HC BILIARY DRAINAGE
|
Facility
|
OP
|
$459.89
|
|
Hospital Charge Code |
36000010
|
Hospital Revenue Code
|
360
|
Min. Negotiated Rate |
$170.16 |
Max. Negotiated Rate |
$413.90 |
Rate for Payer: Aetna American Axle |
$298.93
|
Rate for Payer: Aetna Commercial |
$390.91
|
Rate for Payer: Aetna New Business (MI Preferred) |
$298.93
|
Rate for Payer: BCBS Complete |
$183.96
|
Rate for Payer: Cash Price |
$367.91
|
Rate for Payer: Cofinity Commercial |
$321.92
|
Rate for Payer: Cofinity Commercial |
$395.51
|
Rate for Payer: Encore Health Key Benefits Commercial |
$367.91
|
Rate for Payer: Healthscope Commercial |
$413.90
|
Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$321.92
|
Rate for Payer: Lakeland Regional Health Systems Commercial |
$344.92
|
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$390.91
|
Rate for Payer: PHP Commercial |
$390.91
|
Rate for Payer: Priority Health Cigna Priority Health |
$321.92
|
Rate for Payer: Priority Health SBD |
$289.73
|
Rate for Payer: UMR Bronson Commercial |
$170.16
|
Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$344.92
|
|
HC BILIARY DUCT BALLOON DILATATIO
|
Facility
|
IP
|
$1,819.24
|
|
Hospital Charge Code |
36000011
|
Hospital Revenue Code
|
360
|
Min. Negotiated Rate |
$800.47 |
Max. Negotiated Rate |
$1,637.32 |
Rate for Payer: Aetna American Axle |
$1,182.51
|
Rate for Payer: Aetna Commercial |
$1,546.35
|
Rate for Payer: Aetna New Business (MI Preferred) |
$1,182.51
|
Rate for Payer: Cash Price |
$1,455.39
|
Rate for Payer: Cofinity Commercial |
$1,273.47
|
Rate for Payer: Cofinity Commercial |
$1,564.55
|
Rate for Payer: Encore Health Key Benefits Commercial |
$1,455.39
|
Rate for Payer: Healthscope Commercial |
$1,637.32
|
Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,273.47
|
Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,364.43
|
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,546.35
|
Rate for Payer: PHP Commercial |
$1,546.35
|
Rate for Payer: Priority Health Cigna Priority Health |
$1,273.47
|
Rate for Payer: Priority Health SBD |
$1,146.12
|
Rate for Payer: UMR Bronson Commercial |
$800.47
|
Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,364.43
|
|
HC BILIARY DUCT BALLOON DILATATIO
|
Facility
|
OP
|
$1,819.24
|
|
Hospital Charge Code |
36000011
|
Hospital Revenue Code
|
360
|
Min. Negotiated Rate |
$673.12 |
Max. Negotiated Rate |
$1,637.32 |
Rate for Payer: Aetna American Axle |
$1,182.51
|
Rate for Payer: Aetna Commercial |
$1,546.35
|
Rate for Payer: Aetna New Business (MI Preferred) |
$1,182.51
|
Rate for Payer: BCBS Complete |
$727.70
|
Rate for Payer: Cash Price |
$1,455.39
|
Rate for Payer: Cofinity Commercial |
$1,273.47
|
Rate for Payer: Cofinity Commercial |
$1,564.55
|
Rate for Payer: Encore Health Key Benefits Commercial |
$1,455.39
|
Rate for Payer: Healthscope Commercial |
$1,637.32
|
Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,273.47
|
Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,364.43
|
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,546.35
|
Rate for Payer: PHP Commercial |
$1,546.35
|
Rate for Payer: Priority Health Cigna Priority Health |
$1,273.47
|
Rate for Payer: Priority Health SBD |
$1,146.12
|
Rate for Payer: UMR Bronson Commercial |
$673.12
|
Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,364.43
|
|
HC BILIRUBIN DIRECT
|
Facility
|
IP
|
$20.40
|
|
Service Code
|
CPT 82248
|
Hospital Charge Code |
30100118
|
Hospital Revenue Code
|
301
|
Min. Negotiated Rate |
$8.98 |
Max. Negotiated Rate |
$18.36 |
Rate for Payer: Aetna American Axle |
$13.26
|
Rate for Payer: Aetna Commercial |
$17.34
|
Rate for Payer: Aetna New Business (MI Preferred) |
$13.26
|
Rate for Payer: Cash Price |
$16.32
|
Rate for Payer: Cofinity Commercial |
$14.28
|
Rate for Payer: Cofinity Commercial |
$17.54
|
Rate for Payer: Encore Health Key Benefits Commercial |
$16.32
|
Rate for Payer: Healthscope Commercial |
$18.36
|
Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$14.28
|
Rate for Payer: Lakeland Regional Health Systems Commercial |
$15.30
|
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$17.34
|
Rate for Payer: PHP Commercial |
$17.34
|
Rate for Payer: Priority Health Cigna Priority Health |
$14.28
|
Rate for Payer: Priority Health SBD |
$12.85
|
Rate for Payer: UMR Bronson Commercial |
$8.98
|
Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$15.30
|
|
HC BILIRUBIN DIRECT
|
Facility
|
OP
|
$20.40
|
|
Service Code
|
CPT 82248
|
Hospital Charge Code |
30100118
|
Hospital Revenue Code
|
301
|
Min. Negotiated Rate |
$2.75 |
Max. Negotiated Rate |
$18.36 |
Rate for Payer: Aetna American Axle |
$13.26
|
Rate for Payer: Aetna Commercial |
$17.34
|
Rate for Payer: Aetna Medicare |
$5.22
|
Rate for Payer: Aetna New Business (MI Preferred) |
$13.26
|
Rate for Payer: Allen County Amish Medical Aid Commercial |
$6.28
|
Rate for Payer: Amish Plain Church Group Commercial |
$6.28
|
Rate for Payer: BCBS Complete |
$2.88
|
Rate for Payer: BCBS MAPPO |
$5.02
|
Rate for Payer: BCN Medicare Advantage |
$5.02
|
Rate for Payer: Cash Price |
$16.32
|
Rate for Payer: Cash Price |
$16.32
|
Rate for Payer: Cofinity Commercial |
$14.28
|
Rate for Payer: Cofinity Commercial |
$17.54
|
Rate for Payer: Encore Health Key Benefits Commercial |
$16.32
|
Rate for Payer: Health Alliance Plan Medicare Advantage |
$5.02
|
Rate for Payer: Healthscope Commercial |
$18.36
|
Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$14.28
|
Rate for Payer: Lakeland Regional Health Systems Commercial |
$15.30
|
Rate for Payer: Mclaren Medicaid |
$2.75
|
Rate for Payer: Mclaren Medicare |
$5.02
|
Rate for Payer: Meridian Medicaid |
$2.88
|
Rate for Payer: Meridian Wellcare - Medicare Advantage |
$5.27
|
Rate for Payer: MI Amish Medical Board Commercial |
$5.77
|
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$17.34
|
Rate for Payer: PACE Medicare |
$4.77
|
Rate for Payer: PACE SWMI |
$5.02
|
Rate for Payer: PHP Commercial |
$17.34
|
Rate for Payer: PHP Medicare Advantage |
$5.02
|
Rate for Payer: Priority Health Choice Medicaid |
$2.75
|
Rate for Payer: Priority Health Cigna Priority Health |
$14.28
|
Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$6.88
|
Rate for Payer: Priority Health Medicare |
$5.02
|
Rate for Payer: Priority Health Narrow Network |
$5.50
|
Rate for Payer: Priority Health SBD |
$12.85
|
Rate for Payer: Railroad Medicare Medicare |
$5.02
|
Rate for Payer: UHC All Payor (Choice/PPO) |
$6.02
|
Rate for Payer: UHC Core |
$8.28
|
Rate for Payer: UHC Dual Complete DSNP |
$5.02
|
Rate for Payer: UHC Exchange |
$5.02
|
Rate for Payer: UHC Medicare Advantage |
$5.17
|
Rate for Payer: UMR Bronson Commercial |
$7.55
|
Rate for Payer: VA VA |
$5.02
|
Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$15.30
|
|
HC BILIRUBIN TOTAL
|
Facility
|
IP
|
$20.40
|
|
Service Code
|
CPT 82247
|
Hospital Charge Code |
30100117
|
Hospital Revenue Code
|
301
|
Min. Negotiated Rate |
$8.98 |
Max. Negotiated Rate |
$18.36 |
Rate for Payer: Aetna American Axle |
$13.26
|
Rate for Payer: Aetna Commercial |
$17.34
|
Rate for Payer: Aetna New Business (MI Preferred) |
$13.26
|
Rate for Payer: Cash Price |
$16.32
|
Rate for Payer: Cofinity Commercial |
$14.28
|
Rate for Payer: Cofinity Commercial |
$17.54
|
Rate for Payer: Encore Health Key Benefits Commercial |
$16.32
|
Rate for Payer: Healthscope Commercial |
$18.36
|
Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$14.28
|
Rate for Payer: Lakeland Regional Health Systems Commercial |
$15.30
|
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$17.34
|
Rate for Payer: PHP Commercial |
$17.34
|
Rate for Payer: Priority Health Cigna Priority Health |
$14.28
|
Rate for Payer: Priority Health SBD |
$12.85
|
Rate for Payer: UMR Bronson Commercial |
$8.98
|
Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$15.30
|
|
HC BILIRUBIN TOTAL
|
Facility
|
OP
|
$20.40
|
|
Service Code
|
CPT 82247
|
Hospital Charge Code |
30100117
|
Hospital Revenue Code
|
301
|
Min. Negotiated Rate |
$2.75 |
Max. Negotiated Rate |
$18.36 |
Rate for Payer: Aetna American Axle |
$13.26
|
Rate for Payer: Aetna Commercial |
$17.34
|
Rate for Payer: Aetna Medicare |
$5.22
|
Rate for Payer: Aetna New Business (MI Preferred) |
$13.26
|
Rate for Payer: Allen County Amish Medical Aid Commercial |
$6.28
|
Rate for Payer: Amish Plain Church Group Commercial |
$6.28
|
Rate for Payer: BCBS Complete |
$2.88
|
Rate for Payer: BCBS MAPPO |
$5.02
|
Rate for Payer: BCN Medicare Advantage |
$5.02
|
Rate for Payer: Cash Price |
$16.32
|
Rate for Payer: Cash Price |
$16.32
|
Rate for Payer: Cofinity Commercial |
$17.54
|
Rate for Payer: Cofinity Commercial |
$14.28
|
Rate for Payer: Encore Health Key Benefits Commercial |
$16.32
|
Rate for Payer: Health Alliance Plan Medicare Advantage |
$5.02
|
Rate for Payer: Healthscope Commercial |
$18.36
|
Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$14.28
|
Rate for Payer: Lakeland Regional Health Systems Commercial |
$15.30
|
Rate for Payer: Mclaren Medicaid |
$2.75
|
Rate for Payer: Mclaren Medicare |
$5.02
|
Rate for Payer: Meridian Medicaid |
$2.88
|
Rate for Payer: Meridian Wellcare - Medicare Advantage |
$5.27
|
Rate for Payer: MI Amish Medical Board Commercial |
$5.77
|
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$17.34
|
Rate for Payer: PACE Medicare |
$4.77
|
Rate for Payer: PACE SWMI |
$5.02
|
Rate for Payer: PHP Commercial |
$17.34
|
Rate for Payer: PHP Medicare Advantage |
$5.02
|
Rate for Payer: Priority Health Choice Medicaid |
$2.75
|
Rate for Payer: Priority Health Cigna Priority Health |
$14.28
|
Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$6.88
|
Rate for Payer: Priority Health Medicare |
$5.02
|
Rate for Payer: Priority Health Narrow Network |
$5.50
|
Rate for Payer: Priority Health SBD |
$12.85
|
Rate for Payer: Railroad Medicare Medicare |
$5.02
|
Rate for Payer: UHC All Payor (Choice/PPO) |
$6.02
|
Rate for Payer: UHC Core |
$8.28
|
Rate for Payer: UHC Dual Complete DSNP |
$5.02
|
Rate for Payer: UHC Exchange |
$5.02
|
Rate for Payer: UHC Medicare Advantage |
$5.17
|
Rate for Payer: UMR Bronson Commercial |
$7.55
|
Rate for Payer: VA VA |
$5.02
|
Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$15.30
|
|
HC BILIRUBIN TOTAL TRANSCUTANEOUS
|
Facility
|
IP
|
$46.55
|
|
Service Code
|
CPT 88720
|
Hospital Charge Code |
30100694
|
Hospital Revenue Code
|
301
|
Min. Negotiated Rate |
$20.48 |
Max. Negotiated Rate |
$41.90 |
Rate for Payer: Aetna American Axle |
$30.26
|
Rate for Payer: Aetna Commercial |
$39.57
|
Rate for Payer: Aetna New Business (MI Preferred) |
$30.26
|
Rate for Payer: Cash Price |
$37.24
|
Rate for Payer: Cofinity Commercial |
$32.58
|
Rate for Payer: Cofinity Commercial |
$40.03
|
Rate for Payer: Encore Health Key Benefits Commercial |
$37.24
|
Rate for Payer: Healthscope Commercial |
$41.90
|
Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$32.58
|
Rate for Payer: Lakeland Regional Health Systems Commercial |
$34.91
|
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$39.57
|
Rate for Payer: PHP Commercial |
$39.57
|
Rate for Payer: Priority Health Cigna Priority Health |
$32.58
|
Rate for Payer: Priority Health SBD |
$29.33
|
Rate for Payer: UMR Bronson Commercial |
$20.48
|
Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$34.91
|
|
HC BILIRUBIN TOTAL TRANSCUTANEOUS
|
Facility
|
OP
|
$46.55
|
|
Service Code
|
CPT 88720
|
Hospital Charge Code |
30100694
|
Hospital Revenue Code
|
301
|
Min. Negotiated Rate |
$2.75 |
Max. Negotiated Rate |
$41.90 |
Rate for Payer: Aetna American Axle |
$30.26
|
Rate for Payer: Aetna Commercial |
$39.57
|
Rate for Payer: Aetna Medicare |
$5.22
|
Rate for Payer: Aetna New Business (MI Preferred) |
$30.26
|
Rate for Payer: Allen County Amish Medical Aid Commercial |
$6.28
|
Rate for Payer: Amish Plain Church Group Commercial |
$6.28
|
Rate for Payer: BCBS Complete |
$2.88
|
Rate for Payer: BCBS MAPPO |
$5.02
|
Rate for Payer: BCBS Trust/PPO |
$4.52
|
Rate for Payer: BCN Medicare Advantage |
$5.02
|
Rate for Payer: Cash Price |
$37.24
|
Rate for Payer: Cash Price |
$37.24
|
Rate for Payer: Cofinity Commercial |
$32.58
|
Rate for Payer: Cofinity Commercial |
$40.03
|
Rate for Payer: Encore Health Key Benefits Commercial |
$37.24
|
Rate for Payer: Health Alliance Plan Medicare Advantage |
$5.02
|
Rate for Payer: Healthscope Commercial |
$41.90
|
Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$32.58
|
Rate for Payer: Lakeland Regional Health Systems Commercial |
$34.91
|
Rate for Payer: Mclaren Medicaid |
$2.75
|
Rate for Payer: Mclaren Medicare |
$5.02
|
Rate for Payer: Meridian Medicaid |
$2.88
|
Rate for Payer: Meridian Wellcare - Medicare Advantage |
$5.27
|
Rate for Payer: MI Amish Medical Board Commercial |
$5.77
|
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$39.57
|
Rate for Payer: PACE Medicare |
$4.77
|
Rate for Payer: PACE SWMI |
$5.02
|
Rate for Payer: PHP Commercial |
$39.57
|
Rate for Payer: PHP Medicare Advantage |
$5.02
|
Rate for Payer: Priority Health Choice Medicaid |
$2.75
|
Rate for Payer: Priority Health Cigna Priority Health |
$32.58
|
Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$6.88
|
Rate for Payer: Priority Health Medicare |
$5.02
|
Rate for Payer: Priority Health Narrow Network |
$5.50
|
Rate for Payer: Priority Health SBD |
$29.33
|
Rate for Payer: Railroad Medicare Medicare |
$5.02
|
Rate for Payer: UHC All Payor (Choice/PPO) |
$6.02
|
Rate for Payer: UHC Core |
$8.28
|
Rate for Payer: UHC Dual Complete DSNP |
$5.02
|
Rate for Payer: UHC Exchange |
$5.02
|
Rate for Payer: UHC Medicare Advantage |
$5.17
|
Rate for Payer: UMR Bronson Commercial |
$17.22
|
Rate for Payer: VA VA |
$5.02
|
Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$34.91
|
|
HC BILL ONLY URINE DRUG SCR8 AUTO
|
Facility
|
OP
|
$96.80
|
|
Service Code
|
CPT 80307
|
Hospital Charge Code |
30000141
|
Hospital Revenue Code
|
300
|
Min. Negotiated Rate |
$33.99 |
Max. Negotiated Rate |
$95.77 |
Rate for Payer: Aetna American Axle |
$62.92
|
Rate for Payer: Aetna Commercial |
$82.28
|
Rate for Payer: Aetna Medicare |
$64.63
|
Rate for Payer: Aetna New Business (MI Preferred) |
$62.92
|
Rate for Payer: Allen County Amish Medical Aid Commercial |
$77.68
|
Rate for Payer: Amish Plain Church Group Commercial |
$77.68
|
Rate for Payer: BCBS Complete |
$35.69
|
Rate for Payer: BCBS MAPPO |
$62.14
|
Rate for Payer: BCBS Trust/PPO |
$55.89
|
Rate for Payer: BCN Medicare Advantage |
$62.14
|
Rate for Payer: Cash Price |
$77.44
|
Rate for Payer: Cash Price |
$77.44
|
Rate for Payer: Cofinity Commercial |
$83.25
|
Rate for Payer: Cofinity Commercial |
$67.76
|
Rate for Payer: Encore Health Key Benefits Commercial |
$77.44
|
Rate for Payer: Health Alliance Plan Medicare Advantage |
$62.14
|
Rate for Payer: Healthscope Commercial |
$87.12
|
Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$67.76
|
Rate for Payer: Lakeland Regional Health Systems Commercial |
$72.60
|
Rate for Payer: Mclaren Medicaid |
$33.99
|
Rate for Payer: Mclaren Medicare |
$62.14
|
Rate for Payer: Meridian Medicaid |
$35.69
|
Rate for Payer: Meridian Wellcare - Medicare Advantage |
$65.25
|
Rate for Payer: MI Amish Medical Board Commercial |
$71.46
|
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$82.28
|
Rate for Payer: PACE Medicare |
$59.03
|
Rate for Payer: PACE SWMI |
$62.14
|
Rate for Payer: PHP Commercial |
$82.28
|
Rate for Payer: PHP Medicare Advantage |
$62.14
|
Rate for Payer: Priority Health Choice Medicaid |
$33.99
|
Rate for Payer: Priority Health Cigna Priority Health |
$67.76
|
Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$48.58
|
Rate for Payer: Priority Health Medicare |
$62.14
|
Rate for Payer: Priority Health Narrow Network |
$38.86
|
Rate for Payer: Priority Health SBD |
$60.98
|
Rate for Payer: Railroad Medicare Medicare |
$62.14
|
Rate for Payer: UHC All Payor (Choice/PPO) |
$74.57
|
Rate for Payer: UHC Core |
$95.77
|
Rate for Payer: UHC Dual Complete DSNP |
$62.14
|
Rate for Payer: UHC Exchange |
$62.14
|
Rate for Payer: UHC Medicare Advantage |
$64.00
|
Rate for Payer: UMR Bronson Commercial |
$35.82
|
Rate for Payer: VA VA |
$62.14
|
Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$72.60
|
|
HC BILL ONLY URINE DRUG SCR8 AUTO
|
Facility
|
IP
|
$96.80
|
|
Service Code
|
CPT 80307
|
Hospital Charge Code |
30000141
|
Hospital Revenue Code
|
300
|
Min. Negotiated Rate |
$42.59 |
Max. Negotiated Rate |
$87.12 |
Rate for Payer: Aetna American Axle |
$62.92
|
Rate for Payer: Aetna Commercial |
$82.28
|
Rate for Payer: Aetna New Business (MI Preferred) |
$62.92
|
Rate for Payer: Cash Price |
$77.44
|
Rate for Payer: Cofinity Commercial |
$67.76
|
Rate for Payer: Cofinity Commercial |
$83.25
|
Rate for Payer: Encore Health Key Benefits Commercial |
$77.44
|
Rate for Payer: Healthscope Commercial |
$87.12
|
Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$67.76
|
Rate for Payer: Lakeland Regional Health Systems Commercial |
$72.60
|
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$82.28
|
Rate for Payer: PHP Commercial |
$82.28
|
Rate for Payer: Priority Health Cigna Priority Health |
$67.76
|
Rate for Payer: Priority Health SBD |
$60.98
|
Rate for Payer: UMR Bronson Commercial |
$42.59
|
Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$72.60
|
|
HC BILL ONLY URINE DRUG SCR8 MAN
|
Facility
|
OP
|
$44.88
|
|
Service Code
|
CPT 80305
|
Hospital Charge Code |
30000135
|
Hospital Revenue Code
|
300
|
Min. Negotiated Rate |
$6.89 |
Max. Negotiated Rate |
$40.39 |
Rate for Payer: Aetna American Axle |
$29.17
|
Rate for Payer: Aetna Commercial |
$38.15
|
Rate for Payer: Aetna Medicare |
$13.10
|
Rate for Payer: Aetna New Business (MI Preferred) |
$29.17
|
Rate for Payer: Allen County Amish Medical Aid Commercial |
$15.75
|
Rate for Payer: Amish Plain Church Group Commercial |
$15.75
|
Rate for Payer: BCBS Complete |
$7.24
|
Rate for Payer: BCBS MAPPO |
$12.60
|
Rate for Payer: BCBS Trust/PPO |
$11.33
|
Rate for Payer: BCN Medicare Advantage |
$12.60
|
Rate for Payer: Cash Price |
$35.90
|
Rate for Payer: Cash Price |
$35.90
|
Rate for Payer: Cofinity Commercial |
$38.60
|
Rate for Payer: Cofinity Commercial |
$31.42
|
Rate for Payer: Encore Health Key Benefits Commercial |
$35.90
|
Rate for Payer: Health Alliance Plan Medicare Advantage |
$12.60
|
Rate for Payer: Healthscope Commercial |
$40.39
|
Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$31.42
|
Rate for Payer: Lakeland Regional Health Systems Commercial |
$33.66
|
Rate for Payer: Mclaren Medicaid |
$6.89
|
Rate for Payer: Mclaren Medicare |
$12.60
|
Rate for Payer: Meridian Medicaid |
$7.24
|
Rate for Payer: Meridian Wellcare - Medicare Advantage |
$13.23
|
Rate for Payer: MI Amish Medical Board Commercial |
$14.49
|
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$38.15
|
Rate for Payer: PACE Medicare |
$11.97
|
Rate for Payer: PACE SWMI |
$12.60
|
Rate for Payer: PHP Commercial |
$38.15
|
Rate for Payer: PHP Medicare Advantage |
$12.60
|
Rate for Payer: Priority Health Choice Medicaid |
$6.89
|
Rate for Payer: Priority Health Cigna Priority Health |
$31.42
|
Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$9.11
|
Rate for Payer: Priority Health Medicare |
$12.60
|
Rate for Payer: Priority Health Narrow Network |
$7.29
|
Rate for Payer: Priority Health SBD |
$28.27
|
Rate for Payer: Railroad Medicare Medicare |
$12.60
|
Rate for Payer: UHC All Payor (Choice/PPO) |
$15.12
|
Rate for Payer: UHC Core |
$17.95
|
Rate for Payer: UHC Dual Complete DSNP |
$12.60
|
Rate for Payer: UHC Exchange |
$12.60
|
Rate for Payer: UHC Medicare Advantage |
$12.98
|
Rate for Payer: UMR Bronson Commercial |
$16.61
|
Rate for Payer: VA VA |
$12.60
|
Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$33.66
|
|
HC BILL ONLY URINE DRUG SCR8 MAN
|
Facility
|
IP
|
$44.88
|
|
Service Code
|
CPT 80305
|
Hospital Charge Code |
30000135
|
Hospital Revenue Code
|
300
|
Min. Negotiated Rate |
$19.75 |
Max. Negotiated Rate |
$40.39 |
Rate for Payer: Aetna American Axle |
$29.17
|
Rate for Payer: Aetna Commercial |
$38.15
|
Rate for Payer: Aetna New Business (MI Preferred) |
$29.17
|
Rate for Payer: Cash Price |
$35.90
|
Rate for Payer: Cofinity Commercial |
$38.60
|
Rate for Payer: Cofinity Commercial |
$31.42
|
Rate for Payer: Encore Health Key Benefits Commercial |
$35.90
|
Rate for Payer: Healthscope Commercial |
$40.39
|
Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$31.42
|
Rate for Payer: Lakeland Regional Health Systems Commercial |
$33.66
|
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$38.15
|
Rate for Payer: PHP Commercial |
$38.15
|
Rate for Payer: Priority Health Cigna Priority Health |
$31.42
|
Rate for Payer: Priority Health SBD |
$28.27
|
Rate for Payer: UMR Bronson Commercial |
$19.75
|
Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$33.66
|
|
HC BILL ONLY URINE DRUG SCR AUTO
|
Facility
|
OP
|
$99.95
|
|
Service Code
|
CPT 80307
|
Hospital Charge Code |
30000142
|
Hospital Revenue Code
|
300
|
Min. Negotiated Rate |
$33.99 |
Max. Negotiated Rate |
$95.77 |
Rate for Payer: Aetna American Axle |
$64.97
|
Rate for Payer: Aetna Commercial |
$84.96
|
Rate for Payer: Aetna Medicare |
$64.63
|
Rate for Payer: Aetna New Business (MI Preferred) |
$64.97
|
Rate for Payer: Allen County Amish Medical Aid Commercial |
$77.68
|
Rate for Payer: Amish Plain Church Group Commercial |
$77.68
|
Rate for Payer: BCBS Complete |
$35.69
|
Rate for Payer: BCBS MAPPO |
$62.14
|
Rate for Payer: BCBS Trust/PPO |
$55.89
|
Rate for Payer: BCN Medicare Advantage |
$62.14
|
Rate for Payer: Cash Price |
$79.96
|
Rate for Payer: Cash Price |
$79.96
|
Rate for Payer: Cofinity Commercial |
$85.96
|
Rate for Payer: Cofinity Commercial |
$69.96
|
Rate for Payer: Encore Health Key Benefits Commercial |
$79.96
|
Rate for Payer: Health Alliance Plan Medicare Advantage |
$62.14
|
Rate for Payer: Healthscope Commercial |
$89.96
|
Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$69.96
|
Rate for Payer: Lakeland Regional Health Systems Commercial |
$74.96
|
Rate for Payer: Mclaren Medicaid |
$33.99
|
Rate for Payer: Mclaren Medicare |
$62.14
|
Rate for Payer: Meridian Medicaid |
$35.69
|
Rate for Payer: Meridian Wellcare - Medicare Advantage |
$65.25
|
Rate for Payer: MI Amish Medical Board Commercial |
$71.46
|
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$84.96
|
Rate for Payer: PACE Medicare |
$59.03
|
Rate for Payer: PACE SWMI |
$62.14
|
Rate for Payer: PHP Commercial |
$84.96
|
Rate for Payer: PHP Medicare Advantage |
$62.14
|
Rate for Payer: Priority Health Choice Medicaid |
$33.99
|
Rate for Payer: Priority Health Cigna Priority Health |
$69.96
|
Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$48.58
|
Rate for Payer: Priority Health Medicare |
$62.14
|
Rate for Payer: Priority Health Narrow Network |
$38.86
|
Rate for Payer: Priority Health SBD |
$62.97
|
Rate for Payer: Railroad Medicare Medicare |
$62.14
|
Rate for Payer: UHC All Payor (Choice/PPO) |
$74.57
|
Rate for Payer: UHC Core |
$95.77
|
Rate for Payer: UHC Dual Complete DSNP |
$62.14
|
Rate for Payer: UHC Exchange |
$62.14
|
Rate for Payer: UHC Medicare Advantage |
$64.00
|
Rate for Payer: UMR Bronson Commercial |
$36.98
|
Rate for Payer: VA VA |
$62.14
|
Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$74.96
|
|
HC BILL ONLY URINE DRUG SCR AUTO
|
Facility
|
IP
|
$99.95
|
|
Service Code
|
CPT 80307
|
Hospital Charge Code |
30000142
|
Hospital Revenue Code
|
300
|
Min. Negotiated Rate |
$43.98 |
Max. Negotiated Rate |
$89.96 |
Rate for Payer: Aetna American Axle |
$64.97
|
Rate for Payer: Aetna Commercial |
$84.96
|
Rate for Payer: Aetna New Business (MI Preferred) |
$64.97
|
Rate for Payer: Cash Price |
$79.96
|
Rate for Payer: Cofinity Commercial |
$69.96
|
Rate for Payer: Cofinity Commercial |
$85.96
|
Rate for Payer: Encore Health Key Benefits Commercial |
$79.96
|
Rate for Payer: Healthscope Commercial |
$89.96
|
Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$69.96
|
Rate for Payer: Lakeland Regional Health Systems Commercial |
$74.96
|
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$84.96
|
Rate for Payer: PHP Commercial |
$84.96
|
Rate for Payer: Priority Health Cigna Priority Health |
$69.96
|
Rate for Payer: Priority Health SBD |
$62.97
|
Rate for Payer: UMR Bronson Commercial |
$43.98
|
Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$74.96
|
|
HC BILL ONLY URINE DRUG SCR MAN
|
Facility
|
OP
|
$44.88
|
|
Service Code
|
CPT 80305
|
Hospital Charge Code |
30000143
|
Hospital Revenue Code
|
300
|
Min. Negotiated Rate |
$6.89 |
Max. Negotiated Rate |
$40.39 |
Rate for Payer: Aetna American Axle |
$29.17
|
Rate for Payer: Aetna Commercial |
$38.15
|
Rate for Payer: Aetna Medicare |
$13.10
|
Rate for Payer: Aetna New Business (MI Preferred) |
$29.17
|
Rate for Payer: Allen County Amish Medical Aid Commercial |
$15.75
|
Rate for Payer: Amish Plain Church Group Commercial |
$15.75
|
Rate for Payer: BCBS Complete |
$7.24
|
Rate for Payer: BCBS MAPPO |
$12.60
|
Rate for Payer: BCBS Trust/PPO |
$11.33
|
Rate for Payer: BCN Medicare Advantage |
$12.60
|
Rate for Payer: Cash Price |
$35.90
|
Rate for Payer: Cash Price |
$35.90
|
Rate for Payer: Cofinity Commercial |
$31.42
|
Rate for Payer: Cofinity Commercial |
$38.60
|
Rate for Payer: Encore Health Key Benefits Commercial |
$35.90
|
Rate for Payer: Health Alliance Plan Medicare Advantage |
$12.60
|
Rate for Payer: Healthscope Commercial |
$40.39
|
Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$31.42
|
Rate for Payer: Lakeland Regional Health Systems Commercial |
$33.66
|
Rate for Payer: Mclaren Medicaid |
$6.89
|
Rate for Payer: Mclaren Medicare |
$12.60
|
Rate for Payer: Meridian Medicaid |
$7.24
|
Rate for Payer: Meridian Wellcare - Medicare Advantage |
$13.23
|
Rate for Payer: MI Amish Medical Board Commercial |
$14.49
|
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$38.15
|
Rate for Payer: PACE Medicare |
$11.97
|
Rate for Payer: PACE SWMI |
$12.60
|
Rate for Payer: PHP Commercial |
$38.15
|
Rate for Payer: PHP Medicare Advantage |
$12.60
|
Rate for Payer: Priority Health Choice Medicaid |
$6.89
|
Rate for Payer: Priority Health Cigna Priority Health |
$31.42
|
Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$9.11
|
Rate for Payer: Priority Health Medicare |
$12.60
|
Rate for Payer: Priority Health Narrow Network |
$7.29
|
Rate for Payer: Priority Health SBD |
$28.27
|
Rate for Payer: Railroad Medicare Medicare |
$12.60
|
Rate for Payer: UHC All Payor (Choice/PPO) |
$15.12
|
Rate for Payer: UHC Core |
$17.95
|
Rate for Payer: UHC Dual Complete DSNP |
$12.60
|
Rate for Payer: UHC Exchange |
$12.60
|
Rate for Payer: UHC Medicare Advantage |
$12.98
|
Rate for Payer: UMR Bronson Commercial |
$16.61
|
Rate for Payer: VA VA |
$12.60
|
Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$33.66
|
|
HC BILL ONLY URINE DRUG SCR MAN
|
Facility
|
IP
|
$44.88
|
|
Service Code
|
CPT 80305
|
Hospital Charge Code |
30000143
|
Hospital Revenue Code
|
300
|
Min. Negotiated Rate |
$19.75 |
Max. Negotiated Rate |
$40.39 |
Rate for Payer: Aetna American Axle |
$29.17
|
Rate for Payer: Aetna Commercial |
$38.15
|
Rate for Payer: Aetna New Business (MI Preferred) |
$29.17
|
Rate for Payer: Cash Price |
$35.90
|
Rate for Payer: Cofinity Commercial |
$31.42
|
Rate for Payer: Cofinity Commercial |
$38.60
|
Rate for Payer: Encore Health Key Benefits Commercial |
$35.90
|
Rate for Payer: Healthscope Commercial |
$40.39
|
Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$31.42
|
Rate for Payer: Lakeland Regional Health Systems Commercial |
$33.66
|
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$38.15
|
Rate for Payer: PHP Commercial |
$38.15
|
Rate for Payer: Priority Health Cigna Priority Health |
$31.42
|
Rate for Payer: Priority Health SBD |
$28.27
|
Rate for Payer: UMR Bronson Commercial |
$19.75
|
Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$33.66
|
|
HC BINOCULAR MICROSCOPY SEPARATE DX PROCEDURE
|
Facility
|
IP
|
$160.00
|
|
Service Code
|
CPT 92504
|
Hospital Charge Code |
47000003
|
Hospital Revenue Code
|
470
|
Min. Negotiated Rate |
$70.40 |
Max. Negotiated Rate |
$144.00 |
Rate for Payer: Aetna American Axle |
$104.00
|
Rate for Payer: Aetna Commercial |
$136.00
|
Rate for Payer: Aetna New Business (MI Preferred) |
$104.00
|
Rate for Payer: Cash Price |
$128.00
|
Rate for Payer: Cofinity Commercial |
$112.00
|
Rate for Payer: Cofinity Commercial |
$137.60
|
Rate for Payer: Encore Health Key Benefits Commercial |
$128.00
|
Rate for Payer: Healthscope Commercial |
$144.00
|
Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$112.00
|
Rate for Payer: Lakeland Regional Health Systems Commercial |
$120.00
|
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$136.00
|
Rate for Payer: PHP Commercial |
$136.00
|
Rate for Payer: Priority Health Cigna Priority Health |
$112.00
|
Rate for Payer: Priority Health SBD |
$100.80
|
Rate for Payer: UMR Bronson Commercial |
$70.40
|
Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$120.00
|
|
HC BINOCULAR MICROSCOPY SEPARATE DX PROCEDURE
|
Facility
|
OP
|
$160.00
|
|
Service Code
|
CPT 92504
|
Hospital Charge Code |
47000003
|
Hospital Revenue Code
|
470
|
Min. Negotiated Rate |
$8.84 |
Max. Negotiated Rate |
$294.00 |
Rate for Payer: Aetna American Axle |
$104.00
|
Rate for Payer: Aetna Commercial |
$136.00
|
Rate for Payer: Aetna New Business (MI Preferred) |
$104.00
|
Rate for Payer: BCBS Complete |
$64.00
|
Rate for Payer: Cash Price |
$128.00
|
Rate for Payer: Cash Price |
$128.00
|
Rate for Payer: Cash Price |
$128.00
|
Rate for Payer: Cofinity Commercial |
$112.00
|
Rate for Payer: Cofinity Commercial |
$137.60
|
Rate for Payer: Encore Health Key Benefits Commercial |
$128.00
|
Rate for Payer: Healthscope Commercial |
$144.00
|
Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$112.00
|
Rate for Payer: Lakeland Regional Health Systems Commercial |
$120.00
|
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$136.00
|
Rate for Payer: PHP Commercial |
$136.00
|
Rate for Payer: Priority Health Cigna Priority Health |
$112.00
|
Rate for Payer: Priority Health SBD |
$100.80
|
Rate for Payer: UHC All Payor (Choice/PPO) |
$9.72
|
Rate for Payer: UHC Core |
$294.00
|
Rate for Payer: UHC Exchange |
$8.84
|
Rate for Payer: UMR Bronson Commercial |
$59.20
|
Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$120.00
|
|
HC BIOELECT IMPEDANCE ANALYSIS (BIA) WHOLE BODY
|
Facility
|
IP
|
$31.62
|
|
Service Code
|
CPT 0358T
|
Hospital Charge Code |
92000032
|
Hospital Revenue Code
|
920
|
Min. Negotiated Rate |
$13.91 |
Max. Negotiated Rate |
$28.46 |
Rate for Payer: Aetna American Axle |
$20.55
|
Rate for Payer: Aetna Commercial |
$26.88
|
Rate for Payer: Aetna New Business (MI Preferred) |
$20.55
|
Rate for Payer: Cash Price |
$25.30
|
Rate for Payer: Cofinity Commercial |
$22.13
|
Rate for Payer: Cofinity Commercial |
$27.19
|
Rate for Payer: Encore Health Key Benefits Commercial |
$25.30
|
Rate for Payer: Healthscope Commercial |
$28.46
|
Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$22.13
|
Rate for Payer: Lakeland Regional Health Systems Commercial |
$23.72
|
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$26.88
|
Rate for Payer: PHP Commercial |
$26.88
|
Rate for Payer: Priority Health Cigna Priority Health |
$22.13
|
Rate for Payer: Priority Health SBD |
$19.92
|
Rate for Payer: UMR Bronson Commercial |
$13.91
|
Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$23.72
|
|
HC BIOELECT IMPEDANCE ANALYSIS (BIA) WHOLE BODY
|
Facility
|
OP
|
$31.62
|
|
Service Code
|
CPT 0358T
|
Hospital Charge Code |
92000032
|
Hospital Revenue Code
|
920
|
Min. Negotiated Rate |
$11.70 |
Max. Negotiated Rate |
$294.00 |
Rate for Payer: Aetna American Axle |
$20.55
|
Rate for Payer: Aetna Commercial |
$26.88
|
Rate for Payer: Aetna Medicare |
$27.53
|
Rate for Payer: Aetna New Business (MI Preferred) |
$20.55
|
Rate for Payer: Allen County Amish Medical Aid Commercial |
$33.09
|
Rate for Payer: Amish Plain Church Group Commercial |
$33.09
|
Rate for Payer: BCBS Complete |
$15.20
|
Rate for Payer: BCBS MAPPO |
$26.47
|
Rate for Payer: BCN Medicare Advantage |
$26.47
|
Rate for Payer: Cash Price |
$25.30
|
Rate for Payer: Cash Price |
$25.30
|
Rate for Payer: Cash Price |
$25.30
|
Rate for Payer: Cofinity Commercial |
$27.19
|
Rate for Payer: Cofinity Commercial |
$22.13
|
Rate for Payer: Encore Health Key Benefits Commercial |
$25.30
|
Rate for Payer: Health Alliance Plan Medicare Advantage |
$26.47
|
Rate for Payer: Healthscope Commercial |
$28.46
|
Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$22.13
|
Rate for Payer: Lakeland Regional Health Systems Commercial |
$23.72
|
Rate for Payer: Mclaren Medicaid |
$14.48
|
Rate for Payer: Mclaren Medicare |
$26.47
|
Rate for Payer: Meridian Medicaid |
$15.20
|
Rate for Payer: Meridian Wellcare - Medicare Advantage |
$27.79
|
Rate for Payer: MI Amish Medical Board Commercial |
$30.44
|
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$26.88
|
Rate for Payer: PACE Medicare |
$25.15
|
Rate for Payer: PACE SWMI |
$26.47
|
Rate for Payer: PHP Commercial |
$26.88
|
Rate for Payer: PHP Medicare Advantage |
$26.47
|
Rate for Payer: Priority Health Choice Medicaid |
$14.48
|
Rate for Payer: Priority Health Cigna Priority Health |
$22.13
|
Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$83.33
|
Rate for Payer: Priority Health Medicare |
$26.47
|
Rate for Payer: Priority Health Narrow Network |
$66.66
|
Rate for Payer: Priority Health SBD |
$19.92
|
Rate for Payer: Railroad Medicare Medicare |
$26.47
|
Rate for Payer: UHC Core |
$294.00
|
Rate for Payer: UHC Dual Complete DSNP |
$26.47
|
Rate for Payer: UHC Medicare Advantage |
$27.26
|
Rate for Payer: UMR Bronson Commercial |
$11.70
|
Rate for Payer: VA VA |
$26.47
|
Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$23.72
|
|
HC BIOPSY ABDOMEN OR RETROPERITONEAL
|
Facility
|
OP
|
$1,653.46
|
|
Service Code
|
CPT 49180
|
Hospital Charge Code |
36100218
|
Hospital Revenue Code
|
361
|
Min. Negotiated Rate |
$79.24 |
Max. Negotiated Rate |
$4,536.73 |
Rate for Payer: Aetna American Axle |
$1,074.75
|
Rate for Payer: Aetna Commercial |
$1,405.44
|
Rate for Payer: Aetna Medicare |
$1,498.78
|
Rate for Payer: Aetna New Business (MI Preferred) |
$1,074.75
|
Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,801.41
|
Rate for Payer: Amish Plain Church Group Commercial |
$1,801.41
|
Rate for Payer: BCBS Complete |
$827.79
|
Rate for Payer: BCBS MAPPO |
$1,441.13
|
Rate for Payer: BCBS Trust/PPO |
$858.95
|
Rate for Payer: BCN Medicare Advantage |
$1,441.13
|
Rate for Payer: Cash Price |
$1,322.77
|
Rate for Payer: Cash Price |
$1,322.77
|
Rate for Payer: Cofinity Commercial |
$1,421.98
|
Rate for Payer: Cofinity Commercial |
$1,157.42
|
Rate for Payer: Encore Health Key Benefits Commercial |
$1,322.77
|
Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,441.13
|
Rate for Payer: Healthscope Commercial |
$1,488.11
|
Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,157.42
|
Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,240.10
|
Rate for Payer: Mclaren Medicaid |
$788.30
|
Rate for Payer: Mclaren Medicare |
$1,441.13
|
Rate for Payer: Meridian Medicaid |
$827.79
|
Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,513.19
|
Rate for Payer: MI Amish Medical Board Commercial |
$1,657.30
|
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,405.44
|
Rate for Payer: PACE Medicare |
$1,369.07
|
Rate for Payer: PACE SWMI |
$1,441.13
|
Rate for Payer: PHP Commercial |
$1,405.44
|
Rate for Payer: PHP Medicare Advantage |
$1,441.13
|
Rate for Payer: Priority Health Choice Medicaid |
$788.30
|
Rate for Payer: Priority Health Cigna Priority Health |
$1,157.42
|
Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$4,536.73
|
Rate for Payer: Priority Health Medicare |
$1,441.13
|
Rate for Payer: Priority Health Narrow Network |
$3,629.38
|
Rate for Payer: Priority Health SBD |
$1,041.68
|
Rate for Payer: Railroad Medicare Medicare |
$1,441.13
|
Rate for Payer: UHC All Payor (Choice/PPO) |
$87.16
|
Rate for Payer: UHC Core |
$2,014.00
|
Rate for Payer: UHC Dual Complete DSNP |
$1,441.13
|
Rate for Payer: UHC Exchange |
$79.24
|
Rate for Payer: UHC Medicare Advantage |
$1,484.36
|
Rate for Payer: UMR Bronson Commercial |
$611.78
|
Rate for Payer: VA VA |
$1,441.13
|
Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,240.10
|
|
HC BIOPSY ABDOMEN OR RETROPERITONEAL
|
Facility
|
IP
|
$1,653.46
|
|
Service Code
|
CPT 49180
|
Hospital Charge Code |
36100218
|
Hospital Revenue Code
|
361
|
Min. Negotiated Rate |
$727.52 |
Max. Negotiated Rate |
$1,488.11 |
Rate for Payer: Aetna American Axle |
$1,074.75
|
Rate for Payer: Aetna Commercial |
$1,405.44
|
Rate for Payer: Aetna New Business (MI Preferred) |
$1,074.75
|
Rate for Payer: Cash Price |
$1,322.77
|
Rate for Payer: Cofinity Commercial |
$1,157.42
|
Rate for Payer: Cofinity Commercial |
$1,421.98
|
Rate for Payer: Encore Health Key Benefits Commercial |
$1,322.77
|
Rate for Payer: Healthscope Commercial |
$1,488.11
|
Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,157.42
|
Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,240.10
|
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,405.44
|
Rate for Payer: PHP Commercial |
$1,405.44
|
Rate for Payer: Priority Health Cigna Priority Health |
$1,157.42
|
Rate for Payer: Priority Health SBD |
$1,041.68
|
Rate for Payer: UMR Bronson Commercial |
$727.52
|
Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,240.10
|
|
HC BIOPSY ACCESSION & GROSS
|
Facility
|
OP
|
$8.00
|
|
Hospital Charge Code |
31000069
|
Hospital Revenue Code
|
310
|
Min. Negotiated Rate |
$2.96 |
Max. Negotiated Rate |
$7.20 |
Rate for Payer: Aetna American Axle |
$5.20
|
Rate for Payer: Aetna Commercial |
$6.80
|
Rate for Payer: Aetna New Business (MI Preferred) |
$5.20
|
Rate for Payer: BCBS Complete |
$3.20
|
Rate for Payer: Cash Price |
$6.40
|
Rate for Payer: Cofinity Commercial |
$5.60
|
Rate for Payer: Cofinity Commercial |
$6.88
|
Rate for Payer: Encore Health Key Benefits Commercial |
$6.40
|
Rate for Payer: Healthscope Commercial |
$7.20
|
Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$5.60
|
Rate for Payer: Lakeland Regional Health Systems Commercial |
$6.00
|
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$6.80
|
Rate for Payer: PHP Commercial |
$6.80
|
Rate for Payer: Priority Health Cigna Priority Health |
$5.60
|
Rate for Payer: Priority Health SBD |
$5.04
|
Rate for Payer: UMR Bronson Commercial |
$2.96
|
Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$6.00
|
|
HC BIOPSY ACCESSION & GROSS
|
Facility
|
IP
|
$8.00
|
|
Hospital Charge Code |
31000069
|
Hospital Revenue Code
|
310
|
Min. Negotiated Rate |
$3.52 |
Max. Negotiated Rate |
$7.20 |
Rate for Payer: Aetna American Axle |
$5.20
|
Rate for Payer: Aetna Commercial |
$6.80
|
Rate for Payer: Aetna New Business (MI Preferred) |
$5.20
|
Rate for Payer: Cash Price |
$6.40
|
Rate for Payer: Cofinity Commercial |
$5.60
|
Rate for Payer: Cofinity Commercial |
$6.88
|
Rate for Payer: Encore Health Key Benefits Commercial |
$6.40
|
Rate for Payer: Healthscope Commercial |
$7.20
|
Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$5.60
|
Rate for Payer: Lakeland Regional Health Systems Commercial |
$6.00
|
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$6.80
|
Rate for Payer: PHP Commercial |
$6.80
|
Rate for Payer: Priority Health Cigna Priority Health |
$5.60
|
Rate for Payer: Priority Health SBD |
$5.04
|
Rate for Payer: UMR Bronson Commercial |
$3.52
|
Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$6.00
|
|