|
HC CALR, GENE MUTATION, EXON 9, REFLEX
|
Facility
|
OP
|
$660.04
|
|
|
Service Code
|
CPT 81219
|
| Hospital Charge Code |
30000108
|
|
Hospital Revenue Code
|
300
|
| Min. Negotiated Rate |
$66.53 |
| Max. Negotiated Rate |
$594.04 |
| Rate for Payer: Aetna American Axle |
$429.03
|
| Rate for Payer: Aetna Commercial |
$561.03
|
| Rate for Payer: Aetna Medicare |
$126.50
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$429.03
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$152.04
|
| Rate for Payer: Amish Plain Church Group Commercial |
$152.04
|
| Rate for Payer: BCBS Complete |
$69.86
|
| Rate for Payer: BCBS MAPPO |
$121.63
|
| Rate for Payer: BCBS Trust/PPO |
$109.38
|
| Rate for Payer: BCN Medicare Advantage |
$121.63
|
| Rate for Payer: Cash Price |
$528.03
|
| Rate for Payer: Cash Price |
$528.03
|
| Rate for Payer: Cofinity Commercial |
$567.63
|
| Rate for Payer: Cofinity Commercial |
$462.03
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$528.03
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$121.63
|
| Rate for Payer: Healthscope Commercial |
$594.04
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$462.03
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$495.03
|
| Rate for Payer: Mclaren Medicaid |
$66.53
|
| Rate for Payer: Mclaren Medicare |
$121.63
|
| Rate for Payer: Meridian Medicaid |
$69.86
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$127.71
|
| Rate for Payer: MI Amish Medical Board Commercial |
$139.87
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$561.03
|
| Rate for Payer: PACE Medicare |
$115.55
|
| Rate for Payer: PACE SWMI |
$121.63
|
| Rate for Payer: PHP Commercial |
$561.03
|
| Rate for Payer: PHP Medicare Advantage |
$121.63
|
| Rate for Payer: Priority Health Choice Medicaid |
$66.53
|
| Rate for Payer: Priority Health Cigna Priority Health |
$462.03
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$166.84
|
| Rate for Payer: Priority Health Medicare |
$121.63
|
| Rate for Payer: Priority Health Narrow Network |
$133.47
|
| Rate for Payer: Priority Health SBD |
$415.83
|
| Rate for Payer: Railroad Medicare Medicare |
$121.63
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$145.96
|
| Rate for Payer: UHC Core |
$198.82
|
| Rate for Payer: UHC Dual Complete DSNP |
$121.63
|
| Rate for Payer: UHC Exchange |
$121.63
|
| Rate for Payer: UHC Medicare Advantage |
$125.28
|
| Rate for Payer: UMR Bronson Commercial |
$244.21
|
| Rate for Payer: VA VA |
$121.63
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$495.03
|
|
|
HC CANALITH REPOSITIONING
|
Facility
|
IP
|
$129.03
|
|
|
Service Code
|
CPT 95992
|
| Hospital Charge Code |
42000008
|
|
Hospital Revenue Code
|
420
|
| Min. Negotiated Rate |
$56.77 |
| Max. Negotiated Rate |
$116.13 |
| Rate for Payer: Aetna American Axle |
$83.87
|
| Rate for Payer: Aetna Commercial |
$109.68
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$83.87
|
| Rate for Payer: Cash Price |
$103.22
|
| Rate for Payer: Cofinity Commercial |
$110.97
|
| Rate for Payer: Cofinity Commercial |
$90.32
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$103.22
|
| Rate for Payer: Healthscope Commercial |
$116.13
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$90.32
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$96.77
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$109.68
|
| Rate for Payer: PHP Commercial |
$109.68
|
| Rate for Payer: Priority Health Cigna Priority Health |
$90.32
|
| Rate for Payer: Priority Health SBD |
$81.29
|
| Rate for Payer: UMR Bronson Commercial |
$56.77
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$96.77
|
|
|
HC CANALITH REPOSITIONING
|
Facility
|
OP
|
$129.03
|
|
|
Service Code
|
CPT 95992
|
| Hospital Charge Code |
42000008
|
|
Hospital Revenue Code
|
420
|
| Min. Negotiated Rate |
$34.71 |
| Max. Negotiated Rate |
$294.00 |
| Rate for Payer: Aetna American Axle |
$83.87
|
| Rate for Payer: Aetna Commercial |
$109.68
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$83.87
|
| Rate for Payer: BCBS Complete |
$51.61
|
| Rate for Payer: BCBS Trust/PPO |
$45.32
|
| Rate for Payer: Cash Price |
$103.22
|
| Rate for Payer: Cash Price |
$103.22
|
| Rate for Payer: Cash Price |
$103.22
|
| Rate for Payer: Cofinity Commercial |
$90.32
|
| Rate for Payer: Cofinity Commercial |
$110.97
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$103.22
|
| Rate for Payer: Healthscope Commercial |
$116.13
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$90.32
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$96.77
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$109.68
|
| Rate for Payer: PHP Commercial |
$109.68
|
| Rate for Payer: Priority Health Cigna Priority Health |
$90.32
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$58.91
|
| Rate for Payer: Priority Health Narrow Network |
$47.13
|
| Rate for Payer: Priority Health SBD |
$81.29
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$38.18
|
| Rate for Payer: UHC Core |
$294.00
|
| Rate for Payer: UHC Exchange |
$34.71
|
| Rate for Payer: UMR Bronson Commercial |
$47.74
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$96.77
|
|
|
HC CANCER ANTIGEN 15-3
|
Facility
|
IP
|
$47.94
|
|
|
Service Code
|
CPT 86300
|
| Hospital Charge Code |
30200182
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$21.09 |
| Max. Negotiated Rate |
$43.15 |
| Rate for Payer: Aetna American Axle |
$31.16
|
| Rate for Payer: Aetna Commercial |
$40.75
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$31.16
|
| Rate for Payer: Cash Price |
$38.35
|
| Rate for Payer: Cofinity Commercial |
$33.56
|
| Rate for Payer: Cofinity Commercial |
$41.23
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$38.35
|
| Rate for Payer: Healthscope Commercial |
$43.15
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$33.56
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$35.96
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$40.75
|
| Rate for Payer: PHP Commercial |
$40.75
|
| Rate for Payer: Priority Health Cigna Priority Health |
$33.56
|
| Rate for Payer: Priority Health SBD |
$30.20
|
| Rate for Payer: UMR Bronson Commercial |
$21.09
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$35.96
|
|
|
HC CANCER ANTIGEN 15-3
|
Facility
|
OP
|
$47.94
|
|
|
Service Code
|
CPT 86300
|
| Hospital Charge Code |
30200182
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$11.38 |
| Max. Negotiated Rate |
$43.15 |
| Rate for Payer: Aetna American Axle |
$31.16
|
| Rate for Payer: Aetna Commercial |
$40.75
|
| Rate for Payer: Aetna Medicare |
$21.64
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$31.16
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$26.01
|
| Rate for Payer: Amish Plain Church Group Commercial |
$26.01
|
| Rate for Payer: BCBS Complete |
$11.95
|
| Rate for Payer: BCBS MAPPO |
$20.81
|
| Rate for Payer: BCBS Trust/PPO |
$18.72
|
| Rate for Payer: BCN Medicare Advantage |
$20.81
|
| Rate for Payer: Cash Price |
$38.35
|
| Rate for Payer: Cash Price |
$38.35
|
| Rate for Payer: Cofinity Commercial |
$41.23
|
| Rate for Payer: Cofinity Commercial |
$33.56
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$38.35
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$20.81
|
| Rate for Payer: Healthscope Commercial |
$43.15
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$33.56
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$35.96
|
| Rate for Payer: Mclaren Medicaid |
$11.38
|
| Rate for Payer: Mclaren Medicare |
$20.81
|
| Rate for Payer: Meridian Medicaid |
$11.95
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$21.85
|
| Rate for Payer: MI Amish Medical Board Commercial |
$23.93
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$40.75
|
| Rate for Payer: PACE Medicare |
$19.77
|
| Rate for Payer: PACE SWMI |
$20.81
|
| Rate for Payer: PHP Commercial |
$40.75
|
| Rate for Payer: PHP Medicare Advantage |
$20.81
|
| Rate for Payer: Priority Health Choice Medicaid |
$11.38
|
| Rate for Payer: Priority Health Cigna Priority Health |
$33.56
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$28.55
|
| Rate for Payer: Priority Health Medicare |
$20.81
|
| Rate for Payer: Priority Health Narrow Network |
$22.84
|
| Rate for Payer: Priority Health SBD |
$30.20
|
| Rate for Payer: Railroad Medicare Medicare |
$20.81
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$24.97
|
| Rate for Payer: UHC Core |
$34.33
|
| Rate for Payer: UHC Dual Complete DSNP |
$20.81
|
| Rate for Payer: UHC Exchange |
$20.81
|
| Rate for Payer: UHC Medicare Advantage |
$21.43
|
| Rate for Payer: UMR Bronson Commercial |
$17.74
|
| Rate for Payer: VA VA |
$20.81
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$35.96
|
|
|
HC CANCER ANTIGEN 19-9
|
Facility
|
IP
|
$44.88
|
|
|
Service Code
|
CPT 86301
|
| Hospital Charge Code |
30200184
|
|
Hospital Revenue Code
|
302
|
| 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 CANCER ANTIGEN 19-9
|
Facility
|
OP
|
$44.88
|
|
|
Service Code
|
CPT 86301
|
| Hospital Charge Code |
30200184
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$11.38 |
| 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 |
$21.64
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$29.17
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$26.01
|
| Rate for Payer: Amish Plain Church Group Commercial |
$26.01
|
| Rate for Payer: BCBS Complete |
$11.95
|
| Rate for Payer: BCBS MAPPO |
$20.81
|
| Rate for Payer: BCBS Trust/PPO |
$18.72
|
| Rate for Payer: BCN Medicare Advantage |
$20.81
|
| 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 |
$20.81
|
| 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 |
$11.38
|
| Rate for Payer: Mclaren Medicare |
$20.81
|
| Rate for Payer: Meridian Medicaid |
$11.95
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$21.85
|
| Rate for Payer: MI Amish Medical Board Commercial |
$23.93
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$38.15
|
| Rate for Payer: PACE Medicare |
$19.77
|
| Rate for Payer: PACE SWMI |
$20.81
|
| Rate for Payer: PHP Commercial |
$38.15
|
| Rate for Payer: PHP Medicare Advantage |
$20.81
|
| Rate for Payer: Priority Health Choice Medicaid |
$11.38
|
| Rate for Payer: Priority Health Cigna Priority Health |
$31.42
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$28.55
|
| Rate for Payer: Priority Health Medicare |
$20.81
|
| Rate for Payer: Priority Health Narrow Network |
$22.84
|
| Rate for Payer: Priority Health SBD |
$28.27
|
| Rate for Payer: Railroad Medicare Medicare |
$20.81
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$24.97
|
| Rate for Payer: UHC Core |
$34.33
|
| Rate for Payer: UHC Dual Complete DSNP |
$20.81
|
| Rate for Payer: UHC Exchange |
$20.81
|
| Rate for Payer: UHC Medicare Advantage |
$21.43
|
| Rate for Payer: UMR Bronson Commercial |
$16.61
|
| Rate for Payer: VA VA |
$20.81
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$33.66
|
|
|
HC CANCER ANTIGEN 2729
|
Facility
|
IP
|
$40.39
|
|
|
Service Code
|
CPT 86300
|
| Hospital Charge Code |
30200183
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$17.77 |
| Max. Negotiated Rate |
$36.35 |
| Rate for Payer: Aetna American Axle |
$26.25
|
| Rate for Payer: Aetna Commercial |
$34.33
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$26.25
|
| Rate for Payer: Cash Price |
$32.31
|
| Rate for Payer: Cofinity Commercial |
$28.27
|
| Rate for Payer: Cofinity Commercial |
$34.74
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$32.31
|
| Rate for Payer: Healthscope Commercial |
$36.35
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$28.27
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$30.29
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$34.33
|
| Rate for Payer: PHP Commercial |
$34.33
|
| Rate for Payer: Priority Health Cigna Priority Health |
$28.27
|
| Rate for Payer: Priority Health SBD |
$25.45
|
| Rate for Payer: UMR Bronson Commercial |
$17.77
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$30.29
|
|
|
HC CANCER ANTIGEN 2729
|
Facility
|
OP
|
$40.39
|
|
|
Service Code
|
CPT 86300
|
| Hospital Charge Code |
30200183
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$11.38 |
| Max. Negotiated Rate |
$36.35 |
| Rate for Payer: Aetna American Axle |
$26.25
|
| Rate for Payer: Aetna Commercial |
$34.33
|
| Rate for Payer: Aetna Medicare |
$21.64
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$26.25
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$26.01
|
| Rate for Payer: Amish Plain Church Group Commercial |
$26.01
|
| Rate for Payer: BCBS Complete |
$11.95
|
| Rate for Payer: BCBS MAPPO |
$20.81
|
| Rate for Payer: BCBS Trust/PPO |
$18.72
|
| Rate for Payer: BCN Medicare Advantage |
$20.81
|
| Rate for Payer: Cash Price |
$32.31
|
| Rate for Payer: Cash Price |
$32.31
|
| Rate for Payer: Cofinity Commercial |
$34.74
|
| Rate for Payer: Cofinity Commercial |
$28.27
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$32.31
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$20.81
|
| Rate for Payer: Healthscope Commercial |
$36.35
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$28.27
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$30.29
|
| Rate for Payer: Mclaren Medicaid |
$11.38
|
| Rate for Payer: Mclaren Medicare |
$20.81
|
| Rate for Payer: Meridian Medicaid |
$11.95
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$21.85
|
| Rate for Payer: MI Amish Medical Board Commercial |
$23.93
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$34.33
|
| Rate for Payer: PACE Medicare |
$19.77
|
| Rate for Payer: PACE SWMI |
$20.81
|
| Rate for Payer: PHP Commercial |
$34.33
|
| Rate for Payer: PHP Medicare Advantage |
$20.81
|
| Rate for Payer: Priority Health Choice Medicaid |
$11.38
|
| Rate for Payer: Priority Health Cigna Priority Health |
$28.27
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$28.55
|
| Rate for Payer: Priority Health Medicare |
$20.81
|
| Rate for Payer: Priority Health Narrow Network |
$22.84
|
| Rate for Payer: Priority Health SBD |
$25.45
|
| Rate for Payer: Railroad Medicare Medicare |
$20.81
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$24.97
|
| Rate for Payer: UHC Core |
$34.33
|
| Rate for Payer: UHC Dual Complete DSNP |
$20.81
|
| Rate for Payer: UHC Exchange |
$20.81
|
| Rate for Payer: UHC Medicare Advantage |
$21.43
|
| Rate for Payer: UMR Bronson Commercial |
$14.94
|
| Rate for Payer: VA VA |
$20.81
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$30.29
|
|
|
HC CANDIDA ALBICANS IGE
|
Facility
|
IP
|
$24.89
|
|
|
Service Code
|
CPT 86003
|
| Hospital Charge Code |
30200077
|
|
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 CANDIDA ALBICANS IGE
|
Facility
|
OP
|
$24.89
|
|
|
Service Code
|
CPT 86003
|
| Hospital Charge Code |
30200077
|
|
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 |
$17.42
|
| Rate for Payer: Cofinity Commercial |
$21.41
|
| 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 CANNABINOID URIN
|
Facility
|
OP
|
$92.68
|
|
|
Service Code
|
CPT 80307
|
| Hospital Charge Code |
30000125
|
|
Hospital Revenue Code
|
300
|
| Min. Negotiated Rate |
$33.99 |
| Max. Negotiated Rate |
$95.77 |
| Rate for Payer: Aetna American Axle |
$60.24
|
| Rate for Payer: Aetna Commercial |
$78.78
|
| Rate for Payer: Aetna Medicare |
$64.63
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$60.24
|
| 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 |
$74.14
|
| Rate for Payer: Cash Price |
$74.14
|
| Rate for Payer: Cofinity Commercial |
$64.88
|
| Rate for Payer: Cofinity Commercial |
$79.70
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$74.14
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$62.14
|
| Rate for Payer: Healthscope Commercial |
$83.41
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$64.88
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$69.51
|
| 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 |
$78.78
|
| Rate for Payer: PACE Medicare |
$59.03
|
| Rate for Payer: PACE SWMI |
$62.14
|
| Rate for Payer: PHP Commercial |
$78.78
|
| 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 |
$64.88
|
| 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 |
$58.39
|
| 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 |
$34.29
|
| Rate for Payer: VA VA |
$62.14
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$69.51
|
|
|
HC CANNABINOID URIN
|
Facility
|
IP
|
$92.68
|
|
|
Service Code
|
CPT 80307
|
| Hospital Charge Code |
30000125
|
|
Hospital Revenue Code
|
300
|
| Min. Negotiated Rate |
$40.78 |
| Max. Negotiated Rate |
$83.41 |
| Rate for Payer: Aetna American Axle |
$60.24
|
| Rate for Payer: Aetna Commercial |
$78.78
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$60.24
|
| Rate for Payer: Cash Price |
$74.14
|
| Rate for Payer: Cofinity Commercial |
$64.88
|
| Rate for Payer: Cofinity Commercial |
$79.70
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$74.14
|
| Rate for Payer: Healthscope Commercial |
$83.41
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$64.88
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$69.51
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$78.78
|
| Rate for Payer: PHP Commercial |
$78.78
|
| Rate for Payer: Priority Health Cigna Priority Health |
$64.88
|
| Rate for Payer: Priority Health SBD |
$58.39
|
| Rate for Payer: UMR Bronson Commercial |
$40.78
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$69.51
|
|
|
HC CANN/INTRO FEM ART 17,19,21 FR
|
Facility
|
OP
|
$867.00
|
|
| Hospital Charge Code |
27000274
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$320.79 |
| Max. Negotiated Rate |
$780.30 |
| Rate for Payer: Aetna American Axle |
$563.55
|
| Rate for Payer: Aetna Commercial |
$736.95
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$563.55
|
| Rate for Payer: BCBS Complete |
$346.80
|
| Rate for Payer: Cash Price |
$693.60
|
| Rate for Payer: Cofinity Commercial |
$606.90
|
| Rate for Payer: Cofinity Commercial |
$745.62
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$693.60
|
| Rate for Payer: Healthscope Commercial |
$780.30
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$606.90
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$650.25
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$736.95
|
| Rate for Payer: PHP Commercial |
$736.95
|
| Rate for Payer: Priority Health Cigna Priority Health |
$606.90
|
| Rate for Payer: Priority Health SBD |
$546.21
|
| Rate for Payer: UMR Bronson Commercial |
$320.79
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$650.25
|
|
|
HC CANN/INTRO FEM ART 17,19,21 FR
|
Facility
|
IP
|
$867.00
|
|
| Hospital Charge Code |
27000274
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$381.48 |
| Max. Negotiated Rate |
$780.30 |
| Rate for Payer: Aetna American Axle |
$563.55
|
| Rate for Payer: Aetna Commercial |
$736.95
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$563.55
|
| Rate for Payer: Cash Price |
$693.60
|
| Rate for Payer: Cofinity Commercial |
$606.90
|
| Rate for Payer: Cofinity Commercial |
$745.62
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$693.60
|
| Rate for Payer: Healthscope Commercial |
$780.30
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$606.90
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$650.25
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$736.95
|
| Rate for Payer: PHP Commercial |
$736.95
|
| Rate for Payer: Priority Health Cigna Priority Health |
$606.90
|
| Rate for Payer: Priority Health SBD |
$546.21
|
| Rate for Payer: UMR Bronson Commercial |
$381.48
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$650.25
|
|
|
HC CANN RT ANG BALLOON 4-6MM
|
Facility
|
IP
|
$297.00
|
|
| Hospital Charge Code |
27000446
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$130.68 |
| Max. Negotiated Rate |
$267.30 |
| Rate for Payer: Aetna American Axle |
$193.05
|
| Rate for Payer: Aetna Commercial |
$252.45
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$193.05
|
| Rate for Payer: Cash Price |
$237.60
|
| Rate for Payer: Cofinity Commercial |
$207.90
|
| Rate for Payer: Cofinity Commercial |
$255.42
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$237.60
|
| Rate for Payer: Healthscope Commercial |
$267.30
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$207.90
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$222.75
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$252.45
|
| Rate for Payer: PHP Commercial |
$252.45
|
| Rate for Payer: Priority Health Cigna Priority Health |
$207.90
|
| Rate for Payer: Priority Health SBD |
$187.11
|
| Rate for Payer: UMR Bronson Commercial |
$130.68
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$222.75
|
|
|
HC CANN RT ANG BALLOON 4-6MM
|
Facility
|
OP
|
$297.00
|
|
| Hospital Charge Code |
27000446
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$109.89 |
| Max. Negotiated Rate |
$267.30 |
| Rate for Payer: Aetna American Axle |
$193.05
|
| Rate for Payer: Aetna Commercial |
$252.45
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$193.05
|
| Rate for Payer: BCBS Complete |
$118.80
|
| Rate for Payer: Cash Price |
$237.60
|
| Rate for Payer: Cofinity Commercial |
$207.90
|
| Rate for Payer: Cofinity Commercial |
$255.42
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$237.60
|
| Rate for Payer: Healthscope Commercial |
$267.30
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$207.90
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$222.75
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$252.45
|
| Rate for Payer: PHP Commercial |
$252.45
|
| Rate for Payer: Priority Health Cigna Priority Health |
$207.90
|
| Rate for Payer: Priority Health SBD |
$187.11
|
| Rate for Payer: UMR Bronson Commercial |
$109.89
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$222.75
|
|
|
HC CANNULA ARTERIAL 21, 24 FR
|
Facility
|
OP
|
$114.00
|
|
| Hospital Charge Code |
27000449
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$42.18 |
| Max. Negotiated Rate |
$102.60 |
| Rate for Payer: Aetna American Axle |
$74.10
|
| Rate for Payer: Aetna Commercial |
$96.90
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$74.10
|
| Rate for Payer: BCBS Complete |
$45.60
|
| Rate for Payer: Cash Price |
$91.20
|
| Rate for Payer: Cofinity Commercial |
$79.80
|
| Rate for Payer: Cofinity Commercial |
$98.04
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$91.20
|
| Rate for Payer: Healthscope Commercial |
$102.60
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$79.80
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$85.50
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$96.90
|
| Rate for Payer: PHP Commercial |
$96.90
|
| Rate for Payer: Priority Health Cigna Priority Health |
$79.80
|
| Rate for Payer: Priority Health SBD |
$71.82
|
| Rate for Payer: UMR Bronson Commercial |
$42.18
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$85.50
|
|
|
HC CANNULA ARTERIAL 21, 24 FR
|
Facility
|
IP
|
$114.00
|
|
| Hospital Charge Code |
27000449
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$50.16 |
| Max. Negotiated Rate |
$102.60 |
| Rate for Payer: Aetna American Axle |
$74.10
|
| Rate for Payer: Aetna Commercial |
$96.90
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$74.10
|
| Rate for Payer: Cash Price |
$91.20
|
| Rate for Payer: Cofinity Commercial |
$79.80
|
| Rate for Payer: Cofinity Commercial |
$98.04
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$91.20
|
| Rate for Payer: Healthscope Commercial |
$102.60
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$79.80
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$85.50
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$96.90
|
| Rate for Payer: PHP Commercial |
$96.90
|
| Rate for Payer: Priority Health Cigna Priority Health |
$79.80
|
| Rate for Payer: Priority Health SBD |
$71.82
|
| Rate for Payer: UMR Bronson Commercial |
$50.16
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$85.50
|
|
|
HC CANNULA ARTERIOTOMY 2 MM
|
Facility
|
IP
|
$24.00
|
|
| Hospital Charge Code |
27000675
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$10.56 |
| Max. Negotiated Rate |
$21.60 |
| Rate for Payer: Aetna American Axle |
$15.60
|
| Rate for Payer: Aetna Commercial |
$20.40
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$15.60
|
| Rate for Payer: Cash Price |
$19.20
|
| Rate for Payer: Cofinity Commercial |
$16.80
|
| Rate for Payer: Cofinity Commercial |
$20.64
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$19.20
|
| Rate for Payer: Healthscope Commercial |
$21.60
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$16.80
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$18.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$20.40
|
| Rate for Payer: PHP Commercial |
$20.40
|
| Rate for Payer: Priority Health Cigna Priority Health |
$16.80
|
| Rate for Payer: Priority Health SBD |
$15.12
|
| Rate for Payer: UMR Bronson Commercial |
$10.56
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$18.00
|
|
|
HC CANNULA ARTERIOTOMY 2 MM
|
Facility
|
OP
|
$24.00
|
|
| Hospital Charge Code |
27000675
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$8.88 |
| Max. Negotiated Rate |
$21.60 |
| Rate for Payer: Aetna American Axle |
$15.60
|
| Rate for Payer: Aetna Commercial |
$20.40
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$15.60
|
| Rate for Payer: BCBS Complete |
$9.60
|
| Rate for Payer: Cash Price |
$19.20
|
| Rate for Payer: Cofinity Commercial |
$16.80
|
| Rate for Payer: Cofinity Commercial |
$20.64
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$19.20
|
| Rate for Payer: Healthscope Commercial |
$21.60
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$16.80
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$18.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$20.40
|
| Rate for Payer: PHP Commercial |
$20.40
|
| Rate for Payer: Priority Health Cigna Priority Health |
$16.80
|
| Rate for Payer: Priority Health SBD |
$15.12
|
| Rate for Payer: UMR Bronson Commercial |
$8.88
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$18.00
|
|
|
HC CANNULA BIOMEDICUS
|
Facility
|
IP
|
$1,444.58
|
|
| Hospital Charge Code |
27006715
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$635.62 |
| Max. Negotiated Rate |
$1,300.12 |
| Rate for Payer: Aetna American Axle |
$938.98
|
| Rate for Payer: Aetna Commercial |
$1,227.89
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$938.98
|
| Rate for Payer: Cash Price |
$1,155.66
|
| Rate for Payer: Cofinity Commercial |
$1,011.21
|
| Rate for Payer: Cofinity Commercial |
$1,242.34
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,155.66
|
| Rate for Payer: Healthscope Commercial |
$1,300.12
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,011.21
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,083.44
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,227.89
|
| Rate for Payer: PHP Commercial |
$1,227.89
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,011.21
|
| Rate for Payer: Priority Health SBD |
$910.09
|
| Rate for Payer: UMR Bronson Commercial |
$635.62
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,083.44
|
|
|
HC CANNULA BIOMEDICUS
|
Facility
|
OP
|
$1,444.58
|
|
| Hospital Charge Code |
27006715
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$534.49 |
| Max. Negotiated Rate |
$1,300.12 |
| Rate for Payer: Aetna American Axle |
$938.98
|
| Rate for Payer: Aetna Commercial |
$1,227.89
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$938.98
|
| Rate for Payer: BCBS Complete |
$577.83
|
| Rate for Payer: Cash Price |
$1,155.66
|
| Rate for Payer: Cofinity Commercial |
$1,011.21
|
| Rate for Payer: Cofinity Commercial |
$1,242.34
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,155.66
|
| Rate for Payer: Healthscope Commercial |
$1,300.12
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,011.21
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,083.44
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,227.89
|
| Rate for Payer: PHP Commercial |
$1,227.89
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,011.21
|
| Rate for Payer: Priority Health SBD |
$910.09
|
| Rate for Payer: UMR Bronson Commercial |
$534.49
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,083.44
|
|
|
HC CANNULA CARDIOPLEGIA
|
Facility
|
IP
|
$46.50
|
|
| Hospital Charge Code |
27000092
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$20.46 |
| Max. Negotiated Rate |
$41.85 |
| Rate for Payer: Aetna American Axle |
$30.22
|
| Rate for Payer: Aetna Commercial |
$39.52
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$30.22
|
| Rate for Payer: Cash Price |
$37.20
|
| Rate for Payer: Cofinity Commercial |
$32.55
|
| Rate for Payer: Cofinity Commercial |
$39.99
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$37.20
|
| Rate for Payer: Healthscope Commercial |
$41.85
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$32.55
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$34.88
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$39.52
|
| Rate for Payer: PHP Commercial |
$39.52
|
| Rate for Payer: Priority Health Cigna Priority Health |
$32.55
|
| Rate for Payer: Priority Health SBD |
$29.30
|
| Rate for Payer: UMR Bronson Commercial |
$20.46
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$34.88
|
|
|
HC CANNULA CARDIOPLEGIA
|
Facility
|
OP
|
$46.50
|
|
| Hospital Charge Code |
27000092
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$17.20 |
| Max. Negotiated Rate |
$41.85 |
| Rate for Payer: Aetna American Axle |
$30.22
|
| Rate for Payer: Aetna Commercial |
$39.52
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$30.22
|
| Rate for Payer: BCBS Complete |
$18.60
|
| Rate for Payer: Cash Price |
$37.20
|
| Rate for Payer: Cofinity Commercial |
$32.55
|
| Rate for Payer: Cofinity Commercial |
$39.99
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$37.20
|
| Rate for Payer: Healthscope Commercial |
$41.85
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$32.55
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$34.88
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$39.52
|
| Rate for Payer: PHP Commercial |
$39.52
|
| Rate for Payer: Priority Health Cigna Priority Health |
$32.55
|
| Rate for Payer: Priority Health SBD |
$29.30
|
| Rate for Payer: UMR Bronson Commercial |
$17.20
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$34.88
|
|
