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Service Code NDC 54838-135-70
Hospital Charge Code 12556
Hospital Revenue Code 637
Min. Negotiated Rate $78.42
Max. Negotiated Rate $160.41
Rate for Payer: Aetna American Axle $115.85
Rate for Payer: Aetna Commercial $151.50
Rate for Payer: Aetna New Business (MI Preferred) $115.85
Rate for Payer: Cash Price $142.58
Rate for Payer: Cofinity Commercial $153.28
Rate for Payer: Cofinity Commercial $124.76
Rate for Payer: Encore Health Key Benefits Commercial $142.58
Rate for Payer: Healthscope Commercial $160.41
Rate for Payer: Kalamazoo County Sherrif's Dept Commercial $124.76
Rate for Payer: Lakeland Regional Health Systems Commercial $133.67
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS $151.50
Rate for Payer: PHP Commercial $151.50
Rate for Payer: Priority Health Cigna Priority Health $124.76
Rate for Payer: Priority Health SBD $112.28
Rate for Payer: UMR Bronson Commercial $78.42
Rate for Payer: Van Buren County Sheriff Dept. Commercial $133.67
Service Code NDC 68094-022-62
Hospital Charge Code 12556
Hospital Revenue Code 637
Min. Negotiated Rate $6.19
Max. Negotiated Rate $12.65
Rate for Payer: Aetna American Axle $9.14
Rate for Payer: Aetna Commercial $11.95
Rate for Payer: Aetna New Business (MI Preferred) $9.14
Rate for Payer: Cash Price $11.25
Rate for Payer: Cofinity Commercial $12.09
Rate for Payer: Cofinity Commercial $9.84
Rate for Payer: Encore Health Key Benefits Commercial $11.25
Rate for Payer: Healthscope Commercial $12.65
Rate for Payer: Kalamazoo County Sherrif's Dept Commercial $9.84
Rate for Payer: Lakeland Regional Health Systems Commercial $10.54
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS $11.95
Rate for Payer: PHP Commercial $11.95
Rate for Payer: Priority Health Cigna Priority Health $9.84
Rate for Payer: Priority Health SBD $8.86
Rate for Payer: UMR Bronson Commercial $6.19
Rate for Payer: Van Buren County Sheriff Dept. Commercial $10.54
Service Code NDC 69339-151-05
Hospital Charge Code 12556
Hospital Revenue Code 637
Min. Negotiated Rate $6.12
Max. Negotiated Rate $14.88
Rate for Payer: Aetna American Axle $10.74
Rate for Payer: Aetna Commercial $14.05
Rate for Payer: Aetna New Business (MI Preferred) $10.74
Rate for Payer: BCBS Complete $6.61
Rate for Payer: Cash Price $13.22
Rate for Payer: Cofinity Commercial $11.57
Rate for Payer: Cofinity Commercial $14.22
Rate for Payer: Encore Health Key Benefits Commercial $13.22
Rate for Payer: Healthscope Commercial $14.88
Rate for Payer: Kalamazoo County Sherrif's Dept Commercial $11.57
Rate for Payer: Lakeland Regional Health Systems Commercial $12.40
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS $14.05
Rate for Payer: PHP Commercial $14.05
Rate for Payer: Priority Health Cigna Priority Health $11.57
Rate for Payer: Priority Health SBD $10.41
Rate for Payer: UMR Bronson Commercial $6.12
Rate for Payer: Van Buren County Sheriff Dept. Commercial $12.40
Service Code NDC 68094-022-59
Hospital Charge Code 12556
Hospital Revenue Code 637
Min. Negotiated Rate $5.20
Max. Negotiated Rate $12.65
Rate for Payer: Aetna American Axle $9.14
Rate for Payer: Aetna Commercial $11.95
Rate for Payer: Aetna New Business (MI Preferred) $9.14
Rate for Payer: BCBS Complete $5.62
Rate for Payer: Cash Price $11.25
Rate for Payer: Cofinity Commercial $12.09
Rate for Payer: Cofinity Commercial $9.84
Rate for Payer: Encore Health Key Benefits Commercial $11.25
Rate for Payer: Healthscope Commercial $12.65
Rate for Payer: Kalamazoo County Sherrif's Dept Commercial $9.84
Rate for Payer: Lakeland Regional Health Systems Commercial $10.54
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS $11.95
Rate for Payer: PHP Commercial $11.95
Rate for Payer: Priority Health Cigna Priority Health $9.84
Rate for Payer: Priority Health SBD $8.86
Rate for Payer: UMR Bronson Commercial $5.20
Rate for Payer: Van Buren County Sheriff Dept. Commercial $10.54
Service Code NDC 9900-0009-82
Hospital Charge Code 181103
Hospital Revenue Code 637
Min. Negotiated Rate $2.04
Max. Negotiated Rate $4.97
Rate for Payer: Aetna American Axle $3.59
Rate for Payer: Aetna Commercial $4.69
Rate for Payer: Aetna New Business (MI Preferred) $3.59
Rate for Payer: BCBS Complete $2.21
Rate for Payer: Cash Price $4.42
Rate for Payer: Cofinity Commercial $3.86
Rate for Payer: Cofinity Commercial $4.75
Rate for Payer: Encore Health Key Benefits Commercial $4.42
Rate for Payer: Healthscope Commercial $4.97
Rate for Payer: Kalamazoo County Sherrif's Dept Commercial $3.86
Rate for Payer: Lakeland Regional Health Systems Commercial $4.14
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS $4.69
Rate for Payer: PHP Commercial $4.69
Rate for Payer: Priority Health Cigna Priority Health $3.86
Rate for Payer: Priority Health SBD $3.48
Rate for Payer: UMR Bronson Commercial $2.04
Rate for Payer: Van Buren County Sheriff Dept. Commercial $4.14
Service Code NDC 9900-0009-82
Hospital Charge Code 181103
Hospital Revenue Code 637
Min. Negotiated Rate $2.43
Max. Negotiated Rate $4.97
Rate for Payer: Aetna American Axle $3.59
Rate for Payer: Aetna Commercial $4.69
Rate for Payer: Aetna New Business (MI Preferred) $3.59
Rate for Payer: Cash Price $4.42
Rate for Payer: Cofinity Commercial $3.86
Rate for Payer: Cofinity Commercial $4.75
Rate for Payer: Encore Health Key Benefits Commercial $4.42
Rate for Payer: Healthscope Commercial $4.97
Rate for Payer: Kalamazoo County Sherrif's Dept Commercial $3.86
Rate for Payer: Lakeland Regional Health Systems Commercial $4.14
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS $4.69
Rate for Payer: PHP Commercial $4.69
Rate for Payer: Priority Health Cigna Priority Health $3.86
Rate for Payer: Priority Health SBD $3.48
Rate for Payer: UMR Bronson Commercial $2.43
Rate for Payer: Van Buren County Sheriff Dept. Commercial $4.14
Service Code NDC 0904-5306-61
Hospital Charge Code 2509
Hospital Revenue Code 637
Min. Negotiated Rate $3.31
Max. Negotiated Rate $6.77
Rate for Payer: Aetna American Axle $4.89
Rate for Payer: Aetna Commercial $6.39
Rate for Payer: Aetna New Business (MI Preferred) $4.89
Rate for Payer: Cash Price $6.02
Rate for Payer: Cofinity Commercial $5.26
Rate for Payer: Cofinity Commercial $6.47
Rate for Payer: Encore Health Key Benefits Commercial $6.02
Rate for Payer: Healthscope Commercial $6.77
Rate for Payer: Kalamazoo County Sherrif's Dept Commercial $5.26
Rate for Payer: Lakeland Regional Health Systems Commercial $5.64
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS $6.39
Rate for Payer: PHP Commercial $6.39
Rate for Payer: Priority Health Cigna Priority Health $5.26
Rate for Payer: Priority Health SBD $4.74
Rate for Payer: UMR Bronson Commercial $3.31
Rate for Payer: Van Buren County Sheriff Dept. Commercial $5.64
Service Code NDC 0904-5306-61
Hospital Charge Code 2509
Hospital Revenue Code 637
Min. Negotiated Rate $2.78
Max. Negotiated Rate $6.77
Rate for Payer: Aetna American Axle $4.89
Rate for Payer: Aetna Commercial $6.39
Rate for Payer: Aetna New Business (MI Preferred) $4.89
Rate for Payer: BCBS Complete $3.01
Rate for Payer: Cash Price $6.02
Rate for Payer: Cofinity Commercial $5.26
Rate for Payer: Cofinity Commercial $6.47
Rate for Payer: Encore Health Key Benefits Commercial $6.02
Rate for Payer: Healthscope Commercial $6.77
Rate for Payer: Kalamazoo County Sherrif's Dept Commercial $5.26
Rate for Payer: Lakeland Regional Health Systems Commercial $5.64
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS $6.39
Rate for Payer: PHP Commercial $6.39
Rate for Payer: Priority Health Cigna Priority Health $5.26
Rate for Payer: Priority Health SBD $4.74
Rate for Payer: UMR Bronson Commercial $2.78
Rate for Payer: Van Buren County Sheriff Dept. Commercial $5.64
Service Code NDC 0904-7237-61
Hospital Charge Code 2509
Hospital Revenue Code 637
Min. Negotiated Rate $31.30
Max. Negotiated Rate $76.14
Rate for Payer: Aetna American Axle $54.99
Rate for Payer: Aetna Commercial $71.91
Rate for Payer: Aetna New Business (MI Preferred) $54.99
Rate for Payer: BCBS Complete $33.84
Rate for Payer: Cash Price $67.68
Rate for Payer: Cofinity Commercial $72.76
Rate for Payer: Cofinity Commercial $59.22
Rate for Payer: Encore Health Key Benefits Commercial $67.68
Rate for Payer: Healthscope Commercial $76.14
Rate for Payer: Kalamazoo County Sherrif's Dept Commercial $59.22
Rate for Payer: Lakeland Regional Health Systems Commercial $63.45
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS $71.91
Rate for Payer: PHP Commercial $71.91
Rate for Payer: Priority Health Cigna Priority Health $59.22
Rate for Payer: Priority Health SBD $53.30
Rate for Payer: UMR Bronson Commercial $31.30
Rate for Payer: Van Buren County Sheriff Dept. Commercial $63.45
Service Code NDC 0904-7237-61
Hospital Charge Code 2509
Hospital Revenue Code 637
Min. Negotiated Rate $37.22
Max. Negotiated Rate $76.14
Rate for Payer: Aetna American Axle $54.99
Rate for Payer: Aetna Commercial $71.91
Rate for Payer: Aetna New Business (MI Preferred) $54.99
Rate for Payer: Cash Price $67.68
Rate for Payer: Cofinity Commercial $59.22
Rate for Payer: Cofinity Commercial $72.76
Rate for Payer: Encore Health Key Benefits Commercial $67.68
Rate for Payer: Healthscope Commercial $76.14
Rate for Payer: Kalamazoo County Sherrif's Dept Commercial $59.22
Rate for Payer: Lakeland Regional Health Systems Commercial $63.45
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS $71.91
Rate for Payer: PHP Commercial $71.91
Rate for Payer: Priority Health Cigna Priority Health $59.22
Rate for Payer: Priority Health SBD $53.30
Rate for Payer: UMR Bronson Commercial $37.22
Rate for Payer: Van Buren County Sheriff Dept. Commercial $63.45
Service Code NDC 0904-5551-59
Hospital Charge Code 2505
Hospital Revenue Code 637
Min. Negotiated Rate $44.35
Max. Negotiated Rate $90.72
Rate for Payer: Aetna American Axle $65.52
Rate for Payer: Aetna Commercial $85.68
Rate for Payer: Aetna New Business (MI Preferred) $65.52
Rate for Payer: Cash Price $80.64
Rate for Payer: Cofinity Commercial $70.56
Rate for Payer: Cofinity Commercial $86.69
Rate for Payer: Encore Health Key Benefits Commercial $80.64
Rate for Payer: Healthscope Commercial $90.72
Rate for Payer: Kalamazoo County Sherrif's Dept Commercial $70.56
Rate for Payer: Lakeland Regional Health Systems Commercial $75.60
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS $85.68
Rate for Payer: PHP Commercial $85.68
Rate for Payer: Priority Health Cigna Priority Health $70.56
Rate for Payer: Priority Health SBD $63.50
Rate for Payer: UMR Bronson Commercial $44.35
Rate for Payer: Van Buren County Sheriff Dept. Commercial $75.60
Service Code NDC 68094-018-59
Hospital Charge Code 2505
Hospital Revenue Code 637
Min. Negotiated Rate $0.63
Max. Negotiated Rate $1.29
Rate for Payer: Aetna American Axle $0.93
Rate for Payer: Aetna Commercial $1.22
Rate for Payer: Aetna New Business (MI Preferred) $0.93
Rate for Payer: Cash Price $1.14
Rate for Payer: Cofinity Commercial $1.00
Rate for Payer: Cofinity Commercial $1.23
Rate for Payer: Encore Health Key Benefits Commercial $1.14
Rate for Payer: Healthscope Commercial $1.29
Rate for Payer: Kalamazoo County Sherrif's Dept Commercial $1.00
Rate for Payer: Lakeland Regional Health Systems Commercial $1.07
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS $1.22
Rate for Payer: PHP Commercial $1.22
Rate for Payer: Priority Health Cigna Priority Health $1.00
Rate for Payer: Priority Health SBD $0.90
Rate for Payer: UMR Bronson Commercial $0.63
Rate for Payer: Van Buren County Sheriff Dept. Commercial $1.07
Service Code NDC 9629512933
Hospital Charge Code 2505
Hospital Revenue Code 637
Min. Negotiated Rate $74.84
Max. Negotiated Rate $153.09
Rate for Payer: Aetna American Axle $110.56
Rate for Payer: Aetna Commercial $144.58
Rate for Payer: Aetna New Business (MI Preferred) $110.56
Rate for Payer: Cash Price $136.08
Rate for Payer: Cofinity Commercial $119.07
Rate for Payer: Cofinity Commercial $146.29
Rate for Payer: Encore Health Key Benefits Commercial $136.08
Rate for Payer: Healthscope Commercial $153.09
Rate for Payer: Kalamazoo County Sherrif's Dept Commercial $119.07
Rate for Payer: Lakeland Regional Health Systems Commercial $127.58
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS $144.58
Rate for Payer: PHP Commercial $144.58
Rate for Payer: Priority Health Cigna Priority Health $119.07
Rate for Payer: Priority Health SBD $107.16
Rate for Payer: UMR Bronson Commercial $74.84
Rate for Payer: Van Buren County Sheriff Dept. Commercial $127.58
Service Code NDC 68094-018-61
Hospital Charge Code 2505
Hospital Revenue Code 637
Min. Negotiated Rate $62.83
Max. Negotiated Rate $128.52
Rate for Payer: Aetna American Axle $92.82
Rate for Payer: Aetna Commercial $121.38
Rate for Payer: Aetna New Business (MI Preferred) $92.82
Rate for Payer: Cash Price $114.24
Rate for Payer: Cofinity Commercial $122.81
Rate for Payer: Cofinity Commercial $99.96
Rate for Payer: Encore Health Key Benefits Commercial $114.24
Rate for Payer: Healthscope Commercial $128.52
Rate for Payer: Kalamazoo County Sherrif's Dept Commercial $99.96
Rate for Payer: Lakeland Regional Health Systems Commercial $107.10
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS $121.38
Rate for Payer: PHP Commercial $121.38
Rate for Payer: Priority Health Cigna Priority Health $99.96
Rate for Payer: Priority Health SBD $89.96
Rate for Payer: UMR Bronson Commercial $62.83
Rate for Payer: Van Buren County Sheriff Dept. Commercial $107.10
Service Code HCPCS Q0163
Hospital Charge Code 2510
Hospital Revenue Code 636
Min. Negotiated Rate $0.32
Max. Negotiated Rate $88.83
Rate for Payer: Aetna American Axle $64.16
Rate for Payer: Aetna Commercial $83.90
Rate for Payer: Aetna New Business (MI Preferred) $64.16
Rate for Payer: BCBS Complete $39.48
Rate for Payer: BCBS Trust/PPO $0.32
Rate for Payer: Cash Price $78.96
Rate for Payer: Cash Price $78.96
Rate for Payer: Cofinity Commercial $69.09
Rate for Payer: Cofinity Commercial $84.88
Rate for Payer: Encore Health Key Benefits Commercial $78.96
Rate for Payer: Healthscope Commercial $88.83
Rate for Payer: Kalamazoo County Sherrif's Dept Commercial $69.09
Rate for Payer: Lakeland Regional Health Systems Commercial $74.02
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS $83.90
Rate for Payer: PHP Commercial $83.90
Rate for Payer: Priority Health Cigna Priority Health $69.09
Rate for Payer: Priority Health SBD $62.18
Rate for Payer: UMR Bronson Commercial $36.52
Rate for Payer: Van Buren County Sheriff Dept. Commercial $74.02
Service Code HCPCS J1200
Hospital Charge Code 163710
Hospital Revenue Code 636
Min. Negotiated Rate $5.34
Max. Negotiated Rate $10.92
Rate for Payer: Aetna American Axle $7.88
Rate for Payer: Aetna American Axle $13.42
Rate for Payer: Aetna Commercial $17.55
Rate for Payer: Aetna Commercial $10.31
Rate for Payer: Aetna New Business (MI Preferred) $13.42
Rate for Payer: Aetna New Business (MI Preferred) $7.88
Rate for Payer: Cash Price $16.52
Rate for Payer: Cash Price $9.70
Rate for Payer: Cofinity Commercial $14.46
Rate for Payer: Cofinity Commercial $17.76
Rate for Payer: Cofinity Commercial $10.43
Rate for Payer: Cofinity Commercial $8.49
Rate for Payer: Encore Health Key Benefits Commercial $16.52
Rate for Payer: Encore Health Key Benefits Commercial $9.70
Rate for Payer: Healthscope Commercial $18.58
Rate for Payer: Healthscope Commercial $10.92
Rate for Payer: Kalamazoo County Sherrif's Dept Commercial $8.49
Rate for Payer: Kalamazoo County Sherrif's Dept Commercial $14.46
Rate for Payer: Lakeland Regional Health Systems Commercial $9.10
Rate for Payer: Lakeland Regional Health Systems Commercial $15.49
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS $17.55
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS $10.31
Rate for Payer: PHP Commercial $10.31
Rate for Payer: PHP Commercial $17.55
Rate for Payer: Priority Health Cigna Priority Health $14.46
Rate for Payer: Priority Health Cigna Priority Health $8.49
Rate for Payer: Priority Health SBD $13.01
Rate for Payer: Priority Health SBD $7.64
Rate for Payer: UMR Bronson Commercial $5.34
Rate for Payer: UMR Bronson Commercial $9.09
Rate for Payer: Van Buren County Sheriff Dept. Commercial $9.10
Rate for Payer: Van Buren County Sheriff Dept. Commercial $15.49
Service Code HCPCS J1200
Hospital Charge Code 2508
Hospital Revenue Code 636
Min. Negotiated Rate $2.57
Max. Negotiated Rate $10.92
Rate for Payer: Aetna American Axle $7.88
Rate for Payer: Aetna American Axle $70.31
Rate for Payer: Aetna American Axle $13.42
Rate for Payer: Aetna Commercial $91.94
Rate for Payer: Aetna Commercial $10.31
Rate for Payer: Aetna Commercial $17.55
Rate for Payer: Aetna New Business (MI Preferred) $70.31
Rate for Payer: Aetna New Business (MI Preferred) $13.42
Rate for Payer: Aetna New Business (MI Preferred) $7.88
Rate for Payer: BCBS Complete $4.85
Rate for Payer: BCBS Complete $43.27
Rate for Payer: BCBS Complete $8.26
Rate for Payer: BCBS Trust/PPO $2.57
Rate for Payer: BCBS Trust/PPO $2.57
Rate for Payer: BCBS Trust/PPO $2.57
Rate for Payer: Cash Price $9.70
Rate for Payer: Cash Price $86.54
Rate for Payer: Cash Price $86.54
Rate for Payer: Cash Price $16.52
Rate for Payer: Cash Price $16.52
Rate for Payer: Cash Price $9.70
Rate for Payer: Cofinity Commercial $8.49
Rate for Payer: Cofinity Commercial $75.72
Rate for Payer: Cofinity Commercial $93.03
Rate for Payer: Cofinity Commercial $10.43
Rate for Payer: Cofinity Commercial $14.46
Rate for Payer: Cofinity Commercial $17.76
Rate for Payer: Encore Health Key Benefits Commercial $16.52
Rate for Payer: Encore Health Key Benefits Commercial $86.54
Rate for Payer: Encore Health Key Benefits Commercial $9.70
Rate for Payer: Healthscope Commercial $97.35
Rate for Payer: Healthscope Commercial $18.58
Rate for Payer: Healthscope Commercial $10.92
Rate for Payer: Kalamazoo County Sherrif's Dept Commercial $14.46
Rate for Payer: Kalamazoo County Sherrif's Dept Commercial $8.49
Rate for Payer: Kalamazoo County Sherrif's Dept Commercial $75.72
Rate for Payer: Lakeland Regional Health Systems Commercial $15.49
Rate for Payer: Lakeland Regional Health Systems Commercial $9.10
Rate for Payer: Lakeland Regional Health Systems Commercial $81.13
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS $17.55
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS $10.31
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS $91.94
Rate for Payer: PHP Commercial $91.94
Rate for Payer: PHP Commercial $10.31
Rate for Payer: PHP Commercial $17.55
Rate for Payer: Priority Health Cigna Priority Health $14.46
Rate for Payer: Priority Health Cigna Priority Health $8.49
Rate for Payer: Priority Health Cigna Priority Health $75.72
Rate for Payer: Priority Health SBD $68.15
Rate for Payer: Priority Health SBD $7.64
Rate for Payer: Priority Health SBD $13.01
Rate for Payer: UMR Bronson Commercial $40.02
Rate for Payer: UMR Bronson Commercial $4.49
Rate for Payer: UMR Bronson Commercial $7.64
Rate for Payer: Van Buren County Sheriff Dept. Commercial $9.10
Rate for Payer: Van Buren County Sheriff Dept. Commercial $15.49
Rate for Payer: Van Buren County Sheriff Dept. Commercial $81.13
Service Code HCPCS J1200
Hospital Charge Code 2508
Hospital Revenue Code 636
Min. Negotiated Rate $5.34
Max. Negotiated Rate $10.92
Rate for Payer: Aetna American Axle $7.88
Rate for Payer: Aetna American Axle $70.31
Rate for Payer: Aetna American Axle $13.42
Rate for Payer: Aetna Commercial $17.55
Rate for Payer: Aetna Commercial $10.31
Rate for Payer: Aetna Commercial $91.94
Rate for Payer: Aetna New Business (MI Preferred) $13.42
Rate for Payer: Aetna New Business (MI Preferred) $70.31
Rate for Payer: Aetna New Business (MI Preferred) $7.88
Rate for Payer: Cash Price $9.70
Rate for Payer: Cash Price $86.54
Rate for Payer: Cash Price $16.52
Rate for Payer: Cofinity Commercial $14.46
Rate for Payer: Cofinity Commercial $10.43
Rate for Payer: Cofinity Commercial $75.72
Rate for Payer: Cofinity Commercial $17.76
Rate for Payer: Cofinity Commercial $93.03
Rate for Payer: Cofinity Commercial $8.49
Rate for Payer: Encore Health Key Benefits Commercial $16.52
Rate for Payer: Encore Health Key Benefits Commercial $86.54
Rate for Payer: Encore Health Key Benefits Commercial $9.70
Rate for Payer: Healthscope Commercial $97.35
Rate for Payer: Healthscope Commercial $18.58
Rate for Payer: Healthscope Commercial $10.92
Rate for Payer: Kalamazoo County Sherrif's Dept Commercial $8.49
Rate for Payer: Kalamazoo County Sherrif's Dept Commercial $14.46
Rate for Payer: Kalamazoo County Sherrif's Dept Commercial $75.72
Rate for Payer: Lakeland Regional Health Systems Commercial $81.13
Rate for Payer: Lakeland Regional Health Systems Commercial $9.10
Rate for Payer: Lakeland Regional Health Systems Commercial $15.49
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS $17.55
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS $10.31
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS $91.94
Rate for Payer: PHP Commercial $17.55
Rate for Payer: PHP Commercial $91.94
Rate for Payer: PHP Commercial $10.31
Rate for Payer: Priority Health Cigna Priority Health $14.46
Rate for Payer: Priority Health Cigna Priority Health $8.49
Rate for Payer: Priority Health Cigna Priority Health $75.72
Rate for Payer: Priority Health SBD $68.15
Rate for Payer: Priority Health SBD $7.64
Rate for Payer: Priority Health SBD $13.01
Rate for Payer: UMR Bronson Commercial $9.09
Rate for Payer: UMR Bronson Commercial $5.34
Rate for Payer: UMR Bronson Commercial $47.59
Rate for Payer: Van Buren County Sheriff Dept. Commercial $9.10
Rate for Payer: Van Buren County Sheriff Dept. Commercial $81.13
Rate for Payer: Van Buren County Sheriff Dept. Commercial $15.49
Service Code NDC 38779-0282-2
Hospital Charge Code 12308
Hospital Revenue Code 637
Min. Negotiated Rate $16.63
Max. Negotiated Rate $34.02
Rate for Payer: Aetna American Axle $24.57
Rate for Payer: Aetna Commercial $32.13
Rate for Payer: Aetna New Business (MI Preferred) $24.57
Rate for Payer: Cash Price $30.24
Rate for Payer: Cofinity Commercial $26.46
Rate for Payer: Cofinity Commercial $32.51
Rate for Payer: Encore Health Key Benefits Commercial $30.24
Rate for Payer: Healthscope Commercial $34.02
Rate for Payer: Kalamazoo County Sherrif's Dept Commercial $26.46
Rate for Payer: Lakeland Regional Health Systems Commercial $28.35
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS $32.13
Rate for Payer: PHP Commercial $32.13
Rate for Payer: Priority Health Cigna Priority Health $26.46
Rate for Payer: Priority Health SBD $23.81
Rate for Payer: UMR Bronson Commercial $16.63
Rate for Payer: Van Buren County Sheriff Dept. Commercial $28.35
Service Code NDC 1254717167
Hospital Charge Code 16299
Hospital Revenue Code 637
Min. Negotiated Rate $24.45
Max. Negotiated Rate $50.00
Rate for Payer: Aetna American Axle $36.11
Rate for Payer: Aetna Commercial $47.23
Rate for Payer: Aetna New Business (MI Preferred) $36.11
Rate for Payer: Cash Price $44.45
Rate for Payer: Cofinity Commercial $38.89
Rate for Payer: Cofinity Commercial $47.78
Rate for Payer: Encore Health Key Benefits Commercial $44.45
Rate for Payer: Healthscope Commercial $50.00
Rate for Payer: Kalamazoo County Sherrif's Dept Commercial $38.89
Rate for Payer: Lakeland Regional Health Systems Commercial $41.67
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS $47.23
Rate for Payer: PHP Commercial $47.23
Rate for Payer: Priority Health Cigna Priority Health $38.89
Rate for Payer: Priority Health SBD $35.00
Rate for Payer: UMR Bronson Commercial $24.45
Rate for Payer: Van Buren County Sheriff Dept. Commercial $41.67
Service Code NDC 0904-5354-31
Hospital Charge Code 16299
Hospital Revenue Code 637
Min. Negotiated Rate $8.40
Max. Negotiated Rate $17.18
Rate for Payer: Aetna American Axle $12.41
Rate for Payer: Aetna Commercial $16.23
Rate for Payer: Aetna New Business (MI Preferred) $12.41
Rate for Payer: Cash Price $15.27
Rate for Payer: Cofinity Commercial $13.36
Rate for Payer: Cofinity Commercial $16.42
Rate for Payer: Encore Health Key Benefits Commercial $15.27
Rate for Payer: Healthscope Commercial $17.18
Rate for Payer: Kalamazoo County Sherrif's Dept Commercial $13.36
Rate for Payer: Lakeland Regional Health Systems Commercial $14.32
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS $16.23
Rate for Payer: PHP Commercial $16.23
Rate for Payer: Priority Health Cigna Priority Health $13.36
Rate for Payer: Priority Health SBD $12.03
Rate for Payer: UMR Bronson Commercial $8.40
Rate for Payer: Van Buren County Sheriff Dept. Commercial $14.32
Service Code NDC 70000-0388-1
Hospital Charge Code 16299
Hospital Revenue Code 637
Min. Negotiated Rate $6.36
Max. Negotiated Rate $13.00
Rate for Payer: Aetna American Axle $9.39
Rate for Payer: Aetna Commercial $12.28
Rate for Payer: Aetna New Business (MI Preferred) $9.39
Rate for Payer: Cash Price $11.56
Rate for Payer: Cofinity Commercial $10.12
Rate for Payer: Cofinity Commercial $12.43
Rate for Payer: Encore Health Key Benefits Commercial $11.56
Rate for Payer: Healthscope Commercial $13.00
Rate for Payer: Kalamazoo County Sherrif's Dept Commercial $10.12
Rate for Payer: Lakeland Regional Health Systems Commercial $10.84
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS $12.28
Rate for Payer: PHP Commercial $12.28
Rate for Payer: Priority Health Cigna Priority Health $10.12
Rate for Payer: Priority Health SBD $9.10
Rate for Payer: UMR Bronson Commercial $6.36
Rate for Payer: Van Buren County Sheriff Dept. Commercial $10.84
Service Code NDC 45802-358-03
Hospital Charge Code 16299
Hospital Revenue Code 637
Min. Negotiated Rate $9.17
Max. Negotiated Rate $18.76
Rate for Payer: Aetna American Axle $13.55
Rate for Payer: Aetna Commercial $17.71
Rate for Payer: Aetna New Business (MI Preferred) $13.55
Rate for Payer: Cash Price $16.67
Rate for Payer: Cofinity Commercial $14.59
Rate for Payer: Cofinity Commercial $17.92
Rate for Payer: Encore Health Key Benefits Commercial $16.67
Rate for Payer: Healthscope Commercial $18.76
Rate for Payer: Kalamazoo County Sherrif's Dept Commercial $14.59
Rate for Payer: Lakeland Regional Health Systems Commercial $15.63
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS $17.71
Rate for Payer: PHP Commercial $17.71
Rate for Payer: Priority Health Cigna Priority Health $14.59
Rate for Payer: Priority Health SBD $13.13
Rate for Payer: UMR Bronson Commercial $9.17
Rate for Payer: Van Buren County Sheriff Dept. Commercial $15.63
Service Code NDC 0054-3194-46
Hospital Charge Code 2515
Hospital Revenue Code 637
Min. Negotiated Rate $120.51
Max. Negotiated Rate $246.50
Rate for Payer: Aetna American Axle $178.03
Rate for Payer: Aetna Commercial $232.81
Rate for Payer: Aetna New Business (MI Preferred) $178.03
Rate for Payer: Cash Price $219.11
Rate for Payer: Cofinity Commercial $191.72
Rate for Payer: Cofinity Commercial $235.55
Rate for Payer: Encore Health Key Benefits Commercial $219.11
Rate for Payer: Healthscope Commercial $246.50
Rate for Payer: Kalamazoo County Sherrif's Dept Commercial $191.72
Rate for Payer: Lakeland Regional Health Systems Commercial $205.42
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS $232.81
Rate for Payer: PHP Commercial $232.81
Rate for Payer: Priority Health Cigna Priority Health $191.72
Rate for Payer: Priority Health SBD $172.55
Rate for Payer: UMR Bronson Commercial $120.51
Rate for Payer: Van Buren County Sheriff Dept. Commercial $205.42
Service Code NDC 9900-0009-66
Hospital Charge Code 2515
Hospital Revenue Code 637
Min. Negotiated Rate $11.53
Max. Negotiated Rate $23.59
Rate for Payer: Aetna American Axle $17.04
Rate for Payer: Aetna Commercial $22.28
Rate for Payer: Aetna New Business (MI Preferred) $17.04
Rate for Payer: Cash Price $20.97
Rate for Payer: Cofinity Commercial $18.35
Rate for Payer: Cofinity Commercial $22.54
Rate for Payer: Encore Health Key Benefits Commercial $20.97
Rate for Payer: Healthscope Commercial $23.59
Rate for Payer: Kalamazoo County Sherrif's Dept Commercial $18.35
Rate for Payer: Lakeland Regional Health Systems Commercial $19.66
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS $22.28
Rate for Payer: PHP Commercial $22.28
Rate for Payer: Priority Health Cigna Priority Health $18.35
Rate for Payer: Priority Health SBD $16.51
Rate for Payer: UMR Bronson Commercial $11.53
Rate for Payer: Van Buren County Sheriff Dept. Commercial $19.66