|
HC ARTHROCENTESIS MAJOR JOINT W US GUIDE
|
Facility
|
OP
|
$1,163.91
|
|
|
Service Code
|
CPT 20611
|
| Hospital Charge Code |
36100454
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$159.96 |
| Max. Negotiated Rate |
$1,047.52 |
| Rate for Payer: Aetna American Axle |
$756.54
|
| Rate for Payer: Aetna Commercial |
$989.32
|
| Rate for Payer: Aetna Medicare |
$318.08
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$756.54
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$382.31
|
| Rate for Payer: Amish Plain Church Group Commercial |
$382.31
|
| Rate for Payer: BCBS Complete |
$167.97
|
| Rate for Payer: BCBS MAPPO |
$305.85
|
| Rate for Payer: BCBS Trust/PPO |
$368.41
|
| Rate for Payer: BCN Commercial |
$368.41
|
| Rate for Payer: BCN Medicare Advantage |
$305.85
|
| Rate for Payer: Cash Price |
$931.13
|
| Rate for Payer: Cash Price |
$931.13
|
| Rate for Payer: Cash Price |
$931.13
|
| Rate for Payer: Cofinity Advantage |
$814.74
|
| Rate for Payer: Cofinity Commercial |
$1,000.96
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$931.13
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$305.85
|
| Rate for Payer: Healthscope Commercial |
$1,047.52
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$814.74
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$872.93
|
| Rate for Payer: Mclaren Medicaid |
$305.85
|
| Rate for Payer: Mclaren Medicare |
$305.85
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$321.14
|
| Rate for Payer: Meridian Medicaid |
$321.14
|
| Rate for Payer: MI Amish Medical Board Commercial |
$351.73
|
| Rate for Payer: Molina Medicare/Medicaid |
$336.44
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$989.32
|
| Rate for Payer: Nomi Health Commercial |
$917.55
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$872.93
|
| Rate for Payer: PACE Medicare |
$290.56
|
| Rate for Payer: PACE SWMI |
$305.85
|
| Rate for Payer: PHP Commercial |
$989.32
|
| Rate for Payer: PHP Medicare Advantage |
$305.85
|
| Rate for Payer: Priority Health Choice Medicaid |
$159.96
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$989.08
|
| Rate for Payer: Priority Health Medicare |
$305.85
|
| Rate for Payer: Priority Health SBD |
$733.26
|
| Rate for Payer: Priority Health Tiered Network |
$791.26
|
| Rate for Payer: Railroad Medicare Medicare |
$305.85
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$756.54
|
| Rate for Payer: UHC Core |
$606.40
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$305.85
|
| Rate for Payer: UHC Exchange |
$457.42
|
| Rate for Payer: UHC Medicaid |
$159.96
|
| Rate for Payer: UHCCP Medicaid |
$159.96
|
| Rate for Payer: UMR Bronson Commercial |
$430.65
|
| Rate for Payer: VA VA |
$305.85
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$872.93
|
|
|
HC ARTHROCENTESIS SMALL JOINT
|
Facility
|
OP
|
$333.07
|
|
|
Service Code
|
CPT 20600
|
| Hospital Charge Code |
36100022
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$123.24 |
| Max. Negotiated Rate |
$989.08 |
| Rate for Payer: Aetna American Axle |
$216.50
|
| Rate for Payer: Aetna Commercial |
$283.11
|
| Rate for Payer: Aetna Medicare |
$318.08
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$216.50
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$382.31
|
| Rate for Payer: Amish Plain Church Group Commercial |
$382.31
|
| Rate for Payer: BCBS Complete |
$167.97
|
| Rate for Payer: BCBS MAPPO |
$305.85
|
| Rate for Payer: BCBS Trust/PPO |
$368.41
|
| Rate for Payer: BCN Commercial |
$368.41
|
| Rate for Payer: BCN Medicare Advantage |
$305.85
|
| Rate for Payer: Cash Price |
$266.46
|
| Rate for Payer: Cash Price |
$266.46
|
| Rate for Payer: Cash Price |
$266.46
|
| Rate for Payer: Cofinity Advantage |
$233.15
|
| Rate for Payer: Cofinity Commercial |
$286.44
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$266.46
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$305.85
|
| Rate for Payer: Healthscope Commercial |
$299.76
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$233.15
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$249.80
|
| Rate for Payer: Mclaren Medicaid |
$305.85
|
| Rate for Payer: Mclaren Medicare |
$305.85
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$321.14
|
| Rate for Payer: Meridian Medicaid |
$321.14
|
| Rate for Payer: MI Amish Medical Board Commercial |
$351.73
|
| Rate for Payer: Molina Medicare/Medicaid |
$336.44
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$283.11
|
| Rate for Payer: Nomi Health Commercial |
$917.55
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$249.80
|
| Rate for Payer: PACE Medicare |
$290.56
|
| Rate for Payer: PACE SWMI |
$305.85
|
| Rate for Payer: PHP Commercial |
$283.11
|
| Rate for Payer: PHP Medicare Advantage |
$305.85
|
| Rate for Payer: Priority Health Choice Medicaid |
$159.96
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$989.08
|
| Rate for Payer: Priority Health Medicare |
$305.85
|
| Rate for Payer: Priority Health SBD |
$209.83
|
| Rate for Payer: Priority Health Tiered Network |
$791.26
|
| Rate for Payer: Railroad Medicare Medicare |
$305.85
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$216.50
|
| Rate for Payer: UHC Core |
$173.53
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$305.85
|
| Rate for Payer: UHC Exchange |
$130.90
|
| Rate for Payer: UHC Medicaid |
$159.96
|
| Rate for Payer: UHCCP Medicaid |
$159.96
|
| Rate for Payer: UMR Bronson Commercial |
$123.24
|
| Rate for Payer: VA VA |
$305.85
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$249.80
|
|
|
HC ARTHROCENTESIS SMALL JOINT
|
Facility
|
IP
|
$333.07
|
|
|
Service Code
|
CPT 20600
|
| Hospital Charge Code |
36100022
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$146.55 |
| Max. Negotiated Rate |
$299.76 |
| Rate for Payer: Aetna American Axle |
$216.50
|
| Rate for Payer: Aetna Commercial |
$283.11
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$216.50
|
| Rate for Payer: Cash Price |
$266.46
|
| Rate for Payer: Cofinity Advantage |
$233.15
|
| Rate for Payer: Cofinity Commercial |
$286.44
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$266.46
|
| Rate for Payer: Healthscope Commercial |
$299.76
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$233.15
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$249.80
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$283.11
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$249.80
|
| Rate for Payer: PHP Commercial |
$283.11
|
| Rate for Payer: Priority Health SBD |
$209.83
|
| Rate for Payer: UMR Bronson Commercial |
$146.55
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$249.80
|
|
|
HC ARTHROCENTESIS SMALL JOINT BIL W US GUIDE
|
Facility
|
IP
|
$1,206.07
|
|
|
Service Code
|
CPT 20604
|
| Hospital Charge Code |
36100459
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$530.67 |
| Max. Negotiated Rate |
$1,085.46 |
| Rate for Payer: Aetna American Axle |
$783.95
|
| Rate for Payer: Aetna Commercial |
$1,025.16
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$783.95
|
| Rate for Payer: Cash Price |
$964.86
|
| Rate for Payer: Cofinity Advantage |
$844.25
|
| Rate for Payer: Cofinity Commercial |
$1,037.22
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$964.86
|
| Rate for Payer: Healthscope Commercial |
$1,085.46
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$844.25
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$904.55
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,025.16
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$904.55
|
| Rate for Payer: PHP Commercial |
$1,025.16
|
| Rate for Payer: Priority Health SBD |
$759.82
|
| Rate for Payer: UMR Bronson Commercial |
$530.67
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$904.55
|
|
|
HC ARTHROCENTESIS SMALL JOINT BIL W US GUIDE
|
Facility
|
OP
|
$1,206.07
|
|
|
Service Code
|
CPT 20604
|
| Hospital Charge Code |
36100459
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$159.96 |
| Max. Negotiated Rate |
$1,085.46 |
| Rate for Payer: Aetna American Axle |
$783.95
|
| Rate for Payer: Aetna Commercial |
$1,025.16
|
| Rate for Payer: Aetna Medicare |
$318.08
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$783.95
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$382.31
|
| Rate for Payer: Amish Plain Church Group Commercial |
$382.31
|
| Rate for Payer: BCBS Complete |
$167.97
|
| Rate for Payer: BCBS MAPPO |
$305.85
|
| Rate for Payer: BCBS Trust/PPO |
$368.41
|
| Rate for Payer: BCN Commercial |
$368.41
|
| Rate for Payer: BCN Medicare Advantage |
$305.85
|
| Rate for Payer: Cash Price |
$964.86
|
| Rate for Payer: Cash Price |
$964.86
|
| Rate for Payer: Cash Price |
$964.86
|
| Rate for Payer: Cofinity Advantage |
$844.25
|
| Rate for Payer: Cofinity Commercial |
$1,037.22
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$964.86
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$305.85
|
| Rate for Payer: Healthscope Commercial |
$1,085.46
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$844.25
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$904.55
|
| Rate for Payer: Mclaren Medicaid |
$305.85
|
| Rate for Payer: Mclaren Medicare |
$305.85
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$321.14
|
| Rate for Payer: Meridian Medicaid |
$321.14
|
| Rate for Payer: MI Amish Medical Board Commercial |
$351.73
|
| Rate for Payer: Molina Medicare/Medicaid |
$336.44
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,025.16
|
| Rate for Payer: Nomi Health Commercial |
$917.55
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$904.55
|
| Rate for Payer: PACE Medicare |
$290.56
|
| Rate for Payer: PACE SWMI |
$305.85
|
| Rate for Payer: PHP Commercial |
$1,025.16
|
| Rate for Payer: PHP Medicare Advantage |
$305.85
|
| Rate for Payer: Priority Health Choice Medicaid |
$159.96
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$989.08
|
| Rate for Payer: Priority Health Medicare |
$305.85
|
| Rate for Payer: Priority Health SBD |
$759.82
|
| Rate for Payer: Priority Health Tiered Network |
$791.26
|
| Rate for Payer: Railroad Medicare Medicare |
$305.85
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$783.95
|
| Rate for Payer: UHC Core |
$628.36
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$305.85
|
| Rate for Payer: UHC Exchange |
$473.99
|
| Rate for Payer: UHC Medicaid |
$159.96
|
| Rate for Payer: UHCCP Medicaid |
$159.96
|
| Rate for Payer: UMR Bronson Commercial |
$446.25
|
| Rate for Payer: VA VA |
$305.85
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$904.55
|
|
|
HC ARTHROCENTESIS SMALL JOINT W US GUIDE
|
Facility
|
IP
|
$1,024.65
|
|
|
Service Code
|
CPT 20604
|
| Hospital Charge Code |
36100458
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$450.85 |
| Max. Negotiated Rate |
$922.18 |
| Rate for Payer: Aetna American Axle |
$666.02
|
| Rate for Payer: Aetna Commercial |
$870.95
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$666.02
|
| Rate for Payer: Cash Price |
$819.72
|
| Rate for Payer: Cofinity Advantage |
$717.25
|
| Rate for Payer: Cofinity Commercial |
$881.20
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$819.72
|
| Rate for Payer: Healthscope Commercial |
$922.18
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$717.25
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$768.49
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$870.95
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$768.49
|
| Rate for Payer: PHP Commercial |
$870.95
|
| Rate for Payer: Priority Health SBD |
$645.53
|
| Rate for Payer: UMR Bronson Commercial |
$450.85
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$768.49
|
|
|
HC ARTHROCENTESIS SMALL JOINT W US GUIDE
|
Facility
|
OP
|
$1,024.65
|
|
|
Service Code
|
CPT 20604
|
| Hospital Charge Code |
36100458
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$159.96 |
| Max. Negotiated Rate |
$989.08 |
| Rate for Payer: Aetna American Axle |
$666.02
|
| Rate for Payer: Aetna Commercial |
$870.95
|
| Rate for Payer: Aetna Medicare |
$318.08
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$666.02
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$382.31
|
| Rate for Payer: Amish Plain Church Group Commercial |
$382.31
|
| Rate for Payer: BCBS Complete |
$167.97
|
| Rate for Payer: BCBS MAPPO |
$305.85
|
| Rate for Payer: BCBS Trust/PPO |
$368.41
|
| Rate for Payer: BCN Commercial |
$368.41
|
| Rate for Payer: BCN Medicare Advantage |
$305.85
|
| Rate for Payer: Cash Price |
$819.72
|
| Rate for Payer: Cash Price |
$819.72
|
| Rate for Payer: Cash Price |
$819.72
|
| Rate for Payer: Cofinity Advantage |
$717.25
|
| Rate for Payer: Cofinity Commercial |
$881.20
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$819.72
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$305.85
|
| Rate for Payer: Healthscope Commercial |
$922.18
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$717.25
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$768.49
|
| Rate for Payer: Mclaren Medicaid |
$305.85
|
| Rate for Payer: Mclaren Medicare |
$305.85
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$321.14
|
| Rate for Payer: Meridian Medicaid |
$321.14
|
| Rate for Payer: MI Amish Medical Board Commercial |
$351.73
|
| Rate for Payer: Molina Medicare/Medicaid |
$336.44
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$870.95
|
| Rate for Payer: Nomi Health Commercial |
$917.55
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$768.49
|
| Rate for Payer: PACE Medicare |
$290.56
|
| Rate for Payer: PACE SWMI |
$305.85
|
| Rate for Payer: PHP Commercial |
$870.95
|
| Rate for Payer: PHP Medicare Advantage |
$305.85
|
| Rate for Payer: Priority Health Choice Medicaid |
$159.96
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$989.08
|
| Rate for Payer: Priority Health Medicare |
$305.85
|
| Rate for Payer: Priority Health SBD |
$645.53
|
| Rate for Payer: Priority Health Tiered Network |
$791.26
|
| Rate for Payer: Railroad Medicare Medicare |
$305.85
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$666.02
|
| Rate for Payer: UHC Core |
$533.84
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$305.85
|
| Rate for Payer: UHC Exchange |
$402.69
|
| Rate for Payer: UHC Medicaid |
$159.96
|
| Rate for Payer: UHCCP Medicaid |
$159.96
|
| Rate for Payer: UMR Bronson Commercial |
$379.12
|
| Rate for Payer: VA VA |
$305.85
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$768.49
|
|
|
HC ARTHROGRAM SACROILIAC
|
Facility
|
OP
|
$956.46
|
|
|
Service Code
|
CPT 27096
|
| Hospital Charge Code |
36100585
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$258.82 |
| Max. Negotiated Rate |
$929.79 |
| Rate for Payer: Aetna American Axle |
$621.70
|
| Rate for Payer: Aetna Commercial |
$812.99
|
| Rate for Payer: Aetna Medicare |
$478.23
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$621.70
|
| Rate for Payer: BCBS Complete |
$382.58
|
| Rate for Payer: BCBS Trust/PPO |
$929.79
|
| Rate for Payer: BCN Commercial |
$929.79
|
| Rate for Payer: Cash Price |
$765.17
|
| Rate for Payer: Cash Price |
$765.17
|
| Rate for Payer: Cash Price |
$765.17
|
| Rate for Payer: Cofinity Advantage |
$669.52
|
| Rate for Payer: Cofinity Commercial |
$822.56
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$765.17
|
| Rate for Payer: Healthscope Commercial |
$860.81
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$669.52
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$717.35
|
| Rate for Payer: MI Amish Medical Board Commercial |
$765.17
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$812.99
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$717.35
|
| Rate for Payer: PHP Commercial |
$812.99
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$323.52
|
| Rate for Payer: Priority Health SBD |
$602.57
|
| Rate for Payer: Priority Health Tiered Network |
$258.82
|
| Rate for Payer: UMR Bronson Commercial |
$353.89
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$717.35
|
|
|
HC ARTHROGRAM SACROILIAC
|
Facility
|
IP
|
$956.46
|
|
|
Service Code
|
CPT 27096
|
| Hospital Charge Code |
36100585
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$420.84 |
| Max. Negotiated Rate |
$860.81 |
| Rate for Payer: Aetna American Axle |
$621.70
|
| Rate for Payer: Aetna Commercial |
$812.99
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$621.70
|
| Rate for Payer: Cash Price |
$765.17
|
| Rate for Payer: Cofinity Advantage |
$669.52
|
| Rate for Payer: Cofinity Commercial |
$822.56
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$765.17
|
| Rate for Payer: Healthscope Commercial |
$860.81
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$669.52
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$717.35
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$812.99
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$717.35
|
| Rate for Payer: PHP Commercial |
$812.99
|
| Rate for Payer: Priority Health SBD |
$602.57
|
| Rate for Payer: UMR Bronson Commercial |
$420.84
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$717.35
|
|
|
HC ARTHROGRAM SACROILIAC BIL
|
Facility
|
OP
|
$1,090.19
|
|
|
Service Code
|
CPT 27096
|
| Hospital Charge Code |
36100586
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$258.82 |
| Max. Negotiated Rate |
$981.17 |
| Rate for Payer: Aetna American Axle |
$708.62
|
| Rate for Payer: Aetna Commercial |
$926.66
|
| Rate for Payer: Aetna Medicare |
$545.10
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$708.62
|
| Rate for Payer: BCBS Complete |
$436.08
|
| Rate for Payer: BCBS Trust/PPO |
$929.79
|
| Rate for Payer: BCN Commercial |
$929.79
|
| Rate for Payer: Cash Price |
$872.15
|
| Rate for Payer: Cash Price |
$872.15
|
| Rate for Payer: Cash Price |
$872.15
|
| Rate for Payer: Cofinity Advantage |
$763.13
|
| Rate for Payer: Cofinity Commercial |
$937.56
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$872.15
|
| Rate for Payer: Healthscope Commercial |
$981.17
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$763.13
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$817.64
|
| Rate for Payer: MI Amish Medical Board Commercial |
$872.15
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$926.66
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$817.64
|
| Rate for Payer: PHP Commercial |
$926.66
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$323.52
|
| Rate for Payer: Priority Health SBD |
$686.82
|
| Rate for Payer: Priority Health Tiered Network |
$258.82
|
| Rate for Payer: UMR Bronson Commercial |
$403.37
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$817.64
|
|
|
HC ARTHROGRAM SACROILIAC BIL
|
Facility
|
IP
|
$1,090.19
|
|
|
Service Code
|
CPT 27096
|
| Hospital Charge Code |
36100586
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$479.68 |
| Max. Negotiated Rate |
$981.17 |
| Rate for Payer: Aetna American Axle |
$708.62
|
| Rate for Payer: Aetna Commercial |
$926.66
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$708.62
|
| Rate for Payer: Cash Price |
$872.15
|
| Rate for Payer: Cofinity Advantage |
$763.13
|
| Rate for Payer: Cofinity Commercial |
$937.56
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$872.15
|
| Rate for Payer: Healthscope Commercial |
$981.17
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$763.13
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$817.64
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$926.66
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$817.64
|
| Rate for Payer: PHP Commercial |
$926.66
|
| Rate for Payer: Priority Health SBD |
$686.82
|
| Rate for Payer: UMR Bronson Commercial |
$479.68
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$817.64
|
|
|
HC ARTHROTOMY W/EXP, DRAIN, REMOVAL FB METACARPOPHALANGEAL JT EACH
|
Facility
|
OP
|
$1,853.20
|
|
|
Service Code
|
CPT 26075
|
| Hospital Charge Code |
76100135
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$685.68 |
| Max. Negotiated Rate |
$10,543.31 |
| Rate for Payer: Aetna American Axle |
$1,204.58
|
| Rate for Payer: Aetna Commercial |
$1,575.22
|
| Rate for Payer: Aetna Medicare |
$3,390.64
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,204.58
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$4,075.29
|
| Rate for Payer: Amish Plain Church Group Commercial |
$4,075.29
|
| Rate for Payer: BCBS Complete |
$1,790.52
|
| Rate for Payer: BCBS MAPPO |
$3,260.23
|
| Rate for Payer: BCBS Trust/PPO |
$2,293.43
|
| Rate for Payer: BCN Commercial |
$2,293.43
|
| Rate for Payer: BCN Medicare Advantage |
$3,260.23
|
| Rate for Payer: Cash Price |
$1,482.56
|
| Rate for Payer: Cash Price |
$1,482.56
|
| Rate for Payer: Cash Price |
$1,482.56
|
| Rate for Payer: Cofinity Advantage |
$1,297.24
|
| Rate for Payer: Cofinity Commercial |
$1,593.75
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,482.56
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$3,260.23
|
| Rate for Payer: Healthscope Commercial |
$1,667.88
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,297.24
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,389.90
|
| Rate for Payer: Mclaren Medicaid |
$3,260.23
|
| Rate for Payer: Mclaren Medicare |
$3,260.23
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$3,423.24
|
| Rate for Payer: Meridian Medicaid |
$3,423.24
|
| Rate for Payer: MI Amish Medical Board Commercial |
$3,749.26
|
| Rate for Payer: Molina Medicare/Medicaid |
$3,586.25
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,575.22
|
| Rate for Payer: Nomi Health Commercial |
$9,780.69
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,389.90
|
| Rate for Payer: PACE Medicare |
$3,097.22
|
| Rate for Payer: PACE SWMI |
$3,260.23
|
| Rate for Payer: PHP Commercial |
$1,575.22
|
| Rate for Payer: PHP Medicare Advantage |
$3,260.23
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,705.10
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$10,543.31
|
| Rate for Payer: Priority Health Medicare |
$3,260.23
|
| Rate for Payer: Priority Health SBD |
$1,167.52
|
| Rate for Payer: Priority Health Tiered Network |
$8,434.65
|
| Rate for Payer: Railroad Medicare Medicare |
$3,260.23
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,204.58
|
| Rate for Payer: UHC Core |
$965.52
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$3,260.23
|
| Rate for Payer: UHC Exchange |
$728.31
|
| Rate for Payer: UHC Medicaid |
$1,705.10
|
| Rate for Payer: UHCCP Medicaid |
$1,705.10
|
| Rate for Payer: UMR Bronson Commercial |
$685.68
|
| Rate for Payer: VA VA |
$3,260.23
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,389.90
|
|
|
HC ARTHROTOMY W/EXP, DRAIN, REMOVAL FB METACARPOPHALANGEAL JT EACH
|
Facility
|
IP
|
$1,853.20
|
|
|
Service Code
|
CPT 26075
|
| Hospital Charge Code |
76100135
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$815.41 |
| Max. Negotiated Rate |
$1,667.88 |
| Rate for Payer: Aetna American Axle |
$1,204.58
|
| Rate for Payer: Aetna Commercial |
$1,575.22
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,204.58
|
| Rate for Payer: Cash Price |
$1,482.56
|
| Rate for Payer: Cofinity Advantage |
$1,297.24
|
| Rate for Payer: Cofinity Commercial |
$1,593.75
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,482.56
|
| Rate for Payer: Healthscope Commercial |
$1,667.88
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,297.24
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,389.90
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,575.22
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,389.90
|
| Rate for Payer: PHP Commercial |
$1,575.22
|
| Rate for Payer: Priority Health SBD |
$1,167.52
|
| Rate for Payer: UMR Bronson Commercial |
$815.41
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,389.90
|
|
|
HC ARTHRT EXPL DRAIN RMV FOREIGN BODY FINGER JT
|
Facility
|
OP
|
$4,178.93
|
|
|
Service Code
|
CPT 26080
|
| Hospital Charge Code |
76100373
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$837.96 |
| Max. Negotiated Rate |
$5,181.40 |
| Rate for Payer: Aetna American Axle |
$2,716.30
|
| Rate for Payer: Aetna Commercial |
$3,552.09
|
| Rate for Payer: Aetna Medicare |
$1,666.30
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,716.30
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$2,002.76
|
| Rate for Payer: Amish Plain Church Group Commercial |
$2,002.76
|
| Rate for Payer: BCBS Complete |
$879.93
|
| Rate for Payer: BCBS MAPPO |
$1,602.21
|
| Rate for Payer: BCBS Trust/PPO |
$1,526.76
|
| Rate for Payer: BCN Commercial |
$1,526.76
|
| Rate for Payer: BCN Medicare Advantage |
$1,602.21
|
| Rate for Payer: Cash Price |
$3,343.14
|
| Rate for Payer: Cash Price |
$3,343.14
|
| Rate for Payer: Cash Price |
$3,343.14
|
| Rate for Payer: Cofinity Advantage |
$2,925.25
|
| Rate for Payer: Cofinity Commercial |
$3,593.88
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,343.14
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,602.21
|
| Rate for Payer: Healthscope Commercial |
$3,761.04
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$2,925.25
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$3,134.20
|
| Rate for Payer: Mclaren Medicaid |
$1,602.21
|
| Rate for Payer: Mclaren Medicare |
$1,602.21
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,682.32
|
| Rate for Payer: Meridian Medicaid |
$1,682.32
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,842.54
|
| Rate for Payer: Molina Medicare/Medicaid |
$1,762.43
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,552.09
|
| Rate for Payer: Nomi Health Commercial |
$4,806.63
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$3,134.20
|
| Rate for Payer: PACE Medicare |
$1,522.10
|
| Rate for Payer: PACE SWMI |
$1,602.21
|
| Rate for Payer: PHP Commercial |
$3,552.09
|
| Rate for Payer: PHP Medicare Advantage |
$1,602.21
|
| Rate for Payer: Priority Health Choice Medicaid |
$837.96
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$5,181.40
|
| Rate for Payer: Priority Health Medicare |
$1,602.21
|
| Rate for Payer: Priority Health SBD |
$2,632.73
|
| Rate for Payer: Priority Health Tiered Network |
$4,145.12
|
| Rate for Payer: Railroad Medicare Medicare |
$1,602.21
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,716.30
|
| Rate for Payer: UHC Core |
$2,177.22
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$1,602.21
|
| Rate for Payer: UHC Exchange |
$1,642.32
|
| Rate for Payer: UHC Medicaid |
$837.96
|
| Rate for Payer: UHCCP Medicaid |
$837.96
|
| Rate for Payer: UMR Bronson Commercial |
$1,546.20
|
| Rate for Payer: VA VA |
$1,602.21
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$3,134.20
|
|
|
HC ARTHRT EXPL DRAIN RMV FOREIGN BODY FINGER JT
|
Facility
|
IP
|
$4,178.93
|
|
|
Service Code
|
CPT 26080
|
| Hospital Charge Code |
76100373
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$1,838.73 |
| Max. Negotiated Rate |
$3,761.04 |
| Rate for Payer: Aetna American Axle |
$2,716.30
|
| Rate for Payer: Aetna Commercial |
$3,552.09
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,716.30
|
| Rate for Payer: Cash Price |
$3,343.14
|
| Rate for Payer: Cofinity Advantage |
$2,925.25
|
| Rate for Payer: Cofinity Commercial |
$3,593.88
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,343.14
|
| Rate for Payer: Healthscope Commercial |
$3,761.04
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$2,925.25
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$3,134.20
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,552.09
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$3,134.20
|
| Rate for Payer: PHP Commercial |
$3,552.09
|
| Rate for Payer: Priority Health SBD |
$2,632.73
|
| Rate for Payer: UMR Bronson Commercial |
$1,838.73
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$3,134.20
|
|
|
HC ART IMG UNILAT LOWER EXTREMITY
|
Facility
|
IP
|
$940.65
|
|
|
Service Code
|
CPT 93926
|
| Hospital Charge Code |
92100012
|
|
Hospital Revenue Code
|
921
|
| Min. Negotiated Rate |
$413.89 |
| Max. Negotiated Rate |
$846.59 |
| Rate for Payer: Aetna American Axle |
$611.42
|
| Rate for Payer: Aetna Commercial |
$799.55
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$611.42
|
| Rate for Payer: Cash Price |
$752.52
|
| Rate for Payer: Cofinity Advantage |
$658.46
|
| Rate for Payer: Cofinity Commercial |
$808.96
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$752.52
|
| Rate for Payer: Healthscope Commercial |
$846.59
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$658.46
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$705.49
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$799.55
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$705.49
|
| Rate for Payer: PHP Commercial |
$799.55
|
| Rate for Payer: Priority Health SBD |
$592.61
|
| Rate for Payer: UMR Bronson Commercial |
$413.89
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$705.49
|
|
|
HC ART IMG UNILAT LOWER EXTREMITY
|
Facility
|
OP
|
$940.65
|
|
|
Service Code
|
CPT 93926
|
| Hospital Charge Code |
92100012
|
|
Hospital Revenue Code
|
921
|
| Min. Negotiated Rate |
$54.48 |
| Max. Negotiated Rate |
$846.59 |
| Rate for Payer: Aetna American Axle |
$611.42
|
| Rate for Payer: Aetna Commercial |
$799.55
|
| Rate for Payer: Aetna Medicare |
$108.34
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$611.42
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$130.21
|
| Rate for Payer: Amish Plain Church Group Commercial |
$130.21
|
| Rate for Payer: BCBS Complete |
$57.21
|
| Rate for Payer: BCBS MAPPO |
$104.17
|
| Rate for Payer: BCBS Trust/PPO |
$504.38
|
| Rate for Payer: BCN Commercial |
$504.38
|
| Rate for Payer: BCN Medicare Advantage |
$104.17
|
| Rate for Payer: Cash Price |
$752.52
|
| Rate for Payer: Cash Price |
$752.52
|
| Rate for Payer: Cofinity Advantage |
$658.46
|
| Rate for Payer: Cofinity Commercial |
$808.96
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$752.52
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$104.17
|
| Rate for Payer: Healthscope Commercial |
$846.59
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$658.46
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$705.49
|
| Rate for Payer: Mclaren Medicaid |
$104.17
|
| Rate for Payer: Mclaren Medicare |
$104.17
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$109.38
|
| Rate for Payer: Meridian Medicaid |
$109.38
|
| Rate for Payer: MI Amish Medical Board Commercial |
$119.80
|
| Rate for Payer: Molina Medicare/Medicaid |
$114.59
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$799.55
|
| Rate for Payer: Nomi Health Commercial |
$312.51
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$705.49
|
| Rate for Payer: PACE Medicare |
$98.96
|
| Rate for Payer: PACE SWMI |
$104.17
|
| Rate for Payer: PHP Commercial |
$799.55
|
| Rate for Payer: PHP Medicare Advantage |
$104.17
|
| Rate for Payer: Priority Health Choice Medicaid |
$54.48
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$336.87
|
| Rate for Payer: Priority Health Medicare |
$104.17
|
| Rate for Payer: Priority Health SBD |
$592.61
|
| Rate for Payer: Priority Health Tiered Network |
$269.50
|
| Rate for Payer: Railroad Medicare Medicare |
$104.17
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$611.42
|
| Rate for Payer: UHC Core |
$490.08
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$104.17
|
| Rate for Payer: UHC Exchange |
$369.68
|
| Rate for Payer: UHC Medicaid |
$54.48
|
| Rate for Payer: UHCCP Medicaid |
$54.48
|
| Rate for Payer: UMR Bronson Commercial |
$348.04
|
| Rate for Payer: VA VA |
$104.17
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$705.49
|
|
|
HC ART IMG UNILAT UPPER EXTREM
|
Facility
|
OP
|
$771.48
|
|
|
Service Code
|
CPT 93931
|
| Hospital Charge Code |
92100009
|
|
Hospital Revenue Code
|
921
|
| Min. Negotiated Rate |
$54.48 |
| Max. Negotiated Rate |
$694.33 |
| Rate for Payer: Aetna American Axle |
$501.46
|
| Rate for Payer: Aetna Commercial |
$655.76
|
| Rate for Payer: Aetna Medicare |
$108.34
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$501.46
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$130.21
|
| Rate for Payer: Amish Plain Church Group Commercial |
$130.21
|
| Rate for Payer: BCBS Complete |
$57.21
|
| Rate for Payer: BCBS MAPPO |
$104.17
|
| Rate for Payer: BCBS Trust/PPO |
$419.84
|
| Rate for Payer: BCN Commercial |
$419.84
|
| Rate for Payer: BCN Medicare Advantage |
$104.17
|
| Rate for Payer: Cash Price |
$617.18
|
| Rate for Payer: Cash Price |
$617.18
|
| Rate for Payer: Cofinity Advantage |
$540.04
|
| Rate for Payer: Cofinity Commercial |
$663.47
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$617.18
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$104.17
|
| Rate for Payer: Healthscope Commercial |
$694.33
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$540.04
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$578.61
|
| Rate for Payer: Mclaren Medicaid |
$104.17
|
| Rate for Payer: Mclaren Medicare |
$104.17
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$109.38
|
| Rate for Payer: Meridian Medicaid |
$109.38
|
| Rate for Payer: MI Amish Medical Board Commercial |
$119.80
|
| Rate for Payer: Molina Medicare/Medicaid |
$114.59
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$655.76
|
| Rate for Payer: Nomi Health Commercial |
$312.51
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$578.61
|
| Rate for Payer: PACE Medicare |
$98.96
|
| Rate for Payer: PACE SWMI |
$104.17
|
| Rate for Payer: PHP Commercial |
$655.76
|
| Rate for Payer: PHP Medicare Advantage |
$104.17
|
| Rate for Payer: Priority Health Choice Medicaid |
$54.48
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$336.87
|
| Rate for Payer: Priority Health Medicare |
$104.17
|
| Rate for Payer: Priority Health SBD |
$486.03
|
| Rate for Payer: Priority Health Tiered Network |
$269.50
|
| Rate for Payer: Railroad Medicare Medicare |
$104.17
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$501.46
|
| Rate for Payer: UHC Core |
$401.94
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$104.17
|
| Rate for Payer: UHC Exchange |
$303.19
|
| Rate for Payer: UHC Medicaid |
$54.48
|
| Rate for Payer: UHCCP Medicaid |
$54.48
|
| Rate for Payer: UMR Bronson Commercial |
$285.45
|
| Rate for Payer: VA VA |
$104.17
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$578.61
|
|
|
HC ART IMG UNILAT UPPER EXTREM
|
Facility
|
IP
|
$771.48
|
|
|
Service Code
|
CPT 93931
|
| Hospital Charge Code |
92100009
|
|
Hospital Revenue Code
|
921
|
| Min. Negotiated Rate |
$339.45 |
| Max. Negotiated Rate |
$694.33 |
| Rate for Payer: Aetna American Axle |
$501.46
|
| Rate for Payer: Aetna Commercial |
$655.76
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$501.46
|
| Rate for Payer: Cash Price |
$617.18
|
| Rate for Payer: Cofinity Advantage |
$540.04
|
| Rate for Payer: Cofinity Commercial |
$663.47
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$617.18
|
| Rate for Payer: Healthscope Commercial |
$694.33
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$540.04
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$578.61
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$655.76
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$578.61
|
| Rate for Payer: PHP Commercial |
$655.76
|
| Rate for Payer: Priority Health SBD |
$486.03
|
| Rate for Payer: UMR Bronson Commercial |
$339.45
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$578.61
|
|
|
HC ART&VEN TRANSCATH THROMBOLYSIS
|
Facility
|
OP
|
$4,737.42
|
|
|
Service Code
|
CPT 37213
|
| Hospital Charge Code |
36100373
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$771.92 |
| Max. Negotiated Rate |
$10,174.29 |
| Rate for Payer: Aetna American Axle |
$3,079.32
|
| Rate for Payer: Aetna Commercial |
$4,026.81
|
| Rate for Payer: Aetna Medicare |
$3,271.98
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$3,079.32
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$3,932.66
|
| Rate for Payer: Amish Plain Church Group Commercial |
$3,932.66
|
| Rate for Payer: BCBS Complete |
$1,727.85
|
| Rate for Payer: BCBS MAPPO |
$3,146.13
|
| Rate for Payer: BCBS Trust/PPO |
$771.92
|
| Rate for Payer: BCN Commercial |
$771.92
|
| Rate for Payer: BCN Medicare Advantage |
$3,146.13
|
| Rate for Payer: Cash Price |
$3,789.94
|
| Rate for Payer: Cash Price |
$3,789.94
|
| Rate for Payer: Cash Price |
$3,789.94
|
| Rate for Payer: Cofinity Advantage |
$3,316.19
|
| Rate for Payer: Cofinity Commercial |
$4,074.18
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,789.94
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$3,146.13
|
| Rate for Payer: Healthscope Commercial |
$4,263.68
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$3,316.19
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$3,553.07
|
| Rate for Payer: Mclaren Medicaid |
$3,146.13
|
| Rate for Payer: Mclaren Medicare |
$3,146.13
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$3,303.44
|
| Rate for Payer: Meridian Medicaid |
$3,303.44
|
| Rate for Payer: MI Amish Medical Board Commercial |
$3,618.05
|
| Rate for Payer: Molina Medicare/Medicaid |
$3,460.74
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$4,026.81
|
| Rate for Payer: Nomi Health Commercial |
$9,438.39
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$3,553.07
|
| Rate for Payer: PACE Medicare |
$2,988.82
|
| Rate for Payer: PACE SWMI |
$3,146.13
|
| Rate for Payer: PHP Commercial |
$4,026.81
|
| Rate for Payer: PHP Medicare Advantage |
$3,146.13
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,645.43
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$10,174.29
|
| Rate for Payer: Priority Health Medicare |
$3,146.13
|
| Rate for Payer: Priority Health SBD |
$2,984.57
|
| Rate for Payer: Priority Health Tiered Network |
$8,139.43
|
| Rate for Payer: Railroad Medicare Medicare |
$3,146.13
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$3,146.13
|
| Rate for Payer: UHC Medicaid |
$1,645.43
|
| Rate for Payer: UHCCP Medicaid |
$1,645.43
|
| Rate for Payer: UMR Bronson Commercial |
$1,752.85
|
| Rate for Payer: VA VA |
$3,146.13
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$3,553.07
|
|
|
HC ART&VEN TRANSCATH THROMBOLYSIS
|
Facility
|
IP
|
$4,737.42
|
|
|
Service Code
|
CPT 37213
|
| Hospital Charge Code |
36100373
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$2,084.46 |
| Max. Negotiated Rate |
$4,263.68 |
| Rate for Payer: Aetna American Axle |
$3,079.32
|
| Rate for Payer: Aetna Commercial |
$4,026.81
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$3,079.32
|
| Rate for Payer: Cash Price |
$3,789.94
|
| Rate for Payer: Cofinity Advantage |
$3,316.19
|
| Rate for Payer: Cofinity Commercial |
$4,074.18
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,789.94
|
| Rate for Payer: Healthscope Commercial |
$4,263.68
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$3,316.19
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$3,553.07
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$4,026.81
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$3,553.07
|
| Rate for Payer: PHP Commercial |
$4,026.81
|
| Rate for Payer: Priority Health SBD |
$2,984.57
|
| Rate for Payer: UMR Bronson Commercial |
$2,084.46
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$3,553.07
|
|
|
HC ASCLERA 1%
|
Facility
|
IP
|
$33.90
|
|
|
Service Code
|
HCPCS J3490
|
| Hospital Charge Code |
63600285
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$14.92 |
| Max. Negotiated Rate |
$30.51 |
| Rate for Payer: Aetna American Axle |
$22.04
|
| Rate for Payer: Aetna Commercial |
$28.82
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$22.04
|
| Rate for Payer: Cash Price |
$27.12
|
| Rate for Payer: Cofinity Advantage |
$23.73
|
| Rate for Payer: Cofinity Commercial |
$29.15
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$27.12
|
| Rate for Payer: Healthscope Commercial |
$30.51
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$23.73
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$25.43
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$28.82
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$25.43
|
| Rate for Payer: PHP Commercial |
$28.82
|
| Rate for Payer: Priority Health SBD |
$21.36
|
| Rate for Payer: UMR Bronson Commercial |
$14.92
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$25.43
|
|
|
HC ASCLERA 1%
|
Facility
|
OP
|
$33.90
|
|
|
Service Code
|
HCPCS J3490
|
| Hospital Charge Code |
63600285
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$12.54 |
| Max. Negotiated Rate |
$30.51 |
| Rate for Payer: Aetna American Axle |
$22.04
|
| Rate for Payer: Aetna Commercial |
$28.82
|
| Rate for Payer: Aetna Medicare |
$16.95
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$22.04
|
| Rate for Payer: BCBS Complete |
$13.56
|
| Rate for Payer: Cash Price |
$27.12
|
| Rate for Payer: Cofinity Advantage |
$23.73
|
| Rate for Payer: Cofinity Commercial |
$29.15
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$27.12
|
| Rate for Payer: Healthscope Commercial |
$30.51
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$23.73
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$25.43
|
| Rate for Payer: MI Amish Medical Board Commercial |
$27.12
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$28.82
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$25.43
|
| Rate for Payer: PHP Commercial |
$28.82
|
| Rate for Payer: Priority Health SBD |
$21.36
|
| Rate for Payer: UMR Bronson Commercial |
$12.54
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$25.43
|
|
|
HC ASCLERA O.5%
|
Facility
|
OP
|
$29.55
|
|
|
Service Code
|
HCPCS J3490
|
| Hospital Charge Code |
63600284
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$10.93 |
| Max. Negotiated Rate |
$26.59 |
| Rate for Payer: Aetna American Axle |
$19.21
|
| Rate for Payer: Aetna Commercial |
$25.12
|
| Rate for Payer: Aetna Medicare |
$14.78
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$19.21
|
| Rate for Payer: BCBS Complete |
$11.82
|
| Rate for Payer: Cash Price |
$23.64
|
| Rate for Payer: Cofinity Advantage |
$20.68
|
| Rate for Payer: Cofinity Commercial |
$25.41
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$23.64
|
| Rate for Payer: Healthscope Commercial |
$26.59
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$20.68
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$22.16
|
| Rate for Payer: MI Amish Medical Board Commercial |
$23.64
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$25.12
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$22.16
|
| Rate for Payer: PHP Commercial |
$25.12
|
| Rate for Payer: Priority Health SBD |
$18.62
|
| Rate for Payer: UMR Bronson Commercial |
$10.93
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$22.16
|
|
|
HC ASCLERA O.5%
|
Facility
|
IP
|
$29.55
|
|
|
Service Code
|
HCPCS J3490
|
| Hospital Charge Code |
63600284
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$13.00 |
| Max. Negotiated Rate |
$26.59 |
| Rate for Payer: Aetna American Axle |
$19.21
|
| Rate for Payer: Aetna Commercial |
$25.12
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$19.21
|
| Rate for Payer: Cash Price |
$23.64
|
| Rate for Payer: Cofinity Advantage |
$20.68
|
| Rate for Payer: Cofinity Commercial |
$25.41
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$23.64
|
| Rate for Payer: Healthscope Commercial |
$26.59
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$20.68
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$22.16
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$25.12
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$22.16
|
| Rate for Payer: PHP Commercial |
$25.12
|
| Rate for Payer: Priority Health SBD |
$18.62
|
| Rate for Payer: UMR Bronson Commercial |
$13.00
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$22.16
|
|
