|
HC EXC TUMOR SOFT TISSUE SHOULDER, 3CM OR >
|
Facility
|
IP
|
$2,100.08
|
|
|
Service Code
|
CPT 23071
|
| Hospital Charge Code |
76100251
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$924.04 |
| Max. Negotiated Rate |
$1,890.07 |
| Rate for Payer: Aetna American Axle |
$1,365.05
|
| Rate for Payer: Aetna Commercial |
$1,785.07
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,365.05
|
| Rate for Payer: Cash Price |
$1,680.06
|
| Rate for Payer: Cofinity Commercial |
$1,470.06
|
| Rate for Payer: Cofinity Commercial |
$1,806.07
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,680.06
|
| Rate for Payer: Healthscope Commercial |
$1,890.07
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,470.06
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,575.06
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,785.07
|
| Rate for Payer: PHP Commercial |
$1,785.07
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,470.06
|
| Rate for Payer: Priority Health SBD |
$1,323.05
|
| Rate for Payer: UMR Bronson Commercial |
$924.04
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,575.06
|
|
|
HC EXC TUMOR SOFT TISSUE THIGH/KNEE, SQ <3CM
|
Facility
|
IP
|
$2,100.08
|
|
|
Service Code
|
CPT 27327
|
| Hospital Charge Code |
76100248
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$924.04 |
| Max. Negotiated Rate |
$1,890.07 |
| Rate for Payer: Aetna American Axle |
$1,365.05
|
| Rate for Payer: Aetna Commercial |
$1,785.07
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,365.05
|
| Rate for Payer: Cash Price |
$1,680.06
|
| Rate for Payer: Cofinity Commercial |
$1,806.07
|
| Rate for Payer: Cofinity Commercial |
$1,470.06
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,680.06
|
| Rate for Payer: Healthscope Commercial |
$1,890.07
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,470.06
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,575.06
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,785.07
|
| Rate for Payer: PHP Commercial |
$1,785.07
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,470.06
|
| Rate for Payer: Priority Health SBD |
$1,323.05
|
| Rate for Payer: UMR Bronson Commercial |
$924.04
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,575.06
|
|
|
HC EXC TUMOR SOFT TISSUE THIGH/KNEE, SQ <3CM
|
Facility
|
OP
|
$2,100.08
|
|
|
Service Code
|
CPT 27327
|
| Hospital Charge Code |
76100248
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$315.00 |
| Max. Negotiated Rate |
$4,536.73 |
| Rate for Payer: Aetna American Axle |
$1,365.05
|
| Rate for Payer: Aetna Commercial |
$1,785.07
|
| Rate for Payer: Aetna Medicare |
$1,498.78
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,365.05
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,801.41
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1,801.41
|
| Rate for Payer: BCBS Complete |
$827.79
|
| Rate for Payer: BCBS MAPPO |
$1,441.13
|
| Rate for Payer: BCBS Trust/PPO |
$1,320.51
|
| Rate for Payer: BCN Medicare Advantage |
$1,441.13
|
| Rate for Payer: Cash Price |
$1,680.06
|
| Rate for Payer: Cash Price |
$1,680.06
|
| Rate for Payer: Cofinity Commercial |
$1,470.06
|
| Rate for Payer: Cofinity Commercial |
$1,806.07
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,680.06
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,441.13
|
| Rate for Payer: Healthscope Commercial |
$1,890.07
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,470.06
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,575.06
|
| Rate for Payer: Mclaren Medicaid |
$788.30
|
| Rate for Payer: Mclaren Medicare |
$1,441.13
|
| Rate for Payer: Meridian Medicaid |
$827.79
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,513.19
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,657.30
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,785.07
|
| Rate for Payer: PACE Medicare |
$1,369.07
|
| Rate for Payer: PACE SWMI |
$1,441.13
|
| Rate for Payer: PHP Commercial |
$1,785.07
|
| Rate for Payer: PHP Medicare Advantage |
$1,441.13
|
| Rate for Payer: Priority Health Choice Medicaid |
$788.30
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,470.06
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$4,536.73
|
| Rate for Payer: Priority Health Medicare |
$1,441.13
|
| Rate for Payer: Priority Health Narrow Network |
$3,629.38
|
| Rate for Payer: Priority Health SBD |
$1,323.05
|
| Rate for Payer: Railroad Medicare Medicare |
$1,441.13
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$346.50
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,441.13
|
| Rate for Payer: UHC Exchange |
$315.00
|
| Rate for Payer: UHC Medicare Advantage |
$1,484.36
|
| Rate for Payer: UMR Bronson Commercial |
$777.03
|
| Rate for Payer: VA VA |
$1,441.13
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,575.06
|
|
|
HC EXC TUMOR SOFT TISSUE THIGH/KNEE, SQ 3CM OR >
|
Facility
|
IP
|
$3,547.91
|
|
|
Service Code
|
CPT 27337
|
| Hospital Charge Code |
76100249
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$1,561.08 |
| Max. Negotiated Rate |
$3,193.12 |
| Rate for Payer: Aetna American Axle |
$2,306.14
|
| Rate for Payer: Aetna Commercial |
$3,015.72
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,306.14
|
| Rate for Payer: Cash Price |
$2,838.33
|
| Rate for Payer: Cofinity Commercial |
$2,483.54
|
| Rate for Payer: Cofinity Commercial |
$3,051.20
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,838.33
|
| Rate for Payer: Healthscope Commercial |
$3,193.12
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$2,483.54
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,660.93
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$3,015.72
|
| Rate for Payer: PHP Commercial |
$3,015.72
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,483.54
|
| Rate for Payer: Priority Health SBD |
$2,235.18
|
| Rate for Payer: UMR Bronson Commercial |
$1,561.08
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,660.93
|
|
|
HC EXC TUMOR SOFT TISSUE THIGH/KNEE, SQ 3CM OR >
|
Facility
|
OP
|
$3,547.91
|
|
|
Service Code
|
CPT 27337
|
| Hospital Charge Code |
76100249
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$417.16 |
| Max. Negotiated Rate |
$7,951.14 |
| Rate for Payer: Aetna American Axle |
$2,306.14
|
| Rate for Payer: Aetna Commercial |
$3,015.72
|
| Rate for Payer: Aetna Medicare |
$2,626.77
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,306.14
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$3,157.18
|
| Rate for Payer: Amish Plain Church Group Commercial |
$3,157.18
|
| Rate for Payer: BCBS Complete |
$1,450.79
|
| Rate for Payer: BCBS MAPPO |
$2,525.74
|
| Rate for Payer: BCBS Trust/PPO |
$2,326.93
|
| Rate for Payer: BCN Medicare Advantage |
$2,525.74
|
| Rate for Payer: Cash Price |
$2,838.33
|
| Rate for Payer: Cash Price |
$2,838.33
|
| Rate for Payer: Cofinity Commercial |
$3,051.20
|
| Rate for Payer: Cofinity Commercial |
$2,483.54
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,838.33
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,525.74
|
| Rate for Payer: Healthscope Commercial |
$3,193.12
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$2,483.54
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,660.93
|
| Rate for Payer: Mclaren Medicaid |
$1,381.58
|
| Rate for Payer: Mclaren Medicare |
$2,525.74
|
| Rate for Payer: Meridian Medicaid |
$1,450.79
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$2,652.03
|
| Rate for Payer: MI Amish Medical Board Commercial |
$2,904.60
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$3,015.72
|
| Rate for Payer: PACE Medicare |
$2,399.45
|
| Rate for Payer: PACE SWMI |
$2,525.74
|
| Rate for Payer: PHP Commercial |
$3,015.72
|
| Rate for Payer: PHP Medicare Advantage |
$2,525.74
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,381.58
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,483.54
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$7,951.14
|
| Rate for Payer: Priority Health Medicare |
$2,525.74
|
| Rate for Payer: Priority Health Narrow Network |
$6,360.91
|
| Rate for Payer: Priority Health SBD |
$2,235.18
|
| Rate for Payer: Railroad Medicare Medicare |
$2,525.74
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$458.88
|
| Rate for Payer: UHC Dual Complete DSNP |
$2,525.74
|
| Rate for Payer: UHC Exchange |
$417.16
|
| Rate for Payer: UHC Medicare Advantage |
$2,601.51
|
| Rate for Payer: UMR Bronson Commercial |
$1,312.73
|
| Rate for Payer: VA VA |
$2,525.74
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,660.93
|
|
|
HC EXC TUMOR SOFT TISSUE UPPER ARM/ELBOW SUBQ 3CM/>
|
Facility
|
OP
|
$3,951.97
|
|
|
Service Code
|
CPT 24071
|
| Hospital Charge Code |
76100324
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$403.41 |
| Max. Negotiated Rate |
$7,951.14 |
| Rate for Payer: Aetna American Axle |
$2,568.78
|
| Rate for Payer: Aetna Commercial |
$3,359.17
|
| Rate for Payer: Aetna Medicare |
$2,626.77
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,568.78
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$3,157.18
|
| Rate for Payer: Amish Plain Church Group Commercial |
$3,157.18
|
| Rate for Payer: BCBS Complete |
$1,450.79
|
| Rate for Payer: BCBS MAPPO |
$2,525.74
|
| Rate for Payer: BCBS Trust/PPO |
$2,277.37
|
| Rate for Payer: BCN Medicare Advantage |
$2,525.74
|
| Rate for Payer: Cash Price |
$3,161.58
|
| Rate for Payer: Cash Price |
$3,161.58
|
| Rate for Payer: Cofinity Commercial |
$2,766.38
|
| Rate for Payer: Cofinity Commercial |
$3,398.69
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,161.58
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,525.74
|
| Rate for Payer: Healthscope Commercial |
$3,556.77
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$2,766.38
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,963.98
|
| Rate for Payer: Mclaren Medicaid |
$1,381.58
|
| Rate for Payer: Mclaren Medicare |
$2,525.74
|
| Rate for Payer: Meridian Medicaid |
$1,450.79
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$2,652.03
|
| Rate for Payer: MI Amish Medical Board Commercial |
$2,904.60
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$3,359.17
|
| Rate for Payer: PACE Medicare |
$2,399.45
|
| Rate for Payer: PACE SWMI |
$2,525.74
|
| Rate for Payer: PHP Commercial |
$3,359.17
|
| Rate for Payer: PHP Medicare Advantage |
$2,525.74
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,381.58
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,766.38
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$7,951.14
|
| Rate for Payer: Priority Health Medicare |
$2,525.74
|
| Rate for Payer: Priority Health Narrow Network |
$6,360.91
|
| Rate for Payer: Priority Health SBD |
$2,489.74
|
| Rate for Payer: Railroad Medicare Medicare |
$2,525.74
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$443.75
|
| Rate for Payer: UHC Dual Complete DSNP |
$2,525.74
|
| Rate for Payer: UHC Exchange |
$403.41
|
| Rate for Payer: UHC Medicare Advantage |
$2,601.51
|
| Rate for Payer: UMR Bronson Commercial |
$1,462.23
|
| Rate for Payer: VA VA |
$2,525.74
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,963.98
|
|
|
HC EXC TUMOR SOFT TISSUE UPPER ARM/ELBOW SUBQ 3CM/>
|
Facility
|
IP
|
$3,951.97
|
|
|
Service Code
|
CPT 24071
|
| Hospital Charge Code |
76100324
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$1,738.87 |
| Max. Negotiated Rate |
$3,556.77 |
| Rate for Payer: Aetna American Axle |
$2,568.78
|
| Rate for Payer: Aetna Commercial |
$3,359.17
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,568.78
|
| Rate for Payer: Cash Price |
$3,161.58
|
| Rate for Payer: Cofinity Commercial |
$2,766.38
|
| Rate for Payer: Cofinity Commercial |
$3,398.69
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,161.58
|
| Rate for Payer: Healthscope Commercial |
$3,556.77
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$2,766.38
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,963.98
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$3,359.17
|
| Rate for Payer: PHP Commercial |
$3,359.17
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,766.38
|
| Rate for Payer: Priority Health SBD |
$2,489.74
|
| Rate for Payer: UMR Bronson Commercial |
$1,738.87
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,963.98
|
|
|
HC EXC TUMOR UPPER ARM/ELBOW SUBQ <3CM
|
Facility
|
OP
|
$2,870.28
|
|
|
Service Code
|
CPT 24075
|
| Hospital Charge Code |
76100310
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$329.08 |
| Max. Negotiated Rate |
$4,536.73 |
| Rate for Payer: Aetna American Axle |
$1,865.68
|
| Rate for Payer: Aetna Commercial |
$2,439.74
|
| Rate for Payer: Aetna Medicare |
$1,498.78
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,865.68
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,801.41
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1,801.41
|
| Rate for Payer: BCBS Complete |
$827.79
|
| Rate for Payer: BCBS MAPPO |
$1,441.13
|
| Rate for Payer: BCBS Trust/PPO |
$1,276.49
|
| Rate for Payer: BCN Medicare Advantage |
$1,441.13
|
| Rate for Payer: Cash Price |
$2,296.22
|
| Rate for Payer: Cash Price |
$2,296.22
|
| Rate for Payer: Cofinity Commercial |
$2,009.20
|
| Rate for Payer: Cofinity Commercial |
$2,468.44
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,296.22
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,441.13
|
| Rate for Payer: Healthscope Commercial |
$2,583.25
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$2,009.20
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,152.71
|
| Rate for Payer: Mclaren Medicaid |
$788.30
|
| Rate for Payer: Mclaren Medicare |
$1,441.13
|
| Rate for Payer: Meridian Medicaid |
$827.79
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,513.19
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,657.30
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$2,439.74
|
| Rate for Payer: PACE Medicare |
$1,369.07
|
| Rate for Payer: PACE SWMI |
$1,441.13
|
| Rate for Payer: PHP Commercial |
$2,439.74
|
| Rate for Payer: PHP Medicare Advantage |
$1,441.13
|
| Rate for Payer: Priority Health Choice Medicaid |
$788.30
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,009.20
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$4,536.73
|
| Rate for Payer: Priority Health Medicare |
$1,441.13
|
| Rate for Payer: Priority Health Narrow Network |
$3,629.38
|
| Rate for Payer: Priority Health SBD |
$1,808.28
|
| Rate for Payer: Railroad Medicare Medicare |
$1,441.13
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$361.99
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,441.13
|
| Rate for Payer: UHC Exchange |
$329.08
|
| Rate for Payer: UHC Medicare Advantage |
$1,484.36
|
| Rate for Payer: UMR Bronson Commercial |
$1,062.00
|
| Rate for Payer: VA VA |
$1,441.13
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,152.71
|
|
|
HC EXC TUMOR UPPER ARM/ELBOW SUBQ <3CM
|
Facility
|
IP
|
$2,870.28
|
|
|
Service Code
|
CPT 24075
|
| Hospital Charge Code |
76100310
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$1,262.92 |
| Max. Negotiated Rate |
$2,583.25 |
| Rate for Payer: Aetna American Axle |
$1,865.68
|
| Rate for Payer: Aetna Commercial |
$2,439.74
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,865.68
|
| Rate for Payer: Cash Price |
$2,296.22
|
| Rate for Payer: Cofinity Commercial |
$2,009.20
|
| Rate for Payer: Cofinity Commercial |
$2,468.44
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,296.22
|
| Rate for Payer: Healthscope Commercial |
$2,583.25
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$2,009.20
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,152.71
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$2,439.74
|
| Rate for Payer: PHP Commercial |
$2,439.74
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,009.20
|
| Rate for Payer: Priority Health SBD |
$1,808.28
|
| Rate for Payer: UMR Bronson Commercial |
$1,262.92
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,152.71
|
|
|
HC EXERCISE CHALLENGE
|
Facility
|
OP
|
$1,000.24
|
|
|
Service Code
|
CPT 93464
|
| Hospital Charge Code |
48100108
|
|
Hospital Revenue Code
|
481
|
| Min. Negotiated Rate |
$213.82 |
| Max. Negotiated Rate |
$900.22 |
| Rate for Payer: Aetna American Axle |
$650.16
|
| Rate for Payer: Aetna Commercial |
$850.20
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$650.16
|
| Rate for Payer: BCBS Complete |
$400.10
|
| Rate for Payer: BCBS Trust/PPO |
$663.55
|
| Rate for Payer: Cash Price |
$800.19
|
| Rate for Payer: Cash Price |
$800.19
|
| Rate for Payer: Cofinity Commercial |
$860.21
|
| Rate for Payer: Cofinity Commercial |
$700.17
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$800.19
|
| Rate for Payer: Healthscope Commercial |
$900.22
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$700.17
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$750.18
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$850.20
|
| Rate for Payer: PHP Commercial |
$850.20
|
| Rate for Payer: Priority Health Cigna Priority Health |
$700.17
|
| Rate for Payer: Priority Health SBD |
$630.15
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$235.20
|
| Rate for Payer: UHC Core |
$700.00
|
| Rate for Payer: UHC Exchange |
$213.82
|
| Rate for Payer: UMR Bronson Commercial |
$370.09
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$750.18
|
|
|
HC EXERCISE CHALLENGE
|
Facility
|
IP
|
$1,000.24
|
|
|
Service Code
|
CPT 93464
|
| Hospital Charge Code |
48100108
|
|
Hospital Revenue Code
|
481
|
| Min. Negotiated Rate |
$440.11 |
| Max. Negotiated Rate |
$900.22 |
| Rate for Payer: Aetna American Axle |
$650.16
|
| Rate for Payer: Aetna Commercial |
$850.20
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$650.16
|
| Rate for Payer: Cash Price |
$800.19
|
| Rate for Payer: Cofinity Commercial |
$700.17
|
| Rate for Payer: Cofinity Commercial |
$860.21
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$800.19
|
| Rate for Payer: Healthscope Commercial |
$900.22
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$700.17
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$750.18
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$850.20
|
| Rate for Payer: PHP Commercial |
$850.20
|
| Rate for Payer: Priority Health Cigna Priority Health |
$700.17
|
| Rate for Payer: Priority Health SBD |
$630.15
|
| Rate for Payer: UMR Bronson Commercial |
$440.11
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$750.18
|
|
|
HC EXERCISE TEST FOR BRONCHOSPASM W/EKG
|
Facility
|
IP
|
$336.86
|
|
|
Service Code
|
CPT 94617
|
| Hospital Charge Code |
46000033
|
|
Hospital Revenue Code
|
460
|
| Min. Negotiated Rate |
$148.22 |
| Max. Negotiated Rate |
$303.17 |
| Rate for Payer: Aetna American Axle |
$218.96
|
| Rate for Payer: Aetna Commercial |
$286.33
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$218.96
|
| Rate for Payer: Cash Price |
$269.49
|
| Rate for Payer: Cofinity Commercial |
$235.80
|
| Rate for Payer: Cofinity Commercial |
$289.70
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$269.49
|
| Rate for Payer: Healthscope Commercial |
$303.17
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$235.80
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$252.64
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$286.33
|
| Rate for Payer: PHP Commercial |
$286.33
|
| Rate for Payer: Priority Health Cigna Priority Health |
$235.80
|
| Rate for Payer: Priority Health SBD |
$212.22
|
| Rate for Payer: UMR Bronson Commercial |
$148.22
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$252.64
|
|
|
HC EXERCISE TEST FOR BRONCHOSPASM W/EKG
|
Facility
|
OP
|
$336.86
|
|
|
Service Code
|
CPT 94617
|
| Hospital Charge Code |
46000033
|
|
Hospital Revenue Code
|
460
|
| Min. Negotiated Rate |
$62.11 |
| Max. Negotiated Rate |
$357.43 |
| Rate for Payer: Aetna American Axle |
$218.96
|
| Rate for Payer: Aetna Commercial |
$286.33
|
| Rate for Payer: Aetna Medicare |
$118.09
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$218.96
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$141.94
|
| Rate for Payer: Amish Plain Church Group Commercial |
$141.94
|
| Rate for Payer: BCBS Complete |
$65.22
|
| Rate for Payer: BCBS MAPPO |
$113.55
|
| Rate for Payer: BCBS Trust/PPO |
$279.84
|
| Rate for Payer: BCN Medicare Advantage |
$113.55
|
| Rate for Payer: Cash Price |
$269.49
|
| Rate for Payer: Cash Price |
$269.49
|
| Rate for Payer: Cash Price |
$269.49
|
| Rate for Payer: Cofinity Commercial |
$289.70
|
| Rate for Payer: Cofinity Commercial |
$235.80
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$269.49
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$113.55
|
| Rate for Payer: Healthscope Commercial |
$303.17
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$235.80
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$252.64
|
| Rate for Payer: Mclaren Medicaid |
$62.11
|
| Rate for Payer: Mclaren Medicare |
$113.55
|
| Rate for Payer: Meridian Medicaid |
$65.22
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$119.23
|
| Rate for Payer: MI Amish Medical Board Commercial |
$130.58
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$286.33
|
| Rate for Payer: PACE Medicare |
$107.87
|
| Rate for Payer: PACE SWMI |
$113.55
|
| Rate for Payer: PHP Commercial |
$286.33
|
| Rate for Payer: PHP Medicare Advantage |
$113.55
|
| Rate for Payer: Priority Health Choice Medicaid |
$62.11
|
| Rate for Payer: Priority Health Cigna Priority Health |
$235.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$357.43
|
| Rate for Payer: Priority Health Medicare |
$113.55
|
| Rate for Payer: Priority Health Narrow Network |
$285.94
|
| Rate for Payer: Priority Health SBD |
$212.22
|
| Rate for Payer: Railroad Medicare Medicare |
$113.55
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$96.17
|
| Rate for Payer: UHC Core |
$294.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$113.55
|
| Rate for Payer: UHC Exchange |
$87.43
|
| Rate for Payer: UHC Medicare Advantage |
$116.96
|
| Rate for Payer: UMR Bronson Commercial |
$124.64
|
| Rate for Payer: VA VA |
$113.55
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$252.64
|
|
|
HC EXERCISE TEST FOR BRONCHOSPASM WO ECG
|
Facility
|
IP
|
$133.58
|
|
|
Service Code
|
CPT 94619
|
| Hospital Charge Code |
46000032
|
|
Hospital Revenue Code
|
460
|
| Min. Negotiated Rate |
$58.78 |
| Max. Negotiated Rate |
$120.22 |
| Rate for Payer: Aetna American Axle |
$86.83
|
| Rate for Payer: Aetna Commercial |
$113.54
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$86.83
|
| Rate for Payer: Cash Price |
$106.86
|
| Rate for Payer: Cofinity Commercial |
$114.88
|
| Rate for Payer: Cofinity Commercial |
$93.51
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$106.86
|
| Rate for Payer: Healthscope Commercial |
$120.22
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$93.51
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$100.18
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$113.54
|
| Rate for Payer: PHP Commercial |
$113.54
|
| Rate for Payer: Priority Health Cigna Priority Health |
$93.51
|
| Rate for Payer: Priority Health SBD |
$84.16
|
| Rate for Payer: UMR Bronson Commercial |
$58.78
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$100.18
|
|
|
HC EXERCISE TEST FOR BRONCHOSPASM WO ECG
|
Facility
|
OP
|
$133.58
|
|
|
Service Code
|
CPT 94619
|
| Hospital Charge Code |
46000032
|
|
Hospital Revenue Code
|
460
|
| Min. Negotiated Rate |
$29.74 |
| Max. Negotiated Rate |
$294.00 |
| Rate for Payer: Aetna American Axle |
$86.83
|
| Rate for Payer: Aetna Commercial |
$113.54
|
| Rate for Payer: Aetna Medicare |
$56.54
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$86.83
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$67.96
|
| Rate for Payer: Amish Plain Church Group Commercial |
$67.96
|
| Rate for Payer: BCBS Complete |
$31.23
|
| Rate for Payer: BCBS MAPPO |
$54.37
|
| Rate for Payer: BCBS Trust/PPO |
$271.43
|
| Rate for Payer: BCN Medicare Advantage |
$54.37
|
| Rate for Payer: Cash Price |
$106.86
|
| Rate for Payer: Cash Price |
$106.86
|
| Rate for Payer: Cash Price |
$106.86
|
| Rate for Payer: Cofinity Commercial |
$93.51
|
| Rate for Payer: Cofinity Commercial |
$114.88
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$106.86
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$54.37
|
| Rate for Payer: Healthscope Commercial |
$120.22
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$93.51
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$100.18
|
| Rate for Payer: Mclaren Medicaid |
$29.74
|
| Rate for Payer: Mclaren Medicare |
$54.37
|
| Rate for Payer: Meridian Medicaid |
$31.23
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$57.09
|
| Rate for Payer: MI Amish Medical Board Commercial |
$62.53
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$113.54
|
| Rate for Payer: PACE Medicare |
$51.65
|
| Rate for Payer: PACE SWMI |
$54.37
|
| Rate for Payer: PHP Commercial |
$113.54
|
| Rate for Payer: PHP Medicare Advantage |
$54.37
|
| Rate for Payer: Priority Health Choice Medicaid |
$29.74
|
| Rate for Payer: Priority Health Cigna Priority Health |
$93.51
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$171.15
|
| Rate for Payer: Priority Health Medicare |
$54.37
|
| Rate for Payer: Priority Health Narrow Network |
$136.92
|
| Rate for Payer: Priority Health SBD |
$84.16
|
| Rate for Payer: Railroad Medicare Medicare |
$54.37
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$70.24
|
| Rate for Payer: UHC Core |
$294.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$54.37
|
| Rate for Payer: UHC Exchange |
$63.85
|
| Rate for Payer: UHC Medicare Advantage |
$56.00
|
| Rate for Payer: UMR Bronson Commercial |
$49.42
|
| Rate for Payer: VA VA |
$54.37
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$100.18
|
|
|
HC EXPLORE WOUND EXTREMITY
|
Facility
|
OP
|
$1,904.25
|
|
|
Service Code
|
CPT 20103
|
| Hospital Charge Code |
45000007
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$339.88 |
| Max. Negotiated Rate |
$4,536.73 |
| Rate for Payer: Aetna American Axle |
$1,237.76
|
| Rate for Payer: Aetna Commercial |
$1,618.61
|
| Rate for Payer: Aetna Medicare |
$1,498.78
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,237.76
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,801.41
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1,801.41
|
| Rate for Payer: BCBS Complete |
$827.79
|
| Rate for Payer: BCBS MAPPO |
$1,441.13
|
| Rate for Payer: BCBS Trust/PPO |
$762.25
|
| Rate for Payer: BCN Medicare Advantage |
$1,441.13
|
| Rate for Payer: Cash Price |
$1,523.40
|
| Rate for Payer: Cash Price |
$1,523.40
|
| Rate for Payer: Cofinity Commercial |
$1,637.66
|
| Rate for Payer: Cofinity Commercial |
$1,332.98
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,523.40
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,441.13
|
| Rate for Payer: Healthscope Commercial |
$1,713.82
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,332.98
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,428.19
|
| Rate for Payer: Mclaren Medicaid |
$788.30
|
| Rate for Payer: Mclaren Medicare |
$1,441.13
|
| Rate for Payer: Meridian Medicaid |
$827.79
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,513.19
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,657.30
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,618.61
|
| Rate for Payer: PACE Medicare |
$1,369.07
|
| Rate for Payer: PACE SWMI |
$1,441.13
|
| Rate for Payer: PHP Commercial |
$1,618.61
|
| Rate for Payer: PHP Medicare Advantage |
$1,441.13
|
| Rate for Payer: Priority Health Choice Medicaid |
$788.30
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,332.98
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$4,536.73
|
| Rate for Payer: Priority Health Medicare |
$1,441.13
|
| Rate for Payer: Priority Health Narrow Network |
$3,629.38
|
| Rate for Payer: Priority Health SBD |
$1,199.68
|
| Rate for Payer: Railroad Medicare Medicare |
$1,441.13
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$373.87
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,441.13
|
| Rate for Payer: UHC Exchange |
$339.88
|
| Rate for Payer: UHC Medicare Advantage |
$1,484.36
|
| Rate for Payer: UMR Bronson Commercial |
$704.57
|
| Rate for Payer: VA VA |
$1,441.13
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,428.19
|
|
|
HC EXPLORE WOUND EXTREMITY
|
Facility
|
IP
|
$1,904.25
|
|
|
Service Code
|
CPT 20103
|
| Hospital Charge Code |
45000007
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$837.87 |
| Max. Negotiated Rate |
$1,713.82 |
| Rate for Payer: Aetna American Axle |
$1,237.76
|
| Rate for Payer: Aetna Commercial |
$1,618.61
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,237.76
|
| Rate for Payer: Cash Price |
$1,523.40
|
| Rate for Payer: Cofinity Commercial |
$1,332.98
|
| Rate for Payer: Cofinity Commercial |
$1,637.66
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,523.40
|
| Rate for Payer: Healthscope Commercial |
$1,713.82
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,332.98
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,428.19
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,618.61
|
| Rate for Payer: PHP Commercial |
$1,618.61
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,332.98
|
| Rate for Payer: Priority Health SBD |
$1,199.68
|
| Rate for Payer: UMR Bronson Commercial |
$837.87
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,428.19
|
|
|
HC EXTENDED RECOVERY 0-6 HRS
|
Facility
|
IP
|
$1,726.39
|
|
| Hospital Charge Code |
71000005
|
|
Hospital Revenue Code
|
710
|
| Min. Negotiated Rate |
$759.61 |
| Max. Negotiated Rate |
$1,553.75 |
| Rate for Payer: Aetna American Axle |
$1,122.15
|
| Rate for Payer: Aetna Commercial |
$1,467.43
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,122.15
|
| Rate for Payer: Cash Price |
$1,381.11
|
| Rate for Payer: Cofinity Commercial |
$1,208.47
|
| Rate for Payer: Cofinity Commercial |
$1,484.70
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,381.11
|
| Rate for Payer: Healthscope Commercial |
$1,553.75
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,208.47
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,294.79
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,467.43
|
| Rate for Payer: PHP Commercial |
$1,467.43
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,208.47
|
| Rate for Payer: Priority Health SBD |
$1,087.63
|
| Rate for Payer: UMR Bronson Commercial |
$759.61
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,294.79
|
|
|
HC EXTENDED RECOVERY 0-6 HRS
|
Facility
|
OP
|
$1,726.39
|
|
| Hospital Charge Code |
71000005
|
|
Hospital Revenue Code
|
710
|
| Min. Negotiated Rate |
$638.76 |
| Max. Negotiated Rate |
$1,553.75 |
| Rate for Payer: Aetna American Axle |
$1,122.15
|
| Rate for Payer: Aetna Commercial |
$1,467.43
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,122.15
|
| Rate for Payer: BCBS Complete |
$690.56
|
| Rate for Payer: Cash Price |
$1,381.11
|
| Rate for Payer: Cofinity Commercial |
$1,208.47
|
| Rate for Payer: Cofinity Commercial |
$1,484.70
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,381.11
|
| Rate for Payer: Healthscope Commercial |
$1,553.75
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,208.47
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,294.79
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,467.43
|
| Rate for Payer: PHP Commercial |
$1,467.43
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,208.47
|
| Rate for Payer: Priority Health SBD |
$1,087.63
|
| Rate for Payer: UMR Bronson Commercial |
$638.76
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,294.79
|
|
|
HC EXTENDED RECOVERY 12-18 HRS
|
Facility
|
OP
|
$2,018.44
|
|
| Hospital Charge Code |
71000006
|
|
Hospital Revenue Code
|
710
|
| Min. Negotiated Rate |
$746.82 |
| Max. Negotiated Rate |
$1,816.60 |
| Rate for Payer: Aetna American Axle |
$1,311.99
|
| Rate for Payer: Aetna Commercial |
$1,715.67
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,311.99
|
| Rate for Payer: BCBS Complete |
$807.38
|
| Rate for Payer: Cash Price |
$1,614.75
|
| Rate for Payer: Cofinity Commercial |
$1,412.91
|
| Rate for Payer: Cofinity Commercial |
$1,735.86
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,614.75
|
| Rate for Payer: Healthscope Commercial |
$1,816.60
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,412.91
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,513.83
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,715.67
|
| Rate for Payer: PHP Commercial |
$1,715.67
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,412.91
|
| Rate for Payer: Priority Health SBD |
$1,271.62
|
| Rate for Payer: UMR Bronson Commercial |
$746.82
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,513.83
|
|
|
HC EXTENDED RECOVERY 12-18 HRS
|
Facility
|
IP
|
$2,018.44
|
|
| Hospital Charge Code |
71000006
|
|
Hospital Revenue Code
|
710
|
| Min. Negotiated Rate |
$888.11 |
| Max. Negotiated Rate |
$1,816.60 |
| Rate for Payer: Aetna American Axle |
$1,311.99
|
| Rate for Payer: Aetna Commercial |
$1,715.67
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,311.99
|
| Rate for Payer: Cash Price |
$1,614.75
|
| Rate for Payer: Cofinity Commercial |
$1,412.91
|
| Rate for Payer: Cofinity Commercial |
$1,735.86
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,614.75
|
| Rate for Payer: Healthscope Commercial |
$1,816.60
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,412.91
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,513.83
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,715.67
|
| Rate for Payer: PHP Commercial |
$1,715.67
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,412.91
|
| Rate for Payer: Priority Health SBD |
$1,271.62
|
| Rate for Payer: UMR Bronson Commercial |
$888.11
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,513.83
|
|
|
HC EXTENDED RECOVERY 18-24 HRS
|
Facility
|
IP
|
$2,206.16
|
|
| Hospital Charge Code |
71000007
|
|
Hospital Revenue Code
|
710
|
| Min. Negotiated Rate |
$970.71 |
| Max. Negotiated Rate |
$1,985.54 |
| Rate for Payer: Aetna American Axle |
$1,434.00
|
| Rate for Payer: Aetna Commercial |
$1,875.24
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,434.00
|
| Rate for Payer: Cash Price |
$1,764.93
|
| Rate for Payer: Cofinity Commercial |
$1,544.31
|
| Rate for Payer: Cofinity Commercial |
$1,897.30
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,764.93
|
| Rate for Payer: Healthscope Commercial |
$1,985.54
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,544.31
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,654.62
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,875.24
|
| Rate for Payer: PHP Commercial |
$1,875.24
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,544.31
|
| Rate for Payer: Priority Health SBD |
$1,389.88
|
| Rate for Payer: UMR Bronson Commercial |
$970.71
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,654.62
|
|
|
HC EXTENDED RECOVERY 18-24 HRS
|
Facility
|
OP
|
$2,206.16
|
|
| Hospital Charge Code |
71000007
|
|
Hospital Revenue Code
|
710
|
| Min. Negotiated Rate |
$816.28 |
| Max. Negotiated Rate |
$1,985.54 |
| Rate for Payer: Aetna American Axle |
$1,434.00
|
| Rate for Payer: Aetna Commercial |
$1,875.24
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,434.00
|
| Rate for Payer: BCBS Complete |
$882.46
|
| Rate for Payer: Cash Price |
$1,764.93
|
| Rate for Payer: Cofinity Commercial |
$1,544.31
|
| Rate for Payer: Cofinity Commercial |
$1,897.30
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,764.93
|
| Rate for Payer: Healthscope Commercial |
$1,985.54
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,544.31
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,654.62
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,875.24
|
| Rate for Payer: PHP Commercial |
$1,875.24
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,544.31
|
| Rate for Payer: Priority Health SBD |
$1,389.88
|
| Rate for Payer: UMR Bronson Commercial |
$816.28
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,654.62
|
|
|
HC EXTENDED RECOVERY 6-12 HRS
|
Facility
|
OP
|
$1,888.04
|
|
| Hospital Charge Code |
71000008
|
|
Hospital Revenue Code
|
710
|
| Min. Negotiated Rate |
$698.57 |
| Max. Negotiated Rate |
$1,699.24 |
| Rate for Payer: Aetna American Axle |
$1,227.23
|
| Rate for Payer: Aetna Commercial |
$1,604.83
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,227.23
|
| Rate for Payer: BCBS Complete |
$755.22
|
| Rate for Payer: Cash Price |
$1,510.43
|
| Rate for Payer: Cofinity Commercial |
$1,321.63
|
| Rate for Payer: Cofinity Commercial |
$1,623.71
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,510.43
|
| Rate for Payer: Healthscope Commercial |
$1,699.24
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,321.63
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,416.03
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,604.83
|
| Rate for Payer: PHP Commercial |
$1,604.83
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,321.63
|
| Rate for Payer: Priority Health SBD |
$1,189.47
|
| Rate for Payer: UMR Bronson Commercial |
$698.57
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,416.03
|
|
|
HC EXTENDED RECOVERY 6-12 HRS
|
Facility
|
IP
|
$1,888.04
|
|
| Hospital Charge Code |
71000008
|
|
Hospital Revenue Code
|
710
|
| Min. Negotiated Rate |
$830.74 |
| Max. Negotiated Rate |
$1,699.24 |
| Rate for Payer: Aetna American Axle |
$1,227.23
|
| Rate for Payer: Aetna Commercial |
$1,604.83
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,227.23
|
| Rate for Payer: Cash Price |
$1,510.43
|
| Rate for Payer: Cofinity Commercial |
$1,321.63
|
| Rate for Payer: Cofinity Commercial |
$1,623.71
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,510.43
|
| Rate for Payer: Healthscope Commercial |
$1,699.24
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,321.63
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,416.03
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,604.83
|
| Rate for Payer: PHP Commercial |
$1,604.83
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,321.63
|
| Rate for Payer: Priority Health SBD |
$1,189.47
|
| Rate for Payer: UMR Bronson Commercial |
$830.74
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,416.03
|
|
