|
HC FFR MEASUREMENT ADD VESS
|
Facility
|
OP
|
$824.08
|
|
|
Service Code
|
CPT 93572
|
| Hospital Charge Code |
48100028
|
|
Hospital Revenue Code
|
481
|
| Min. Negotiated Rate |
$304.91 |
| Max. Negotiated Rate |
$741.67 |
| Rate for Payer: Aetna American Axle |
$535.65
|
| Rate for Payer: Aetna Commercial |
$700.47
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$535.65
|
| Rate for Payer: BCBS Complete |
$329.63
|
| Rate for Payer: BCBS Trust/PPO |
$311.65
|
| Rate for Payer: Cash Price |
$659.26
|
| Rate for Payer: Cash Price |
$659.26
|
| Rate for Payer: Cofinity Commercial |
$708.71
|
| Rate for Payer: Cofinity Commercial |
$576.86
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$659.26
|
| Rate for Payer: Healthscope Commercial |
$741.67
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$576.86
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$618.06
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$700.47
|
| Rate for Payer: PHP Commercial |
$700.47
|
| Rate for Payer: Priority Health Cigna Priority Health |
$576.86
|
| Rate for Payer: Priority Health SBD |
$519.17
|
| Rate for Payer: UHC Core |
$700.00
|
| Rate for Payer: UMR Bronson Commercial |
$304.91
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$618.06
|
|
|
HC FIBEROPTIC IABP KIT
|
Facility
|
OP
|
$2,623.95
|
|
| Hospital Charge Code |
27200301
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$970.86 |
| Max. Negotiated Rate |
$2,361.56 |
| Rate for Payer: Aetna American Axle |
$1,705.57
|
| Rate for Payer: Aetna Commercial |
$2,230.36
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,705.57
|
| Rate for Payer: BCBS Complete |
$1,049.58
|
| Rate for Payer: Cash Price |
$2,099.16
|
| Rate for Payer: Cofinity Commercial |
$1,836.76
|
| Rate for Payer: Cofinity Commercial |
$2,256.60
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,099.16
|
| Rate for Payer: Healthscope Commercial |
$2,361.56
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,836.76
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,967.96
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$2,230.36
|
| Rate for Payer: PHP Commercial |
$2,230.36
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,836.76
|
| Rate for Payer: Priority Health SBD |
$1,653.09
|
| Rate for Payer: UMR Bronson Commercial |
$970.86
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,967.96
|
|
|
HC FIBEROPTIC IABP KIT
|
Facility
|
IP
|
$2,623.95
|
|
| Hospital Charge Code |
27200301
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$1,154.54 |
| Max. Negotiated Rate |
$2,361.56 |
| Rate for Payer: Aetna American Axle |
$1,705.57
|
| Rate for Payer: Aetna Commercial |
$2,230.36
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,705.57
|
| Rate for Payer: Cash Price |
$2,099.16
|
| Rate for Payer: Cofinity Commercial |
$1,836.76
|
| Rate for Payer: Cofinity Commercial |
$2,256.60
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,099.16
|
| Rate for Payer: Healthscope Commercial |
$2,361.56
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,836.76
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,967.96
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$2,230.36
|
| Rate for Payer: PHP Commercial |
$2,230.36
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,836.76
|
| Rate for Payer: Priority Health SBD |
$1,653.09
|
| Rate for Payer: UMR Bronson Commercial |
$1,154.54
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,967.96
|
|
|
HC FIBRINOGEN
|
Facility
|
IP
|
$75.40
|
|
|
Service Code
|
CPT 85384
|
| Hospital Charge Code |
30500045
|
|
Hospital Revenue Code
|
305
|
| Min. Negotiated Rate |
$33.18 |
| Max. Negotiated Rate |
$67.86 |
| Rate for Payer: Aetna American Axle |
$49.01
|
| Rate for Payer: Aetna Commercial |
$64.09
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$49.01
|
| Rate for Payer: Cash Price |
$60.32
|
| Rate for Payer: Cofinity Commercial |
$52.78
|
| Rate for Payer: Cofinity Commercial |
$64.84
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$60.32
|
| Rate for Payer: Healthscope Commercial |
$67.86
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$52.78
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$56.55
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$64.09
|
| Rate for Payer: PHP Commercial |
$64.09
|
| Rate for Payer: Priority Health Cigna Priority Health |
$52.78
|
| Rate for Payer: Priority Health SBD |
$47.50
|
| Rate for Payer: UMR Bronson Commercial |
$33.18
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$56.55
|
|
|
HC FIBRINOGEN
|
Facility
|
OP
|
$75.40
|
|
|
Service Code
|
CPT 85384
|
| Hospital Charge Code |
30500045
|
|
Hospital Revenue Code
|
305
|
| Min. Negotiated Rate |
$5.32 |
| Max. Negotiated Rate |
$67.86 |
| Rate for Payer: Aetna American Axle |
$49.01
|
| Rate for Payer: Aetna Commercial |
$64.09
|
| Rate for Payer: Aetna Medicare |
$10.11
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$49.01
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$12.15
|
| Rate for Payer: Amish Plain Church Group Commercial |
$12.15
|
| Rate for Payer: BCBS Complete |
$5.58
|
| Rate for Payer: BCBS MAPPO |
$9.72
|
| Rate for Payer: BCBS Trust/PPO |
$8.74
|
| Rate for Payer: BCN Medicare Advantage |
$9.72
|
| Rate for Payer: Cash Price |
$60.32
|
| Rate for Payer: Cash Price |
$60.32
|
| Rate for Payer: Cofinity Commercial |
$64.84
|
| Rate for Payer: Cofinity Commercial |
$52.78
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$60.32
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$9.72
|
| Rate for Payer: Healthscope Commercial |
$67.86
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$52.78
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$56.55
|
| Rate for Payer: Mclaren Medicaid |
$5.32
|
| Rate for Payer: Mclaren Medicare |
$9.72
|
| Rate for Payer: Meridian Medicaid |
$5.58
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$10.21
|
| Rate for Payer: MI Amish Medical Board Commercial |
$11.18
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$64.09
|
| Rate for Payer: PACE Medicare |
$9.23
|
| Rate for Payer: PACE SWMI |
$9.72
|
| Rate for Payer: PHP Commercial |
$64.09
|
| Rate for Payer: PHP Medicare Advantage |
$9.72
|
| Rate for Payer: Priority Health Choice Medicaid |
$5.32
|
| Rate for Payer: Priority Health Cigna Priority Health |
$52.78
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$11.65
|
| Rate for Payer: Priority Health Medicare |
$9.72
|
| Rate for Payer: Priority Health Narrow Network |
$9.32
|
| Rate for Payer: Priority Health SBD |
$47.50
|
| Rate for Payer: Railroad Medicare Medicare |
$9.72
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$11.66
|
| Rate for Payer: UHC Core |
$14.02
|
| Rate for Payer: UHC Dual Complete DSNP |
$9.72
|
| Rate for Payer: UHC Exchange |
$9.72
|
| Rate for Payer: UHC Medicare Advantage |
$10.01
|
| Rate for Payer: UMR Bronson Commercial |
$27.90
|
| Rate for Payer: VA VA |
$9.72
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$56.55
|
|
|
HC FIBROTEST-ACTITEST, S
|
Facility
|
OP
|
$285.00
|
|
|
Service Code
|
CPT 81596
|
| Hospital Charge Code |
30000155
|
|
Hospital Revenue Code
|
300
|
| Min. Negotiated Rate |
$39.49 |
| Max. Negotiated Rate |
$256.50 |
| Rate for Payer: Aetna American Axle |
$185.25
|
| Rate for Payer: Aetna Commercial |
$242.25
|
| Rate for Payer: Aetna Medicare |
$75.08
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$185.25
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$90.24
|
| Rate for Payer: Amish Plain Church Group Commercial |
$90.24
|
| Rate for Payer: BCBS Complete |
$41.47
|
| Rate for Payer: BCBS MAPPO |
$72.19
|
| Rate for Payer: BCBS Trust/PPO |
$64.92
|
| Rate for Payer: BCN Medicare Advantage |
$72.19
|
| Rate for Payer: Cash Price |
$228.00
|
| Rate for Payer: Cash Price |
$228.00
|
| Rate for Payer: Cofinity Commercial |
$199.50
|
| Rate for Payer: Cofinity Commercial |
$245.10
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$228.00
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$72.19
|
| Rate for Payer: Healthscope Commercial |
$256.50
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$199.50
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$213.75
|
| Rate for Payer: Mclaren Medicaid |
$39.49
|
| Rate for Payer: Mclaren Medicare |
$72.19
|
| Rate for Payer: Meridian Medicaid |
$41.47
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$75.80
|
| Rate for Payer: MI Amish Medical Board Commercial |
$83.02
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$242.25
|
| Rate for Payer: PACE Medicare |
$68.58
|
| Rate for Payer: PACE SWMI |
$72.19
|
| Rate for Payer: PHP Commercial |
$242.25
|
| Rate for Payer: PHP Medicare Advantage |
$72.19
|
| Rate for Payer: Priority Health Choice Medicaid |
$39.49
|
| Rate for Payer: Priority Health Cigna Priority Health |
$199.50
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$72.19
|
| Rate for Payer: Priority Health Medicare |
$72.19
|
| Rate for Payer: Priority Health Narrow Network |
$57.75
|
| Rate for Payer: Priority Health SBD |
$179.55
|
| Rate for Payer: Railroad Medicare Medicare |
$72.19
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$86.63
|
| Rate for Payer: UHC Core |
$86.63
|
| Rate for Payer: UHC Dual Complete DSNP |
$72.19
|
| Rate for Payer: UHC Exchange |
$72.19
|
| Rate for Payer: UHC Medicare Advantage |
$74.36
|
| Rate for Payer: UMR Bronson Commercial |
$105.45
|
| Rate for Payer: VA VA |
$72.19
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$213.75
|
|
|
HC FIBROTEST-ACTITEST, S
|
Facility
|
IP
|
$285.00
|
|
|
Service Code
|
CPT 81596
|
| Hospital Charge Code |
30000155
|
|
Hospital Revenue Code
|
300
|
| Min. Negotiated Rate |
$125.40 |
| Max. Negotiated Rate |
$256.50 |
| Rate for Payer: Aetna American Axle |
$185.25
|
| Rate for Payer: Aetna Commercial |
$242.25
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$185.25
|
| Rate for Payer: Cash Price |
$228.00
|
| Rate for Payer: Cofinity Commercial |
$245.10
|
| Rate for Payer: Cofinity Commercial |
$199.50
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$228.00
|
| Rate for Payer: Healthscope Commercial |
$256.50
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$199.50
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$213.75
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$242.25
|
| Rate for Payer: PHP Commercial |
$242.25
|
| Rate for Payer: Priority Health Cigna Priority Health |
$199.50
|
| Rate for Payer: Priority Health SBD |
$179.55
|
| Rate for Payer: UMR Bronson Commercial |
$125.40
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$213.75
|
|
|
HC FILSHIE CLIP
|
Facility
|
IP
|
$329.24
|
|
| Hospital Charge Code |
27000076
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$144.87 |
| Max. Negotiated Rate |
$296.32 |
| Rate for Payer: Aetna American Axle |
$214.01
|
| Rate for Payer: Aetna Commercial |
$279.85
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$214.01
|
| Rate for Payer: Cash Price |
$263.39
|
| Rate for Payer: Cofinity Commercial |
$230.47
|
| Rate for Payer: Cofinity Commercial |
$283.15
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$263.39
|
| Rate for Payer: Healthscope Commercial |
$296.32
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$230.47
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$246.93
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$279.85
|
| Rate for Payer: PHP Commercial |
$279.85
|
| Rate for Payer: Priority Health Cigna Priority Health |
$230.47
|
| Rate for Payer: Priority Health SBD |
$207.42
|
| Rate for Payer: UMR Bronson Commercial |
$144.87
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$246.93
|
|
|
HC FILSHIE CLIP
|
Facility
|
OP
|
$329.24
|
|
| Hospital Charge Code |
27000076
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$121.82 |
| Max. Negotiated Rate |
$296.32 |
| Rate for Payer: Aetna American Axle |
$214.01
|
| Rate for Payer: Aetna Commercial |
$279.85
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$214.01
|
| Rate for Payer: BCBS Complete |
$131.70
|
| Rate for Payer: Cash Price |
$263.39
|
| Rate for Payer: Cofinity Commercial |
$230.47
|
| Rate for Payer: Cofinity Commercial |
$283.15
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$263.39
|
| Rate for Payer: Healthscope Commercial |
$296.32
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$230.47
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$246.93
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$279.85
|
| Rate for Payer: PHP Commercial |
$279.85
|
| Rate for Payer: Priority Health Cigna Priority Health |
$230.47
|
| Rate for Payer: Priority Health SBD |
$207.42
|
| Rate for Payer: UMR Bronson Commercial |
$121.82
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$246.93
|
|
|
HC FILTER ATS LIPIGUARD
|
Facility
|
OP
|
$57.00
|
|
| Hospital Charge Code |
27000121
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$21.09 |
| Max. Negotiated Rate |
$51.30 |
| Rate for Payer: Aetna American Axle |
$37.05
|
| Rate for Payer: Aetna Commercial |
$48.45
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$37.05
|
| Rate for Payer: BCBS Complete |
$22.80
|
| Rate for Payer: Cash Price |
$45.60
|
| Rate for Payer: Cofinity Commercial |
$39.90
|
| Rate for Payer: Cofinity Commercial |
$49.02
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$45.60
|
| Rate for Payer: Healthscope Commercial |
$51.30
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$39.90
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$42.75
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$48.45
|
| Rate for Payer: PHP Commercial |
$48.45
|
| Rate for Payer: Priority Health Cigna Priority Health |
$39.90
|
| Rate for Payer: Priority Health SBD |
$35.91
|
| Rate for Payer: UMR Bronson Commercial |
$21.09
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$42.75
|
|
|
HC FILTER ATS LIPIGUARD
|
Facility
|
IP
|
$57.00
|
|
| Hospital Charge Code |
27000121
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$25.08 |
| Max. Negotiated Rate |
$51.30 |
| Rate for Payer: Aetna American Axle |
$37.05
|
| Rate for Payer: Aetna Commercial |
$48.45
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$37.05
|
| Rate for Payer: Cash Price |
$45.60
|
| Rate for Payer: Cofinity Commercial |
$39.90
|
| Rate for Payer: Cofinity Commercial |
$49.02
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$45.60
|
| Rate for Payer: Healthscope Commercial |
$51.30
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$39.90
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$42.75
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$48.45
|
| Rate for Payer: PHP Commercial |
$48.45
|
| Rate for Payer: Priority Health Cigna Priority Health |
$39.90
|
| Rate for Payer: Priority Health SBD |
$35.91
|
| Rate for Payer: UMR Bronson Commercial |
$25.08
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$42.75
|
|
|
HC FILTERWIRE
|
Facility
|
OP
|
$3,739.66
|
|
|
Service Code
|
HCPCS C1884
|
| Hospital Charge Code |
27800011
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$1,383.67 |
| Max. Negotiated Rate |
$3,365.69 |
| Rate for Payer: Aetna American Axle |
$2,430.78
|
| Rate for Payer: Aetna Commercial |
$3,178.71
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,430.78
|
| Rate for Payer: BCBS Complete |
$1,495.86
|
| Rate for Payer: Cash Price |
$2,991.73
|
| Rate for Payer: Cofinity Commercial |
$2,617.76
|
| Rate for Payer: Cofinity Commercial |
$3,216.11
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,991.73
|
| Rate for Payer: Healthscope Commercial |
$3,365.69
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$2,617.76
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,804.74
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$3,178.71
|
| Rate for Payer: PHP Commercial |
$3,178.71
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,617.76
|
| Rate for Payer: Priority Health SBD |
$2,355.99
|
| Rate for Payer: UMR Bronson Commercial |
$1,383.67
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,804.74
|
|
|
HC FILTERWIRE
|
Facility
|
IP
|
$3,739.66
|
|
|
Service Code
|
HCPCS C1884
|
| Hospital Charge Code |
27800011
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$1,645.45 |
| Max. Negotiated Rate |
$3,365.69 |
| Rate for Payer: Aetna American Axle |
$2,430.78
|
| Rate for Payer: Aetna Commercial |
$3,178.71
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,430.78
|
| Rate for Payer: Cash Price |
$2,991.73
|
| Rate for Payer: Cofinity Commercial |
$2,617.76
|
| Rate for Payer: Cofinity Commercial |
$3,216.11
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,991.73
|
| Rate for Payer: Healthscope Commercial |
$3,365.69
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$2,617.76
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,804.74
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$3,178.71
|
| Rate for Payer: PHP Commercial |
$3,178.71
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,617.76
|
| Rate for Payer: Priority Health SBD |
$2,355.99
|
| Rate for Payer: UMR Bronson Commercial |
$1,645.45
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,804.74
|
|
|
HC FINGER SPLINT, STATIC, SUPPLY
|
Facility
|
OP
|
$20.40
|
|
| Hospital Charge Code |
27000646
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$7.55 |
| Max. Negotiated Rate |
$18.36 |
| Rate for Payer: Aetna American Axle |
$13.26
|
| Rate for Payer: Aetna Commercial |
$17.34
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$13.26
|
| Rate for Payer: BCBS Complete |
$8.16
|
| Rate for Payer: Cash Price |
$16.32
|
| Rate for Payer: Cofinity Commercial |
$14.28
|
| Rate for Payer: Cofinity Commercial |
$17.54
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$16.32
|
| Rate for Payer: Healthscope Commercial |
$18.36
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$14.28
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$15.30
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$17.34
|
| Rate for Payer: PHP Commercial |
$17.34
|
| Rate for Payer: Priority Health Cigna Priority Health |
$14.28
|
| Rate for Payer: Priority Health SBD |
$12.85
|
| Rate for Payer: UMR Bronson Commercial |
$7.55
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$15.30
|
|
|
HC FINGER SPLINT, STATIC, SUPPLY
|
Facility
|
IP
|
$20.40
|
|
| Hospital Charge Code |
27000646
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$8.98 |
| Max. Negotiated Rate |
$18.36 |
| Rate for Payer: Aetna American Axle |
$13.26
|
| Rate for Payer: Aetna Commercial |
$17.34
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$13.26
|
| Rate for Payer: Cash Price |
$16.32
|
| Rate for Payer: Cofinity Commercial |
$14.28
|
| Rate for Payer: Cofinity Commercial |
$17.54
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$16.32
|
| Rate for Payer: Healthscope Commercial |
$18.36
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$14.28
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$15.30
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$17.34
|
| Rate for Payer: PHP Commercial |
$17.34
|
| Rate for Payer: Priority Health Cigna Priority Health |
$14.28
|
| Rate for Payer: Priority Health SBD |
$12.85
|
| Rate for Payer: UMR Bronson Commercial |
$8.98
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$15.30
|
|
|
HC FISH PRENATAL ANEUPLOIDY
|
Facility
|
OP
|
$165.24
|
|
|
Service Code
|
CPT 88275
|
| Hospital Charge Code |
31000034
|
|
Hospital Revenue Code
|
310
|
| Min. Negotiated Rate |
$28.00 |
| Max. Negotiated Rate |
$148.72 |
| Rate for Payer: Aetna American Axle |
$107.41
|
| Rate for Payer: Aetna Commercial |
$140.45
|
| Rate for Payer: Aetna Medicare |
$53.24
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$107.41
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$63.99
|
| Rate for Payer: Amish Plain Church Group Commercial |
$63.99
|
| Rate for Payer: BCBS Complete |
$29.40
|
| Rate for Payer: BCBS MAPPO |
$51.19
|
| Rate for Payer: BCBS Trust/PPO |
$46.03
|
| Rate for Payer: BCN Medicare Advantage |
$51.19
|
| Rate for Payer: Cash Price |
$132.19
|
| Rate for Payer: Cash Price |
$132.19
|
| Rate for Payer: Cofinity Commercial |
$115.67
|
| Rate for Payer: Cofinity Commercial |
$142.11
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$132.19
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$51.19
|
| Rate for Payer: Healthscope Commercial |
$148.72
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$115.67
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$123.93
|
| Rate for Payer: Mclaren Medicaid |
$28.00
|
| Rate for Payer: Mclaren Medicare |
$51.19
|
| Rate for Payer: Meridian Medicaid |
$29.40
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$53.75
|
| Rate for Payer: MI Amish Medical Board Commercial |
$58.87
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$140.45
|
| Rate for Payer: PACE Medicare |
$48.63
|
| Rate for Payer: PACE SWMI |
$51.19
|
| Rate for Payer: PHP Commercial |
$140.45
|
| Rate for Payer: PHP Medicare Advantage |
$51.19
|
| Rate for Payer: Priority Health Choice Medicaid |
$28.00
|
| Rate for Payer: Priority Health Cigna Priority Health |
$115.67
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$55.09
|
| Rate for Payer: Priority Health Medicare |
$51.19
|
| Rate for Payer: Priority Health Narrow Network |
$44.07
|
| Rate for Payer: Priority Health SBD |
$104.10
|
| Rate for Payer: Railroad Medicare Medicare |
$51.19
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$61.43
|
| Rate for Payer: UHC Core |
$66.24
|
| Rate for Payer: UHC Dual Complete DSNP |
$51.19
|
| Rate for Payer: UHC Exchange |
$51.19
|
| Rate for Payer: UHC Medicare Advantage |
$52.73
|
| Rate for Payer: UMR Bronson Commercial |
$61.14
|
| Rate for Payer: VA VA |
$51.19
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$123.93
|
|
|
HC FISH PRENATAL ANEUPLOIDY
|
Facility
|
IP
|
$165.24
|
|
|
Service Code
|
CPT 88275
|
| Hospital Charge Code |
31000034
|
|
Hospital Revenue Code
|
310
|
| Min. Negotiated Rate |
$72.71 |
| Max. Negotiated Rate |
$148.72 |
| Rate for Payer: Aetna American Axle |
$107.41
|
| Rate for Payer: Aetna Commercial |
$140.45
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$107.41
|
| Rate for Payer: Cash Price |
$132.19
|
| Rate for Payer: Cofinity Commercial |
$115.67
|
| Rate for Payer: Cofinity Commercial |
$142.11
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$132.19
|
| Rate for Payer: Healthscope Commercial |
$148.72
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$115.67
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$123.93
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$140.45
|
| Rate for Payer: PHP Commercial |
$140.45
|
| Rate for Payer: Priority Health Cigna Priority Health |
$115.67
|
| Rate for Payer: Priority Health SBD |
$104.10
|
| Rate for Payer: UMR Bronson Commercial |
$72.71
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$123.93
|
|
|
HC FISH PROBES
|
Facility
|
IP
|
$76.34
|
|
|
Service Code
|
CPT 88275
|
| Hospital Charge Code |
31000067
|
|
Hospital Revenue Code
|
310
|
| Min. Negotiated Rate |
$33.59 |
| Max. Negotiated Rate |
$68.71 |
| Rate for Payer: Aetna American Axle |
$49.62
|
| Rate for Payer: Aetna Commercial |
$64.89
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$49.62
|
| Rate for Payer: Cash Price |
$61.07
|
| Rate for Payer: Cofinity Commercial |
$53.44
|
| Rate for Payer: Cofinity Commercial |
$65.65
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$61.07
|
| Rate for Payer: Healthscope Commercial |
$68.71
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$53.44
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$57.26
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$64.89
|
| Rate for Payer: PHP Commercial |
$64.89
|
| Rate for Payer: Priority Health Cigna Priority Health |
$53.44
|
| Rate for Payer: Priority Health SBD |
$48.09
|
| Rate for Payer: UMR Bronson Commercial |
$33.59
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$57.26
|
|
|
HC FISH PROBES
|
Facility
|
OP
|
$76.34
|
|
|
Service Code
|
CPT 88275
|
| Hospital Charge Code |
31000067
|
|
Hospital Revenue Code
|
310
|
| Min. Negotiated Rate |
$28.00 |
| Max. Negotiated Rate |
$68.71 |
| Rate for Payer: Aetna American Axle |
$49.62
|
| Rate for Payer: Aetna Commercial |
$64.89
|
| Rate for Payer: Aetna Medicare |
$53.24
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$49.62
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$63.99
|
| Rate for Payer: Amish Plain Church Group Commercial |
$63.99
|
| Rate for Payer: BCBS Complete |
$29.40
|
| Rate for Payer: BCBS MAPPO |
$51.19
|
| Rate for Payer: BCBS Trust/PPO |
$46.03
|
| Rate for Payer: BCN Medicare Advantage |
$51.19
|
| Rate for Payer: Cash Price |
$61.07
|
| Rate for Payer: Cash Price |
$61.07
|
| Rate for Payer: Cofinity Commercial |
$53.44
|
| Rate for Payer: Cofinity Commercial |
$65.65
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$61.07
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$51.19
|
| Rate for Payer: Healthscope Commercial |
$68.71
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$53.44
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$57.26
|
| Rate for Payer: Mclaren Medicaid |
$28.00
|
| Rate for Payer: Mclaren Medicare |
$51.19
|
| Rate for Payer: Meridian Medicaid |
$29.40
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$53.75
|
| Rate for Payer: MI Amish Medical Board Commercial |
$58.87
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$64.89
|
| Rate for Payer: PACE Medicare |
$48.63
|
| Rate for Payer: PACE SWMI |
$51.19
|
| Rate for Payer: PHP Commercial |
$64.89
|
| Rate for Payer: PHP Medicare Advantage |
$51.19
|
| Rate for Payer: Priority Health Choice Medicaid |
$28.00
|
| Rate for Payer: Priority Health Cigna Priority Health |
$53.44
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$55.09
|
| Rate for Payer: Priority Health Medicare |
$51.19
|
| Rate for Payer: Priority Health Narrow Network |
$44.07
|
| Rate for Payer: Priority Health SBD |
$48.09
|
| Rate for Payer: Railroad Medicare Medicare |
$51.19
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$61.43
|
| Rate for Payer: UHC Core |
$66.24
|
| Rate for Payer: UHC Dual Complete DSNP |
$51.19
|
| Rate for Payer: UHC Exchange |
$51.19
|
| Rate for Payer: UHC Medicare Advantage |
$52.73
|
| Rate for Payer: UMR Bronson Commercial |
$28.25
|
| Rate for Payer: VA VA |
$51.19
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$57.26
|
|
|
HC FISTULA SHUNTOGRAM
|
Facility
|
OP
|
$2,209.94
|
|
| Hospital Charge Code |
32000264
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$817.68 |
| Max. Negotiated Rate |
$1,988.95 |
| Rate for Payer: Aetna American Axle |
$1,436.46
|
| Rate for Payer: Aetna Commercial |
$1,878.45
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,436.46
|
| Rate for Payer: BCBS Complete |
$883.98
|
| Rate for Payer: Cash Price |
$1,767.95
|
| Rate for Payer: Cofinity Commercial |
$1,546.96
|
| Rate for Payer: Cofinity Commercial |
$1,900.55
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,767.95
|
| Rate for Payer: Healthscope Commercial |
$1,988.95
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,546.96
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,657.46
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,878.45
|
| Rate for Payer: PHP Commercial |
$1,878.45
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,546.96
|
| Rate for Payer: Priority Health SBD |
$1,392.26
|
| Rate for Payer: UMR Bronson Commercial |
$817.68
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,657.46
|
|
|
HC FISTULA SHUNTOGRAM
|
Facility
|
IP
|
$2,209.94
|
|
| Hospital Charge Code |
32000264
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$972.37 |
| Max. Negotiated Rate |
$1,988.95 |
| Rate for Payer: Aetna American Axle |
$1,436.46
|
| Rate for Payer: Aetna Commercial |
$1,878.45
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,436.46
|
| Rate for Payer: Cash Price |
$1,767.95
|
| Rate for Payer: Cofinity Commercial |
$1,546.96
|
| Rate for Payer: Cofinity Commercial |
$1,900.55
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,767.95
|
| Rate for Payer: Healthscope Commercial |
$1,988.95
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,546.96
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,657.46
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,878.45
|
| Rate for Payer: PHP Commercial |
$1,878.45
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,546.96
|
| Rate for Payer: Priority Health SBD |
$1,392.26
|
| Rate for Payer: UMR Bronson Commercial |
$972.37
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,657.46
|
|
|
HC FIT INSERT INTRAVAG SUPPORT DEVICE
|
Facility
|
OP
|
$253.88
|
|
|
Service Code
|
CPT 57150
|
| Hospital Charge Code |
76100203
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$25.21 |
| Max. Negotiated Rate |
$228.49 |
| Rate for Payer: Aetna American Axle |
$165.02
|
| Rate for Payer: Aetna Commercial |
$215.80
|
| Rate for Payer: Aetna Medicare |
$56.54
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$165.02
|
| 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 |
$89.07
|
| Rate for Payer: BCN Medicare Advantage |
$54.37
|
| Rate for Payer: Cash Price |
$203.10
|
| Rate for Payer: Cash Price |
$203.10
|
| Rate for Payer: Cofinity Commercial |
$177.72
|
| Rate for Payer: Cofinity Commercial |
$218.34
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$203.10
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$54.37
|
| Rate for Payer: Healthscope Commercial |
$228.49
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$177.72
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$190.41
|
| 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 |
$215.80
|
| Rate for Payer: PACE Medicare |
$51.65
|
| Rate for Payer: PACE SWMI |
$54.37
|
| Rate for Payer: PHP Commercial |
$215.80
|
| 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 |
$177.72
|
| 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 |
$159.94
|
| Rate for Payer: Railroad Medicare Medicare |
$54.37
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$27.73
|
| Rate for Payer: UHC Dual Complete DSNP |
$54.37
|
| Rate for Payer: UHC Exchange |
$25.21
|
| Rate for Payer: UHC Medicare Advantage |
$56.00
|
| Rate for Payer: UMR Bronson Commercial |
$93.94
|
| Rate for Payer: VA VA |
$54.37
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$190.41
|
|
|
HC FIT INSERT INTRAVAG SUPPORT DEVICE
|
Facility
|
IP
|
$253.88
|
|
|
Service Code
|
CPT 57150
|
| Hospital Charge Code |
76100203
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$111.71 |
| Max. Negotiated Rate |
$228.49 |
| Rate for Payer: Aetna American Axle |
$165.02
|
| Rate for Payer: Aetna Commercial |
$215.80
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$165.02
|
| Rate for Payer: Cash Price |
$203.10
|
| Rate for Payer: Cofinity Commercial |
$177.72
|
| Rate for Payer: Cofinity Commercial |
$218.34
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$203.10
|
| Rate for Payer: Healthscope Commercial |
$228.49
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$177.72
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$190.41
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$215.80
|
| Rate for Payer: PHP Commercial |
$215.80
|
| Rate for Payer: Priority Health Cigna Priority Health |
$177.72
|
| Rate for Payer: Priority Health SBD |
$159.94
|
| Rate for Payer: UMR Bronson Commercial |
$111.71
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$190.41
|
|
|
HC FIT & INSERT PESSARY/OTHER DEVICE
|
Facility
|
IP
|
$514.66
|
|
|
Service Code
|
CPT 57160
|
| Hospital Charge Code |
76100357
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$226.45 |
| Max. Negotiated Rate |
$463.19 |
| Rate for Payer: Aetna American Axle |
$334.53
|
| Rate for Payer: Aetna Commercial |
$437.46
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$334.53
|
| Rate for Payer: Cash Price |
$411.73
|
| Rate for Payer: Cofinity Commercial |
$360.26
|
| Rate for Payer: Cofinity Commercial |
$442.61
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$411.73
|
| Rate for Payer: Healthscope Commercial |
$463.19
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$360.26
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$386.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$437.46
|
| Rate for Payer: PHP Commercial |
$437.46
|
| Rate for Payer: Priority Health Cigna Priority Health |
$360.26
|
| Rate for Payer: Priority Health SBD |
$324.24
|
| Rate for Payer: UMR Bronson Commercial |
$226.45
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$386.00
|
|
|
HC FIT & INSERT PESSARY/OTHER DEVICE
|
Facility
|
OP
|
$514.66
|
|
|
Service Code
|
CPT 57160
|
| Hospital Charge Code |
76100357
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$44.86 |
| Max. Negotiated Rate |
$557.61 |
| Rate for Payer: Aetna American Axle |
$334.53
|
| Rate for Payer: Aetna Commercial |
$437.46
|
| Rate for Payer: Aetna Medicare |
$184.20
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$334.53
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$221.40
|
| Rate for Payer: Amish Plain Church Group Commercial |
$221.40
|
| Rate for Payer: BCBS Complete |
$101.74
|
| Rate for Payer: BCBS MAPPO |
$177.12
|
| Rate for Payer: BCBS Trust/PPO |
$190.49
|
| Rate for Payer: BCN Medicare Advantage |
$177.12
|
| Rate for Payer: Cash Price |
$411.73
|
| Rate for Payer: Cash Price |
$411.73
|
| Rate for Payer: Cofinity Commercial |
$360.26
|
| Rate for Payer: Cofinity Commercial |
$442.61
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$411.73
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$177.12
|
| Rate for Payer: Healthscope Commercial |
$463.19
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$360.26
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$386.00
|
| Rate for Payer: Mclaren Medicaid |
$96.88
|
| Rate for Payer: Mclaren Medicare |
$177.12
|
| Rate for Payer: Meridian Medicaid |
$101.74
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$185.98
|
| Rate for Payer: MI Amish Medical Board Commercial |
$203.69
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$437.46
|
| Rate for Payer: PACE Medicare |
$168.26
|
| Rate for Payer: PACE SWMI |
$177.12
|
| Rate for Payer: PHP Commercial |
$437.46
|
| Rate for Payer: PHP Medicare Advantage |
$177.12
|
| Rate for Payer: Priority Health Choice Medicaid |
$96.88
|
| Rate for Payer: Priority Health Cigna Priority Health |
$360.26
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$557.61
|
| Rate for Payer: Priority Health Medicare |
$177.12
|
| Rate for Payer: Priority Health Narrow Network |
$446.09
|
| Rate for Payer: Priority Health SBD |
$324.24
|
| Rate for Payer: Railroad Medicare Medicare |
$177.12
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$49.35
|
| Rate for Payer: UHC Dual Complete DSNP |
$177.12
|
| Rate for Payer: UHC Exchange |
$44.86
|
| Rate for Payer: UHC Medicare Advantage |
$182.43
|
| Rate for Payer: UMR Bronson Commercial |
$190.42
|
| Rate for Payer: VA VA |
$177.12
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$386.00
|
|
