|
PR OBSERVATION CARE DISCHARGE MANAGEMENT
|
Professional
|
Both
|
$129.00
|
|
|
Service Code
|
HCPCS 99217
|
| Min. Negotiated Rate |
$51.60 |
| Max. Negotiated Rate |
$96.75 |
| Rate for Payer: Aetna Medicare |
$64.50
|
| Rate for Payer: BCBS Complete |
$51.60
|
| Rate for Payer: Cash Price |
$103.20
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$96.75
|
| Rate for Payer: UMR Bronson Commercial |
$59.34
|
|
|
PR OBTAINING SCREEN PAP SMEAR
|
Professional
|
Both
|
$75.00
|
|
|
Service Code
|
HCPCS Q0091
|
| Min. Negotiated Rate |
$10.01 |
| Max. Negotiated Rate |
$56.25 |
| Rate for Payer: Aetna Commercial |
$20.90
|
| Rate for Payer: Aetna Medicare |
$16.22
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$20.90
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$22.46
|
| Rate for Payer: BCBS Complete |
$10.51
|
| Rate for Payer: BCBS MAPPO |
$15.60
|
| Rate for Payer: BCN Commercial |
$18.70
|
| Rate for Payer: BCN Medicare Advantage |
$15.60
|
| Rate for Payer: Cash Price |
$60.00
|
| Rate for Payer: Cash Price |
$60.00
|
| Rate for Payer: Cofinity Commercial |
$22.46
|
| Rate for Payer: Cofinity Commercial |
$20.90
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$15.60
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$16.38
|
| Rate for Payer: Meridian Medicaid |
$10.51
|
| Rate for Payer: Molina Medicare/Medicaid |
$17.16
|
| Rate for Payer: Nomi Health Commercial |
$18.72
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$56.25
|
| Rate for Payer: PACE SWMI |
$15.60
|
| Rate for Payer: PHP Commercial |
$21.84
|
| Rate for Payer: PHP Medicare Advantage |
$15.60
|
| Rate for Payer: Priority Health Choice Medicaid |
$10.01
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$23.38
|
| Rate for Payer: Priority Health Medicare |
$15.60
|
| Rate for Payer: Priority Health SBD |
$23.38
|
| Rate for Payer: Priority Health Tiered Network |
$23.38
|
| Rate for Payer: Railroad Medicare Medicare |
$15.60
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$27.07
|
| Rate for Payer: UHC Core |
$27.07
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$15.60
|
| Rate for Payer: UHC Exchange |
$27.07
|
| Rate for Payer: UHC Medicaid |
$10.01
|
| Rate for Payer: UHCCP Medicaid |
$10.01
|
| Rate for Payer: UMR Bronson Commercial |
$34.50
|
|
|
PROCAINAMIDE 100 MG/ML INJECTION SOLUTION
|
Facility
|
IP
|
$1,211.11
|
|
|
Service Code
|
HCPCS J2690
|
| Hospital Charge Code |
6562
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$532.89 |
| Max. Negotiated Rate |
$1,090.00 |
| Rate for Payer: Aetna American Axle |
$787.22
|
| Rate for Payer: Aetna American Axle |
$1,102.61
|
| Rate for Payer: Aetna Commercial |
$1,029.44
|
| Rate for Payer: Aetna Commercial |
$1,441.87
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$787.22
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,102.61
|
| Rate for Payer: Cash Price |
$968.89
|
| Rate for Payer: Cash Price |
$1,357.06
|
| Rate for Payer: Cofinity Advantage |
$1,187.42
|
| Rate for Payer: Cofinity Advantage |
$847.78
|
| Rate for Payer: Cofinity Commercial |
$1,458.84
|
| Rate for Payer: Cofinity Commercial |
$1,041.55
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$968.89
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,357.06
|
| Rate for Payer: Healthscope Commercial |
$1,090.00
|
| Rate for Payer: Healthscope Commercial |
$1,526.69
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,187.42
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$847.78
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$908.33
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,272.24
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,029.44
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,441.87
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$908.33
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,272.24
|
| Rate for Payer: PHP Commercial |
$1,029.44
|
| Rate for Payer: PHP Commercial |
$1,441.87
|
| Rate for Payer: Priority Health SBD |
$1,068.68
|
| Rate for Payer: Priority Health SBD |
$763.00
|
| Rate for Payer: UMR Bronson Commercial |
$532.89
|
| Rate for Payer: UMR Bronson Commercial |
$746.38
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$908.33
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,272.24
|
|
|
PROCAINAMIDE 100 MG/ML INJECTION SOLUTION
|
Facility
|
OP
|
$1,696.32
|
|
|
Service Code
|
HCPCS J2690
|
| Hospital Charge Code |
6562
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$112.35 |
| Max. Negotiated Rate |
$1,526.69 |
| Rate for Payer: Aetna American Axle |
$1,102.61
|
| Rate for Payer: Aetna American Axle |
$787.22
|
| Rate for Payer: Aetna Commercial |
$1,029.44
|
| Rate for Payer: Aetna Commercial |
$1,441.87
|
| Rate for Payer: Aetna Medicare |
$223.40
|
| Rate for Payer: Aetna Medicare |
$223.40
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$787.22
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,102.61
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$268.51
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$268.51
|
| Rate for Payer: Amish Plain Church Group Commercial |
$268.51
|
| Rate for Payer: Amish Plain Church Group Commercial |
$268.51
|
| Rate for Payer: BCBS Complete |
$117.97
|
| Rate for Payer: BCBS Complete |
$117.97
|
| Rate for Payer: BCBS MAPPO |
$214.81
|
| Rate for Payer: BCBS MAPPO |
$214.81
|
| Rate for Payer: BCBS Trust/PPO |
$1,117.19
|
| Rate for Payer: BCBS Trust/PPO |
$1,117.19
|
| Rate for Payer: BCN Commercial |
$1,117.19
|
| Rate for Payer: BCN Commercial |
$1,117.19
|
| Rate for Payer: BCN Medicare Advantage |
$214.81
|
| Rate for Payer: BCN Medicare Advantage |
$214.81
|
| Rate for Payer: Cash Price |
$968.89
|
| Rate for Payer: Cash Price |
$1,357.06
|
| Rate for Payer: Cash Price |
$1,357.06
|
| Rate for Payer: Cash Price |
$968.89
|
| Rate for Payer: Cofinity Advantage |
$1,187.42
|
| Rate for Payer: Cofinity Advantage |
$847.78
|
| Rate for Payer: Cofinity Commercial |
$1,041.55
|
| Rate for Payer: Cofinity Commercial |
$1,458.84
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$968.89
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,357.06
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$214.81
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$214.81
|
| Rate for Payer: Healthscope Commercial |
$1,090.00
|
| Rate for Payer: Healthscope Commercial |
$1,526.69
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,187.42
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$847.78
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$908.33
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,272.24
|
| Rate for Payer: Mclaren Medicaid |
$214.81
|
| Rate for Payer: Mclaren Medicaid |
$214.81
|
| Rate for Payer: Mclaren Medicare |
$214.81
|
| Rate for Payer: Mclaren Medicare |
$214.81
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$225.55
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$225.55
|
| Rate for Payer: Meridian Medicaid |
$225.55
|
| Rate for Payer: Meridian Medicaid |
$225.55
|
| Rate for Payer: MI Amish Medical Board Commercial |
$247.03
|
| Rate for Payer: MI Amish Medical Board Commercial |
$247.03
|
| Rate for Payer: Molina Medicare/Medicaid |
$236.29
|
| Rate for Payer: Molina Medicare/Medicaid |
$236.29
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,029.44
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,441.87
|
| Rate for Payer: Nomi Health Commercial |
$644.43
|
| Rate for Payer: Nomi Health Commercial |
$644.43
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,272.24
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$908.33
|
| Rate for Payer: PACE Medicare |
$204.07
|
| Rate for Payer: PACE Medicare |
$204.07
|
| Rate for Payer: PACE SWMI |
$214.81
|
| Rate for Payer: PACE SWMI |
$214.81
|
| Rate for Payer: PHP Commercial |
$1,029.44
|
| Rate for Payer: PHP Commercial |
$1,441.87
|
| Rate for Payer: PHP Medicare Advantage |
$214.81
|
| Rate for Payer: PHP Medicare Advantage |
$214.81
|
| Rate for Payer: Priority Health Choice Medicaid |
$112.35
|
| Rate for Payer: Priority Health Choice Medicaid |
$112.35
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$929.46
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$929.46
|
| Rate for Payer: Priority Health Medicare |
$214.81
|
| Rate for Payer: Priority Health Medicare |
$214.81
|
| Rate for Payer: Priority Health SBD |
$763.00
|
| Rate for Payer: Priority Health SBD |
$1,068.68
|
| Rate for Payer: Priority Health Tiered Network |
$743.57
|
| Rate for Payer: Priority Health Tiered Network |
$743.57
|
| Rate for Payer: Railroad Medicare Medicare |
$214.81
|
| Rate for Payer: Railroad Medicare Medicare |
$214.81
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$568.47
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$568.47
|
| Rate for Payer: UHC Core |
$568.47
|
| Rate for Payer: UHC Core |
$568.47
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$214.81
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$214.81
|
| Rate for Payer: UHC Exchange |
$568.47
|
| Rate for Payer: UHC Exchange |
$568.47
|
| Rate for Payer: UHC Medicaid |
$112.35
|
| Rate for Payer: UHC Medicaid |
$112.35
|
| Rate for Payer: UHCCP Medicaid |
$112.35
|
| Rate for Payer: UHCCP Medicaid |
$112.35
|
| Rate for Payer: UMR Bronson Commercial |
$448.11
|
| Rate for Payer: UMR Bronson Commercial |
$627.64
|
| Rate for Payer: VA VA |
$214.81
|
| Rate for Payer: VA VA |
$214.81
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,272.24
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$908.33
|
|
|
PROCAINAMIDE 100 MG/ML INTRAVENOUS SYRINGE
|
Facility
|
IP
|
$216.45
|
|
|
Service Code
|
HCPCS J2690
|
| Hospital Charge Code |
181397
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$95.24 |
| Max. Negotiated Rate |
$194.81 |
| Rate for Payer: Aetna American Axle |
$140.69
|
| Rate for Payer: Aetna Commercial |
$183.98
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$140.69
|
| Rate for Payer: Cash Price |
$173.16
|
| Rate for Payer: Cofinity Advantage |
$151.51
|
| Rate for Payer: Cofinity Commercial |
$186.15
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$173.16
|
| Rate for Payer: Healthscope Commercial |
$194.81
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$151.51
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$162.34
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$183.98
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$162.34
|
| Rate for Payer: PHP Commercial |
$183.98
|
| Rate for Payer: Priority Health SBD |
$136.36
|
| Rate for Payer: UMR Bronson Commercial |
$95.24
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$162.34
|
|
|
PROCAINAMIDE 100 MG/ML INTRAVENOUS SYRINGE
|
Facility
|
OP
|
$216.45
|
|
|
Service Code
|
HCPCS J2690
|
| Hospital Charge Code |
181397
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$80.09 |
| Max. Negotiated Rate |
$1,117.19 |
| Rate for Payer: Aetna American Axle |
$140.69
|
| Rate for Payer: Aetna Commercial |
$183.98
|
| Rate for Payer: Aetna Medicare |
$223.40
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$140.69
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$268.51
|
| Rate for Payer: Amish Plain Church Group Commercial |
$268.51
|
| Rate for Payer: BCBS Complete |
$117.97
|
| Rate for Payer: BCBS MAPPO |
$214.81
|
| Rate for Payer: BCBS Trust/PPO |
$1,117.19
|
| Rate for Payer: BCN Commercial |
$1,117.19
|
| Rate for Payer: BCN Medicare Advantage |
$214.81
|
| Rate for Payer: Cash Price |
$173.16
|
| Rate for Payer: Cash Price |
$173.16
|
| Rate for Payer: Cofinity Advantage |
$151.51
|
| Rate for Payer: Cofinity Commercial |
$186.15
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$173.16
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$214.81
|
| Rate for Payer: Healthscope Commercial |
$194.81
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$151.51
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$162.34
|
| Rate for Payer: Mclaren Medicaid |
$214.81
|
| Rate for Payer: Mclaren Medicare |
$214.81
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$225.55
|
| Rate for Payer: Meridian Medicaid |
$225.55
|
| Rate for Payer: MI Amish Medical Board Commercial |
$247.03
|
| Rate for Payer: Molina Medicare/Medicaid |
$236.29
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$183.98
|
| Rate for Payer: Nomi Health Commercial |
$644.43
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$162.34
|
| Rate for Payer: PACE Medicare |
$204.07
|
| Rate for Payer: PACE SWMI |
$214.81
|
| Rate for Payer: PHP Commercial |
$183.98
|
| Rate for Payer: PHP Medicare Advantage |
$214.81
|
| Rate for Payer: Priority Health Choice Medicaid |
$112.35
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$929.46
|
| Rate for Payer: Priority Health Medicare |
$214.81
|
| Rate for Payer: Priority Health SBD |
$136.36
|
| Rate for Payer: Priority Health Tiered Network |
$743.57
|
| Rate for Payer: Railroad Medicare Medicare |
$214.81
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$568.47
|
| Rate for Payer: UHC Core |
$568.47
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$214.81
|
| Rate for Payer: UHC Exchange |
$568.47
|
| Rate for Payer: UHC Medicaid |
$112.35
|
| Rate for Payer: UHCCP Medicaid |
$112.35
|
| Rate for Payer: UMR Bronson Commercial |
$80.09
|
| Rate for Payer: VA VA |
$214.81
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$162.34
|
|
|
PR OCCLUSION FLP TUBE DEV VAG/SUPRAPUBIC APPR
|
Professional
|
Both
|
$462.00
|
|
|
Service Code
|
HCPCS 58615
|
| Min. Negotiated Rate |
$143.99 |
| Max. Negotiated Rate |
$440.31 |
| Rate for Payer: Aetna Commercial |
$297.67
|
| Rate for Payer: Aetna Medicare |
$231.03
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$297.67
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$319.88
|
| Rate for Payer: BCBS Complete |
$151.19
|
| Rate for Payer: BCBS MAPPO |
$222.14
|
| Rate for Payer: BCN Commercial |
$379.46
|
| Rate for Payer: BCN Medicare Advantage |
$222.14
|
| Rate for Payer: Cash Price |
$369.60
|
| Rate for Payer: Cash Price |
$369.60
|
| Rate for Payer: Cofinity Commercial |
$297.67
|
| Rate for Payer: Cofinity Commercial |
$319.88
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$222.14
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$233.25
|
| Rate for Payer: Meridian Medicaid |
$151.19
|
| Rate for Payer: Molina Medicare/Medicaid |
$244.35
|
| Rate for Payer: Nomi Health Commercial |
$266.57
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$346.50
|
| Rate for Payer: PACE SWMI |
$222.14
|
| Rate for Payer: PHP Commercial |
$311.00
|
| Rate for Payer: PHP Medicare Advantage |
$222.14
|
| Rate for Payer: Priority Health Choice Medicaid |
$143.99
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$384.31
|
| Rate for Payer: Priority Health Medicare |
$222.14
|
| Rate for Payer: Priority Health SBD |
$384.31
|
| Rate for Payer: Priority Health Tiered Network |
$384.31
|
| Rate for Payer: Railroad Medicare Medicare |
$222.14
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$440.31
|
| Rate for Payer: UHC Core |
$440.31
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$222.14
|
| Rate for Payer: UHC Exchange |
$440.31
|
| Rate for Payer: UHC Medicaid |
$143.99
|
| Rate for Payer: UHCCP Medicaid |
$143.99
|
| Rate for Payer: UMR Bronson Commercial |
$212.52
|
|
|
PR OCCUPATIONAL THERAPY EVAL LOW COMPLEX 30 MINS
|
Professional
|
Both
|
$161.00
|
|
|
Service Code
|
HCPCS 97165
|
| Min. Negotiated Rate |
$74.06 |
| Max. Negotiated Rate |
$138.73 |
| Rate for Payer: Aetna Commercial |
$129.10
|
| Rate for Payer: Aetna Medicare |
$100.19
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$129.10
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$138.73
|
| Rate for Payer: BCBS MAPPO |
$96.34
|
| Rate for Payer: BCN Commercial |
$93.18
|
| Rate for Payer: BCN Medicare Advantage |
$96.34
|
| Rate for Payer: Cash Price |
$128.80
|
| Rate for Payer: Cash Price |
$128.80
|
| Rate for Payer: Cofinity Commercial |
$129.10
|
| Rate for Payer: Cofinity Commercial |
$138.73
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$96.34
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$101.16
|
| Rate for Payer: Molina Medicare/Medicaid |
$105.97
|
| Rate for Payer: Nomi Health Commercial |
$115.61
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$120.75
|
| Rate for Payer: PACE SWMI |
$96.34
|
| Rate for Payer: PHP Commercial |
$134.88
|
| Rate for Payer: PHP Medicare Advantage |
$96.34
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$101.97
|
| Rate for Payer: Priority Health Medicare |
$96.34
|
| Rate for Payer: Priority Health SBD |
$101.97
|
| Rate for Payer: Priority Health Tiered Network |
$101.97
|
| Rate for Payer: Railroad Medicare Medicare |
$96.34
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$80.13
|
| Rate for Payer: UHC Core |
$80.13
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$96.34
|
| Rate for Payer: UHC Exchange |
$80.13
|
| Rate for Payer: UMR Bronson Commercial |
$74.06
|
|
|
PR OCCUPATIONAL THERAPY EVAL MOD COMPLEX 45 MINS
|
Professional
|
Both
|
$153.00
|
|
|
Service Code
|
HCPCS 97166
|
| Min. Negotiated Rate |
$70.38 |
| Max. Negotiated Rate |
$138.73 |
| Rate for Payer: Aetna Commercial |
$129.10
|
| Rate for Payer: Aetna Medicare |
$100.19
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$129.10
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$138.73
|
| Rate for Payer: BCBS MAPPO |
$96.34
|
| Rate for Payer: BCN Commercial |
$92.83
|
| Rate for Payer: BCN Medicare Advantage |
$96.34
|
| Rate for Payer: Cash Price |
$122.40
|
| Rate for Payer: Cash Price |
$122.40
|
| Rate for Payer: Cofinity Commercial |
$138.73
|
| Rate for Payer: Cofinity Commercial |
$129.10
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$96.34
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$101.16
|
| Rate for Payer: Molina Medicare/Medicaid |
$105.97
|
| Rate for Payer: Nomi Health Commercial |
$115.61
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$114.75
|
| Rate for Payer: PACE SWMI |
$96.34
|
| Rate for Payer: PHP Commercial |
$134.88
|
| Rate for Payer: PHP Medicare Advantage |
$96.34
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$101.97
|
| Rate for Payer: Priority Health Medicare |
$96.34
|
| Rate for Payer: Priority Health SBD |
$101.97
|
| Rate for Payer: Priority Health Tiered Network |
$101.97
|
| Rate for Payer: Railroad Medicare Medicare |
$96.34
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$79.83
|
| Rate for Payer: UHC Core |
$79.83
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$96.34
|
| Rate for Payer: UHC Exchange |
$79.83
|
| Rate for Payer: UMR Bronson Commercial |
$70.38
|
|
|
PR OCCUPATIONAL THERAPY EVALUATION
|
Professional
|
Both
|
$129.00
|
|
|
Service Code
|
HCPCS 97003
|
| Min. Negotiated Rate |
$51.60 |
| Max. Negotiated Rate |
$96.75 |
| Rate for Payer: Aetna Medicare |
$64.50
|
| Rate for Payer: BCBS Complete |
$51.60
|
| Rate for Payer: Cash Price |
$103.20
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$96.75
|
| Rate for Payer: UMR Bronson Commercial |
$59.34
|
|
|
PR OCCUPATIONAL THERAPY RE-EVALUATION
|
Professional
|
Both
|
$75.00
|
|
|
Service Code
|
HCPCS 97004
|
| Min. Negotiated Rate |
$30.00 |
| Max. Negotiated Rate |
$56.25 |
| Rate for Payer: Aetna Medicare |
$37.50
|
| Rate for Payer: BCBS Complete |
$30.00
|
| Rate for Payer: Cash Price |
$60.00
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$56.25
|
| Rate for Payer: UMR Bronson Commercial |
$34.50
|
|
|
PR OCCUPATIONAL THER RE-EVAL EST PLAN CARE 30 MINS
|
Professional
|
Both
|
$106.00
|
|
|
Service Code
|
HCPCS 97168
|
| Min. Negotiated Rate |
$48.76 |
| Max. Negotiated Rate |
$94.15 |
| Rate for Payer: Aetna Commercial |
$87.61
|
| Rate for Payer: Aetna Medicare |
$68.00
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$87.61
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$94.15
|
| Rate for Payer: BCBS MAPPO |
$65.38
|
| Rate for Payer: BCN Commercial |
$64.28
|
| Rate for Payer: BCN Medicare Advantage |
$65.38
|
| Rate for Payer: Cash Price |
$84.80
|
| Rate for Payer: Cash Price |
$84.80
|
| Rate for Payer: Cofinity Commercial |
$94.15
|
| Rate for Payer: Cofinity Commercial |
$87.61
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$65.38
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$68.65
|
| Rate for Payer: Molina Medicare/Medicaid |
$71.92
|
| Rate for Payer: Nomi Health Commercial |
$78.46
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$79.50
|
| Rate for Payer: PACE SWMI |
$65.38
|
| Rate for Payer: PHP Commercial |
$91.53
|
| Rate for Payer: PHP Medicare Advantage |
$65.38
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$50.99
|
| Rate for Payer: Priority Health Medicare |
$65.38
|
| Rate for Payer: Priority Health SBD |
$50.99
|
| Rate for Payer: Priority Health Tiered Network |
$50.99
|
| Rate for Payer: Railroad Medicare Medicare |
$65.38
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$55.05
|
| Rate for Payer: UHC Core |
$55.05
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$65.38
|
| Rate for Payer: UHC Exchange |
$55.05
|
| Rate for Payer: UMR Bronson Commercial |
$48.76
|
|
|
PROCEDURES FOR OBESITY
|
Facility
|
IP
|
$6,157.97
|
|
|
Service Code
|
APR-DRG 4031
|
| Min. Negotiated Rate |
$5,864.73 |
| Max. Negotiated Rate |
$6,157.97 |
| Rate for Payer: BCBS Complete |
$6,157.97
|
| Rate for Payer: Mclaren Medicaid |
$5,864.73
|
| Rate for Payer: Meridian Medicaid |
$6,157.97
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,864.73
|
| Rate for Payer: UHC Medicaid |
$5,864.73
|
| Rate for Payer: UHCCP Medicaid |
$5,864.73
|
|
|
PROCEDURES FOR OBESITY
|
Facility
|
IP
|
$8,250.58
|
|
|
Service Code
|
APR-DRG 4032
|
| Min. Negotiated Rate |
$7,857.69 |
| Max. Negotiated Rate |
$8,250.58 |
| Rate for Payer: BCBS Complete |
$8,250.58
|
| Rate for Payer: Mclaren Medicaid |
$7,857.69
|
| Rate for Payer: Meridian Medicaid |
$8,250.58
|
| Rate for Payer: Priority Health Choice Medicaid |
$7,857.69
|
| Rate for Payer: UHC Medicaid |
$7,857.69
|
| Rate for Payer: UHCCP Medicaid |
$7,857.69
|
|
|
PROCEDURES FOR OBESITY
|
Facility
|
IP
|
$14,406.74
|
|
|
Service Code
|
APR-DRG 4033
|
| Min. Negotiated Rate |
$13,720.70 |
| Max. Negotiated Rate |
$14,406.74 |
| Rate for Payer: BCBS Complete |
$14,406.74
|
| Rate for Payer: Mclaren Medicaid |
$13,720.70
|
| Rate for Payer: Meridian Medicaid |
$14,406.74
|
| Rate for Payer: Priority Health Choice Medicaid |
$13,720.70
|
| Rate for Payer: UHC Medicaid |
$13,720.70
|
| Rate for Payer: UHCCP Medicaid |
$13,720.70
|
|
|
PROCEDURES FOR OBESITY
|
Facility
|
IP
|
$27,288.05
|
|
|
Service Code
|
APR-DRG 4034
|
| Min. Negotiated Rate |
$25,988.62 |
| Max. Negotiated Rate |
$27,288.05 |
| Rate for Payer: BCBS Complete |
$27,288.05
|
| Rate for Payer: Mclaren Medicaid |
$25,988.62
|
| Rate for Payer: Meridian Medicaid |
$27,288.05
|
| Rate for Payer: Priority Health Choice Medicaid |
$25,988.62
|
| Rate for Payer: UHC Medicaid |
$25,988.62
|
| Rate for Payer: UHCCP Medicaid |
$25,988.62
|
|
|
PROCEDURE WITH DIAGNOSIS OF REHABILITATION, AFTERCARE OR OTHER CONTACT WITH HEALTH SE
|
Facility
|
IP
|
$16,849.83
|
|
|
Service Code
|
APR-DRG 8502
|
| Min. Negotiated Rate |
$16,047.45 |
| Max. Negotiated Rate |
$16,849.83 |
| Rate for Payer: BCBS Complete |
$16,849.83
|
| Rate for Payer: Mclaren Medicaid |
$16,047.45
|
| Rate for Payer: Meridian Medicaid |
$16,849.83
|
| Rate for Payer: Priority Health Choice Medicaid |
$16,047.45
|
| Rate for Payer: UHC Medicaid |
$16,047.45
|
| Rate for Payer: UHCCP Medicaid |
$16,047.45
|
|
|
PROCEDURE WITH DIAGNOSIS OF REHABILITATION, AFTERCARE OR OTHER CONTACT WITH HEALTH SE
|
Facility
|
IP
|
$27,897.01
|
|
|
Service Code
|
APR-DRG 8503
|
| Min. Negotiated Rate |
$26,568.58 |
| Max. Negotiated Rate |
$27,897.01 |
| Rate for Payer: BCBS Complete |
$27,897.01
|
| Rate for Payer: Mclaren Medicaid |
$26,568.58
|
| Rate for Payer: Meridian Medicaid |
$27,897.01
|
| Rate for Payer: Priority Health Choice Medicaid |
$26,568.58
|
| Rate for Payer: UHC Medicaid |
$26,568.58
|
| Rate for Payer: UHCCP Medicaid |
$26,568.58
|
|
|
PROCEDURE WITH DIAGNOSIS OF REHABILITATION, AFTERCARE OR OTHER CONTACT WITH HEALTH SE
|
Facility
|
IP
|
$8,843.19
|
|
|
Service Code
|
APR-DRG 8501
|
| Min. Negotiated Rate |
$8,422.09 |
| Max. Negotiated Rate |
$8,843.19 |
| Rate for Payer: BCBS Complete |
$8,843.19
|
| Rate for Payer: Mclaren Medicaid |
$8,422.09
|
| Rate for Payer: Meridian Medicaid |
$8,843.19
|
| Rate for Payer: Priority Health Choice Medicaid |
$8,422.09
|
| Rate for Payer: UHC Medicaid |
$8,422.09
|
| Rate for Payer: UHCCP Medicaid |
$8,422.09
|
|
|
PROCEDURE WITH DIAGNOSIS OF REHABILITATION, AFTERCARE OR OTHER CONTACT WITH HEALTH SE
|
Facility
|
IP
|
$63,678.37
|
|
|
Service Code
|
APR-DRG 8504
|
| Min. Negotiated Rate |
$60,646.07 |
| Max. Negotiated Rate |
$63,678.37 |
| Rate for Payer: BCBS Complete |
$63,678.37
|
| Rate for Payer: Mclaren Medicaid |
$60,646.07
|
| Rate for Payer: Meridian Medicaid |
$63,678.37
|
| Rate for Payer: Priority Health Choice Medicaid |
$60,646.07
|
| Rate for Payer: UHC Medicaid |
$60,646.07
|
| Rate for Payer: UHCCP Medicaid |
$60,646.07
|
|
|
PROCHLORPERAZINE 25 MG RECTAL SUPPOSITORY
|
Facility
|
OP
|
$359.78
|
|
|
Service Code
|
NDC 00713013512
|
| Hospital Charge Code |
11138
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$133.12 |
| Max. Negotiated Rate |
$323.80 |
| Rate for Payer: Aetna American Axle |
$233.86
|
| Rate for Payer: Aetna Commercial |
$305.81
|
| Rate for Payer: Aetna Medicare |
$179.89
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$233.86
|
| Rate for Payer: BCBS Complete |
$143.91
|
| Rate for Payer: Cash Price |
$287.82
|
| Rate for Payer: Cofinity Advantage |
$251.85
|
| Rate for Payer: Cofinity Commercial |
$309.41
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$287.82
|
| Rate for Payer: Healthscope Commercial |
$323.80
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$251.85
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$269.83
|
| Rate for Payer: MI Amish Medical Board Commercial |
$287.82
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$305.81
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$269.83
|
| Rate for Payer: PHP Commercial |
$305.81
|
| Rate for Payer: Priority Health SBD |
$226.66
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$233.86
|
| Rate for Payer: UHC Core |
$187.45
|
| Rate for Payer: UHC Exchange |
$141.39
|
| Rate for Payer: UMR Bronson Commercial |
$133.12
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$269.83
|
|
|
PROCHLORPERAZINE 25 MG RECTAL SUPPOSITORY
|
Facility
|
OP
|
$335.36
|
|
|
Service Code
|
NDC 00574722612
|
| Hospital Charge Code |
11138
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$124.08 |
| Max. Negotiated Rate |
$301.82 |
| Rate for Payer: Aetna American Axle |
$217.98
|
| Rate for Payer: Aetna Commercial |
$285.06
|
| Rate for Payer: Aetna Medicare |
$167.68
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$217.98
|
| Rate for Payer: BCBS Complete |
$134.14
|
| Rate for Payer: Cash Price |
$268.29
|
| Rate for Payer: Cofinity Advantage |
$234.75
|
| Rate for Payer: Cofinity Commercial |
$288.41
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$268.29
|
| Rate for Payer: Healthscope Commercial |
$301.82
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$234.75
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$251.52
|
| Rate for Payer: MI Amish Medical Board Commercial |
$268.29
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$285.06
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$251.52
|
| Rate for Payer: PHP Commercial |
$285.06
|
| Rate for Payer: Priority Health SBD |
$211.28
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$217.98
|
| Rate for Payer: UHC Core |
$174.72
|
| Rate for Payer: UHC Exchange |
$131.80
|
| Rate for Payer: UMR Bronson Commercial |
$124.08
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$251.52
|
|
|
PROCHLORPERAZINE 25 MG RECTAL SUPPOSITORY
|
Facility
|
IP
|
$359.78
|
|
|
Service Code
|
NDC 00713013512
|
| Hospital Charge Code |
11138
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$158.30 |
| Max. Negotiated Rate |
$323.80 |
| Rate for Payer: Aetna American Axle |
$233.86
|
| Rate for Payer: Aetna Commercial |
$305.81
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$233.86
|
| Rate for Payer: Cash Price |
$287.82
|
| Rate for Payer: Cofinity Advantage |
$251.85
|
| Rate for Payer: Cofinity Commercial |
$309.41
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$287.82
|
| Rate for Payer: Healthscope Commercial |
$323.80
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$251.85
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$269.83
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$305.81
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$269.83
|
| Rate for Payer: PHP Commercial |
$305.81
|
| Rate for Payer: Priority Health SBD |
$226.66
|
| Rate for Payer: UMR Bronson Commercial |
$158.30
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$269.83
|
|
|
PROCHLORPERAZINE 25 MG RECTAL SUPPOSITORY
|
Facility
|
IP
|
$335.36
|
|
|
Service Code
|
NDC 00574722612
|
| Hospital Charge Code |
11138
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$147.56 |
| Max. Negotiated Rate |
$301.82 |
| Rate for Payer: Aetna American Axle |
$217.98
|
| Rate for Payer: Aetna Commercial |
$285.06
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$217.98
|
| Rate for Payer: Cash Price |
$268.29
|
| Rate for Payer: Cofinity Advantage |
$234.75
|
| Rate for Payer: Cofinity Commercial |
$288.41
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$268.29
|
| Rate for Payer: Healthscope Commercial |
$301.82
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$234.75
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$251.52
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$285.06
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$251.52
|
| Rate for Payer: PHP Commercial |
$285.06
|
| Rate for Payer: Priority Health SBD |
$211.28
|
| Rate for Payer: UMR Bronson Commercial |
$147.56
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$251.52
|
|
|
PROCHLORPERAZINE EDISYLATE 10 MG/2 ML (5 MG/ML) INJECTION SOLUTION
|
Facility
|
OP
|
$31.84
|
|
|
Service Code
|
HCPCS J0780
|
| Hospital Charge Code |
155387
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$4.16 |
| Max. Negotiated Rate |
$28.66 |
| Rate for Payer: Aetna American Axle |
$20.70
|
| Rate for Payer: Aetna American Axle |
$25.25
|
| Rate for Payer: Aetna American Axle |
$29.00
|
| Rate for Payer: Aetna American Axle |
$23.72
|
| Rate for Payer: Aetna American Axle |
$29.01
|
| Rate for Payer: Aetna American Axle |
$22.56
|
| Rate for Payer: Aetna American Axle |
$32.65
|
| Rate for Payer: Aetna American Axle |
$35.14
|
| Rate for Payer: Aetna American Axle |
$14.55
|
| Rate for Payer: Aetna American Axle |
$49.77
|
| Rate for Payer: Aetna American Axle |
$21.44
|
| Rate for Payer: Aetna Commercial |
$19.03
|
| Rate for Payer: Aetna Commercial |
$65.08
|
| Rate for Payer: Aetna Commercial |
$45.95
|
| Rate for Payer: Aetna Commercial |
$27.06
|
| Rate for Payer: Aetna Commercial |
$42.70
|
| Rate for Payer: Aetna Commercial |
$29.50
|
| Rate for Payer: Aetna Commercial |
$28.04
|
| Rate for Payer: Aetna Commercial |
$37.94
|
| Rate for Payer: Aetna Commercial |
$31.02
|
| Rate for Payer: Aetna Commercial |
$33.01
|
| Rate for Payer: Aetna Commercial |
$37.92
|
| Rate for Payer: Aetna Medicare |
$38.28
|
| Rate for Payer: Aetna Medicare |
$16.50
|
| Rate for Payer: Aetna Medicare |
$11.20
|
| Rate for Payer: Aetna Medicare |
$17.36
|
| Rate for Payer: Aetna Medicare |
$15.92
|
| Rate for Payer: Aetna Medicare |
$25.11
|
| Rate for Payer: Aetna Medicare |
$27.03
|
| Rate for Payer: Aetna Medicare |
$22.32
|
| Rate for Payer: Aetna Medicare |
$19.42
|
| Rate for Payer: Aetna Medicare |
$22.30
|
| Rate for Payer: Aetna Medicare |
$18.25
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$29.00
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$25.25
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$14.55
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$23.72
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$29.01
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$21.44
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$32.65
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$22.56
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$20.70
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$35.14
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$49.77
|
| Rate for Payer: BCBS Complete |
$15.54
|
| Rate for Payer: BCBS Complete |
$13.88
|
| Rate for Payer: BCBS Complete |
$8.96
|
| Rate for Payer: BCBS Complete |
$17.85
|
| Rate for Payer: BCBS Complete |
$30.63
|
| Rate for Payer: BCBS Complete |
$17.84
|
| Rate for Payer: BCBS Complete |
$14.60
|
| Rate for Payer: BCBS Complete |
$21.62
|
| Rate for Payer: BCBS Complete |
$12.74
|
| Rate for Payer: BCBS Complete |
$20.09
|
| Rate for Payer: BCBS Complete |
$13.20
|
| Rate for Payer: BCBS Trust/PPO |
$8.15
|
| Rate for Payer: BCBS Trust/PPO |
$8.15
|
| Rate for Payer: BCBS Trust/PPO |
$8.15
|
| Rate for Payer: BCBS Trust/PPO |
$8.15
|
| Rate for Payer: BCBS Trust/PPO |
$8.15
|
| Rate for Payer: BCBS Trust/PPO |
$8.15
|
| Rate for Payer: BCBS Trust/PPO |
$8.15
|
| Rate for Payer: BCBS Trust/PPO |
$8.15
|
| Rate for Payer: BCBS Trust/PPO |
$8.15
|
| Rate for Payer: BCBS Trust/PPO |
$8.15
|
| Rate for Payer: BCBS Trust/PPO |
$8.15
|
| Rate for Payer: BCN Commercial |
$8.15
|
| Rate for Payer: BCN Commercial |
$8.15
|
| Rate for Payer: BCN Commercial |
$8.15
|
| Rate for Payer: BCN Commercial |
$8.15
|
| Rate for Payer: BCN Commercial |
$8.15
|
| Rate for Payer: BCN Commercial |
$8.15
|
| Rate for Payer: BCN Commercial |
$8.15
|
| Rate for Payer: BCN Commercial |
$8.15
|
| Rate for Payer: BCN Commercial |
$8.15
|
| Rate for Payer: BCN Commercial |
$8.15
|
| Rate for Payer: BCN Commercial |
$8.15
|
| Rate for Payer: Cash Price |
$17.91
|
| Rate for Payer: Cash Price |
$26.39
|
| Rate for Payer: Cash Price |
$26.39
|
| Rate for Payer: Cash Price |
$25.47
|
| Rate for Payer: Cash Price |
$25.47
|
| Rate for Payer: Cash Price |
$61.26
|
| Rate for Payer: Cash Price |
$61.26
|
| Rate for Payer: Cash Price |
$43.25
|
| Rate for Payer: Cash Price |
$35.69
|
| Rate for Payer: Cash Price |
$43.25
|
| Rate for Payer: Cash Price |
$40.18
|
| Rate for Payer: Cash Price |
$40.18
|
| Rate for Payer: Cash Price |
$27.77
|
| Rate for Payer: Cash Price |
$27.77
|
| Rate for Payer: Cash Price |
$31.07
|
| Rate for Payer: Cash Price |
$35.70
|
| Rate for Payer: Cash Price |
$31.07
|
| Rate for Payer: Cash Price |
$35.70
|
| Rate for Payer: Cash Price |
$29.19
|
| Rate for Payer: Cash Price |
$29.19
|
| Rate for Payer: Cash Price |
$35.69
|
| Rate for Payer: Cash Price |
$17.91
|
| Rate for Payer: Cofinity Advantage |
$35.16
|
| Rate for Payer: Cofinity Advantage |
$22.29
|
| Rate for Payer: Cofinity Advantage |
$25.54
|
| Rate for Payer: Cofinity Advantage |
$24.30
|
| Rate for Payer: Cofinity Advantage |
$23.09
|
| Rate for Payer: Cofinity Advantage |
$27.19
|
| Rate for Payer: Cofinity Advantage |
$31.23
|
| Rate for Payer: Cofinity Advantage |
$15.67
|
| Rate for Payer: Cofinity Advantage |
$31.24
|
| Rate for Payer: Cofinity Advantage |
$53.60
|
| Rate for Payer: Cofinity Advantage |
$37.84
|
| Rate for Payer: Cofinity Commercial |
$19.26
|
| Rate for Payer: Cofinity Commercial |
$38.38
|
| Rate for Payer: Cofinity Commercial |
$38.36
|
| Rate for Payer: Cofinity Commercial |
$43.20
|
| Rate for Payer: Cofinity Commercial |
$46.49
|
| Rate for Payer: Cofinity Commercial |
$31.38
|
| Rate for Payer: Cofinity Commercial |
$33.40
|
| Rate for Payer: Cofinity Commercial |
$65.85
|
| Rate for Payer: Cofinity Commercial |
$28.37
|
| Rate for Payer: Cofinity Commercial |
$29.85
|
| Rate for Payer: Cofinity Commercial |
$27.38
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$61.26
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$25.47
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$17.91
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$26.39
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$35.69
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$31.07
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$27.77
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$29.19
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$43.25
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$40.18
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$35.70
|
| Rate for Payer: Healthscope Commercial |
$48.65
|
| Rate for Payer: Healthscope Commercial |
$28.66
|
| Rate for Payer: Healthscope Commercial |
$20.15
|
| Rate for Payer: Healthscope Commercial |
$29.69
|
| Rate for Payer: Healthscope Commercial |
$31.24
|
| Rate for Payer: Healthscope Commercial |
$32.84
|
| Rate for Payer: Healthscope Commercial |
$34.96
|
| Rate for Payer: Healthscope Commercial |
$40.15
|
| Rate for Payer: Healthscope Commercial |
$40.17
|
| Rate for Payer: Healthscope Commercial |
$45.21
|
| Rate for Payer: Healthscope Commercial |
$68.91
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$27.19
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$31.23
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$35.16
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$24.30
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$37.84
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$53.60
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$25.54
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$22.29
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$15.67
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$31.24
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$23.09
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$33.47
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$26.03
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$57.43
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$16.79
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$23.88
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$40.55
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$29.13
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$27.37
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$37.67
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$33.46
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$24.74
|
| Rate for Payer: MI Amish Medical Board Commercial |
$43.25
|
| Rate for Payer: MI Amish Medical Board Commercial |
$17.91
|
| Rate for Payer: MI Amish Medical Board Commercial |
$35.70
|
| Rate for Payer: MI Amish Medical Board Commercial |
$35.69
|
| Rate for Payer: MI Amish Medical Board Commercial |
$25.47
|
| Rate for Payer: MI Amish Medical Board Commercial |
$61.26
|
| Rate for Payer: MI Amish Medical Board Commercial |
$27.77
|
| Rate for Payer: MI Amish Medical Board Commercial |
$26.39
|
| Rate for Payer: MI Amish Medical Board Commercial |
$29.19
|
| Rate for Payer: MI Amish Medical Board Commercial |
$40.18
|
| Rate for Payer: MI Amish Medical Board Commercial |
$31.07
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$28.04
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$33.01
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$31.02
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$37.92
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$29.50
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$37.94
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$42.70
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$45.95
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$27.06
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$19.03
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$65.08
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$33.47
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$33.46
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$40.55
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$27.37
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$37.67
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$57.43
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$26.03
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$23.88
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$16.79
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$29.13
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$24.74
|
| Rate for Payer: PHP Commercial |
$33.01
|
| Rate for Payer: PHP Commercial |
$37.94
|
| Rate for Payer: PHP Commercial |
$37.92
|
| Rate for Payer: PHP Commercial |
$29.50
|
| Rate for Payer: PHP Commercial |
$45.95
|
| Rate for Payer: PHP Commercial |
$27.06
|
| Rate for Payer: PHP Commercial |
$42.70
|
| Rate for Payer: PHP Commercial |
$65.08
|
| Rate for Payer: PHP Commercial |
$31.02
|
| Rate for Payer: PHP Commercial |
$19.03
|
| Rate for Payer: PHP Commercial |
$28.04
|
| Rate for Payer: Priority Health SBD |
$20.06
|
| Rate for Payer: Priority Health SBD |
$31.64
|
| Rate for Payer: Priority Health SBD |
$14.11
|
| Rate for Payer: Priority Health SBD |
$24.47
|
| Rate for Payer: Priority Health SBD |
$21.87
|
| Rate for Payer: Priority Health SBD |
$28.12
|
| Rate for Payer: Priority Health SBD |
$48.24
|
| Rate for Payer: Priority Health SBD |
$20.78
|
| Rate for Payer: Priority Health SBD |
$34.06
|
| Rate for Payer: Priority Health SBD |
$28.10
|
| Rate for Payer: Priority Health SBD |
$22.99
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$4.16
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$4.16
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$4.16
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$4.16
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$4.16
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$4.16
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$4.16
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$4.16
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$4.16
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$4.16
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$4.16
|
| Rate for Payer: UHC Core |
$4.16
|
| Rate for Payer: UHC Core |
$4.16
|
| Rate for Payer: UHC Core |
$4.16
|
| Rate for Payer: UHC Core |
$4.16
|
| Rate for Payer: UHC Core |
$4.16
|
| Rate for Payer: UHC Core |
$4.16
|
| Rate for Payer: UHC Core |
$4.16
|
| Rate for Payer: UHC Core |
$4.16
|
| Rate for Payer: UHC Core |
$4.16
|
| Rate for Payer: UHC Core |
$4.16
|
| Rate for Payer: UHC Core |
$4.16
|
| Rate for Payer: UHC Exchange |
$4.16
|
| Rate for Payer: UHC Exchange |
$4.16
|
| Rate for Payer: UHC Exchange |
$4.16
|
| Rate for Payer: UHC Exchange |
$4.16
|
| Rate for Payer: UHC Exchange |
$4.16
|
| Rate for Payer: UHC Exchange |
$4.16
|
| Rate for Payer: UHC Exchange |
$4.16
|
| Rate for Payer: UHC Exchange |
$4.16
|
| Rate for Payer: UHC Exchange |
$4.16
|
| Rate for Payer: UHC Exchange |
$4.16
|
| Rate for Payer: UHC Exchange |
$4.16
|
| Rate for Payer: UMR Bronson Commercial |
$8.28
|
| Rate for Payer: UMR Bronson Commercial |
$18.59
|
| Rate for Payer: UMR Bronson Commercial |
$28.33
|
| Rate for Payer: UMR Bronson Commercial |
$16.51
|
| Rate for Payer: UMR Bronson Commercial |
$20.00
|
| Rate for Payer: UMR Bronson Commercial |
$12.21
|
| Rate for Payer: UMR Bronson Commercial |
$16.51
|
| Rate for Payer: UMR Bronson Commercial |
$13.50
|
| Rate for Payer: UMR Bronson Commercial |
$12.84
|
| Rate for Payer: UMR Bronson Commercial |
$14.37
|
| Rate for Payer: UMR Bronson Commercial |
$11.78
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$23.88
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$57.43
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$29.13
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$26.03
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$37.67
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$40.55
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$33.46
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$33.47
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$24.74
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$16.79
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$27.37
|
|
