|
HC BIOSENSE ABLATION CATHETER
|
Facility
|
OP
|
$4,002.32
|
|
|
Service Code
|
HCPCS C1732
|
| Hospital Charge Code |
27200014
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$0.03 |
| Max. Negotiated Rate |
$3,602.09 |
| Rate for Payer: Aetna American Axle |
$2,601.51
|
| Rate for Payer: Aetna Commercial |
$3,401.97
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,601.51
|
| Rate for Payer: BCBS Complete |
$1,600.93
|
| Rate for Payer: BCBS Trust/PPO |
$0.03
|
| Rate for Payer: Cash Price |
$3,201.86
|
| Rate for Payer: Cash Price |
$3,201.86
|
| Rate for Payer: Cofinity Commercial |
$2,801.62
|
| Rate for Payer: Cofinity Commercial |
$3,442.00
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,201.86
|
| Rate for Payer: Healthscope Commercial |
$3,602.09
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$2,801.62
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$3,001.74
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$3,401.97
|
| Rate for Payer: PHP Commercial |
$3,401.97
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,801.62
|
| Rate for Payer: Priority Health SBD |
$2,521.46
|
| Rate for Payer: UMR Bronson Commercial |
$1,480.86
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$3,001.74
|
|
|
HC BIOSENSE THERMOCOOL CATHETER
|
Facility
|
OP
|
$6,249.11
|
|
|
Service Code
|
HCPCS C1732
|
| Hospital Charge Code |
27200015
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$0.03 |
| Max. Negotiated Rate |
$5,624.20 |
| Rate for Payer: Aetna American Axle |
$4,061.92
|
| Rate for Payer: Aetna Commercial |
$5,311.74
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$4,061.92
|
| Rate for Payer: BCBS Complete |
$2,499.64
|
| Rate for Payer: BCBS Trust/PPO |
$0.03
|
| Rate for Payer: Cash Price |
$4,999.29
|
| Rate for Payer: Cash Price |
$4,999.29
|
| Rate for Payer: Cofinity Commercial |
$4,374.38
|
| Rate for Payer: Cofinity Commercial |
$5,374.23
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$4,999.29
|
| Rate for Payer: Healthscope Commercial |
$5,624.20
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$4,374.38
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$4,686.83
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$5,311.74
|
| Rate for Payer: PHP Commercial |
$5,311.74
|
| Rate for Payer: Priority Health Cigna Priority Health |
$4,374.38
|
| Rate for Payer: Priority Health SBD |
$3,936.94
|
| Rate for Payer: UMR Bronson Commercial |
$2,312.17
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$4,686.83
|
|
|
HC BIOSENSE THERMOCOOL CATHETER
|
Facility
|
IP
|
$6,249.11
|
|
|
Service Code
|
HCPCS C1732
|
| Hospital Charge Code |
27200015
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$2,749.61 |
| Max. Negotiated Rate |
$5,624.20 |
| Rate for Payer: Aetna American Axle |
$4,061.92
|
| Rate for Payer: Aetna Commercial |
$5,311.74
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$4,061.92
|
| Rate for Payer: Cash Price |
$4,999.29
|
| Rate for Payer: Cofinity Commercial |
$4,374.38
|
| Rate for Payer: Cofinity Commercial |
$5,374.23
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$4,999.29
|
| Rate for Payer: Healthscope Commercial |
$5,624.20
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$4,374.38
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$4,686.83
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$5,311.74
|
| Rate for Payer: PHP Commercial |
$5,311.74
|
| Rate for Payer: Priority Health Cigna Priority Health |
$4,374.38
|
| Rate for Payer: Priority Health SBD |
$3,936.94
|
| Rate for Payer: UMR Bronson Commercial |
$2,749.61
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$4,686.83
|
|
|
HC BIOTINIDASE
|
Facility
|
OP
|
$67.00
|
|
|
Service Code
|
CPT 82261
|
| Hospital Charge Code |
30100119
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$9.23 |
| Max. Negotiated Rate |
$60.30 |
| Rate for Payer: Aetna American Axle |
$43.55
|
| Rate for Payer: Aetna Commercial |
$56.95
|
| Rate for Payer: Aetna Medicare |
$17.54
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$43.55
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$21.09
|
| Rate for Payer: Amish Plain Church Group Commercial |
$21.09
|
| Rate for Payer: BCBS Complete |
$9.69
|
| Rate for Payer: BCBS MAPPO |
$16.87
|
| Rate for Payer: BCBS Trust/PPO |
$15.17
|
| Rate for Payer: BCN Medicare Advantage |
$16.87
|
| Rate for Payer: Cash Price |
$53.60
|
| Rate for Payer: Cash Price |
$53.60
|
| Rate for Payer: Cofinity Commercial |
$46.90
|
| Rate for Payer: Cofinity Commercial |
$57.62
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$53.60
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$16.87
|
| Rate for Payer: Healthscope Commercial |
$60.30
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$46.90
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$50.25
|
| Rate for Payer: Mclaren Medicaid |
$9.23
|
| Rate for Payer: Mclaren Medicare |
$16.87
|
| Rate for Payer: Meridian Medicaid |
$9.69
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$17.71
|
| Rate for Payer: MI Amish Medical Board Commercial |
$19.40
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$56.95
|
| Rate for Payer: PACE Medicare |
$16.03
|
| Rate for Payer: PACE SWMI |
$16.87
|
| Rate for Payer: PHP Commercial |
$56.95
|
| Rate for Payer: PHP Medicare Advantage |
$16.87
|
| Rate for Payer: Priority Health Choice Medicaid |
$9.23
|
| Rate for Payer: Priority Health Cigna Priority Health |
$46.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$19.35
|
| Rate for Payer: Priority Health Medicare |
$16.87
|
| Rate for Payer: Priority Health Narrow Network |
$15.48
|
| Rate for Payer: Priority Health SBD |
$42.21
|
| Rate for Payer: Railroad Medicare Medicare |
$16.87
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$20.24
|
| Rate for Payer: UHC Core |
$27.82
|
| Rate for Payer: UHC Dual Complete DSNP |
$16.87
|
| Rate for Payer: UHC Exchange |
$16.87
|
| Rate for Payer: UHC Medicare Advantage |
$17.38
|
| Rate for Payer: UMR Bronson Commercial |
$24.79
|
| Rate for Payer: VA VA |
$16.87
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$50.25
|
|
|
HC BIOTINIDASE
|
Facility
|
IP
|
$67.00
|
|
|
Service Code
|
CPT 82261
|
| Hospital Charge Code |
30100119
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$29.48 |
| Max. Negotiated Rate |
$60.30 |
| Rate for Payer: Aetna American Axle |
$43.55
|
| Rate for Payer: Aetna Commercial |
$56.95
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$43.55
|
| Rate for Payer: Cash Price |
$53.60
|
| Rate for Payer: Cofinity Commercial |
$46.90
|
| Rate for Payer: Cofinity Commercial |
$57.62
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$53.60
|
| Rate for Payer: Healthscope Commercial |
$60.30
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$46.90
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$50.25
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$56.95
|
| Rate for Payer: PHP Commercial |
$56.95
|
| Rate for Payer: Priority Health Cigna Priority Health |
$46.90
|
| Rate for Payer: Priority Health SBD |
$42.21
|
| Rate for Payer: UMR Bronson Commercial |
$29.48
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$50.25
|
|
|
HC BIOTRONIK DUAL PACEMAKER
|
Facility
|
OP
|
$9,442.85
|
|
|
Service Code
|
HCPCS C1785
|
| Hospital Charge Code |
27500002
|
|
Hospital Revenue Code
|
275
|
| Min. Negotiated Rate |
$3,493.85 |
| Max. Negotiated Rate |
$8,498.56 |
| Rate for Payer: Aetna American Axle |
$6,137.85
|
| Rate for Payer: Aetna Commercial |
$8,026.42
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$6,137.85
|
| Rate for Payer: BCBS Complete |
$3,777.14
|
| Rate for Payer: Cash Price |
$7,554.28
|
| Rate for Payer: Cofinity Commercial |
$6,610.00
|
| Rate for Payer: Cofinity Commercial |
$8,120.85
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$7,554.28
|
| Rate for Payer: Healthscope Commercial |
$8,498.56
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$6,610.00
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$7,082.14
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$8,026.42
|
| Rate for Payer: PHP Commercial |
$8,026.42
|
| Rate for Payer: Priority Health Cigna Priority Health |
$6,610.00
|
| Rate for Payer: Priority Health SBD |
$5,949.00
|
| Rate for Payer: UMR Bronson Commercial |
$3,493.85
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$7,082.14
|
|
|
HC BIOTRONIK DUAL PACEMAKER
|
Facility
|
IP
|
$9,442.85
|
|
|
Service Code
|
HCPCS C1785
|
| Hospital Charge Code |
27500002
|
|
Hospital Revenue Code
|
275
|
| Min. Negotiated Rate |
$4,154.85 |
| Max. Negotiated Rate |
$8,498.56 |
| Rate for Payer: Aetna American Axle |
$6,137.85
|
| Rate for Payer: Aetna Commercial |
$8,026.42
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$6,137.85
|
| Rate for Payer: Cash Price |
$7,554.28
|
| Rate for Payer: Cofinity Commercial |
$6,610.00
|
| Rate for Payer: Cofinity Commercial |
$8,120.85
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$7,554.28
|
| Rate for Payer: Healthscope Commercial |
$8,498.56
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$6,610.00
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$7,082.14
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$8,026.42
|
| Rate for Payer: PHP Commercial |
$8,026.42
|
| Rate for Payer: Priority Health Cigna Priority Health |
$6,610.00
|
| Rate for Payer: Priority Health SBD |
$5,949.00
|
| Rate for Payer: UMR Bronson Commercial |
$4,154.85
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$7,082.14
|
|
|
HC BIPAL BIOPSY FORCEPS
|
Facility
|
IP
|
$1,722.47
|
|
| Hospital Charge Code |
27200113
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$757.89 |
| Max. Negotiated Rate |
$1,550.22 |
| Rate for Payer: Aetna American Axle |
$1,119.61
|
| Rate for Payer: Aetna Commercial |
$1,464.10
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,119.61
|
| Rate for Payer: Cash Price |
$1,377.98
|
| Rate for Payer: Cofinity Commercial |
$1,205.73
|
| Rate for Payer: Cofinity Commercial |
$1,481.32
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,377.98
|
| Rate for Payer: Healthscope Commercial |
$1,550.22
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,205.73
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,291.85
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,464.10
|
| Rate for Payer: PHP Commercial |
$1,464.10
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,205.73
|
| Rate for Payer: Priority Health SBD |
$1,085.16
|
| Rate for Payer: UMR Bronson Commercial |
$757.89
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,291.85
|
|
|
HC BIPAL BIOPSY FORCEPS
|
Facility
|
OP
|
$1,722.47
|
|
| Hospital Charge Code |
27200113
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$637.31 |
| Max. Negotiated Rate |
$1,550.22 |
| Rate for Payer: Aetna American Axle |
$1,119.61
|
| Rate for Payer: Aetna Commercial |
$1,464.10
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,119.61
|
| Rate for Payer: BCBS Complete |
$688.99
|
| Rate for Payer: Cash Price |
$1,377.98
|
| Rate for Payer: Cofinity Commercial |
$1,205.73
|
| Rate for Payer: Cofinity Commercial |
$1,481.32
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,377.98
|
| Rate for Payer: Healthscope Commercial |
$1,550.22
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,205.73
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,291.85
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,464.10
|
| Rate for Payer: PHP Commercial |
$1,464.10
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,205.73
|
| Rate for Payer: Priority Health SBD |
$1,085.16
|
| Rate for Payer: UMR Bronson Commercial |
$637.31
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,291.85
|
|
|
HC BIPAP / CPAP PER DAY
|
Facility
|
IP
|
$857.95
|
|
|
Service Code
|
CPT 94660
|
| Hospital Charge Code |
41000008
|
|
Hospital Revenue Code
|
410
|
| Min. Negotiated Rate |
$377.50 |
| Max. Negotiated Rate |
$772.16 |
| Rate for Payer: Aetna American Axle |
$557.67
|
| Rate for Payer: Aetna Commercial |
$729.26
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$557.67
|
| Rate for Payer: Cash Price |
$686.36
|
| Rate for Payer: Cofinity Commercial |
$737.84
|
| Rate for Payer: Cofinity Commercial |
$600.56
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$686.36
|
| Rate for Payer: Healthscope Commercial |
$772.16
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$600.56
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$643.46
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$729.26
|
| Rate for Payer: PHP Commercial |
$729.26
|
| Rate for Payer: Priority Health Cigna Priority Health |
$600.56
|
| Rate for Payer: Priority Health SBD |
$540.51
|
| Rate for Payer: UMR Bronson Commercial |
$377.50
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$643.46
|
|
|
HC BIPAP / CPAP PER DAY
|
Facility
|
OP
|
$857.95
|
|
|
Service Code
|
CPT 94660
|
| Hospital Charge Code |
41000008
|
|
Hospital Revenue Code
|
410
|
| Min. Negotiated Rate |
$36.02 |
| Max. Negotiated Rate |
$772.16 |
| Rate for Payer: Aetna American Axle |
$557.67
|
| Rate for Payer: Aetna Commercial |
$729.26
|
| Rate for Payer: Aetna Medicare |
$197.17
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$557.67
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$236.99
|
| Rate for Payer: Amish Plain Church Group Commercial |
$236.99
|
| Rate for Payer: BCBS Complete |
$108.90
|
| Rate for Payer: BCBS MAPPO |
$189.59
|
| Rate for Payer: BCBS Trust/PPO |
$177.62
|
| Rate for Payer: BCN Medicare Advantage |
$189.59
|
| Rate for Payer: Cash Price |
$686.36
|
| Rate for Payer: Cash Price |
$686.36
|
| Rate for Payer: Cash Price |
$686.36
|
| Rate for Payer: Cofinity Commercial |
$600.56
|
| Rate for Payer: Cofinity Commercial |
$737.84
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$686.36
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$189.59
|
| Rate for Payer: Healthscope Commercial |
$772.16
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$600.56
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$643.46
|
| Rate for Payer: Mclaren Medicaid |
$103.71
|
| Rate for Payer: Mclaren Medicare |
$189.59
|
| Rate for Payer: Meridian Medicaid |
$108.90
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$199.07
|
| Rate for Payer: MI Amish Medical Board Commercial |
$218.03
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$729.26
|
| Rate for Payer: PACE Medicare |
$180.11
|
| Rate for Payer: PACE SWMI |
$189.59
|
| Rate for Payer: PHP Commercial |
$729.26
|
| Rate for Payer: PHP Medicare Advantage |
$189.59
|
| Rate for Payer: Priority Health Choice Medicaid |
$103.71
|
| Rate for Payer: Priority Health Cigna Priority Health |
$600.56
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$596.84
|
| Rate for Payer: Priority Health Medicare |
$189.59
|
| Rate for Payer: Priority Health Narrow Network |
$477.47
|
| Rate for Payer: Priority Health SBD |
$540.51
|
| Rate for Payer: Railroad Medicare Medicare |
$189.59
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$39.62
|
| Rate for Payer: UHC Core |
$294.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$189.59
|
| Rate for Payer: UHC Exchange |
$36.02
|
| Rate for Payer: UHC Medicare Advantage |
$195.28
|
| Rate for Payer: UMR Bronson Commercial |
$317.44
|
| Rate for Payer: VA VA |
$189.59
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$643.46
|
|
|
HC BIRCH IGE
|
Facility
|
OP
|
$24.89
|
|
|
Service Code
|
CPT 86003
|
| Hospital Charge Code |
30200029
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$2.86 |
| Max. Negotiated Rate |
$22.40 |
| Rate for Payer: Aetna American Axle |
$16.18
|
| Rate for Payer: Aetna Commercial |
$21.16
|
| Rate for Payer: Aetna Medicare |
$5.43
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$16.18
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$6.52
|
| Rate for Payer: Amish Plain Church Group Commercial |
$6.52
|
| Rate for Payer: BCBS Complete |
$3.00
|
| Rate for Payer: BCBS MAPPO |
$5.22
|
| Rate for Payer: BCBS Trust/PPO |
$4.70
|
| Rate for Payer: BCN Medicare Advantage |
$5.22
|
| Rate for Payer: Cash Price |
$19.91
|
| Rate for Payer: Cash Price |
$19.91
|
| Rate for Payer: Cofinity Commercial |
$21.41
|
| Rate for Payer: Cofinity Commercial |
$17.42
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$19.91
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$5.22
|
| Rate for Payer: Healthscope Commercial |
$22.40
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$17.42
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$18.67
|
| Rate for Payer: Mclaren Medicaid |
$2.86
|
| Rate for Payer: Mclaren Medicare |
$5.22
|
| Rate for Payer: Meridian Medicaid |
$3.00
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$5.48
|
| Rate for Payer: MI Amish Medical Board Commercial |
$6.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$21.16
|
| Rate for Payer: PACE Medicare |
$4.96
|
| Rate for Payer: PACE SWMI |
$5.22
|
| Rate for Payer: PHP Commercial |
$21.16
|
| Rate for Payer: PHP Medicare Advantage |
$5.22
|
| Rate for Payer: Priority Health Choice Medicaid |
$2.86
|
| Rate for Payer: Priority Health Cigna Priority Health |
$17.42
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$7.16
|
| Rate for Payer: Priority Health Medicare |
$5.22
|
| Rate for Payer: Priority Health Narrow Network |
$5.73
|
| Rate for Payer: Priority Health SBD |
$15.68
|
| Rate for Payer: Railroad Medicare Medicare |
$5.22
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$6.26
|
| Rate for Payer: UHC Core |
$8.60
|
| Rate for Payer: UHC Dual Complete DSNP |
$5.22
|
| Rate for Payer: UHC Exchange |
$5.22
|
| Rate for Payer: UHC Medicare Advantage |
$5.38
|
| Rate for Payer: UMR Bronson Commercial |
$9.21
|
| Rate for Payer: VA VA |
$5.22
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$18.67
|
|
|
HC BIRCH IGE
|
Facility
|
IP
|
$24.89
|
|
|
Service Code
|
CPT 86003
|
| Hospital Charge Code |
30200029
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$10.95 |
| Max. Negotiated Rate |
$22.40 |
| Rate for Payer: Aetna American Axle |
$16.18
|
| Rate for Payer: Aetna Commercial |
$21.16
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$16.18
|
| Rate for Payer: Cash Price |
$19.91
|
| Rate for Payer: Cofinity Commercial |
$17.42
|
| Rate for Payer: Cofinity Commercial |
$21.41
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$19.91
|
| Rate for Payer: Healthscope Commercial |
$22.40
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$17.42
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$18.67
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$21.16
|
| Rate for Payer: PHP Commercial |
$21.16
|
| Rate for Payer: Priority Health Cigna Priority Health |
$17.42
|
| Rate for Payer: Priority Health SBD |
$15.68
|
| Rate for Payer: UMR Bronson Commercial |
$10.95
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$18.67
|
|
|
HC BIVENTRICULAR DELIVERY SYSTEM
|
Facility
|
OP
|
$1,998.72
|
|
| Hospital Charge Code |
27200114
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$739.53 |
| Max. Negotiated Rate |
$1,798.85 |
| Rate for Payer: Aetna American Axle |
$1,299.17
|
| Rate for Payer: Aetna Commercial |
$1,698.91
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,299.17
|
| Rate for Payer: BCBS Complete |
$799.49
|
| Rate for Payer: Cash Price |
$1,598.98
|
| Rate for Payer: Cofinity Commercial |
$1,399.10
|
| Rate for Payer: Cofinity Commercial |
$1,718.90
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,598.98
|
| Rate for Payer: Healthscope Commercial |
$1,798.85
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,399.10
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,499.04
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,698.91
|
| Rate for Payer: PHP Commercial |
$1,698.91
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,399.10
|
| Rate for Payer: Priority Health SBD |
$1,259.19
|
| Rate for Payer: UMR Bronson Commercial |
$739.53
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,499.04
|
|
|
HC BIVENTRICULAR DELIVERY SYSTEM
|
Facility
|
IP
|
$1,998.72
|
|
| Hospital Charge Code |
27200114
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$879.44 |
| Max. Negotiated Rate |
$1,798.85 |
| Rate for Payer: Aetna American Axle |
$1,299.17
|
| Rate for Payer: Aetna Commercial |
$1,698.91
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,299.17
|
| Rate for Payer: Cash Price |
$1,598.98
|
| Rate for Payer: Cofinity Commercial |
$1,399.10
|
| Rate for Payer: Cofinity Commercial |
$1,718.90
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,598.98
|
| Rate for Payer: Healthscope Commercial |
$1,798.85
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,399.10
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,499.04
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,698.91
|
| Rate for Payer: PHP Commercial |
$1,698.91
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,399.10
|
| Rate for Payer: Priority Health SBD |
$1,259.19
|
| Rate for Payer: UMR Bronson Commercial |
$879.44
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,499.04
|
|
|
HC BI V PACEMAKER
|
Facility
|
OP
|
$27,388.65
|
|
|
Service Code
|
HCPCS C2621
|
| Hospital Charge Code |
27500001
|
|
Hospital Revenue Code
|
275
|
| Min. Negotiated Rate |
$10,133.80 |
| Max. Negotiated Rate |
$24,649.78 |
| Rate for Payer: Aetna American Axle |
$17,802.62
|
| Rate for Payer: Aetna Commercial |
$23,280.35
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$17,802.62
|
| Rate for Payer: BCBS Complete |
$10,955.46
|
| Rate for Payer: Cash Price |
$21,910.92
|
| Rate for Payer: Cofinity Commercial |
$19,172.06
|
| Rate for Payer: Cofinity Commercial |
$23,554.24
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$21,910.92
|
| Rate for Payer: Healthscope Commercial |
$24,649.78
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$19,172.06
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$20,541.49
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$23,280.35
|
| Rate for Payer: PHP Commercial |
$23,280.35
|
| Rate for Payer: Priority Health Cigna Priority Health |
$19,172.06
|
| Rate for Payer: Priority Health SBD |
$17,254.85
|
| Rate for Payer: UMR Bronson Commercial |
$10,133.80
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$20,541.49
|
|
|
HC BI V PACEMAKER
|
Facility
|
IP
|
$27,388.65
|
|
|
Service Code
|
HCPCS C2621
|
| Hospital Charge Code |
27500001
|
|
Hospital Revenue Code
|
275
|
| Min. Negotiated Rate |
$12,051.01 |
| Max. Negotiated Rate |
$24,649.78 |
| Rate for Payer: Aetna American Axle |
$17,802.62
|
| Rate for Payer: Aetna Commercial |
$23,280.35
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$17,802.62
|
| Rate for Payer: Cash Price |
$21,910.92
|
| Rate for Payer: Cofinity Commercial |
$19,172.06
|
| Rate for Payer: Cofinity Commercial |
$23,554.24
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$21,910.92
|
| Rate for Payer: Healthscope Commercial |
$24,649.78
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$19,172.06
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$20,541.49
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$23,280.35
|
| Rate for Payer: PHP Commercial |
$23,280.35
|
| Rate for Payer: Priority Health Cigna Priority Health |
$19,172.06
|
| Rate for Payer: Priority Health SBD |
$17,254.85
|
| Rate for Payer: UMR Bronson Commercial |
$12,051.01
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$20,541.49
|
|
|
HC BK VIRUS PCR, QUANT
|
Facility
|
IP
|
$111.18
|
|
|
Service Code
|
CPT 87799
|
| Hospital Charge Code |
30600289
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$48.92 |
| Max. Negotiated Rate |
$100.06 |
| Rate for Payer: Aetna American Axle |
$72.27
|
| Rate for Payer: Aetna Commercial |
$94.50
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$72.27
|
| Rate for Payer: Cash Price |
$88.94
|
| Rate for Payer: Cofinity Commercial |
$77.83
|
| Rate for Payer: Cofinity Commercial |
$95.61
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$88.94
|
| Rate for Payer: Healthscope Commercial |
$100.06
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$77.83
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$83.38
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$94.50
|
| Rate for Payer: PHP Commercial |
$94.50
|
| Rate for Payer: Priority Health Cigna Priority Health |
$77.83
|
| Rate for Payer: Priority Health SBD |
$70.04
|
| Rate for Payer: UMR Bronson Commercial |
$48.92
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$83.38
|
|
|
HC BK VIRUS PCR, QUANT
|
Facility
|
OP
|
$111.18
|
|
|
Service Code
|
CPT 87799
|
| Hospital Charge Code |
30600289
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$23.43 |
| Max. Negotiated Rate |
$100.06 |
| Rate for Payer: Aetna American Axle |
$72.27
|
| Rate for Payer: Aetna Commercial |
$94.50
|
| Rate for Payer: Aetna Medicare |
$44.55
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$72.27
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$53.55
|
| Rate for Payer: Amish Plain Church Group Commercial |
$53.55
|
| Rate for Payer: BCBS Complete |
$24.61
|
| Rate for Payer: BCBS MAPPO |
$42.84
|
| Rate for Payer: BCBS Trust/PPO |
$38.53
|
| Rate for Payer: BCN Medicare Advantage |
$42.84
|
| Rate for Payer: Cash Price |
$88.94
|
| Rate for Payer: Cash Price |
$88.94
|
| Rate for Payer: Cofinity Commercial |
$95.61
|
| Rate for Payer: Cofinity Commercial |
$77.83
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$88.94
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$42.84
|
| Rate for Payer: Healthscope Commercial |
$100.06
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$77.83
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$83.38
|
| Rate for Payer: Mclaren Medicaid |
$23.43
|
| Rate for Payer: Mclaren Medicare |
$42.84
|
| Rate for Payer: Meridian Medicaid |
$24.61
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$44.98
|
| Rate for Payer: MI Amish Medical Board Commercial |
$49.27
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$94.50
|
| Rate for Payer: PACE Medicare |
$40.70
|
| Rate for Payer: PACE SWMI |
$42.84
|
| Rate for Payer: PHP Commercial |
$94.50
|
| Rate for Payer: PHP Medicare Advantage |
$42.84
|
| Rate for Payer: Priority Health Choice Medicaid |
$23.43
|
| Rate for Payer: Priority Health Cigna Priority Health |
$77.83
|
| Rate for Payer: Priority Health Medicare |
$42.84
|
| Rate for Payer: Priority Health SBD |
$70.04
|
| Rate for Payer: Railroad Medicare Medicare |
$42.84
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$51.41
|
| Rate for Payer: UHC Core |
$70.66
|
| Rate for Payer: UHC Dual Complete DSNP |
$42.84
|
| Rate for Payer: UHC Exchange |
$42.84
|
| Rate for Payer: UHC Medicare Advantage |
$44.13
|
| Rate for Payer: UMR Bronson Commercial |
$41.14
|
| Rate for Payer: VA VA |
$42.84
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$83.38
|
|
|
HC BLADDER IRRIGATION
|
Facility
|
IP
|
$274.36
|
|
| Hospital Charge Code |
45000032
|
|
Hospital Revenue Code
|
450
|
| Min. Negotiated Rate |
$120.72 |
| Max. Negotiated Rate |
$246.92 |
| Rate for Payer: Aetna American Axle |
$178.33
|
| Rate for Payer: Aetna Commercial |
$233.21
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$178.33
|
| Rate for Payer: Cash Price |
$219.49
|
| Rate for Payer: Cofinity Commercial |
$192.05
|
| Rate for Payer: Cofinity Commercial |
$235.95
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$219.49
|
| Rate for Payer: Healthscope Commercial |
$246.92
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$192.05
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$205.77
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$233.21
|
| Rate for Payer: PHP Commercial |
$233.21
|
| Rate for Payer: Priority Health Cigna Priority Health |
$192.05
|
| Rate for Payer: Priority Health SBD |
$172.85
|
| Rate for Payer: UMR Bronson Commercial |
$120.72
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$205.77
|
|
|
HC BLADDER IRRIGATION
|
Facility
|
OP
|
$274.36
|
|
| Hospital Charge Code |
45000032
|
|
Hospital Revenue Code
|
450
|
| Min. Negotiated Rate |
$101.51 |
| Max. Negotiated Rate |
$246.92 |
| Rate for Payer: Aetna American Axle |
$178.33
|
| Rate for Payer: Aetna Commercial |
$233.21
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$178.33
|
| Rate for Payer: BCBS Complete |
$109.74
|
| Rate for Payer: Cash Price |
$219.49
|
| Rate for Payer: Cofinity Commercial |
$192.05
|
| Rate for Payer: Cofinity Commercial |
$235.95
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$219.49
|
| Rate for Payer: Healthscope Commercial |
$246.92
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$192.05
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$205.77
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$233.21
|
| Rate for Payer: PHP Commercial |
$233.21
|
| Rate for Payer: Priority Health Cigna Priority Health |
$192.05
|
| Rate for Payer: Priority Health SBD |
$172.85
|
| Rate for Payer: UMR Bronson Commercial |
$101.51
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$205.77
|
|
|
HC BLADDER SCAN
|
Facility
|
IP
|
$150.14
|
|
|
Service Code
|
CPT 51798
|
| Hospital Charge Code |
45000006
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$66.06 |
| Max. Negotiated Rate |
$135.13 |
| Rate for Payer: Aetna American Axle |
$97.59
|
| Rate for Payer: Aetna Commercial |
$127.62
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$97.59
|
| Rate for Payer: Cash Price |
$120.11
|
| Rate for Payer: Cofinity Commercial |
$105.10
|
| Rate for Payer: Cofinity Commercial |
$129.12
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$120.11
|
| Rate for Payer: Healthscope Commercial |
$135.13
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$105.10
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$112.60
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$127.62
|
| Rate for Payer: PHP Commercial |
$127.62
|
| Rate for Payer: Priority Health Cigna Priority Health |
$105.10
|
| Rate for Payer: Priority Health SBD |
$94.59
|
| Rate for Payer: UMR Bronson Commercial |
$66.06
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$112.60
|
|
|
HC BLADDER SCAN
|
Facility
|
OP
|
$150.14
|
|
|
Service Code
|
CPT 51798
|
| Hospital Charge Code |
45000006
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$11.13 |
| Max. Negotiated Rate |
$171.15 |
| Rate for Payer: Aetna American Axle |
$97.59
|
| Rate for Payer: Aetna Commercial |
$127.62
|
| Rate for Payer: Aetna Medicare |
$56.54
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$97.59
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$67.96
|
| Rate for Payer: Amish Plain Church Group Commercial |
$67.96
|
| Rate for Payer: BCBS Complete |
$31.23
|
| Rate for Payer: BCBS MAPPO |
$54.37
|
| Rate for Payer: BCBS Trust/PPO |
$118.97
|
| Rate for Payer: BCN Medicare Advantage |
$54.37
|
| Rate for Payer: Cash Price |
$120.11
|
| Rate for Payer: Cash Price |
$120.11
|
| Rate for Payer: Cofinity Commercial |
$105.10
|
| Rate for Payer: Cofinity Commercial |
$129.12
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$120.11
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$54.37
|
| Rate for Payer: Healthscope Commercial |
$135.13
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$105.10
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$112.60
|
| Rate for Payer: Mclaren Medicaid |
$29.74
|
| Rate for Payer: Mclaren Medicare |
$54.37
|
| Rate for Payer: Meridian Medicaid |
$31.23
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$57.09
|
| Rate for Payer: MI Amish Medical Board Commercial |
$62.53
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$127.62
|
| Rate for Payer: PACE Medicare |
$51.65
|
| Rate for Payer: PACE SWMI |
$54.37
|
| Rate for Payer: PHP Commercial |
$127.62
|
| Rate for Payer: PHP Medicare Advantage |
$54.37
|
| Rate for Payer: Priority Health Choice Medicaid |
$29.74
|
| Rate for Payer: Priority Health Cigna Priority Health |
$105.10
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$171.15
|
| Rate for Payer: Priority Health Medicare |
$54.37
|
| Rate for Payer: Priority Health Narrow Network |
$136.92
|
| Rate for Payer: Priority Health SBD |
$94.59
|
| Rate for Payer: Railroad Medicare Medicare |
$54.37
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$12.24
|
| Rate for Payer: UHC Dual Complete DSNP |
$54.37
|
| Rate for Payer: UHC Exchange |
$11.13
|
| Rate for Payer: UHC Medicare Advantage |
$56.00
|
| Rate for Payer: UMR Bronson Commercial |
$55.55
|
| Rate for Payer: VA VA |
$54.37
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$112.60
|
|
|
HC BLASTOMYCES ABS BY COMP FIX
|
Facility
|
OP
|
$75.00
|
|
|
Service Code
|
CPT 86612
|
| Hospital Charge Code |
30200230
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$7.06 |
| Max. Negotiated Rate |
$67.50 |
| Rate for Payer: Aetna American Axle |
$48.75
|
| Rate for Payer: Aetna Commercial |
$63.75
|
| Rate for Payer: Aetna Medicare |
$13.42
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$48.75
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$16.12
|
| Rate for Payer: Amish Plain Church Group Commercial |
$16.12
|
| Rate for Payer: BCBS Complete |
$7.41
|
| Rate for Payer: BCBS MAPPO |
$12.90
|
| Rate for Payer: BCBS Trust/PPO |
$11.61
|
| Rate for Payer: BCN Medicare Advantage |
$12.90
|
| Rate for Payer: Cash Price |
$60.00
|
| Rate for Payer: Cash Price |
$60.00
|
| Rate for Payer: Cofinity Commercial |
$52.50
|
| Rate for Payer: Cofinity Commercial |
$64.50
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$60.00
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$12.90
|
| Rate for Payer: Healthscope Commercial |
$67.50
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$52.50
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$56.25
|
| Rate for Payer: Mclaren Medicaid |
$7.06
|
| Rate for Payer: Mclaren Medicare |
$12.90
|
| Rate for Payer: Meridian Medicaid |
$7.41
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$13.54
|
| Rate for Payer: MI Amish Medical Board Commercial |
$14.84
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$63.75
|
| Rate for Payer: PACE Medicare |
$12.26
|
| Rate for Payer: PACE SWMI |
$12.90
|
| Rate for Payer: PHP Commercial |
$63.75
|
| Rate for Payer: PHP Medicare Advantage |
$12.90
|
| Rate for Payer: Priority Health Choice Medicaid |
$7.06
|
| Rate for Payer: Priority Health Cigna Priority Health |
$52.50
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$17.70
|
| Rate for Payer: Priority Health Medicare |
$12.90
|
| Rate for Payer: Priority Health Narrow Network |
$14.16
|
| Rate for Payer: Priority Health SBD |
$47.25
|
| Rate for Payer: Railroad Medicare Medicare |
$12.90
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$15.48
|
| Rate for Payer: UHC Core |
$21.29
|
| Rate for Payer: UHC Dual Complete DSNP |
$12.90
|
| Rate for Payer: UHC Exchange |
$12.90
|
| Rate for Payer: UHC Medicare Advantage |
$13.29
|
| Rate for Payer: UMR Bronson Commercial |
$27.75
|
| Rate for Payer: VA VA |
$12.90
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$56.25
|
|
|
HC BLASTOMYCES ABS BY COMP FIX
|
Facility
|
IP
|
$75.00
|
|
|
Service Code
|
CPT 86612
|
| Hospital Charge Code |
30200230
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$33.00 |
| Max. Negotiated Rate |
$67.50 |
| Rate for Payer: Aetna American Axle |
$48.75
|
| Rate for Payer: Aetna Commercial |
$63.75
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$48.75
|
| Rate for Payer: Cash Price |
$60.00
|
| Rate for Payer: Cofinity Commercial |
$52.50
|
| Rate for Payer: Cofinity Commercial |
$64.50
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$60.00
|
| Rate for Payer: Healthscope Commercial |
$67.50
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$52.50
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$56.25
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$63.75
|
| Rate for Payer: PHP Commercial |
$63.75
|
| Rate for Payer: Priority Health Cigna Priority Health |
$52.50
|
| Rate for Payer: Priority Health SBD |
$47.25
|
| Rate for Payer: UMR Bronson Commercial |
$33.00
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$56.25
|
|
