|
AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC
|
Facility
|
IP
|
$15,992.95
|
|
|
Service Code
|
MSDRG 561
|
| Min. Negotiated Rate |
$6,949.95 |
| Max. Negotiated Rate |
$15,992.95 |
| Rate for Payer: Aetna Medicare |
$7,608.37
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$9,144.67
|
| Rate for Payer: Amish Plain Church Group Commercial |
$9,144.67
|
| Rate for Payer: BCBS MAPPO |
$7,315.74
|
| Rate for Payer: BCBS Trust/PPO |
$15,992.95
|
| Rate for Payer: BCN Commercial |
$15,992.95
|
| Rate for Payer: BCN Medicare Advantage |
$7,315.74
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$7,315.74
|
| Rate for Payer: Mclaren Medicare |
$7,315.74
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$7,681.53
|
| Rate for Payer: MI Amish Medical Board Commercial |
$8,413.10
|
| Rate for Payer: Molina Medicare/Medicaid |
$8,047.31
|
| Rate for Payer: Nomi Health Commercial |
$10,370.31
|
| Rate for Payer: PACE Medicare |
$6,949.95
|
| Rate for Payer: PACE SWMI |
$7,315.74
|
| Rate for Payer: PHP Medicare Advantage |
$7,315.74
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$12,960.59
|
| Rate for Payer: Priority Health Medicare |
$7,315.74
|
| Rate for Payer: Priority Health Tiered Network |
$10,368.47
|
| Rate for Payer: Railroad Medicare Medicare |
$7,315.74
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$13,103.57
|
| Rate for Payer: UHC Core |
$10,962.78
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$7,315.74
|
| Rate for Payer: UHC Exchange |
$8,953.03
|
| Rate for Payer: VA VA |
$7,315.74
|
|
|
AFTERCARE WITH CC/MCC
|
Facility
|
IP
|
$19,392.11
|
|
|
Service Code
|
MSDRG 949
|
| Min. Negotiated Rate |
$10,014.97 |
| Max. Negotiated Rate |
$19,392.11 |
| Rate for Payer: Aetna Medicare |
$10,963.75
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$13,177.59
|
| Rate for Payer: Amish Plain Church Group Commercial |
$13,177.59
|
| Rate for Payer: BCBS MAPPO |
$10,542.07
|
| Rate for Payer: BCBS Trust/PPO |
$19,064.72
|
| Rate for Payer: BCN Commercial |
$19,064.72
|
| Rate for Payer: BCN Medicare Advantage |
$10,542.07
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$10,542.07
|
| Rate for Payer: Mclaren Medicare |
$10,542.07
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$11,069.17
|
| Rate for Payer: MI Amish Medical Board Commercial |
$12,123.38
|
| Rate for Payer: Molina Medicare/Medicaid |
$11,596.28
|
| Rate for Payer: Nomi Health Commercial |
$15,347.13
|
| Rate for Payer: PACE Medicare |
$10,014.97
|
| Rate for Payer: PACE SWMI |
$10,542.07
|
| Rate for Payer: PHP Medicare Advantage |
$10,542.07
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$19,180.51
|
| Rate for Payer: Priority Health Medicare |
$10,542.07
|
| Rate for Payer: Priority Health Tiered Network |
$15,344.41
|
| Rate for Payer: Railroad Medicare Medicare |
$10,542.07
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$19,392.11
|
| Rate for Payer: UHC Core |
$16,223.94
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$10,542.07
|
| Rate for Payer: UHC Exchange |
$13,249.69
|
| Rate for Payer: VA VA |
$10,542.07
|
|
|
AFTERCARE WITHOUT CC/MCC
|
Facility
|
IP
|
$11,559.62
|
|
|
Service Code
|
MSDRG 950
|
| Min. Negotiated Rate |
$5,550.12 |
| Max. Negotiated Rate |
$11,559.62 |
| Rate for Payer: Aetna Medicare |
$6,075.92
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$7,302.79
|
| Rate for Payer: Amish Plain Church Group Commercial |
$7,302.79
|
| Rate for Payer: BCBS MAPPO |
$5,842.23
|
| Rate for Payer: BCBS Trust/PPO |
$11,559.62
|
| Rate for Payer: BCN Commercial |
$11,559.62
|
| Rate for Payer: BCN Medicare Advantage |
$5,842.23
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$5,842.23
|
| Rate for Payer: Mclaren Medicare |
$5,842.23
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$6,134.34
|
| Rate for Payer: MI Amish Medical Board Commercial |
$6,718.56
|
| Rate for Payer: Molina Medicare/Medicaid |
$6,426.45
|
| Rate for Payer: Nomi Health Commercial |
$8,097.33
|
| Rate for Payer: PACE Medicare |
$5,550.12
|
| Rate for Payer: PACE SWMI |
$5,842.23
|
| Rate for Payer: PHP Medicare Advantage |
$5,842.23
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$10,119.87
|
| Rate for Payer: Priority Health Medicare |
$5,842.23
|
| Rate for Payer: Priority Health Tiered Network |
$8,095.89
|
| Rate for Payer: Railroad Medicare Medicare |
$5,842.23
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$10,231.51
|
| Rate for Payer: UHC Core |
$8,559.94
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$5,842.23
|
| Rate for Payer: UHC Exchange |
$6,990.69
|
| Rate for Payer: VA VA |
$5,842.23
|
|
|
AGALSIDASE BETA 35 MG INTRAVENOUS SOLUTION
|
Facility
|
OP
|
$15,018.28
|
|
|
Service Code
|
HCPCS J0180
|
| Hospital Charge Code |
35775
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$119.02 |
| Max. Negotiated Rate |
$13,516.45 |
| Rate for Payer: Aetna American Axle |
$9,761.88
|
| Rate for Payer: Aetna Commercial |
$12,765.54
|
| Rate for Payer: Aetna Medicare |
$236.68
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$9,761.88
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$284.48
|
| Rate for Payer: Amish Plain Church Group Commercial |
$284.48
|
| Rate for Payer: BCBS Complete |
$124.99
|
| Rate for Payer: BCBS MAPPO |
$227.58
|
| Rate for Payer: BCBS Trust/PPO |
$746.83
|
| Rate for Payer: BCN Commercial |
$746.83
|
| Rate for Payer: BCN Medicare Advantage |
$227.58
|
| Rate for Payer: Cash Price |
$12,014.62
|
| Rate for Payer: Cash Price |
$12,014.62
|
| Rate for Payer: Cofinity Advantage |
$10,512.80
|
| Rate for Payer: Cofinity Commercial |
$12,915.72
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$12,014.62
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$227.58
|
| Rate for Payer: Healthscope Commercial |
$13,516.45
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$10,512.80
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$11,263.71
|
| Rate for Payer: Mclaren Medicaid |
$227.58
|
| Rate for Payer: Mclaren Medicare |
$227.58
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$238.96
|
| Rate for Payer: Meridian Medicaid |
$238.96
|
| Rate for Payer: MI Amish Medical Board Commercial |
$261.72
|
| Rate for Payer: Molina Medicare/Medicaid |
$250.34
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$12,765.54
|
| Rate for Payer: Nomi Health Commercial |
$682.74
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$11,263.71
|
| Rate for Payer: PACE Medicare |
$216.20
|
| Rate for Payer: PACE SWMI |
$227.58
|
| Rate for Payer: PHP Commercial |
$12,765.54
|
| Rate for Payer: PHP Medicare Advantage |
$227.58
|
| Rate for Payer: Priority Health Choice Medicaid |
$119.02
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$725.90
|
| Rate for Payer: Priority Health Medicare |
$227.58
|
| Rate for Payer: Priority Health SBD |
$9,461.52
|
| Rate for Payer: Priority Health Tiered Network |
$580.72
|
| Rate for Payer: Railroad Medicare Medicare |
$227.58
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$380.03
|
| Rate for Payer: UHC Core |
$380.03
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$227.58
|
| Rate for Payer: UHC Exchange |
$380.03
|
| Rate for Payer: UHC Medicaid |
$119.02
|
| Rate for Payer: UHCCP Medicaid |
$119.02
|
| Rate for Payer: UMR Bronson Commercial |
$5,556.76
|
| Rate for Payer: VA VA |
$227.58
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$11,263.71
|
|
|
AGALSIDASE BETA 35 MG INTRAVENOUS SOLUTION
|
Facility
|
IP
|
$15,018.28
|
|
|
Service Code
|
HCPCS J0180
|
| Hospital Charge Code |
35775
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$6,608.04 |
| Max. Negotiated Rate |
$13,516.45 |
| Rate for Payer: Aetna American Axle |
$9,761.88
|
| Rate for Payer: Aetna Commercial |
$12,765.54
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$9,761.88
|
| Rate for Payer: Cash Price |
$12,014.62
|
| Rate for Payer: Cofinity Advantage |
$10,512.80
|
| Rate for Payer: Cofinity Commercial |
$12,915.72
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$12,014.62
|
| Rate for Payer: Healthscope Commercial |
$13,516.45
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$10,512.80
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$11,263.71
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$12,765.54
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$11,263.71
|
| Rate for Payer: PHP Commercial |
$12,765.54
|
| Rate for Payer: Priority Health SBD |
$9,461.52
|
| Rate for Payer: UMR Bronson Commercial |
$6,608.04
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$11,263.71
|
|
|
AGALSIDASE BETA 5 MG INTRAVENOUS SOLUTION
|
Facility
|
IP
|
$2,640.58
|
|
|
Service Code
|
HCPCS J0180
|
| Hospital Charge Code |
38494
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$1,161.86 |
| Max. Negotiated Rate |
$2,376.52 |
| Rate for Payer: Aetna American Axle |
$1,716.38
|
| Rate for Payer: Aetna Commercial |
$2,244.49
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,716.38
|
| Rate for Payer: Cash Price |
$2,112.46
|
| Rate for Payer: Cofinity Advantage |
$1,848.41
|
| Rate for Payer: Cofinity Commercial |
$2,270.90
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,112.46
|
| Rate for Payer: Healthscope Commercial |
$2,376.52
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,848.41
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,980.43
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,244.49
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,980.43
|
| Rate for Payer: PHP Commercial |
$2,244.49
|
| Rate for Payer: Priority Health SBD |
$1,663.57
|
| Rate for Payer: UMR Bronson Commercial |
$1,161.86
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,980.43
|
|
|
AGALSIDASE BETA 5 MG INTRAVENOUS SOLUTION
|
Facility
|
OP
|
$2,640.58
|
|
|
Service Code
|
HCPCS J0180
|
| Hospital Charge Code |
38494
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$119.02 |
| Max. Negotiated Rate |
$2,376.52 |
| Rate for Payer: Aetna American Axle |
$1,716.38
|
| Rate for Payer: Aetna Commercial |
$2,244.49
|
| Rate for Payer: Aetna Medicare |
$236.68
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,716.38
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$284.48
|
| Rate for Payer: Amish Plain Church Group Commercial |
$284.48
|
| Rate for Payer: BCBS Complete |
$124.99
|
| Rate for Payer: BCBS MAPPO |
$227.58
|
| Rate for Payer: BCBS Trust/PPO |
$746.83
|
| Rate for Payer: BCN Commercial |
$746.83
|
| Rate for Payer: BCN Medicare Advantage |
$227.58
|
| Rate for Payer: Cash Price |
$2,112.46
|
| Rate for Payer: Cash Price |
$2,112.46
|
| Rate for Payer: Cofinity Advantage |
$1,848.41
|
| Rate for Payer: Cofinity Commercial |
$2,270.90
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,112.46
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$227.58
|
| Rate for Payer: Healthscope Commercial |
$2,376.52
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,848.41
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,980.43
|
| Rate for Payer: Mclaren Medicaid |
$227.58
|
| Rate for Payer: Mclaren Medicare |
$227.58
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$238.96
|
| Rate for Payer: Meridian Medicaid |
$238.96
|
| Rate for Payer: MI Amish Medical Board Commercial |
$261.72
|
| Rate for Payer: Molina Medicare/Medicaid |
$250.34
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,244.49
|
| Rate for Payer: Nomi Health Commercial |
$682.74
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,980.43
|
| Rate for Payer: PACE Medicare |
$216.20
|
| Rate for Payer: PACE SWMI |
$227.58
|
| Rate for Payer: PHP Commercial |
$2,244.49
|
| Rate for Payer: PHP Medicare Advantage |
$227.58
|
| Rate for Payer: Priority Health Choice Medicaid |
$119.02
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$725.90
|
| Rate for Payer: Priority Health Medicare |
$227.58
|
| Rate for Payer: Priority Health SBD |
$1,663.57
|
| Rate for Payer: Priority Health Tiered Network |
$580.72
|
| Rate for Payer: Railroad Medicare Medicare |
$227.58
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$380.03
|
| Rate for Payer: UHC Core |
$380.03
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$227.58
|
| Rate for Payer: UHC Exchange |
$380.03
|
| Rate for Payer: UHC Medicaid |
$119.02
|
| Rate for Payer: UHCCP Medicaid |
$119.02
|
| Rate for Payer: UMR Bronson Commercial |
$977.01
|
| Rate for Payer: VA VA |
$227.58
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,980.43
|
|
|
AICD GENERATOR PROCEDURES
|
Facility
|
IP
|
$100,506.35
|
|
|
Service Code
|
MSDRG 245
|
| Min. Negotiated Rate |
$36,809.58 |
| Max. Negotiated Rate |
$100,506.35 |
| Rate for Payer: Aetna Medicare |
$40,296.81
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$48,433.66
|
| Rate for Payer: Amish Plain Church Group Commercial |
$48,433.66
|
| Rate for Payer: BCBS MAPPO |
$38,746.93
|
| Rate for Payer: BCBS Trust/PPO |
$100,506.35
|
| Rate for Payer: BCN Commercial |
$100,506.35
|
| Rate for Payer: BCN Medicare Advantage |
$38,746.93
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$38,746.93
|
| Rate for Payer: Mclaren Medicare |
$38,746.93
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$40,684.28
|
| Rate for Payer: MI Amish Medical Board Commercial |
$44,558.97
|
| Rate for Payer: Molina Medicare/Medicaid |
$42,621.62
|
| Rate for Payer: Nomi Health Commercial |
$58,854.96
|
| Rate for Payer: PACE Medicare |
$36,809.58
|
| Rate for Payer: PACE SWMI |
$38,746.93
|
| Rate for Payer: PHP Medicare Advantage |
$38,746.93
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$73,555.65
|
| Rate for Payer: Priority Health Medicare |
$38,746.93
|
| Rate for Payer: Priority Health Tiered Network |
$58,844.51
|
| Rate for Payer: Railroad Medicare Medicare |
$38,746.93
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$74,367.12
|
| Rate for Payer: UHC Core |
$62,217.45
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$38,746.93
|
| Rate for Payer: UHC Exchange |
$50,811.45
|
| Rate for Payer: VA VA |
$38,746.93
|
|
|
AICD LEAD PROCEDURES
|
Facility
|
IP
|
$83,165.55
|
|
|
Service Code
|
MSDRG 265
|
| Min. Negotiated Rate |
$29,308.32 |
| Max. Negotiated Rate |
$83,165.55 |
| Rate for Payer: Aetna Medicare |
$32,084.89
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$38,563.57
|
| Rate for Payer: Amish Plain Church Group Commercial |
$38,563.57
|
| Rate for Payer: BCBS MAPPO |
$30,850.86
|
| Rate for Payer: BCBS Trust/PPO |
$83,165.55
|
| Rate for Payer: BCN Commercial |
$83,165.55
|
| Rate for Payer: BCN Medicare Advantage |
$30,850.86
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$30,850.86
|
| Rate for Payer: Mclaren Medicare |
$30,850.86
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$32,393.40
|
| Rate for Payer: MI Amish Medical Board Commercial |
$35,478.49
|
| Rate for Payer: Molina Medicare/Medicaid |
$33,935.95
|
| Rate for Payer: Nomi Health Commercial |
$46,674.78
|
| Rate for Payer: PACE Medicare |
$29,308.32
|
| Rate for Payer: PACE SWMI |
$30,850.86
|
| Rate for Payer: PHP Medicare Advantage |
$30,850.86
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$58,333.13
|
| Rate for Payer: Priority Health Medicare |
$30,850.86
|
| Rate for Payer: Priority Health Tiered Network |
$46,666.49
|
| Rate for Payer: Railroad Medicare Medicare |
$30,850.86
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$58,976.66
|
| Rate for Payer: UHC Core |
$49,341.39
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$30,850.86
|
| Rate for Payer: UHC Exchange |
$40,295.89
|
| Rate for Payer: VA VA |
$30,850.86
|
|
|
ALBENDAZOLE 200 MG TABLET
|
Facility
|
OP
|
$205.61
|
|
|
Service Code
|
NDC 72205005108
|
| Hospital Charge Code |
8979
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$76.08 |
| Max. Negotiated Rate |
$185.05 |
| Rate for Payer: Aetna American Axle |
$133.65
|
| Rate for Payer: Aetna Commercial |
$174.77
|
| Rate for Payer: Aetna Medicare |
$102.81
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$133.65
|
| Rate for Payer: BCBS Complete |
$82.24
|
| Rate for Payer: Cash Price |
$164.49
|
| Rate for Payer: Cofinity Advantage |
$143.93
|
| Rate for Payer: Cofinity Commercial |
$176.82
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$164.49
|
| Rate for Payer: Healthscope Commercial |
$185.05
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$143.93
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$154.21
|
| Rate for Payer: MI Amish Medical Board Commercial |
$164.49
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$174.77
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$154.21
|
| Rate for Payer: PHP Commercial |
$174.77
|
| Rate for Payer: Priority Health SBD |
$129.53
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$133.65
|
| Rate for Payer: UHC Core |
$107.12
|
| Rate for Payer: UHC Exchange |
$80.80
|
| Rate for Payer: UMR Bronson Commercial |
$76.08
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$154.21
|
|
|
ALBENDAZOLE 200 MG TABLET
|
Facility
|
IP
|
$99.16
|
|
|
Service Code
|
NDC 00591271202
|
| Hospital Charge Code |
8979
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$43.63 |
| Max. Negotiated Rate |
$89.24 |
| Rate for Payer: Aetna American Axle |
$64.45
|
| Rate for Payer: Aetna Commercial |
$84.29
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$64.45
|
| Rate for Payer: Cash Price |
$79.33
|
| Rate for Payer: Cofinity Advantage |
$69.41
|
| Rate for Payer: Cofinity Commercial |
$85.28
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$79.33
|
| Rate for Payer: Healthscope Commercial |
$89.24
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$69.41
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$74.37
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$84.29
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$74.37
|
| Rate for Payer: PHP Commercial |
$84.29
|
| Rate for Payer: Priority Health SBD |
$62.47
|
| Rate for Payer: UMR Bronson Commercial |
$43.63
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$74.37
|
|
|
ALBENDAZOLE 200 MG TABLET
|
Facility
|
IP
|
$206.46
|
|
|
Service Code
|
NDC 31722093502
|
| Hospital Charge Code |
8979
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$90.84 |
| Max. Negotiated Rate |
$185.81 |
| Rate for Payer: Aetna American Axle |
$134.20
|
| Rate for Payer: Aetna Commercial |
$175.49
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$134.20
|
| Rate for Payer: Cash Price |
$165.17
|
| Rate for Payer: Cofinity Advantage |
$144.52
|
| Rate for Payer: Cofinity Commercial |
$177.56
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$165.17
|
| Rate for Payer: Healthscope Commercial |
$185.81
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$144.52
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$154.84
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$175.49
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$154.84
|
| Rate for Payer: PHP Commercial |
$175.49
|
| Rate for Payer: Priority Health SBD |
$130.07
|
| Rate for Payer: UMR Bronson Commercial |
$90.84
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$154.84
|
|
|
ALBENDAZOLE 200 MG TABLET
|
Facility
|
IP
|
$205.61
|
|
|
Service Code
|
NDC 72205005108
|
| Hospital Charge Code |
8979
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$90.47 |
| Max. Negotiated Rate |
$185.05 |
| Rate for Payer: Aetna American Axle |
$133.65
|
| Rate for Payer: Aetna Commercial |
$174.77
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$133.65
|
| Rate for Payer: Cash Price |
$164.49
|
| Rate for Payer: Cofinity Advantage |
$143.93
|
| Rate for Payer: Cofinity Commercial |
$176.82
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$164.49
|
| Rate for Payer: Healthscope Commercial |
$185.05
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$143.93
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$154.21
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$174.77
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$154.21
|
| Rate for Payer: PHP Commercial |
$174.77
|
| Rate for Payer: Priority Health SBD |
$129.53
|
| Rate for Payer: UMR Bronson Commercial |
$90.47
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$154.21
|
|
|
ALBENDAZOLE 200 MG TABLET
|
Facility
|
OP
|
$99.16
|
|
|
Service Code
|
NDC 00591271202
|
| Hospital Charge Code |
8979
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$36.69 |
| Max. Negotiated Rate |
$89.24 |
| Rate for Payer: Aetna American Axle |
$64.45
|
| Rate for Payer: Aetna Commercial |
$84.29
|
| Rate for Payer: Aetna Medicare |
$49.58
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$64.45
|
| Rate for Payer: BCBS Complete |
$39.66
|
| Rate for Payer: Cash Price |
$79.33
|
| Rate for Payer: Cofinity Advantage |
$69.41
|
| Rate for Payer: Cofinity Commercial |
$85.28
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$79.33
|
| Rate for Payer: Healthscope Commercial |
$89.24
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$69.41
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$74.37
|
| Rate for Payer: MI Amish Medical Board Commercial |
$79.33
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$84.29
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$74.37
|
| Rate for Payer: PHP Commercial |
$84.29
|
| Rate for Payer: Priority Health SBD |
$62.47
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$64.45
|
| Rate for Payer: UHC Core |
$51.66
|
| Rate for Payer: UHC Exchange |
$38.97
|
| Rate for Payer: UMR Bronson Commercial |
$36.69
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$74.37
|
|
|
ALBENDAZOLE 200 MG TABLET
|
Facility
|
OP
|
$206.46
|
|
|
Service Code
|
NDC 31722093502
|
| Hospital Charge Code |
8979
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$76.39 |
| Max. Negotiated Rate |
$185.81 |
| Rate for Payer: Aetna American Axle |
$134.20
|
| Rate for Payer: Aetna Commercial |
$175.49
|
| Rate for Payer: Aetna Medicare |
$103.23
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$134.20
|
| Rate for Payer: BCBS Complete |
$82.58
|
| Rate for Payer: Cash Price |
$165.17
|
| Rate for Payer: Cofinity Advantage |
$144.52
|
| Rate for Payer: Cofinity Commercial |
$177.56
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$165.17
|
| Rate for Payer: Healthscope Commercial |
$185.81
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$144.52
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$154.84
|
| Rate for Payer: MI Amish Medical Board Commercial |
$165.17
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$175.49
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$154.84
|
| Rate for Payer: PHP Commercial |
$175.49
|
| Rate for Payer: Priority Health SBD |
$130.07
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$134.20
|
| Rate for Payer: UHC Core |
$107.57
|
| Rate for Payer: UHC Exchange |
$81.14
|
| Rate for Payer: UMR Bronson Commercial |
$76.39
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$154.84
|
|
|
ALBUMIN, HUMAN 25 % CONTINUOUS INFUSION
|
Facility
|
IP
|
$180.01
|
|
|
Service Code
|
HCPCS P9047
|
| Hospital Charge Code |
180016
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$79.20 |
| Max. Negotiated Rate |
$162.01 |
| Rate for Payer: Aetna American Axle |
$117.01
|
| Rate for Payer: Aetna Commercial |
$153.01
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$117.01
|
| Rate for Payer: Cash Price |
$144.01
|
| Rate for Payer: Cofinity Advantage |
$126.01
|
| Rate for Payer: Cofinity Commercial |
$154.81
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$144.01
|
| Rate for Payer: Healthscope Commercial |
$162.01
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$126.01
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$135.01
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$153.01
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$135.01
|
| Rate for Payer: PHP Commercial |
$153.01
|
| Rate for Payer: Priority Health SBD |
$113.41
|
| Rate for Payer: UMR Bronson Commercial |
$79.20
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$135.01
|
|
|
ALBUMIN, HUMAN 25 % CONTINUOUS INFUSION
|
Facility
|
OP
|
$180.01
|
|
|
Service Code
|
HCPCS P9047
|
| Hospital Charge Code |
180016
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$27.76 |
| Max. Negotiated Rate |
$172.12 |
| Rate for Payer: Aetna American Axle |
$117.01
|
| Rate for Payer: Aetna Commercial |
$153.01
|
| Rate for Payer: Aetna Medicare |
$55.20
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$117.01
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$66.35
|
| Rate for Payer: Amish Plain Church Group Commercial |
$66.35
|
| Rate for Payer: BCBS Complete |
$29.15
|
| Rate for Payer: BCBS MAPPO |
$53.08
|
| Rate for Payer: BCBS Trust/PPO |
$172.12
|
| Rate for Payer: BCN Commercial |
$172.12
|
| Rate for Payer: BCN Medicare Advantage |
$53.08
|
| Rate for Payer: Cash Price |
$144.01
|
| Rate for Payer: Cash Price |
$144.01
|
| Rate for Payer: Cofinity Advantage |
$126.01
|
| Rate for Payer: Cofinity Commercial |
$154.81
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$144.01
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$53.08
|
| Rate for Payer: Healthscope Commercial |
$162.01
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$126.01
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$135.01
|
| Rate for Payer: Mclaren Medicaid |
$53.08
|
| Rate for Payer: Mclaren Medicare |
$53.08
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$55.73
|
| Rate for Payer: Meridian Medicaid |
$55.73
|
| Rate for Payer: MI Amish Medical Board Commercial |
$61.04
|
| Rate for Payer: Molina Medicare/Medicaid |
$58.39
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$153.01
|
| Rate for Payer: Nomi Health Commercial |
$159.24
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$135.01
|
| Rate for Payer: PACE Medicare |
$50.43
|
| Rate for Payer: PACE SWMI |
$53.08
|
| Rate for Payer: PHP Commercial |
$153.01
|
| Rate for Payer: PHP Medicare Advantage |
$53.08
|
| Rate for Payer: Priority Health Choice Medicaid |
$27.76
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$167.40
|
| Rate for Payer: Priority Health Medicare |
$53.08
|
| Rate for Payer: Priority Health SBD |
$113.41
|
| Rate for Payer: Priority Health Tiered Network |
$133.92
|
| Rate for Payer: Railroad Medicare Medicare |
$53.08
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$87.58
|
| Rate for Payer: UHC Core |
$87.58
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$53.08
|
| Rate for Payer: UHC Exchange |
$87.58
|
| Rate for Payer: UHC Medicaid |
$27.76
|
| Rate for Payer: UHCCP Medicaid |
$27.76
|
| Rate for Payer: UMR Bronson Commercial |
$66.60
|
| Rate for Payer: VA VA |
$53.08
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$135.01
|
|
|
ALBUMIN, HUMAN 25 % FOR PARACENTESIS INJECTION SOLUTION
|
Facility
|
IP
|
$287.20
|
|
|
Service Code
|
HCPCS P9047
|
| Hospital Charge Code |
300360
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$126.37 |
| Max. Negotiated Rate |
$258.48 |
| Rate for Payer: Aetna American Axle |
$186.68
|
| Rate for Payer: Aetna American Axle |
$117.01
|
| Rate for Payer: Aetna Commercial |
$153.01
|
| Rate for Payer: Aetna Commercial |
$244.12
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$117.01
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$186.68
|
| Rate for Payer: Cash Price |
$229.76
|
| Rate for Payer: Cash Price |
$144.01
|
| Rate for Payer: Cofinity Advantage |
$201.04
|
| Rate for Payer: Cofinity Advantage |
$126.01
|
| Rate for Payer: Cofinity Commercial |
$154.81
|
| Rate for Payer: Cofinity Commercial |
$246.99
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$144.01
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$229.76
|
| Rate for Payer: Healthscope Commercial |
$258.48
|
| Rate for Payer: Healthscope Commercial |
$162.01
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$126.01
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$201.04
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$135.01
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$215.40
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$153.01
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$244.12
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$135.01
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$215.40
|
| Rate for Payer: PHP Commercial |
$153.01
|
| Rate for Payer: PHP Commercial |
$244.12
|
| Rate for Payer: Priority Health SBD |
$113.41
|
| Rate for Payer: Priority Health SBD |
$180.94
|
| Rate for Payer: UMR Bronson Commercial |
$126.37
|
| Rate for Payer: UMR Bronson Commercial |
$79.20
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$215.40
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$135.01
|
|
|
ALBUMIN, HUMAN 25 % FOR PARACENTESIS INJECTION SOLUTION
|
Facility
|
OP
|
$287.20
|
|
|
Service Code
|
HCPCS P9047
|
| Hospital Charge Code |
300360
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$27.76 |
| Max. Negotiated Rate |
$258.48 |
| Rate for Payer: Aetna American Axle |
$186.68
|
| Rate for Payer: Aetna American Axle |
$117.01
|
| Rate for Payer: Aetna Commercial |
$153.01
|
| Rate for Payer: Aetna Commercial |
$244.12
|
| Rate for Payer: Aetna Medicare |
$55.20
|
| Rate for Payer: Aetna Medicare |
$55.20
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$117.01
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$186.68
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$66.35
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$66.35
|
| Rate for Payer: Amish Plain Church Group Commercial |
$66.35
|
| Rate for Payer: Amish Plain Church Group Commercial |
$66.35
|
| Rate for Payer: BCBS Complete |
$29.15
|
| Rate for Payer: BCBS Complete |
$29.15
|
| Rate for Payer: BCBS MAPPO |
$53.08
|
| Rate for Payer: BCBS MAPPO |
$53.08
|
| Rate for Payer: BCBS Trust/PPO |
$172.12
|
| Rate for Payer: BCBS Trust/PPO |
$172.12
|
| Rate for Payer: BCN Commercial |
$172.12
|
| Rate for Payer: BCN Commercial |
$172.12
|
| Rate for Payer: BCN Medicare Advantage |
$53.08
|
| Rate for Payer: BCN Medicare Advantage |
$53.08
|
| Rate for Payer: Cash Price |
$144.01
|
| Rate for Payer: Cash Price |
$229.76
|
| Rate for Payer: Cash Price |
$229.76
|
| Rate for Payer: Cash Price |
$144.01
|
| Rate for Payer: Cofinity Advantage |
$201.04
|
| Rate for Payer: Cofinity Advantage |
$126.01
|
| Rate for Payer: Cofinity Commercial |
$154.81
|
| Rate for Payer: Cofinity Commercial |
$246.99
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$144.01
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$229.76
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$53.08
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$53.08
|
| Rate for Payer: Healthscope Commercial |
$162.01
|
| Rate for Payer: Healthscope Commercial |
$258.48
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$201.04
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$126.01
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$135.01
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$215.40
|
| Rate for Payer: Mclaren Medicaid |
$53.08
|
| Rate for Payer: Mclaren Medicaid |
$53.08
|
| Rate for Payer: Mclaren Medicare |
$53.08
|
| Rate for Payer: Mclaren Medicare |
$53.08
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$55.73
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$55.73
|
| Rate for Payer: Meridian Medicaid |
$55.73
|
| Rate for Payer: Meridian Medicaid |
$55.73
|
| Rate for Payer: MI Amish Medical Board Commercial |
$61.04
|
| Rate for Payer: MI Amish Medical Board Commercial |
$61.04
|
| Rate for Payer: Molina Medicare/Medicaid |
$58.39
|
| Rate for Payer: Molina Medicare/Medicaid |
$58.39
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$153.01
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$244.12
|
| Rate for Payer: Nomi Health Commercial |
$159.24
|
| Rate for Payer: Nomi Health Commercial |
$159.24
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$215.40
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$135.01
|
| Rate for Payer: PACE Medicare |
$50.43
|
| Rate for Payer: PACE Medicare |
$50.43
|
| Rate for Payer: PACE SWMI |
$53.08
|
| Rate for Payer: PACE SWMI |
$53.08
|
| Rate for Payer: PHP Commercial |
$153.01
|
| Rate for Payer: PHP Commercial |
$244.12
|
| Rate for Payer: PHP Medicare Advantage |
$53.08
|
| Rate for Payer: PHP Medicare Advantage |
$53.08
|
| Rate for Payer: Priority Health Choice Medicaid |
$27.76
|
| Rate for Payer: Priority Health Choice Medicaid |
$27.76
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$167.40
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$167.40
|
| Rate for Payer: Priority Health Medicare |
$53.08
|
| Rate for Payer: Priority Health Medicare |
$53.08
|
| Rate for Payer: Priority Health SBD |
$113.41
|
| Rate for Payer: Priority Health SBD |
$180.94
|
| Rate for Payer: Priority Health Tiered Network |
$133.92
|
| Rate for Payer: Priority Health Tiered Network |
$133.92
|
| Rate for Payer: Railroad Medicare Medicare |
$53.08
|
| Rate for Payer: Railroad Medicare Medicare |
$53.08
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$87.58
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$87.58
|
| Rate for Payer: UHC Core |
$87.58
|
| Rate for Payer: UHC Core |
$87.58
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$53.08
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$53.08
|
| Rate for Payer: UHC Exchange |
$87.58
|
| Rate for Payer: UHC Exchange |
$87.58
|
| Rate for Payer: UHC Medicaid |
$27.76
|
| Rate for Payer: UHC Medicaid |
$27.76
|
| Rate for Payer: UHCCP Medicaid |
$27.76
|
| Rate for Payer: UHCCP Medicaid |
$27.76
|
| Rate for Payer: UMR Bronson Commercial |
$66.60
|
| Rate for Payer: UMR Bronson Commercial |
$106.26
|
| Rate for Payer: VA VA |
$53.08
|
| Rate for Payer: VA VA |
$53.08
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$215.40
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$135.01
|
|
|
ALBUMIN, HUMAN 25 % INTRAVENOUS SOLUTION
|
Facility
|
OP
|
$180.01
|
|
|
Service Code
|
HCPCS P9047
|
| Hospital Charge Code |
8981
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$27.76 |
| Max. Negotiated Rate |
$172.12 |
| Rate for Payer: Aetna American Axle |
$117.01
|
| Rate for Payer: Aetna American Axle |
$74.11
|
| Rate for Payer: Aetna American Axle |
$186.68
|
| Rate for Payer: Aetna American Axle |
$184.60
|
| Rate for Payer: Aetna American Axle |
$110.06
|
| Rate for Payer: Aetna American Axle |
$95.89
|
| Rate for Payer: Aetna Commercial |
$125.39
|
| Rate for Payer: Aetna Commercial |
$96.91
|
| Rate for Payer: Aetna Commercial |
$153.01
|
| Rate for Payer: Aetna Commercial |
$244.12
|
| Rate for Payer: Aetna Commercial |
$241.40
|
| Rate for Payer: Aetna Commercial |
$143.93
|
| Rate for Payer: Aetna Medicare |
$55.20
|
| Rate for Payer: Aetna Medicare |
$55.20
|
| Rate for Payer: Aetna Medicare |
$55.20
|
| Rate for Payer: Aetna Medicare |
$55.20
|
| Rate for Payer: Aetna Medicare |
$55.20
|
| Rate for Payer: Aetna Medicare |
$55.20
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$186.68
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$110.06
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$95.89
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$184.60
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$74.11
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$117.01
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$66.35
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$66.35
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$66.35
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$66.35
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$66.35
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$66.35
|
| Rate for Payer: Amish Plain Church Group Commercial |
$66.35
|
| Rate for Payer: Amish Plain Church Group Commercial |
$66.35
|
| Rate for Payer: Amish Plain Church Group Commercial |
$66.35
|
| Rate for Payer: Amish Plain Church Group Commercial |
$66.35
|
| Rate for Payer: Amish Plain Church Group Commercial |
$66.35
|
| Rate for Payer: Amish Plain Church Group Commercial |
$66.35
|
| Rate for Payer: BCBS Complete |
$29.15
|
| Rate for Payer: BCBS Complete |
$29.15
|
| Rate for Payer: BCBS Complete |
$29.15
|
| Rate for Payer: BCBS Complete |
$29.15
|
| Rate for Payer: BCBS Complete |
$29.15
|
| Rate for Payer: BCBS Complete |
$29.15
|
| Rate for Payer: BCBS MAPPO |
$53.08
|
| Rate for Payer: BCBS MAPPO |
$53.08
|
| Rate for Payer: BCBS MAPPO |
$53.08
|
| Rate for Payer: BCBS MAPPO |
$53.08
|
| Rate for Payer: BCBS MAPPO |
$53.08
|
| Rate for Payer: BCBS MAPPO |
$53.08
|
| Rate for Payer: BCBS Trust/PPO |
$172.12
|
| Rate for Payer: BCBS Trust/PPO |
$172.12
|
| Rate for Payer: BCBS Trust/PPO |
$172.12
|
| Rate for Payer: BCBS Trust/PPO |
$172.12
|
| Rate for Payer: BCBS Trust/PPO |
$172.12
|
| Rate for Payer: BCBS Trust/PPO |
$172.12
|
| Rate for Payer: BCN Commercial |
$172.12
|
| Rate for Payer: BCN Commercial |
$172.12
|
| Rate for Payer: BCN Commercial |
$172.12
|
| Rate for Payer: BCN Commercial |
$172.12
|
| Rate for Payer: BCN Commercial |
$172.12
|
| Rate for Payer: BCN Commercial |
$172.12
|
| Rate for Payer: BCN Medicare Advantage |
$53.08
|
| Rate for Payer: BCN Medicare Advantage |
$53.08
|
| Rate for Payer: BCN Medicare Advantage |
$53.08
|
| Rate for Payer: BCN Medicare Advantage |
$53.08
|
| Rate for Payer: BCN Medicare Advantage |
$53.08
|
| Rate for Payer: BCN Medicare Advantage |
$53.08
|
| Rate for Payer: Cash Price |
$229.76
|
| Rate for Payer: Cash Price |
$91.21
|
| Rate for Payer: Cash Price |
$91.21
|
| Rate for Payer: Cash Price |
$118.02
|
| Rate for Payer: Cash Price |
$229.76
|
| Rate for Payer: Cash Price |
$227.20
|
| Rate for Payer: Cash Price |
$227.20
|
| Rate for Payer: Cash Price |
$118.02
|
| Rate for Payer: Cash Price |
$135.46
|
| Rate for Payer: Cash Price |
$144.01
|
| Rate for Payer: Cash Price |
$144.01
|
| Rate for Payer: Cash Price |
$135.46
|
| Rate for Payer: Cofinity Advantage |
$103.26
|
| Rate for Payer: Cofinity Advantage |
$118.53
|
| Rate for Payer: Cofinity Advantage |
$201.04
|
| Rate for Payer: Cofinity Advantage |
$79.81
|
| Rate for Payer: Cofinity Advantage |
$126.01
|
| Rate for Payer: Cofinity Advantage |
$198.80
|
| Rate for Payer: Cofinity Commercial |
$244.24
|
| Rate for Payer: Cofinity Commercial |
$145.62
|
| Rate for Payer: Cofinity Commercial |
$126.87
|
| Rate for Payer: Cofinity Commercial |
$246.99
|
| Rate for Payer: Cofinity Commercial |
$154.81
|
| Rate for Payer: Cofinity Commercial |
$98.05
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$227.20
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$135.46
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$118.02
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$144.01
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$229.76
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$91.21
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$53.08
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$53.08
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$53.08
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$53.08
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$53.08
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$53.08
|
| Rate for Payer: Healthscope Commercial |
$132.77
|
| Rate for Payer: Healthscope Commercial |
$255.60
|
| Rate for Payer: Healthscope Commercial |
$258.48
|
| Rate for Payer: Healthscope Commercial |
$162.01
|
| Rate for Payer: Healthscope Commercial |
$102.61
|
| Rate for Payer: Healthscope Commercial |
$152.40
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$126.01
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$118.53
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$79.81
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$198.80
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$103.26
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$201.04
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$110.64
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$135.01
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$215.40
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$213.00
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$85.51
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$127.00
|
| Rate for Payer: Mclaren Medicaid |
$53.08
|
| Rate for Payer: Mclaren Medicaid |
$53.08
|
| Rate for Payer: Mclaren Medicaid |
$53.08
|
| Rate for Payer: Mclaren Medicaid |
$53.08
|
| Rate for Payer: Mclaren Medicaid |
$53.08
|
| Rate for Payer: Mclaren Medicaid |
$53.08
|
| Rate for Payer: Mclaren Medicare |
$53.08
|
| Rate for Payer: Mclaren Medicare |
$53.08
|
| Rate for Payer: Mclaren Medicare |
$53.08
|
| Rate for Payer: Mclaren Medicare |
$53.08
|
| Rate for Payer: Mclaren Medicare |
$53.08
|
| Rate for Payer: Mclaren Medicare |
$53.08
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$55.73
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$55.73
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$55.73
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$55.73
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$55.73
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$55.73
|
| Rate for Payer: Meridian Medicaid |
$55.73
|
| Rate for Payer: Meridian Medicaid |
$55.73
|
| Rate for Payer: Meridian Medicaid |
$55.73
|
| Rate for Payer: Meridian Medicaid |
$55.73
|
| Rate for Payer: Meridian Medicaid |
$55.73
|
| Rate for Payer: Meridian Medicaid |
$55.73
|
| Rate for Payer: MI Amish Medical Board Commercial |
$61.04
|
| Rate for Payer: MI Amish Medical Board Commercial |
$61.04
|
| Rate for Payer: MI Amish Medical Board Commercial |
$61.04
|
| Rate for Payer: MI Amish Medical Board Commercial |
$61.04
|
| Rate for Payer: MI Amish Medical Board Commercial |
$61.04
|
| Rate for Payer: MI Amish Medical Board Commercial |
$61.04
|
| Rate for Payer: Molina Medicare/Medicaid |
$58.39
|
| Rate for Payer: Molina Medicare/Medicaid |
$58.39
|
| Rate for Payer: Molina Medicare/Medicaid |
$58.39
|
| Rate for Payer: Molina Medicare/Medicaid |
$58.39
|
| Rate for Payer: Molina Medicare/Medicaid |
$58.39
|
| Rate for Payer: Molina Medicare/Medicaid |
$58.39
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$125.39
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$244.12
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$153.01
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$241.40
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$143.93
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$96.91
|
| Rate for Payer: Nomi Health Commercial |
$159.24
|
| Rate for Payer: Nomi Health Commercial |
$159.24
|
| Rate for Payer: Nomi Health Commercial |
$159.24
|
| Rate for Payer: Nomi Health Commercial |
$159.24
|
| Rate for Payer: Nomi Health Commercial |
$159.24
|
| Rate for Payer: Nomi Health Commercial |
$159.24
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$127.00
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$110.64
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$135.01
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$215.40
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$85.51
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$213.00
|
| Rate for Payer: PACE Medicare |
$50.43
|
| Rate for Payer: PACE Medicare |
$50.43
|
| Rate for Payer: PACE Medicare |
$50.43
|
| Rate for Payer: PACE Medicare |
$50.43
|
| Rate for Payer: PACE Medicare |
$50.43
|
| Rate for Payer: PACE Medicare |
$50.43
|
| Rate for Payer: PACE SWMI |
$53.08
|
| Rate for Payer: PACE SWMI |
$53.08
|
| Rate for Payer: PACE SWMI |
$53.08
|
| Rate for Payer: PACE SWMI |
$53.08
|
| Rate for Payer: PACE SWMI |
$53.08
|
| Rate for Payer: PACE SWMI |
$53.08
|
| Rate for Payer: PHP Commercial |
$96.91
|
| Rate for Payer: PHP Commercial |
$244.12
|
| Rate for Payer: PHP Commercial |
$153.01
|
| Rate for Payer: PHP Commercial |
$125.39
|
| Rate for Payer: PHP Commercial |
$143.93
|
| Rate for Payer: PHP Commercial |
$241.40
|
| Rate for Payer: PHP Medicare Advantage |
$53.08
|
| Rate for Payer: PHP Medicare Advantage |
$53.08
|
| Rate for Payer: PHP Medicare Advantage |
$53.08
|
| Rate for Payer: PHP Medicare Advantage |
$53.08
|
| Rate for Payer: PHP Medicare Advantage |
$53.08
|
| Rate for Payer: PHP Medicare Advantage |
$53.08
|
| Rate for Payer: Priority Health Choice Medicaid |
$27.76
|
| Rate for Payer: Priority Health Choice Medicaid |
$27.76
|
| Rate for Payer: Priority Health Choice Medicaid |
$27.76
|
| Rate for Payer: Priority Health Choice Medicaid |
$27.76
|
| Rate for Payer: Priority Health Choice Medicaid |
$27.76
|
| Rate for Payer: Priority Health Choice Medicaid |
$27.76
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$167.40
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$167.40
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$167.40
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$167.40
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$167.40
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$167.40
|
| Rate for Payer: Priority Health Medicare |
$53.08
|
| Rate for Payer: Priority Health Medicare |
$53.08
|
| Rate for Payer: Priority Health Medicare |
$53.08
|
| Rate for Payer: Priority Health Medicare |
$53.08
|
| Rate for Payer: Priority Health Medicare |
$53.08
|
| Rate for Payer: Priority Health Medicare |
$53.08
|
| Rate for Payer: Priority Health SBD |
$180.94
|
| Rate for Payer: Priority Health SBD |
$106.68
|
| Rate for Payer: Priority Health SBD |
$113.41
|
| Rate for Payer: Priority Health SBD |
$71.83
|
| Rate for Payer: Priority Health SBD |
$178.92
|
| Rate for Payer: Priority Health SBD |
$92.94
|
| Rate for Payer: Priority Health Tiered Network |
$133.92
|
| Rate for Payer: Priority Health Tiered Network |
$133.92
|
| Rate for Payer: Priority Health Tiered Network |
$133.92
|
| Rate for Payer: Priority Health Tiered Network |
$133.92
|
| Rate for Payer: Priority Health Tiered Network |
$133.92
|
| Rate for Payer: Priority Health Tiered Network |
$133.92
|
| Rate for Payer: Railroad Medicare Medicare |
$53.08
|
| Rate for Payer: Railroad Medicare Medicare |
$53.08
|
| Rate for Payer: Railroad Medicare Medicare |
$53.08
|
| Rate for Payer: Railroad Medicare Medicare |
$53.08
|
| Rate for Payer: Railroad Medicare Medicare |
$53.08
|
| Rate for Payer: Railroad Medicare Medicare |
$53.08
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$87.58
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$87.58
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$87.58
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$87.58
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$87.58
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$87.58
|
| Rate for Payer: UHC Core |
$87.58
|
| Rate for Payer: UHC Core |
$87.58
|
| Rate for Payer: UHC Core |
$87.58
|
| Rate for Payer: UHC Core |
$87.58
|
| Rate for Payer: UHC Core |
$87.58
|
| Rate for Payer: UHC Core |
$87.58
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$53.08
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$53.08
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$53.08
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$53.08
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$53.08
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$53.08
|
| Rate for Payer: UHC Exchange |
$87.58
|
| Rate for Payer: UHC Exchange |
$87.58
|
| Rate for Payer: UHC Exchange |
$87.58
|
| Rate for Payer: UHC Exchange |
$87.58
|
| Rate for Payer: UHC Exchange |
$87.58
|
| Rate for Payer: UHC Exchange |
$87.58
|
| Rate for Payer: UHC Medicaid |
$27.76
|
| Rate for Payer: UHC Medicaid |
$27.76
|
| Rate for Payer: UHC Medicaid |
$27.76
|
| Rate for Payer: UHC Medicaid |
$27.76
|
| Rate for Payer: UHC Medicaid |
$27.76
|
| Rate for Payer: UHC Medicaid |
$27.76
|
| Rate for Payer: UHCCP Medicaid |
$27.76
|
| Rate for Payer: UHCCP Medicaid |
$27.76
|
| Rate for Payer: UHCCP Medicaid |
$27.76
|
| Rate for Payer: UHCCP Medicaid |
$27.76
|
| Rate for Payer: UHCCP Medicaid |
$27.76
|
| Rate for Payer: UHCCP Medicaid |
$27.76
|
| Rate for Payer: UMR Bronson Commercial |
$66.60
|
| Rate for Payer: UMR Bronson Commercial |
$54.58
|
| Rate for Payer: UMR Bronson Commercial |
$105.08
|
| Rate for Payer: UMR Bronson Commercial |
$62.65
|
| Rate for Payer: UMR Bronson Commercial |
$42.18
|
| Rate for Payer: UMR Bronson Commercial |
$106.26
|
| Rate for Payer: VA VA |
$53.08
|
| Rate for Payer: VA VA |
$53.08
|
| Rate for Payer: VA VA |
$53.08
|
| Rate for Payer: VA VA |
$53.08
|
| Rate for Payer: VA VA |
$53.08
|
| Rate for Payer: VA VA |
$53.08
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$110.64
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$213.00
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$215.40
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$85.51
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$127.00
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$135.01
|
|
|
ALBUMIN, HUMAN 25 % INTRAVENOUS SOLUTION
|
Facility
|
IP
|
$147.52
|
|
|
Service Code
|
HCPCS P9047
|
| Hospital Charge Code |
8981
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$64.91 |
| Max. Negotiated Rate |
$132.77 |
| Rate for Payer: Aetna American Axle |
$95.89
|
| Rate for Payer: Aetna American Axle |
$186.68
|
| Rate for Payer: Aetna American Axle |
$117.01
|
| Rate for Payer: Aetna Commercial |
$153.01
|
| Rate for Payer: Aetna Commercial |
$125.39
|
| Rate for Payer: Aetna Commercial |
$244.12
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$186.68
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$95.89
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$117.01
|
| Rate for Payer: Cash Price |
$144.01
|
| Rate for Payer: Cash Price |
$118.02
|
| Rate for Payer: Cash Price |
$229.76
|
| Rate for Payer: Cofinity Advantage |
$201.04
|
| Rate for Payer: Cofinity Advantage |
$103.26
|
| Rate for Payer: Cofinity Advantage |
$126.01
|
| Rate for Payer: Cofinity Commercial |
$246.99
|
| Rate for Payer: Cofinity Commercial |
$126.87
|
| Rate for Payer: Cofinity Commercial |
$154.81
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$118.02
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$144.01
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$229.76
|
| Rate for Payer: Healthscope Commercial |
$162.01
|
| Rate for Payer: Healthscope Commercial |
$258.48
|
| Rate for Payer: Healthscope Commercial |
$132.77
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$126.01
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$103.26
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$201.04
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$215.40
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$110.64
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$135.01
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$125.39
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$153.01
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$244.12
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$110.64
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$135.01
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$215.40
|
| Rate for Payer: PHP Commercial |
$153.01
|
| Rate for Payer: PHP Commercial |
$125.39
|
| Rate for Payer: PHP Commercial |
$244.12
|
| Rate for Payer: Priority Health SBD |
$92.94
|
| Rate for Payer: Priority Health SBD |
$113.41
|
| Rate for Payer: Priority Health SBD |
$180.94
|
| Rate for Payer: UMR Bronson Commercial |
$64.91
|
| Rate for Payer: UMR Bronson Commercial |
$126.37
|
| Rate for Payer: UMR Bronson Commercial |
$79.20
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$135.01
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$110.64
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$215.40
|
|
|
ALBUMIN, HUMAN 5 % INTRAVENOUS SOLUTION
|
Facility
|
IP
|
$431.52
|
|
|
Service Code
|
HCPCS P9045
|
| Hospital Charge Code |
8982
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$189.87 |
| Max. Negotiated Rate |
$388.37 |
| Rate for Payer: Aetna American Axle |
$280.49
|
| Rate for Payer: Aetna American Axle |
$241.28
|
| Rate for Payer: Aetna American Axle |
$122.15
|
| Rate for Payer: Aetna American Axle |
$100.28
|
| Rate for Payer: Aetna American Axle |
$120.64
|
| Rate for Payer: Aetna American Axle |
$114.61
|
| Rate for Payer: Aetna Commercial |
$366.79
|
| Rate for Payer: Aetna Commercial |
$157.76
|
| Rate for Payer: Aetna Commercial |
$159.73
|
| Rate for Payer: Aetna Commercial |
$149.87
|
| Rate for Payer: Aetna Commercial |
$315.52
|
| Rate for Payer: Aetna Commercial |
$131.14
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$122.15
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$120.64
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$241.28
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$280.49
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$114.61
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$100.28
|
| Rate for Payer: Cash Price |
$345.22
|
| Rate for Payer: Cash Price |
$296.96
|
| Rate for Payer: Cash Price |
$150.34
|
| Rate for Payer: Cash Price |
$123.42
|
| Rate for Payer: Cash Price |
$148.48
|
| Rate for Payer: Cash Price |
$141.06
|
| Rate for Payer: Cofinity Advantage |
$131.54
|
| Rate for Payer: Cofinity Advantage |
$123.42
|
| Rate for Payer: Cofinity Advantage |
$108.00
|
| Rate for Payer: Cofinity Advantage |
$259.84
|
| Rate for Payer: Cofinity Advantage |
$129.92
|
| Rate for Payer: Cofinity Advantage |
$302.06
|
| Rate for Payer: Cofinity Commercial |
$151.64
|
| Rate for Payer: Cofinity Commercial |
$161.61
|
| Rate for Payer: Cofinity Commercial |
$319.23
|
| Rate for Payer: Cofinity Commercial |
$132.68
|
| Rate for Payer: Cofinity Commercial |
$159.62
|
| Rate for Payer: Cofinity Commercial |
$371.11
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$296.96
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$148.48
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$150.34
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$123.42
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$141.06
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$345.22
|
| Rate for Payer: Healthscope Commercial |
$334.08
|
| Rate for Payer: Healthscope Commercial |
$138.85
|
| Rate for Payer: Healthscope Commercial |
$169.13
|
| Rate for Payer: Healthscope Commercial |
$158.69
|
| Rate for Payer: Healthscope Commercial |
$167.04
|
| Rate for Payer: Healthscope Commercial |
$388.37
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$123.42
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$259.84
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$131.54
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$302.06
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$108.00
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$129.92
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$323.64
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$132.24
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$139.20
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$140.94
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$278.40
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$115.71
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$159.73
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$157.76
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$149.87
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$366.79
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$131.14
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$315.52
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$115.71
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$140.94
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$132.24
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$278.40
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$323.64
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$139.20
|
| Rate for Payer: PHP Commercial |
$157.76
|
| Rate for Payer: PHP Commercial |
$366.79
|
| Rate for Payer: PHP Commercial |
$315.52
|
| Rate for Payer: PHP Commercial |
$159.73
|
| Rate for Payer: PHP Commercial |
$131.14
|
| Rate for Payer: PHP Commercial |
$149.87
|
| Rate for Payer: Priority Health SBD |
$233.86
|
| Rate for Payer: Priority Health SBD |
$111.08
|
| Rate for Payer: Priority Health SBD |
$97.20
|
| Rate for Payer: Priority Health SBD |
$116.93
|
| Rate for Payer: Priority Health SBD |
$118.39
|
| Rate for Payer: Priority Health SBD |
$271.86
|
| Rate for Payer: UMR Bronson Commercial |
$163.33
|
| Rate for Payer: UMR Bronson Commercial |
$81.66
|
| Rate for Payer: UMR Bronson Commercial |
$82.68
|
| Rate for Payer: UMR Bronson Commercial |
$77.58
|
| Rate for Payer: UMR Bronson Commercial |
$189.87
|
| Rate for Payer: UMR Bronson Commercial |
$67.88
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$132.24
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$278.40
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$323.64
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$140.94
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$115.71
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$139.20
|
|
|
ALBUMIN, HUMAN 5 % INTRAVENOUS SOLUTION
|
Facility
|
IP
|
$371.20
|
|
|
Service Code
|
HCPCS P9041
|
| Hospital Charge Code |
8982
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$163.33 |
| Max. Negotiated Rate |
$334.08 |
| Rate for Payer: Aetna American Axle |
$241.28
|
| Rate for Payer: Aetna Commercial |
$315.52
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$241.28
|
| Rate for Payer: Cash Price |
$296.96
|
| Rate for Payer: Cofinity Advantage |
$259.84
|
| Rate for Payer: Cofinity Commercial |
$319.23
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$296.96
|
| Rate for Payer: Healthscope Commercial |
$334.08
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$259.84
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$278.40
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$315.52
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$278.40
|
| Rate for Payer: PHP Commercial |
$315.52
|
| Rate for Payer: Priority Health SBD |
$233.86
|
| Rate for Payer: UMR Bronson Commercial |
$163.33
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$278.40
|
|
|
ALBUMIN, HUMAN 5 % INTRAVENOUS SOLUTION
|
Facility
|
OP
|
$371.20
|
|
|
Service Code
|
HCPCS P9041
|
| Hospital Charge Code |
8982
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$5.55 |
| Max. Negotiated Rate |
$334.08 |
| Rate for Payer: Aetna American Axle |
$241.28
|
| Rate for Payer: Aetna Commercial |
$315.52
|
| Rate for Payer: Aetna Medicare |
$11.04
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$241.28
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$13.28
|
| Rate for Payer: Amish Plain Church Group Commercial |
$13.28
|
| Rate for Payer: BCBS Complete |
$5.83
|
| Rate for Payer: BCBS MAPPO |
$10.62
|
| Rate for Payer: BCBS Trust/PPO |
$34.44
|
| Rate for Payer: BCN Commercial |
$34.44
|
| Rate for Payer: BCN Medicare Advantage |
$10.62
|
| Rate for Payer: Cash Price |
$296.96
|
| Rate for Payer: Cash Price |
$296.96
|
| Rate for Payer: Cofinity Advantage |
$259.84
|
| Rate for Payer: Cofinity Commercial |
$319.23
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$296.96
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$10.62
|
| Rate for Payer: Healthscope Commercial |
$334.08
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$259.84
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$278.40
|
| Rate for Payer: Mclaren Medicaid |
$10.62
|
| Rate for Payer: Mclaren Medicare |
$10.62
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$11.15
|
| Rate for Payer: Meridian Medicaid |
$11.15
|
| Rate for Payer: MI Amish Medical Board Commercial |
$12.21
|
| Rate for Payer: Molina Medicare/Medicaid |
$11.68
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$315.52
|
| Rate for Payer: Nomi Health Commercial |
$31.86
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$278.40
|
| Rate for Payer: PACE Medicare |
$10.09
|
| Rate for Payer: PACE SWMI |
$10.62
|
| Rate for Payer: PHP Commercial |
$315.52
|
| Rate for Payer: PHP Medicare Advantage |
$10.62
|
| Rate for Payer: Priority Health Choice Medicaid |
$5.55
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$33.47
|
| Rate for Payer: Priority Health Medicare |
$10.62
|
| Rate for Payer: Priority Health SBD |
$233.86
|
| Rate for Payer: Priority Health Tiered Network |
$26.78
|
| Rate for Payer: Railroad Medicare Medicare |
$10.62
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$17.52
|
| Rate for Payer: UHC Core |
$17.52
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$10.62
|
| Rate for Payer: UHC Exchange |
$17.52
|
| Rate for Payer: UHC Medicaid |
$5.55
|
| Rate for Payer: UHCCP Medicaid |
$5.55
|
| Rate for Payer: UMR Bronson Commercial |
$137.34
|
| Rate for Payer: VA VA |
$10.62
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$278.40
|
|
|
ALBUMIN, HUMAN 5 % INTRAVENOUS SOLUTION
|
Facility
|
OP
|
$187.92
|
|
|
Service Code
|
HCPCS P9045
|
| Hospital Charge Code |
8982
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$27.76 |
| Max. Negotiated Rate |
$172.12 |
| Rate for Payer: Aetna American Axle |
$122.15
|
| Rate for Payer: Aetna American Axle |
$100.28
|
| Rate for Payer: Aetna American Axle |
$280.49
|
| Rate for Payer: Aetna American Axle |
$241.28
|
| Rate for Payer: Aetna American Axle |
$120.64
|
| Rate for Payer: Aetna American Axle |
$114.61
|
| Rate for Payer: Aetna Commercial |
$149.87
|
| Rate for Payer: Aetna Commercial |
$131.14
|
| Rate for Payer: Aetna Commercial |
$159.73
|
| Rate for Payer: Aetna Commercial |
$366.79
|
| Rate for Payer: Aetna Commercial |
$315.52
|
| Rate for Payer: Aetna Commercial |
$157.76
|
| Rate for Payer: Aetna Medicare |
$55.20
|
| Rate for Payer: Aetna Medicare |
$55.20
|
| Rate for Payer: Aetna Medicare |
$55.20
|
| Rate for Payer: Aetna Medicare |
$55.20
|
| Rate for Payer: Aetna Medicare |
$55.20
|
| Rate for Payer: Aetna Medicare |
$55.20
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$280.49
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$120.64
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$114.61
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$241.28
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$100.28
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$122.15
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$66.35
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$66.35
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$66.35
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$66.35
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$66.35
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$66.35
|
| Rate for Payer: Amish Plain Church Group Commercial |
$66.35
|
| Rate for Payer: Amish Plain Church Group Commercial |
$66.35
|
| Rate for Payer: Amish Plain Church Group Commercial |
$66.35
|
| Rate for Payer: Amish Plain Church Group Commercial |
$66.35
|
| Rate for Payer: Amish Plain Church Group Commercial |
$66.35
|
| Rate for Payer: Amish Plain Church Group Commercial |
$66.35
|
| Rate for Payer: BCBS Complete |
$29.15
|
| Rate for Payer: BCBS Complete |
$29.15
|
| Rate for Payer: BCBS Complete |
$29.15
|
| Rate for Payer: BCBS Complete |
$29.15
|
| Rate for Payer: BCBS Complete |
$29.15
|
| Rate for Payer: BCBS Complete |
$29.15
|
| Rate for Payer: BCBS MAPPO |
$53.08
|
| Rate for Payer: BCBS MAPPO |
$53.08
|
| Rate for Payer: BCBS MAPPO |
$53.08
|
| Rate for Payer: BCBS MAPPO |
$53.08
|
| Rate for Payer: BCBS MAPPO |
$53.08
|
| Rate for Payer: BCBS MAPPO |
$53.08
|
| Rate for Payer: BCBS Trust/PPO |
$172.12
|
| Rate for Payer: BCBS Trust/PPO |
$172.12
|
| Rate for Payer: BCBS Trust/PPO |
$172.12
|
| Rate for Payer: BCBS Trust/PPO |
$172.12
|
| Rate for Payer: BCBS Trust/PPO |
$172.12
|
| Rate for Payer: BCBS Trust/PPO |
$172.12
|
| Rate for Payer: BCN Commercial |
$172.12
|
| Rate for Payer: BCN Commercial |
$172.12
|
| Rate for Payer: BCN Commercial |
$172.12
|
| Rate for Payer: BCN Commercial |
$172.12
|
| Rate for Payer: BCN Commercial |
$172.12
|
| Rate for Payer: BCN Commercial |
$172.12
|
| Rate for Payer: BCN Medicare Advantage |
$53.08
|
| Rate for Payer: BCN Medicare Advantage |
$53.08
|
| Rate for Payer: BCN Medicare Advantage |
$53.08
|
| Rate for Payer: BCN Medicare Advantage |
$53.08
|
| Rate for Payer: BCN Medicare Advantage |
$53.08
|
| Rate for Payer: BCN Medicare Advantage |
$53.08
|
| Rate for Payer: Cash Price |
$345.22
|
| Rate for Payer: Cash Price |
$123.42
|
| Rate for Payer: Cash Price |
$123.42
|
| Rate for Payer: Cash Price |
$141.06
|
| Rate for Payer: Cash Price |
$345.22
|
| Rate for Payer: Cash Price |
$296.96
|
| Rate for Payer: Cash Price |
$296.96
|
| Rate for Payer: Cash Price |
$141.06
|
| Rate for Payer: Cash Price |
$148.48
|
| Rate for Payer: Cash Price |
$150.34
|
| Rate for Payer: Cash Price |
$150.34
|
| Rate for Payer: Cash Price |
$148.48
|
| Rate for Payer: Cofinity Advantage |
$123.42
|
| Rate for Payer: Cofinity Advantage |
$129.92
|
| Rate for Payer: Cofinity Advantage |
$302.06
|
| Rate for Payer: Cofinity Advantage |
$108.00
|
| Rate for Payer: Cofinity Advantage |
$131.54
|
| Rate for Payer: Cofinity Advantage |
$259.84
|
| Rate for Payer: Cofinity Commercial |
$319.23
|
| Rate for Payer: Cofinity Commercial |
$159.62
|
| Rate for Payer: Cofinity Commercial |
$151.64
|
| Rate for Payer: Cofinity Commercial |
$371.11
|
| Rate for Payer: Cofinity Commercial |
$161.61
|
| Rate for Payer: Cofinity Commercial |
$132.68
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$296.96
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$148.48
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$141.06
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$150.34
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$345.22
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$123.42
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$53.08
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$53.08
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$53.08
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$53.08
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$53.08
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$53.08
|
| Rate for Payer: Healthscope Commercial |
$158.69
|
| Rate for Payer: Healthscope Commercial |
$334.08
|
| Rate for Payer: Healthscope Commercial |
$388.37
|
| Rate for Payer: Healthscope Commercial |
$169.13
|
| Rate for Payer: Healthscope Commercial |
$138.85
|
| Rate for Payer: Healthscope Commercial |
$167.04
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$131.54
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$129.92
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$108.00
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$259.84
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$123.42
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$302.06
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$132.24
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$140.94
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$323.64
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$278.40
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$115.71
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$139.20
|
| Rate for Payer: Mclaren Medicaid |
$53.08
|
| Rate for Payer: Mclaren Medicaid |
$53.08
|
| Rate for Payer: Mclaren Medicaid |
$53.08
|
| Rate for Payer: Mclaren Medicaid |
$53.08
|
| Rate for Payer: Mclaren Medicaid |
$53.08
|
| Rate for Payer: Mclaren Medicaid |
$53.08
|
| Rate for Payer: Mclaren Medicare |
$53.08
|
| Rate for Payer: Mclaren Medicare |
$53.08
|
| Rate for Payer: Mclaren Medicare |
$53.08
|
| Rate for Payer: Mclaren Medicare |
$53.08
|
| Rate for Payer: Mclaren Medicare |
$53.08
|
| Rate for Payer: Mclaren Medicare |
$53.08
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$55.73
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$55.73
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$55.73
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$55.73
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$55.73
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$55.73
|
| Rate for Payer: Meridian Medicaid |
$55.73
|
| Rate for Payer: Meridian Medicaid |
$55.73
|
| Rate for Payer: Meridian Medicaid |
$55.73
|
| Rate for Payer: Meridian Medicaid |
$55.73
|
| Rate for Payer: Meridian Medicaid |
$55.73
|
| Rate for Payer: Meridian Medicaid |
$55.73
|
| Rate for Payer: MI Amish Medical Board Commercial |
$61.04
|
| Rate for Payer: MI Amish Medical Board Commercial |
$61.04
|
| Rate for Payer: MI Amish Medical Board Commercial |
$61.04
|
| Rate for Payer: MI Amish Medical Board Commercial |
$61.04
|
| Rate for Payer: MI Amish Medical Board Commercial |
$61.04
|
| Rate for Payer: MI Amish Medical Board Commercial |
$61.04
|
| Rate for Payer: Molina Medicare/Medicaid |
$58.39
|
| Rate for Payer: Molina Medicare/Medicaid |
$58.39
|
| Rate for Payer: Molina Medicare/Medicaid |
$58.39
|
| Rate for Payer: Molina Medicare/Medicaid |
$58.39
|
| Rate for Payer: Molina Medicare/Medicaid |
$58.39
|
| Rate for Payer: Molina Medicare/Medicaid |
$58.39
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$149.87
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$366.79
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$159.73
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$315.52
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$157.76
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$131.14
|
| Rate for Payer: Nomi Health Commercial |
$159.24
|
| Rate for Payer: Nomi Health Commercial |
$159.24
|
| Rate for Payer: Nomi Health Commercial |
$159.24
|
| Rate for Payer: Nomi Health Commercial |
$159.24
|
| Rate for Payer: Nomi Health Commercial |
$159.24
|
| Rate for Payer: Nomi Health Commercial |
$159.24
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$139.20
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$132.24
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$140.94
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$323.64
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$115.71
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$278.40
|
| Rate for Payer: PACE Medicare |
$50.43
|
| Rate for Payer: PACE Medicare |
$50.43
|
| Rate for Payer: PACE Medicare |
$50.43
|
| Rate for Payer: PACE Medicare |
$50.43
|
| Rate for Payer: PACE Medicare |
$50.43
|
| Rate for Payer: PACE Medicare |
$50.43
|
| Rate for Payer: PACE SWMI |
$53.08
|
| Rate for Payer: PACE SWMI |
$53.08
|
| Rate for Payer: PACE SWMI |
$53.08
|
| Rate for Payer: PACE SWMI |
$53.08
|
| Rate for Payer: PACE SWMI |
$53.08
|
| Rate for Payer: PACE SWMI |
$53.08
|
| Rate for Payer: PHP Commercial |
$131.14
|
| Rate for Payer: PHP Commercial |
$366.79
|
| Rate for Payer: PHP Commercial |
$159.73
|
| Rate for Payer: PHP Commercial |
$149.87
|
| Rate for Payer: PHP Commercial |
$157.76
|
| Rate for Payer: PHP Commercial |
$315.52
|
| Rate for Payer: PHP Medicare Advantage |
$53.08
|
| Rate for Payer: PHP Medicare Advantage |
$53.08
|
| Rate for Payer: PHP Medicare Advantage |
$53.08
|
| Rate for Payer: PHP Medicare Advantage |
$53.08
|
| Rate for Payer: PHP Medicare Advantage |
$53.08
|
| Rate for Payer: PHP Medicare Advantage |
$53.08
|
| Rate for Payer: Priority Health Choice Medicaid |
$27.76
|
| Rate for Payer: Priority Health Choice Medicaid |
$27.76
|
| Rate for Payer: Priority Health Choice Medicaid |
$27.76
|
| Rate for Payer: Priority Health Choice Medicaid |
$27.76
|
| Rate for Payer: Priority Health Choice Medicaid |
$27.76
|
| Rate for Payer: Priority Health Choice Medicaid |
$27.76
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$167.40
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$167.40
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$167.40
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$167.40
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$167.40
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$167.40
|
| Rate for Payer: Priority Health Medicare |
$53.08
|
| Rate for Payer: Priority Health Medicare |
$53.08
|
| Rate for Payer: Priority Health Medicare |
$53.08
|
| Rate for Payer: Priority Health Medicare |
$53.08
|
| Rate for Payer: Priority Health Medicare |
$53.08
|
| Rate for Payer: Priority Health Medicare |
$53.08
|
| Rate for Payer: Priority Health SBD |
$271.86
|
| Rate for Payer: Priority Health SBD |
$116.93
|
| Rate for Payer: Priority Health SBD |
$118.39
|
| Rate for Payer: Priority Health SBD |
$97.20
|
| Rate for Payer: Priority Health SBD |
$233.86
|
| Rate for Payer: Priority Health SBD |
$111.08
|
| Rate for Payer: Priority Health Tiered Network |
$133.92
|
| Rate for Payer: Priority Health Tiered Network |
$133.92
|
| Rate for Payer: Priority Health Tiered Network |
$133.92
|
| Rate for Payer: Priority Health Tiered Network |
$133.92
|
| Rate for Payer: Priority Health Tiered Network |
$133.92
|
| Rate for Payer: Priority Health Tiered Network |
$133.92
|
| Rate for Payer: Railroad Medicare Medicare |
$53.08
|
| Rate for Payer: Railroad Medicare Medicare |
$53.08
|
| Rate for Payer: Railroad Medicare Medicare |
$53.08
|
| Rate for Payer: Railroad Medicare Medicare |
$53.08
|
| Rate for Payer: Railroad Medicare Medicare |
$53.08
|
| Rate for Payer: Railroad Medicare Medicare |
$53.08
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$87.58
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$87.58
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$87.58
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$87.58
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$87.58
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$87.58
|
| Rate for Payer: UHC Core |
$87.58
|
| Rate for Payer: UHC Core |
$87.58
|
| Rate for Payer: UHC Core |
$87.58
|
| Rate for Payer: UHC Core |
$87.58
|
| Rate for Payer: UHC Core |
$87.58
|
| Rate for Payer: UHC Core |
$87.58
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$53.08
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$53.08
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$53.08
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$53.08
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$53.08
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$53.08
|
| Rate for Payer: UHC Exchange |
$87.58
|
| Rate for Payer: UHC Exchange |
$87.58
|
| Rate for Payer: UHC Exchange |
$87.58
|
| Rate for Payer: UHC Exchange |
$87.58
|
| Rate for Payer: UHC Exchange |
$87.58
|
| Rate for Payer: UHC Exchange |
$87.58
|
| Rate for Payer: UHC Medicaid |
$27.76
|
| Rate for Payer: UHC Medicaid |
$27.76
|
| Rate for Payer: UHC Medicaid |
$27.76
|
| Rate for Payer: UHC Medicaid |
$27.76
|
| Rate for Payer: UHC Medicaid |
$27.76
|
| Rate for Payer: UHC Medicaid |
$27.76
|
| Rate for Payer: UHCCP Medicaid |
$27.76
|
| Rate for Payer: UHCCP Medicaid |
$27.76
|
| Rate for Payer: UHCCP Medicaid |
$27.76
|
| Rate for Payer: UHCCP Medicaid |
$27.76
|
| Rate for Payer: UHCCP Medicaid |
$27.76
|
| Rate for Payer: UHCCP Medicaid |
$27.76
|
| Rate for Payer: UMR Bronson Commercial |
$69.53
|
| Rate for Payer: UMR Bronson Commercial |
$65.24
|
| Rate for Payer: UMR Bronson Commercial |
$137.34
|
| Rate for Payer: UMR Bronson Commercial |
$68.67
|
| Rate for Payer: UMR Bronson Commercial |
$57.08
|
| Rate for Payer: UMR Bronson Commercial |
$159.66
|
| Rate for Payer: VA VA |
$53.08
|
| Rate for Payer: VA VA |
$53.08
|
| Rate for Payer: VA VA |
$53.08
|
| Rate for Payer: VA VA |
$53.08
|
| Rate for Payer: VA VA |
$53.08
|
| Rate for Payer: VA VA |
$53.08
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$132.24
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$278.40
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$323.64
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$115.71
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$139.20
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$140.94
|
|
