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Service Code NDC 51079-437-20
Hospital Charge Code 2611
Hospital Revenue Code 637
Min. Negotiated Rate $140.45
Max. Negotiated Rate $287.28
Rate for Payer: Aetna American Axle $207.48
Rate for Payer: Aetna Commercial $271.32
Rate for Payer: Aetna New Business (MI Preferred) $207.48
Rate for Payer: Cash Price $255.36
Rate for Payer: Cofinity Commercial $223.44
Rate for Payer: Cofinity Commercial $274.51
Rate for Payer: Encore Health Key Benefits Commercial $255.36
Rate for Payer: Healthscope Commercial $287.28
Rate for Payer: Kalamazoo County Sherrif's Dept Commercial $223.44
Rate for Payer: Lakeland Regional Health Systems Commercial $239.40
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS $271.32
Rate for Payer: PHP Commercial $271.32
Rate for Payer: Priority Health Cigna Priority Health $223.44
Rate for Payer: Priority Health SBD $201.10
Rate for Payer: UMR Bronson Commercial $140.45
Rate for Payer: Van Buren County Sheriff Dept. Commercial $239.40
Service Code NDC 0904-6971-61
Hospital Charge Code 2611
Hospital Revenue Code 637
Min. Negotiated Rate $130.73
Max. Negotiated Rate $267.41
Rate for Payer: Aetna American Axle $193.13
Rate for Payer: Aetna Commercial $252.55
Rate for Payer: Aetna New Business (MI Preferred) $193.13
Rate for Payer: Cash Price $237.70
Rate for Payer: Cofinity Commercial $207.98
Rate for Payer: Cofinity Commercial $255.52
Rate for Payer: Encore Health Key Benefits Commercial $237.70
Rate for Payer: Healthscope Commercial $267.41
Rate for Payer: Kalamazoo County Sherrif's Dept Commercial $207.98
Rate for Payer: Lakeland Regional Health Systems Commercial $222.84
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS $252.55
Rate for Payer: PHP Commercial $252.55
Rate for Payer: Priority Health Cigna Priority Health $207.98
Rate for Payer: Priority Health SBD $187.19
Rate for Payer: UMR Bronson Commercial $130.73
Rate for Payer: Van Buren County Sheriff Dept. Commercial $222.84
Service Code NDC 0904-7053-61
Hospital Charge Code 2611
Hospital Revenue Code 637
Min. Negotiated Rate $133.90
Max. Negotiated Rate $273.89
Rate for Payer: Aetna American Axle $197.81
Rate for Payer: Aetna Commercial $258.67
Rate for Payer: Aetna New Business (MI Preferred) $197.81
Rate for Payer: Cash Price $243.46
Rate for Payer: Cofinity Commercial $213.02
Rate for Payer: Cofinity Commercial $261.72
Rate for Payer: Encore Health Key Benefits Commercial $243.46
Rate for Payer: Healthscope Commercial $273.89
Rate for Payer: Kalamazoo County Sherrif's Dept Commercial $213.02
Rate for Payer: Lakeland Regional Health Systems Commercial $228.24
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS $258.67
Rate for Payer: PHP Commercial $258.67
Rate for Payer: Priority Health Cigna Priority Health $213.02
Rate for Payer: Priority Health SBD $191.72
Rate for Payer: UMR Bronson Commercial $133.90
Rate for Payer: Van Buren County Sheriff Dept. Commercial $228.24
Service Code NDC 51079-437-01
Hospital Charge Code 2611
Hospital Revenue Code 637
Min. Negotiated Rate $1.41
Max. Negotiated Rate $2.88
Rate for Payer: Aetna American Axle $2.08
Rate for Payer: Aetna Commercial $2.72
Rate for Payer: Aetna New Business (MI Preferred) $2.08
Rate for Payer: Cash Price $2.56
Rate for Payer: Cofinity Commercial $2.24
Rate for Payer: Cofinity Commercial $2.75
Rate for Payer: Encore Health Key Benefits Commercial $2.56
Rate for Payer: Healthscope Commercial $2.88
Rate for Payer: Kalamazoo County Sherrif's Dept Commercial $2.24
Rate for Payer: Lakeland Regional Health Systems Commercial $2.40
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS $2.72
Rate for Payer: PHP Commercial $2.72
Rate for Payer: Priority Health Cigna Priority Health $2.24
Rate for Payer: Priority Health SBD $2.02
Rate for Payer: UMR Bronson Commercial $1.41
Rate for Payer: Van Buren County Sheriff Dept. Commercial $2.40
Service Code NDC 0378-8117-45
Hospital Charge Code 12666
Hospital Revenue Code 637
Min. Negotiated Rate $862.09
Max. Negotiated Rate $1,763.37
Rate for Payer: Aetna American Axle $1,273.54
Rate for Payer: Aetna Commercial $1,665.40
Rate for Payer: Aetna New Business (MI Preferred) $1,273.54
Rate for Payer: Cash Price $1,567.44
Rate for Payer: Cofinity Commercial $1,371.51
Rate for Payer: Cofinity Commercial $1,685.00
Rate for Payer: Encore Health Key Benefits Commercial $1,567.44
Rate for Payer: Healthscope Commercial $1,763.37
Rate for Payer: Kalamazoo County Sherrif's Dept Commercial $1,371.51
Rate for Payer: Lakeland Regional Health Systems Commercial $1,469.48
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS $1,665.40
Rate for Payer: PHP Commercial $1,665.40
Rate for Payer: Priority Health Cigna Priority Health $1,371.51
Rate for Payer: Priority Health SBD $1,234.36
Rate for Payer: UMR Bronson Commercial $862.09
Rate for Payer: Van Buren County Sheriff Dept. Commercial $1,469.48
Service Code NDC 0093-9609-95
Hospital Charge Code 12666
Hospital Revenue Code 637
Min. Negotiated Rate $827.58
Max. Negotiated Rate $1,692.78
Rate for Payer: Aetna American Axle $1,222.57
Rate for Payer: Aetna Commercial $1,598.74
Rate for Payer: Aetna New Business (MI Preferred) $1,222.57
Rate for Payer: Cash Price $1,504.70
Rate for Payer: Cofinity Commercial $1,316.61
Rate for Payer: Cofinity Commercial $1,617.55
Rate for Payer: Encore Health Key Benefits Commercial $1,504.70
Rate for Payer: Healthscope Commercial $1,692.78
Rate for Payer: Kalamazoo County Sherrif's Dept Commercial $1,316.61
Rate for Payer: Lakeland Regional Health Systems Commercial $1,410.65
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS $1,598.74
Rate for Payer: PHP Commercial $1,598.74
Rate for Payer: Priority Health Cigna Priority Health $1,316.61
Rate for Payer: Priority Health SBD $1,184.95
Rate for Payer: UMR Bronson Commercial $827.58
Rate for Payer: Van Buren County Sheriff Dept. Commercial $1,410.65
Service Code HCPCS J1270
Hospital Charge Code 28277
Hospital Revenue Code 636
Min. Negotiated Rate $12.67
Max. Negotiated Rate $25.92
Rate for Payer: Aetna American Axle $18.72
Rate for Payer: Aetna Commercial $24.48
Rate for Payer: Aetna New Business (MI Preferred) $18.72
Rate for Payer: Cash Price $23.04
Rate for Payer: Cofinity Commercial $20.16
Rate for Payer: Cofinity Commercial $24.77
Rate for Payer: Encore Health Key Benefits Commercial $23.04
Rate for Payer: Healthscope Commercial $25.92
Rate for Payer: Kalamazoo County Sherrif's Dept Commercial $20.16
Rate for Payer: Lakeland Regional Health Systems Commercial $21.60
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS $24.48
Rate for Payer: PHP Commercial $24.48
Rate for Payer: Priority Health Cigna Priority Health $20.16
Rate for Payer: Priority Health SBD $18.14
Rate for Payer: UMR Bronson Commercial $12.67
Rate for Payer: Van Buren County Sheriff Dept. Commercial $21.60
Service Code HCPCS J1270
Hospital Charge Code 28277
Hospital Revenue Code 636
Min. Negotiated Rate $1.21
Max. Negotiated Rate $18.56
Rate for Payer: Aetna American Axle $13.40
Rate for Payer: Aetna American Axle $13.42
Rate for Payer: Aetna Commercial $17.53
Rate for Payer: Aetna Commercial $17.55
Rate for Payer: Aetna New Business (MI Preferred) $13.42
Rate for Payer: Aetna New Business (MI Preferred) $13.40
Rate for Payer: BCBS Complete $8.26
Rate for Payer: BCBS Complete $8.25
Rate for Payer: BCBS Trust/PPO $1.21
Rate for Payer: BCBS Trust/PPO $1.21
Rate for Payer: Cash Price $16.52
Rate for Payer: Cash Price $16.50
Rate for Payer: Cash Price $16.52
Rate for Payer: Cash Price $16.50
Rate for Payer: Cofinity Commercial $17.76
Rate for Payer: Cofinity Commercial $14.43
Rate for Payer: Cofinity Commercial $17.73
Rate for Payer: Cofinity Commercial $14.46
Rate for Payer: Encore Health Key Benefits Commercial $16.52
Rate for Payer: Encore Health Key Benefits Commercial $16.50
Rate for Payer: Healthscope Commercial $18.56
Rate for Payer: Healthscope Commercial $18.58
Rate for Payer: Kalamazoo County Sherrif's Dept Commercial $14.46
Rate for Payer: Kalamazoo County Sherrif's Dept Commercial $14.43
Rate for Payer: Lakeland Regional Health Systems Commercial $15.46
Rate for Payer: Lakeland Regional Health Systems Commercial $15.49
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS $17.53
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS $17.55
Rate for Payer: PHP Commercial $17.55
Rate for Payer: PHP Commercial $17.53
Rate for Payer: Priority Health Cigna Priority Health $14.46
Rate for Payer: Priority Health Cigna Priority Health $14.43
Rate for Payer: Priority Health SBD $13.01
Rate for Payer: Priority Health SBD $12.99
Rate for Payer: UMR Bronson Commercial $7.63
Rate for Payer: UMR Bronson Commercial $7.64
Rate for Payer: Van Buren County Sheriff Dept. Commercial $15.46
Rate for Payer: Van Buren County Sheriff Dept. Commercial $15.49
Service Code HCPCS J9000
Hospital Charge Code 118502
Hospital Revenue Code 636
Min. Negotiated Rate $10.59
Max. Negotiated Rate $152.96
Rate for Payer: Aetna American Axle $110.47
Rate for Payer: Aetna Commercial $144.46
Rate for Payer: Aetna New Business (MI Preferred) $110.47
Rate for Payer: BCBS Complete $67.98
Rate for Payer: BCBS Trust/PPO $10.59
Rate for Payer: Cash Price $135.96
Rate for Payer: Cash Price $135.96
Rate for Payer: Cofinity Commercial $118.96
Rate for Payer: Cofinity Commercial $146.16
Rate for Payer: Encore Health Key Benefits Commercial $135.96
Rate for Payer: Healthscope Commercial $152.96
Rate for Payer: Kalamazoo County Sherrif's Dept Commercial $118.96
Rate for Payer: Lakeland Regional Health Systems Commercial $127.46
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS $144.46
Rate for Payer: PHP Commercial $144.46
Rate for Payer: Priority Health Cigna Priority Health $118.96
Rate for Payer: Priority Health SBD $107.07
Rate for Payer: UMR Bronson Commercial $62.88
Rate for Payer: Van Buren County Sheriff Dept. Commercial $127.46
Service Code HCPCS J9000
Hospital Charge Code 118502
Hospital Revenue Code 636
Min. Negotiated Rate $74.78
Max. Negotiated Rate $152.96
Rate for Payer: Aetna American Axle $110.47
Rate for Payer: Aetna Commercial $144.46
Rate for Payer: Aetna New Business (MI Preferred) $110.47
Rate for Payer: Cash Price $135.96
Rate for Payer: Cofinity Commercial $118.96
Rate for Payer: Cofinity Commercial $146.16
Rate for Payer: Encore Health Key Benefits Commercial $135.96
Rate for Payer: Healthscope Commercial $152.96
Rate for Payer: Kalamazoo County Sherrif's Dept Commercial $118.96
Rate for Payer: Lakeland Regional Health Systems Commercial $127.46
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS $144.46
Rate for Payer: PHP Commercial $144.46
Rate for Payer: Priority Health Cigna Priority Health $118.96
Rate for Payer: Priority Health SBD $107.07
Rate for Payer: UMR Bronson Commercial $74.78
Rate for Payer: Van Buren County Sheriff Dept. Commercial $127.46
Service Code HCPCS J9000
Hospital Charge Code 2616
Hospital Revenue Code 636
Min. Negotiated Rate $248.27
Max. Negotiated Rate $507.82
Rate for Payer: Aetna American Axle $366.76
Rate for Payer: Aetna American Axle $168.56
Rate for Payer: Aetna American Axle $322.87
Rate for Payer: Aetna American Axle $443.46
Rate for Payer: Aetna Commercial $422.22
Rate for Payer: Aetna Commercial $220.43
Rate for Payer: Aetna Commercial $479.61
Rate for Payer: Aetna Commercial $579.91
Rate for Payer: Aetna New Business (MI Preferred) $322.87
Rate for Payer: Aetna New Business (MI Preferred) $168.56
Rate for Payer: Aetna New Business (MI Preferred) $443.46
Rate for Payer: Aetna New Business (MI Preferred) $366.76
Rate for Payer: Cash Price $545.80
Rate for Payer: Cash Price $397.38
Rate for Payer: Cash Price $207.46
Rate for Payer: Cash Price $451.40
Rate for Payer: Cofinity Commercial $485.26
Rate for Payer: Cofinity Commercial $181.53
Rate for Payer: Cofinity Commercial $223.02
Rate for Payer: Cofinity Commercial $394.98
Rate for Payer: Cofinity Commercial $586.74
Rate for Payer: Cofinity Commercial $477.58
Rate for Payer: Cofinity Commercial $347.71
Rate for Payer: Cofinity Commercial $427.19
Rate for Payer: Encore Health Key Benefits Commercial $545.80
Rate for Payer: Encore Health Key Benefits Commercial $207.46
Rate for Payer: Encore Health Key Benefits Commercial $397.38
Rate for Payer: Encore Health Key Benefits Commercial $451.40
Rate for Payer: Healthscope Commercial $507.82
Rate for Payer: Healthscope Commercial $233.40
Rate for Payer: Healthscope Commercial $614.02
Rate for Payer: Healthscope Commercial $447.06
Rate for Payer: Kalamazoo County Sherrif's Dept Commercial $394.98
Rate for Payer: Kalamazoo County Sherrif's Dept Commercial $477.58
Rate for Payer: Kalamazoo County Sherrif's Dept Commercial $347.71
Rate for Payer: Kalamazoo County Sherrif's Dept Commercial $181.53
Rate for Payer: Lakeland Regional Health Systems Commercial $423.19
Rate for Payer: Lakeland Regional Health Systems Commercial $194.50
Rate for Payer: Lakeland Regional Health Systems Commercial $372.55
Rate for Payer: Lakeland Regional Health Systems Commercial $511.69
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS $479.61
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS $579.91
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS $220.43
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS $422.22
Rate for Payer: PHP Commercial $579.91
Rate for Payer: PHP Commercial $422.22
Rate for Payer: PHP Commercial $479.61
Rate for Payer: PHP Commercial $220.43
Rate for Payer: Priority Health Cigna Priority Health $347.71
Rate for Payer: Priority Health Cigna Priority Health $181.53
Rate for Payer: Priority Health Cigna Priority Health $394.98
Rate for Payer: Priority Health Cigna Priority Health $477.58
Rate for Payer: Priority Health SBD $163.38
Rate for Payer: Priority Health SBD $429.82
Rate for Payer: Priority Health SBD $312.94
Rate for Payer: Priority Health SBD $355.48
Rate for Payer: UMR Bronson Commercial $218.56
Rate for Payer: UMR Bronson Commercial $300.19
Rate for Payer: UMR Bronson Commercial $248.27
Rate for Payer: UMR Bronson Commercial $114.11
Rate for Payer: Van Buren County Sheriff Dept. Commercial $511.69
Rate for Payer: Van Buren County Sheriff Dept. Commercial $372.55
Rate for Payer: Van Buren County Sheriff Dept. Commercial $423.19
Rate for Payer: Van Buren County Sheriff Dept. Commercial $194.50
Service Code HCPCS J9000
Hospital Charge Code 2616
Hospital Revenue Code 636
Min. Negotiated Rate $10.59
Max. Negotiated Rate $249.08
Rate for Payer: Aetna American Axle $179.89
Rate for Payer: Aetna American Axle $745.55
Rate for Payer: Aetna American Axle $366.76
Rate for Payer: Aetna American Axle $237.35
Rate for Payer: Aetna Commercial $310.39
Rate for Payer: Aetna Commercial $479.61
Rate for Payer: Aetna Commercial $974.95
Rate for Payer: Aetna Commercial $235.24
Rate for Payer: Aetna New Business (MI Preferred) $179.89
Rate for Payer: Aetna New Business (MI Preferred) $237.35
Rate for Payer: Aetna New Business (MI Preferred) $745.55
Rate for Payer: Aetna New Business (MI Preferred) $366.76
Rate for Payer: BCBS Complete $146.06
Rate for Payer: BCBS Complete $225.70
Rate for Payer: BCBS Complete $110.70
Rate for Payer: BCBS Complete $458.80
Rate for Payer: BCBS Trust/PPO $10.59
Rate for Payer: BCBS Trust/PPO $10.59
Rate for Payer: BCBS Trust/PPO $10.59
Rate for Payer: BCBS Trust/PPO $10.59
Rate for Payer: Cash Price $451.40
Rate for Payer: Cash Price $917.60
Rate for Payer: Cash Price $292.13
Rate for Payer: Cash Price $451.40
Rate for Payer: Cash Price $221.40
Rate for Payer: Cash Price $221.40
Rate for Payer: Cash Price $917.60
Rate for Payer: Cash Price $292.13
Rate for Payer: Cofinity Commercial $802.90
Rate for Payer: Cofinity Commercial $394.98
Rate for Payer: Cofinity Commercial $485.26
Rate for Payer: Cofinity Commercial $314.04
Rate for Payer: Cofinity Commercial $255.61
Rate for Payer: Cofinity Commercial $986.42
Rate for Payer: Cofinity Commercial $193.72
Rate for Payer: Cofinity Commercial $238.00
Rate for Payer: Encore Health Key Benefits Commercial $917.60
Rate for Payer: Encore Health Key Benefits Commercial $451.40
Rate for Payer: Encore Health Key Benefits Commercial $221.40
Rate for Payer: Encore Health Key Benefits Commercial $292.13
Rate for Payer: Healthscope Commercial $1,032.30
Rate for Payer: Healthscope Commercial $249.08
Rate for Payer: Healthscope Commercial $328.64
Rate for Payer: Healthscope Commercial $507.82
Rate for Payer: Kalamazoo County Sherrif's Dept Commercial $255.61
Rate for Payer: Kalamazoo County Sherrif's Dept Commercial $193.72
Rate for Payer: Kalamazoo County Sherrif's Dept Commercial $394.98
Rate for Payer: Kalamazoo County Sherrif's Dept Commercial $802.90
Rate for Payer: Lakeland Regional Health Systems Commercial $860.25
Rate for Payer: Lakeland Regional Health Systems Commercial $207.56
Rate for Payer: Lakeland Regional Health Systems Commercial $273.87
Rate for Payer: Lakeland Regional Health Systems Commercial $423.19
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS $235.24
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS $479.61
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS $310.39
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS $974.95
Rate for Payer: PHP Commercial $310.39
Rate for Payer: PHP Commercial $235.24
Rate for Payer: PHP Commercial $974.95
Rate for Payer: PHP Commercial $479.61
Rate for Payer: Priority Health Cigna Priority Health $802.90
Rate for Payer: Priority Health Cigna Priority Health $193.72
Rate for Payer: Priority Health Cigna Priority Health $394.98
Rate for Payer: Priority Health Cigna Priority Health $255.61
Rate for Payer: Priority Health SBD $174.35
Rate for Payer: Priority Health SBD $722.61
Rate for Payer: Priority Health SBD $230.05
Rate for Payer: Priority Health SBD $355.48
Rate for Payer: UMR Bronson Commercial $102.40
Rate for Payer: UMR Bronson Commercial $135.11
Rate for Payer: UMR Bronson Commercial $208.77
Rate for Payer: UMR Bronson Commercial $424.39
Rate for Payer: Van Buren County Sheriff Dept. Commercial $207.56
Rate for Payer: Van Buren County Sheriff Dept. Commercial $860.25
Rate for Payer: Van Buren County Sheriff Dept. Commercial $273.87
Rate for Payer: Van Buren County Sheriff Dept. Commercial $423.19
Service Code HCPCS J9000
Hospital Charge Code 118501
Hospital Revenue Code 636
Min. Negotiated Rate $10.59
Max. Negotiated Rate $249.19
Rate for Payer: Aetna American Axle $179.97
Rate for Payer: Aetna American Axle $216.87
Rate for Payer: Aetna American Axle $166.97
Rate for Payer: Aetna Commercial $283.59
Rate for Payer: Aetna Commercial $218.35
Rate for Payer: Aetna Commercial $235.35
Rate for Payer: Aetna New Business (MI Preferred) $216.87
Rate for Payer: Aetna New Business (MI Preferred) $179.97
Rate for Payer: Aetna New Business (MI Preferred) $166.97
Rate for Payer: BCBS Complete $102.75
Rate for Payer: BCBS Complete $110.75
Rate for Payer: BCBS Complete $133.46
Rate for Payer: BCBS Trust/PPO $10.59
Rate for Payer: BCBS Trust/PPO $10.59
Rate for Payer: BCBS Trust/PPO $10.59
Rate for Payer: Cash Price $205.50
Rate for Payer: Cash Price $266.91
Rate for Payer: Cash Price $266.91
Rate for Payer: Cash Price $221.50
Rate for Payer: Cash Price $205.50
Rate for Payer: Cash Price $221.50
Rate for Payer: Cofinity Commercial $220.92
Rate for Payer: Cofinity Commercial $179.82
Rate for Payer: Cofinity Commercial $233.55
Rate for Payer: Cofinity Commercial $286.93
Rate for Payer: Cofinity Commercial $193.82
Rate for Payer: Cofinity Commercial $238.12
Rate for Payer: Encore Health Key Benefits Commercial $205.50
Rate for Payer: Encore Health Key Benefits Commercial $221.50
Rate for Payer: Encore Health Key Benefits Commercial $266.91
Rate for Payer: Healthscope Commercial $300.28
Rate for Payer: Healthscope Commercial $249.19
Rate for Payer: Healthscope Commercial $231.19
Rate for Payer: Kalamazoo County Sherrif's Dept Commercial $179.82
Rate for Payer: Kalamazoo County Sherrif's Dept Commercial $233.55
Rate for Payer: Kalamazoo County Sherrif's Dept Commercial $193.82
Rate for Payer: Lakeland Regional Health Systems Commercial $207.66
Rate for Payer: Lakeland Regional Health Systems Commercial $250.23
Rate for Payer: Lakeland Regional Health Systems Commercial $192.66
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS $235.35
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS $283.59
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS $218.35
Rate for Payer: PHP Commercial $283.59
Rate for Payer: PHP Commercial $218.35
Rate for Payer: PHP Commercial $235.35
Rate for Payer: Priority Health Cigna Priority Health $193.82
Rate for Payer: Priority Health Cigna Priority Health $179.82
Rate for Payer: Priority Health Cigna Priority Health $233.55
Rate for Payer: Priority Health SBD $210.19
Rate for Payer: Priority Health SBD $174.43
Rate for Payer: Priority Health SBD $161.83
Rate for Payer: UMR Bronson Commercial $123.45
Rate for Payer: UMR Bronson Commercial $102.45
Rate for Payer: UMR Bronson Commercial $95.05
Rate for Payer: Van Buren County Sheriff Dept. Commercial $207.66
Rate for Payer: Van Buren County Sheriff Dept. Commercial $192.66
Rate for Payer: Van Buren County Sheriff Dept. Commercial $250.23
Service Code HCPCS J9000
Hospital Charge Code 118501
Hospital Revenue Code 636
Min. Negotiated Rate $109.14
Max. Negotiated Rate $223.24
Rate for Payer: Aetna American Axle $161.23
Rate for Payer: Aetna American Axle $179.97
Rate for Payer: Aetna Commercial $235.35
Rate for Payer: Aetna Commercial $210.84
Rate for Payer: Aetna New Business (MI Preferred) $179.97
Rate for Payer: Aetna New Business (MI Preferred) $161.23
Rate for Payer: Cash Price $198.44
Rate for Payer: Cash Price $221.50
Rate for Payer: Cofinity Commercial $238.12
Rate for Payer: Cofinity Commercial $213.32
Rate for Payer: Cofinity Commercial $173.64
Rate for Payer: Cofinity Commercial $193.82
Rate for Payer: Encore Health Key Benefits Commercial $221.50
Rate for Payer: Encore Health Key Benefits Commercial $198.44
Rate for Payer: Healthscope Commercial $223.24
Rate for Payer: Healthscope Commercial $249.19
Rate for Payer: Kalamazoo County Sherrif's Dept Commercial $173.64
Rate for Payer: Kalamazoo County Sherrif's Dept Commercial $193.82
Rate for Payer: Lakeland Regional Health Systems Commercial $207.66
Rate for Payer: Lakeland Regional Health Systems Commercial $186.04
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS $235.35
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS $210.84
Rate for Payer: PHP Commercial $235.35
Rate for Payer: PHP Commercial $210.84
Rate for Payer: Priority Health Cigna Priority Health $173.64
Rate for Payer: Priority Health Cigna Priority Health $193.82
Rate for Payer: Priority Health SBD $174.43
Rate for Payer: Priority Health SBD $156.27
Rate for Payer: UMR Bronson Commercial $109.14
Rate for Payer: UMR Bronson Commercial $121.83
Rate for Payer: Van Buren County Sheriff Dept. Commercial $186.04
Rate for Payer: Van Buren County Sheriff Dept. Commercial $207.66
Service Code HCPCS Q2050
Hospital Charge Code 27431
Hospital Revenue Code 636
Min. Negotiated Rate $867.30
Max. Negotiated Rate $1,774.03
Rate for Payer: Aetna American Axle $1,281.24
Rate for Payer: Aetna American Axle $618.41
Rate for Payer: Aetna Commercial $808.69
Rate for Payer: Aetna Commercial $1,675.47
Rate for Payer: Aetna New Business (MI Preferred) $618.41
Rate for Payer: Aetna New Business (MI Preferred) $1,281.24
Rate for Payer: Cash Price $761.12
Rate for Payer: Cash Price $1,576.91
Rate for Payer: Cofinity Commercial $818.20
Rate for Payer: Cofinity Commercial $665.98
Rate for Payer: Cofinity Commercial $1,695.18
Rate for Payer: Cofinity Commercial $1,379.80
Rate for Payer: Encore Health Key Benefits Commercial $761.12
Rate for Payer: Encore Health Key Benefits Commercial $1,576.91
Rate for Payer: Healthscope Commercial $856.26
Rate for Payer: Healthscope Commercial $1,774.03
Rate for Payer: Kalamazoo County Sherrif's Dept Commercial $665.98
Rate for Payer: Kalamazoo County Sherrif's Dept Commercial $1,379.80
Rate for Payer: Lakeland Regional Health Systems Commercial $713.55
Rate for Payer: Lakeland Regional Health Systems Commercial $1,478.36
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS $808.69
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS $1,675.47
Rate for Payer: PHP Commercial $808.69
Rate for Payer: PHP Commercial $1,675.47
Rate for Payer: Priority Health Cigna Priority Health $1,379.80
Rate for Payer: Priority Health Cigna Priority Health $665.98
Rate for Payer: Priority Health SBD $599.38
Rate for Payer: Priority Health SBD $1,241.82
Rate for Payer: UMR Bronson Commercial $867.30
Rate for Payer: UMR Bronson Commercial $418.62
Rate for Payer: Van Buren County Sheriff Dept. Commercial $1,478.36
Rate for Payer: Van Buren County Sheriff Dept. Commercial $713.55
Service Code HCPCS Q2050
Hospital Charge Code 27431
Hospital Revenue Code 636
Min. Negotiated Rate $46.76
Max. Negotiated Rate $3,088.94
Rate for Payer: Aetna American Axle $2,230.90
Rate for Payer: Aetna American Axle $618.41
Rate for Payer: Aetna American Axle $1,281.24
Rate for Payer: Aetna American Axle $2,135.03
Rate for Payer: Aetna American Axle $1,366.30
Rate for Payer: Aetna American Axle $1,841.05
Rate for Payer: Aetna American Axle $940.10
Rate for Payer: Aetna Commercial $1,786.70
Rate for Payer: Aetna Commercial $808.69
Rate for Payer: Aetna Commercial $2,917.34
Rate for Payer: Aetna Commercial $2,407.53
Rate for Payer: Aetna Commercial $1,675.47
Rate for Payer: Aetna Commercial $2,791.96
Rate for Payer: Aetna Commercial $1,229.36
Rate for Payer: Aetna Medicare $88.90
Rate for Payer: Aetna Medicare $88.90
Rate for Payer: Aetna Medicare $88.90
Rate for Payer: Aetna Medicare $88.90
Rate for Payer: Aetna Medicare $88.90
Rate for Payer: Aetna Medicare $88.90
Rate for Payer: Aetna Medicare $88.90
Rate for Payer: Aetna New Business (MI Preferred) $618.41
Rate for Payer: Aetna New Business (MI Preferred) $1,841.05
Rate for Payer: Aetna New Business (MI Preferred) $1,366.30
Rate for Payer: Aetna New Business (MI Preferred) $940.10
Rate for Payer: Aetna New Business (MI Preferred) $2,135.03
Rate for Payer: Aetna New Business (MI Preferred) $1,281.24
Rate for Payer: Aetna New Business (MI Preferred) $2,230.90
Rate for Payer: Allen County Amish Medical Aid Commercial $106.86
Rate for Payer: Allen County Amish Medical Aid Commercial $106.86
Rate for Payer: Allen County Amish Medical Aid Commercial $106.86
Rate for Payer: Allen County Amish Medical Aid Commercial $106.86
Rate for Payer: Allen County Amish Medical Aid Commercial $106.86
Rate for Payer: Allen County Amish Medical Aid Commercial $106.86
Rate for Payer: Allen County Amish Medical Aid Commercial $106.86
Rate for Payer: Amish Plain Church Group Commercial $106.86
Rate for Payer: Amish Plain Church Group Commercial $106.86
Rate for Payer: Amish Plain Church Group Commercial $106.86
Rate for Payer: Amish Plain Church Group Commercial $106.86
Rate for Payer: Amish Plain Church Group Commercial $106.86
Rate for Payer: Amish Plain Church Group Commercial $106.86
Rate for Payer: Amish Plain Church Group Commercial $106.86
Rate for Payer: BCBS Complete $49.10
Rate for Payer: BCBS Complete $49.10
Rate for Payer: BCBS Complete $49.10
Rate for Payer: BCBS Complete $49.10
Rate for Payer: BCBS Complete $49.10
Rate for Payer: BCBS Complete $49.10
Rate for Payer: BCBS Complete $49.10
Rate for Payer: BCBS MAPPO $85.48
Rate for Payer: BCBS MAPPO $85.48
Rate for Payer: BCBS MAPPO $85.48
Rate for Payer: BCBS MAPPO $85.48
Rate for Payer: BCBS MAPPO $85.48
Rate for Payer: BCBS MAPPO $85.48
Rate for Payer: BCBS MAPPO $85.48
Rate for Payer: BCBS Trust/PPO $276.22
Rate for Payer: BCBS Trust/PPO $276.22
Rate for Payer: BCBS Trust/PPO $276.22
Rate for Payer: BCBS Trust/PPO $276.22
Rate for Payer: BCBS Trust/PPO $276.22
Rate for Payer: BCBS Trust/PPO $276.22
Rate for Payer: BCBS Trust/PPO $276.22
Rate for Payer: BCN Medicare Advantage $85.48
Rate for Payer: BCN Medicare Advantage $85.48
Rate for Payer: BCN Medicare Advantage $85.48
Rate for Payer: BCN Medicare Advantage $85.48
Rate for Payer: BCN Medicare Advantage $85.48
Rate for Payer: BCN Medicare Advantage $85.48
Rate for Payer: BCN Medicare Advantage $85.48
Rate for Payer: Cash Price $1,576.91
Rate for Payer: Cash Price $2,745.73
Rate for Payer: Cash Price $2,745.73
Rate for Payer: Cash Price $2,627.73
Rate for Payer: Cash Price $1,576.91
Rate for Payer: Cash Price $1,157.04
Rate for Payer: Cash Price $2,627.73
Rate for Payer: Cash Price $761.12
Rate for Payer: Cash Price $1,681.60
Rate for Payer: Cash Price $761.12
Rate for Payer: Cash Price $2,265.91
Rate for Payer: Cash Price $2,265.91
Rate for Payer: Cash Price $1,157.04
Rate for Payer: Cash Price $1,681.60
Rate for Payer: Cofinity Commercial $1,379.80
Rate for Payer: Cofinity Commercial $2,299.26
Rate for Payer: Cofinity Commercial $2,824.81
Rate for Payer: Cofinity Commercial $665.98
Rate for Payer: Cofinity Commercial $2,435.86
Rate for Payer: Cofinity Commercial $1,982.67
Rate for Payer: Cofinity Commercial $2,951.66
Rate for Payer: Cofinity Commercial $818.20
Rate for Payer: Cofinity Commercial $2,402.51
Rate for Payer: Cofinity Commercial $1,012.41
Rate for Payer: Cofinity Commercial $1,243.82
Rate for Payer: Cofinity Commercial $1,471.40
Rate for Payer: Cofinity Commercial $1,695.18
Rate for Payer: Cofinity Commercial $1,807.72
Rate for Payer: Encore Health Key Benefits Commercial $2,745.73
Rate for Payer: Encore Health Key Benefits Commercial $1,576.91
Rate for Payer: Encore Health Key Benefits Commercial $761.12
Rate for Payer: Encore Health Key Benefits Commercial $1,157.04
Rate for Payer: Encore Health Key Benefits Commercial $1,681.60
Rate for Payer: Encore Health Key Benefits Commercial $2,627.73
Rate for Payer: Encore Health Key Benefits Commercial $2,265.91
Rate for Payer: Health Alliance Plan Medicare Advantage $85.48
Rate for Payer: Health Alliance Plan Medicare Advantage $85.48
Rate for Payer: Health Alliance Plan Medicare Advantage $85.48
Rate for Payer: Health Alliance Plan Medicare Advantage $85.48
Rate for Payer: Health Alliance Plan Medicare Advantage $85.48
Rate for Payer: Health Alliance Plan Medicare Advantage $85.48
Rate for Payer: Health Alliance Plan Medicare Advantage $85.48
Rate for Payer: Healthscope Commercial $1,774.03
Rate for Payer: Healthscope Commercial $1,891.80
Rate for Payer: Healthscope Commercial $1,301.67
Rate for Payer: Healthscope Commercial $3,088.94
Rate for Payer: Healthscope Commercial $2,956.19
Rate for Payer: Healthscope Commercial $2,549.15
Rate for Payer: Healthscope Commercial $856.26
Rate for Payer: Kalamazoo County Sherrif's Dept Commercial $1,379.80
Rate for Payer: Kalamazoo County Sherrif's Dept Commercial $1,012.41
Rate for Payer: Kalamazoo County Sherrif's Dept Commercial $1,471.40
Rate for Payer: Kalamazoo County Sherrif's Dept Commercial $1,982.67
Rate for Payer: Kalamazoo County Sherrif's Dept Commercial $2,299.26
Rate for Payer: Kalamazoo County Sherrif's Dept Commercial $2,402.51
Rate for Payer: Kalamazoo County Sherrif's Dept Commercial $665.98
Rate for Payer: Lakeland Regional Health Systems Commercial $1,478.36
Rate for Payer: Lakeland Regional Health Systems Commercial $1,576.50
Rate for Payer: Lakeland Regional Health Systems Commercial $713.55
Rate for Payer: Lakeland Regional Health Systems Commercial $2,463.50
Rate for Payer: Lakeland Regional Health Systems Commercial $2,124.29
Rate for Payer: Lakeland Regional Health Systems Commercial $2,574.12
Rate for Payer: Lakeland Regional Health Systems Commercial $1,084.72
Rate for Payer: Mclaren Medicaid $46.76
Rate for Payer: Mclaren Medicaid $46.76
Rate for Payer: Mclaren Medicaid $46.76
Rate for Payer: Mclaren Medicaid $46.76
Rate for Payer: Mclaren Medicaid $46.76
Rate for Payer: Mclaren Medicaid $46.76
Rate for Payer: Mclaren Medicaid $46.76
Rate for Payer: Mclaren Medicare $85.48
Rate for Payer: Mclaren Medicare $85.48
Rate for Payer: Mclaren Medicare $85.48
Rate for Payer: Mclaren Medicare $85.48
Rate for Payer: Mclaren Medicare $85.48
Rate for Payer: Mclaren Medicare $85.48
Rate for Payer: Mclaren Medicare $85.48
Rate for Payer: Meridian Medicaid $49.10
Rate for Payer: Meridian Medicaid $49.10
Rate for Payer: Meridian Medicaid $49.10
Rate for Payer: Meridian Medicaid $49.10
Rate for Payer: Meridian Medicaid $49.10
Rate for Payer: Meridian Medicaid $49.10
Rate for Payer: Meridian Medicaid $49.10
Rate for Payer: Meridian Wellcare - Medicare Advantage $89.76
Rate for Payer: Meridian Wellcare - Medicare Advantage $89.76
Rate for Payer: Meridian Wellcare - Medicare Advantage $89.76
Rate for Payer: Meridian Wellcare - Medicare Advantage $89.76
Rate for Payer: Meridian Wellcare - Medicare Advantage $89.76
Rate for Payer: Meridian Wellcare - Medicare Advantage $89.76
Rate for Payer: Meridian Wellcare - Medicare Advantage $89.76
Rate for Payer: MI Amish Medical Board Commercial $98.31
Rate for Payer: MI Amish Medical Board Commercial $98.31
Rate for Payer: MI Amish Medical Board Commercial $98.31
Rate for Payer: MI Amish Medical Board Commercial $98.31
Rate for Payer: MI Amish Medical Board Commercial $98.31
Rate for Payer: MI Amish Medical Board Commercial $98.31
Rate for Payer: MI Amish Medical Board Commercial $98.31
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS $808.69
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS $1,786.70
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS $1,675.47
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS $1,229.36
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS $2,407.53
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS $2,917.34
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS $2,791.96
Rate for Payer: PACE Medicare $81.21
Rate for Payer: PACE Medicare $81.21
Rate for Payer: PACE Medicare $81.21
Rate for Payer: PACE Medicare $81.21
Rate for Payer: PACE Medicare $81.21
Rate for Payer: PACE Medicare $81.21
Rate for Payer: PACE Medicare $81.21
Rate for Payer: PACE SWMI $85.48
Rate for Payer: PACE SWMI $85.48
Rate for Payer: PACE SWMI $85.48
Rate for Payer: PACE SWMI $85.48
Rate for Payer: PACE SWMI $85.48
Rate for Payer: PACE SWMI $85.48
Rate for Payer: PACE SWMI $85.48
Rate for Payer: PHP Commercial $1,786.70
Rate for Payer: PHP Commercial $2,407.53
Rate for Payer: PHP Commercial $1,675.47
Rate for Payer: PHP Commercial $2,791.96
Rate for Payer: PHP Commercial $1,229.36
Rate for Payer: PHP Commercial $2,917.34
Rate for Payer: PHP Commercial $808.69
Rate for Payer: PHP Medicare Advantage $85.48
Rate for Payer: PHP Medicare Advantage $85.48
Rate for Payer: PHP Medicare Advantage $85.48
Rate for Payer: PHP Medicare Advantage $85.48
Rate for Payer: PHP Medicare Advantage $85.48
Rate for Payer: PHP Medicare Advantage $85.48
Rate for Payer: PHP Medicare Advantage $85.48
Rate for Payer: Priority Health Choice Medicaid $46.76
Rate for Payer: Priority Health Choice Medicaid $46.76
Rate for Payer: Priority Health Choice Medicaid $46.76
Rate for Payer: Priority Health Choice Medicaid $46.76
Rate for Payer: Priority Health Choice Medicaid $46.76
Rate for Payer: Priority Health Choice Medicaid $46.76
Rate for Payer: Priority Health Choice Medicaid $46.76
Rate for Payer: Priority Health Cigna Priority Health $2,402.51
Rate for Payer: Priority Health Cigna Priority Health $1,012.41
Rate for Payer: Priority Health Cigna Priority Health $1,471.40
Rate for Payer: Priority Health Cigna Priority Health $2,299.26
Rate for Payer: Priority Health Cigna Priority Health $1,379.80
Rate for Payer: Priority Health Cigna Priority Health $1,982.67
Rate for Payer: Priority Health Cigna Priority Health $665.98
Rate for Payer: Priority Health HMO/PPO/Tiered Network $425.39
Rate for Payer: Priority Health HMO/PPO/Tiered Network $425.39
Rate for Payer: Priority Health HMO/PPO/Tiered Network $425.39
Rate for Payer: Priority Health HMO/PPO/Tiered Network $425.39
Rate for Payer: Priority Health HMO/PPO/Tiered Network $425.39
Rate for Payer: Priority Health HMO/PPO/Tiered Network $425.39
Rate for Payer: Priority Health HMO/PPO/Tiered Network $425.39
Rate for Payer: Priority Health Medicare $85.48
Rate for Payer: Priority Health Medicare $85.48
Rate for Payer: Priority Health Medicare $85.48
Rate for Payer: Priority Health Medicare $85.48
Rate for Payer: Priority Health Medicare $85.48
Rate for Payer: Priority Health Medicare $85.48
Rate for Payer: Priority Health Medicare $85.48
Rate for Payer: Priority Health Narrow Network $340.31
Rate for Payer: Priority Health Narrow Network $340.31
Rate for Payer: Priority Health Narrow Network $340.31
Rate for Payer: Priority Health Narrow Network $340.31
Rate for Payer: Priority Health Narrow Network $340.31
Rate for Payer: Priority Health Narrow Network $340.31
Rate for Payer: Priority Health Narrow Network $340.31
Rate for Payer: Priority Health SBD $1,784.41
Rate for Payer: Priority Health SBD $2,069.34
Rate for Payer: Priority Health SBD $599.38
Rate for Payer: Priority Health SBD $1,324.26
Rate for Payer: Priority Health SBD $2,162.26
Rate for Payer: Priority Health SBD $1,241.82
Rate for Payer: Priority Health SBD $911.17
Rate for Payer: Railroad Medicare Medicare $85.48
Rate for Payer: Railroad Medicare Medicare $85.48
Rate for Payer: Railroad Medicare Medicare $85.48
Rate for Payer: Railroad Medicare Medicare $85.48
Rate for Payer: Railroad Medicare Medicare $85.48
Rate for Payer: Railroad Medicare Medicare $85.48
Rate for Payer: Railroad Medicare Medicare $85.48
Rate for Payer: UHC Dual Complete DSNP $85.48
Rate for Payer: UHC Dual Complete DSNP $85.48
Rate for Payer: UHC Dual Complete DSNP $85.48
Rate for Payer: UHC Dual Complete DSNP $85.48
Rate for Payer: UHC Dual Complete DSNP $85.48
Rate for Payer: UHC Dual Complete DSNP $85.48
Rate for Payer: UHC Dual Complete DSNP $85.48
Rate for Payer: UHC Medicare Advantage $88.05
Rate for Payer: UHC Medicare Advantage $88.05
Rate for Payer: UHC Medicare Advantage $88.05
Rate for Payer: UHC Medicare Advantage $88.05
Rate for Payer: UHC Medicare Advantage $88.05
Rate for Payer: UHC Medicare Advantage $88.05
Rate for Payer: UHC Medicare Advantage $88.05
Rate for Payer: UMR Bronson Commercial $535.13
Rate for Payer: UMR Bronson Commercial $352.02
Rate for Payer: UMR Bronson Commercial $1,269.90
Rate for Payer: UMR Bronson Commercial $777.74
Rate for Payer: UMR Bronson Commercial $1,047.98
Rate for Payer: UMR Bronson Commercial $1,215.32
Rate for Payer: UMR Bronson Commercial $729.32
Rate for Payer: VA VA $85.48
Rate for Payer: VA VA $85.48
Rate for Payer: VA VA $85.48
Rate for Payer: VA VA $85.48
Rate for Payer: VA VA $85.48
Rate for Payer: VA VA $85.48
Rate for Payer: VA VA $85.48
Rate for Payer: Van Buren County Sheriff Dept. Commercial $1,478.36
Rate for Payer: Van Buren County Sheriff Dept. Commercial $1,576.50
Rate for Payer: Van Buren County Sheriff Dept. Commercial $2,124.29
Rate for Payer: Van Buren County Sheriff Dept. Commercial $713.55
Rate for Payer: Van Buren County Sheriff Dept. Commercial $1,084.72
Rate for Payer: Van Buren County Sheriff Dept. Commercial $2,463.50
Rate for Payer: Van Buren County Sheriff Dept. Commercial $2,574.12
Service Code NDC 0069-0971-95
Hospital Charge Code 2621
Hospital Revenue Code 637
Min. Negotiated Rate $1,006.97
Max. Negotiated Rate $2,059.71
Rate for Payer: Aetna American Axle $1,487.57
Rate for Payer: Aetna Commercial $1,945.28
Rate for Payer: Aetna New Business (MI Preferred) $1,487.57
Rate for Payer: Cash Price $1,830.86
Rate for Payer: Cofinity Commercial $1,602.00
Rate for Payer: Cofinity Commercial $1,968.17
Rate for Payer: Encore Health Key Benefits Commercial $1,830.86
Rate for Payer: Healthscope Commercial $2,059.71
Rate for Payer: Kalamazoo County Sherrif's Dept Commercial $1,602.00
Rate for Payer: Lakeland Regional Health Systems Commercial $1,716.43
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS $1,945.28
Rate for Payer: PHP Commercial $1,945.28
Rate for Payer: Priority Health Cigna Priority Health $1,602.00
Rate for Payer: Priority Health SBD $1,441.80
Rate for Payer: UMR Bronson Commercial $1,006.97
Rate for Payer: Van Buren County Sheriff Dept. Commercial $1,716.43
Service Code NDC 0143-9381-01
Hospital Charge Code 2622
Hospital Revenue Code 250
Min. Negotiated Rate $32.60
Max. Negotiated Rate $66.68
Rate for Payer: Aetna American Axle $48.16
Rate for Payer: Aetna Commercial $62.98
Rate for Payer: Aetna New Business (MI Preferred) $48.16
Rate for Payer: Cash Price $59.27
Rate for Payer: Cofinity Commercial $51.86
Rate for Payer: Cofinity Commercial $63.72
Rate for Payer: Encore Health Key Benefits Commercial $59.27
Rate for Payer: Healthscope Commercial $66.68
Rate for Payer: Kalamazoo County Sherrif's Dept Commercial $51.86
Rate for Payer: Lakeland Regional Health Systems Commercial $55.57
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS $62.98
Rate for Payer: PHP Commercial $62.98
Rate for Payer: Priority Health Cigna Priority Health $51.86
Rate for Payer: Priority Health SBD $46.68
Rate for Payer: UMR Bronson Commercial $32.60
Rate for Payer: Van Buren County Sheriff Dept. Commercial $55.57
Service Code NDC 63323-130-11
Hospital Charge Code 2622
Hospital Revenue Code 250
Min. Negotiated Rate $30.03
Max. Negotiated Rate $61.42
Rate for Payer: Aetna American Axle $44.36
Rate for Payer: Aetna Commercial $58.01
Rate for Payer: Aetna New Business (MI Preferred) $44.36
Rate for Payer: Cash Price $54.60
Rate for Payer: Cofinity Commercial $47.78
Rate for Payer: Cofinity Commercial $58.70
Rate for Payer: Encore Health Key Benefits Commercial $54.60
Rate for Payer: Healthscope Commercial $61.42
Rate for Payer: Kalamazoo County Sherrif's Dept Commercial $47.78
Rate for Payer: Lakeland Regional Health Systems Commercial $51.19
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS $58.01
Rate for Payer: PHP Commercial $58.01
Rate for Payer: Priority Health Cigna Priority Health $47.78
Rate for Payer: Priority Health SBD $43.00
Rate for Payer: UMR Bronson Commercial $30.03
Rate for Payer: Van Buren County Sheriff Dept. Commercial $51.19
Service Code NDC 63323-130-13
Hospital Charge Code 2622
Hospital Revenue Code 250
Min. Negotiated Rate $30.03
Max. Negotiated Rate $61.42
Rate for Payer: Aetna American Axle $44.36
Rate for Payer: Aetna Commercial $58.01
Rate for Payer: Aetna New Business (MI Preferred) $44.36
Rate for Payer: Cash Price $54.60
Rate for Payer: Cofinity Commercial $47.78
Rate for Payer: Cofinity Commercial $58.70
Rate for Payer: Encore Health Key Benefits Commercial $54.60
Rate for Payer: Healthscope Commercial $61.42
Rate for Payer: Kalamazoo County Sherrif's Dept Commercial $47.78
Rate for Payer: Lakeland Regional Health Systems Commercial $51.19
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS $58.01
Rate for Payer: PHP Commercial $58.01
Rate for Payer: Priority Health Cigna Priority Health $47.78
Rate for Payer: Priority Health SBD $43.00
Rate for Payer: UMR Bronson Commercial $30.03
Rate for Payer: Van Buren County Sheriff Dept. Commercial $51.19
Service Code NDC 68382-910-10
Hospital Charge Code 2622
Hospital Revenue Code 250
Min. Negotiated Rate $24.09
Max. Negotiated Rate $49.28
Rate for Payer: Aetna American Axle $35.59
Rate for Payer: Aetna Commercial $46.55
Rate for Payer: Aetna New Business (MI Preferred) $35.59
Rate for Payer: Cash Price $43.81
Rate for Payer: Cofinity Commercial $38.33
Rate for Payer: Cofinity Commercial $47.09
Rate for Payer: Encore Health Key Benefits Commercial $43.81
Rate for Payer: Healthscope Commercial $49.28
Rate for Payer: Kalamazoo County Sherrif's Dept Commercial $38.33
Rate for Payer: Lakeland Regional Health Systems Commercial $41.07
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS $46.55
Rate for Payer: PHP Commercial $46.55
Rate for Payer: Priority Health Cigna Priority Health $38.33
Rate for Payer: Priority Health SBD $34.50
Rate for Payer: UMR Bronson Commercial $24.09
Rate for Payer: Van Buren County Sheriff Dept. Commercial $41.07
Service Code NDC 68382-910-01
Hospital Charge Code 2622
Hospital Revenue Code 250
Min. Negotiated Rate $24.09
Max. Negotiated Rate $49.28
Rate for Payer: Aetna American Axle $35.59
Rate for Payer: Aetna Commercial $46.55
Rate for Payer: Aetna New Business (MI Preferred) $35.59
Rate for Payer: Cash Price $43.81
Rate for Payer: Cofinity Commercial $38.33
Rate for Payer: Cofinity Commercial $47.09
Rate for Payer: Encore Health Key Benefits Commercial $43.81
Rate for Payer: Healthscope Commercial $49.28
Rate for Payer: Kalamazoo County Sherrif's Dept Commercial $38.33
Rate for Payer: Lakeland Regional Health Systems Commercial $41.07
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS $46.55
Rate for Payer: PHP Commercial $46.55
Rate for Payer: Priority Health Cigna Priority Health $38.33
Rate for Payer: Priority Health SBD $34.50
Rate for Payer: UMR Bronson Commercial $24.09
Rate for Payer: Van Buren County Sheriff Dept. Commercial $41.07
Service Code NDC 0143-9381-10
Hospital Charge Code 2622
Hospital Revenue Code 250
Min. Negotiated Rate $32.60
Max. Negotiated Rate $66.68
Rate for Payer: Aetna American Axle $48.16
Rate for Payer: Aetna Commercial $62.98
Rate for Payer: Aetna New Business (MI Preferred) $48.16
Rate for Payer: Cash Price $59.27
Rate for Payer: Cofinity Commercial $51.86
Rate for Payer: Cofinity Commercial $63.72
Rate for Payer: Encore Health Key Benefits Commercial $59.27
Rate for Payer: Healthscope Commercial $66.68
Rate for Payer: Kalamazoo County Sherrif's Dept Commercial $51.86
Rate for Payer: Lakeland Regional Health Systems Commercial $55.57
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS $62.98
Rate for Payer: PHP Commercial $62.98
Rate for Payer: Priority Health Cigna Priority Health $51.86
Rate for Payer: Priority Health SBD $46.68
Rate for Payer: UMR Bronson Commercial $32.60
Rate for Payer: Van Buren County Sheriff Dept. Commercial $55.57
Service Code NDC 0378-0167-89
Hospital Charge Code 2625
Hospital Revenue Code 637
Min. Negotiated Rate $165.98
Max. Negotiated Rate $339.50
Rate for Payer: Aetna American Axle $245.19
Rate for Payer: Aetna Commercial $320.64
Rate for Payer: Aetna New Business (MI Preferred) $245.19
Rate for Payer: Cash Price $301.78
Rate for Payer: Cofinity Commercial $264.05
Rate for Payer: Cofinity Commercial $324.41
Rate for Payer: Encore Health Key Benefits Commercial $301.78
Rate for Payer: Healthscope Commercial $339.50
Rate for Payer: Kalamazoo County Sherrif's Dept Commercial $264.05
Rate for Payer: Lakeland Regional Health Systems Commercial $282.92
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS $320.64
Rate for Payer: PHP Commercial $320.64
Rate for Payer: Priority Health Cigna Priority Health $264.05
Rate for Payer: Priority Health SBD $237.65
Rate for Payer: UMR Bronson Commercial $165.98
Rate for Payer: Van Buren County Sheriff Dept. Commercial $282.92
Service Code NDC 0143-2112-50
Hospital Charge Code 2625
Hospital Revenue Code 637
Min. Negotiated Rate $93.06
Max. Negotiated Rate $190.35
Rate for Payer: Aetna American Axle $137.48
Rate for Payer: Aetna Commercial $179.78
Rate for Payer: Aetna New Business (MI Preferred) $137.48
Rate for Payer: Cash Price $169.20
Rate for Payer: Cofinity Commercial $148.05
Rate for Payer: Cofinity Commercial $181.89
Rate for Payer: Encore Health Key Benefits Commercial $169.20
Rate for Payer: Healthscope Commercial $190.35
Rate for Payer: Kalamazoo County Sherrif's Dept Commercial $148.05
Rate for Payer: Lakeland Regional Health Systems Commercial $158.62
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS $179.78
Rate for Payer: PHP Commercial $179.78
Rate for Payer: Priority Health Cigna Priority Health $148.05
Rate for Payer: Priority Health SBD $133.24
Rate for Payer: UMR Bronson Commercial $93.06
Rate for Payer: Van Buren County Sheriff Dept. Commercial $158.62