|
HC STRAPPING CASTING UNLISTED
|
Facility
|
IP
|
$232.22
|
|
|
Service Code
|
CPT 29799
|
| Hospital Charge Code |
42000053
|
|
Hospital Revenue Code
|
420
|
| Min. Negotiated Rate |
$150.94 |
| Max. Negotiated Rate |
$209.00 |
| Rate for Payer: Aetna Commercial |
$197.39
|
| Rate for Payer: BCBS Trust/PPO |
$189.56
|
| Rate for Payer: BCN Commercial |
$179.46
|
| Rate for Payer: Cash Price |
$185.78
|
| Rate for Payer: Cofinity Commercial |
$199.71
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$185.78
|
| Rate for Payer: Healthscope Commercial |
$209.00
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$174.16
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$197.39
|
| Rate for Payer: Nomi Health Commercial |
$190.42
|
| Rate for Payer: PHP Commercial |
$197.39
|
| Rate for Payer: Priority Health Cigna Priority Health |
$150.94
|
| Rate for Payer: Priority Health HMO/PPO |
$202.03
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$155.59
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$204.35
|
| Rate for Payer: UHC Core |
$193.90
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$174.16
|
|
|
HC STRAPPING CHEST KINESIOTAPING
|
Facility
|
OP
|
$121.67
|
|
|
Service Code
|
CPT 29200
|
| Hospital Charge Code |
42000052
|
|
Hospital Revenue Code
|
420
|
| Min. Negotiated Rate |
$28.90 |
| Max. Negotiated Rate |
$119.79 |
| Rate for Payer: Aetna Commercial |
$103.42
|
| Rate for Payer: Aetna Medicare |
$31.63
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$38.02
|
| Rate for Payer: Amish Plain Church Group Commercial |
$38.02
|
| Rate for Payer: BCBS Complete |
$119.79
|
| Rate for Payer: BCBS MAPPO |
$30.42
|
| Rate for Payer: BCBS Trust/PPO |
$100.02
|
| Rate for Payer: BCN Commercial |
$94.60
|
| Rate for Payer: BCN Medicare Advantage |
$30.42
|
| Rate for Payer: Cash Price |
$97.34
|
| Rate for Payer: Cash Price |
$97.34
|
| Rate for Payer: Cofinity Commercial |
$104.64
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$97.34
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$30.42
|
| Rate for Payer: Healthscope Commercial |
$109.50
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$91.25
|
| Rate for Payer: Mclaren Medicaid |
$114.08
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$31.94
|
| Rate for Payer: Meridian Medicaid |
$119.79
|
| Rate for Payer: MI Amish Medical Board Commercial |
$34.98
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$103.42
|
| Rate for Payer: Nomi Health Commercial |
$99.77
|
| Rate for Payer: PACE Senior Care Partners |
$28.90
|
| Rate for Payer: PACE SWMI |
$30.42
|
| Rate for Payer: PHP Commercial |
$103.42
|
| Rate for Payer: PHP Medicare Advantage |
$30.42
|
| Rate for Payer: Priority Health Choice Medicaid |
$114.08
|
| Rate for Payer: Priority Health Cigna Priority Health |
$79.09
|
| Rate for Payer: Priority Health HMO/PPO |
$105.85
|
| Rate for Payer: Priority Health Medicare |
$30.72
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$81.52
|
| Rate for Payer: Railroad Medicare Medicare |
$30.42
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$107.07
|
| Rate for Payer: UHC Core |
$101.59
|
| Rate for Payer: UHC Dual Complete DSNP |
$30.42
|
| Rate for Payer: UHC Exchange |
$30.42
|
| Rate for Payer: UHC Medicare Advantage |
$30.42
|
| Rate for Payer: UHCCP Medicaid |
$114.08
|
| Rate for Payer: VA VA |
$30.42
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$91.25
|
|
|
HC STRAPPING CHEST KINESIOTAPING
|
Facility
|
IP
|
$121.67
|
|
|
Service Code
|
CPT 29200
|
| Hospital Charge Code |
42000052
|
|
Hospital Revenue Code
|
420
|
| Min. Negotiated Rate |
$79.09 |
| Max. Negotiated Rate |
$109.50 |
| Rate for Payer: Aetna Commercial |
$103.42
|
| Rate for Payer: BCBS Trust/PPO |
$99.32
|
| Rate for Payer: BCN Commercial |
$94.03
|
| Rate for Payer: Cash Price |
$97.34
|
| Rate for Payer: Cofinity Commercial |
$104.64
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$97.34
|
| Rate for Payer: Healthscope Commercial |
$109.50
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$91.25
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$103.42
|
| Rate for Payer: Nomi Health Commercial |
$99.77
|
| Rate for Payer: PHP Commercial |
$103.42
|
| Rate for Payer: Priority Health Cigna Priority Health |
$79.09
|
| Rate for Payer: Priority Health HMO/PPO |
$105.85
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$81.52
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$107.07
|
| Rate for Payer: UHC Core |
$101.59
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$91.25
|
|
|
HC STRAPPING ELBOW OR WRIST
|
Facility
|
OP
|
$98.84
|
|
|
Service Code
|
CPT 29260
|
| Hospital Charge Code |
42000002
|
|
Hospital Revenue Code
|
420
|
| Min. Negotiated Rate |
$23.47 |
| Max. Negotiated Rate |
$88.96 |
| Rate for Payer: Aetna Commercial |
$84.01
|
| Rate for Payer: Aetna Medicare |
$25.70
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$30.89
|
| Rate for Payer: Amish Plain Church Group Commercial |
$30.89
|
| Rate for Payer: BCBS Complete |
$45.10
|
| Rate for Payer: BCBS MAPPO |
$24.71
|
| Rate for Payer: BCBS Trust/PPO |
$81.26
|
| Rate for Payer: BCN Commercial |
$76.85
|
| Rate for Payer: BCN Medicare Advantage |
$24.71
|
| Rate for Payer: Cash Price |
$79.07
|
| Rate for Payer: Cash Price |
$79.07
|
| Rate for Payer: Cofinity Commercial |
$85.00
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$79.07
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$24.71
|
| Rate for Payer: Healthscope Commercial |
$88.96
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$74.13
|
| Rate for Payer: Mclaren Medicaid |
$42.95
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$25.95
|
| Rate for Payer: Meridian Medicaid |
$45.10
|
| Rate for Payer: MI Amish Medical Board Commercial |
$28.42
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$84.01
|
| Rate for Payer: Nomi Health Commercial |
$81.05
|
| Rate for Payer: PACE Senior Care Partners |
$23.47
|
| Rate for Payer: PACE SWMI |
$24.71
|
| Rate for Payer: PHP Commercial |
$84.01
|
| Rate for Payer: PHP Medicare Advantage |
$24.71
|
| Rate for Payer: Priority Health Choice Medicaid |
$42.95
|
| Rate for Payer: Priority Health Cigna Priority Health |
$64.25
|
| Rate for Payer: Priority Health HMO/PPO |
$85.99
|
| Rate for Payer: Priority Health Medicare |
$24.96
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$66.22
|
| Rate for Payer: Railroad Medicare Medicare |
$24.71
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$86.98
|
| Rate for Payer: UHC Core |
$82.53
|
| Rate for Payer: UHC Dual Complete DSNP |
$24.71
|
| Rate for Payer: UHC Exchange |
$24.71
|
| Rate for Payer: UHC Medicare Advantage |
$24.71
|
| Rate for Payer: UHCCP Medicaid |
$42.95
|
| Rate for Payer: VA VA |
$24.71
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$74.13
|
|
|
HC STRAPPING ELBOW OR WRIST
|
Facility
|
IP
|
$98.84
|
|
|
Service Code
|
CPT 29260
|
| Hospital Charge Code |
42000002
|
|
Hospital Revenue Code
|
420
|
| Min. Negotiated Rate |
$64.25 |
| Max. Negotiated Rate |
$88.96 |
| Rate for Payer: Aetna Commercial |
$84.01
|
| Rate for Payer: BCBS Trust/PPO |
$80.68
|
| Rate for Payer: BCN Commercial |
$76.38
|
| Rate for Payer: Cash Price |
$79.07
|
| Rate for Payer: Cofinity Commercial |
$85.00
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$79.07
|
| Rate for Payer: Healthscope Commercial |
$88.96
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$74.13
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$84.01
|
| Rate for Payer: Nomi Health Commercial |
$81.05
|
| Rate for Payer: PHP Commercial |
$84.01
|
| Rate for Payer: Priority Health Cigna Priority Health |
$64.25
|
| Rate for Payer: Priority Health HMO/PPO |
$85.99
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$66.22
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$86.98
|
| Rate for Payer: UHC Core |
$82.53
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$74.13
|
|
|
HC STRAPPING HAND OR FINGER
|
Facility
|
IP
|
$111.05
|
|
|
Service Code
|
CPT 29280
|
| Hospital Charge Code |
43000006
|
|
Hospital Revenue Code
|
430
|
| Min. Negotiated Rate |
$72.18 |
| Max. Negotiated Rate |
$99.94 |
| Rate for Payer: Aetna Commercial |
$94.39
|
| Rate for Payer: BCBS Trust/PPO |
$90.65
|
| Rate for Payer: BCN Commercial |
$85.82
|
| Rate for Payer: Cash Price |
$88.84
|
| Rate for Payer: Cofinity Commercial |
$95.50
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$88.84
|
| Rate for Payer: Healthscope Commercial |
$99.94
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$83.29
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$94.39
|
| Rate for Payer: Nomi Health Commercial |
$91.06
|
| Rate for Payer: PHP Commercial |
$94.39
|
| Rate for Payer: Priority Health Cigna Priority Health |
$72.18
|
| Rate for Payer: Priority Health HMO/PPO |
$96.61
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$74.40
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$97.72
|
| Rate for Payer: UHC Core |
$92.73
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$83.29
|
|
|
HC STRAPPING HAND OR FINGER
|
Facility
|
OP
|
$111.05
|
|
|
Service Code
|
CPT 29280
|
| Hospital Charge Code |
43000006
|
|
Hospital Revenue Code
|
430
|
| Min. Negotiated Rate |
$26.37 |
| Max. Negotiated Rate |
$99.94 |
| Rate for Payer: Aetna Commercial |
$94.39
|
| Rate for Payer: Aetna Medicare |
$28.87
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$34.70
|
| Rate for Payer: Amish Plain Church Group Commercial |
$34.70
|
| Rate for Payer: BCBS Complete |
$45.10
|
| Rate for Payer: BCBS MAPPO |
$27.76
|
| Rate for Payer: BCBS Trust/PPO |
$91.29
|
| Rate for Payer: BCN Commercial |
$86.34
|
| Rate for Payer: BCN Medicare Advantage |
$27.76
|
| Rate for Payer: Cash Price |
$88.84
|
| Rate for Payer: Cash Price |
$88.84
|
| Rate for Payer: Cofinity Commercial |
$95.50
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$88.84
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$27.76
|
| Rate for Payer: Healthscope Commercial |
$99.94
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$83.29
|
| Rate for Payer: Mclaren Medicaid |
$42.95
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$29.15
|
| Rate for Payer: Meridian Medicaid |
$45.10
|
| Rate for Payer: MI Amish Medical Board Commercial |
$31.93
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$94.39
|
| Rate for Payer: Nomi Health Commercial |
$91.06
|
| Rate for Payer: PACE Senior Care Partners |
$26.37
|
| Rate for Payer: PACE SWMI |
$27.76
|
| Rate for Payer: PHP Commercial |
$94.39
|
| Rate for Payer: PHP Medicare Advantage |
$27.76
|
| Rate for Payer: Priority Health Choice Medicaid |
$42.95
|
| Rate for Payer: Priority Health Cigna Priority Health |
$72.18
|
| Rate for Payer: Priority Health HMO/PPO |
$96.61
|
| Rate for Payer: Priority Health Medicare |
$28.04
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$74.40
|
| Rate for Payer: Railroad Medicare Medicare |
$27.76
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$97.72
|
| Rate for Payer: UHC Core |
$92.73
|
| Rate for Payer: UHC Dual Complete DSNP |
$27.76
|
| Rate for Payer: UHC Exchange |
$27.76
|
| Rate for Payer: UHC Medicare Advantage |
$27.76
|
| Rate for Payer: UHCCP Medicaid |
$42.95
|
| Rate for Payer: VA VA |
$27.76
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$83.29
|
|
|
HC STRAPPING HIP
|
Facility
|
OP
|
$123.37
|
|
|
Service Code
|
CPT 29520
|
| Hospital Charge Code |
42000003
|
|
Hospital Revenue Code
|
420
|
| Min. Negotiated Rate |
$29.30 |
| Max. Negotiated Rate |
$111.03 |
| Rate for Payer: Aetna Commercial |
$104.86
|
| Rate for Payer: Aetna Medicare |
$32.08
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$38.55
|
| Rate for Payer: Amish Plain Church Group Commercial |
$38.55
|
| Rate for Payer: BCBS Complete |
$97.86
|
| Rate for Payer: BCBS MAPPO |
$30.84
|
| Rate for Payer: BCBS Trust/PPO |
$101.42
|
| Rate for Payer: BCN Commercial |
$95.92
|
| Rate for Payer: BCN Medicare Advantage |
$30.84
|
| Rate for Payer: Cash Price |
$98.70
|
| Rate for Payer: Cash Price |
$98.70
|
| Rate for Payer: Cofinity Commercial |
$106.10
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$98.70
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$30.84
|
| Rate for Payer: Healthscope Commercial |
$111.03
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$92.53
|
| Rate for Payer: Mclaren Medicaid |
$93.19
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$32.38
|
| Rate for Payer: Meridian Medicaid |
$97.86
|
| Rate for Payer: MI Amish Medical Board Commercial |
$35.47
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$104.86
|
| Rate for Payer: Nomi Health Commercial |
$101.16
|
| Rate for Payer: PACE Senior Care Partners |
$29.30
|
| Rate for Payer: PACE SWMI |
$30.84
|
| Rate for Payer: PHP Commercial |
$104.86
|
| Rate for Payer: PHP Medicare Advantage |
$30.84
|
| Rate for Payer: Priority Health Choice Medicaid |
$93.19
|
| Rate for Payer: Priority Health Cigna Priority Health |
$80.19
|
| Rate for Payer: Priority Health HMO/PPO |
$107.33
|
| Rate for Payer: Priority Health Medicare |
$31.15
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$82.66
|
| Rate for Payer: Railroad Medicare Medicare |
$30.84
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$108.57
|
| Rate for Payer: UHC Core |
$103.01
|
| Rate for Payer: UHC Dual Complete DSNP |
$30.84
|
| Rate for Payer: UHC Exchange |
$30.84
|
| Rate for Payer: UHC Medicare Advantage |
$30.84
|
| Rate for Payer: UHCCP Medicaid |
$93.19
|
| Rate for Payer: VA VA |
$30.84
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$92.53
|
|
|
HC STRAPPING HIP
|
Facility
|
IP
|
$123.37
|
|
|
Service Code
|
CPT 29520
|
| Hospital Charge Code |
42000003
|
|
Hospital Revenue Code
|
420
|
| Min. Negotiated Rate |
$80.19 |
| Max. Negotiated Rate |
$111.03 |
| Rate for Payer: Aetna Commercial |
$104.86
|
| Rate for Payer: BCBS Trust/PPO |
$100.71
|
| Rate for Payer: BCN Commercial |
$95.34
|
| Rate for Payer: Cash Price |
$98.70
|
| Rate for Payer: Cofinity Commercial |
$106.10
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$98.70
|
| Rate for Payer: Healthscope Commercial |
$111.03
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$92.53
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$104.86
|
| Rate for Payer: Nomi Health Commercial |
$101.16
|
| Rate for Payer: PHP Commercial |
$104.86
|
| Rate for Payer: Priority Health Cigna Priority Health |
$80.19
|
| Rate for Payer: Priority Health HMO/PPO |
$107.33
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$82.66
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$108.57
|
| Rate for Payer: UHC Core |
$103.01
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$92.53
|
|
|
HC STRAPPING KNEE
|
Facility
|
OP
|
$156.06
|
|
|
Service Code
|
CPT 29530
|
| Hospital Charge Code |
42000004
|
|
Hospital Revenue Code
|
420
|
| Min. Negotiated Rate |
$37.06 |
| Max. Negotiated Rate |
$140.45 |
| Rate for Payer: Aetna Commercial |
$132.65
|
| Rate for Payer: Aetna Medicare |
$40.58
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$48.77
|
| Rate for Payer: Amish Plain Church Group Commercial |
$48.77
|
| Rate for Payer: BCBS Complete |
$97.86
|
| Rate for Payer: BCBS MAPPO |
$39.02
|
| Rate for Payer: BCBS Trust/PPO |
$128.30
|
| Rate for Payer: BCN Commercial |
$121.34
|
| Rate for Payer: BCN Medicare Advantage |
$39.02
|
| Rate for Payer: Cash Price |
$124.85
|
| Rate for Payer: Cash Price |
$124.85
|
| Rate for Payer: Cofinity Commercial |
$134.21
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$124.85
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$39.02
|
| Rate for Payer: Healthscope Commercial |
$140.45
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$117.05
|
| Rate for Payer: Mclaren Medicaid |
$93.19
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$40.97
|
| Rate for Payer: Meridian Medicaid |
$97.86
|
| Rate for Payer: MI Amish Medical Board Commercial |
$44.87
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$132.65
|
| Rate for Payer: Nomi Health Commercial |
$127.97
|
| Rate for Payer: PACE Senior Care Partners |
$37.06
|
| Rate for Payer: PACE SWMI |
$39.02
|
| Rate for Payer: PHP Commercial |
$132.65
|
| Rate for Payer: PHP Medicare Advantage |
$39.02
|
| Rate for Payer: Priority Health Choice Medicaid |
$93.19
|
| Rate for Payer: Priority Health Cigna Priority Health |
$101.44
|
| Rate for Payer: Priority Health HMO/PPO |
$135.77
|
| Rate for Payer: Priority Health Medicare |
$39.41
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$104.56
|
| Rate for Payer: Railroad Medicare Medicare |
$39.02
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$137.33
|
| Rate for Payer: UHC Core |
$130.31
|
| Rate for Payer: UHC Dual Complete DSNP |
$39.02
|
| Rate for Payer: UHC Exchange |
$39.02
|
| Rate for Payer: UHC Medicare Advantage |
$39.02
|
| Rate for Payer: UHCCP Medicaid |
$93.19
|
| Rate for Payer: VA VA |
$39.02
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$117.05
|
|
|
HC STRAPPING KNEE
|
Facility
|
IP
|
$156.06
|
|
|
Service Code
|
CPT 29530
|
| Hospital Charge Code |
42000004
|
|
Hospital Revenue Code
|
420
|
| Min. Negotiated Rate |
$101.44 |
| Max. Negotiated Rate |
$140.45 |
| Rate for Payer: Aetna Commercial |
$132.65
|
| Rate for Payer: BCBS Trust/PPO |
$127.39
|
| Rate for Payer: BCN Commercial |
$120.60
|
| Rate for Payer: Cash Price |
$124.85
|
| Rate for Payer: Cofinity Commercial |
$134.21
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$124.85
|
| Rate for Payer: Healthscope Commercial |
$140.45
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$117.05
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$132.65
|
| Rate for Payer: Nomi Health Commercial |
$127.97
|
| Rate for Payer: PHP Commercial |
$132.65
|
| Rate for Payer: Priority Health Cigna Priority Health |
$101.44
|
| Rate for Payer: Priority Health HMO/PPO |
$135.77
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$104.56
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$137.33
|
| Rate for Payer: UHC Core |
$130.31
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$117.05
|
|
|
HC STRAPPING SHOULDER
|
Facility
|
IP
|
$108.72
|
|
|
Service Code
|
CPT 29240
|
| Hospital Charge Code |
42000001
|
|
Hospital Revenue Code
|
420
|
| Min. Negotiated Rate |
$70.67 |
| Max. Negotiated Rate |
$97.85 |
| Rate for Payer: Aetna Commercial |
$92.41
|
| Rate for Payer: BCBS Trust/PPO |
$88.75
|
| Rate for Payer: BCN Commercial |
$84.02
|
| Rate for Payer: Cash Price |
$86.98
|
| Rate for Payer: Cofinity Commercial |
$93.50
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$86.98
|
| Rate for Payer: Healthscope Commercial |
$97.85
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$81.54
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$92.41
|
| Rate for Payer: Nomi Health Commercial |
$89.15
|
| Rate for Payer: PHP Commercial |
$92.41
|
| Rate for Payer: Priority Health Cigna Priority Health |
$70.67
|
| Rate for Payer: Priority Health HMO/PPO |
$94.59
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$72.84
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$95.67
|
| Rate for Payer: UHC Core |
$90.78
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$81.54
|
|
|
HC STRAPPING SHOULDER
|
Facility
|
OP
|
$108.72
|
|
|
Service Code
|
CPT 29240
|
| Hospital Charge Code |
42000001
|
|
Hospital Revenue Code
|
420
|
| Min. Negotiated Rate |
$25.82 |
| Max. Negotiated Rate |
$97.86 |
| Rate for Payer: Aetna Commercial |
$92.41
|
| Rate for Payer: Aetna Medicare |
$28.27
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$33.98
|
| Rate for Payer: Amish Plain Church Group Commercial |
$33.98
|
| Rate for Payer: BCBS Complete |
$97.86
|
| Rate for Payer: BCBS MAPPO |
$27.18
|
| Rate for Payer: BCBS Trust/PPO |
$89.38
|
| Rate for Payer: BCN Commercial |
$84.53
|
| Rate for Payer: BCN Medicare Advantage |
$27.18
|
| Rate for Payer: Cash Price |
$86.98
|
| Rate for Payer: Cash Price |
$86.98
|
| Rate for Payer: Cofinity Commercial |
$93.50
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$86.98
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$27.18
|
| Rate for Payer: Healthscope Commercial |
$97.85
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$81.54
|
| Rate for Payer: Mclaren Medicaid |
$93.19
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$28.54
|
| Rate for Payer: Meridian Medicaid |
$97.86
|
| Rate for Payer: MI Amish Medical Board Commercial |
$31.26
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$92.41
|
| Rate for Payer: Nomi Health Commercial |
$89.15
|
| Rate for Payer: PACE Senior Care Partners |
$25.82
|
| Rate for Payer: PACE SWMI |
$27.18
|
| Rate for Payer: PHP Commercial |
$92.41
|
| Rate for Payer: PHP Medicare Advantage |
$27.18
|
| Rate for Payer: Priority Health Choice Medicaid |
$93.19
|
| Rate for Payer: Priority Health Cigna Priority Health |
$70.67
|
| Rate for Payer: Priority Health HMO/PPO |
$94.59
|
| Rate for Payer: Priority Health Medicare |
$27.45
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$72.84
|
| Rate for Payer: Railroad Medicare Medicare |
$27.18
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$95.67
|
| Rate for Payer: UHC Core |
$90.78
|
| Rate for Payer: UHC Dual Complete DSNP |
$27.18
|
| Rate for Payer: UHC Exchange |
$27.18
|
| Rate for Payer: UHC Medicare Advantage |
$27.18
|
| Rate for Payer: UHCCP Medicaid |
$93.19
|
| Rate for Payer: VA VA |
$27.18
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$81.54
|
|
|
HC STRAPPING TOES
|
Facility
|
IP
|
$188.62
|
|
|
Service Code
|
CPT 29550
|
| Hospital Charge Code |
45000001
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$122.60 |
| Max. Negotiated Rate |
$169.76 |
| Rate for Payer: Aetna Commercial |
$160.33
|
| Rate for Payer: BCBS Trust/PPO |
$153.97
|
| Rate for Payer: BCN Commercial |
$145.77
|
| Rate for Payer: Cash Price |
$150.90
|
| Rate for Payer: Cofinity Commercial |
$162.21
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$150.90
|
| Rate for Payer: Healthscope Commercial |
$169.76
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$141.47
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$160.33
|
| Rate for Payer: Nomi Health Commercial |
$154.67
|
| Rate for Payer: PHP Commercial |
$160.33
|
| Rate for Payer: Priority Health Cigna Priority Health |
$122.60
|
| Rate for Payer: Priority Health HMO/PPO |
$164.10
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$126.38
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$165.99
|
| Rate for Payer: UHC Core |
$157.50
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$141.47
|
|
|
HC STRAPPING TOES
|
Facility
|
OP
|
$188.62
|
|
|
Service Code
|
CPT 29550
|
| Hospital Charge Code |
45000001
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$42.95 |
| Max. Negotiated Rate |
$169.76 |
| Rate for Payer: Aetna Commercial |
$160.33
|
| Rate for Payer: Aetna Medicare |
$49.04
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$58.94
|
| Rate for Payer: Amish Plain Church Group Commercial |
$58.94
|
| Rate for Payer: BCBS Complete |
$45.10
|
| Rate for Payer: BCBS MAPPO |
$47.16
|
| Rate for Payer: BCBS Trust/PPO |
$155.06
|
| Rate for Payer: BCN Commercial |
$146.65
|
| Rate for Payer: BCN Medicare Advantage |
$47.16
|
| Rate for Payer: Cash Price |
$150.90
|
| Rate for Payer: Cash Price |
$150.90
|
| Rate for Payer: Cofinity Commercial |
$162.21
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$150.90
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$47.16
|
| Rate for Payer: Healthscope Commercial |
$169.76
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$141.47
|
| Rate for Payer: Mclaren Medicaid |
$42.95
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$49.51
|
| Rate for Payer: Meridian Medicaid |
$45.10
|
| Rate for Payer: MI Amish Medical Board Commercial |
$54.23
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$160.33
|
| Rate for Payer: Nomi Health Commercial |
$154.67
|
| Rate for Payer: PACE Senior Care Partners |
$44.80
|
| Rate for Payer: PACE SWMI |
$47.16
|
| Rate for Payer: PHP Commercial |
$160.33
|
| Rate for Payer: PHP Medicare Advantage |
$47.16
|
| Rate for Payer: Priority Health Choice Medicaid |
$42.95
|
| Rate for Payer: Priority Health Cigna Priority Health |
$122.60
|
| Rate for Payer: Priority Health HMO/PPO |
$164.10
|
| Rate for Payer: Priority Health Medicare |
$47.63
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$126.38
|
| Rate for Payer: Railroad Medicare Medicare |
$47.16
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$165.99
|
| Rate for Payer: UHC Core |
$157.50
|
| Rate for Payer: UHC Dual Complete DSNP |
$47.16
|
| Rate for Payer: UHC Exchange |
$47.16
|
| Rate for Payer: UHC Medicare Advantage |
$47.16
|
| Rate for Payer: UHCCP Medicaid |
$42.95
|
| Rate for Payer: VA VA |
$47.16
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$141.47
|
|
|
HC STRAWBERRY ALLERGEN
|
Facility
|
OP
|
$25.39
|
|
|
Service Code
|
CPT 86003
|
| Hospital Charge Code |
30200124
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$3.77 |
| Max. Negotiated Rate |
$22.85 |
| Rate for Payer: Aetna Commercial |
$21.58
|
| Rate for Payer: Aetna Medicare |
$6.60
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$7.93
|
| Rate for Payer: Amish Plain Church Group Commercial |
$7.93
|
| Rate for Payer: BCBS Complete |
$3.96
|
| Rate for Payer: BCBS MAPPO |
$6.35
|
| Rate for Payer: BCBS Trust/PPO |
$20.87
|
| Rate for Payer: BCN Commercial |
$19.74
|
| Rate for Payer: BCN Medicare Advantage |
$6.35
|
| Rate for Payer: Cash Price |
$20.31
|
| Rate for Payer: Cash Price |
$20.31
|
| Rate for Payer: Cofinity Commercial |
$21.84
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$20.31
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$6.35
|
| Rate for Payer: Healthscope Commercial |
$22.85
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$19.04
|
| Rate for Payer: Mclaren Medicaid |
$3.77
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$6.66
|
| Rate for Payer: Meridian Medicaid |
$3.96
|
| Rate for Payer: MI Amish Medical Board Commercial |
$7.30
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$21.58
|
| Rate for Payer: Nomi Health Commercial |
$20.82
|
| Rate for Payer: PACE Senior Care Partners |
$6.03
|
| Rate for Payer: PACE SWMI |
$6.35
|
| Rate for Payer: PHP Commercial |
$21.58
|
| Rate for Payer: PHP Medicare Advantage |
$6.35
|
| Rate for Payer: Priority Health Choice Medicaid |
$3.77
|
| Rate for Payer: Priority Health Cigna Priority Health |
$16.50
|
| Rate for Payer: Priority Health HMO/PPO |
$22.09
|
| Rate for Payer: Priority Health Medicare |
$6.41
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$17.01
|
| Rate for Payer: Railroad Medicare Medicare |
$6.35
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$22.34
|
| Rate for Payer: UHC Core |
$21.20
|
| Rate for Payer: UHC Dual Complete DSNP |
$6.35
|
| Rate for Payer: UHC Exchange |
$6.35
|
| Rate for Payer: UHC Medicare Advantage |
$6.35
|
| Rate for Payer: UHCCP Medicaid |
$3.77
|
| Rate for Payer: VA VA |
$6.35
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$19.04
|
|
|
HC STRAWBERRY ALLERGEN
|
Facility
|
IP
|
$25.39
|
|
|
Service Code
|
CPT 86003
|
| Hospital Charge Code |
30200124
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$16.50 |
| Max. Negotiated Rate |
$22.85 |
| Rate for Payer: Aetna Commercial |
$21.58
|
| Rate for Payer: BCBS Trust/PPO |
$20.73
|
| Rate for Payer: BCN Commercial |
$19.62
|
| Rate for Payer: Cash Price |
$20.31
|
| Rate for Payer: Cofinity Commercial |
$21.84
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$20.31
|
| Rate for Payer: Healthscope Commercial |
$22.85
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$19.04
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$21.58
|
| Rate for Payer: Nomi Health Commercial |
$20.82
|
| Rate for Payer: PHP Commercial |
$21.58
|
| Rate for Payer: Priority Health Cigna Priority Health |
$16.50
|
| Rate for Payer: Priority Health HMO/PPO |
$22.09
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$17.01
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$22.34
|
| Rate for Payer: UHC Core |
$21.20
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$19.04
|
|
|
HC STREP A PCR
|
Facility
|
OP
|
$78.03
|
|
|
Service Code
|
CPT 87651
|
| Hospital Charge Code |
30600288
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$18.53 |
| Max. Negotiated Rate |
$70.23 |
| Rate for Payer: Aetna Commercial |
$66.33
|
| Rate for Payer: Aetna Medicare |
$20.29
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$24.38
|
| Rate for Payer: Amish Plain Church Group Commercial |
$24.38
|
| Rate for Payer: BCBS Complete |
$26.64
|
| Rate for Payer: BCBS MAPPO |
$19.51
|
| Rate for Payer: BCBS Trust/PPO |
$64.15
|
| Rate for Payer: BCN Commercial |
$60.67
|
| Rate for Payer: BCN Medicare Advantage |
$19.51
|
| Rate for Payer: Cash Price |
$62.42
|
| Rate for Payer: Cash Price |
$62.42
|
| Rate for Payer: Cofinity Commercial |
$67.11
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$62.42
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$19.51
|
| Rate for Payer: Healthscope Commercial |
$70.23
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$58.52
|
| Rate for Payer: Mclaren Medicaid |
$25.37
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$20.48
|
| Rate for Payer: Meridian Medicaid |
$26.64
|
| Rate for Payer: MI Amish Medical Board Commercial |
$22.43
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$66.33
|
| Rate for Payer: Nomi Health Commercial |
$63.98
|
| Rate for Payer: PACE Senior Care Partners |
$18.53
|
| Rate for Payer: PACE SWMI |
$19.51
|
| Rate for Payer: PHP Commercial |
$66.33
|
| Rate for Payer: PHP Medicare Advantage |
$19.51
|
| Rate for Payer: Priority Health Choice Medicaid |
$25.37
|
| Rate for Payer: Priority Health Cigna Priority Health |
$50.72
|
| Rate for Payer: Priority Health HMO/PPO |
$67.89
|
| Rate for Payer: Priority Health Medicare |
$19.70
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$52.28
|
| Rate for Payer: Railroad Medicare Medicare |
$19.51
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$68.67
|
| Rate for Payer: UHC Core |
$65.16
|
| Rate for Payer: UHC Dual Complete DSNP |
$19.51
|
| Rate for Payer: UHC Exchange |
$19.51
|
| Rate for Payer: UHC Medicare Advantage |
$19.51
|
| Rate for Payer: UHCCP Medicaid |
$25.37
|
| Rate for Payer: VA VA |
$19.51
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$58.52
|
|
|
HC STREP A PCR
|
Facility
|
IP
|
$78.03
|
|
|
Service Code
|
CPT 87651
|
| Hospital Charge Code |
30600288
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$50.72 |
| Max. Negotiated Rate |
$70.23 |
| Rate for Payer: Aetna Commercial |
$66.33
|
| Rate for Payer: BCBS Trust/PPO |
$63.70
|
| Rate for Payer: BCN Commercial |
$60.30
|
| Rate for Payer: Cash Price |
$62.42
|
| Rate for Payer: Cofinity Commercial |
$67.11
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$62.42
|
| Rate for Payer: Healthscope Commercial |
$70.23
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$58.52
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$66.33
|
| Rate for Payer: Nomi Health Commercial |
$63.98
|
| Rate for Payer: PHP Commercial |
$66.33
|
| Rate for Payer: Priority Health Cigna Priority Health |
$50.72
|
| Rate for Payer: Priority Health HMO/PPO |
$67.89
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$52.28
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$68.67
|
| Rate for Payer: UHC Core |
$65.16
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$58.52
|
|
|
HC STREP PNEUMONIAE ANTIGEN
|
Facility
|
OP
|
$80.53
|
|
|
Service Code
|
CPT 87449
|
| Hospital Charge Code |
30600147
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$8.66 |
| Max. Negotiated Rate |
$72.48 |
| Rate for Payer: Aetna Commercial |
$68.45
|
| Rate for Payer: Aetna Medicare |
$20.94
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$25.17
|
| Rate for Payer: Amish Plain Church Group Commercial |
$25.17
|
| Rate for Payer: BCBS Complete |
$9.10
|
| Rate for Payer: BCBS MAPPO |
$20.13
|
| Rate for Payer: BCBS Trust/PPO |
$66.20
|
| Rate for Payer: BCN Commercial |
$62.61
|
| Rate for Payer: BCN Medicare Advantage |
$20.13
|
| Rate for Payer: Cash Price |
$64.42
|
| Rate for Payer: Cash Price |
$64.42
|
| Rate for Payer: Cofinity Commercial |
$69.26
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$64.42
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$20.13
|
| Rate for Payer: Healthscope Commercial |
$72.48
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$60.40
|
| Rate for Payer: Mclaren Medicaid |
$8.66
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$21.14
|
| Rate for Payer: Meridian Medicaid |
$9.10
|
| Rate for Payer: MI Amish Medical Board Commercial |
$23.15
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$68.45
|
| Rate for Payer: Nomi Health Commercial |
$66.03
|
| Rate for Payer: PACE Senior Care Partners |
$19.13
|
| Rate for Payer: PACE SWMI |
$20.13
|
| Rate for Payer: PHP Commercial |
$68.45
|
| Rate for Payer: PHP Medicare Advantage |
$20.13
|
| Rate for Payer: Priority Health Choice Medicaid |
$8.66
|
| Rate for Payer: Priority Health Cigna Priority Health |
$52.34
|
| Rate for Payer: Priority Health HMO/PPO |
$70.06
|
| Rate for Payer: Priority Health Medicare |
$20.33
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$53.96
|
| Rate for Payer: Railroad Medicare Medicare |
$20.13
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$70.87
|
| Rate for Payer: UHC Core |
$67.24
|
| Rate for Payer: UHC Dual Complete DSNP |
$20.13
|
| Rate for Payer: UHC Exchange |
$20.13
|
| Rate for Payer: UHC Medicare Advantage |
$20.13
|
| Rate for Payer: UHCCP Medicaid |
$8.66
|
| Rate for Payer: VA VA |
$20.13
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$60.40
|
|
|
HC STREP PNEUMONIAE ANTIGEN
|
Facility
|
IP
|
$80.53
|
|
|
Service Code
|
CPT 87449
|
| Hospital Charge Code |
30600147
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$52.34 |
| Max. Negotiated Rate |
$72.48 |
| Rate for Payer: Aetna Commercial |
$68.45
|
| Rate for Payer: BCBS Trust/PPO |
$65.74
|
| Rate for Payer: BCN Commercial |
$62.23
|
| Rate for Payer: Cash Price |
$64.42
|
| Rate for Payer: Cofinity Commercial |
$69.26
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$64.42
|
| Rate for Payer: Healthscope Commercial |
$72.48
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$60.40
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$68.45
|
| Rate for Payer: Nomi Health Commercial |
$66.03
|
| Rate for Payer: PHP Commercial |
$68.45
|
| Rate for Payer: Priority Health Cigna Priority Health |
$52.34
|
| Rate for Payer: Priority Health HMO/PPO |
$70.06
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$53.96
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$70.87
|
| Rate for Payer: UHC Core |
$67.24
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$60.40
|
|
|
HC STREP PNEUMONIAE IGG 7 CMPTS
|
Facility
|
OP
|
$20.81
|
|
|
Service Code
|
CPT 86317
|
| Hospital Charge Code |
30200361
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$4.94 |
| Max. Negotiated Rate |
$18.73 |
| Rate for Payer: Aetna Commercial |
$17.69
|
| Rate for Payer: Aetna Medicare |
$5.41
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$6.50
|
| Rate for Payer: Amish Plain Church Group Commercial |
$6.50
|
| Rate for Payer: BCBS Complete |
$11.38
|
| Rate for Payer: BCBS MAPPO |
$5.20
|
| Rate for Payer: BCBS Trust/PPO |
$17.11
|
| Rate for Payer: BCN Commercial |
$16.18
|
| Rate for Payer: BCN Medicare Advantage |
$5.20
|
| Rate for Payer: Cash Price |
$16.65
|
| Rate for Payer: Cash Price |
$16.65
|
| Rate for Payer: Cofinity Commercial |
$17.90
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$16.65
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$5.20
|
| Rate for Payer: Healthscope Commercial |
$18.73
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$15.61
|
| Rate for Payer: Mclaren Medicaid |
$10.84
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$5.46
|
| Rate for Payer: Meridian Medicaid |
$11.38
|
| Rate for Payer: MI Amish Medical Board Commercial |
$5.98
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$17.69
|
| Rate for Payer: Nomi Health Commercial |
$17.06
|
| Rate for Payer: PACE Senior Care Partners |
$4.94
|
| Rate for Payer: PACE SWMI |
$5.20
|
| Rate for Payer: PHP Commercial |
$17.69
|
| Rate for Payer: PHP Medicare Advantage |
$5.20
|
| Rate for Payer: Priority Health Choice Medicaid |
$10.84
|
| Rate for Payer: Priority Health Cigna Priority Health |
$13.53
|
| Rate for Payer: Priority Health HMO/PPO |
$18.10
|
| Rate for Payer: Priority Health Medicare |
$5.25
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$13.94
|
| Rate for Payer: Railroad Medicare Medicare |
$5.20
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$18.31
|
| Rate for Payer: UHC Core |
$17.38
|
| Rate for Payer: UHC Dual Complete DSNP |
$5.20
|
| Rate for Payer: UHC Exchange |
$5.20
|
| Rate for Payer: UHC Medicare Advantage |
$5.20
|
| Rate for Payer: UHCCP Medicaid |
$10.84
|
| Rate for Payer: VA VA |
$5.20
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$15.61
|
|
|
HC STREP PNEUMONIAE IGG 7 CMPTS
|
Facility
|
IP
|
$20.81
|
|
|
Service Code
|
CPT 86317
|
| Hospital Charge Code |
30200361
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$13.53 |
| Max. Negotiated Rate |
$18.73 |
| Rate for Payer: Aetna Commercial |
$17.69
|
| Rate for Payer: BCBS Trust/PPO |
$16.99
|
| Rate for Payer: BCN Commercial |
$16.08
|
| Rate for Payer: Cash Price |
$16.65
|
| Rate for Payer: Cofinity Commercial |
$17.90
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$16.65
|
| Rate for Payer: Healthscope Commercial |
$18.73
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$15.61
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$17.69
|
| Rate for Payer: Nomi Health Commercial |
$17.06
|
| Rate for Payer: PHP Commercial |
$17.69
|
| Rate for Payer: Priority Health Cigna Priority Health |
$13.53
|
| Rate for Payer: Priority Health HMO/PPO |
$18.10
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$13.94
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$18.31
|
| Rate for Payer: UHC Core |
$17.38
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$15.61
|
|
|
HC STREP PNEUMONIAE IGG 7 SEROTYP
|
Facility
|
IP
|
$20.81
|
|
|
Service Code
|
CPT 86317
|
| Hospital Charge Code |
30200188
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$13.53 |
| Max. Negotiated Rate |
$18.73 |
| Rate for Payer: Aetna Commercial |
$17.69
|
| Rate for Payer: BCBS Trust/PPO |
$16.99
|
| Rate for Payer: BCN Commercial |
$16.08
|
| Rate for Payer: Cash Price |
$16.65
|
| Rate for Payer: Cofinity Commercial |
$17.90
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$16.65
|
| Rate for Payer: Healthscope Commercial |
$18.73
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$15.61
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$17.69
|
| Rate for Payer: Nomi Health Commercial |
$17.06
|
| Rate for Payer: PHP Commercial |
$17.69
|
| Rate for Payer: Priority Health Cigna Priority Health |
$13.53
|
| Rate for Payer: Priority Health HMO/PPO |
$18.10
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$13.94
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$18.31
|
| Rate for Payer: UHC Core |
$17.38
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$15.61
|
|
|
HC STREP PNEUMONIAE IGG 7 SEROTYP
|
Facility
|
OP
|
$20.81
|
|
|
Service Code
|
CPT 86317
|
| Hospital Charge Code |
30200188
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$4.94 |
| Max. Negotiated Rate |
$18.73 |
| Rate for Payer: Aetna Commercial |
$17.69
|
| Rate for Payer: Aetna Medicare |
$5.41
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$6.50
|
| Rate for Payer: Amish Plain Church Group Commercial |
$6.50
|
| Rate for Payer: BCBS Complete |
$11.38
|
| Rate for Payer: BCBS MAPPO |
$5.20
|
| Rate for Payer: BCBS Trust/PPO |
$17.11
|
| Rate for Payer: BCN Commercial |
$16.18
|
| Rate for Payer: BCN Medicare Advantage |
$5.20
|
| Rate for Payer: Cash Price |
$16.65
|
| Rate for Payer: Cash Price |
$16.65
|
| Rate for Payer: Cofinity Commercial |
$17.90
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$16.65
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$5.20
|
| Rate for Payer: Healthscope Commercial |
$18.73
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$15.61
|
| Rate for Payer: Mclaren Medicaid |
$10.84
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$5.46
|
| Rate for Payer: Meridian Medicaid |
$11.38
|
| Rate for Payer: MI Amish Medical Board Commercial |
$5.98
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$17.69
|
| Rate for Payer: Nomi Health Commercial |
$17.06
|
| Rate for Payer: PACE Senior Care Partners |
$4.94
|
| Rate for Payer: PACE SWMI |
$5.20
|
| Rate for Payer: PHP Commercial |
$17.69
|
| Rate for Payer: PHP Medicare Advantage |
$5.20
|
| Rate for Payer: Priority Health Choice Medicaid |
$10.84
|
| Rate for Payer: Priority Health Cigna Priority Health |
$13.53
|
| Rate for Payer: Priority Health HMO/PPO |
$18.10
|
| Rate for Payer: Priority Health Medicare |
$5.25
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$13.94
|
| Rate for Payer: Railroad Medicare Medicare |
$5.20
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$18.31
|
| Rate for Payer: UHC Core |
$17.38
|
| Rate for Payer: UHC Dual Complete DSNP |
$5.20
|
| Rate for Payer: UHC Exchange |
$5.20
|
| Rate for Payer: UHC Medicare Advantage |
$5.20
|
| Rate for Payer: UHCCP Medicaid |
$10.84
|
| Rate for Payer: VA VA |
$5.20
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$15.61
|
|
