|
HC RAPID MALARIA ASSAY
|
Facility
|
IP
|
$52.02
|
|
|
Service Code
|
CPT 87899
|
| Hospital Charge Code |
30600298
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$33.81 |
| Max. Negotiated Rate |
$46.82 |
| Rate for Payer: Aetna Commercial |
$44.22
|
| Rate for Payer: BCBS Trust/PPO |
$42.46
|
| Rate for Payer: BCN Commercial |
$40.20
|
| Rate for Payer: Cash Price |
$41.62
|
| Rate for Payer: Cofinity Commercial |
$44.74
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$41.62
|
| Rate for Payer: Healthscope Commercial |
$46.82
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$39.02
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$44.22
|
| Rate for Payer: Nomi Health Commercial |
$42.66
|
| Rate for Payer: PHP Commercial |
$44.22
|
| Rate for Payer: Priority Health Cigna Priority Health |
$33.81
|
| Rate for Payer: Priority Health HMO/PPO |
$45.26
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$34.85
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$45.78
|
| Rate for Payer: UHC Core |
$43.44
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$39.02
|
|
|
HC RAPID STREP SCREEN.
|
Facility
|
IP
|
$61.70
|
|
|
Service Code
|
CPT 87880
|
| Hospital Charge Code |
30600176
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$40.10 |
| Max. Negotiated Rate |
$55.53 |
| Rate for Payer: Aetna Commercial |
$52.45
|
| Rate for Payer: BCBS Trust/PPO |
$50.37
|
| Rate for Payer: BCN Commercial |
$47.68
|
| Rate for Payer: Cash Price |
$49.36
|
| Rate for Payer: Cofinity Commercial |
$53.06
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$49.36
|
| Rate for Payer: Healthscope Commercial |
$55.53
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$46.27
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$52.45
|
| Rate for Payer: Nomi Health Commercial |
$50.59
|
| Rate for Payer: PHP Commercial |
$52.45
|
| Rate for Payer: Priority Health Cigna Priority Health |
$40.10
|
| Rate for Payer: Priority Health HMO/PPO |
$53.68
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$41.34
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$54.30
|
| Rate for Payer: UHC Core |
$51.52
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$46.27
|
|
|
HC RAPID STREP SCREEN.
|
Facility
|
OP
|
$61.70
|
|
|
Service Code
|
CPT 87880
|
| Hospital Charge Code |
30600176
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$11.95 |
| Max. Negotiated Rate |
$55.53 |
| Rate for Payer: Aetna Commercial |
$52.45
|
| Rate for Payer: Aetna Medicare |
$16.04
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$19.28
|
| Rate for Payer: Amish Plain Church Group Commercial |
$19.28
|
| Rate for Payer: BCBS Complete |
$12.55
|
| Rate for Payer: BCBS MAPPO |
$15.43
|
| Rate for Payer: BCBS Trust/PPO |
$50.72
|
| Rate for Payer: BCN Commercial |
$47.97
|
| Rate for Payer: BCN Medicare Advantage |
$15.43
|
| Rate for Payer: Cash Price |
$49.36
|
| Rate for Payer: Cash Price |
$49.36
|
| Rate for Payer: Cofinity Commercial |
$53.06
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$49.36
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$15.43
|
| Rate for Payer: Healthscope Commercial |
$55.53
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$46.27
|
| Rate for Payer: Mclaren Medicaid |
$11.95
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$16.20
|
| Rate for Payer: Meridian Medicaid |
$12.55
|
| Rate for Payer: MI Amish Medical Board Commercial |
$17.74
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$52.45
|
| Rate for Payer: Nomi Health Commercial |
$50.59
|
| Rate for Payer: PACE Senior Care Partners |
$14.65
|
| Rate for Payer: PACE SWMI |
$15.43
|
| Rate for Payer: PHP Commercial |
$52.45
|
| Rate for Payer: PHP Medicare Advantage |
$15.43
|
| Rate for Payer: Priority Health Choice Medicaid |
$11.95
|
| Rate for Payer: Priority Health Cigna Priority Health |
$40.10
|
| Rate for Payer: Priority Health HMO/PPO |
$53.68
|
| Rate for Payer: Priority Health Medicare |
$15.58
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$41.34
|
| Rate for Payer: Railroad Medicare Medicare |
$15.43
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$54.30
|
| Rate for Payer: UHC Core |
$51.52
|
| Rate for Payer: UHC Dual Complete DSNP |
$15.43
|
| Rate for Payer: UHC Exchange |
$15.43
|
| Rate for Payer: UHC Medicare Advantage |
$15.43
|
| Rate for Payer: UHCCP Medicaid |
$11.95
|
| Rate for Payer: VA VA |
$15.43
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$46.27
|
|
|
HC RAVAS CTO/DES
|
Facility
|
IP
|
$29,673.35
|
|
|
Service Code
|
CPT C9607
|
| Hospital Charge Code |
48100088
|
|
Hospital Revenue Code
|
481
|
| Min. Negotiated Rate |
$19,287.68 |
| Max. Negotiated Rate |
$26,706.01 |
| Rate for Payer: Aetna Commercial |
$25,222.35
|
| Rate for Payer: BCBS Trust/PPO |
$24,222.36
|
| Rate for Payer: BCN Commercial |
$22,931.56
|
| Rate for Payer: Cash Price |
$23,738.68
|
| Rate for Payer: Cofinity Commercial |
$25,519.08
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$23,738.68
|
| Rate for Payer: Healthscope Commercial |
$26,706.01
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$22,255.01
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$25,222.35
|
| Rate for Payer: Nomi Health Commercial |
$24,332.15
|
| Rate for Payer: PHP Commercial |
$25,222.35
|
| Rate for Payer: Priority Health Cigna Priority Health |
$19,287.68
|
| Rate for Payer: Priority Health HMO/PPO |
$25,815.81
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$19,881.14
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$26,112.55
|
| Rate for Payer: UHC Core |
$24,777.25
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$22,255.01
|
|
|
HC RAVAS CTO/DES
|
Facility
|
OP
|
$29,673.35
|
|
|
Service Code
|
CPT C9607
|
| Hospital Charge Code |
48100088
|
|
Hospital Revenue Code
|
481
|
| Min. Negotiated Rate |
$7,047.42 |
| Max. Negotiated Rate |
$26,706.01 |
| Rate for Payer: Aetna Commercial |
$25,222.35
|
| Rate for Payer: Aetna Medicare |
$7,715.07
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$9,272.92
|
| Rate for Payer: Amish Plain Church Group Commercial |
$9,272.92
|
| Rate for Payer: BCBS Complete |
$13,632.74
|
| Rate for Payer: BCBS MAPPO |
$7,418.34
|
| Rate for Payer: BCBS Trust/PPO |
$24,394.46
|
| Rate for Payer: BCN Commercial |
$23,071.03
|
| Rate for Payer: BCN Medicare Advantage |
$7,418.34
|
| Rate for Payer: Cash Price |
$23,738.68
|
| Rate for Payer: Cash Price |
$23,738.68
|
| Rate for Payer: Cofinity Commercial |
$25,519.08
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$23,738.68
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$7,418.34
|
| Rate for Payer: Healthscope Commercial |
$26,706.01
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$22,255.01
|
| Rate for Payer: Mclaren Medicaid |
$12,982.71
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$7,789.25
|
| Rate for Payer: Meridian Medicaid |
$13,632.74
|
| Rate for Payer: MI Amish Medical Board Commercial |
$8,531.09
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$25,222.35
|
| Rate for Payer: Nomi Health Commercial |
$24,332.15
|
| Rate for Payer: PACE Senior Care Partners |
$7,047.42
|
| Rate for Payer: PACE SWMI |
$7,418.34
|
| Rate for Payer: PHP Commercial |
$25,222.35
|
| Rate for Payer: PHP Medicare Advantage |
$7,418.34
|
| Rate for Payer: Priority Health Choice Medicaid |
$12,982.71
|
| Rate for Payer: Priority Health Cigna Priority Health |
$19,287.68
|
| Rate for Payer: Priority Health HMO/PPO |
$25,815.81
|
| Rate for Payer: Priority Health Medicare |
$7,492.52
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$19,881.14
|
| Rate for Payer: Railroad Medicare Medicare |
$7,418.34
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$26,112.55
|
| Rate for Payer: UHC Core |
$24,777.25
|
| Rate for Payer: UHC Dual Complete DSNP |
$7,418.34
|
| Rate for Payer: UHC Exchange |
$7,418.34
|
| Rate for Payer: UHC Medicare Advantage |
$7,418.34
|
| Rate for Payer: UHCCP Medicaid |
$12,982.71
|
| Rate for Payer: VA VA |
$7,418.34
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$22,255.01
|
|
|
HC RAVAS CTO/STENT
|
Facility
|
IP
|
$29,673.35
|
|
|
Service Code
|
CPT 92943
|
| Hospital Charge Code |
48100087
|
|
Hospital Revenue Code
|
481
|
| Min. Negotiated Rate |
$19,287.68 |
| Max. Negotiated Rate |
$26,706.01 |
| Rate for Payer: Aetna Commercial |
$25,222.35
|
| Rate for Payer: BCBS Trust/PPO |
$24,222.36
|
| Rate for Payer: BCN Commercial |
$22,931.56
|
| Rate for Payer: Cash Price |
$23,738.68
|
| Rate for Payer: Cofinity Commercial |
$25,519.08
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$23,738.68
|
| Rate for Payer: Healthscope Commercial |
$26,706.01
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$22,255.01
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$25,222.35
|
| Rate for Payer: Nomi Health Commercial |
$24,332.15
|
| Rate for Payer: PHP Commercial |
$25,222.35
|
| Rate for Payer: Priority Health Cigna Priority Health |
$19,287.68
|
| Rate for Payer: Priority Health HMO/PPO |
$25,815.81
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$19,881.14
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$26,112.55
|
| Rate for Payer: UHC Core |
$24,777.25
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$22,255.01
|
|
|
HC RAVAS CTO/STENT
|
Facility
|
OP
|
$29,673.35
|
|
|
Service Code
|
CPT 92943
|
| Hospital Charge Code |
48100087
|
|
Hospital Revenue Code
|
481
|
| Min. Negotiated Rate |
$7,047.42 |
| Max. Negotiated Rate |
$26,706.01 |
| Rate for Payer: Aetna Commercial |
$25,222.35
|
| Rate for Payer: Aetna Medicare |
$7,715.07
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$9,272.92
|
| Rate for Payer: Amish Plain Church Group Commercial |
$9,272.92
|
| Rate for Payer: BCBS Complete |
$8,609.76
|
| Rate for Payer: BCBS MAPPO |
$7,418.34
|
| Rate for Payer: BCBS Trust/PPO |
$24,394.46
|
| Rate for Payer: BCN Commercial |
$23,071.03
|
| Rate for Payer: BCN Medicare Advantage |
$7,418.34
|
| Rate for Payer: Cash Price |
$23,738.68
|
| Rate for Payer: Cash Price |
$23,738.68
|
| Rate for Payer: Cofinity Commercial |
$25,519.08
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$23,738.68
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$7,418.34
|
| Rate for Payer: Healthscope Commercial |
$26,706.01
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$22,255.01
|
| Rate for Payer: Mclaren Medicaid |
$8,199.23
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$7,789.25
|
| Rate for Payer: Meridian Medicaid |
$8,609.76
|
| Rate for Payer: MI Amish Medical Board Commercial |
$8,531.09
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$25,222.35
|
| Rate for Payer: Nomi Health Commercial |
$24,332.15
|
| Rate for Payer: PACE Senior Care Partners |
$7,047.42
|
| Rate for Payer: PACE SWMI |
$7,418.34
|
| Rate for Payer: PHP Commercial |
$25,222.35
|
| Rate for Payer: PHP Medicare Advantage |
$7,418.34
|
| Rate for Payer: Priority Health Choice Medicaid |
$8,199.23
|
| Rate for Payer: Priority Health Cigna Priority Health |
$19,287.68
|
| Rate for Payer: Priority Health HMO/PPO |
$25,815.81
|
| Rate for Payer: Priority Health Medicare |
$7,492.52
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$19,881.14
|
| Rate for Payer: Railroad Medicare Medicare |
$7,418.34
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$26,112.55
|
| Rate for Payer: UHC Core |
$24,777.25
|
| Rate for Payer: UHC Dual Complete DSNP |
$7,418.34
|
| Rate for Payer: UHC Exchange |
$7,418.34
|
| Rate for Payer: UHC Medicare Advantage |
$7,418.34
|
| Rate for Payer: UHCCP Medicaid |
$8,199.23
|
| Rate for Payer: VA VA |
$7,418.34
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$22,255.01
|
|
|
HC RBC LEUKO REDUCED
|
Facility
|
IP
|
$725.60
|
|
|
Service Code
|
HCPCS P9016
|
| Hospital Charge Code |
39000059
|
|
Hospital Revenue Code
|
390
|
| Min. Negotiated Rate |
$471.64 |
| Max. Negotiated Rate |
$653.04 |
| Rate for Payer: Aetna Commercial |
$616.76
|
| Rate for Payer: BCBS Trust/PPO |
$592.31
|
| Rate for Payer: BCN Commercial |
$560.74
|
| Rate for Payer: Cash Price |
$580.48
|
| Rate for Payer: Cofinity Commercial |
$624.02
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$580.48
|
| Rate for Payer: Healthscope Commercial |
$653.04
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$544.20
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$616.76
|
| Rate for Payer: Nomi Health Commercial |
$594.99
|
| Rate for Payer: PHP Commercial |
$616.76
|
| Rate for Payer: Priority Health Cigna Priority Health |
$471.64
|
| Rate for Payer: Priority Health HMO/PPO |
$631.27
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$486.15
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$638.53
|
| Rate for Payer: UHC Core |
$605.88
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$544.20
|
|
|
HC RBC LEUKO REDUCED
|
Facility
|
OP
|
$725.60
|
|
|
Service Code
|
HCPCS P9016
|
| Hospital Charge Code |
39000059
|
|
Hospital Revenue Code
|
390
|
| Min. Negotiated Rate |
$131.59 |
| Max. Negotiated Rate |
$653.04 |
| Rate for Payer: Aetna Commercial |
$616.76
|
| Rate for Payer: Aetna Medicare |
$188.66
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$226.75
|
| Rate for Payer: Amish Plain Church Group Commercial |
$226.75
|
| Rate for Payer: BCBS Complete |
$138.17
|
| Rate for Payer: BCBS MAPPO |
$181.40
|
| Rate for Payer: BCBS Trust/PPO |
$596.52
|
| Rate for Payer: BCN Commercial |
$564.15
|
| Rate for Payer: BCN Medicare Advantage |
$181.40
|
| Rate for Payer: Cash Price |
$580.48
|
| Rate for Payer: Cash Price |
$580.48
|
| Rate for Payer: Cofinity Commercial |
$624.02
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$580.48
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$181.40
|
| Rate for Payer: Healthscope Commercial |
$653.04
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$544.20
|
| Rate for Payer: Mclaren Medicaid |
$131.59
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$190.47
|
| Rate for Payer: Meridian Medicaid |
$138.17
|
| Rate for Payer: MI Amish Medical Board Commercial |
$208.61
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$616.76
|
| Rate for Payer: Nomi Health Commercial |
$594.99
|
| Rate for Payer: PACE Senior Care Partners |
$172.33
|
| Rate for Payer: PACE SWMI |
$181.40
|
| Rate for Payer: PHP Commercial |
$616.76
|
| Rate for Payer: PHP Medicare Advantage |
$181.40
|
| Rate for Payer: Priority Health Choice Medicaid |
$131.59
|
| Rate for Payer: Priority Health Cigna Priority Health |
$471.64
|
| Rate for Payer: Priority Health HMO/PPO |
$631.27
|
| Rate for Payer: Priority Health Medicare |
$183.21
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$486.15
|
| Rate for Payer: Railroad Medicare Medicare |
$181.40
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$638.53
|
| Rate for Payer: UHC Core |
$605.88
|
| Rate for Payer: UHC Dual Complete DSNP |
$181.40
|
| Rate for Payer: UHC Exchange |
$181.40
|
| Rate for Payer: UHC Medicare Advantage |
$181.40
|
| Rate for Payer: UHCCP Medicaid |
$131.59
|
| Rate for Payer: VA VA |
$181.40
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$544.20
|
|
|
HC RBC LEUKO REDUCED IRRAD
|
Facility
|
OP
|
$1,257.09
|
|
|
Service Code
|
HCPCS P9040
|
| Hospital Charge Code |
39000072
|
|
Hospital Revenue Code
|
390
|
| Min. Negotiated Rate |
$184.94 |
| Max. Negotiated Rate |
$1,131.38 |
| Rate for Payer: Aetna Commercial |
$1,068.53
|
| Rate for Payer: Aetna Medicare |
$326.84
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$392.84
|
| Rate for Payer: Amish Plain Church Group Commercial |
$392.84
|
| Rate for Payer: BCBS Complete |
$194.20
|
| Rate for Payer: BCBS MAPPO |
$314.27
|
| Rate for Payer: BCBS Trust/PPO |
$1,033.45
|
| Rate for Payer: BCN Commercial |
$977.39
|
| Rate for Payer: BCN Medicare Advantage |
$314.27
|
| Rate for Payer: Cash Price |
$1,005.67
|
| Rate for Payer: Cash Price |
$1,005.67
|
| Rate for Payer: Cofinity Commercial |
$1,081.10
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,005.67
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$314.27
|
| Rate for Payer: Healthscope Commercial |
$1,131.38
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$942.82
|
| Rate for Payer: Mclaren Medicaid |
$184.94
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$329.99
|
| Rate for Payer: Meridian Medicaid |
$194.20
|
| Rate for Payer: MI Amish Medical Board Commercial |
$361.41
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,068.53
|
| Rate for Payer: Nomi Health Commercial |
$1,030.81
|
| Rate for Payer: PACE Senior Care Partners |
$298.56
|
| Rate for Payer: PACE SWMI |
$314.27
|
| Rate for Payer: PHP Commercial |
$1,068.53
|
| Rate for Payer: PHP Medicare Advantage |
$314.27
|
| Rate for Payer: Priority Health Choice Medicaid |
$184.94
|
| Rate for Payer: Priority Health Cigna Priority Health |
$817.11
|
| Rate for Payer: Priority Health HMO/PPO |
$1,093.67
|
| Rate for Payer: Priority Health Medicare |
$317.42
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$842.25
|
| Rate for Payer: Railroad Medicare Medicare |
$314.27
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,106.24
|
| Rate for Payer: UHC Core |
$1,049.67
|
| Rate for Payer: UHC Dual Complete DSNP |
$314.27
|
| Rate for Payer: UHC Exchange |
$314.27
|
| Rate for Payer: UHC Medicare Advantage |
$314.27
|
| Rate for Payer: UHCCP Medicaid |
$184.94
|
| Rate for Payer: VA VA |
$314.27
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$942.82
|
|
|
HC RBC LEUKO REDUCED IRRAD
|
Facility
|
IP
|
$1,257.09
|
|
|
Service Code
|
HCPCS P9040
|
| Hospital Charge Code |
39000072
|
|
Hospital Revenue Code
|
390
|
| Min. Negotiated Rate |
$817.11 |
| Max. Negotiated Rate |
$1,131.38 |
| Rate for Payer: Aetna Commercial |
$1,068.53
|
| Rate for Payer: BCBS Trust/PPO |
$1,026.16
|
| Rate for Payer: BCN Commercial |
$971.48
|
| Rate for Payer: Cash Price |
$1,005.67
|
| Rate for Payer: Cofinity Commercial |
$1,081.10
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,005.67
|
| Rate for Payer: Healthscope Commercial |
$1,131.38
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$942.82
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,068.53
|
| Rate for Payer: Nomi Health Commercial |
$1,030.81
|
| Rate for Payer: PHP Commercial |
$1,068.53
|
| Rate for Payer: Priority Health Cigna Priority Health |
$817.11
|
| Rate for Payer: Priority Health HMO/PPO |
$1,093.67
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$842.25
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,106.24
|
| Rate for Payer: UHC Core |
$1,049.67
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$942.82
|
|
|
HC RECEPTOR ASSAY OTHER ENDOCRINE
|
Facility
|
IP
|
$203.97
|
|
|
Service Code
|
CPT 84235
|
| Hospital Charge Code |
30100418
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$132.58 |
| Max. Negotiated Rate |
$183.57 |
| Rate for Payer: Aetna Commercial |
$173.37
|
| Rate for Payer: BCBS Trust/PPO |
$166.50
|
| Rate for Payer: BCN Commercial |
$157.63
|
| Rate for Payer: Cash Price |
$163.18
|
| Rate for Payer: Cofinity Commercial |
$175.41
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$163.18
|
| Rate for Payer: Healthscope Commercial |
$183.57
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$152.98
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$173.37
|
| Rate for Payer: Nomi Health Commercial |
$167.26
|
| Rate for Payer: PHP Commercial |
$173.37
|
| Rate for Payer: Priority Health Cigna Priority Health |
$132.58
|
| Rate for Payer: Priority Health HMO/PPO |
$177.45
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$136.66
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$179.49
|
| Rate for Payer: UHC Core |
$170.31
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$152.98
|
|
|
HC RECEPTOR ASSAY OTHER ENDOCRINE
|
Facility
|
OP
|
$203.97
|
|
|
Service Code
|
CPT 84235
|
| Hospital Charge Code |
30100418
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$48.44 |
| Max. Negotiated Rate |
$183.57 |
| Rate for Payer: Aetna Commercial |
$173.37
|
| Rate for Payer: Aetna Medicare |
$53.03
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$63.74
|
| Rate for Payer: Amish Plain Church Group Commercial |
$63.74
|
| Rate for Payer: BCBS Complete |
$54.08
|
| Rate for Payer: BCBS MAPPO |
$50.99
|
| Rate for Payer: BCBS Trust/PPO |
$167.68
|
| Rate for Payer: BCN Commercial |
$158.59
|
| Rate for Payer: BCN Medicare Advantage |
$50.99
|
| Rate for Payer: Cash Price |
$163.18
|
| Rate for Payer: Cash Price |
$163.18
|
| Rate for Payer: Cofinity Commercial |
$175.41
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$163.18
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$50.99
|
| Rate for Payer: Healthscope Commercial |
$183.57
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$152.98
|
| Rate for Payer: Mclaren Medicaid |
$51.50
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$53.54
|
| Rate for Payer: Meridian Medicaid |
$54.08
|
| Rate for Payer: MI Amish Medical Board Commercial |
$58.64
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$173.37
|
| Rate for Payer: Nomi Health Commercial |
$167.26
|
| Rate for Payer: PACE Senior Care Partners |
$48.44
|
| Rate for Payer: PACE SWMI |
$50.99
|
| Rate for Payer: PHP Commercial |
$173.37
|
| Rate for Payer: PHP Medicare Advantage |
$50.99
|
| Rate for Payer: Priority Health Choice Medicaid |
$51.50
|
| Rate for Payer: Priority Health Cigna Priority Health |
$132.58
|
| Rate for Payer: Priority Health HMO/PPO |
$177.45
|
| Rate for Payer: Priority Health Medicare |
$51.50
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$136.66
|
| Rate for Payer: Railroad Medicare Medicare |
$50.99
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$179.49
|
| Rate for Payer: UHC Core |
$170.31
|
| Rate for Payer: UHC Dual Complete DSNP |
$50.99
|
| Rate for Payer: UHC Exchange |
$50.99
|
| Rate for Payer: UHC Medicare Advantage |
$50.99
|
| Rate for Payer: UHCCP Medicaid |
$51.50
|
| Rate for Payer: VA VA |
$50.99
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$152.98
|
|
|
HC RECOVERY 1 ADD'L 15 MIN
|
Facility
|
IP
|
$157.01
|
|
| Hospital Charge Code |
71000020
|
|
Hospital Revenue Code
|
710
|
| Min. Negotiated Rate |
$102.06 |
| Max. Negotiated Rate |
$141.31 |
| Rate for Payer: Aetna Commercial |
$133.46
|
| Rate for Payer: BCBS Trust/PPO |
$128.17
|
| Rate for Payer: BCN Commercial |
$121.34
|
| Rate for Payer: Cash Price |
$125.61
|
| Rate for Payer: Cofinity Commercial |
$135.03
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$125.61
|
| Rate for Payer: Healthscope Commercial |
$141.31
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$117.76
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$133.46
|
| Rate for Payer: Nomi Health Commercial |
$128.75
|
| Rate for Payer: PHP Commercial |
$133.46
|
| Rate for Payer: Priority Health Cigna Priority Health |
$102.06
|
| Rate for Payer: Priority Health HMO/PPO |
$136.60
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$105.20
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$138.17
|
| Rate for Payer: UHC Core |
$131.10
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$117.76
|
|
|
HC RECOVERY 1 ADD'L 15 MIN
|
Facility
|
OP
|
$157.01
|
|
| Hospital Charge Code |
71000020
|
|
Hospital Revenue Code
|
710
|
| Min. Negotiated Rate |
$37.29 |
| Max. Negotiated Rate |
$141.31 |
| Rate for Payer: Aetna Commercial |
$133.46
|
| Rate for Payer: Aetna Medicare |
$40.82
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$49.07
|
| Rate for Payer: Amish Plain Church Group Commercial |
$49.07
|
| Rate for Payer: BCBS Complete |
$62.80
|
| Rate for Payer: BCBS MAPPO |
$39.25
|
| Rate for Payer: BCBS Trust/PPO |
$129.08
|
| Rate for Payer: BCN Commercial |
$122.08
|
| Rate for Payer: BCN Medicare Advantage |
$39.25
|
| Rate for Payer: Cash Price |
$125.61
|
| Rate for Payer: Cofinity Commercial |
$135.03
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$125.61
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$39.25
|
| Rate for Payer: Healthscope Commercial |
$141.31
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$117.76
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$41.22
|
| Rate for Payer: MI Amish Medical Board Commercial |
$45.14
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$133.46
|
| Rate for Payer: Nomi Health Commercial |
$128.75
|
| Rate for Payer: PACE Senior Care Partners |
$37.29
|
| Rate for Payer: PACE SWMI |
$39.25
|
| Rate for Payer: PHP Commercial |
$133.46
|
| Rate for Payer: PHP Medicare Advantage |
$39.25
|
| Rate for Payer: Priority Health Cigna Priority Health |
$102.06
|
| Rate for Payer: Priority Health HMO/PPO |
$136.60
|
| Rate for Payer: Priority Health Medicare |
$39.65
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$105.20
|
| Rate for Payer: Railroad Medicare Medicare |
$39.25
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$138.17
|
| Rate for Payer: UHC Core |
$131.10
|
| Rate for Payer: UHC Dual Complete DSNP |
$39.25
|
| Rate for Payer: UHC Exchange |
$39.25
|
| Rate for Payer: UHC Medicare Advantage |
$39.25
|
| Rate for Payer: VA VA |
$39.25
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$117.76
|
|
|
HC RECOVERY 1 INIT 30 MIN
|
Facility
|
IP
|
$370.68
|
|
| Hospital Charge Code |
71000021
|
|
Hospital Revenue Code
|
710
|
| Min. Negotiated Rate |
$240.94 |
| Max. Negotiated Rate |
$333.61 |
| Rate for Payer: Aetna Commercial |
$315.08
|
| Rate for Payer: BCBS Trust/PPO |
$302.59
|
| Rate for Payer: BCN Commercial |
$286.46
|
| Rate for Payer: Cash Price |
$296.54
|
| Rate for Payer: Cofinity Commercial |
$318.78
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$296.54
|
| Rate for Payer: Healthscope Commercial |
$333.61
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$278.01
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$315.08
|
| Rate for Payer: Nomi Health Commercial |
$303.96
|
| Rate for Payer: PHP Commercial |
$315.08
|
| Rate for Payer: Priority Health Cigna Priority Health |
$240.94
|
| Rate for Payer: Priority Health HMO/PPO |
$322.49
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$248.36
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$326.20
|
| Rate for Payer: UHC Core |
$309.52
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$278.01
|
|
|
HC RECOVERY 1 INIT 30 MIN
|
Facility
|
OP
|
$370.68
|
|
| Hospital Charge Code |
71000021
|
|
Hospital Revenue Code
|
710
|
| Min. Negotiated Rate |
$88.04 |
| Max. Negotiated Rate |
$333.61 |
| Rate for Payer: Aetna Commercial |
$315.08
|
| Rate for Payer: Aetna Medicare |
$96.38
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$115.84
|
| Rate for Payer: Amish Plain Church Group Commercial |
$115.84
|
| Rate for Payer: BCBS Complete |
$148.27
|
| Rate for Payer: BCBS MAPPO |
$92.67
|
| Rate for Payer: BCBS Trust/PPO |
$304.74
|
| Rate for Payer: BCN Commercial |
$288.20
|
| Rate for Payer: BCN Medicare Advantage |
$92.67
|
| Rate for Payer: Cash Price |
$296.54
|
| Rate for Payer: Cofinity Commercial |
$318.78
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$296.54
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$92.67
|
| Rate for Payer: Healthscope Commercial |
$333.61
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$278.01
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$97.30
|
| Rate for Payer: MI Amish Medical Board Commercial |
$106.57
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$315.08
|
| Rate for Payer: Nomi Health Commercial |
$303.96
|
| Rate for Payer: PACE Senior Care Partners |
$88.04
|
| Rate for Payer: PACE SWMI |
$92.67
|
| Rate for Payer: PHP Commercial |
$315.08
|
| Rate for Payer: PHP Medicare Advantage |
$92.67
|
| Rate for Payer: Priority Health Cigna Priority Health |
$240.94
|
| Rate for Payer: Priority Health HMO/PPO |
$322.49
|
| Rate for Payer: Priority Health Medicare |
$93.60
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$248.36
|
| Rate for Payer: Railroad Medicare Medicare |
$92.67
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$326.20
|
| Rate for Payer: UHC Core |
$309.52
|
| Rate for Payer: UHC Dual Complete DSNP |
$92.67
|
| Rate for Payer: UHC Exchange |
$92.67
|
| Rate for Payer: UHC Medicare Advantage |
$92.67
|
| Rate for Payer: VA VA |
$92.67
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$278.01
|
|
|
HC RECOVERY 2 ADD'L 15 MIN
|
Facility
|
IP
|
$183.83
|
|
| Hospital Charge Code |
71000022
|
|
Hospital Revenue Code
|
710
|
| Min. Negotiated Rate |
$119.49 |
| Max. Negotiated Rate |
$165.45 |
| Rate for Payer: Aetna Commercial |
$156.26
|
| Rate for Payer: BCBS Trust/PPO |
$150.06
|
| Rate for Payer: BCN Commercial |
$142.06
|
| Rate for Payer: Cash Price |
$147.06
|
| Rate for Payer: Cofinity Commercial |
$158.09
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$147.06
|
| Rate for Payer: Healthscope Commercial |
$165.45
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$137.87
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$156.26
|
| Rate for Payer: Nomi Health Commercial |
$150.74
|
| Rate for Payer: PHP Commercial |
$156.26
|
| Rate for Payer: Priority Health Cigna Priority Health |
$119.49
|
| Rate for Payer: Priority Health HMO/PPO |
$159.93
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$123.17
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$161.77
|
| Rate for Payer: UHC Core |
$153.50
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$137.87
|
|
|
HC RECOVERY 2 ADD'L 15 MIN
|
Facility
|
OP
|
$183.83
|
|
| Hospital Charge Code |
71000022
|
|
Hospital Revenue Code
|
710
|
| Min. Negotiated Rate |
$43.66 |
| Max. Negotiated Rate |
$165.45 |
| Rate for Payer: Aetna Commercial |
$156.26
|
| Rate for Payer: Aetna Medicare |
$47.80
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$57.45
|
| Rate for Payer: Amish Plain Church Group Commercial |
$57.45
|
| Rate for Payer: BCBS Complete |
$73.53
|
| Rate for Payer: BCBS MAPPO |
$45.96
|
| Rate for Payer: BCBS Trust/PPO |
$151.13
|
| Rate for Payer: BCN Commercial |
$142.93
|
| Rate for Payer: BCN Medicare Advantage |
$45.96
|
| Rate for Payer: Cash Price |
$147.06
|
| Rate for Payer: Cofinity Commercial |
$158.09
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$147.06
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$45.96
|
| Rate for Payer: Healthscope Commercial |
$165.45
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$137.87
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$48.26
|
| Rate for Payer: MI Amish Medical Board Commercial |
$52.85
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$156.26
|
| Rate for Payer: Nomi Health Commercial |
$150.74
|
| Rate for Payer: PACE Senior Care Partners |
$43.66
|
| Rate for Payer: PACE SWMI |
$45.96
|
| Rate for Payer: PHP Commercial |
$156.26
|
| Rate for Payer: PHP Medicare Advantage |
$45.96
|
| Rate for Payer: Priority Health Cigna Priority Health |
$119.49
|
| Rate for Payer: Priority Health HMO/PPO |
$159.93
|
| Rate for Payer: Priority Health Medicare |
$46.42
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$123.17
|
| Rate for Payer: Railroad Medicare Medicare |
$45.96
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$161.77
|
| Rate for Payer: UHC Core |
$153.50
|
| Rate for Payer: UHC Dual Complete DSNP |
$45.96
|
| Rate for Payer: UHC Exchange |
$45.96
|
| Rate for Payer: UHC Medicare Advantage |
$45.96
|
| Rate for Payer: VA VA |
$45.96
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$137.87
|
|
|
HC RECOVERY 2 INIT 30 MIN
|
Facility
|
IP
|
$331.57
|
|
| Hospital Charge Code |
71000023
|
|
Hospital Revenue Code
|
710
|
| Min. Negotiated Rate |
$215.52 |
| Max. Negotiated Rate |
$298.41 |
| Rate for Payer: Aetna Commercial |
$281.83
|
| Rate for Payer: BCBS Trust/PPO |
$270.66
|
| Rate for Payer: BCN Commercial |
$256.24
|
| Rate for Payer: Cash Price |
$265.26
|
| Rate for Payer: Cofinity Commercial |
$285.15
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$265.26
|
| Rate for Payer: Healthscope Commercial |
$298.41
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$248.68
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$281.83
|
| Rate for Payer: Nomi Health Commercial |
$271.89
|
| Rate for Payer: PHP Commercial |
$281.83
|
| Rate for Payer: Priority Health Cigna Priority Health |
$215.52
|
| Rate for Payer: Priority Health HMO/PPO |
$288.47
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$222.15
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$291.78
|
| Rate for Payer: UHC Core |
$276.86
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$248.68
|
|
|
HC RECOVERY 2 INIT 30 MIN
|
Facility
|
OP
|
$331.57
|
|
| Hospital Charge Code |
71000023
|
|
Hospital Revenue Code
|
710
|
| Min. Negotiated Rate |
$78.75 |
| Max. Negotiated Rate |
$298.41 |
| Rate for Payer: Aetna Commercial |
$281.83
|
| Rate for Payer: Aetna Medicare |
$86.21
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$103.62
|
| Rate for Payer: Amish Plain Church Group Commercial |
$103.62
|
| Rate for Payer: BCBS Complete |
$132.63
|
| Rate for Payer: BCBS MAPPO |
$82.89
|
| Rate for Payer: BCBS Trust/PPO |
$272.58
|
| Rate for Payer: BCN Commercial |
$257.80
|
| Rate for Payer: BCN Medicare Advantage |
$82.89
|
| Rate for Payer: Cash Price |
$265.26
|
| Rate for Payer: Cofinity Commercial |
$285.15
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$265.26
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$82.89
|
| Rate for Payer: Healthscope Commercial |
$298.41
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$248.68
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$87.04
|
| Rate for Payer: MI Amish Medical Board Commercial |
$95.33
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$281.83
|
| Rate for Payer: Nomi Health Commercial |
$271.89
|
| Rate for Payer: PACE Senior Care Partners |
$78.75
|
| Rate for Payer: PACE SWMI |
$82.89
|
| Rate for Payer: PHP Commercial |
$281.83
|
| Rate for Payer: PHP Medicare Advantage |
$82.89
|
| Rate for Payer: Priority Health Cigna Priority Health |
$215.52
|
| Rate for Payer: Priority Health HMO/PPO |
$288.47
|
| Rate for Payer: Priority Health Medicare |
$83.72
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$222.15
|
| Rate for Payer: Railroad Medicare Medicare |
$82.89
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$291.78
|
| Rate for Payer: UHC Core |
$276.86
|
| Rate for Payer: UHC Dual Complete DSNP |
$82.89
|
| Rate for Payer: UHC Exchange |
$82.89
|
| Rate for Payer: UHC Medicare Advantage |
$82.89
|
| Rate for Payer: VA VA |
$82.89
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$248.68
|
|
|
HC RECOVERY 3 ADD'L 15 MIN
|
Facility
|
IP
|
$102.17
|
|
| Hospital Charge Code |
71000024
|
|
Hospital Revenue Code
|
710
|
| Min. Negotiated Rate |
$66.41 |
| Max. Negotiated Rate |
$91.95 |
| Rate for Payer: Aetna Commercial |
$86.84
|
| Rate for Payer: BCBS Trust/PPO |
$83.40
|
| Rate for Payer: BCN Commercial |
$78.96
|
| Rate for Payer: Cash Price |
$81.74
|
| Rate for Payer: Cofinity Commercial |
$87.87
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$81.74
|
| Rate for Payer: Healthscope Commercial |
$91.95
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$76.63
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$86.84
|
| Rate for Payer: Nomi Health Commercial |
$83.78
|
| Rate for Payer: PHP Commercial |
$86.84
|
| Rate for Payer: Priority Health Cigna Priority Health |
$66.41
|
| Rate for Payer: Priority Health HMO/PPO |
$88.89
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$68.45
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$89.91
|
| Rate for Payer: UHC Core |
$85.31
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$76.63
|
|
|
HC RECOVERY 3 ADD'L 15 MIN
|
Facility
|
OP
|
$102.17
|
|
| Hospital Charge Code |
71000024
|
|
Hospital Revenue Code
|
710
|
| Min. Negotiated Rate |
$24.27 |
| Max. Negotiated Rate |
$91.95 |
| Rate for Payer: Aetna Commercial |
$86.84
|
| Rate for Payer: Aetna Medicare |
$26.56
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$31.93
|
| Rate for Payer: Amish Plain Church Group Commercial |
$31.93
|
| Rate for Payer: BCBS Complete |
$40.87
|
| Rate for Payer: BCBS MAPPO |
$25.54
|
| Rate for Payer: BCBS Trust/PPO |
$83.99
|
| Rate for Payer: BCN Commercial |
$79.44
|
| Rate for Payer: BCN Medicare Advantage |
$25.54
|
| Rate for Payer: Cash Price |
$81.74
|
| Rate for Payer: Cofinity Commercial |
$87.87
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$81.74
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$25.54
|
| Rate for Payer: Healthscope Commercial |
$91.95
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$76.63
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$26.82
|
| Rate for Payer: MI Amish Medical Board Commercial |
$29.37
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$86.84
|
| Rate for Payer: Nomi Health Commercial |
$83.78
|
| Rate for Payer: PACE Senior Care Partners |
$24.27
|
| Rate for Payer: PACE SWMI |
$25.54
|
| Rate for Payer: PHP Commercial |
$86.84
|
| Rate for Payer: PHP Medicare Advantage |
$25.54
|
| Rate for Payer: Priority Health Cigna Priority Health |
$66.41
|
| Rate for Payer: Priority Health HMO/PPO |
$88.89
|
| Rate for Payer: Priority Health Medicare |
$25.80
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$68.45
|
| Rate for Payer: Railroad Medicare Medicare |
$25.54
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$89.91
|
| Rate for Payer: UHC Core |
$85.31
|
| Rate for Payer: UHC Dual Complete DSNP |
$25.54
|
| Rate for Payer: UHC Exchange |
$25.54
|
| Rate for Payer: UHC Medicare Advantage |
$25.54
|
| Rate for Payer: VA VA |
$25.54
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$76.63
|
|
|
HC RECOVERY 3 INIT 30 MIN
|
Facility
|
IP
|
$206.43
|
|
| Hospital Charge Code |
71000025
|
|
Hospital Revenue Code
|
710
|
| Min. Negotiated Rate |
$134.18 |
| Max. Negotiated Rate |
$185.79 |
| Rate for Payer: Aetna Commercial |
$175.47
|
| Rate for Payer: BCBS Trust/PPO |
$168.51
|
| Rate for Payer: BCN Commercial |
$159.53
|
| Rate for Payer: Cash Price |
$165.14
|
| Rate for Payer: Cofinity Commercial |
$177.53
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$165.14
|
| Rate for Payer: Healthscope Commercial |
$185.79
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$154.82
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$175.47
|
| Rate for Payer: Nomi Health Commercial |
$169.27
|
| Rate for Payer: PHP Commercial |
$175.47
|
| Rate for Payer: Priority Health Cigna Priority Health |
$134.18
|
| Rate for Payer: Priority Health HMO/PPO |
$179.59
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$138.31
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$181.66
|
| Rate for Payer: UHC Core |
$172.37
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$154.82
|
|
|
HC RECOVERY 3 INIT 30 MIN
|
Facility
|
OP
|
$206.43
|
|
| Hospital Charge Code |
71000025
|
|
Hospital Revenue Code
|
710
|
| Min. Negotiated Rate |
$49.03 |
| Max. Negotiated Rate |
$185.79 |
| Rate for Payer: Aetna Commercial |
$175.47
|
| Rate for Payer: Aetna Medicare |
$53.67
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$64.51
|
| Rate for Payer: Amish Plain Church Group Commercial |
$64.51
|
| Rate for Payer: BCBS Complete |
$82.57
|
| Rate for Payer: BCBS MAPPO |
$51.61
|
| Rate for Payer: BCBS Trust/PPO |
$169.71
|
| Rate for Payer: BCN Commercial |
$160.50
|
| Rate for Payer: BCN Medicare Advantage |
$51.61
|
| Rate for Payer: Cash Price |
$165.14
|
| Rate for Payer: Cofinity Commercial |
$177.53
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$165.14
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$51.61
|
| Rate for Payer: Healthscope Commercial |
$185.79
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$154.82
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$54.19
|
| Rate for Payer: MI Amish Medical Board Commercial |
$59.35
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$175.47
|
| Rate for Payer: Nomi Health Commercial |
$169.27
|
| Rate for Payer: PACE Senior Care Partners |
$49.03
|
| Rate for Payer: PACE SWMI |
$51.61
|
| Rate for Payer: PHP Commercial |
$175.47
|
| Rate for Payer: PHP Medicare Advantage |
$51.61
|
| Rate for Payer: Priority Health Cigna Priority Health |
$134.18
|
| Rate for Payer: Priority Health HMO/PPO |
$179.59
|
| Rate for Payer: Priority Health Medicare |
$52.12
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$138.31
|
| Rate for Payer: Railroad Medicare Medicare |
$51.61
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$181.66
|
| Rate for Payer: UHC Core |
$172.37
|
| Rate for Payer: UHC Dual Complete DSNP |
$51.61
|
| Rate for Payer: UHC Exchange |
$51.61
|
| Rate for Payer: UHC Medicare Advantage |
$51.61
|
| Rate for Payer: VA VA |
$51.61
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$154.82
|
|
