|
HC CULTURE SCREENING
|
Facility
|
OP
|
$25.50
|
|
|
Service Code
|
CPT 87081
|
| Hospital Charge Code |
30600079
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$3.63 |
| Max. Negotiated Rate |
$22.95 |
| Rate for Payer: Aetna American Axle |
$16.58
|
| Rate for Payer: Aetna Commercial |
$21.68
|
| Rate for Payer: Aetna Medicare |
$6.90
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$16.58
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$8.29
|
| Rate for Payer: Amish Plain Church Group Commercial |
$8.29
|
| Rate for Payer: BCBS Complete |
$3.81
|
| Rate for Payer: BCBS MAPPO |
$6.63
|
| Rate for Payer: BCBS Trust/PPO |
$5.96
|
| Rate for Payer: BCN Medicare Advantage |
$6.63
|
| Rate for Payer: Cash Price |
$20.40
|
| Rate for Payer: Cash Price |
$20.40
|
| Rate for Payer: Cofinity Commercial |
$17.85
|
| Rate for Payer: Cofinity Commercial |
$21.93
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$20.40
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$6.63
|
| Rate for Payer: Healthscope Commercial |
$22.95
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$17.85
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$19.12
|
| Rate for Payer: Mclaren Medicaid |
$3.63
|
| Rate for Payer: Mclaren Medicare |
$6.63
|
| Rate for Payer: Meridian Medicaid |
$3.81
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$6.96
|
| Rate for Payer: MI Amish Medical Board Commercial |
$7.62
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$21.68
|
| Rate for Payer: PACE Medicare |
$6.30
|
| Rate for Payer: PACE SWMI |
$6.63
|
| Rate for Payer: PHP Commercial |
$21.68
|
| Rate for Payer: PHP Medicare Advantage |
$6.63
|
| Rate for Payer: Priority Health Choice Medicaid |
$3.63
|
| Rate for Payer: Priority Health Cigna Priority Health |
$17.85
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$6.64
|
| Rate for Payer: Priority Health Medicare |
$6.63
|
| Rate for Payer: Priority Health Narrow Network |
$5.31
|
| Rate for Payer: Priority Health SBD |
$16.06
|
| Rate for Payer: Railroad Medicare Medicare |
$6.63
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$7.96
|
| Rate for Payer: UHC Core |
$10.94
|
| Rate for Payer: UHC Dual Complete DSNP |
$6.63
|
| Rate for Payer: UHC Exchange |
$6.63
|
| Rate for Payer: UHC Medicare Advantage |
$6.83
|
| Rate for Payer: UMR Bronson Commercial |
$9.44
|
| Rate for Payer: VA VA |
$6.63
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$19.12
|
|
|
HC CUVETTE HEMOCHRON JR ACT+
|
Facility
|
IP
|
$12.75
|
|
| Hospital Charge Code |
27000657
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$5.61 |
| Max. Negotiated Rate |
$11.48 |
| Rate for Payer: Aetna American Axle |
$8.29
|
| Rate for Payer: Aetna Commercial |
$10.84
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$8.29
|
| Rate for Payer: Cash Price |
$10.20
|
| Rate for Payer: Cofinity Commercial |
$10.96
|
| Rate for Payer: Cofinity Commercial |
$8.92
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$10.20
|
| Rate for Payer: Healthscope Commercial |
$11.48
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$8.92
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$9.56
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$10.84
|
| Rate for Payer: PHP Commercial |
$10.84
|
| Rate for Payer: Priority Health Cigna Priority Health |
$8.92
|
| Rate for Payer: Priority Health SBD |
$8.03
|
| Rate for Payer: UMR Bronson Commercial |
$5.61
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$9.56
|
|
|
HC CUVETTE HEMOCHRON JR ACT+
|
Facility
|
OP
|
$12.75
|
|
| Hospital Charge Code |
27000657
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$4.72 |
| Max. Negotiated Rate |
$11.48 |
| Rate for Payer: Aetna American Axle |
$8.29
|
| Rate for Payer: Aetna Commercial |
$10.84
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$8.29
|
| Rate for Payer: BCBS Complete |
$5.10
|
| Rate for Payer: Cash Price |
$10.20
|
| Rate for Payer: Cofinity Commercial |
$10.96
|
| Rate for Payer: Cofinity Commercial |
$8.92
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$10.20
|
| Rate for Payer: Healthscope Commercial |
$11.48
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$8.92
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$9.56
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$10.84
|
| Rate for Payer: PHP Commercial |
$10.84
|
| Rate for Payer: Priority Health Cigna Priority Health |
$8.92
|
| Rate for Payer: Priority Health SBD |
$8.03
|
| Rate for Payer: UMR Bronson Commercial |
$4.72
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$9.56
|
|
|
HC CVC ACCESS TRAY
|
Facility
|
IP
|
$131.94
|
|
| Hospital Charge Code |
27000052
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$58.05 |
| Max. Negotiated Rate |
$118.75 |
| Rate for Payer: Aetna American Axle |
$85.76
|
| Rate for Payer: Aetna Commercial |
$112.15
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$85.76
|
| Rate for Payer: Cash Price |
$105.55
|
| Rate for Payer: Cofinity Commercial |
$113.47
|
| Rate for Payer: Cofinity Commercial |
$92.36
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$105.55
|
| Rate for Payer: Healthscope Commercial |
$118.75
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$92.36
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$98.96
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$112.15
|
| Rate for Payer: PHP Commercial |
$112.15
|
| Rate for Payer: Priority Health Cigna Priority Health |
$92.36
|
| Rate for Payer: Priority Health SBD |
$83.12
|
| Rate for Payer: UMR Bronson Commercial |
$58.05
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$98.96
|
|
|
HC CVC ACCESS TRAY
|
Facility
|
OP
|
$131.94
|
|
| Hospital Charge Code |
27000052
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$48.82 |
| Max. Negotiated Rate |
$118.75 |
| Rate for Payer: Aetna American Axle |
$85.76
|
| Rate for Payer: Aetna Commercial |
$112.15
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$85.76
|
| Rate for Payer: BCBS Complete |
$52.78
|
| Rate for Payer: Cash Price |
$105.55
|
| Rate for Payer: Cofinity Commercial |
$113.47
|
| Rate for Payer: Cofinity Commercial |
$92.36
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$105.55
|
| Rate for Payer: Healthscope Commercial |
$118.75
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$92.36
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$98.96
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$112.15
|
| Rate for Payer: PHP Commercial |
$112.15
|
| Rate for Payer: Priority Health Cigna Priority Health |
$92.36
|
| Rate for Payer: Priority Health SBD |
$83.12
|
| Rate for Payer: UMR Bronson Commercial |
$48.82
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$98.96
|
|
|
HC CVC INSERT
|
Facility
|
OP
|
$2,495.63
|
|
| Hospital Charge Code |
45000036
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$923.38 |
| Max. Negotiated Rate |
$2,246.07 |
| Rate for Payer: Aetna American Axle |
$1,622.16
|
| Rate for Payer: Aetna Commercial |
$2,121.29
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,622.16
|
| Rate for Payer: BCBS Complete |
$998.25
|
| Rate for Payer: Cash Price |
$1,996.50
|
| Rate for Payer: Cofinity Commercial |
$1,746.94
|
| Rate for Payer: Cofinity Commercial |
$2,146.24
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,996.50
|
| Rate for Payer: Healthscope Commercial |
$2,246.07
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,746.94
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,871.72
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$2,121.29
|
| Rate for Payer: PHP Commercial |
$2,121.29
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,746.94
|
| Rate for Payer: Priority Health SBD |
$1,572.25
|
| Rate for Payer: UMR Bronson Commercial |
$923.38
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,871.72
|
|
|
HC CVC INSERT
|
Facility
|
IP
|
$2,495.63
|
|
| Hospital Charge Code |
45000036
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$1,098.08 |
| Max. Negotiated Rate |
$2,246.07 |
| Rate for Payer: Aetna American Axle |
$1,622.16
|
| Rate for Payer: Aetna Commercial |
$2,121.29
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,622.16
|
| Rate for Payer: Cash Price |
$1,996.50
|
| Rate for Payer: Cofinity Commercial |
$1,746.94
|
| Rate for Payer: Cofinity Commercial |
$2,146.24
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,996.50
|
| Rate for Payer: Healthscope Commercial |
$2,246.07
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,746.94
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,871.72
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$2,121.29
|
| Rate for Payer: PHP Commercial |
$2,121.29
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,746.94
|
| Rate for Payer: Priority Health SBD |
$1,572.25
|
| Rate for Payer: UMR Bronson Commercial |
$1,098.08
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,871.72
|
|
|
HC CVS PSEUDOANEURYSM COMPRESSION
|
Facility
|
IP
|
$800.53
|
|
|
Service Code
|
CPT 76936
|
| Hospital Charge Code |
40200042
|
|
Hospital Revenue Code
|
402
|
| Min. Negotiated Rate |
$352.23 |
| Max. Negotiated Rate |
$720.48 |
| Rate for Payer: Aetna American Axle |
$520.34
|
| Rate for Payer: Aetna Commercial |
$680.45
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$520.34
|
| Rate for Payer: Cash Price |
$640.42
|
| Rate for Payer: Cofinity Commercial |
$560.37
|
| Rate for Payer: Cofinity Commercial |
$688.46
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$640.42
|
| Rate for Payer: Healthscope Commercial |
$720.48
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$560.37
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$600.40
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$680.45
|
| Rate for Payer: PHP Commercial |
$680.45
|
| Rate for Payer: Priority Health Cigna Priority Health |
$560.37
|
| Rate for Payer: Priority Health SBD |
$504.33
|
| Rate for Payer: UMR Bronson Commercial |
$352.23
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$600.40
|
|
|
HC CVS PSEUDOANEURYSM COMPRESSION
|
Facility
|
OP
|
$800.53
|
|
|
Service Code
|
CPT 76936
|
| Hospital Charge Code |
40200042
|
|
Hospital Revenue Code
|
402
|
| Min. Negotiated Rate |
$152.61 |
| Max. Negotiated Rate |
$878.32 |
| Rate for Payer: Aetna American Axle |
$520.34
|
| Rate for Payer: Aetna Commercial |
$680.45
|
| Rate for Payer: Aetna Medicare |
$290.16
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$520.34
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$348.75
|
| Rate for Payer: Amish Plain Church Group Commercial |
$348.75
|
| Rate for Payer: BCBS Complete |
$160.26
|
| Rate for Payer: BCBS MAPPO |
$279.00
|
| Rate for Payer: BCBS Trust/PPO |
$316.74
|
| Rate for Payer: BCN Medicare Advantage |
$279.00
|
| Rate for Payer: Cash Price |
$640.42
|
| Rate for Payer: Cash Price |
$640.42
|
| Rate for Payer: Cofinity Commercial |
$688.46
|
| Rate for Payer: Cofinity Commercial |
$560.37
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$640.42
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$279.00
|
| Rate for Payer: Healthscope Commercial |
$720.48
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$560.37
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$600.40
|
| Rate for Payer: Mclaren Medicaid |
$152.61
|
| Rate for Payer: Mclaren Medicare |
$279.00
|
| Rate for Payer: Meridian Medicaid |
$160.26
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$292.95
|
| Rate for Payer: MI Amish Medical Board Commercial |
$320.85
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$680.45
|
| Rate for Payer: PACE Medicare |
$265.05
|
| Rate for Payer: PACE SWMI |
$279.00
|
| Rate for Payer: PHP Commercial |
$680.45
|
| Rate for Payer: PHP Medicare Advantage |
$279.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$152.61
|
| Rate for Payer: Priority Health Cigna Priority Health |
$560.37
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$878.32
|
| Rate for Payer: Priority Health Medicare |
$279.00
|
| Rate for Payer: Priority Health Narrow Network |
$702.66
|
| Rate for Payer: Priority Health SBD |
$504.33
|
| Rate for Payer: Railroad Medicare Medicare |
$279.00
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$281.30
|
| Rate for Payer: UHC Core |
$367.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$279.00
|
| Rate for Payer: UHC Exchange |
$255.73
|
| Rate for Payer: UHC Medicare Advantage |
$287.37
|
| Rate for Payer: UMR Bronson Commercial |
$296.20
|
| Rate for Payer: VA VA |
$279.00
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$600.40
|
|
|
HC CVVHD INSERTION
|
Facility
|
IP
|
$408.67
|
|
| Hospital Charge Code |
27000053
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$179.81 |
| Max. Negotiated Rate |
$367.80 |
| Rate for Payer: Aetna American Axle |
$265.64
|
| Rate for Payer: Aetna Commercial |
$347.37
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$265.64
|
| Rate for Payer: Cash Price |
$326.94
|
| Rate for Payer: Cofinity Commercial |
$286.07
|
| Rate for Payer: Cofinity Commercial |
$351.46
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$326.94
|
| Rate for Payer: Healthscope Commercial |
$367.80
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$286.07
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$306.50
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$347.37
|
| Rate for Payer: PHP Commercial |
$347.37
|
| Rate for Payer: Priority Health Cigna Priority Health |
$286.07
|
| Rate for Payer: Priority Health SBD |
$257.46
|
| Rate for Payer: UMR Bronson Commercial |
$179.81
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$306.50
|
|
|
HC CVVHD INSERTION
|
Facility
|
OP
|
$408.67
|
|
| Hospital Charge Code |
27000053
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$151.21 |
| Max. Negotiated Rate |
$367.80 |
| Rate for Payer: Aetna American Axle |
$265.64
|
| Rate for Payer: Aetna Commercial |
$347.37
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$265.64
|
| Rate for Payer: BCBS Complete |
$163.47
|
| Rate for Payer: Cash Price |
$326.94
|
| Rate for Payer: Cofinity Commercial |
$286.07
|
| Rate for Payer: Cofinity Commercial |
$351.46
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$326.94
|
| Rate for Payer: Healthscope Commercial |
$367.80
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$286.07
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$306.50
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$347.37
|
| Rate for Payer: PHP Commercial |
$347.37
|
| Rate for Payer: Priority Health Cigna Priority Health |
$286.07
|
| Rate for Payer: Priority Health SBD |
$257.46
|
| Rate for Payer: UMR Bronson Commercial |
$151.21
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$306.50
|
|
|
HC CVVH SUBSEQUENT CARTRIDGE
|
Facility
|
OP
|
$619.07
|
|
| Hospital Charge Code |
27000611
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$229.06 |
| Max. Negotiated Rate |
$557.16 |
| Rate for Payer: Aetna American Axle |
$402.40
|
| Rate for Payer: Aetna Commercial |
$526.21
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$402.40
|
| Rate for Payer: BCBS Complete |
$247.63
|
| Rate for Payer: Cash Price |
$495.26
|
| Rate for Payer: Cofinity Commercial |
$433.35
|
| Rate for Payer: Cofinity Commercial |
$532.40
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$495.26
|
| Rate for Payer: Healthscope Commercial |
$557.16
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$433.35
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$464.30
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$526.21
|
| Rate for Payer: PHP Commercial |
$526.21
|
| Rate for Payer: Priority Health Cigna Priority Health |
$433.35
|
| Rate for Payer: Priority Health SBD |
$390.01
|
| Rate for Payer: UMR Bronson Commercial |
$229.06
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$464.30
|
|
|
HC CVVH SUBSEQUENT CARTRIDGE
|
Facility
|
IP
|
$619.07
|
|
| Hospital Charge Code |
27000611
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$272.39 |
| Max. Negotiated Rate |
$557.16 |
| Rate for Payer: Aetna American Axle |
$402.40
|
| Rate for Payer: Aetna Commercial |
$526.21
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$402.40
|
| Rate for Payer: Cash Price |
$495.26
|
| Rate for Payer: Cofinity Commercial |
$433.35
|
| Rate for Payer: Cofinity Commercial |
$532.40
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$495.26
|
| Rate for Payer: Healthscope Commercial |
$557.16
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$433.35
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$464.30
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$526.21
|
| Rate for Payer: PHP Commercial |
$526.21
|
| Rate for Payer: Priority Health Cigna Priority Health |
$433.35
|
| Rate for Payer: Priority Health SBD |
$390.01
|
| Rate for Payer: UMR Bronson Commercial |
$272.39
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$464.30
|
|
|
HC CX ID BY PCR AMP, ENTEROBACTERIACEA
|
Facility
|
IP
|
$56.35
|
|
|
Service Code
|
CPT 87150
|
| Hospital Charge Code |
30600240
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$24.79 |
| Max. Negotiated Rate |
$50.72 |
| Rate for Payer: Aetna American Axle |
$36.63
|
| Rate for Payer: Aetna Commercial |
$47.90
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$36.63
|
| Rate for Payer: Cash Price |
$45.08
|
| Rate for Payer: Cofinity Commercial |
$48.46
|
| Rate for Payer: Cofinity Commercial |
$39.44
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$45.08
|
| Rate for Payer: Healthscope Commercial |
$50.72
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$39.44
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$42.26
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$47.90
|
| Rate for Payer: PHP Commercial |
$47.90
|
| Rate for Payer: Priority Health Cigna Priority Health |
$39.44
|
| Rate for Payer: Priority Health SBD |
$35.50
|
| Rate for Payer: UMR Bronson Commercial |
$24.79
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$42.26
|
|
|
HC CX ID BY PCR AMP, ENTEROBACTERIACEA
|
Facility
|
OP
|
$56.35
|
|
|
Service Code
|
CPT 87150
|
| Hospital Charge Code |
30600240
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$19.19 |
| Max. Negotiated Rate |
$57.89 |
| Rate for Payer: Aetna American Axle |
$36.63
|
| Rate for Payer: Aetna Commercial |
$47.90
|
| Rate for Payer: Aetna Medicare |
$36.49
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$36.63
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$43.86
|
| Rate for Payer: Amish Plain Church Group Commercial |
$43.86
|
| Rate for Payer: BCBS Complete |
$20.16
|
| Rate for Payer: BCBS MAPPO |
$35.09
|
| Rate for Payer: BCBS Trust/PPO |
$31.56
|
| Rate for Payer: BCN Medicare Advantage |
$35.09
|
| Rate for Payer: Cash Price |
$45.08
|
| Rate for Payer: Cash Price |
$45.08
|
| Rate for Payer: Cofinity Commercial |
$39.44
|
| Rate for Payer: Cofinity Commercial |
$48.46
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$45.08
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$35.09
|
| Rate for Payer: Healthscope Commercial |
$50.72
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$39.44
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$42.26
|
| Rate for Payer: Mclaren Medicaid |
$19.19
|
| Rate for Payer: Mclaren Medicare |
$35.09
|
| Rate for Payer: Meridian Medicaid |
$20.16
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$36.84
|
| Rate for Payer: MI Amish Medical Board Commercial |
$40.35
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$47.90
|
| Rate for Payer: PACE Medicare |
$33.34
|
| Rate for Payer: PACE SWMI |
$35.09
|
| Rate for Payer: PHP Commercial |
$47.90
|
| Rate for Payer: PHP Medicare Advantage |
$35.09
|
| Rate for Payer: Priority Health Choice Medicaid |
$19.19
|
| Rate for Payer: Priority Health Cigna Priority Health |
$39.44
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$48.14
|
| Rate for Payer: Priority Health Medicare |
$35.09
|
| Rate for Payer: Priority Health Narrow Network |
$38.51
|
| Rate for Payer: Priority Health SBD |
$35.50
|
| Rate for Payer: Railroad Medicare Medicare |
$35.09
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$42.11
|
| Rate for Payer: UHC Core |
$57.89
|
| Rate for Payer: UHC Dual Complete DSNP |
$35.09
|
| Rate for Payer: UHC Exchange |
$35.09
|
| Rate for Payer: UHC Medicare Advantage |
$36.14
|
| Rate for Payer: UMR Bronson Commercial |
$20.85
|
| Rate for Payer: VA VA |
$35.09
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$42.26
|
|
|
HC CX ID BY PCR AMPLIFED, C GLA
|
Facility
|
IP
|
$56.35
|
|
|
Service Code
|
CPT 87150
|
| Hospital Charge Code |
30600248
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$24.79 |
| Max. Negotiated Rate |
$50.72 |
| Rate for Payer: Aetna American Axle |
$36.63
|
| Rate for Payer: Aetna Commercial |
$47.90
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$36.63
|
| Rate for Payer: Cash Price |
$45.08
|
| Rate for Payer: Cofinity Commercial |
$39.44
|
| Rate for Payer: Cofinity Commercial |
$48.46
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$45.08
|
| Rate for Payer: Healthscope Commercial |
$50.72
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$39.44
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$42.26
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$47.90
|
| Rate for Payer: PHP Commercial |
$47.90
|
| Rate for Payer: Priority Health Cigna Priority Health |
$39.44
|
| Rate for Payer: Priority Health SBD |
$35.50
|
| Rate for Payer: UMR Bronson Commercial |
$24.79
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$42.26
|
|
|
HC CX ID BY PCR AMPLIFED, C GLA
|
Facility
|
OP
|
$56.35
|
|
|
Service Code
|
CPT 87150
|
| Hospital Charge Code |
30600248
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$19.19 |
| Max. Negotiated Rate |
$57.89 |
| Rate for Payer: Aetna American Axle |
$36.63
|
| Rate for Payer: Aetna Commercial |
$47.90
|
| Rate for Payer: Aetna Medicare |
$36.49
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$36.63
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$43.86
|
| Rate for Payer: Amish Plain Church Group Commercial |
$43.86
|
| Rate for Payer: BCBS Complete |
$20.16
|
| Rate for Payer: BCBS MAPPO |
$35.09
|
| Rate for Payer: BCBS Trust/PPO |
$31.56
|
| Rate for Payer: BCN Medicare Advantage |
$35.09
|
| Rate for Payer: Cash Price |
$45.08
|
| Rate for Payer: Cash Price |
$45.08
|
| Rate for Payer: Cofinity Commercial |
$39.44
|
| Rate for Payer: Cofinity Commercial |
$48.46
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$45.08
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$35.09
|
| Rate for Payer: Healthscope Commercial |
$50.72
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$39.44
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$42.26
|
| Rate for Payer: Mclaren Medicaid |
$19.19
|
| Rate for Payer: Mclaren Medicare |
$35.09
|
| Rate for Payer: Meridian Medicaid |
$20.16
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$36.84
|
| Rate for Payer: MI Amish Medical Board Commercial |
$40.35
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$47.90
|
| Rate for Payer: PACE Medicare |
$33.34
|
| Rate for Payer: PACE SWMI |
$35.09
|
| Rate for Payer: PHP Commercial |
$47.90
|
| Rate for Payer: PHP Medicare Advantage |
$35.09
|
| Rate for Payer: Priority Health Choice Medicaid |
$19.19
|
| Rate for Payer: Priority Health Cigna Priority Health |
$39.44
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$48.14
|
| Rate for Payer: Priority Health Medicare |
$35.09
|
| Rate for Payer: Priority Health Narrow Network |
$38.51
|
| Rate for Payer: Priority Health SBD |
$35.50
|
| Rate for Payer: Railroad Medicare Medicare |
$35.09
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$42.11
|
| Rate for Payer: UHC Core |
$57.89
|
| Rate for Payer: UHC Dual Complete DSNP |
$35.09
|
| Rate for Payer: UHC Exchange |
$35.09
|
| Rate for Payer: UHC Medicare Advantage |
$36.14
|
| Rate for Payer: UMR Bronson Commercial |
$20.85
|
| Rate for Payer: VA VA |
$35.09
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$42.26
|
|
|
HC CX ID BY PCR AMPLIFIED, ACIN
|
Facility
|
OP
|
$56.35
|
|
|
Service Code
|
CPT 87150
|
| Hospital Charge Code |
30600236
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$19.19 |
| Max. Negotiated Rate |
$57.89 |
| Rate for Payer: Aetna American Axle |
$36.63
|
| Rate for Payer: Aetna Commercial |
$47.90
|
| Rate for Payer: Aetna Medicare |
$36.49
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$36.63
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$43.86
|
| Rate for Payer: Amish Plain Church Group Commercial |
$43.86
|
| Rate for Payer: BCBS Complete |
$20.16
|
| Rate for Payer: BCBS MAPPO |
$35.09
|
| Rate for Payer: BCBS Trust/PPO |
$31.56
|
| Rate for Payer: BCN Medicare Advantage |
$35.09
|
| Rate for Payer: Cash Price |
$45.08
|
| Rate for Payer: Cash Price |
$45.08
|
| Rate for Payer: Cofinity Commercial |
$48.46
|
| Rate for Payer: Cofinity Commercial |
$39.44
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$45.08
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$35.09
|
| Rate for Payer: Healthscope Commercial |
$50.72
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$39.44
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$42.26
|
| Rate for Payer: Mclaren Medicaid |
$19.19
|
| Rate for Payer: Mclaren Medicare |
$35.09
|
| Rate for Payer: Meridian Medicaid |
$20.16
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$36.84
|
| Rate for Payer: MI Amish Medical Board Commercial |
$40.35
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$47.90
|
| Rate for Payer: PACE Medicare |
$33.34
|
| Rate for Payer: PACE SWMI |
$35.09
|
| Rate for Payer: PHP Commercial |
$47.90
|
| Rate for Payer: PHP Medicare Advantage |
$35.09
|
| Rate for Payer: Priority Health Choice Medicaid |
$19.19
|
| Rate for Payer: Priority Health Cigna Priority Health |
$39.44
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$48.14
|
| Rate for Payer: Priority Health Medicare |
$35.09
|
| Rate for Payer: Priority Health Narrow Network |
$38.51
|
| Rate for Payer: Priority Health SBD |
$35.50
|
| Rate for Payer: Railroad Medicare Medicare |
$35.09
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$42.11
|
| Rate for Payer: UHC Core |
$57.89
|
| Rate for Payer: UHC Dual Complete DSNP |
$35.09
|
| Rate for Payer: UHC Exchange |
$35.09
|
| Rate for Payer: UHC Medicare Advantage |
$36.14
|
| Rate for Payer: UMR Bronson Commercial |
$20.85
|
| Rate for Payer: VA VA |
$35.09
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$42.26
|
|
|
HC CX ID BY PCR AMPLIFIED, ACIN
|
Facility
|
IP
|
$56.35
|
|
|
Service Code
|
CPT 87150
|
| Hospital Charge Code |
30600236
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$24.79 |
| Max. Negotiated Rate |
$50.72 |
| Rate for Payer: Aetna American Axle |
$36.63
|
| Rate for Payer: Aetna Commercial |
$47.90
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$36.63
|
| Rate for Payer: Cash Price |
$45.08
|
| Rate for Payer: Cofinity Commercial |
$39.44
|
| Rate for Payer: Cofinity Commercial |
$48.46
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$45.08
|
| Rate for Payer: Healthscope Commercial |
$50.72
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$39.44
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$42.26
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$47.90
|
| Rate for Payer: PHP Commercial |
$47.90
|
| Rate for Payer: Priority Health Cigna Priority Health |
$39.44
|
| Rate for Payer: Priority Health SBD |
$35.50
|
| Rate for Payer: UMR Bronson Commercial |
$24.79
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$42.26
|
|
|
HC CX ID BY PCR AMPLIFIED, BSA
|
Facility
|
IP
|
$56.35
|
|
|
Service Code
|
CPT 87150
|
| Hospital Charge Code |
30600235
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$24.79 |
| Max. Negotiated Rate |
$50.72 |
| Rate for Payer: Aetna American Axle |
$36.63
|
| Rate for Payer: Aetna Commercial |
$47.90
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$36.63
|
| Rate for Payer: Cash Price |
$45.08
|
| Rate for Payer: Cofinity Commercial |
$39.44
|
| Rate for Payer: Cofinity Commercial |
$48.46
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$45.08
|
| Rate for Payer: Healthscope Commercial |
$50.72
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$39.44
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$42.26
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$47.90
|
| Rate for Payer: PHP Commercial |
$47.90
|
| Rate for Payer: Priority Health Cigna Priority Health |
$39.44
|
| Rate for Payer: Priority Health SBD |
$35.50
|
| Rate for Payer: UMR Bronson Commercial |
$24.79
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$42.26
|
|
|
HC CX ID BY PCR AMPLIFIED, BSA
|
Facility
|
OP
|
$56.35
|
|
|
Service Code
|
CPT 87150
|
| Hospital Charge Code |
30600235
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$19.19 |
| Max. Negotiated Rate |
$57.89 |
| Rate for Payer: Aetna American Axle |
$36.63
|
| Rate for Payer: Aetna Commercial |
$47.90
|
| Rate for Payer: Aetna Medicare |
$36.49
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$36.63
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$43.86
|
| Rate for Payer: Amish Plain Church Group Commercial |
$43.86
|
| Rate for Payer: BCBS Complete |
$20.16
|
| Rate for Payer: BCBS MAPPO |
$35.09
|
| Rate for Payer: BCBS Trust/PPO |
$31.56
|
| Rate for Payer: BCN Medicare Advantage |
$35.09
|
| Rate for Payer: Cash Price |
$45.08
|
| Rate for Payer: Cash Price |
$45.08
|
| Rate for Payer: Cofinity Commercial |
$39.44
|
| Rate for Payer: Cofinity Commercial |
$48.46
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$45.08
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$35.09
|
| Rate for Payer: Healthscope Commercial |
$50.72
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$39.44
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$42.26
|
| Rate for Payer: Mclaren Medicaid |
$19.19
|
| Rate for Payer: Mclaren Medicare |
$35.09
|
| Rate for Payer: Meridian Medicaid |
$20.16
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$36.84
|
| Rate for Payer: MI Amish Medical Board Commercial |
$40.35
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$47.90
|
| Rate for Payer: PACE Medicare |
$33.34
|
| Rate for Payer: PACE SWMI |
$35.09
|
| Rate for Payer: PHP Commercial |
$47.90
|
| Rate for Payer: PHP Medicare Advantage |
$35.09
|
| Rate for Payer: Priority Health Choice Medicaid |
$19.19
|
| Rate for Payer: Priority Health Cigna Priority Health |
$39.44
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$48.14
|
| Rate for Payer: Priority Health Medicare |
$35.09
|
| Rate for Payer: Priority Health Narrow Network |
$38.51
|
| Rate for Payer: Priority Health SBD |
$35.50
|
| Rate for Payer: Railroad Medicare Medicare |
$35.09
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$42.11
|
| Rate for Payer: UHC Core |
$57.89
|
| Rate for Payer: UHC Dual Complete DSNP |
$35.09
|
| Rate for Payer: UHC Exchange |
$35.09
|
| Rate for Payer: UHC Medicare Advantage |
$36.14
|
| Rate for Payer: UMR Bronson Commercial |
$20.85
|
| Rate for Payer: VA VA |
$35.09
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$42.26
|
|
|
HC CX ID BY PCR AMPLIFIED, BSB
|
Facility
|
IP
|
$56.35
|
|
|
Service Code
|
CPT 87150
|
| Hospital Charge Code |
30600234
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$24.79 |
| Max. Negotiated Rate |
$50.72 |
| Rate for Payer: Aetna American Axle |
$36.63
|
| Rate for Payer: Aetna Commercial |
$47.90
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$36.63
|
| Rate for Payer: Cash Price |
$45.08
|
| Rate for Payer: Cofinity Commercial |
$39.44
|
| Rate for Payer: Cofinity Commercial |
$48.46
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$45.08
|
| Rate for Payer: Healthscope Commercial |
$50.72
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$39.44
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$42.26
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$47.90
|
| Rate for Payer: PHP Commercial |
$47.90
|
| Rate for Payer: Priority Health Cigna Priority Health |
$39.44
|
| Rate for Payer: Priority Health SBD |
$35.50
|
| Rate for Payer: UMR Bronson Commercial |
$24.79
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$42.26
|
|
|
HC CX ID BY PCR AMPLIFIED, BSB
|
Facility
|
OP
|
$56.35
|
|
|
Service Code
|
CPT 87150
|
| Hospital Charge Code |
30600234
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$19.19 |
| Max. Negotiated Rate |
$57.89 |
| Rate for Payer: Aetna American Axle |
$36.63
|
| Rate for Payer: Aetna Commercial |
$47.90
|
| Rate for Payer: Aetna Medicare |
$36.49
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$36.63
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$43.86
|
| Rate for Payer: Amish Plain Church Group Commercial |
$43.86
|
| Rate for Payer: BCBS Complete |
$20.16
|
| Rate for Payer: BCBS MAPPO |
$35.09
|
| Rate for Payer: BCBS Trust/PPO |
$31.56
|
| Rate for Payer: BCN Medicare Advantage |
$35.09
|
| Rate for Payer: Cash Price |
$45.08
|
| Rate for Payer: Cash Price |
$45.08
|
| Rate for Payer: Cofinity Commercial |
$39.44
|
| Rate for Payer: Cofinity Commercial |
$48.46
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$45.08
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$35.09
|
| Rate for Payer: Healthscope Commercial |
$50.72
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$39.44
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$42.26
|
| Rate for Payer: Mclaren Medicaid |
$19.19
|
| Rate for Payer: Mclaren Medicare |
$35.09
|
| Rate for Payer: Meridian Medicaid |
$20.16
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$36.84
|
| Rate for Payer: MI Amish Medical Board Commercial |
$40.35
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$47.90
|
| Rate for Payer: PACE Medicare |
$33.34
|
| Rate for Payer: PACE SWMI |
$35.09
|
| Rate for Payer: PHP Commercial |
$47.90
|
| Rate for Payer: PHP Medicare Advantage |
$35.09
|
| Rate for Payer: Priority Health Choice Medicaid |
$19.19
|
| Rate for Payer: Priority Health Cigna Priority Health |
$39.44
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$48.14
|
| Rate for Payer: Priority Health Medicare |
$35.09
|
| Rate for Payer: Priority Health Narrow Network |
$38.51
|
| Rate for Payer: Priority Health SBD |
$35.50
|
| Rate for Payer: Railroad Medicare Medicare |
$35.09
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$42.11
|
| Rate for Payer: UHC Core |
$57.89
|
| Rate for Payer: UHC Dual Complete DSNP |
$35.09
|
| Rate for Payer: UHC Exchange |
$35.09
|
| Rate for Payer: UHC Medicare Advantage |
$36.14
|
| Rate for Payer: UMR Bronson Commercial |
$20.85
|
| Rate for Payer: VA VA |
$35.09
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$42.26
|
|
|
HC CX ID BY PCR AMPLIFIED, C ALB
|
Facility
|
IP
|
$56.35
|
|
|
Service Code
|
CPT 87150
|
| Hospital Charge Code |
30600247
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$24.79 |
| Max. Negotiated Rate |
$50.72 |
| Rate for Payer: Aetna American Axle |
$36.63
|
| Rate for Payer: Aetna Commercial |
$47.90
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$36.63
|
| Rate for Payer: Cash Price |
$45.08
|
| Rate for Payer: Cofinity Commercial |
$39.44
|
| Rate for Payer: Cofinity Commercial |
$48.46
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$45.08
|
| Rate for Payer: Healthscope Commercial |
$50.72
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$39.44
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$42.26
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$47.90
|
| Rate for Payer: PHP Commercial |
$47.90
|
| Rate for Payer: Priority Health Cigna Priority Health |
$39.44
|
| Rate for Payer: Priority Health SBD |
$35.50
|
| Rate for Payer: UMR Bronson Commercial |
$24.79
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$42.26
|
|
|
HC CX ID BY PCR AMPLIFIED, C ALB
|
Facility
|
OP
|
$56.35
|
|
|
Service Code
|
CPT 87150
|
| Hospital Charge Code |
30600247
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$19.19 |
| Max. Negotiated Rate |
$57.89 |
| Rate for Payer: Aetna American Axle |
$36.63
|
| Rate for Payer: Aetna Commercial |
$47.90
|
| Rate for Payer: Aetna Medicare |
$36.49
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$36.63
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$43.86
|
| Rate for Payer: Amish Plain Church Group Commercial |
$43.86
|
| Rate for Payer: BCBS Complete |
$20.16
|
| Rate for Payer: BCBS MAPPO |
$35.09
|
| Rate for Payer: BCBS Trust/PPO |
$31.56
|
| Rate for Payer: BCN Medicare Advantage |
$35.09
|
| Rate for Payer: Cash Price |
$45.08
|
| Rate for Payer: Cash Price |
$45.08
|
| Rate for Payer: Cofinity Commercial |
$39.44
|
| Rate for Payer: Cofinity Commercial |
$48.46
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$45.08
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$35.09
|
| Rate for Payer: Healthscope Commercial |
$50.72
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$39.44
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$42.26
|
| Rate for Payer: Mclaren Medicaid |
$19.19
|
| Rate for Payer: Mclaren Medicare |
$35.09
|
| Rate for Payer: Meridian Medicaid |
$20.16
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$36.84
|
| Rate for Payer: MI Amish Medical Board Commercial |
$40.35
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$47.90
|
| Rate for Payer: PACE Medicare |
$33.34
|
| Rate for Payer: PACE SWMI |
$35.09
|
| Rate for Payer: PHP Commercial |
$47.90
|
| Rate for Payer: PHP Medicare Advantage |
$35.09
|
| Rate for Payer: Priority Health Choice Medicaid |
$19.19
|
| Rate for Payer: Priority Health Cigna Priority Health |
$39.44
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$48.14
|
| Rate for Payer: Priority Health Medicare |
$35.09
|
| Rate for Payer: Priority Health Narrow Network |
$38.51
|
| Rate for Payer: Priority Health SBD |
$35.50
|
| Rate for Payer: Railroad Medicare Medicare |
$35.09
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$42.11
|
| Rate for Payer: UHC Core |
$57.89
|
| Rate for Payer: UHC Dual Complete DSNP |
$35.09
|
| Rate for Payer: UHC Exchange |
$35.09
|
| Rate for Payer: UHC Medicare Advantage |
$36.14
|
| Rate for Payer: UMR Bronson Commercial |
$20.85
|
| Rate for Payer: VA VA |
$35.09
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$42.26
|
|
