|
HC STRAPPING TOES
|
Facility
|
OP
|
$192.39
|
|
|
Service Code
|
CPT 29550
|
| Hospital Charge Code |
45000001
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$33.92 |
| Max. Negotiated Rate |
$173.15 |
| Rate for Payer: Aetna Commercial |
$163.53
|
| Rate for Payer: Aetna Medicare |
$50.02
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$60.12
|
| Rate for Payer: Amish Plain Church Group Commercial |
$60.12
|
| Rate for Payer: BCBS Complete |
$35.61
|
| Rate for Payer: BCBS MAPPO |
$48.10
|
| Rate for Payer: BCBS Trust/PPO |
$158.16
|
| Rate for Payer: BCN Commercial |
$158.16
|
| Rate for Payer: BCN Medicare Advantage |
$48.10
|
| Rate for Payer: Cash Price |
$153.91
|
| Rate for Payer: Cofinity Commercial |
$165.46
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$153.91
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$48.10
|
| Rate for Payer: Healthscope Commercial |
$173.15
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$144.29
|
| Rate for Payer: Mclaren Medicaid |
$33.92
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$50.50
|
| Rate for Payer: Meridian Medicaid |
$35.61
|
| Rate for Payer: MI Amish Medical Board Commercial |
$55.31
|
| Rate for Payer: Molina Medicare/Medicaid |
$52.91
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$163.53
|
| Rate for Payer: Nomi Health Commercial |
$157.76
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$144.29
|
| Rate for Payer: PACE Senior Care Partners |
$45.69
|
| Rate for Payer: PACE SWMI |
$48.10
|
| Rate for Payer: PHP Commercial |
$163.53
|
| Rate for Payer: PHP Medicare Advantage |
$48.10
|
| Rate for Payer: Priority Health Choice Medicaid |
$33.92
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$167.38
|
| Rate for Payer: Priority Health Medicare |
$48.58
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$133.90
|
| Rate for Payer: Railroad Medicare Medicare |
$48.10
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$169.30
|
| Rate for Payer: UHC Core |
$160.65
|
| Rate for Payer: UHC Exchange |
$48.10
|
| Rate for Payer: UHC Medicaid |
$33.92
|
| Rate for Payer: UHC Medicare Advantage |
$48.10
|
| Rate for Payer: UHCCP Medicaid |
$33.92
|
| Rate for Payer: VA VA |
$48.10
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$144.29
|
|
|
HC STRAPPING TOES
|
Facility
|
IP
|
$192.39
|
|
|
Service Code
|
CPT 29550
|
| Hospital Charge Code |
45000001
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$133.90 |
| Max. Negotiated Rate |
$173.15 |
| Rate for Payer: Aetna Commercial |
$163.53
|
| Rate for Payer: BCBS Trust/PPO |
$158.89
|
| Rate for Payer: BCN Commercial |
$158.89
|
| Rate for Payer: Cash Price |
$153.91
|
| Rate for Payer: Cofinity Commercial |
$165.46
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$153.91
|
| Rate for Payer: Healthscope Commercial |
$173.15
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$144.29
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$163.53
|
| Rate for Payer: Nomi Health Commercial |
$157.76
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$144.29
|
| Rate for Payer: PHP Commercial |
$163.53
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$167.38
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$133.90
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$169.30
|
| Rate for Payer: UHC Core |
$160.65
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$144.29
|
|
|
HC STRAWBERRY ALLERGEN
|
Facility
|
IP
|
$25.90
|
|
|
Service Code
|
CPT 86003
|
| Hospital Charge Code |
30200124
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$18.03 |
| Max. Negotiated Rate |
$23.31 |
| Rate for Payer: Aetna Commercial |
$22.02
|
| Rate for Payer: BCBS Trust/PPO |
$21.39
|
| Rate for Payer: BCN Commercial |
$21.39
|
| Rate for Payer: Cash Price |
$20.72
|
| Rate for Payer: Cofinity Commercial |
$22.27
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$20.72
|
| Rate for Payer: Healthscope Commercial |
$23.31
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$19.43
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$22.02
|
| Rate for Payer: Nomi Health Commercial |
$21.24
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$19.43
|
| Rate for Payer: PHP Commercial |
$22.02
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$22.53
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$18.03
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$22.79
|
| Rate for Payer: UHC Core |
$21.63
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$19.43
|
|
|
HC STRAWBERRY ALLERGEN
|
Facility
|
OP
|
$25.90
|
|
|
Service Code
|
CPT 86003
|
| Hospital Charge Code |
30200124
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$4.57 |
| Max. Negotiated Rate |
$23.31 |
| Rate for Payer: Aetna Commercial |
$22.02
|
| Rate for Payer: Aetna Medicare |
$6.73
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$8.09
|
| Rate for Payer: Amish Plain Church Group Commercial |
$8.09
|
| Rate for Payer: BCBS Complete |
$4.79
|
| Rate for Payer: BCBS MAPPO |
$6.47
|
| Rate for Payer: BCBS Trust/PPO |
$21.29
|
| Rate for Payer: BCN Commercial |
$21.29
|
| Rate for Payer: BCN Medicare Advantage |
$6.47
|
| Rate for Payer: Cash Price |
$20.72
|
| Rate for Payer: Cofinity Commercial |
$22.27
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$20.72
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$6.47
|
| Rate for Payer: Healthscope Commercial |
$23.31
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$19.43
|
| Rate for Payer: Mclaren Medicaid |
$4.57
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$6.80
|
| Rate for Payer: Meridian Medicaid |
$4.79
|
| Rate for Payer: MI Amish Medical Board Commercial |
$7.45
|
| Rate for Payer: Molina Medicare/Medicaid |
$7.12
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$22.02
|
| Rate for Payer: Nomi Health Commercial |
$21.24
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$19.43
|
| Rate for Payer: PACE Senior Care Partners |
$6.15
|
| Rate for Payer: PACE SWMI |
$6.47
|
| Rate for Payer: PHP Commercial |
$22.02
|
| Rate for Payer: PHP Medicare Advantage |
$6.47
|
| Rate for Payer: Priority Health Choice Medicaid |
$4.57
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$22.53
|
| Rate for Payer: Priority Health Medicare |
$6.54
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$18.03
|
| Rate for Payer: Railroad Medicare Medicare |
$6.47
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$22.79
|
| Rate for Payer: UHC Core |
$21.63
|
| Rate for Payer: UHC Exchange |
$6.47
|
| Rate for Payer: UHC Medicaid |
$4.57
|
| Rate for Payer: UHC Medicare Advantage |
$6.47
|
| Rate for Payer: UHCCP Medicaid |
$4.57
|
| Rate for Payer: VA VA |
$6.47
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$19.43
|
|
|
HC STREP A PCR
|
Facility
|
IP
|
$83.75
|
|
|
Service Code
|
CPT 87651
|
| Hospital Charge Code |
30600288
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$58.29 |
| Max. Negotiated Rate |
$75.38 |
| Rate for Payer: Aetna Commercial |
$71.19
|
| Rate for Payer: BCBS Trust/PPO |
$69.17
|
| Rate for Payer: BCN Commercial |
$69.17
|
| Rate for Payer: Cash Price |
$67.00
|
| Rate for Payer: Cofinity Commercial |
$72.03
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$67.00
|
| Rate for Payer: Healthscope Commercial |
$75.38
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$62.81
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$71.19
|
| Rate for Payer: Nomi Health Commercial |
$68.67
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$62.81
|
| Rate for Payer: PHP Commercial |
$71.19
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$72.86
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$58.29
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$73.70
|
| Rate for Payer: UHC Core |
$69.93
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$62.81
|
|
|
HC STREP A PCR
|
Facility
|
OP
|
$83.75
|
|
|
Service Code
|
CPT 87651
|
| Hospital Charge Code |
30600288
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$14.77 |
| Max. Negotiated Rate |
$75.38 |
| Rate for Payer: Aetna Commercial |
$71.19
|
| Rate for Payer: Aetna Medicare |
$21.77
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$26.17
|
| Rate for Payer: Amish Plain Church Group Commercial |
$26.17
|
| Rate for Payer: BCBS Complete |
$15.50
|
| Rate for Payer: BCBS MAPPO |
$20.94
|
| Rate for Payer: BCBS Trust/PPO |
$68.85
|
| Rate for Payer: BCN Commercial |
$68.85
|
| Rate for Payer: BCN Medicare Advantage |
$20.94
|
| Rate for Payer: Cash Price |
$67.00
|
| Rate for Payer: Cofinity Commercial |
$72.03
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$67.00
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$20.94
|
| Rate for Payer: Healthscope Commercial |
$75.38
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$62.81
|
| Rate for Payer: Mclaren Medicaid |
$14.77
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$21.98
|
| Rate for Payer: Meridian Medicaid |
$15.50
|
| Rate for Payer: MI Amish Medical Board Commercial |
$24.08
|
| Rate for Payer: Molina Medicare/Medicaid |
$23.03
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$71.19
|
| Rate for Payer: Nomi Health Commercial |
$68.67
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$62.81
|
| Rate for Payer: PACE Senior Care Partners |
$19.89
|
| Rate for Payer: PACE SWMI |
$20.94
|
| Rate for Payer: PHP Commercial |
$71.19
|
| Rate for Payer: PHP Medicare Advantage |
$20.94
|
| Rate for Payer: Priority Health Choice Medicaid |
$14.77
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$72.86
|
| Rate for Payer: Priority Health Medicare |
$21.15
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$58.29
|
| Rate for Payer: Railroad Medicare Medicare |
$20.94
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$73.70
|
| Rate for Payer: UHC Core |
$69.93
|
| Rate for Payer: UHC Exchange |
$20.94
|
| Rate for Payer: UHC Medicaid |
$14.77
|
| Rate for Payer: UHC Medicare Advantage |
$20.94
|
| Rate for Payer: UHCCP Medicaid |
$14.77
|
| Rate for Payer: VA VA |
$20.94
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$62.81
|
|
|
HC STREP B DNA AMP PROBE
|
Facility
|
OP
|
$104.04
|
|
|
Service Code
|
CPT 87653
|
| Hospital Charge Code |
30600353
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$18.34 |
| Max. Negotiated Rate |
$93.64 |
| Rate for Payer: Aetna Commercial |
$88.43
|
| Rate for Payer: Aetna Medicare |
$27.05
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$32.51
|
| Rate for Payer: Amish Plain Church Group Commercial |
$32.51
|
| Rate for Payer: BCBS Complete |
$19.26
|
| Rate for Payer: BCBS MAPPO |
$26.01
|
| Rate for Payer: BCBS Trust/PPO |
$85.53
|
| Rate for Payer: BCN Commercial |
$85.53
|
| Rate for Payer: BCN Medicare Advantage |
$26.01
|
| Rate for Payer: Cash Price |
$83.23
|
| Rate for Payer: Cofinity Commercial |
$89.47
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$83.23
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$26.01
|
| Rate for Payer: Healthscope Commercial |
$93.64
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$78.03
|
| Rate for Payer: Mclaren Medicaid |
$18.34
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$27.31
|
| Rate for Payer: Meridian Medicaid |
$19.26
|
| Rate for Payer: MI Amish Medical Board Commercial |
$29.91
|
| Rate for Payer: Molina Medicare/Medicaid |
$28.61
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$88.43
|
| Rate for Payer: Nomi Health Commercial |
$85.31
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$78.03
|
| Rate for Payer: PACE Senior Care Partners |
$24.71
|
| Rate for Payer: PACE SWMI |
$26.01
|
| Rate for Payer: PHP Commercial |
$88.43
|
| Rate for Payer: PHP Medicare Advantage |
$26.01
|
| Rate for Payer: Priority Health Choice Medicaid |
$18.34
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$90.51
|
| Rate for Payer: Priority Health Medicare |
$26.27
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$72.41
|
| Rate for Payer: Railroad Medicare Medicare |
$26.01
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$91.56
|
| Rate for Payer: UHC Core |
$86.87
|
| Rate for Payer: UHC Exchange |
$26.01
|
| Rate for Payer: UHC Medicaid |
$18.34
|
| Rate for Payer: UHC Medicare Advantage |
$26.01
|
| Rate for Payer: UHCCP Medicaid |
$18.34
|
| Rate for Payer: VA VA |
$26.01
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$78.03
|
|
|
HC STREP B DNA AMP PROBE
|
Facility
|
IP
|
$104.04
|
|
|
Service Code
|
CPT 87653
|
| Hospital Charge Code |
30600353
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$72.41 |
| Max. Negotiated Rate |
$93.64 |
| Rate for Payer: Aetna Commercial |
$88.43
|
| Rate for Payer: BCBS Trust/PPO |
$85.93
|
| Rate for Payer: BCN Commercial |
$85.93
|
| Rate for Payer: Cash Price |
$83.23
|
| Rate for Payer: Cofinity Commercial |
$89.47
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$83.23
|
| Rate for Payer: Healthscope Commercial |
$93.64
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$78.03
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$88.43
|
| Rate for Payer: Nomi Health Commercial |
$85.31
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$78.03
|
| Rate for Payer: PHP Commercial |
$88.43
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$90.51
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$72.41
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$91.56
|
| Rate for Payer: UHC Core |
$86.87
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$78.03
|
|
|
HC STREP PNEUMONIAE ANTIGEN
|
Facility
|
OP
|
$82.14
|
|
|
Service Code
|
CPT 87449
|
| Hospital Charge Code |
30600147
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$14.48 |
| Max. Negotiated Rate |
$73.93 |
| Rate for Payer: Aetna Commercial |
$69.82
|
| Rate for Payer: Aetna Medicare |
$21.36
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$25.67
|
| Rate for Payer: Amish Plain Church Group Commercial |
$25.67
|
| Rate for Payer: BCBS Complete |
$15.20
|
| Rate for Payer: BCBS MAPPO |
$20.54
|
| Rate for Payer: BCBS Trust/PPO |
$67.53
|
| Rate for Payer: BCN Commercial |
$67.53
|
| Rate for Payer: BCN Medicare Advantage |
$20.54
|
| Rate for Payer: Cash Price |
$65.71
|
| Rate for Payer: Cofinity Commercial |
$70.64
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$65.71
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$20.54
|
| Rate for Payer: Healthscope Commercial |
$73.93
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$61.60
|
| Rate for Payer: Mclaren Medicaid |
$14.48
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$21.56
|
| Rate for Payer: Meridian Medicaid |
$15.20
|
| Rate for Payer: MI Amish Medical Board Commercial |
$23.62
|
| Rate for Payer: Molina Medicare/Medicaid |
$22.59
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$69.82
|
| Rate for Payer: Nomi Health Commercial |
$67.35
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$61.60
|
| Rate for Payer: PACE Senior Care Partners |
$19.51
|
| Rate for Payer: PACE SWMI |
$20.54
|
| Rate for Payer: PHP Commercial |
$69.82
|
| Rate for Payer: PHP Medicare Advantage |
$20.54
|
| Rate for Payer: Priority Health Choice Medicaid |
$14.48
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$71.46
|
| Rate for Payer: Priority Health Medicare |
$20.74
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$57.17
|
| Rate for Payer: Railroad Medicare Medicare |
$20.54
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$72.28
|
| Rate for Payer: UHC Core |
$68.59
|
| Rate for Payer: UHC Exchange |
$20.54
|
| Rate for Payer: UHC Medicaid |
$14.48
|
| Rate for Payer: UHC Medicare Advantage |
$20.54
|
| Rate for Payer: UHCCP Medicaid |
$14.48
|
| Rate for Payer: VA VA |
$20.54
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$61.60
|
|
|
HC STREP PNEUMONIAE ANTIGEN
|
Facility
|
IP
|
$82.14
|
|
|
Service Code
|
CPT 87449
|
| Hospital Charge Code |
30600147
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$57.17 |
| Max. Negotiated Rate |
$73.93 |
| Rate for Payer: Aetna Commercial |
$69.82
|
| Rate for Payer: BCBS Trust/PPO |
$67.84
|
| Rate for Payer: BCN Commercial |
$67.84
|
| Rate for Payer: Cash Price |
$65.71
|
| Rate for Payer: Cofinity Commercial |
$70.64
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$65.71
|
| Rate for Payer: Healthscope Commercial |
$73.93
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$61.60
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$69.82
|
| Rate for Payer: Nomi Health Commercial |
$67.35
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$61.60
|
| Rate for Payer: PHP Commercial |
$69.82
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$71.46
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$57.17
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$72.28
|
| Rate for Payer: UHC Core |
$68.59
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$61.60
|
|
|
HC STREP PNEUMONIAE IGG 7 CMPTS
|
Facility
|
IP
|
$21.23
|
|
|
Service Code
|
CPT 86317
|
| Hospital Charge Code |
30200361
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$14.78 |
| Max. Negotiated Rate |
$19.11 |
| Rate for Payer: Aetna Commercial |
$18.05
|
| Rate for Payer: BCBS Trust/PPO |
$17.53
|
| Rate for Payer: BCN Commercial |
$17.53
|
| Rate for Payer: Cash Price |
$16.98
|
| Rate for Payer: Cofinity Commercial |
$18.26
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$16.98
|
| Rate for Payer: Healthscope Commercial |
$19.11
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$15.92
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$18.05
|
| Rate for Payer: Nomi Health Commercial |
$17.41
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$15.92
|
| Rate for Payer: PHP Commercial |
$18.05
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$18.47
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$14.78
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$18.68
|
| Rate for Payer: UHC Core |
$17.73
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$15.92
|
|
|
HC STREP PNEUMONIAE IGG 7 CMPTS
|
Facility
|
OP
|
$21.23
|
|
|
Service Code
|
CPT 86317
|
| Hospital Charge Code |
30200361
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$3.74 |
| Max. Negotiated Rate |
$19.11 |
| Rate for Payer: Aetna Commercial |
$18.05
|
| Rate for Payer: Aetna Medicare |
$5.52
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$6.63
|
| Rate for Payer: Amish Plain Church Group Commercial |
$6.63
|
| Rate for Payer: BCBS Complete |
$3.93
|
| Rate for Payer: BCBS MAPPO |
$5.31
|
| Rate for Payer: BCBS Trust/PPO |
$17.45
|
| Rate for Payer: BCN Commercial |
$17.45
|
| Rate for Payer: BCN Medicare Advantage |
$5.31
|
| Rate for Payer: Cash Price |
$16.98
|
| Rate for Payer: Cofinity Commercial |
$18.26
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$16.98
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$5.31
|
| Rate for Payer: Healthscope Commercial |
$19.11
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$15.92
|
| Rate for Payer: Mclaren Medicaid |
$3.74
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$5.57
|
| Rate for Payer: Meridian Medicaid |
$3.93
|
| Rate for Payer: MI Amish Medical Board Commercial |
$6.10
|
| Rate for Payer: Molina Medicare/Medicaid |
$5.84
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$18.05
|
| Rate for Payer: Nomi Health Commercial |
$17.41
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$15.92
|
| Rate for Payer: PACE Senior Care Partners |
$5.04
|
| Rate for Payer: PACE SWMI |
$5.31
|
| Rate for Payer: PHP Commercial |
$18.05
|
| Rate for Payer: PHP Medicare Advantage |
$5.31
|
| Rate for Payer: Priority Health Choice Medicaid |
$3.74
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$18.47
|
| Rate for Payer: Priority Health Medicare |
$5.36
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$14.78
|
| Rate for Payer: Railroad Medicare Medicare |
$5.31
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$18.68
|
| Rate for Payer: UHC Core |
$17.73
|
| Rate for Payer: UHC Exchange |
$5.31
|
| Rate for Payer: UHC Medicaid |
$3.74
|
| Rate for Payer: UHC Medicare Advantage |
$5.31
|
| Rate for Payer: UHCCP Medicaid |
$3.74
|
| Rate for Payer: VA VA |
$5.31
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$15.92
|
|
|
HC STREP PNEUMONIAE IGG 7 SEROTYP
|
Facility
|
IP
|
$21.23
|
|
|
Service Code
|
CPT 86317
|
| Hospital Charge Code |
30200188
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$14.78 |
| Max. Negotiated Rate |
$19.11 |
| Rate for Payer: Aetna Commercial |
$18.05
|
| Rate for Payer: BCBS Trust/PPO |
$17.53
|
| Rate for Payer: BCN Commercial |
$17.53
|
| Rate for Payer: Cash Price |
$16.98
|
| Rate for Payer: Cofinity Commercial |
$18.26
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$16.98
|
| Rate for Payer: Healthscope Commercial |
$19.11
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$15.92
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$18.05
|
| Rate for Payer: Nomi Health Commercial |
$17.41
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$15.92
|
| Rate for Payer: PHP Commercial |
$18.05
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$18.47
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$14.78
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$18.68
|
| Rate for Payer: UHC Core |
$17.73
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$15.92
|
|
|
HC STREP PNEUMONIAE IGG 7 SEROTYP
|
Facility
|
OP
|
$21.23
|
|
|
Service Code
|
CPT 86317
|
| Hospital Charge Code |
30200188
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$3.74 |
| Max. Negotiated Rate |
$19.11 |
| Rate for Payer: Aetna Commercial |
$18.05
|
| Rate for Payer: Aetna Medicare |
$5.52
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$6.63
|
| Rate for Payer: Amish Plain Church Group Commercial |
$6.63
|
| Rate for Payer: BCBS Complete |
$3.93
|
| Rate for Payer: BCBS MAPPO |
$5.31
|
| Rate for Payer: BCBS Trust/PPO |
$17.45
|
| Rate for Payer: BCN Commercial |
$17.45
|
| Rate for Payer: BCN Medicare Advantage |
$5.31
|
| Rate for Payer: Cash Price |
$16.98
|
| Rate for Payer: Cofinity Commercial |
$18.26
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$16.98
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$5.31
|
| Rate for Payer: Healthscope Commercial |
$19.11
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$15.92
|
| Rate for Payer: Mclaren Medicaid |
$3.74
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$5.57
|
| Rate for Payer: Meridian Medicaid |
$3.93
|
| Rate for Payer: MI Amish Medical Board Commercial |
$6.10
|
| Rate for Payer: Molina Medicare/Medicaid |
$5.84
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$18.05
|
| Rate for Payer: Nomi Health Commercial |
$17.41
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$15.92
|
| Rate for Payer: PACE Senior Care Partners |
$5.04
|
| Rate for Payer: PACE SWMI |
$5.31
|
| Rate for Payer: PHP Commercial |
$18.05
|
| Rate for Payer: PHP Medicare Advantage |
$5.31
|
| Rate for Payer: Priority Health Choice Medicaid |
$3.74
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$18.47
|
| Rate for Payer: Priority Health Medicare |
$5.36
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$14.78
|
| Rate for Payer: Railroad Medicare Medicare |
$5.31
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$18.68
|
| Rate for Payer: UHC Core |
$17.73
|
| Rate for Payer: UHC Exchange |
$5.31
|
| Rate for Payer: UHC Medicaid |
$3.74
|
| Rate for Payer: UHC Medicare Advantage |
$5.31
|
| Rate for Payer: UHCCP Medicaid |
$3.74
|
| Rate for Payer: VA VA |
$5.31
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$15.92
|
|
|
HC STREPTOCOCCUS AGALACTIAE
|
Facility
|
IP
|
$53.06
|
|
|
Service Code
|
CPT 87653
|
| Hospital Charge Code |
30600276
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$36.93 |
| Max. Negotiated Rate |
$47.75 |
| Rate for Payer: Aetna Commercial |
$45.10
|
| Rate for Payer: BCBS Trust/PPO |
$43.82
|
| Rate for Payer: BCN Commercial |
$43.82
|
| Rate for Payer: Cash Price |
$42.45
|
| Rate for Payer: Cofinity Commercial |
$45.63
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$42.45
|
| Rate for Payer: Healthscope Commercial |
$47.75
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$39.80
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$45.10
|
| Rate for Payer: Nomi Health Commercial |
$43.51
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$39.80
|
| Rate for Payer: PHP Commercial |
$45.10
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$46.16
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$36.93
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$46.69
|
| Rate for Payer: UHC Core |
$44.31
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$39.80
|
|
|
HC STREPTOCOCCUS AGALACTIAE
|
Facility
|
OP
|
$53.06
|
|
|
Service Code
|
CPT 87653
|
| Hospital Charge Code |
30600276
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$9.35 |
| Max. Negotiated Rate |
$47.75 |
| Rate for Payer: Aetna Commercial |
$45.10
|
| Rate for Payer: Aetna Medicare |
$13.80
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$16.58
|
| Rate for Payer: Amish Plain Church Group Commercial |
$16.58
|
| Rate for Payer: BCBS Complete |
$9.82
|
| Rate for Payer: BCBS MAPPO |
$13.27
|
| Rate for Payer: BCBS Trust/PPO |
$43.62
|
| Rate for Payer: BCN Commercial |
$43.62
|
| Rate for Payer: BCN Medicare Advantage |
$13.27
|
| Rate for Payer: Cash Price |
$42.45
|
| Rate for Payer: Cofinity Commercial |
$45.63
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$42.45
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$13.27
|
| Rate for Payer: Healthscope Commercial |
$47.75
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$39.80
|
| Rate for Payer: Mclaren Medicaid |
$9.35
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$13.93
|
| Rate for Payer: Meridian Medicaid |
$9.82
|
| Rate for Payer: MI Amish Medical Board Commercial |
$15.25
|
| Rate for Payer: Molina Medicare/Medicaid |
$14.59
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$45.10
|
| Rate for Payer: Nomi Health Commercial |
$43.51
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$39.80
|
| Rate for Payer: PACE Senior Care Partners |
$12.60
|
| Rate for Payer: PACE SWMI |
$13.27
|
| Rate for Payer: PHP Commercial |
$45.10
|
| Rate for Payer: PHP Medicare Advantage |
$13.27
|
| Rate for Payer: Priority Health Choice Medicaid |
$9.35
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$46.16
|
| Rate for Payer: Priority Health Medicare |
$13.40
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$36.93
|
| Rate for Payer: Railroad Medicare Medicare |
$13.27
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$46.69
|
| Rate for Payer: UHC Core |
$44.31
|
| Rate for Payer: UHC Exchange |
$13.27
|
| Rate for Payer: UHC Medicaid |
$9.35
|
| Rate for Payer: UHC Medicare Advantage |
$13.27
|
| Rate for Payer: UHCCP Medicaid |
$9.35
|
| Rate for Payer: VA VA |
$13.27
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$39.80
|
|
|
HC STREPTOCOCCUS PNEUMONIA
|
Facility
|
IP
|
$53.06
|
|
|
Service Code
|
CPT 87798
|
| Hospital Charge Code |
30600277
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$36.93 |
| Max. Negotiated Rate |
$47.75 |
| Rate for Payer: Aetna Commercial |
$45.10
|
| Rate for Payer: BCBS Trust/PPO |
$43.82
|
| Rate for Payer: BCN Commercial |
$43.82
|
| Rate for Payer: Cash Price |
$42.45
|
| Rate for Payer: Cofinity Commercial |
$45.63
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$42.45
|
| Rate for Payer: Healthscope Commercial |
$47.75
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$39.80
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$45.10
|
| Rate for Payer: Nomi Health Commercial |
$43.51
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$39.80
|
| Rate for Payer: PHP Commercial |
$45.10
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$46.16
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$36.93
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$46.69
|
| Rate for Payer: UHC Core |
$44.31
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$39.80
|
|
|
HC STREPTOCOCCUS PNEUMONIA
|
Facility
|
OP
|
$53.06
|
|
|
Service Code
|
CPT 87798
|
| Hospital Charge Code |
30600277
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$9.35 |
| Max. Negotiated Rate |
$47.75 |
| Rate for Payer: Aetna Commercial |
$45.10
|
| Rate for Payer: Aetna Medicare |
$13.80
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$16.58
|
| Rate for Payer: Amish Plain Church Group Commercial |
$16.58
|
| Rate for Payer: BCBS Complete |
$9.82
|
| Rate for Payer: BCBS MAPPO |
$13.27
|
| Rate for Payer: BCBS Trust/PPO |
$43.62
|
| Rate for Payer: BCN Commercial |
$43.62
|
| Rate for Payer: BCN Medicare Advantage |
$13.27
|
| Rate for Payer: Cash Price |
$42.45
|
| Rate for Payer: Cofinity Commercial |
$45.63
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$42.45
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$13.27
|
| Rate for Payer: Healthscope Commercial |
$47.75
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$39.80
|
| Rate for Payer: Mclaren Medicaid |
$9.35
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$13.93
|
| Rate for Payer: Meridian Medicaid |
$9.82
|
| Rate for Payer: MI Amish Medical Board Commercial |
$15.25
|
| Rate for Payer: Molina Medicare/Medicaid |
$14.59
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$45.10
|
| Rate for Payer: Nomi Health Commercial |
$43.51
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$39.80
|
| Rate for Payer: PACE Senior Care Partners |
$12.60
|
| Rate for Payer: PACE SWMI |
$13.27
|
| Rate for Payer: PHP Commercial |
$45.10
|
| Rate for Payer: PHP Medicare Advantage |
$13.27
|
| Rate for Payer: Priority Health Choice Medicaid |
$9.35
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$46.16
|
| Rate for Payer: Priority Health Medicare |
$13.40
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$36.93
|
| Rate for Payer: Railroad Medicare Medicare |
$13.27
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$46.69
|
| Rate for Payer: UHC Core |
$44.31
|
| Rate for Payer: UHC Exchange |
$13.27
|
| Rate for Payer: UHC Medicaid |
$9.35
|
| Rate for Payer: UHC Medicare Advantage |
$13.27
|
| Rate for Payer: UHCCP Medicaid |
$9.35
|
| Rate for Payer: VA VA |
$13.27
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$39.80
|
|
|
HC STRESS COMPLETE PHYSIOLOGY ARTERIES
|
Facility
|
OP
|
$362.85
|
|
|
Service Code
|
CPT 93924
|
| Hospital Charge Code |
92100021
|
|
Hospital Revenue Code
|
921
|
| Min. Negotiated Rate |
$63.97 |
| Max. Negotiated Rate |
$326.56 |
| Rate for Payer: Aetna Commercial |
$308.42
|
| Rate for Payer: Aetna Medicare |
$94.34
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$113.39
|
| Rate for Payer: Amish Plain Church Group Commercial |
$113.39
|
| Rate for Payer: BCBS Complete |
$67.16
|
| Rate for Payer: BCBS MAPPO |
$90.71
|
| Rate for Payer: BCBS Trust/PPO |
$298.30
|
| Rate for Payer: BCN Commercial |
$298.30
|
| Rate for Payer: BCN Medicare Advantage |
$90.71
|
| Rate for Payer: Cash Price |
$290.28
|
| Rate for Payer: Cofinity Commercial |
$312.05
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$290.28
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$90.71
|
| Rate for Payer: Healthscope Commercial |
$326.56
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$272.14
|
| Rate for Payer: Mclaren Medicaid |
$63.97
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$95.25
|
| Rate for Payer: Meridian Medicaid |
$67.16
|
| Rate for Payer: MI Amish Medical Board Commercial |
$104.32
|
| Rate for Payer: Molina Medicare/Medicaid |
$99.78
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$308.42
|
| Rate for Payer: Nomi Health Commercial |
$297.54
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$272.14
|
| Rate for Payer: PACE Senior Care Partners |
$86.18
|
| Rate for Payer: PACE SWMI |
$90.71
|
| Rate for Payer: PHP Commercial |
$308.42
|
| Rate for Payer: PHP Medicare Advantage |
$90.71
|
| Rate for Payer: Priority Health Choice Medicaid |
$63.97
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$315.68
|
| Rate for Payer: Priority Health Medicare |
$91.62
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$252.54
|
| Rate for Payer: Railroad Medicare Medicare |
$90.71
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$319.31
|
| Rate for Payer: UHC Core |
$302.98
|
| Rate for Payer: UHC Exchange |
$90.71
|
| Rate for Payer: UHC Medicaid |
$63.97
|
| Rate for Payer: UHC Medicare Advantage |
$90.71
|
| Rate for Payer: UHCCP Medicaid |
$63.97
|
| Rate for Payer: VA VA |
$90.71
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$272.14
|
|
|
HC STRESS COMPLETE PHYSIOLOGY ARTERIES
|
Facility
|
IP
|
$362.85
|
|
|
Service Code
|
CPT 93924
|
| Hospital Charge Code |
92100021
|
|
Hospital Revenue Code
|
921
|
| Min. Negotiated Rate |
$252.54 |
| Max. Negotiated Rate |
$326.56 |
| Rate for Payer: Aetna Commercial |
$308.42
|
| Rate for Payer: BCBS Trust/PPO |
$299.68
|
| Rate for Payer: BCN Commercial |
$299.68
|
| Rate for Payer: Cash Price |
$290.28
|
| Rate for Payer: Cofinity Commercial |
$312.05
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$290.28
|
| Rate for Payer: Healthscope Commercial |
$326.56
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$272.14
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$308.42
|
| Rate for Payer: Nomi Health Commercial |
$297.54
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$272.14
|
| Rate for Payer: PHP Commercial |
$308.42
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$315.68
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$252.54
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$319.31
|
| Rate for Payer: UHC Core |
$302.98
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$272.14
|
|
|
HC STRESS ECHO
|
Facility
|
IP
|
$1,545.68
|
|
|
Service Code
|
CPT 93350
|
| Hospital Charge Code |
48000008
|
|
Hospital Revenue Code
|
480
|
| Min. Negotiated Rate |
$1,075.79 |
| Max. Negotiated Rate |
$1,391.11 |
| Rate for Payer: Aetna Commercial |
$1,313.83
|
| Rate for Payer: BCBS Trust/PPO |
$1,276.58
|
| Rate for Payer: BCN Commercial |
$1,276.58
|
| Rate for Payer: Cash Price |
$1,236.54
|
| Rate for Payer: Cofinity Commercial |
$1,329.28
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,236.54
|
| Rate for Payer: Healthscope Commercial |
$1,391.11
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,159.26
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,313.83
|
| Rate for Payer: Nomi Health Commercial |
$1,267.46
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,159.26
|
| Rate for Payer: PHP Commercial |
$1,313.83
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$1,344.74
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,075.79
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,360.20
|
| Rate for Payer: UHC Core |
$1,290.64
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,159.26
|
|
|
HC STRESS ECHO
|
Facility
|
OP
|
$1,545.68
|
|
|
Service Code
|
CPT 93350
|
| Hospital Charge Code |
48000008
|
|
Hospital Revenue Code
|
480
|
| Min. Negotiated Rate |
$272.50 |
| Max. Negotiated Rate |
$1,391.11 |
| Rate for Payer: Aetna Commercial |
$1,313.83
|
| Rate for Payer: Aetna Medicare |
$401.88
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$483.02
|
| Rate for Payer: Amish Plain Church Group Commercial |
$483.02
|
| Rate for Payer: BCBS Complete |
$286.11
|
| Rate for Payer: BCBS MAPPO |
$386.42
|
| Rate for Payer: BCBS Trust/PPO |
$1,270.70
|
| Rate for Payer: BCN Commercial |
$1,270.70
|
| Rate for Payer: BCN Medicare Advantage |
$386.42
|
| Rate for Payer: Cash Price |
$1,236.54
|
| Rate for Payer: Cofinity Commercial |
$1,329.28
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,236.54
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$386.42
|
| Rate for Payer: Healthscope Commercial |
$1,391.11
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,159.26
|
| Rate for Payer: Mclaren Medicaid |
$272.50
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$405.74
|
| Rate for Payer: Meridian Medicaid |
$286.11
|
| Rate for Payer: MI Amish Medical Board Commercial |
$444.38
|
| Rate for Payer: Molina Medicare/Medicaid |
$425.06
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,313.83
|
| Rate for Payer: Nomi Health Commercial |
$1,267.46
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,159.26
|
| Rate for Payer: PACE Senior Care Partners |
$367.10
|
| Rate for Payer: PACE SWMI |
$386.42
|
| Rate for Payer: PHP Commercial |
$1,313.83
|
| Rate for Payer: PHP Medicare Advantage |
$386.42
|
| Rate for Payer: Priority Health Choice Medicaid |
$272.50
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$1,344.74
|
| Rate for Payer: Priority Health Medicare |
$390.28
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,075.79
|
| Rate for Payer: Railroad Medicare Medicare |
$386.42
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,360.20
|
| Rate for Payer: UHC Core |
$1,290.64
|
| Rate for Payer: UHC Exchange |
$386.42
|
| Rate for Payer: UHC Medicaid |
$272.50
|
| Rate for Payer: UHC Medicare Advantage |
$386.42
|
| Rate for Payer: UHCCP Medicaid |
$272.50
|
| Rate for Payer: VA VA |
$386.42
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,159.26
|
|
|
HC STRESS TEST
|
Facility
|
IP
|
$919.98
|
|
|
Service Code
|
CPT 93017
|
| Hospital Charge Code |
48200001
|
|
Hospital Revenue Code
|
482
|
| Min. Negotiated Rate |
$640.31 |
| Max. Negotiated Rate |
$827.98 |
| Rate for Payer: Aetna Commercial |
$781.98
|
| Rate for Payer: BCBS Trust/PPO |
$759.81
|
| Rate for Payer: BCN Commercial |
$759.81
|
| Rate for Payer: Cash Price |
$735.98
|
| Rate for Payer: Cofinity Commercial |
$791.18
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$735.98
|
| Rate for Payer: Healthscope Commercial |
$827.98
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$689.99
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$781.98
|
| Rate for Payer: Nomi Health Commercial |
$754.38
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$689.99
|
| Rate for Payer: PHP Commercial |
$781.98
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$800.38
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$640.31
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$809.58
|
| Rate for Payer: UHC Core |
$768.18
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$689.99
|
|
|
HC STRESS TEST
|
Facility
|
OP
|
$919.98
|
|
|
Service Code
|
CPT 93017
|
| Hospital Charge Code |
48200001
|
|
Hospital Revenue Code
|
482
|
| Min. Negotiated Rate |
$162.19 |
| Max. Negotiated Rate |
$827.98 |
| Rate for Payer: Aetna Commercial |
$781.98
|
| Rate for Payer: Aetna Medicare |
$239.19
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$287.49
|
| Rate for Payer: Amish Plain Church Group Commercial |
$287.49
|
| Rate for Payer: BCBS Complete |
$170.29
|
| Rate for Payer: BCBS MAPPO |
$230.00
|
| Rate for Payer: BCBS Trust/PPO |
$756.32
|
| Rate for Payer: BCN Commercial |
$756.32
|
| Rate for Payer: BCN Medicare Advantage |
$230.00
|
| Rate for Payer: Cash Price |
$735.98
|
| Rate for Payer: Cofinity Commercial |
$791.18
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$735.98
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$230.00
|
| Rate for Payer: Healthscope Commercial |
$827.98
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$689.99
|
| Rate for Payer: Mclaren Medicaid |
$162.19
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$241.49
|
| Rate for Payer: Meridian Medicaid |
$170.29
|
| Rate for Payer: MI Amish Medical Board Commercial |
$264.49
|
| Rate for Payer: Molina Medicare/Medicaid |
$252.99
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$781.98
|
| Rate for Payer: Nomi Health Commercial |
$754.38
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$689.99
|
| Rate for Payer: PACE Senior Care Partners |
$218.50
|
| Rate for Payer: PACE SWMI |
$230.00
|
| Rate for Payer: PHP Commercial |
$781.98
|
| Rate for Payer: PHP Medicare Advantage |
$230.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$162.19
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$800.38
|
| Rate for Payer: Priority Health Medicare |
$232.29
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$640.31
|
| Rate for Payer: Railroad Medicare Medicare |
$230.00
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$809.58
|
| Rate for Payer: UHC Core |
$768.18
|
| Rate for Payer: UHC Exchange |
$230.00
|
| Rate for Payer: UHC Medicaid |
$162.19
|
| Rate for Payer: UHC Medicare Advantage |
$230.00
|
| Rate for Payer: UHCCP Medicaid |
$162.19
|
| Rate for Payer: VA VA |
$230.00
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$689.99
|
|
|
HC STRESS TEST W/ ECHO
|
Facility
|
OP
|
$967.23
|
|
|
Service Code
|
CPT 93017
|
| Hospital Charge Code |
48200007
|
|
Hospital Revenue Code
|
482
|
| Min. Negotiated Rate |
$170.52 |
| Max. Negotiated Rate |
$870.51 |
| Rate for Payer: Aetna Commercial |
$822.15
|
| Rate for Payer: Aetna Medicare |
$251.48
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$302.26
|
| Rate for Payer: Amish Plain Church Group Commercial |
$302.26
|
| Rate for Payer: BCBS Complete |
$179.03
|
| Rate for Payer: BCBS MAPPO |
$241.81
|
| Rate for Payer: BCBS Trust/PPO |
$795.16
|
| Rate for Payer: BCN Commercial |
$795.16
|
| Rate for Payer: BCN Medicare Advantage |
$241.81
|
| Rate for Payer: Cash Price |
$773.78
|
| Rate for Payer: Cofinity Commercial |
$831.82
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$773.78
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$241.81
|
| Rate for Payer: Healthscope Commercial |
$870.51
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$725.42
|
| Rate for Payer: Mclaren Medicaid |
$170.52
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$253.90
|
| Rate for Payer: Meridian Medicaid |
$179.03
|
| Rate for Payer: MI Amish Medical Board Commercial |
$278.08
|
| Rate for Payer: Molina Medicare/Medicaid |
$265.99
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$822.15
|
| Rate for Payer: Nomi Health Commercial |
$793.13
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$725.42
|
| Rate for Payer: PACE Senior Care Partners |
$229.72
|
| Rate for Payer: PACE SWMI |
$241.81
|
| Rate for Payer: PHP Commercial |
$822.15
|
| Rate for Payer: PHP Medicare Advantage |
$241.81
|
| Rate for Payer: Priority Health Choice Medicaid |
$170.52
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$841.49
|
| Rate for Payer: Priority Health Medicare |
$244.23
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$673.19
|
| Rate for Payer: Railroad Medicare Medicare |
$241.81
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$851.16
|
| Rate for Payer: UHC Core |
$807.64
|
| Rate for Payer: UHC Exchange |
$241.81
|
| Rate for Payer: UHC Medicaid |
$170.52
|
| Rate for Payer: UHC Medicare Advantage |
$241.81
|
| Rate for Payer: UHCCP Medicaid |
$170.52
|
| Rate for Payer: VA VA |
$241.81
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$725.42
|
|
