|
HC XR CHEST 4 OR MORE VIEWS
|
Facility
|
OP
|
$376.62
|
|
|
Service Code
|
CPT 71048
|
| Hospital Charge Code |
32400012
|
|
Hospital Revenue Code
|
324
|
| Min. Negotiated Rate |
$66.40 |
| Max. Negotiated Rate |
$338.96 |
| Rate for Payer: Aetna Commercial |
$320.13
|
| Rate for Payer: Aetna Medicare |
$97.92
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$117.69
|
| Rate for Payer: Amish Plain Church Group Commercial |
$117.69
|
| Rate for Payer: BCBS Complete |
$69.71
|
| Rate for Payer: BCBS MAPPO |
$94.16
|
| Rate for Payer: BCBS Trust/PPO |
$309.62
|
| Rate for Payer: BCN Commercial |
$309.62
|
| Rate for Payer: BCN Medicare Advantage |
$94.16
|
| Rate for Payer: Cash Price |
$301.30
|
| Rate for Payer: Cofinity Commercial |
$323.89
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$301.30
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$94.16
|
| Rate for Payer: Healthscope Commercial |
$338.96
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$282.46
|
| Rate for Payer: Mclaren Medicaid |
$66.40
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$98.86
|
| Rate for Payer: Meridian Medicaid |
$69.71
|
| Rate for Payer: MI Amish Medical Board Commercial |
$108.28
|
| Rate for Payer: Molina Medicare/Medicaid |
$103.57
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$320.13
|
| Rate for Payer: Nomi Health Commercial |
$308.83
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$282.46
|
| Rate for Payer: PACE Senior Care Partners |
$89.45
|
| Rate for Payer: PACE SWMI |
$94.16
|
| Rate for Payer: PHP Commercial |
$320.13
|
| Rate for Payer: PHP Medicare Advantage |
$94.16
|
| Rate for Payer: Priority Health Choice Medicaid |
$66.40
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$327.66
|
| Rate for Payer: Priority Health Medicare |
$95.10
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$262.13
|
| Rate for Payer: Railroad Medicare Medicare |
$94.16
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$331.43
|
| Rate for Payer: UHC Core |
$314.48
|
| Rate for Payer: UHC Exchange |
$94.16
|
| Rate for Payer: UHC Medicaid |
$66.40
|
| Rate for Payer: UHC Medicare Advantage |
$94.16
|
| Rate for Payer: UHCCP Medicaid |
$66.40
|
| Rate for Payer: VA VA |
$94.16
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$282.46
|
|
|
HC XR CHEST ABD FOREIG BOD CHILD
|
Facility
|
IP
|
$281.49
|
|
|
Service Code
|
CPT 76010
|
| Hospital Charge Code |
32000234
|
|
Hospital Revenue Code
|
320
|
| Min. Negotiated Rate |
$195.92 |
| Max. Negotiated Rate |
$253.34 |
| Rate for Payer: Aetna Commercial |
$239.27
|
| Rate for Payer: BCBS Trust/PPO |
$232.48
|
| Rate for Payer: BCN Commercial |
$232.48
|
| Rate for Payer: Cash Price |
$225.19
|
| Rate for Payer: Cofinity Commercial |
$242.08
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$225.19
|
| Rate for Payer: Healthscope Commercial |
$253.34
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$211.12
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$239.27
|
| Rate for Payer: Nomi Health Commercial |
$230.82
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$211.12
|
| Rate for Payer: PHP Commercial |
$239.27
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$244.90
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$195.92
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$247.71
|
| Rate for Payer: UHC Core |
$235.04
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$211.12
|
|
|
HC XR CHEST ABD FOREIG BOD CHILD
|
Facility
|
OP
|
$281.49
|
|
|
Service Code
|
CPT 76010
|
| Hospital Charge Code |
32000234
|
|
Hospital Revenue Code
|
320
|
| Min. Negotiated Rate |
$49.63 |
| Max. Negotiated Rate |
$253.34 |
| Rate for Payer: Aetna Commercial |
$239.27
|
| Rate for Payer: Aetna Medicare |
$73.19
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$87.97
|
| Rate for Payer: Amish Plain Church Group Commercial |
$87.97
|
| Rate for Payer: BCBS Complete |
$52.10
|
| Rate for Payer: BCBS MAPPO |
$70.37
|
| Rate for Payer: BCBS Trust/PPO |
$231.41
|
| Rate for Payer: BCN Commercial |
$231.41
|
| Rate for Payer: BCN Medicare Advantage |
$70.37
|
| Rate for Payer: Cash Price |
$225.19
|
| Rate for Payer: Cofinity Commercial |
$242.08
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$225.19
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$70.37
|
| Rate for Payer: Healthscope Commercial |
$253.34
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$211.12
|
| Rate for Payer: Mclaren Medicaid |
$49.63
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$73.89
|
| Rate for Payer: Meridian Medicaid |
$52.10
|
| Rate for Payer: MI Amish Medical Board Commercial |
$80.93
|
| Rate for Payer: Molina Medicare/Medicaid |
$77.41
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$239.27
|
| Rate for Payer: Nomi Health Commercial |
$230.82
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$211.12
|
| Rate for Payer: PACE Senior Care Partners |
$66.85
|
| Rate for Payer: PACE SWMI |
$70.37
|
| Rate for Payer: PHP Commercial |
$239.27
|
| Rate for Payer: PHP Medicare Advantage |
$70.37
|
| Rate for Payer: Priority Health Choice Medicaid |
$49.63
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$244.90
|
| Rate for Payer: Priority Health Medicare |
$71.08
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$195.92
|
| Rate for Payer: Railroad Medicare Medicare |
$70.37
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$247.71
|
| Rate for Payer: UHC Core |
$235.04
|
| Rate for Payer: UHC Exchange |
$70.37
|
| Rate for Payer: UHC Medicaid |
$49.63
|
| Rate for Payer: UHC Medicare Advantage |
$70.37
|
| Rate for Payer: UHCCP Medicaid |
$49.63
|
| Rate for Payer: VA VA |
$70.37
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$211.12
|
|
|
HC XR CHEST SINGLE VIEW
|
Facility
|
OP
|
$276.34
|
|
|
Service Code
|
CPT 71045
|
| Hospital Charge Code |
32400009
|
|
Hospital Revenue Code
|
324
|
| Min. Negotiated Rate |
$48.72 |
| Max. Negotiated Rate |
$248.71 |
| Rate for Payer: Aetna Commercial |
$234.89
|
| Rate for Payer: Aetna Medicare |
$71.85
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$86.36
|
| Rate for Payer: Amish Plain Church Group Commercial |
$86.36
|
| Rate for Payer: BCBS Complete |
$51.15
|
| Rate for Payer: BCBS MAPPO |
$69.08
|
| Rate for Payer: BCBS Trust/PPO |
$227.18
|
| Rate for Payer: BCN Commercial |
$227.18
|
| Rate for Payer: BCN Medicare Advantage |
$69.08
|
| Rate for Payer: Cash Price |
$221.07
|
| Rate for Payer: Cofinity Commercial |
$237.65
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$221.07
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$69.08
|
| Rate for Payer: Healthscope Commercial |
$248.71
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$207.25
|
| Rate for Payer: Mclaren Medicaid |
$48.72
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$72.54
|
| Rate for Payer: Meridian Medicaid |
$51.15
|
| Rate for Payer: MI Amish Medical Board Commercial |
$79.45
|
| Rate for Payer: Molina Medicare/Medicaid |
$75.99
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$234.89
|
| Rate for Payer: Nomi Health Commercial |
$226.60
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$207.25
|
| Rate for Payer: PACE Senior Care Partners |
$65.63
|
| Rate for Payer: PACE SWMI |
$69.08
|
| Rate for Payer: PHP Commercial |
$234.89
|
| Rate for Payer: PHP Medicare Advantage |
$69.08
|
| Rate for Payer: Priority Health Choice Medicaid |
$48.72
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$240.42
|
| Rate for Payer: Priority Health Medicare |
$69.78
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$192.33
|
| Rate for Payer: Railroad Medicare Medicare |
$69.08
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$243.18
|
| Rate for Payer: UHC Core |
$230.74
|
| Rate for Payer: UHC Exchange |
$69.08
|
| Rate for Payer: UHC Medicaid |
$48.72
|
| Rate for Payer: UHC Medicare Advantage |
$69.08
|
| Rate for Payer: UHCCP Medicaid |
$48.72
|
| Rate for Payer: VA VA |
$69.08
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$207.25
|
|
|
HC XR CHEST SINGLE VIEW
|
Facility
|
IP
|
$276.34
|
|
|
Service Code
|
CPT 71045
|
| Hospital Charge Code |
32400009
|
|
Hospital Revenue Code
|
324
|
| Min. Negotiated Rate |
$192.33 |
| Max. Negotiated Rate |
$248.71 |
| Rate for Payer: Aetna Commercial |
$234.89
|
| Rate for Payer: BCBS Trust/PPO |
$228.23
|
| Rate for Payer: BCN Commercial |
$228.23
|
| Rate for Payer: Cash Price |
$221.07
|
| Rate for Payer: Cofinity Commercial |
$237.65
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$221.07
|
| Rate for Payer: Healthscope Commercial |
$248.71
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$207.25
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$234.89
|
| Rate for Payer: Nomi Health Commercial |
$226.60
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$207.25
|
| Rate for Payer: PHP Commercial |
$234.89
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$240.42
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$192.33
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$243.18
|
| Rate for Payer: UHC Core |
$230.74
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$207.25
|
|
|
HC XR CHOLANGIOGRAM IN OR
|
Facility
|
IP
|
$520.60
|
|
|
Service Code
|
CPT 74300
|
| Hospital Charge Code |
32000149
|
|
Hospital Revenue Code
|
320
|
| Min. Negotiated Rate |
$362.34 |
| Max. Negotiated Rate |
$468.54 |
| Rate for Payer: Aetna Commercial |
$442.51
|
| Rate for Payer: BCBS Trust/PPO |
$429.96
|
| Rate for Payer: BCN Commercial |
$429.96
|
| Rate for Payer: Cash Price |
$416.48
|
| Rate for Payer: Cofinity Commercial |
$447.72
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$416.48
|
| Rate for Payer: Healthscope Commercial |
$468.54
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$390.45
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$442.51
|
| Rate for Payer: Nomi Health Commercial |
$426.89
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$390.45
|
| Rate for Payer: PHP Commercial |
$442.51
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$452.92
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$362.34
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$458.13
|
| Rate for Payer: UHC Core |
$434.70
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$390.45
|
|
|
HC XR CHOLANGIOGRAM IN OR
|
Facility
|
OP
|
$520.60
|
|
|
Service Code
|
CPT 74300
|
| Hospital Charge Code |
32000149
|
|
Hospital Revenue Code
|
320
|
| Min. Negotiated Rate |
$91.78 |
| Max. Negotiated Rate |
$468.54 |
| Rate for Payer: Aetna Commercial |
$442.51
|
| Rate for Payer: Aetna Medicare |
$135.36
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$162.69
|
| Rate for Payer: Amish Plain Church Group Commercial |
$162.69
|
| Rate for Payer: BCBS Complete |
$96.36
|
| Rate for Payer: BCBS MAPPO |
$130.15
|
| Rate for Payer: BCBS Trust/PPO |
$427.99
|
| Rate for Payer: BCN Commercial |
$427.99
|
| Rate for Payer: BCN Medicare Advantage |
$130.15
|
| Rate for Payer: Cash Price |
$416.48
|
| Rate for Payer: Cofinity Commercial |
$447.72
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$416.48
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$130.15
|
| Rate for Payer: Healthscope Commercial |
$468.54
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$390.45
|
| Rate for Payer: Mclaren Medicaid |
$91.78
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$136.66
|
| Rate for Payer: Meridian Medicaid |
$96.36
|
| Rate for Payer: MI Amish Medical Board Commercial |
$149.67
|
| Rate for Payer: Molina Medicare/Medicaid |
$143.16
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$442.51
|
| Rate for Payer: Nomi Health Commercial |
$426.89
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$390.45
|
| Rate for Payer: PACE Senior Care Partners |
$123.64
|
| Rate for Payer: PACE SWMI |
$130.15
|
| Rate for Payer: PHP Commercial |
$442.51
|
| Rate for Payer: PHP Medicare Advantage |
$130.15
|
| Rate for Payer: Priority Health Choice Medicaid |
$91.78
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$452.92
|
| Rate for Payer: Priority Health Medicare |
$131.45
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$362.34
|
| Rate for Payer: Railroad Medicare Medicare |
$130.15
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$458.13
|
| Rate for Payer: UHC Core |
$434.70
|
| Rate for Payer: UHC Exchange |
$130.15
|
| Rate for Payer: UHC Medicaid |
$91.78
|
| Rate for Payer: UHC Medicare Advantage |
$130.15
|
| Rate for Payer: UHCCP Medicaid |
$91.78
|
| Rate for Payer: VA VA |
$130.15
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$390.45
|
|
|
HC XR CLAVICLE
|
Facility
|
IP
|
$322.82
|
|
|
Service Code
|
CPT 73000
|
| Hospital Charge Code |
32000060
|
|
Hospital Revenue Code
|
320
|
| Min. Negotiated Rate |
$224.68 |
| Max. Negotiated Rate |
$290.54 |
| Rate for Payer: Aetna Commercial |
$274.40
|
| Rate for Payer: BCBS Trust/PPO |
$266.62
|
| Rate for Payer: BCN Commercial |
$266.62
|
| Rate for Payer: Cash Price |
$258.26
|
| Rate for Payer: Cofinity Commercial |
$277.63
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$258.26
|
| Rate for Payer: Healthscope Commercial |
$290.54
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$242.12
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$274.40
|
| Rate for Payer: Nomi Health Commercial |
$264.71
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$242.12
|
| Rate for Payer: PHP Commercial |
$274.40
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$280.85
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$224.68
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$284.08
|
| Rate for Payer: UHC Core |
$269.55
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$242.12
|
|
|
HC XR CLAVICLE
|
Facility
|
OP
|
$322.82
|
|
|
Service Code
|
CPT 73000
|
| Hospital Charge Code |
32000060
|
|
Hospital Revenue Code
|
320
|
| Min. Negotiated Rate |
$56.91 |
| Max. Negotiated Rate |
$290.54 |
| Rate for Payer: Aetna Commercial |
$274.40
|
| Rate for Payer: Aetna Medicare |
$83.93
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$100.88
|
| Rate for Payer: Amish Plain Church Group Commercial |
$100.88
|
| Rate for Payer: BCBS Complete |
$59.75
|
| Rate for Payer: BCBS MAPPO |
$80.70
|
| Rate for Payer: BCBS Trust/PPO |
$265.39
|
| Rate for Payer: BCN Commercial |
$265.39
|
| Rate for Payer: BCN Medicare Advantage |
$80.70
|
| Rate for Payer: Cash Price |
$258.26
|
| Rate for Payer: Cofinity Commercial |
$277.63
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$258.26
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$80.70
|
| Rate for Payer: Healthscope Commercial |
$290.54
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$242.12
|
| Rate for Payer: Mclaren Medicaid |
$56.91
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$84.74
|
| Rate for Payer: Meridian Medicaid |
$59.75
|
| Rate for Payer: MI Amish Medical Board Commercial |
$92.81
|
| Rate for Payer: Molina Medicare/Medicaid |
$88.78
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$274.40
|
| Rate for Payer: Nomi Health Commercial |
$264.71
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$242.12
|
| Rate for Payer: PACE Senior Care Partners |
$76.67
|
| Rate for Payer: PACE SWMI |
$80.70
|
| Rate for Payer: PHP Commercial |
$274.40
|
| Rate for Payer: PHP Medicare Advantage |
$80.70
|
| Rate for Payer: Priority Health Choice Medicaid |
$56.91
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$280.85
|
| Rate for Payer: Priority Health Medicare |
$81.51
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$224.68
|
| Rate for Payer: Railroad Medicare Medicare |
$80.70
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$284.08
|
| Rate for Payer: UHC Core |
$269.55
|
| Rate for Payer: UHC Exchange |
$80.70
|
| Rate for Payer: UHC Medicaid |
$56.91
|
| Rate for Payer: UHC Medicare Advantage |
$80.70
|
| Rate for Payer: UHCCP Medicaid |
$56.91
|
| Rate for Payer: VA VA |
$80.70
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$242.12
|
|
|
HC XR CLAVICLE BIL
|
Facility
|
IP
|
$347.15
|
|
|
Service Code
|
CPT 73000
|
| Hospital Charge Code |
32000061
|
|
Hospital Revenue Code
|
320
|
| Min. Negotiated Rate |
$241.62 |
| Max. Negotiated Rate |
$312.44 |
| Rate for Payer: Aetna Commercial |
$295.08
|
| Rate for Payer: BCBS Trust/PPO |
$286.71
|
| Rate for Payer: BCN Commercial |
$286.71
|
| Rate for Payer: Cash Price |
$277.72
|
| Rate for Payer: Cofinity Commercial |
$298.55
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$277.72
|
| Rate for Payer: Healthscope Commercial |
$312.44
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$260.36
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$295.08
|
| Rate for Payer: Nomi Health Commercial |
$284.66
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$260.36
|
| Rate for Payer: PHP Commercial |
$295.08
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$302.02
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$241.62
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$305.49
|
| Rate for Payer: UHC Core |
$289.87
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$260.36
|
|
|
HC XR CLAVICLE BIL
|
Facility
|
OP
|
$347.15
|
|
|
Service Code
|
CPT 73000
|
| Hospital Charge Code |
32000061
|
|
Hospital Revenue Code
|
320
|
| Min. Negotiated Rate |
$61.20 |
| Max. Negotiated Rate |
$312.44 |
| Rate for Payer: Aetna Commercial |
$295.08
|
| Rate for Payer: Aetna Medicare |
$90.26
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$108.48
|
| Rate for Payer: Amish Plain Church Group Commercial |
$108.48
|
| Rate for Payer: BCBS Complete |
$64.26
|
| Rate for Payer: BCBS MAPPO |
$86.79
|
| Rate for Payer: BCBS Trust/PPO |
$285.39
|
| Rate for Payer: BCN Commercial |
$285.39
|
| Rate for Payer: BCN Medicare Advantage |
$86.79
|
| Rate for Payer: Cash Price |
$277.72
|
| Rate for Payer: Cofinity Commercial |
$298.55
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$277.72
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$86.79
|
| Rate for Payer: Healthscope Commercial |
$312.44
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$260.36
|
| Rate for Payer: Mclaren Medicaid |
$61.20
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$91.13
|
| Rate for Payer: Meridian Medicaid |
$64.26
|
| Rate for Payer: MI Amish Medical Board Commercial |
$99.81
|
| Rate for Payer: Molina Medicare/Medicaid |
$95.47
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$295.08
|
| Rate for Payer: Nomi Health Commercial |
$284.66
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$260.36
|
| Rate for Payer: PACE Senior Care Partners |
$82.45
|
| Rate for Payer: PACE SWMI |
$86.79
|
| Rate for Payer: PHP Commercial |
$295.08
|
| Rate for Payer: PHP Medicare Advantage |
$86.79
|
| Rate for Payer: Priority Health Choice Medicaid |
$61.20
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$302.02
|
| Rate for Payer: Priority Health Medicare |
$87.66
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$241.62
|
| Rate for Payer: Railroad Medicare Medicare |
$86.79
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$305.49
|
| Rate for Payer: UHC Core |
$289.87
|
| Rate for Payer: UHC Exchange |
$86.79
|
| Rate for Payer: UHC Medicaid |
$61.20
|
| Rate for Payer: UHC Medicare Advantage |
$86.79
|
| Rate for Payer: UHCCP Medicaid |
$61.20
|
| Rate for Payer: VA VA |
$86.79
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$260.36
|
|
|
HC XR COLON
|
Facility
|
OP
|
$874.59
|
|
|
Service Code
|
CPT 74270
|
| Hospital Charge Code |
32000273
|
|
Hospital Revenue Code
|
320
|
| Min. Negotiated Rate |
$154.19 |
| Max. Negotiated Rate |
$787.13 |
| Rate for Payer: Aetna Commercial |
$743.40
|
| Rate for Payer: Aetna Medicare |
$227.39
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$273.31
|
| Rate for Payer: Amish Plain Church Group Commercial |
$273.31
|
| Rate for Payer: BCBS Complete |
$161.89
|
| Rate for Payer: BCBS MAPPO |
$218.65
|
| Rate for Payer: BCBS Trust/PPO |
$719.00
|
| Rate for Payer: BCN Commercial |
$719.00
|
| Rate for Payer: BCN Medicare Advantage |
$218.65
|
| Rate for Payer: Cash Price |
$699.67
|
| Rate for Payer: Cofinity Commercial |
$752.15
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$699.67
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$218.65
|
| Rate for Payer: Healthscope Commercial |
$787.13
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$655.94
|
| Rate for Payer: Mclaren Medicaid |
$154.19
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$229.58
|
| Rate for Payer: Meridian Medicaid |
$161.89
|
| Rate for Payer: MI Amish Medical Board Commercial |
$251.44
|
| Rate for Payer: Molina Medicare/Medicaid |
$240.51
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$743.40
|
| Rate for Payer: Nomi Health Commercial |
$717.16
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$655.94
|
| Rate for Payer: PACE Senior Care Partners |
$207.72
|
| Rate for Payer: PACE SWMI |
$218.65
|
| Rate for Payer: PHP Commercial |
$743.40
|
| Rate for Payer: PHP Medicare Advantage |
$218.65
|
| Rate for Payer: Priority Health Choice Medicaid |
$154.19
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$760.89
|
| Rate for Payer: Priority Health Medicare |
$220.83
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$608.71
|
| Rate for Payer: Railroad Medicare Medicare |
$218.65
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$769.64
|
| Rate for Payer: UHC Core |
$730.28
|
| Rate for Payer: UHC Exchange |
$218.65
|
| Rate for Payer: UHC Medicaid |
$154.19
|
| Rate for Payer: UHC Medicare Advantage |
$218.65
|
| Rate for Payer: UHCCP Medicaid |
$154.19
|
| Rate for Payer: VA VA |
$218.65
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$655.94
|
|
|
HC XR COLON
|
Facility
|
IP
|
$874.59
|
|
|
Service Code
|
CPT 74270
|
| Hospital Charge Code |
32000273
|
|
Hospital Revenue Code
|
320
|
| Min. Negotiated Rate |
$608.71 |
| Max. Negotiated Rate |
$787.13 |
| Rate for Payer: Aetna Commercial |
$743.40
|
| Rate for Payer: BCBS Trust/PPO |
$722.32
|
| Rate for Payer: BCN Commercial |
$722.32
|
| Rate for Payer: Cash Price |
$699.67
|
| Rate for Payer: Cofinity Commercial |
$752.15
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$699.67
|
| Rate for Payer: Healthscope Commercial |
$787.13
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$655.94
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$743.40
|
| Rate for Payer: Nomi Health Commercial |
$717.16
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$655.94
|
| Rate for Payer: PHP Commercial |
$743.40
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$760.89
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$608.71
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$769.64
|
| Rate for Payer: UHC Core |
$730.28
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$655.94
|
|
|
HC XR COLON HIGH DENSITY
|
Facility
|
OP
|
$1,249.37
|
|
|
Service Code
|
CPT 74280
|
| Hospital Charge Code |
32000146
|
|
Hospital Revenue Code
|
320
|
| Min. Negotiated Rate |
$220.26 |
| Max. Negotiated Rate |
$1,124.43 |
| Rate for Payer: Aetna Commercial |
$1,061.96
|
| Rate for Payer: Aetna Medicare |
$324.84
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$390.43
|
| Rate for Payer: Amish Plain Church Group Commercial |
$390.43
|
| Rate for Payer: BCBS Complete |
$231.26
|
| Rate for Payer: BCBS MAPPO |
$312.34
|
| Rate for Payer: BCBS Trust/PPO |
$1,027.11
|
| Rate for Payer: BCN Commercial |
$1,027.11
|
| Rate for Payer: BCN Medicare Advantage |
$312.34
|
| Rate for Payer: Cash Price |
$999.50
|
| Rate for Payer: Cofinity Commercial |
$1,074.46
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$999.50
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$312.34
|
| Rate for Payer: Healthscope Commercial |
$1,124.43
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$937.03
|
| Rate for Payer: Mclaren Medicaid |
$220.26
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$327.96
|
| Rate for Payer: Meridian Medicaid |
$231.26
|
| Rate for Payer: MI Amish Medical Board Commercial |
$359.19
|
| Rate for Payer: Molina Medicare/Medicaid |
$343.58
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,061.96
|
| Rate for Payer: Nomi Health Commercial |
$1,024.48
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$937.03
|
| Rate for Payer: PACE Senior Care Partners |
$296.73
|
| Rate for Payer: PACE SWMI |
$312.34
|
| Rate for Payer: PHP Commercial |
$1,061.96
|
| Rate for Payer: PHP Medicare Advantage |
$312.34
|
| Rate for Payer: Priority Health Choice Medicaid |
$220.26
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$1,086.95
|
| Rate for Payer: Priority Health Medicare |
$315.47
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$869.56
|
| Rate for Payer: Railroad Medicare Medicare |
$312.34
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,099.45
|
| Rate for Payer: UHC Core |
$1,043.22
|
| Rate for Payer: UHC Exchange |
$312.34
|
| Rate for Payer: UHC Medicaid |
$220.26
|
| Rate for Payer: UHC Medicare Advantage |
$312.34
|
| Rate for Payer: UHCCP Medicaid |
$220.26
|
| Rate for Payer: VA VA |
$312.34
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$937.03
|
|
|
HC XR COLON HIGH DENSITY
|
Facility
|
IP
|
$1,249.37
|
|
|
Service Code
|
CPT 74280
|
| Hospital Charge Code |
32000146
|
|
Hospital Revenue Code
|
320
|
| Min. Negotiated Rate |
$869.56 |
| Max. Negotiated Rate |
$1,124.43 |
| Rate for Payer: Aetna Commercial |
$1,061.96
|
| Rate for Payer: BCBS Trust/PPO |
$1,031.85
|
| Rate for Payer: BCN Commercial |
$1,031.85
|
| Rate for Payer: Cash Price |
$999.50
|
| Rate for Payer: Cofinity Commercial |
$1,074.46
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$999.50
|
| Rate for Payer: Healthscope Commercial |
$1,124.43
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$937.03
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,061.96
|
| Rate for Payer: Nomi Health Commercial |
$1,024.48
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$937.03
|
| Rate for Payer: PHP Commercial |
$1,061.96
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$1,086.95
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$869.56
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,099.45
|
| Rate for Payer: UHC Core |
$1,043.22
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$937.03
|
|
|
HC XR COLON THERAPEUTIC FOR INTUS
|
Facility
|
IP
|
$608.92
|
|
|
Service Code
|
CPT 74283
|
| Hospital Charge Code |
32000147
|
|
Hospital Revenue Code
|
320
|
| Min. Negotiated Rate |
$423.81 |
| Max. Negotiated Rate |
$548.03 |
| Rate for Payer: Aetna Commercial |
$517.58
|
| Rate for Payer: BCBS Trust/PPO |
$502.91
|
| Rate for Payer: BCN Commercial |
$502.91
|
| Rate for Payer: Cash Price |
$487.14
|
| Rate for Payer: Cofinity Commercial |
$523.67
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$487.14
|
| Rate for Payer: Healthscope Commercial |
$548.03
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$456.69
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$517.58
|
| Rate for Payer: Nomi Health Commercial |
$499.31
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$456.69
|
| Rate for Payer: PHP Commercial |
$517.58
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$529.76
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$423.81
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$535.85
|
| Rate for Payer: UHC Core |
$508.45
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$456.69
|
|
|
HC XR COLON THERAPEUTIC FOR INTUS
|
Facility
|
OP
|
$608.92
|
|
|
Service Code
|
CPT 74283
|
| Hospital Charge Code |
32000147
|
|
Hospital Revenue Code
|
320
|
| Min. Negotiated Rate |
$107.35 |
| Max. Negotiated Rate |
$548.03 |
| Rate for Payer: Aetna Commercial |
$517.58
|
| Rate for Payer: Aetna Medicare |
$158.32
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$190.29
|
| Rate for Payer: Amish Plain Church Group Commercial |
$190.29
|
| Rate for Payer: BCBS Complete |
$112.71
|
| Rate for Payer: BCBS MAPPO |
$152.23
|
| Rate for Payer: BCBS Trust/PPO |
$500.59
|
| Rate for Payer: BCN Commercial |
$500.59
|
| Rate for Payer: BCN Medicare Advantage |
$152.23
|
| Rate for Payer: Cash Price |
$487.14
|
| Rate for Payer: Cofinity Commercial |
$523.67
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$487.14
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$152.23
|
| Rate for Payer: Healthscope Commercial |
$548.03
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$456.69
|
| Rate for Payer: Mclaren Medicaid |
$107.35
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$159.84
|
| Rate for Payer: Meridian Medicaid |
$112.71
|
| Rate for Payer: MI Amish Medical Board Commercial |
$175.06
|
| Rate for Payer: Molina Medicare/Medicaid |
$167.45
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$517.58
|
| Rate for Payer: Nomi Health Commercial |
$499.31
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$456.69
|
| Rate for Payer: PACE Senior Care Partners |
$144.62
|
| Rate for Payer: PACE SWMI |
$152.23
|
| Rate for Payer: PHP Commercial |
$517.58
|
| Rate for Payer: PHP Medicare Advantage |
$152.23
|
| Rate for Payer: Priority Health Choice Medicaid |
$107.35
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$529.76
|
| Rate for Payer: Priority Health Medicare |
$153.75
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$423.81
|
| Rate for Payer: Railroad Medicare Medicare |
$152.23
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$535.85
|
| Rate for Payer: UHC Core |
$508.45
|
| Rate for Payer: UHC Exchange |
$152.23
|
| Rate for Payer: UHC Medicaid |
$107.35
|
| Rate for Payer: UHC Medicare Advantage |
$152.23
|
| Rate for Payer: UHCCP Medicaid |
$107.35
|
| Rate for Payer: VA VA |
$152.23
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$456.69
|
|
|
HC XR CYSTOGRAM MIN 3 VW
|
Facility
|
IP
|
$447.83
|
|
|
Service Code
|
CPT 74430
|
| Hospital Charge Code |
32000163
|
|
Hospital Revenue Code
|
320
|
| Min. Negotiated Rate |
$311.69 |
| Max. Negotiated Rate |
$403.05 |
| Rate for Payer: Aetna Commercial |
$380.66
|
| Rate for Payer: BCBS Trust/PPO |
$369.86
|
| Rate for Payer: BCN Commercial |
$369.86
|
| Rate for Payer: Cash Price |
$358.26
|
| Rate for Payer: Cofinity Commercial |
$385.13
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$358.26
|
| Rate for Payer: Healthscope Commercial |
$403.05
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$335.87
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$380.66
|
| Rate for Payer: Nomi Health Commercial |
$367.22
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$335.87
|
| Rate for Payer: PHP Commercial |
$380.66
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$389.61
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$311.69
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$394.09
|
| Rate for Payer: UHC Core |
$373.94
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$335.87
|
|
|
HC XR CYSTOGRAM MIN 3 VW
|
Facility
|
OP
|
$447.83
|
|
|
Service Code
|
CPT 74430
|
| Hospital Charge Code |
32000163
|
|
Hospital Revenue Code
|
320
|
| Min. Negotiated Rate |
$78.95 |
| Max. Negotiated Rate |
$403.05 |
| Rate for Payer: Aetna Commercial |
$380.66
|
| Rate for Payer: Aetna Medicare |
$116.44
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$139.95
|
| Rate for Payer: Amish Plain Church Group Commercial |
$139.95
|
| Rate for Payer: BCBS Complete |
$82.89
|
| Rate for Payer: BCBS MAPPO |
$111.96
|
| Rate for Payer: BCBS Trust/PPO |
$368.16
|
| Rate for Payer: BCN Commercial |
$368.16
|
| Rate for Payer: BCN Medicare Advantage |
$111.96
|
| Rate for Payer: Cash Price |
$358.26
|
| Rate for Payer: Cofinity Commercial |
$385.13
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$358.26
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$111.96
|
| Rate for Payer: Healthscope Commercial |
$403.05
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$335.87
|
| Rate for Payer: Mclaren Medicaid |
$78.95
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$117.56
|
| Rate for Payer: Meridian Medicaid |
$82.89
|
| Rate for Payer: MI Amish Medical Board Commercial |
$128.75
|
| Rate for Payer: Molina Medicare/Medicaid |
$123.15
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$380.66
|
| Rate for Payer: Nomi Health Commercial |
$367.22
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$335.87
|
| Rate for Payer: PACE Senior Care Partners |
$106.36
|
| Rate for Payer: PACE SWMI |
$111.96
|
| Rate for Payer: PHP Commercial |
$380.66
|
| Rate for Payer: PHP Medicare Advantage |
$111.96
|
| Rate for Payer: Priority Health Choice Medicaid |
$78.95
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$389.61
|
| Rate for Payer: Priority Health Medicare |
$113.08
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$311.69
|
| Rate for Payer: Railroad Medicare Medicare |
$111.96
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$394.09
|
| Rate for Payer: UHC Core |
$373.94
|
| Rate for Payer: UHC Exchange |
$111.96
|
| Rate for Payer: UHC Medicaid |
$78.95
|
| Rate for Payer: UHC Medicare Advantage |
$111.96
|
| Rate for Payer: UHCCP Medicaid |
$78.95
|
| Rate for Payer: VA VA |
$111.96
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$335.87
|
|
|
HC XR CYSTOGRAM VOIDING
|
Facility
|
IP
|
$520.60
|
|
|
Service Code
|
CPT 74455
|
| Hospital Charge Code |
32000166
|
|
Hospital Revenue Code
|
320
|
| Min. Negotiated Rate |
$362.34 |
| Max. Negotiated Rate |
$468.54 |
| Rate for Payer: Aetna Commercial |
$442.51
|
| Rate for Payer: BCBS Trust/PPO |
$429.96
|
| Rate for Payer: BCN Commercial |
$429.96
|
| Rate for Payer: Cash Price |
$416.48
|
| Rate for Payer: Cofinity Commercial |
$447.72
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$416.48
|
| Rate for Payer: Healthscope Commercial |
$468.54
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$390.45
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$442.51
|
| Rate for Payer: Nomi Health Commercial |
$426.89
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$390.45
|
| Rate for Payer: PHP Commercial |
$442.51
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$452.92
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$362.34
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$458.13
|
| Rate for Payer: UHC Core |
$434.70
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$390.45
|
|
|
HC XR CYSTOGRAM VOIDING
|
Facility
|
OP
|
$520.60
|
|
|
Service Code
|
CPT 74455
|
| Hospital Charge Code |
32000166
|
|
Hospital Revenue Code
|
320
|
| Min. Negotiated Rate |
$91.78 |
| Max. Negotiated Rate |
$468.54 |
| Rate for Payer: Aetna Commercial |
$442.51
|
| Rate for Payer: Aetna Medicare |
$135.36
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$162.69
|
| Rate for Payer: Amish Plain Church Group Commercial |
$162.69
|
| Rate for Payer: BCBS Complete |
$96.36
|
| Rate for Payer: BCBS MAPPO |
$130.15
|
| Rate for Payer: BCBS Trust/PPO |
$427.99
|
| Rate for Payer: BCN Commercial |
$427.99
|
| Rate for Payer: BCN Medicare Advantage |
$130.15
|
| Rate for Payer: Cash Price |
$416.48
|
| Rate for Payer: Cofinity Commercial |
$447.72
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$416.48
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$130.15
|
| Rate for Payer: Healthscope Commercial |
$468.54
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$390.45
|
| Rate for Payer: Mclaren Medicaid |
$91.78
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$136.66
|
| Rate for Payer: Meridian Medicaid |
$96.36
|
| Rate for Payer: MI Amish Medical Board Commercial |
$149.67
|
| Rate for Payer: Molina Medicare/Medicaid |
$143.16
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$442.51
|
| Rate for Payer: Nomi Health Commercial |
$426.89
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$390.45
|
| Rate for Payer: PACE Senior Care Partners |
$123.64
|
| Rate for Payer: PACE SWMI |
$130.15
|
| Rate for Payer: PHP Commercial |
$442.51
|
| Rate for Payer: PHP Medicare Advantage |
$130.15
|
| Rate for Payer: Priority Health Choice Medicaid |
$91.78
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$452.92
|
| Rate for Payer: Priority Health Medicare |
$131.45
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$362.34
|
| Rate for Payer: Railroad Medicare Medicare |
$130.15
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$458.13
|
| Rate for Payer: UHC Core |
$434.70
|
| Rate for Payer: UHC Exchange |
$130.15
|
| Rate for Payer: UHC Medicaid |
$91.78
|
| Rate for Payer: UHC Medicare Advantage |
$130.15
|
| Rate for Payer: UHCCP Medicaid |
$91.78
|
| Rate for Payer: VA VA |
$130.15
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$390.45
|
|
|
HC XR DEFECOGRAPHY 4 WAY
|
Facility
|
OP
|
$832.87
|
|
|
Service Code
|
CPT 74430
|
| Hospital Charge Code |
32000164
|
|
Hospital Revenue Code
|
320
|
| Min. Negotiated Rate |
$146.83 |
| Max. Negotiated Rate |
$749.58 |
| Rate for Payer: Aetna Commercial |
$707.94
|
| Rate for Payer: Aetna Medicare |
$216.55
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$260.27
|
| Rate for Payer: Amish Plain Church Group Commercial |
$260.27
|
| Rate for Payer: BCBS Complete |
$154.16
|
| Rate for Payer: BCBS MAPPO |
$208.22
|
| Rate for Payer: BCBS Trust/PPO |
$684.70
|
| Rate for Payer: BCN Commercial |
$684.70
|
| Rate for Payer: BCN Medicare Advantage |
$208.22
|
| Rate for Payer: Cash Price |
$666.30
|
| Rate for Payer: Cofinity Commercial |
$716.27
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$666.30
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$208.22
|
| Rate for Payer: Healthscope Commercial |
$749.58
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$624.65
|
| Rate for Payer: Mclaren Medicaid |
$146.83
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$218.63
|
| Rate for Payer: Meridian Medicaid |
$154.16
|
| Rate for Payer: MI Amish Medical Board Commercial |
$239.45
|
| Rate for Payer: Molina Medicare/Medicaid |
$229.04
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$707.94
|
| Rate for Payer: Nomi Health Commercial |
$682.95
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$624.65
|
| Rate for Payer: PACE Senior Care Partners |
$197.81
|
| Rate for Payer: PACE SWMI |
$208.22
|
| Rate for Payer: PHP Commercial |
$707.94
|
| Rate for Payer: PHP Medicare Advantage |
$208.22
|
| Rate for Payer: Priority Health Choice Medicaid |
$146.83
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$724.60
|
| Rate for Payer: Priority Health Medicare |
$210.30
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$579.68
|
| Rate for Payer: Railroad Medicare Medicare |
$208.22
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$732.93
|
| Rate for Payer: UHC Core |
$695.45
|
| Rate for Payer: UHC Exchange |
$208.22
|
| Rate for Payer: UHC Medicaid |
$146.83
|
| Rate for Payer: UHC Medicare Advantage |
$208.22
|
| Rate for Payer: UHCCP Medicaid |
$146.83
|
| Rate for Payer: VA VA |
$208.22
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$624.65
|
|
|
HC XR DEFECOGRAPHY 4 WAY
|
Facility
|
IP
|
$832.87
|
|
|
Service Code
|
CPT 74430
|
| Hospital Charge Code |
32000164
|
|
Hospital Revenue Code
|
320
|
| Min. Negotiated Rate |
$579.68 |
| Max. Negotiated Rate |
$749.58 |
| Rate for Payer: Aetna Commercial |
$707.94
|
| Rate for Payer: BCBS Trust/PPO |
$687.87
|
| Rate for Payer: BCN Commercial |
$687.87
|
| Rate for Payer: Cash Price |
$666.30
|
| Rate for Payer: Cofinity Commercial |
$716.27
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$666.30
|
| Rate for Payer: Healthscope Commercial |
$749.58
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$624.65
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$707.94
|
| Rate for Payer: Nomi Health Commercial |
$682.95
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$624.65
|
| Rate for Payer: PHP Commercial |
$707.94
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$724.60
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$579.68
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$732.93
|
| Rate for Payer: UHC Core |
$695.45
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$624.65
|
|
|
HC XR ELBOW 2 BIL VW
|
Facility
|
OP
|
$396.48
|
|
|
Service Code
|
CPT 73070
|
| Hospital Charge Code |
32000072
|
|
Hospital Revenue Code
|
320
|
| Min. Negotiated Rate |
$69.90 |
| Max. Negotiated Rate |
$356.83 |
| Rate for Payer: Aetna Commercial |
$337.01
|
| Rate for Payer: Aetna Medicare |
$103.08
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$123.90
|
| Rate for Payer: Amish Plain Church Group Commercial |
$123.90
|
| Rate for Payer: BCBS Complete |
$73.39
|
| Rate for Payer: BCBS MAPPO |
$99.12
|
| Rate for Payer: BCBS Trust/PPO |
$325.95
|
| Rate for Payer: BCN Commercial |
$325.95
|
| Rate for Payer: BCN Medicare Advantage |
$99.12
|
| Rate for Payer: Cash Price |
$317.18
|
| Rate for Payer: Cofinity Commercial |
$340.97
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$317.18
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$99.12
|
| Rate for Payer: Healthscope Commercial |
$356.83
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$297.36
|
| Rate for Payer: Mclaren Medicaid |
$69.90
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$104.08
|
| Rate for Payer: Meridian Medicaid |
$73.39
|
| Rate for Payer: MI Amish Medical Board Commercial |
$113.99
|
| Rate for Payer: Molina Medicare/Medicaid |
$109.03
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$337.01
|
| Rate for Payer: Nomi Health Commercial |
$325.11
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$297.36
|
| Rate for Payer: PACE Senior Care Partners |
$94.16
|
| Rate for Payer: PACE SWMI |
$99.12
|
| Rate for Payer: PHP Commercial |
$337.01
|
| Rate for Payer: PHP Medicare Advantage |
$99.12
|
| Rate for Payer: Priority Health Choice Medicaid |
$69.90
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$344.94
|
| Rate for Payer: Priority Health Medicare |
$100.11
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$275.95
|
| Rate for Payer: Railroad Medicare Medicare |
$99.12
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$348.90
|
| Rate for Payer: UHC Core |
$331.06
|
| Rate for Payer: UHC Exchange |
$99.12
|
| Rate for Payer: UHC Medicaid |
$69.90
|
| Rate for Payer: UHC Medicare Advantage |
$99.12
|
| Rate for Payer: UHCCP Medicaid |
$69.90
|
| Rate for Payer: VA VA |
$99.12
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$297.36
|
|
|
HC XR ELBOW 2 BIL VW
|
Facility
|
IP
|
$396.48
|
|
|
Service Code
|
CPT 73070
|
| Hospital Charge Code |
32000072
|
|
Hospital Revenue Code
|
320
|
| Min. Negotiated Rate |
$275.95 |
| Max. Negotiated Rate |
$356.83 |
| Rate for Payer: Aetna Commercial |
$337.01
|
| Rate for Payer: BCBS Trust/PPO |
$327.45
|
| Rate for Payer: BCN Commercial |
$327.45
|
| Rate for Payer: Cash Price |
$317.18
|
| Rate for Payer: Cofinity Commercial |
$340.97
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$317.18
|
| Rate for Payer: Healthscope Commercial |
$356.83
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$297.36
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$337.01
|
| Rate for Payer: Nomi Health Commercial |
$325.11
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$297.36
|
| Rate for Payer: PHP Commercial |
$337.01
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$344.94
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$275.95
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$348.90
|
| Rate for Payer: UHC Core |
$331.06
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$297.36
|
|
