|
HC FLEXIBLE SIGMOIDOSCOPY
|
Facility
|
OP
|
$1,743.04
|
|
| Hospital Charge Code |
36000044
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$644.92 |
| Max. Negotiated Rate |
$1,568.74 |
| Rate for Payer: Aetna American Axle |
$1,132.98
|
| Rate for Payer: Aetna Commercial |
$1,481.58
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,132.98
|
| Rate for Payer: BCBS Complete |
$697.22
|
| Rate for Payer: Cash Price |
$1,394.43
|
| Rate for Payer: Cofinity Commercial |
$1,220.13
|
| Rate for Payer: Cofinity Commercial |
$1,499.01
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,394.43
|
| Rate for Payer: Healthscope Commercial |
$1,568.74
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,220.13
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,307.28
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,481.58
|
| Rate for Payer: PHP Commercial |
$1,481.58
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,220.13
|
| Rate for Payer: Priority Health SBD |
$1,098.12
|
| Rate for Payer: UMR Bronson Commercial |
$644.92
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,307.28
|
|
|
HC FLEXIBLE SIGMOIDOSCOPY
|
Facility
|
IP
|
$1,743.04
|
|
| Hospital Charge Code |
36000044
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$766.94 |
| Max. Negotiated Rate |
$1,568.74 |
| Rate for Payer: Aetna American Axle |
$1,132.98
|
| Rate for Payer: Aetna Commercial |
$1,481.58
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,132.98
|
| Rate for Payer: Cash Price |
$1,394.43
|
| Rate for Payer: Cofinity Commercial |
$1,220.13
|
| Rate for Payer: Cofinity Commercial |
$1,499.01
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,394.43
|
| Rate for Payer: Healthscope Commercial |
$1,568.74
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,220.13
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,307.28
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,481.58
|
| Rate for Payer: PHP Commercial |
$1,481.58
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,220.13
|
| Rate for Payer: Priority Health SBD |
$1,098.12
|
| Rate for Payer: UMR Bronson Commercial |
$766.94
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,307.28
|
|
|
HC FLEX SHEATH INTRO
|
Facility
|
OP
|
$249.93
|
|
|
Service Code
|
HCPCS C1894
|
| Hospital Charge Code |
27200041
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$92.47 |
| Max. Negotiated Rate |
$224.94 |
| Rate for Payer: Aetna American Axle |
$162.45
|
| Rate for Payer: Aetna Commercial |
$212.44
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$162.45
|
| Rate for Payer: BCBS Complete |
$99.97
|
| Rate for Payer: Cash Price |
$199.94
|
| Rate for Payer: Cofinity Commercial |
$174.95
|
| Rate for Payer: Cofinity Commercial |
$214.94
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$199.94
|
| Rate for Payer: Healthscope Commercial |
$224.94
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$174.95
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$187.45
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$212.44
|
| Rate for Payer: PHP Commercial |
$212.44
|
| Rate for Payer: Priority Health Cigna Priority Health |
$174.95
|
| Rate for Payer: Priority Health SBD |
$157.46
|
| Rate for Payer: UMR Bronson Commercial |
$92.47
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$187.45
|
|
|
HC FLEX SHEATH INTRO
|
Facility
|
IP
|
$249.93
|
|
|
Service Code
|
HCPCS C1894
|
| Hospital Charge Code |
27200041
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$109.97 |
| Max. Negotiated Rate |
$224.94 |
| Rate for Payer: Aetna American Axle |
$162.45
|
| Rate for Payer: Aetna Commercial |
$212.44
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$162.45
|
| Rate for Payer: Cash Price |
$199.94
|
| Rate for Payer: Cofinity Commercial |
$174.95
|
| Rate for Payer: Cofinity Commercial |
$214.94
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$199.94
|
| Rate for Payer: Healthscope Commercial |
$224.94
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$174.95
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$187.45
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$212.44
|
| Rate for Payer: PHP Commercial |
$212.44
|
| Rate for Payer: Priority Health Cigna Priority Health |
$174.95
|
| Rate for Payer: Priority Health SBD |
$157.46
|
| Rate for Payer: UMR Bronson Commercial |
$109.97
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$187.45
|
|
|
HC FLOSEAL HEMOSTATIC MATRIX
|
Facility
|
OP
|
$730.90
|
|
| Hospital Charge Code |
27200123
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$270.43 |
| Max. Negotiated Rate |
$657.81 |
| Rate for Payer: Aetna American Axle |
$475.08
|
| Rate for Payer: Aetna Commercial |
$621.26
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$475.08
|
| Rate for Payer: BCBS Complete |
$292.36
|
| Rate for Payer: Cash Price |
$584.72
|
| Rate for Payer: Cofinity Commercial |
$511.63
|
| Rate for Payer: Cofinity Commercial |
$628.57
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$584.72
|
| Rate for Payer: Healthscope Commercial |
$657.81
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$511.63
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$548.18
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$621.26
|
| Rate for Payer: PHP Commercial |
$621.26
|
| Rate for Payer: Priority Health Cigna Priority Health |
$511.63
|
| Rate for Payer: Priority Health SBD |
$460.47
|
| Rate for Payer: UMR Bronson Commercial |
$270.43
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$548.18
|
|
|
HC FLOSEAL HEMOSTATIC MATRIX
|
Facility
|
IP
|
$730.90
|
|
| Hospital Charge Code |
27200123
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$321.60 |
| Max. Negotiated Rate |
$657.81 |
| Rate for Payer: Aetna American Axle |
$475.08
|
| Rate for Payer: Aetna Commercial |
$621.26
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$475.08
|
| Rate for Payer: Cash Price |
$584.72
|
| Rate for Payer: Cofinity Commercial |
$511.63
|
| Rate for Payer: Cofinity Commercial |
$628.57
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$584.72
|
| Rate for Payer: Healthscope Commercial |
$657.81
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$511.63
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$548.18
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$621.26
|
| Rate for Payer: PHP Commercial |
$621.26
|
| Rate for Payer: Priority Health Cigna Priority Health |
$511.63
|
| Rate for Payer: Priority Health SBD |
$460.47
|
| Rate for Payer: UMR Bronson Commercial |
$321.60
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$548.18
|
|
|
HC FLOW CYTOMETRY, CELL SURFACE, ADDL
|
Facility
|
IP
|
$53.75
|
|
|
Service Code
|
CPT 88185
|
| Hospital Charge Code |
31100041
|
|
Hospital Revenue Code
|
311
|
| Min. Negotiated Rate |
$23.65 |
| Max. Negotiated Rate |
$48.38 |
| Rate for Payer: Aetna American Axle |
$34.94
|
| Rate for Payer: Aetna Commercial |
$45.69
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$34.94
|
| Rate for Payer: Cash Price |
$43.00
|
| Rate for Payer: Cofinity Commercial |
$37.62
|
| Rate for Payer: Cofinity Commercial |
$46.22
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$43.00
|
| Rate for Payer: Healthscope Commercial |
$48.38
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$37.62
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$40.31
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$45.69
|
| Rate for Payer: PHP Commercial |
$45.69
|
| Rate for Payer: Priority Health Cigna Priority Health |
$37.62
|
| Rate for Payer: Priority Health SBD |
$33.86
|
| Rate for Payer: UMR Bronson Commercial |
$23.65
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$40.31
|
|
|
HC FLOW CYTOMETRY, CELL SURFACE, ADDL
|
Facility
|
OP
|
$53.75
|
|
|
Service Code
|
CPT 88185
|
| Hospital Charge Code |
31100041
|
|
Hospital Revenue Code
|
311
|
| Min. Negotiated Rate |
$15.25 |
| Max. Negotiated Rate |
$48.38 |
| Rate for Payer: Aetna American Axle |
$34.94
|
| Rate for Payer: Aetna Commercial |
$45.69
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$34.94
|
| Rate for Payer: BCBS Complete |
$21.50
|
| Rate for Payer: BCBS Trust/PPO |
$33.73
|
| Rate for Payer: Cash Price |
$43.00
|
| Rate for Payer: Cash Price |
$43.00
|
| Rate for Payer: Cofinity Commercial |
$37.62
|
| Rate for Payer: Cofinity Commercial |
$46.22
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$43.00
|
| Rate for Payer: Healthscope Commercial |
$48.38
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$37.62
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$40.31
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$45.69
|
| Rate for Payer: PHP Commercial |
$45.69
|
| Rate for Payer: Priority Health Cigna Priority Health |
$37.62
|
| Rate for Payer: Priority Health SBD |
$33.86
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$25.58
|
| Rate for Payer: UHC Core |
$15.25
|
| Rate for Payer: UHC Exchange |
$23.25
|
| Rate for Payer: UMR Bronson Commercial |
$19.89
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$40.31
|
|
|
HC FLOW CYTOMETRY, CELL SURFACE, FIRST
|
Facility
|
OP
|
$180.00
|
|
|
Service Code
|
CPT 88184
|
| Hospital Charge Code |
31100040
|
|
Hospital Revenue Code
|
311
|
| Min. Negotiated Rate |
$28.12 |
| Max. Negotiated Rate |
$1,005.81 |
| Rate for Payer: Aetna American Axle |
$117.00
|
| Rate for Payer: Aetna Commercial |
$153.00
|
| Rate for Payer: Aetna Medicare |
$332.29
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$117.00
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$399.39
|
| Rate for Payer: Amish Plain Church Group Commercial |
$399.39
|
| Rate for Payer: BCBS Complete |
$183.53
|
| Rate for Payer: BCBS MAPPO |
$319.51
|
| Rate for Payer: BCBS Trust/PPO |
$105.47
|
| Rate for Payer: BCN Medicare Advantage |
$319.51
|
| Rate for Payer: Cash Price |
$144.00
|
| Rate for Payer: Cash Price |
$144.00
|
| Rate for Payer: Cofinity Commercial |
$126.00
|
| Rate for Payer: Cofinity Commercial |
$154.80
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$144.00
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$319.51
|
| Rate for Payer: Healthscope Commercial |
$162.00
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$126.00
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$135.00
|
| Rate for Payer: Mclaren Medicaid |
$174.77
|
| Rate for Payer: Mclaren Medicare |
$319.51
|
| Rate for Payer: Meridian Medicaid |
$183.53
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$335.49
|
| Rate for Payer: MI Amish Medical Board Commercial |
$367.44
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$153.00
|
| Rate for Payer: PACE Medicare |
$303.53
|
| Rate for Payer: PACE SWMI |
$319.51
|
| Rate for Payer: PHP Commercial |
$153.00
|
| Rate for Payer: PHP Medicare Advantage |
$319.51
|
| Rate for Payer: Priority Health Choice Medicaid |
$174.77
|
| Rate for Payer: Priority Health Cigna Priority Health |
$126.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,005.81
|
| Rate for Payer: Priority Health Medicare |
$319.51
|
| Rate for Payer: Priority Health Narrow Network |
$804.65
|
| Rate for Payer: Priority Health SBD |
$113.40
|
| Rate for Payer: Railroad Medicare Medicare |
$319.51
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$84.28
|
| Rate for Payer: UHC Core |
$28.12
|
| Rate for Payer: UHC Dual Complete DSNP |
$319.51
|
| Rate for Payer: UHC Exchange |
$76.62
|
| Rate for Payer: UHC Medicare Advantage |
$329.10
|
| Rate for Payer: UMR Bronson Commercial |
$66.60
|
| Rate for Payer: VA VA |
$319.51
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$135.00
|
|
|
HC FLOW CYTOMETRY, CELL SURFACE, FIRST
|
Facility
|
IP
|
$180.00
|
|
|
Service Code
|
CPT 88184
|
| Hospital Charge Code |
31100040
|
|
Hospital Revenue Code
|
311
|
| Min. Negotiated Rate |
$79.20 |
| Max. Negotiated Rate |
$162.00 |
| Rate for Payer: Aetna American Axle |
$117.00
|
| Rate for Payer: Aetna Commercial |
$153.00
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$117.00
|
| Rate for Payer: Cash Price |
$144.00
|
| Rate for Payer: Cofinity Commercial |
$126.00
|
| Rate for Payer: Cofinity Commercial |
$154.80
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$144.00
|
| Rate for Payer: Healthscope Commercial |
$162.00
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$126.00
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$135.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$153.00
|
| Rate for Payer: PHP Commercial |
$153.00
|
| Rate for Payer: Priority Health Cigna Priority Health |
$126.00
|
| Rate for Payer: Priority Health SBD |
$113.40
|
| Rate for Payer: UMR Bronson Commercial |
$79.20
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$135.00
|
|
|
HC FLUID CREATININE
|
Facility
|
IP
|
$20.40
|
|
|
Service Code
|
CPT 82570
|
| Hospital Charge Code |
30100498
|
|
Hospital Revenue Code
|
301
|
| 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 FLUID CREATININE
|
Facility
|
OP
|
$20.40
|
|
|
Service Code
|
CPT 82570
|
| Hospital Charge Code |
30100498
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$2.83 |
| Max. Negotiated Rate |
$18.36 |
| Rate for Payer: Aetna American Axle |
$13.26
|
| Rate for Payer: Aetna Commercial |
$17.34
|
| Rate for Payer: Aetna Medicare |
$5.39
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$13.26
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$6.48
|
| Rate for Payer: Amish Plain Church Group Commercial |
$6.48
|
| Rate for Payer: BCBS Complete |
$2.98
|
| Rate for Payer: BCBS MAPPO |
$5.18
|
| Rate for Payer: BCBS Trust/PPO |
$4.66
|
| Rate for Payer: BCN Medicare Advantage |
$5.18
|
| Rate for Payer: Cash Price |
$16.32
|
| 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: Health Alliance Plan Medicare Advantage |
$5.18
|
| 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: Mclaren Medicaid |
$2.83
|
| Rate for Payer: Mclaren Medicare |
$5.18
|
| Rate for Payer: Meridian Medicaid |
$2.98
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$5.44
|
| Rate for Payer: MI Amish Medical Board Commercial |
$5.96
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$17.34
|
| Rate for Payer: PACE Medicare |
$4.92
|
| Rate for Payer: PACE SWMI |
$5.18
|
| Rate for Payer: PHP Commercial |
$17.34
|
| Rate for Payer: PHP Medicare Advantage |
$5.18
|
| Rate for Payer: Priority Health Choice Medicaid |
$2.83
|
| Rate for Payer: Priority Health Cigna Priority Health |
$14.28
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$6.37
|
| Rate for Payer: Priority Health Medicare |
$5.18
|
| Rate for Payer: Priority Health Narrow Network |
$5.10
|
| Rate for Payer: Priority Health SBD |
$12.85
|
| Rate for Payer: Railroad Medicare Medicare |
$5.18
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$6.22
|
| Rate for Payer: UHC Core |
$8.53
|
| Rate for Payer: UHC Dual Complete DSNP |
$5.18
|
| Rate for Payer: UHC Exchange |
$5.18
|
| Rate for Payer: UHC Medicare Advantage |
$5.34
|
| Rate for Payer: UMR Bronson Commercial |
$7.55
|
| Rate for Payer: VA VA |
$5.18
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$15.30
|
|
|
HC FLUIDOTHERAPY
|
Facility
|
OP
|
$106.08
|
|
|
Service Code
|
CPT 97022
|
| Hospital Charge Code |
42000051
|
|
Hospital Revenue Code
|
420
|
| Min. Negotiated Rate |
$11.96 |
| Max. Negotiated Rate |
$294.00 |
| Rate for Payer: Aetna American Axle |
$68.95
|
| Rate for Payer: Aetna Commercial |
$90.17
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$68.95
|
| Rate for Payer: BCBS Complete |
$42.43
|
| Rate for Payer: BCBS Trust/PPO |
$11.96
|
| Rate for Payer: Cash Price |
$84.86
|
| Rate for Payer: Cash Price |
$84.86
|
| Rate for Payer: Cash Price |
$84.86
|
| Rate for Payer: Cofinity Commercial |
$91.23
|
| Rate for Payer: Cofinity Commercial |
$74.26
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$84.86
|
| Rate for Payer: Healthscope Commercial |
$95.47
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$74.26
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$79.56
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$90.17
|
| Rate for Payer: PHP Commercial |
$90.17
|
| Rate for Payer: Priority Health Cigna Priority Health |
$74.26
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$16.00
|
| Rate for Payer: Priority Health Narrow Network |
$12.80
|
| Rate for Payer: Priority Health SBD |
$66.83
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$18.37
|
| Rate for Payer: UHC Core |
$294.00
|
| Rate for Payer: UHC Exchange |
$16.70
|
| Rate for Payer: UMR Bronson Commercial |
$39.25
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$79.56
|
|
|
HC FLUIDOTHERAPY
|
Facility
|
IP
|
$106.08
|
|
|
Service Code
|
CPT 97022
|
| Hospital Charge Code |
42000051
|
|
Hospital Revenue Code
|
420
|
| Min. Negotiated Rate |
$46.68 |
| Max. Negotiated Rate |
$95.47 |
| Rate for Payer: Aetna American Axle |
$68.95
|
| Rate for Payer: Aetna Commercial |
$90.17
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$68.95
|
| Rate for Payer: Cash Price |
$84.86
|
| Rate for Payer: Cofinity Commercial |
$74.26
|
| Rate for Payer: Cofinity Commercial |
$91.23
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$84.86
|
| Rate for Payer: Healthscope Commercial |
$95.47
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$74.26
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$79.56
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$90.17
|
| Rate for Payer: PHP Commercial |
$90.17
|
| Rate for Payer: Priority Health Cigna Priority Health |
$74.26
|
| Rate for Payer: Priority Health SBD |
$66.83
|
| Rate for Payer: UMR Bronson Commercial |
$46.68
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$79.56
|
|
|
HC FLUID SMEAR AND INTERPRETATION
|
Facility
|
IP
|
$109.75
|
|
|
Service Code
|
CPT 88108
|
| Hospital Charge Code |
31100002
|
|
Hospital Revenue Code
|
311
|
| Min. Negotiated Rate |
$48.29 |
| Max. Negotiated Rate |
$98.78 |
| Rate for Payer: Aetna American Axle |
$71.34
|
| Rate for Payer: Aetna Commercial |
$93.29
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$71.34
|
| Rate for Payer: Cash Price |
$87.80
|
| Rate for Payer: Cofinity Commercial |
$76.82
|
| Rate for Payer: Cofinity Commercial |
$94.38
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$87.80
|
| Rate for Payer: Healthscope Commercial |
$98.78
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$76.82
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$82.31
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$93.29
|
| Rate for Payer: PHP Commercial |
$93.29
|
| Rate for Payer: Priority Health Cigna Priority Health |
$76.82
|
| Rate for Payer: Priority Health SBD |
$69.14
|
| Rate for Payer: UMR Bronson Commercial |
$48.29
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$82.31
|
|
|
HC FLUID SMEAR AND INTERPRETATION
|
Facility
|
OP
|
$109.75
|
|
|
Service Code
|
CPT 88108
|
| Hospital Charge Code |
31100002
|
|
Hospital Revenue Code
|
311
|
| Min. Negotiated Rate |
$19.50 |
| Max. Negotiated Rate |
$112.22 |
| Rate for Payer: Aetna American Axle |
$71.34
|
| Rate for Payer: Aetna Commercial |
$93.29
|
| Rate for Payer: Aetna Medicare |
$37.08
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$71.34
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$44.56
|
| Rate for Payer: Amish Plain Church Group Commercial |
$44.56
|
| Rate for Payer: BCBS Complete |
$20.48
|
| Rate for Payer: BCBS MAPPO |
$35.65
|
| Rate for Payer: BCBS Trust/PPO |
$62.72
|
| Rate for Payer: BCN Medicare Advantage |
$35.65
|
| Rate for Payer: Cash Price |
$87.80
|
| Rate for Payer: Cash Price |
$87.80
|
| Rate for Payer: Cofinity Commercial |
$76.82
|
| Rate for Payer: Cofinity Commercial |
$94.38
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$87.80
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$35.65
|
| Rate for Payer: Healthscope Commercial |
$98.78
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$76.82
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$82.31
|
| Rate for Payer: Mclaren Medicaid |
$19.50
|
| Rate for Payer: Mclaren Medicare |
$35.65
|
| Rate for Payer: Meridian Medicaid |
$20.48
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$37.43
|
| Rate for Payer: MI Amish Medical Board Commercial |
$41.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$93.29
|
| Rate for Payer: PACE Medicare |
$33.87
|
| Rate for Payer: PACE SWMI |
$35.65
|
| Rate for Payer: PHP Commercial |
$93.29
|
| Rate for Payer: PHP Medicare Advantage |
$35.65
|
| Rate for Payer: Priority Health Choice Medicaid |
$19.50
|
| Rate for Payer: Priority Health Cigna Priority Health |
$76.82
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$112.22
|
| Rate for Payer: Priority Health Medicare |
$35.65
|
| Rate for Payer: Priority Health Narrow Network |
$89.78
|
| Rate for Payer: Priority Health SBD |
$69.14
|
| Rate for Payer: Railroad Medicare Medicare |
$35.65
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$74.20
|
| Rate for Payer: UHC Core |
$28.12
|
| Rate for Payer: UHC Dual Complete DSNP |
$35.65
|
| Rate for Payer: UHC Exchange |
$67.45
|
| Rate for Payer: UHC Medicare Advantage |
$36.72
|
| Rate for Payer: UMR Bronson Commercial |
$40.61
|
| Rate for Payer: VA VA |
$35.65
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$82.31
|
|
|
HC FLUID SMEAR WITH INTERPRETATION
|
Facility
|
IP
|
$109.75
|
|
|
Service Code
|
CPT 88108
|
| Hospital Charge Code |
31100030
|
|
Hospital Revenue Code
|
311
|
| Min. Negotiated Rate |
$48.29 |
| Max. Negotiated Rate |
$98.78 |
| Rate for Payer: Aetna American Axle |
$71.34
|
| Rate for Payer: Aetna Commercial |
$93.29
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$71.34
|
| Rate for Payer: Cash Price |
$87.80
|
| Rate for Payer: Cofinity Commercial |
$76.82
|
| Rate for Payer: Cofinity Commercial |
$94.38
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$87.80
|
| Rate for Payer: Healthscope Commercial |
$98.78
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$76.82
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$82.31
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$93.29
|
| Rate for Payer: PHP Commercial |
$93.29
|
| Rate for Payer: Priority Health Cigna Priority Health |
$76.82
|
| Rate for Payer: Priority Health SBD |
$69.14
|
| Rate for Payer: UMR Bronson Commercial |
$48.29
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$82.31
|
|
|
HC FLUID SMEAR WITH INTERPRETATION
|
Facility
|
OP
|
$109.75
|
|
|
Service Code
|
CPT 88108
|
| Hospital Charge Code |
31100030
|
|
Hospital Revenue Code
|
311
|
| Min. Negotiated Rate |
$19.50 |
| Max. Negotiated Rate |
$112.22 |
| Rate for Payer: Aetna American Axle |
$71.34
|
| Rate for Payer: Aetna Commercial |
$93.29
|
| Rate for Payer: Aetna Medicare |
$37.08
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$71.34
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$44.56
|
| Rate for Payer: Amish Plain Church Group Commercial |
$44.56
|
| Rate for Payer: BCBS Complete |
$20.48
|
| Rate for Payer: BCBS MAPPO |
$35.65
|
| Rate for Payer: BCBS Trust/PPO |
$62.72
|
| Rate for Payer: BCN Medicare Advantage |
$35.65
|
| Rate for Payer: Cash Price |
$87.80
|
| Rate for Payer: Cash Price |
$87.80
|
| Rate for Payer: Cofinity Commercial |
$76.82
|
| Rate for Payer: Cofinity Commercial |
$94.38
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$87.80
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$35.65
|
| Rate for Payer: Healthscope Commercial |
$98.78
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$76.82
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$82.31
|
| Rate for Payer: Mclaren Medicaid |
$19.50
|
| Rate for Payer: Mclaren Medicare |
$35.65
|
| Rate for Payer: Meridian Medicaid |
$20.48
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$37.43
|
| Rate for Payer: MI Amish Medical Board Commercial |
$41.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$93.29
|
| Rate for Payer: PACE Medicare |
$33.87
|
| Rate for Payer: PACE SWMI |
$35.65
|
| Rate for Payer: PHP Commercial |
$93.29
|
| Rate for Payer: PHP Medicare Advantage |
$35.65
|
| Rate for Payer: Priority Health Choice Medicaid |
$19.50
|
| Rate for Payer: Priority Health Cigna Priority Health |
$76.82
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$112.22
|
| Rate for Payer: Priority Health Medicare |
$35.65
|
| Rate for Payer: Priority Health Narrow Network |
$89.78
|
| Rate for Payer: Priority Health SBD |
$69.14
|
| Rate for Payer: Railroad Medicare Medicare |
$35.65
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$74.20
|
| Rate for Payer: UHC Core |
$28.12
|
| Rate for Payer: UHC Dual Complete DSNP |
$35.65
|
| Rate for Payer: UHC Exchange |
$67.45
|
| Rate for Payer: UHC Medicare Advantage |
$36.72
|
| Rate for Payer: UMR Bronson Commercial |
$40.61
|
| Rate for Payer: VA VA |
$35.65
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$82.31
|
|
|
HC FLUTTER VALVE SUPPLY
|
Facility
|
OP
|
$116.36
|
|
| Hospital Charge Code |
27000078
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$43.05 |
| Max. Negotiated Rate |
$104.72 |
| Rate for Payer: Aetna American Axle |
$75.63
|
| Rate for Payer: Aetna Commercial |
$98.91
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$75.63
|
| Rate for Payer: BCBS Complete |
$46.54
|
| Rate for Payer: Cash Price |
$93.09
|
| Rate for Payer: Cofinity Commercial |
$100.07
|
| Rate for Payer: Cofinity Commercial |
$81.45
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$93.09
|
| Rate for Payer: Healthscope Commercial |
$104.72
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$81.45
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$87.27
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$98.91
|
| Rate for Payer: PHP Commercial |
$98.91
|
| Rate for Payer: Priority Health Cigna Priority Health |
$81.45
|
| Rate for Payer: Priority Health SBD |
$73.31
|
| Rate for Payer: UMR Bronson Commercial |
$43.05
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$87.27
|
|
|
HC FLUTTER VALVE SUPPLY
|
Facility
|
IP
|
$116.36
|
|
| Hospital Charge Code |
27000078
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$51.20 |
| Max. Negotiated Rate |
$104.72 |
| Rate for Payer: Aetna American Axle |
$75.63
|
| Rate for Payer: Aetna Commercial |
$98.91
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$75.63
|
| Rate for Payer: Cash Price |
$93.09
|
| Rate for Payer: Cofinity Commercial |
$100.07
|
| Rate for Payer: Cofinity Commercial |
$81.45
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$93.09
|
| Rate for Payer: Healthscope Commercial |
$104.72
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$81.45
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$87.27
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$98.91
|
| Rate for Payer: PHP Commercial |
$98.91
|
| Rate for Payer: Priority Health Cigna Priority Health |
$81.45
|
| Rate for Payer: Priority Health SBD |
$73.31
|
| Rate for Payer: UMR Bronson Commercial |
$51.20
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$87.27
|
|
|
HC FLU VAC,SPLIT VIRUS, PT 3 YRS OR OLDER, IM
|
Facility
|
IP
|
$25.50
|
|
|
Service Code
|
CPT Q2038
|
| Hospital Charge Code |
63600113
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$11.22 |
| Max. Negotiated Rate |
$22.95 |
| Rate for Payer: Aetna American Axle |
$16.58
|
| Rate for Payer: Aetna Commercial |
$21.68
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$16.58
|
| Rate for Payer: Cash Price |
$20.40
|
| Rate for Payer: Cofinity Commercial |
$17.85
|
| Rate for Payer: Cofinity Commercial |
$21.93
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$20.40
|
| Rate for Payer: Healthscope Commercial |
$22.95
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$17.85
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$19.12
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$21.68
|
| Rate for Payer: PHP Commercial |
$21.68
|
| Rate for Payer: Priority Health Cigna Priority Health |
$17.85
|
| Rate for Payer: Priority Health SBD |
$16.06
|
| Rate for Payer: UMR Bronson Commercial |
$11.22
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$19.12
|
|
|
HC FLU VAC,SPLIT VIRUS, PT 3 YRS OR OLDER, IM
|
Facility
|
OP
|
$25.50
|
|
|
Service Code
|
CPT Q2038
|
| Hospital Charge Code |
63600113
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$9.44 |
| Max. Negotiated Rate |
$53.92 |
| Rate for Payer: Aetna American Axle |
$16.58
|
| Rate for Payer: Aetna Commercial |
$21.68
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$16.58
|
| Rate for Payer: BCBS Complete |
$10.20
|
| Rate for Payer: BCBS Trust/PPO |
$53.92
|
| Rate for Payer: Cash Price |
$20.40
|
| Rate for Payer: Cash Price |
$20.40
|
| Rate for Payer: Cofinity Commercial |
$17.85
|
| Rate for Payer: Cofinity Commercial |
$21.93
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$20.40
|
| Rate for Payer: Healthscope Commercial |
$22.95
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$17.85
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$19.12
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$21.68
|
| Rate for Payer: PHP Commercial |
$21.68
|
| Rate for Payer: Priority Health Cigna Priority Health |
$17.85
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$12.05
|
| Rate for Payer: Priority Health Narrow Network |
$9.64
|
| Rate for Payer: Priority Health SBD |
$16.06
|
| Rate for Payer: UMR Bronson Commercial |
$9.44
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$19.12
|
|
|
HC FNA BX 1ST LESION CT GUIDE
|
Facility
|
IP
|
$890.46
|
|
|
Service Code
|
CPT 10009
|
| Hospital Charge Code |
36100558
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$391.80 |
| Max. Negotiated Rate |
$801.41 |
| Rate for Payer: Aetna American Axle |
$578.80
|
| Rate for Payer: Aetna Commercial |
$756.89
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$578.80
|
| Rate for Payer: Cash Price |
$712.37
|
| Rate for Payer: Cofinity Commercial |
$765.80
|
| Rate for Payer: Cofinity Commercial |
$623.32
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$712.37
|
| Rate for Payer: Healthscope Commercial |
$801.41
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$623.32
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$667.84
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$756.89
|
| Rate for Payer: PHP Commercial |
$756.89
|
| Rate for Payer: Priority Health Cigna Priority Health |
$623.32
|
| Rate for Payer: Priority Health SBD |
$560.99
|
| Rate for Payer: UMR Bronson Commercial |
$391.80
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$667.84
|
|
|
HC FNA BX 1ST LESION CT GUIDE
|
Facility
|
OP
|
$890.46
|
|
|
Service Code
|
CPT 10009
|
| Hospital Charge Code |
36100558
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$104.78 |
| Max. Negotiated Rate |
$1,968.76 |
| Rate for Payer: Aetna American Axle |
$578.80
|
| Rate for Payer: Aetna Commercial |
$756.89
|
| Rate for Payer: Aetna Medicare |
$650.41
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$578.80
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$781.74
|
| Rate for Payer: Amish Plain Church Group Commercial |
$781.74
|
| Rate for Payer: BCBS Complete |
$359.22
|
| Rate for Payer: BCBS MAPPO |
$625.39
|
| Rate for Payer: BCBS Trust/PPO |
$413.47
|
| Rate for Payer: BCCCP Commercial |
$445.03
|
| Rate for Payer: BCN Medicare Advantage |
$625.39
|
| Rate for Payer: Cash Price |
$712.37
|
| Rate for Payer: Cash Price |
$712.37
|
| Rate for Payer: Cofinity Commercial |
$765.80
|
| Rate for Payer: Cofinity Commercial |
$623.32
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$712.37
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$625.39
|
| Rate for Payer: Healthscope Commercial |
$801.41
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$623.32
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$667.84
|
| Rate for Payer: Mclaren Medicaid |
$342.09
|
| Rate for Payer: Mclaren Medicare |
$625.39
|
| Rate for Payer: Meridian Medicaid |
$359.22
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$656.66
|
| Rate for Payer: MI Amish Medical Board Commercial |
$719.20
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$756.89
|
| Rate for Payer: PACE Medicare |
$594.12
|
| Rate for Payer: PACE SWMI |
$625.39
|
| Rate for Payer: PHP Commercial |
$756.89
|
| Rate for Payer: PHP Medicare Advantage |
$625.39
|
| Rate for Payer: Priority Health Choice Medicaid |
$342.09
|
| Rate for Payer: Priority Health Cigna Priority Health |
$623.32
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,968.76
|
| Rate for Payer: Priority Health Medicare |
$625.39
|
| Rate for Payer: Priority Health Narrow Network |
$1,575.01
|
| Rate for Payer: Priority Health SBD |
$560.99
|
| Rate for Payer: Railroad Medicare Medicare |
$625.39
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$115.26
|
| Rate for Payer: UHC Core |
$981.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$625.39
|
| Rate for Payer: UHC Exchange |
$104.78
|
| Rate for Payer: UHC Medicare Advantage |
$644.15
|
| Rate for Payer: UMR Bronson Commercial |
$329.47
|
| Rate for Payer: VA VA |
$625.39
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$667.84
|
|
|
HC FNA BX 1ST LESION FLUORO GUIDE
|
Facility
|
IP
|
$890.46
|
|
|
Service Code
|
CPT 10007
|
| Hospital Charge Code |
36100556
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$391.80 |
| Max. Negotiated Rate |
$801.41 |
| Rate for Payer: Aetna American Axle |
$578.80
|
| Rate for Payer: Aetna Commercial |
$756.89
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$578.80
|
| Rate for Payer: Cash Price |
$712.37
|
| Rate for Payer: Cofinity Commercial |
$623.32
|
| Rate for Payer: Cofinity Commercial |
$765.80
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$712.37
|
| Rate for Payer: Healthscope Commercial |
$801.41
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$623.32
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$667.84
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$756.89
|
| Rate for Payer: PHP Commercial |
$756.89
|
| Rate for Payer: Priority Health Cigna Priority Health |
$623.32
|
| Rate for Payer: Priority Health SBD |
$560.99
|
| Rate for Payer: UMR Bronson Commercial |
$391.80
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$667.84
|
|
