|
HC ACB NEW PT LEVEL 4
|
Facility
|
OP
|
$874.52
|
|
|
Service Code
|
CPT 99204
|
| Hospital Charge Code |
51000103
|
|
Hospital Revenue Code
|
510
|
| Min. Negotiated Rate |
$115.00 |
| Max. Negotiated Rate |
$787.07 |
| Rate for Payer: Aetna American Axle |
$568.44
|
| Rate for Payer: Aetna Commercial |
$743.34
|
| Rate for Payer: Aetna Medicare |
$437.26
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$568.44
|
| Rate for Payer: BCBS Complete |
$349.81
|
| Rate for Payer: BCBS Trust/PPO |
$202.87
|
| Rate for Payer: BCCCP Commercial |
$115.00
|
| Rate for Payer: BCN Commercial |
$202.87
|
| Rate for Payer: Cash Price |
$699.62
|
| Rate for Payer: Cash Price |
$699.62
|
| Rate for Payer: Cofinity Advantage |
$612.16
|
| Rate for Payer: Cofinity Commercial |
$752.09
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$699.62
|
| Rate for Payer: Healthscope Commercial |
$787.07
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$612.16
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$655.89
|
| Rate for Payer: MI Amish Medical Board Commercial |
$699.62
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$743.34
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$655.89
|
| Rate for Payer: PHP Commercial |
$743.34
|
| Rate for Payer: Priority Health SBD |
$550.95
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$568.44
|
| Rate for Payer: UHC Core |
$455.62
|
| Rate for Payer: UHC Exchange |
$343.69
|
| Rate for Payer: UMR Bronson Commercial |
$323.57
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$655.89
|
|
|
HC ACB NEW PT LEVEL 5
|
Facility
|
OP
|
$1,042.88
|
|
|
Service Code
|
CPT 99205
|
| Hospital Charge Code |
51000104
|
|
Hospital Revenue Code
|
510
|
| Min. Negotiated Rate |
$115.00 |
| Max. Negotiated Rate |
$938.59 |
| Rate for Payer: Aetna American Axle |
$677.87
|
| Rate for Payer: Aetna Commercial |
$886.45
|
| Rate for Payer: Aetna Medicare |
$521.44
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$677.87
|
| Rate for Payer: BCBS Complete |
$417.15
|
| Rate for Payer: BCBS Trust/PPO |
$245.88
|
| Rate for Payer: BCCCP Commercial |
$115.00
|
| Rate for Payer: BCN Commercial |
$245.88
|
| Rate for Payer: Cash Price |
$834.30
|
| Rate for Payer: Cash Price |
$834.30
|
| Rate for Payer: Cofinity Advantage |
$730.02
|
| Rate for Payer: Cofinity Commercial |
$896.88
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$834.30
|
| Rate for Payer: Healthscope Commercial |
$938.59
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$730.02
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$782.16
|
| Rate for Payer: MI Amish Medical Board Commercial |
$834.30
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$886.45
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$782.16
|
| Rate for Payer: PHP Commercial |
$886.45
|
| Rate for Payer: Priority Health SBD |
$657.01
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$677.87
|
| Rate for Payer: UHC Core |
$543.34
|
| Rate for Payer: UHC Exchange |
$409.85
|
| Rate for Payer: UMR Bronson Commercial |
$385.87
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$782.16
|
|
|
HC ACB NEW PT LEVEL 5
|
Facility
|
IP
|
$1,042.88
|
|
|
Service Code
|
CPT 99205
|
| Hospital Charge Code |
51000104
|
|
Hospital Revenue Code
|
510
|
| Min. Negotiated Rate |
$458.87 |
| Max. Negotiated Rate |
$938.59 |
| Rate for Payer: Aetna American Axle |
$677.87
|
| Rate for Payer: Aetna Commercial |
$886.45
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$677.87
|
| Rate for Payer: Cash Price |
$834.30
|
| Rate for Payer: Cofinity Advantage |
$730.02
|
| Rate for Payer: Cofinity Commercial |
$896.88
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$834.30
|
| Rate for Payer: Healthscope Commercial |
$938.59
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$730.02
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$782.16
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$886.45
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$782.16
|
| Rate for Payer: PHP Commercial |
$886.45
|
| Rate for Payer: Priority Health SBD |
$657.01
|
| Rate for Payer: UMR Bronson Commercial |
$458.87
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$782.16
|
|
|
HC ACCESS AORTA
|
Facility
|
IP
|
$3,998.72
|
|
|
Service Code
|
CPT 36200
|
| Hospital Charge Code |
36100105
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$1,759.44 |
| Max. Negotiated Rate |
$3,598.85 |
| Rate for Payer: Aetna American Axle |
$2,599.17
|
| Rate for Payer: Aetna Commercial |
$3,398.91
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,599.17
|
| Rate for Payer: Cash Price |
$3,198.98
|
| Rate for Payer: Cofinity Advantage |
$2,799.10
|
| Rate for Payer: Cofinity Commercial |
$3,438.90
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,198.98
|
| Rate for Payer: Healthscope Commercial |
$3,598.85
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$2,799.10
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,999.04
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,398.91
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,999.04
|
| Rate for Payer: PHP Commercial |
$3,398.91
|
| Rate for Payer: Priority Health SBD |
$2,519.19
|
| Rate for Payer: UMR Bronson Commercial |
$1,759.44
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,999.04
|
|
|
HC ACCESS AORTA
|
Facility
|
OP
|
$3,998.72
|
|
|
Service Code
|
CPT 36200
|
| Hospital Charge Code |
36100105
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$1,479.53 |
| Max. Negotiated Rate |
$3,598.85 |
| Rate for Payer: Aetna American Axle |
$2,599.17
|
| Rate for Payer: Aetna Commercial |
$3,398.91
|
| Rate for Payer: Aetna Medicare |
$1,999.36
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,599.17
|
| Rate for Payer: BCBS Complete |
$1,599.49
|
| Rate for Payer: BCBS Trust/PPO |
$2,323.19
|
| Rate for Payer: BCN Commercial |
$2,323.19
|
| Rate for Payer: Cash Price |
$3,198.98
|
| Rate for Payer: Cash Price |
$3,198.98
|
| Rate for Payer: Cash Price |
$3,198.98
|
| Rate for Payer: Cofinity Advantage |
$2,799.10
|
| Rate for Payer: Cofinity Commercial |
$3,438.90
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,198.98
|
| Rate for Payer: Healthscope Commercial |
$3,598.85
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$2,799.10
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,999.04
|
| Rate for Payer: MI Amish Medical Board Commercial |
$3,198.98
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,398.91
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,999.04
|
| Rate for Payer: PHP Commercial |
$3,398.91
|
| Rate for Payer: Priority Health SBD |
$2,519.19
|
| Rate for Payer: UMR Bronson Commercial |
$1,479.53
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,999.04
|
|
|
HC ACCESS EXTREMITY ARTERY
|
Facility
|
OP
|
$510.94
|
|
|
Service Code
|
CPT 36140
|
| Hospital Charge Code |
36100102
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$189.05 |
| Max. Negotiated Rate |
$1,830.16 |
| Rate for Payer: Aetna American Axle |
$332.11
|
| Rate for Payer: Aetna Commercial |
$434.30
|
| Rate for Payer: Aetna Medicare |
$255.47
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$332.11
|
| Rate for Payer: BCBS Complete |
$204.38
|
| Rate for Payer: BCBS Trust/PPO |
$1,830.16
|
| Rate for Payer: BCN Commercial |
$1,830.16
|
| Rate for Payer: Cash Price |
$408.75
|
| Rate for Payer: Cash Price |
$408.75
|
| Rate for Payer: Cash Price |
$408.75
|
| Rate for Payer: Cofinity Advantage |
$357.66
|
| Rate for Payer: Cofinity Commercial |
$439.41
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$408.75
|
| Rate for Payer: Healthscope Commercial |
$459.85
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$357.66
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$383.20
|
| Rate for Payer: MI Amish Medical Board Commercial |
$408.75
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$434.30
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$383.20
|
| Rate for Payer: PHP Commercial |
$434.30
|
| Rate for Payer: Priority Health SBD |
$321.89
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$332.11
|
| Rate for Payer: UHC Core |
$266.20
|
| Rate for Payer: UHC Exchange |
$200.80
|
| Rate for Payer: UMR Bronson Commercial |
$189.05
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$383.20
|
|
|
HC ACCESS EXTREMITY ARTERY
|
Facility
|
IP
|
$510.94
|
|
|
Service Code
|
CPT 36140
|
| Hospital Charge Code |
36100102
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$224.81 |
| Max. Negotiated Rate |
$459.85 |
| Rate for Payer: Aetna American Axle |
$332.11
|
| Rate for Payer: Aetna Commercial |
$434.30
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$332.11
|
| Rate for Payer: Cash Price |
$408.75
|
| Rate for Payer: Cofinity Advantage |
$357.66
|
| Rate for Payer: Cofinity Commercial |
$439.41
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$408.75
|
| Rate for Payer: Healthscope Commercial |
$459.85
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$357.66
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$383.20
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$434.30
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$383.20
|
| Rate for Payer: PHP Commercial |
$434.30
|
| Rate for Payer: Priority Health SBD |
$321.89
|
| Rate for Payer: UMR Bronson Commercial |
$224.81
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$383.20
|
|
|
HC ACCESS MAIN PULMONARY
|
Facility
|
OP
|
$436.13
|
|
|
Service Code
|
CPT 36013
|
| Hospital Charge Code |
36100099
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$161.37 |
| Max. Negotiated Rate |
$3,330.60 |
| Rate for Payer: Aetna American Axle |
$283.48
|
| Rate for Payer: Aetna Commercial |
$370.71
|
| Rate for Payer: Aetna Medicare |
$218.06
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$283.48
|
| Rate for Payer: BCBS Complete |
$174.45
|
| Rate for Payer: BCBS Trust/PPO |
$3,330.60
|
| Rate for Payer: BCN Commercial |
$3,330.60
|
| Rate for Payer: Cash Price |
$348.90
|
| Rate for Payer: Cash Price |
$348.90
|
| Rate for Payer: Cash Price |
$348.90
|
| Rate for Payer: Cofinity Advantage |
$305.29
|
| Rate for Payer: Cofinity Commercial |
$375.07
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$348.90
|
| Rate for Payer: Healthscope Commercial |
$392.52
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$305.29
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$327.10
|
| Rate for Payer: MI Amish Medical Board Commercial |
$348.90
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$370.71
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$327.10
|
| Rate for Payer: PHP Commercial |
$370.71
|
| Rate for Payer: Priority Health SBD |
$274.76
|
| Rate for Payer: UMR Bronson Commercial |
$161.37
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$327.10
|
|
|
HC ACCESS MAIN PULMONARY
|
Facility
|
IP
|
$436.13
|
|
|
Service Code
|
CPT 36013
|
| Hospital Charge Code |
36100099
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$191.90 |
| Max. Negotiated Rate |
$392.52 |
| Rate for Payer: Aetna American Axle |
$283.48
|
| Rate for Payer: Aetna Commercial |
$370.71
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$283.48
|
| Rate for Payer: Cash Price |
$348.90
|
| Rate for Payer: Cofinity Advantage |
$305.29
|
| Rate for Payer: Cofinity Commercial |
$375.07
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$348.90
|
| Rate for Payer: Healthscope Commercial |
$392.52
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$305.29
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$327.10
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$370.71
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$327.10
|
| Rate for Payer: PHP Commercial |
$370.71
|
| Rate for Payer: Priority Health SBD |
$274.76
|
| Rate for Payer: UMR Bronson Commercial |
$191.90
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$327.10
|
|
|
HC ACCESS VEIN
|
Facility
|
OP
|
$396.48
|
|
|
Service Code
|
CPT 36000
|
| Hospital Charge Code |
36100093
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$146.70 |
| Max. Negotiated Rate |
$356.83 |
| Rate for Payer: Aetna American Axle |
$257.71
|
| Rate for Payer: Aetna Commercial |
$337.01
|
| Rate for Payer: Aetna Medicare |
$198.24
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$257.71
|
| Rate for Payer: BCBS Complete |
$158.59
|
| Rate for Payer: BCBS Trust/PPO |
$174.01
|
| Rate for Payer: BCN Commercial |
$174.01
|
| Rate for Payer: Cash Price |
$317.18
|
| Rate for Payer: Cash Price |
$317.18
|
| Rate for Payer: Cash Price |
$317.18
|
| Rate for Payer: Cofinity Advantage |
$277.54
|
| Rate for Payer: Cofinity Commercial |
$340.97
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$317.18
|
| Rate for Payer: Healthscope Commercial |
$356.83
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$277.54
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$297.36
|
| Rate for Payer: MI Amish Medical Board Commercial |
$317.18
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$337.01
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$297.36
|
| Rate for Payer: PHP Commercial |
$337.01
|
| Rate for Payer: Priority Health SBD |
$249.78
|
| Rate for Payer: UMR Bronson Commercial |
$146.70
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$297.36
|
|
|
HC ACCESS VEIN
|
Facility
|
IP
|
$396.48
|
|
|
Service Code
|
CPT 36000
|
| Hospital Charge Code |
36100093
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$174.45 |
| Max. Negotiated Rate |
$356.83 |
| Rate for Payer: Aetna American Axle |
$257.71
|
| Rate for Payer: Aetna Commercial |
$337.01
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$257.71
|
| Rate for Payer: Cash Price |
$317.18
|
| Rate for Payer: Cofinity Advantage |
$277.54
|
| Rate for Payer: Cofinity Commercial |
$340.97
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$317.18
|
| Rate for Payer: Healthscope Commercial |
$356.83
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$277.54
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$297.36
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$337.01
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$297.36
|
| Rate for Payer: PHP Commercial |
$337.01
|
| Rate for Payer: Priority Health SBD |
$249.78
|
| Rate for Payer: UMR Bronson Commercial |
$174.45
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$297.36
|
|
|
HC ACCESS VEIN ORGAN BLOOD SAMPLING
|
Facility
|
OP
|
$1,090.74
|
|
|
Service Code
|
CPT 36500
|
| Hospital Charge Code |
36100118
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$403.57 |
| Max. Negotiated Rate |
$2,356.28 |
| Rate for Payer: Aetna American Axle |
$708.98
|
| Rate for Payer: Aetna Commercial |
$927.13
|
| Rate for Payer: Aetna Medicare |
$545.37
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$708.98
|
| Rate for Payer: BCBS Complete |
$436.30
|
| Rate for Payer: BCBS Trust/PPO |
$2,356.28
|
| Rate for Payer: BCN Commercial |
$2,356.28
|
| Rate for Payer: Cash Price |
$872.59
|
| Rate for Payer: Cash Price |
$872.59
|
| Rate for Payer: Cash Price |
$872.59
|
| Rate for Payer: Cofinity Advantage |
$763.52
|
| Rate for Payer: Cofinity Commercial |
$938.04
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$872.59
|
| Rate for Payer: Healthscope Commercial |
$981.67
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$763.52
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$818.05
|
| Rate for Payer: MI Amish Medical Board Commercial |
$872.59
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$927.13
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$818.05
|
| Rate for Payer: PHP Commercial |
$927.13
|
| Rate for Payer: Priority Health SBD |
$687.17
|
| Rate for Payer: UMR Bronson Commercial |
$403.57
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$818.05
|
|
|
HC ACCESS VEIN ORGAN BLOOD SAMPLING
|
Facility
|
IP
|
$1,090.74
|
|
|
Service Code
|
CPT 36500
|
| Hospital Charge Code |
36100118
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$479.93 |
| Max. Negotiated Rate |
$981.67 |
| Rate for Payer: Aetna American Axle |
$708.98
|
| Rate for Payer: Aetna Commercial |
$927.13
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$708.98
|
| Rate for Payer: Cash Price |
$872.59
|
| Rate for Payer: Cofinity Advantage |
$763.52
|
| Rate for Payer: Cofinity Commercial |
$938.04
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$872.59
|
| Rate for Payer: Healthscope Commercial |
$981.67
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$763.52
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$818.05
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$927.13
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$818.05
|
| Rate for Payer: PHP Commercial |
$927.13
|
| Rate for Payer: Priority Health SBD |
$687.17
|
| Rate for Payer: UMR Bronson Commercial |
$479.93
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$818.05
|
|
|
HC ACCESS VENA CAVA
|
Facility
|
OP
|
$3,285.01
|
|
|
Service Code
|
CPT 36010
|
| Hospital Charge Code |
36100096
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$1,215.45 |
| Max. Negotiated Rate |
$2,956.51 |
| Rate for Payer: Aetna American Axle |
$2,135.26
|
| Rate for Payer: Aetna Commercial |
$2,792.26
|
| Rate for Payer: Aetna Medicare |
$1,642.51
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,135.26
|
| Rate for Payer: BCBS Complete |
$1,314.00
|
| Rate for Payer: BCBS Trust/PPO |
$2,092.68
|
| Rate for Payer: BCN Commercial |
$2,092.68
|
| Rate for Payer: Cash Price |
$2,628.01
|
| Rate for Payer: Cash Price |
$2,628.01
|
| Rate for Payer: Cash Price |
$2,628.01
|
| Rate for Payer: Cofinity Advantage |
$2,299.51
|
| Rate for Payer: Cofinity Commercial |
$2,825.11
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,628.01
|
| Rate for Payer: Healthscope Commercial |
$2,956.51
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$2,299.51
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,463.76
|
| Rate for Payer: MI Amish Medical Board Commercial |
$2,628.01
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,792.26
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,463.76
|
| Rate for Payer: PHP Commercial |
$2,792.26
|
| Rate for Payer: Priority Health SBD |
$2,069.56
|
| Rate for Payer: UMR Bronson Commercial |
$1,215.45
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,463.76
|
|
|
HC ACCESS VENA CAVA
|
Facility
|
IP
|
$3,285.01
|
|
|
Service Code
|
CPT 36010
|
| Hospital Charge Code |
36100096
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$1,445.40 |
| Max. Negotiated Rate |
$2,956.51 |
| Rate for Payer: Aetna American Axle |
$2,135.26
|
| Rate for Payer: Aetna Commercial |
$2,792.26
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,135.26
|
| Rate for Payer: Cash Price |
$2,628.01
|
| Rate for Payer: Cofinity Advantage |
$2,299.51
|
| Rate for Payer: Cofinity Commercial |
$2,825.11
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,628.01
|
| Rate for Payer: Healthscope Commercial |
$2,956.51
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$2,299.51
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,463.76
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,792.26
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,463.76
|
| Rate for Payer: PHP Commercial |
$2,792.26
|
| Rate for Payer: Priority Health SBD |
$2,069.56
|
| Rate for Payer: UMR Bronson Commercial |
$1,445.40
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,463.76
|
|
|
HC ACCESS WINDOW
|
Facility
|
IP
|
$39.71
|
|
| Hospital Charge Code |
27000624
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$17.47 |
| Max. Negotiated Rate |
$35.74 |
| Rate for Payer: Aetna American Axle |
$25.81
|
| Rate for Payer: Aetna Commercial |
$33.75
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$25.81
|
| Rate for Payer: Cash Price |
$31.77
|
| Rate for Payer: Cofinity Advantage |
$27.80
|
| Rate for Payer: Cofinity Commercial |
$34.15
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$31.77
|
| Rate for Payer: Healthscope Commercial |
$35.74
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$27.80
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$29.78
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$33.75
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$29.78
|
| Rate for Payer: PHP Commercial |
$33.75
|
| Rate for Payer: Priority Health SBD |
$25.02
|
| Rate for Payer: UMR Bronson Commercial |
$17.47
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$29.78
|
|
|
HC ACCESS WINDOW
|
Facility
|
OP
|
$39.71
|
|
| Hospital Charge Code |
27000624
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$14.69 |
| Max. Negotiated Rate |
$35.74 |
| Rate for Payer: Aetna American Axle |
$25.81
|
| Rate for Payer: Aetna Commercial |
$33.75
|
| Rate for Payer: Aetna Medicare |
$19.86
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$25.81
|
| Rate for Payer: BCBS Complete |
$15.88
|
| Rate for Payer: Cash Price |
$31.77
|
| Rate for Payer: Cofinity Advantage |
$27.80
|
| Rate for Payer: Cofinity Commercial |
$34.15
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$31.77
|
| Rate for Payer: Healthscope Commercial |
$35.74
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$27.80
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$29.78
|
| Rate for Payer: MI Amish Medical Board Commercial |
$31.77
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$33.75
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$29.78
|
| Rate for Payer: PHP Commercial |
$33.75
|
| Rate for Payer: Priority Health SBD |
$25.02
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$25.81
|
| Rate for Payer: UHC Core |
$20.69
|
| Rate for Payer: UHC Exchange |
$15.61
|
| Rate for Payer: UMR Bronson Commercial |
$14.69
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$29.78
|
|
|
HC ACCUNET EMBOLIC PROTECTION
|
Facility
|
OP
|
$4,091.82
|
|
| Hospital Charge Code |
27200110
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$1,513.97 |
| Max. Negotiated Rate |
$3,682.64 |
| Rate for Payer: Aetna American Axle |
$2,659.68
|
| Rate for Payer: Aetna Commercial |
$3,478.05
|
| Rate for Payer: Aetna Medicare |
$2,045.91
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,659.68
|
| Rate for Payer: BCBS Complete |
$1,636.73
|
| Rate for Payer: Cash Price |
$3,273.46
|
| Rate for Payer: Cofinity Advantage |
$2,864.27
|
| Rate for Payer: Cofinity Commercial |
$3,518.97
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,273.46
|
| Rate for Payer: Healthscope Commercial |
$3,682.64
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$2,864.27
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$3,068.86
|
| Rate for Payer: MI Amish Medical Board Commercial |
$3,273.46
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,478.05
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$3,068.86
|
| Rate for Payer: PHP Commercial |
$3,478.05
|
| Rate for Payer: Priority Health SBD |
$2,577.85
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,659.68
|
| Rate for Payer: UHC Core |
$2,131.84
|
| Rate for Payer: UHC Exchange |
$1,608.09
|
| Rate for Payer: UMR Bronson Commercial |
$1,513.97
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$3,068.86
|
|
|
HC ACCUNET EMBOLIC PROTECTION
|
Facility
|
IP
|
$4,091.82
|
|
| Hospital Charge Code |
27200110
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$1,800.40 |
| Max. Negotiated Rate |
$3,682.64 |
| Rate for Payer: Aetna American Axle |
$2,659.68
|
| Rate for Payer: Aetna Commercial |
$3,478.05
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,659.68
|
| Rate for Payer: Cash Price |
$3,273.46
|
| Rate for Payer: Cofinity Advantage |
$2,864.27
|
| Rate for Payer: Cofinity Commercial |
$3,518.97
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,273.46
|
| Rate for Payer: Healthscope Commercial |
$3,682.64
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$2,864.27
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$3,068.86
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,478.05
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$3,068.86
|
| Rate for Payer: PHP Commercial |
$3,478.05
|
| Rate for Payer: Priority Health SBD |
$2,577.85
|
| Rate for Payer: UMR Bronson Commercial |
$1,800.40
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$3,068.86
|
|
|
HC ACETAMINOPHEN LVL.
|
Facility
|
IP
|
$131.69
|
|
|
Service Code
|
CPT 80307
|
| Hospital Charge Code |
30100648
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$57.94 |
| Max. Negotiated Rate |
$118.52 |
| Rate for Payer: Aetna American Axle |
$85.60
|
| Rate for Payer: Aetna Commercial |
$111.94
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$85.60
|
| Rate for Payer: Cash Price |
$105.35
|
| Rate for Payer: Cofinity Advantage |
$92.18
|
| Rate for Payer: Cofinity Commercial |
$113.25
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$105.35
|
| Rate for Payer: Healthscope Commercial |
$118.52
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$92.18
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$98.77
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$111.94
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$98.77
|
| Rate for Payer: PHP Commercial |
$111.94
|
| Rate for Payer: Priority Health SBD |
$82.96
|
| Rate for Payer: UMR Bronson Commercial |
$57.94
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$98.77
|
|
|
HC ACETAMINOPHEN LVL.
|
Facility
|
OP
|
$131.69
|
|
|
Service Code
|
CPT 80307
|
| Hospital Charge Code |
30100648
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$32.50 |
| Max. Negotiated Rate |
$118.52 |
| Rate for Payer: Aetna American Axle |
$85.60
|
| Rate for Payer: Aetna Commercial |
$111.94
|
| Rate for Payer: Aetna Medicare |
$64.63
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$85.60
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$77.67
|
| Rate for Payer: Amish Plain Church Group Commercial |
$77.67
|
| Rate for Payer: BCBS Complete |
$34.13
|
| Rate for Payer: BCBS MAPPO |
$62.14
|
| Rate for Payer: BCBS Trust/PPO |
$71.84
|
| Rate for Payer: BCN Commercial |
$71.84
|
| Rate for Payer: BCN Medicare Advantage |
$62.14
|
| Rate for Payer: Cash Price |
$105.35
|
| Rate for Payer: Cash Price |
$105.35
|
| Rate for Payer: Cofinity Advantage |
$92.18
|
| Rate for Payer: Cofinity Commercial |
$113.25
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$105.35
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$62.14
|
| Rate for Payer: Healthscope Commercial |
$118.52
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$92.18
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$98.77
|
| Rate for Payer: Mclaren Medicaid |
$62.14
|
| Rate for Payer: Mclaren Medicare |
$62.14
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$65.25
|
| Rate for Payer: Meridian Medicaid |
$65.25
|
| Rate for Payer: MI Amish Medical Board Commercial |
$71.46
|
| Rate for Payer: Molina Medicare/Medicaid |
$68.35
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$111.94
|
| Rate for Payer: Nomi Health Commercial |
$93.21
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$98.77
|
| Rate for Payer: PACE Medicare |
$59.03
|
| Rate for Payer: PACE SWMI |
$62.14
|
| Rate for Payer: PHP Commercial |
$111.94
|
| Rate for Payer: PHP Medicare Advantage |
$62.14
|
| Rate for Payer: Priority Health Choice Medicaid |
$32.50
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$62.14
|
| Rate for Payer: Priority Health Medicare |
$62.14
|
| Rate for Payer: Priority Health SBD |
$82.96
|
| Rate for Payer: Priority Health Tiered Network |
$49.71
|
| Rate for Payer: Railroad Medicare Medicare |
$62.14
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$93.21
|
| Rate for Payer: UHC Core |
$93.21
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$62.14
|
| Rate for Payer: UHC Exchange |
$93.21
|
| Rate for Payer: UHC Medicaid |
$32.50
|
| Rate for Payer: UHCCP Medicaid |
$32.50
|
| Rate for Payer: UMR Bronson Commercial |
$48.73
|
| Rate for Payer: VA VA |
$62.14
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$98.77
|
|
|
HC ACETOMINOPHEN THERAPEUTIC DRUG ASSAY
|
Facility
|
OP
|
$42.45
|
|
|
Service Code
|
CPT 80143
|
| Hospital Charge Code |
30100729
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$9.75 |
| Max. Negotiated Rate |
$38.20 |
| Rate for Payer: Aetna American Axle |
$27.59
|
| Rate for Payer: Aetna Commercial |
$36.08
|
| Rate for Payer: Aetna Medicare |
$19.39
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$27.59
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$23.30
|
| Rate for Payer: Amish Plain Church Group Commercial |
$23.30
|
| Rate for Payer: BCBS Complete |
$10.24
|
| Rate for Payer: BCBS MAPPO |
$18.64
|
| Rate for Payer: BCBS Trust/PPO |
$21.55
|
| Rate for Payer: BCN Commercial |
$21.55
|
| Rate for Payer: BCN Medicare Advantage |
$18.64
|
| Rate for Payer: Cash Price |
$33.96
|
| Rate for Payer: Cash Price |
$33.96
|
| Rate for Payer: Cofinity Advantage |
$29.71
|
| Rate for Payer: Cofinity Commercial |
$36.51
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$33.96
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$18.64
|
| Rate for Payer: Healthscope Commercial |
$38.20
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$29.71
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$31.84
|
| Rate for Payer: Mclaren Medicaid |
$18.64
|
| Rate for Payer: Mclaren Medicare |
$18.64
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$19.57
|
| Rate for Payer: Meridian Medicaid |
$19.57
|
| Rate for Payer: MI Amish Medical Board Commercial |
$21.44
|
| Rate for Payer: Molina Medicare/Medicaid |
$20.50
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$36.08
|
| Rate for Payer: Nomi Health Commercial |
$27.96
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$31.84
|
| Rate for Payer: PACE Medicare |
$17.71
|
| Rate for Payer: PACE SWMI |
$18.64
|
| Rate for Payer: PHP Commercial |
$36.08
|
| Rate for Payer: PHP Medicare Advantage |
$18.64
|
| Rate for Payer: Priority Health Choice Medicaid |
$9.75
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$18.64
|
| Rate for Payer: Priority Health Medicare |
$18.64
|
| Rate for Payer: Priority Health SBD |
$26.74
|
| Rate for Payer: Priority Health Tiered Network |
$14.91
|
| Rate for Payer: Railroad Medicare Medicare |
$18.64
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$27.96
|
| Rate for Payer: UHC Core |
$27.96
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$18.64
|
| Rate for Payer: UHC Exchange |
$27.96
|
| Rate for Payer: UHC Medicaid |
$9.75
|
| Rate for Payer: UHCCP Medicaid |
$9.75
|
| Rate for Payer: UMR Bronson Commercial |
$15.71
|
| Rate for Payer: VA VA |
$18.64
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$31.84
|
|
|
HC ACETOMINOPHEN THERAPEUTIC DRUG ASSAY
|
Facility
|
IP
|
$42.45
|
|
|
Service Code
|
CPT 80143
|
| Hospital Charge Code |
30100729
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$18.68 |
| Max. Negotiated Rate |
$38.20 |
| Rate for Payer: Aetna American Axle |
$27.59
|
| Rate for Payer: Aetna Commercial |
$36.08
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$27.59
|
| Rate for Payer: Cash Price |
$33.96
|
| Rate for Payer: Cofinity Advantage |
$29.71
|
| Rate for Payer: Cofinity Commercial |
$36.51
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$33.96
|
| Rate for Payer: Healthscope Commercial |
$38.20
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$29.71
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$31.84
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$36.08
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$31.84
|
| Rate for Payer: PHP Commercial |
$36.08
|
| Rate for Payer: Priority Health SBD |
$26.74
|
| Rate for Payer: UMR Bronson Commercial |
$18.68
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$31.84
|
|
|
HC ACETYLCHOLINE RECEPTOR AB
|
Facility
|
OP
|
$78.53
|
|
|
Service Code
|
CPT 86041
|
| Hospital Charge Code |
30100254
|
|
Hospital Revenue Code
|
300
|
| Min. Negotiated Rate |
$9.62 |
| Max. Negotiated Rate |
$70.68 |
| Rate for Payer: Aetna American Axle |
$51.04
|
| Rate for Payer: Aetna Commercial |
$66.75
|
| Rate for Payer: Aetna Medicare |
$19.14
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$51.04
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$23.00
|
| Rate for Payer: Amish Plain Church Group Commercial |
$23.00
|
| Rate for Payer: BCBS Complete |
$10.11
|
| Rate for Payer: BCBS MAPPO |
$18.40
|
| Rate for Payer: BCBS Trust/PPO |
$21.27
|
| Rate for Payer: BCN Commercial |
$21.27
|
| Rate for Payer: BCN Medicare Advantage |
$18.40
|
| Rate for Payer: Cash Price |
$62.82
|
| Rate for Payer: Cash Price |
$62.82
|
| Rate for Payer: Cofinity Advantage |
$54.97
|
| Rate for Payer: Cofinity Commercial |
$67.54
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$62.82
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$18.40
|
| Rate for Payer: Healthscope Commercial |
$70.68
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$54.97
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$58.90
|
| Rate for Payer: Mclaren Medicaid |
$18.40
|
| Rate for Payer: Mclaren Medicare |
$18.40
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$19.32
|
| Rate for Payer: Meridian Medicaid |
$19.32
|
| Rate for Payer: MI Amish Medical Board Commercial |
$21.16
|
| Rate for Payer: Molina Medicare/Medicaid |
$20.24
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$66.75
|
| Rate for Payer: Nomi Health Commercial |
$27.60
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$58.90
|
| Rate for Payer: PACE Medicare |
$17.48
|
| Rate for Payer: PACE SWMI |
$18.40
|
| Rate for Payer: PHP Commercial |
$66.75
|
| Rate for Payer: PHP Medicare Advantage |
$18.40
|
| Rate for Payer: Priority Health Choice Medicaid |
$9.62
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$18.40
|
| Rate for Payer: Priority Health Medicare |
$18.40
|
| Rate for Payer: Priority Health SBD |
$49.47
|
| Rate for Payer: Priority Health Tiered Network |
$14.72
|
| Rate for Payer: Railroad Medicare Medicare |
$18.40
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$27.60
|
| Rate for Payer: UHC Core |
$27.60
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$18.40
|
| Rate for Payer: UHC Exchange |
$27.60
|
| Rate for Payer: UHC Medicaid |
$9.62
|
| Rate for Payer: UHCCP Medicaid |
$9.62
|
| Rate for Payer: UMR Bronson Commercial |
$29.06
|
| Rate for Payer: VA VA |
$18.40
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$58.90
|
|
|
HC ACETYLCHOLINE RECEPTOR AB
|
Facility
|
IP
|
$78.53
|
|
|
Service Code
|
CPT 86041
|
| Hospital Charge Code |
30100254
|
|
Hospital Revenue Code
|
300
|
| Min. Negotiated Rate |
$34.55 |
| Max. Negotiated Rate |
$70.68 |
| Rate for Payer: Aetna American Axle |
$51.04
|
| Rate for Payer: Aetna Commercial |
$66.75
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$51.04
|
| Rate for Payer: Cash Price |
$62.82
|
| Rate for Payer: Cofinity Advantage |
$54.97
|
| Rate for Payer: Cofinity Commercial |
$67.54
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$62.82
|
| Rate for Payer: Healthscope Commercial |
$70.68
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$54.97
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$58.90
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$66.75
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$58.90
|
| Rate for Payer: PHP Commercial |
$66.75
|
| Rate for Payer: Priority Health SBD |
$49.47
|
| Rate for Payer: UMR Bronson Commercial |
$34.55
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$58.90
|
|
