|
HC RF ABLATION KIDNEY TUMOR
|
Facility
|
IP
|
$7,935.33
|
|
|
Service Code
|
CPT 50592
|
| Hospital Charge Code |
36100247
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$5,522.99 |
| Max. Negotiated Rate |
$7,141.80 |
| Rate for Payer: Aetna Commercial |
$6,745.03
|
| Rate for Payer: BCBS Trust/PPO |
$6,553.79
|
| Rate for Payer: BCN Commercial |
$6,553.79
|
| Rate for Payer: Cash Price |
$6,348.26
|
| Rate for Payer: Cofinity Commercial |
$6,824.38
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$6,348.26
|
| Rate for Payer: Healthscope Commercial |
$7,141.80
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$5,951.50
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$6,745.03
|
| Rate for Payer: Nomi Health Commercial |
$6,506.97
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$5,951.50
|
| Rate for Payer: PHP Commercial |
$6,745.03
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$6,903.74
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$5,522.99
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$6,983.09
|
| Rate for Payer: UHC Core |
$6,626.00
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$5,951.50
|
|
|
HC RF ABLATION LIVER TUMOR
|
Facility
|
OP
|
$6,003.59
|
|
|
Service Code
|
CPT 47382
|
| Hospital Charge Code |
36100199
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$1,058.43 |
| Max. Negotiated Rate |
$5,403.23 |
| Rate for Payer: Aetna Commercial |
$5,103.05
|
| Rate for Payer: Aetna Medicare |
$1,560.93
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,876.12
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1,876.12
|
| Rate for Payer: BCBS Complete |
$1,111.26
|
| Rate for Payer: BCBS MAPPO |
$1,500.90
|
| Rate for Payer: BCBS Trust/PPO |
$4,935.55
|
| Rate for Payer: BCN Commercial |
$4,935.55
|
| Rate for Payer: BCN Medicare Advantage |
$1,500.90
|
| Rate for Payer: Cash Price |
$4,802.87
|
| Rate for Payer: Cofinity Commercial |
$5,163.09
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$4,802.87
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,500.90
|
| Rate for Payer: Healthscope Commercial |
$5,403.23
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$4,502.69
|
| Rate for Payer: Mclaren Medicaid |
$1,058.43
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,575.94
|
| Rate for Payer: Meridian Medicaid |
$1,111.26
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,726.03
|
| Rate for Payer: Molina Medicare/Medicaid |
$1,650.99
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$5,103.05
|
| Rate for Payer: Nomi Health Commercial |
$4,922.94
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$4,502.69
|
| Rate for Payer: PACE Senior Care Partners |
$1,425.85
|
| Rate for Payer: PACE SWMI |
$1,500.90
|
| Rate for Payer: PHP Commercial |
$5,103.05
|
| Rate for Payer: PHP Medicare Advantage |
$1,500.90
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,058.43
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$5,223.12
|
| Rate for Payer: Priority Health Medicare |
$1,515.91
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$4,178.50
|
| Rate for Payer: Railroad Medicare Medicare |
$1,500.90
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$5,283.16
|
| Rate for Payer: UHC Core |
$5,013.00
|
| Rate for Payer: UHC Exchange |
$1,500.90
|
| Rate for Payer: UHC Medicaid |
$1,058.43
|
| Rate for Payer: UHC Medicare Advantage |
$1,500.90
|
| Rate for Payer: UHCCP Medicaid |
$1,058.43
|
| Rate for Payer: VA VA |
$1,500.90
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$4,502.69
|
|
|
HC RF ABLATION LIVER TUMOR
|
Facility
|
IP
|
$6,003.59
|
|
|
Service Code
|
CPT 47382
|
| Hospital Charge Code |
36100199
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$4,178.50 |
| Max. Negotiated Rate |
$5,403.23 |
| Rate for Payer: Aetna Commercial |
$5,103.05
|
| Rate for Payer: BCBS Trust/PPO |
$4,958.36
|
| Rate for Payer: BCN Commercial |
$4,958.36
|
| Rate for Payer: Cash Price |
$4,802.87
|
| Rate for Payer: Cofinity Commercial |
$5,163.09
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$4,802.87
|
| Rate for Payer: Healthscope Commercial |
$5,403.23
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$4,502.69
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$5,103.05
|
| Rate for Payer: Nomi Health Commercial |
$4,922.94
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$4,502.69
|
| Rate for Payer: PHP Commercial |
$5,103.05
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$5,223.12
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$4,178.50
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$5,283.16
|
| Rate for Payer: UHC Core |
$5,013.00
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$4,502.69
|
|
|
HC RFABLATION NRV INNERVATING SI JT W IMAG
|
Facility
|
OP
|
$2,736.88
|
|
|
Service Code
|
CPT 64625
|
| Hospital Charge Code |
36100594
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$482.51 |
| Max. Negotiated Rate |
$2,463.19 |
| Rate for Payer: Aetna Commercial |
$2,326.35
|
| Rate for Payer: Aetna Medicare |
$711.59
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$855.27
|
| Rate for Payer: Amish Plain Church Group Commercial |
$855.27
|
| Rate for Payer: BCBS Complete |
$506.60
|
| Rate for Payer: BCBS MAPPO |
$684.22
|
| Rate for Payer: BCBS Trust/PPO |
$2,249.99
|
| Rate for Payer: BCN Commercial |
$2,249.99
|
| Rate for Payer: BCN Medicare Advantage |
$684.22
|
| Rate for Payer: Cash Price |
$2,189.50
|
| Rate for Payer: Cofinity Commercial |
$2,353.72
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,189.50
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$684.22
|
| Rate for Payer: Healthscope Commercial |
$2,463.19
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,052.66
|
| Rate for Payer: Mclaren Medicaid |
$482.51
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$718.43
|
| Rate for Payer: Meridian Medicaid |
$506.60
|
| Rate for Payer: MI Amish Medical Board Commercial |
$786.85
|
| Rate for Payer: Molina Medicare/Medicaid |
$752.64
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,326.35
|
| Rate for Payer: Nomi Health Commercial |
$2,244.24
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,052.66
|
| Rate for Payer: PACE Senior Care Partners |
$650.01
|
| Rate for Payer: PACE SWMI |
$684.22
|
| Rate for Payer: PHP Commercial |
$2,326.35
|
| Rate for Payer: PHP Medicare Advantage |
$684.22
|
| Rate for Payer: Priority Health Choice Medicaid |
$482.51
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$2,381.09
|
| Rate for Payer: Priority Health Medicare |
$691.06
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,904.87
|
| Rate for Payer: Railroad Medicare Medicare |
$684.22
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,408.45
|
| Rate for Payer: UHC Core |
$2,285.29
|
| Rate for Payer: UHC Exchange |
$684.22
|
| Rate for Payer: UHC Medicaid |
$482.51
|
| Rate for Payer: UHC Medicare Advantage |
$684.22
|
| Rate for Payer: UHCCP Medicaid |
$482.51
|
| Rate for Payer: VA VA |
$684.22
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,052.66
|
|
|
HC RFABLATION NRV INNERVATING SI JT W IMAG
|
Facility
|
IP
|
$2,736.88
|
|
|
Service Code
|
CPT 64625
|
| Hospital Charge Code |
36100594
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$1,904.87 |
| Max. Negotiated Rate |
$2,463.19 |
| Rate for Payer: Aetna Commercial |
$2,326.35
|
| Rate for Payer: BCBS Trust/PPO |
$2,260.39
|
| Rate for Payer: BCN Commercial |
$2,260.39
|
| Rate for Payer: Cash Price |
$2,189.50
|
| Rate for Payer: Cofinity Commercial |
$2,353.72
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,189.50
|
| Rate for Payer: Healthscope Commercial |
$2,463.19
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,052.66
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,326.35
|
| Rate for Payer: Nomi Health Commercial |
$2,244.24
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,052.66
|
| Rate for Payer: PHP Commercial |
$2,326.35
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$2,381.09
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,904.87
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,408.45
|
| Rate for Payer: UHC Core |
$2,285.29
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,052.66
|
|
|
HC RF TRANSSEPTAL NEEDLE
|
Facility
|
OP
|
$1,824.29
|
|
| Hospital Charge Code |
27200285
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$321.62 |
| Max. Negotiated Rate |
$1,641.86 |
| Rate for Payer: Aetna Commercial |
$1,550.65
|
| Rate for Payer: Aetna Medicare |
$474.32
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$570.09
|
| Rate for Payer: Amish Plain Church Group Commercial |
$570.09
|
| Rate for Payer: BCBS Complete |
$337.68
|
| Rate for Payer: BCBS MAPPO |
$456.07
|
| Rate for Payer: BCBS Trust/PPO |
$1,499.75
|
| Rate for Payer: BCN Commercial |
$1,499.75
|
| Rate for Payer: BCN Medicare Advantage |
$456.07
|
| Rate for Payer: Cash Price |
$1,459.43
|
| Rate for Payer: Cofinity Commercial |
$1,568.89
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,459.43
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$456.07
|
| Rate for Payer: Healthscope Commercial |
$1,641.86
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,368.22
|
| Rate for Payer: Mclaren Medicaid |
$321.62
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$478.88
|
| Rate for Payer: Meridian Medicaid |
$337.68
|
| Rate for Payer: MI Amish Medical Board Commercial |
$524.48
|
| Rate for Payer: Molina Medicare/Medicaid |
$501.68
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,550.65
|
| Rate for Payer: Nomi Health Commercial |
$1,495.92
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,368.22
|
| Rate for Payer: PACE Senior Care Partners |
$433.27
|
| Rate for Payer: PACE SWMI |
$456.07
|
| Rate for Payer: PHP Commercial |
$1,550.65
|
| Rate for Payer: PHP Medicare Advantage |
$456.07
|
| Rate for Payer: Priority Health Choice Medicaid |
$321.62
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$1,587.13
|
| Rate for Payer: Priority Health Medicare |
$460.63
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,269.71
|
| Rate for Payer: Railroad Medicare Medicare |
$456.07
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,605.38
|
| Rate for Payer: UHC Core |
$1,523.28
|
| Rate for Payer: UHC Exchange |
$456.07
|
| Rate for Payer: UHC Medicaid |
$321.62
|
| Rate for Payer: UHC Medicare Advantage |
$456.07
|
| Rate for Payer: UHCCP Medicaid |
$321.62
|
| Rate for Payer: VA VA |
$456.07
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,368.22
|
|
|
HC RF TRANSSEPTAL NEEDLE
|
Facility
|
IP
|
$1,824.29
|
|
| Hospital Charge Code |
27200285
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$1,269.71 |
| Max. Negotiated Rate |
$1,641.86 |
| Rate for Payer: Aetna Commercial |
$1,550.65
|
| Rate for Payer: BCBS Trust/PPO |
$1,506.68
|
| Rate for Payer: BCN Commercial |
$1,506.68
|
| Rate for Payer: Cash Price |
$1,459.43
|
| Rate for Payer: Cofinity Commercial |
$1,568.89
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,459.43
|
| Rate for Payer: Healthscope Commercial |
$1,641.86
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,368.22
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,550.65
|
| Rate for Payer: Nomi Health Commercial |
$1,495.92
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,368.22
|
| Rate for Payer: PHP Commercial |
$1,550.65
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$1,587.13
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,269.71
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,605.38
|
| Rate for Payer: UHC Core |
$1,523.28
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,368.22
|
|
|
HC RHEUMATOID FACTOR
|
Facility
|
OP
|
$26.53
|
|
|
Service Code
|
CPT 86431
|
| Hospital Charge Code |
30200211
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$4.68 |
| Max. Negotiated Rate |
$23.88 |
| Rate for Payer: Aetna Commercial |
$22.55
|
| Rate for Payer: Aetna Medicare |
$6.90
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$8.29
|
| Rate for Payer: Amish Plain Church Group Commercial |
$8.29
|
| Rate for Payer: BCBS Complete |
$4.91
|
| Rate for Payer: BCBS MAPPO |
$6.63
|
| Rate for Payer: BCBS Trust/PPO |
$21.81
|
| Rate for Payer: BCN Commercial |
$21.81
|
| Rate for Payer: BCN Medicare Advantage |
$6.63
|
| Rate for Payer: Cash Price |
$21.22
|
| Rate for Payer: Cofinity Commercial |
$22.82
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$21.22
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$6.63
|
| Rate for Payer: Healthscope Commercial |
$23.88
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$19.90
|
| Rate for Payer: Mclaren Medicaid |
$4.68
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$6.96
|
| Rate for Payer: Meridian Medicaid |
$4.91
|
| Rate for Payer: MI Amish Medical Board Commercial |
$7.63
|
| Rate for Payer: Molina Medicare/Medicaid |
$7.30
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$22.55
|
| Rate for Payer: Nomi Health Commercial |
$21.75
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$19.90
|
| Rate for Payer: PACE Senior Care Partners |
$6.30
|
| Rate for Payer: PACE SWMI |
$6.63
|
| Rate for Payer: PHP Commercial |
$22.55
|
| Rate for Payer: PHP Medicare Advantage |
$6.63
|
| Rate for Payer: Priority Health Choice Medicaid |
$4.68
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$23.08
|
| Rate for Payer: Priority Health Medicare |
$6.70
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$18.46
|
| Rate for Payer: Railroad Medicare Medicare |
$6.63
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$23.35
|
| Rate for Payer: UHC Core |
$22.15
|
| Rate for Payer: UHC Exchange |
$6.63
|
| Rate for Payer: UHC Medicaid |
$4.68
|
| Rate for Payer: UHC Medicare Advantage |
$6.63
|
| Rate for Payer: UHCCP Medicaid |
$4.68
|
| Rate for Payer: VA VA |
$6.63
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$19.90
|
|
|
HC RHEUMATOID FACTOR
|
Facility
|
IP
|
$26.53
|
|
|
Service Code
|
CPT 86431
|
| Hospital Charge Code |
30200211
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$18.46 |
| Max. Negotiated Rate |
$23.88 |
| Rate for Payer: Aetna Commercial |
$22.55
|
| Rate for Payer: BCBS Trust/PPO |
$21.91
|
| Rate for Payer: BCN Commercial |
$21.91
|
| Rate for Payer: Cash Price |
$21.22
|
| Rate for Payer: Cofinity Commercial |
$22.82
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$21.22
|
| Rate for Payer: Healthscope Commercial |
$23.88
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$19.90
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$22.55
|
| Rate for Payer: Nomi Health Commercial |
$21.75
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$19.90
|
| Rate for Payer: PHP Commercial |
$22.55
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$23.08
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$18.46
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$23.35
|
| Rate for Payer: UHC Core |
$22.15
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$19.90
|
|
|
HC RHOGAM
|
Facility
|
IP
|
$289.66
|
|
|
Service Code
|
HCPCS J2790
|
| Hospital Charge Code |
63600006
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$201.60 |
| Max. Negotiated Rate |
$260.69 |
| Rate for Payer: Aetna Commercial |
$246.21
|
| Rate for Payer: BCBS Trust/PPO |
$239.23
|
| Rate for Payer: BCN Commercial |
$239.23
|
| Rate for Payer: Cash Price |
$231.73
|
| Rate for Payer: Cofinity Commercial |
$249.11
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$231.73
|
| Rate for Payer: Healthscope Commercial |
$260.69
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$217.25
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$246.21
|
| Rate for Payer: Nomi Health Commercial |
$237.52
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$217.25
|
| Rate for Payer: PHP Commercial |
$246.21
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$252.00
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$201.60
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$254.90
|
| Rate for Payer: UHC Core |
$241.87
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$217.25
|
|
|
HC RHOGAM
|
Facility
|
OP
|
$289.66
|
|
|
Service Code
|
HCPCS J2790
|
| Hospital Charge Code |
63600006
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$51.07 |
| Max. Negotiated Rate |
$260.69 |
| Rate for Payer: Aetna Commercial |
$246.21
|
| Rate for Payer: Aetna Medicare |
$75.31
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$90.52
|
| Rate for Payer: Amish Plain Church Group Commercial |
$90.52
|
| Rate for Payer: BCBS Complete |
$53.62
|
| Rate for Payer: BCBS MAPPO |
$72.42
|
| Rate for Payer: BCBS Trust/PPO |
$238.13
|
| Rate for Payer: BCN Commercial |
$238.13
|
| Rate for Payer: BCN Medicare Advantage |
$72.42
|
| Rate for Payer: Cash Price |
$231.73
|
| Rate for Payer: Cofinity Commercial |
$249.11
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$231.73
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$72.42
|
| Rate for Payer: Healthscope Commercial |
$260.69
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$217.25
|
| Rate for Payer: Mclaren Medicaid |
$51.07
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$76.04
|
| Rate for Payer: Meridian Medicaid |
$53.62
|
| Rate for Payer: MI Amish Medical Board Commercial |
$83.28
|
| Rate for Payer: Molina Medicare/Medicaid |
$79.66
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$246.21
|
| Rate for Payer: Nomi Health Commercial |
$237.52
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$217.25
|
| Rate for Payer: PACE Senior Care Partners |
$68.79
|
| Rate for Payer: PACE SWMI |
$72.42
|
| Rate for Payer: PHP Commercial |
$246.21
|
| Rate for Payer: PHP Medicare Advantage |
$72.42
|
| Rate for Payer: Priority Health Choice Medicaid |
$51.07
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$252.00
|
| Rate for Payer: Priority Health Medicare |
$73.14
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$201.60
|
| Rate for Payer: Railroad Medicare Medicare |
$72.42
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$254.90
|
| Rate for Payer: UHC Core |
$241.87
|
| Rate for Payer: UHC Exchange |
$72.42
|
| Rate for Payer: UHC Medicaid |
$51.07
|
| Rate for Payer: UHC Medicare Advantage |
$72.42
|
| Rate for Payer: UHCCP Medicaid |
$51.07
|
| Rate for Payer: VA VA |
$72.42
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$217.25
|
|
|
HC RIBOSOME P AB, IGG
|
Facility
|
OP
|
$35.87
|
|
|
Service Code
|
CPT 86235
|
| Hospital Charge Code |
30200433
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$6.32 |
| Max. Negotiated Rate |
$32.28 |
| Rate for Payer: Aetna Commercial |
$30.49
|
| Rate for Payer: Aetna Medicare |
$9.33
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$11.21
|
| Rate for Payer: Amish Plain Church Group Commercial |
$11.21
|
| Rate for Payer: BCBS Complete |
$6.64
|
| Rate for Payer: BCBS MAPPO |
$8.97
|
| Rate for Payer: BCBS Trust/PPO |
$29.49
|
| Rate for Payer: BCN Commercial |
$29.49
|
| Rate for Payer: BCN Medicare Advantage |
$8.97
|
| Rate for Payer: Cash Price |
$28.70
|
| Rate for Payer: Cofinity Commercial |
$30.85
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$28.70
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$8.97
|
| Rate for Payer: Healthscope Commercial |
$32.28
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$26.90
|
| Rate for Payer: Mclaren Medicaid |
$6.32
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$9.42
|
| Rate for Payer: Meridian Medicaid |
$6.64
|
| Rate for Payer: MI Amish Medical Board Commercial |
$10.31
|
| Rate for Payer: Molina Medicare/Medicaid |
$9.86
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$30.49
|
| Rate for Payer: Nomi Health Commercial |
$29.41
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$26.90
|
| Rate for Payer: PACE Senior Care Partners |
$8.52
|
| Rate for Payer: PACE SWMI |
$8.97
|
| Rate for Payer: PHP Commercial |
$30.49
|
| Rate for Payer: PHP Medicare Advantage |
$8.97
|
| Rate for Payer: Priority Health Choice Medicaid |
$6.32
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$31.21
|
| Rate for Payer: Priority Health Medicare |
$9.06
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$24.97
|
| Rate for Payer: Railroad Medicare Medicare |
$8.97
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$31.57
|
| Rate for Payer: UHC Core |
$29.95
|
| Rate for Payer: UHC Exchange |
$8.97
|
| Rate for Payer: UHC Medicaid |
$6.32
|
| Rate for Payer: UHC Medicare Advantage |
$8.97
|
| Rate for Payer: UHCCP Medicaid |
$6.32
|
| Rate for Payer: VA VA |
$8.97
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$26.90
|
|
|
HC RIBOSOME P AB, IGG
|
Facility
|
IP
|
$35.87
|
|
|
Service Code
|
CPT 86235
|
| Hospital Charge Code |
30200433
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$24.97 |
| Max. Negotiated Rate |
$32.28 |
| Rate for Payer: Aetna Commercial |
$30.49
|
| Rate for Payer: BCBS Trust/PPO |
$29.63
|
| Rate for Payer: BCN Commercial |
$29.63
|
| Rate for Payer: Cash Price |
$28.70
|
| Rate for Payer: Cofinity Commercial |
$30.85
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$28.70
|
| Rate for Payer: Healthscope Commercial |
$32.28
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$26.90
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$30.49
|
| Rate for Payer: Nomi Health Commercial |
$29.41
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$26.90
|
| Rate for Payer: PHP Commercial |
$30.49
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$31.21
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$24.97
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$31.57
|
| Rate for Payer: UHC Core |
$29.95
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$26.90
|
|
|
HC RIGHT VENTRICULAR RECORDING
|
Facility
|
IP
|
$3,842.58
|
|
|
Service Code
|
CPT 93603
|
| Hospital Charge Code |
48100031
|
|
Hospital Revenue Code
|
481
|
| Min. Negotiated Rate |
$2,674.44 |
| Max. Negotiated Rate |
$3,458.32 |
| Rate for Payer: Aetna Commercial |
$3,266.19
|
| Rate for Payer: BCBS Trust/PPO |
$3,173.59
|
| Rate for Payer: BCN Commercial |
$3,173.59
|
| Rate for Payer: Cash Price |
$3,074.06
|
| Rate for Payer: Cofinity Commercial |
$3,304.62
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,074.06
|
| Rate for Payer: Healthscope Commercial |
$3,458.32
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,881.93
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,266.19
|
| Rate for Payer: Nomi Health Commercial |
$3,150.92
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,881.93
|
| Rate for Payer: PHP Commercial |
$3,266.19
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$3,343.04
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,674.44
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$3,381.47
|
| Rate for Payer: UHC Core |
$3,208.55
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,881.93
|
|
|
HC RIGHT VENTRICULAR RECORDING
|
Facility
|
OP
|
$3,842.58
|
|
|
Service Code
|
CPT 93603
|
| Hospital Charge Code |
48100031
|
|
Hospital Revenue Code
|
481
|
| Min. Negotiated Rate |
$677.45 |
| Max. Negotiated Rate |
$3,458.32 |
| Rate for Payer: Aetna Commercial |
$3,266.19
|
| Rate for Payer: Aetna Medicare |
$999.07
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,200.81
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1,200.81
|
| Rate for Payer: BCBS Complete |
$711.26
|
| Rate for Payer: BCBS MAPPO |
$960.64
|
| Rate for Payer: BCBS Trust/PPO |
$3,158.99
|
| Rate for Payer: BCN Commercial |
$3,158.99
|
| Rate for Payer: BCN Medicare Advantage |
$960.64
|
| Rate for Payer: Cash Price |
$3,074.06
|
| Rate for Payer: Cofinity Commercial |
$3,304.62
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,074.06
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$960.64
|
| Rate for Payer: Healthscope Commercial |
$3,458.32
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,881.93
|
| Rate for Payer: Mclaren Medicaid |
$677.45
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,008.68
|
| Rate for Payer: Meridian Medicaid |
$711.26
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,104.74
|
| Rate for Payer: Molina Medicare/Medicaid |
$1,056.71
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,266.19
|
| Rate for Payer: Nomi Health Commercial |
$3,150.92
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,881.93
|
| Rate for Payer: PACE Senior Care Partners |
$912.61
|
| Rate for Payer: PACE SWMI |
$960.64
|
| Rate for Payer: PHP Commercial |
$3,266.19
|
| Rate for Payer: PHP Medicare Advantage |
$960.64
|
| Rate for Payer: Priority Health Choice Medicaid |
$677.45
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$3,343.04
|
| Rate for Payer: Priority Health Medicare |
$970.25
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,674.44
|
| Rate for Payer: Railroad Medicare Medicare |
$960.64
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$3,381.47
|
| Rate for Payer: UHC Core |
$3,208.55
|
| Rate for Payer: UHC Exchange |
$960.64
|
| Rate for Payer: UHC Medicaid |
$677.45
|
| Rate for Payer: UHC Medicare Advantage |
$960.64
|
| Rate for Payer: UHCCP Medicaid |
$677.45
|
| Rate for Payer: VA VA |
$960.64
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,881.93
|
|
|
HC RISK ASCVD TEST ONCE PER 12 MO
|
Facility
|
OP
|
$95.00
|
|
|
Service Code
|
HCPCS G0537
|
| Hospital Charge Code |
51000135
|
|
Hospital Revenue Code
|
510
|
| Min. Negotiated Rate |
$16.75 |
| Max. Negotiated Rate |
$85.50 |
| Rate for Payer: Aetna Commercial |
$80.75
|
| Rate for Payer: Aetna Medicare |
$24.70
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$29.69
|
| Rate for Payer: Amish Plain Church Group Commercial |
$29.69
|
| Rate for Payer: BCBS Complete |
$17.58
|
| Rate for Payer: BCBS MAPPO |
$23.75
|
| Rate for Payer: BCBS Trust/PPO |
$78.10
|
| Rate for Payer: BCN Commercial |
$78.10
|
| Rate for Payer: BCN Medicare Advantage |
$23.75
|
| Rate for Payer: Cash Price |
$76.00
|
| Rate for Payer: Cofinity Commercial |
$81.70
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$76.00
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$23.75
|
| Rate for Payer: Healthscope Commercial |
$85.50
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$71.25
|
| Rate for Payer: Mclaren Medicaid |
$16.75
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$24.94
|
| Rate for Payer: Meridian Medicaid |
$17.58
|
| Rate for Payer: MI Amish Medical Board Commercial |
$27.31
|
| Rate for Payer: Molina Medicare/Medicaid |
$26.12
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$80.75
|
| Rate for Payer: Nomi Health Commercial |
$77.90
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$71.25
|
| Rate for Payer: PACE Senior Care Partners |
$22.56
|
| Rate for Payer: PACE SWMI |
$23.75
|
| Rate for Payer: PHP Commercial |
$80.75
|
| Rate for Payer: PHP Medicare Advantage |
$23.75
|
| Rate for Payer: Priority Health Choice Medicaid |
$16.75
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$82.65
|
| Rate for Payer: Priority Health Medicare |
$23.99
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$66.12
|
| Rate for Payer: Railroad Medicare Medicare |
$23.75
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$83.60
|
| Rate for Payer: UHC Core |
$79.33
|
| Rate for Payer: UHC Exchange |
$23.75
|
| Rate for Payer: UHC Medicaid |
$16.75
|
| Rate for Payer: UHC Medicare Advantage |
$23.75
|
| Rate for Payer: UHCCP Medicaid |
$16.75
|
| Rate for Payer: VA VA |
$23.75
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$71.25
|
|
|
HC RISK ASCVD TEST ONCE PER 12 MO
|
Facility
|
IP
|
$95.00
|
|
|
Service Code
|
HCPCS G0537
|
| Hospital Charge Code |
51000135
|
|
Hospital Revenue Code
|
510
|
| Min. Negotiated Rate |
$66.12 |
| Max. Negotiated Rate |
$85.50 |
| Rate for Payer: Aetna Commercial |
$80.75
|
| Rate for Payer: BCBS Trust/PPO |
$78.46
|
| Rate for Payer: BCN Commercial |
$78.46
|
| Rate for Payer: Cash Price |
$76.00
|
| Rate for Payer: Cofinity Commercial |
$81.70
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$76.00
|
| Rate for Payer: Healthscope Commercial |
$85.50
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$71.25
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$80.75
|
| Rate for Payer: Nomi Health Commercial |
$77.90
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$71.25
|
| Rate for Payer: PHP Commercial |
$80.75
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$82.65
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$66.12
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$83.60
|
| Rate for Payer: UHC Core |
$79.33
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$71.25
|
|
|
HC RISPERIDONE AND METABOLIT
|
Facility
|
OP
|
$115.48
|
|
|
Service Code
|
CPT 80342
|
| Hospital Charge Code |
30100691
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$20.36 |
| Max. Negotiated Rate |
$103.93 |
| Rate for Payer: Aetna Commercial |
$98.16
|
| Rate for Payer: Aetna Medicare |
$30.02
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$36.09
|
| Rate for Payer: Amish Plain Church Group Commercial |
$36.09
|
| Rate for Payer: BCBS Complete |
$21.38
|
| Rate for Payer: BCBS MAPPO |
$28.87
|
| Rate for Payer: BCBS Trust/PPO |
$94.94
|
| Rate for Payer: BCN Commercial |
$94.94
|
| Rate for Payer: BCN Medicare Advantage |
$28.87
|
| Rate for Payer: Cash Price |
$92.38
|
| Rate for Payer: Cofinity Commercial |
$99.31
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$92.38
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$28.87
|
| Rate for Payer: Healthscope Commercial |
$103.93
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$86.61
|
| Rate for Payer: Mclaren Medicaid |
$20.36
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$30.31
|
| Rate for Payer: Meridian Medicaid |
$21.38
|
| Rate for Payer: MI Amish Medical Board Commercial |
$33.20
|
| Rate for Payer: Molina Medicare/Medicaid |
$31.76
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$98.16
|
| Rate for Payer: Nomi Health Commercial |
$94.69
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$86.61
|
| Rate for Payer: PACE Senior Care Partners |
$27.43
|
| Rate for Payer: PACE SWMI |
$28.87
|
| Rate for Payer: PHP Commercial |
$98.16
|
| Rate for Payer: PHP Medicare Advantage |
$28.87
|
| Rate for Payer: Priority Health Choice Medicaid |
$20.36
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$100.47
|
| Rate for Payer: Priority Health Medicare |
$29.16
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$80.37
|
| Rate for Payer: Railroad Medicare Medicare |
$28.87
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$101.62
|
| Rate for Payer: UHC Core |
$96.43
|
| Rate for Payer: UHC Exchange |
$28.87
|
| Rate for Payer: UHC Medicaid |
$20.36
|
| Rate for Payer: UHC Medicare Advantage |
$28.87
|
| Rate for Payer: UHCCP Medicaid |
$20.36
|
| Rate for Payer: VA VA |
$28.87
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$86.61
|
|
|
HC RISPERIDONE AND METABOLIT
|
Facility
|
IP
|
$115.48
|
|
|
Service Code
|
CPT 80342
|
| Hospital Charge Code |
30100691
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$80.37 |
| Max. Negotiated Rate |
$103.93 |
| Rate for Payer: Aetna Commercial |
$98.16
|
| Rate for Payer: BCBS Trust/PPO |
$95.37
|
| Rate for Payer: BCN Commercial |
$95.37
|
| Rate for Payer: Cash Price |
$92.38
|
| Rate for Payer: Cofinity Commercial |
$99.31
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$92.38
|
| Rate for Payer: Healthscope Commercial |
$103.93
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$86.61
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$98.16
|
| Rate for Payer: Nomi Health Commercial |
$94.69
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$86.61
|
| Rate for Payer: PHP Commercial |
$98.16
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$100.47
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$80.37
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$101.62
|
| Rate for Payer: UHC Core |
$96.43
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$86.61
|
|
|
HC RISTOCETIN COFACTOR
|
Facility
|
IP
|
$70.46
|
|
|
Service Code
|
CPT 85245
|
| Hospital Charge Code |
30500023
|
|
Hospital Revenue Code
|
305
|
| Min. Negotiated Rate |
$49.04 |
| Max. Negotiated Rate |
$63.41 |
| Rate for Payer: Aetna Commercial |
$59.89
|
| Rate for Payer: BCBS Trust/PPO |
$58.19
|
| Rate for Payer: BCN Commercial |
$58.19
|
| Rate for Payer: Cash Price |
$56.37
|
| Rate for Payer: Cofinity Commercial |
$60.60
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$56.37
|
| Rate for Payer: Healthscope Commercial |
$63.41
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$52.84
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$59.89
|
| Rate for Payer: Nomi Health Commercial |
$57.78
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$52.84
|
| Rate for Payer: PHP Commercial |
$59.89
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$61.30
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$49.04
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$62.00
|
| Rate for Payer: UHC Core |
$58.83
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$52.84
|
|
|
HC RISTOCETIN COFACTOR
|
Facility
|
OP
|
$70.46
|
|
|
Service Code
|
CPT 85245
|
| Hospital Charge Code |
30500023
|
|
Hospital Revenue Code
|
305
|
| Min. Negotiated Rate |
$12.42 |
| Max. Negotiated Rate |
$63.41 |
| Rate for Payer: Aetna Commercial |
$59.89
|
| Rate for Payer: Aetna Medicare |
$18.32
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$22.02
|
| Rate for Payer: Amish Plain Church Group Commercial |
$22.02
|
| Rate for Payer: BCBS Complete |
$13.04
|
| Rate for Payer: BCBS MAPPO |
$17.61
|
| Rate for Payer: BCBS Trust/PPO |
$57.93
|
| Rate for Payer: BCN Commercial |
$57.93
|
| Rate for Payer: BCN Medicare Advantage |
$17.61
|
| Rate for Payer: Cash Price |
$56.37
|
| Rate for Payer: Cofinity Commercial |
$60.60
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$56.37
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$17.61
|
| Rate for Payer: Healthscope Commercial |
$63.41
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$52.84
|
| Rate for Payer: Mclaren Medicaid |
$12.42
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$18.50
|
| Rate for Payer: Meridian Medicaid |
$13.04
|
| Rate for Payer: MI Amish Medical Board Commercial |
$20.26
|
| Rate for Payer: Molina Medicare/Medicaid |
$19.38
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$59.89
|
| Rate for Payer: Nomi Health Commercial |
$57.78
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$52.84
|
| Rate for Payer: PACE Senior Care Partners |
$16.73
|
| Rate for Payer: PACE SWMI |
$17.61
|
| Rate for Payer: PHP Commercial |
$59.89
|
| Rate for Payer: PHP Medicare Advantage |
$17.61
|
| Rate for Payer: Priority Health Choice Medicaid |
$12.42
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$61.30
|
| Rate for Payer: Priority Health Medicare |
$17.79
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$49.04
|
| Rate for Payer: Railroad Medicare Medicare |
$17.61
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$62.00
|
| Rate for Payer: UHC Core |
$58.83
|
| Rate for Payer: UHC Exchange |
$17.61
|
| Rate for Payer: UHC Medicaid |
$12.42
|
| Rate for Payer: UHC Medicare Advantage |
$17.61
|
| Rate for Payer: UHCCP Medicaid |
$12.42
|
| Rate for Payer: VA VA |
$17.61
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$52.84
|
|
|
HC RIV 4 VACC RECOMBINANT DNA PRSRV ABX FREE
|
Facility
|
OP
|
$97.07
|
|
|
Service Code
|
CPT 90682
|
| Hospital Charge Code |
63600171
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$17.11 |
| Max. Negotiated Rate |
$87.36 |
| Rate for Payer: Aetna Commercial |
$82.51
|
| Rate for Payer: Aetna Medicare |
$25.24
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$30.33
|
| Rate for Payer: Amish Plain Church Group Commercial |
$30.33
|
| Rate for Payer: BCBS Complete |
$17.97
|
| Rate for Payer: BCBS MAPPO |
$24.27
|
| Rate for Payer: BCBS Trust/PPO |
$79.80
|
| Rate for Payer: BCN Commercial |
$79.80
|
| Rate for Payer: BCN Medicare Advantage |
$24.27
|
| Rate for Payer: Cash Price |
$77.66
|
| Rate for Payer: Cofinity Commercial |
$83.48
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$77.66
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$24.27
|
| Rate for Payer: Healthscope Commercial |
$87.36
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$72.80
|
| Rate for Payer: Mclaren Medicaid |
$17.11
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$25.48
|
| Rate for Payer: Meridian Medicaid |
$17.97
|
| Rate for Payer: MI Amish Medical Board Commercial |
$27.91
|
| Rate for Payer: Molina Medicare/Medicaid |
$26.69
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$82.51
|
| Rate for Payer: Nomi Health Commercial |
$79.60
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$72.80
|
| Rate for Payer: PACE Senior Care Partners |
$23.05
|
| Rate for Payer: PACE SWMI |
$24.27
|
| Rate for Payer: PHP Commercial |
$82.51
|
| Rate for Payer: PHP Medicare Advantage |
$24.27
|
| Rate for Payer: Priority Health Choice Medicaid |
$17.11
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$84.45
|
| Rate for Payer: Priority Health Medicare |
$24.51
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$67.56
|
| Rate for Payer: Railroad Medicare Medicare |
$24.27
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$85.42
|
| Rate for Payer: UHC Core |
$81.05
|
| Rate for Payer: UHC Exchange |
$24.27
|
| Rate for Payer: UHC Medicaid |
$17.11
|
| Rate for Payer: UHC Medicare Advantage |
$24.27
|
| Rate for Payer: UHCCP Medicaid |
$17.11
|
| Rate for Payer: VA VA |
$24.27
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$72.80
|
|
|
HC RIV 4 VACC RECOMBINANT DNA PRSRV ABX FREE
|
Facility
|
IP
|
$97.07
|
|
|
Service Code
|
CPT 90682
|
| Hospital Charge Code |
63600171
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$67.56 |
| Max. Negotiated Rate |
$87.36 |
| Rate for Payer: Aetna Commercial |
$82.51
|
| Rate for Payer: BCBS Trust/PPO |
$80.17
|
| Rate for Payer: BCN Commercial |
$80.17
|
| Rate for Payer: Cash Price |
$77.66
|
| Rate for Payer: Cofinity Commercial |
$83.48
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$77.66
|
| Rate for Payer: Healthscope Commercial |
$87.36
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$72.80
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$82.51
|
| Rate for Payer: Nomi Health Commercial |
$79.60
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$72.80
|
| Rate for Payer: PHP Commercial |
$82.51
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$84.45
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$67.56
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$85.42
|
| Rate for Payer: UHC Core |
$81.05
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$72.80
|
|
|
HC RLC W INTERVENTION
|
Facility
|
IP
|
$11,423.48
|
|
|
Service Code
|
CPT 93460
|
| Hospital Charge Code |
48100020
|
|
Hospital Revenue Code
|
481
|
| Min. Negotiated Rate |
$7,950.74 |
| Max. Negotiated Rate |
$10,281.13 |
| Rate for Payer: Aetna Commercial |
$9,709.96
|
| Rate for Payer: BCBS Trust/PPO |
$9,434.65
|
| Rate for Payer: BCN Commercial |
$9,434.65
|
| Rate for Payer: Cash Price |
$9,138.78
|
| Rate for Payer: Cofinity Commercial |
$9,824.19
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$9,138.78
|
| Rate for Payer: Healthscope Commercial |
$10,281.13
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$8,567.61
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$9,709.96
|
| Rate for Payer: Nomi Health Commercial |
$9,367.25
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$8,567.61
|
| Rate for Payer: PHP Commercial |
$9,709.96
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$9,938.43
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$7,950.74
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$10,052.66
|
| Rate for Payer: UHC Core |
$9,538.61
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$8,567.61
|
|
|
HC RLC W INTERVENTION
|
Facility
|
OP
|
$11,423.48
|
|
|
Service Code
|
CPT 93460
|
| Hospital Charge Code |
48100020
|
|
Hospital Revenue Code
|
481
|
| Min. Negotiated Rate |
$2,013.96 |
| Max. Negotiated Rate |
$10,281.13 |
| Rate for Payer: Aetna Commercial |
$9,709.96
|
| Rate for Payer: Aetna Medicare |
$2,970.10
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$3,569.84
|
| Rate for Payer: Amish Plain Church Group Commercial |
$3,569.84
|
| Rate for Payer: BCBS Complete |
$2,114.49
|
| Rate for Payer: BCBS MAPPO |
$2,855.87
|
| Rate for Payer: BCBS Trust/PPO |
$9,391.24
|
| Rate for Payer: BCN Commercial |
$9,391.24
|
| Rate for Payer: BCN Medicare Advantage |
$2,855.87
|
| Rate for Payer: Cash Price |
$9,138.78
|
| Rate for Payer: Cofinity Commercial |
$9,824.19
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$9,138.78
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,855.87
|
| Rate for Payer: Healthscope Commercial |
$10,281.13
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$8,567.61
|
| Rate for Payer: Mclaren Medicaid |
$2,013.96
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$2,998.66
|
| Rate for Payer: Meridian Medicaid |
$2,114.49
|
| Rate for Payer: MI Amish Medical Board Commercial |
$3,284.25
|
| Rate for Payer: Molina Medicare/Medicaid |
$3,141.46
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$9,709.96
|
| Rate for Payer: Nomi Health Commercial |
$9,367.25
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$8,567.61
|
| Rate for Payer: PACE Senior Care Partners |
$2,713.08
|
| Rate for Payer: PACE SWMI |
$2,855.87
|
| Rate for Payer: PHP Commercial |
$9,709.96
|
| Rate for Payer: PHP Medicare Advantage |
$2,855.87
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,013.96
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$9,938.43
|
| Rate for Payer: Priority Health Medicare |
$2,884.43
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$7,950.74
|
| Rate for Payer: Railroad Medicare Medicare |
$2,855.87
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$10,052.66
|
| Rate for Payer: UHC Core |
$9,538.61
|
| Rate for Payer: UHC Exchange |
$2,855.87
|
| Rate for Payer: UHC Medicaid |
$2,013.96
|
| Rate for Payer: UHC Medicare Advantage |
$2,855.87
|
| Rate for Payer: UHCCP Medicaid |
$2,013.96
|
| Rate for Payer: VA VA |
$2,855.87
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$8,567.61
|
|
