|
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
|
|
|
HC CART TRACE 24 IN
|
Facility
|
IP
|
$114.00
|
|
| Hospital Charge Code |
27000714
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$50.16 |
| Max. Negotiated Rate |
$102.60 |
| Rate for Payer: Aetna American Axle |
$74.10
|
| Rate for Payer: Aetna Commercial |
$96.90
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$74.10
|
| Rate for Payer: Cash Price |
$91.20
|
| Rate for Payer: Cofinity Advantage |
$79.80
|
| Rate for Payer: Cofinity Commercial |
$98.04
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$91.20
|
| Rate for Payer: Healthscope Commercial |
$102.60
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$79.80
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$85.50
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$96.90
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$85.50
|
| Rate for Payer: PHP Commercial |
$96.90
|
| Rate for Payer: Priority Health SBD |
$71.82
|
| Rate for Payer: UMR Bronson Commercial |
$50.16
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$85.50
|
|
|
HC CART TRACE 24 IN
|
Facility
|
OP
|
$114.00
|
|
| Hospital Charge Code |
27000714
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$42.18 |
| Max. Negotiated Rate |
$102.60 |
| Rate for Payer: Aetna American Axle |
$74.10
|
| Rate for Payer: Aetna Commercial |
$96.90
|
| Rate for Payer: Aetna Medicare |
$57.00
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$74.10
|
| Rate for Payer: BCBS Complete |
$45.60
|
| Rate for Payer: Cash Price |
$91.20
|
| Rate for Payer: Cofinity Advantage |
$79.80
|
| Rate for Payer: Cofinity Commercial |
$98.04
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$91.20
|
| Rate for Payer: Healthscope Commercial |
$102.60
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$79.80
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$85.50
|
| Rate for Payer: MI Amish Medical Board Commercial |
$91.20
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$96.90
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$85.50
|
| Rate for Payer: PHP Commercial |
$96.90
|
| Rate for Payer: Priority Health SBD |
$71.82
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$74.10
|
| Rate for Payer: UHC Core |
$59.39
|
| Rate for Payer: UHC Exchange |
$44.80
|
| Rate for Payer: UMR Bronson Commercial |
$42.18
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$85.50
|
|
|
HC CASHEW IGE
|
Facility
|
IP
|
$25.90
|
|
|
Service Code
|
CPT 86003
|
| Hospital Charge Code |
30200030
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$11.40 |
| Max. Negotiated Rate |
$23.31 |
| Rate for Payer: Aetna American Axle |
$16.84
|
| Rate for Payer: Aetna Commercial |
$22.02
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$16.84
|
| Rate for Payer: Cash Price |
$20.72
|
| Rate for Payer: Cofinity Advantage |
$18.13
|
| Rate for Payer: Cofinity Commercial |
$22.27
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$20.72
|
| Rate for Payer: Healthscope Commercial |
$23.31
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$18.13
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$19.43
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$22.02
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$19.43
|
| Rate for Payer: PHP Commercial |
$22.02
|
| Rate for Payer: Priority Health SBD |
$16.32
|
| Rate for Payer: UMR Bronson Commercial |
$11.40
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$19.43
|
|
|
HC CASHEW IGE
|
Facility
|
OP
|
$25.90
|
|
|
Service Code
|
CPT 86003
|
| Hospital Charge Code |
30200030
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$2.73 |
| Max. Negotiated Rate |
$23.31 |
| Rate for Payer: Aetna American Axle |
$16.84
|
| Rate for Payer: Aetna Commercial |
$22.02
|
| Rate for Payer: Aetna Medicare |
$5.43
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$16.84
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$6.53
|
| Rate for Payer: Amish Plain Church Group Commercial |
$6.53
|
| Rate for Payer: BCBS Complete |
$2.87
|
| Rate for Payer: BCBS MAPPO |
$5.22
|
| Rate for Payer: BCBS Trust/PPO |
$6.04
|
| Rate for Payer: BCN Commercial |
$6.04
|
| Rate for Payer: BCN Medicare Advantage |
$5.22
|
| Rate for Payer: Cash Price |
$20.72
|
| Rate for Payer: Cash Price |
$20.72
|
| Rate for Payer: Cofinity Advantage |
$18.13
|
| Rate for Payer: Cofinity Commercial |
$22.27
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$20.72
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$5.22
|
| Rate for Payer: Healthscope Commercial |
$23.31
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$18.13
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$19.43
|
| Rate for Payer: Mclaren Medicaid |
$5.22
|
| Rate for Payer: Mclaren Medicare |
$5.22
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$5.48
|
| Rate for Payer: Meridian Medicaid |
$5.48
|
| Rate for Payer: MI Amish Medical Board Commercial |
$6.00
|
| Rate for Payer: Molina Medicare/Medicaid |
$5.74
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$22.02
|
| Rate for Payer: Nomi Health Commercial |
$7.83
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$19.43
|
| Rate for Payer: PACE Medicare |
$4.96
|
| Rate for Payer: PACE SWMI |
$5.22
|
| Rate for Payer: PHP Commercial |
$22.02
|
| Rate for Payer: PHP Medicare Advantage |
$5.22
|
| Rate for Payer: Priority Health Choice Medicaid |
$2.73
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$5.22
|
| Rate for Payer: Priority Health Medicare |
$5.22
|
| Rate for Payer: Priority Health SBD |
$16.32
|
| Rate for Payer: Priority Health Tiered Network |
$4.18
|
| Rate for Payer: Railroad Medicare Medicare |
$5.22
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$7.83
|
| Rate for Payer: UHC Core |
$7.83
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$5.22
|
| Rate for Payer: UHC Exchange |
$7.83
|
| Rate for Payer: UHC Medicaid |
$2.73
|
| Rate for Payer: UHCCP Medicaid |
$2.73
|
| Rate for Payer: UMR Bronson Commercial |
$9.58
|
| Rate for Payer: VA VA |
$5.22
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$19.43
|
|
|
HC CASSETTE ADDITIVE
|
Facility
|
OP
|
$109.50
|
|
| Hospital Charge Code |
27000719
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$40.52 |
| Max. Negotiated Rate |
$98.55 |
| Rate for Payer: Aetna American Axle |
$71.17
|
| Rate for Payer: Aetna Commercial |
$93.08
|
| Rate for Payer: Aetna Medicare |
$54.75
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$71.17
|
| Rate for Payer: BCBS Complete |
$43.80
|
| Rate for Payer: Cash Price |
$87.60
|
| Rate for Payer: Cofinity Advantage |
$76.65
|
| Rate for Payer: Cofinity Commercial |
$94.17
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$87.60
|
| Rate for Payer: Healthscope Commercial |
$98.55
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$76.65
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$82.12
|
| Rate for Payer: MI Amish Medical Board Commercial |
$87.60
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$93.08
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$82.12
|
| Rate for Payer: PHP Commercial |
$93.08
|
| Rate for Payer: Priority Health SBD |
$68.98
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$71.17
|
| Rate for Payer: UHC Core |
$57.05
|
| Rate for Payer: UHC Exchange |
$43.03
|
| Rate for Payer: UMR Bronson Commercial |
$40.52
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$82.12
|
|
|
HC CASSETTE ADDITIVE
|
Facility
|
IP
|
$109.50
|
|
| Hospital Charge Code |
27000719
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$48.18 |
| Max. Negotiated Rate |
$98.55 |
| Rate for Payer: Aetna American Axle |
$71.17
|
| Rate for Payer: Aetna Commercial |
$93.08
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$71.17
|
| Rate for Payer: Cash Price |
$87.60
|
| Rate for Payer: Cofinity Advantage |
$76.65
|
| Rate for Payer: Cofinity Commercial |
$94.17
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$87.60
|
| Rate for Payer: Healthscope Commercial |
$98.55
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$76.65
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$82.12
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$93.08
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$82.12
|
| Rate for Payer: PHP Commercial |
$93.08
|
| Rate for Payer: Priority Health SBD |
$68.98
|
| Rate for Payer: UMR Bronson Commercial |
$48.18
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$82.12
|
|
|
HC CASSETTES QUEST
|
Facility
|
OP
|
$78.03
|
|
| Hospital Charge Code |
27000458
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$28.87 |
| Max. Negotiated Rate |
$70.23 |
| Rate for Payer: Aetna American Axle |
$50.72
|
| Rate for Payer: Aetna Commercial |
$66.33
|
| Rate for Payer: Aetna Medicare |
$39.02
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$50.72
|
| Rate for Payer: BCBS Complete |
$31.21
|
| Rate for Payer: Cash Price |
$62.42
|
| Rate for Payer: Cofinity Advantage |
$54.62
|
| Rate for Payer: Cofinity Commercial |
$67.11
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$62.42
|
| Rate for Payer: Healthscope Commercial |
$70.23
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$54.62
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$58.52
|
| Rate for Payer: MI Amish Medical Board Commercial |
$62.42
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$66.33
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$58.52
|
| Rate for Payer: PHP Commercial |
$66.33
|
| Rate for Payer: Priority Health SBD |
$49.16
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$50.72
|
| Rate for Payer: UHC Core |
$40.65
|
| Rate for Payer: UHC Exchange |
$30.67
|
| Rate for Payer: UMR Bronson Commercial |
$28.87
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$58.52
|
|
|
HC CASSETTES QUEST
|
Facility
|
IP
|
$78.03
|
|
| Hospital Charge Code |
27000458
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$34.33 |
| Max. Negotiated Rate |
$70.23 |
| Rate for Payer: Aetna American Axle |
$50.72
|
| Rate for Payer: Aetna Commercial |
$66.33
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$50.72
|
| Rate for Payer: Cash Price |
$62.42
|
| Rate for Payer: Cofinity Advantage |
$54.62
|
| Rate for Payer: Cofinity Commercial |
$67.11
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$62.42
|
| Rate for Payer: Healthscope Commercial |
$70.23
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$54.62
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$58.52
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$66.33
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$58.52
|
| Rate for Payer: PHP Commercial |
$66.33
|
| Rate for Payer: Priority Health SBD |
$49.16
|
| Rate for Payer: UMR Bronson Commercial |
$34.33
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$58.52
|
|
|
HC CAST CLUB FOOT
|
Facility
|
IP
|
$430.97
|
|
|
Service Code
|
CPT 29450
|
| Hospital Charge Code |
70000011
|
|
Hospital Revenue Code
|
700
|
| Min. Negotiated Rate |
$189.63 |
| Max. Negotiated Rate |
$387.87 |
| Rate for Payer: Aetna American Axle |
$280.13
|
| Rate for Payer: Aetna Commercial |
$366.32
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$280.13
|
| Rate for Payer: Cash Price |
$344.78
|
| Rate for Payer: Cofinity Advantage |
$301.68
|
| Rate for Payer: Cofinity Commercial |
$370.63
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$344.78
|
| Rate for Payer: Healthscope Commercial |
$387.87
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$301.68
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$323.23
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$366.32
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$323.23
|
| Rate for Payer: PHP Commercial |
$366.32
|
| Rate for Payer: Priority Health SBD |
$271.51
|
| Rate for Payer: UMR Bronson Commercial |
$189.63
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$323.23
|
|
|
HC CAST CLUB FOOT
|
Facility
|
OP
|
$430.97
|
|
|
Service Code
|
CPT 29450
|
| Hospital Charge Code |
70000011
|
|
Hospital Revenue Code
|
700
|
| Min. Negotiated Rate |
$84.68 |
| Max. Negotiated Rate |
$523.62 |
| Rate for Payer: Aetna American Axle |
$280.13
|
| Rate for Payer: Aetna Commercial |
$366.32
|
| Rate for Payer: Aetna Medicare |
$168.40
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$280.13
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$202.40
|
| Rate for Payer: Amish Plain Church Group Commercial |
$202.40
|
| Rate for Payer: BCBS Complete |
$88.93
|
| Rate for Payer: BCBS MAPPO |
$161.92
|
| Rate for Payer: BCBS Trust/PPO |
$206.89
|
| Rate for Payer: BCN Commercial |
$206.89
|
| Rate for Payer: BCN Medicare Advantage |
$161.92
|
| Rate for Payer: Cash Price |
$344.78
|
| Rate for Payer: Cash Price |
$344.78
|
| Rate for Payer: Cash Price |
$344.78
|
| Rate for Payer: Cofinity Advantage |
$301.68
|
| Rate for Payer: Cofinity Commercial |
$370.63
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$344.78
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$161.92
|
| Rate for Payer: Healthscope Commercial |
$387.87
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$301.68
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$323.23
|
| Rate for Payer: Mclaren Medicaid |
$161.92
|
| Rate for Payer: Mclaren Medicare |
$161.92
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$170.02
|
| Rate for Payer: Meridian Medicaid |
$170.02
|
| Rate for Payer: MI Amish Medical Board Commercial |
$186.21
|
| Rate for Payer: Molina Medicare/Medicaid |
$178.11
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$366.32
|
| Rate for Payer: Nomi Health Commercial |
$485.76
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$323.23
|
| Rate for Payer: PACE Medicare |
$153.82
|
| Rate for Payer: PACE SWMI |
$161.92
|
| Rate for Payer: PHP Commercial |
$366.32
|
| Rate for Payer: PHP Medicare Advantage |
$161.92
|
| Rate for Payer: Priority Health Choice Medicaid |
$84.68
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$523.62
|
| Rate for Payer: Priority Health Medicare |
$161.92
|
| Rate for Payer: Priority Health SBD |
$271.51
|
| Rate for Payer: Priority Health Tiered Network |
$418.90
|
| Rate for Payer: Railroad Medicare Medicare |
$161.92
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$280.13
|
| Rate for Payer: UHC Core |
$224.54
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$161.92
|
| Rate for Payer: UHC Exchange |
$169.37
|
| Rate for Payer: UHC Medicaid |
$84.68
|
| Rate for Payer: UHCCP Medicaid |
$84.68
|
| Rate for Payer: UMR Bronson Commercial |
$159.46
|
| Rate for Payer: VA VA |
$161.92
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$323.23
|
|
|
HC CAST COLOR ROLL
|
Facility
|
OP
|
$62.78
|
|
| Hospital Charge Code |
27000040
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$23.23 |
| Max. Negotiated Rate |
$56.50 |
| Rate for Payer: Aetna American Axle |
$40.81
|
| Rate for Payer: Aetna Commercial |
$53.36
|
| Rate for Payer: Aetna Medicare |
$31.39
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$40.81
|
| Rate for Payer: BCBS Complete |
$25.11
|
| Rate for Payer: Cash Price |
$50.22
|
| Rate for Payer: Cofinity Advantage |
$43.95
|
| Rate for Payer: Cofinity Commercial |
$53.99
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$50.22
|
| Rate for Payer: Healthscope Commercial |
$56.50
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$43.95
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$47.09
|
| Rate for Payer: MI Amish Medical Board Commercial |
$50.22
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$53.36
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$47.09
|
| Rate for Payer: PHP Commercial |
$53.36
|
| Rate for Payer: Priority Health SBD |
$39.55
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$40.81
|
| Rate for Payer: UHC Core |
$32.71
|
| Rate for Payer: UHC Exchange |
$24.67
|
| Rate for Payer: UMR Bronson Commercial |
$23.23
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$47.09
|
|
|
HC CAST COLOR ROLL
|
Facility
|
IP
|
$62.78
|
|
| Hospital Charge Code |
27000040
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$27.62 |
| Max. Negotiated Rate |
$56.50 |
| Rate for Payer: Aetna American Axle |
$40.81
|
| Rate for Payer: Aetna Commercial |
$53.36
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$40.81
|
| Rate for Payer: Cash Price |
$50.22
|
| Rate for Payer: Cofinity Advantage |
$43.95
|
| Rate for Payer: Cofinity Commercial |
$53.99
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$50.22
|
| Rate for Payer: Healthscope Commercial |
$56.50
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$43.95
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$47.09
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$53.36
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$47.09
|
| Rate for Payer: PHP Commercial |
$53.36
|
| Rate for Payer: Priority Health SBD |
$39.55
|
| Rate for Payer: UMR Bronson Commercial |
$27.62
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$47.09
|
|
|
HC CAST CYLINDER
|
Facility
|
OP
|
$416.23
|
|
|
Service Code
|
CPT 29365
|
| Hospital Charge Code |
70000006
|
|
Hospital Revenue Code
|
700
|
| Min. Negotiated Rate |
$121.04 |
| Max. Negotiated Rate |
$901.26 |
| Rate for Payer: Aetna American Axle |
$270.55
|
| Rate for Payer: Aetna Commercial |
$353.80
|
| Rate for Payer: Aetna Medicare |
$289.84
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$270.55
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$348.36
|
| Rate for Payer: Amish Plain Church Group Commercial |
$348.36
|
| Rate for Payer: BCBS Complete |
$153.06
|
| Rate for Payer: BCBS MAPPO |
$278.69
|
| Rate for Payer: BCBS Trust/PPO |
$121.04
|
| Rate for Payer: BCN Commercial |
$121.04
|
| Rate for Payer: BCN Medicare Advantage |
$278.69
|
| Rate for Payer: Cash Price |
$332.98
|
| Rate for Payer: Cash Price |
$332.98
|
| Rate for Payer: Cash Price |
$332.98
|
| Rate for Payer: Cofinity Advantage |
$291.36
|
| Rate for Payer: Cofinity Commercial |
$357.96
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$332.98
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$278.69
|
| Rate for Payer: Healthscope Commercial |
$374.61
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$291.36
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$312.17
|
| Rate for Payer: Mclaren Medicaid |
$278.69
|
| Rate for Payer: Mclaren Medicare |
$278.69
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$292.62
|
| Rate for Payer: Meridian Medicaid |
$292.62
|
| Rate for Payer: MI Amish Medical Board Commercial |
$320.49
|
| Rate for Payer: Molina Medicare/Medicaid |
$306.56
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$353.80
|
| Rate for Payer: Nomi Health Commercial |
$836.07
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$312.17
|
| Rate for Payer: PACE Medicare |
$264.76
|
| Rate for Payer: PACE SWMI |
$278.69
|
| Rate for Payer: PHP Commercial |
$353.80
|
| Rate for Payer: PHP Medicare Advantage |
$278.69
|
| Rate for Payer: Priority Health Choice Medicaid |
$145.75
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$901.26
|
| Rate for Payer: Priority Health Medicare |
$278.69
|
| Rate for Payer: Priority Health SBD |
$262.22
|
| Rate for Payer: Priority Health Tiered Network |
$721.01
|
| Rate for Payer: Railroad Medicare Medicare |
$278.69
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$270.55
|
| Rate for Payer: UHC Core |
$216.86
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$278.69
|
| Rate for Payer: UHC Exchange |
$163.58
|
| Rate for Payer: UHC Medicaid |
$145.75
|
| Rate for Payer: UHCCP Medicaid |
$145.75
|
| Rate for Payer: UMR Bronson Commercial |
$154.01
|
| Rate for Payer: VA VA |
$278.69
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$312.17
|
|
|
HC CAST CYLINDER
|
Facility
|
IP
|
$416.23
|
|
|
Service Code
|
CPT 29365
|
| Hospital Charge Code |
70000006
|
|
Hospital Revenue Code
|
700
|
| Min. Negotiated Rate |
$183.14 |
| Max. Negotiated Rate |
$374.61 |
| Rate for Payer: Aetna American Axle |
$270.55
|
| Rate for Payer: Aetna Commercial |
$353.80
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$270.55
|
| Rate for Payer: Cash Price |
$332.98
|
| Rate for Payer: Cofinity Advantage |
$291.36
|
| Rate for Payer: Cofinity Commercial |
$357.96
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$332.98
|
| Rate for Payer: Healthscope Commercial |
$374.61
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$291.36
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$312.17
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$353.80
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$312.17
|
| Rate for Payer: PHP Commercial |
$353.80
|
| Rate for Payer: Priority Health SBD |
$262.22
|
| Rate for Payer: UMR Bronson Commercial |
$183.14
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$312.17
|
|
|
HC CAST FINGER (CONTRACTURE)
|
Facility
|
IP
|
$214.29
|
|
|
Service Code
|
CPT 29086
|
| Hospital Charge Code |
43000021
|
|
Hospital Revenue Code
|
430
|
| Min. Negotiated Rate |
$94.29 |
| Max. Negotiated Rate |
$192.86 |
| Rate for Payer: Aetna American Axle |
$139.29
|
| Rate for Payer: Aetna Commercial |
$182.15
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$139.29
|
| Rate for Payer: Cash Price |
$171.43
|
| Rate for Payer: Cofinity Advantage |
$150.00
|
| Rate for Payer: Cofinity Commercial |
$184.29
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$171.43
|
| Rate for Payer: Healthscope Commercial |
$192.86
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$150.00
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$160.72
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$182.15
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$160.72
|
| Rate for Payer: PHP Commercial |
$182.15
|
| Rate for Payer: Priority Health SBD |
$135.00
|
| Rate for Payer: UMR Bronson Commercial |
$94.29
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$160.72
|
|
|
HC CAST FINGER (CONTRACTURE)
|
Facility
|
OP
|
$214.29
|
|
|
Service Code
|
CPT 29086
|
| Hospital Charge Code |
43000021
|
|
Hospital Revenue Code
|
430
|
| Min. Negotiated Rate |
$79.29 |
| Max. Negotiated Rate |
$523.62 |
| Rate for Payer: Aetna American Axle |
$139.29
|
| Rate for Payer: Aetna Commercial |
$182.15
|
| Rate for Payer: Aetna Medicare |
$168.40
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$139.29
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$202.40
|
| Rate for Payer: Amish Plain Church Group Commercial |
$202.40
|
| Rate for Payer: BCBS Complete |
$88.93
|
| Rate for Payer: BCBS MAPPO |
$161.92
|
| Rate for Payer: BCBS Trust/PPO |
$84.34
|
| Rate for Payer: BCN Commercial |
$84.34
|
| Rate for Payer: BCN Medicare Advantage |
$161.92
|
| Rate for Payer: Cash Price |
$171.43
|
| Rate for Payer: Cash Price |
$171.43
|
| Rate for Payer: Cash Price |
$171.43
|
| Rate for Payer: Cash Price |
$171.43
|
| Rate for Payer: Cofinity Advantage |
$150.00
|
| Rate for Payer: Cofinity Commercial |
$184.29
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$171.43
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$161.92
|
| Rate for Payer: Healthscope Commercial |
$192.86
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$150.00
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$160.72
|
| Rate for Payer: Mclaren Medicaid |
$161.92
|
| Rate for Payer: Mclaren Medicare |
$161.92
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$170.02
|
| Rate for Payer: Meridian Medicaid |
$170.02
|
| Rate for Payer: MI Amish Medical Board Commercial |
$186.21
|
| Rate for Payer: Molina Medicare/Medicaid |
$178.11
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$182.15
|
| Rate for Payer: Nomi Health Commercial |
$135.00
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$160.72
|
| Rate for Payer: PACE Medicare |
$153.82
|
| Rate for Payer: PACE SWMI |
$161.92
|
| Rate for Payer: PHP Commercial |
$182.15
|
| Rate for Payer: PHP Medicare Advantage |
$161.92
|
| Rate for Payer: Priority Health Choice Medicaid |
$84.68
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$523.62
|
| Rate for Payer: Priority Health Medicare |
$161.92
|
| Rate for Payer: Priority Health SBD |
$135.00
|
| Rate for Payer: Priority Health Tiered Network |
$418.90
|
| Rate for Payer: Railroad Medicare Medicare |
$161.92
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$139.29
|
| Rate for Payer: UHC Core |
$111.65
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$161.92
|
| Rate for Payer: UHC Exchange |
$84.22
|
| Rate for Payer: UHC Medicaid |
$84.68
|
| Rate for Payer: UHCCP Medicaid |
$84.68
|
| Rate for Payer: UMR Bronson Commercial |
$79.29
|
| Rate for Payer: VA VA |
$161.92
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$160.72
|
|
|
HC CAST GAUNTLET
|
Facility
|
OP
|
$242.90
|
|
|
Service Code
|
CPT 29085
|
| Hospital Charge Code |
42100002
|
|
Hospital Revenue Code
|
421
|
| Min. Negotiated Rate |
$84.68 |
| Max. Negotiated Rate |
$523.62 |
| Rate for Payer: Aetna American Axle |
$157.88
|
| Rate for Payer: Aetna Commercial |
$206.47
|
| Rate for Payer: Aetna Medicare |
$168.40
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$157.88
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$202.40
|
| Rate for Payer: Amish Plain Church Group Commercial |
$202.40
|
| Rate for Payer: BCBS Complete |
$88.93
|
| Rate for Payer: BCBS MAPPO |
$161.92
|
| Rate for Payer: BCBS Trust/PPO |
$192.32
|
| Rate for Payer: BCN Commercial |
$192.32
|
| Rate for Payer: BCN Medicare Advantage |
$161.92
|
| Rate for Payer: Cash Price |
$194.32
|
| Rate for Payer: Cash Price |
$194.32
|
| Rate for Payer: Cash Price |
$194.32
|
| Rate for Payer: Cash Price |
$194.32
|
| Rate for Payer: Cofinity Advantage |
$170.03
|
| Rate for Payer: Cofinity Commercial |
$208.89
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$194.32
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$161.92
|
| Rate for Payer: Healthscope Commercial |
$218.61
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$170.03
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$182.18
|
| Rate for Payer: Mclaren Medicaid |
$161.92
|
| Rate for Payer: Mclaren Medicare |
$161.92
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$170.02
|
| Rate for Payer: Meridian Medicaid |
$170.02
|
| Rate for Payer: MI Amish Medical Board Commercial |
$186.21
|
| Rate for Payer: Molina Medicare/Medicaid |
$178.11
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$206.47
|
| Rate for Payer: Nomi Health Commercial |
$135.00
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$182.18
|
| Rate for Payer: PACE Medicare |
$153.82
|
| Rate for Payer: PACE SWMI |
$161.92
|
| Rate for Payer: PHP Commercial |
$206.47
|
| Rate for Payer: PHP Medicare Advantage |
$161.92
|
| Rate for Payer: Priority Health Choice Medicaid |
$84.68
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$523.62
|
| Rate for Payer: Priority Health Medicare |
$161.92
|
| Rate for Payer: Priority Health SBD |
$153.03
|
| Rate for Payer: Priority Health Tiered Network |
$418.90
|
| Rate for Payer: Railroad Medicare Medicare |
$161.92
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$157.88
|
| Rate for Payer: UHC Core |
$126.55
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$161.92
|
| Rate for Payer: UHC Exchange |
$95.46
|
| Rate for Payer: UHC Medicaid |
$84.68
|
| Rate for Payer: UHCCP Medicaid |
$84.68
|
| Rate for Payer: UMR Bronson Commercial |
$89.87
|
| Rate for Payer: VA VA |
$161.92
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$182.18
|
|
|
HC CAST GAUNTLET
|
Facility
|
IP
|
$242.90
|
|
|
Service Code
|
CPT 29085
|
| Hospital Charge Code |
42100002
|
|
Hospital Revenue Code
|
421
|
| Min. Negotiated Rate |
$106.88 |
| Max. Negotiated Rate |
$218.61 |
| Rate for Payer: Aetna American Axle |
$157.88
|
| Rate for Payer: Aetna Commercial |
$206.47
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$157.88
|
| Rate for Payer: Cash Price |
$194.32
|
| Rate for Payer: Cofinity Advantage |
$170.03
|
| Rate for Payer: Cofinity Commercial |
$208.89
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$194.32
|
| Rate for Payer: Healthscope Commercial |
$218.61
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$170.03
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$182.18
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$206.47
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$182.18
|
| Rate for Payer: PHP Commercial |
$206.47
|
| Rate for Payer: Priority Health SBD |
$153.03
|
| Rate for Payer: UMR Bronson Commercial |
$106.88
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$182.18
|
|
|
HC CAST HIP SPICA 1 AND 1 HALF OR BOTH
|
Facility
|
IP
|
$988.94
|
|
|
Service Code
|
CPT 29325
|
| Hospital Charge Code |
70000004
|
|
Hospital Revenue Code
|
700
|
| Min. Negotiated Rate |
$435.13 |
| Max. Negotiated Rate |
$890.05 |
| Rate for Payer: Aetna American Axle |
$642.81
|
| Rate for Payer: Aetna Commercial |
$840.60
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$642.81
|
| Rate for Payer: Cash Price |
$791.15
|
| Rate for Payer: Cofinity Advantage |
$692.26
|
| Rate for Payer: Cofinity Commercial |
$850.49
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$791.15
|
| Rate for Payer: Healthscope Commercial |
$890.05
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$692.26
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$741.71
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$840.60
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$741.71
|
| Rate for Payer: PHP Commercial |
$840.60
|
| Rate for Payer: Priority Health SBD |
$623.03
|
| Rate for Payer: UMR Bronson Commercial |
$435.13
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$741.71
|
|
|
HC CAST HIP SPICA 1 AND 1 HALF OR BOTH
|
Facility
|
OP
|
$988.94
|
|
|
Service Code
|
CPT 29325
|
| Hospital Charge Code |
70000004
|
|
Hospital Revenue Code
|
700
|
| Min. Negotiated Rate |
$145.75 |
| Max. Negotiated Rate |
$901.26 |
| Rate for Payer: Aetna American Axle |
$642.81
|
| Rate for Payer: Aetna Commercial |
$840.60
|
| Rate for Payer: Aetna Medicare |
$289.84
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$642.81
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$348.36
|
| Rate for Payer: Amish Plain Church Group Commercial |
$348.36
|
| Rate for Payer: BCBS Complete |
$153.06
|
| Rate for Payer: BCBS MAPPO |
$278.69
|
| Rate for Payer: BCBS Trust/PPO |
$190.78
|
| Rate for Payer: BCN Commercial |
$190.78
|
| Rate for Payer: BCN Medicare Advantage |
$278.69
|
| Rate for Payer: Cash Price |
$791.15
|
| Rate for Payer: Cash Price |
$791.15
|
| Rate for Payer: Cash Price |
$791.15
|
| Rate for Payer: Cofinity Advantage |
$692.26
|
| Rate for Payer: Cofinity Commercial |
$850.49
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$791.15
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$278.69
|
| Rate for Payer: Healthscope Commercial |
$890.05
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$692.26
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$741.71
|
| Rate for Payer: Mclaren Medicaid |
$278.69
|
| Rate for Payer: Mclaren Medicare |
$278.69
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$292.62
|
| Rate for Payer: Meridian Medicaid |
$292.62
|
| Rate for Payer: MI Amish Medical Board Commercial |
$320.49
|
| Rate for Payer: Molina Medicare/Medicaid |
$306.56
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$840.60
|
| Rate for Payer: Nomi Health Commercial |
$836.07
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$741.71
|
| Rate for Payer: PACE Medicare |
$264.76
|
| Rate for Payer: PACE SWMI |
$278.69
|
| Rate for Payer: PHP Commercial |
$840.60
|
| Rate for Payer: PHP Medicare Advantage |
$278.69
|
| Rate for Payer: Priority Health Choice Medicaid |
$145.75
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$901.26
|
| Rate for Payer: Priority Health Medicare |
$278.69
|
| Rate for Payer: Priority Health SBD |
$623.03
|
| Rate for Payer: Priority Health Tiered Network |
$721.01
|
| Rate for Payer: Railroad Medicare Medicare |
$278.69
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$642.81
|
| Rate for Payer: UHC Core |
$515.24
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$278.69
|
| Rate for Payer: UHC Exchange |
$388.65
|
| Rate for Payer: UHC Medicaid |
$145.75
|
| Rate for Payer: UHCCP Medicaid |
$145.75
|
| Rate for Payer: UMR Bronson Commercial |
$365.91
|
| Rate for Payer: VA VA |
$278.69
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$741.71
|
|
|
HC CAST LONG ARM
|
Facility
|
OP
|
$348.51
|
|
|
Service Code
|
CPT 29065
|
| Hospital Charge Code |
42100001
|
|
Hospital Revenue Code
|
700
|
| Min. Negotiated Rate |
$128.95 |
| Max. Negotiated Rate |
$901.26 |
| Rate for Payer: Aetna American Axle |
$226.53
|
| Rate for Payer: Aetna Commercial |
$296.23
|
| Rate for Payer: Aetna Medicare |
$289.84
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$226.53
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$348.36
|
| Rate for Payer: Amish Plain Church Group Commercial |
$348.36
|
| Rate for Payer: BCBS Complete |
$153.06
|
| Rate for Payer: BCBS MAPPO |
$278.69
|
| Rate for Payer: BCBS Trust/PPO |
$224.04
|
| Rate for Payer: BCN Commercial |
$224.04
|
| Rate for Payer: BCN Medicare Advantage |
$278.69
|
| Rate for Payer: Cash Price |
$278.81
|
| Rate for Payer: Cash Price |
$278.81
|
| Rate for Payer: Cash Price |
$278.81
|
| Rate for Payer: Cofinity Advantage |
$243.96
|
| Rate for Payer: Cofinity Commercial |
$299.72
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$278.81
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$278.69
|
| Rate for Payer: Healthscope Commercial |
$313.66
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$243.96
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$261.38
|
| Rate for Payer: Mclaren Medicaid |
$278.69
|
| Rate for Payer: Mclaren Medicare |
$278.69
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$292.62
|
| Rate for Payer: Meridian Medicaid |
$292.62
|
| Rate for Payer: MI Amish Medical Board Commercial |
$320.49
|
| Rate for Payer: Molina Medicare/Medicaid |
$306.56
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$296.23
|
| Rate for Payer: Nomi Health Commercial |
$836.07
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$261.38
|
| Rate for Payer: PACE Medicare |
$264.76
|
| Rate for Payer: PACE SWMI |
$278.69
|
| Rate for Payer: PHP Commercial |
$296.23
|
| Rate for Payer: PHP Medicare Advantage |
$278.69
|
| Rate for Payer: Priority Health Choice Medicaid |
$145.75
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$901.26
|
| Rate for Payer: Priority Health Medicare |
$278.69
|
| Rate for Payer: Priority Health SBD |
$219.56
|
| Rate for Payer: Priority Health Tiered Network |
$721.01
|
| Rate for Payer: Railroad Medicare Medicare |
$278.69
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$226.53
|
| Rate for Payer: UHC Core |
$181.57
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$278.69
|
| Rate for Payer: UHC Exchange |
$136.96
|
| Rate for Payer: UHC Medicaid |
$145.75
|
| Rate for Payer: UHCCP Medicaid |
$145.75
|
| Rate for Payer: UMR Bronson Commercial |
$128.95
|
| Rate for Payer: VA VA |
$278.69
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$261.38
|
|
|
HC CAST LONG ARM
|
Facility
|
IP
|
$348.51
|
|
|
Service Code
|
CPT 29065
|
| Hospital Charge Code |
42100001
|
|
Hospital Revenue Code
|
700
|
| Min. Negotiated Rate |
$153.34 |
| Max. Negotiated Rate |
$313.66 |
| Rate for Payer: Aetna American Axle |
$226.53
|
| Rate for Payer: Aetna Commercial |
$296.23
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$226.53
|
| Rate for Payer: Cash Price |
$278.81
|
| Rate for Payer: Cofinity Advantage |
$243.96
|
| Rate for Payer: Cofinity Commercial |
$299.72
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$278.81
|
| Rate for Payer: Healthscope Commercial |
$313.66
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$243.96
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$261.38
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$296.23
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$261.38
|
| Rate for Payer: PHP Commercial |
$296.23
|
| Rate for Payer: Priority Health SBD |
$219.56
|
| Rate for Payer: UMR Bronson Commercial |
$153.34
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$261.38
|
|
|
HC CAST LONG LEG
|
Facility
|
OP
|
$419.91
|
|
|
Service Code
|
CPT 29345
|
| Hospital Charge Code |
70000005
|
|
Hospital Revenue Code
|
700
|
| Min. Negotiated Rate |
$145.75 |
| Max. Negotiated Rate |
$901.26 |
| Rate for Payer: Aetna American Axle |
$272.94
|
| Rate for Payer: Aetna Commercial |
$356.92
|
| Rate for Payer: Aetna Medicare |
$289.84
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$272.94
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$348.36
|
| Rate for Payer: Amish Plain Church Group Commercial |
$348.36
|
| Rate for Payer: BCBS Complete |
$153.06
|
| Rate for Payer: BCBS MAPPO |
$278.69
|
| Rate for Payer: BCBS Trust/PPO |
$269.51
|
| Rate for Payer: BCN Commercial |
$269.51
|
| Rate for Payer: BCN Medicare Advantage |
$278.69
|
| Rate for Payer: Cash Price |
$335.93
|
| Rate for Payer: Cash Price |
$335.93
|
| Rate for Payer: Cash Price |
$335.93
|
| Rate for Payer: Cofinity Advantage |
$293.94
|
| Rate for Payer: Cofinity Commercial |
$361.12
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$335.93
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$278.69
|
| Rate for Payer: Healthscope Commercial |
$377.92
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$293.94
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$314.93
|
| Rate for Payer: Mclaren Medicaid |
$278.69
|
| Rate for Payer: Mclaren Medicare |
$278.69
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$292.62
|
| Rate for Payer: Meridian Medicaid |
$292.62
|
| Rate for Payer: MI Amish Medical Board Commercial |
$320.49
|
| Rate for Payer: Molina Medicare/Medicaid |
$306.56
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$356.92
|
| Rate for Payer: Nomi Health Commercial |
$836.07
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$314.93
|
| Rate for Payer: PACE Medicare |
$264.76
|
| Rate for Payer: PACE SWMI |
$278.69
|
| Rate for Payer: PHP Commercial |
$356.92
|
| Rate for Payer: PHP Medicare Advantage |
$278.69
|
| Rate for Payer: Priority Health Choice Medicaid |
$145.75
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$901.26
|
| Rate for Payer: Priority Health Medicare |
$278.69
|
| Rate for Payer: Priority Health SBD |
$264.54
|
| Rate for Payer: Priority Health Tiered Network |
$721.01
|
| Rate for Payer: Railroad Medicare Medicare |
$278.69
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$272.94
|
| Rate for Payer: UHC Core |
$218.77
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$278.69
|
| Rate for Payer: UHC Exchange |
$165.02
|
| Rate for Payer: UHC Medicaid |
$145.75
|
| Rate for Payer: UHCCP Medicaid |
$145.75
|
| Rate for Payer: UMR Bronson Commercial |
$155.37
|
| Rate for Payer: VA VA |
$278.69
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$314.93
|
|
|
HC CAST LONG LEG
|
Facility
|
IP
|
$419.91
|
|
|
Service Code
|
CPT 29345
|
| Hospital Charge Code |
70000005
|
|
Hospital Revenue Code
|
700
|
| Min. Negotiated Rate |
$184.76 |
| Max. Negotiated Rate |
$377.92 |
| Rate for Payer: Aetna American Axle |
$272.94
|
| Rate for Payer: Aetna Commercial |
$356.92
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$272.94
|
| Rate for Payer: Cash Price |
$335.93
|
| Rate for Payer: Cofinity Advantage |
$293.94
|
| Rate for Payer: Cofinity Commercial |
$361.12
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$335.93
|
| Rate for Payer: Healthscope Commercial |
$377.92
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$293.94
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$314.93
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$356.92
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$314.93
|
| Rate for Payer: PHP Commercial |
$356.92
|
| Rate for Payer: Priority Health SBD |
$264.54
|
| Rate for Payer: UMR Bronson Commercial |
$184.76
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$314.93
|
|
