|
HC ARCTIC SUN UNIVERSAL PAD
|
Facility
|
OP
|
$1,140.74
|
|
| Hospital Charge Code |
27000617
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$422.07 |
| Max. Negotiated Rate |
$1,026.67 |
| Rate for Payer: Aetna American Axle |
$741.48
|
| Rate for Payer: Aetna Commercial |
$969.63
|
| Rate for Payer: Aetna Medicare |
$570.37
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$741.48
|
| Rate for Payer: BCBS Complete |
$456.30
|
| Rate for Payer: Cash Price |
$912.59
|
| Rate for Payer: Cofinity Advantage |
$798.52
|
| Rate for Payer: Cofinity Commercial |
$981.04
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$912.59
|
| Rate for Payer: Healthscope Commercial |
$1,026.67
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$798.52
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$855.55
|
| Rate for Payer: MI Amish Medical Board Commercial |
$912.59
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$969.63
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$855.55
|
| Rate for Payer: PHP Commercial |
$969.63
|
| Rate for Payer: Priority Health SBD |
$718.67
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$741.48
|
| Rate for Payer: UHC Core |
$594.33
|
| Rate for Payer: UHC Exchange |
$448.31
|
| Rate for Payer: UMR Bronson Commercial |
$422.07
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$855.55
|
|
|
HC ARGON PLASMA COAGULATION
|
Facility
|
IP
|
$1,897.29
|
|
| Hospital Charge Code |
36000007
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$834.81 |
| Max. Negotiated Rate |
$1,707.56 |
| Rate for Payer: Aetna American Axle |
$1,233.24
|
| Rate for Payer: Aetna Commercial |
$1,612.70
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,233.24
|
| Rate for Payer: Cash Price |
$1,517.83
|
| Rate for Payer: Cofinity Advantage |
$1,328.10
|
| Rate for Payer: Cofinity Commercial |
$1,631.67
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,517.83
|
| Rate for Payer: Healthscope Commercial |
$1,707.56
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,328.10
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,422.97
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,612.70
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,422.97
|
| Rate for Payer: PHP Commercial |
$1,612.70
|
| Rate for Payer: Priority Health SBD |
$1,195.29
|
| Rate for Payer: UMR Bronson Commercial |
$834.81
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,422.97
|
|
|
HC ARGON PLASMA COAGULATION
|
Facility
|
OP
|
$1,897.29
|
|
| Hospital Charge Code |
36000007
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$702.00 |
| Max. Negotiated Rate |
$1,707.56 |
| Rate for Payer: Aetna American Axle |
$1,233.24
|
| Rate for Payer: Aetna Commercial |
$1,612.70
|
| Rate for Payer: Aetna Medicare |
$948.64
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,233.24
|
| Rate for Payer: BCBS Complete |
$758.92
|
| Rate for Payer: Cash Price |
$1,517.83
|
| Rate for Payer: Cofinity Advantage |
$1,328.10
|
| Rate for Payer: Cofinity Commercial |
$1,631.67
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,517.83
|
| Rate for Payer: Healthscope Commercial |
$1,707.56
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,328.10
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,422.97
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,517.83
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,612.70
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,422.97
|
| Rate for Payer: PHP Commercial |
$1,612.70
|
| Rate for Payer: Priority Health SBD |
$1,195.29
|
| Rate for Payer: UMR Bronson Commercial |
$702.00
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,422.97
|
|
|
HC ARISTA HEMOSTAT
|
Facility
|
IP
|
$1,164.50
|
|
| Hospital Charge Code |
27200111
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$512.38 |
| Max. Negotiated Rate |
$1,048.05 |
| Rate for Payer: Aetna American Axle |
$756.92
|
| Rate for Payer: Aetna Commercial |
$989.83
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$756.92
|
| Rate for Payer: Cash Price |
$931.60
|
| Rate for Payer: Cofinity Advantage |
$815.15
|
| Rate for Payer: Cofinity Commercial |
$1,001.47
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$931.60
|
| Rate for Payer: Healthscope Commercial |
$1,048.05
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$815.15
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$873.38
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$989.83
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$873.38
|
| Rate for Payer: PHP Commercial |
$989.83
|
| Rate for Payer: Priority Health SBD |
$733.63
|
| Rate for Payer: UMR Bronson Commercial |
$512.38
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$873.38
|
|
|
HC ARISTA HEMOSTAT
|
Facility
|
OP
|
$1,164.50
|
|
| Hospital Charge Code |
27200111
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$430.87 |
| Max. Negotiated Rate |
$1,048.05 |
| Rate for Payer: Aetna American Axle |
$756.92
|
| Rate for Payer: Aetna Commercial |
$989.83
|
| Rate for Payer: Aetna Medicare |
$582.25
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$756.92
|
| Rate for Payer: BCBS Complete |
$465.80
|
| Rate for Payer: Cash Price |
$931.60
|
| Rate for Payer: Cofinity Advantage |
$815.15
|
| Rate for Payer: Cofinity Commercial |
$1,001.47
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$931.60
|
| Rate for Payer: Healthscope Commercial |
$1,048.05
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$815.15
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$873.38
|
| Rate for Payer: MI Amish Medical Board Commercial |
$931.60
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$989.83
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$873.38
|
| Rate for Payer: PHP Commercial |
$989.83
|
| Rate for Payer: Priority Health SBD |
$733.63
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$756.92
|
| Rate for Payer: UHC Core |
$606.70
|
| Rate for Payer: UHC Exchange |
$457.65
|
| Rate for Payer: UMR Bronson Commercial |
$430.87
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$873.38
|
|
|
HC ARRAY COMPARATIVE GENOMIC ACGH
|
Facility
|
IP
|
$1,628.95
|
|
|
Service Code
|
CPT 81228
|
| Hospital Charge Code |
31000094
|
|
Hospital Revenue Code
|
310
|
| Min. Negotiated Rate |
$716.74 |
| Max. Negotiated Rate |
$1,466.06 |
| Rate for Payer: Aetna American Axle |
$1,058.82
|
| Rate for Payer: Aetna Commercial |
$1,384.61
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,058.82
|
| Rate for Payer: Cash Price |
$1,303.16
|
| Rate for Payer: Cofinity Advantage |
$1,140.27
|
| Rate for Payer: Cofinity Commercial |
$1,400.90
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,303.16
|
| Rate for Payer: Healthscope Commercial |
$1,466.06
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,140.27
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,221.71
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,384.61
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,221.71
|
| Rate for Payer: PHP Commercial |
$1,384.61
|
| Rate for Payer: Priority Health SBD |
$1,026.24
|
| Rate for Payer: UMR Bronson Commercial |
$716.74
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,221.71
|
|
|
HC ARRAY COMPARATIVE GENOMIC ACGH
|
Facility
|
OP
|
$1,628.95
|
|
|
Service Code
|
CPT 81228
|
| Hospital Charge Code |
31000094
|
|
Hospital Revenue Code
|
310
|
| Min. Negotiated Rate |
$470.70 |
| Max. Negotiated Rate |
$2,700.00 |
| Rate for Payer: Aetna American Axle |
$1,058.82
|
| Rate for Payer: Aetna Commercial |
$1,384.61
|
| Rate for Payer: Aetna Medicare |
$936.00
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,058.82
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,125.00
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1,125.00
|
| Rate for Payer: BCBS Complete |
$494.28
|
| Rate for Payer: BCBS MAPPO |
$900.00
|
| Rate for Payer: BCBS Trust/PPO |
$754.88
|
| Rate for Payer: BCN Commercial |
$754.88
|
| Rate for Payer: BCN Medicare Advantage |
$900.00
|
| Rate for Payer: Cash Price |
$1,303.16
|
| Rate for Payer: Cash Price |
$1,303.16
|
| Rate for Payer: Cofinity Advantage |
$1,140.27
|
| Rate for Payer: Cofinity Commercial |
$1,400.90
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,303.16
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$900.00
|
| Rate for Payer: Healthscope Commercial |
$1,466.06
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,140.27
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,221.71
|
| Rate for Payer: Mclaren Medicaid |
$900.00
|
| Rate for Payer: Mclaren Medicare |
$900.00
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$945.00
|
| Rate for Payer: Meridian Medicaid |
$945.00
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,035.00
|
| Rate for Payer: Molina Medicare/Medicaid |
$990.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,384.61
|
| Rate for Payer: Nomi Health Commercial |
$2,700.00
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,221.71
|
| Rate for Payer: PACE Medicare |
$855.00
|
| Rate for Payer: PACE SWMI |
$900.00
|
| Rate for Payer: PHP Commercial |
$1,384.61
|
| Rate for Payer: PHP Medicare Advantage |
$900.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$470.70
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$900.00
|
| Rate for Payer: Priority Health Medicare |
$900.00
|
| Rate for Payer: Priority Health SBD |
$1,026.24
|
| Rate for Payer: Priority Health Tiered Network |
$720.00
|
| Rate for Payer: Railroad Medicare Medicare |
$900.00
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,350.00
|
| Rate for Payer: UHC Core |
$1,350.00
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$900.00
|
| Rate for Payer: UHC Exchange |
$1,350.00
|
| Rate for Payer: UHC Medicaid |
$470.70
|
| Rate for Payer: UHCCP Medicaid |
$470.70
|
| Rate for Payer: UMR Bronson Commercial |
$602.71
|
| Rate for Payer: VA VA |
$900.00
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,221.71
|
|
|
HC ARRAY COMPARATIVE GENOMIC CMPT
|
Facility
|
IP
|
$1,440.95
|
|
|
Service Code
|
CPT 88399
|
| Hospital Charge Code |
31000061
|
|
Hospital Revenue Code
|
310
|
| Min. Negotiated Rate |
$634.02 |
| Max. Negotiated Rate |
$1,296.86 |
| Rate for Payer: Aetna American Axle |
$936.62
|
| Rate for Payer: Aetna Commercial |
$1,224.81
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$936.62
|
| Rate for Payer: Cash Price |
$1,152.76
|
| Rate for Payer: Cofinity Advantage |
$1,008.66
|
| Rate for Payer: Cofinity Commercial |
$1,239.22
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,152.76
|
| Rate for Payer: Healthscope Commercial |
$1,296.86
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,008.66
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,080.71
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,224.81
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,080.71
|
| Rate for Payer: PHP Commercial |
$1,224.81
|
| Rate for Payer: Priority Health SBD |
$907.80
|
| Rate for Payer: UMR Bronson Commercial |
$634.02
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,080.71
|
|
|
HC ARRAY COMPARATIVE GENOMIC CMPT
|
Facility
|
OP
|
$1,440.95
|
|
|
Service Code
|
CPT 88399
|
| Hospital Charge Code |
31000061
|
|
Hospital Revenue Code
|
310
|
| Min. Negotiated Rate |
$13.72 |
| Max. Negotiated Rate |
$1,296.86 |
| Rate for Payer: Aetna American Axle |
$936.62
|
| Rate for Payer: Aetna Commercial |
$1,224.81
|
| Rate for Payer: Aetna Medicare |
$54.00
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$936.62
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$64.90
|
| Rate for Payer: Amish Plain Church Group Commercial |
$64.90
|
| Rate for Payer: BCBS Complete |
$28.51
|
| Rate for Payer: BCBS MAPPO |
$51.92
|
| Rate for Payer: BCBS Trust/PPO |
$13.72
|
| Rate for Payer: BCN Commercial |
$13.72
|
| Rate for Payer: BCN Medicare Advantage |
$51.92
|
| Rate for Payer: Cash Price |
$1,152.76
|
| Rate for Payer: Cash Price |
$1,152.76
|
| Rate for Payer: Cofinity Advantage |
$1,008.66
|
| Rate for Payer: Cofinity Commercial |
$1,239.22
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,152.76
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$51.92
|
| Rate for Payer: Healthscope Commercial |
$1,296.86
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,008.66
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,080.71
|
| Rate for Payer: Mclaren Medicaid |
$51.92
|
| Rate for Payer: Mclaren Medicare |
$51.92
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$54.52
|
| Rate for Payer: Meridian Medicaid |
$54.52
|
| Rate for Payer: MI Amish Medical Board Commercial |
$59.71
|
| Rate for Payer: Molina Medicare/Medicaid |
$57.11
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,224.81
|
| Rate for Payer: Nomi Health Commercial |
$155.76
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,080.71
|
| Rate for Payer: PACE Medicare |
$49.32
|
| Rate for Payer: PACE SWMI |
$51.92
|
| Rate for Payer: PHP Commercial |
$1,224.81
|
| Rate for Payer: PHP Medicare Advantage |
$51.92
|
| Rate for Payer: Priority Health Choice Medicaid |
$27.15
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$167.92
|
| Rate for Payer: Priority Health Medicare |
$51.92
|
| Rate for Payer: Priority Health SBD |
$907.80
|
| Rate for Payer: Priority Health Tiered Network |
$134.34
|
| Rate for Payer: Railroad Medicare Medicare |
$51.92
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$80.15
|
| Rate for Payer: UHC Core |
$80.15
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$51.92
|
| Rate for Payer: UHC Exchange |
$80.15
|
| Rate for Payer: UHC Medicaid |
$27.15
|
| Rate for Payer: UHCCP Medicaid |
$27.15
|
| Rate for Payer: UMR Bronson Commercial |
$533.15
|
| Rate for Payer: VA VA |
$51.92
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,080.71
|
|
|
HC ARSENIC
|
Facility
|
IP
|
$199.96
|
|
|
Service Code
|
CPT 82175
|
| Hospital Charge Code |
30100108
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$87.98 |
| Max. Negotiated Rate |
$179.96 |
| Rate for Payer: Aetna American Axle |
$129.97
|
| Rate for Payer: Aetna Commercial |
$169.97
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$129.97
|
| Rate for Payer: Cash Price |
$159.97
|
| Rate for Payer: Cofinity Advantage |
$139.97
|
| Rate for Payer: Cofinity Commercial |
$171.97
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$159.97
|
| Rate for Payer: Healthscope Commercial |
$179.96
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$139.97
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$149.97
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$169.97
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$149.97
|
| Rate for Payer: PHP Commercial |
$169.97
|
| Rate for Payer: Priority Health SBD |
$125.97
|
| Rate for Payer: UMR Bronson Commercial |
$87.98
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$149.97
|
|
|
HC ARSENIC
|
Facility
|
OP
|
$199.96
|
|
|
Service Code
|
CPT 82175
|
| Hospital Charge Code |
30100108
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$9.92 |
| Max. Negotiated Rate |
$179.96 |
| Rate for Payer: Aetna American Axle |
$129.97
|
| Rate for Payer: Aetna Commercial |
$169.97
|
| Rate for Payer: Aetna Medicare |
$19.73
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$129.97
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$23.71
|
| Rate for Payer: Amish Plain Church Group Commercial |
$23.71
|
| Rate for Payer: BCBS Complete |
$10.42
|
| Rate for Payer: BCBS MAPPO |
$18.97
|
| Rate for Payer: BCBS Trust/PPO |
$21.93
|
| Rate for Payer: BCN Commercial |
$21.93
|
| Rate for Payer: BCN Medicare Advantage |
$18.97
|
| Rate for Payer: Cash Price |
$159.97
|
| Rate for Payer: Cash Price |
$159.97
|
| Rate for Payer: Cofinity Advantage |
$139.97
|
| Rate for Payer: Cofinity Commercial |
$171.97
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$159.97
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$18.97
|
| Rate for Payer: Healthscope Commercial |
$179.96
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$139.97
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$149.97
|
| Rate for Payer: Mclaren Medicaid |
$18.97
|
| Rate for Payer: Mclaren Medicare |
$18.97
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$19.92
|
| Rate for Payer: Meridian Medicaid |
$19.92
|
| Rate for Payer: MI Amish Medical Board Commercial |
$21.82
|
| Rate for Payer: Molina Medicare/Medicaid |
$20.87
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$169.97
|
| Rate for Payer: Nomi Health Commercial |
$28.45
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$149.97
|
| Rate for Payer: PACE Medicare |
$18.02
|
| Rate for Payer: PACE SWMI |
$18.97
|
| Rate for Payer: PHP Commercial |
$169.97
|
| Rate for Payer: PHP Medicare Advantage |
$18.97
|
| Rate for Payer: Priority Health Choice Medicaid |
$9.92
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$18.97
|
| Rate for Payer: Priority Health Medicare |
$18.97
|
| Rate for Payer: Priority Health SBD |
$125.97
|
| Rate for Payer: Priority Health Tiered Network |
$15.18
|
| Rate for Payer: Railroad Medicare Medicare |
$18.97
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$28.46
|
| Rate for Payer: UHC Core |
$28.46
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$18.97
|
| Rate for Payer: UHC Exchange |
$28.46
|
| Rate for Payer: UHC Medicaid |
$9.92
|
| Rate for Payer: UHCCP Medicaid |
$9.92
|
| Rate for Payer: UMR Bronson Commercial |
$73.99
|
| Rate for Payer: VA VA |
$18.97
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$149.97
|
|
|
HC ARSENIC 24HR U
|
Facility
|
IP
|
$116.52
|
|
|
Service Code
|
CPT 82175
|
| Hospital Charge Code |
30100679
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$51.27 |
| Max. Negotiated Rate |
$104.87 |
| Rate for Payer: Aetna American Axle |
$75.74
|
| Rate for Payer: Aetna Commercial |
$99.04
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$75.74
|
| Rate for Payer: Cash Price |
$93.22
|
| Rate for Payer: Cofinity Advantage |
$81.56
|
| Rate for Payer: Cofinity Commercial |
$100.21
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$93.22
|
| Rate for Payer: Healthscope Commercial |
$104.87
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$81.56
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$87.39
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$99.04
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$87.39
|
| Rate for Payer: PHP Commercial |
$99.04
|
| Rate for Payer: Priority Health SBD |
$73.41
|
| Rate for Payer: UMR Bronson Commercial |
$51.27
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$87.39
|
|
|
HC ARSENIC 24HR U
|
Facility
|
OP
|
$116.52
|
|
|
Service Code
|
CPT 82175
|
| Hospital Charge Code |
30100679
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$9.92 |
| Max. Negotiated Rate |
$104.87 |
| Rate for Payer: Aetna American Axle |
$75.74
|
| Rate for Payer: Aetna Commercial |
$99.04
|
| Rate for Payer: Aetna Medicare |
$19.73
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$75.74
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$23.71
|
| Rate for Payer: Amish Plain Church Group Commercial |
$23.71
|
| Rate for Payer: BCBS Complete |
$10.42
|
| Rate for Payer: BCBS MAPPO |
$18.97
|
| Rate for Payer: BCBS Trust/PPO |
$21.93
|
| Rate for Payer: BCN Commercial |
$21.93
|
| Rate for Payer: BCN Medicare Advantage |
$18.97
|
| Rate for Payer: Cash Price |
$93.22
|
| Rate for Payer: Cash Price |
$93.22
|
| Rate for Payer: Cofinity Advantage |
$81.56
|
| Rate for Payer: Cofinity Commercial |
$100.21
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$93.22
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$18.97
|
| Rate for Payer: Healthscope Commercial |
$104.87
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$81.56
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$87.39
|
| Rate for Payer: Mclaren Medicaid |
$18.97
|
| Rate for Payer: Mclaren Medicare |
$18.97
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$19.92
|
| Rate for Payer: Meridian Medicaid |
$19.92
|
| Rate for Payer: MI Amish Medical Board Commercial |
$21.82
|
| Rate for Payer: Molina Medicare/Medicaid |
$20.87
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$99.04
|
| Rate for Payer: Nomi Health Commercial |
$28.45
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$87.39
|
| Rate for Payer: PACE Medicare |
$18.02
|
| Rate for Payer: PACE SWMI |
$18.97
|
| Rate for Payer: PHP Commercial |
$99.04
|
| Rate for Payer: PHP Medicare Advantage |
$18.97
|
| Rate for Payer: Priority Health Choice Medicaid |
$9.92
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$18.97
|
| Rate for Payer: Priority Health Medicare |
$18.97
|
| Rate for Payer: Priority Health SBD |
$73.41
|
| Rate for Payer: Priority Health Tiered Network |
$15.18
|
| Rate for Payer: Railroad Medicare Medicare |
$18.97
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$28.46
|
| Rate for Payer: UHC Core |
$28.46
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$18.97
|
| Rate for Payer: UHC Exchange |
$28.46
|
| Rate for Payer: UHC Medicaid |
$9.92
|
| Rate for Payer: UHCCP Medicaid |
$9.92
|
| Rate for Payer: UMR Bronson Commercial |
$43.11
|
| Rate for Payer: VA VA |
$18.97
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$87.39
|
|
|
HC ARSENIC URINE
|
Facility
|
IP
|
$66.59
|
|
|
Service Code
|
CPT 82175
|
| Hospital Charge Code |
30100110
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$29.30 |
| Max. Negotiated Rate |
$59.93 |
| Rate for Payer: Aetna American Axle |
$43.28
|
| Rate for Payer: Aetna Commercial |
$56.60
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$43.28
|
| Rate for Payer: Cash Price |
$53.27
|
| Rate for Payer: Cofinity Advantage |
$46.61
|
| Rate for Payer: Cofinity Commercial |
$57.27
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$53.27
|
| Rate for Payer: Healthscope Commercial |
$59.93
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$46.61
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$49.94
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$56.60
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$49.94
|
| Rate for Payer: PHP Commercial |
$56.60
|
| Rate for Payer: Priority Health SBD |
$41.95
|
| Rate for Payer: UMR Bronson Commercial |
$29.30
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$49.94
|
|
|
HC ARSENIC URINE
|
Facility
|
OP
|
$66.59
|
|
|
Service Code
|
CPT 82175
|
| Hospital Charge Code |
30100110
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$9.92 |
| Max. Negotiated Rate |
$59.93 |
| Rate for Payer: Aetna American Axle |
$43.28
|
| Rate for Payer: Aetna Commercial |
$56.60
|
| Rate for Payer: Aetna Medicare |
$19.73
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$43.28
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$23.71
|
| Rate for Payer: Amish Plain Church Group Commercial |
$23.71
|
| Rate for Payer: BCBS Complete |
$10.42
|
| Rate for Payer: BCBS MAPPO |
$18.97
|
| Rate for Payer: BCBS Trust/PPO |
$21.93
|
| Rate for Payer: BCN Commercial |
$21.93
|
| Rate for Payer: BCN Medicare Advantage |
$18.97
|
| Rate for Payer: Cash Price |
$53.27
|
| Rate for Payer: Cash Price |
$53.27
|
| Rate for Payer: Cofinity Advantage |
$46.61
|
| Rate for Payer: Cofinity Commercial |
$57.27
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$53.27
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$18.97
|
| Rate for Payer: Healthscope Commercial |
$59.93
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$46.61
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$49.94
|
| Rate for Payer: Mclaren Medicaid |
$18.97
|
| Rate for Payer: Mclaren Medicare |
$18.97
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$19.92
|
| Rate for Payer: Meridian Medicaid |
$19.92
|
| Rate for Payer: MI Amish Medical Board Commercial |
$21.82
|
| Rate for Payer: Molina Medicare/Medicaid |
$20.87
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$56.60
|
| Rate for Payer: Nomi Health Commercial |
$28.45
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$49.94
|
| Rate for Payer: PACE Medicare |
$18.02
|
| Rate for Payer: PACE SWMI |
$18.97
|
| Rate for Payer: PHP Commercial |
$56.60
|
| Rate for Payer: PHP Medicare Advantage |
$18.97
|
| Rate for Payer: Priority Health Choice Medicaid |
$9.92
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$18.97
|
| Rate for Payer: Priority Health Medicare |
$18.97
|
| Rate for Payer: Priority Health SBD |
$41.95
|
| Rate for Payer: Priority Health Tiered Network |
$15.18
|
| Rate for Payer: Railroad Medicare Medicare |
$18.97
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$28.46
|
| Rate for Payer: UHC Core |
$28.46
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$18.97
|
| Rate for Payer: UHC Exchange |
$28.46
|
| Rate for Payer: UHC Medicaid |
$9.92
|
| Rate for Payer: UHCCP Medicaid |
$9.92
|
| Rate for Payer: UMR Bronson Commercial |
$24.64
|
| Rate for Payer: VA VA |
$18.97
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$49.94
|
|
|
HC ART CATH INSERT
|
Facility
|
IP
|
$461.76
|
|
| Hospital Charge Code |
45000029
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$203.17 |
| Max. Negotiated Rate |
$415.58 |
| Rate for Payer: Aetna American Axle |
$300.14
|
| Rate for Payer: Aetna Commercial |
$392.50
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$300.14
|
| Rate for Payer: Cash Price |
$369.41
|
| Rate for Payer: Cofinity Advantage |
$323.23
|
| Rate for Payer: Cofinity Commercial |
$397.11
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$369.41
|
| Rate for Payer: Healthscope Commercial |
$415.58
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$323.23
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$346.32
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$392.50
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$346.32
|
| Rate for Payer: PHP Commercial |
$392.50
|
| Rate for Payer: Priority Health SBD |
$290.91
|
| Rate for Payer: UMR Bronson Commercial |
$203.17
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$346.32
|
|
|
HC ART CATH INSERT
|
Facility
|
OP
|
$461.76
|
|
| Hospital Charge Code |
45000029
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$170.85 |
| Max. Negotiated Rate |
$415.58 |
| Rate for Payer: Aetna American Axle |
$300.14
|
| Rate for Payer: Aetna Commercial |
$392.50
|
| Rate for Payer: Aetna Medicare |
$230.88
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$300.14
|
| Rate for Payer: BCBS Complete |
$184.70
|
| Rate for Payer: Cash Price |
$369.41
|
| Rate for Payer: Cofinity Advantage |
$323.23
|
| Rate for Payer: Cofinity Commercial |
$397.11
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$369.41
|
| Rate for Payer: Healthscope Commercial |
$415.58
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$323.23
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$346.32
|
| Rate for Payer: MI Amish Medical Board Commercial |
$369.41
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$392.50
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$346.32
|
| Rate for Payer: PHP Commercial |
$392.50
|
| Rate for Payer: Priority Health SBD |
$290.91
|
| Rate for Payer: UMR Bronson Commercial |
$170.85
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$346.32
|
|
|
HC ARTERIAL DUPLEX IMAG BIL LOWER EXTREMITY
|
Facility
|
IP
|
$1,619.87
|
|
|
Service Code
|
CPT 93925
|
| Hospital Charge Code |
92100007
|
|
Hospital Revenue Code
|
921
|
| Min. Negotiated Rate |
$712.74 |
| Max. Negotiated Rate |
$1,457.88 |
| Rate for Payer: Aetna American Axle |
$1,052.92
|
| Rate for Payer: Aetna Commercial |
$1,376.89
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,052.92
|
| Rate for Payer: Cash Price |
$1,295.90
|
| Rate for Payer: Cofinity Advantage |
$1,133.91
|
| Rate for Payer: Cofinity Commercial |
$1,393.09
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,295.90
|
| Rate for Payer: Healthscope Commercial |
$1,457.88
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,133.91
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,214.90
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,376.89
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,214.90
|
| Rate for Payer: PHP Commercial |
$1,376.89
|
| Rate for Payer: Priority Health SBD |
$1,020.52
|
| Rate for Payer: UMR Bronson Commercial |
$712.74
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,214.90
|
|
|
HC ARTERIAL DUPLEX IMAG BIL LOWER EXTREMITY
|
Facility
|
OP
|
$1,619.87
|
|
|
Service Code
|
CPT 93925
|
| Hospital Charge Code |
92100007
|
|
Hospital Revenue Code
|
921
|
| Min. Negotiated Rate |
$124.34 |
| Max. Negotiated Rate |
$1,457.88 |
| Rate for Payer: Aetna American Axle |
$1,052.92
|
| Rate for Payer: Aetna Commercial |
$1,376.89
|
| Rate for Payer: Aetna Medicare |
$247.25
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,052.92
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$297.18
|
| Rate for Payer: Amish Plain Church Group Commercial |
$297.18
|
| Rate for Payer: BCBS Complete |
$130.57
|
| Rate for Payer: BCBS MAPPO |
$237.74
|
| Rate for Payer: BCBS Trust/PPO |
$842.50
|
| Rate for Payer: BCN Commercial |
$842.50
|
| Rate for Payer: BCN Medicare Advantage |
$237.74
|
| Rate for Payer: Cash Price |
$1,295.90
|
| Rate for Payer: Cash Price |
$1,295.90
|
| Rate for Payer: Cofinity Advantage |
$1,133.91
|
| Rate for Payer: Cofinity Commercial |
$1,393.09
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,295.90
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$237.74
|
| Rate for Payer: Healthscope Commercial |
$1,457.88
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,133.91
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,214.90
|
| Rate for Payer: Mclaren Medicaid |
$237.74
|
| Rate for Payer: Mclaren Medicare |
$237.74
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$249.63
|
| Rate for Payer: Meridian Medicaid |
$249.63
|
| Rate for Payer: MI Amish Medical Board Commercial |
$273.40
|
| Rate for Payer: Molina Medicare/Medicaid |
$261.51
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,376.89
|
| Rate for Payer: Nomi Health Commercial |
$713.22
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,214.90
|
| Rate for Payer: PACE Medicare |
$225.85
|
| Rate for Payer: PACE SWMI |
$237.74
|
| Rate for Payer: PHP Commercial |
$1,376.89
|
| Rate for Payer: PHP Medicare Advantage |
$237.74
|
| Rate for Payer: Priority Health Choice Medicaid |
$124.34
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$768.83
|
| Rate for Payer: Priority Health Medicare |
$237.74
|
| Rate for Payer: Priority Health SBD |
$1,020.52
|
| Rate for Payer: Priority Health Tiered Network |
$615.06
|
| Rate for Payer: Railroad Medicare Medicare |
$237.74
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,052.92
|
| Rate for Payer: UHC Core |
$843.95
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$237.74
|
| Rate for Payer: UHC Exchange |
$636.61
|
| Rate for Payer: UHC Medicaid |
$124.34
|
| Rate for Payer: UHCCP Medicaid |
$124.34
|
| Rate for Payer: UMR Bronson Commercial |
$599.35
|
| Rate for Payer: VA VA |
$237.74
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,214.90
|
|
|
HC ARTERIAL DUPLEX IMAG BIL UPPER EXTREMITY
|
Facility
|
OP
|
$1,335.07
|
|
|
Service Code
|
CPT 93930
|
| Hospital Charge Code |
92100008
|
|
Hospital Revenue Code
|
921
|
| Min. Negotiated Rate |
$124.34 |
| Max. Negotiated Rate |
$1,201.56 |
| Rate for Payer: Aetna American Axle |
$867.80
|
| Rate for Payer: Aetna Commercial |
$1,134.81
|
| Rate for Payer: Aetna Medicare |
$247.25
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$867.80
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$297.18
|
| Rate for Payer: Amish Plain Church Group Commercial |
$297.18
|
| Rate for Payer: BCBS Complete |
$130.57
|
| Rate for Payer: BCBS MAPPO |
$237.74
|
| Rate for Payer: BCBS Trust/PPO |
$673.44
|
| Rate for Payer: BCN Commercial |
$673.44
|
| Rate for Payer: BCN Medicare Advantage |
$237.74
|
| Rate for Payer: Cash Price |
$1,068.06
|
| Rate for Payer: Cash Price |
$1,068.06
|
| Rate for Payer: Cofinity Advantage |
$934.55
|
| Rate for Payer: Cofinity Commercial |
$1,148.16
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,068.06
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$237.74
|
| Rate for Payer: Healthscope Commercial |
$1,201.56
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$934.55
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,001.30
|
| Rate for Payer: Mclaren Medicaid |
$237.74
|
| Rate for Payer: Mclaren Medicare |
$237.74
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$249.63
|
| Rate for Payer: Meridian Medicaid |
$249.63
|
| Rate for Payer: MI Amish Medical Board Commercial |
$273.40
|
| Rate for Payer: Molina Medicare/Medicaid |
$261.51
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,134.81
|
| Rate for Payer: Nomi Health Commercial |
$713.22
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,001.30
|
| Rate for Payer: PACE Medicare |
$225.85
|
| Rate for Payer: PACE SWMI |
$237.74
|
| Rate for Payer: PHP Commercial |
$1,134.81
|
| Rate for Payer: PHP Medicare Advantage |
$237.74
|
| Rate for Payer: Priority Health Choice Medicaid |
$124.34
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$768.83
|
| Rate for Payer: Priority Health Medicare |
$237.74
|
| Rate for Payer: Priority Health SBD |
$841.09
|
| Rate for Payer: Priority Health Tiered Network |
$615.06
|
| Rate for Payer: Railroad Medicare Medicare |
$237.74
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$867.80
|
| Rate for Payer: UHC Core |
$695.57
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$237.74
|
| Rate for Payer: UHC Exchange |
$524.68
|
| Rate for Payer: UHC Medicaid |
$124.34
|
| Rate for Payer: UHCCP Medicaid |
$124.34
|
| Rate for Payer: UMR Bronson Commercial |
$493.98
|
| Rate for Payer: VA VA |
$237.74
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,001.30
|
|
|
HC ARTERIAL DUPLEX IMAG BIL UPPER EXTREMITY
|
Facility
|
IP
|
$1,335.07
|
|
|
Service Code
|
CPT 93930
|
| Hospital Charge Code |
92100008
|
|
Hospital Revenue Code
|
921
|
| Min. Negotiated Rate |
$587.43 |
| Max. Negotiated Rate |
$1,201.56 |
| Rate for Payer: Aetna American Axle |
$867.80
|
| Rate for Payer: Aetna Commercial |
$1,134.81
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$867.80
|
| Rate for Payer: Cash Price |
$1,068.06
|
| Rate for Payer: Cofinity Advantage |
$934.55
|
| Rate for Payer: Cofinity Commercial |
$1,148.16
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,068.06
|
| Rate for Payer: Healthscope Commercial |
$1,201.56
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$934.55
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,001.30
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,134.81
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,001.30
|
| Rate for Payer: PHP Commercial |
$1,134.81
|
| Rate for Payer: Priority Health SBD |
$841.09
|
| Rate for Payer: UMR Bronson Commercial |
$587.43
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,001.30
|
|
|
HC ARTERIAL PUNCTURE
|
Facility
|
IP
|
$138.61
|
|
|
Service Code
|
CPT 36600
|
| Hospital Charge Code |
36100442
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$60.99 |
| Max. Negotiated Rate |
$124.75 |
| Rate for Payer: Aetna American Axle |
$90.10
|
| Rate for Payer: Aetna Commercial |
$117.82
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$90.10
|
| Rate for Payer: Cash Price |
$110.89
|
| Rate for Payer: Cofinity Advantage |
$97.03
|
| Rate for Payer: Cofinity Commercial |
$119.20
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$110.89
|
| Rate for Payer: Healthscope Commercial |
$124.75
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$97.03
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$103.96
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$117.82
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$103.96
|
| Rate for Payer: PHP Commercial |
$117.82
|
| Rate for Payer: Priority Health SBD |
$87.32
|
| Rate for Payer: UMR Bronson Commercial |
$60.99
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$103.96
|
|
|
HC ARTERIAL PUNCTURE
|
Facility
|
OP
|
$138.61
|
|
|
Service Code
|
CPT 36600
|
| Hospital Charge Code |
36100442
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$51.29 |
| Max. Negotiated Rate |
$428.73 |
| Rate for Payer: Aetna American Axle |
$90.10
|
| Rate for Payer: Aetna Commercial |
$117.82
|
| Rate for Payer: Aetna Medicare |
$137.87
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$90.10
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$165.71
|
| Rate for Payer: Amish Plain Church Group Commercial |
$165.71
|
| Rate for Payer: BCBS Complete |
$72.81
|
| Rate for Payer: BCBS MAPPO |
$132.57
|
| Rate for Payer: BCBS Trust/PPO |
$157.33
|
| Rate for Payer: BCN Commercial |
$157.33
|
| Rate for Payer: BCN Medicare Advantage |
$132.57
|
| Rate for Payer: Cash Price |
$110.89
|
| Rate for Payer: Cash Price |
$110.89
|
| Rate for Payer: Cash Price |
$110.89
|
| Rate for Payer: Cofinity Advantage |
$97.03
|
| Rate for Payer: Cofinity Commercial |
$119.20
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$110.89
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$132.57
|
| Rate for Payer: Healthscope Commercial |
$124.75
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$97.03
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$103.96
|
| Rate for Payer: Mclaren Medicaid |
$132.57
|
| Rate for Payer: Mclaren Medicare |
$132.57
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$139.20
|
| Rate for Payer: Meridian Medicaid |
$139.20
|
| Rate for Payer: MI Amish Medical Board Commercial |
$152.46
|
| Rate for Payer: Molina Medicare/Medicaid |
$145.83
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$117.82
|
| Rate for Payer: Nomi Health Commercial |
$397.71
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$103.96
|
| Rate for Payer: PACE Medicare |
$125.94
|
| Rate for Payer: PACE SWMI |
$132.57
|
| Rate for Payer: PHP Commercial |
$117.82
|
| Rate for Payer: PHP Medicare Advantage |
$132.57
|
| Rate for Payer: Priority Health Choice Medicaid |
$69.33
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$428.73
|
| Rate for Payer: Priority Health Medicare |
$132.57
|
| Rate for Payer: Priority Health SBD |
$87.32
|
| Rate for Payer: Priority Health Tiered Network |
$342.98
|
| Rate for Payer: Railroad Medicare Medicare |
$132.57
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$132.57
|
| Rate for Payer: UHC Medicaid |
$69.33
|
| Rate for Payer: UHCCP Medicaid |
$69.33
|
| Rate for Payer: UMR Bronson Commercial |
$51.29
|
| Rate for Payer: VA VA |
$132.57
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$103.96
|
|
|
HC ARTERIAL TRANSCATH THROMBOLYSIS
|
Facility
|
IP
|
$5,211.17
|
|
|
Service Code
|
CPT 37211
|
| Hospital Charge Code |
36100371
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$2,292.91 |
| Max. Negotiated Rate |
$4,690.05 |
| Rate for Payer: Aetna American Axle |
$3,387.26
|
| Rate for Payer: Aetna Commercial |
$4,429.49
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$3,387.26
|
| Rate for Payer: Cash Price |
$4,168.94
|
| Rate for Payer: Cofinity Advantage |
$3,647.82
|
| Rate for Payer: Cofinity Commercial |
$4,481.61
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$4,168.94
|
| Rate for Payer: Healthscope Commercial |
$4,690.05
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$3,647.82
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$3,908.38
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$4,429.49
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$3,908.38
|
| Rate for Payer: PHP Commercial |
$4,429.49
|
| Rate for Payer: Priority Health SBD |
$3,283.04
|
| Rate for Payer: UMR Bronson Commercial |
$2,292.91
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$3,908.38
|
|
|
HC ARTERIAL TRANSCATH THROMBOLYSIS
|
Facility
|
OP
|
$5,211.17
|
|
|
Service Code
|
CPT 37211
|
| Hospital Charge Code |
36100371
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$1,928.13 |
| Max. Negotiated Rate |
$17,930.33 |
| Rate for Payer: Aetna American Axle |
$3,387.26
|
| Rate for Payer: Aetna Commercial |
$4,429.49
|
| Rate for Payer: Aetna Medicare |
$5,766.26
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$3,387.26
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$6,930.60
|
| Rate for Payer: Amish Plain Church Group Commercial |
$6,930.60
|
| Rate for Payer: BCBS Complete |
$3,045.03
|
| Rate for Payer: BCBS MAPPO |
$5,544.48
|
| Rate for Payer: BCBS Trust/PPO |
$3,990.20
|
| Rate for Payer: BCN Commercial |
$3,990.20
|
| Rate for Payer: BCN Medicare Advantage |
$5,544.48
|
| Rate for Payer: Cash Price |
$4,168.94
|
| Rate for Payer: Cash Price |
$4,168.94
|
| Rate for Payer: Cash Price |
$4,168.94
|
| Rate for Payer: Cofinity Advantage |
$3,647.82
|
| Rate for Payer: Cofinity Commercial |
$4,481.61
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$4,168.94
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$5,544.48
|
| Rate for Payer: Healthscope Commercial |
$4,690.05
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$3,647.82
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$3,908.38
|
| Rate for Payer: Mclaren Medicaid |
$5,544.48
|
| Rate for Payer: Mclaren Medicare |
$5,544.48
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$5,821.70
|
| Rate for Payer: Meridian Medicaid |
$5,821.70
|
| Rate for Payer: MI Amish Medical Board Commercial |
$6,376.15
|
| Rate for Payer: Molina Medicare/Medicaid |
$6,098.93
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$4,429.49
|
| Rate for Payer: Nomi Health Commercial |
$16,633.44
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$3,908.38
|
| Rate for Payer: PACE Medicare |
$5,267.26
|
| Rate for Payer: PACE SWMI |
$5,544.48
|
| Rate for Payer: PHP Commercial |
$4,429.49
|
| Rate for Payer: PHP Medicare Advantage |
$5,544.48
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,899.76
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$17,930.33
|
| Rate for Payer: Priority Health Medicare |
$5,544.48
|
| Rate for Payer: Priority Health SBD |
$3,283.04
|
| Rate for Payer: Priority Health Tiered Network |
$14,344.26
|
| Rate for Payer: Railroad Medicare Medicare |
$5,544.48
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$5,544.48
|
| Rate for Payer: UHC Medicaid |
$2,899.76
|
| Rate for Payer: UHCCP Medicaid |
$2,899.76
|
| Rate for Payer: UMR Bronson Commercial |
$1,928.13
|
| Rate for Payer: VA VA |
$5,544.48
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$3,908.38
|
|
