|
HC ENDO DILATATION
|
Facility
|
IP
|
$1,304.30
|
|
| Hospital Charge Code |
36000115
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$573.89 |
| Max. Negotiated Rate |
$1,173.87 |
| Rate for Payer: Aetna American Axle |
$847.80
|
| Rate for Payer: Aetna Commercial |
$1,108.66
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$847.80
|
| Rate for Payer: Cash Price |
$1,043.44
|
| Rate for Payer: Cofinity Commercial |
$1,121.70
|
| Rate for Payer: Cofinity Commercial |
$913.01
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,043.44
|
| Rate for Payer: Healthscope Commercial |
$1,173.87
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$913.01
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$978.22
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,108.66
|
| Rate for Payer: PHP Commercial |
$1,108.66
|
| Rate for Payer: Priority Health Cigna Priority Health |
$913.01
|
| Rate for Payer: Priority Health SBD |
$821.71
|
| Rate for Payer: UMR Bronson Commercial |
$573.89
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$978.22
|
|
|
HC ENDO FINE NEEDLE ASP/BIOPSY
|
Facility
|
IP
|
$1,053.46
|
|
| Hospital Charge Code |
36000103
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$463.52 |
| Max. Negotiated Rate |
$948.11 |
| Rate for Payer: Aetna American Axle |
$684.75
|
| Rate for Payer: Aetna Commercial |
$895.44
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$684.75
|
| Rate for Payer: Cash Price |
$842.77
|
| Rate for Payer: Cofinity Commercial |
$737.42
|
| Rate for Payer: Cofinity Commercial |
$905.98
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$842.77
|
| Rate for Payer: Healthscope Commercial |
$948.11
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$737.42
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$790.10
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$895.44
|
| Rate for Payer: PHP Commercial |
$895.44
|
| Rate for Payer: Priority Health Cigna Priority Health |
$737.42
|
| Rate for Payer: Priority Health SBD |
$663.68
|
| Rate for Payer: UMR Bronson Commercial |
$463.52
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$790.10
|
|
|
HC ENDO FINE NEEDLE ASP/BIOPSY
|
Facility
|
OP
|
$1,053.46
|
|
| Hospital Charge Code |
36000103
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$389.78 |
| Max. Negotiated Rate |
$948.11 |
| Rate for Payer: Aetna American Axle |
$684.75
|
| Rate for Payer: Aetna Commercial |
$895.44
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$684.75
|
| Rate for Payer: BCBS Complete |
$421.38
|
| Rate for Payer: Cash Price |
$842.77
|
| Rate for Payer: Cofinity Commercial |
$737.42
|
| Rate for Payer: Cofinity Commercial |
$905.98
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$842.77
|
| Rate for Payer: Healthscope Commercial |
$948.11
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$737.42
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$790.10
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$895.44
|
| Rate for Payer: PHP Commercial |
$895.44
|
| Rate for Payer: Priority Health Cigna Priority Health |
$737.42
|
| Rate for Payer: Priority Health SBD |
$663.68
|
| Rate for Payer: UMR Bronson Commercial |
$389.78
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$790.10
|
|
|
HC ENDOFORM 2X2
|
Facility
|
IP
|
$38.25
|
|
| Hospital Charge Code |
27000459
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$16.83 |
| Max. Negotiated Rate |
$34.42 |
| Rate for Payer: Aetna American Axle |
$24.86
|
| Rate for Payer: Aetna Commercial |
$32.51
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$24.86
|
| Rate for Payer: Cash Price |
$30.60
|
| Rate for Payer: Cofinity Commercial |
$26.78
|
| Rate for Payer: Cofinity Commercial |
$32.90
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$30.60
|
| Rate for Payer: Healthscope Commercial |
$34.42
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$26.78
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$28.69
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$32.51
|
| Rate for Payer: PHP Commercial |
$32.51
|
| Rate for Payer: Priority Health Cigna Priority Health |
$26.78
|
| Rate for Payer: Priority Health SBD |
$24.10
|
| Rate for Payer: UMR Bronson Commercial |
$16.83
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$28.69
|
|
|
HC ENDOFORM 2X2
|
Facility
|
OP
|
$38.25
|
|
| Hospital Charge Code |
27000459
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$14.15 |
| Max. Negotiated Rate |
$34.42 |
| Rate for Payer: Aetna American Axle |
$24.86
|
| Rate for Payer: Aetna Commercial |
$32.51
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$24.86
|
| Rate for Payer: BCBS Complete |
$15.30
|
| Rate for Payer: Cash Price |
$30.60
|
| Rate for Payer: Cofinity Commercial |
$26.78
|
| Rate for Payer: Cofinity Commercial |
$32.90
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$30.60
|
| Rate for Payer: Healthscope Commercial |
$34.42
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$26.78
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$28.69
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$32.51
|
| Rate for Payer: PHP Commercial |
$32.51
|
| Rate for Payer: Priority Health Cigna Priority Health |
$26.78
|
| Rate for Payer: Priority Health SBD |
$24.10
|
| Rate for Payer: UMR Bronson Commercial |
$14.15
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$28.69
|
|
|
HC ENDOFORM 4X4
|
Facility
|
IP
|
$133.06
|
|
| Hospital Charge Code |
27000460
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$58.55 |
| Max. Negotiated Rate |
$119.75 |
| Rate for Payer: Aetna American Axle |
$86.49
|
| Rate for Payer: Aetna Commercial |
$113.10
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$86.49
|
| Rate for Payer: Cash Price |
$106.45
|
| Rate for Payer: Cofinity Commercial |
$114.43
|
| Rate for Payer: Cofinity Commercial |
$93.14
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$106.45
|
| Rate for Payer: Healthscope Commercial |
$119.75
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$93.14
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$99.80
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$113.10
|
| Rate for Payer: PHP Commercial |
$113.10
|
| Rate for Payer: Priority Health Cigna Priority Health |
$93.14
|
| Rate for Payer: Priority Health SBD |
$83.83
|
| Rate for Payer: UMR Bronson Commercial |
$58.55
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$99.80
|
|
|
HC ENDOFORM 4X4
|
Facility
|
OP
|
$133.06
|
|
| Hospital Charge Code |
27000460
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$49.23 |
| Max. Negotiated Rate |
$119.75 |
| Rate for Payer: Aetna American Axle |
$86.49
|
| Rate for Payer: Aetna Commercial |
$113.10
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$86.49
|
| Rate for Payer: BCBS Complete |
$53.22
|
| Rate for Payer: Cash Price |
$106.45
|
| Rate for Payer: Cofinity Commercial |
$114.43
|
| Rate for Payer: Cofinity Commercial |
$93.14
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$106.45
|
| Rate for Payer: Healthscope Commercial |
$119.75
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$93.14
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$99.80
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$113.10
|
| Rate for Payer: PHP Commercial |
$113.10
|
| Rate for Payer: Priority Health Cigna Priority Health |
$93.14
|
| Rate for Payer: Priority Health SBD |
$83.83
|
| Rate for Payer: UMR Bronson Commercial |
$49.23
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$99.80
|
|
|
HC ENDO HEMOSTASIS
|
Facility
|
IP
|
$123.00
|
|
| Hospital Charge Code |
36000116
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$54.12 |
| Max. Negotiated Rate |
$110.70 |
| Rate for Payer: Aetna American Axle |
$79.95
|
| Rate for Payer: Aetna Commercial |
$104.55
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$79.95
|
| Rate for Payer: Cash Price |
$98.40
|
| Rate for Payer: Cofinity Commercial |
$105.78
|
| Rate for Payer: Cofinity Commercial |
$86.10
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$98.40
|
| Rate for Payer: Healthscope Commercial |
$110.70
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$86.10
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$92.25
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$104.55
|
| Rate for Payer: PHP Commercial |
$104.55
|
| Rate for Payer: Priority Health Cigna Priority Health |
$86.10
|
| Rate for Payer: Priority Health SBD |
$77.49
|
| Rate for Payer: UMR Bronson Commercial |
$54.12
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$92.25
|
|
|
HC ENDO HEMOSTASIS
|
Facility
|
OP
|
$123.00
|
|
| Hospital Charge Code |
36000116
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$45.51 |
| Max. Negotiated Rate |
$110.70 |
| Rate for Payer: Aetna American Axle |
$79.95
|
| Rate for Payer: Aetna Commercial |
$104.55
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$79.95
|
| Rate for Payer: BCBS Complete |
$49.20
|
| Rate for Payer: Cash Price |
$98.40
|
| Rate for Payer: Cofinity Commercial |
$105.78
|
| Rate for Payer: Cofinity Commercial |
$86.10
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$98.40
|
| Rate for Payer: Healthscope Commercial |
$110.70
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$86.10
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$92.25
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$104.55
|
| Rate for Payer: PHP Commercial |
$104.55
|
| Rate for Payer: Priority Health Cigna Priority Health |
$86.10
|
| Rate for Payer: Priority Health SBD |
$77.49
|
| Rate for Payer: UMR Bronson Commercial |
$45.51
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$92.25
|
|
|
HC ENDOLUMINAL BIOPSY OF BILIARY TREE
|
Facility
|
OP
|
$649.42
|
|
|
Service Code
|
CPT 47543
|
| Hospital Charge Code |
36100500
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$135.89 |
| Max. Negotiated Rate |
$2,211.22 |
| Rate for Payer: Aetna American Axle |
$422.12
|
| Rate for Payer: Aetna Commercial |
$552.01
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$422.12
|
| Rate for Payer: BCBS Complete |
$259.77
|
| Rate for Payer: BCBS Trust/PPO |
$2,211.22
|
| Rate for Payer: Cash Price |
$519.54
|
| Rate for Payer: Cash Price |
$519.54
|
| Rate for Payer: Cofinity Commercial |
$454.59
|
| Rate for Payer: Cofinity Commercial |
$558.50
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$519.54
|
| Rate for Payer: Healthscope Commercial |
$584.48
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$454.59
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$487.06
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$552.01
|
| Rate for Payer: PHP Commercial |
$552.01
|
| Rate for Payer: Priority Health Cigna Priority Health |
$454.59
|
| Rate for Payer: Priority Health SBD |
$409.13
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$149.48
|
| Rate for Payer: UHC Core |
$700.00
|
| Rate for Payer: UHC Exchange |
$135.89
|
| Rate for Payer: UMR Bronson Commercial |
$240.29
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$487.06
|
|
|
HC ENDOLUMINAL BIOPSY OF BILIARY TREE
|
Facility
|
IP
|
$649.42
|
|
|
Service Code
|
CPT 47543
|
| Hospital Charge Code |
36100500
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$285.74 |
| Max. Negotiated Rate |
$584.48 |
| Rate for Payer: Aetna American Axle |
$422.12
|
| Rate for Payer: Aetna Commercial |
$552.01
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$422.12
|
| Rate for Payer: Cash Price |
$519.54
|
| Rate for Payer: Cofinity Commercial |
$454.59
|
| Rate for Payer: Cofinity Commercial |
$558.50
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$519.54
|
| Rate for Payer: Healthscope Commercial |
$584.48
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$454.59
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$487.06
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$552.01
|
| Rate for Payer: PHP Commercial |
$552.01
|
| Rate for Payer: Priority Health Cigna Priority Health |
$454.59
|
| Rate for Payer: Priority Health SBD |
$409.13
|
| Rate for Payer: UMR Bronson Commercial |
$285.74
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$487.06
|
|
|
HC ENDOLUMINAL BX URTR &/RNL PELVIS NONENDOSCOPIC
|
Facility
|
OP
|
$4,998.00
|
|
|
Service Code
|
CPT 50606
|
| Hospital Charge Code |
36100615
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$132.94 |
| Max. Negotiated Rate |
$4,498.20 |
| Rate for Payer: Aetna American Axle |
$3,248.70
|
| Rate for Payer: Aetna Commercial |
$4,248.30
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$3,248.70
|
| Rate for Payer: BCBS Complete |
$1,999.20
|
| Rate for Payer: BCBS Trust/PPO |
$2,698.86
|
| Rate for Payer: Cash Price |
$3,998.40
|
| Rate for Payer: Cash Price |
$3,998.40
|
| Rate for Payer: Cofinity Commercial |
$4,298.28
|
| Rate for Payer: Cofinity Commercial |
$3,498.60
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,998.40
|
| Rate for Payer: Healthscope Commercial |
$4,498.20
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$3,498.60
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$3,748.50
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$4,248.30
|
| Rate for Payer: PHP Commercial |
$4,248.30
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3,498.60
|
| Rate for Payer: Priority Health SBD |
$3,148.74
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$146.23
|
| Rate for Payer: UHC Core |
$700.00
|
| Rate for Payer: UHC Exchange |
$132.94
|
| Rate for Payer: UMR Bronson Commercial |
$1,849.26
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$3,748.50
|
|
|
HC ENDOLUMINAL BX URTR &/RNL PELVIS NONENDOSCOPIC
|
Facility
|
IP
|
$4,998.00
|
|
|
Service Code
|
CPT 50606
|
| Hospital Charge Code |
36100615
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$2,199.12 |
| Max. Negotiated Rate |
$4,498.20 |
| Rate for Payer: Aetna American Axle |
$3,248.70
|
| Rate for Payer: Aetna Commercial |
$4,248.30
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$3,248.70
|
| Rate for Payer: Cash Price |
$3,998.40
|
| Rate for Payer: Cofinity Commercial |
$3,498.60
|
| Rate for Payer: Cofinity Commercial |
$4,298.28
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,998.40
|
| Rate for Payer: Healthscope Commercial |
$4,498.20
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$3,498.60
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$3,748.50
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$4,248.30
|
| Rate for Payer: PHP Commercial |
$4,248.30
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3,498.60
|
| Rate for Payer: Priority Health SBD |
$3,148.74
|
| Rate for Payer: UMR Bronson Commercial |
$2,199.12
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$3,748.50
|
|
|
HC ENDOMETR ABLATE THERMAL
|
Facility
|
OP
|
$13,091.70
|
|
|
Service Code
|
CPT 58353
|
| Hospital Charge Code |
76100336
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$228.23 |
| Max. Negotiated Rate |
$13,918.15 |
| Rate for Payer: Aetna American Axle |
$8,509.60
|
| Rate for Payer: Aetna Commercial |
$11,127.94
|
| Rate for Payer: Aetna Medicare |
$4,598.05
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$8,509.60
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$5,526.50
|
| Rate for Payer: Amish Plain Church Group Commercial |
$5,526.50
|
| Rate for Payer: BCBS Complete |
$2,539.54
|
| Rate for Payer: BCBS MAPPO |
$4,421.20
|
| Rate for Payer: BCBS Trust/PPO |
$3,438.88
|
| Rate for Payer: BCN Medicare Advantage |
$4,421.20
|
| Rate for Payer: Cash Price |
$10,473.36
|
| Rate for Payer: Cash Price |
$10,473.36
|
| Rate for Payer: Cofinity Commercial |
$9,164.19
|
| Rate for Payer: Cofinity Commercial |
$11,258.86
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$10,473.36
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$4,421.20
|
| Rate for Payer: Healthscope Commercial |
$11,782.53
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$9,164.19
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$9,818.78
|
| Rate for Payer: Mclaren Medicaid |
$2,418.40
|
| Rate for Payer: Mclaren Medicare |
$4,421.20
|
| Rate for Payer: Meridian Medicaid |
$2,539.54
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$4,642.26
|
| Rate for Payer: MI Amish Medical Board Commercial |
$5,084.38
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$11,127.94
|
| Rate for Payer: PACE Medicare |
$4,200.14
|
| Rate for Payer: PACE SWMI |
$4,421.20
|
| Rate for Payer: PHP Commercial |
$11,127.94
|
| Rate for Payer: PHP Medicare Advantage |
$4,421.20
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,418.40
|
| Rate for Payer: Priority Health Cigna Priority Health |
$9,164.19
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$13,918.15
|
| Rate for Payer: Priority Health Medicare |
$4,421.20
|
| Rate for Payer: Priority Health Narrow Network |
$11,134.52
|
| Rate for Payer: Priority Health SBD |
$8,247.77
|
| Rate for Payer: Railroad Medicare Medicare |
$4,421.20
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$251.05
|
| Rate for Payer: UHC Dual Complete DSNP |
$4,421.20
|
| Rate for Payer: UHC Exchange |
$228.23
|
| Rate for Payer: UHC Medicare Advantage |
$4,553.84
|
| Rate for Payer: UMR Bronson Commercial |
$4,843.93
|
| Rate for Payer: VA VA |
$4,421.20
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$9,818.78
|
|
|
HC ENDOMETR ABLATE THERMAL
|
Facility
|
IP
|
$13,091.70
|
|
|
Service Code
|
CPT 58353
|
| Hospital Charge Code |
76100336
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$5,760.35 |
| Max. Negotiated Rate |
$11,782.53 |
| Rate for Payer: Aetna American Axle |
$8,509.60
|
| Rate for Payer: Aetna Commercial |
$11,127.94
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$8,509.60
|
| Rate for Payer: Cash Price |
$10,473.36
|
| Rate for Payer: Cofinity Commercial |
$11,258.86
|
| Rate for Payer: Cofinity Commercial |
$9,164.19
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$10,473.36
|
| Rate for Payer: Healthscope Commercial |
$11,782.53
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$9,164.19
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$9,818.78
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$11,127.94
|
| Rate for Payer: PHP Commercial |
$11,127.94
|
| Rate for Payer: Priority Health Cigna Priority Health |
$9,164.19
|
| Rate for Payer: Priority Health SBD |
$8,247.77
|
| Rate for Payer: UMR Bronson Commercial |
$5,760.35
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$9,818.78
|
|
|
HC ENDOMETR BX CONJUNCT W/COLP
|
Facility
|
IP
|
$708.90
|
|
|
Service Code
|
CPT 58110
|
| Hospital Charge Code |
76100335
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$311.92 |
| Max. Negotiated Rate |
$638.01 |
| Rate for Payer: Aetna American Axle |
$460.78
|
| Rate for Payer: Aetna Commercial |
$602.56
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$460.78
|
| Rate for Payer: Cash Price |
$567.12
|
| Rate for Payer: Cofinity Commercial |
$609.65
|
| Rate for Payer: Cofinity Commercial |
$496.23
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$567.12
|
| Rate for Payer: Healthscope Commercial |
$638.01
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$496.23
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$531.68
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$602.56
|
| Rate for Payer: PHP Commercial |
$602.56
|
| Rate for Payer: Priority Health Cigna Priority Health |
$496.23
|
| Rate for Payer: Priority Health SBD |
$446.61
|
| Rate for Payer: UMR Bronson Commercial |
$311.92
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$531.68
|
|
|
HC ENDOMETR BX CONJUNCT W/COLP
|
Facility
|
OP
|
$708.90
|
|
|
Service Code
|
CPT 58110
|
| Hospital Charge Code |
76100335
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$39.29 |
| Max. Negotiated Rate |
$638.01 |
| Rate for Payer: Aetna American Axle |
$460.78
|
| Rate for Payer: Aetna Commercial |
$602.56
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$460.78
|
| Rate for Payer: BCBS Complete |
$283.56
|
| Rate for Payer: BCBS Trust/PPO |
$163.82
|
| Rate for Payer: BCCCP Commercial |
$53.05
|
| Rate for Payer: Cash Price |
$567.12
|
| Rate for Payer: Cash Price |
$567.12
|
| Rate for Payer: Cofinity Commercial |
$609.65
|
| Rate for Payer: Cofinity Commercial |
$496.23
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$567.12
|
| Rate for Payer: Healthscope Commercial |
$638.01
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$496.23
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$531.68
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$602.56
|
| Rate for Payer: PHP Commercial |
$602.56
|
| Rate for Payer: Priority Health Cigna Priority Health |
$496.23
|
| Rate for Payer: Priority Health SBD |
$446.61
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$43.22
|
| Rate for Payer: UHC Exchange |
$39.29
|
| Rate for Payer: UMR Bronson Commercial |
$262.29
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$531.68
|
|
|
HC ENDOMETRIAL SAMPLING
|
Facility
|
OP
|
$215.22
|
|
|
Service Code
|
CPT 58100
|
| Hospital Charge Code |
76100141
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$61.89 |
| Max. Negotiated Rate |
$557.61 |
| Rate for Payer: Aetna American Axle |
$139.89
|
| Rate for Payer: Aetna Commercial |
$182.94
|
| Rate for Payer: Aetna Medicare |
$184.20
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$139.89
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$221.40
|
| Rate for Payer: Amish Plain Church Group Commercial |
$221.40
|
| Rate for Payer: BCBS Complete |
$101.74
|
| Rate for Payer: BCBS MAPPO |
$177.12
|
| Rate for Payer: BCBS Trust/PPO |
$126.08
|
| Rate for Payer: BCCCP Commercial |
$107.56
|
| Rate for Payer: BCN Medicare Advantage |
$177.12
|
| Rate for Payer: Cash Price |
$172.18
|
| Rate for Payer: Cash Price |
$172.18
|
| Rate for Payer: Cofinity Commercial |
$185.09
|
| Rate for Payer: Cofinity Commercial |
$150.65
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$172.18
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$177.12
|
| Rate for Payer: Healthscope Commercial |
$193.70
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$150.65
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$161.42
|
| Rate for Payer: Mclaren Medicaid |
$96.88
|
| Rate for Payer: Mclaren Medicare |
$177.12
|
| Rate for Payer: Meridian Medicaid |
$101.74
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$185.98
|
| Rate for Payer: MI Amish Medical Board Commercial |
$203.69
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$182.94
|
| Rate for Payer: PACE Medicare |
$168.26
|
| Rate for Payer: PACE SWMI |
$177.12
|
| Rate for Payer: PHP Commercial |
$182.94
|
| Rate for Payer: PHP Medicare Advantage |
$177.12
|
| Rate for Payer: Priority Health Choice Medicaid |
$96.88
|
| Rate for Payer: Priority Health Cigna Priority Health |
$150.65
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$557.61
|
| Rate for Payer: Priority Health Medicare |
$177.12
|
| Rate for Payer: Priority Health Narrow Network |
$446.09
|
| Rate for Payer: Priority Health SBD |
$135.59
|
| Rate for Payer: Railroad Medicare Medicare |
$177.12
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$68.08
|
| Rate for Payer: UHC Dual Complete DSNP |
$177.12
|
| Rate for Payer: UHC Exchange |
$61.89
|
| Rate for Payer: UHC Medicare Advantage |
$182.43
|
| Rate for Payer: UMR Bronson Commercial |
$79.63
|
| Rate for Payer: VA VA |
$177.12
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$161.42
|
|
|
HC ENDOMETRIAL SAMPLING
|
Facility
|
IP
|
$215.22
|
|
|
Service Code
|
CPT 58100
|
| Hospital Charge Code |
76100141
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$94.70 |
| Max. Negotiated Rate |
$193.70 |
| Rate for Payer: Aetna American Axle |
$139.89
|
| Rate for Payer: Aetna Commercial |
$182.94
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$139.89
|
| Rate for Payer: Cash Price |
$172.18
|
| Rate for Payer: Cofinity Commercial |
$185.09
|
| Rate for Payer: Cofinity Commercial |
$150.65
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$172.18
|
| Rate for Payer: Healthscope Commercial |
$193.70
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$150.65
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$161.42
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$182.94
|
| Rate for Payer: PHP Commercial |
$182.94
|
| Rate for Payer: Priority Health Cigna Priority Health |
$150.65
|
| Rate for Payer: Priority Health SBD |
$135.59
|
| Rate for Payer: UMR Bronson Commercial |
$94.70
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$161.42
|
|
|
HC ENDOMYOCARDIAL BIOPSY
|
Facility
|
OP
|
$2,809.61
|
|
|
Service Code
|
CPT 93505
|
| Hospital Charge Code |
48100025
|
|
Hospital Revenue Code
|
481
|
| Min. Negotiated Rate |
$626.07 |
| Max. Negotiated Rate |
$8,919.33 |
| Rate for Payer: Aetna American Axle |
$1,826.25
|
| Rate for Payer: Aetna Commercial |
$2,388.17
|
| Rate for Payer: Aetna Medicare |
$2,946.62
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,826.25
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$3,541.61
|
| Rate for Payer: Amish Plain Church Group Commercial |
$3,541.61
|
| Rate for Payer: BCBS Complete |
$1,627.44
|
| Rate for Payer: BCBS MAPPO |
$2,833.29
|
| Rate for Payer: BCBS Trust/PPO |
$2,133.06
|
| Rate for Payer: BCN Medicare Advantage |
$2,833.29
|
| Rate for Payer: Cash Price |
$2,247.69
|
| Rate for Payer: Cash Price |
$2,247.69
|
| Rate for Payer: Cofinity Commercial |
$1,966.73
|
| Rate for Payer: Cofinity Commercial |
$2,416.26
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,247.69
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,833.29
|
| Rate for Payer: Healthscope Commercial |
$2,528.65
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,966.73
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,107.21
|
| Rate for Payer: Mclaren Medicaid |
$1,549.81
|
| Rate for Payer: Mclaren Medicare |
$2,833.29
|
| Rate for Payer: Meridian Medicaid |
$1,627.44
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$2,974.95
|
| Rate for Payer: MI Amish Medical Board Commercial |
$3,258.28
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$2,388.17
|
| Rate for Payer: PACE Medicare |
$2,691.63
|
| Rate for Payer: PACE SWMI |
$2,833.29
|
| Rate for Payer: PHP Commercial |
$2,388.17
|
| Rate for Payer: PHP Medicare Advantage |
$2,833.29
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,549.81
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,966.73
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$8,919.33
|
| Rate for Payer: Priority Health Medicare |
$2,833.29
|
| Rate for Payer: Priority Health Narrow Network |
$7,135.46
|
| Rate for Payer: Priority Health SBD |
$1,770.05
|
| Rate for Payer: Railroad Medicare Medicare |
$2,833.29
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$688.68
|
| Rate for Payer: UHC Core |
$5,042.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$2,833.29
|
| Rate for Payer: UHC Exchange |
$626.07
|
| Rate for Payer: UHC Medicare Advantage |
$2,918.29
|
| Rate for Payer: UMR Bronson Commercial |
$1,039.56
|
| Rate for Payer: VA VA |
$2,833.29
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,107.21
|
|
|
HC ENDOMYOCARDIAL BIOPSY
|
Facility
|
IP
|
$2,809.61
|
|
|
Service Code
|
CPT 93505
|
| Hospital Charge Code |
48100025
|
|
Hospital Revenue Code
|
481
|
| Min. Negotiated Rate |
$1,236.23 |
| Max. Negotiated Rate |
$2,528.65 |
| Rate for Payer: Aetna American Axle |
$1,826.25
|
| Rate for Payer: Aetna Commercial |
$2,388.17
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,826.25
|
| Rate for Payer: Cash Price |
$2,247.69
|
| Rate for Payer: Cofinity Commercial |
$1,966.73
|
| Rate for Payer: Cofinity Commercial |
$2,416.26
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,247.69
|
| Rate for Payer: Healthscope Commercial |
$2,528.65
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,966.73
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,107.21
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$2,388.17
|
| Rate for Payer: PHP Commercial |
$2,388.17
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,966.73
|
| Rate for Payer: Priority Health SBD |
$1,770.05
|
| Rate for Payer: UMR Bronson Commercial |
$1,236.23
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,107.21
|
|
|
HC ENDOMYSIAL IGA ANTIBODY.
|
Facility
|
OP
|
$78.54
|
|
|
Service Code
|
CPT 86255
|
| Hospital Charge Code |
30200426
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$6.59 |
| Max. Negotiated Rate |
$70.69 |
| Rate for Payer: Aetna American Axle |
$51.05
|
| Rate for Payer: Aetna Commercial |
$66.76
|
| Rate for Payer: Aetna Medicare |
$12.53
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$51.05
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$15.06
|
| Rate for Payer: Amish Plain Church Group Commercial |
$15.06
|
| Rate for Payer: BCBS Complete |
$6.92
|
| Rate for Payer: BCBS MAPPO |
$12.05
|
| Rate for Payer: BCBS Trust/PPO |
$8.13
|
| Rate for Payer: BCN Medicare Advantage |
$12.05
|
| Rate for Payer: Cash Price |
$62.83
|
| Rate for Payer: Cash Price |
$62.83
|
| Rate for Payer: Cofinity Commercial |
$54.98
|
| Rate for Payer: Cofinity Commercial |
$67.54
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$62.83
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$12.05
|
| Rate for Payer: Healthscope Commercial |
$70.69
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$54.98
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$58.90
|
| Rate for Payer: Mclaren Medicaid |
$6.59
|
| Rate for Payer: Mclaren Medicare |
$12.05
|
| Rate for Payer: Meridian Medicaid |
$6.92
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$12.65
|
| Rate for Payer: MI Amish Medical Board Commercial |
$13.86
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$66.76
|
| Rate for Payer: PACE Medicare |
$11.45
|
| Rate for Payer: PACE SWMI |
$12.05
|
| Rate for Payer: PHP Commercial |
$66.76
|
| Rate for Payer: PHP Medicare Advantage |
$12.05
|
| Rate for Payer: Priority Health Choice Medicaid |
$6.59
|
| Rate for Payer: Priority Health Cigna Priority Health |
$54.98
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$16.53
|
| Rate for Payer: Priority Health Medicare |
$12.05
|
| Rate for Payer: Priority Health Narrow Network |
$13.22
|
| Rate for Payer: Priority Health SBD |
$49.48
|
| Rate for Payer: Railroad Medicare Medicare |
$12.05
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$14.46
|
| Rate for Payer: UHC Core |
$19.88
|
| Rate for Payer: UHC Dual Complete DSNP |
$12.05
|
| Rate for Payer: UHC Exchange |
$12.05
|
| Rate for Payer: UHC Medicare Advantage |
$12.41
|
| Rate for Payer: UMR Bronson Commercial |
$29.06
|
| Rate for Payer: VA VA |
$12.05
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$58.90
|
|
|
HC ENDOMYSIAL IGA ANTIBODY.
|
Facility
|
IP
|
$78.54
|
|
|
Service Code
|
CPT 86255
|
| Hospital Charge Code |
30200426
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$34.56 |
| Max. Negotiated Rate |
$70.69 |
| Rate for Payer: Aetna American Axle |
$51.05
|
| Rate for Payer: Aetna Commercial |
$66.76
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$51.05
|
| Rate for Payer: Cash Price |
$62.83
|
| Rate for Payer: Cofinity Commercial |
$54.98
|
| Rate for Payer: Cofinity Commercial |
$67.54
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$62.83
|
| Rate for Payer: Healthscope Commercial |
$70.69
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$54.98
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$58.90
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$66.76
|
| Rate for Payer: PHP Commercial |
$66.76
|
| Rate for Payer: Priority Health Cigna Priority Health |
$54.98
|
| Rate for Payer: Priority Health SBD |
$49.48
|
| Rate for Payer: UMR Bronson Commercial |
$34.56
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$58.90
|
|
|
HC ENDOMYSIAL IGA TITER.
|
Facility
|
OP
|
$156.90
|
|
|
Service Code
|
CPT 86231
|
| Hospital Charge Code |
30200494
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$6.61 |
| Max. Negotiated Rate |
$141.21 |
| Rate for Payer: Aetna American Axle |
$101.98
|
| Rate for Payer: Aetna Commercial |
$133.36
|
| Rate for Payer: Aetna Medicare |
$12.57
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$101.98
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$15.11
|
| Rate for Payer: Amish Plain Church Group Commercial |
$15.11
|
| Rate for Payer: BCBS Complete |
$6.94
|
| Rate for Payer: BCBS MAPPO |
$12.09
|
| Rate for Payer: BCBS Trust/PPO |
$10.88
|
| Rate for Payer: BCN Medicare Advantage |
$12.09
|
| Rate for Payer: Cash Price |
$125.52
|
| Rate for Payer: Cash Price |
$125.52
|
| Rate for Payer: Cofinity Commercial |
$109.83
|
| Rate for Payer: Cofinity Commercial |
$134.93
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$125.52
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$12.09
|
| Rate for Payer: Healthscope Commercial |
$141.21
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$109.83
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$117.68
|
| Rate for Payer: Mclaren Medicaid |
$6.61
|
| Rate for Payer: Mclaren Medicare |
$12.09
|
| Rate for Payer: Meridian Medicaid |
$6.94
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$12.69
|
| Rate for Payer: MI Amish Medical Board Commercial |
$13.90
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$133.36
|
| Rate for Payer: PACE Medicare |
$11.49
|
| Rate for Payer: PACE SWMI |
$12.09
|
| Rate for Payer: PHP Commercial |
$133.36
|
| Rate for Payer: PHP Medicare Advantage |
$12.09
|
| Rate for Payer: Priority Health Choice Medicaid |
$6.61
|
| Rate for Payer: Priority Health Cigna Priority Health |
$109.83
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$12.09
|
| Rate for Payer: Priority Health Medicare |
$12.09
|
| Rate for Payer: Priority Health Narrow Network |
$9.67
|
| Rate for Payer: Priority Health SBD |
$98.85
|
| Rate for Payer: Railroad Medicare Medicare |
$12.09
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$14.51
|
| Rate for Payer: UHC Core |
$14.51
|
| Rate for Payer: UHC Dual Complete DSNP |
$12.09
|
| Rate for Payer: UHC Exchange |
$12.09
|
| Rate for Payer: UHC Medicare Advantage |
$12.45
|
| Rate for Payer: UMR Bronson Commercial |
$58.05
|
| Rate for Payer: VA VA |
$12.09
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$117.68
|
|
|
HC ENDOMYSIAL IGA TITER.
|
Facility
|
IP
|
$156.90
|
|
|
Service Code
|
CPT 86231
|
| Hospital Charge Code |
30200494
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$69.04 |
| Max. Negotiated Rate |
$141.21 |
| Rate for Payer: Aetna American Axle |
$101.98
|
| Rate for Payer: Aetna Commercial |
$133.36
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$101.98
|
| Rate for Payer: Cash Price |
$125.52
|
| Rate for Payer: Cofinity Commercial |
$109.83
|
| Rate for Payer: Cofinity Commercial |
$134.93
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$125.52
|
| Rate for Payer: Healthscope Commercial |
$141.21
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$109.83
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$117.68
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$133.36
|
| Rate for Payer: PHP Commercial |
$133.36
|
| Rate for Payer: Priority Health Cigna Priority Health |
$109.83
|
| Rate for Payer: Priority Health SBD |
$98.85
|
| Rate for Payer: UMR Bronson Commercial |
$69.04
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$117.68
|
|
