|
HC Y ADAPTER WITH VENT
|
Facility
|
IP
|
$53.58
|
|
| Hospital Charge Code |
27006702
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$34.83 |
| Max. Negotiated Rate |
$48.22 |
| Rate for Payer: Aetna Commercial |
$45.54
|
| Rate for Payer: BCBS Trust/PPO |
$43.74
|
| Rate for Payer: BCN Commercial |
$41.41
|
| Rate for Payer: Cash Price |
$42.86
|
| Rate for Payer: Cofinity Commercial |
$46.08
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$42.86
|
| Rate for Payer: Healthscope Commercial |
$48.22
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$40.19
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$45.54
|
| Rate for Payer: Nomi Health Commercial |
$43.94
|
| Rate for Payer: PHP Commercial |
$45.54
|
| Rate for Payer: Priority Health Cigna Priority Health |
$34.83
|
| Rate for Payer: Priority Health HMO/PPO |
$46.61
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$35.90
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$47.15
|
| Rate for Payer: UHC Core |
$44.74
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$40.19
|
|
|
HC YEAST BREWERS IGE
|
Facility
|
IP
|
$25.39
|
|
|
Service Code
|
CPT 86003
|
| Hospital Charge Code |
30200111
|
|
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 YEAST BREWERS IGE
|
Facility
|
OP
|
$25.39
|
|
|
Service Code
|
CPT 86003
|
| Hospital Charge Code |
30200111
|
|
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 YELLOW DOCK IGE
|
Facility
|
OP
|
$25.39
|
|
|
Service Code
|
CPT 86003
|
| Hospital Charge Code |
30200112
|
|
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 YELLOW DOCK IGE
|
Facility
|
IP
|
$25.39
|
|
|
Service Code
|
CPT 86003
|
| Hospital Charge Code |
30200112
|
|
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 YELLOW HORNET IGE
|
Facility
|
IP
|
$25.39
|
|
|
Service Code
|
CPT 86003
|
| Hospital Charge Code |
30200113
|
|
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 YELLOW HORNET IGE
|
Facility
|
OP
|
$25.39
|
|
|
Service Code
|
CPT 86003
|
| Hospital Charge Code |
30200113
|
|
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 YELLOW JACKET IGE
|
Facility
|
OP
|
$25.39
|
|
|
Service Code
|
CPT 86003
|
| Hospital Charge Code |
30200114
|
|
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 YELLOW JACKET IGE
|
Facility
|
IP
|
$25.39
|
|
|
Service Code
|
CPT 86003
|
| Hospital Charge Code |
30200114
|
|
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 Y SET ANTE/RETRO
|
Facility
|
IP
|
$42.08
|
|
| Hospital Charge Code |
27000661
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$27.35 |
| Max. Negotiated Rate |
$37.87 |
| Rate for Payer: Aetna Commercial |
$35.77
|
| Rate for Payer: BCBS Trust/PPO |
$34.35
|
| Rate for Payer: BCN Commercial |
$32.52
|
| Rate for Payer: Cash Price |
$33.66
|
| Rate for Payer: Cofinity Commercial |
$36.19
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$33.66
|
| Rate for Payer: Healthscope Commercial |
$37.87
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$31.56
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$35.77
|
| Rate for Payer: Nomi Health Commercial |
$34.51
|
| Rate for Payer: PHP Commercial |
$35.77
|
| Rate for Payer: Priority Health Cigna Priority Health |
$27.35
|
| Rate for Payer: Priority Health HMO/PPO |
$36.61
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$28.19
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$37.03
|
| Rate for Payer: UHC Core |
$35.14
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$31.56
|
|
|
HC Y SET ANTE/RETRO
|
Facility
|
OP
|
$42.08
|
|
| Hospital Charge Code |
27000661
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$9.99 |
| Max. Negotiated Rate |
$37.87 |
| Rate for Payer: Aetna Commercial |
$35.77
|
| Rate for Payer: Aetna Medicare |
$10.94
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$13.15
|
| Rate for Payer: Amish Plain Church Group Commercial |
$13.15
|
| Rate for Payer: BCBS Complete |
$16.83
|
| Rate for Payer: BCBS MAPPO |
$10.52
|
| Rate for Payer: BCBS Trust/PPO |
$34.59
|
| Rate for Payer: BCN Commercial |
$32.72
|
| Rate for Payer: BCN Medicare Advantage |
$10.52
|
| Rate for Payer: Cash Price |
$33.66
|
| Rate for Payer: Cofinity Commercial |
$36.19
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$33.66
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$10.52
|
| Rate for Payer: Healthscope Commercial |
$37.87
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$31.56
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$11.05
|
| Rate for Payer: MI Amish Medical Board Commercial |
$12.10
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$35.77
|
| Rate for Payer: Nomi Health Commercial |
$34.51
|
| Rate for Payer: PACE Senior Care Partners |
$9.99
|
| Rate for Payer: PACE SWMI |
$10.52
|
| Rate for Payer: PHP Commercial |
$35.77
|
| Rate for Payer: PHP Medicare Advantage |
$10.52
|
| Rate for Payer: Priority Health Cigna Priority Health |
$27.35
|
| Rate for Payer: Priority Health HMO/PPO |
$36.61
|
| Rate for Payer: Priority Health Medicare |
$10.63
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$28.19
|
| Rate for Payer: Railroad Medicare Medicare |
$10.52
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$37.03
|
| Rate for Payer: UHC Core |
$35.14
|
| Rate for Payer: UHC Dual Complete DSNP |
$10.52
|
| Rate for Payer: UHC Exchange |
$10.52
|
| Rate for Payer: UHC Medicare Advantage |
$10.52
|
| Rate for Payer: VA VA |
$10.52
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$31.56
|
|
|
HC YTTRIUM 90 MICROSPHERES
|
Facility
|
OP
|
$50,779.51
|
|
|
Service Code
|
HCPCS C2616
|
| Hospital Charge Code |
27800106
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$12,060.13 |
| Max. Negotiated Rate |
$45,701.56 |
| Rate for Payer: Aetna Commercial |
$43,162.58
|
| Rate for Payer: Aetna Medicare |
$13,202.67
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$15,868.60
|
| Rate for Payer: Amish Plain Church Group Commercial |
$15,868.60
|
| Rate for Payer: BCBS Complete |
$13,274.69
|
| Rate for Payer: BCBS MAPPO |
$12,694.88
|
| Rate for Payer: BCBS Trust/PPO |
$41,745.84
|
| Rate for Payer: BCN Commercial |
$39,481.07
|
| Rate for Payer: BCN Medicare Advantage |
$12,694.88
|
| Rate for Payer: Cash Price |
$40,623.61
|
| Rate for Payer: Cash Price |
$40,623.61
|
| Rate for Payer: Cofinity Commercial |
$43,670.38
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$40,623.61
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$12,694.88
|
| Rate for Payer: Healthscope Commercial |
$45,701.56
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$38,084.63
|
| Rate for Payer: Mclaren Medicaid |
$12,641.73
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$13,329.62
|
| Rate for Payer: Meridian Medicaid |
$13,274.69
|
| Rate for Payer: MI Amish Medical Board Commercial |
$14,599.11
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$43,162.58
|
| Rate for Payer: Nomi Health Commercial |
$41,639.20
|
| Rate for Payer: PACE Senior Care Partners |
$12,060.13
|
| Rate for Payer: PACE SWMI |
$12,694.88
|
| Rate for Payer: PHP Commercial |
$43,162.58
|
| Rate for Payer: PHP Medicare Advantage |
$12,694.88
|
| Rate for Payer: Priority Health Choice Medicaid |
$12,641.73
|
| Rate for Payer: Priority Health Cigna Priority Health |
$33,006.68
|
| Rate for Payer: Priority Health HMO/PPO |
$44,178.17
|
| Rate for Payer: Priority Health Medicare |
$12,821.83
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$34,022.27
|
| Rate for Payer: Railroad Medicare Medicare |
$12,694.88
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$44,685.97
|
| Rate for Payer: UHC Core |
$42,400.89
|
| Rate for Payer: UHC Dual Complete DSNP |
$12,694.88
|
| Rate for Payer: UHC Exchange |
$12,694.88
|
| Rate for Payer: UHC Medicare Advantage |
$12,694.88
|
| Rate for Payer: UHCCP Medicaid |
$12,641.73
|
| Rate for Payer: VA VA |
$12,694.88
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$38,084.63
|
|
|
HC YTTRIUM 90 MICROSPHERES
|
Facility
|
IP
|
$50,779.51
|
|
|
Service Code
|
HCPCS C2616
|
| Hospital Charge Code |
27800106
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$33,006.68 |
| Max. Negotiated Rate |
$45,701.56 |
| Rate for Payer: Aetna Commercial |
$43,162.58
|
| Rate for Payer: BCBS Trust/PPO |
$41,451.31
|
| Rate for Payer: BCN Commercial |
$39,242.41
|
| Rate for Payer: Cash Price |
$40,623.61
|
| Rate for Payer: Cofinity Commercial |
$43,670.38
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$40,623.61
|
| Rate for Payer: Healthscope Commercial |
$45,701.56
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$38,084.63
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$43,162.58
|
| Rate for Payer: Nomi Health Commercial |
$41,639.20
|
| Rate for Payer: PHP Commercial |
$43,162.58
|
| Rate for Payer: Priority Health Cigna Priority Health |
$33,006.68
|
| Rate for Payer: Priority Health HMO/PPO |
$44,178.17
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$34,022.27
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$44,685.97
|
| Rate for Payer: UHC Core |
$42,400.89
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$38,084.63
|
|
|
HC Y VENOUS BICAVAL
|
Facility
|
OP
|
$41.82
|
|
| Hospital Charge Code |
27000279
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$9.93 |
| Max. Negotiated Rate |
$37.64 |
| Rate for Payer: Aetna Commercial |
$35.55
|
| Rate for Payer: Aetna Medicare |
$10.87
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$13.07
|
| Rate for Payer: Amish Plain Church Group Commercial |
$13.07
|
| Rate for Payer: BCBS Complete |
$16.73
|
| Rate for Payer: BCBS MAPPO |
$10.46
|
| Rate for Payer: BCBS Trust/PPO |
$34.38
|
| Rate for Payer: BCN Commercial |
$32.52
|
| Rate for Payer: BCN Medicare Advantage |
$10.46
|
| Rate for Payer: Cash Price |
$33.46
|
| Rate for Payer: Cofinity Commercial |
$35.97
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$33.46
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$10.46
|
| Rate for Payer: Healthscope Commercial |
$37.64
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$31.36
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$10.98
|
| Rate for Payer: MI Amish Medical Board Commercial |
$12.02
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$35.55
|
| Rate for Payer: Nomi Health Commercial |
$34.29
|
| Rate for Payer: PACE Senior Care Partners |
$9.93
|
| Rate for Payer: PACE SWMI |
$10.46
|
| Rate for Payer: PHP Commercial |
$35.55
|
| Rate for Payer: PHP Medicare Advantage |
$10.46
|
| Rate for Payer: Priority Health Cigna Priority Health |
$27.18
|
| Rate for Payer: Priority Health HMO/PPO |
$36.38
|
| Rate for Payer: Priority Health Medicare |
$10.56
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$28.02
|
| Rate for Payer: Railroad Medicare Medicare |
$10.46
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$36.80
|
| Rate for Payer: UHC Core |
$34.92
|
| Rate for Payer: UHC Dual Complete DSNP |
$10.46
|
| Rate for Payer: UHC Exchange |
$10.46
|
| Rate for Payer: UHC Medicare Advantage |
$10.46
|
| Rate for Payer: VA VA |
$10.46
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$31.36
|
|
|
HC Y VENOUS BICAVAL
|
Facility
|
IP
|
$41.82
|
|
| Hospital Charge Code |
27000279
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$27.18 |
| Max. Negotiated Rate |
$37.64 |
| Rate for Payer: Aetna Commercial |
$35.55
|
| Rate for Payer: BCBS Trust/PPO |
$34.14
|
| Rate for Payer: BCN Commercial |
$32.32
|
| Rate for Payer: Cash Price |
$33.46
|
| Rate for Payer: Cofinity Commercial |
$35.97
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$33.46
|
| Rate for Payer: Healthscope Commercial |
$37.64
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$31.36
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$35.55
|
| Rate for Payer: Nomi Health Commercial |
$34.29
|
| Rate for Payer: PHP Commercial |
$35.55
|
| Rate for Payer: Priority Health Cigna Priority Health |
$27.18
|
| Rate for Payer: Priority Health HMO/PPO |
$36.38
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$28.02
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$36.80
|
| Rate for Payer: UHC Core |
$34.92
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$31.36
|
|
|
HC Z ACCESS DEVICE
|
Facility
|
IP
|
$204.86
|
|
|
Service Code
|
HCPCS C1894
|
| Hospital Charge Code |
27200082
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$133.16 |
| Max. Negotiated Rate |
$184.37 |
| Rate for Payer: Aetna Commercial |
$174.13
|
| Rate for Payer: BCBS Trust/PPO |
$167.23
|
| Rate for Payer: BCN Commercial |
$158.32
|
| Rate for Payer: Cash Price |
$163.89
|
| Rate for Payer: Cofinity Commercial |
$176.18
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$163.89
|
| Rate for Payer: Healthscope Commercial |
$184.37
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$153.65
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$174.13
|
| Rate for Payer: Nomi Health Commercial |
$167.99
|
| Rate for Payer: PHP Commercial |
$174.13
|
| Rate for Payer: Priority Health Cigna Priority Health |
$133.16
|
| Rate for Payer: Priority Health HMO/PPO |
$178.23
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$137.26
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$180.28
|
| Rate for Payer: UHC Core |
$171.06
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$153.65
|
|
|
HC Z ACCESS DEVICE
|
Facility
|
OP
|
$204.86
|
|
|
Service Code
|
HCPCS C1894
|
| Hospital Charge Code |
27200082
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$48.65 |
| Max. Negotiated Rate |
$184.37 |
| Rate for Payer: Aetna Commercial |
$174.13
|
| Rate for Payer: Aetna Medicare |
$53.26
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$64.02
|
| Rate for Payer: Amish Plain Church Group Commercial |
$64.02
|
| Rate for Payer: BCBS Complete |
$81.94
|
| Rate for Payer: BCBS MAPPO |
$51.22
|
| Rate for Payer: BCBS Trust/PPO |
$168.42
|
| Rate for Payer: BCN Commercial |
$159.28
|
| Rate for Payer: BCN Medicare Advantage |
$51.22
|
| Rate for Payer: Cash Price |
$163.89
|
| Rate for Payer: Cofinity Commercial |
$176.18
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$163.89
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$51.22
|
| Rate for Payer: Healthscope Commercial |
$184.37
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$153.65
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$53.78
|
| Rate for Payer: MI Amish Medical Board Commercial |
$58.90
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$174.13
|
| Rate for Payer: Nomi Health Commercial |
$167.99
|
| Rate for Payer: PACE Senior Care Partners |
$48.65
|
| Rate for Payer: PACE SWMI |
$51.22
|
| Rate for Payer: PHP Commercial |
$174.13
|
| Rate for Payer: PHP Medicare Advantage |
$51.22
|
| Rate for Payer: Priority Health Cigna Priority Health |
$133.16
|
| Rate for Payer: Priority Health HMO/PPO |
$178.23
|
| Rate for Payer: Priority Health Medicare |
$51.73
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$137.26
|
| Rate for Payer: Railroad Medicare Medicare |
$51.22
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$180.28
|
| Rate for Payer: UHC Core |
$171.06
|
| Rate for Payer: UHC Dual Complete DSNP |
$51.22
|
| Rate for Payer: UHC Exchange |
$51.22
|
| Rate for Payer: UHC Medicare Advantage |
$51.22
|
| Rate for Payer: VA VA |
$51.22
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$153.65
|
|
|
HC Z ACCUNET PROTECTIVE SYSTEM
|
Facility
|
OP
|
$6,366.11
|
|
|
Service Code
|
HCPCS C1884
|
| Hospital Charge Code |
27800037
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$1,511.95 |
| Max. Negotiated Rate |
$5,729.50 |
| Rate for Payer: Aetna Commercial |
$5,411.19
|
| Rate for Payer: Aetna Medicare |
$1,655.19
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,989.41
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1,989.41
|
| Rate for Payer: BCBS Complete |
$2,546.44
|
| Rate for Payer: BCBS MAPPO |
$1,591.53
|
| Rate for Payer: BCBS Trust/PPO |
$5,233.58
|
| Rate for Payer: BCN Commercial |
$4,949.65
|
| Rate for Payer: BCN Medicare Advantage |
$1,591.53
|
| Rate for Payer: Cash Price |
$5,092.89
|
| Rate for Payer: Cofinity Commercial |
$5,474.85
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$5,092.89
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,591.53
|
| Rate for Payer: Healthscope Commercial |
$5,729.50
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$4,774.58
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,671.10
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,830.26
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$5,411.19
|
| Rate for Payer: Nomi Health Commercial |
$5,220.21
|
| Rate for Payer: PACE Senior Care Partners |
$1,511.95
|
| Rate for Payer: PACE SWMI |
$1,591.53
|
| Rate for Payer: PHP Commercial |
$5,411.19
|
| Rate for Payer: PHP Medicare Advantage |
$1,591.53
|
| Rate for Payer: Priority Health Cigna Priority Health |
$4,137.97
|
| Rate for Payer: Priority Health HMO/PPO |
$5,538.52
|
| Rate for Payer: Priority Health Medicare |
$1,607.44
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$4,265.29
|
| Rate for Payer: Railroad Medicare Medicare |
$1,591.53
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$5,602.18
|
| Rate for Payer: UHC Core |
$5,315.70
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,591.53
|
| Rate for Payer: UHC Exchange |
$1,591.53
|
| Rate for Payer: UHC Medicare Advantage |
$1,591.53
|
| Rate for Payer: VA VA |
$1,591.53
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$4,774.58
|
|
|
HC Z ACCUNET PROTECTIVE SYSTEM
|
Facility
|
IP
|
$6,366.11
|
|
|
Service Code
|
HCPCS C1884
|
| Hospital Charge Code |
27800037
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$4,137.97 |
| Max. Negotiated Rate |
$5,729.50 |
| Rate for Payer: Aetna Commercial |
$5,411.19
|
| Rate for Payer: BCBS Trust/PPO |
$5,196.66
|
| Rate for Payer: BCN Commercial |
$4,919.73
|
| Rate for Payer: Cash Price |
$5,092.89
|
| Rate for Payer: Cofinity Commercial |
$5,474.85
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$5,092.89
|
| Rate for Payer: Healthscope Commercial |
$5,729.50
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$4,774.58
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$5,411.19
|
| Rate for Payer: Nomi Health Commercial |
$5,220.21
|
| Rate for Payer: PHP Commercial |
$5,411.19
|
| Rate for Payer: Priority Health Cigna Priority Health |
$4,137.97
|
| Rate for Payer: Priority Health HMO/PPO |
$5,538.52
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$4,265.29
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$5,602.18
|
| Rate for Payer: UHC Core |
$5,315.70
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$4,774.58
|
|
|
HC Z ARTHROCENTESIS SMALL JOINT BIL
|
Facility
|
OP
|
$437.63
|
|
|
Service Code
|
CPT 20600
|
| Hospital Charge Code |
36100023
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$103.94 |
| Max. Negotiated Rate |
$393.87 |
| Rate for Payer: Aetna Commercial |
$371.99
|
| Rate for Payer: Aetna Medicare |
$113.78
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$136.76
|
| Rate for Payer: Amish Plain Church Group Commercial |
$136.76
|
| Rate for Payer: BCBS Complete |
$224.11
|
| Rate for Payer: BCBS MAPPO |
$109.41
|
| Rate for Payer: BCBS Trust/PPO |
$359.78
|
| Rate for Payer: BCN Commercial |
$340.26
|
| Rate for Payer: BCN Medicare Advantage |
$109.41
|
| Rate for Payer: Cash Price |
$350.10
|
| Rate for Payer: Cash Price |
$350.10
|
| Rate for Payer: Cofinity Commercial |
$376.36
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$350.10
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$109.41
|
| Rate for Payer: Healthscope Commercial |
$393.87
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$328.22
|
| Rate for Payer: Mclaren Medicaid |
$213.42
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$114.88
|
| Rate for Payer: Meridian Medicaid |
$224.11
|
| Rate for Payer: MI Amish Medical Board Commercial |
$125.82
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$371.99
|
| Rate for Payer: Nomi Health Commercial |
$358.86
|
| Rate for Payer: PACE Senior Care Partners |
$103.94
|
| Rate for Payer: PACE SWMI |
$109.41
|
| Rate for Payer: PHP Commercial |
$371.99
|
| Rate for Payer: PHP Medicare Advantage |
$109.41
|
| Rate for Payer: Priority Health Choice Medicaid |
$213.42
|
| Rate for Payer: Priority Health Cigna Priority Health |
$284.46
|
| Rate for Payer: Priority Health HMO/PPO |
$380.74
|
| Rate for Payer: Priority Health Medicare |
$110.50
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$293.21
|
| Rate for Payer: Railroad Medicare Medicare |
$109.41
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$385.11
|
| Rate for Payer: UHC Core |
$365.42
|
| Rate for Payer: UHC Dual Complete DSNP |
$109.41
|
| Rate for Payer: UHC Exchange |
$109.41
|
| Rate for Payer: UHC Medicare Advantage |
$109.41
|
| Rate for Payer: UHCCP Medicaid |
$213.42
|
| Rate for Payer: VA VA |
$109.41
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$328.22
|
|
|
HC Z ARTHROCENTESIS SMALL JOINT BIL
|
Facility
|
IP
|
$437.63
|
|
|
Service Code
|
CPT 20600
|
| Hospital Charge Code |
36100023
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$284.46 |
| Max. Negotiated Rate |
$393.87 |
| Rate for Payer: Aetna Commercial |
$371.99
|
| Rate for Payer: BCBS Trust/PPO |
$357.24
|
| Rate for Payer: BCN Commercial |
$338.20
|
| Rate for Payer: Cash Price |
$350.10
|
| Rate for Payer: Cofinity Commercial |
$376.36
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$350.10
|
| Rate for Payer: Healthscope Commercial |
$393.87
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$328.22
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$371.99
|
| Rate for Payer: Nomi Health Commercial |
$358.86
|
| Rate for Payer: PHP Commercial |
$371.99
|
| Rate for Payer: Priority Health Cigna Priority Health |
$284.46
|
| Rate for Payer: Priority Health HMO/PPO |
$380.74
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$293.21
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$385.11
|
| Rate for Payer: UHC Core |
$365.42
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$328.22
|
|
|
HC ZB002 CX ID GI PANEL 12-25 TARGETS
|
Facility
|
IP
|
$692.70
|
|
|
Service Code
|
CPT 87507
|
| Hospital Charge Code |
30600280
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$450.25 |
| Max. Negotiated Rate |
$623.43 |
| Rate for Payer: Aetna Commercial |
$588.79
|
| Rate for Payer: BCBS Trust/PPO |
$565.45
|
| Rate for Payer: BCN Commercial |
$535.32
|
| Rate for Payer: Cash Price |
$554.16
|
| Rate for Payer: Cofinity Commercial |
$595.72
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$554.16
|
| Rate for Payer: Healthscope Commercial |
$623.43
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$519.52
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$588.79
|
| Rate for Payer: Nomi Health Commercial |
$568.01
|
| Rate for Payer: PHP Commercial |
$588.79
|
| Rate for Payer: Priority Health Cigna Priority Health |
$450.25
|
| Rate for Payer: Priority Health HMO/PPO |
$602.65
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$464.11
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$609.58
|
| Rate for Payer: UHC Core |
$578.40
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$519.52
|
|
|
HC ZB002 CX ID GI PANEL 12-25 TARGETS
|
Facility
|
OP
|
$692.70
|
|
|
Service Code
|
CPT 87507
|
| Hospital Charge Code |
30600280
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$164.52 |
| Max. Negotiated Rate |
$623.43 |
| Rate for Payer: Aetna Commercial |
$588.79
|
| Rate for Payer: Aetna Medicare |
$180.10
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$216.47
|
| Rate for Payer: Amish Plain Church Group Commercial |
$216.47
|
| Rate for Payer: BCBS Complete |
$316.42
|
| Rate for Payer: BCBS MAPPO |
$173.18
|
| Rate for Payer: BCBS Trust/PPO |
$569.47
|
| Rate for Payer: BCN Commercial |
$538.57
|
| Rate for Payer: BCN Medicare Advantage |
$173.18
|
| Rate for Payer: Cash Price |
$554.16
|
| Rate for Payer: Cash Price |
$554.16
|
| Rate for Payer: Cofinity Commercial |
$595.72
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$554.16
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$173.18
|
| Rate for Payer: Healthscope Commercial |
$623.43
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$519.52
|
| Rate for Payer: Mclaren Medicaid |
$301.33
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$181.83
|
| Rate for Payer: Meridian Medicaid |
$316.42
|
| Rate for Payer: MI Amish Medical Board Commercial |
$199.15
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$588.79
|
| Rate for Payer: Nomi Health Commercial |
$568.01
|
| Rate for Payer: PACE Senior Care Partners |
$164.52
|
| Rate for Payer: PACE SWMI |
$173.18
|
| Rate for Payer: PHP Commercial |
$588.79
|
| Rate for Payer: PHP Medicare Advantage |
$173.18
|
| Rate for Payer: Priority Health Choice Medicaid |
$301.33
|
| Rate for Payer: Priority Health Cigna Priority Health |
$450.25
|
| Rate for Payer: Priority Health HMO/PPO |
$602.65
|
| Rate for Payer: Priority Health Medicare |
$174.91
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$464.11
|
| Rate for Payer: Railroad Medicare Medicare |
$173.18
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$609.58
|
| Rate for Payer: UHC Core |
$578.40
|
| Rate for Payer: UHC Dual Complete DSNP |
$173.18
|
| Rate for Payer: UHC Exchange |
$173.18
|
| Rate for Payer: UHC Medicare Advantage |
$173.18
|
| Rate for Payer: UHCCP Medicaid |
$301.33
|
| Rate for Payer: VA VA |
$173.18
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$519.52
|
|
|
HC ZB5CG RESPIRATORY VIRAL PANEL 12-25 TARGETS
|
Facility
|
OP
|
$622.69
|
|
|
Service Code
|
CPT 87633
|
| Hospital Charge Code |
30600205
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$147.89 |
| Max. Negotiated Rate |
$560.42 |
| Rate for Payer: Aetna Commercial |
$529.29
|
| Rate for Payer: Aetna Medicare |
$161.90
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$194.59
|
| Rate for Payer: Amish Plain Church Group Commercial |
$194.59
|
| Rate for Payer: BCBS Complete |
$316.42
|
| Rate for Payer: BCBS MAPPO |
$155.67
|
| Rate for Payer: BCBS Trust/PPO |
$511.91
|
| Rate for Payer: BCN Commercial |
$484.14
|
| Rate for Payer: BCN Medicare Advantage |
$155.67
|
| Rate for Payer: Cash Price |
$498.15
|
| Rate for Payer: Cash Price |
$498.15
|
| Rate for Payer: Cofinity Commercial |
$535.51
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$498.15
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$155.67
|
| Rate for Payer: Healthscope Commercial |
$560.42
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$467.02
|
| Rate for Payer: Mclaren Medicaid |
$301.33
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$163.46
|
| Rate for Payer: Meridian Medicaid |
$316.42
|
| Rate for Payer: MI Amish Medical Board Commercial |
$179.02
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$529.29
|
| Rate for Payer: Nomi Health Commercial |
$510.61
|
| Rate for Payer: PACE Senior Care Partners |
$147.89
|
| Rate for Payer: PACE SWMI |
$155.67
|
| Rate for Payer: PHP Commercial |
$529.29
|
| Rate for Payer: PHP Medicare Advantage |
$155.67
|
| Rate for Payer: Priority Health Choice Medicaid |
$301.33
|
| Rate for Payer: Priority Health Cigna Priority Health |
$404.75
|
| Rate for Payer: Priority Health HMO/PPO |
$541.74
|
| Rate for Payer: Priority Health Medicare |
$157.23
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$417.20
|
| Rate for Payer: Railroad Medicare Medicare |
$155.67
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$547.97
|
| Rate for Payer: UHC Core |
$519.95
|
| Rate for Payer: UHC Dual Complete DSNP |
$155.67
|
| Rate for Payer: UHC Exchange |
$155.67
|
| Rate for Payer: UHC Medicare Advantage |
$155.67
|
| Rate for Payer: UHCCP Medicaid |
$301.33
|
| Rate for Payer: VA VA |
$155.67
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$467.02
|
|
|
HC ZB5CG RESPIRATORY VIRAL PANEL 12-25 TARGETS
|
Facility
|
IP
|
$622.69
|
|
|
Service Code
|
CPT 87633
|
| Hospital Charge Code |
30600205
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$404.75 |
| Max. Negotiated Rate |
$560.42 |
| Rate for Payer: Aetna Commercial |
$529.29
|
| Rate for Payer: BCBS Trust/PPO |
$508.30
|
| Rate for Payer: BCN Commercial |
$481.21
|
| Rate for Payer: Cash Price |
$498.15
|
| Rate for Payer: Cofinity Commercial |
$535.51
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$498.15
|
| Rate for Payer: Healthscope Commercial |
$560.42
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$467.02
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$529.29
|
| Rate for Payer: Nomi Health Commercial |
$510.61
|
| Rate for Payer: PHP Commercial |
$529.29
|
| Rate for Payer: Priority Health Cigna Priority Health |
$404.75
|
| Rate for Payer: Priority Health HMO/PPO |
$541.74
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$417.20
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$547.97
|
| Rate for Payer: UHC Core |
$519.95
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$467.02
|
|
