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Service Code NDC 0904-6565-61
Hospital Charge Code 13133
Hospital Revenue Code 637
Min. Negotiated Rate $297.14
Max. Negotiated Rate $438.48
Rate for Payer: Aetna Commercial $414.12
Rate for Payer: BCBS Trust/PPO $376.51
Rate for Payer: BCN Commercial $376.51
Rate for Payer: Cash Price $389.76
Rate for Payer: Cofinity Commercial $418.99
Rate for Payer: Encore Health Key Benefits Commercial $389.76
Rate for Payer: Healthscope Commercial $438.48
Rate for Payer: Lakeland Regional Health Systems Commercial $365.40
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS $414.12
Rate for Payer: PHP Commercial $414.12
Rate for Payer: Priority Health Cigna Priority Health $341.04
Rate for Payer: Priority Health HMO/PPO/Tiered Network $423.86
Rate for Payer: Priority Health Narrow/Tiered Network $297.14
Rate for Payer: UHC All Payor (Choice/PPO) $428.74
Rate for Payer: UHC Core $406.81
Rate for Payer: Van Buren County Sheriff Dept. Commercial $365.40
Service Code NDC 59746-324-30
Hospital Charge Code 13133
Hospital Revenue Code 637
Min. Negotiated Rate $46.82
Max. Negotiated Rate $69.08
Rate for Payer: Aetna Commercial $65.25
Rate for Payer: BCBS Trust/PPO $59.32
Rate for Payer: BCN Commercial $59.32
Rate for Payer: Cash Price $61.41
Rate for Payer: Cofinity Commercial $66.01
Rate for Payer: Encore Health Key Benefits Commercial $61.41
Rate for Payer: Healthscope Commercial $69.08
Rate for Payer: Lakeland Regional Health Systems Commercial $57.57
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS $65.25
Rate for Payer: PHP Commercial $65.25
Rate for Payer: Priority Health Cigna Priority Health $53.73
Rate for Payer: Priority Health HMO/PPO/Tiered Network $66.78
Rate for Payer: Priority Health Narrow/Tiered Network $46.82
Rate for Payer: UHC All Payor (Choice/PPO) $67.55
Rate for Payer: UHC Core $64.09
Rate for Payer: Van Buren County Sheriff Dept. Commercial $57.57
Service Code NDC 0143-9637-01
Hospital Charge Code 20887
Hospital Revenue Code 250
Min. Negotiated Rate $9.86
Max. Negotiated Rate $14.55
Rate for Payer: Aetna Commercial $13.74
Rate for Payer: BCBS Trust/PPO $12.50
Rate for Payer: BCN Commercial $12.50
Rate for Payer: Cash Price $12.94
Rate for Payer: Cofinity Commercial $13.91
Rate for Payer: Encore Health Key Benefits Commercial $12.94
Rate for Payer: Healthscope Commercial $14.55
Rate for Payer: Lakeland Regional Health Systems Commercial $12.13
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS $13.74
Rate for Payer: PHP Commercial $13.74
Rate for Payer: Priority Health Cigna Priority Health $11.32
Rate for Payer: Priority Health HMO/PPO/Tiered Network $14.07
Rate for Payer: Priority Health Narrow/Tiered Network $9.86
Rate for Payer: UHC All Payor (Choice/PPO) $14.23
Rate for Payer: UHC Core $13.50
Rate for Payer: Van Buren County Sheriff Dept. Commercial $12.13
Service Code NDC 0143-9637-10
Hospital Charge Code 20887
Hospital Revenue Code 250
Min. Negotiated Rate $9.86
Max. Negotiated Rate $14.55
Rate for Payer: Aetna Commercial $13.74
Rate for Payer: BCBS Trust/PPO $12.50
Rate for Payer: BCN Commercial $12.50
Rate for Payer: Cash Price $12.94
Rate for Payer: Cofinity Commercial $13.91
Rate for Payer: Encore Health Key Benefits Commercial $12.94
Rate for Payer: Healthscope Commercial $14.55
Rate for Payer: Lakeland Regional Health Systems Commercial $12.13
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS $13.74
Rate for Payer: PHP Commercial $13.74
Rate for Payer: Priority Health Cigna Priority Health $11.32
Rate for Payer: Priority Health HMO/PPO/Tiered Network $14.07
Rate for Payer: Priority Health Narrow/Tiered Network $9.86
Rate for Payer: UHC All Payor (Choice/PPO) $14.23
Rate for Payer: UHC Core $13.50
Rate for Payer: Van Buren County Sheriff Dept. Commercial $12.13
Service Code NDC 68094-193-59
Hospital Charge Code 150931
Hospital Revenue Code 637
Min. Negotiated Rate $2.35
Max. Negotiated Rate $3.46
Rate for Payer: Aetna Commercial $3.27
Rate for Payer: BCBS Trust/PPO $2.98
Rate for Payer: BCN Commercial $2.98
Rate for Payer: Cash Price $3.08
Rate for Payer: Cofinity Commercial $3.31
Rate for Payer: Encore Health Key Benefits Commercial $3.08
Rate for Payer: Healthscope Commercial $3.46
Rate for Payer: Lakeland Regional Health Systems Commercial $2.89
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS $3.27
Rate for Payer: PHP Commercial $3.27
Rate for Payer: Priority Health Cigna Priority Health $2.70
Rate for Payer: Priority Health HMO/PPO/Tiered Network $3.35
Rate for Payer: Priority Health Narrow/Tiered Network $2.35
Rate for Payer: UHC All Payor (Choice/PPO) $3.39
Rate for Payer: UHC Core $3.21
Rate for Payer: Van Buren County Sheriff Dept. Commercial $2.89
Service Code NDC 0121-4675-05
Hospital Charge Code 150931
Hospital Revenue Code 637
Min. Negotiated Rate $3.40
Max. Negotiated Rate $5.01
Rate for Payer: Aetna Commercial $4.73
Rate for Payer: BCBS Trust/PPO $4.30
Rate for Payer: BCN Commercial $4.30
Rate for Payer: Cash Price $4.46
Rate for Payer: Cofinity Commercial $4.79
Rate for Payer: Encore Health Key Benefits Commercial $4.46
Rate for Payer: Healthscope Commercial $5.01
Rate for Payer: Lakeland Regional Health Systems Commercial $4.18
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS $4.73
Rate for Payer: PHP Commercial $4.73
Rate for Payer: Priority Health Cigna Priority Health $3.90
Rate for Payer: Priority Health HMO/PPO/Tiered Network $4.85
Rate for Payer: Priority Health Narrow/Tiered Network $3.40
Rate for Payer: UHC All Payor (Choice/PPO) $4.90
Rate for Payer: UHC Core $4.65
Rate for Payer: Van Buren County Sheriff Dept. Commercial $4.18
Service Code NDC 0121-4675-00
Hospital Charge Code 150931
Hospital Revenue Code 637
Min. Negotiated Rate $3.40
Max. Negotiated Rate $5.01
Rate for Payer: Aetna Commercial $4.73
Rate for Payer: BCBS Trust/PPO $4.30
Rate for Payer: BCN Commercial $4.30
Rate for Payer: Cash Price $4.46
Rate for Payer: Cofinity Commercial $4.79
Rate for Payer: Encore Health Key Benefits Commercial $4.46
Rate for Payer: Healthscope Commercial $5.01
Rate for Payer: Lakeland Regional Health Systems Commercial $4.18
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS $4.73
Rate for Payer: PHP Commercial $4.73
Rate for Payer: Priority Health Cigna Priority Health $3.90
Rate for Payer: Priority Health HMO/PPO/Tiered Network $4.85
Rate for Payer: Priority Health Narrow/Tiered Network $3.40
Rate for Payer: UHC All Payor (Choice/PPO) $4.90
Rate for Payer: UHC Core $4.65
Rate for Payer: Van Buren County Sheriff Dept. Commercial $4.18
Service Code NDC 0078-0359-34
Hospital Charge Code 31210
Hospital Revenue Code 637
Min. Negotiated Rate $1,840.87
Max. Negotiated Rate $2,716.49
Rate for Payer: Aetna Commercial $2,565.57
Rate for Payer: BCBS Trust/PPO $2,332.56
Rate for Payer: BCN Commercial $2,332.56
Rate for Payer: Cash Price $2,414.66
Rate for Payer: Cofinity Commercial $2,595.76
Rate for Payer: Encore Health Key Benefits Commercial $2,414.66
Rate for Payer: Healthscope Commercial $2,716.49
Rate for Payer: Lakeland Regional Health Systems Commercial $2,263.74
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS $2,565.57
Rate for Payer: PHP Commercial $2,565.57
Rate for Payer: Priority Health Cigna Priority Health $2,112.82
Rate for Payer: Priority Health HMO/PPO/Tiered Network $2,625.94
Rate for Payer: Priority Health Narrow/Tiered Network $1,840.87
Rate for Payer: UHC All Payor (Choice/PPO) $2,656.12
Rate for Payer: UHC Core $2,520.30
Rate for Payer: Van Buren County Sheriff Dept. Commercial $2,263.74
Service Code NDC 65862-572-90
Hospital Charge Code 31210
Hospital Revenue Code 637
Min. Negotiated Rate $142.36
Max. Negotiated Rate $210.08
Rate for Payer: Aetna Commercial $198.41
Rate for Payer: BCBS Trust/PPO $180.39
Rate for Payer: BCN Commercial $180.39
Rate for Payer: Cash Price $186.74
Rate for Payer: Cofinity Commercial $200.74
Rate for Payer: Encore Health Key Benefits Commercial $186.74
Rate for Payer: Healthscope Commercial $210.08
Rate for Payer: Lakeland Regional Health Systems Commercial $175.06
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS $198.41
Rate for Payer: PHP Commercial $198.41
Rate for Payer: Priority Health Cigna Priority Health $163.39
Rate for Payer: Priority Health HMO/PPO/Tiered Network $203.08
Rate for Payer: Priority Health Narrow/Tiered Network $142.36
Rate for Payer: UHC All Payor (Choice/PPO) $205.41
Rate for Payer: UHC Core $194.91
Rate for Payer: Van Buren County Sheriff Dept. Commercial $175.06
Service Code NDC 60687-634-11
Hospital Charge Code 31210
Hospital Revenue Code 637
Min. Negotiated Rate $3.25
Max. Negotiated Rate $4.80
Rate for Payer: Aetna Commercial $4.53
Rate for Payer: BCBS Trust/PPO $4.12
Rate for Payer: BCN Commercial $4.12
Rate for Payer: Cash Price $4.26
Rate for Payer: Cofinity Commercial $4.58
Rate for Payer: Encore Health Key Benefits Commercial $4.26
Rate for Payer: Healthscope Commercial $4.80
Rate for Payer: Lakeland Regional Health Systems Commercial $4.00
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS $4.53
Rate for Payer: PHP Commercial $4.53
Rate for Payer: Priority Health Cigna Priority Health $3.73
Rate for Payer: Priority Health HMO/PPO/Tiered Network $4.64
Rate for Payer: Priority Health Narrow/Tiered Network $3.25
Rate for Payer: UHC All Payor (Choice/PPO) $4.69
Rate for Payer: UHC Core $4.45
Rate for Payer: Van Buren County Sheriff Dept. Commercial $4.00
Service Code NDC 60687-634-01
Hospital Charge Code 31210
Hospital Revenue Code 637
Min. Negotiated Rate $324.66
Max. Negotiated Rate $479.09
Rate for Payer: Aetna Commercial $452.47
Rate for Payer: BCBS Trust/PPO $411.38
Rate for Payer: BCN Commercial $411.38
Rate for Payer: Cash Price $425.86
Rate for Payer: Cofinity Commercial $457.80
Rate for Payer: Encore Health Key Benefits Commercial $425.86
Rate for Payer: Healthscope Commercial $479.09
Rate for Payer: Lakeland Regional Health Systems Commercial $399.24
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS $452.47
Rate for Payer: PHP Commercial $452.47
Rate for Payer: Priority Health Cigna Priority Health $372.62
Rate for Payer: Priority Health HMO/PPO/Tiered Network $463.12
Rate for Payer: Priority Health Narrow/Tiered Network $324.66
Rate for Payer: UHC All Payor (Choice/PPO) $468.44
Rate for Payer: UHC Core $444.49
Rate for Payer: Van Buren County Sheriff Dept. Commercial $399.24
Service Code NDC 0078-0423-15
Hospital Charge Code 33541
Hospital Revenue Code 637
Min. Negotiated Rate $477.35
Max. Negotiated Rate $704.40
Rate for Payer: Aetna Commercial $665.27
Rate for Payer: BCBS Trust/PPO $604.85
Rate for Payer: BCN Commercial $604.85
Rate for Payer: Cash Price $626.14
Rate for Payer: Cofinity Commercial $673.10
Rate for Payer: Encore Health Key Benefits Commercial $626.14
Rate for Payer: Healthscope Commercial $704.40
Rate for Payer: Lakeland Regional Health Systems Commercial $587.00
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS $665.27
Rate for Payer: PHP Commercial $665.27
Rate for Payer: Priority Health Cigna Priority Health $547.87
Rate for Payer: Priority Health HMO/PPO/Tiered Network $680.92
Rate for Payer: Priority Health Narrow/Tiered Network $477.35
Rate for Payer: UHC All Payor (Choice/PPO) $688.75
Rate for Payer: UHC Core $653.53
Rate for Payer: Van Buren County Sheriff Dept. Commercial $587.00
Service Code NDC 60687-612-21
Hospital Charge Code 33541
Hospital Revenue Code 637
Min. Negotiated Rate $68.06
Max. Negotiated Rate $100.44
Rate for Payer: Aetna Commercial $94.86
Rate for Payer: BCBS Trust/PPO $86.24
Rate for Payer: BCN Commercial $86.24
Rate for Payer: Cash Price $89.28
Rate for Payer: Cofinity Commercial $95.98
Rate for Payer: Encore Health Key Benefits Commercial $89.28
Rate for Payer: Healthscope Commercial $100.44
Rate for Payer: Lakeland Regional Health Systems Commercial $83.70
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS $94.86
Rate for Payer: PHP Commercial $94.86
Rate for Payer: Priority Health Cigna Priority Health $78.12
Rate for Payer: Priority Health HMO/PPO/Tiered Network $97.09
Rate for Payer: Priority Health Narrow/Tiered Network $68.06
Rate for Payer: UHC All Payor (Choice/PPO) $98.21
Rate for Payer: UHC Core $93.19
Rate for Payer: Van Buren County Sheriff Dept. Commercial $83.70
Service Code NDC 0378-5807-93
Hospital Charge Code 33541
Hospital Revenue Code 637
Min. Negotiated Rate $43.11
Max. Negotiated Rate $63.61
Rate for Payer: Aetna Commercial $60.08
Rate for Payer: BCBS Trust/PPO $54.62
Rate for Payer: BCN Commercial $54.62
Rate for Payer: Cash Price $56.54
Rate for Payer: Cofinity Commercial $60.78
Rate for Payer: Encore Health Key Benefits Commercial $56.54
Rate for Payer: Healthscope Commercial $63.61
Rate for Payer: Lakeland Regional Health Systems Commercial $53.01
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS $60.08
Rate for Payer: PHP Commercial $60.08
Rate for Payer: Priority Health Cigna Priority Health $49.48
Rate for Payer: Priority Health HMO/PPO/Tiered Network $61.49
Rate for Payer: Priority Health Narrow/Tiered Network $43.11
Rate for Payer: UHC All Payor (Choice/PPO) $62.20
Rate for Payer: UHC Core $59.02
Rate for Payer: Van Buren County Sheriff Dept. Commercial $53.01
Service Code NDC 60687-612-11
Hospital Charge Code 33541
Hospital Revenue Code 637
Min. Negotiated Rate $2.27
Max. Negotiated Rate $3.35
Rate for Payer: Aetna Commercial $3.16
Rate for Payer: BCBS Trust/PPO $2.87
Rate for Payer: BCN Commercial $2.87
Rate for Payer: Cash Price $2.98
Rate for Payer: Cofinity Commercial $3.20
Rate for Payer: Encore Health Key Benefits Commercial $2.98
Rate for Payer: Healthscope Commercial $3.35
Rate for Payer: Lakeland Regional Health Systems Commercial $2.79
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS $3.16
Rate for Payer: PHP Commercial $3.16
Rate for Payer: Priority Health Cigna Priority Health $2.60
Rate for Payer: Priority Health HMO/PPO/Tiered Network $3.24
Rate for Payer: Priority Health Narrow/Tiered Network $2.27
Rate for Payer: UHC All Payor (Choice/PPO) $3.27
Rate for Payer: UHC Core $3.11
Rate for Payer: Van Buren County Sheriff Dept. Commercial $2.79
Service Code HCPCS J3370
Hospital Charge Code 8442
Hospital Revenue Code 636
Min. Negotiated Rate $11.31
Max. Negotiated Rate $16.69
Rate for Payer: Aetna Commercial $15.76
Rate for Payer: Aetna Commercial $26.38
Rate for Payer: Aetna Commercial $15.00
Rate for Payer: Aetna Commercial $14.64
Rate for Payer: Aetna Commercial $14.81
Rate for Payer: Aetna Commercial $20.09
Rate for Payer: Aetna Commercial $16.42
Rate for Payer: BCBS Trust/PPO $23.99
Rate for Payer: BCBS Trust/PPO $14.93
Rate for Payer: BCBS Trust/PPO $13.46
Rate for Payer: BCBS Trust/PPO $13.31
Rate for Payer: BCBS Trust/PPO $13.64
Rate for Payer: BCBS Trust/PPO $14.33
Rate for Payer: BCBS Trust/PPO $18.26
Rate for Payer: BCN Commercial $13.64
Rate for Payer: BCN Commercial $13.31
Rate for Payer: BCN Commercial $23.99
Rate for Payer: BCN Commercial $18.26
Rate for Payer: BCN Commercial $14.93
Rate for Payer: BCN Commercial $13.46
Rate for Payer: BCN Commercial $14.33
Rate for Payer: Cash Price $15.46
Rate for Payer: Cash Price $14.83
Rate for Payer: Cash Price $13.78
Rate for Payer: Cash Price $18.90
Rate for Payer: Cash Price $24.83
Rate for Payer: Cash Price $14.12
Rate for Payer: Cash Price $13.94
Rate for Payer: Cofinity Commercial $14.98
Rate for Payer: Cofinity Commercial $14.81
Rate for Payer: Cofinity Commercial $15.18
Rate for Payer: Cofinity Commercial $15.94
Rate for Payer: Cofinity Commercial $16.62
Rate for Payer: Cofinity Commercial $20.32
Rate for Payer: Cofinity Commercial $26.69
Rate for Payer: Encore Health Key Benefits Commercial $24.83
Rate for Payer: Encore Health Key Benefits Commercial $13.94
Rate for Payer: Encore Health Key Benefits Commercial $14.83
Rate for Payer: Encore Health Key Benefits Commercial $18.90
Rate for Payer: Encore Health Key Benefits Commercial $13.78
Rate for Payer: Encore Health Key Benefits Commercial $14.12
Rate for Payer: Encore Health Key Benefits Commercial $15.46
Rate for Payer: Healthscope Commercial $15.50
Rate for Payer: Healthscope Commercial $15.68
Rate for Payer: Healthscope Commercial $21.27
Rate for Payer: Healthscope Commercial $16.69
Rate for Payer: Healthscope Commercial $15.88
Rate for Payer: Healthscope Commercial $27.94
Rate for Payer: Healthscope Commercial $17.39
Rate for Payer: Lakeland Regional Health Systems Commercial $14.49
Rate for Payer: Lakeland Regional Health Systems Commercial $12.92
Rate for Payer: Lakeland Regional Health Systems Commercial $17.72
Rate for Payer: Lakeland Regional Health Systems Commercial $23.28
Rate for Payer: Lakeland Regional Health Systems Commercial $13.06
Rate for Payer: Lakeland Regional Health Systems Commercial $13.90
Rate for Payer: Lakeland Regional Health Systems Commercial $13.24
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS $15.76
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS $20.09
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS $15.00
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS $26.38
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS $14.64
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS $14.81
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS $16.42
Rate for Payer: PHP Commercial $26.38
Rate for Payer: PHP Commercial $15.00
Rate for Payer: PHP Commercial $14.81
Rate for Payer: PHP Commercial $15.76
Rate for Payer: PHP Commercial $16.42
Rate for Payer: PHP Commercial $14.64
Rate for Payer: PHP Commercial $20.09
Rate for Payer: Priority Health Cigna Priority Health $12.98
Rate for Payer: Priority Health Cigna Priority Health $12.05
Rate for Payer: Priority Health Cigna Priority Health $16.54
Rate for Payer: Priority Health Cigna Priority Health $21.73
Rate for Payer: Priority Health Cigna Priority Health $13.52
Rate for Payer: Priority Health Cigna Priority Health $12.36
Rate for Payer: Priority Health Cigna Priority Health $12.19
Rate for Payer: Priority Health HMO/PPO/Tiered Network $15.16
Rate for Payer: Priority Health HMO/PPO/Tiered Network $16.81
Rate for Payer: Priority Health HMO/PPO/Tiered Network $14.98
Rate for Payer: Priority Health HMO/PPO/Tiered Network $27.00
Rate for Payer: Priority Health HMO/PPO/Tiered Network $16.13
Rate for Payer: Priority Health HMO/PPO/Tiered Network $20.56
Rate for Payer: Priority Health HMO/PPO/Tiered Network $15.36
Rate for Payer: Priority Health Narrow/Tiered Network $11.78
Rate for Payer: Priority Health Narrow/Tiered Network $14.41
Rate for Payer: Priority Health Narrow/Tiered Network $10.50
Rate for Payer: Priority Health Narrow/Tiered Network $11.31
Rate for Payer: Priority Health Narrow/Tiered Network $18.93
Rate for Payer: Priority Health Narrow/Tiered Network $10.76
Rate for Payer: Priority Health Narrow/Tiered Network $10.62
Rate for Payer: UHC All Payor (Choice/PPO) $15.15
Rate for Payer: UHC All Payor (Choice/PPO) $17.00
Rate for Payer: UHC All Payor (Choice/PPO) $16.32
Rate for Payer: UHC All Payor (Choice/PPO) $15.33
Rate for Payer: UHC All Payor (Choice/PPO) $20.79
Rate for Payer: UHC All Payor (Choice/PPO) $15.53
Rate for Payer: UHC All Payor (Choice/PPO) $27.32
Rate for Payer: UHC Core $15.48
Rate for Payer: UHC Core $25.92
Rate for Payer: UHC Core $19.73
Rate for Payer: UHC Core $14.74
Rate for Payer: UHC Core $14.55
Rate for Payer: UHC Core $16.13
Rate for Payer: UHC Core $14.38
Rate for Payer: Van Buren County Sheriff Dept. Commercial $13.24
Rate for Payer: Van Buren County Sheriff Dept. Commercial $13.90
Rate for Payer: Van Buren County Sheriff Dept. Commercial $12.92
Rate for Payer: Van Buren County Sheriff Dept. Commercial $14.49
Rate for Payer: Van Buren County Sheriff Dept. Commercial $13.06
Rate for Payer: Van Buren County Sheriff Dept. Commercial $17.72
Rate for Payer: Van Buren County Sheriff Dept. Commercial $23.28
Service Code HCPCS J3372
Hospital Charge Code 194729
Hospital Revenue Code 636
Min. Negotiated Rate $42.07
Max. Negotiated Rate $62.08
Rate for Payer: Aetna Commercial $58.63
Rate for Payer: BCBS Trust/PPO $53.31
Rate for Payer: BCN Commercial $53.31
Rate for Payer: Cash Price $55.18
Rate for Payer: Cofinity Commercial $59.32
Rate for Payer: Encore Health Key Benefits Commercial $55.18
Rate for Payer: Healthscope Commercial $62.08
Rate for Payer: Lakeland Regional Health Systems Commercial $51.74
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS $58.63
Rate for Payer: PHP Commercial $58.63
Rate for Payer: Priority Health Cigna Priority Health $48.29
Rate for Payer: Priority Health HMO/PPO/Tiered Network $60.01
Rate for Payer: Priority Health Narrow/Tiered Network $42.07
Rate for Payer: UHC All Payor (Choice/PPO) $60.70
Rate for Payer: UHC Core $57.60
Rate for Payer: Van Buren County Sheriff Dept. Commercial $51.74
Service Code NDC 0121-0867-20
Hospital Charge Code 11628
Hospital Revenue Code 637
Min. Negotiated Rate $73.31
Max. Negotiated Rate $108.18
Rate for Payer: Aetna Commercial $102.17
Rate for Payer: BCBS Trust/PPO $92.89
Rate for Payer: BCN Commercial $92.89
Rate for Payer: Cash Price $96.16
Rate for Payer: Cofinity Commercial $103.37
Rate for Payer: Encore Health Key Benefits Commercial $96.16
Rate for Payer: Healthscope Commercial $108.18
Rate for Payer: Lakeland Regional Health Systems Commercial $90.15
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS $102.17
Rate for Payer: PHP Commercial $102.17
Rate for Payer: Priority Health Cigna Priority Health $84.14
Rate for Payer: Priority Health HMO/PPO/Tiered Network $104.57
Rate for Payer: Priority Health Narrow/Tiered Network $73.31
Rate for Payer: UHC All Payor (Choice/PPO) $105.78
Rate for Payer: UHC Core $100.37
Rate for Payer: Van Buren County Sheriff Dept. Commercial $90.15
Service Code HCPCS J3372
Hospital Charge Code 189877
Hospital Revenue Code 636
Min. Negotiated Rate $50.48
Max. Negotiated Rate $74.49
Rate for Payer: Aetna Commercial $70.35
Rate for Payer: BCBS Trust/PPO $63.96
Rate for Payer: BCN Commercial $63.96
Rate for Payer: Cash Price $66.22
Rate for Payer: Cofinity Commercial $71.18
Rate for Payer: Encore Health Key Benefits Commercial $66.22
Rate for Payer: Healthscope Commercial $74.49
Rate for Payer: Lakeland Regional Health Systems Commercial $62.08
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS $70.35
Rate for Payer: PHP Commercial $70.35
Rate for Payer: Priority Health Cigna Priority Health $57.94
Rate for Payer: Priority Health HMO/PPO/Tiered Network $72.01
Rate for Payer: Priority Health Narrow/Tiered Network $50.48
Rate for Payer: UHC All Payor (Choice/PPO) $72.84
Rate for Payer: UHC Core $69.11
Rate for Payer: Van Buren County Sheriff Dept. Commercial $62.08
Service Code HCPCS J3370
Hospital Charge Code 189183
Hospital Revenue Code 636
Min. Negotiated Rate $31.33
Max. Negotiated Rate $46.23
Rate for Payer: Aetna Commercial $43.66
Rate for Payer: BCBS Trust/PPO $39.70
Rate for Payer: BCN Commercial $39.70
Rate for Payer: Cash Price $41.10
Rate for Payer: Cofinity Commercial $44.18
Rate for Payer: Encore Health Key Benefits Commercial $41.10
Rate for Payer: Healthscope Commercial $46.23
Rate for Payer: Lakeland Regional Health Systems Commercial $38.53
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS $43.66
Rate for Payer: PHP Commercial $43.66
Rate for Payer: Priority Health Cigna Priority Health $35.96
Rate for Payer: Priority Health HMO/PPO/Tiered Network $44.69
Rate for Payer: Priority Health Narrow/Tiered Network $31.33
Rate for Payer: UHC All Payor (Choice/PPO) $45.21
Rate for Payer: UHC Core $42.89
Rate for Payer: Van Buren County Sheriff Dept. Commercial $38.53
Service Code HCPCS J3370
Hospital Charge Code 154997
Hospital Revenue Code 636
Min. Negotiated Rate $11.78
Max. Negotiated Rate $17.39
Rate for Payer: Aetna Commercial $16.42
Rate for Payer: BCBS Trust/PPO $14.93
Rate for Payer: BCN Commercial $14.93
Rate for Payer: Cash Price $15.46
Rate for Payer: Cofinity Commercial $16.62
Rate for Payer: Encore Health Key Benefits Commercial $15.46
Rate for Payer: Healthscope Commercial $17.39
Rate for Payer: Lakeland Regional Health Systems Commercial $14.49
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS $16.42
Rate for Payer: PHP Commercial $16.42
Rate for Payer: Priority Health Cigna Priority Health $13.52
Rate for Payer: Priority Health HMO/PPO/Tiered Network $16.81
Rate for Payer: Priority Health Narrow/Tiered Network $11.78
Rate for Payer: UHC All Payor (Choice/PPO) $17.00
Rate for Payer: UHC Core $16.13
Rate for Payer: Van Buren County Sheriff Dept. Commercial $14.49
Service Code HCPCS J3372
Hospital Charge Code 189876
Hospital Revenue Code 636
Min. Negotiated Rate $33.65
Max. Negotiated Rate $49.66
Rate for Payer: Aetna Commercial $46.90
Rate for Payer: BCBS Trust/PPO $42.64
Rate for Payer: BCN Commercial $42.64
Rate for Payer: Cash Price $44.14
Rate for Payer: Cofinity Commercial $47.45
Rate for Payer: Encore Health Key Benefits Commercial $44.14
Rate for Payer: Healthscope Commercial $49.66
Rate for Payer: Lakeland Regional Health Systems Commercial $41.38
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS $46.90
Rate for Payer: PHP Commercial $46.90
Rate for Payer: Priority Health Cigna Priority Health $38.63
Rate for Payer: Priority Health HMO/PPO/Tiered Network $48.01
Rate for Payer: Priority Health Narrow/Tiered Network $33.65
Rate for Payer: UHC All Payor (Choice/PPO) $48.56
Rate for Payer: UHC Core $46.08
Rate for Payer: Van Buren County Sheriff Dept. Commercial $41.38
Service Code NDC 0009-0003-00
Hospital Charge Code 500529
Hospital Revenue Code 250
Min. Negotiated Rate $51.66
Max. Negotiated Rate $76.23
Rate for Payer: Aetna Commercial $72.00
Rate for Payer: BCBS Trust/PPO $65.46
Rate for Payer: BCN Commercial $65.46
Rate for Payer: Cash Price $67.76
Rate for Payer: Cofinity Commercial $72.84
Rate for Payer: Encore Health Key Benefits Commercial $67.76
Rate for Payer: Healthscope Commercial $76.23
Rate for Payer: Lakeland Regional Health Systems Commercial $63.52
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS $72.00
Rate for Payer: PHP Commercial $72.00
Rate for Payer: Priority Health Cigna Priority Health $59.29
Rate for Payer: Priority Health HMO/PPO/Tiered Network $73.69
Rate for Payer: Priority Health Narrow/Tiered Network $51.66
Rate for Payer: UHC All Payor (Choice/PPO) $74.54
Rate for Payer: UHC Core $70.72
Rate for Payer: Van Buren County Sheriff Dept. Commercial $63.52
Service Code HCPCS J3372
Hospital Charge Code 191707
Hospital Revenue Code 636
Min. Negotiated Rate $16.83
Max. Negotiated Rate $24.83
Rate for Payer: Aetna Commercial $23.45
Rate for Payer: BCBS Trust/PPO $21.32
Rate for Payer: BCN Commercial $21.32
Rate for Payer: Cash Price $22.07
Rate for Payer: Cofinity Commercial $23.73
Rate for Payer: Encore Health Key Benefits Commercial $22.07
Rate for Payer: Healthscope Commercial $24.83
Rate for Payer: Lakeland Regional Health Systems Commercial $20.69
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS $23.45
Rate for Payer: PHP Commercial $23.45
Rate for Payer: Priority Health Cigna Priority Health $19.31
Rate for Payer: Priority Health HMO/PPO/Tiered Network $24.00
Rate for Payer: Priority Health Narrow/Tiered Network $16.83
Rate for Payer: UHC All Payor (Choice/PPO) $24.28
Rate for Payer: UHC Core $23.04
Rate for Payer: Van Buren County Sheriff Dept. Commercial $20.69
Service Code HCPCS J3370
Hospital Charge Code 8443
Hospital Revenue Code 636
Min. Negotiated Rate $9.87
Max. Negotiated Rate $14.56
Rate for Payer: Aetna Commercial $13.75
Rate for Payer: Aetna Commercial $22.24
Rate for Payer: Aetna Commercial $14.64
Rate for Payer: Aetna Commercial $24.65
Rate for Payer: BCBS Trust/PPO $22.41
Rate for Payer: BCBS Trust/PPO $12.50
Rate for Payer: BCBS Trust/PPO $13.31
Rate for Payer: BCBS Trust/PPO $20.22
Rate for Payer: BCN Commercial $12.50
Rate for Payer: BCN Commercial $13.31
Rate for Payer: BCN Commercial $20.22
Rate for Payer: BCN Commercial $22.41
Rate for Payer: Cash Price $23.20
Rate for Payer: Cash Price $20.93
Rate for Payer: Cash Price $12.94
Rate for Payer: Cash Price $13.78
Rate for Payer: Cofinity Commercial $24.94
Rate for Payer: Cofinity Commercial $13.91
Rate for Payer: Cofinity Commercial $14.81
Rate for Payer: Cofinity Commercial $22.50
Rate for Payer: Encore Health Key Benefits Commercial $12.94
Rate for Payer: Encore Health Key Benefits Commercial $20.93
Rate for Payer: Encore Health Key Benefits Commercial $13.78
Rate for Payer: Encore Health Key Benefits Commercial $23.20
Rate for Payer: Healthscope Commercial $26.10
Rate for Payer: Healthscope Commercial $14.56
Rate for Payer: Healthscope Commercial $15.50
Rate for Payer: Healthscope Commercial $23.54
Rate for Payer: Lakeland Regional Health Systems Commercial $12.92
Rate for Payer: Lakeland Regional Health Systems Commercial $19.62
Rate for Payer: Lakeland Regional Health Systems Commercial $21.75
Rate for Payer: Lakeland Regional Health Systems Commercial $12.14
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS $14.64
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS $22.24
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS $24.65
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS $13.75
Rate for Payer: PHP Commercial $22.24
Rate for Payer: PHP Commercial $14.64
Rate for Payer: PHP Commercial $24.65
Rate for Payer: PHP Commercial $13.75
Rate for Payer: Priority Health Cigna Priority Health $11.33
Rate for Payer: Priority Health Cigna Priority Health $20.30
Rate for Payer: Priority Health Cigna Priority Health $12.05
Rate for Payer: Priority Health Cigna Priority Health $18.31
Rate for Payer: Priority Health HMO/PPO/Tiered Network $25.23
Rate for Payer: Priority Health HMO/PPO/Tiered Network $22.76
Rate for Payer: Priority Health HMO/PPO/Tiered Network $14.98
Rate for Payer: Priority Health HMO/PPO/Tiered Network $14.08
Rate for Payer: Priority Health Narrow/Tiered Network $17.69
Rate for Payer: Priority Health Narrow/Tiered Network $15.95
Rate for Payer: Priority Health Narrow/Tiered Network $9.87
Rate for Payer: Priority Health Narrow/Tiered Network $10.50
Rate for Payer: UHC All Payor (Choice/PPO) $14.24
Rate for Payer: UHC All Payor (Choice/PPO) $25.52
Rate for Payer: UHC All Payor (Choice/PPO) $23.02
Rate for Payer: UHC All Payor (Choice/PPO) $15.15
Rate for Payer: UHC Core $21.84
Rate for Payer: UHC Core $14.38
Rate for Payer: UHC Core $24.22
Rate for Payer: UHC Core $13.51
Rate for Payer: Van Buren County Sheriff Dept. Commercial $19.62
Rate for Payer: Van Buren County Sheriff Dept. Commercial $12.14
Rate for Payer: Van Buren County Sheriff Dept. Commercial $12.92
Rate for Payer: Van Buren County Sheriff Dept. Commercial $21.75