|
HC ST JUDE TACHY (ICD) LEAD
|
Facility
|
OP
|
$8,328.01
|
|
|
Service Code
|
HCPCS C1895
|
| Hospital Charge Code |
27800029
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$1,468.23 |
| Max. Negotiated Rate |
$7,495.21 |
| Rate for Payer: Aetna Commercial |
$7,078.81
|
| Rate for Payer: Aetna Medicare |
$2,165.28
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$2,602.50
|
| Rate for Payer: Amish Plain Church Group Commercial |
$2,602.50
|
| Rate for Payer: BCBS Complete |
$1,541.51
|
| Rate for Payer: BCBS MAPPO |
$2,082.00
|
| Rate for Payer: BCBS Trust/PPO |
$6,846.46
|
| Rate for Payer: BCN Commercial |
$6,846.46
|
| Rate for Payer: BCN Medicare Advantage |
$2,082.00
|
| Rate for Payer: Cash Price |
$6,662.41
|
| Rate for Payer: Cofinity Commercial |
$7,162.09
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$6,662.41
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,082.00
|
| Rate for Payer: Healthscope Commercial |
$7,495.21
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$6,246.01
|
| Rate for Payer: Mclaren Medicaid |
$1,468.23
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$2,186.10
|
| Rate for Payer: Meridian Medicaid |
$1,541.51
|
| Rate for Payer: MI Amish Medical Board Commercial |
$2,394.30
|
| Rate for Payer: Molina Medicare/Medicaid |
$2,290.20
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$7,078.81
|
| Rate for Payer: Nomi Health Commercial |
$6,828.97
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$6,246.01
|
| Rate for Payer: PACE Senior Care Partners |
$1,977.90
|
| Rate for Payer: PACE SWMI |
$2,082.00
|
| Rate for Payer: PHP Commercial |
$7,078.81
|
| Rate for Payer: PHP Medicare Advantage |
$2,082.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,468.23
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$7,245.37
|
| Rate for Payer: Priority Health Medicare |
$2,102.82
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$5,796.29
|
| Rate for Payer: Railroad Medicare Medicare |
$2,082.00
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$7,328.65
|
| Rate for Payer: UHC Core |
$6,953.89
|
| Rate for Payer: UHC Exchange |
$2,082.00
|
| Rate for Payer: UHC Medicaid |
$1,468.23
|
| Rate for Payer: UHC Medicare Advantage |
$2,082.00
|
| Rate for Payer: UHCCP Medicaid |
$1,468.23
|
| Rate for Payer: VA VA |
$2,082.00
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$6,246.01
|
|
|
HC STOOL CULTURE
|
Facility
|
IP
|
$40.75
|
|
|
Service Code
|
CPT 87045
|
| Hospital Charge Code |
30600073
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$28.36 |
| Max. Negotiated Rate |
$36.67 |
| Rate for Payer: Aetna Commercial |
$34.64
|
| Rate for Payer: BCBS Trust/PPO |
$33.66
|
| Rate for Payer: BCN Commercial |
$33.66
|
| Rate for Payer: Cash Price |
$32.60
|
| Rate for Payer: Cofinity Commercial |
$35.05
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$32.60
|
| Rate for Payer: Healthscope Commercial |
$36.67
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$30.56
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$34.64
|
| Rate for Payer: Nomi Health Commercial |
$33.41
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$30.56
|
| Rate for Payer: PHP Commercial |
$34.64
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$35.45
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$28.36
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$35.86
|
| Rate for Payer: UHC Core |
$34.03
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$30.56
|
|
|
HC STOOL CULTURE
|
Facility
|
OP
|
$40.75
|
|
|
Service Code
|
CPT 87045
|
| Hospital Charge Code |
30600073
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$7.18 |
| Max. Negotiated Rate |
$36.67 |
| Rate for Payer: Aetna Commercial |
$34.64
|
| Rate for Payer: Aetna Medicare |
$10.60
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$12.73
|
| Rate for Payer: Amish Plain Church Group Commercial |
$12.73
|
| Rate for Payer: BCBS Complete |
$7.54
|
| Rate for Payer: BCBS MAPPO |
$10.19
|
| Rate for Payer: BCBS Trust/PPO |
$33.50
|
| Rate for Payer: BCN Commercial |
$33.50
|
| Rate for Payer: BCN Medicare Advantage |
$10.19
|
| Rate for Payer: Cash Price |
$32.60
|
| Rate for Payer: Cofinity Commercial |
$35.05
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$32.60
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$10.19
|
| Rate for Payer: Healthscope Commercial |
$36.67
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$30.56
|
| Rate for Payer: Mclaren Medicaid |
$7.18
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$10.70
|
| Rate for Payer: Meridian Medicaid |
$7.54
|
| Rate for Payer: MI Amish Medical Board Commercial |
$11.72
|
| Rate for Payer: Molina Medicare/Medicaid |
$11.21
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$34.64
|
| Rate for Payer: Nomi Health Commercial |
$33.41
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$30.56
|
| Rate for Payer: PACE Senior Care Partners |
$9.68
|
| Rate for Payer: PACE SWMI |
$10.19
|
| Rate for Payer: PHP Commercial |
$34.64
|
| Rate for Payer: PHP Medicare Advantage |
$10.19
|
| Rate for Payer: Priority Health Choice Medicaid |
$7.18
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$35.45
|
| Rate for Payer: Priority Health Medicare |
$10.29
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$28.36
|
| Rate for Payer: Railroad Medicare Medicare |
$10.19
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$35.86
|
| Rate for Payer: UHC Core |
$34.03
|
| Rate for Payer: UHC Exchange |
$10.19
|
| Rate for Payer: UHC Medicaid |
$7.18
|
| Rate for Payer: UHC Medicare Advantage |
$10.19
|
| Rate for Payer: UHCCP Medicaid |
$7.18
|
| Rate for Payer: VA VA |
$10.19
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$30.56
|
|
|
HC STOOL CULTURE CMPT
|
Facility
|
OP
|
$40.75
|
|
|
Service Code
|
CPT 87046
|
| Hospital Charge Code |
30600074
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$7.18 |
| Max. Negotiated Rate |
$36.67 |
| Rate for Payer: Aetna Commercial |
$34.64
|
| Rate for Payer: Aetna Medicare |
$10.60
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$12.73
|
| Rate for Payer: Amish Plain Church Group Commercial |
$12.73
|
| Rate for Payer: BCBS Complete |
$7.54
|
| Rate for Payer: BCBS MAPPO |
$10.19
|
| Rate for Payer: BCBS Trust/PPO |
$33.50
|
| Rate for Payer: BCN Commercial |
$33.50
|
| Rate for Payer: BCN Medicare Advantage |
$10.19
|
| Rate for Payer: Cash Price |
$32.60
|
| Rate for Payer: Cofinity Commercial |
$35.05
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$32.60
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$10.19
|
| Rate for Payer: Healthscope Commercial |
$36.67
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$30.56
|
| Rate for Payer: Mclaren Medicaid |
$7.18
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$10.70
|
| Rate for Payer: Meridian Medicaid |
$7.54
|
| Rate for Payer: MI Amish Medical Board Commercial |
$11.72
|
| Rate for Payer: Molina Medicare/Medicaid |
$11.21
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$34.64
|
| Rate for Payer: Nomi Health Commercial |
$33.41
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$30.56
|
| Rate for Payer: PACE Senior Care Partners |
$9.68
|
| Rate for Payer: PACE SWMI |
$10.19
|
| Rate for Payer: PHP Commercial |
$34.64
|
| Rate for Payer: PHP Medicare Advantage |
$10.19
|
| Rate for Payer: Priority Health Choice Medicaid |
$7.18
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$35.45
|
| Rate for Payer: Priority Health Medicare |
$10.29
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$28.36
|
| Rate for Payer: Railroad Medicare Medicare |
$10.19
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$35.86
|
| Rate for Payer: UHC Core |
$34.03
|
| Rate for Payer: UHC Exchange |
$10.19
|
| Rate for Payer: UHC Medicaid |
$7.18
|
| Rate for Payer: UHC Medicare Advantage |
$10.19
|
| Rate for Payer: UHCCP Medicaid |
$7.18
|
| Rate for Payer: VA VA |
$10.19
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$30.56
|
|
|
HC STOOL CULTURE CMPT
|
Facility
|
IP
|
$40.75
|
|
|
Service Code
|
CPT 87046
|
| Hospital Charge Code |
30600074
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$28.36 |
| Max. Negotiated Rate |
$36.67 |
| Rate for Payer: Aetna Commercial |
$34.64
|
| Rate for Payer: BCBS Trust/PPO |
$33.66
|
| Rate for Payer: BCN Commercial |
$33.66
|
| Rate for Payer: Cash Price |
$32.60
|
| Rate for Payer: Cofinity Commercial |
$35.05
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$32.60
|
| Rate for Payer: Healthscope Commercial |
$36.67
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$30.56
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$34.64
|
| Rate for Payer: Nomi Health Commercial |
$33.41
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$30.56
|
| Rate for Payer: PHP Commercial |
$34.64
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$35.45
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$28.36
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$35.86
|
| Rate for Payer: UHC Core |
$34.03
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$30.56
|
|
|
HC STOOL CULTURE CMPT2
|
Facility
|
OP
|
$13.59
|
|
|
Service Code
|
CPT 87015
|
| Hospital Charge Code |
30600069
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$2.40 |
| Max. Negotiated Rate |
$12.23 |
| Rate for Payer: Aetna Commercial |
$11.55
|
| Rate for Payer: Aetna Medicare |
$3.53
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$4.25
|
| Rate for Payer: Amish Plain Church Group Commercial |
$4.25
|
| Rate for Payer: BCBS Complete |
$2.52
|
| Rate for Payer: BCBS MAPPO |
$3.40
|
| Rate for Payer: BCBS Trust/PPO |
$11.17
|
| Rate for Payer: BCN Commercial |
$11.17
|
| Rate for Payer: BCN Medicare Advantage |
$3.40
|
| Rate for Payer: Cash Price |
$10.87
|
| Rate for Payer: Cofinity Commercial |
$11.69
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$10.87
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$3.40
|
| Rate for Payer: Healthscope Commercial |
$12.23
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$10.19
|
| Rate for Payer: Mclaren Medicaid |
$2.40
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$3.57
|
| Rate for Payer: Meridian Medicaid |
$2.52
|
| Rate for Payer: MI Amish Medical Board Commercial |
$3.91
|
| Rate for Payer: Molina Medicare/Medicaid |
$3.74
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$11.55
|
| Rate for Payer: Nomi Health Commercial |
$11.14
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$10.19
|
| Rate for Payer: PACE Senior Care Partners |
$3.23
|
| Rate for Payer: PACE SWMI |
$3.40
|
| Rate for Payer: PHP Commercial |
$11.55
|
| Rate for Payer: PHP Medicare Advantage |
$3.40
|
| Rate for Payer: Priority Health Choice Medicaid |
$2.40
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$11.82
|
| Rate for Payer: Priority Health Medicare |
$3.43
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$9.46
|
| Rate for Payer: Railroad Medicare Medicare |
$3.40
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$11.96
|
| Rate for Payer: UHC Core |
$11.35
|
| Rate for Payer: UHC Exchange |
$3.40
|
| Rate for Payer: UHC Medicaid |
$2.40
|
| Rate for Payer: UHC Medicare Advantage |
$3.40
|
| Rate for Payer: UHCCP Medicaid |
$2.40
|
| Rate for Payer: VA VA |
$3.40
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$10.19
|
|
|
HC STOOL CULTURE CMPT2
|
Facility
|
IP
|
$13.59
|
|
|
Service Code
|
CPT 87015
|
| Hospital Charge Code |
30600069
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$9.46 |
| Max. Negotiated Rate |
$12.23 |
| Rate for Payer: Aetna Commercial |
$11.55
|
| Rate for Payer: BCBS Trust/PPO |
$11.22
|
| Rate for Payer: BCN Commercial |
$11.22
|
| Rate for Payer: Cash Price |
$10.87
|
| Rate for Payer: Cofinity Commercial |
$11.69
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$10.87
|
| Rate for Payer: Healthscope Commercial |
$12.23
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$10.19
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$11.55
|
| Rate for Payer: Nomi Health Commercial |
$11.14
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$10.19
|
| Rate for Payer: PHP Commercial |
$11.55
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$11.82
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$9.46
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$11.96
|
| Rate for Payer: UHC Core |
$11.35
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$10.19
|
|
|
HC STOOL CULTURE CMPT 3
|
Facility
|
OP
|
$43.40
|
|
|
Service Code
|
CPT 87899
|
| Hospital Charge Code |
30600177
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$7.65 |
| Max. Negotiated Rate |
$39.06 |
| Rate for Payer: Aetna Commercial |
$36.89
|
| Rate for Payer: Aetna Medicare |
$11.28
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$13.56
|
| Rate for Payer: Amish Plain Church Group Commercial |
$13.56
|
| Rate for Payer: BCBS Complete |
$8.03
|
| Rate for Payer: BCBS MAPPO |
$10.85
|
| Rate for Payer: BCBS Trust/PPO |
$35.68
|
| Rate for Payer: BCN Commercial |
$35.68
|
| Rate for Payer: BCN Medicare Advantage |
$10.85
|
| Rate for Payer: Cash Price |
$34.72
|
| Rate for Payer: Cofinity Commercial |
$37.32
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$34.72
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$10.85
|
| Rate for Payer: Healthscope Commercial |
$39.06
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$32.55
|
| Rate for Payer: Mclaren Medicaid |
$7.65
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$11.39
|
| Rate for Payer: Meridian Medicaid |
$8.03
|
| Rate for Payer: MI Amish Medical Board Commercial |
$12.48
|
| Rate for Payer: Molina Medicare/Medicaid |
$11.94
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$36.89
|
| Rate for Payer: Nomi Health Commercial |
$35.59
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$32.55
|
| Rate for Payer: PACE Senior Care Partners |
$10.31
|
| Rate for Payer: PACE SWMI |
$10.85
|
| Rate for Payer: PHP Commercial |
$36.89
|
| Rate for Payer: PHP Medicare Advantage |
$10.85
|
| Rate for Payer: Priority Health Choice Medicaid |
$7.65
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$37.76
|
| Rate for Payer: Priority Health Medicare |
$10.96
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$30.21
|
| Rate for Payer: Railroad Medicare Medicare |
$10.85
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$38.19
|
| Rate for Payer: UHC Core |
$36.24
|
| Rate for Payer: UHC Exchange |
$10.85
|
| Rate for Payer: UHC Medicaid |
$7.65
|
| Rate for Payer: UHC Medicare Advantage |
$10.85
|
| Rate for Payer: UHCCP Medicaid |
$7.65
|
| Rate for Payer: VA VA |
$10.85
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$32.55
|
|
|
HC STOOL CULTURE CMPT 3
|
Facility
|
IP
|
$43.40
|
|
|
Service Code
|
CPT 87899
|
| Hospital Charge Code |
30600177
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$30.21 |
| Max. Negotiated Rate |
$39.06 |
| Rate for Payer: Aetna Commercial |
$36.89
|
| Rate for Payer: BCBS Trust/PPO |
$35.84
|
| Rate for Payer: BCN Commercial |
$35.84
|
| Rate for Payer: Cash Price |
$34.72
|
| Rate for Payer: Cofinity Commercial |
$37.32
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$34.72
|
| Rate for Payer: Healthscope Commercial |
$39.06
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$32.55
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$36.89
|
| Rate for Payer: Nomi Health Commercial |
$35.59
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$32.55
|
| Rate for Payer: PHP Commercial |
$36.89
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$37.76
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$30.21
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$38.19
|
| Rate for Payer: UHC Core |
$36.24
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$32.55
|
|
|
HC STRAPPING ANKLE AND OR FOOT
|
Facility
|
OP
|
$137.21
|
|
|
Service Code
|
CPT 29540
|
| Hospital Charge Code |
42000005
|
|
Hospital Revenue Code
|
420
|
| Min. Negotiated Rate |
$24.19 |
| Max. Negotiated Rate |
$123.49 |
| Rate for Payer: Aetna Commercial |
$116.63
|
| Rate for Payer: Aetna Medicare |
$35.67
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$42.88
|
| Rate for Payer: Amish Plain Church Group Commercial |
$42.88
|
| Rate for Payer: BCBS Complete |
$25.40
|
| Rate for Payer: BCBS MAPPO |
$34.30
|
| Rate for Payer: BCBS Trust/PPO |
$112.80
|
| Rate for Payer: BCN Commercial |
$112.80
|
| Rate for Payer: BCN Medicare Advantage |
$34.30
|
| Rate for Payer: Cash Price |
$109.77
|
| Rate for Payer: Cofinity Commercial |
$118.00
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$109.77
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$34.30
|
| Rate for Payer: Healthscope Commercial |
$123.49
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$102.91
|
| Rate for Payer: Mclaren Medicaid |
$24.19
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$36.02
|
| Rate for Payer: Meridian Medicaid |
$25.40
|
| Rate for Payer: MI Amish Medical Board Commercial |
$39.45
|
| Rate for Payer: Molina Medicare/Medicaid |
$37.73
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$116.63
|
| Rate for Payer: Nomi Health Commercial |
$112.51
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$102.91
|
| Rate for Payer: PACE Senior Care Partners |
$32.59
|
| Rate for Payer: PACE SWMI |
$34.30
|
| Rate for Payer: PHP Commercial |
$116.63
|
| Rate for Payer: PHP Medicare Advantage |
$34.30
|
| Rate for Payer: Priority Health Choice Medicaid |
$24.19
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$119.37
|
| Rate for Payer: Priority Health Medicare |
$34.65
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$95.50
|
| Rate for Payer: Railroad Medicare Medicare |
$34.30
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$120.74
|
| Rate for Payer: UHC Core |
$114.57
|
| Rate for Payer: UHC Exchange |
$34.30
|
| Rate for Payer: UHC Medicaid |
$24.19
|
| Rate for Payer: UHC Medicare Advantage |
$34.30
|
| Rate for Payer: UHCCP Medicaid |
$24.19
|
| Rate for Payer: VA VA |
$34.30
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$102.91
|
|
|
HC STRAPPING ANKLE AND OR FOOT
|
Facility
|
IP
|
$137.21
|
|
|
Service Code
|
CPT 29540
|
| Hospital Charge Code |
42000005
|
|
Hospital Revenue Code
|
420
|
| Min. Negotiated Rate |
$95.50 |
| Max. Negotiated Rate |
$123.49 |
| Rate for Payer: Aetna Commercial |
$116.63
|
| Rate for Payer: BCBS Trust/PPO |
$113.32
|
| Rate for Payer: BCN Commercial |
$113.32
|
| Rate for Payer: Cash Price |
$109.77
|
| Rate for Payer: Cofinity Commercial |
$118.00
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$109.77
|
| Rate for Payer: Healthscope Commercial |
$123.49
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$102.91
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$116.63
|
| Rate for Payer: Nomi Health Commercial |
$112.51
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$102.91
|
| Rate for Payer: PHP Commercial |
$116.63
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$119.37
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$95.50
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$120.74
|
| Rate for Payer: UHC Core |
$114.57
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$102.91
|
|
|
HC STRAPPING CASTING UNLISTED
|
Facility
|
IP
|
$236.86
|
|
|
Service Code
|
CPT 29799
|
| Hospital Charge Code |
42000053
|
|
Hospital Revenue Code
|
420
|
| Min. Negotiated Rate |
$164.85 |
| Max. Negotiated Rate |
$213.17 |
| Rate for Payer: Aetna Commercial |
$201.33
|
| Rate for Payer: BCBS Trust/PPO |
$195.62
|
| Rate for Payer: BCN Commercial |
$195.62
|
| Rate for Payer: Cash Price |
$189.49
|
| Rate for Payer: Cofinity Commercial |
$203.70
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$189.49
|
| Rate for Payer: Healthscope Commercial |
$213.17
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$177.65
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$201.33
|
| Rate for Payer: Nomi Health Commercial |
$194.23
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$177.65
|
| Rate for Payer: PHP Commercial |
$201.33
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$206.07
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$164.85
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$208.44
|
| Rate for Payer: UHC Core |
$197.78
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$177.65
|
|
|
HC STRAPPING CASTING UNLISTED
|
Facility
|
OP
|
$236.86
|
|
|
Service Code
|
CPT 29799
|
| Hospital Charge Code |
42000053
|
|
Hospital Revenue Code
|
420
|
| Min. Negotiated Rate |
$41.76 |
| Max. Negotiated Rate |
$213.17 |
| Rate for Payer: Aetna Commercial |
$201.33
|
| Rate for Payer: Aetna Medicare |
$61.58
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$74.02
|
| Rate for Payer: Amish Plain Church Group Commercial |
$74.02
|
| Rate for Payer: BCBS Complete |
$43.84
|
| Rate for Payer: BCBS MAPPO |
$59.22
|
| Rate for Payer: BCBS Trust/PPO |
$194.72
|
| Rate for Payer: BCN Commercial |
$194.72
|
| Rate for Payer: BCN Medicare Advantage |
$59.22
|
| Rate for Payer: Cash Price |
$189.49
|
| Rate for Payer: Cofinity Commercial |
$203.70
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$189.49
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$59.22
|
| Rate for Payer: Healthscope Commercial |
$213.17
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$177.65
|
| Rate for Payer: Mclaren Medicaid |
$41.76
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$62.18
|
| Rate for Payer: Meridian Medicaid |
$43.84
|
| Rate for Payer: MI Amish Medical Board Commercial |
$68.10
|
| Rate for Payer: Molina Medicare/Medicaid |
$65.14
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$201.33
|
| Rate for Payer: Nomi Health Commercial |
$194.23
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$177.65
|
| Rate for Payer: PACE Senior Care Partners |
$56.25
|
| Rate for Payer: PACE SWMI |
$59.22
|
| Rate for Payer: PHP Commercial |
$201.33
|
| Rate for Payer: PHP Medicare Advantage |
$59.22
|
| Rate for Payer: Priority Health Choice Medicaid |
$41.76
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$206.07
|
| Rate for Payer: Priority Health Medicare |
$59.81
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$164.85
|
| Rate for Payer: Railroad Medicare Medicare |
$59.22
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$208.44
|
| Rate for Payer: UHC Core |
$197.78
|
| Rate for Payer: UHC Exchange |
$59.22
|
| Rate for Payer: UHC Medicaid |
$41.76
|
| Rate for Payer: UHC Medicare Advantage |
$59.22
|
| Rate for Payer: UHCCP Medicaid |
$41.76
|
| Rate for Payer: VA VA |
$59.22
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$177.65
|
|
|
HC STRAPPING CHEST KINESIOTAPING
|
Facility
|
IP
|
$124.10
|
|
|
Service Code
|
CPT 29200
|
| Hospital Charge Code |
42000052
|
|
Hospital Revenue Code
|
420
|
| Min. Negotiated Rate |
$86.37 |
| Max. Negotiated Rate |
$111.69 |
| Rate for Payer: Aetna Commercial |
$105.48
|
| Rate for Payer: BCBS Trust/PPO |
$102.49
|
| Rate for Payer: BCN Commercial |
$102.49
|
| Rate for Payer: Cash Price |
$99.28
|
| Rate for Payer: Cofinity Commercial |
$106.73
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$99.28
|
| Rate for Payer: Healthscope Commercial |
$111.69
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$93.08
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$105.48
|
| Rate for Payer: Nomi Health Commercial |
$101.76
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$93.08
|
| Rate for Payer: PHP Commercial |
$105.48
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$107.97
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$86.37
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$109.21
|
| Rate for Payer: UHC Core |
$103.62
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$93.08
|
|
|
HC STRAPPING CHEST KINESIOTAPING
|
Facility
|
OP
|
$124.10
|
|
|
Service Code
|
CPT 29200
|
| Hospital Charge Code |
42000052
|
|
Hospital Revenue Code
|
420
|
| Min. Negotiated Rate |
$21.88 |
| Max. Negotiated Rate |
$111.69 |
| Rate for Payer: Aetna Commercial |
$105.48
|
| Rate for Payer: Aetna Medicare |
$32.27
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$38.78
|
| Rate for Payer: Amish Plain Church Group Commercial |
$38.78
|
| Rate for Payer: BCBS Complete |
$22.97
|
| Rate for Payer: BCBS MAPPO |
$31.02
|
| Rate for Payer: BCBS Trust/PPO |
$102.02
|
| Rate for Payer: BCN Commercial |
$102.02
|
| Rate for Payer: BCN Medicare Advantage |
$31.02
|
| Rate for Payer: Cash Price |
$99.28
|
| Rate for Payer: Cofinity Commercial |
$106.73
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$99.28
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$31.02
|
| Rate for Payer: Healthscope Commercial |
$111.69
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$93.08
|
| Rate for Payer: Mclaren Medicaid |
$21.88
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$32.58
|
| Rate for Payer: Meridian Medicaid |
$22.97
|
| Rate for Payer: MI Amish Medical Board Commercial |
$35.68
|
| Rate for Payer: Molina Medicare/Medicaid |
$34.13
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$105.48
|
| Rate for Payer: Nomi Health Commercial |
$101.76
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$93.08
|
| Rate for Payer: PACE Senior Care Partners |
$29.47
|
| Rate for Payer: PACE SWMI |
$31.02
|
| Rate for Payer: PHP Commercial |
$105.48
|
| Rate for Payer: PHP Medicare Advantage |
$31.02
|
| Rate for Payer: Priority Health Choice Medicaid |
$21.88
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$107.97
|
| Rate for Payer: Priority Health Medicare |
$31.34
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$86.37
|
| Rate for Payer: Railroad Medicare Medicare |
$31.02
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$109.21
|
| Rate for Payer: UHC Core |
$103.62
|
| Rate for Payer: UHC Exchange |
$31.02
|
| Rate for Payer: UHC Medicaid |
$21.88
|
| Rate for Payer: UHC Medicare Advantage |
$31.02
|
| Rate for Payer: UHCCP Medicaid |
$21.88
|
| Rate for Payer: VA VA |
$31.02
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$93.08
|
|
|
HC STRAPPING ELBOW OR WRIST
|
Facility
|
OP
|
$100.82
|
|
|
Service Code
|
CPT 29260
|
| Hospital Charge Code |
42000002
|
|
Hospital Revenue Code
|
420
|
| Min. Negotiated Rate |
$17.77 |
| Max. Negotiated Rate |
$90.74 |
| Rate for Payer: Aetna Commercial |
$85.70
|
| Rate for Payer: Aetna Medicare |
$26.21
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$31.51
|
| Rate for Payer: Amish Plain Church Group Commercial |
$31.51
|
| Rate for Payer: BCBS Complete |
$18.66
|
| Rate for Payer: BCBS MAPPO |
$25.20
|
| Rate for Payer: BCBS Trust/PPO |
$82.88
|
| Rate for Payer: BCN Commercial |
$82.88
|
| Rate for Payer: BCN Medicare Advantage |
$25.20
|
| Rate for Payer: Cash Price |
$80.66
|
| Rate for Payer: Cofinity Commercial |
$86.71
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$80.66
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$25.20
|
| Rate for Payer: Healthscope Commercial |
$90.74
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$75.61
|
| Rate for Payer: Mclaren Medicaid |
$17.77
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$26.47
|
| Rate for Payer: Meridian Medicaid |
$18.66
|
| Rate for Payer: MI Amish Medical Board Commercial |
$28.99
|
| Rate for Payer: Molina Medicare/Medicaid |
$27.73
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$85.70
|
| Rate for Payer: Nomi Health Commercial |
$82.67
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$75.61
|
| Rate for Payer: PACE Senior Care Partners |
$23.94
|
| Rate for Payer: PACE SWMI |
$25.20
|
| Rate for Payer: PHP Commercial |
$85.70
|
| Rate for Payer: PHP Medicare Advantage |
$25.20
|
| Rate for Payer: Priority Health Choice Medicaid |
$17.77
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$87.71
|
| Rate for Payer: Priority Health Medicare |
$25.46
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$70.17
|
| Rate for Payer: Railroad Medicare Medicare |
$25.20
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$88.72
|
| Rate for Payer: UHC Core |
$84.18
|
| Rate for Payer: UHC Exchange |
$25.20
|
| Rate for Payer: UHC Medicaid |
$17.77
|
| Rate for Payer: UHC Medicare Advantage |
$25.20
|
| Rate for Payer: UHCCP Medicaid |
$17.77
|
| Rate for Payer: VA VA |
$25.20
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$75.61
|
|
|
HC STRAPPING ELBOW OR WRIST
|
Facility
|
IP
|
$100.82
|
|
|
Service Code
|
CPT 29260
|
| Hospital Charge Code |
42000002
|
|
Hospital Revenue Code
|
420
|
| Min. Negotiated Rate |
$70.17 |
| Max. Negotiated Rate |
$90.74 |
| Rate for Payer: Aetna Commercial |
$85.70
|
| Rate for Payer: BCBS Trust/PPO |
$83.27
|
| Rate for Payer: BCN Commercial |
$83.27
|
| Rate for Payer: Cash Price |
$80.66
|
| Rate for Payer: Cofinity Commercial |
$86.71
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$80.66
|
| Rate for Payer: Healthscope Commercial |
$90.74
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$75.61
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$85.70
|
| Rate for Payer: Nomi Health Commercial |
$82.67
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$75.61
|
| Rate for Payer: PHP Commercial |
$85.70
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$87.71
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$70.17
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$88.72
|
| Rate for Payer: UHC Core |
$84.18
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$75.61
|
|
|
HC STRAPPING HAND OR FINGER
|
Facility
|
OP
|
$113.27
|
|
|
Service Code
|
CPT 29280
|
| Hospital Charge Code |
43000006
|
|
Hospital Revenue Code
|
430
|
| Min. Negotiated Rate |
$19.97 |
| Max. Negotiated Rate |
$101.94 |
| Rate for Payer: Aetna Commercial |
$96.28
|
| Rate for Payer: Aetna Medicare |
$29.45
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$35.40
|
| Rate for Payer: Amish Plain Church Group Commercial |
$35.40
|
| Rate for Payer: BCBS Complete |
$20.97
|
| Rate for Payer: BCBS MAPPO |
$28.32
|
| Rate for Payer: BCBS Trust/PPO |
$93.12
|
| Rate for Payer: BCN Commercial |
$93.12
|
| Rate for Payer: BCN Medicare Advantage |
$28.32
|
| Rate for Payer: Cash Price |
$90.62
|
| Rate for Payer: Cofinity Commercial |
$97.41
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$90.62
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$28.32
|
| Rate for Payer: Healthscope Commercial |
$101.94
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$84.95
|
| Rate for Payer: Mclaren Medicaid |
$19.97
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$29.73
|
| Rate for Payer: Meridian Medicaid |
$20.97
|
| Rate for Payer: MI Amish Medical Board Commercial |
$32.57
|
| Rate for Payer: Molina Medicare/Medicaid |
$31.15
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$96.28
|
| Rate for Payer: Nomi Health Commercial |
$92.88
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$84.95
|
| Rate for Payer: PACE Senior Care Partners |
$26.90
|
| Rate for Payer: PACE SWMI |
$28.32
|
| Rate for Payer: PHP Commercial |
$96.28
|
| Rate for Payer: PHP Medicare Advantage |
$28.32
|
| Rate for Payer: Priority Health Choice Medicaid |
$19.97
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$98.54
|
| Rate for Payer: Priority Health Medicare |
$28.60
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$78.84
|
| Rate for Payer: Railroad Medicare Medicare |
$28.32
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$99.68
|
| Rate for Payer: UHC Core |
$94.58
|
| Rate for Payer: UHC Exchange |
$28.32
|
| Rate for Payer: UHC Medicaid |
$19.97
|
| Rate for Payer: UHC Medicare Advantage |
$28.32
|
| Rate for Payer: UHCCP Medicaid |
$19.97
|
| Rate for Payer: VA VA |
$28.32
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$84.95
|
|
|
HC STRAPPING HAND OR FINGER
|
Facility
|
IP
|
$113.27
|
|
|
Service Code
|
CPT 29280
|
| Hospital Charge Code |
43000006
|
|
Hospital Revenue Code
|
430
|
| Min. Negotiated Rate |
$78.84 |
| Max. Negotiated Rate |
$101.94 |
| Rate for Payer: Aetna Commercial |
$96.28
|
| Rate for Payer: BCBS Trust/PPO |
$93.55
|
| Rate for Payer: BCN Commercial |
$93.55
|
| Rate for Payer: Cash Price |
$90.62
|
| Rate for Payer: Cofinity Commercial |
$97.41
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$90.62
|
| Rate for Payer: Healthscope Commercial |
$101.94
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$84.95
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$96.28
|
| Rate for Payer: Nomi Health Commercial |
$92.88
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$84.95
|
| Rate for Payer: PHP Commercial |
$96.28
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$98.54
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$78.84
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$99.68
|
| Rate for Payer: UHC Core |
$94.58
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$84.95
|
|
|
HC STRAPPING HIP
|
Facility
|
OP
|
$125.84
|
|
|
Service Code
|
CPT 29520
|
| Hospital Charge Code |
42000003
|
|
Hospital Revenue Code
|
420
|
| Min. Negotiated Rate |
$22.19 |
| Max. Negotiated Rate |
$113.26 |
| Rate for Payer: Aetna Commercial |
$106.96
|
| Rate for Payer: Aetna Medicare |
$32.72
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$39.33
|
| Rate for Payer: Amish Plain Church Group Commercial |
$39.33
|
| Rate for Payer: BCBS Complete |
$23.29
|
| Rate for Payer: BCBS MAPPO |
$31.46
|
| Rate for Payer: BCBS Trust/PPO |
$103.45
|
| Rate for Payer: BCN Commercial |
$103.45
|
| Rate for Payer: BCN Medicare Advantage |
$31.46
|
| Rate for Payer: Cash Price |
$100.67
|
| Rate for Payer: Cofinity Commercial |
$108.22
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$100.67
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$31.46
|
| Rate for Payer: Healthscope Commercial |
$113.26
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$94.38
|
| Rate for Payer: Mclaren Medicaid |
$22.19
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$33.03
|
| Rate for Payer: Meridian Medicaid |
$23.29
|
| Rate for Payer: MI Amish Medical Board Commercial |
$36.18
|
| Rate for Payer: Molina Medicare/Medicaid |
$34.61
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$106.96
|
| Rate for Payer: Nomi Health Commercial |
$103.19
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$94.38
|
| Rate for Payer: PACE Senior Care Partners |
$29.89
|
| Rate for Payer: PACE SWMI |
$31.46
|
| Rate for Payer: PHP Commercial |
$106.96
|
| Rate for Payer: PHP Medicare Advantage |
$31.46
|
| Rate for Payer: Priority Health Choice Medicaid |
$22.19
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$109.48
|
| Rate for Payer: Priority Health Medicare |
$31.77
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$87.58
|
| Rate for Payer: Railroad Medicare Medicare |
$31.46
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$110.74
|
| Rate for Payer: UHC Core |
$105.08
|
| Rate for Payer: UHC Exchange |
$31.46
|
| Rate for Payer: UHC Medicaid |
$22.19
|
| Rate for Payer: UHC Medicare Advantage |
$31.46
|
| Rate for Payer: UHCCP Medicaid |
$22.19
|
| Rate for Payer: VA VA |
$31.46
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$94.38
|
|
|
HC STRAPPING HIP
|
Facility
|
IP
|
$125.84
|
|
|
Service Code
|
CPT 29520
|
| Hospital Charge Code |
42000003
|
|
Hospital Revenue Code
|
420
|
| Min. Negotiated Rate |
$87.58 |
| Max. Negotiated Rate |
$113.26 |
| Rate for Payer: Aetna Commercial |
$106.96
|
| Rate for Payer: BCBS Trust/PPO |
$103.93
|
| Rate for Payer: BCN Commercial |
$103.93
|
| Rate for Payer: Cash Price |
$100.67
|
| Rate for Payer: Cofinity Commercial |
$108.22
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$100.67
|
| Rate for Payer: Healthscope Commercial |
$113.26
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$94.38
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$106.96
|
| Rate for Payer: Nomi Health Commercial |
$103.19
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$94.38
|
| Rate for Payer: PHP Commercial |
$106.96
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$109.48
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$87.58
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$110.74
|
| Rate for Payer: UHC Core |
$105.08
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$94.38
|
|
|
HC STRAPPING KNEE
|
Facility
|
IP
|
$159.18
|
|
|
Service Code
|
CPT 29530
|
| Hospital Charge Code |
42000004
|
|
Hospital Revenue Code
|
420
|
| Min. Negotiated Rate |
$110.79 |
| Max. Negotiated Rate |
$143.26 |
| Rate for Payer: Aetna Commercial |
$135.30
|
| Rate for Payer: BCBS Trust/PPO |
$131.47
|
| Rate for Payer: BCN Commercial |
$131.47
|
| Rate for Payer: Cash Price |
$127.34
|
| Rate for Payer: Cofinity Commercial |
$136.89
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$127.34
|
| Rate for Payer: Healthscope Commercial |
$143.26
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$119.39
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$135.30
|
| Rate for Payer: Nomi Health Commercial |
$130.53
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$119.39
|
| Rate for Payer: PHP Commercial |
$135.30
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$138.49
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$110.79
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$140.08
|
| Rate for Payer: UHC Core |
$132.92
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$119.39
|
|
|
HC STRAPPING KNEE
|
Facility
|
OP
|
$159.18
|
|
|
Service Code
|
CPT 29530
|
| Hospital Charge Code |
42000004
|
|
Hospital Revenue Code
|
420
|
| Min. Negotiated Rate |
$28.06 |
| Max. Negotiated Rate |
$143.26 |
| Rate for Payer: Aetna Commercial |
$135.30
|
| Rate for Payer: Aetna Medicare |
$41.39
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$49.74
|
| Rate for Payer: Amish Plain Church Group Commercial |
$49.74
|
| Rate for Payer: BCBS Complete |
$29.46
|
| Rate for Payer: BCBS MAPPO |
$39.80
|
| Rate for Payer: BCBS Trust/PPO |
$130.86
|
| Rate for Payer: BCN Commercial |
$130.86
|
| Rate for Payer: BCN Medicare Advantage |
$39.80
|
| Rate for Payer: Cash Price |
$127.34
|
| Rate for Payer: Cofinity Commercial |
$136.89
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$127.34
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$39.80
|
| Rate for Payer: Healthscope Commercial |
$143.26
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$119.39
|
| Rate for Payer: Mclaren Medicaid |
$28.06
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$41.78
|
| Rate for Payer: Meridian Medicaid |
$29.46
|
| Rate for Payer: MI Amish Medical Board Commercial |
$45.76
|
| Rate for Payer: Molina Medicare/Medicaid |
$43.77
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$135.30
|
| Rate for Payer: Nomi Health Commercial |
$130.53
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$119.39
|
| Rate for Payer: PACE Senior Care Partners |
$37.81
|
| Rate for Payer: PACE SWMI |
$39.80
|
| Rate for Payer: PHP Commercial |
$135.30
|
| Rate for Payer: PHP Medicare Advantage |
$39.80
|
| Rate for Payer: Priority Health Choice Medicaid |
$28.06
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$138.49
|
| Rate for Payer: Priority Health Medicare |
$40.19
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$110.79
|
| Rate for Payer: Railroad Medicare Medicare |
$39.80
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$140.08
|
| Rate for Payer: UHC Core |
$132.92
|
| Rate for Payer: UHC Exchange |
$39.80
|
| Rate for Payer: UHC Medicaid |
$28.06
|
| Rate for Payer: UHC Medicare Advantage |
$39.80
|
| Rate for Payer: UHCCP Medicaid |
$28.06
|
| Rate for Payer: VA VA |
$39.80
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$119.39
|
|
|
HC STRAPPING SHOULDER
|
Facility
|
IP
|
$110.89
|
|
|
Service Code
|
CPT 29240
|
| Hospital Charge Code |
42000001
|
|
Hospital Revenue Code
|
420
|
| Min. Negotiated Rate |
$77.18 |
| Max. Negotiated Rate |
$99.80 |
| Rate for Payer: Aetna Commercial |
$94.26
|
| Rate for Payer: BCBS Trust/PPO |
$91.58
|
| Rate for Payer: BCN Commercial |
$91.58
|
| Rate for Payer: Cash Price |
$88.71
|
| Rate for Payer: Cofinity Commercial |
$95.37
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$88.71
|
| Rate for Payer: Healthscope Commercial |
$99.80
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$83.17
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$94.26
|
| Rate for Payer: Nomi Health Commercial |
$90.93
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$83.17
|
| Rate for Payer: PHP Commercial |
$94.26
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$96.47
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$77.18
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$97.58
|
| Rate for Payer: UHC Core |
$92.59
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$83.17
|
|
|
HC STRAPPING SHOULDER
|
Facility
|
OP
|
$110.89
|
|
|
Service Code
|
CPT 29240
|
| Hospital Charge Code |
42000001
|
|
Hospital Revenue Code
|
420
|
| Min. Negotiated Rate |
$19.55 |
| Max. Negotiated Rate |
$99.80 |
| Rate for Payer: Aetna Commercial |
$94.26
|
| Rate for Payer: Aetna Medicare |
$28.83
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$34.65
|
| Rate for Payer: Amish Plain Church Group Commercial |
$34.65
|
| Rate for Payer: BCBS Complete |
$20.53
|
| Rate for Payer: BCBS MAPPO |
$27.72
|
| Rate for Payer: BCBS Trust/PPO |
$91.16
|
| Rate for Payer: BCN Commercial |
$91.16
|
| Rate for Payer: BCN Medicare Advantage |
$27.72
|
| Rate for Payer: Cash Price |
$88.71
|
| Rate for Payer: Cofinity Commercial |
$95.37
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$88.71
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$27.72
|
| Rate for Payer: Healthscope Commercial |
$99.80
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$83.17
|
| Rate for Payer: Mclaren Medicaid |
$19.55
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$29.11
|
| Rate for Payer: Meridian Medicaid |
$20.53
|
| Rate for Payer: MI Amish Medical Board Commercial |
$31.88
|
| Rate for Payer: Molina Medicare/Medicaid |
$30.49
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$94.26
|
| Rate for Payer: Nomi Health Commercial |
$90.93
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$83.17
|
| Rate for Payer: PACE Senior Care Partners |
$26.34
|
| Rate for Payer: PACE SWMI |
$27.72
|
| Rate for Payer: PHP Commercial |
$94.26
|
| Rate for Payer: PHP Medicare Advantage |
$27.72
|
| Rate for Payer: Priority Health Choice Medicaid |
$19.55
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$96.47
|
| Rate for Payer: Priority Health Medicare |
$28.00
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$77.18
|
| Rate for Payer: Railroad Medicare Medicare |
$27.72
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$97.58
|
| Rate for Payer: UHC Core |
$92.59
|
| Rate for Payer: UHC Exchange |
$27.72
|
| Rate for Payer: UHC Medicaid |
$19.55
|
| Rate for Payer: UHC Medicare Advantage |
$27.72
|
| Rate for Payer: UHCCP Medicaid |
$19.55
|
| Rate for Payer: VA VA |
$27.72
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$83.17
|
|
