|
HC VORICONAZOLE, S
|
Facility
|
IP
|
$91.80
|
|
|
Service Code
|
CPT 80285
|
| Hospital Charge Code |
30100707
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$59.67 |
| Max. Negotiated Rate |
$82.62 |
| Rate for Payer: Aetna Commercial |
$78.03
|
| Rate for Payer: BCBS Trust/PPO |
$74.94
|
| Rate for Payer: BCN Commercial |
$70.94
|
| Rate for Payer: Cash Price |
$73.44
|
| Rate for Payer: Cofinity Commercial |
$78.95
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$73.44
|
| Rate for Payer: Healthscope Commercial |
$82.62
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$68.85
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$78.03
|
| Rate for Payer: Nomi Health Commercial |
$75.28
|
| Rate for Payer: PHP Commercial |
$78.03
|
| Rate for Payer: Priority Health Cigna Priority Health |
$59.67
|
| Rate for Payer: Priority Health HMO/PPO |
$79.87
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$61.51
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$80.78
|
| Rate for Payer: UHC Core |
$76.65
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$68.85
|
|
|
HC VULVECTOMY SIMPLE PARTIAL
|
Facility
|
OP
|
$7,945.53
|
|
|
Service Code
|
CPT 56620
|
| Hospital Charge Code |
36100618
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$1,887.06 |
| Max. Negotiated Rate |
$7,150.98 |
| Rate for Payer: Aetna Commercial |
$6,753.70
|
| Rate for Payer: Aetna Medicare |
$2,065.84
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$2,482.98
|
| Rate for Payer: Amish Plain Church Group Commercial |
$2,482.98
|
| Rate for Payer: BCBS Complete |
$2,365.09
|
| Rate for Payer: BCBS MAPPO |
$1,986.38
|
| Rate for Payer: BCBS Trust/PPO |
$6,532.02
|
| Rate for Payer: BCN Commercial |
$6,177.65
|
| Rate for Payer: BCN Medicare Advantage |
$1,986.38
|
| Rate for Payer: Cash Price |
$6,356.42
|
| Rate for Payer: Cash Price |
$6,356.42
|
| Rate for Payer: Cofinity Commercial |
$6,833.16
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$6,356.42
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,986.38
|
| Rate for Payer: Healthscope Commercial |
$7,150.98
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$5,959.15
|
| Rate for Payer: Mclaren Medicaid |
$2,252.32
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$2,085.70
|
| Rate for Payer: Meridian Medicaid |
$2,365.09
|
| Rate for Payer: MI Amish Medical Board Commercial |
$2,284.34
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$6,753.70
|
| Rate for Payer: Nomi Health Commercial |
$6,515.33
|
| Rate for Payer: PACE Senior Care Partners |
$1,887.06
|
| Rate for Payer: PACE SWMI |
$1,986.38
|
| Rate for Payer: PHP Commercial |
$6,753.70
|
| Rate for Payer: PHP Medicare Advantage |
$1,986.38
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,252.32
|
| Rate for Payer: Priority Health Cigna Priority Health |
$5,164.59
|
| Rate for Payer: Priority Health HMO/PPO |
$6,912.61
|
| Rate for Payer: Priority Health Medicare |
$2,006.25
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$5,323.51
|
| Rate for Payer: Railroad Medicare Medicare |
$1,986.38
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$6,992.07
|
| Rate for Payer: UHC Core |
$6,634.52
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,986.38
|
| Rate for Payer: UHC Exchange |
$1,986.38
|
| Rate for Payer: UHC Medicare Advantage |
$1,986.38
|
| Rate for Payer: UHCCP Medicaid |
$2,252.32
|
| Rate for Payer: VA VA |
$1,986.38
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$5,959.15
|
|
|
HC VULVECTOMY SIMPLE PARTIAL
|
Facility
|
IP
|
$7,945.53
|
|
|
Service Code
|
CPT 56620
|
| Hospital Charge Code |
36100618
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$5,164.59 |
| Max. Negotiated Rate |
$7,150.98 |
| Rate for Payer: Aetna Commercial |
$6,753.70
|
| Rate for Payer: BCBS Trust/PPO |
$6,485.94
|
| Rate for Payer: BCN Commercial |
$6,140.31
|
| Rate for Payer: Cash Price |
$6,356.42
|
| Rate for Payer: Cofinity Commercial |
$6,833.16
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$6,356.42
|
| Rate for Payer: Healthscope Commercial |
$7,150.98
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$5,959.15
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$6,753.70
|
| Rate for Payer: Nomi Health Commercial |
$6,515.33
|
| Rate for Payer: PHP Commercial |
$6,753.70
|
| Rate for Payer: Priority Health Cigna Priority Health |
$5,164.59
|
| Rate for Payer: Priority Health HMO/PPO |
$6,912.61
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$5,323.51
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$6,992.07
|
| Rate for Payer: UHC Core |
$6,634.52
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$5,959.15
|
|
|
HC WALNUT IGE
|
Facility
|
OP
|
$25.39
|
|
|
Service Code
|
CPT 86003
|
| Hospital Charge Code |
30200065
|
|
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 WALNUT IGE
|
Facility
|
IP
|
$25.39
|
|
|
Service Code
|
CPT 86003
|
| Hospital Charge Code |
30200065
|
|
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 WALNUT TREE IGE
|
Facility
|
OP
|
$25.39
|
|
|
Service Code
|
CPT 86003
|
| Hospital Charge Code |
30200116
|
|
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 WALNUT TREE IGE
|
Facility
|
IP
|
$25.39
|
|
|
Service Code
|
CPT 86003
|
| Hospital Charge Code |
30200116
|
|
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 WASHED RED BLOOD CELLS
|
Facility
|
OP
|
$829.72
|
|
|
Service Code
|
HCPCS P9022
|
| Hospital Charge Code |
39000073
|
|
Hospital Revenue Code
|
390
|
| Min. Negotiated Rate |
$197.06 |
| Max. Negotiated Rate |
$746.75 |
| Rate for Payer: Aetna Commercial |
$705.26
|
| Rate for Payer: Aetna Medicare |
$215.73
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$259.29
|
| Rate for Payer: Amish Plain Church Group Commercial |
$259.29
|
| Rate for Payer: BCBS Complete |
$295.21
|
| Rate for Payer: BCBS MAPPO |
$207.43
|
| Rate for Payer: BCBS Trust/PPO |
$682.11
|
| Rate for Payer: BCN Commercial |
$645.11
|
| Rate for Payer: BCN Medicare Advantage |
$207.43
|
| Rate for Payer: Cash Price |
$663.78
|
| Rate for Payer: Cash Price |
$663.78
|
| Rate for Payer: Cofinity Commercial |
$713.56
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$663.78
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$207.43
|
| Rate for Payer: Healthscope Commercial |
$746.75
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$622.29
|
| Rate for Payer: Mclaren Medicaid |
$281.14
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$217.80
|
| Rate for Payer: Meridian Medicaid |
$295.21
|
| Rate for Payer: MI Amish Medical Board Commercial |
$238.54
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$705.26
|
| Rate for Payer: Nomi Health Commercial |
$680.37
|
| Rate for Payer: PACE Senior Care Partners |
$197.06
|
| Rate for Payer: PACE SWMI |
$207.43
|
| Rate for Payer: PHP Commercial |
$705.26
|
| Rate for Payer: PHP Medicare Advantage |
$207.43
|
| Rate for Payer: Priority Health Choice Medicaid |
$281.14
|
| Rate for Payer: Priority Health Cigna Priority Health |
$539.32
|
| Rate for Payer: Priority Health HMO/PPO |
$721.86
|
| Rate for Payer: Priority Health Medicare |
$209.50
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$555.91
|
| Rate for Payer: Railroad Medicare Medicare |
$207.43
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$730.15
|
| Rate for Payer: UHC Core |
$692.82
|
| Rate for Payer: UHC Dual Complete DSNP |
$207.43
|
| Rate for Payer: UHC Exchange |
$207.43
|
| Rate for Payer: UHC Medicare Advantage |
$207.43
|
| Rate for Payer: UHCCP Medicaid |
$281.14
|
| Rate for Payer: VA VA |
$207.43
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$622.29
|
|
|
HC WASHED RED BLOOD CELLS
|
Facility
|
IP
|
$829.72
|
|
|
Service Code
|
HCPCS P9022
|
| Hospital Charge Code |
39000073
|
|
Hospital Revenue Code
|
390
|
| Min. Negotiated Rate |
$539.32 |
| Max. Negotiated Rate |
$746.75 |
| Rate for Payer: Aetna Commercial |
$705.26
|
| Rate for Payer: BCBS Trust/PPO |
$677.30
|
| Rate for Payer: BCN Commercial |
$641.21
|
| Rate for Payer: Cash Price |
$663.78
|
| Rate for Payer: Cofinity Commercial |
$713.56
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$663.78
|
| Rate for Payer: Healthscope Commercial |
$746.75
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$622.29
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$705.26
|
| Rate for Payer: Nomi Health Commercial |
$680.37
|
| Rate for Payer: PHP Commercial |
$705.26
|
| Rate for Payer: Priority Health Cigna Priority Health |
$539.32
|
| Rate for Payer: Priority Health HMO/PPO |
$721.86
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$555.91
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$730.15
|
| Rate for Payer: UHC Core |
$692.82
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$622.29
|
|
|
HC WATCH PAT
|
Facility
|
OP
|
$680.81
|
|
|
Service Code
|
CPT 95800
|
| Hospital Charge Code |
92000015
|
|
Hospital Revenue Code
|
920
|
| Min. Negotiated Rate |
$110.84 |
| Max. Negotiated Rate |
$612.73 |
| Rate for Payer: Aetna Commercial |
$578.69
|
| Rate for Payer: Aetna Medicare |
$177.01
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$212.75
|
| Rate for Payer: Amish Plain Church Group Commercial |
$212.75
|
| Rate for Payer: BCBS Complete |
$116.39
|
| Rate for Payer: BCBS MAPPO |
$170.20
|
| Rate for Payer: BCBS Trust/PPO |
$559.69
|
| Rate for Payer: BCN Commercial |
$529.33
|
| Rate for Payer: BCN Medicare Advantage |
$170.20
|
| Rate for Payer: Cash Price |
$544.65
|
| Rate for Payer: Cash Price |
$544.65
|
| Rate for Payer: Cofinity Commercial |
$585.50
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$544.65
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$170.20
|
| Rate for Payer: Healthscope Commercial |
$612.73
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$510.61
|
| Rate for Payer: Mclaren Medicaid |
$110.84
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$178.71
|
| Rate for Payer: Meridian Medicaid |
$116.39
|
| Rate for Payer: MI Amish Medical Board Commercial |
$195.73
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$578.69
|
| Rate for Payer: Nomi Health Commercial |
$558.26
|
| Rate for Payer: PACE Senior Care Partners |
$161.69
|
| Rate for Payer: PACE SWMI |
$170.20
|
| Rate for Payer: PHP Commercial |
$578.69
|
| Rate for Payer: PHP Medicare Advantage |
$170.20
|
| Rate for Payer: Priority Health Choice Medicaid |
$110.84
|
| Rate for Payer: Priority Health Cigna Priority Health |
$442.53
|
| Rate for Payer: Priority Health HMO/PPO |
$592.30
|
| Rate for Payer: Priority Health Medicare |
$171.90
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$456.14
|
| Rate for Payer: Railroad Medicare Medicare |
$170.20
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$599.11
|
| Rate for Payer: UHC Core |
$568.48
|
| Rate for Payer: UHC Dual Complete DSNP |
$170.20
|
| Rate for Payer: UHC Exchange |
$170.20
|
| Rate for Payer: UHC Medicare Advantage |
$170.20
|
| Rate for Payer: UHCCP Medicaid |
$110.84
|
| Rate for Payer: VA VA |
$170.20
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$510.61
|
|
|
HC WATCH PAT
|
Facility
|
IP
|
$680.81
|
|
|
Service Code
|
CPT 95800
|
| Hospital Charge Code |
92000015
|
|
Hospital Revenue Code
|
920
|
| Min. Negotiated Rate |
$442.53 |
| Max. Negotiated Rate |
$612.73 |
| Rate for Payer: Aetna Commercial |
$578.69
|
| Rate for Payer: BCBS Trust/PPO |
$555.75
|
| Rate for Payer: BCN Commercial |
$526.13
|
| Rate for Payer: Cash Price |
$544.65
|
| Rate for Payer: Cofinity Commercial |
$585.50
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$544.65
|
| Rate for Payer: Healthscope Commercial |
$612.73
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$510.61
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$578.69
|
| Rate for Payer: Nomi Health Commercial |
$558.26
|
| Rate for Payer: PHP Commercial |
$578.69
|
| Rate for Payer: Priority Health Cigna Priority Health |
$442.53
|
| Rate for Payer: Priority Health HMO/PPO |
$592.30
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$456.14
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$599.11
|
| Rate for Payer: UHC Core |
$568.48
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$510.61
|
|
|
HC WBC BUFFY COAT
|
Facility
|
IP
|
$46.31
|
|
|
Service Code
|
CPT 85009
|
| Hospital Charge Code |
30500004
|
|
Hospital Revenue Code
|
305
|
| Min. Negotiated Rate |
$30.10 |
| Max. Negotiated Rate |
$41.68 |
| Rate for Payer: Aetna Commercial |
$39.36
|
| Rate for Payer: BCBS Trust/PPO |
$37.80
|
| Rate for Payer: BCN Commercial |
$35.79
|
| Rate for Payer: Cash Price |
$37.05
|
| Rate for Payer: Cofinity Commercial |
$39.83
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$37.05
|
| Rate for Payer: Healthscope Commercial |
$41.68
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$34.73
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$39.36
|
| Rate for Payer: Nomi Health Commercial |
$37.97
|
| Rate for Payer: PHP Commercial |
$39.36
|
| Rate for Payer: Priority Health Cigna Priority Health |
$30.10
|
| Rate for Payer: Priority Health HMO/PPO |
$40.29
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$31.03
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$40.75
|
| Rate for Payer: UHC Core |
$38.67
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$34.73
|
|
|
HC WBC BUFFY COAT
|
Facility
|
OP
|
$46.31
|
|
|
Service Code
|
CPT 85009
|
| Hospital Charge Code |
30500004
|
|
Hospital Revenue Code
|
305
|
| Min. Negotiated Rate |
$3.67 |
| Max. Negotiated Rate |
$41.68 |
| Rate for Payer: Aetna Commercial |
$39.36
|
| Rate for Payer: Aetna Medicare |
$12.04
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$14.47
|
| Rate for Payer: Amish Plain Church Group Commercial |
$14.47
|
| Rate for Payer: BCBS Complete |
$3.85
|
| Rate for Payer: BCBS MAPPO |
$11.58
|
| Rate for Payer: BCBS Trust/PPO |
$38.07
|
| Rate for Payer: BCN Commercial |
$36.01
|
| Rate for Payer: BCN Medicare Advantage |
$11.58
|
| Rate for Payer: Cash Price |
$37.05
|
| Rate for Payer: Cash Price |
$37.05
|
| Rate for Payer: Cofinity Commercial |
$39.83
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$37.05
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$11.58
|
| Rate for Payer: Healthscope Commercial |
$41.68
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$34.73
|
| Rate for Payer: Mclaren Medicaid |
$3.67
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$12.16
|
| Rate for Payer: Meridian Medicaid |
$3.85
|
| Rate for Payer: MI Amish Medical Board Commercial |
$13.31
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$39.36
|
| Rate for Payer: Nomi Health Commercial |
$37.97
|
| Rate for Payer: PACE Senior Care Partners |
$11.00
|
| Rate for Payer: PACE SWMI |
$11.58
|
| Rate for Payer: PHP Commercial |
$39.36
|
| Rate for Payer: PHP Medicare Advantage |
$11.58
|
| Rate for Payer: Priority Health Choice Medicaid |
$3.67
|
| Rate for Payer: Priority Health Cigna Priority Health |
$30.10
|
| Rate for Payer: Priority Health HMO/PPO |
$40.29
|
| Rate for Payer: Priority Health Medicare |
$11.69
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$31.03
|
| Rate for Payer: Railroad Medicare Medicare |
$11.58
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$40.75
|
| Rate for Payer: UHC Core |
$38.67
|
| Rate for Payer: UHC Dual Complete DSNP |
$11.58
|
| Rate for Payer: UHC Exchange |
$11.58
|
| Rate for Payer: UHC Medicare Advantage |
$11.58
|
| Rate for Payer: UHCCP Medicaid |
$3.67
|
| Rate for Payer: VA VA |
$11.58
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$34.73
|
|
|
HC WBC COUNT
|
Facility
|
OP
|
$27.05
|
|
|
Service Code
|
CPT 85048
|
| Hospital Charge Code |
30500011
|
|
Hospital Revenue Code
|
305
|
| Min. Negotiated Rate |
$1.84 |
| Max. Negotiated Rate |
$24.34 |
| Rate for Payer: Aetna Commercial |
$22.99
|
| Rate for Payer: Aetna Medicare |
$7.03
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$8.45
|
| Rate for Payer: Amish Plain Church Group Commercial |
$8.45
|
| Rate for Payer: BCBS Complete |
$1.93
|
| Rate for Payer: BCBS MAPPO |
$6.76
|
| Rate for Payer: BCBS Trust/PPO |
$22.24
|
| Rate for Payer: BCN Commercial |
$21.03
|
| Rate for Payer: BCN Medicare Advantage |
$6.76
|
| Rate for Payer: Cash Price |
$21.64
|
| Rate for Payer: Cash Price |
$21.64
|
| Rate for Payer: Cofinity Commercial |
$23.26
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$21.64
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$6.76
|
| Rate for Payer: Healthscope Commercial |
$24.34
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$20.29
|
| Rate for Payer: Mclaren Medicaid |
$1.84
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$7.10
|
| Rate for Payer: Meridian Medicaid |
$1.93
|
| Rate for Payer: MI Amish Medical Board Commercial |
$7.78
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$22.99
|
| Rate for Payer: Nomi Health Commercial |
$22.18
|
| Rate for Payer: PACE Senior Care Partners |
$6.42
|
| Rate for Payer: PACE SWMI |
$6.76
|
| Rate for Payer: PHP Commercial |
$22.99
|
| Rate for Payer: PHP Medicare Advantage |
$6.76
|
| Rate for Payer: Priority Health Choice Medicaid |
$1.84
|
| Rate for Payer: Priority Health Cigna Priority Health |
$17.58
|
| Rate for Payer: Priority Health HMO/PPO |
$23.53
|
| Rate for Payer: Priority Health Medicare |
$6.83
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$18.12
|
| Rate for Payer: Railroad Medicare Medicare |
$6.76
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$23.80
|
| Rate for Payer: UHC Core |
$22.59
|
| Rate for Payer: UHC Dual Complete DSNP |
$6.76
|
| Rate for Payer: UHC Exchange |
$6.76
|
| Rate for Payer: UHC Medicare Advantage |
$6.76
|
| Rate for Payer: UHCCP Medicaid |
$1.84
|
| Rate for Payer: VA VA |
$6.76
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$20.29
|
|
|
HC WBC COUNT
|
Facility
|
IP
|
$27.05
|
|
|
Service Code
|
CPT 85048
|
| Hospital Charge Code |
30500011
|
|
Hospital Revenue Code
|
305
|
| Min. Negotiated Rate |
$17.58 |
| Max. Negotiated Rate |
$24.34 |
| Rate for Payer: Aetna Commercial |
$22.99
|
| Rate for Payer: BCBS Trust/PPO |
$22.08
|
| Rate for Payer: BCN Commercial |
$20.90
|
| Rate for Payer: Cash Price |
$21.64
|
| Rate for Payer: Cofinity Commercial |
$23.26
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$21.64
|
| Rate for Payer: Healthscope Commercial |
$24.34
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$20.29
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$22.99
|
| Rate for Payer: Nomi Health Commercial |
$22.18
|
| Rate for Payer: PHP Commercial |
$22.99
|
| Rate for Payer: Priority Health Cigna Priority Health |
$17.58
|
| Rate for Payer: Priority Health HMO/PPO |
$23.53
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$18.12
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$23.80
|
| Rate for Payer: UHC Core |
$22.59
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$20.29
|
|
|
HC WC EVAL JOB SITE ANALYSIS EACH 30 MIN
|
Facility
|
IP
|
$220.22
|
|
| Hospital Charge Code |
42000045
|
|
Hospital Revenue Code
|
420
|
| Min. Negotiated Rate |
$143.14 |
| Max. Negotiated Rate |
$198.20 |
| Rate for Payer: Aetna Commercial |
$187.19
|
| Rate for Payer: BCBS Trust/PPO |
$179.77
|
| Rate for Payer: BCN Commercial |
$170.19
|
| Rate for Payer: Cash Price |
$176.18
|
| Rate for Payer: Cofinity Commercial |
$189.39
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$176.18
|
| Rate for Payer: Healthscope Commercial |
$198.20
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$165.16
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$187.19
|
| Rate for Payer: Nomi Health Commercial |
$180.58
|
| Rate for Payer: PHP Commercial |
$187.19
|
| Rate for Payer: Priority Health Cigna Priority Health |
$143.14
|
| Rate for Payer: Priority Health HMO/PPO |
$191.59
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$147.55
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$193.79
|
| Rate for Payer: UHC Core |
$183.88
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$165.16
|
|
|
HC WC EVAL JOB SITE ANALYSIS EACH 30 MIN
|
Facility
|
OP
|
$220.22
|
|
| Hospital Charge Code |
42000045
|
|
Hospital Revenue Code
|
420
|
| Min. Negotiated Rate |
$52.30 |
| Max. Negotiated Rate |
$198.20 |
| Rate for Payer: Aetna Commercial |
$187.19
|
| Rate for Payer: Aetna Medicare |
$57.26
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$68.82
|
| Rate for Payer: Amish Plain Church Group Commercial |
$68.82
|
| Rate for Payer: BCBS Complete |
$88.09
|
| Rate for Payer: BCBS MAPPO |
$55.06
|
| Rate for Payer: BCBS Trust/PPO |
$181.04
|
| Rate for Payer: BCN Commercial |
$171.22
|
| Rate for Payer: BCN Medicare Advantage |
$55.06
|
| Rate for Payer: Cash Price |
$176.18
|
| Rate for Payer: Cofinity Commercial |
$189.39
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$176.18
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$55.06
|
| Rate for Payer: Healthscope Commercial |
$198.20
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$165.16
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$57.81
|
| Rate for Payer: MI Amish Medical Board Commercial |
$63.31
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$187.19
|
| Rate for Payer: Nomi Health Commercial |
$180.58
|
| Rate for Payer: PACE Senior Care Partners |
$52.30
|
| Rate for Payer: PACE SWMI |
$55.06
|
| Rate for Payer: PHP Commercial |
$187.19
|
| Rate for Payer: PHP Medicare Advantage |
$55.06
|
| Rate for Payer: Priority Health Cigna Priority Health |
$143.14
|
| Rate for Payer: Priority Health HMO/PPO |
$191.59
|
| Rate for Payer: Priority Health Medicare |
$55.61
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$147.55
|
| Rate for Payer: Railroad Medicare Medicare |
$55.06
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$193.79
|
| Rate for Payer: UHC Core |
$183.88
|
| Rate for Payer: UHC Dual Complete DSNP |
$55.06
|
| Rate for Payer: UHC Exchange |
$55.06
|
| Rate for Payer: UHC Medicare Advantage |
$55.06
|
| Rate for Payer: VA VA |
$55.06
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$165.16
|
|
|
HC WC EVAL JOB SITE ANALYSIS FIRST 60 MIN
|
Facility
|
IP
|
$298.86
|
|
| Hospital Charge Code |
42000044
|
|
Hospital Revenue Code
|
420
|
| Min. Negotiated Rate |
$194.26 |
| Max. Negotiated Rate |
$268.97 |
| Rate for Payer: Aetna Commercial |
$254.03
|
| Rate for Payer: BCBS Trust/PPO |
$243.96
|
| Rate for Payer: BCN Commercial |
$230.96
|
| Rate for Payer: Cash Price |
$239.09
|
| Rate for Payer: Cofinity Commercial |
$257.02
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$239.09
|
| Rate for Payer: Healthscope Commercial |
$268.97
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$224.14
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$254.03
|
| Rate for Payer: Nomi Health Commercial |
$245.07
|
| Rate for Payer: PHP Commercial |
$254.03
|
| Rate for Payer: Priority Health Cigna Priority Health |
$194.26
|
| Rate for Payer: Priority Health HMO/PPO |
$260.01
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$200.24
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$263.00
|
| Rate for Payer: UHC Core |
$249.55
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$224.14
|
|
|
HC WC EVAL JOB SITE ANALYSIS FIRST 60 MIN
|
Facility
|
OP
|
$298.86
|
|
| Hospital Charge Code |
42000044
|
|
Hospital Revenue Code
|
420
|
| Min. Negotiated Rate |
$70.98 |
| Max. Negotiated Rate |
$268.97 |
| Rate for Payer: Aetna Commercial |
$254.03
|
| Rate for Payer: Aetna Medicare |
$77.70
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$93.39
|
| Rate for Payer: Amish Plain Church Group Commercial |
$93.39
|
| Rate for Payer: BCBS Complete |
$119.54
|
| Rate for Payer: BCBS MAPPO |
$74.72
|
| Rate for Payer: BCBS Trust/PPO |
$245.69
|
| Rate for Payer: BCN Commercial |
$232.36
|
| Rate for Payer: BCN Medicare Advantage |
$74.72
|
| Rate for Payer: Cash Price |
$239.09
|
| Rate for Payer: Cofinity Commercial |
$257.02
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$239.09
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$74.72
|
| Rate for Payer: Healthscope Commercial |
$268.97
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$224.14
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$78.45
|
| Rate for Payer: MI Amish Medical Board Commercial |
$85.92
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$254.03
|
| Rate for Payer: Nomi Health Commercial |
$245.07
|
| Rate for Payer: PACE Senior Care Partners |
$70.98
|
| Rate for Payer: PACE SWMI |
$74.72
|
| Rate for Payer: PHP Commercial |
$254.03
|
| Rate for Payer: PHP Medicare Advantage |
$74.72
|
| Rate for Payer: Priority Health Cigna Priority Health |
$194.26
|
| Rate for Payer: Priority Health HMO/PPO |
$260.01
|
| Rate for Payer: Priority Health Medicare |
$75.46
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$200.24
|
| Rate for Payer: Railroad Medicare Medicare |
$74.72
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$263.00
|
| Rate for Payer: UHC Core |
$249.55
|
| Rate for Payer: UHC Dual Complete DSNP |
$74.72
|
| Rate for Payer: UHC Exchange |
$74.72
|
| Rate for Payer: UHC Medicare Advantage |
$74.72
|
| Rate for Payer: VA VA |
$74.72
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$224.14
|
|
|
HC WC UNLISTED BREAST PROCEDURE
|
Facility
|
OP
|
$2,225.11
|
|
|
Service Code
|
CPT 19499
|
| Hospital Charge Code |
36100321
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$528.46 |
| Max. Negotiated Rate |
$2,848.40 |
| Rate for Payer: Aetna Commercial |
$1,891.34
|
| Rate for Payer: Aetna Medicare |
$578.53
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$695.35
|
| Rate for Payer: Amish Plain Church Group Commercial |
$695.35
|
| Rate for Payer: BCBS Complete |
$2,848.40
|
| Rate for Payer: BCBS MAPPO |
$556.28
|
| Rate for Payer: BCBS Trust/PPO |
$1,829.26
|
| Rate for Payer: BCN Commercial |
$1,730.02
|
| Rate for Payer: BCN Medicare Advantage |
$556.28
|
| Rate for Payer: Cash Price |
$1,780.09
|
| Rate for Payer: Cash Price |
$1,780.09
|
| Rate for Payer: Cofinity Commercial |
$1,913.59
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,780.09
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$556.28
|
| Rate for Payer: Healthscope Commercial |
$2,002.60
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,668.83
|
| Rate for Payer: Mclaren Medicaid |
$2,712.59
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$584.09
|
| Rate for Payer: Meridian Medicaid |
$2,848.40
|
| Rate for Payer: MI Amish Medical Board Commercial |
$639.72
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,891.34
|
| Rate for Payer: Nomi Health Commercial |
$1,824.59
|
| Rate for Payer: PACE Senior Care Partners |
$528.46
|
| Rate for Payer: PACE SWMI |
$556.28
|
| Rate for Payer: PHP Commercial |
$1,891.34
|
| Rate for Payer: PHP Medicare Advantage |
$556.28
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,712.59
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,446.32
|
| Rate for Payer: Priority Health HMO/PPO |
$1,935.85
|
| Rate for Payer: Priority Health Medicare |
$561.84
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,490.82
|
| Rate for Payer: Railroad Medicare Medicare |
$556.28
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,958.10
|
| Rate for Payer: UHC Core |
$1,857.97
|
| Rate for Payer: UHC Dual Complete DSNP |
$556.28
|
| Rate for Payer: UHC Exchange |
$556.28
|
| Rate for Payer: UHC Medicare Advantage |
$556.28
|
| Rate for Payer: UHCCP Medicaid |
$2,712.59
|
| Rate for Payer: VA VA |
$556.28
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,668.83
|
|
|
HC WC UNLISTED BREAST PROCEDURE
|
Facility
|
IP
|
$2,225.11
|
|
|
Service Code
|
CPT 19499
|
| Hospital Charge Code |
36100321
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$1,446.32 |
| Max. Negotiated Rate |
$2,002.60 |
| Rate for Payer: Aetna Commercial |
$1,891.34
|
| Rate for Payer: BCBS Trust/PPO |
$1,816.36
|
| Rate for Payer: BCN Commercial |
$1,719.57
|
| Rate for Payer: Cash Price |
$1,780.09
|
| Rate for Payer: Cofinity Commercial |
$1,913.59
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,780.09
|
| Rate for Payer: Healthscope Commercial |
$2,002.60
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,668.83
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,891.34
|
| Rate for Payer: Nomi Health Commercial |
$1,824.59
|
| Rate for Payer: PHP Commercial |
$1,891.34
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,446.32
|
| Rate for Payer: Priority Health HMO/PPO |
$1,935.85
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,490.82
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,958.10
|
| Rate for Payer: UHC Core |
$1,857.97
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,668.83
|
|
|
HC WEDGE EXCISION SKIN NAIL FOLD
|
Facility
|
IP
|
$575.70
|
|
|
Service Code
|
CPT 11765
|
| Hospital Charge Code |
76100313
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$374.20 |
| Max. Negotiated Rate |
$518.13 |
| Rate for Payer: Aetna Commercial |
$489.34
|
| Rate for Payer: BCBS Trust/PPO |
$469.94
|
| Rate for Payer: BCN Commercial |
$444.90
|
| Rate for Payer: Cash Price |
$460.56
|
| Rate for Payer: Cofinity Commercial |
$495.10
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$460.56
|
| Rate for Payer: Healthscope Commercial |
$518.13
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$431.78
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$489.34
|
| Rate for Payer: Nomi Health Commercial |
$472.07
|
| Rate for Payer: PHP Commercial |
$489.34
|
| Rate for Payer: Priority Health Cigna Priority Health |
$374.20
|
| Rate for Payer: Priority Health HMO/PPO |
$500.86
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$385.72
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$506.62
|
| Rate for Payer: UHC Core |
$480.71
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$431.78
|
|
|
HC WEDGE EXCISION SKIN NAIL FOLD
|
Facility
|
OP
|
$575.70
|
|
|
Service Code
|
CPT 11765
|
| Hospital Charge Code |
76100313
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$136.73 |
| Max. Negotiated Rate |
$518.13 |
| Rate for Payer: Aetna Commercial |
$489.34
|
| Rate for Payer: Aetna Medicare |
$149.68
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$179.91
|
| Rate for Payer: Amish Plain Church Group Commercial |
$179.91
|
| Rate for Payer: BCBS Complete |
$297.19
|
| Rate for Payer: BCBS MAPPO |
$143.92
|
| Rate for Payer: BCBS Trust/PPO |
$473.28
|
| Rate for Payer: BCN Commercial |
$447.61
|
| Rate for Payer: BCN Medicare Advantage |
$143.92
|
| Rate for Payer: Cash Price |
$460.56
|
| Rate for Payer: Cash Price |
$460.56
|
| Rate for Payer: Cofinity Commercial |
$495.10
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$460.56
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$143.92
|
| Rate for Payer: Healthscope Commercial |
$518.13
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$431.78
|
| Rate for Payer: Mclaren Medicaid |
$283.02
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$151.12
|
| Rate for Payer: Meridian Medicaid |
$297.19
|
| Rate for Payer: MI Amish Medical Board Commercial |
$165.51
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$489.34
|
| Rate for Payer: Nomi Health Commercial |
$472.07
|
| Rate for Payer: PACE Senior Care Partners |
$136.73
|
| Rate for Payer: PACE SWMI |
$143.92
|
| Rate for Payer: PHP Commercial |
$489.34
|
| Rate for Payer: PHP Medicare Advantage |
$143.92
|
| Rate for Payer: Priority Health Choice Medicaid |
$283.02
|
| Rate for Payer: Priority Health Cigna Priority Health |
$374.20
|
| Rate for Payer: Priority Health HMO/PPO |
$500.86
|
| Rate for Payer: Priority Health Medicare |
$145.36
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$385.72
|
| Rate for Payer: Railroad Medicare Medicare |
$143.92
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$506.62
|
| Rate for Payer: UHC Core |
$480.71
|
| Rate for Payer: UHC Dual Complete DSNP |
$143.92
|
| Rate for Payer: UHC Exchange |
$143.92
|
| Rate for Payer: UHC Medicare Advantage |
$143.92
|
| Rate for Payer: UHCCP Medicaid |
$283.02
|
| Rate for Payer: VA VA |
$143.92
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$431.78
|
|
|
HC WEST NILE VIRUS AB IGG & IGM
|
Facility
|
OP
|
$32.25
|
|
|
Service Code
|
CPT 86788
|
| Hospital Charge Code |
30200329
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$7.66 |
| Max. Negotiated Rate |
$29.02 |
| Rate for Payer: Aetna Commercial |
$27.41
|
| Rate for Payer: Aetna Medicare |
$8.38
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$10.08
|
| Rate for Payer: Amish Plain Church Group Commercial |
$10.08
|
| Rate for Payer: BCBS Complete |
$12.79
|
| Rate for Payer: BCBS MAPPO |
$8.06
|
| Rate for Payer: BCBS Trust/PPO |
$26.51
|
| Rate for Payer: BCN Commercial |
$25.07
|
| Rate for Payer: BCN Medicare Advantage |
$8.06
|
| Rate for Payer: Cash Price |
$25.80
|
| Rate for Payer: Cash Price |
$25.80
|
| Rate for Payer: Cofinity Commercial |
$27.74
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$25.80
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$8.06
|
| Rate for Payer: Healthscope Commercial |
$29.02
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$24.19
|
| Rate for Payer: Mclaren Medicaid |
$12.18
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$8.47
|
| Rate for Payer: Meridian Medicaid |
$12.79
|
| Rate for Payer: MI Amish Medical Board Commercial |
$9.27
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$27.41
|
| Rate for Payer: Nomi Health Commercial |
$26.44
|
| Rate for Payer: PACE Senior Care Partners |
$7.66
|
| Rate for Payer: PACE SWMI |
$8.06
|
| Rate for Payer: PHP Commercial |
$27.41
|
| Rate for Payer: PHP Medicare Advantage |
$8.06
|
| Rate for Payer: Priority Health Choice Medicaid |
$12.18
|
| Rate for Payer: Priority Health Cigna Priority Health |
$20.96
|
| Rate for Payer: Priority Health HMO/PPO |
$28.06
|
| Rate for Payer: Priority Health Medicare |
$8.14
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$21.61
|
| Rate for Payer: Railroad Medicare Medicare |
$8.06
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$28.38
|
| Rate for Payer: UHC Core |
$26.93
|
| Rate for Payer: UHC Dual Complete DSNP |
$8.06
|
| Rate for Payer: UHC Exchange |
$8.06
|
| Rate for Payer: UHC Medicare Advantage |
$8.06
|
| Rate for Payer: UHCCP Medicaid |
$12.18
|
| Rate for Payer: VA VA |
$8.06
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$24.19
|
|
|
HC WEST NILE VIRUS AB IGG & IGM
|
Facility
|
IP
|
$32.25
|
|
|
Service Code
|
CPT 86788
|
| Hospital Charge Code |
30200329
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$20.96 |
| Max. Negotiated Rate |
$29.02 |
| Rate for Payer: Aetna Commercial |
$27.41
|
| Rate for Payer: BCBS Trust/PPO |
$26.33
|
| Rate for Payer: BCN Commercial |
$24.92
|
| Rate for Payer: Cash Price |
$25.80
|
| Rate for Payer: Cofinity Commercial |
$27.74
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$25.80
|
| Rate for Payer: Healthscope Commercial |
$29.02
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$24.19
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$27.41
|
| Rate for Payer: Nomi Health Commercial |
$26.44
|
| Rate for Payer: PHP Commercial |
$27.41
|
| Rate for Payer: Priority Health Cigna Priority Health |
$20.96
|
| Rate for Payer: Priority Health HMO/PPO |
$28.06
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$21.61
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$28.38
|
| Rate for Payer: UHC Core |
$26.93
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$24.19
|
|
