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Service Code NDC 23155024546
Hospital Charge Code 23377
Hospital Revenue Code 637
Min. Negotiated Rate $53.26
Max. Negotiated Rate $108.94
Rate for Payer: Aetna American Axle $78.68
Rate for Payer: Aetna Commercial $102.89
Rate for Payer: Aetna New Business (MI Preferred) $78.68
Rate for Payer: Cash Price $96.84
Rate for Payer: Cofinity Commercial $104.10
Rate for Payer: Cofinity Commercial $84.73
Rate for Payer: Cofinity Medicare Advantage $84.73
Rate for Payer: Encore Health Key Benefits Commercial $96.84
Rate for Payer: Healthscope Commercial $108.94
Rate for Payer: Kalamazoo County Sherrif's Dept Commercial $84.73
Rate for Payer: Lakeland Regional Health Systems Commercial $90.79
Rate for Payer: Multiplan/Beech St/PHCS Commercial $102.89
Rate for Payer: PHP Commercial $102.89
Rate for Payer: Priority Health Cigna Priority Health $78.68
Rate for Payer: Priority Health SBD $76.26
Rate for Payer: UMR Bronson Commercial $53.26
Rate for Payer: Van Buren County Sheriff Dept. Commercial $90.79
Service Code NDC 23155024522
Hospital Charge Code 23377
Hospital Revenue Code 637
Min. Negotiated Rate $2.49
Max. Negotiated Rate $6.06
Rate for Payer: Aetna American Axle $4.37
Rate for Payer: Aetna Commercial $5.72
Rate for Payer: Aetna Medicare $3.37
Rate for Payer: Aetna New Business (MI Preferred) $4.37
Rate for Payer: BCBS Complete $2.69
Rate for Payer: Cash Price $5.38
Rate for Payer: Cofinity Commercial $4.71
Rate for Payer: Cofinity Commercial $5.79
Rate for Payer: Cofinity Medicare Advantage $4.71
Rate for Payer: Encore Health Key Benefits Commercial $5.38
Rate for Payer: Healthscope Commercial $6.06
Rate for Payer: Kalamazoo County Sherrif's Dept Commercial $4.71
Rate for Payer: Lakeland Regional Health Systems Commercial $5.05
Rate for Payer: Multiplan/Beech St/PHCS Commercial $5.72
Rate for Payer: PHP Commercial $5.72
Rate for Payer: Priority Health Cigna Priority Health $4.37
Rate for Payer: Priority Health SBD $4.24
Rate for Payer: UMR Bronson Commercial $2.49
Rate for Payer: Van Buren County Sheriff Dept. Commercial $5.05
Service Code NDC 23155024546
Hospital Charge Code 23377
Hospital Revenue Code 637
Min. Negotiated Rate $44.79
Max. Negotiated Rate $108.94
Rate for Payer: Aetna American Axle $78.68
Rate for Payer: Aetna Commercial $102.89
Rate for Payer: Aetna Medicare $60.52
Rate for Payer: Aetna New Business (MI Preferred) $78.68
Rate for Payer: BCBS Complete $48.42
Rate for Payer: Cash Price $96.84
Rate for Payer: Cofinity Commercial $104.10
Rate for Payer: Cofinity Commercial $84.73
Rate for Payer: Cofinity Medicare Advantage $84.73
Rate for Payer: Encore Health Key Benefits Commercial $96.84
Rate for Payer: Healthscope Commercial $108.94
Rate for Payer: Kalamazoo County Sherrif's Dept Commercial $84.73
Rate for Payer: Lakeland Regional Health Systems Commercial $90.79
Rate for Payer: Multiplan/Beech St/PHCS Commercial $102.89
Rate for Payer: PHP Commercial $102.89
Rate for Payer: Priority Health Cigna Priority Health $78.68
Rate for Payer: Priority Health SBD $76.26
Rate for Payer: UMR Bronson Commercial $44.79
Rate for Payer: Van Buren County Sheriff Dept. Commercial $90.79
Service Code NDC 23155024522
Hospital Charge Code 23377
Hospital Revenue Code 637
Min. Negotiated Rate $2.96
Max. Negotiated Rate $6.06
Rate for Payer: Aetna American Axle $4.37
Rate for Payer: Aetna Commercial $5.72
Rate for Payer: Aetna New Business (MI Preferred) $4.37
Rate for Payer: Cash Price $5.38
Rate for Payer: Cofinity Commercial $4.71
Rate for Payer: Cofinity Commercial $5.79
Rate for Payer: Cofinity Medicare Advantage $4.71
Rate for Payer: Encore Health Key Benefits Commercial $5.38
Rate for Payer: Healthscope Commercial $6.06
Rate for Payer: Kalamazoo County Sherrif's Dept Commercial $4.71
Rate for Payer: Lakeland Regional Health Systems Commercial $5.05
Rate for Payer: Multiplan/Beech St/PHCS Commercial $5.72
Rate for Payer: PHP Commercial $5.72
Rate for Payer: Priority Health Cigna Priority Health $4.37
Rate for Payer: Priority Health SBD $4.24
Rate for Payer: UMR Bronson Commercial $2.96
Rate for Payer: Van Buren County Sheriff Dept. Commercial $5.05
Service Code NDC 72611075710
Hospital Charge Code 12734
Hospital Revenue Code 250
Min. Negotiated Rate $11.00
Max. Negotiated Rate $26.76
Rate for Payer: Aetna American Axle $19.32
Rate for Payer: Aetna Commercial $25.27
Rate for Payer: Aetna Medicare $14.87
Rate for Payer: Aetna New Business (MI Preferred) $19.32
Rate for Payer: BCBS Complete $11.89
Rate for Payer: Cash Price $23.78
Rate for Payer: Cofinity Commercial $20.81
Rate for Payer: Cofinity Commercial $25.57
Rate for Payer: Cofinity Medicare Advantage $20.81
Rate for Payer: Encore Health Key Benefits Commercial $23.78
Rate for Payer: Healthscope Commercial $26.76
Rate for Payer: Kalamazoo County Sherrif's Dept Commercial $20.81
Rate for Payer: Lakeland Regional Health Systems Commercial $22.30
Rate for Payer: Multiplan/Beech St/PHCS Commercial $25.27
Rate for Payer: PHP Commercial $25.27
Rate for Payer: Priority Health Cigna Priority Health $19.32
Rate for Payer: Priority Health SBD $18.73
Rate for Payer: UMR Bronson Commercial $11.00
Rate for Payer: Van Buren County Sheriff Dept. Commercial $22.30
Service Code NDC 39822420006
Hospital Charge Code 12734
Hospital Revenue Code 250
Min. Negotiated Rate $8.43
Max. Negotiated Rate $20.51
Rate for Payer: Aetna American Axle $14.81
Rate for Payer: Aetna Commercial $19.37
Rate for Payer: Aetna Medicare $11.39
Rate for Payer: Aetna New Business (MI Preferred) $14.81
Rate for Payer: BCBS Complete $9.12
Rate for Payer: Cash Price $18.23
Rate for Payer: Cofinity Commercial $15.95
Rate for Payer: Cofinity Commercial $19.60
Rate for Payer: Cofinity Medicare Advantage $15.95
Rate for Payer: Encore Health Key Benefits Commercial $18.23
Rate for Payer: Healthscope Commercial $20.51
Rate for Payer: Kalamazoo County Sherrif's Dept Commercial $15.95
Rate for Payer: Lakeland Regional Health Systems Commercial $17.09
Rate for Payer: Multiplan/Beech St/PHCS Commercial $19.37
Rate for Payer: PHP Commercial $19.37
Rate for Payer: Priority Health Cigna Priority Health $14.81
Rate for Payer: Priority Health SBD $14.36
Rate for Payer: UMR Bronson Commercial $8.43
Rate for Payer: Van Buren County Sheriff Dept. Commercial $17.09
Service Code NDC 72611075701
Hospital Charge Code 12734
Hospital Revenue Code 250
Min. Negotiated Rate $13.08
Max. Negotiated Rate $26.76
Rate for Payer: Aetna American Axle $19.32
Rate for Payer: Aetna Commercial $25.27
Rate for Payer: Aetna New Business (MI Preferred) $19.32
Rate for Payer: Cash Price $23.78
Rate for Payer: Cofinity Commercial $20.81
Rate for Payer: Cofinity Commercial $25.57
Rate for Payer: Cofinity Medicare Advantage $20.81
Rate for Payer: Encore Health Key Benefits Commercial $23.78
Rate for Payer: Healthscope Commercial $26.76
Rate for Payer: Kalamazoo County Sherrif's Dept Commercial $20.81
Rate for Payer: Lakeland Regional Health Systems Commercial $22.30
Rate for Payer: Multiplan/Beech St/PHCS Commercial $25.27
Rate for Payer: PHP Commercial $25.27
Rate for Payer: Priority Health Cigna Priority Health $19.32
Rate for Payer: Priority Health SBD $18.73
Rate for Payer: UMR Bronson Commercial $13.08
Rate for Payer: Van Buren County Sheriff Dept. Commercial $22.30
Service Code NDC 39822420006
Hospital Charge Code 12734
Hospital Revenue Code 250
Min. Negotiated Rate $10.03
Max. Negotiated Rate $20.51
Rate for Payer: Aetna American Axle $14.81
Rate for Payer: Aetna Commercial $19.37
Rate for Payer: Aetna New Business (MI Preferred) $14.81
Rate for Payer: Cash Price $18.23
Rate for Payer: Cofinity Commercial $15.95
Rate for Payer: Cofinity Commercial $19.60
Rate for Payer: Cofinity Medicare Advantage $15.95
Rate for Payer: Encore Health Key Benefits Commercial $18.23
Rate for Payer: Healthscope Commercial $20.51
Rate for Payer: Kalamazoo County Sherrif's Dept Commercial $15.95
Rate for Payer: Lakeland Regional Health Systems Commercial $17.09
Rate for Payer: Multiplan/Beech St/PHCS Commercial $19.37
Rate for Payer: PHP Commercial $19.37
Rate for Payer: Priority Health Cigna Priority Health $14.81
Rate for Payer: Priority Health SBD $14.36
Rate for Payer: UMR Bronson Commercial $10.03
Rate for Payer: Van Buren County Sheriff Dept. Commercial $17.09
Service Code NDC 39822420005
Hospital Charge Code 12734
Hospital Revenue Code 250
Min. Negotiated Rate $8.43
Max. Negotiated Rate $20.51
Rate for Payer: Aetna American Axle $14.81
Rate for Payer: Aetna Commercial $19.37
Rate for Payer: Aetna Medicare $11.39
Rate for Payer: Aetna New Business (MI Preferred) $14.81
Rate for Payer: BCBS Complete $9.12
Rate for Payer: Cash Price $18.23
Rate for Payer: Cofinity Commercial $15.95
Rate for Payer: Cofinity Commercial $19.60
Rate for Payer: Cofinity Medicare Advantage $15.95
Rate for Payer: Encore Health Key Benefits Commercial $18.23
Rate for Payer: Healthscope Commercial $20.51
Rate for Payer: Kalamazoo County Sherrif's Dept Commercial $15.95
Rate for Payer: Lakeland Regional Health Systems Commercial $17.09
Rate for Payer: Multiplan/Beech St/PHCS Commercial $19.37
Rate for Payer: PHP Commercial $19.37
Rate for Payer: Priority Health Cigna Priority Health $14.81
Rate for Payer: Priority Health SBD $14.36
Rate for Payer: UMR Bronson Commercial $8.43
Rate for Payer: Van Buren County Sheriff Dept. Commercial $17.09
Service Code NDC 70860065110
Hospital Charge Code 12734
Hospital Revenue Code 250
Min. Negotiated Rate $20.03
Max. Negotiated Rate $40.98
Rate for Payer: Aetna American Axle $29.59
Rate for Payer: Aetna Commercial $38.70
Rate for Payer: Aetna New Business (MI Preferred) $29.59
Rate for Payer: Cash Price $36.42
Rate for Payer: Cofinity Commercial $31.87
Rate for Payer: Cofinity Commercial $39.16
Rate for Payer: Cofinity Medicare Advantage $31.87
Rate for Payer: Encore Health Key Benefits Commercial $36.42
Rate for Payer: Healthscope Commercial $40.98
Rate for Payer: Kalamazoo County Sherrif's Dept Commercial $31.87
Rate for Payer: Lakeland Regional Health Systems Commercial $34.15
Rate for Payer: Multiplan/Beech St/PHCS Commercial $38.70
Rate for Payer: PHP Commercial $38.70
Rate for Payer: Priority Health Cigna Priority Health $29.59
Rate for Payer: Priority Health SBD $28.68
Rate for Payer: UMR Bronson Commercial $20.03
Rate for Payer: Van Buren County Sheriff Dept. Commercial $34.15
Service Code NDC 00781322092
Hospital Charge Code 12734
Hospital Revenue Code 250
Min. Negotiated Rate $9.12
Max. Negotiated Rate $22.19
Rate for Payer: Aetna American Axle $16.03
Rate for Payer: Aetna Commercial $20.96
Rate for Payer: Aetna Medicare $12.33
Rate for Payer: Aetna New Business (MI Preferred) $16.03
Rate for Payer: BCBS Complete $9.86
Rate for Payer: Cash Price $19.73
Rate for Payer: Cofinity Commercial $17.26
Rate for Payer: Cofinity Commercial $21.21
Rate for Payer: Cofinity Medicare Advantage $17.26
Rate for Payer: Encore Health Key Benefits Commercial $19.73
Rate for Payer: Healthscope Commercial $22.19
Rate for Payer: Kalamazoo County Sherrif's Dept Commercial $17.26
Rate for Payer: Lakeland Regional Health Systems Commercial $18.50
Rate for Payer: Multiplan/Beech St/PHCS Commercial $20.96
Rate for Payer: PHP Commercial $20.96
Rate for Payer: Priority Health Cigna Priority Health $16.03
Rate for Payer: Priority Health SBD $15.54
Rate for Payer: UMR Bronson Commercial $9.12
Rate for Payer: Van Buren County Sheriff Dept. Commercial $18.50
Service Code NDC 72611075701
Hospital Charge Code 12734
Hospital Revenue Code 250
Min. Negotiated Rate $11.00
Max. Negotiated Rate $26.76
Rate for Payer: Aetna American Axle $19.32
Rate for Payer: Aetna Commercial $25.27
Rate for Payer: Aetna Medicare $14.87
Rate for Payer: Aetna New Business (MI Preferred) $19.32
Rate for Payer: BCBS Complete $11.89
Rate for Payer: Cash Price $23.78
Rate for Payer: Cofinity Commercial $20.81
Rate for Payer: Cofinity Commercial $25.57
Rate for Payer: Cofinity Medicare Advantage $20.81
Rate for Payer: Encore Health Key Benefits Commercial $23.78
Rate for Payer: Healthscope Commercial $26.76
Rate for Payer: Kalamazoo County Sherrif's Dept Commercial $20.81
Rate for Payer: Lakeland Regional Health Systems Commercial $22.30
Rate for Payer: Multiplan/Beech St/PHCS Commercial $25.27
Rate for Payer: PHP Commercial $25.27
Rate for Payer: Priority Health Cigna Priority Health $19.32
Rate for Payer: Priority Health SBD $18.73
Rate for Payer: UMR Bronson Commercial $11.00
Rate for Payer: Van Buren County Sheriff Dept. Commercial $22.30
Service Code NDC 43066001310
Hospital Charge Code 12734
Hospital Revenue Code 250
Min. Negotiated Rate $11.37
Max. Negotiated Rate $23.25
Rate for Payer: Aetna American Axle $16.79
Rate for Payer: Aetna Commercial $21.96
Rate for Payer: Aetna New Business (MI Preferred) $16.79
Rate for Payer: Cash Price $20.66
Rate for Payer: Cofinity Commercial $18.08
Rate for Payer: Cofinity Commercial $22.21
Rate for Payer: Cofinity Medicare Advantage $18.08
Rate for Payer: Encore Health Key Benefits Commercial $20.66
Rate for Payer: Healthscope Commercial $23.25
Rate for Payer: Kalamazoo County Sherrif's Dept Commercial $18.08
Rate for Payer: Lakeland Regional Health Systems Commercial $19.37
Rate for Payer: Multiplan/Beech St/PHCS Commercial $21.96
Rate for Payer: PHP Commercial $21.96
Rate for Payer: Priority Health Cigna Priority Health $16.79
Rate for Payer: Priority Health SBD $16.27
Rate for Payer: UMR Bronson Commercial $11.37
Rate for Payer: Van Buren County Sheriff Dept. Commercial $19.37
Service Code NDC 55150022505
Hospital Charge Code 12734
Hospital Revenue Code 250
Min. Negotiated Rate $9.31
Max. Negotiated Rate $22.64
Rate for Payer: Aetna American Axle $16.35
Rate for Payer: Aetna Commercial $21.39
Rate for Payer: Aetna Medicare $12.58
Rate for Payer: Aetna New Business (MI Preferred) $16.35
Rate for Payer: BCBS Complete $10.06
Rate for Payer: Cash Price $20.13
Rate for Payer: Cofinity Commercial $17.61
Rate for Payer: Cofinity Commercial $21.64
Rate for Payer: Cofinity Medicare Advantage $17.61
Rate for Payer: Encore Health Key Benefits Commercial $20.13
Rate for Payer: Healthscope Commercial $22.64
Rate for Payer: Kalamazoo County Sherrif's Dept Commercial $17.61
Rate for Payer: Lakeland Regional Health Systems Commercial $18.87
Rate for Payer: Multiplan/Beech St/PHCS Commercial $21.39
Rate for Payer: PHP Commercial $21.39
Rate for Payer: Priority Health Cigna Priority Health $16.35
Rate for Payer: Priority Health SBD $15.85
Rate for Payer: UMR Bronson Commercial $9.31
Rate for Payer: Van Buren County Sheriff Dept. Commercial $18.87
Service Code NDC 00409955810
Hospital Charge Code 12734
Hospital Revenue Code 250
Min. Negotiated Rate $14.02
Max. Negotiated Rate $28.68
Rate for Payer: Aetna American Axle $20.72
Rate for Payer: Aetna Commercial $27.09
Rate for Payer: Aetna New Business (MI Preferred) $20.72
Rate for Payer: Cash Price $25.50
Rate for Payer: Cofinity Commercial $22.31
Rate for Payer: Cofinity Commercial $27.41
Rate for Payer: Cofinity Medicare Advantage $22.31
Rate for Payer: Encore Health Key Benefits Commercial $25.50
Rate for Payer: Healthscope Commercial $28.68
Rate for Payer: Kalamazoo County Sherrif's Dept Commercial $22.31
Rate for Payer: Lakeland Regional Health Systems Commercial $23.90
Rate for Payer: Multiplan/Beech St/PHCS Commercial $27.09
Rate for Payer: PHP Commercial $27.09
Rate for Payer: Priority Health Cigna Priority Health $20.72
Rate for Payer: Priority Health SBD $20.08
Rate for Payer: UMR Bronson Commercial $14.02
Rate for Payer: Van Buren County Sheriff Dept. Commercial $23.90
Service Code NDC 00143925110
Hospital Charge Code 12734
Hospital Revenue Code 250
Min. Negotiated Rate $8.46
Max. Negotiated Rate $20.58
Rate for Payer: Aetna American Axle $14.87
Rate for Payer: Aetna Commercial $19.44
Rate for Payer: Aetna Medicare $11.44
Rate for Payer: Aetna New Business (MI Preferred) $14.87
Rate for Payer: BCBS Complete $9.15
Rate for Payer: Cash Price $18.30
Rate for Payer: Cofinity Commercial $16.01
Rate for Payer: Cofinity Commercial $19.67
Rate for Payer: Cofinity Medicare Advantage $16.01
Rate for Payer: Encore Health Key Benefits Commercial $18.30
Rate for Payer: Healthscope Commercial $20.58
Rate for Payer: Kalamazoo County Sherrif's Dept Commercial $16.01
Rate for Payer: Lakeland Regional Health Systems Commercial $17.15
Rate for Payer: Multiplan/Beech St/PHCS Commercial $19.44
Rate for Payer: PHP Commercial $19.44
Rate for Payer: Priority Health Cigna Priority Health $14.87
Rate for Payer: Priority Health SBD $14.41
Rate for Payer: UMR Bronson Commercial $8.46
Rate for Payer: Van Buren County Sheriff Dept. Commercial $17.15
Service Code NDC 00409955810
Hospital Charge Code 12734
Hospital Revenue Code 250
Min. Negotiated Rate $11.79
Max. Negotiated Rate $28.68
Rate for Payer: Aetna American Axle $20.72
Rate for Payer: Aetna Commercial $27.09
Rate for Payer: Aetna Medicare $15.94
Rate for Payer: Aetna New Business (MI Preferred) $20.72
Rate for Payer: BCBS Complete $12.75
Rate for Payer: Cash Price $25.50
Rate for Payer: Cofinity Commercial $22.31
Rate for Payer: Cofinity Commercial $27.41
Rate for Payer: Cofinity Medicare Advantage $22.31
Rate for Payer: Encore Health Key Benefits Commercial $25.50
Rate for Payer: Healthscope Commercial $28.68
Rate for Payer: Kalamazoo County Sherrif's Dept Commercial $22.31
Rate for Payer: Lakeland Regional Health Systems Commercial $23.90
Rate for Payer: Multiplan/Beech St/PHCS Commercial $27.09
Rate for Payer: PHP Commercial $27.09
Rate for Payer: Priority Health Cigna Priority Health $20.72
Rate for Payer: Priority Health SBD $20.08
Rate for Payer: UMR Bronson Commercial $11.79
Rate for Payer: Van Buren County Sheriff Dept. Commercial $23.90
Service Code NDC 55150022610
Hospital Charge Code 12734
Hospital Revenue Code 250
Min. Negotiated Rate $11.76
Max. Negotiated Rate $24.05
Rate for Payer: Aetna American Axle $17.37
Rate for Payer: Aetna Commercial $22.71
Rate for Payer: Aetna New Business (MI Preferred) $17.37
Rate for Payer: Cash Price $21.38
Rate for Payer: Cofinity Commercial $18.70
Rate for Payer: Cofinity Commercial $22.98
Rate for Payer: Cofinity Medicare Advantage $18.70
Rate for Payer: Encore Health Key Benefits Commercial $21.38
Rate for Payer: Healthscope Commercial $24.05
Rate for Payer: Kalamazoo County Sherrif's Dept Commercial $18.70
Rate for Payer: Lakeland Regional Health Systems Commercial $20.04
Rate for Payer: Multiplan/Beech St/PHCS Commercial $22.71
Rate for Payer: PHP Commercial $22.71
Rate for Payer: Priority Health Cigna Priority Health $17.37
Rate for Payer: Priority Health SBD $16.83
Rate for Payer: UMR Bronson Commercial $11.76
Rate for Payer: Van Buren County Sheriff Dept. Commercial $20.04
Service Code NDC 55150022610
Hospital Charge Code 12734
Hospital Revenue Code 250
Min. Negotiated Rate $9.89
Max. Negotiated Rate $24.05
Rate for Payer: Aetna American Axle $17.37
Rate for Payer: Aetna Commercial $22.71
Rate for Payer: Aetna Medicare $13.36
Rate for Payer: Aetna New Business (MI Preferred) $17.37
Rate for Payer: BCBS Complete $10.69
Rate for Payer: Cash Price $21.38
Rate for Payer: Cofinity Commercial $18.70
Rate for Payer: Cofinity Commercial $22.98
Rate for Payer: Cofinity Medicare Advantage $18.70
Rate for Payer: Encore Health Key Benefits Commercial $21.38
Rate for Payer: Healthscope Commercial $24.05
Rate for Payer: Kalamazoo County Sherrif's Dept Commercial $18.70
Rate for Payer: Lakeland Regional Health Systems Commercial $20.04
Rate for Payer: Multiplan/Beech St/PHCS Commercial $22.71
Rate for Payer: PHP Commercial $22.71
Rate for Payer: Priority Health Cigna Priority Health $17.37
Rate for Payer: Priority Health SBD $16.83
Rate for Payer: UMR Bronson Commercial $9.89
Rate for Payer: Van Buren County Sheriff Dept. Commercial $20.04
Service Code NDC 63323042601
Hospital Charge Code 12734
Hospital Revenue Code 250
Min. Negotiated Rate $17.31
Max. Negotiated Rate $35.41
Rate for Payer: Aetna American Axle $25.57
Rate for Payer: Aetna Commercial $33.44
Rate for Payer: Aetna New Business (MI Preferred) $25.57
Rate for Payer: Cash Price $31.47
Rate for Payer: Cofinity Commercial $27.54
Rate for Payer: Cofinity Commercial $33.83
Rate for Payer: Cofinity Medicare Advantage $27.54
Rate for Payer: Encore Health Key Benefits Commercial $31.47
Rate for Payer: Healthscope Commercial $35.41
Rate for Payer: Kalamazoo County Sherrif's Dept Commercial $27.54
Rate for Payer: Lakeland Regional Health Systems Commercial $29.50
Rate for Payer: Multiplan/Beech St/PHCS Commercial $33.44
Rate for Payer: PHP Commercial $33.44
Rate for Payer: Priority Health Cigna Priority Health $25.57
Rate for Payer: Priority Health SBD $24.78
Rate for Payer: UMR Bronson Commercial $17.31
Rate for Payer: Van Buren County Sheriff Dept. Commercial $29.50
Service Code NDC 43547053101
Hospital Charge Code 12734
Hospital Revenue Code 250
Min. Negotiated Rate $7.03
Max. Negotiated Rate $17.11
Rate for Payer: Aetna American Axle $12.36
Rate for Payer: Aetna Commercial $16.16
Rate for Payer: Aetna Medicare $9.51
Rate for Payer: Aetna New Business (MI Preferred) $12.36
Rate for Payer: BCBS Complete $7.60
Rate for Payer: Cash Price $15.21
Rate for Payer: Cofinity Commercial $13.31
Rate for Payer: Cofinity Commercial $16.35
Rate for Payer: Cofinity Medicare Advantage $13.31
Rate for Payer: Encore Health Key Benefits Commercial $15.21
Rate for Payer: Healthscope Commercial $17.11
Rate for Payer: Kalamazoo County Sherrif's Dept Commercial $13.31
Rate for Payer: Lakeland Regional Health Systems Commercial $14.26
Rate for Payer: Multiplan/Beech St/PHCS Commercial $16.16
Rate for Payer: PHP Commercial $16.16
Rate for Payer: Priority Health Cigna Priority Health $12.36
Rate for Payer: Priority Health SBD $11.98
Rate for Payer: UMR Bronson Commercial $7.03
Rate for Payer: Van Buren County Sheriff Dept. Commercial $14.26
Service Code NDC 43547053101
Hospital Charge Code 12734
Hospital Revenue Code 250
Min. Negotiated Rate $8.36
Max. Negotiated Rate $17.11
Rate for Payer: Aetna American Axle $12.36
Rate for Payer: Aetna Commercial $16.16
Rate for Payer: Aetna New Business (MI Preferred) $12.36
Rate for Payer: Cash Price $15.21
Rate for Payer: Cofinity Commercial $13.31
Rate for Payer: Cofinity Commercial $16.35
Rate for Payer: Cofinity Medicare Advantage $13.31
Rate for Payer: Encore Health Key Benefits Commercial $15.21
Rate for Payer: Healthscope Commercial $17.11
Rate for Payer: Kalamazoo County Sherrif's Dept Commercial $13.31
Rate for Payer: Lakeland Regional Health Systems Commercial $14.26
Rate for Payer: Multiplan/Beech St/PHCS Commercial $16.16
Rate for Payer: PHP Commercial $16.16
Rate for Payer: Priority Health Cigna Priority Health $12.36
Rate for Payer: Priority Health SBD $11.98
Rate for Payer: UMR Bronson Commercial $8.36
Rate for Payer: Van Buren County Sheriff Dept. Commercial $14.26
Service Code NDC 43547053110
Hospital Charge Code 12734
Hospital Revenue Code 250
Min. Negotiated Rate $8.36
Max. Negotiated Rate $17.11
Rate for Payer: Aetna American Axle $12.36
Rate for Payer: Aetna Commercial $16.16
Rate for Payer: Aetna New Business (MI Preferred) $12.36
Rate for Payer: Cash Price $15.21
Rate for Payer: Cofinity Commercial $13.31
Rate for Payer: Cofinity Commercial $16.35
Rate for Payer: Cofinity Medicare Advantage $13.31
Rate for Payer: Encore Health Key Benefits Commercial $15.21
Rate for Payer: Healthscope Commercial $17.11
Rate for Payer: Kalamazoo County Sherrif's Dept Commercial $13.31
Rate for Payer: Lakeland Regional Health Systems Commercial $14.26
Rate for Payer: Multiplan/Beech St/PHCS Commercial $16.16
Rate for Payer: PHP Commercial $16.16
Rate for Payer: Priority Health Cigna Priority Health $12.36
Rate for Payer: Priority Health SBD $11.98
Rate for Payer: UMR Bronson Commercial $8.36
Rate for Payer: Van Buren County Sheriff Dept. Commercial $14.26
Service Code NDC 66794022902
Hospital Charge Code 12734
Hospital Revenue Code 250
Min. Negotiated Rate $8.56
Max. Negotiated Rate $17.50
Rate for Payer: Aetna American Axle $12.64
Rate for Payer: Aetna Commercial $16.53
Rate for Payer: Aetna New Business (MI Preferred) $12.64
Rate for Payer: Cash Price $15.56
Rate for Payer: Cofinity Commercial $13.62
Rate for Payer: Cofinity Commercial $16.73
Rate for Payer: Cofinity Medicare Advantage $13.62
Rate for Payer: Encore Health Key Benefits Commercial $15.56
Rate for Payer: Healthscope Commercial $17.50
Rate for Payer: Kalamazoo County Sherrif's Dept Commercial $13.62
Rate for Payer: Lakeland Regional Health Systems Commercial $14.59
Rate for Payer: Multiplan/Beech St/PHCS Commercial $16.53
Rate for Payer: PHP Commercial $16.53
Rate for Payer: Priority Health Cigna Priority Health $12.64
Rate for Payer: Priority Health SBD $12.25
Rate for Payer: UMR Bronson Commercial $8.56
Rate for Payer: Van Buren County Sheriff Dept. Commercial $14.59
Service Code NDC 55150022505
Hospital Charge Code 12734
Hospital Revenue Code 250
Min. Negotiated Rate $11.07
Max. Negotiated Rate $22.64
Rate for Payer: Aetna American Axle $16.35
Rate for Payer: Aetna Commercial $21.39
Rate for Payer: Aetna New Business (MI Preferred) $16.35
Rate for Payer: Cash Price $20.13
Rate for Payer: Cofinity Commercial $17.61
Rate for Payer: Cofinity Commercial $21.64
Rate for Payer: Cofinity Medicare Advantage $17.61
Rate for Payer: Encore Health Key Benefits Commercial $20.13
Rate for Payer: Healthscope Commercial $22.64
Rate for Payer: Kalamazoo County Sherrif's Dept Commercial $17.61
Rate for Payer: Lakeland Regional Health Systems Commercial $18.87
Rate for Payer: Multiplan/Beech St/PHCS Commercial $21.39
Rate for Payer: PHP Commercial $21.39
Rate for Payer: Priority Health Cigna Priority Health $16.35
Rate for Payer: Priority Health SBD $15.85
Rate for Payer: UMR Bronson Commercial $11.07
Rate for Payer: Van Buren County Sheriff Dept. Commercial $18.87