|
HC ANEUPLOIDY DETECTION POC FISH
|
Facility
|
OP
|
$135.66
|
|
|
Service Code
|
CPT 88275
|
| Hospital Charge Code |
31000038
|
|
Hospital Revenue Code
|
310
|
| Min. Negotiated Rate |
$28.00 |
| Max. Negotiated Rate |
$122.09 |
| Rate for Payer: Aetna American Axle |
$88.18
|
| Rate for Payer: Aetna Commercial |
$115.31
|
| Rate for Payer: Aetna Medicare |
$53.24
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$88.18
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$63.99
|
| Rate for Payer: Amish Plain Church Group Commercial |
$63.99
|
| Rate for Payer: BCBS Complete |
$29.40
|
| Rate for Payer: BCBS MAPPO |
$51.19
|
| Rate for Payer: BCBS Trust/PPO |
$46.03
|
| Rate for Payer: BCN Medicare Advantage |
$51.19
|
| Rate for Payer: Cash Price |
$108.53
|
| Rate for Payer: Cash Price |
$108.53
|
| Rate for Payer: Cofinity Commercial |
$116.67
|
| Rate for Payer: Cofinity Commercial |
$94.96
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$108.53
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$51.19
|
| Rate for Payer: Healthscope Commercial |
$122.09
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$94.96
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$101.74
|
| Rate for Payer: Mclaren Medicaid |
$28.00
|
| Rate for Payer: Mclaren Medicare |
$51.19
|
| Rate for Payer: Meridian Medicaid |
$29.40
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$53.75
|
| Rate for Payer: MI Amish Medical Board Commercial |
$58.87
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$115.31
|
| Rate for Payer: PACE Medicare |
$48.63
|
| Rate for Payer: PACE SWMI |
$51.19
|
| Rate for Payer: PHP Commercial |
$115.31
|
| Rate for Payer: PHP Medicare Advantage |
$51.19
|
| Rate for Payer: Priority Health Choice Medicaid |
$28.00
|
| Rate for Payer: Priority Health Cigna Priority Health |
$94.96
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$55.09
|
| Rate for Payer: Priority Health Medicare |
$51.19
|
| Rate for Payer: Priority Health Narrow Network |
$44.07
|
| Rate for Payer: Priority Health SBD |
$85.47
|
| Rate for Payer: Railroad Medicare Medicare |
$51.19
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$61.43
|
| Rate for Payer: UHC Core |
$66.24
|
| Rate for Payer: UHC Dual Complete DSNP |
$51.19
|
| Rate for Payer: UHC Exchange |
$51.19
|
| Rate for Payer: UHC Medicare Advantage |
$52.73
|
| Rate for Payer: UMR Bronson Commercial |
$50.19
|
| Rate for Payer: VA VA |
$51.19
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$101.74
|
|
|
HC ANEUPLOIDY DETECTION POC FISH
|
Facility
|
IP
|
$135.66
|
|
|
Service Code
|
CPT 88275
|
| Hospital Charge Code |
31000038
|
|
Hospital Revenue Code
|
310
|
| Min. Negotiated Rate |
$59.69 |
| Max. Negotiated Rate |
$122.09 |
| Rate for Payer: Aetna American Axle |
$88.18
|
| Rate for Payer: Aetna Commercial |
$115.31
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$88.18
|
| Rate for Payer: Cash Price |
$108.53
|
| Rate for Payer: Cofinity Commercial |
$116.67
|
| Rate for Payer: Cofinity Commercial |
$94.96
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$108.53
|
| Rate for Payer: Healthscope Commercial |
$122.09
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$94.96
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$101.74
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$115.31
|
| Rate for Payer: PHP Commercial |
$115.31
|
| Rate for Payer: Priority Health Cigna Priority Health |
$94.96
|
| Rate for Payer: Priority Health SBD |
$85.47
|
| Rate for Payer: UMR Bronson Commercial |
$59.69
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$101.74
|
|
|
HC ANGIOPLASTY CENTRAL DIALYSIS W IMAGING
|
Facility
|
OP
|
$2,314.44
|
|
|
Service Code
|
CPT 36907
|
| Hospital Charge Code |
36100531
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$139.16 |
| Max. Negotiated Rate |
$2,480.42 |
| Rate for Payer: Aetna American Axle |
$1,504.39
|
| Rate for Payer: Aetna Commercial |
$1,967.27
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,504.39
|
| Rate for Payer: BCBS Complete |
$925.78
|
| Rate for Payer: BCBS Trust/PPO |
$2,480.42
|
| Rate for Payer: Cash Price |
$1,851.55
|
| Rate for Payer: Cash Price |
$1,851.55
|
| Rate for Payer: Cofinity Commercial |
$1,990.42
|
| Rate for Payer: Cofinity Commercial |
$1,620.11
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,851.55
|
| Rate for Payer: Healthscope Commercial |
$2,083.00
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,620.11
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,735.83
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,967.27
|
| Rate for Payer: PHP Commercial |
$1,967.27
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,620.11
|
| Rate for Payer: Priority Health SBD |
$1,458.10
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$153.08
|
| Rate for Payer: UHC Core |
$700.00
|
| Rate for Payer: UHC Exchange |
$139.16
|
| Rate for Payer: UMR Bronson Commercial |
$856.34
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,735.83
|
|
|
HC ANGIOPLASTY CENTRAL DIALYSIS W IMAGING
|
Facility
|
IP
|
$2,314.44
|
|
|
Service Code
|
CPT 36907
|
| Hospital Charge Code |
36100531
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$1,018.35 |
| Max. Negotiated Rate |
$2,083.00 |
| Rate for Payer: Aetna American Axle |
$1,504.39
|
| Rate for Payer: Aetna Commercial |
$1,967.27
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,504.39
|
| Rate for Payer: Cash Price |
$1,851.55
|
| Rate for Payer: Cofinity Commercial |
$1,620.11
|
| Rate for Payer: Cofinity Commercial |
$1,990.42
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,851.55
|
| Rate for Payer: Healthscope Commercial |
$2,083.00
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,620.11
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,735.83
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,967.27
|
| Rate for Payer: PHP Commercial |
$1,967.27
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,620.11
|
| Rate for Payer: Priority Health SBD |
$1,458.10
|
| Rate for Payer: UMR Bronson Commercial |
$1,018.35
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,735.83
|
|
|
HC ANGIOPLASTY EACH ADDL ARTERY WITH IMAGING
|
Facility
|
OP
|
$492.56
|
|
|
Service Code
|
CPT 37247
|
| Hospital Charge Code |
36100535
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$165.36 |
| Max. Negotiated Rate |
$2,953.85 |
| Rate for Payer: Aetna American Axle |
$320.16
|
| Rate for Payer: Aetna Commercial |
$418.68
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$320.16
|
| Rate for Payer: BCBS Complete |
$197.02
|
| Rate for Payer: BCBS Trust/PPO |
$2,953.85
|
| Rate for Payer: Cash Price |
$394.05
|
| Rate for Payer: Cash Price |
$394.05
|
| Rate for Payer: Cofinity Commercial |
$344.79
|
| Rate for Payer: Cofinity Commercial |
$423.60
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$394.05
|
| Rate for Payer: Healthscope Commercial |
$443.30
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$344.79
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$369.42
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$418.68
|
| Rate for Payer: PHP Commercial |
$418.68
|
| Rate for Payer: Priority Health Cigna Priority Health |
$344.79
|
| Rate for Payer: Priority Health SBD |
$310.31
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$181.90
|
| Rate for Payer: UHC Core |
$700.00
|
| Rate for Payer: UHC Exchange |
$165.36
|
| Rate for Payer: UMR Bronson Commercial |
$182.25
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$369.42
|
|
|
HC ANGIOPLASTY EACH ADDL ARTERY WITH IMAGING
|
Facility
|
IP
|
$492.56
|
|
|
Service Code
|
CPT 37247
|
| Hospital Charge Code |
36100535
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$216.73 |
| Max. Negotiated Rate |
$443.30 |
| Rate for Payer: Aetna American Axle |
$320.16
|
| Rate for Payer: Aetna Commercial |
$418.68
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$320.16
|
| Rate for Payer: Cash Price |
$394.05
|
| Rate for Payer: Cofinity Commercial |
$344.79
|
| Rate for Payer: Cofinity Commercial |
$423.60
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$394.05
|
| Rate for Payer: Healthscope Commercial |
$443.30
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$344.79
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$369.42
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$418.68
|
| Rate for Payer: PHP Commercial |
$418.68
|
| Rate for Payer: Priority Health Cigna Priority Health |
$344.79
|
| Rate for Payer: Priority Health SBD |
$310.31
|
| Rate for Payer: UMR Bronson Commercial |
$216.73
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$369.42
|
|
|
HC ANGIOPLASTY EACH ADDL VEIN WITH IMAGING
|
Facility
|
IP
|
$541.81
|
|
|
Service Code
|
CPT 37249
|
| Hospital Charge Code |
36100537
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$238.40 |
| Max. Negotiated Rate |
$487.63 |
| Rate for Payer: Aetna American Axle |
$352.18
|
| Rate for Payer: Aetna Commercial |
$460.54
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$352.18
|
| Rate for Payer: Cash Price |
$433.45
|
| Rate for Payer: Cofinity Commercial |
$379.27
|
| Rate for Payer: Cofinity Commercial |
$465.96
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$433.45
|
| Rate for Payer: Healthscope Commercial |
$487.63
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$379.27
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$406.36
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$460.54
|
| Rate for Payer: PHP Commercial |
$460.54
|
| Rate for Payer: Priority Health Cigna Priority Health |
$379.27
|
| Rate for Payer: Priority Health SBD |
$341.34
|
| Rate for Payer: UMR Bronson Commercial |
$238.40
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$406.36
|
|
|
HC ANGIOPLASTY EACH ADDL VEIN WITH IMAGING
|
Facility
|
OP
|
$541.81
|
|
|
Service Code
|
CPT 37249
|
| Hospital Charge Code |
36100537
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$138.84 |
| Max. Negotiated Rate |
$2,167.20 |
| Rate for Payer: Aetna American Axle |
$352.18
|
| Rate for Payer: Aetna Commercial |
$460.54
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$352.18
|
| Rate for Payer: BCBS Complete |
$216.72
|
| Rate for Payer: BCBS Trust/PPO |
$2,167.20
|
| Rate for Payer: Cash Price |
$433.45
|
| Rate for Payer: Cash Price |
$433.45
|
| Rate for Payer: Cofinity Commercial |
$379.27
|
| Rate for Payer: Cofinity Commercial |
$465.96
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$433.45
|
| Rate for Payer: Healthscope Commercial |
$487.63
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$379.27
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$406.36
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$460.54
|
| Rate for Payer: PHP Commercial |
$460.54
|
| Rate for Payer: Priority Health Cigna Priority Health |
$379.27
|
| Rate for Payer: Priority Health SBD |
$341.34
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$152.72
|
| Rate for Payer: UHC Core |
$700.00
|
| Rate for Payer: UHC Exchange |
$138.84
|
| Rate for Payer: UMR Bronson Commercial |
$200.47
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$406.36
|
|
|
HC ANGIOPLASTY INITIAL ARTERY WITH IMAGING
|
Facility
|
OP
|
$6,381.71
|
|
|
Service Code
|
CPT 37246
|
| Hospital Charge Code |
36100534
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$332.03 |
| Max. Negotiated Rate |
$15,993.75 |
| Rate for Payer: Aetna American Axle |
$4,148.11
|
| Rate for Payer: Aetna Commercial |
$5,424.45
|
| Rate for Payer: Aetna Medicare |
$5,283.75
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$4,148.11
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$6,350.66
|
| Rate for Payer: Amish Plain Church Group Commercial |
$6,350.66
|
| Rate for Payer: BCBS Complete |
$2,918.26
|
| Rate for Payer: BCBS MAPPO |
$5,080.53
|
| Rate for Payer: BCBS Trust/PPO |
$5,165.90
|
| Rate for Payer: BCN Medicare Advantage |
$5,080.53
|
| Rate for Payer: Cash Price |
$5,105.37
|
| Rate for Payer: Cash Price |
$5,105.37
|
| Rate for Payer: Cofinity Commercial |
$4,467.20
|
| Rate for Payer: Cofinity Commercial |
$5,488.27
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$5,105.37
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$5,080.53
|
| Rate for Payer: Healthscope Commercial |
$5,743.54
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$4,467.20
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$4,786.28
|
| Rate for Payer: Mclaren Medicaid |
$2,779.05
|
| Rate for Payer: Mclaren Medicare |
$5,080.53
|
| Rate for Payer: Meridian Medicaid |
$2,918.26
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$5,334.56
|
| Rate for Payer: MI Amish Medical Board Commercial |
$5,842.61
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$5,424.45
|
| Rate for Payer: PACE Medicare |
$4,826.50
|
| Rate for Payer: PACE SWMI |
$5,080.53
|
| Rate for Payer: PHP Commercial |
$5,424.45
|
| Rate for Payer: PHP Medicare Advantage |
$5,080.53
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,779.05
|
| Rate for Payer: Priority Health Cigna Priority Health |
$4,467.20
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$15,993.75
|
| Rate for Payer: Priority Health Medicare |
$5,080.53
|
| Rate for Payer: Priority Health Narrow Network |
$12,795.00
|
| Rate for Payer: Priority Health SBD |
$4,020.48
|
| Rate for Payer: Railroad Medicare Medicare |
$5,080.53
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$365.23
|
| Rate for Payer: UHC Core |
$8,596.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$5,080.53
|
| Rate for Payer: UHC Exchange |
$332.03
|
| Rate for Payer: UHC Medicare Advantage |
$5,232.95
|
| Rate for Payer: UMR Bronson Commercial |
$2,361.23
|
| Rate for Payer: VA VA |
$5,080.53
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$4,786.28
|
|
|
HC ANGIOPLASTY INITIAL ARTERY WITH IMAGING
|
Facility
|
IP
|
$6,381.71
|
|
|
Service Code
|
CPT 37246
|
| Hospital Charge Code |
36100534
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$2,807.95 |
| Max. Negotiated Rate |
$5,743.54 |
| Rate for Payer: Aetna American Axle |
$4,148.11
|
| Rate for Payer: Aetna Commercial |
$5,424.45
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$4,148.11
|
| Rate for Payer: Cash Price |
$5,105.37
|
| Rate for Payer: Cofinity Commercial |
$4,467.20
|
| Rate for Payer: Cofinity Commercial |
$5,488.27
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$5,105.37
|
| Rate for Payer: Healthscope Commercial |
$5,743.54
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$4,467.20
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$4,786.28
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$5,424.45
|
| Rate for Payer: PHP Commercial |
$5,424.45
|
| Rate for Payer: Priority Health Cigna Priority Health |
$4,467.20
|
| Rate for Payer: Priority Health SBD |
$4,020.48
|
| Rate for Payer: UMR Bronson Commercial |
$2,807.95
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$4,786.28
|
|
|
HC ANGIOPLASTY INITIAL VEIN WITH IMAGING
|
Facility
|
OP
|
$6,381.71
|
|
|
Service Code
|
CPT 37248
|
| Hospital Charge Code |
36100536
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$283.24 |
| Max. Negotiated Rate |
$15,993.75 |
| Rate for Payer: Aetna American Axle |
$4,148.11
|
| Rate for Payer: Aetna Commercial |
$5,424.45
|
| Rate for Payer: Aetna Medicare |
$5,283.75
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$4,148.11
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$6,350.66
|
| Rate for Payer: Amish Plain Church Group Commercial |
$6,350.66
|
| Rate for Payer: BCBS Complete |
$2,918.26
|
| Rate for Payer: BCBS MAPPO |
$5,080.53
|
| Rate for Payer: BCBS Trust/PPO |
$7,648.97
|
| Rate for Payer: BCN Medicare Advantage |
$5,080.53
|
| Rate for Payer: Cash Price |
$5,105.37
|
| Rate for Payer: Cash Price |
$5,105.37
|
| Rate for Payer: Cofinity Commercial |
$4,467.20
|
| Rate for Payer: Cofinity Commercial |
$5,488.27
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$5,105.37
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$5,080.53
|
| Rate for Payer: Healthscope Commercial |
$5,743.54
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$4,467.20
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$4,786.28
|
| Rate for Payer: Mclaren Medicaid |
$2,779.05
|
| Rate for Payer: Mclaren Medicare |
$5,080.53
|
| Rate for Payer: Meridian Medicaid |
$2,918.26
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$5,334.56
|
| Rate for Payer: MI Amish Medical Board Commercial |
$5,842.61
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$5,424.45
|
| Rate for Payer: PACE Medicare |
$4,826.50
|
| Rate for Payer: PACE SWMI |
$5,080.53
|
| Rate for Payer: PHP Commercial |
$5,424.45
|
| Rate for Payer: PHP Medicare Advantage |
$5,080.53
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,779.05
|
| Rate for Payer: Priority Health Cigna Priority Health |
$4,467.20
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$15,993.75
|
| Rate for Payer: Priority Health Medicare |
$5,080.53
|
| Rate for Payer: Priority Health Narrow Network |
$12,795.00
|
| Rate for Payer: Priority Health SBD |
$4,020.48
|
| Rate for Payer: Railroad Medicare Medicare |
$5,080.53
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$311.56
|
| Rate for Payer: UHC Core |
$8,596.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$5,080.53
|
| Rate for Payer: UHC Exchange |
$283.24
|
| Rate for Payer: UHC Medicare Advantage |
$5,232.95
|
| Rate for Payer: UMR Bronson Commercial |
$2,361.23
|
| Rate for Payer: VA VA |
$5,080.53
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$4,786.28
|
|
|
HC ANGIOPLASTY INITIAL VEIN WITH IMAGING
|
Facility
|
IP
|
$6,381.71
|
|
|
Service Code
|
CPT 37248
|
| Hospital Charge Code |
36100536
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$2,807.95 |
| Max. Negotiated Rate |
$5,743.54 |
| Rate for Payer: Aetna American Axle |
$4,148.11
|
| Rate for Payer: Aetna Commercial |
$5,424.45
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$4,148.11
|
| Rate for Payer: Cash Price |
$5,105.37
|
| Rate for Payer: Cofinity Commercial |
$4,467.20
|
| Rate for Payer: Cofinity Commercial |
$5,488.27
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$5,105.37
|
| Rate for Payer: Healthscope Commercial |
$5,743.54
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$4,467.20
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$4,786.28
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$5,424.45
|
| Rate for Payer: PHP Commercial |
$5,424.45
|
| Rate for Payer: Priority Health Cigna Priority Health |
$4,467.20
|
| Rate for Payer: Priority Health SBD |
$4,020.48
|
| Rate for Payer: UMR Bronson Commercial |
$2,807.95
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$4,786.28
|
|
|
HC ANGIOPLASTY INTRACR VASOSPASM EACH ADDL DIFF FAM
|
Facility
|
OP
|
$991.53
|
|
|
Service Code
|
CPT 61642
|
| Hospital Charge Code |
36100277
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$322.20 |
| Max. Negotiated Rate |
$1,879.00 |
| Rate for Payer: Aetna American Axle |
$644.49
|
| Rate for Payer: Aetna Commercial |
$842.80
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$644.49
|
| Rate for Payer: BCBS Complete |
$396.61
|
| Rate for Payer: Cash Price |
$793.22
|
| Rate for Payer: Cash Price |
$793.22
|
| Rate for Payer: Cofinity Commercial |
$694.07
|
| Rate for Payer: Cofinity Commercial |
$852.72
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$793.22
|
| Rate for Payer: Healthscope Commercial |
$892.38
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$694.07
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$743.65
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$842.80
|
| Rate for Payer: PHP Commercial |
$842.80
|
| Rate for Payer: Priority Health Cigna Priority Health |
$694.07
|
| Rate for Payer: Priority Health SBD |
$624.66
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$354.42
|
| Rate for Payer: UHC Core |
$1,879.00
|
| Rate for Payer: UHC Exchange |
$322.20
|
| Rate for Payer: UMR Bronson Commercial |
$366.87
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$743.65
|
|
|
HC ANGIOPLASTY INTRACR VASOSPASM EACH ADDL DIFF FAM
|
Facility
|
IP
|
$991.53
|
|
|
Service Code
|
CPT 61642
|
| Hospital Charge Code |
36100277
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$436.27 |
| Max. Negotiated Rate |
$892.38 |
| Rate for Payer: Aetna American Axle |
$644.49
|
| Rate for Payer: Aetna Commercial |
$842.80
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$644.49
|
| Rate for Payer: Cash Price |
$793.22
|
| Rate for Payer: Cofinity Commercial |
$694.07
|
| Rate for Payer: Cofinity Commercial |
$852.72
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$793.22
|
| Rate for Payer: Healthscope Commercial |
$892.38
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$694.07
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$743.65
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$842.80
|
| Rate for Payer: PHP Commercial |
$842.80
|
| Rate for Payer: Priority Health Cigna Priority Health |
$694.07
|
| Rate for Payer: Priority Health SBD |
$624.66
|
| Rate for Payer: UMR Bronson Commercial |
$436.27
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$743.65
|
|
|
HC ANGIOPLASTY INTRACR VASOSPASM EACH ADDL SAME FAM
|
Facility
|
OP
|
$991.53
|
|
|
Service Code
|
CPT 61641
|
| Hospital Charge Code |
36100276
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$161.10 |
| Max. Negotiated Rate |
$1,879.00 |
| Rate for Payer: Aetna American Axle |
$644.49
|
| Rate for Payer: Aetna Commercial |
$842.80
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$644.49
|
| Rate for Payer: BCBS Complete |
$396.61
|
| Rate for Payer: Cash Price |
$793.22
|
| Rate for Payer: Cash Price |
$793.22
|
| Rate for Payer: Cofinity Commercial |
$852.72
|
| Rate for Payer: Cofinity Commercial |
$694.07
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$793.22
|
| Rate for Payer: Healthscope Commercial |
$892.38
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$694.07
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$743.65
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$842.80
|
| Rate for Payer: PHP Commercial |
$842.80
|
| Rate for Payer: Priority Health Cigna Priority Health |
$694.07
|
| Rate for Payer: Priority Health SBD |
$624.66
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$177.21
|
| Rate for Payer: UHC Core |
$1,879.00
|
| Rate for Payer: UHC Exchange |
$161.10
|
| Rate for Payer: UMR Bronson Commercial |
$366.87
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$743.65
|
|
|
HC ANGIOPLASTY INTRACR VASOSPASM EACH ADDL SAME FAM
|
Facility
|
IP
|
$991.53
|
|
|
Service Code
|
CPT 61641
|
| Hospital Charge Code |
36100276
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$436.27 |
| Max. Negotiated Rate |
$892.38 |
| Rate for Payer: Aetna American Axle |
$644.49
|
| Rate for Payer: Aetna Commercial |
$842.80
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$644.49
|
| Rate for Payer: Cash Price |
$793.22
|
| Rate for Payer: Cofinity Commercial |
$694.07
|
| Rate for Payer: Cofinity Commercial |
$852.72
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$793.22
|
| Rate for Payer: Healthscope Commercial |
$892.38
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$694.07
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$743.65
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$842.80
|
| Rate for Payer: PHP Commercial |
$842.80
|
| Rate for Payer: Priority Health Cigna Priority Health |
$694.07
|
| Rate for Payer: Priority Health SBD |
$624.66
|
| Rate for Payer: UMR Bronson Commercial |
$436.27
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$743.65
|
|
|
HC ANGIO ROOM TIME W/FLUORO 1 HOU
|
Facility
|
IP
|
$1,829.05
|
|
|
Service Code
|
CPT 76000
|
| Hospital Charge Code |
32000232
|
|
Hospital Revenue Code
|
320
|
| Min. Negotiated Rate |
$804.78 |
| Max. Negotiated Rate |
$1,646.14 |
| Rate for Payer: Aetna American Axle |
$1,188.88
|
| Rate for Payer: Aetna Commercial |
$1,554.69
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,188.88
|
| Rate for Payer: Cash Price |
$1,463.24
|
| Rate for Payer: Cofinity Commercial |
$1,280.34
|
| Rate for Payer: Cofinity Commercial |
$1,572.98
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,463.24
|
| Rate for Payer: Healthscope Commercial |
$1,646.14
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,280.34
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,371.79
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,554.69
|
| Rate for Payer: PHP Commercial |
$1,554.69
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,280.34
|
| Rate for Payer: Priority Health SBD |
$1,152.30
|
| Rate for Payer: UMR Bronson Commercial |
$804.78
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,371.79
|
|
|
HC ANGIO ROOM TIME W/FLUORO 1 HOU
|
Facility
|
OP
|
$1,829.05
|
|
|
Service Code
|
CPT 76000
|
| Hospital Charge Code |
32000232
|
|
Hospital Revenue Code
|
320
|
| Min. Negotiated Rate |
$41.91 |
| Max. Negotiated Rate |
$1,646.14 |
| Rate for Payer: Aetna American Axle |
$1,188.88
|
| Rate for Payer: Aetna Commercial |
$1,554.69
|
| Rate for Payer: Aetna Medicare |
$226.52
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,188.88
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$272.26
|
| Rate for Payer: Amish Plain Church Group Commercial |
$272.26
|
| Rate for Payer: BCBS Complete |
$125.11
|
| Rate for Payer: BCBS MAPPO |
$217.81
|
| Rate for Payer: BCBS Trust/PPO |
$53.22
|
| Rate for Payer: BCN Medicare Advantage |
$217.81
|
| Rate for Payer: Cash Price |
$1,463.24
|
| Rate for Payer: Cash Price |
$1,463.24
|
| Rate for Payer: Cofinity Commercial |
$1,280.34
|
| Rate for Payer: Cofinity Commercial |
$1,572.98
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,463.24
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$217.81
|
| Rate for Payer: Healthscope Commercial |
$1,646.14
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,280.34
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,371.79
|
| Rate for Payer: Mclaren Medicaid |
$119.14
|
| Rate for Payer: Mclaren Medicare |
$217.81
|
| Rate for Payer: Meridian Medicaid |
$125.11
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$228.70
|
| Rate for Payer: MI Amish Medical Board Commercial |
$250.48
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,554.69
|
| Rate for Payer: PACE Medicare |
$206.92
|
| Rate for Payer: PACE SWMI |
$217.81
|
| Rate for Payer: PHP Commercial |
$1,554.69
|
| Rate for Payer: PHP Medicare Advantage |
$217.81
|
| Rate for Payer: Priority Health Choice Medicaid |
$119.14
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,280.34
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$685.66
|
| Rate for Payer: Priority Health Medicare |
$217.81
|
| Rate for Payer: Priority Health Narrow Network |
$548.53
|
| Rate for Payer: Priority Health SBD |
$1,152.30
|
| Rate for Payer: Railroad Medicare Medicare |
$217.81
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$46.10
|
| Rate for Payer: UHC Core |
$262.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$217.81
|
| Rate for Payer: UHC Exchange |
$41.91
|
| Rate for Payer: UHC Medicare Advantage |
$224.34
|
| Rate for Payer: UMR Bronson Commercial |
$676.75
|
| Rate for Payer: VA VA |
$217.81
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,371.79
|
|
|
HC ANGIOTENSIN-1 CONVERTING ENZYME
|
Facility
|
OP
|
$106.00
|
|
|
Service Code
|
CPT 82164
|
| Hospital Charge Code |
30100105
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$7.99 |
| Max. Negotiated Rate |
$95.40 |
| Rate for Payer: Aetna American Axle |
$68.90
|
| Rate for Payer: Aetna Commercial |
$90.10
|
| Rate for Payer: Aetna Medicare |
$15.18
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$68.90
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$18.25
|
| Rate for Payer: Amish Plain Church Group Commercial |
$18.25
|
| Rate for Payer: BCBS Complete |
$8.39
|
| Rate for Payer: BCBS MAPPO |
$14.60
|
| Rate for Payer: BCBS Trust/PPO |
$13.13
|
| Rate for Payer: BCN Medicare Advantage |
$14.60
|
| Rate for Payer: Cash Price |
$84.80
|
| Rate for Payer: Cash Price |
$84.80
|
| Rate for Payer: Cofinity Commercial |
$91.16
|
| Rate for Payer: Cofinity Commercial |
$74.20
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$84.80
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$14.60
|
| Rate for Payer: Healthscope Commercial |
$95.40
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$74.20
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$79.50
|
| Rate for Payer: Mclaren Medicaid |
$7.99
|
| Rate for Payer: Mclaren Medicare |
$14.60
|
| Rate for Payer: Meridian Medicaid |
$8.39
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$15.33
|
| Rate for Payer: MI Amish Medical Board Commercial |
$16.79
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$90.10
|
| Rate for Payer: PACE Medicare |
$13.87
|
| Rate for Payer: PACE SWMI |
$14.60
|
| Rate for Payer: PHP Commercial |
$90.10
|
| Rate for Payer: PHP Medicare Advantage |
$14.60
|
| Rate for Payer: Priority Health Choice Medicaid |
$7.99
|
| Rate for Payer: Priority Health Cigna Priority Health |
$74.20
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$15.97
|
| Rate for Payer: Priority Health Medicare |
$14.60
|
| Rate for Payer: Priority Health Narrow Network |
$12.78
|
| Rate for Payer: Priority Health SBD |
$66.78
|
| Rate for Payer: Railroad Medicare Medicare |
$14.60
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$17.52
|
| Rate for Payer: UHC Core |
$24.08
|
| Rate for Payer: UHC Dual Complete DSNP |
$14.60
|
| Rate for Payer: UHC Exchange |
$14.60
|
| Rate for Payer: UHC Medicare Advantage |
$15.04
|
| Rate for Payer: UMR Bronson Commercial |
$39.22
|
| Rate for Payer: VA VA |
$14.60
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$79.50
|
|
|
HC ANGIOTENSIN-1 CONVERTING ENZYME
|
Facility
|
IP
|
$106.00
|
|
|
Service Code
|
CPT 82164
|
| Hospital Charge Code |
30100105
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$46.64 |
| Max. Negotiated Rate |
$95.40 |
| Rate for Payer: Aetna American Axle |
$68.90
|
| Rate for Payer: Aetna Commercial |
$90.10
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$68.90
|
| Rate for Payer: Cash Price |
$84.80
|
| Rate for Payer: Cofinity Commercial |
$74.20
|
| Rate for Payer: Cofinity Commercial |
$91.16
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$84.80
|
| Rate for Payer: Healthscope Commercial |
$95.40
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$74.20
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$79.50
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$90.10
|
| Rate for Payer: PHP Commercial |
$90.10
|
| Rate for Payer: Priority Health Cigna Priority Health |
$74.20
|
| Rate for Payer: Priority Health SBD |
$66.78
|
| Rate for Payer: UMR Bronson Commercial |
$46.64
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$79.50
|
|
|
HC ANGIOTENSIN CONVERTING ENZYME LEVEL
|
Facility
|
OP
|
$35.70
|
|
|
Service Code
|
CPT 82164
|
| Hospital Charge Code |
30100104
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$7.99 |
| Max. Negotiated Rate |
$32.13 |
| Rate for Payer: Aetna American Axle |
$23.20
|
| Rate for Payer: Aetna Commercial |
$30.34
|
| Rate for Payer: Aetna Medicare |
$15.18
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$23.20
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$18.25
|
| Rate for Payer: Amish Plain Church Group Commercial |
$18.25
|
| Rate for Payer: BCBS Complete |
$8.39
|
| Rate for Payer: BCBS MAPPO |
$14.60
|
| Rate for Payer: BCBS Trust/PPO |
$13.13
|
| Rate for Payer: BCN Medicare Advantage |
$14.60
|
| Rate for Payer: Cash Price |
$28.56
|
| Rate for Payer: Cash Price |
$28.56
|
| Rate for Payer: Cofinity Commercial |
$24.99
|
| Rate for Payer: Cofinity Commercial |
$30.70
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$28.56
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$14.60
|
| Rate for Payer: Healthscope Commercial |
$32.13
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$24.99
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$26.78
|
| Rate for Payer: Mclaren Medicaid |
$7.99
|
| Rate for Payer: Mclaren Medicare |
$14.60
|
| Rate for Payer: Meridian Medicaid |
$8.39
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$15.33
|
| Rate for Payer: MI Amish Medical Board Commercial |
$16.79
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$30.34
|
| Rate for Payer: PACE Medicare |
$13.87
|
| Rate for Payer: PACE SWMI |
$14.60
|
| Rate for Payer: PHP Commercial |
$30.34
|
| Rate for Payer: PHP Medicare Advantage |
$14.60
|
| Rate for Payer: Priority Health Choice Medicaid |
$7.99
|
| Rate for Payer: Priority Health Cigna Priority Health |
$24.99
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$15.97
|
| Rate for Payer: Priority Health Medicare |
$14.60
|
| Rate for Payer: Priority Health Narrow Network |
$12.78
|
| Rate for Payer: Priority Health SBD |
$22.49
|
| Rate for Payer: Railroad Medicare Medicare |
$14.60
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$17.52
|
| Rate for Payer: UHC Core |
$24.08
|
| Rate for Payer: UHC Dual Complete DSNP |
$14.60
|
| Rate for Payer: UHC Exchange |
$14.60
|
| Rate for Payer: UHC Medicare Advantage |
$15.04
|
| Rate for Payer: UMR Bronson Commercial |
$13.21
|
| Rate for Payer: VA VA |
$14.60
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$26.78
|
|
|
HC ANGIOTENSIN CONVERTING ENZYME LEVEL
|
Facility
|
IP
|
$35.70
|
|
|
Service Code
|
CPT 82164
|
| Hospital Charge Code |
30100104
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$15.71 |
| Max. Negotiated Rate |
$32.13 |
| Rate for Payer: Aetna American Axle |
$23.20
|
| Rate for Payer: Aetna Commercial |
$30.34
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$23.20
|
| Rate for Payer: Cash Price |
$28.56
|
| Rate for Payer: Cofinity Commercial |
$24.99
|
| Rate for Payer: Cofinity Commercial |
$30.70
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$28.56
|
| Rate for Payer: Healthscope Commercial |
$32.13
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$24.99
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$26.78
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$30.34
|
| Rate for Payer: PHP Commercial |
$30.34
|
| Rate for Payer: Priority Health Cigna Priority Health |
$24.99
|
| Rate for Payer: Priority Health SBD |
$22.49
|
| Rate for Payer: UMR Bronson Commercial |
$15.71
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$26.78
|
|
|
HC ANGIOTENSIN II
|
Facility
|
IP
|
$325.00
|
|
|
Service Code
|
CPT 82163
|
| Hospital Charge Code |
30100103
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$143.00 |
| Max. Negotiated Rate |
$292.50 |
| Rate for Payer: Aetna American Axle |
$211.25
|
| Rate for Payer: Aetna Commercial |
$276.25
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$211.25
|
| Rate for Payer: Cash Price |
$260.00
|
| Rate for Payer: Cofinity Commercial |
$227.50
|
| Rate for Payer: Cofinity Commercial |
$279.50
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$260.00
|
| Rate for Payer: Healthscope Commercial |
$292.50
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$227.50
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$243.75
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$276.25
|
| Rate for Payer: PHP Commercial |
$276.25
|
| Rate for Payer: Priority Health Cigna Priority Health |
$227.50
|
| Rate for Payer: Priority Health SBD |
$204.75
|
| Rate for Payer: UMR Bronson Commercial |
$143.00
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$243.75
|
|
|
HC ANGIOTENSIN II
|
Facility
|
OP
|
$325.00
|
|
|
Service Code
|
CPT 82163
|
| Hospital Charge Code |
30100103
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$11.22 |
| Max. Negotiated Rate |
$292.50 |
| Rate for Payer: Aetna American Axle |
$211.25
|
| Rate for Payer: Aetna Commercial |
$276.25
|
| Rate for Payer: Aetna Medicare |
$21.34
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$211.25
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$25.65
|
| Rate for Payer: Amish Plain Church Group Commercial |
$25.65
|
| Rate for Payer: BCBS Complete |
$11.79
|
| Rate for Payer: BCBS MAPPO |
$20.52
|
| Rate for Payer: BCBS Trust/PPO |
$18.45
|
| Rate for Payer: BCN Medicare Advantage |
$20.52
|
| Rate for Payer: Cash Price |
$260.00
|
| Rate for Payer: Cash Price |
$260.00
|
| Rate for Payer: Cofinity Commercial |
$227.50
|
| Rate for Payer: Cofinity Commercial |
$279.50
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$260.00
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$20.52
|
| Rate for Payer: Healthscope Commercial |
$292.50
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$227.50
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$243.75
|
| Rate for Payer: Mclaren Medicaid |
$11.22
|
| Rate for Payer: Mclaren Medicare |
$20.52
|
| Rate for Payer: Meridian Medicaid |
$11.79
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$21.55
|
| Rate for Payer: MI Amish Medical Board Commercial |
$23.60
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$276.25
|
| Rate for Payer: PACE Medicare |
$19.49
|
| Rate for Payer: PACE SWMI |
$20.52
|
| Rate for Payer: PHP Commercial |
$276.25
|
| Rate for Payer: PHP Medicare Advantage |
$20.52
|
| Rate for Payer: Priority Health Choice Medicaid |
$11.22
|
| Rate for Payer: Priority Health Cigna Priority Health |
$227.50
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$28.15
|
| Rate for Payer: Priority Health Medicare |
$20.52
|
| Rate for Payer: Priority Health Narrow Network |
$22.52
|
| Rate for Payer: Priority Health SBD |
$204.75
|
| Rate for Payer: Railroad Medicare Medicare |
$20.52
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$24.62
|
| Rate for Payer: UHC Core |
$33.85
|
| Rate for Payer: UHC Dual Complete DSNP |
$20.52
|
| Rate for Payer: UHC Exchange |
$20.52
|
| Rate for Payer: UHC Medicare Advantage |
$21.14
|
| Rate for Payer: UMR Bronson Commercial |
$120.25
|
| Rate for Payer: VA VA |
$20.52
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$243.75
|
|
|
HC ANGLE TOLERANCE TEST 60 MINUTES
|
Facility
|
IP
|
$65.48
|
|
|
Service Code
|
CPT 94780
|
| Hospital Charge Code |
51000085
|
|
Hospital Revenue Code
|
510
|
| Min. Negotiated Rate |
$28.81 |
| Max. Negotiated Rate |
$58.93 |
| Rate for Payer: Aetna American Axle |
$42.56
|
| Rate for Payer: Aetna Commercial |
$55.66
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$42.56
|
| Rate for Payer: Cash Price |
$52.38
|
| Rate for Payer: Cofinity Commercial |
$45.84
|
| Rate for Payer: Cofinity Commercial |
$56.31
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$52.38
|
| Rate for Payer: Healthscope Commercial |
$58.93
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$45.84
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$49.11
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$55.66
|
| Rate for Payer: PHP Commercial |
$55.66
|
| Rate for Payer: Priority Health Cigna Priority Health |
$45.84
|
| Rate for Payer: Priority Health SBD |
$41.25
|
| Rate for Payer: UMR Bronson Commercial |
$28.81
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$49.11
|
|
