|
HC VORICONAZOLE, S
|
Facility
|
IP
|
$93.64
|
|
|
Service Code
|
CPT 80285
|
| Hospital Charge Code |
30100707
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$65.17 |
| Max. Negotiated Rate |
$84.28 |
| Rate for Payer: Aetna Commercial |
$79.59
|
| Rate for Payer: BCBS Trust/PPO |
$77.34
|
| Rate for Payer: BCN Commercial |
$77.34
|
| Rate for Payer: Cash Price |
$74.91
|
| Rate for Payer: Cofinity Commercial |
$80.53
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$74.91
|
| Rate for Payer: Healthscope Commercial |
$84.28
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$70.23
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$79.59
|
| Rate for Payer: Nomi Health Commercial |
$76.78
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$70.23
|
| Rate for Payer: PHP Commercial |
$79.59
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$81.47
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$65.17
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$82.40
|
| Rate for Payer: UHC Core |
$78.19
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$70.23
|
|
|
HC VORICONAZOLE, S
|
Facility
|
OP
|
$93.64
|
|
|
Service Code
|
CPT 80285
|
| Hospital Charge Code |
30100707
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$16.51 |
| Max. Negotiated Rate |
$84.28 |
| Rate for Payer: Aetna Commercial |
$79.59
|
| Rate for Payer: Aetna Medicare |
$24.35
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$29.26
|
| Rate for Payer: Amish Plain Church Group Commercial |
$29.26
|
| Rate for Payer: BCBS Complete |
$17.33
|
| Rate for Payer: BCBS MAPPO |
$23.41
|
| Rate for Payer: BCBS Trust/PPO |
$76.98
|
| Rate for Payer: BCN Commercial |
$76.98
|
| Rate for Payer: BCN Medicare Advantage |
$23.41
|
| Rate for Payer: Cash Price |
$74.91
|
| Rate for Payer: Cofinity Commercial |
$80.53
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$74.91
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$23.41
|
| Rate for Payer: Healthscope Commercial |
$84.28
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$70.23
|
| Rate for Payer: Mclaren Medicaid |
$16.51
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$24.58
|
| Rate for Payer: Meridian Medicaid |
$17.33
|
| Rate for Payer: MI Amish Medical Board Commercial |
$26.92
|
| Rate for Payer: Molina Medicare/Medicaid |
$25.75
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$79.59
|
| Rate for Payer: Nomi Health Commercial |
$76.78
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$70.23
|
| Rate for Payer: PACE Senior Care Partners |
$22.24
|
| Rate for Payer: PACE SWMI |
$23.41
|
| Rate for Payer: PHP Commercial |
$79.59
|
| Rate for Payer: PHP Medicare Advantage |
$23.41
|
| Rate for Payer: Priority Health Choice Medicaid |
$16.51
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$81.47
|
| Rate for Payer: Priority Health Medicare |
$23.64
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$65.17
|
| Rate for Payer: Railroad Medicare Medicare |
$23.41
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$82.40
|
| Rate for Payer: UHC Core |
$78.19
|
| Rate for Payer: UHC Exchange |
$23.41
|
| Rate for Payer: UHC Medicaid |
$16.51
|
| Rate for Payer: UHC Medicare Advantage |
$23.41
|
| Rate for Payer: UHCCP Medicaid |
$16.51
|
| Rate for Payer: VA VA |
$23.41
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$70.23
|
|
|
HC VULVECTOMY SIMPLE PARTIAL
|
Facility
|
OP
|
$8,104.44
|
|
|
Service Code
|
CPT 56620
|
| Hospital Charge Code |
36100618
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$1,428.81 |
| Max. Negotiated Rate |
$7,294.00 |
| Rate for Payer: Aetna Commercial |
$6,888.77
|
| Rate for Payer: Aetna Medicare |
$2,107.15
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$2,532.64
|
| Rate for Payer: Amish Plain Church Group Commercial |
$2,532.64
|
| Rate for Payer: BCBS Complete |
$1,500.13
|
| Rate for Payer: BCBS MAPPO |
$2,026.11
|
| Rate for Payer: BCBS Trust/PPO |
$6,662.66
|
| Rate for Payer: BCN Commercial |
$6,662.66
|
| Rate for Payer: BCN Medicare Advantage |
$2,026.11
|
| Rate for Payer: Cash Price |
$6,483.55
|
| Rate for Payer: Cofinity Commercial |
$6,969.82
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$6,483.55
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,026.11
|
| Rate for Payer: Healthscope Commercial |
$7,294.00
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$6,078.33
|
| Rate for Payer: Mclaren Medicaid |
$1,428.81
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$2,127.42
|
| Rate for Payer: Meridian Medicaid |
$1,500.13
|
| Rate for Payer: MI Amish Medical Board Commercial |
$2,330.03
|
| Rate for Payer: Molina Medicare/Medicaid |
$2,228.72
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$6,888.77
|
| Rate for Payer: Nomi Health Commercial |
$6,645.64
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$6,078.33
|
| Rate for Payer: PACE Senior Care Partners |
$1,924.80
|
| Rate for Payer: PACE SWMI |
$2,026.11
|
| Rate for Payer: PHP Commercial |
$6,888.77
|
| Rate for Payer: PHP Medicare Advantage |
$2,026.11
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,428.81
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$7,050.86
|
| Rate for Payer: Priority Health Medicare |
$2,046.37
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$5,640.69
|
| Rate for Payer: Railroad Medicare Medicare |
$2,026.11
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$7,131.91
|
| Rate for Payer: UHC Core |
$6,767.21
|
| Rate for Payer: UHC Exchange |
$2,026.11
|
| Rate for Payer: UHC Medicaid |
$1,428.81
|
| Rate for Payer: UHC Medicare Advantage |
$2,026.11
|
| Rate for Payer: UHCCP Medicaid |
$1,428.81
|
| Rate for Payer: VA VA |
$2,026.11
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$6,078.33
|
|
|
HC VULVECTOMY SIMPLE PARTIAL
|
Facility
|
IP
|
$8,104.44
|
|
|
Service Code
|
CPT 56620
|
| Hospital Charge Code |
36100618
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$5,640.69 |
| Max. Negotiated Rate |
$7,294.00 |
| Rate for Payer: Aetna Commercial |
$6,888.77
|
| Rate for Payer: BCBS Trust/PPO |
$6,693.46
|
| Rate for Payer: BCN Commercial |
$6,693.46
|
| Rate for Payer: Cash Price |
$6,483.55
|
| Rate for Payer: Cofinity Commercial |
$6,969.82
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$6,483.55
|
| Rate for Payer: Healthscope Commercial |
$7,294.00
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$6,078.33
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$6,888.77
|
| Rate for Payer: Nomi Health Commercial |
$6,645.64
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$6,078.33
|
| Rate for Payer: PHP Commercial |
$6,888.77
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$7,050.86
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$5,640.69
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$7,131.91
|
| Rate for Payer: UHC Core |
$6,767.21
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$6,078.33
|
|
|
HC WALNUT IGE
|
Facility
|
OP
|
$25.90
|
|
|
Service Code
|
CPT 86003
|
| Hospital Charge Code |
30200065
|
|
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 WALNUT IGE
|
Facility
|
IP
|
$25.90
|
|
|
Service Code
|
CPT 86003
|
| Hospital Charge Code |
30200065
|
|
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 WALNUT TREE IGE
|
Facility
|
OP
|
$25.90
|
|
|
Service Code
|
CPT 86003
|
| Hospital Charge Code |
30200116
|
|
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 WALNUT TREE IGE
|
Facility
|
IP
|
$25.90
|
|
|
Service Code
|
CPT 86003
|
| Hospital Charge Code |
30200116
|
|
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 WASHED RED BLOOD CELLS
|
Facility
|
IP
|
$846.31
|
|
|
Service Code
|
HCPCS P9022
|
| Hospital Charge Code |
39000073
|
|
Hospital Revenue Code
|
390
|
| Min. Negotiated Rate |
$589.03 |
| Max. Negotiated Rate |
$761.68 |
| Rate for Payer: Aetna Commercial |
$719.36
|
| Rate for Payer: BCBS Trust/PPO |
$698.97
|
| Rate for Payer: BCN Commercial |
$698.97
|
| Rate for Payer: Cash Price |
$677.05
|
| Rate for Payer: Cofinity Commercial |
$727.83
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$677.05
|
| Rate for Payer: Healthscope Commercial |
$761.68
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$634.73
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$719.36
|
| Rate for Payer: Nomi Health Commercial |
$693.97
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$634.73
|
| Rate for Payer: PHP Commercial |
$719.36
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$736.29
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$589.03
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$744.75
|
| Rate for Payer: UHC Core |
$706.67
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$634.73
|
|
|
HC WASHED RED BLOOD CELLS
|
Facility
|
OP
|
$846.31
|
|
|
Service Code
|
HCPCS P9022
|
| Hospital Charge Code |
39000073
|
|
Hospital Revenue Code
|
390
|
| Min. Negotiated Rate |
$149.20 |
| Max. Negotiated Rate |
$761.68 |
| Rate for Payer: Aetna Commercial |
$719.36
|
| Rate for Payer: Aetna Medicare |
$220.04
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$264.47
|
| Rate for Payer: Amish Plain Church Group Commercial |
$264.47
|
| Rate for Payer: BCBS Complete |
$156.65
|
| Rate for Payer: BCBS MAPPO |
$211.58
|
| Rate for Payer: BCBS Trust/PPO |
$695.75
|
| Rate for Payer: BCN Commercial |
$695.75
|
| Rate for Payer: BCN Medicare Advantage |
$211.58
|
| Rate for Payer: Cash Price |
$677.05
|
| Rate for Payer: Cofinity Commercial |
$727.83
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$677.05
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$211.58
|
| Rate for Payer: Healthscope Commercial |
$761.68
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$634.73
|
| Rate for Payer: Mclaren Medicaid |
$149.20
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$222.16
|
| Rate for Payer: Meridian Medicaid |
$156.65
|
| Rate for Payer: MI Amish Medical Board Commercial |
$243.31
|
| Rate for Payer: Molina Medicare/Medicaid |
$232.74
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$719.36
|
| Rate for Payer: Nomi Health Commercial |
$693.97
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$634.73
|
| Rate for Payer: PACE Senior Care Partners |
$201.00
|
| Rate for Payer: PACE SWMI |
$211.58
|
| Rate for Payer: PHP Commercial |
$719.36
|
| Rate for Payer: PHP Medicare Advantage |
$211.58
|
| Rate for Payer: Priority Health Choice Medicaid |
$149.20
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$736.29
|
| Rate for Payer: Priority Health Medicare |
$213.69
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$589.03
|
| Rate for Payer: Railroad Medicare Medicare |
$211.58
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$744.75
|
| Rate for Payer: UHC Core |
$706.67
|
| Rate for Payer: UHC Exchange |
$211.58
|
| Rate for Payer: UHC Medicaid |
$149.20
|
| Rate for Payer: UHC Medicare Advantage |
$211.58
|
| Rate for Payer: UHCCP Medicaid |
$149.20
|
| Rate for Payer: VA VA |
$211.58
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$634.73
|
|
|
HC WBC BUFFY COAT
|
Facility
|
IP
|
$47.24
|
|
|
Service Code
|
CPT 85009
|
| Hospital Charge Code |
30500004
|
|
Hospital Revenue Code
|
305
|
| Min. Negotiated Rate |
$32.88 |
| Max. Negotiated Rate |
$42.52 |
| Rate for Payer: Aetna Commercial |
$40.15
|
| Rate for Payer: BCBS Trust/PPO |
$39.02
|
| Rate for Payer: BCN Commercial |
$39.02
|
| Rate for Payer: Cash Price |
$37.79
|
| Rate for Payer: Cofinity Commercial |
$40.63
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$37.79
|
| Rate for Payer: Healthscope Commercial |
$42.52
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$35.43
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$40.15
|
| Rate for Payer: Nomi Health Commercial |
$38.74
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$35.43
|
| Rate for Payer: PHP Commercial |
$40.15
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$41.10
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$32.88
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$41.57
|
| Rate for Payer: UHC Core |
$39.45
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$35.43
|
|
|
HC WBC BUFFY COAT
|
Facility
|
OP
|
$47.24
|
|
|
Service Code
|
CPT 85009
|
| Hospital Charge Code |
30500004
|
|
Hospital Revenue Code
|
305
|
| Min. Negotiated Rate |
$8.33 |
| Max. Negotiated Rate |
$42.52 |
| Rate for Payer: Aetna Commercial |
$40.15
|
| Rate for Payer: Aetna Medicare |
$12.28
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$14.76
|
| Rate for Payer: Amish Plain Church Group Commercial |
$14.76
|
| Rate for Payer: BCBS Complete |
$8.74
|
| Rate for Payer: BCBS MAPPO |
$11.81
|
| Rate for Payer: BCBS Trust/PPO |
$38.84
|
| Rate for Payer: BCN Commercial |
$38.84
|
| Rate for Payer: BCN Medicare Advantage |
$11.81
|
| Rate for Payer: Cash Price |
$37.79
|
| Rate for Payer: Cofinity Commercial |
$40.63
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$37.79
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$11.81
|
| Rate for Payer: Healthscope Commercial |
$42.52
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$35.43
|
| Rate for Payer: Mclaren Medicaid |
$8.33
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$12.40
|
| Rate for Payer: Meridian Medicaid |
$8.74
|
| Rate for Payer: MI Amish Medical Board Commercial |
$13.58
|
| Rate for Payer: Molina Medicare/Medicaid |
$12.99
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$40.15
|
| Rate for Payer: Nomi Health Commercial |
$38.74
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$35.43
|
| Rate for Payer: PACE Senior Care Partners |
$11.22
|
| Rate for Payer: PACE SWMI |
$11.81
|
| Rate for Payer: PHP Commercial |
$40.15
|
| Rate for Payer: PHP Medicare Advantage |
$11.81
|
| Rate for Payer: Priority Health Choice Medicaid |
$8.33
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$41.10
|
| Rate for Payer: Priority Health Medicare |
$11.93
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$32.88
|
| Rate for Payer: Railroad Medicare Medicare |
$11.81
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$41.57
|
| Rate for Payer: UHC Core |
$39.45
|
| Rate for Payer: UHC Exchange |
$11.81
|
| Rate for Payer: UHC Medicaid |
$8.33
|
| Rate for Payer: UHC Medicare Advantage |
$11.81
|
| Rate for Payer: UHCCP Medicaid |
$8.33
|
| Rate for Payer: VA VA |
$11.81
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$35.43
|
|
|
HC WBC COUNT
|
Facility
|
IP
|
$27.59
|
|
|
Service Code
|
CPT 85048
|
| Hospital Charge Code |
30500011
|
|
Hospital Revenue Code
|
305
|
| Min. Negotiated Rate |
$19.20 |
| Max. Negotiated Rate |
$24.83 |
| Rate for Payer: Aetna Commercial |
$23.45
|
| Rate for Payer: BCBS Trust/PPO |
$22.79
|
| Rate for Payer: BCN Commercial |
$22.79
|
| Rate for Payer: Cash Price |
$22.07
|
| Rate for Payer: Cofinity Commercial |
$23.73
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$22.07
|
| Rate for Payer: Healthscope Commercial |
$24.83
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$20.69
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$23.45
|
| Rate for Payer: Nomi Health Commercial |
$22.62
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$20.69
|
| Rate for Payer: PHP Commercial |
$23.45
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$24.00
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$19.20
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$24.28
|
| Rate for Payer: UHC Core |
$23.04
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$20.69
|
|
|
HC WBC COUNT
|
Facility
|
OP
|
$27.59
|
|
|
Service Code
|
CPT 85048
|
| Hospital Charge Code |
30500011
|
|
Hospital Revenue Code
|
305
|
| Min. Negotiated Rate |
$4.86 |
| Max. Negotiated Rate |
$24.83 |
| Rate for Payer: Aetna Commercial |
$23.45
|
| Rate for Payer: Aetna Medicare |
$7.17
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$8.62
|
| Rate for Payer: Amish Plain Church Group Commercial |
$8.62
|
| Rate for Payer: BCBS Complete |
$5.11
|
| Rate for Payer: BCBS MAPPO |
$6.90
|
| Rate for Payer: BCBS Trust/PPO |
$22.68
|
| Rate for Payer: BCN Commercial |
$22.68
|
| Rate for Payer: BCN Medicare Advantage |
$6.90
|
| Rate for Payer: Cash Price |
$22.07
|
| Rate for Payer: Cofinity Commercial |
$23.73
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$22.07
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$6.90
|
| Rate for Payer: Healthscope Commercial |
$24.83
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$20.69
|
| Rate for Payer: Mclaren Medicaid |
$4.86
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$7.24
|
| Rate for Payer: Meridian Medicaid |
$5.11
|
| Rate for Payer: MI Amish Medical Board Commercial |
$7.93
|
| Rate for Payer: Molina Medicare/Medicaid |
$7.59
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$23.45
|
| Rate for Payer: Nomi Health Commercial |
$22.62
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$20.69
|
| Rate for Payer: PACE Senior Care Partners |
$6.55
|
| Rate for Payer: PACE SWMI |
$6.90
|
| Rate for Payer: PHP Commercial |
$23.45
|
| Rate for Payer: PHP Medicare Advantage |
$6.90
|
| Rate for Payer: Priority Health Choice Medicaid |
$4.86
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$24.00
|
| Rate for Payer: Priority Health Medicare |
$6.97
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$19.20
|
| Rate for Payer: Railroad Medicare Medicare |
$6.90
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$24.28
|
| Rate for Payer: UHC Core |
$23.04
|
| Rate for Payer: UHC Exchange |
$6.90
|
| Rate for Payer: UHC Medicaid |
$4.86
|
| Rate for Payer: UHC Medicare Advantage |
$6.90
|
| Rate for Payer: UHCCP Medicaid |
$4.86
|
| Rate for Payer: VA VA |
$6.90
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$20.69
|
|
|
HC WC EVAL JOB SITE ANALYSIS EACH 30 MIN
|
Facility
|
OP
|
$224.62
|
|
| Hospital Charge Code |
42000045
|
|
Hospital Revenue Code
|
420
|
| Min. Negotiated Rate |
$39.60 |
| Max. Negotiated Rate |
$202.16 |
| Rate for Payer: Aetna Commercial |
$190.93
|
| Rate for Payer: Aetna Medicare |
$58.40
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$70.19
|
| Rate for Payer: Amish Plain Church Group Commercial |
$70.19
|
| Rate for Payer: BCBS Complete |
$41.58
|
| Rate for Payer: BCBS MAPPO |
$56.16
|
| Rate for Payer: BCBS Trust/PPO |
$184.66
|
| Rate for Payer: BCN Commercial |
$184.66
|
| Rate for Payer: BCN Medicare Advantage |
$56.16
|
| Rate for Payer: Cash Price |
$179.70
|
| Rate for Payer: Cofinity Commercial |
$193.17
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$179.70
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$56.16
|
| Rate for Payer: Healthscope Commercial |
$202.16
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$168.47
|
| Rate for Payer: Mclaren Medicaid |
$39.60
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$58.96
|
| Rate for Payer: Meridian Medicaid |
$41.58
|
| Rate for Payer: MI Amish Medical Board Commercial |
$64.58
|
| Rate for Payer: Molina Medicare/Medicaid |
$61.77
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$190.93
|
| Rate for Payer: Nomi Health Commercial |
$184.19
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$168.47
|
| Rate for Payer: PACE Senior Care Partners |
$53.35
|
| Rate for Payer: PACE SWMI |
$56.16
|
| Rate for Payer: PHP Commercial |
$190.93
|
| Rate for Payer: PHP Medicare Advantage |
$56.16
|
| Rate for Payer: Priority Health Choice Medicaid |
$39.60
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$195.42
|
| Rate for Payer: Priority Health Medicare |
$56.72
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$156.34
|
| Rate for Payer: Railroad Medicare Medicare |
$56.16
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$197.67
|
| Rate for Payer: UHC Core |
$187.56
|
| Rate for Payer: UHC Exchange |
$56.16
|
| Rate for Payer: UHC Medicaid |
$39.60
|
| Rate for Payer: UHC Medicare Advantage |
$56.16
|
| Rate for Payer: UHCCP Medicaid |
$39.60
|
| Rate for Payer: VA VA |
$56.16
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$168.47
|
|
|
HC WC EVAL JOB SITE ANALYSIS EACH 30 MIN
|
Facility
|
IP
|
$224.62
|
|
| Hospital Charge Code |
42000045
|
|
Hospital Revenue Code
|
420
|
| Min. Negotiated Rate |
$156.34 |
| Max. Negotiated Rate |
$202.16 |
| Rate for Payer: Aetna Commercial |
$190.93
|
| Rate for Payer: BCBS Trust/PPO |
$185.51
|
| Rate for Payer: BCN Commercial |
$185.51
|
| Rate for Payer: Cash Price |
$179.70
|
| Rate for Payer: Cofinity Commercial |
$193.17
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$179.70
|
| Rate for Payer: Healthscope Commercial |
$202.16
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$168.47
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$190.93
|
| Rate for Payer: Nomi Health Commercial |
$184.19
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$168.47
|
| Rate for Payer: PHP Commercial |
$190.93
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$195.42
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$156.34
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$197.67
|
| Rate for Payer: UHC Core |
$187.56
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$168.47
|
|
|
HC WC EVAL JOB SITE ANALYSIS FIRST 60 MIN
|
Facility
|
OP
|
$304.84
|
|
| Hospital Charge Code |
42000044
|
|
Hospital Revenue Code
|
420
|
| Min. Negotiated Rate |
$53.74 |
| Max. Negotiated Rate |
$274.36 |
| Rate for Payer: Aetna Commercial |
$259.11
|
| Rate for Payer: Aetna Medicare |
$79.26
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$95.26
|
| Rate for Payer: Amish Plain Church Group Commercial |
$95.26
|
| Rate for Payer: BCBS Complete |
$56.43
|
| Rate for Payer: BCBS MAPPO |
$76.21
|
| Rate for Payer: BCBS Trust/PPO |
$250.61
|
| Rate for Payer: BCN Commercial |
$250.61
|
| Rate for Payer: BCN Medicare Advantage |
$76.21
|
| Rate for Payer: Cash Price |
$243.87
|
| Rate for Payer: Cofinity Commercial |
$262.16
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$243.87
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$76.21
|
| Rate for Payer: Healthscope Commercial |
$274.36
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$228.63
|
| Rate for Payer: Mclaren Medicaid |
$53.74
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$80.02
|
| Rate for Payer: Meridian Medicaid |
$56.43
|
| Rate for Payer: MI Amish Medical Board Commercial |
$87.64
|
| Rate for Payer: Molina Medicare/Medicaid |
$83.83
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$259.11
|
| Rate for Payer: Nomi Health Commercial |
$249.97
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$228.63
|
| Rate for Payer: PACE Senior Care Partners |
$72.40
|
| Rate for Payer: PACE SWMI |
$76.21
|
| Rate for Payer: PHP Commercial |
$259.11
|
| Rate for Payer: PHP Medicare Advantage |
$76.21
|
| Rate for Payer: Priority Health Choice Medicaid |
$53.74
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$265.21
|
| Rate for Payer: Priority Health Medicare |
$76.97
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$212.17
|
| Rate for Payer: Railroad Medicare Medicare |
$76.21
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$268.26
|
| Rate for Payer: UHC Core |
$254.54
|
| Rate for Payer: UHC Exchange |
$76.21
|
| Rate for Payer: UHC Medicaid |
$53.74
|
| Rate for Payer: UHC Medicare Advantage |
$76.21
|
| Rate for Payer: UHCCP Medicaid |
$53.74
|
| Rate for Payer: VA VA |
$76.21
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$228.63
|
|
|
HC WC EVAL JOB SITE ANALYSIS FIRST 60 MIN
|
Facility
|
IP
|
$304.84
|
|
| Hospital Charge Code |
42000044
|
|
Hospital Revenue Code
|
420
|
| Min. Negotiated Rate |
$212.17 |
| Max. Negotiated Rate |
$274.36 |
| Rate for Payer: Aetna Commercial |
$259.11
|
| Rate for Payer: BCBS Trust/PPO |
$251.77
|
| Rate for Payer: BCN Commercial |
$251.77
|
| Rate for Payer: Cash Price |
$243.87
|
| Rate for Payer: Cofinity Commercial |
$262.16
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$243.87
|
| Rate for Payer: Healthscope Commercial |
$274.36
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$228.63
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$259.11
|
| Rate for Payer: Nomi Health Commercial |
$249.97
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$228.63
|
| Rate for Payer: PHP Commercial |
$259.11
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$265.21
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$212.17
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$268.26
|
| Rate for Payer: UHC Core |
$254.54
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$228.63
|
|
|
HC WC UNLISTED BREAST PROCEDURE
|
Facility
|
OP
|
$2,269.61
|
|
|
Service Code
|
CPT 19499
|
| Hospital Charge Code |
36100321
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$400.13 |
| Max. Negotiated Rate |
$2,042.65 |
| Rate for Payer: Aetna Commercial |
$1,929.17
|
| Rate for Payer: Aetna Medicare |
$590.10
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$709.25
|
| Rate for Payer: Amish Plain Church Group Commercial |
$709.25
|
| Rate for Payer: BCBS Complete |
$420.10
|
| Rate for Payer: BCBS MAPPO |
$567.40
|
| Rate for Payer: BCBS Trust/PPO |
$1,865.85
|
| Rate for Payer: BCN Commercial |
$1,865.85
|
| Rate for Payer: BCN Medicare Advantage |
$567.40
|
| Rate for Payer: Cash Price |
$1,815.69
|
| Rate for Payer: Cofinity Commercial |
$1,951.86
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,815.69
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$567.40
|
| Rate for Payer: Healthscope Commercial |
$2,042.65
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,702.21
|
| Rate for Payer: Mclaren Medicaid |
$400.13
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$595.77
|
| Rate for Payer: Meridian Medicaid |
$420.10
|
| Rate for Payer: MI Amish Medical Board Commercial |
$652.51
|
| Rate for Payer: Molina Medicare/Medicaid |
$624.14
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,929.17
|
| Rate for Payer: Nomi Health Commercial |
$1,861.08
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,702.21
|
| Rate for Payer: PACE Senior Care Partners |
$539.03
|
| Rate for Payer: PACE SWMI |
$567.40
|
| Rate for Payer: PHP Commercial |
$1,929.17
|
| Rate for Payer: PHP Medicare Advantage |
$567.40
|
| Rate for Payer: Priority Health Choice Medicaid |
$400.13
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$1,974.56
|
| Rate for Payer: Priority Health Medicare |
$573.08
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,579.65
|
| Rate for Payer: Railroad Medicare Medicare |
$567.40
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,997.26
|
| Rate for Payer: UHC Core |
$1,895.12
|
| Rate for Payer: UHC Exchange |
$567.40
|
| Rate for Payer: UHC Medicaid |
$400.13
|
| Rate for Payer: UHC Medicare Advantage |
$567.40
|
| Rate for Payer: UHCCP Medicaid |
$400.13
|
| Rate for Payer: VA VA |
$567.40
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,702.21
|
|
|
HC WC UNLISTED BREAST PROCEDURE
|
Facility
|
IP
|
$2,269.61
|
|
|
Service Code
|
CPT 19499
|
| Hospital Charge Code |
36100321
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$1,579.65 |
| Max. Negotiated Rate |
$2,042.65 |
| Rate for Payer: Aetna Commercial |
$1,929.17
|
| Rate for Payer: BCBS Trust/PPO |
$1,874.47
|
| Rate for Payer: BCN Commercial |
$1,874.47
|
| Rate for Payer: Cash Price |
$1,815.69
|
| Rate for Payer: Cofinity Commercial |
$1,951.86
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,815.69
|
| Rate for Payer: Healthscope Commercial |
$2,042.65
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,702.21
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,929.17
|
| Rate for Payer: Nomi Health Commercial |
$1,861.08
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,702.21
|
| Rate for Payer: PHP Commercial |
$1,929.17
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$1,974.56
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,579.65
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,997.26
|
| Rate for Payer: UHC Core |
$1,895.12
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,702.21
|
|
|
HC WEDGE EXCISION SKIN NAIL FOLD
|
Facility
|
OP
|
$587.21
|
|
|
Service Code
|
CPT 11765
|
| Hospital Charge Code |
76100313
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$103.53 |
| Max. Negotiated Rate |
$528.49 |
| Rate for Payer: Aetna Commercial |
$499.13
|
| Rate for Payer: Aetna Medicare |
$152.67
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$183.50
|
| Rate for Payer: Amish Plain Church Group Commercial |
$183.50
|
| Rate for Payer: BCBS Complete |
$108.69
|
| Rate for Payer: BCBS MAPPO |
$146.80
|
| Rate for Payer: BCBS Trust/PPO |
$482.75
|
| Rate for Payer: BCN Commercial |
$482.75
|
| Rate for Payer: BCN Medicare Advantage |
$146.80
|
| Rate for Payer: Cash Price |
$469.77
|
| Rate for Payer: Cofinity Commercial |
$505.00
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$469.77
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$146.80
|
| Rate for Payer: Healthscope Commercial |
$528.49
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$440.41
|
| Rate for Payer: Mclaren Medicaid |
$103.53
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$154.14
|
| Rate for Payer: Meridian Medicaid |
$108.69
|
| Rate for Payer: MI Amish Medical Board Commercial |
$168.82
|
| Rate for Payer: Molina Medicare/Medicaid |
$161.48
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$499.13
|
| Rate for Payer: Nomi Health Commercial |
$481.51
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$440.41
|
| Rate for Payer: PACE Senior Care Partners |
$139.46
|
| Rate for Payer: PACE SWMI |
$146.80
|
| Rate for Payer: PHP Commercial |
$499.13
|
| Rate for Payer: PHP Medicare Advantage |
$146.80
|
| Rate for Payer: Priority Health Choice Medicaid |
$103.53
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$510.87
|
| Rate for Payer: Priority Health Medicare |
$148.27
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$408.70
|
| Rate for Payer: Railroad Medicare Medicare |
$146.80
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$516.74
|
| Rate for Payer: UHC Core |
$490.32
|
| Rate for Payer: UHC Exchange |
$146.80
|
| Rate for Payer: UHC Medicaid |
$103.53
|
| Rate for Payer: UHC Medicare Advantage |
$146.80
|
| Rate for Payer: UHCCP Medicaid |
$103.53
|
| Rate for Payer: VA VA |
$146.80
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$440.41
|
|
|
HC WEDGE EXCISION SKIN NAIL FOLD
|
Facility
|
IP
|
$587.21
|
|
|
Service Code
|
CPT 11765
|
| Hospital Charge Code |
76100313
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$408.70 |
| Max. Negotiated Rate |
$528.49 |
| Rate for Payer: Aetna Commercial |
$499.13
|
| Rate for Payer: BCBS Trust/PPO |
$484.98
|
| Rate for Payer: BCN Commercial |
$484.98
|
| Rate for Payer: Cash Price |
$469.77
|
| Rate for Payer: Cofinity Commercial |
$505.00
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$469.77
|
| Rate for Payer: Healthscope Commercial |
$528.49
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$440.41
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$499.13
|
| Rate for Payer: Nomi Health Commercial |
$481.51
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$440.41
|
| Rate for Payer: PHP Commercial |
$499.13
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$510.87
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$408.70
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$516.74
|
| Rate for Payer: UHC Core |
$490.32
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$440.41
|
|
|
HC WEST NILE VIRUS AB IGG & IGM
|
Facility
|
OP
|
$32.90
|
|
|
Service Code
|
CPT 86788
|
| Hospital Charge Code |
30200329
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$5.80 |
| Max. Negotiated Rate |
$29.61 |
| Rate for Payer: Aetna Commercial |
$27.96
|
| Rate for Payer: Aetna Medicare |
$8.55
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$10.28
|
| Rate for Payer: Amish Plain Church Group Commercial |
$10.28
|
| Rate for Payer: BCBS Complete |
$6.09
|
| Rate for Payer: BCBS MAPPO |
$8.22
|
| Rate for Payer: BCBS Trust/PPO |
$27.05
|
| Rate for Payer: BCN Commercial |
$27.05
|
| Rate for Payer: BCN Medicare Advantage |
$8.22
|
| Rate for Payer: Cash Price |
$26.32
|
| Rate for Payer: Cofinity Commercial |
$28.29
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$26.32
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$8.22
|
| Rate for Payer: Healthscope Commercial |
$29.61
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$24.68
|
| Rate for Payer: Mclaren Medicaid |
$5.80
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$8.64
|
| Rate for Payer: Meridian Medicaid |
$6.09
|
| Rate for Payer: MI Amish Medical Board Commercial |
$9.46
|
| Rate for Payer: Molina Medicare/Medicaid |
$9.05
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$27.96
|
| Rate for Payer: Nomi Health Commercial |
$26.98
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$24.68
|
| Rate for Payer: PACE Senior Care Partners |
$7.81
|
| Rate for Payer: PACE SWMI |
$8.22
|
| Rate for Payer: PHP Commercial |
$27.96
|
| Rate for Payer: PHP Medicare Advantage |
$8.22
|
| Rate for Payer: Priority Health Choice Medicaid |
$5.80
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$28.62
|
| Rate for Payer: Priority Health Medicare |
$8.31
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$22.90
|
| Rate for Payer: Railroad Medicare Medicare |
$8.22
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$28.95
|
| Rate for Payer: UHC Core |
$27.47
|
| Rate for Payer: UHC Exchange |
$8.22
|
| Rate for Payer: UHC Medicaid |
$5.80
|
| Rate for Payer: UHC Medicare Advantage |
$8.22
|
| Rate for Payer: UHCCP Medicaid |
$5.80
|
| Rate for Payer: VA VA |
$8.22
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$24.68
|
|
|
HC WEST NILE VIRUS AB IGG & IGM
|
Facility
|
IP
|
$32.90
|
|
|
Service Code
|
CPT 86788
|
| Hospital Charge Code |
30200329
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$22.90 |
| Max. Negotiated Rate |
$29.61 |
| Rate for Payer: Aetna Commercial |
$27.96
|
| Rate for Payer: BCBS Trust/PPO |
$27.17
|
| Rate for Payer: BCN Commercial |
$27.17
|
| Rate for Payer: Cash Price |
$26.32
|
| Rate for Payer: Cofinity Commercial |
$28.29
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$26.32
|
| Rate for Payer: Healthscope Commercial |
$29.61
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$24.68
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$27.96
|
| Rate for Payer: Nomi Health Commercial |
$26.98
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$24.68
|
| Rate for Payer: PHP Commercial |
$27.96
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$28.62
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$22.90
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$28.95
|
| Rate for Payer: UHC Core |
$27.47
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$24.68
|
|
|
HC WEST NILE VIRUS AB IGG & IGM CSF
|
Facility
|
IP
|
$45.63
|
|
|
Service Code
|
CPT 86788
|
| Hospital Charge Code |
30200330
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$31.76 |
| Max. Negotiated Rate |
$41.07 |
| Rate for Payer: Aetna Commercial |
$38.79
|
| Rate for Payer: BCBS Trust/PPO |
$37.69
|
| Rate for Payer: BCN Commercial |
$37.69
|
| Rate for Payer: Cash Price |
$36.50
|
| Rate for Payer: Cofinity Commercial |
$39.24
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$36.50
|
| Rate for Payer: Healthscope Commercial |
$41.07
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$34.22
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$38.79
|
| Rate for Payer: Nomi Health Commercial |
$37.42
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$34.22
|
| Rate for Payer: PHP Commercial |
$38.79
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$39.70
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$31.76
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$40.15
|
| Rate for Payer: UHC Core |
$38.10
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$34.22
|
|
