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Service Code NDC 0078-0327-05
Hospital Charge Code 26547
Hospital Revenue Code 637
Min. Negotiated Rate $1,166.14
Max. Negotiated Rate $2,385.28
Rate for Payer: Aetna American Axle $1,722.70
Rate for Payer: Aetna Commercial $2,252.76
Rate for Payer: Aetna New Business (MI Preferred) $1,722.70
Rate for Payer: Cash Price $2,120.25
Rate for Payer: Cofinity Commercial $1,855.22
Rate for Payer: Cofinity Commercial $2,279.27
Rate for Payer: Encore Health Key Benefits Commercial $2,120.25
Rate for Payer: Healthscope Commercial $2,385.28
Rate for Payer: Kalamazoo County Sherrif's Dept Commercial $1,855.22
Rate for Payer: Lakeland Regional Health Systems Commercial $1,987.73
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS $2,252.76
Rate for Payer: PHP Commercial $2,252.76
Rate for Payer: Priority Health Cigna Priority Health $1,855.22
Rate for Payer: Priority Health SBD $1,669.70
Rate for Payer: UMR Bronson Commercial $1,166.14
Rate for Payer: Van Buren County Sheriff Dept. Commercial $1,987.73
Service Code NDC 65862-654-01
Hospital Charge Code 26547
Hospital Revenue Code 637
Min. Negotiated Rate $110.04
Max. Negotiated Rate $225.07
Rate for Payer: Aetna American Axle $162.55
Rate for Payer: Aetna Commercial $212.57
Rate for Payer: Aetna New Business (MI Preferred) $162.55
Rate for Payer: Cash Price $200.06
Rate for Payer: Cofinity Commercial $175.06
Rate for Payer: Cofinity Commercial $215.07
Rate for Payer: Encore Health Key Benefits Commercial $200.06
Rate for Payer: Healthscope Commercial $225.07
Rate for Payer: Kalamazoo County Sherrif's Dept Commercial $175.06
Rate for Payer: Lakeland Regional Health Systems Commercial $187.56
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS $212.57
Rate for Payer: PHP Commercial $212.57
Rate for Payer: Priority Health Cigna Priority Health $175.06
Rate for Payer: Priority Health SBD $157.55
Rate for Payer: UMR Bronson Commercial $110.04
Rate for Payer: Van Buren County Sheriff Dept. Commercial $187.56
Service Code NDC 47335-007-88
Hospital Charge Code 26547
Hospital Revenue Code 637
Min. Negotiated Rate $575.82
Max. Negotiated Rate $1,177.82
Rate for Payer: Aetna American Axle $850.65
Rate for Payer: Aetna Commercial $1,112.39
Rate for Payer: Aetna New Business (MI Preferred) $850.65
Rate for Payer: Cash Price $1,046.95
Rate for Payer: Cofinity Commercial $1,125.47
Rate for Payer: Cofinity Commercial $916.08
Rate for Payer: Encore Health Key Benefits Commercial $1,046.95
Rate for Payer: Healthscope Commercial $1,177.82
Rate for Payer: Kalamazoo County Sherrif's Dept Commercial $916.08
Rate for Payer: Lakeland Regional Health Systems Commercial $981.52
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS $1,112.39
Rate for Payer: PHP Commercial $1,112.39
Rate for Payer: Priority Health Cigna Priority Health $916.08
Rate for Payer: Priority Health SBD $824.47
Rate for Payer: UMR Bronson Commercial $575.82
Rate for Payer: Van Buren County Sheriff Dept. Commercial $981.52
Service Code NDC 27241-049-10
Hospital Charge Code 26547
Hospital Revenue Code 637
Min. Negotiated Rate $117.85
Max. Negotiated Rate $241.06
Rate for Payer: Aetna American Axle $174.10
Rate for Payer: Aetna Commercial $227.66
Rate for Payer: Aetna New Business (MI Preferred) $174.10
Rate for Payer: Cash Price $214.27
Rate for Payer: Cofinity Commercial $187.49
Rate for Payer: Cofinity Commercial $230.34
Rate for Payer: Encore Health Key Benefits Commercial $214.27
Rate for Payer: Healthscope Commercial $241.06
Rate for Payer: Kalamazoo County Sherrif's Dept Commercial $187.49
Rate for Payer: Lakeland Regional Health Systems Commercial $200.88
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS $227.66
Rate for Payer: PHP Commercial $227.66
Rate for Payer: Priority Health Cigna Priority Health $187.49
Rate for Payer: Priority Health SBD $168.74
Rate for Payer: UMR Bronson Commercial $117.85
Rate for Payer: Van Buren County Sheriff Dept. Commercial $200.88
Service Code CPT 44130
Hospital Revenue Code 360
Min. Negotiated Rate $1,290.78
Max. Negotiated Rate $4,584.99
Rate for Payer: BCBS Trust/PPO $4,584.99
Rate for Payer: UHC All Payor (Choice/PPO) $1,419.86
Rate for Payer: UHC Core $1,879.00
Rate for Payer: UHC Exchange $1,290.78
Service Code NDC 9900-0006-33
Hospital Charge Code 180020
Hospital Revenue Code 250
Min. Negotiated Rate $3.90
Max. Negotiated Rate $7.97
Rate for Payer: Aetna American Axle $5.76
Rate for Payer: Aetna Commercial $7.53
Rate for Payer: Aetna New Business (MI Preferred) $5.76
Rate for Payer: Cash Price $7.09
Rate for Payer: Cofinity Commercial $6.20
Rate for Payer: Cofinity Commercial $7.62
Rate for Payer: Encore Health Key Benefits Commercial $7.09
Rate for Payer: Healthscope Commercial $7.97
Rate for Payer: Kalamazoo County Sherrif's Dept Commercial $6.20
Rate for Payer: Lakeland Regional Health Systems Commercial $6.64
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS $7.53
Rate for Payer: PHP Commercial $7.53
Rate for Payer: Priority Health Cigna Priority Health $6.20
Rate for Payer: Priority Health SBD $5.58
Rate for Payer: UMR Bronson Commercial $3.90
Rate for Payer: Van Buren County Sheriff Dept. Commercial $6.64
Service Code NDC 0641-6238-25
Hospital Charge Code 300142
Hospital Revenue Code 250
Min. Negotiated Rate $18.21
Max. Negotiated Rate $37.25
Rate for Payer: Aetna American Axle $26.90
Rate for Payer: Aetna Commercial $35.18
Rate for Payer: Aetna New Business (MI Preferred) $26.90
Rate for Payer: Cash Price $33.11
Rate for Payer: Cofinity Commercial $28.97
Rate for Payer: Cofinity Commercial $35.60
Rate for Payer: Encore Health Key Benefits Commercial $33.11
Rate for Payer: Healthscope Commercial $37.25
Rate for Payer: Kalamazoo County Sherrif's Dept Commercial $28.97
Rate for Payer: Lakeland Regional Health Systems Commercial $31.04
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS $35.18
Rate for Payer: PHP Commercial $35.18
Rate for Payer: Priority Health Cigna Priority Health $28.97
Rate for Payer: Priority Health SBD $26.08
Rate for Payer: UMR Bronson Commercial $18.21
Rate for Payer: Van Buren County Sheriff Dept. Commercial $31.04
Service Code NDC 0641-6238-01
Hospital Charge Code 300142
Hospital Revenue Code 250
Min. Negotiated Rate $18.21
Max. Negotiated Rate $37.25
Rate for Payer: Aetna American Axle $26.90
Rate for Payer: Aetna Commercial $35.18
Rate for Payer: Aetna New Business (MI Preferred) $26.90
Rate for Payer: Cash Price $33.11
Rate for Payer: Cofinity Commercial $28.97
Rate for Payer: Cofinity Commercial $35.60
Rate for Payer: Encore Health Key Benefits Commercial $33.11
Rate for Payer: Healthscope Commercial $37.25
Rate for Payer: Kalamazoo County Sherrif's Dept Commercial $28.97
Rate for Payer: Lakeland Regional Health Systems Commercial $31.04
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS $35.18
Rate for Payer: PHP Commercial $35.18
Rate for Payer: Priority Health Cigna Priority Health $28.97
Rate for Payer: Priority Health SBD $26.08
Rate for Payer: UMR Bronson Commercial $18.21
Rate for Payer: Van Buren County Sheriff Dept. Commercial $31.04
Service Code NDC 0781-3269-95
Hospital Charge Code 300142
Hospital Revenue Code 250
Min. Negotiated Rate $15.17
Max. Negotiated Rate $31.03
Rate for Payer: Aetna American Axle $22.41
Rate for Payer: Aetna Commercial $29.31
Rate for Payer: Aetna New Business (MI Preferred) $22.41
Rate for Payer: Cash Price $27.58
Rate for Payer: Cofinity Commercial $24.14
Rate for Payer: Cofinity Commercial $29.65
Rate for Payer: Encore Health Key Benefits Commercial $27.58
Rate for Payer: Healthscope Commercial $31.03
Rate for Payer: Kalamazoo County Sherrif's Dept Commercial $24.14
Rate for Payer: Lakeland Regional Health Systems Commercial $25.86
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS $29.31
Rate for Payer: PHP Commercial $29.31
Rate for Payer: Priority Health Cigna Priority Health $24.14
Rate for Payer: Priority Health SBD $21.72
Rate for Payer: UMR Bronson Commercial $15.17
Rate for Payer: Van Buren County Sheriff Dept. Commercial $25.86
Service Code HCPCS J3490
Hospital Charge Code 179024
Hospital Revenue Code 636
Min. Negotiated Rate $13.02
Max. Negotiated Rate $26.64
Rate for Payer: Aetna American Axle $19.24
Rate for Payer: Aetna American Axle $18.83
Rate for Payer: Aetna American Axle $31.36
Rate for Payer: Aetna American Axle $22.41
Rate for Payer: Aetna American Axle $47.55
Rate for Payer: Aetna Commercial $62.19
Rate for Payer: Aetna Commercial $24.62
Rate for Payer: Aetna Commercial $29.31
Rate for Payer: Aetna Commercial $25.16
Rate for Payer: Aetna Commercial $41.00
Rate for Payer: Aetna New Business (MI Preferred) $47.55
Rate for Payer: Aetna New Business (MI Preferred) $19.24
Rate for Payer: Aetna New Business (MI Preferred) $18.83
Rate for Payer: Aetna New Business (MI Preferred) $22.41
Rate for Payer: Aetna New Business (MI Preferred) $31.36
Rate for Payer: Cash Price $58.53
Rate for Payer: Cash Price $38.59
Rate for Payer: Cash Price $27.58
Rate for Payer: Cash Price $23.68
Rate for Payer: Cash Price $23.18
Rate for Payer: Cofinity Commercial $20.72
Rate for Payer: Cofinity Commercial $25.46
Rate for Payer: Cofinity Commercial $62.92
Rate for Payer: Cofinity Commercial $33.77
Rate for Payer: Cofinity Commercial $41.49
Rate for Payer: Cofinity Commercial $24.91
Rate for Payer: Cofinity Commercial $29.65
Rate for Payer: Cofinity Commercial $24.14
Rate for Payer: Cofinity Commercial $20.28
Rate for Payer: Cofinity Commercial $51.21
Rate for Payer: Encore Health Key Benefits Commercial $23.68
Rate for Payer: Encore Health Key Benefits Commercial $23.18
Rate for Payer: Encore Health Key Benefits Commercial $27.58
Rate for Payer: Encore Health Key Benefits Commercial $38.59
Rate for Payer: Encore Health Key Benefits Commercial $58.53
Rate for Payer: Healthscope Commercial $43.42
Rate for Payer: Healthscope Commercial $65.84
Rate for Payer: Healthscope Commercial $26.07
Rate for Payer: Healthscope Commercial $26.64
Rate for Payer: Healthscope Commercial $31.03
Rate for Payer: Kalamazoo County Sherrif's Dept Commercial $51.21
Rate for Payer: Kalamazoo County Sherrif's Dept Commercial $33.77
Rate for Payer: Kalamazoo County Sherrif's Dept Commercial $24.14
Rate for Payer: Kalamazoo County Sherrif's Dept Commercial $20.28
Rate for Payer: Kalamazoo County Sherrif's Dept Commercial $20.72
Rate for Payer: Lakeland Regional Health Systems Commercial $25.86
Rate for Payer: Lakeland Regional Health Systems Commercial $22.20
Rate for Payer: Lakeland Regional Health Systems Commercial $54.87
Rate for Payer: Lakeland Regional Health Systems Commercial $36.18
Rate for Payer: Lakeland Regional Health Systems Commercial $21.73
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS $29.31
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS $25.16
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS $41.00
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS $62.19
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS $24.62
Rate for Payer: PHP Commercial $24.62
Rate for Payer: PHP Commercial $29.31
Rate for Payer: PHP Commercial $25.16
Rate for Payer: PHP Commercial $62.19
Rate for Payer: PHP Commercial $41.00
Rate for Payer: Priority Health Cigna Priority Health $33.77
Rate for Payer: Priority Health Cigna Priority Health $20.72
Rate for Payer: Priority Health Cigna Priority Health $51.21
Rate for Payer: Priority Health Cigna Priority Health $24.14
Rate for Payer: Priority Health Cigna Priority Health $20.28
Rate for Payer: Priority Health SBD $46.09
Rate for Payer: Priority Health SBD $21.72
Rate for Payer: Priority Health SBD $18.25
Rate for Payer: Priority Health SBD $30.39
Rate for Payer: Priority Health SBD $18.65
Rate for Payer: UMR Bronson Commercial $12.75
Rate for Payer: UMR Bronson Commercial $15.17
Rate for Payer: UMR Bronson Commercial $13.02
Rate for Payer: UMR Bronson Commercial $32.19
Rate for Payer: UMR Bronson Commercial $21.23
Rate for Payer: Van Buren County Sheriff Dept. Commercial $22.20
Rate for Payer: Van Buren County Sheriff Dept. Commercial $36.18
Rate for Payer: Van Buren County Sheriff Dept. Commercial $21.73
Rate for Payer: Van Buren County Sheriff Dept. Commercial $25.86
Rate for Payer: Van Buren County Sheriff Dept. Commercial $54.87
Service Code HCPCS J0171
Hospital Charge Code 2848
Hospital Revenue Code 636
Min. Negotiated Rate $2.41
Max. Negotiated Rate $32.04
Rate for Payer: Aetna American Axle $23.14
Rate for Payer: Aetna Commercial $30.26
Rate for Payer: Aetna New Business (MI Preferred) $23.14
Rate for Payer: BCBS Complete $14.24
Rate for Payer: BCBS Trust/PPO $2.41
Rate for Payer: Cash Price $28.48
Rate for Payer: Cash Price $28.48
Rate for Payer: Cofinity Commercial $24.92
Rate for Payer: Cofinity Commercial $30.62
Rate for Payer: Encore Health Key Benefits Commercial $28.48
Rate for Payer: Healthscope Commercial $32.04
Rate for Payer: Kalamazoo County Sherrif's Dept Commercial $24.92
Rate for Payer: Lakeland Regional Health Systems Commercial $26.70
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS $30.26
Rate for Payer: PHP Commercial $30.26
Rate for Payer: Priority Health Cigna Priority Health $24.92
Rate for Payer: Priority Health SBD $22.43
Rate for Payer: UMR Bronson Commercial $13.17
Rate for Payer: Van Buren County Sheriff Dept. Commercial $26.70
Service Code HCPCS J0171
Hospital Charge Code 2848
Hospital Revenue Code 636
Min. Negotiated Rate $8.99
Max. Negotiated Rate $18.39
Rate for Payer: Aetna American Axle $13.28
Rate for Payer: Aetna American Axle $21.24
Rate for Payer: Aetna American Axle $40.50
Rate for Payer: Aetna American Axle $23.14
Rate for Payer: Aetna Commercial $17.37
Rate for Payer: Aetna Commercial $27.77
Rate for Payer: Aetna Commercial $30.26
Rate for Payer: Aetna Commercial $52.96
Rate for Payer: Aetna New Business (MI Preferred) $40.50
Rate for Payer: Aetna New Business (MI Preferred) $23.14
Rate for Payer: Aetna New Business (MI Preferred) $13.28
Rate for Payer: Aetna New Business (MI Preferred) $21.24
Rate for Payer: Cash Price $16.34
Rate for Payer: Cash Price $49.84
Rate for Payer: Cash Price $26.14
Rate for Payer: Cash Price $28.48
Rate for Payer: Cofinity Commercial $14.30
Rate for Payer: Cofinity Commercial $53.58
Rate for Payer: Cofinity Commercial $22.87
Rate for Payer: Cofinity Commercial $28.10
Rate for Payer: Cofinity Commercial $30.62
Rate for Payer: Cofinity Commercial $24.92
Rate for Payer: Cofinity Commercial $43.61
Rate for Payer: Cofinity Commercial $17.57
Rate for Payer: Encore Health Key Benefits Commercial $49.84
Rate for Payer: Encore Health Key Benefits Commercial $28.48
Rate for Payer: Encore Health Key Benefits Commercial $26.14
Rate for Payer: Encore Health Key Benefits Commercial $16.34
Rate for Payer: Healthscope Commercial $29.40
Rate for Payer: Healthscope Commercial $18.39
Rate for Payer: Healthscope Commercial $32.04
Rate for Payer: Healthscope Commercial $56.07
Rate for Payer: Kalamazoo County Sherrif's Dept Commercial $22.87
Rate for Payer: Kalamazoo County Sherrif's Dept Commercial $14.30
Rate for Payer: Kalamazoo County Sherrif's Dept Commercial $24.92
Rate for Payer: Kalamazoo County Sherrif's Dept Commercial $43.61
Rate for Payer: Lakeland Regional Health Systems Commercial $26.70
Rate for Payer: Lakeland Regional Health Systems Commercial $46.72
Rate for Payer: Lakeland Regional Health Systems Commercial $15.32
Rate for Payer: Lakeland Regional Health Systems Commercial $24.50
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS $52.96
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS $30.26
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS $17.37
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS $27.77
Rate for Payer: PHP Commercial $52.96
Rate for Payer: PHP Commercial $17.37
Rate for Payer: PHP Commercial $27.77
Rate for Payer: PHP Commercial $30.26
Rate for Payer: Priority Health Cigna Priority Health $24.92
Rate for Payer: Priority Health Cigna Priority Health $43.61
Rate for Payer: Priority Health Cigna Priority Health $14.30
Rate for Payer: Priority Health Cigna Priority Health $22.87
Rate for Payer: Priority Health SBD $20.58
Rate for Payer: Priority Health SBD $22.43
Rate for Payer: Priority Health SBD $12.87
Rate for Payer: Priority Health SBD $39.25
Rate for Payer: UMR Bronson Commercial $8.99
Rate for Payer: UMR Bronson Commercial $14.37
Rate for Payer: UMR Bronson Commercial $27.41
Rate for Payer: UMR Bronson Commercial $15.66
Rate for Payer: Van Buren County Sheriff Dept. Commercial $24.50
Rate for Payer: Van Buren County Sheriff Dept. Commercial $15.32
Rate for Payer: Van Buren County Sheriff Dept. Commercial $26.70
Rate for Payer: Van Buren County Sheriff Dept. Commercial $46.72
Service Code NDC 9900-0009-74
Hospital Charge Code 180619
Hospital Revenue Code 250
Min. Negotiated Rate $8.93
Max. Negotiated Rate $18.27
Rate for Payer: Aetna American Axle $13.20
Rate for Payer: Aetna Commercial $17.26
Rate for Payer: Aetna New Business (MI Preferred) $13.20
Rate for Payer: Cash Price $16.24
Rate for Payer: Cofinity Commercial $14.21
Rate for Payer: Cofinity Commercial $17.46
Rate for Payer: Encore Health Key Benefits Commercial $16.24
Rate for Payer: Healthscope Commercial $18.27
Rate for Payer: Kalamazoo County Sherrif's Dept Commercial $14.21
Rate for Payer: Lakeland Regional Health Systems Commercial $15.22
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS $17.26
Rate for Payer: PHP Commercial $17.26
Rate for Payer: Priority Health Cigna Priority Health $14.21
Rate for Payer: Priority Health SBD $12.79
Rate for Payer: UMR Bronson Commercial $8.93
Rate for Payer: Van Buren County Sheriff Dept. Commercial $15.22
Service Code HCPCS J0171
Hospital Charge Code 100491
Hospital Revenue Code 636
Min. Negotiated Rate $207.01
Max. Negotiated Rate $423.42
Rate for Payer: Aetna American Axle $305.81
Rate for Payer: Aetna American Axle $1,165.51
Rate for Payer: Aetna American Axle $611.60
Rate for Payer: Aetna Commercial $799.79
Rate for Payer: Aetna Commercial $1,524.13
Rate for Payer: Aetna Commercial $399.90
Rate for Payer: Aetna New Business (MI Preferred) $611.60
Rate for Payer: Aetna New Business (MI Preferred) $1,165.51
Rate for Payer: Aetna New Business (MI Preferred) $305.81
Rate for Payer: Cash Price $1,434.47
Rate for Payer: Cash Price $376.38
Rate for Payer: Cash Price $752.74
Rate for Payer: Cofinity Commercial $1,542.06
Rate for Payer: Cofinity Commercial $1,255.16
Rate for Payer: Cofinity Commercial $329.33
Rate for Payer: Cofinity Commercial $404.60
Rate for Payer: Cofinity Commercial $809.20
Rate for Payer: Cofinity Commercial $658.65
Rate for Payer: Encore Health Key Benefits Commercial $752.74
Rate for Payer: Encore Health Key Benefits Commercial $1,434.47
Rate for Payer: Encore Health Key Benefits Commercial $376.38
Rate for Payer: Healthscope Commercial $846.84
Rate for Payer: Healthscope Commercial $1,613.78
Rate for Payer: Healthscope Commercial $423.42
Rate for Payer: Kalamazoo County Sherrif's Dept Commercial $658.65
Rate for Payer: Kalamazoo County Sherrif's Dept Commercial $329.33
Rate for Payer: Kalamazoo County Sherrif's Dept Commercial $1,255.16
Rate for Payer: Lakeland Regional Health Systems Commercial $705.70
Rate for Payer: Lakeland Regional Health Systems Commercial $352.85
Rate for Payer: Lakeland Regional Health Systems Commercial $1,344.82
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS $799.79
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS $399.90
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS $1,524.13
Rate for Payer: PHP Commercial $1,524.13
Rate for Payer: PHP Commercial $399.90
Rate for Payer: PHP Commercial $799.79
Rate for Payer: Priority Health Cigna Priority Health $658.65
Rate for Payer: Priority Health Cigna Priority Health $1,255.16
Rate for Payer: Priority Health Cigna Priority Health $329.33
Rate for Payer: Priority Health SBD $592.79
Rate for Payer: Priority Health SBD $296.40
Rate for Payer: Priority Health SBD $1,129.65
Rate for Payer: UMR Bronson Commercial $788.96
Rate for Payer: UMR Bronson Commercial $207.01
Rate for Payer: UMR Bronson Commercial $414.01
Rate for Payer: Van Buren County Sheriff Dept. Commercial $352.85
Rate for Payer: Van Buren County Sheriff Dept. Commercial $1,344.82
Rate for Payer: Van Buren County Sheriff Dept. Commercial $705.70
Service Code NDC 69374-925-10
Hospital Charge Code 190398
Hospital Revenue Code 250
Min. Negotiated Rate $9.79
Max. Negotiated Rate $20.02
Rate for Payer: Aetna American Axle $14.46
Rate for Payer: Aetna Commercial $18.91
Rate for Payer: Aetna New Business (MI Preferred) $14.46
Rate for Payer: Cash Price $17.80
Rate for Payer: Cofinity Commercial $15.58
Rate for Payer: Cofinity Commercial $19.14
Rate for Payer: Encore Health Key Benefits Commercial $17.80
Rate for Payer: Healthscope Commercial $20.02
Rate for Payer: Kalamazoo County Sherrif's Dept Commercial $15.58
Rate for Payer: Lakeland Regional Health Systems Commercial $16.69
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS $18.91
Rate for Payer: PHP Commercial $18.91
Rate for Payer: Priority Health Cigna Priority Health $15.58
Rate for Payer: Priority Health SBD $14.02
Rate for Payer: UMR Bronson Commercial $9.79
Rate for Payer: Van Buren County Sheriff Dept. Commercial $16.69
Service Code HCPCS J0171
Hospital Charge Code 152715
Hospital Revenue Code 636
Min. Negotiated Rate $8.66
Max. Negotiated Rate $17.71
Rate for Payer: Aetna American Axle $12.79
Rate for Payer: Aetna American Axle $37.66
Rate for Payer: Aetna American Axle $13.47
Rate for Payer: Aetna Commercial $49.25
Rate for Payer: Aetna Commercial $16.73
Rate for Payer: Aetna Commercial $17.62
Rate for Payer: Aetna New Business (MI Preferred) $12.79
Rate for Payer: Aetna New Business (MI Preferred) $37.66
Rate for Payer: Aetna New Business (MI Preferred) $13.47
Rate for Payer: Cash Price $46.35
Rate for Payer: Cash Price $16.58
Rate for Payer: Cash Price $15.74
Rate for Payer: Cofinity Commercial $13.78
Rate for Payer: Cofinity Commercial $40.56
Rate for Payer: Cofinity Commercial $14.51
Rate for Payer: Cofinity Commercial $16.92
Rate for Payer: Cofinity Commercial $17.83
Rate for Payer: Cofinity Commercial $49.83
Rate for Payer: Encore Health Key Benefits Commercial $46.35
Rate for Payer: Encore Health Key Benefits Commercial $15.74
Rate for Payer: Encore Health Key Benefits Commercial $16.58
Rate for Payer: Healthscope Commercial $17.71
Rate for Payer: Healthscope Commercial $18.66
Rate for Payer: Healthscope Commercial $52.15
Rate for Payer: Kalamazoo County Sherrif's Dept Commercial $14.51
Rate for Payer: Kalamazoo County Sherrif's Dept Commercial $13.78
Rate for Payer: Kalamazoo County Sherrif's Dept Commercial $40.56
Rate for Payer: Lakeland Regional Health Systems Commercial $15.55
Rate for Payer: Lakeland Regional Health Systems Commercial $43.46
Rate for Payer: Lakeland Regional Health Systems Commercial $14.76
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS $16.73
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS $17.62
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS $49.25
Rate for Payer: PHP Commercial $17.62
Rate for Payer: PHP Commercial $16.73
Rate for Payer: PHP Commercial $49.25
Rate for Payer: Priority Health Cigna Priority Health $14.51
Rate for Payer: Priority Health Cigna Priority Health $13.78
Rate for Payer: Priority Health Cigna Priority Health $40.56
Rate for Payer: Priority Health SBD $13.06
Rate for Payer: Priority Health SBD $36.50
Rate for Payer: Priority Health SBD $12.40
Rate for Payer: UMR Bronson Commercial $8.66
Rate for Payer: UMR Bronson Commercial $25.49
Rate for Payer: UMR Bronson Commercial $9.12
Rate for Payer: Van Buren County Sheriff Dept. Commercial $15.55
Rate for Payer: Van Buren County Sheriff Dept. Commercial $14.76
Rate for Payer: Van Buren County Sheriff Dept. Commercial $43.46
Service Code HCPCS J0171
Hospital Charge Code 152715
Hospital Revenue Code 636
Min. Negotiated Rate $2.41
Max. Negotiated Rate $52.15
Rate for Payer: Aetna American Axle $37.66
Rate for Payer: Aetna Commercial $49.25
Rate for Payer: Aetna New Business (MI Preferred) $37.66
Rate for Payer: BCBS Complete $23.18
Rate for Payer: BCBS Trust/PPO $2.41
Rate for Payer: Cash Price $46.35
Rate for Payer: Cash Price $46.35
Rate for Payer: Cofinity Commercial $40.56
Rate for Payer: Cofinity Commercial $49.83
Rate for Payer: Encore Health Key Benefits Commercial $46.35
Rate for Payer: Healthscope Commercial $52.15
Rate for Payer: Kalamazoo County Sherrif's Dept Commercial $40.56
Rate for Payer: Lakeland Regional Health Systems Commercial $43.46
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS $49.25
Rate for Payer: PHP Commercial $49.25
Rate for Payer: Priority Health Cigna Priority Health $40.56
Rate for Payer: Priority Health SBD $36.50
Rate for Payer: UMR Bronson Commercial $21.44
Rate for Payer: Van Buren County Sheriff Dept. Commercial $43.46
Service Code HCPCS J0171
Hospital Charge Code 2850
Hospital Revenue Code 636
Min. Negotiated Rate $2.41
Max. Negotiated Rate $505.13
Rate for Payer: Aetna American Axle $364.82
Rate for Payer: Aetna Commercial $477.07
Rate for Payer: Aetna New Business (MI Preferred) $364.82
Rate for Payer: BCBS Complete $224.50
Rate for Payer: BCBS Trust/PPO $2.41
Rate for Payer: Cash Price $449.01
Rate for Payer: Cash Price $449.01
Rate for Payer: Cofinity Commercial $392.88
Rate for Payer: Cofinity Commercial $482.68
Rate for Payer: Encore Health Key Benefits Commercial $449.01
Rate for Payer: Healthscope Commercial $505.13
Rate for Payer: Kalamazoo County Sherrif's Dept Commercial $392.88
Rate for Payer: Lakeland Regional Health Systems Commercial $420.94
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS $477.07
Rate for Payer: PHP Commercial $477.07
Rate for Payer: Priority Health Cigna Priority Health $392.88
Rate for Payer: Priority Health SBD $353.59
Rate for Payer: UMR Bronson Commercial $207.67
Rate for Payer: Van Buren County Sheriff Dept. Commercial $420.94
Service Code HCPCS J0171
Hospital Charge Code 2850
Hospital Revenue Code 636
Min. Negotiated Rate $256.37
Max. Negotiated Rate $524.40
Rate for Payer: Aetna American Axle $378.74
Rate for Payer: Aetna American Axle $364.82
Rate for Payer: Aetna Commercial $477.07
Rate for Payer: Aetna Commercial $495.27
Rate for Payer: Aetna New Business (MI Preferred) $364.82
Rate for Payer: Aetna New Business (MI Preferred) $378.74
Rate for Payer: Cash Price $449.01
Rate for Payer: Cash Price $466.14
Rate for Payer: Cofinity Commercial $501.10
Rate for Payer: Cofinity Commercial $392.88
Rate for Payer: Cofinity Commercial $482.68
Rate for Payer: Cofinity Commercial $407.87
Rate for Payer: Encore Health Key Benefits Commercial $449.01
Rate for Payer: Encore Health Key Benefits Commercial $466.14
Rate for Payer: Healthscope Commercial $524.40
Rate for Payer: Healthscope Commercial $505.13
Rate for Payer: Kalamazoo County Sherrif's Dept Commercial $407.87
Rate for Payer: Kalamazoo County Sherrif's Dept Commercial $392.88
Rate for Payer: Lakeland Regional Health Systems Commercial $437.00
Rate for Payer: Lakeland Regional Health Systems Commercial $420.94
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS $477.07
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS $495.27
Rate for Payer: PHP Commercial $495.27
Rate for Payer: PHP Commercial $477.07
Rate for Payer: Priority Health Cigna Priority Health $392.88
Rate for Payer: Priority Health Cigna Priority Health $407.87
Rate for Payer: Priority Health SBD $353.59
Rate for Payer: Priority Health SBD $367.08
Rate for Payer: UMR Bronson Commercial $256.37
Rate for Payer: UMR Bronson Commercial $246.95
Rate for Payer: Van Buren County Sheriff Dept. Commercial $437.00
Rate for Payer: Van Buren County Sheriff Dept. Commercial $420.94
Service Code HCPCS J0171
Hospital Charge Code 181607
Hospital Revenue Code 636
Min. Negotiated Rate $27.42
Max. Negotiated Rate $56.08
Rate for Payer: Aetna American Axle $40.50
Rate for Payer: Aetna Commercial $52.96
Rate for Payer: Aetna New Business (MI Preferred) $40.50
Rate for Payer: Cash Price $49.85
Rate for Payer: Cofinity Commercial $43.62
Rate for Payer: Cofinity Commercial $53.59
Rate for Payer: Encore Health Key Benefits Commercial $49.85
Rate for Payer: Healthscope Commercial $56.08
Rate for Payer: Kalamazoo County Sherrif's Dept Commercial $43.62
Rate for Payer: Lakeland Regional Health Systems Commercial $46.73
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS $52.96
Rate for Payer: PHP Commercial $52.96
Rate for Payer: Priority Health Cigna Priority Health $43.62
Rate for Payer: Priority Health SBD $39.26
Rate for Payer: UMR Bronson Commercial $27.42
Rate for Payer: Van Buren County Sheriff Dept. Commercial $46.73
Service Code HCPCS J0171
Hospital Charge Code 181607
Hospital Revenue Code 636
Min. Negotiated Rate $2.41
Max. Negotiated Rate $56.08
Rate for Payer: Aetna American Axle $40.50
Rate for Payer: Aetna Commercial $52.96
Rate for Payer: Aetna New Business (MI Preferred) $40.50
Rate for Payer: BCBS Complete $24.92
Rate for Payer: BCBS Trust/PPO $2.41
Rate for Payer: Cash Price $49.85
Rate for Payer: Cash Price $49.85
Rate for Payer: Cofinity Commercial $43.62
Rate for Payer: Cofinity Commercial $53.59
Rate for Payer: Encore Health Key Benefits Commercial $49.85
Rate for Payer: Healthscope Commercial $56.08
Rate for Payer: Kalamazoo County Sherrif's Dept Commercial $43.62
Rate for Payer: Lakeland Regional Health Systems Commercial $46.73
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS $52.96
Rate for Payer: PHP Commercial $52.96
Rate for Payer: Priority Health Cigna Priority Health $43.62
Rate for Payer: Priority Health SBD $39.26
Rate for Payer: UMR Bronson Commercial $23.05
Rate for Payer: Van Buren County Sheriff Dept. Commercial $46.73
Service Code NDC 51552-0454-9
Hospital Charge Code 22363
Hospital Revenue Code 637
Min. Negotiated Rate $23.10
Max. Negotiated Rate $47.25
Rate for Payer: Aetna American Axle $34.12
Rate for Payer: Aetna Commercial $44.62
Rate for Payer: Aetna New Business (MI Preferred) $34.12
Rate for Payer: Cash Price $42.00
Rate for Payer: Cofinity Commercial $36.75
Rate for Payer: Cofinity Commercial $45.15
Rate for Payer: Encore Health Key Benefits Commercial $42.00
Rate for Payer: Healthscope Commercial $47.25
Rate for Payer: Kalamazoo County Sherrif's Dept Commercial $36.75
Rate for Payer: Lakeland Regional Health Systems Commercial $39.38
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS $44.62
Rate for Payer: PHP Commercial $44.62
Rate for Payer: Priority Health Cigna Priority Health $36.75
Rate for Payer: Priority Health SBD $33.08
Rate for Payer: UMR Bronson Commercial $23.10
Rate for Payer: Van Buren County Sheriff Dept. Commercial $39.38
Service Code HCPCS J0171
Hospital Charge Code 163700
Hospital Revenue Code 636
Min. Negotiated Rate $8.99
Max. Negotiated Rate $18.39
Rate for Payer: Aetna American Axle $13.28
Rate for Payer: Aetna Commercial $17.37
Rate for Payer: Aetna New Business (MI Preferred) $13.28
Rate for Payer: Cash Price $16.34
Rate for Payer: Cofinity Commercial $14.30
Rate for Payer: Cofinity Commercial $17.57
Rate for Payer: Encore Health Key Benefits Commercial $16.34
Rate for Payer: Healthscope Commercial $18.39
Rate for Payer: Kalamazoo County Sherrif's Dept Commercial $14.30
Rate for Payer: Lakeland Regional Health Systems Commercial $15.32
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS $17.37
Rate for Payer: PHP Commercial $17.37
Rate for Payer: Priority Health Cigna Priority Health $14.30
Rate for Payer: Priority Health SBD $12.87
Rate for Payer: UMR Bronson Commercial $8.99
Rate for Payer: Van Buren County Sheriff Dept. Commercial $15.32
Service Code HCPCS J0173
Hospital Charge Code 116787
Hospital Revenue Code 636
Min. Negotiated Rate $0.98
Max. Negotiated Rate $32.60
Rate for Payer: Aetna American Axle $23.54
Rate for Payer: Aetna Commercial $30.79
Rate for Payer: Aetna Medicare $1.86
Rate for Payer: Aetna New Business (MI Preferred) $23.54
Rate for Payer: Allen County Amish Medical Aid Commercial $2.24
Rate for Payer: Amish Plain Church Group Commercial $2.24
Rate for Payer: BCBS Complete $1.03
Rate for Payer: BCBS MAPPO $1.79
Rate for Payer: BCBS Trust/PPO $5.77
Rate for Payer: BCN Medicare Advantage $1.79
Rate for Payer: Cash Price $28.98
Rate for Payer: Cash Price $28.98
Rate for Payer: Cofinity Commercial $25.35
Rate for Payer: Cofinity Commercial $31.15
Rate for Payer: Encore Health Key Benefits Commercial $28.98
Rate for Payer: Health Alliance Plan Medicare Advantage $1.79
Rate for Payer: Healthscope Commercial $32.60
Rate for Payer: Kalamazoo County Sherrif's Dept Commercial $25.35
Rate for Payer: Lakeland Regional Health Systems Commercial $27.16
Rate for Payer: Mclaren Medicaid $0.98
Rate for Payer: Mclaren Medicare $1.79
Rate for Payer: Meridian Medicaid $1.03
Rate for Payer: Meridian Wellcare - Medicare Advantage $1.88
Rate for Payer: MI Amish Medical Board Commercial $2.06
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS $30.79
Rate for Payer: PACE Medicare $1.70
Rate for Payer: PACE SWMI $1.79
Rate for Payer: PHP Commercial $30.79
Rate for Payer: PHP Medicare Advantage $1.79
Rate for Payer: Priority Health Choice Medicaid $0.98
Rate for Payer: Priority Health Cigna Priority Health $25.35
Rate for Payer: Priority Health HMO/PPO/Tiered Network $5.00
Rate for Payer: Priority Health Medicare $1.79
Rate for Payer: Priority Health Narrow Network $4.00
Rate for Payer: Priority Health SBD $22.82
Rate for Payer: Railroad Medicare Medicare $1.79
Rate for Payer: UHC Dual Complete DSNP $1.79
Rate for Payer: UHC Medicare Advantage $1.84
Rate for Payer: UMR Bronson Commercial $13.40
Rate for Payer: VA VA $1.79
Rate for Payer: Van Buren County Sheriff Dept. Commercial $27.16
Service Code HCPCS J0173
Hospital Charge Code 116787
Hospital Revenue Code 636
Min. Negotiated Rate $15.94
Max. Negotiated Rate $32.60
Rate for Payer: Aetna American Axle $23.54
Rate for Payer: Aetna Commercial $30.79
Rate for Payer: Aetna New Business (MI Preferred) $23.54
Rate for Payer: Cash Price $28.98
Rate for Payer: Cofinity Commercial $25.35
Rate for Payer: Cofinity Commercial $31.15
Rate for Payer: Encore Health Key Benefits Commercial $28.98
Rate for Payer: Healthscope Commercial $32.60
Rate for Payer: Kalamazoo County Sherrif's Dept Commercial $25.35
Rate for Payer: Lakeland Regional Health Systems Commercial $27.16
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS $30.79
Rate for Payer: PHP Commercial $30.79
Rate for Payer: Priority Health Cigna Priority Health $25.35
Rate for Payer: Priority Health SBD $22.82
Rate for Payer: UMR Bronson Commercial $15.94
Rate for Payer: Van Buren County Sheriff Dept. Commercial $27.16