate for Payer: Cofinity Commercial |
$738.16
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$686.66
|
| Rate for Payer: Healthscope Commercial |
$772.50
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$643.75
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$729.58
|
| Rate for Payer: Nomi Health Commercial |
$703.83
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$643.75
|
| Rate for Payer: PHP Commercial |
$729.58
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$746.75
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$597.40
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$755.33
|
| Rate for Payer: UHC Core |
$716.71
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$643.75
|
|
|
HC RESPIRATORY ALLERGEN PROFILE
|
Facility
|
OP
|
$25.90
|
|
|
Service Code
|
CPT 86003
|
| Hospital Charge Code |
30200121
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$4.57 |
| Max. Negotiated Rate |
$23.31 |
| Rate for Payer: Aetna Commercial |
$22.02
|
| Rate for Payer: Aetna Medicare |
$6.73
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$8.09
|
| Rate for Payer: Amish Plain Church Group Commercial |
$8.09
|
| Rate for Payer: BCBS Complete |
$4.79
|
| Rate for Payer: BCBS MAPPO |
$6.47
|
| Rate for Payer: BCBS Trust/PPO |
$21.29
|
| Rate for Payer: BCN Commercial |
$21.29
|
| Rate for Payer: BCN Medicare Advantage |
$6.47
|
| Rate for Payer: Cash Price |
$20.72
|
| Rate for Payer: Cofinity Commercial |
$22.27
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$20.72
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$6.47
|
| Rate for Payer: Healthscope Commercial |
$23.31
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$19.43
|
| Rate for Payer: Mclaren Medicaid |
$4.57
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$6.80
|
| Rate for Payer: Meridian Medicaid |
$4.79
|
| Rate for Payer: MI Amish Medical Board Commercial |
$7.45
|
| Rate for Payer: Molina Medicare/Medicaid |
$7.12
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$22.02
|
| Rate for Payer: Nomi Health Commercial |
$21.24
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$19.43
|
| Rate for Payer: PACE Senior Care Partners |
$6.15
|
| Rate for Payer: PACE SWMI |
$6.47
|
| Rate for Payer: PHP Commercial |
$22.02
|
| Rate for Payer: PHP Medicare Advantage |
$6.47
|
| Rate for Payer: Priority Health Choice Medicaid |
$4.57
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$22.53
|
| Rate for Payer: Priority Health Medicare |
$6.54
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$18.03
|
| Rate for Payer: Railroad Medicare Medicare |
$6.47
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$22.79
|
| Rate for Payer: UHC Core |
$21.63
|
| Rate for Payer: UHC Exchange |
$6.47
|
| Rate for Payer: UHC Medicaid |
$4.57
|
| Rate for Payer: UHC Medicare Advantage |
$6.47
|
| Rate for Payer: UHCCP Medicaid |
$4.57
|
| Rate for Payer: VA VA |
$6.47
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$19.43
|
|
|
HC RESPIRATORY ALLERGEN PROFILE
|
Facility
|
IP
|
$25.90
|
|
|
Service Code
|
CPT 86003
|
| Hospital Charge Code |
30200121
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$18.03 |
| Max. Negotiated Rate |
$23.31 |
| Rate for Payer: Aetna Commercial |
$22.02
|
| Rate for Payer: BCBS Trust/PPO |
$21.39
|
| Rate for Payer: BCN Commercial |
$21.39
|
| Rate for Payer: Cash Price |
$20.72
|
| Rate for Payer: Cofinity Commercial |
$22.27
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$20.72
|
| Rate for Payer: Healthscope Commercial |
$23.31
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$19.43
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$22.02
|
| Rate for Payer: Nomi Health Commercial |
$21.24
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$19.43
|
| Rate for Payer: PHP Commercial |
$22.02
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$22.53
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$18.03
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$22.79
|
| Rate for Payer: UHC Core |
$21.63
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$19.43
|
|
|
HC RESPIRATORY FLOW VOLUME
|
Facility
|
IP
|
$181.98
|
|
|
Service Code
|
CPT 94375
|
| Hospital Charge Code |
46000023
|
|
Hospital Revenue Code
|
460
|
| Min. Negotiated Rate |
$126.66 |
| Max. Negotiated Rate |
$163.78 |
| Rate for Payer: Aetna Commercial |
$154.68
|
| Rate for Payer: BCBS Trust/PPO |
$150.30
|
| Rate for Payer: BCN Commercial |
$150.30
|
| Rate for Payer: Cash Price |
$145.58
|
| Rate for Payer: Cofinity Commercial |
$156.50
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$145.58
|
| Rate for Payer: Healthscope Commercial |
$163.78
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$136.49
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$154.68
|
| Rate for Payer: Nomi Health Commercial |
$149.22
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$136.49
|
| Rate for Payer: PHP Commercial |
$154.68
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$158.32
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$126.66
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$160.14
|
| Rate for Payer: UHC Core |
$151.95
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$136.49
|
|
|
HC RESPIRATORY FLOW VOLUME
|
Facility
|
OP
|
$181.98
|
|
|
Service Code
|
CPT 94375
|
| Hospital Charge Code |
46000023
|
|
Hospital Revenue Code
|
460
|
| Min. Negotiated Rate |
$32.08 |
| Max. Negotiated Rate |
$163.78 |
| Rate for Payer: Aetna Commercial |
$154.68
|
| Rate for Payer: Aetna Medicare |
$47.31
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$56.87
|
| Rate for Payer: Amish Plain Church Group Commercial |
$56.87
|
| Rate for Payer: BCBS Complete |
$33.68
|
| Rate for Payer: BCBS MAPPO |
$45.49
|
| Rate for Payer: BCBS Trust/PPO |
$149.61
|
| Rate for Payer: BCN Commercial |
$149.61
|
| Rate for Payer: BCN Medicare Advantage |
$45.49
|
| Rate for Payer: Cash Price |
$145.58
|
| Rate for Payer: Cofinity Commercial |
$156.50
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$145.58
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$45.49
|
| Rate for Payer: Healthscope Commercial |
$163.78
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$136.49
|
| Rate for Payer: Mclaren Medicaid |
$32.08
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$47.77
|
| Rate for Payer: Meridian Medicaid |
$33.68
|
| Rate for Payer: MI Amish Medical Board Commercial |
$52.32
|
| Rate for Payer: Molina Medicare/Medicaid |
$50.04
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$154.68
|
| Rate for Payer: Nomi Health Commercial |
$149.22
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$136.49
|
| Rate for Payer: PACE Senior Care Partners |
$43.22
|
| Rate for Payer: PACE SWMI |
$45.49
|
| Rate for Payer: PHP Commercial |
$154.68
|
| Rate for Payer: PHP Medicare Advantage |
$45.49
|
| Rate for Payer: Priority Health Choice Medicaid |
$32.08
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$158.32
|
| Rate for Payer: Priority Health Medicare |
$45.95
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$126.66
|
| Rate for Payer: Railroad Medicare Medicare |
$45.49
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$160.14
|
| Rate for Payer: UHC Core |
$151.95
|
| Rate for Payer: UHC Exchange |
$45.49
|
| Rate for Payer: UHC Medicaid |
$32.08
|
| Rate for Payer: UHC Medicare Advantage |
$45.49
|
| Rate for Payer: UHCCP Medicaid |
$32.08
|
| Rate for Payer: VA VA |
$45.49
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$136.49
|
|
|
HC RESPIRATORY MOTION SIMULATION
|
Facility
|
OP
|
$1,075.70
|
|
|
Service Code
|
CPT 77293
|
| Hospital Charge Code |
33300058
|
|
Hospital Revenue Code
|
333
|
| Min. Negotiated Rate |
$189.65 |
| Max. Negotiated Rate |
$968.13 |
| Rate for Payer: Aetna Commercial |
$914.35
|
| Rate for Payer: Aetna Medicare |
$279.68
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$336.16
|
| Rate for Payer: Amish Plain Church Group Commercial |
$336.16
|
| Rate for Payer: BCBS Complete |
$199.11
|
| Rate for Payer: BCBS MAPPO |
$268.93
|
| Rate for Payer: BCBS Trust/PPO |
$884.33
|
| Rate for Payer: BCN Commercial |
$884.33
|
| Rate for Payer: BCN Medicare Advantage |
$268.93
|
| Rate for Payer: Cash Price |
$860.56
|
| Rate for Payer: Cofinity Commercial |
$925.10
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$860.56
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$268.93
|
| Rate for Payer: Healthscope Commercial |
$968.13
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$806.77
|
| Rate for Payer: Mclaren Medicaid |
$189.65
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$282.37
|
| Rate for Payer: Meridian Medicaid |
$199.11
|
| Rate for Payer: MI Amish Medical Board Commercial |
$309.26
|
| Rate for Payer: Molina Medicare/Medicaid |
$295.82
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$914.35
|
| Rate for Payer: Nomi Health Commercial |
$882.07
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$806.77
|
| Rate for Payer: PACE Senior Care Partners |
$255.48
|
| Rate for Payer: PACE SWMI |
$268.93
|
| Rate for Payer: PHP Commercial |
$914.35
|
| Rate for Payer: PHP Medicare Advantage |
$268.93
|
| Rate for Payer: Priority Health Choice Medicaid |
$189.65
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$935.86
|
| Rate for Payer: Priority Health Medicare |
$271.61
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$748.69
|
| Rate for Payer: Railroad Medicare Medicare |
$268.93
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$946.62
|
| Rate for Payer: UHC Core |
$898.21
|
| Rate for Payer: UHC Exchange |
$268.93
|
| Rate for Payer: UHC Medicaid |
$189.65
|
| Rate for Payer: UHC Medicare Advantage |
$268.93
|
| Rate for Payer: UHCCP Medicaid |
$189.65
|
| Rate for Payer: VA VA |
$268.93
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$806.77
|
|
|
HC RESPIRATORY MOTION SIMULATION
|
Facility
|
IP
|
$1,075.70
|
|
|
Service Code
|
CPT 77293
|
| Hospital Charge Code |
33300058
|
|
Hospital Revenue Code
|
333
|
| Min. Negotiated Rate |
$748.69 |
| Max. Negotiated Rate |
$968.13 |
| Rate for Payer: Aetna Commercial |
$914.35
|
| Rate for Payer: BCBS Trust/PPO |
$888.42
|
| Rate for Payer: BCN Commercial |
$888.42
|
| Rate for Payer: Cash Price |
$860.56
|
| Rate for Payer: Cofinity Commercial |
$925.10
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$860.56
|
| Rate for Payer: Healthscope Commercial |
$968.13
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$806.77
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$914.35
|
| Rate for Payer: Nomi Health Commercial |
$882.07
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$806.77
|
| Rate for Payer: PHP Commercial |
$914.35
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$935.86
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$748.69
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$946.62
|
| Rate for Payer: UHC Core |
$898.21
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$806.77
|
|
|
HC RESPIRATORY SYNCYTIAL VIRUS AG
|
Facility
|
IP
|
$103.62
|
|
|
Service Code
|
CPT 87807
|
| Hospital Charge Code |
30600175
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$72.12 |
| Max. Negotiated Rate |
$93.26 |
| Rate for Payer: Aetna Commercial |
$88.08
|
| Rate for Payer: BCBS Trust/PPO |
$85.58
|
| Rate for Payer: BCN Commercial |
$85.58
|
| Rate for Payer: Cash Price |
$82.90
|
| Rate for Payer: Cofinity Commercial |
$89.11
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$82.90
|
| Rate for Payer: Healthscope Commercial |
$93.26
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$77.72
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$88.08
|
| Rate for Payer: Nomi Health Commercial |
$84.97
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$77.72
|
| Rate for Payer: PHP Commercial |
$88.08
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$90.15
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$72.12
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$91.19
|
| Rate for Payer: UHC Core |
$86.52
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$77.72
|
|
|
HC RESPIRATORY SYNCYTIAL VIRUS AG
|
Facility
|
OP
|
$103.62
|
|
|
Service Code
|
CPT 87807
|
| Hospital Charge Code |
30600175
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$18.27 |
| Max. Negotiated Rate |
$93.26 |
| Rate for Payer: Aetna Commercial |
$88.08
|
| Rate for Payer: Aetna Medicare |
$26.94
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$32.38
|
| Rate for Payer: Amish Plain Church Group Commercial |
$32.38
|
| Rate for Payer: BCBS Complete |
$19.18
|
| Rate for Payer: BCBS MAPPO |
$25.91
|
| Rate for Payer: BCBS Trust/PPO |
$85.19
|
| Rate for Payer: BCN Commercial |
$85.19
|
| Rate for Payer: BCN Medicare Advantage |
$25.91
|
| Rate for Payer: Cash Price |
$82.90
|
| Rate for Payer: Cofinity Commercial |
$89.11
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$82.90
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$25.91
|
| Rate for Payer: Healthscope Commercial |
$93.26
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$77.72
|
| Rate for Payer: Mclaren Medicaid |
$18.27
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$27.20
|
| Rate for Payer: Meridian Medicaid |
$19.18
|
| Rate for Payer: MI Amish Medical Board Commercial |
$29.79
|
| Rate for Payer: Molina Medicare/Medicaid |
$28.50
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$88.08
|
| Rate for Payer: Nomi Health Commercial |
$84.97
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$77.72
|
| Rate for Payer: PACE Senior Care Partners |
$24.61
|
| Rate for Payer: PACE SWMI |
$25.91
|
| Rate for Payer: PHP Commercial |
$88.08
|
| Rate for Payer: PHP Medicare Advantage |
$25.91
|
| Rate for Payer: Priority Health Choice Medicaid |
$18.27
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$90.15
|
| Rate for Payer: Priority Health Medicare |
$26.16
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$72.12
|
| Rate for Payer: Railroad Medicare Medicare |
$25.91
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$91.19
|
| Rate for Payer: UHC Core |
$86.52
|
| Rate for Payer: UHC Exchange |
$25.91
|
| Rate for Payer: UHC Medicaid |
$18.27
|
| Rate for Payer: UHC Medicare Advantage |
$25.91
|
| Rate for Payer: UHCCP Medicaid |
$18.27
|
| Rate for Payer: VA VA |
$25.91
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$77.72
|
|
|
HC RESPIRATORY VIRAL ID
|
Facility
|
OP
|
$74.70
|
|
|
Service Code
|
CPT 87280
|
| Hospital Charge Code |
30600182
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$13.17 |
| Max. Negotiated Rate |
$67.23 |
| Rate for Payer: Aetna Commercial |
$63.49
|
| Rate for Payer: Aetna Medicare |
$19.42
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$23.34
|
| Rate for Payer: Amish Plain Church Group Commercial |
$23.34
|
| Rate for Payer: BCBS Complete |
$13.83
|
| Rate for Payer: BCBS MAPPO |
$18.68
|
| Rate for Payer: BCBS Trust/PPO |
$61.41
|
| Rate for Payer: BCN Commercial |
$61.41
|
| Rate for Payer: BCN Medicare Advantage |
$18.68
|
| Rate for Payer: Cash Price |
$59.76
|
| Rate for Payer: Cofinity Commercial |
$64.24
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$59.76
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$18.68
|
| Rate for Payer: Healthscope Commercial |
$67.23
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$56.02
|
| Rate for Payer: Mclaren Medicaid |
$13.17
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$19.61
|
| Rate for Payer: Meridian Medicaid |
$13.83
|
| Rate for Payer: MI Amish Medical Board Commercial |
$21.48
|
| Rate for Payer: Molina Medicare/Medicaid |
$20.54
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$63.49
|
| Rate for Payer: Nomi Health Commercial |
$61.25
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$56.02
|
| Rate for Payer: PACE Senior Care Partners |
$17.74
|
| Rate for Payer: PACE SWMI |
$18.68
|
| Rate for Payer: PHP Commercial |
$63.49
|
| Rate for Payer: PHP Medicare Advantage |
$18.68
|
| Rate for Payer: Priority Health Choice Medicaid |
$13.17
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$64.99
|
| Rate for Payer: Priority Health Medicare |
$18.86
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$51.99
|
| Rate for Payer: Railroad Medicare Medicare |
$18.68
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$65.74
|
| Rate for Payer: UHC Core |
$62.37
|
| Rate for Payer: UHC Exchange |
$18.68
|
| Rate for Payer: UHC Medicaid |
$13.17
|
| Rate for Payer: UHC Medicare Advantage |
$18.68
|
| Rate for Payer: UHCCP Medicaid |
$13.17
|
| Rate for Payer: VA VA |
$18.68
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$56.02
|
|
|
HC RESPIRATORY VIRAL ID
|
Facility
|
IP
|
$74.70
|
|
|
Service Code
|
CPT 87280
|
| Hospital Charge Code |
30600182
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$51.99 |
| Max. Negotiated Rate |
$67.23 |
| Rate for Payer: Aetna Commercial |
$63.49
|
| Rate for Payer: BCBS Trust/PPO |
$61.69
|
| Rate for Payer: BCN Commercial |
$61.69
|
| Rate for Payer: Cash Price |
$59.76
|
| Rate for Payer: Cofinity Commercial |
$64.24
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$59.76
|
| Rate for Payer: Healthscope Commercial |
$67.23
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$56.02
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$63.49
|
| Rate for Payer: Nomi Health Commercial |
$61.25
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$56.02
|
| Rate for Payer: PHP Commercial |
$63.49
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$64.99
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$51.99
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$65.74
|
| Rate for Payer: UHC Core |
$62.37
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$56.02
|
|
|
HC RESPIRATORY VIRAL PANEL
|
Facility
|
OP
|
$71.79
|
|
|
Service Code
|
CPT 87300
|
| Hospital Charge Code |
30600134
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$12.66 |
| Max. Negotiated Rate |
$64.61 |
| Rate for Payer: Aetna Commercial |
$61.02
|
| Rate for Payer: Aetna Medicare |
$18.67
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$22.43
|
| Rate for Payer: Amish Plain Church Group Commercial |
$22.43
|
| Rate for Payer: BCBS Complete |
$13.29
|
| Rate for Payer: BCBS MAPPO |
$17.95
|
| Rate for Payer: BCBS Trust/PPO |
$59.02
|
| Rate for Payer: BCN Commercial |
$59.02
|
| Rate for Payer: BCN Medicare Advantage |
$17.95
|
| Rate for Payer: Cash Price |
$57.43
|
| Rate for Payer: Cofinity Commercial |
$61.74
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$57.43
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$17.95
|
| Rate for Payer: Healthscope Commercial |
$64.61
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$53.84
|
| Rate for Payer: Mclaren Medicaid |
$12.66
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$18.84
|
| Rate for Payer: Meridian Medicaid |
$13.29
|
| Rate for Payer: MI Amish Medical Board Commercial |
$20.64
|
| Rate for Payer: Molina Medicare/Medicaid |
$19.74
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$61.02
|
| Rate for Payer: Nomi Health Commercial |
$58.87
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$53.84
|
| Rate for Payer: PACE Senior Care Partners |
$17.05
|
| Rate for Payer: PACE SWMI |
$17.95
|
| Rate for Payer: PHP Commercial |
$61.02
|
| Rate for Payer: PHP Medicare Advantage |
$17.95
|
| Rate for Payer: Priority Health Choice Medicaid |
$12.66
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$62.46
|
| Rate for Payer: Priority Health Medicare |
$18.13
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$49.97
|
| Rate for Payer: Railroad Medicare Medicare |
$17.95
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$63.18
|
| Rate for Payer: UHC Core |
$59.94
|
| Rate for Payer: UHC Exchange |
$17.95
|
| Rate for Payer: UHC Medicaid |
$12.66
|
| Rate for Payer: UHC Medicare Advantage |
$17.95
|
| Rate for Payer: UHCCP Medicaid |
$12.66
|
| Rate for Payer: VA VA |
$17.95
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$53.84
|
|
|
HC RESPIRATORY VIRAL PANEL
|
Facility
|
IP
|
$71.79
|
|
|
Service Code
|
CPT 87300
|
| Hospital Charge Code |
30600134
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$49.97 |
| Max. Negotiated Rate |
$64.61 |
| Rate for Payer: Aetna Commercial |
$61.02
|
| Rate for Payer: BCBS Trust/PPO |
$59.29
|
| Rate for Payer: BCN Commercial |
$59.29
|
| Rate for Payer: Cash Price |
$57.43
|
| Rate for Payer: Cofinity Commercial |
$61.74
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$57.43
|
| Rate for Payer: Healthscope Commercial |
$64.61
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$53.84
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$61.02
|
| Rate for Payer: Nomi Health Commercial |
$58.87
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$53.84
|
| Rate for Payer: PHP Commercial |
$61.02
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$62.46
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$49.97
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$63.18
|
| Rate for Payer: UHC Core |
$59.94
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$53.84
|
|
|
HC RESP SYNCTIAL VIRUS IG PER 50 MG
|
Facility
|
OP
|
$5,130.98
|
|
|
Service Code
|
CPT 90378
|
| Hospital Charge Code |
63600156
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$904.59 |
| Max. Negotiated Rate |
$4,617.88 |
| Rate for Payer: Aetna Commercial |
$4,361.33
|
| Rate for Payer: Aetna Medicare |
$1,334.05
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,603.43
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1,603.43
|
| Rate for Payer: BCBS Complete |
$949.74
|
| Rate for Payer: BCBS MAPPO |
$1,282.74
|
| Rate for Payer: BCBS Trust/PPO |
$4,218.18
|
| Rate for Payer: BCN Commercial |
$4,218.18
|
| Rate for Payer: BCN Medicare Advantage |
$1,282.74
|
| Rate for Payer: Cash Price |
$4,104.78
|
| Rate for Payer: Cofinity Commercial |
$4,412.64
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$4,104.78
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,282.74
|
| Rate for Payer: Healthscope Commercial |
$4,617.88
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$3,848.24
|
| Rate for Payer: Mclaren Medicaid |
$904.59
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,346.88
|
| Rate for Payer: Meridian Medicaid |
$949.74
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,475.16
|
| Rate for Payer: Molina Medicare/Medicaid |
$1,411.02
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$4,361.33
|
| Rate for Payer: Nomi Health Commercial |
$4,207.40
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$3,848.24
|
| Rate for Payer: PACE Senior Care Partners |
$1,218.61
|
| Rate for Payer: PACE SWMI |
$1,282.74
|
| Rate for Payer: PHP Commercial |
$4,361.33
|
| Rate for Payer: PHP Medicare Advantage |
$1,282.74
|
| Rate for Payer: Priority Health Choice Medicaid |
$904.59
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$4,463.95
|
| Rate for Payer: Priority Health Medicare |
$1,295.57
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$3,571.16
|
| Rate for Payer: Railroad Medicare Medicare |
$1,282.74
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$4,515.26
|
| Rate for Payer: UHC Core |
$4,284.37
|
| Rate for Payer: UHC Exchange |
$1,282.74
|
| Rate for Payer: UHC Medicaid |
$904.59
|
| Rate for Payer: UHC Medicare Advantage |
$1,282.74
|
| Rate for Payer: UHCCP Medicaid |
$904.59
|
| Rate for Payer: VA VA |
$1,282.74
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$3,848.24
|
|
|
HC RESP SYNCTIAL VIRUS IG PER 50 MG
|
Facility
|
IP
|
$5,130.98
|
|
|
Service Code
|
CPT 90378
|
| Hospital Charge Code |
63600156
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$3,571.16 |
| Max. Negotiated Rate |
$4,617.88 |
| Rate for Payer: Aetna Commercial |
$4,361.33
|
| Rate for Payer: BCBS Trust/PPO |
$4,237.68
|
| Rate for Payer: BCN Commercial |
$4,237.68
|
| Rate for Payer: Cash Price |
$4,104.78
|
| Rate for Payer: Cofinity Commercial |
$4,412.64
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$4,104.78
|
| Rate for Payer: Healthscope Commercial |
$4,617.88
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$3,848.24
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$4,361.33
|
| Rate for Payer: Nomi Health Commercial |
$4,207.40
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$3,848.24
|
| Rate for Payer: PHP Commercial |
$4,361.33
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$4,463.95
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$3,571.16
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$4,515.26
|
| Rate for Payer: UHC Core |
$4,284.37
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$3,848.24
|
|
|
HC RESP SYNCYTIAL VIRUS W/OPTIC
|
Facility
|
IP
|
$23.46
|
|
|
Service Code
|
CPT 87807
|
| Hospital Charge Code |
30000172
|
|
Hospital Revenue Code
|
300
|
| Min. Negotiated Rate |
$16.33 |
| Max. Negotiated Rate |
$21.11 |
| Rate for Payer: Aetna Commercial |
$19.94
|
| Rate for Payer: BCBS Trust/PPO |
$19.38
|
| Rate for Payer: BCN Commercial |
$19.38
|
| Rate for Payer: Cash Price |
$18.77
|
| Rate for Payer: Cofinity Commercial |
$20.18
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$18.77
|
| Rate for Payer: Healthscope Commercial |
$21.11
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$17.59
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$19.94
|
| Rate for Payer: Nomi Health Commercial |
$19.24
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$17.59
|
| Rate for Payer: PHP Commercial |
$19.94
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$20.41
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$16.33
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$20.64
|
| Rate for Payer: UHC Core |
$19.59
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$17.59
|
|
|
HC RESP SYNCYTIAL VIRUS W/OPTIC
|
Facility
|
OP
|
$23.46
|
|
|
Service Code
|
CPT 87807
|
| Hospital Charge Code |
30000172
|
|
Hospital Revenue Code
|
300
|
| Min. Negotiated Rate |
$4.14 |
| Max. Negotiated Rate |
$21.11 |
| Rate for Payer: Aetna Commercial |
$19.94
|
| Rate for Payer: Aetna Medicare |
$6.10
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$7.33
|
| Rate for Payer: Amish Plain Church Group Commercial |
$7.33
|
| Rate for Payer: BCBS Complete |
$4.34
|
| Rate for Payer: BCBS MAPPO |
$5.87
|
| Rate for Payer: BCBS Trust/PPO |
$19.29
|
| Rate for Payer: BCN Commercial |
$19.29
|
| Rate for Payer: BCN Medicare Advantage |
$5.87
|
| Rate for Payer: Cash Price |
$18.77
|
| Rate for Payer: Cofinity Commercial |
$20.18
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$18.77
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$5.87
|
| Rate for Payer: Healthscope Commercial |
$21.11
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$17.59
|
| Rate for Payer: Mclaren Medicaid |
$4.14
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$6.16
|
| Rate for Payer: Meridian Medicaid |
$4.34
|
| Rate for Payer: MI Amish Medical Board Commercial |
$6.74
|
| Rate for Payer: Molina Medicare/Medicaid |
$6.45
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$19.94
|
| Rate for Payer: Nomi Health Commercial |
$19.24
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$17.59
|
| Rate for Payer: PACE Senior Care Partners |
$5.57
|
| Rate for Payer: PACE SWMI |
$5.87
|
| Rate for Payer: PHP Commercial |
$19.94
|
| Rate for Payer: PHP Medicare Advantage |
$5.87
|
| Rate for Payer: Priority Health Choice Medicaid |
$4.14
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$20.41
|
| Rate for Payer: Priority Health Medicare |
$5.92
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$16.33
|
| Rate for Payer: Railroad Medicare Medicare |
$5.87
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$20.64
|
| Rate for Payer: UHC Core |
$19.59
|
| Rate for Payer: UHC Exchange |
$5.87
|
| Rate for Payer: UHC Medicaid |
$4.14
|
| Rate for Payer: UHC Medicare Advantage |
$5.87
|
| Rate for Payer: UHCCP Medicaid |
$4.14
|
| Rate for Payer: VA VA |
$5.87
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$17.59
|
|
|
HC RESP VIRAL PANEL BORDETELLA
|
Facility
|
OP
|
$63.67
|
|
|
Service Code
|
CPT 87798
|
| Hospital Charge Code |
30600189
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$11.23 |
| Max. Negotiated Rate |
$57.30 |
| Rate for Payer: Aetna Commercial |
$54.12
|
| Rate for Payer: Aetna Medicare |
$16.55
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$19.90
|
| Rate for Payer: Amish Plain Church Group Commercial |
$19.90
|
| Rate for Payer: BCBS Complete |
$11.79
|
| Rate for Payer: BCBS MAPPO |
$15.92
|
| Rate for Payer: BCBS Trust/PPO |
$52.34
|
| Rate for Payer: BCN Commercial |
$52.34
|
| Rate for Payer: BCN Medicare Advantage |
$15.92
|
| Rate for Payer: Cash Price |
$50.94
|
| Rate for Payer: Cofinity Commercial |
$54.76
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$50.94
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$15.92
|
| Rate for Payer: Healthscope Commercial |
$57.30
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$47.75
|
| Rate for Payer: Mclaren Medicaid |
$11.23
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$16.71
|
| Rate for Payer: Meridian Medicaid |
$11.79
|
| Rate for Payer: MI Amish Medical Board Commercial |
$18.31
|
| Rate for Payer: Molina Medicare/Medicaid |
$17.51
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$54.12
|
| Rate for Payer: Nomi Health Commercial |
$52.21
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$47.75
|
| Rate for Payer: PACE Senior Care Partners |
$15.12
|
| Rate for Payer: PACE SWMI |
$15.92
|
| Rate for Payer: PHP Commercial |
$54.12
|
| Rate for Payer: PHP Medicare Advantage |
$15.92
|
| Rate for Payer: Priority Health Choice Medicaid |
$11.23
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$55.39
|
| Rate for Payer: Priority Health Medicare |
$16.08
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$44.31
|
| Rate for Payer: Railroad Medicare Medicare |
$15.92
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$56.03
|
| Rate for Payer: UHC Core |
$53.16
|
| Rate for Payer: UHC Exchange |
$15.92
|
| Rate for Payer: UHC Medicaid |
$11.23
|
| Rate for Payer: UHC Medicare Advantage |
$15.92
|
| Rate for Payer: UHCCP Medicaid |
$11.23
|
| Rate for Payer: VA VA |
$15.92
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$47.75
|
|
|
HC RESP VIRAL PANEL BORDETELLA
|
Facility
|
IP
|
$63.67
|
|
|
Service Code
|
CPT 87798
|
| Hospital Charge Code |
30600189
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$44.31 |
| Max. Negotiated Rate |
$57.30 |
| Rate for Payer: Aetna Commercial |
$54.12
|
| Rate for Payer: BCBS Trust/PPO |
$52.59
|
| Rate for Payer: BCN Commercial |
$52.59
|
| Rate for Payer: Cash Price |
$50.94
|
| Rate for Payer: Cofinity Commercial |
$54.76
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$50.94
|
| Rate for Payer: Healthscope Commercial |
$57.30
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$47.75
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$54.12
|
| Rate for Payer: Nomi Health Commercial |
$52.21
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$47.75
|
| Rate for Payer: PHP Commercial |
$54.12
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$55.39
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$44.31
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$56.03
|
| Rate for Payer: UHC Core |
$53.16
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$47.75
|
|
|
HC RESP VIRAL PANEL CHLAMYDIA
|
Facility
|
OP
|
$63.67
|
|
|
Service Code
|
CPT 87486
|
| Hospital Charge Code |
30600186
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$11.23 |
| Max. Negotiated Rate |
$57.30 |
| Rate for Payer: Aetna Commercial |
$54.12
|
| Rate for Payer: Aetna Medicare |
$16.55
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$19.90
|
| Rate for Payer: Amish Plain Church Group Commercial |
$19.90
|
| Rate for Payer: BCBS Complete |
$11.79
|
| Rate for Payer: BCBS MAPPO |
$15.92
|
| Rate for Payer: BCBS Trust/PPO |
$52.34
|
| Rate for Payer: BCN Commercial |
$52.34
|
| Rate for Payer: BCN Medicare Advantage |
$15.92
|
| Rate for Payer: Cash Price |
$50.94
|
| Rate for Payer: Cofinity Commercial |
$54.76
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$50.94
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$15.92
|
| Rate for Payer: Healthscope Commercial |
$57.30
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$47.75
|
| Rate for Payer: Mclaren Medicaid |
$11.23
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$16.71
|
| Rate for Payer: Meridian Medicaid |
$11.79
|
| Rate for Payer: MI Amish Medical Board Commercial |
$18.31
|
| Rate for Payer: Molina Medicare/Medicaid |
$17.51
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$54.12
|
| Rate for Payer: Nomi Health Commercial |
$52.21
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$47.75
|
| Rate for Payer: PACE Senior Care Partners |
$15.12
|
| Rate for Payer: PACE SWMI |
$15.92
|
| Rate for Payer: PHP Commercial |
$54.12
|
| Rate for Payer: PHP Medicare Advantage |
$15.92
|
| Rate for Payer: Priority Health Choice Medicaid |
$11.23
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$55.39
|
| Rate for Payer: Priority Health Medicare |
$16.08
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$44.31
|
| Rate for Payer: Railroad Medicare Medicare |
$15.92
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$56.03
|
| Rate for Payer: UHC Core |
$53.16
|
| Rate for Payer: UHC Exchange |
$15.92
|
| Rate for Payer: UHC Medicaid |
$11.23
|
| Rate for Payer: UHC Medicare Advantage |
$15.92
|
| Rate for Payer: UHCCP Medicaid |
$11.23
|
| Rate for Payer: VA VA |
$15.92
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$47.75
|
|
|
HC RESP VIRAL PANEL CHLAMYDIA
|
Facility
|
IP
|
$63.67
|
|
|
Service Code
|
CPT 87486
|
| Hospital Charge Code |
30600186
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$44.31 |
| Max. Negotiated Rate |
$57.30 |
| Rate for Payer: Aetna Commercial |
$54.12
|
| Rate for Payer: BCBS Trust/PPO |
$52.59
|
| Rate for Payer: BCN Commercial |
$52.59
|
| Rate for Payer: Cash Price |
$50.94
|
| Rate for Payer: Cofinity Commercial |
$54.76
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$50.94
|
| Rate for Payer: Healthscope Commercial |
$57.30
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$47.75
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$54.12
|
| Rate for Payer: Nomi Health Commercial |
$52.21
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$47.75
|
| Rate for Payer: PHP Commercial |
$54.12
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$55.39
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$44.31
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$56.03
|
| Rate for Payer: UHC Core |
$53.16
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$47.75
|
|
|
HC RESP VIRAL PANEL MYCOPLASMA
|
Facility
|
IP
|
$63.67
|
|
|
Service Code
|
CPT 87581
|
| Hospital Charge Code |
30600185
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$44.31 |
| Max. Negotiated Rate |
$57.30 |
| Rate for Payer: Aetna Commercial |
$54.12
|
| Rate for Payer: BCBS Trust/PPO |
$52.59
|
| Rate for Payer: BCN Commercial |
$52.59
|
| Rate for Payer: Cash Price |
$50.94
|
| Rate for Payer: Cofinity Commercial |
$54.76
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$50.94
|
| Rate for Payer: Healthscope Commercial |
$57.30
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$47.75
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$54.12
|
| Rate for Payer: Nomi Health Commercial |
$52.21
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$47.75
|
| Rate for Payer: PHP Commercial |
$54.12
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$55.39
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$44.31
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$56.03
|
| Rate for Payer: UHC Core |
$53.16
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$47.75
|
|
