Price Transparency

Know your out-of-pocket cost for care.

search
Charge Type Setting Price  
Service Code HCPCS J1650
Hospital Charge Code 31921
Hospital Revenue Code 636
Min. Negotiated Rate $34.83
Max. Negotiated Rate $51.39
Rate for Payer: Aetna Commercial $48.54
Rate for Payer: Aetna Commercial $44.08
Rate for Payer: Aetna Commercial $79.15
Rate for Payer: BCBS Trust/PPO $44.13
Rate for Payer: BCBS Trust/PPO $40.08
Rate for Payer: BCBS Trust/PPO $71.96
Rate for Payer: BCN Commercial $40.08
Rate for Payer: BCN Commercial $71.96
Rate for Payer: BCN Commercial $44.13
Rate for Payer: Cash Price $41.49
Rate for Payer: Cash Price $74.50
Rate for Payer: Cash Price $45.68
Rate for Payer: Cofinity Commercial $49.11
Rate for Payer: Cofinity Commercial $44.60
Rate for Payer: Cofinity Commercial $80.08
Rate for Payer: Encore Health Key Benefits Commercial $41.49
Rate for Payer: Encore Health Key Benefits Commercial $74.50
Rate for Payer: Encore Health Key Benefits Commercial $45.68
Rate for Payer: Healthscope Commercial $83.81
Rate for Payer: Healthscope Commercial $46.67
Rate for Payer: Healthscope Commercial $51.39
Rate for Payer: Lakeland Regional Health Systems Commercial $38.90
Rate for Payer: Lakeland Regional Health Systems Commercial $42.82
Rate for Payer: Lakeland Regional Health Systems Commercial $69.84
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS $79.15
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS $44.08
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS $48.54
Rate for Payer: PHP Commercial $44.08
Rate for Payer: PHP Commercial $79.15
Rate for Payer: PHP Commercial $48.54
Rate for Payer: Priority Health Cigna Priority Health $36.30
Rate for Payer: Priority Health Cigna Priority Health $39.97
Rate for Payer: Priority Health Cigna Priority Health $65.18
Rate for Payer: Priority Health HMO/PPO/Tiered Network $81.01
Rate for Payer: Priority Health HMO/PPO/Tiered Network $45.12
Rate for Payer: Priority Health HMO/PPO/Tiered Network $49.68
Rate for Payer: Priority Health Narrow/Tiered Network $31.63
Rate for Payer: Priority Health Narrow/Tiered Network $34.83
Rate for Payer: Priority Health Narrow/Tiered Network $56.79
Rate for Payer: UHC All Payor (Choice/PPO) $81.95
Rate for Payer: UHC All Payor (Choice/PPO) $45.64
Rate for Payer: UHC All Payor (Choice/PPO) $50.25
Rate for Payer: UHC Core $77.76
Rate for Payer: UHC Core $47.68
Rate for Payer: UHC Core $43.30
Rate for Payer: Van Buren County Sheriff Dept. Commercial $38.90
Rate for Payer: Van Buren County Sheriff Dept. Commercial $69.84
Rate for Payer: Van Buren County Sheriff Dept. Commercial $42.82
Service Code HCPCS J1650
Hospital Charge Code 105899
Hospital Revenue Code 636
Min. Negotiated Rate $11.35
Max. Negotiated Rate $16.75
Rate for Payer: Aetna Commercial $15.82
Rate for Payer: Aetna Commercial $13.71
Rate for Payer: Aetna Commercial $26.18
Rate for Payer: Aetna Commercial $23.61
Rate for Payer: Aetna Commercial $13.87
Rate for Payer: Aetna Commercial $22.57
Rate for Payer: Aetna Commercial $20.97
Rate for Payer: Aetna Commercial $18.46
Rate for Payer: Aetna Commercial $15.66
Rate for Payer: BCBS Trust/PPO $12.61
Rate for Payer: BCBS Trust/PPO $16.79
Rate for Payer: BCBS Trust/PPO $14.38
Rate for Payer: BCBS Trust/PPO $21.47
Rate for Payer: BCBS Trust/PPO $23.80
Rate for Payer: BCBS Trust/PPO $12.47
Rate for Payer: BCBS Trust/PPO $19.06
Rate for Payer: BCBS Trust/PPO $14.23
Rate for Payer: BCBS Trust/PPO $20.52
Rate for Payer: BCN Commercial $12.61
Rate for Payer: BCN Commercial $12.47
Rate for Payer: BCN Commercial $14.38
Rate for Payer: BCN Commercial $23.80
Rate for Payer: BCN Commercial $14.23
Rate for Payer: BCN Commercial $16.79
Rate for Payer: BCN Commercial $21.47
Rate for Payer: BCN Commercial $20.52
Rate for Payer: BCN Commercial $19.06
Rate for Payer: Cash Price $19.74
Rate for Payer: Cash Price $14.89
Rate for Payer: Cash Price $21.24
Rate for Payer: Cash Price $13.06
Rate for Payer: Cash Price $14.74
Rate for Payer: Cash Price $22.22
Rate for Payer: Cash Price $17.38
Rate for Payer: Cash Price $12.90
Rate for Payer: Cash Price $24.64
Rate for Payer: Cofinity Commercial $14.04
Rate for Payer: Cofinity Commercial $13.87
Rate for Payer: Cofinity Commercial $15.84
Rate for Payer: Cofinity Commercial $16.00
Rate for Payer: Cofinity Commercial $18.68
Rate for Payer: Cofinity Commercial $21.22
Rate for Payer: Cofinity Commercial $22.83
Rate for Payer: Cofinity Commercial $23.89
Rate for Payer: Cofinity Commercial $26.49
Rate for Payer: Encore Health Key Benefits Commercial $14.74
Rate for Payer: Encore Health Key Benefits Commercial $21.24
Rate for Payer: Encore Health Key Benefits Commercial $17.38
Rate for Payer: Encore Health Key Benefits Commercial $19.74
Rate for Payer: Encore Health Key Benefits Commercial $14.89
Rate for Payer: Encore Health Key Benefits Commercial $24.64
Rate for Payer: Encore Health Key Benefits Commercial $13.06
Rate for Payer: Encore Health Key Benefits Commercial $12.90
Rate for Payer: Encore Health Key Benefits Commercial $22.22
Rate for Payer: Healthscope Commercial $14.52
Rate for Payer: Healthscope Commercial $25.00
Rate for Payer: Healthscope Commercial $19.55
Rate for Payer: Healthscope Commercial $16.58
Rate for Payer: Healthscope Commercial $27.72
Rate for Payer: Healthscope Commercial $16.75
Rate for Payer: Healthscope Commercial $23.90
Rate for Payer: Healthscope Commercial $22.20
Rate for Payer: Healthscope Commercial $14.69
Rate for Payer: Lakeland Regional Health Systems Commercial $20.84
Rate for Payer: Lakeland Regional Health Systems Commercial $19.91
Rate for Payer: Lakeland Regional Health Systems Commercial $23.10
Rate for Payer: Lakeland Regional Health Systems Commercial $13.96
Rate for Payer: Lakeland Regional Health Systems Commercial $13.82
Rate for Payer: Lakeland Regional Health Systems Commercial $12.10
Rate for Payer: Lakeland Regional Health Systems Commercial $16.29
Rate for Payer: Lakeland Regional Health Systems Commercial $12.24
Rate for Payer: Lakeland Regional Health Systems Commercial $18.50
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS $13.87
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS $26.18
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS $20.97
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS $15.82
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS $18.46
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS $23.61
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS $22.57
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS $13.71
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS $15.66
Rate for Payer: PHP Commercial $15.66
Rate for Payer: PHP Commercial $18.46
Rate for Payer: PHP Commercial $23.61
Rate for Payer: PHP Commercial $13.87
Rate for Payer: PHP Commercial $15.82
Rate for Payer: PHP Commercial $22.57
Rate for Payer: PHP Commercial $20.97
Rate for Payer: PHP Commercial $26.18
Rate for Payer: PHP Commercial $13.71
Rate for Payer: Priority Health Cigna Priority Health $17.27
Rate for Payer: Priority Health Cigna Priority Health $19.45
Rate for Payer: Priority Health Cigna Priority Health $18.58
Rate for Payer: Priority Health Cigna Priority Health $21.56
Rate for Payer: Priority Health Cigna Priority Health $15.20
Rate for Payer: Priority Health Cigna Priority Health $12.89
Rate for Payer: Priority Health Cigna Priority Health $11.29
Rate for Payer: Priority Health Cigna Priority Health $13.03
Rate for Payer: Priority Health Cigna Priority Health $11.42
Rate for Payer: Priority Health HMO/PPO/Tiered Network $16.19
Rate for Payer: Priority Health HMO/PPO/Tiered Network $14.20
Rate for Payer: Priority Health HMO/PPO/Tiered Network $16.03
Rate for Payer: Priority Health HMO/PPO/Tiered Network $18.90
Rate for Payer: Priority Health HMO/PPO/Tiered Network $21.46
Rate for Payer: Priority Health HMO/PPO/Tiered Network $23.10
Rate for Payer: Priority Health HMO/PPO/Tiered Network $14.03
Rate for Payer: Priority Health HMO/PPO/Tiered Network $24.17
Rate for Payer: Priority Health HMO/PPO/Tiered Network $26.80
Rate for Payer: Priority Health Narrow/Tiered Network $15.05
Rate for Payer: Priority Health Narrow/Tiered Network $13.25
Rate for Payer: Priority Health Narrow/Tiered Network $16.19
Rate for Payer: Priority Health Narrow/Tiered Network $11.23
Rate for Payer: Priority Health Narrow/Tiered Network $9.84
Rate for Payer: Priority Health Narrow/Tiered Network $11.35
Rate for Payer: Priority Health Narrow/Tiered Network $16.94
Rate for Payer: Priority Health Narrow/Tiered Network $9.95
Rate for Payer: Priority Health Narrow/Tiered Network $18.78
Rate for Payer: UHC All Payor (Choice/PPO) $19.11
Rate for Payer: UHC All Payor (Choice/PPO) $23.36
Rate for Payer: UHC All Payor (Choice/PPO) $21.71
Rate for Payer: UHC All Payor (Choice/PPO) $24.45
Rate for Payer: UHC All Payor (Choice/PPO) $14.36
Rate for Payer: UHC All Payor (Choice/PPO) $16.38
Rate for Payer: UHC All Payor (Choice/PPO) $27.10
Rate for Payer: UHC All Payor (Choice/PPO) $14.19
Rate for Payer: UHC All Payor (Choice/PPO) $16.21
Rate for Payer: UHC Core $18.14
Rate for Payer: UHC Core $23.20
Rate for Payer: UHC Core $25.72
Rate for Payer: UHC Core $13.63
Rate for Payer: UHC Core $13.47
Rate for Payer: UHC Core $22.17
Rate for Payer: UHC Core $15.54
Rate for Payer: UHC Core $20.60
Rate for Payer: UHC Core $15.38
Rate for Payer: Van Buren County Sheriff Dept. Commercial $23.10
Rate for Payer: Van Buren County Sheriff Dept. Commercial $20.84
Rate for Payer: Van Buren County Sheriff Dept. Commercial $13.96
Rate for Payer: Van Buren County Sheriff Dept. Commercial $12.10
Rate for Payer: Van Buren County Sheriff Dept. Commercial $13.82
Rate for Payer: Van Buren County Sheriff Dept. Commercial $19.91
Rate for Payer: Van Buren County Sheriff Dept. Commercial $12.24
Rate for Payer: Van Buren County Sheriff Dept. Commercial $16.29
Rate for Payer: Van Buren County Sheriff Dept. Commercial $18.50
Service Code HCPCS J1650
Hospital Charge Code 105900
Hospital Revenue Code 636
Min. Negotiated Rate $11.97
Max. Negotiated Rate $17.66
Rate for Payer: Aetna Commercial $16.68
Rate for Payer: Aetna Commercial $21.56
Rate for Payer: Aetna Commercial $21.07
Rate for Payer: Aetna Commercial $21.14
Rate for Payer: Aetna Commercial $30.04
Rate for Payer: Aetna Commercial $21.12
Rate for Payer: Aetna Commercial $34.91
Rate for Payer: Aetna Commercial $16.84
Rate for Payer: BCBS Trust/PPO $15.31
Rate for Payer: BCBS Trust/PPO $15.16
Rate for Payer: BCBS Trust/PPO $27.31
Rate for Payer: BCBS Trust/PPO $19.61
Rate for Payer: BCBS Trust/PPO $19.22
Rate for Payer: BCBS Trust/PPO $19.16
Rate for Payer: BCBS Trust/PPO $31.74
Rate for Payer: BCBS Trust/PPO $19.20
Rate for Payer: BCN Commercial $15.16
Rate for Payer: BCN Commercial $15.31
Rate for Payer: BCN Commercial $19.16
Rate for Payer: BCN Commercial $19.20
Rate for Payer: BCN Commercial $19.22
Rate for Payer: BCN Commercial $19.61
Rate for Payer: BCN Commercial $31.74
Rate for Payer: BCN Commercial $27.31
Rate for Payer: Cash Price $15.85
Rate for Payer: Cash Price $32.86
Rate for Payer: Cash Price $19.83
Rate for Payer: Cash Price $20.30
Rate for Payer: Cash Price $15.70
Rate for Payer: Cash Price $19.90
Rate for Payer: Cash Price $28.27
Rate for Payer: Cash Price $19.88
Rate for Payer: Cofinity Commercial $30.39
Rate for Payer: Cofinity Commercial $16.87
Rate for Payer: Cofinity Commercial $35.32
Rate for Payer: Cofinity Commercial $21.32
Rate for Payer: Cofinity Commercial $21.37
Rate for Payer: Cofinity Commercial $21.82
Rate for Payer: Cofinity Commercial $21.39
Rate for Payer: Cofinity Commercial $17.04
Rate for Payer: Encore Health Key Benefits Commercial $20.30
Rate for Payer: Encore Health Key Benefits Commercial $19.83
Rate for Payer: Encore Health Key Benefits Commercial $15.85
Rate for Payer: Encore Health Key Benefits Commercial $28.27
Rate for Payer: Encore Health Key Benefits Commercial $32.86
Rate for Payer: Encore Health Key Benefits Commercial $19.90
Rate for Payer: Encore Health Key Benefits Commercial $19.88
Rate for Payer: Encore Health Key Benefits Commercial $15.70
Rate for Payer: Healthscope Commercial $17.83
Rate for Payer: Healthscope Commercial $22.36
Rate for Payer: Healthscope Commercial $22.83
Rate for Payer: Healthscope Commercial $36.96
Rate for Payer: Healthscope Commercial $17.66
Rate for Payer: Healthscope Commercial $22.38
Rate for Payer: Healthscope Commercial $31.81
Rate for Payer: Healthscope Commercial $22.31
Rate for Payer: Lakeland Regional Health Systems Commercial $14.86
Rate for Payer: Lakeland Regional Health Systems Commercial $26.50
Rate for Payer: Lakeland Regional Health Systems Commercial $18.59
Rate for Payer: Lakeland Regional Health Systems Commercial $14.72
Rate for Payer: Lakeland Regional Health Systems Commercial $18.64
Rate for Payer: Lakeland Regional Health Systems Commercial $30.80
Rate for Payer: Lakeland Regional Health Systems Commercial $18.65
Rate for Payer: Lakeland Regional Health Systems Commercial $19.03
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS $21.12
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS $21.07
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS $16.68
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS $34.91
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS $21.14
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS $21.56
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS $16.84
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS $30.04
Rate for Payer: PHP Commercial $21.56
Rate for Payer: PHP Commercial $21.14
Rate for Payer: PHP Commercial $21.07
Rate for Payer: PHP Commercial $21.12
Rate for Payer: PHP Commercial $30.04
Rate for Payer: PHP Commercial $34.91
Rate for Payer: PHP Commercial $16.68
Rate for Payer: PHP Commercial $16.84
Rate for Payer: Priority Health Cigna Priority Health $17.40
Rate for Payer: Priority Health Cigna Priority Health $17.41
Rate for Payer: Priority Health Cigna Priority Health $17.35
Rate for Payer: Priority Health Cigna Priority Health $13.73
Rate for Payer: Priority Health Cigna Priority Health $28.75
Rate for Payer: Priority Health Cigna Priority Health $17.76
Rate for Payer: Priority Health Cigna Priority Health $24.74
Rate for Payer: Priority Health Cigna Priority Health $13.87
Rate for Payer: Priority Health HMO/PPO/Tiered Network $21.57
Rate for Payer: Priority Health HMO/PPO/Tiered Network $22.07
Rate for Payer: Priority Health HMO/PPO/Tiered Network $30.75
Rate for Payer: Priority Health HMO/PPO/Tiered Network $35.73
Rate for Payer: Priority Health HMO/PPO/Tiered Network $21.62
Rate for Payer: Priority Health HMO/PPO/Tiered Network $21.64
Rate for Payer: Priority Health HMO/PPO/Tiered Network $17.07
Rate for Payer: Priority Health HMO/PPO/Tiered Network $17.23
Rate for Payer: Priority Health Narrow/Tiered Network $12.08
Rate for Payer: Priority Health Narrow/Tiered Network $15.17
Rate for Payer: Priority Health Narrow/Tiered Network $15.16
Rate for Payer: Priority Health Narrow/Tiered Network $25.05
Rate for Payer: Priority Health Narrow/Tiered Network $15.47
Rate for Payer: Priority Health Narrow/Tiered Network $15.12
Rate for Payer: Priority Health Narrow/Tiered Network $21.55
Rate for Payer: Priority Health Narrow/Tiered Network $11.97
Rate for Payer: UHC All Payor (Choice/PPO) $31.10
Rate for Payer: UHC All Payor (Choice/PPO) $17.27
Rate for Payer: UHC All Payor (Choice/PPO) $17.43
Rate for Payer: UHC All Payor (Choice/PPO) $21.82
Rate for Payer: UHC All Payor (Choice/PPO) $21.87
Rate for Payer: UHC All Payor (Choice/PPO) $21.89
Rate for Payer: UHC All Payor (Choice/PPO) $22.33
Rate for Payer: UHC All Payor (Choice/PPO) $36.14
Rate for Payer: UHC Core $20.77
Rate for Payer: UHC Core $20.70
Rate for Payer: UHC Core $21.18
Rate for Payer: UHC Core $16.54
Rate for Payer: UHC Core $20.75
Rate for Payer: UHC Core $16.38
Rate for Payer: UHC Core $34.29
Rate for Payer: UHC Core $29.51
Rate for Payer: Van Buren County Sheriff Dept. Commercial $30.80
Rate for Payer: Van Buren County Sheriff Dept. Commercial $26.50
Rate for Payer: Van Buren County Sheriff Dept. Commercial $19.03
Rate for Payer: Van Buren County Sheriff Dept. Commercial $18.65
Rate for Payer: Van Buren County Sheriff Dept. Commercial $18.64
Rate for Payer: Van Buren County Sheriff Dept. Commercial $18.59
Rate for Payer: Van Buren County Sheriff Dept. Commercial $14.86
Rate for Payer: Van Buren County Sheriff Dept. Commercial $14.72
Service Code HCPCS J1650
Hospital Charge Code 105901
Hospital Revenue Code 636
Min. Negotiated Rate $12.28
Max. Negotiated Rate $18.12
Rate for Payer: Aetna Commercial $17.11
Rate for Payer: Aetna Commercial $15.38
Rate for Payer: Aetna Commercial $18.50
Rate for Payer: BCBS Trust/PPO $15.56
Rate for Payer: BCBS Trust/PPO $13.98
Rate for Payer: BCBS Trust/PPO $16.82
Rate for Payer: BCN Commercial $16.82
Rate for Payer: BCN Commercial $15.56
Rate for Payer: BCN Commercial $13.98
Rate for Payer: Cash Price $16.10
Rate for Payer: Cash Price $14.47
Rate for Payer: Cash Price $17.42
Rate for Payer: Cofinity Commercial $17.31
Rate for Payer: Cofinity Commercial $15.56
Rate for Payer: Cofinity Commercial $18.72
Rate for Payer: Encore Health Key Benefits Commercial $17.42
Rate for Payer: Encore Health Key Benefits Commercial $16.10
Rate for Payer: Encore Health Key Benefits Commercial $14.47
Rate for Payer: Healthscope Commercial $16.28
Rate for Payer: Healthscope Commercial $18.12
Rate for Payer: Healthscope Commercial $19.59
Rate for Payer: Lakeland Regional Health Systems Commercial $15.10
Rate for Payer: Lakeland Regional Health Systems Commercial $16.33
Rate for Payer: Lakeland Regional Health Systems Commercial $13.57
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS $18.50
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS $15.38
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS $17.11
Rate for Payer: PHP Commercial $17.11
Rate for Payer: PHP Commercial $15.38
Rate for Payer: PHP Commercial $18.50
Rate for Payer: Priority Health Cigna Priority Health $12.66
Rate for Payer: Priority Health Cigna Priority Health $14.09
Rate for Payer: Priority Health Cigna Priority Health $15.24
Rate for Payer: Priority Health HMO/PPO/Tiered Network $17.51
Rate for Payer: Priority Health HMO/PPO/Tiered Network $18.94
Rate for Payer: Priority Health HMO/PPO/Tiered Network $15.74
Rate for Payer: Priority Health Narrow/Tiered Network $12.28
Rate for Payer: Priority Health Narrow/Tiered Network $11.03
Rate for Payer: Priority Health Narrow/Tiered Network $13.28
Rate for Payer: UHC All Payor (Choice/PPO) $15.92
Rate for Payer: UHC All Payor (Choice/PPO) $17.71
Rate for Payer: UHC All Payor (Choice/PPO) $19.16
Rate for Payer: UHC Core $15.11
Rate for Payer: UHC Core $18.18
Rate for Payer: UHC Core $16.81
Rate for Payer: Van Buren County Sheriff Dept. Commercial $16.33
Rate for Payer: Van Buren County Sheriff Dept. Commercial $13.57
Rate for Payer: Van Buren County Sheriff Dept. Commercial $15.10
Service Code HCPCS J1650
Hospital Charge Code 105902
Hospital Revenue Code 636
Min. Negotiated Rate $50.15
Max. Negotiated Rate $74.01
Rate for Payer: Aetna Commercial $69.90
Rate for Payer: Aetna Commercial $42.22
Rate for Payer: Aetna Commercial $21.84
Rate for Payer: BCBS Trust/PPO $19.85
Rate for Payer: BCBS Trust/PPO $63.55
Rate for Payer: BCBS Trust/PPO $38.38
Rate for Payer: BCN Commercial $63.55
Rate for Payer: BCN Commercial $19.85
Rate for Payer: BCN Commercial $38.38
Rate for Payer: Cash Price $20.55
Rate for Payer: Cash Price $39.74
Rate for Payer: Cash Price $65.78
Rate for Payer: Cofinity Commercial $70.72
Rate for Payer: Cofinity Commercial $22.09
Rate for Payer: Cofinity Commercial $42.72
Rate for Payer: Encore Health Key Benefits Commercial $39.74
Rate for Payer: Encore Health Key Benefits Commercial $65.78
Rate for Payer: Encore Health Key Benefits Commercial $20.55
Rate for Payer: Healthscope Commercial $44.70
Rate for Payer: Healthscope Commercial $74.01
Rate for Payer: Healthscope Commercial $23.12
Rate for Payer: Lakeland Regional Health Systems Commercial $61.67
Rate for Payer: Lakeland Regional Health Systems Commercial $19.27
Rate for Payer: Lakeland Regional Health Systems Commercial $37.25
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS $42.22
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS $69.90
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS $21.84
Rate for Payer: PHP Commercial $42.22
Rate for Payer: PHP Commercial $69.90
Rate for Payer: PHP Commercial $21.84
Rate for Payer: Priority Health Cigna Priority Health $34.77
Rate for Payer: Priority Health Cigna Priority Health $17.98
Rate for Payer: Priority Health Cigna Priority Health $57.56
Rate for Payer: Priority Health HMO/PPO/Tiered Network $71.54
Rate for Payer: Priority Health HMO/PPO/Tiered Network $43.21
Rate for Payer: Priority Health HMO/PPO/Tiered Network $22.35
Rate for Payer: Priority Health Narrow/Tiered Network $15.67
Rate for Payer: Priority Health Narrow/Tiered Network $50.15
Rate for Payer: Priority Health Narrow/Tiered Network $30.29
Rate for Payer: UHC All Payor (Choice/PPO) $72.36
Rate for Payer: UHC All Payor (Choice/PPO) $43.71
Rate for Payer: UHC All Payor (Choice/PPO) $22.61
Rate for Payer: UHC Core $21.45
Rate for Payer: UHC Core $41.47
Rate for Payer: UHC Core $68.66
Rate for Payer: Van Buren County Sheriff Dept. Commercial $61.67
Rate for Payer: Van Buren County Sheriff Dept. Commercial $19.27
Rate for Payer: Van Buren County Sheriff Dept. Commercial $37.25
Service Code NDC 60687-188-11
Hospital Charge Code 26547
Hospital Revenue Code 637
Min. Negotiated Rate $8.64
Max. Negotiated Rate $12.75
Rate for Payer: Aetna Commercial $12.04
Rate for Payer: BCBS Trust/PPO $10.95
Rate for Payer: BCN Commercial $10.95
Rate for Payer: Cash Price $11.34
Rate for Payer: Cofinity Commercial $12.19
Rate for Payer: Encore Health Key Benefits Commercial $11.34
Rate for Payer: Healthscope Commercial $12.75
Rate for Payer: Lakeland Regional Health Systems Commercial $10.63
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS $12.04
Rate for Payer: PHP Commercial $12.04
Rate for Payer: Priority Health Cigna Priority Health $9.92
Rate for Payer: Priority Health HMO/PPO/Tiered Network $12.33
Rate for Payer: Priority Health Narrow/Tiered Network $8.64
Rate for Payer: UHC All Payor (Choice/PPO) $12.47
Rate for Payer: UHC Core $11.83
Rate for Payer: Van Buren County Sheriff Dept. Commercial $10.63
Service Code NDC 65862-654-01
Hospital Charge Code 26547
Hospital Revenue Code 637
Min. Negotiated Rate $152.52
Max. Negotiated Rate $225.07
Rate for Payer: Aetna Commercial $212.57
Rate for Payer: BCBS Trust/PPO $193.26
Rate for Payer: BCN Commercial $193.26
Rate for Payer: Cash Price $200.06
Rate for Payer: Cofinity Commercial $215.07
Rate for Payer: Encore Health Key Benefits Commercial $200.06
Rate for Payer: Healthscope Commercial $225.07
Rate for Payer: Lakeland Regional Health Systems Commercial $187.56
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS $212.57
Rate for Payer: PHP Commercial $212.57
Rate for Payer: Priority Health Cigna Priority Health $175.06
Rate for Payer: Priority Health HMO/PPO/Tiered Network $217.57
Rate for Payer: Priority Health Narrow/Tiered Network $152.52
Rate for Payer: UHC All Payor (Choice/PPO) $220.07
Rate for Payer: UHC Core $208.82
Rate for Payer: Van Buren County Sheriff Dept. Commercial $187.56
Service Code NDC 50268-295-11
Hospital Charge Code 26547
Hospital Revenue Code 637
Min. Negotiated Rate $8.19
Max. Negotiated Rate $12.09
Rate for Payer: Aetna Commercial $11.42
Rate for Payer: BCBS Trust/PPO $10.38
Rate for Payer: BCN Commercial $10.38
Rate for Payer: Cash Price $10.74
Rate for Payer: Cofinity Commercial $11.55
Rate for Payer: Encore Health Key Benefits Commercial $10.74
Rate for Payer: Healthscope Commercial $12.09
Rate for Payer: Lakeland Regional Health Systems Commercial $10.07
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS $11.42
Rate for Payer: PHP Commercial $11.42
Rate for Payer: Priority Health Cigna Priority Health $9.40
Rate for Payer: Priority Health HMO/PPO/Tiered Network $11.68
Rate for Payer: Priority Health Narrow/Tiered Network $8.19
Rate for Payer: UHC All Payor (Choice/PPO) $11.82
Rate for Payer: UHC Core $11.21
Rate for Payer: Van Buren County Sheriff Dept. Commercial $10.07
Service Code NDC 60687-188-21
Hospital Charge Code 26547
Hospital Revenue Code 637
Min. Negotiated Rate $259.22
Max. Negotiated Rate $382.52
Rate for Payer: Aetna Commercial $361.27
Rate for Payer: BCBS Trust/PPO $328.46
Rate for Payer: BCN Commercial $328.46
Rate for Payer: Cash Price $340.02
Rate for Payer: Cofinity Commercial $365.52
Rate for Payer: Encore Health Key Benefits Commercial $340.02
Rate for Payer: Healthscope Commercial $382.52
Rate for Payer: Lakeland Regional Health Systems Commercial $318.76
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS $361.27
Rate for Payer: PHP Commercial $361.27
Rate for Payer: Priority Health Cigna Priority Health $297.51
Rate for Payer: Priority Health HMO/PPO/Tiered Network $369.77
Rate for Payer: Priority Health Narrow/Tiered Network $259.22
Rate for Payer: UHC All Payor (Choice/PPO) $374.02
Rate for Payer: UHC Core $354.89
Rate for Payer: Van Buren County Sheriff Dept. Commercial $318.76
Service Code NDC 50268-295-15
Hospital Charge Code 26547
Hospital Revenue Code 637
Min. Negotiated Rate $409.47
Max. Negotiated Rate $604.23
Rate for Payer: Aetna Commercial $570.66
Rate for Payer: BCBS Trust/PPO $518.83
Rate for Payer: BCN Commercial $518.83
Rate for Payer: Cash Price $537.10
Rate for Payer: Cofinity Commercial $577.38
Rate for Payer: Encore Health Key Benefits Commercial $537.10
Rate for Payer: Healthscope Commercial $604.23
Rate for Payer: Lakeland Regional Health Systems Commercial $503.53
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS $570.66
Rate for Payer: PHP Commercial $570.66
Rate for Payer: Priority Health Cigna Priority Health $469.96
Rate for Payer: Priority Health HMO/PPO/Tiered Network $584.09
Rate for Payer: Priority Health Narrow/Tiered Network $409.47
Rate for Payer: UHC All Payor (Choice/PPO) $590.81
Rate for Payer: UHC Core $560.59
Rate for Payer: Van Buren County Sheriff Dept. Commercial $503.53
Service Code NDC 47335-007-88
Hospital Charge Code 26547
Hospital Revenue Code 637
Min. Negotiated Rate $798.17
Max. Negotiated Rate $1,177.82
Rate for Payer: Aetna Commercial $1,112.39
Rate for Payer: BCBS Trust/PPO $1,011.36
Rate for Payer: BCN Commercial $1,011.36
Rate for Payer: Cash Price $1,046.95
Rate for Payer: Cofinity Commercial $1,125.47
Rate for Payer: Encore Health Key Benefits Commercial $1,046.95
Rate for Payer: Healthscope Commercial $1,177.82
Rate for Payer: Lakeland Regional Health Systems Commercial $981.52
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS $1,112.39
Rate for Payer: PHP Commercial $1,112.39
Rate for Payer: Priority Health Cigna Priority Health $916.08
Rate for Payer: Priority Health HMO/PPO/Tiered Network $1,138.56
Rate for Payer: Priority Health Narrow/Tiered Network $798.17
Rate for Payer: UHC All Payor (Choice/PPO) $1,151.65
Rate for Payer: UHC Core $1,092.76
Rate for Payer: Van Buren County Sheriff Dept. Commercial $981.52
Service Code NDC 17478-415-10
Hospital Charge Code 300142
Hospital Revenue Code 250
Min. Negotiated Rate $51.95
Max. Negotiated Rate $76.65
Rate for Payer: Aetna Commercial $72.39
Rate for Payer: BCBS Trust/PPO $65.82
Rate for Payer: BCN Commercial $65.82
Rate for Payer: Cash Price $68.14
Rate for Payer: Cofinity Commercial $73.25
Rate for Payer: Encore Health Key Benefits Commercial $68.14
Rate for Payer: Healthscope Commercial $76.65
Rate for Payer: Lakeland Regional Health Systems Commercial $63.88
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS $72.39
Rate for Payer: PHP Commercial $72.39
Rate for Payer: Priority Health Cigna Priority Health $59.62
Rate for Payer: Priority Health HMO/PPO/Tiered Network $74.10
Rate for Payer: Priority Health Narrow/Tiered Network $51.95
Rate for Payer: UHC All Payor (Choice/PPO) $74.95
Rate for Payer: UHC Core $71.12
Rate for Payer: Van Buren County Sheriff Dept. Commercial $63.88
Service Code NDC 70756-611-82
Hospital Charge Code 300142
Hospital Revenue Code 250
Min. Negotiated Rate $11.44
Max. Negotiated Rate $16.88
Rate for Payer: Aetna Commercial $15.94
Rate for Payer: BCBS Trust/PPO $14.49
Rate for Payer: BCN Commercial $14.49
Rate for Payer: Cash Price $15.00
Rate for Payer: Cofinity Commercial $16.12
Rate for Payer: Encore Health Key Benefits Commercial $15.00
Rate for Payer: Healthscope Commercial $16.88
Rate for Payer: Lakeland Regional Health Systems Commercial $14.06
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS $15.94
Rate for Payer: PHP Commercial $15.94
Rate for Payer: Priority Health Cigna Priority Health $13.12
Rate for Payer: Priority Health HMO/PPO/Tiered Network $16.31
Rate for Payer: Priority Health Narrow/Tiered Network $11.44
Rate for Payer: UHC All Payor (Choice/PPO) $16.50
Rate for Payer: UHC Core $15.66
Rate for Payer: Van Buren County Sheriff Dept. Commercial $14.06
Service Code NDC 70756-611-25
Hospital Charge Code 300142
Hospital Revenue Code 250
Min. Negotiated Rate $11.44
Max. Negotiated Rate $16.88
Rate for Payer: Aetna Commercial $15.94
Rate for Payer: BCBS Trust/PPO $14.49
Rate for Payer: BCN Commercial $14.49
Rate for Payer: Cash Price $15.00
Rate for Payer: Cofinity Commercial $16.12
Rate for Payer: Encore Health Key Benefits Commercial $15.00
Rate for Payer: Healthscope Commercial $16.88
Rate for Payer: Lakeland Regional Health Systems Commercial $14.06
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS $15.94
Rate for Payer: PHP Commercial $15.94
Rate for Payer: Priority Health Cigna Priority Health $13.12
Rate for Payer: Priority Health HMO/PPO/Tiered Network $16.31
Rate for Payer: Priority Health Narrow/Tiered Network $11.44
Rate for Payer: UHC All Payor (Choice/PPO) $16.50
Rate for Payer: UHC Core $15.66
Rate for Payer: Van Buren County Sheriff Dept. Commercial $14.06
Service Code NDC 17478-955-10
Hospital Charge Code 300142
Hospital Revenue Code 250
Min. Negotiated Rate $51.95
Max. Negotiated Rate $76.65
Rate for Payer: Aetna Commercial $72.39
Rate for Payer: BCBS Trust/PPO $65.82
Rate for Payer: BCN Commercial $65.82
Rate for Payer: Cash Price $68.14
Rate for Payer: Cofinity Commercial $73.25
Rate for Payer: Encore Health Key Benefits Commercial $68.14
Rate for Payer: Healthscope Commercial $76.65
Rate for Payer: Lakeland Regional Health Systems Commercial $63.88
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS $72.39
Rate for Payer: PHP Commercial $72.39
Rate for Payer: Priority Health Cigna Priority Health $59.62
Rate for Payer: Priority Health HMO/PPO/Tiered Network $74.10
Rate for Payer: Priority Health Narrow/Tiered Network $51.95
Rate for Payer: UHC All Payor (Choice/PPO) $74.95
Rate for Payer: UHC Core $71.12
Rate for Payer: Van Buren County Sheriff Dept. Commercial $63.88
Service Code HCPCS J3490
Hospital Charge Code 179024
Hospital Revenue Code 636
Min. Negotiated Rate $11.44
Max. Negotiated Rate $16.88
Rate for Payer: Aetna Commercial $15.94
Rate for Payer: BCBS Trust/PPO $14.49
Rate for Payer: BCN Commercial $14.49
Rate for Payer: Cash Price $15.00
Rate for Payer: Cofinity Commercial $16.12
Rate for Payer: Encore Health Key Benefits Commercial $15.00
Rate for Payer: Healthscope Commercial $16.88
Rate for Payer: Lakeland Regional Health Systems Commercial $14.06
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS $15.94
Rate for Payer: PHP Commercial $15.94
Rate for Payer: Priority Health Cigna Priority Health $13.12
Rate for Payer: Priority Health HMO/PPO/Tiered Network $16.31
Rate for Payer: Priority Health Narrow/Tiered Network $11.44
Rate for Payer: UHC All Payor (Choice/PPO) $16.50
Rate for Payer: UHC Core $15.66
Rate for Payer: Van Buren County Sheriff Dept. Commercial $14.06
Service Code HCPCS J0171
Hospital Charge Code 2848
Hospital Revenue Code 636
Min. Negotiated Rate $21.71
Max. Negotiated Rate $32.04
Rate for Payer: Aetna Commercial $30.26
Rate for Payer: Aetna Commercial $17.37
Rate for Payer: Aetna Commercial $33.29
Rate for Payer: BCBS Trust/PPO $27.51
Rate for Payer: BCBS Trust/PPO $15.79
Rate for Payer: BCBS Trust/PPO $30.26
Rate for Payer: BCN Commercial $15.79
Rate for Payer: BCN Commercial $30.26
Rate for Payer: BCN Commercial $27.51
Rate for Payer: Cash Price $16.34
Rate for Payer: Cash Price $28.48
Rate for Payer: Cash Price $31.33
Rate for Payer: Cofinity Commercial $17.57
Rate for Payer: Cofinity Commercial $33.68
Rate for Payer: Cofinity Commercial $30.62
Rate for Payer: Encore Health Key Benefits Commercial $28.48
Rate for Payer: Encore Health Key Benefits Commercial $31.33
Rate for Payer: Encore Health Key Benefits Commercial $16.34
Rate for Payer: Healthscope Commercial $18.39
Rate for Payer: Healthscope Commercial $32.04
Rate for Payer: Healthscope Commercial $35.24
Rate for Payer: Lakeland Regional Health Systems Commercial $15.32
Rate for Payer: Lakeland Regional Health Systems Commercial $29.37
Rate for Payer: Lakeland Regional Health Systems Commercial $26.70
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS $17.37
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS $30.26
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS $33.29
Rate for Payer: PHP Commercial $33.29
Rate for Payer: PHP Commercial $30.26
Rate for Payer: PHP Commercial $17.37
Rate for Payer: Priority Health Cigna Priority Health $24.92
Rate for Payer: Priority Health Cigna Priority Health $27.41
Rate for Payer: Priority Health Cigna Priority Health $14.30
Rate for Payer: Priority Health HMO/PPO/Tiered Network $17.77
Rate for Payer: Priority Health HMO/PPO/Tiered Network $30.97
Rate for Payer: Priority Health HMO/PPO/Tiered Network $34.07
Rate for Payer: Priority Health Narrow/Tiered Network $23.88
Rate for Payer: Priority Health Narrow/Tiered Network $21.71
Rate for Payer: Priority Health Narrow/Tiered Network $12.46
Rate for Payer: UHC All Payor (Choice/PPO) $17.98
Rate for Payer: UHC All Payor (Choice/PPO) $34.46
Rate for Payer: UHC All Payor (Choice/PPO) $31.33
Rate for Payer: UHC Core $17.06
Rate for Payer: UHC Core $29.73
Rate for Payer: UHC Core $32.70
Rate for Payer: Van Buren County Sheriff Dept. Commercial $15.32
Rate for Payer: Van Buren County Sheriff Dept. Commercial $26.70
Rate for Payer: Van Buren County Sheriff Dept. Commercial $29.37
Service Code HCPCS J0171
Hospital Charge Code 100491
Hospital Revenue Code 636
Min. Negotiated Rate $1,093.61
Max. Negotiated Rate $1,613.78
Rate for Payer: Aetna Commercial $1,524.13
Rate for Payer: Aetna Commercial $845.42
Rate for Payer: BCBS Trust/PPO $768.63
Rate for Payer: BCBS Trust/PPO $1,385.70
Rate for Payer: BCN Commercial $1,385.70
Rate for Payer: BCN Commercial $768.63
Rate for Payer: Cash Price $795.69
Rate for Payer: Cash Price $1,434.47
Rate for Payer: Cofinity Commercial $1,542.06
Rate for Payer: Cofinity Commercial $855.36
Rate for Payer: Encore Health Key Benefits Commercial $795.69
Rate for Payer: Encore Health Key Benefits Commercial $1,434.47
Rate for Payer: Healthscope Commercial $1,613.78
Rate for Payer: Healthscope Commercial $895.15
Rate for Payer: Lakeland Regional Health Systems Commercial $745.96
Rate for Payer: Lakeland Regional Health Systems Commercial $1,344.82
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS $845.42
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS $1,524.13
Rate for Payer: PHP Commercial $1,524.13
Rate for Payer: PHP Commercial $845.42
Rate for Payer: Priority Health Cigna Priority Health $1,255.16
Rate for Payer: Priority Health Cigna Priority Health $696.23
Rate for Payer: Priority Health HMO/PPO/Tiered Network $1,559.99
Rate for Payer: Priority Health HMO/PPO/Tiered Network $865.31
Rate for Payer: Priority Health Narrow/Tiered Network $1,093.61
Rate for Payer: Priority Health Narrow/Tiered Network $606.61
Rate for Payer: UHC All Payor (Choice/PPO) $875.26
Rate for Payer: UHC All Payor (Choice/PPO) $1,577.92
Rate for Payer: UHC Core $1,497.23
Rate for Payer: UHC Core $830.50
Rate for Payer: Van Buren County Sheriff Dept. Commercial $1,344.82
Rate for Payer: Van Buren County Sheriff Dept. Commercial $745.96
Service Code HCPCS J0171
Hospital Charge Code 152715
Hospital Revenue Code 636
Min. Negotiated Rate $12.64
Max. Negotiated Rate $18.66
Rate for Payer: Aetna Commercial $17.62
Rate for Payer: Aetna Commercial $49.25
Rate for Payer: BCBS Trust/PPO $44.78
Rate for Payer: BCBS Trust/PPO $16.02
Rate for Payer: BCN Commercial $44.78
Rate for Payer: BCN Commercial $16.02
Rate for Payer: Cash Price $16.58
Rate for Payer: Cash Price $46.35
Rate for Payer: Cofinity Commercial $17.83
Rate for Payer: Cofinity Commercial $49.83
Rate for Payer: Encore Health Key Benefits Commercial $46.35
Rate for Payer: Encore Health Key Benefits Commercial $16.58
Rate for Payer: Healthscope Commercial $18.66
Rate for Payer: Healthscope Commercial $52.15
Rate for Payer: Lakeland Regional Health Systems Commercial $15.55
Rate for Payer: Lakeland Regional Health Systems Commercial $43.46
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS $49.25
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS $17.62
Rate for Payer: PHP Commercial $49.25
Rate for Payer: PHP Commercial $17.62
Rate for Payer: Priority Health Cigna Priority Health $40.56
Rate for Payer: Priority Health Cigna Priority Health $14.51
Rate for Payer: Priority Health HMO/PPO/Tiered Network $50.41
Rate for Payer: Priority Health HMO/PPO/Tiered Network $18.04
Rate for Payer: Priority Health Narrow/Tiered Network $35.34
Rate for Payer: Priority Health Narrow/Tiered Network $12.64
Rate for Payer: UHC All Payor (Choice/PPO) $50.99
Rate for Payer: UHC All Payor (Choice/PPO) $18.24
Rate for Payer: UHC Core $17.31
Rate for Payer: UHC Core $48.38
Rate for Payer: Van Buren County Sheriff Dept. Commercial $43.46
Rate for Payer: Van Buren County Sheriff Dept. Commercial $15.55
Service Code HCPCS J0171
Hospital Charge Code 2850
Hospital Revenue Code 636
Min. Negotiated Rate $355.37
Max. Negotiated Rate $524.40
Rate for Payer: Aetna Commercial $495.27
Rate for Payer: Aetna Commercial $477.07
Rate for Payer: BCBS Trust/PPO $433.74
Rate for Payer: BCBS Trust/PPO $450.29
Rate for Payer: BCN Commercial $433.74
Rate for Payer: BCN Commercial $450.29
Rate for Payer: Cash Price $466.14
Rate for Payer: Cash Price $449.01
Rate for Payer: Cofinity Commercial $501.10
Rate for Payer: Cofinity Commercial $482.68
Rate for Payer: Encore Health Key Benefits Commercial $449.01
Rate for Payer: Encore Health Key Benefits Commercial $466.14
Rate for Payer: Healthscope Commercial $505.13
Rate for Payer: Healthscope Commercial $524.40
Rate for Payer: Lakeland Regional Health Systems Commercial $437.00
Rate for Payer: Lakeland Regional Health Systems Commercial $420.94
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS $477.07
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS $495.27
Rate for Payer: PHP Commercial $477.07
Rate for Payer: PHP Commercial $495.27
Rate for Payer: Priority Health Cigna Priority Health $392.88
Rate for Payer: Priority Health Cigna Priority Health $407.87
Rate for Payer: Priority Health HMO/PPO/Tiered Network $488.30
Rate for Payer: Priority Health HMO/PPO/Tiered Network $506.92
Rate for Payer: Priority Health Narrow/Tiered Network $342.31
Rate for Payer: Priority Health Narrow/Tiered Network $355.37
Rate for Payer: UHC All Payor (Choice/PPO) $493.91
Rate for Payer: UHC All Payor (Choice/PPO) $512.75
Rate for Payer: UHC Core $486.53
Rate for Payer: UHC Core $468.65
Rate for Payer: Van Buren County Sheriff Dept. Commercial $420.94
Rate for Payer: Van Buren County Sheriff Dept. Commercial $437.00
Service Code HCPCS J0171
Hospital Charge Code 181607
Hospital Revenue Code 636
Min. Negotiated Rate $38.00
Max. Negotiated Rate $56.08
Rate for Payer: Aetna Commercial $52.96
Rate for Payer: BCBS Trust/PPO $48.15
Rate for Payer: BCN Commercial $48.15
Rate for Payer: Cash Price $49.85
Rate for Payer: Cofinity Commercial $53.59
Rate for Payer: Encore Health Key Benefits Commercial $49.85
Rate for Payer: Healthscope Commercial $56.08
Rate for Payer: Lakeland Regional Health Systems Commercial $46.73
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS $52.96
Rate for Payer: PHP Commercial $52.96
Rate for Payer: Priority Health Cigna Priority Health $43.62
Rate for Payer: Priority Health HMO/PPO/Tiered Network $54.21
Rate for Payer: Priority Health Narrow/Tiered Network $38.00
Rate for Payer: UHC All Payor (Choice/PPO) $54.83
Rate for Payer: UHC Core $52.03
Rate for Payer: Van Buren County Sheriff Dept. Commercial $46.73
Service Code HCPCS J0171
Hospital Charge Code 163700
Hospital Revenue Code 636
Min. Negotiated Rate $21.71
Max. Negotiated Rate $32.04
Rate for Payer: Aetna Commercial $30.26
Rate for Payer: Aetna Commercial $17.37
Rate for Payer: BCBS Trust/PPO $27.51
Rate for Payer: BCBS Trust/PPO $15.79
Rate for Payer: BCN Commercial $27.51
Rate for Payer: BCN Commercial $15.79
Rate for Payer: Cash Price $16.34
Rate for Payer: Cash Price $28.48
Rate for Payer: Cofinity Commercial $17.57
Rate for Payer: Cofinity Commercial $30.62
Rate for Payer: Encore Health Key Benefits Commercial $28.48
Rate for Payer: Encore Health Key Benefits Commercial $16.34
Rate for Payer: Healthscope Commercial $18.39
Rate for Payer: Healthscope Commercial $32.04
Rate for Payer: Lakeland Regional Health Systems Commercial $26.70
Rate for Payer: Lakeland Regional Health Systems Commercial $15.32
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS $30.26
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS $17.37
Rate for Payer: PHP Commercial $30.26
Rate for Payer: PHP Commercial $17.37
Rate for Payer: Priority Health Cigna Priority Health $24.92
Rate for Payer: Priority Health Cigna Priority Health $14.30
Rate for Payer: Priority Health HMO/PPO/Tiered Network $17.77
Rate for Payer: Priority Health HMO/PPO/Tiered Network $30.97
Rate for Payer: Priority Health Narrow/Tiered Network $21.71
Rate for Payer: Priority Health Narrow/Tiered Network $12.46
Rate for Payer: UHC All Payor (Choice/PPO) $17.98
Rate for Payer: UHC All Payor (Choice/PPO) $31.33
Rate for Payer: UHC Core $17.06
Rate for Payer: UHC Core $29.73
Rate for Payer: Van Buren County Sheriff Dept. Commercial $26.70
Rate for Payer: Van Buren County Sheriff Dept. Commercial $15.32
Service Code HCPCS J1327
Hospital Charge Code 23123
Hospital Revenue Code 636
Min. Negotiated Rate $1,188.29
Max. Negotiated Rate $1,753.50
Rate for Payer: Aetna Commercial $1,656.08
Rate for Payer: Aetna Commercial $1,631.66
Rate for Payer: Aetna Commercial $216.53
Rate for Payer: BCBS Trust/PPO $1,505.67
Rate for Payer: BCBS Trust/PPO $1,483.47
Rate for Payer: BCBS Trust/PPO $196.86
Rate for Payer: BCN Commercial $1,483.47
Rate for Payer: BCN Commercial $196.86
Rate for Payer: BCN Commercial $1,505.67
Rate for Payer: Cash Price $1,535.68
Rate for Payer: Cash Price $1,558.66
Rate for Payer: Cash Price $203.79
Rate for Payer: Cofinity Commercial $1,650.86
Rate for Payer: Cofinity Commercial $219.08
Rate for Payer: Cofinity Commercial $1,675.56
Rate for Payer: Encore Health Key Benefits Commercial $1,558.66
Rate for Payer: Encore Health Key Benefits Commercial $203.79
Rate for Payer: Encore Health Key Benefits Commercial $1,535.68
Rate for Payer: Healthscope Commercial $1,727.64
Rate for Payer: Healthscope Commercial $1,753.50
Rate for Payer: Healthscope Commercial $229.27
Rate for Payer: Lakeland Regional Health Systems Commercial $1,439.70
Rate for Payer: Lakeland Regional Health Systems Commercial $191.06
Rate for Payer: Lakeland Regional Health Systems Commercial $1,461.25
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS $1,631.66
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS $1,656.08
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS $216.53
Rate for Payer: PHP Commercial $216.53
Rate for Payer: PHP Commercial $1,656.08
Rate for Payer: PHP Commercial $1,631.66
Rate for Payer: Priority Health Cigna Priority Health $1,363.83
Rate for Payer: Priority Health Cigna Priority Health $178.32
Rate for Payer: Priority Health Cigna Priority Health $1,343.72
Rate for Payer: Priority Health HMO/PPO/Tiered Network $1,670.05
Rate for Payer: Priority Health HMO/PPO/Tiered Network $1,695.05
Rate for Payer: Priority Health HMO/PPO/Tiered Network $221.62
Rate for Payer: Priority Health Narrow/Tiered Network $155.37
Rate for Payer: Priority Health Narrow/Tiered Network $1,188.29
Rate for Payer: Priority Health Narrow/Tiered Network $1,170.76
Rate for Payer: UHC All Payor (Choice/PPO) $1,689.25
Rate for Payer: UHC All Payor (Choice/PPO) $224.17
Rate for Payer: UHC All Payor (Choice/PPO) $1,714.53
Rate for Payer: UHC Core $1,602.87
Rate for Payer: UHC Core $1,626.86
Rate for Payer: UHC Core $212.71
Rate for Payer: Van Buren County Sheriff Dept. Commercial $1,461.25
Rate for Payer: Van Buren County Sheriff Dept. Commercial $1,439.70
Rate for Payer: Van Buren County Sheriff Dept. Commercial $191.06
Service Code HCPCS J1327
Hospital Charge Code 23124
Hospital Revenue Code 636
Min. Negotiated Rate $346.77
Max. Negotiated Rate $511.71
Rate for Payer: Aetna Commercial $483.28
Rate for Payer: BCBS Trust/PPO $439.39
Rate for Payer: BCN Commercial $439.39
Rate for Payer: Cash Price $454.86
Rate for Payer: Cofinity Commercial $488.97
Rate for Payer: Encore Health Key Benefits Commercial $454.86
Rate for Payer: Healthscope Commercial $511.71
Rate for Payer: Lakeland Regional Health Systems Commercial $426.43
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS $483.28
Rate for Payer: PHP Commercial $483.28
Rate for Payer: Priority Health Cigna Priority Health $398.00
Rate for Payer: Priority Health HMO/PPO/Tiered Network $494.66
Rate for Payer: Priority Health Narrow/Tiered Network $346.77
Rate for Payer: UHC All Payor (Choice/PPO) $500.34
Rate for Payer: UHC Core $474.76
Rate for Payer: Van Buren County Sheriff Dept. Commercial $426.43
Service Code NDC 64380-737-06
Hospital Charge Code 2863
Hospital Revenue Code 637
Min. Negotiated Rate $157.66
Max. Negotiated Rate $232.65
Rate for Payer: Aetna Commercial $219.72
Rate for Payer: BCBS Trust/PPO $199.77
Rate for Payer: BCN Commercial $199.77
Rate for Payer: Cash Price $206.80
Rate for Payer: Cofinity Commercial $222.31
Rate for Payer: Encore Health Key Benefits Commercial $206.80
Rate for Payer: Healthscope Commercial $232.65
Rate for Payer: Lakeland Regional Health Systems Commercial $193.88
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS $219.72
Rate for Payer: PHP Commercial $219.72
Rate for Payer: Priority Health Cigna Priority Health $180.95
Rate for Payer: Priority Health HMO/PPO/Tiered Network $224.90
Rate for Payer: Priority Health Narrow/Tiered Network $157.66
Rate for Payer: UHC All Payor (Choice/PPO) $227.48
Rate for Payer: UHC Core $215.85
Rate for Payer: Van Buren County Sheriff Dept. Commercial $193.88