|
HC CARDIOLIPIN AB IGG
|
Facility
|
OP
|
$52.19
|
|
|
Service Code
|
CPT 86147
|
| Hospital Charge Code |
30200144
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$13.31 |
| Max. Negotiated Rate |
$46.97 |
| Rate for Payer: Aetna American Axle |
$33.92
|
| Rate for Payer: Aetna Commercial |
$44.36
|
| Rate for Payer: Aetna Medicare |
$26.47
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$33.92
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$31.81
|
| Rate for Payer: Amish Plain Church Group Commercial |
$31.81
|
| Rate for Payer: BCBS Complete |
$13.98
|
| Rate for Payer: BCBS MAPPO |
$25.45
|
| Rate for Payer: BCBS Trust/PPO |
$29.42
|
| Rate for Payer: BCN Commercial |
$29.42
|
| Rate for Payer: BCN Medicare Advantage |
$25.45
|
| Rate for Payer: Cash Price |
$41.75
|
| Rate for Payer: Cash Price |
$41.75
|
| Rate for Payer: Cofinity Advantage |
$36.53
|
| Rate for Payer: Cofinity Commercial |
$44.88
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$41.75
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$25.45
|
| Rate for Payer: Healthscope Commercial |
$46.97
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$36.53
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$39.14
|
| Rate for Payer: Mclaren Medicaid |
$25.45
|
| Rate for Payer: Mclaren Medicare |
$25.45
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$26.72
|
| Rate for Payer: Meridian Medicaid |
$26.72
|
| Rate for Payer: MI Amish Medical Board Commercial |
$29.27
|
| Rate for Payer: Molina Medicare/Medicaid |
$28.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$44.36
|
| Rate for Payer: Nomi Health Commercial |
$38.17
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$39.14
|
| Rate for Payer: PACE Medicare |
$24.18
|
| Rate for Payer: PACE SWMI |
$25.45
|
| Rate for Payer: PHP Commercial |
$44.36
|
| Rate for Payer: PHP Medicare Advantage |
$25.45
|
| Rate for Payer: Priority Health Choice Medicaid |
$13.31
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$25.45
|
| Rate for Payer: Priority Health Medicare |
$25.45
|
| Rate for Payer: Priority Health SBD |
$32.88
|
| Rate for Payer: Priority Health Tiered Network |
$20.36
|
| Rate for Payer: Railroad Medicare Medicare |
$25.45
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$38.18
|
| Rate for Payer: UHC Core |
$38.18
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$25.45
|
| Rate for Payer: UHC Exchange |
$38.18
|
| Rate for Payer: UHC Medicaid |
$13.31
|
| Rate for Payer: UHCCP Medicaid |
$13.31
|
| Rate for Payer: UMR Bronson Commercial |
$19.31
|
| Rate for Payer: VA VA |
$25.45
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$39.14
|
|
|
HC CARDIOLIPIN AB IGG
|
Facility
|
IP
|
$52.19
|
|
|
Service Code
|
CPT 86147
|
| Hospital Charge Code |
30200144
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$22.96 |
| Max. Negotiated Rate |
$46.97 |
| Rate for Payer: Aetna American Axle |
$33.92
|
| Rate for Payer: Aetna Commercial |
$44.36
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$33.92
|
| Rate for Payer: Cash Price |
$41.75
|
| Rate for Payer: Cofinity Advantage |
$36.53
|
| Rate for Payer: Cofinity Commercial |
$44.88
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$41.75
|
| Rate for Payer: Healthscope Commercial |
$46.97
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$36.53
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$39.14
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$44.36
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$39.14
|
| Rate for Payer: PHP Commercial |
$44.36
|
| Rate for Payer: Priority Health SBD |
$32.88
|
| Rate for Payer: UMR Bronson Commercial |
$22.96
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$39.14
|
|
|
HC CARDIOLIPIN AB IGM
|
Facility
|
OP
|
$52.19
|
|
|
Service Code
|
CPT 86147
|
| Hospital Charge Code |
30200145
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$13.31 |
| Max. Negotiated Rate |
$46.97 |
| Rate for Payer: Aetna American Axle |
$33.92
|
| Rate for Payer: Aetna Commercial |
$44.36
|
| Rate for Payer: Aetna Medicare |
$26.47
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$33.92
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$31.81
|
| Rate for Payer: Amish Plain Church Group Commercial |
$31.81
|
| Rate for Payer: BCBS Complete |
$13.98
|
| Rate for Payer: BCBS MAPPO |
$25.45
|
| Rate for Payer: BCBS Trust/PPO |
$29.42
|
| Rate for Payer: BCN Commercial |
$29.42
|
| Rate for Payer: BCN Medicare Advantage |
$25.45
|
| Rate for Payer: Cash Price |
$41.75
|
| Rate for Payer: Cash Price |
$41.75
|
| Rate for Payer: Cofinity Advantage |
$36.53
|
| Rate for Payer: Cofinity Commercial |
$44.88
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$41.75
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$25.45
|
| Rate for Payer: Healthscope Commercial |
$46.97
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$36.53
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$39.14
|
| Rate for Payer: Mclaren Medicaid |
$25.45
|
| Rate for Payer: Mclaren Medicare |
$25.45
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$26.72
|
| Rate for Payer: Meridian Medicaid |
$26.72
|
| Rate for Payer: MI Amish Medical Board Commercial |
$29.27
|
| Rate for Payer: Molina Medicare/Medicaid |
$28.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$44.36
|
| Rate for Payer: Nomi Health Commercial |
$38.17
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$39.14
|
| Rate for Payer: PACE Medicare |
$24.18
|
| Rate for Payer: PACE SWMI |
$25.45
|
| Rate for Payer: PHP Commercial |
$44.36
|
| Rate for Payer: PHP Medicare Advantage |
$25.45
|
| Rate for Payer: Priority Health Choice Medicaid |
$13.31
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$25.45
|
| Rate for Payer: Priority Health Medicare |
$25.45
|
| Rate for Payer: Priority Health SBD |
$32.88
|
| Rate for Payer: Priority Health Tiered Network |
$20.36
|
| Rate for Payer: Railroad Medicare Medicare |
$25.45
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$38.18
|
| Rate for Payer: UHC Core |
$38.18
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$25.45
|
| Rate for Payer: UHC Exchange |
$38.18
|
| Rate for Payer: UHC Medicaid |
$13.31
|
| Rate for Payer: UHCCP Medicaid |
$13.31
|
| Rate for Payer: UMR Bronson Commercial |
$19.31
|
| Rate for Payer: VA VA |
$25.45
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$39.14
|
|
|
HC CARDIOLIPIN AB IGM
|
Facility
|
IP
|
$52.19
|
|
|
Service Code
|
CPT 86147
|
| Hospital Charge Code |
30200145
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$22.96 |
| Max. Negotiated Rate |
$46.97 |
| Rate for Payer: Aetna American Axle |
$33.92
|
| Rate for Payer: Aetna Commercial |
$44.36
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$33.92
|
| Rate for Payer: Cash Price |
$41.75
|
| Rate for Payer: Cofinity Advantage |
$36.53
|
| Rate for Payer: Cofinity Commercial |
$44.88
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$41.75
|
| Rate for Payer: Healthscope Commercial |
$46.97
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$36.53
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$39.14
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$44.36
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$39.14
|
| Rate for Payer: PHP Commercial |
$44.36
|
| Rate for Payer: Priority Health SBD |
$32.88
|
| Rate for Payer: UMR Bronson Commercial |
$22.96
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$39.14
|
|
|
HC CARDIOLITE/MIRALUMA STUDY
|
Facility
|
IP
|
$525.85
|
|
|
Service Code
|
HCPCS A9500
|
| Hospital Charge Code |
34300001
|
|
Hospital Revenue Code
|
343
|
| Min. Negotiated Rate |
$231.37 |
| Max. Negotiated Rate |
$473.26 |
| Rate for Payer: Aetna American Axle |
$341.80
|
| Rate for Payer: Aetna Commercial |
$446.97
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$341.80
|
| Rate for Payer: Cash Price |
$420.68
|
| Rate for Payer: Cofinity Advantage |
$368.10
|
| Rate for Payer: Cofinity Commercial |
$452.23
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$420.68
|
| Rate for Payer: Healthscope Commercial |
$473.26
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$368.10
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$394.39
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$446.97
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$394.39
|
| Rate for Payer: PHP Commercial |
$446.97
|
| Rate for Payer: Priority Health SBD |
$331.29
|
| Rate for Payer: UMR Bronson Commercial |
$231.37
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$394.39
|
|
|
HC CARDIOLITE/MIRALUMA STUDY
|
Facility
|
OP
|
$525.85
|
|
|
Service Code
|
HCPCS A9500
|
| Hospital Charge Code |
34300001
|
|
Hospital Revenue Code
|
343
|
| Min. Negotiated Rate |
$194.56 |
| Max. Negotiated Rate |
$743.46 |
| Rate for Payer: Aetna American Axle |
$341.80
|
| Rate for Payer: Aetna Commercial |
$446.97
|
| Rate for Payer: Aetna Medicare |
$262.93
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$341.80
|
| Rate for Payer: BCBS Complete |
$210.34
|
| Rate for Payer: BCBS Trust/PPO |
$197.44
|
| Rate for Payer: BCN Commercial |
$197.44
|
| Rate for Payer: Cash Price |
$420.68
|
| Rate for Payer: Cash Price |
$420.68
|
| Rate for Payer: Cofinity Advantage |
$368.10
|
| Rate for Payer: Cofinity Commercial |
$452.23
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$420.68
|
| Rate for Payer: Healthscope Commercial |
$473.26
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$368.10
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$394.39
|
| Rate for Payer: MI Amish Medical Board Commercial |
$420.68
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$446.97
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$394.39
|
| Rate for Payer: PHP Commercial |
$446.97
|
| Rate for Payer: Priority Health SBD |
$331.29
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$743.46
|
| Rate for Payer: UHC Core |
$743.46
|
| Rate for Payer: UHC Exchange |
$743.46
|
| Rate for Payer: UMR Bronson Commercial |
$194.56
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$394.39
|
|
|
HC CARDIOPULMONARY EX TEST
|
Facility
|
IP
|
$1,145.14
|
|
|
Service Code
|
CPT 94621
|
| Hospital Charge Code |
46000007
|
|
Hospital Revenue Code
|
460
|
| Min. Negotiated Rate |
$503.86 |
| Max. Negotiated Rate |
$1,030.63 |
| Rate for Payer: Aetna American Axle |
$744.34
|
| Rate for Payer: Aetna Commercial |
$973.37
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$744.34
|
| Rate for Payer: Cash Price |
$916.11
|
| Rate for Payer: Cofinity Advantage |
$801.60
|
| Rate for Payer: Cofinity Commercial |
$984.82
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$916.11
|
| Rate for Payer: Healthscope Commercial |
$1,030.63
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$801.60
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$858.86
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$973.37
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$858.86
|
| Rate for Payer: PHP Commercial |
$973.37
|
| Rate for Payer: Priority Health SBD |
$721.44
|
| Rate for Payer: UMR Bronson Commercial |
$503.86
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$858.86
|
|
|
HC CARDIOPULMONARY EX TEST
|
Facility
|
OP
|
$1,145.14
|
|
|
Service Code
|
CPT 94621
|
| Hospital Charge Code |
46000007
|
|
Hospital Revenue Code
|
460
|
| Min. Negotiated Rate |
$194.46 |
| Max. Negotiated Rate |
$1,202.41 |
| Rate for Payer: Aetna American Axle |
$744.34
|
| Rate for Payer: Aetna Commercial |
$973.37
|
| Rate for Payer: Aetna Medicare |
$386.69
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$744.34
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$464.77
|
| Rate for Payer: Amish Plain Church Group Commercial |
$464.77
|
| Rate for Payer: BCBS Complete |
$204.20
|
| Rate for Payer: BCBS MAPPO |
$371.82
|
| Rate for Payer: BCBS Trust/PPO |
$374.76
|
| Rate for Payer: BCN Commercial |
$374.76
|
| Rate for Payer: BCN Medicare Advantage |
$371.82
|
| Rate for Payer: Cash Price |
$916.11
|
| Rate for Payer: Cash Price |
$916.11
|
| Rate for Payer: Cofinity Advantage |
$801.60
|
| Rate for Payer: Cofinity Commercial |
$984.82
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$916.11
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$371.82
|
| Rate for Payer: Healthscope Commercial |
$1,030.63
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$801.60
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$858.86
|
| Rate for Payer: Mclaren Medicaid |
$371.82
|
| Rate for Payer: Mclaren Medicare |
$371.82
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$390.41
|
| Rate for Payer: Meridian Medicaid |
$390.41
|
| Rate for Payer: MI Amish Medical Board Commercial |
$427.59
|
| Rate for Payer: Molina Medicare/Medicaid |
$409.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$973.37
|
| Rate for Payer: Nomi Health Commercial |
$1,115.46
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$858.86
|
| Rate for Payer: PACE Medicare |
$353.23
|
| Rate for Payer: PACE SWMI |
$371.82
|
| Rate for Payer: PHP Commercial |
$973.37
|
| Rate for Payer: PHP Medicare Advantage |
$371.82
|
| Rate for Payer: Priority Health Choice Medicaid |
$194.46
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$1,202.41
|
| Rate for Payer: Priority Health Medicare |
$371.82
|
| Rate for Payer: Priority Health SBD |
$721.44
|
| Rate for Payer: Priority Health Tiered Network |
$961.93
|
| Rate for Payer: Railroad Medicare Medicare |
$371.82
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$744.34
|
| Rate for Payer: UHC Core |
$596.62
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$371.82
|
| Rate for Payer: UHC Exchange |
$450.04
|
| Rate for Payer: UHC Medicaid |
$194.46
|
| Rate for Payer: UHCCP Medicaid |
$194.46
|
| Rate for Payer: UMR Bronson Commercial |
$423.70
|
| Rate for Payer: VA VA |
$371.82
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$858.86
|
|
|
HC CARDIOVERSION
|
Facility
|
OP
|
$1,232.88
|
|
|
Service Code
|
CPT 92960
|
| Hospital Charge Code |
48000002
|
|
Hospital Revenue Code
|
480
|
| Min. Negotiated Rate |
$344.43 |
| Max. Negotiated Rate |
$2,129.73 |
| Rate for Payer: Aetna American Axle |
$801.37
|
| Rate for Payer: Aetna Commercial |
$1,047.95
|
| Rate for Payer: Aetna Medicare |
$684.91
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$801.37
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$823.21
|
| Rate for Payer: Amish Plain Church Group Commercial |
$823.21
|
| Rate for Payer: BCBS Complete |
$361.69
|
| Rate for Payer: BCBS MAPPO |
$658.57
|
| Rate for Payer: BCBS Trust/PPO |
$757.31
|
| Rate for Payer: BCN Commercial |
$757.31
|
| Rate for Payer: BCN Medicare Advantage |
$658.57
|
| Rate for Payer: Cash Price |
$986.30
|
| Rate for Payer: Cash Price |
$986.30
|
| Rate for Payer: Cash Price |
$986.30
|
| Rate for Payer: Cofinity Advantage |
$863.02
|
| Rate for Payer: Cofinity Commercial |
$1,060.28
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$986.30
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$658.57
|
| Rate for Payer: Healthscope Commercial |
$1,109.59
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$863.02
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$924.66
|
| Rate for Payer: Mclaren Medicaid |
$658.57
|
| Rate for Payer: Mclaren Medicare |
$658.57
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$691.50
|
| Rate for Payer: Meridian Medicaid |
$691.50
|
| Rate for Payer: MI Amish Medical Board Commercial |
$757.36
|
| Rate for Payer: Molina Medicare/Medicaid |
$724.43
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,047.95
|
| Rate for Payer: Nomi Health Commercial |
$1,975.71
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$924.66
|
| Rate for Payer: PACE Medicare |
$625.64
|
| Rate for Payer: PACE SWMI |
$658.57
|
| Rate for Payer: PHP Commercial |
$1,047.95
|
| Rate for Payer: PHP Medicare Advantage |
$658.57
|
| Rate for Payer: Priority Health Choice Medicaid |
$344.43
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$2,129.73
|
| Rate for Payer: Priority Health Medicare |
$658.57
|
| Rate for Payer: Priority Health SBD |
$776.71
|
| Rate for Payer: Priority Health Tiered Network |
$1,703.78
|
| Rate for Payer: Railroad Medicare Medicare |
$658.57
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$801.37
|
| Rate for Payer: UHC Core |
$642.33
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$658.57
|
| Rate for Payer: UHC Exchange |
$484.52
|
| Rate for Payer: UHC Medicaid |
$344.43
|
| Rate for Payer: UHCCP Medicaid |
$344.43
|
| Rate for Payer: UMR Bronson Commercial |
$456.17
|
| Rate for Payer: VA VA |
$658.57
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$924.66
|
|
|
HC CARDIOVERSION
|
Facility
|
IP
|
$1,232.88
|
|
|
Service Code
|
CPT 92960
|
| Hospital Charge Code |
48000002
|
|
Hospital Revenue Code
|
480
|
| Min. Negotiated Rate |
$542.47 |
| Max. Negotiated Rate |
$1,109.59 |
| Rate for Payer: Aetna American Axle |
$801.37
|
| Rate for Payer: Aetna Commercial |
$1,047.95
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$801.37
|
| Rate for Payer: Cash Price |
$986.30
|
| Rate for Payer: Cofinity Advantage |
$863.02
|
| Rate for Payer: Cofinity Commercial |
$1,060.28
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$986.30
|
| Rate for Payer: Healthscope Commercial |
$1,109.59
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$863.02
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$924.66
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,047.95
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$924.66
|
| Rate for Payer: PHP Commercial |
$1,047.95
|
| Rate for Payer: Priority Health SBD |
$776.71
|
| Rate for Payer: UMR Bronson Commercial |
$542.47
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$924.66
|
|
|
HC CARDIOVERSION EXT
|
Facility
|
OP
|
$1,018.16
|
|
| Hospital Charge Code |
45000034
|
|
Hospital Revenue Code
|
450
|
| Min. Negotiated Rate |
$125.00 |
| Max. Negotiated Rate |
$916.34 |
| Rate for Payer: Aetna American Axle |
$661.80
|
| Rate for Payer: Aetna Commercial |
$865.44
|
| Rate for Payer: Aetna Medicare |
$509.08
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$661.80
|
| Rate for Payer: BCBS Complete |
$407.26
|
| Rate for Payer: Cash Price |
$814.53
|
| Rate for Payer: Cash Price |
$814.53
|
| Rate for Payer: Cofinity Advantage |
$712.71
|
| Rate for Payer: Cofinity Commercial |
$875.62
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$814.53
|
| Rate for Payer: Healthscope Commercial |
$916.34
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$712.71
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$763.62
|
| Rate for Payer: MI Amish Medical Board Commercial |
$814.53
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$865.44
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$763.62
|
| Rate for Payer: PHP Commercial |
$865.44
|
| Rate for Payer: Priority Health SBD |
$641.44
|
| Rate for Payer: UHCCP Medicaid |
$125.00
|
| Rate for Payer: UMR Bronson Commercial |
$376.72
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$763.62
|
|
|
HC CARDIOVERSION EXT
|
Facility
|
IP
|
$1,018.16
|
|
| Hospital Charge Code |
45000034
|
|
Hospital Revenue Code
|
450
|
| Min. Negotiated Rate |
$447.99 |
| Max. Negotiated Rate |
$916.34 |
| Rate for Payer: Aetna American Axle |
$661.80
|
| Rate for Payer: Aetna Commercial |
$865.44
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$661.80
|
| Rate for Payer: Cash Price |
$814.53
|
| Rate for Payer: Cofinity Advantage |
$712.71
|
| Rate for Payer: Cofinity Commercial |
$875.62
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$814.53
|
| Rate for Payer: Healthscope Commercial |
$916.34
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$712.71
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$763.62
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$865.44
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$763.62
|
| Rate for Payer: PHP Commercial |
$865.44
|
| Rate for Payer: Priority Health SBD |
$641.44
|
| Rate for Payer: UMR Bronson Commercial |
$447.99
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$763.62
|
|
|
HC CAREGIVER HEALTH RISK ASSMT
|
Facility
|
OP
|
$54.12
|
|
|
Service Code
|
CPT 96161
|
| Hospital Charge Code |
51000095
|
|
Hospital Revenue Code
|
510
|
| Min. Negotiated Rate |
$12.67 |
| Max. Negotiated Rate |
$120.72 |
| Rate for Payer: Aetna American Axle |
$35.18
|
| Rate for Payer: Aetna Commercial |
$46.00
|
| Rate for Payer: Aetna Medicare |
$38.82
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$35.18
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$46.66
|
| Rate for Payer: Amish Plain Church Group Commercial |
$46.66
|
| Rate for Payer: BCBS Complete |
$20.50
|
| Rate for Payer: BCBS MAPPO |
$37.33
|
| Rate for Payer: BCBS Trust/PPO |
$12.67
|
| Rate for Payer: BCN Commercial |
$12.67
|
| Rate for Payer: BCN Medicare Advantage |
$37.33
|
| Rate for Payer: Cash Price |
$43.30
|
| Rate for Payer: Cash Price |
$43.30
|
| Rate for Payer: Cofinity Advantage |
$37.88
|
| Rate for Payer: Cofinity Commercial |
$46.54
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$43.30
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$37.33
|
| Rate for Payer: Healthscope Commercial |
$48.71
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$37.88
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$40.59
|
| Rate for Payer: Mclaren Medicaid |
$37.33
|
| Rate for Payer: Mclaren Medicare |
$37.33
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$39.20
|
| Rate for Payer: Meridian Medicaid |
$39.20
|
| Rate for Payer: MI Amish Medical Board Commercial |
$42.93
|
| Rate for Payer: Molina Medicare/Medicaid |
$41.06
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$46.00
|
| Rate for Payer: Nomi Health Commercial |
$111.99
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$40.59
|
| Rate for Payer: PACE Medicare |
$35.46
|
| Rate for Payer: PACE SWMI |
$37.33
|
| Rate for Payer: PHP Commercial |
$46.00
|
| Rate for Payer: PHP Medicare Advantage |
$37.33
|
| Rate for Payer: Priority Health Choice Medicaid |
$19.52
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$120.72
|
| Rate for Payer: Priority Health Medicare |
$37.33
|
| Rate for Payer: Priority Health SBD |
$34.10
|
| Rate for Payer: Priority Health Tiered Network |
$96.58
|
| Rate for Payer: Railroad Medicare Medicare |
$37.33
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$35.18
|
| Rate for Payer: UHC Core |
$28.20
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$37.33
|
| Rate for Payer: UHC Exchange |
$21.27
|
| Rate for Payer: UHC Medicaid |
$19.52
|
| Rate for Payer: UHCCP Medicaid |
$19.52
|
| Rate for Payer: UMR Bronson Commercial |
$20.02
|
| Rate for Payer: VA VA |
$37.33
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$40.59
|
|
|
HC CAREGIVER HEALTH RISK ASSMT
|
Facility
|
IP
|
$54.12
|
|
|
Service Code
|
CPT 96161
|
| Hospital Charge Code |
51000095
|
|
Hospital Revenue Code
|
510
|
| Min. Negotiated Rate |
$23.81 |
| Max. Negotiated Rate |
$48.71 |
| Rate for Payer: Aetna American Axle |
$35.18
|
| Rate for Payer: Aetna Commercial |
$46.00
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$35.18
|
| Rate for Payer: Cash Price |
$43.30
|
| Rate for Payer: Cofinity Advantage |
$37.88
|
| Rate for Payer: Cofinity Commercial |
$46.54
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$43.30
|
| Rate for Payer: Healthscope Commercial |
$48.71
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$37.88
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$40.59
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$46.00
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$40.59
|
| Rate for Payer: PHP Commercial |
$46.00
|
| Rate for Payer: Priority Health SBD |
$34.10
|
| Rate for Payer: UMR Bronson Commercial |
$23.81
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$40.59
|
|
|
HC CARE MGMT SERVICES BEHAVIORAL HLTH COND 20 MINS
|
Facility
|
OP
|
$83.83
|
|
|
Service Code
|
CPT 99484
|
| Hospital Charge Code |
51000107
|
|
Hospital Revenue Code
|
510
|
| Min. Negotiated Rate |
$19.52 |
| Max. Negotiated Rate |
$120.72 |
| Rate for Payer: Aetna American Axle |
$54.49
|
| Rate for Payer: Aetna Commercial |
$71.26
|
| Rate for Payer: Aetna Medicare |
$38.82
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$54.49
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$46.66
|
| Rate for Payer: Amish Plain Church Group Commercial |
$46.66
|
| Rate for Payer: BCBS Complete |
$20.50
|
| Rate for Payer: BCBS MAPPO |
$37.33
|
| Rate for Payer: BCBS Trust/PPO |
$86.05
|
| Rate for Payer: BCN Commercial |
$86.05
|
| Rate for Payer: BCN Medicare Advantage |
$37.33
|
| Rate for Payer: Cash Price |
$67.06
|
| Rate for Payer: Cash Price |
$67.06
|
| Rate for Payer: Cofinity Advantage |
$58.68
|
| Rate for Payer: Cofinity Commercial |
$72.09
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$67.06
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$37.33
|
| Rate for Payer: Healthscope Commercial |
$75.45
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$58.68
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$62.87
|
| Rate for Payer: Mclaren Medicaid |
$37.33
|
| Rate for Payer: Mclaren Medicare |
$37.33
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$39.20
|
| Rate for Payer: Meridian Medicaid |
$39.20
|
| Rate for Payer: MI Amish Medical Board Commercial |
$42.93
|
| Rate for Payer: Molina Medicare/Medicaid |
$41.06
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$71.26
|
| Rate for Payer: Nomi Health Commercial |
$111.99
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$62.87
|
| Rate for Payer: PACE Medicare |
$35.46
|
| Rate for Payer: PACE SWMI |
$37.33
|
| Rate for Payer: PHP Commercial |
$71.26
|
| Rate for Payer: PHP Medicare Advantage |
$37.33
|
| Rate for Payer: Priority Health Choice Medicaid |
$19.52
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$120.72
|
| Rate for Payer: Priority Health Medicare |
$37.33
|
| Rate for Payer: Priority Health SBD |
$52.81
|
| Rate for Payer: Priority Health Tiered Network |
$96.58
|
| Rate for Payer: Railroad Medicare Medicare |
$37.33
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$54.49
|
| Rate for Payer: UHC Core |
$43.68
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$37.33
|
| Rate for Payer: UHC Exchange |
$32.95
|
| Rate for Payer: UHC Medicaid |
$19.52
|
| Rate for Payer: UHCCP Medicaid |
$19.52
|
| Rate for Payer: UMR Bronson Commercial |
$31.02
|
| Rate for Payer: VA VA |
$37.33
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$62.87
|
|
|
HC CARE MGMT SERVICES BEHAVIORAL HLTH COND 20 MINS
|
Facility
|
IP
|
$83.83
|
|
|
Service Code
|
CPT 99484
|
| Hospital Charge Code |
51000107
|
|
Hospital Revenue Code
|
510
|
| Min. Negotiated Rate |
$36.89 |
| Max. Negotiated Rate |
$75.45 |
| Rate for Payer: Aetna American Axle |
$54.49
|
| Rate for Payer: Aetna Commercial |
$71.26
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$54.49
|
| Rate for Payer: Cash Price |
$67.06
|
| Rate for Payer: Cofinity Advantage |
$58.68
|
| Rate for Payer: Cofinity Commercial |
$72.09
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$67.06
|
| Rate for Payer: Healthscope Commercial |
$75.45
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$58.68
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$62.87
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$71.26
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$62.87
|
| Rate for Payer: PHP Commercial |
$71.26
|
| Rate for Payer: Priority Health SBD |
$52.81
|
| Rate for Payer: UMR Bronson Commercial |
$36.89
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$62.87
|
|
|
HC CARNITINE
|
Facility
|
OP
|
$60.34
|
|
|
Service Code
|
CPT 82379
|
| Hospital Charge Code |
30100136
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$8.82 |
| Max. Negotiated Rate |
$54.31 |
| Rate for Payer: Aetna American Axle |
$39.22
|
| Rate for Payer: Aetna Commercial |
$51.29
|
| Rate for Payer: Aetna Medicare |
$17.54
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$39.22
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$21.09
|
| Rate for Payer: Amish Plain Church Group Commercial |
$21.09
|
| Rate for Payer: BCBS Complete |
$9.27
|
| Rate for Payer: BCBS MAPPO |
$16.87
|
| Rate for Payer: BCBS Trust/PPO |
$19.50
|
| Rate for Payer: BCN Commercial |
$19.50
|
| Rate for Payer: BCN Medicare Advantage |
$16.87
|
| Rate for Payer: Cash Price |
$48.27
|
| Rate for Payer: Cash Price |
$48.27
|
| Rate for Payer: Cofinity Advantage |
$42.24
|
| Rate for Payer: Cofinity Commercial |
$51.89
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$48.27
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$16.87
|
| Rate for Payer: Healthscope Commercial |
$54.31
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$42.24
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$45.26
|
| Rate for Payer: Mclaren Medicaid |
$16.87
|
| Rate for Payer: Mclaren Medicare |
$16.87
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$17.71
|
| Rate for Payer: Meridian Medicaid |
$17.71
|
| Rate for Payer: MI Amish Medical Board Commercial |
$19.40
|
| Rate for Payer: Molina Medicare/Medicaid |
$18.56
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$51.29
|
| Rate for Payer: Nomi Health Commercial |
$25.30
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$45.26
|
| Rate for Payer: PACE Medicare |
$16.03
|
| Rate for Payer: PACE SWMI |
$16.87
|
| Rate for Payer: PHP Commercial |
$51.29
|
| Rate for Payer: PHP Medicare Advantage |
$16.87
|
| Rate for Payer: Priority Health Choice Medicaid |
$8.82
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$16.87
|
| Rate for Payer: Priority Health Medicare |
$16.87
|
| Rate for Payer: Priority Health SBD |
$38.01
|
| Rate for Payer: Priority Health Tiered Network |
$13.50
|
| Rate for Payer: Railroad Medicare Medicare |
$16.87
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$25.31
|
| Rate for Payer: UHC Core |
$25.31
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$16.87
|
| Rate for Payer: UHC Exchange |
$25.31
|
| Rate for Payer: UHC Medicaid |
$8.82
|
| Rate for Payer: UHCCP Medicaid |
$8.82
|
| Rate for Payer: UMR Bronson Commercial |
$22.33
|
| Rate for Payer: VA VA |
$16.87
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$45.26
|
|
|
HC CARNITINE
|
Facility
|
IP
|
$60.34
|
|
|
Service Code
|
CPT 82379
|
| Hospital Charge Code |
30100136
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$26.55 |
| Max. Negotiated Rate |
$54.31 |
| Rate for Payer: Aetna American Axle |
$39.22
|
| Rate for Payer: Aetna Commercial |
$51.29
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$39.22
|
| Rate for Payer: Cash Price |
$48.27
|
| Rate for Payer: Cofinity Advantage |
$42.24
|
| Rate for Payer: Cofinity Commercial |
$51.89
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$48.27
|
| Rate for Payer: Healthscope Commercial |
$54.31
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$42.24
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$45.26
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$51.29
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$45.26
|
| Rate for Payer: PHP Commercial |
$51.29
|
| Rate for Payer: Priority Health SBD |
$38.01
|
| Rate for Payer: UMR Bronson Commercial |
$26.55
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$45.26
|
|
|
HC CAR OBSERVATION PER HOUR
|
Facility
|
IP
|
$160.00
|
|
|
Service Code
|
HCPCS G0378
|
| Hospital Charge Code |
76200010
|
|
Hospital Revenue Code
|
762
|
| Min. Negotiated Rate |
$70.40 |
| Max. Negotiated Rate |
$144.00 |
| Rate for Payer: Aetna American Axle |
$104.00
|
| Rate for Payer: Aetna Commercial |
$136.00
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$104.00
|
| Rate for Payer: Cash Price |
$128.00
|
| Rate for Payer: Cofinity Advantage |
$112.00
|
| Rate for Payer: Cofinity Commercial |
$137.60
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$128.00
|
| Rate for Payer: Healthscope Commercial |
$144.00
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$112.00
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$120.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$136.00
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$120.00
|
| Rate for Payer: PHP Commercial |
$136.00
|
| Rate for Payer: Priority Health SBD |
$100.80
|
| Rate for Payer: UMR Bronson Commercial |
$70.40
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$120.00
|
|
|
HC CAR OBSERVATION PER HOUR
|
Facility
|
OP
|
$160.00
|
|
|
Service Code
|
HCPCS G0378
|
| Hospital Charge Code |
76200010
|
|
Hospital Revenue Code
|
762
|
| Min. Negotiated Rate |
$59.20 |
| Max. Negotiated Rate |
$1,608.00 |
| Rate for Payer: Aetna American Axle |
$104.00
|
| Rate for Payer: Aetna Commercial |
$136.00
|
| Rate for Payer: Aetna Medicare |
$80.00
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$104.00
|
| Rate for Payer: BCBS Complete |
$64.00
|
| Rate for Payer: BCBS Trust/PPO |
$107.13
|
| Rate for Payer: BCN Commercial |
$107.13
|
| Rate for Payer: Cash Price |
$128.00
|
| Rate for Payer: Cash Price |
$128.00
|
| Rate for Payer: Cash Price |
$128.00
|
| Rate for Payer: Cash Price |
$128.00
|
| Rate for Payer: Cofinity Advantage |
$112.00
|
| Rate for Payer: Cofinity Commercial |
$137.60
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$128.00
|
| Rate for Payer: Healthscope Commercial |
$144.00
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$112.00
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$120.00
|
| Rate for Payer: MI Amish Medical Board Commercial |
$128.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$136.00
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$120.00
|
| Rate for Payer: PHP Commercial |
$136.00
|
| Rate for Payer: Priority Health SBD |
$100.80
|
| Rate for Payer: UHC Medicaid |
$1,608.00
|
| Rate for Payer: UHCCP Medicaid |
$850.00
|
| Rate for Payer: UMR Bronson Commercial |
$59.20
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$120.00
|
|
|
HC CAROTENE
|
Facility
|
OP
|
$153.98
|
|
|
Service Code
|
CPT 82380
|
| Hospital Charge Code |
30100137
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$4.82 |
| Max. Negotiated Rate |
$138.58 |
| Rate for Payer: Aetna American Axle |
$100.09
|
| Rate for Payer: Aetna Commercial |
$130.88
|
| Rate for Payer: Aetna Medicare |
$9.59
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$100.09
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$11.53
|
| Rate for Payer: Amish Plain Church Group Commercial |
$11.53
|
| Rate for Payer: BCBS Complete |
$5.06
|
| Rate for Payer: BCBS MAPPO |
$9.22
|
| Rate for Payer: BCBS Trust/PPO |
$10.67
|
| Rate for Payer: BCN Commercial |
$10.67
|
| Rate for Payer: BCN Medicare Advantage |
$9.22
|
| Rate for Payer: Cash Price |
$123.18
|
| Rate for Payer: Cash Price |
$123.18
|
| Rate for Payer: Cofinity Advantage |
$107.79
|
| Rate for Payer: Cofinity Commercial |
$132.42
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$123.18
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$9.22
|
| Rate for Payer: Healthscope Commercial |
$138.58
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$107.79
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$115.48
|
| Rate for Payer: Mclaren Medicaid |
$9.22
|
| Rate for Payer: Mclaren Medicare |
$9.22
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$9.68
|
| Rate for Payer: Meridian Medicaid |
$9.68
|
| Rate for Payer: MI Amish Medical Board Commercial |
$10.60
|
| Rate for Payer: Molina Medicare/Medicaid |
$10.14
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$130.88
|
| Rate for Payer: Nomi Health Commercial |
$13.83
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$115.48
|
| Rate for Payer: PACE Medicare |
$8.76
|
| Rate for Payer: PACE SWMI |
$9.22
|
| Rate for Payer: PHP Commercial |
$130.88
|
| Rate for Payer: PHP Medicare Advantage |
$9.22
|
| Rate for Payer: Priority Health Choice Medicaid |
$4.82
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$9.22
|
| Rate for Payer: Priority Health Medicare |
$9.22
|
| Rate for Payer: Priority Health SBD |
$97.01
|
| Rate for Payer: Priority Health Tiered Network |
$7.38
|
| Rate for Payer: Railroad Medicare Medicare |
$9.22
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$13.83
|
| Rate for Payer: UHC Core |
$13.83
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$9.22
|
| Rate for Payer: UHC Exchange |
$13.83
|
| Rate for Payer: UHC Medicaid |
$4.82
|
| Rate for Payer: UHCCP Medicaid |
$4.82
|
| Rate for Payer: UMR Bronson Commercial |
$56.97
|
| Rate for Payer: VA VA |
$9.22
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$115.48
|
|
|
HC CAROTENE
|
Facility
|
IP
|
$153.98
|
|
|
Service Code
|
CPT 82380
|
| Hospital Charge Code |
30100137
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$67.75 |
| Max. Negotiated Rate |
$138.58 |
| Rate for Payer: Aetna American Axle |
$100.09
|
| Rate for Payer: Aetna Commercial |
$130.88
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$100.09
|
| Rate for Payer: Cash Price |
$123.18
|
| Rate for Payer: Cofinity Advantage |
$107.79
|
| Rate for Payer: Cofinity Commercial |
$132.42
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$123.18
|
| Rate for Payer: Healthscope Commercial |
$138.58
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$107.79
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$115.48
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$130.88
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$115.48
|
| Rate for Payer: PHP Commercial |
$130.88
|
| Rate for Payer: Priority Health SBD |
$97.01
|
| Rate for Payer: UMR Bronson Commercial |
$67.75
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$115.48
|
|
|
HC CAROTID/VERTEBRAL LIMITED
|
Facility
|
OP
|
$741.06
|
|
|
Service Code
|
CPT 93882
|
| Hospital Charge Code |
40200054
|
|
Hospital Revenue Code
|
402
|
| Min. Negotiated Rate |
$54.48 |
| Max. Negotiated Rate |
$666.95 |
| Rate for Payer: Aetna American Axle |
$481.69
|
| Rate for Payer: Aetna Commercial |
$629.90
|
| Rate for Payer: Aetna Medicare |
$108.34
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$481.69
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$130.21
|
| Rate for Payer: Amish Plain Church Group Commercial |
$130.21
|
| Rate for Payer: BCBS Complete |
$57.21
|
| Rate for Payer: BCBS MAPPO |
$104.17
|
| Rate for Payer: BCBS Trust/PPO |
$421.26
|
| Rate for Payer: BCN Commercial |
$421.26
|
| Rate for Payer: BCN Medicare Advantage |
$104.17
|
| Rate for Payer: Cash Price |
$592.85
|
| Rate for Payer: Cash Price |
$592.85
|
| Rate for Payer: Cofinity Advantage |
$518.74
|
| Rate for Payer: Cofinity Commercial |
$637.31
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$592.85
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$104.17
|
| Rate for Payer: Healthscope Commercial |
$666.95
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$518.74
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$555.79
|
| Rate for Payer: Mclaren Medicaid |
$104.17
|
| Rate for Payer: Mclaren Medicare |
$104.17
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$109.38
|
| Rate for Payer: Meridian Medicaid |
$109.38
|
| Rate for Payer: MI Amish Medical Board Commercial |
$119.80
|
| Rate for Payer: Molina Medicare/Medicaid |
$114.59
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$629.90
|
| Rate for Payer: Nomi Health Commercial |
$312.51
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$555.79
|
| Rate for Payer: PACE Medicare |
$98.96
|
| Rate for Payer: PACE SWMI |
$104.17
|
| Rate for Payer: PHP Commercial |
$629.90
|
| Rate for Payer: PHP Medicare Advantage |
$104.17
|
| Rate for Payer: Priority Health Choice Medicaid |
$54.48
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$336.87
|
| Rate for Payer: Priority Health Medicare |
$104.17
|
| Rate for Payer: Priority Health SBD |
$466.87
|
| Rate for Payer: Priority Health Tiered Network |
$269.50
|
| Rate for Payer: Railroad Medicare Medicare |
$104.17
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$481.69
|
| Rate for Payer: UHC Core |
$386.09
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$104.17
|
| Rate for Payer: UHC Exchange |
$291.24
|
| Rate for Payer: UHC Medicaid |
$54.48
|
| Rate for Payer: UHCCP Medicaid |
$54.48
|
| Rate for Payer: UMR Bronson Commercial |
$274.19
|
| Rate for Payer: VA VA |
$104.17
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$555.79
|
|
|
HC CAROTID/VERTEBRAL LIMITED
|
Facility
|
IP
|
$741.06
|
|
|
Service Code
|
CPT 93882
|
| Hospital Charge Code |
40200054
|
|
Hospital Revenue Code
|
402
|
| Min. Negotiated Rate |
$326.07 |
| Max. Negotiated Rate |
$666.95 |
| Rate for Payer: Aetna American Axle |
$481.69
|
| Rate for Payer: Aetna Commercial |
$629.90
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$481.69
|
| Rate for Payer: Cash Price |
$592.85
|
| Rate for Payer: Cofinity Advantage |
$518.74
|
| Rate for Payer: Cofinity Commercial |
$637.31
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$592.85
|
| Rate for Payer: Healthscope Commercial |
$666.95
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$518.74
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$555.79
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$629.90
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$555.79
|
| Rate for Payer: PHP Commercial |
$629.90
|
| Rate for Payer: Priority Health SBD |
$466.87
|
| Rate for Payer: UMR Bronson Commercial |
$326.07
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$555.79
|
|
|
HC CAROTID/VERTEBRAL ULTRASOUND
|
Facility
|
IP
|
$1,409.73
|
|
|
Service Code
|
CPT 93880
|
| Hospital Charge Code |
92100001
|
|
Hospital Revenue Code
|
921
|
| Min. Negotiated Rate |
$620.28 |
| Max. Negotiated Rate |
$1,268.76 |
| Rate for Payer: Aetna American Axle |
$916.32
|
| Rate for Payer: Aetna Commercial |
$1,198.27
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$916.32
|
| Rate for Payer: Cash Price |
$1,127.78
|
| Rate for Payer: Cofinity Advantage |
$986.81
|
| Rate for Payer: Cofinity Commercial |
$1,212.37
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,127.78
|
| Rate for Payer: Healthscope Commercial |
$1,268.76
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$986.81
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,057.30
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,198.27
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,057.30
|
| Rate for Payer: PHP Commercial |
$1,198.27
|
| Rate for Payer: Priority Health SBD |
$888.13
|
| Rate for Payer: UMR Bronson Commercial |
$620.28
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,057.30
|
|
