|
HC CT LOWER EXTREM BIL W CON
|
Facility
|
IP
|
$2,020.91
|
|
|
Service Code
|
CPT 73701
|
| Hospital Charge Code |
35200032
|
|
Hospital Revenue Code
|
352
|
| Min. Negotiated Rate |
$889.20 |
| Max. Negotiated Rate |
$1,818.82 |
| Rate for Payer: Aetna American Axle |
$1,313.59
|
| Rate for Payer: Aetna Commercial |
$1,717.77
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,313.59
|
| Rate for Payer: Cash Price |
$1,616.73
|
| Rate for Payer: Cofinity Commercial |
$1,414.64
|
| Rate for Payer: Cofinity Commercial |
$1,737.98
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,616.73
|
| Rate for Payer: Healthscope Commercial |
$1,818.82
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,414.64
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,515.68
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,717.77
|
| Rate for Payer: PHP Commercial |
$1,717.77
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,414.64
|
| Rate for Payer: Priority Health SBD |
$1,273.17
|
| Rate for Payer: UMR Bronson Commercial |
$889.20
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,515.68
|
|
|
HC CT LOWER EXTREM BIL WO CON
|
Facility
|
OP
|
$1,711.50
|
|
|
Service Code
|
CPT 73700
|
| Hospital Charge Code |
35200031
|
|
Hospital Revenue Code
|
352
|
| Min. Negotiated Rate |
$53.45 |
| Max. Negotiated Rate |
$1,540.35 |
| Rate for Payer: Aetna American Axle |
$1,112.48
|
| Rate for Payer: Aetna Commercial |
$1,454.78
|
| Rate for Payer: Aetna Medicare |
$101.63
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,112.48
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$122.15
|
| Rate for Payer: Amish Plain Church Group Commercial |
$122.15
|
| Rate for Payer: BCBS Complete |
$56.13
|
| Rate for Payer: BCBS MAPPO |
$97.72
|
| Rate for Payer: BCBS Trust/PPO |
$165.34
|
| Rate for Payer: BCN Medicare Advantage |
$97.72
|
| Rate for Payer: Cash Price |
$1,369.20
|
| Rate for Payer: Cash Price |
$1,369.20
|
| Rate for Payer: Cofinity Commercial |
$1,198.05
|
| Rate for Payer: Cofinity Commercial |
$1,471.89
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,369.20
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$97.72
|
| Rate for Payer: Healthscope Commercial |
$1,540.35
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,198.05
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,283.62
|
| Rate for Payer: Mclaren Medicaid |
$53.45
|
| Rate for Payer: Mclaren Medicare |
$97.72
|
| Rate for Payer: Meridian Medicaid |
$56.13
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$102.61
|
| Rate for Payer: MI Amish Medical Board Commercial |
$112.38
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,454.78
|
| Rate for Payer: PACE Medicare |
$92.83
|
| Rate for Payer: PACE SWMI |
$97.72
|
| Rate for Payer: PHP Commercial |
$1,454.78
|
| Rate for Payer: PHP Medicare Advantage |
$97.72
|
| Rate for Payer: Priority Health Choice Medicaid |
$53.45
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,198.05
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$307.65
|
| Rate for Payer: Priority Health Medicare |
$97.72
|
| Rate for Payer: Priority Health Narrow Network |
$246.12
|
| Rate for Payer: Priority Health SBD |
$1,078.24
|
| Rate for Payer: Railroad Medicare Medicare |
$97.72
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$143.35
|
| Rate for Payer: UHC Core |
$1,048.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$97.72
|
| Rate for Payer: UHC Exchange |
$130.32
|
| Rate for Payer: UHC Medicare Advantage |
$100.65
|
| Rate for Payer: UMR Bronson Commercial |
$633.26
|
| Rate for Payer: VA VA |
$97.72
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,283.62
|
|
|
HC CT LOWER EXTREM BIL WO CON
|
Facility
|
IP
|
$1,711.50
|
|
|
Service Code
|
CPT 73700
|
| Hospital Charge Code |
35200031
|
|
Hospital Revenue Code
|
352
|
| Min. Negotiated Rate |
$753.06 |
| Max. Negotiated Rate |
$1,540.35 |
| Rate for Payer: Aetna American Axle |
$1,112.48
|
| Rate for Payer: Aetna Commercial |
$1,454.78
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,112.48
|
| Rate for Payer: Cash Price |
$1,369.20
|
| Rate for Payer: Cofinity Commercial |
$1,198.05
|
| Rate for Payer: Cofinity Commercial |
$1,471.89
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,369.20
|
| Rate for Payer: Healthscope Commercial |
$1,540.35
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,198.05
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,283.62
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,454.78
|
| Rate for Payer: PHP Commercial |
$1,454.78
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,198.05
|
| Rate for Payer: Priority Health SBD |
$1,078.24
|
| Rate for Payer: UMR Bronson Commercial |
$753.06
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,283.62
|
|
|
HC CT LOWER EXTREMITY WO W CON
|
Facility
|
IP
|
$1,745.73
|
|
|
Service Code
|
CPT 73702
|
| Hospital Charge Code |
35200019
|
|
Hospital Revenue Code
|
352
|
| Min. Negotiated Rate |
$768.12 |
| Max. Negotiated Rate |
$1,571.16 |
| Rate for Payer: Aetna American Axle |
$1,134.72
|
| Rate for Payer: Aetna American Axle |
$1,702.08
|
| Rate for Payer: Aetna Commercial |
$2,225.80
|
| Rate for Payer: Aetna Commercial |
$1,483.87
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,702.08
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,134.72
|
| Rate for Payer: Cash Price |
$1,396.58
|
| Rate for Payer: Cash Price |
$2,094.87
|
| Rate for Payer: Cofinity Commercial |
$2,251.99
|
| Rate for Payer: Cofinity Commercial |
$1,501.33
|
| Rate for Payer: Cofinity Commercial |
$1,222.01
|
| Rate for Payer: Cofinity Commercial |
$1,833.01
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,094.87
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,396.58
|
| Rate for Payer: Healthscope Commercial |
$2,356.73
|
| Rate for Payer: Healthscope Commercial |
$1,571.16
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,222.01
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,833.01
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,963.94
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,309.30
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,483.87
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$2,225.80
|
| Rate for Payer: PHP Commercial |
$2,225.80
|
| Rate for Payer: PHP Commercial |
$1,483.87
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,222.01
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,833.01
|
| Rate for Payer: Priority Health SBD |
$1,099.81
|
| Rate for Payer: Priority Health SBD |
$1,649.71
|
| Rate for Payer: UMR Bronson Commercial |
$1,152.18
|
| Rate for Payer: UMR Bronson Commercial |
$768.12
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,309.30
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,963.94
|
|
|
HC CT LOWER EXTREMITY WO W CON
|
Facility
|
OP
|
$2,618.59
|
|
|
Service Code
|
CPT 73702
|
| Hospital Charge Code |
35200019
|
|
Hospital Revenue Code
|
352
|
| Min. Negotiated Rate |
$89.34 |
| Max. Negotiated Rate |
$2,356.73 |
| Rate for Payer: Aetna American Axle |
$1,702.08
|
| Rate for Payer: Aetna American Axle |
$1,134.72
|
| Rate for Payer: Aetna Commercial |
$2,225.80
|
| Rate for Payer: Aetna Commercial |
$1,483.87
|
| Rate for Payer: Aetna Medicare |
$169.85
|
| Rate for Payer: Aetna Medicare |
$169.85
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,134.72
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,702.08
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$204.15
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$204.15
|
| Rate for Payer: Amish Plain Church Group Commercial |
$204.15
|
| Rate for Payer: Amish Plain Church Group Commercial |
$204.15
|
| Rate for Payer: BCBS Complete |
$93.81
|
| Rate for Payer: BCBS Complete |
$93.81
|
| Rate for Payer: BCBS MAPPO |
$163.32
|
| Rate for Payer: BCBS MAPPO |
$163.32
|
| Rate for Payer: BCBS Trust/PPO |
$276.20
|
| Rate for Payer: BCBS Trust/PPO |
$276.20
|
| Rate for Payer: BCN Medicare Advantage |
$163.32
|
| Rate for Payer: BCN Medicare Advantage |
$163.32
|
| Rate for Payer: Cash Price |
$1,396.58
|
| Rate for Payer: Cash Price |
$1,396.58
|
| Rate for Payer: Cash Price |
$2,094.87
|
| Rate for Payer: Cash Price |
$2,094.87
|
| Rate for Payer: Cofinity Commercial |
$1,222.01
|
| Rate for Payer: Cofinity Commercial |
$2,251.99
|
| Rate for Payer: Cofinity Commercial |
$1,833.01
|
| Rate for Payer: Cofinity Commercial |
$1,501.33
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,094.87
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,396.58
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$163.32
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$163.32
|
| Rate for Payer: Healthscope Commercial |
$2,356.73
|
| Rate for Payer: Healthscope Commercial |
$1,571.16
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,833.01
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,222.01
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,963.94
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,309.30
|
| Rate for Payer: Mclaren Medicaid |
$89.34
|
| Rate for Payer: Mclaren Medicaid |
$89.34
|
| Rate for Payer: Mclaren Medicare |
$163.32
|
| Rate for Payer: Mclaren Medicare |
$163.32
|
| Rate for Payer: Meridian Medicaid |
$93.81
|
| Rate for Payer: Meridian Medicaid |
$93.81
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$171.49
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$171.49
|
| Rate for Payer: MI Amish Medical Board Commercial |
$187.82
|
| Rate for Payer: MI Amish Medical Board Commercial |
$187.82
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$2,225.80
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,483.87
|
| Rate for Payer: PACE Medicare |
$155.15
|
| Rate for Payer: PACE Medicare |
$155.15
|
| Rate for Payer: PACE SWMI |
$163.32
|
| Rate for Payer: PACE SWMI |
$163.32
|
| Rate for Payer: PHP Commercial |
$2,225.80
|
| Rate for Payer: PHP Commercial |
$1,483.87
|
| Rate for Payer: PHP Medicare Advantage |
$163.32
|
| Rate for Payer: PHP Medicare Advantage |
$163.32
|
| Rate for Payer: Priority Health Choice Medicaid |
$89.34
|
| Rate for Payer: Priority Health Choice Medicaid |
$89.34
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,833.01
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,222.01
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$514.13
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$514.13
|
| Rate for Payer: Priority Health Medicare |
$163.32
|
| Rate for Payer: Priority Health Medicare |
$163.32
|
| Rate for Payer: Priority Health Narrow Network |
$411.30
|
| Rate for Payer: Priority Health Narrow Network |
$411.30
|
| Rate for Payer: Priority Health SBD |
$1,649.71
|
| Rate for Payer: Priority Health SBD |
$1,099.81
|
| Rate for Payer: Railroad Medicare Medicare |
$163.32
|
| Rate for Payer: Railroad Medicare Medicare |
$163.32
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$216.47
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$216.47
|
| Rate for Payer: UHC Core |
$1,048.00
|
| Rate for Payer: UHC Core |
$1,048.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$163.32
|
| Rate for Payer: UHC Dual Complete DSNP |
$163.32
|
| Rate for Payer: UHC Exchange |
$196.79
|
| Rate for Payer: UHC Exchange |
$196.79
|
| Rate for Payer: UHC Medicare Advantage |
$168.22
|
| Rate for Payer: UHC Medicare Advantage |
$168.22
|
| Rate for Payer: UMR Bronson Commercial |
$968.88
|
| Rate for Payer: UMR Bronson Commercial |
$645.92
|
| Rate for Payer: VA VA |
$163.32
|
| Rate for Payer: VA VA |
$163.32
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,309.30
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,963.94
|
|
|
HC CT LOWER EXTREM W CON
|
Facility
|
OP
|
$1,515.31
|
|
|
Service Code
|
CPT 73701
|
| Hospital Charge Code |
35200018
|
|
Hospital Revenue Code
|
352
|
| Min. Negotiated Rate |
$89.34 |
| Max. Negotiated Rate |
$1,363.78 |
| Rate for Payer: Aetna American Axle |
$984.95
|
| Rate for Payer: Aetna Commercial |
$1,288.01
|
| Rate for Payer: Aetna Medicare |
$169.85
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$984.95
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$204.15
|
| Rate for Payer: Amish Plain Church Group Commercial |
$204.15
|
| Rate for Payer: BCBS Complete |
$93.81
|
| Rate for Payer: BCBS MAPPO |
$163.32
|
| Rate for Payer: BCBS Trust/PPO |
$224.26
|
| Rate for Payer: BCN Medicare Advantage |
$163.32
|
| Rate for Payer: Cash Price |
$1,212.25
|
| Rate for Payer: Cash Price |
$1,212.25
|
| Rate for Payer: Cofinity Commercial |
$1,303.17
|
| Rate for Payer: Cofinity Commercial |
$1,060.72
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,212.25
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$163.32
|
| Rate for Payer: Healthscope Commercial |
$1,363.78
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,060.72
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,136.48
|
| Rate for Payer: Mclaren Medicaid |
$89.34
|
| Rate for Payer: Mclaren Medicare |
$163.32
|
| Rate for Payer: Meridian Medicaid |
$93.81
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$171.49
|
| Rate for Payer: MI Amish Medical Board Commercial |
$187.82
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,288.01
|
| Rate for Payer: PACE Medicare |
$155.15
|
| Rate for Payer: PACE SWMI |
$163.32
|
| Rate for Payer: PHP Commercial |
$1,288.01
|
| Rate for Payer: PHP Medicare Advantage |
$163.32
|
| Rate for Payer: Priority Health Choice Medicaid |
$89.34
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,060.72
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$514.13
|
| Rate for Payer: Priority Health Medicare |
$163.32
|
| Rate for Payer: Priority Health Narrow Network |
$411.30
|
| Rate for Payer: Priority Health SBD |
$954.65
|
| Rate for Payer: Railroad Medicare Medicare |
$163.32
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$184.78
|
| Rate for Payer: UHC Core |
$1,048.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$163.32
|
| Rate for Payer: UHC Exchange |
$167.98
|
| Rate for Payer: UHC Medicare Advantage |
$168.22
|
| Rate for Payer: UMR Bronson Commercial |
$560.66
|
| Rate for Payer: VA VA |
$163.32
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,136.48
|
|
|
HC CT LOWER EXTREM W CON
|
Facility
|
IP
|
$1,515.31
|
|
|
Service Code
|
CPT 73701
|
| Hospital Charge Code |
35200018
|
|
Hospital Revenue Code
|
352
|
| Min. Negotiated Rate |
$666.74 |
| Max. Negotiated Rate |
$1,363.78 |
| Rate for Payer: Aetna American Axle |
$984.95
|
| Rate for Payer: Aetna Commercial |
$1,288.01
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$984.95
|
| Rate for Payer: Cash Price |
$1,212.25
|
| Rate for Payer: Cofinity Commercial |
$1,060.72
|
| Rate for Payer: Cofinity Commercial |
$1,303.17
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,212.25
|
| Rate for Payer: Healthscope Commercial |
$1,363.78
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,060.72
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,136.48
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,288.01
|
| Rate for Payer: PHP Commercial |
$1,288.01
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,060.72
|
| Rate for Payer: Priority Health SBD |
$954.65
|
| Rate for Payer: UMR Bronson Commercial |
$666.74
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,136.48
|
|
|
HC CT LOWER EXTREM WO CON
|
Facility
|
IP
|
$1,349.46
|
|
|
Service Code
|
CPT 73700
|
| Hospital Charge Code |
35200016
|
|
Hospital Revenue Code
|
352
|
| Min. Negotiated Rate |
$593.76 |
| Max. Negotiated Rate |
$1,214.51 |
| Rate for Payer: Aetna American Axle |
$877.15
|
| Rate for Payer: Aetna American Axle |
$1,315.72
|
| Rate for Payer: Aetna Commercial |
$1,147.04
|
| Rate for Payer: Aetna Commercial |
$1,720.56
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,315.72
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$877.15
|
| Rate for Payer: Cash Price |
$1,079.57
|
| Rate for Payer: Cash Price |
$1,619.35
|
| Rate for Payer: Cofinity Commercial |
$1,160.54
|
| Rate for Payer: Cofinity Commercial |
$944.62
|
| Rate for Payer: Cofinity Commercial |
$1,416.93
|
| Rate for Payer: Cofinity Commercial |
$1,740.80
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,619.35
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,079.57
|
| Rate for Payer: Healthscope Commercial |
$1,214.51
|
| Rate for Payer: Healthscope Commercial |
$1,821.77
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$944.62
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,416.93
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,012.10
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,518.14
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,720.56
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,147.04
|
| Rate for Payer: PHP Commercial |
$1,147.04
|
| Rate for Payer: PHP Commercial |
$1,720.56
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,416.93
|
| Rate for Payer: Priority Health Cigna Priority Health |
$944.62
|
| Rate for Payer: Priority Health SBD |
$1,275.24
|
| Rate for Payer: Priority Health SBD |
$850.16
|
| Rate for Payer: UMR Bronson Commercial |
$593.76
|
| Rate for Payer: UMR Bronson Commercial |
$890.64
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,518.14
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,012.10
|
|
|
HC CT LOWER EXTREM WO CON
|
Facility
|
OP
|
$2,024.19
|
|
|
Service Code
|
CPT 73700
|
| Hospital Charge Code |
35200016
|
|
Hospital Revenue Code
|
352
|
| Min. Negotiated Rate |
$53.45 |
| Max. Negotiated Rate |
$1,821.77 |
| Rate for Payer: Aetna American Axle |
$1,315.72
|
| Rate for Payer: Aetna American Axle |
$877.15
|
| Rate for Payer: Aetna Commercial |
$1,720.56
|
| Rate for Payer: Aetna Commercial |
$1,147.04
|
| Rate for Payer: Aetna Medicare |
$101.63
|
| Rate for Payer: Aetna Medicare |
$101.63
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$877.15
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,315.72
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$122.15
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$122.15
|
| Rate for Payer: Amish Plain Church Group Commercial |
$122.15
|
| Rate for Payer: Amish Plain Church Group Commercial |
$122.15
|
| Rate for Payer: BCBS Complete |
$56.13
|
| Rate for Payer: BCBS Complete |
$56.13
|
| Rate for Payer: BCBS MAPPO |
$97.72
|
| Rate for Payer: BCBS MAPPO |
$97.72
|
| Rate for Payer: BCBS Trust/PPO |
$165.34
|
| Rate for Payer: BCBS Trust/PPO |
$165.34
|
| Rate for Payer: BCN Medicare Advantage |
$97.72
|
| Rate for Payer: BCN Medicare Advantage |
$97.72
|
| Rate for Payer: Cash Price |
$1,079.57
|
| Rate for Payer: Cash Price |
$1,079.57
|
| Rate for Payer: Cash Price |
$1,619.35
|
| Rate for Payer: Cash Price |
$1,619.35
|
| Rate for Payer: Cofinity Commercial |
$1,740.80
|
| Rate for Payer: Cofinity Commercial |
$1,416.93
|
| Rate for Payer: Cofinity Commercial |
$1,160.54
|
| Rate for Payer: Cofinity Commercial |
$944.62
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,619.35
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,079.57
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$97.72
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$97.72
|
| Rate for Payer: Healthscope Commercial |
$1,214.51
|
| Rate for Payer: Healthscope Commercial |
$1,821.77
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,416.93
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$944.62
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,012.10
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,518.14
|
| Rate for Payer: Mclaren Medicaid |
$53.45
|
| Rate for Payer: Mclaren Medicaid |
$53.45
|
| Rate for Payer: Mclaren Medicare |
$97.72
|
| Rate for Payer: Mclaren Medicare |
$97.72
|
| Rate for Payer: Meridian Medicaid |
$56.13
|
| Rate for Payer: Meridian Medicaid |
$56.13
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$102.61
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$102.61
|
| Rate for Payer: MI Amish Medical Board Commercial |
$112.38
|
| Rate for Payer: MI Amish Medical Board Commercial |
$112.38
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,147.04
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,720.56
|
| Rate for Payer: PACE Medicare |
$92.83
|
| Rate for Payer: PACE Medicare |
$92.83
|
| Rate for Payer: PACE SWMI |
$97.72
|
| Rate for Payer: PACE SWMI |
$97.72
|
| Rate for Payer: PHP Commercial |
$1,147.04
|
| Rate for Payer: PHP Commercial |
$1,720.56
|
| Rate for Payer: PHP Medicare Advantage |
$97.72
|
| Rate for Payer: PHP Medicare Advantage |
$97.72
|
| Rate for Payer: Priority Health Choice Medicaid |
$53.45
|
| Rate for Payer: Priority Health Choice Medicaid |
$53.45
|
| Rate for Payer: Priority Health Cigna Priority Health |
$944.62
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,416.93
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$307.65
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$307.65
|
| Rate for Payer: Priority Health Medicare |
$97.72
|
| Rate for Payer: Priority Health Medicare |
$97.72
|
| Rate for Payer: Priority Health Narrow Network |
$246.12
|
| Rate for Payer: Priority Health Narrow Network |
$246.12
|
| Rate for Payer: Priority Health SBD |
$1,275.24
|
| Rate for Payer: Priority Health SBD |
$850.16
|
| Rate for Payer: Railroad Medicare Medicare |
$97.72
|
| Rate for Payer: Railroad Medicare Medicare |
$97.72
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$143.35
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$143.35
|
| Rate for Payer: UHC Core |
$1,048.00
|
| Rate for Payer: UHC Core |
$1,048.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$97.72
|
| Rate for Payer: UHC Dual Complete DSNP |
$97.72
|
| Rate for Payer: UHC Exchange |
$130.32
|
| Rate for Payer: UHC Exchange |
$130.32
|
| Rate for Payer: UHC Medicare Advantage |
$100.65
|
| Rate for Payer: UHC Medicare Advantage |
$100.65
|
| Rate for Payer: UMR Bronson Commercial |
$748.95
|
| Rate for Payer: UMR Bronson Commercial |
$499.30
|
| Rate for Payer: VA VA |
$97.72
|
| Rate for Payer: VA VA |
$97.72
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,012.10
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,518.14
|
|
|
HC CT LOWER EXTREM WO W CON
|
Facility
|
IP
|
$691.66
|
|
|
Service Code
|
CPT 73702
|
| Hospital Charge Code |
35200029
|
|
Hospital Revenue Code
|
352
|
| Min. Negotiated Rate |
$304.33 |
| Max. Negotiated Rate |
$622.49 |
| Rate for Payer: Aetna American Axle |
$449.58
|
| Rate for Payer: Aetna American Axle |
$674.37
|
| Rate for Payer: Aetna Commercial |
$881.87
|
| Rate for Payer: Aetna Commercial |
$587.91
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$449.58
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$674.37
|
| Rate for Payer: Cash Price |
$829.99
|
| Rate for Payer: Cash Price |
$553.33
|
| Rate for Payer: Cofinity Commercial |
$484.16
|
| Rate for Payer: Cofinity Commercial |
$726.24
|
| Rate for Payer: Cofinity Commercial |
$892.24
|
| Rate for Payer: Cofinity Commercial |
$594.83
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$829.99
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$553.33
|
| Rate for Payer: Healthscope Commercial |
$622.49
|
| Rate for Payer: Healthscope Commercial |
$933.74
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$726.24
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$484.16
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$778.12
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$518.74
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$881.87
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$587.91
|
| Rate for Payer: PHP Commercial |
$881.87
|
| Rate for Payer: PHP Commercial |
$587.91
|
| Rate for Payer: Priority Health Cigna Priority Health |
$726.24
|
| Rate for Payer: Priority Health Cigna Priority Health |
$484.16
|
| Rate for Payer: Priority Health SBD |
$653.62
|
| Rate for Payer: Priority Health SBD |
$435.75
|
| Rate for Payer: UMR Bronson Commercial |
$304.33
|
| Rate for Payer: UMR Bronson Commercial |
$456.50
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$518.74
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$778.12
|
|
|
HC CT LOWER EXTREM WO W CON
|
Facility
|
OP
|
$691.66
|
|
|
Service Code
|
CPT 73702
|
| Hospital Charge Code |
35200029
|
|
Hospital Revenue Code
|
352
|
| Min. Negotiated Rate |
$89.34 |
| Max. Negotiated Rate |
$1,048.00 |
| Rate for Payer: Aetna American Axle |
$449.58
|
| Rate for Payer: Aetna American Axle |
$674.37
|
| Rate for Payer: Aetna Commercial |
$587.91
|
| Rate for Payer: Aetna Commercial |
$881.87
|
| Rate for Payer: Aetna Medicare |
$169.85
|
| Rate for Payer: Aetna Medicare |
$169.85
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$674.37
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$449.58
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$204.15
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$204.15
|
| Rate for Payer: Amish Plain Church Group Commercial |
$204.15
|
| Rate for Payer: Amish Plain Church Group Commercial |
$204.15
|
| Rate for Payer: BCBS Complete |
$93.81
|
| Rate for Payer: BCBS Complete |
$93.81
|
| Rate for Payer: BCBS MAPPO |
$163.32
|
| Rate for Payer: BCBS MAPPO |
$163.32
|
| Rate for Payer: BCBS Trust/PPO |
$276.20
|
| Rate for Payer: BCBS Trust/PPO |
$276.20
|
| Rate for Payer: BCN Medicare Advantage |
$163.32
|
| Rate for Payer: BCN Medicare Advantage |
$163.32
|
| Rate for Payer: Cash Price |
$829.99
|
| Rate for Payer: Cash Price |
$553.33
|
| Rate for Payer: Cash Price |
$553.33
|
| Rate for Payer: Cash Price |
$829.99
|
| Rate for Payer: Cofinity Commercial |
$594.83
|
| Rate for Payer: Cofinity Commercial |
$484.16
|
| Rate for Payer: Cofinity Commercial |
$892.24
|
| Rate for Payer: Cofinity Commercial |
$726.24
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$553.33
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$829.99
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$163.32
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$163.32
|
| Rate for Payer: Healthscope Commercial |
$622.49
|
| Rate for Payer: Healthscope Commercial |
$933.74
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$726.24
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$484.16
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$518.74
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$778.12
|
| Rate for Payer: Mclaren Medicaid |
$89.34
|
| Rate for Payer: Mclaren Medicaid |
$89.34
|
| Rate for Payer: Mclaren Medicare |
$163.32
|
| Rate for Payer: Mclaren Medicare |
$163.32
|
| Rate for Payer: Meridian Medicaid |
$93.81
|
| Rate for Payer: Meridian Medicaid |
$93.81
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$171.49
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$171.49
|
| Rate for Payer: MI Amish Medical Board Commercial |
$187.82
|
| Rate for Payer: MI Amish Medical Board Commercial |
$187.82
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$587.91
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$881.87
|
| Rate for Payer: PACE Medicare |
$155.15
|
| Rate for Payer: PACE Medicare |
$155.15
|
| Rate for Payer: PACE SWMI |
$163.32
|
| Rate for Payer: PACE SWMI |
$163.32
|
| Rate for Payer: PHP Commercial |
$881.87
|
| Rate for Payer: PHP Commercial |
$587.91
|
| Rate for Payer: PHP Medicare Advantage |
$163.32
|
| Rate for Payer: PHP Medicare Advantage |
$163.32
|
| Rate for Payer: Priority Health Choice Medicaid |
$89.34
|
| Rate for Payer: Priority Health Choice Medicaid |
$89.34
|
| Rate for Payer: Priority Health Cigna Priority Health |
$726.24
|
| Rate for Payer: Priority Health Cigna Priority Health |
$484.16
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$514.13
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$514.13
|
| Rate for Payer: Priority Health Medicare |
$163.32
|
| Rate for Payer: Priority Health Medicare |
$163.32
|
| Rate for Payer: Priority Health Narrow Network |
$411.30
|
| Rate for Payer: Priority Health Narrow Network |
$411.30
|
| Rate for Payer: Priority Health SBD |
$435.75
|
| Rate for Payer: Priority Health SBD |
$653.62
|
| Rate for Payer: Railroad Medicare Medicare |
$163.32
|
| Rate for Payer: Railroad Medicare Medicare |
$163.32
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$216.47
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$216.47
|
| Rate for Payer: UHC Core |
$1,048.00
|
| Rate for Payer: UHC Core |
$1,048.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$163.32
|
| Rate for Payer: UHC Dual Complete DSNP |
$163.32
|
| Rate for Payer: UHC Exchange |
$196.79
|
| Rate for Payer: UHC Exchange |
$196.79
|
| Rate for Payer: UHC Medicare Advantage |
$168.22
|
| Rate for Payer: UHC Medicare Advantage |
$168.22
|
| Rate for Payer: UMR Bronson Commercial |
$255.91
|
| Rate for Payer: UMR Bronson Commercial |
$383.87
|
| Rate for Payer: VA VA |
$163.32
|
| Rate for Payer: VA VA |
$163.32
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$778.12
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$518.74
|
|
|
HC CT NECK ANGIO
|
Facility
|
IP
|
$1,071.00
|
|
|
Service Code
|
CPT 70498
|
| Hospital Charge Code |
35000004
|
|
Hospital Revenue Code
|
350
|
| Min. Negotiated Rate |
$471.24 |
| Max. Negotiated Rate |
$963.90 |
| Rate for Payer: Aetna American Axle |
$696.15
|
| Rate for Payer: Aetna Commercial |
$910.35
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$696.15
|
| Rate for Payer: Cash Price |
$856.80
|
| Rate for Payer: Cofinity Commercial |
$749.70
|
| Rate for Payer: Cofinity Commercial |
$921.06
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$856.80
|
| Rate for Payer: Healthscope Commercial |
$963.90
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$749.70
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$803.25
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$910.35
|
| Rate for Payer: PHP Commercial |
$910.35
|
| Rate for Payer: Priority Health Cigna Priority Health |
$749.70
|
| Rate for Payer: Priority Health SBD |
$674.73
|
| Rate for Payer: UMR Bronson Commercial |
$471.24
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$803.25
|
|
|
HC CT NECK ANGIO
|
Facility
|
OP
|
$1,071.00
|
|
|
Service Code
|
CPT 70498
|
| Hospital Charge Code |
35000004
|
|
Hospital Revenue Code
|
350
|
| Min. Negotiated Rate |
$89.34 |
| Max. Negotiated Rate |
$1,048.00 |
| Rate for Payer: Aetna American Axle |
$696.15
|
| Rate for Payer: Aetna Commercial |
$910.35
|
| Rate for Payer: Aetna Medicare |
$169.85
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$696.15
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$204.15
|
| Rate for Payer: Amish Plain Church Group Commercial |
$204.15
|
| Rate for Payer: BCBS Complete |
$93.81
|
| Rate for Payer: BCBS MAPPO |
$163.32
|
| Rate for Payer: BCBS Trust/PPO |
$386.42
|
| Rate for Payer: BCN Medicare Advantage |
$163.32
|
| Rate for Payer: Cash Price |
$856.80
|
| Rate for Payer: Cash Price |
$856.80
|
| Rate for Payer: Cofinity Commercial |
$749.70
|
| Rate for Payer: Cofinity Commercial |
$921.06
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$856.80
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$163.32
|
| Rate for Payer: Healthscope Commercial |
$963.90
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$749.70
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$803.25
|
| Rate for Payer: Mclaren Medicaid |
$89.34
|
| Rate for Payer: Mclaren Medicare |
$163.32
|
| Rate for Payer: Meridian Medicaid |
$93.81
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$171.49
|
| Rate for Payer: MI Amish Medical Board Commercial |
$187.82
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$910.35
|
| Rate for Payer: PACE Medicare |
$155.15
|
| Rate for Payer: PACE SWMI |
$163.32
|
| Rate for Payer: PHP Commercial |
$910.35
|
| Rate for Payer: PHP Medicare Advantage |
$163.32
|
| Rate for Payer: Priority Health Choice Medicaid |
$89.34
|
| Rate for Payer: Priority Health Cigna Priority Health |
$749.70
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$514.13
|
| Rate for Payer: Priority Health Medicare |
$163.32
|
| Rate for Payer: Priority Health Narrow Network |
$411.30
|
| Rate for Payer: Priority Health SBD |
$674.73
|
| Rate for Payer: Railroad Medicare Medicare |
$163.32
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$305.44
|
| Rate for Payer: UHC Core |
$1,048.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$163.32
|
| Rate for Payer: UHC Exchange |
$277.67
|
| Rate for Payer: UHC Medicare Advantage |
$168.22
|
| Rate for Payer: UMR Bronson Commercial |
$396.27
|
| Rate for Payer: VA VA |
$163.32
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$803.25
|
|
|
HC CT NEEDLE PLACE HEAD AND NECK
|
Facility
|
IP
|
$3,774.00
|
|
|
Service Code
|
CPT 41019
|
| Hospital Charge Code |
36100396
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$1,660.56 |
| Max. Negotiated Rate |
$3,396.60 |
| Rate for Payer: Aetna American Axle |
$2,453.10
|
| Rate for Payer: Aetna Commercial |
$3,207.90
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,453.10
|
| Rate for Payer: Cash Price |
$3,019.20
|
| Rate for Payer: Cofinity Commercial |
$2,641.80
|
| Rate for Payer: Cofinity Commercial |
$3,245.64
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,019.20
|
| Rate for Payer: Healthscope Commercial |
$3,396.60
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$2,641.80
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,830.50
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$3,207.90
|
| Rate for Payer: PHP Commercial |
$3,207.90
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,641.80
|
| Rate for Payer: Priority Health SBD |
$2,377.62
|
| Rate for Payer: UMR Bronson Commercial |
$1,660.56
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,830.50
|
|
|
HC CT NEEDLE PLACE HEAD AND NECK
|
Facility
|
OP
|
$3,774.00
|
|
|
Service Code
|
CPT 41019
|
| Hospital Charge Code |
36100396
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$476.76 |
| Max. Negotiated Rate |
$16,386.90 |
| Rate for Payer: Aetna American Axle |
$2,453.10
|
| Rate for Payer: Aetna Commercial |
$3,207.90
|
| Rate for Payer: Aetna Medicare |
$5,413.64
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,453.10
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$6,506.78
|
| Rate for Payer: Amish Plain Church Group Commercial |
$6,506.78
|
| Rate for Payer: BCBS Complete |
$2,989.99
|
| Rate for Payer: BCBS MAPPO |
$5,205.42
|
| Rate for Payer: BCBS Trust/PPO |
$3,027.02
|
| Rate for Payer: BCN Medicare Advantage |
$5,205.42
|
| Rate for Payer: Cash Price |
$3,019.20
|
| Rate for Payer: Cash Price |
$3,019.20
|
| Rate for Payer: Cofinity Commercial |
$2,641.80
|
| Rate for Payer: Cofinity Commercial |
$3,245.64
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,019.20
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$5,205.42
|
| Rate for Payer: Healthscope Commercial |
$3,396.60
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$2,641.80
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,830.50
|
| Rate for Payer: Mclaren Medicaid |
$2,847.36
|
| Rate for Payer: Mclaren Medicare |
$5,205.42
|
| Rate for Payer: Meridian Medicaid |
$2,989.99
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$5,465.69
|
| Rate for Payer: MI Amish Medical Board Commercial |
$5,986.23
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$3,207.90
|
| Rate for Payer: PACE Medicare |
$4,945.15
|
| Rate for Payer: PACE SWMI |
$5,205.42
|
| Rate for Payer: PHP Commercial |
$3,207.90
|
| Rate for Payer: PHP Medicare Advantage |
$5,205.42
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,847.36
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,641.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$16,386.90
|
| Rate for Payer: Priority Health Medicare |
$5,205.42
|
| Rate for Payer: Priority Health Narrow Network |
$13,109.52
|
| Rate for Payer: Priority Health SBD |
$2,377.62
|
| Rate for Payer: Railroad Medicare Medicare |
$5,205.42
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$524.44
|
| Rate for Payer: UHC Core |
$3,604.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$5,205.42
|
| Rate for Payer: UHC Exchange |
$476.76
|
| Rate for Payer: UHC Medicare Advantage |
$5,361.58
|
| Rate for Payer: UMR Bronson Commercial |
$1,396.38
|
| Rate for Payer: VA VA |
$5,205.42
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,830.50
|
|
|
HC CTO CATHETER
|
Facility
|
OP
|
$6,335.36
|
|
| Hospital Charge Code |
27200117
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$2,344.08 |
| Max. Negotiated Rate |
$5,701.82 |
| Rate for Payer: Aetna American Axle |
$4,117.98
|
| Rate for Payer: Aetna Commercial |
$5,385.06
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$4,117.98
|
| Rate for Payer: BCBS Complete |
$2,534.14
|
| Rate for Payer: Cash Price |
$5,068.29
|
| Rate for Payer: Cofinity Commercial |
$4,434.75
|
| Rate for Payer: Cofinity Commercial |
$5,448.41
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$5,068.29
|
| Rate for Payer: Healthscope Commercial |
$5,701.82
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$4,434.75
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$4,751.52
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$5,385.06
|
| Rate for Payer: PHP Commercial |
$5,385.06
|
| Rate for Payer: Priority Health Cigna Priority Health |
$4,434.75
|
| Rate for Payer: Priority Health SBD |
$3,991.28
|
| Rate for Payer: UMR Bronson Commercial |
$2,344.08
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$4,751.52
|
|
|
HC CTO CATHETER
|
Facility
|
IP
|
$6,335.36
|
|
| Hospital Charge Code |
27200117
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$2,787.56 |
| Max. Negotiated Rate |
$5,701.82 |
| Rate for Payer: Aetna American Axle |
$4,117.98
|
| Rate for Payer: Aetna Commercial |
$5,385.06
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$4,117.98
|
| Rate for Payer: Cash Price |
$5,068.29
|
| Rate for Payer: Cofinity Commercial |
$4,434.75
|
| Rate for Payer: Cofinity Commercial |
$5,448.41
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$5,068.29
|
| Rate for Payer: Healthscope Commercial |
$5,701.82
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$4,434.75
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$4,751.52
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$5,385.06
|
| Rate for Payer: PHP Commercial |
$5,385.06
|
| Rate for Payer: Priority Health Cigna Priority Health |
$4,434.75
|
| Rate for Payer: Priority Health SBD |
$3,991.28
|
| Rate for Payer: UMR Bronson Commercial |
$2,787.56
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$4,751.52
|
|
|
HC CT ORBIT/SELLA/POST FOSSA/EAR W CON
|
Facility
|
OP
|
$1,548.67
|
|
|
Service Code
|
CPT 70481
|
| Hospital Charge Code |
35100005
|
|
Hospital Revenue Code
|
351
|
| Min. Negotiated Rate |
$89.34 |
| Max. Negotiated Rate |
$1,393.80 |
| Rate for Payer: Aetna American Axle |
$1,006.64
|
| Rate for Payer: Aetna Commercial |
$1,316.37
|
| Rate for Payer: Aetna Medicare |
$169.85
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,006.64
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$204.15
|
| Rate for Payer: Amish Plain Church Group Commercial |
$204.15
|
| Rate for Payer: BCBS Complete |
$93.81
|
| Rate for Payer: BCBS MAPPO |
$163.32
|
| Rate for Payer: BCBS Trust/PPO |
$254.66
|
| Rate for Payer: BCN Medicare Advantage |
$163.32
|
| Rate for Payer: Cash Price |
$1,238.94
|
| Rate for Payer: Cash Price |
$1,238.94
|
| Rate for Payer: Cofinity Commercial |
$1,331.86
|
| Rate for Payer: Cofinity Commercial |
$1,084.07
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,238.94
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$163.32
|
| Rate for Payer: Healthscope Commercial |
$1,393.80
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,084.07
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,161.50
|
| Rate for Payer: Mclaren Medicaid |
$89.34
|
| Rate for Payer: Mclaren Medicare |
$163.32
|
| Rate for Payer: Meridian Medicaid |
$93.81
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$171.49
|
| Rate for Payer: MI Amish Medical Board Commercial |
$187.82
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,316.37
|
| Rate for Payer: PACE Medicare |
$155.15
|
| Rate for Payer: PACE SWMI |
$163.32
|
| Rate for Payer: PHP Commercial |
$1,316.37
|
| Rate for Payer: PHP Medicare Advantage |
$163.32
|
| Rate for Payer: Priority Health Choice Medicaid |
$89.34
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,084.07
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$514.13
|
| Rate for Payer: Priority Health Medicare |
$163.32
|
| Rate for Payer: Priority Health Narrow Network |
$411.30
|
| Rate for Payer: Priority Health SBD |
$975.66
|
| Rate for Payer: Railroad Medicare Medicare |
$163.32
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$200.27
|
| Rate for Payer: UHC Core |
$1,048.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$163.32
|
| Rate for Payer: UHC Exchange |
$182.06
|
| Rate for Payer: UHC Medicare Advantage |
$168.22
|
| Rate for Payer: UMR Bronson Commercial |
$573.01
|
| Rate for Payer: VA VA |
$163.32
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,161.50
|
|
|
HC CT ORBIT/SELLA/POST FOSSA/EAR W CON
|
Facility
|
IP
|
$1,548.67
|
|
|
Service Code
|
CPT 70481
|
| Hospital Charge Code |
35100005
|
|
Hospital Revenue Code
|
351
|
| Min. Negotiated Rate |
$681.41 |
| Max. Negotiated Rate |
$1,393.80 |
| Rate for Payer: Aetna American Axle |
$1,006.64
|
| Rate for Payer: Aetna Commercial |
$1,316.37
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,006.64
|
| Rate for Payer: Cash Price |
$1,238.94
|
| Rate for Payer: Cofinity Commercial |
$1,084.07
|
| Rate for Payer: Cofinity Commercial |
$1,331.86
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,238.94
|
| Rate for Payer: Healthscope Commercial |
$1,393.80
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,084.07
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,161.50
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,316.37
|
| Rate for Payer: PHP Commercial |
$1,316.37
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,084.07
|
| Rate for Payer: Priority Health SBD |
$975.66
|
| Rate for Payer: UMR Bronson Commercial |
$681.41
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,161.50
|
|
|
HC CT ORBIT WO CON
|
Facility
|
IP
|
$1,407.29
|
|
|
Service Code
|
CPT 70480
|
| Hospital Charge Code |
35100004
|
|
Hospital Revenue Code
|
351
|
| Min. Negotiated Rate |
$619.21 |
| Max. Negotiated Rate |
$1,266.56 |
| Rate for Payer: Aetna American Axle |
$914.74
|
| Rate for Payer: Aetna Commercial |
$1,196.20
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$914.74
|
| Rate for Payer: Cash Price |
$1,125.83
|
| Rate for Payer: Cofinity Commercial |
$1,210.27
|
| Rate for Payer: Cofinity Commercial |
$985.10
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,125.83
|
| Rate for Payer: Healthscope Commercial |
$1,266.56
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$985.10
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,055.47
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,196.20
|
| Rate for Payer: PHP Commercial |
$1,196.20
|
| Rate for Payer: Priority Health Cigna Priority Health |
$985.10
|
| Rate for Payer: Priority Health SBD |
$886.59
|
| Rate for Payer: UMR Bronson Commercial |
$619.21
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,055.47
|
|
|
HC CT ORBIT WO CON
|
Facility
|
OP
|
$1,407.29
|
|
|
Service Code
|
CPT 70480
|
| Hospital Charge Code |
35100004
|
|
Hospital Revenue Code
|
351
|
| Min. Negotiated Rate |
$53.45 |
| Max. Negotiated Rate |
$1,266.56 |
| Rate for Payer: Aetna American Axle |
$914.74
|
| Rate for Payer: Aetna Commercial |
$1,196.20
|
| Rate for Payer: Aetna Medicare |
$101.63
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$914.74
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$122.15
|
| Rate for Payer: Amish Plain Church Group Commercial |
$122.15
|
| Rate for Payer: BCBS Complete |
$56.13
|
| Rate for Payer: BCBS MAPPO |
$97.72
|
| Rate for Payer: BCBS Trust/PPO |
$196.38
|
| Rate for Payer: BCN Medicare Advantage |
$97.72
|
| Rate for Payer: Cash Price |
$1,125.83
|
| Rate for Payer: Cash Price |
$1,125.83
|
| Rate for Payer: Cofinity Commercial |
$985.10
|
| Rate for Payer: Cofinity Commercial |
$1,210.27
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,125.83
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$97.72
|
| Rate for Payer: Healthscope Commercial |
$1,266.56
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$985.10
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,055.47
|
| Rate for Payer: Mclaren Medicaid |
$53.45
|
| Rate for Payer: Mclaren Medicare |
$97.72
|
| Rate for Payer: Meridian Medicaid |
$56.13
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$102.61
|
| Rate for Payer: MI Amish Medical Board Commercial |
$112.38
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,196.20
|
| Rate for Payer: PACE Medicare |
$92.83
|
| Rate for Payer: PACE SWMI |
$97.72
|
| Rate for Payer: PHP Commercial |
$1,196.20
|
| Rate for Payer: PHP Medicare Advantage |
$97.72
|
| Rate for Payer: Priority Health Choice Medicaid |
$53.45
|
| Rate for Payer: Priority Health Cigna Priority Health |
$985.10
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$307.65
|
| Rate for Payer: Priority Health Medicare |
$97.72
|
| Rate for Payer: Priority Health Narrow Network |
$246.12
|
| Rate for Payer: Priority Health SBD |
$886.59
|
| Rate for Payer: Railroad Medicare Medicare |
$97.72
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$176.13
|
| Rate for Payer: UHC Core |
$1,048.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$97.72
|
| Rate for Payer: UHC Exchange |
$160.12
|
| Rate for Payer: UHC Medicare Advantage |
$100.65
|
| Rate for Payer: UMR Bronson Commercial |
$520.70
|
| Rate for Payer: VA VA |
$97.72
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,055.47
|
|
|
HC CT ORBIT WO W CON
|
Facility
|
OP
|
$1,469.30
|
|
|
Service Code
|
CPT 70482
|
| Hospital Charge Code |
35100006
|
|
Hospital Revenue Code
|
351
|
| Min. Negotiated Rate |
$89.34 |
| Max. Negotiated Rate |
$1,322.37 |
| Rate for Payer: Aetna American Axle |
$955.04
|
| Rate for Payer: Aetna Commercial |
$1,248.90
|
| Rate for Payer: Aetna Medicare |
$169.85
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$955.04
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$204.15
|
| Rate for Payer: Amish Plain Church Group Commercial |
$204.15
|
| Rate for Payer: BCBS Complete |
$93.81
|
| Rate for Payer: BCBS MAPPO |
$163.32
|
| Rate for Payer: BCBS Trust/PPO |
$302.17
|
| Rate for Payer: BCN Medicare Advantage |
$163.32
|
| Rate for Payer: Cash Price |
$1,175.44
|
| Rate for Payer: Cash Price |
$1,175.44
|
| Rate for Payer: Cofinity Commercial |
$1,028.51
|
| Rate for Payer: Cofinity Commercial |
$1,263.60
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,175.44
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$163.32
|
| Rate for Payer: Healthscope Commercial |
$1,322.37
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,028.51
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,101.98
|
| Rate for Payer: Mclaren Medicaid |
$89.34
|
| Rate for Payer: Mclaren Medicare |
$163.32
|
| Rate for Payer: Meridian Medicaid |
$93.81
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$171.49
|
| Rate for Payer: MI Amish Medical Board Commercial |
$187.82
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,248.90
|
| Rate for Payer: PACE Medicare |
$155.15
|
| Rate for Payer: PACE SWMI |
$163.32
|
| Rate for Payer: PHP Commercial |
$1,248.90
|
| Rate for Payer: PHP Medicare Advantage |
$163.32
|
| Rate for Payer: Priority Health Choice Medicaid |
$89.34
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,028.51
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$514.13
|
| Rate for Payer: Priority Health Medicare |
$163.32
|
| Rate for Payer: Priority Health Narrow Network |
$411.30
|
| Rate for Payer: Priority Health SBD |
$925.66
|
| Rate for Payer: Railroad Medicare Medicare |
$163.32
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$233.76
|
| Rate for Payer: UHC Core |
$1,048.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$163.32
|
| Rate for Payer: UHC Exchange |
$212.51
|
| Rate for Payer: UHC Medicare Advantage |
$168.22
|
| Rate for Payer: UMR Bronson Commercial |
$543.64
|
| Rate for Payer: VA VA |
$163.32
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,101.98
|
|
|
HC CT ORBIT WO W CON
|
Facility
|
IP
|
$1,469.30
|
|
|
Service Code
|
CPT 70482
|
| Hospital Charge Code |
35100006
|
|
Hospital Revenue Code
|
351
|
| Min. Negotiated Rate |
$646.49 |
| Max. Negotiated Rate |
$1,322.37 |
| Rate for Payer: Aetna American Axle |
$955.04
|
| Rate for Payer: Aetna Commercial |
$1,248.90
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$955.04
|
| Rate for Payer: Cash Price |
$1,175.44
|
| Rate for Payer: Cofinity Commercial |
$1,028.51
|
| Rate for Payer: Cofinity Commercial |
$1,263.60
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,175.44
|
| Rate for Payer: Healthscope Commercial |
$1,322.37
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,028.51
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,101.98
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,248.90
|
| Rate for Payer: PHP Commercial |
$1,248.90
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,028.51
|
| Rate for Payer: Priority Health SBD |
$925.66
|
| Rate for Payer: UMR Bronson Commercial |
$646.49
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,101.98
|
|
|
HC CT PELVIS ANGIO
|
Facility
|
OP
|
$1,911.00
|
|
|
Service Code
|
CPT 72191
|
| Hospital Charge Code |
35000009
|
|
Hospital Revenue Code
|
350
|
| Min. Negotiated Rate |
$89.34 |
| Max. Negotiated Rate |
$1,719.90 |
| Rate for Payer: Aetna American Axle |
$1,242.15
|
| Rate for Payer: Aetna Commercial |
$1,624.35
|
| Rate for Payer: Aetna Medicare |
$169.85
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,242.15
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$204.15
|
| Rate for Payer: Amish Plain Church Group Commercial |
$204.15
|
| Rate for Payer: BCBS Complete |
$93.81
|
| Rate for Payer: BCBS MAPPO |
$163.32
|
| Rate for Payer: BCBS Trust/PPO |
$442.17
|
| Rate for Payer: BCN Medicare Advantage |
$163.32
|
| Rate for Payer: Cash Price |
$1,528.80
|
| Rate for Payer: Cash Price |
$1,528.80
|
| Rate for Payer: Cofinity Commercial |
$1,337.70
|
| Rate for Payer: Cofinity Commercial |
$1,643.46
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,528.80
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$163.32
|
| Rate for Payer: Healthscope Commercial |
$1,719.90
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,337.70
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,433.25
|
| Rate for Payer: Mclaren Medicaid |
$89.34
|
| Rate for Payer: Mclaren Medicare |
$163.32
|
| Rate for Payer: Meridian Medicaid |
$93.81
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$171.49
|
| Rate for Payer: MI Amish Medical Board Commercial |
$187.82
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,624.35
|
| Rate for Payer: PACE Medicare |
$155.15
|
| Rate for Payer: PACE SWMI |
$163.32
|
| Rate for Payer: PHP Commercial |
$1,624.35
|
| Rate for Payer: PHP Medicare Advantage |
$163.32
|
| Rate for Payer: Priority Health Choice Medicaid |
$89.34
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,337.70
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$514.13
|
| Rate for Payer: Priority Health Medicare |
$163.32
|
| Rate for Payer: Priority Health Narrow Network |
$411.30
|
| Rate for Payer: Priority Health SBD |
$1,203.93
|
| Rate for Payer: Railroad Medicare Medicare |
$163.32
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$337.49
|
| Rate for Payer: UHC Core |
$1,048.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$163.32
|
| Rate for Payer: UHC Exchange |
$306.81
|
| Rate for Payer: UHC Medicare Advantage |
$168.22
|
| Rate for Payer: UMR Bronson Commercial |
$707.07
|
| Rate for Payer: VA VA |
$163.32
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,433.25
|
|
|
HC CT PELVIS ANGIO
|
Facility
|
IP
|
$1,911.00
|
|
|
Service Code
|
CPT 72191
|
| Hospital Charge Code |
35000009
|
|
Hospital Revenue Code
|
350
|
| Min. Negotiated Rate |
$840.84 |
| Max. Negotiated Rate |
$1,719.90 |
| Rate for Payer: Aetna American Axle |
$1,242.15
|
| Rate for Payer: Aetna Commercial |
$1,624.35
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,242.15
|
| Rate for Payer: Cash Price |
$1,528.80
|
| Rate for Payer: Cofinity Commercial |
$1,643.46
|
| Rate for Payer: Cofinity Commercial |
$1,337.70
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,528.80
|
| Rate for Payer: Healthscope Commercial |
$1,719.90
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,337.70
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,433.25
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,624.35
|
| Rate for Payer: PHP Commercial |
$1,624.35
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,337.70
|
| Rate for Payer: Priority Health SBD |
$1,203.93
|
| Rate for Payer: UMR Bronson Commercial |
$840.84
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,433.25
|
|
