|
HC ELECTRICAL STIM UNATTENDED FOR PRESSURE
|
Facility
|
OP
|
$100.43
|
|
|
Service Code
|
HCPCS G0281
|
| Hospital Charge Code |
42000057
|
|
Hospital Revenue Code
|
420
|
| Min. Negotiated Rate |
$5.74 |
| Max. Negotiated Rate |
$294.00 |
| Rate for Payer: Aetna American Axle |
$65.28
|
| Rate for Payer: Aetna Commercial |
$85.37
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$65.28
|
| Rate for Payer: BCBS Complete |
$40.17
|
| Rate for Payer: BCBS Trust/PPO |
$8.45
|
| Rate for Payer: Cash Price |
$80.34
|
| Rate for Payer: Cash Price |
$80.34
|
| Rate for Payer: Cash Price |
$80.34
|
| Rate for Payer: Cofinity Commercial |
$70.30
|
| Rate for Payer: Cofinity Commercial |
$86.37
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$80.34
|
| Rate for Payer: Healthscope Commercial |
$90.39
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$70.30
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$75.32
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$85.37
|
| Rate for Payer: PHP Commercial |
$85.37
|
| Rate for Payer: Priority Health Cigna Priority Health |
$70.30
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$7.17
|
| Rate for Payer: Priority Health Narrow Network |
$5.74
|
| Rate for Payer: Priority Health SBD |
$63.27
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$12.61
|
| Rate for Payer: UHC Core |
$294.00
|
| Rate for Payer: UHC Exchange |
$11.46
|
| Rate for Payer: UMR Bronson Commercial |
$37.16
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$75.32
|
|
|
HC ELECTRICAL STIM UNATTENDED NOT PRESSURE
|
Facility
|
IP
|
$130.16
|
|
|
Service Code
|
HCPCS G0283
|
| Hospital Charge Code |
42000058
|
|
Hospital Revenue Code
|
420
|
| Min. Negotiated Rate |
$57.27 |
| Max. Negotiated Rate |
$117.14 |
| Rate for Payer: Aetna American Axle |
$84.60
|
| Rate for Payer: Aetna Commercial |
$110.64
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$84.60
|
| Rate for Payer: Cash Price |
$104.13
|
| Rate for Payer: Cofinity Commercial |
$111.94
|
| Rate for Payer: Cofinity Commercial |
$91.11
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$104.13
|
| Rate for Payer: Healthscope Commercial |
$117.14
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$91.11
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$97.62
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$110.64
|
| Rate for Payer: PHP Commercial |
$110.64
|
| Rate for Payer: Priority Health Cigna Priority Health |
$91.11
|
| Rate for Payer: Priority Health SBD |
$82.00
|
| Rate for Payer: UMR Bronson Commercial |
$57.27
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$97.62
|
|
|
HC ELECTRICAL STIM UNATTENDED NOT PRESSURE
|
Facility
|
OP
|
$130.16
|
|
|
Service Code
|
HCPCS G0283
|
| Hospital Charge Code |
42000058
|
|
Hospital Revenue Code
|
420
|
| Min. Negotiated Rate |
$5.74 |
| Max. Negotiated Rate |
$294.00 |
| Rate for Payer: Aetna American Axle |
$84.60
|
| Rate for Payer: Aetna Commercial |
$110.64
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$84.60
|
| Rate for Payer: BCBS Complete |
$52.06
|
| Rate for Payer: BCBS Trust/PPO |
$8.45
|
| Rate for Payer: Cash Price |
$104.13
|
| Rate for Payer: Cash Price |
$104.13
|
| Rate for Payer: Cash Price |
$104.13
|
| Rate for Payer: Cofinity Commercial |
$91.11
|
| Rate for Payer: Cofinity Commercial |
$111.94
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$104.13
|
| Rate for Payer: Healthscope Commercial |
$117.14
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$91.11
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$97.62
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$110.64
|
| Rate for Payer: PHP Commercial |
$110.64
|
| Rate for Payer: Priority Health Cigna Priority Health |
$91.11
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$7.17
|
| Rate for Payer: Priority Health Narrow Network |
$5.74
|
| Rate for Payer: Priority Health SBD |
$82.00
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$12.61
|
| Rate for Payer: UHC Core |
$294.00
|
| Rate for Payer: UHC Exchange |
$11.46
|
| Rate for Payer: UMR Bronson Commercial |
$48.16
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$97.62
|
|
|
HC ELECTROACOUSTIC HEARNG AID TEST BINAURAL
|
Facility
|
IP
|
$77.00
|
|
|
Service Code
|
CPT 92595
|
| Hospital Charge Code |
76100494
|
|
Hospital Revenue Code
|
471
|
| Min. Negotiated Rate |
$33.88 |
| Max. Negotiated Rate |
$69.30 |
| Rate for Payer: Aetna American Axle |
$50.05
|
| Rate for Payer: Aetna Commercial |
$65.45
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$50.05
|
| Rate for Payer: Cash Price |
$61.60
|
| Rate for Payer: Cofinity Commercial |
$53.90
|
| Rate for Payer: Cofinity Commercial |
$66.22
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$61.60
|
| Rate for Payer: Healthscope Commercial |
$69.30
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$53.90
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$57.75
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$65.45
|
| Rate for Payer: PHP Commercial |
$65.45
|
| Rate for Payer: Priority Health Cigna Priority Health |
$53.90
|
| Rate for Payer: Priority Health SBD |
$48.51
|
| Rate for Payer: UMR Bronson Commercial |
$33.88
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$57.75
|
|
|
HC ELECTROACOUSTIC HEARNG AID TEST BINAURAL
|
Facility
|
OP
|
$77.00
|
|
|
Service Code
|
CPT 92595
|
| Hospital Charge Code |
76100494
|
|
Hospital Revenue Code
|
471
|
| Min. Negotiated Rate |
$28.49 |
| Max. Negotiated Rate |
$294.00 |
| Rate for Payer: Aetna American Axle |
$50.05
|
| Rate for Payer: Aetna Commercial |
$65.45
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$50.05
|
| Rate for Payer: BCBS Complete |
$30.80
|
| Rate for Payer: Cash Price |
$61.60
|
| Rate for Payer: Cash Price |
$61.60
|
| Rate for Payer: Cofinity Commercial |
$66.22
|
| Rate for Payer: Cofinity Commercial |
$53.90
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$61.60
|
| Rate for Payer: Healthscope Commercial |
$69.30
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$53.90
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$57.75
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$65.45
|
| Rate for Payer: PHP Commercial |
$65.45
|
| Rate for Payer: Priority Health Cigna Priority Health |
$53.90
|
| Rate for Payer: Priority Health SBD |
$48.51
|
| Rate for Payer: UHC Core |
$294.00
|
| Rate for Payer: UMR Bronson Commercial |
$28.49
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$57.75
|
|
|
HC ELECTROACOUSTIC HEARNG AID TEST MONAURAL
|
Facility
|
OP
|
$88.00
|
|
|
Service Code
|
CPT 92594
|
| Hospital Charge Code |
76100493
|
|
Hospital Revenue Code
|
471
|
| Min. Negotiated Rate |
$32.56 |
| Max. Negotiated Rate |
$294.00 |
| Rate for Payer: Aetna American Axle |
$57.20
|
| Rate for Payer: Aetna Commercial |
$74.80
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$57.20
|
| Rate for Payer: BCBS Complete |
$35.20
|
| Rate for Payer: Cash Price |
$70.40
|
| Rate for Payer: Cash Price |
$70.40
|
| Rate for Payer: Cofinity Commercial |
$75.68
|
| Rate for Payer: Cofinity Commercial |
$61.60
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$70.40
|
| Rate for Payer: Healthscope Commercial |
$79.20
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$61.60
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$66.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$74.80
|
| Rate for Payer: PHP Commercial |
$74.80
|
| Rate for Payer: Priority Health Cigna Priority Health |
$61.60
|
| Rate for Payer: Priority Health SBD |
$55.44
|
| Rate for Payer: UHC Core |
$294.00
|
| Rate for Payer: UMR Bronson Commercial |
$32.56
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$66.00
|
|
|
HC ELECTROACOUSTIC HEARNG AID TEST MONAURAL
|
Facility
|
IP
|
$88.00
|
|
|
Service Code
|
CPT 92594
|
| Hospital Charge Code |
76100493
|
|
Hospital Revenue Code
|
471
|
| Min. Negotiated Rate |
$38.72 |
| Max. Negotiated Rate |
$79.20 |
| Rate for Payer: Aetna American Axle |
$57.20
|
| Rate for Payer: Aetna Commercial |
$74.80
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$57.20
|
| Rate for Payer: Cash Price |
$70.40
|
| Rate for Payer: Cofinity Commercial |
$61.60
|
| Rate for Payer: Cofinity Commercial |
$75.68
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$70.40
|
| Rate for Payer: Healthscope Commercial |
$79.20
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$61.60
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$66.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$74.80
|
| Rate for Payer: PHP Commercial |
$74.80
|
| Rate for Payer: Priority Health Cigna Priority Health |
$61.60
|
| Rate for Payer: Priority Health SBD |
$55.44
|
| Rate for Payer: UMR Bronson Commercial |
$38.72
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$66.00
|
|
|
HC ELECTROCARDIOGRAM
|
Facility
|
OP
|
$213.14
|
|
|
Service Code
|
CPT 93005
|
| Hospital Charge Code |
73000001
|
|
Hospital Revenue Code
|
730
|
| Min. Negotiated Rate |
$6.22 |
| Max. Negotiated Rate |
$294.00 |
| Rate for Payer: Aetna American Axle |
$138.54
|
| Rate for Payer: Aetna Commercial |
$181.17
|
| Rate for Payer: Aetna Medicare |
$56.54
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$138.54
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$67.96
|
| Rate for Payer: Amish Plain Church Group Commercial |
$67.96
|
| Rate for Payer: BCBS Complete |
$31.23
|
| Rate for Payer: BCBS MAPPO |
$54.37
|
| Rate for Payer: BCBS Trust/PPO |
$24.23
|
| Rate for Payer: BCN Medicare Advantage |
$54.37
|
| Rate for Payer: Cash Price |
$170.51
|
| Rate for Payer: Cash Price |
$170.51
|
| Rate for Payer: Cash Price |
$170.51
|
| Rate for Payer: Cofinity Commercial |
$183.30
|
| Rate for Payer: Cofinity Commercial |
$149.20
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$170.51
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$54.37
|
| Rate for Payer: Healthscope Commercial |
$191.83
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$149.20
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$159.86
|
| Rate for Payer: Mclaren Medicaid |
$29.74
|
| Rate for Payer: Mclaren Medicare |
$54.37
|
| Rate for Payer: Meridian Medicaid |
$31.23
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$57.09
|
| Rate for Payer: MI Amish Medical Board Commercial |
$62.53
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$181.17
|
| Rate for Payer: PACE Medicare |
$51.65
|
| Rate for Payer: PACE SWMI |
$54.37
|
| Rate for Payer: PHP Commercial |
$181.17
|
| Rate for Payer: PHP Medicare Advantage |
$54.37
|
| Rate for Payer: Priority Health Choice Medicaid |
$29.74
|
| Rate for Payer: Priority Health Cigna Priority Health |
$149.20
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$171.15
|
| Rate for Payer: Priority Health Medicare |
$54.37
|
| Rate for Payer: Priority Health Narrow Network |
$136.92
|
| Rate for Payer: Priority Health SBD |
$134.28
|
| Rate for Payer: Railroad Medicare Medicare |
$54.37
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$6.84
|
| Rate for Payer: UHC Core |
$294.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$54.37
|
| Rate for Payer: UHC Exchange |
$6.22
|
| Rate for Payer: UHC Medicare Advantage |
$56.00
|
| Rate for Payer: UMR Bronson Commercial |
$78.86
|
| Rate for Payer: VA VA |
$54.37
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$159.86
|
|
|
HC ELECTROCARDIOGRAM
|
Facility
|
IP
|
$213.14
|
|
|
Service Code
|
CPT 93005
|
| Hospital Charge Code |
73000001
|
|
Hospital Revenue Code
|
730
|
| Min. Negotiated Rate |
$93.78 |
| Max. Negotiated Rate |
$191.83 |
| Rate for Payer: Aetna American Axle |
$138.54
|
| Rate for Payer: Aetna Commercial |
$181.17
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$138.54
|
| Rate for Payer: Cash Price |
$170.51
|
| Rate for Payer: Cofinity Commercial |
$149.20
|
| Rate for Payer: Cofinity Commercial |
$183.30
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$170.51
|
| Rate for Payer: Healthscope Commercial |
$191.83
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$149.20
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$159.86
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$181.17
|
| Rate for Payer: PHP Commercial |
$181.17
|
| Rate for Payer: Priority Health Cigna Priority Health |
$149.20
|
| Rate for Payer: Priority Health SBD |
$134.28
|
| Rate for Payer: UMR Bronson Commercial |
$93.78
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$159.86
|
|
|
HC ELECTROCORTICOGRAM IMPLTD BRN NPGT <30 D
|
Facility
|
IP
|
$74.46
|
|
|
Service Code
|
CPT 95836
|
| Hospital Charge Code |
74000033
|
|
Hospital Revenue Code
|
740
|
| Min. Negotiated Rate |
$32.76 |
| Max. Negotiated Rate |
$67.01 |
| Rate for Payer: Aetna American Axle |
$48.40
|
| Rate for Payer: Aetna Commercial |
$63.29
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$48.40
|
| Rate for Payer: Cash Price |
$59.57
|
| Rate for Payer: Cofinity Commercial |
$52.12
|
| Rate for Payer: Cofinity Commercial |
$64.04
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$59.57
|
| Rate for Payer: Healthscope Commercial |
$67.01
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$52.12
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$55.84
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$63.29
|
| Rate for Payer: PHP Commercial |
$63.29
|
| Rate for Payer: Priority Health Cigna Priority Health |
$52.12
|
| Rate for Payer: Priority Health SBD |
$46.91
|
| Rate for Payer: UMR Bronson Commercial |
$32.76
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$55.84
|
|
|
HC ELECTROCORTICOGRAM IMPLTD BRN NPGT <30 D
|
Facility
|
OP
|
$74.46
|
|
|
Service Code
|
CPT 95836
|
| Hospital Charge Code |
74000033
|
|
Hospital Revenue Code
|
740
|
| Min. Negotiated Rate |
$18.34 |
| Max. Negotiated Rate |
$1,633.00 |
| Rate for Payer: Aetna American Axle |
$48.40
|
| Rate for Payer: Aetna Commercial |
$63.29
|
| Rate for Payer: Aetna Medicare |
$34.86
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$48.40
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$41.90
|
| Rate for Payer: Amish Plain Church Group Commercial |
$41.90
|
| Rate for Payer: BCBS Complete |
$19.25
|
| Rate for Payer: BCBS MAPPO |
$33.52
|
| Rate for Payer: BCN Medicare Advantage |
$33.52
|
| Rate for Payer: Cash Price |
$59.57
|
| Rate for Payer: Cash Price |
$59.57
|
| Rate for Payer: Cash Price |
$59.57
|
| Rate for Payer: Cofinity Commercial |
$52.12
|
| Rate for Payer: Cofinity Commercial |
$64.04
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$59.57
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$33.52
|
| Rate for Payer: Healthscope Commercial |
$67.01
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$52.12
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$55.84
|
| Rate for Payer: Mclaren Medicaid |
$18.34
|
| Rate for Payer: Mclaren Medicare |
$33.52
|
| Rate for Payer: Meridian Medicaid |
$19.25
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$35.20
|
| Rate for Payer: MI Amish Medical Board Commercial |
$38.55
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$63.29
|
| Rate for Payer: PACE Medicare |
$31.84
|
| Rate for Payer: PACE SWMI |
$33.52
|
| Rate for Payer: PHP Commercial |
$63.29
|
| Rate for Payer: PHP Medicare Advantage |
$33.52
|
| Rate for Payer: Priority Health Choice Medicaid |
$18.34
|
| Rate for Payer: Priority Health Cigna Priority Health |
$52.12
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$105.53
|
| Rate for Payer: Priority Health Medicare |
$33.52
|
| Rate for Payer: Priority Health Narrow Network |
$84.42
|
| Rate for Payer: Priority Health SBD |
$46.91
|
| Rate for Payer: Railroad Medicare Medicare |
$33.52
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$112.74
|
| Rate for Payer: UHC Core |
$1,633.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$33.52
|
| Rate for Payer: UHC Exchange |
$102.49
|
| Rate for Payer: UHC Medicare Advantage |
$34.53
|
| Rate for Payer: UMR Bronson Commercial |
$27.55
|
| Rate for Payer: VA VA |
$33.52
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$55.84
|
|
|
HC ELECTROLYTE PANEL
|
Facility
|
OP
|
$27.54
|
|
|
Service Code
|
CPT 80051
|
| Hospital Charge Code |
30100012
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$3.83 |
| Max. Negotiated Rate |
$24.79 |
| Rate for Payer: Aetna American Axle |
$17.90
|
| Rate for Payer: Aetna Commercial |
$23.41
|
| Rate for Payer: Aetna Medicare |
$7.29
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$17.90
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$8.76
|
| Rate for Payer: Amish Plain Church Group Commercial |
$8.76
|
| Rate for Payer: BCBS Complete |
$4.03
|
| Rate for Payer: BCBS MAPPO |
$7.01
|
| Rate for Payer: BCBS Trust/PPO |
$5.20
|
| Rate for Payer: BCN Medicare Advantage |
$7.01
|
| Rate for Payer: Cash Price |
$22.03
|
| Rate for Payer: Cash Price |
$22.03
|
| Rate for Payer: Cofinity Commercial |
$19.28
|
| Rate for Payer: Cofinity Commercial |
$23.68
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$22.03
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$7.01
|
| Rate for Payer: Healthscope Commercial |
$24.79
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$19.28
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$20.66
|
| Rate for Payer: Mclaren Medicaid |
$3.83
|
| Rate for Payer: Mclaren Medicare |
$7.01
|
| Rate for Payer: Meridian Medicaid |
$4.03
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$7.36
|
| Rate for Payer: MI Amish Medical Board Commercial |
$8.06
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$23.41
|
| Rate for Payer: PACE Medicare |
$6.66
|
| Rate for Payer: PACE SWMI |
$7.01
|
| Rate for Payer: PHP Commercial |
$23.41
|
| Rate for Payer: PHP Medicare Advantage |
$7.01
|
| Rate for Payer: Priority Health Choice Medicaid |
$3.83
|
| Rate for Payer: Priority Health Cigna Priority Health |
$19.28
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$6.29
|
| Rate for Payer: Priority Health Medicare |
$7.01
|
| Rate for Payer: Priority Health Narrow Network |
$5.03
|
| Rate for Payer: Priority Health SBD |
$17.35
|
| Rate for Payer: Railroad Medicare Medicare |
$7.01
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$8.41
|
| Rate for Payer: UHC Core |
$11.57
|
| Rate for Payer: UHC Dual Complete DSNP |
$7.01
|
| Rate for Payer: UHC Exchange |
$7.01
|
| Rate for Payer: UHC Medicare Advantage |
$7.22
|
| Rate for Payer: UMR Bronson Commercial |
$10.19
|
| Rate for Payer: VA VA |
$7.01
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$20.66
|
|
|
HC ELECTROLYTE PANEL
|
Facility
|
IP
|
$27.54
|
|
|
Service Code
|
CPT 80051
|
| Hospital Charge Code |
30100012
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$12.12 |
| Max. Negotiated Rate |
$24.79 |
| Rate for Payer: Aetna American Axle |
$17.90
|
| Rate for Payer: Aetna Commercial |
$23.41
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$17.90
|
| Rate for Payer: Cash Price |
$22.03
|
| Rate for Payer: Cofinity Commercial |
$19.28
|
| Rate for Payer: Cofinity Commercial |
$23.68
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$22.03
|
| Rate for Payer: Healthscope Commercial |
$24.79
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$19.28
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$20.66
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$23.41
|
| Rate for Payer: PHP Commercial |
$23.41
|
| Rate for Payer: Priority Health Cigna Priority Health |
$19.28
|
| Rate for Payer: Priority Health SBD |
$17.35
|
| Rate for Payer: UMR Bronson Commercial |
$12.12
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$20.66
|
|
|
HC ELECTROLYTES WHOLE BLOOD
|
Facility
|
IP
|
$86.10
|
|
|
Service Code
|
CPT 80051
|
| Hospital Charge Code |
30100490
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$37.88 |
| Max. Negotiated Rate |
$77.49 |
| Rate for Payer: Aetna American Axle |
$55.96
|
| Rate for Payer: Aetna Commercial |
$73.18
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$55.96
|
| Rate for Payer: Cash Price |
$68.88
|
| Rate for Payer: Cofinity Commercial |
$60.27
|
| Rate for Payer: Cofinity Commercial |
$74.05
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$68.88
|
| Rate for Payer: Healthscope Commercial |
$77.49
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$60.27
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$64.58
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$73.18
|
| Rate for Payer: PHP Commercial |
$73.18
|
| Rate for Payer: Priority Health Cigna Priority Health |
$60.27
|
| Rate for Payer: Priority Health SBD |
$54.24
|
| Rate for Payer: UMR Bronson Commercial |
$37.88
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$64.58
|
|
|
HC ELECTROLYTES WHOLE BLOOD
|
Facility
|
OP
|
$86.10
|
|
|
Service Code
|
CPT 80051
|
| Hospital Charge Code |
30100490
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$3.83 |
| Max. Negotiated Rate |
$77.49 |
| Rate for Payer: Aetna American Axle |
$55.96
|
| Rate for Payer: Aetna Commercial |
$73.18
|
| Rate for Payer: Aetna Medicare |
$7.29
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$55.96
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$8.76
|
| Rate for Payer: Amish Plain Church Group Commercial |
$8.76
|
| Rate for Payer: BCBS Complete |
$4.03
|
| Rate for Payer: BCBS MAPPO |
$7.01
|
| Rate for Payer: BCBS Trust/PPO |
$5.20
|
| Rate for Payer: BCN Medicare Advantage |
$7.01
|
| Rate for Payer: Cash Price |
$68.88
|
| Rate for Payer: Cash Price |
$68.88
|
| Rate for Payer: Cofinity Commercial |
$60.27
|
| Rate for Payer: Cofinity Commercial |
$74.05
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$68.88
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$7.01
|
| Rate for Payer: Healthscope Commercial |
$77.49
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$60.27
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$64.58
|
| Rate for Payer: Mclaren Medicaid |
$3.83
|
| Rate for Payer: Mclaren Medicare |
$7.01
|
| Rate for Payer: Meridian Medicaid |
$4.03
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$7.36
|
| Rate for Payer: MI Amish Medical Board Commercial |
$8.06
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$73.18
|
| Rate for Payer: PACE Medicare |
$6.66
|
| Rate for Payer: PACE SWMI |
$7.01
|
| Rate for Payer: PHP Commercial |
$73.18
|
| Rate for Payer: PHP Medicare Advantage |
$7.01
|
| Rate for Payer: Priority Health Choice Medicaid |
$3.83
|
| Rate for Payer: Priority Health Cigna Priority Health |
$60.27
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$6.29
|
| Rate for Payer: Priority Health Medicare |
$7.01
|
| Rate for Payer: Priority Health Narrow Network |
$5.03
|
| Rate for Payer: Priority Health SBD |
$54.24
|
| Rate for Payer: Railroad Medicare Medicare |
$7.01
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$8.41
|
| Rate for Payer: UHC Core |
$11.57
|
| Rate for Payer: UHC Dual Complete DSNP |
$7.01
|
| Rate for Payer: UHC Exchange |
$7.01
|
| Rate for Payer: UHC Medicare Advantage |
$7.22
|
| Rate for Payer: UMR Bronson Commercial |
$31.86
|
| Rate for Payer: VA VA |
$7.01
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$64.58
|
|
|
HC ELECTROPHYSIOLOGY CATHETET LEVEL 4
|
Facility
|
IP
|
$3,200.00
|
|
|
Service Code
|
HCPCS C1730
|
| Hospital Charge Code |
27200304
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$1,408.00 |
| Max. Negotiated Rate |
$2,880.00 |
| Rate for Payer: Aetna American Axle |
$2,080.00
|
| Rate for Payer: Aetna Commercial |
$2,720.00
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,080.00
|
| Rate for Payer: Cash Price |
$2,560.00
|
| Rate for Payer: Cofinity Commercial |
$2,240.00
|
| Rate for Payer: Cofinity Commercial |
$2,752.00
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,560.00
|
| Rate for Payer: Healthscope Commercial |
$2,880.00
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$2,240.00
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,400.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$2,720.00
|
| Rate for Payer: PHP Commercial |
$2,720.00
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,240.00
|
| Rate for Payer: Priority Health SBD |
$2,016.00
|
| Rate for Payer: UMR Bronson Commercial |
$1,408.00
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,400.00
|
|
|
HC ELECTROPHYSIOLOGY CATHETET LEVEL 4
|
Facility
|
OP
|
$3,200.00
|
|
|
Service Code
|
HCPCS C1730
|
| Hospital Charge Code |
27200304
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$0.03 |
| Max. Negotiated Rate |
$2,880.00 |
| Rate for Payer: Aetna American Axle |
$2,080.00
|
| Rate for Payer: Aetna Commercial |
$2,720.00
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,080.00
|
| Rate for Payer: BCBS Complete |
$1,280.00
|
| Rate for Payer: BCBS Trust/PPO |
$0.03
|
| Rate for Payer: Cash Price |
$2,560.00
|
| Rate for Payer: Cash Price |
$2,560.00
|
| Rate for Payer: Cofinity Commercial |
$2,240.00
|
| Rate for Payer: Cofinity Commercial |
$2,752.00
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,560.00
|
| Rate for Payer: Healthscope Commercial |
$2,880.00
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$2,240.00
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,400.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$2,720.00
|
| Rate for Payer: PHP Commercial |
$2,720.00
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,240.00
|
| Rate for Payer: Priority Health SBD |
$2,016.00
|
| Rate for Payer: UMR Bronson Commercial |
$1,184.00
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,400.00
|
|
|
HC ELECTROPHYSIOLOGY CATHS DIAG/ABLAT LEVEL 6
|
Facility
|
IP
|
$6,560.00
|
|
|
Service Code
|
HCPCS C1733
|
| Hospital Charge Code |
27200300
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$2,886.40 |
| Max. Negotiated Rate |
$5,904.00 |
| Rate for Payer: Aetna American Axle |
$4,264.00
|
| Rate for Payer: Aetna Commercial |
$5,576.00
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$4,264.00
|
| Rate for Payer: Cash Price |
$5,248.00
|
| Rate for Payer: Cofinity Commercial |
$4,592.00
|
| Rate for Payer: Cofinity Commercial |
$5,641.60
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$5,248.00
|
| Rate for Payer: Healthscope Commercial |
$5,904.00
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$4,592.00
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$4,920.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$5,576.00
|
| Rate for Payer: PHP Commercial |
$5,576.00
|
| Rate for Payer: Priority Health Cigna Priority Health |
$4,592.00
|
| Rate for Payer: Priority Health SBD |
$4,132.80
|
| Rate for Payer: UMR Bronson Commercial |
$2,886.40
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$4,920.00
|
|
|
HC ELECTROPHYSIOLOGY CATHS DIAG/ABLAT LEVEL 6
|
Facility
|
OP
|
$6,560.00
|
|
|
Service Code
|
HCPCS C1733
|
| Hospital Charge Code |
27200300
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$0.03 |
| Max. Negotiated Rate |
$5,904.00 |
| Rate for Payer: Aetna American Axle |
$4,264.00
|
| Rate for Payer: Aetna Commercial |
$5,576.00
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$4,264.00
|
| Rate for Payer: BCBS Complete |
$2,624.00
|
| Rate for Payer: BCBS Trust/PPO |
$0.03
|
| Rate for Payer: Cash Price |
$5,248.00
|
| Rate for Payer: Cash Price |
$5,248.00
|
| Rate for Payer: Cofinity Commercial |
$4,592.00
|
| Rate for Payer: Cofinity Commercial |
$5,641.60
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$5,248.00
|
| Rate for Payer: Healthscope Commercial |
$5,904.00
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$4,592.00
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$4,920.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$5,576.00
|
| Rate for Payer: PHP Commercial |
$5,576.00
|
| Rate for Payer: Priority Health Cigna Priority Health |
$4,592.00
|
| Rate for Payer: Priority Health SBD |
$4,132.80
|
| Rate for Payer: UMR Bronson Commercial |
$2,427.20
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$4,920.00
|
|
|
HC ELECTROPHYSIOLOGY CATHS LEVEL 1
|
Facility
|
IP
|
$675.00
|
|
|
Service Code
|
HCPCS C1730
|
| Hospital Charge Code |
27200298
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$297.00 |
| Max. Negotiated Rate |
$607.50 |
| Rate for Payer: Aetna American Axle |
$438.75
|
| Rate for Payer: Aetna Commercial |
$573.75
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$438.75
|
| Rate for Payer: Cash Price |
$540.00
|
| Rate for Payer: Cofinity Commercial |
$472.50
|
| Rate for Payer: Cofinity Commercial |
$580.50
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$540.00
|
| Rate for Payer: Healthscope Commercial |
$607.50
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$472.50
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$506.25
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$573.75
|
| Rate for Payer: PHP Commercial |
$573.75
|
| Rate for Payer: Priority Health Cigna Priority Health |
$472.50
|
| Rate for Payer: Priority Health SBD |
$425.25
|
| Rate for Payer: UMR Bronson Commercial |
$297.00
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$506.25
|
|
|
HC ELECTROPHYSIOLOGY CATHS LEVEL 1
|
Facility
|
OP
|
$675.00
|
|
|
Service Code
|
HCPCS C1730
|
| Hospital Charge Code |
27200298
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$0.03 |
| Max. Negotiated Rate |
$607.50 |
| Rate for Payer: Aetna American Axle |
$438.75
|
| Rate for Payer: Aetna Commercial |
$573.75
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$438.75
|
| Rate for Payer: BCBS Complete |
$270.00
|
| Rate for Payer: BCBS Trust/PPO |
$0.03
|
| Rate for Payer: Cash Price |
$540.00
|
| Rate for Payer: Cash Price |
$540.00
|
| Rate for Payer: Cofinity Commercial |
$472.50
|
| Rate for Payer: Cofinity Commercial |
$580.50
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$540.00
|
| Rate for Payer: Healthscope Commercial |
$607.50
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$472.50
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$506.25
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$573.75
|
| Rate for Payer: PHP Commercial |
$573.75
|
| Rate for Payer: Priority Health Cigna Priority Health |
$472.50
|
| Rate for Payer: Priority Health SBD |
$425.25
|
| Rate for Payer: UMR Bronson Commercial |
$249.75
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$506.25
|
|
|
HC ELECTROPHYSIOLOGY CATHS LEVEL 2
|
Facility
|
OP
|
$1,208.70
|
|
|
Service Code
|
CPT C1730
|
| Hospital Charge Code |
27200325
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$0.03 |
| Max. Negotiated Rate |
$1,087.83 |
| Rate for Payer: Aetna American Axle |
$785.66
|
| Rate for Payer: Aetna Commercial |
$1,027.40
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$785.66
|
| Rate for Payer: BCBS Complete |
$483.48
|
| Rate for Payer: BCBS Trust/PPO |
$0.03
|
| Rate for Payer: Cash Price |
$966.96
|
| Rate for Payer: Cash Price |
$966.96
|
| Rate for Payer: Cofinity Commercial |
$1,039.48
|
| Rate for Payer: Cofinity Commercial |
$846.09
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$966.96
|
| Rate for Payer: Healthscope Commercial |
$1,087.83
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$846.09
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$906.52
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,027.40
|
| Rate for Payer: PHP Commercial |
$1,027.40
|
| Rate for Payer: Priority Health Cigna Priority Health |
$846.09
|
| Rate for Payer: Priority Health SBD |
$761.48
|
| Rate for Payer: UMR Bronson Commercial |
$447.22
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$906.52
|
|
|
HC ELECTROPHYSIOLOGY CATHS LEVEL 2
|
Facility
|
IP
|
$1,208.70
|
|
|
Service Code
|
CPT C1730
|
| Hospital Charge Code |
27200325
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$531.83 |
| Max. Negotiated Rate |
$1,087.83 |
| Rate for Payer: Aetna American Axle |
$785.66
|
| Rate for Payer: Aetna Commercial |
$1,027.40
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$785.66
|
| Rate for Payer: Cash Price |
$966.96
|
| Rate for Payer: Cofinity Commercial |
$1,039.48
|
| Rate for Payer: Cofinity Commercial |
$846.09
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$966.96
|
| Rate for Payer: Healthscope Commercial |
$1,087.83
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$846.09
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$906.52
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,027.40
|
| Rate for Payer: PHP Commercial |
$1,027.40
|
| Rate for Payer: Priority Health Cigna Priority Health |
$846.09
|
| Rate for Payer: Priority Health SBD |
$761.48
|
| Rate for Payer: UMR Bronson Commercial |
$531.83
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$906.52
|
|
|
HC ELECTROPHYSIOLOGY CATHS LEVEL 3
|
Facility
|
OP
|
$2,815.00
|
|
|
Service Code
|
HCPCS C1730
|
| Hospital Charge Code |
27200299
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$0.03 |
| Max. Negotiated Rate |
$2,533.50 |
| Rate for Payer: Aetna American Axle |
$1,829.75
|
| Rate for Payer: Aetna Commercial |
$2,392.75
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,829.75
|
| Rate for Payer: BCBS Complete |
$1,126.00
|
| Rate for Payer: BCBS Trust/PPO |
$0.03
|
| Rate for Payer: Cash Price |
$2,252.00
|
| Rate for Payer: Cash Price |
$2,252.00
|
| Rate for Payer: Cofinity Commercial |
$1,970.50
|
| Rate for Payer: Cofinity Commercial |
$2,420.90
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,252.00
|
| Rate for Payer: Healthscope Commercial |
$2,533.50
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,970.50
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,111.25
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$2,392.75
|
| Rate for Payer: PHP Commercial |
$2,392.75
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,970.50
|
| Rate for Payer: Priority Health SBD |
$1,773.45
|
| Rate for Payer: UMR Bronson Commercial |
$1,041.55
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,111.25
|
|
|
HC ELECTROPHYSIOLOGY CATHS LEVEL 3
|
Facility
|
IP
|
$2,815.00
|
|
|
Service Code
|
HCPCS C1730
|
| Hospital Charge Code |
27200299
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$1,238.60 |
| Max. Negotiated Rate |
$2,533.50 |
| Rate for Payer: Aetna American Axle |
$1,829.75
|
| Rate for Payer: Aetna Commercial |
$2,392.75
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,829.75
|
| Rate for Payer: Cash Price |
$2,252.00
|
| Rate for Payer: Cofinity Commercial |
$1,970.50
|
| Rate for Payer: Cofinity Commercial |
$2,420.90
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,252.00
|
| Rate for Payer: Healthscope Commercial |
$2,533.50
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,970.50
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,111.25
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$2,392.75
|
| Rate for Payer: PHP Commercial |
$2,392.75
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,970.50
|
| Rate for Payer: Priority Health SBD |
$1,773.45
|
| Rate for Payer: UMR Bronson Commercial |
$1,238.60
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,111.25
|
|
