|
HC CAST PANTALOON
|
Facility
|
OP
|
$936.94
|
|
|
Service Code
|
CPT 29305
|
| Hospital Charge Code |
70000003
|
|
Hospital Revenue Code
|
700
|
| Min. Negotiated Rate |
$145.75 |
| Max. Negotiated Rate |
$901.26 |
| Rate for Payer: Aetna American Axle |
$609.01
|
| Rate for Payer: Aetna Commercial |
$796.40
|
| Rate for Payer: Aetna Medicare |
$289.84
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$609.01
|
| 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 |
$749.55
|
| Rate for Payer: Cash Price |
$749.55
|
| Rate for Payer: Cash Price |
$749.55
|
| Rate for Payer: Cofinity Advantage |
$655.86
|
| Rate for Payer: Cofinity Commercial |
$805.77
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$749.55
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$278.69
|
| Rate for Payer: Healthscope Commercial |
$843.25
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$655.86
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$702.71
|
| 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 |
$796.40
|
| Rate for Payer: Nomi Health Commercial |
$836.07
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$702.71
|
| Rate for Payer: PACE Medicare |
$264.76
|
| Rate for Payer: PACE SWMI |
$278.69
|
| Rate for Payer: PHP Commercial |
$796.40
|
| 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 |
$590.27
|
| 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) |
$609.01
|
| Rate for Payer: UHC Core |
$488.15
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$278.69
|
| Rate for Payer: UHC Exchange |
$368.22
|
| Rate for Payer: UHC Medicaid |
$145.75
|
| Rate for Payer: UHCCP Medicaid |
$145.75
|
| Rate for Payer: UMR Bronson Commercial |
$346.67
|
| Rate for Payer: VA VA |
$278.69
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$702.71
|
|
|
HC CAST PANTALOON
|
Facility
|
IP
|
$936.94
|
|
|
Service Code
|
CPT 29305
|
| Hospital Charge Code |
70000003
|
|
Hospital Revenue Code
|
700
|
| Min. Negotiated Rate |
$412.25 |
| Max. Negotiated Rate |
$843.25 |
| Rate for Payer: Aetna American Axle |
$609.01
|
| Rate for Payer: Aetna Commercial |
$796.40
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$609.01
|
| Rate for Payer: Cash Price |
$749.55
|
| Rate for Payer: Cofinity Advantage |
$655.86
|
| Rate for Payer: Cofinity Commercial |
$805.77
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$749.55
|
| Rate for Payer: Healthscope Commercial |
$843.25
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$655.86
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$702.71
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$796.40
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$702.71
|
| Rate for Payer: PHP Commercial |
$796.40
|
| Rate for Payer: Priority Health SBD |
$590.27
|
| Rate for Payer: UMR Bronson Commercial |
$412.25
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$702.71
|
|
|
HC CAST PTB WALKING
|
Facility
|
IP
|
$419.91
|
|
|
Service Code
|
CPT 29435
|
| Hospital Charge Code |
70000009
|
|
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
|
|
|
HC CAST PTB WALKING
|
Facility
|
OP
|
$419.91
|
|
|
Service Code
|
CPT 29435
|
| Hospital Charge Code |
70000009
|
|
Hospital Revenue Code
|
700
|
| Min. Negotiated Rate |
$113.58 |
| 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 |
$113.58
|
| Rate for Payer: BCN Commercial |
$113.58
|
| 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 REPAIR
|
Facility
|
IP
|
$182.39
|
|
| Hospital Charge Code |
27000041
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$80.25 |
| Max. Negotiated Rate |
$164.15 |
| Rate for Payer: Aetna American Axle |
$118.55
|
| Rate for Payer: Aetna Commercial |
$155.03
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$118.55
|
| Rate for Payer: Cash Price |
$145.91
|
| Rate for Payer: Cofinity Advantage |
$127.67
|
| Rate for Payer: Cofinity Commercial |
$156.86
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$145.91
|
| Rate for Payer: Healthscope Commercial |
$164.15
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$127.67
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$136.79
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$155.03
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$136.79
|
| Rate for Payer: PHP Commercial |
$155.03
|
| Rate for Payer: Priority Health SBD |
$114.91
|
| Rate for Payer: UMR Bronson Commercial |
$80.25
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$136.79
|
|
|
HC CAST REPAIR
|
Facility
|
OP
|
$182.39
|
|
| Hospital Charge Code |
27000041
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$67.48 |
| Max. Negotiated Rate |
$164.15 |
| Rate for Payer: Aetna American Axle |
$118.55
|
| Rate for Payer: Aetna Commercial |
$155.03
|
| Rate for Payer: Aetna Medicare |
$91.19
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$118.55
|
| Rate for Payer: BCBS Complete |
$72.96
|
| Rate for Payer: Cash Price |
$145.91
|
| Rate for Payer: Cofinity Advantage |
$127.67
|
| Rate for Payer: Cofinity Commercial |
$156.86
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$145.91
|
| Rate for Payer: Healthscope Commercial |
$164.15
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$127.67
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$136.79
|
| Rate for Payer: MI Amish Medical Board Commercial |
$145.91
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$155.03
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$136.79
|
| Rate for Payer: PHP Commercial |
$155.03
|
| Rate for Payer: Priority Health SBD |
$114.91
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$118.55
|
| Rate for Payer: UHC Core |
$95.03
|
| Rate for Payer: UHC Exchange |
$71.68
|
| Rate for Payer: UMR Bronson Commercial |
$67.48
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$136.79
|
|
|
HC CAST RISSER BODY ONLY
|
Facility
|
OP
|
$315.57
|
|
|
Service Code
|
CPT 29010
|
| Hospital Charge Code |
70000001
|
|
Hospital Revenue Code
|
700
|
| Min. Negotiated Rate |
$116.76 |
| Max. Negotiated Rate |
$901.26 |
| Rate for Payer: Aetna American Axle |
$205.12
|
| Rate for Payer: Aetna Commercial |
$268.23
|
| Rate for Payer: Aetna Medicare |
$289.84
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$205.12
|
| 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 |
$252.46
|
| Rate for Payer: Cash Price |
$252.46
|
| Rate for Payer: Cash Price |
$252.46
|
| Rate for Payer: Cofinity Advantage |
$220.90
|
| Rate for Payer: Cofinity Commercial |
$271.39
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$252.46
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$278.69
|
| Rate for Payer: Healthscope Commercial |
$284.01
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$220.90
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$236.68
|
| 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 |
$268.23
|
| Rate for Payer: Nomi Health Commercial |
$836.07
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$236.68
|
| Rate for Payer: PACE Medicare |
$264.76
|
| Rate for Payer: PACE SWMI |
$278.69
|
| Rate for Payer: PHP Commercial |
$268.23
|
| 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 |
$198.81
|
| 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) |
$205.12
|
| Rate for Payer: UHC Core |
$164.41
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$278.69
|
| Rate for Payer: UHC Exchange |
$124.02
|
| Rate for Payer: UHC Medicaid |
$145.75
|
| Rate for Payer: UHCCP Medicaid |
$145.75
|
| Rate for Payer: UMR Bronson Commercial |
$116.76
|
| Rate for Payer: VA VA |
$278.69
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$236.68
|
|
|
HC CAST RISSER BODY ONLY
|
Facility
|
IP
|
$315.57
|
|
|
Service Code
|
CPT 29010
|
| Hospital Charge Code |
70000001
|
|
Hospital Revenue Code
|
700
|
| Min. Negotiated Rate |
$138.85 |
| Max. Negotiated Rate |
$284.01 |
| Rate for Payer: Aetna American Axle |
$205.12
|
| Rate for Payer: Aetna Commercial |
$268.23
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$205.12
|
| Rate for Payer: Cash Price |
$252.46
|
| Rate for Payer: Cofinity Advantage |
$220.90
|
| Rate for Payer: Cofinity Commercial |
$271.39
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$252.46
|
| Rate for Payer: Healthscope Commercial |
$284.01
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$220.90
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$236.68
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$268.23
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$236.68
|
| Rate for Payer: PHP Commercial |
$268.23
|
| Rate for Payer: Priority Health SBD |
$198.81
|
| Rate for Payer: UMR Bronson Commercial |
$138.85
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$236.68
|
|
|
HC CAST SHORT ARM
|
Facility
|
IP
|
$306.18
|
|
|
Service Code
|
CPT 29075
|
| Hospital Charge Code |
43000001
|
|
Hospital Revenue Code
|
700
|
| Min. Negotiated Rate |
$134.72 |
| Max. Negotiated Rate |
$275.56 |
| Rate for Payer: Aetna American Axle |
$199.02
|
| Rate for Payer: Aetna Commercial |
$260.25
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$199.02
|
| Rate for Payer: Cash Price |
$244.94
|
| Rate for Payer: Cofinity Advantage |
$214.33
|
| Rate for Payer: Cofinity Commercial |
$263.31
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$244.94
|
| Rate for Payer: Healthscope Commercial |
$275.56
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$214.33
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$229.63
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$260.25
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$229.63
|
| Rate for Payer: PHP Commercial |
$260.25
|
| Rate for Payer: Priority Health SBD |
$192.89
|
| Rate for Payer: UMR Bronson Commercial |
$134.72
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$229.63
|
|
|
HC CAST SHORT ARM
|
Facility
|
OP
|
$306.18
|
|
|
Service Code
|
CPT 29075
|
| Hospital Charge Code |
43000001
|
|
Hospital Revenue Code
|
700
|
| Min. Negotiated Rate |
$113.29 |
| Max. Negotiated Rate |
$901.26 |
| Rate for Payer: Aetna American Axle |
$199.02
|
| Rate for Payer: Aetna Commercial |
$260.25
|
| Rate for Payer: Aetna Medicare |
$289.84
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$199.02
|
| 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 |
$196.83
|
| Rate for Payer: BCN Commercial |
$196.83
|
| Rate for Payer: BCN Medicare Advantage |
$278.69
|
| Rate for Payer: Cash Price |
$244.94
|
| Rate for Payer: Cash Price |
$244.94
|
| Rate for Payer: Cash Price |
$244.94
|
| Rate for Payer: Cofinity Advantage |
$214.33
|
| Rate for Payer: Cofinity Commercial |
$263.31
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$244.94
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$278.69
|
| Rate for Payer: Healthscope Commercial |
$275.56
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$214.33
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$229.63
|
| 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 |
$260.25
|
| Rate for Payer: Nomi Health Commercial |
$836.07
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$229.63
|
| Rate for Payer: PACE Medicare |
$264.76
|
| Rate for Payer: PACE SWMI |
$278.69
|
| Rate for Payer: PHP Commercial |
$260.25
|
| 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 |
$192.89
|
| 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) |
$199.02
|
| Rate for Payer: UHC Core |
$159.52
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$278.69
|
| Rate for Payer: UHC Exchange |
$120.33
|
| Rate for Payer: UHC Medicaid |
$145.75
|
| Rate for Payer: UHCCP Medicaid |
$145.75
|
| Rate for Payer: UMR Bronson Commercial |
$113.29
|
| Rate for Payer: VA VA |
$278.69
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$229.63
|
|
|
HC CAST SHORT LEG
|
Facility
|
OP
|
$376.23
|
|
|
Service Code
|
CPT 29405
|
| Hospital Charge Code |
70000007
|
|
Hospital Revenue Code
|
700
|
| Min. Negotiated Rate |
$139.21 |
| Max. Negotiated Rate |
$901.26 |
| Rate for Payer: Aetna American Axle |
$244.55
|
| Rate for Payer: Aetna Commercial |
$319.80
|
| Rate for Payer: Aetna Medicare |
$289.84
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$244.55
|
| 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 |
$325.08
|
| Rate for Payer: BCN Commercial |
$325.08
|
| Rate for Payer: BCN Medicare Advantage |
$278.69
|
| Rate for Payer: Cash Price |
$300.98
|
| Rate for Payer: Cash Price |
$300.98
|
| Rate for Payer: Cash Price |
$300.98
|
| Rate for Payer: Cofinity Advantage |
$263.36
|
| Rate for Payer: Cofinity Commercial |
$323.56
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$300.98
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$278.69
|
| Rate for Payer: Healthscope Commercial |
$338.61
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$263.36
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$282.17
|
| 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 |
$319.80
|
| Rate for Payer: Nomi Health Commercial |
$836.07
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$282.17
|
| Rate for Payer: PACE Medicare |
$264.76
|
| Rate for Payer: PACE SWMI |
$278.69
|
| Rate for Payer: PHP Commercial |
$319.80
|
| 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 |
$237.02
|
| 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) |
$244.55
|
| Rate for Payer: UHC Core |
$196.02
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$278.69
|
| Rate for Payer: UHC Exchange |
$147.86
|
| Rate for Payer: UHC Medicaid |
$145.75
|
| Rate for Payer: UHCCP Medicaid |
$145.75
|
| Rate for Payer: UMR Bronson Commercial |
$139.21
|
| Rate for Payer: VA VA |
$278.69
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$282.17
|
|
|
HC CAST SHORT LEG
|
Facility
|
IP
|
$376.23
|
|
|
Service Code
|
CPT 29405
|
| Hospital Charge Code |
70000007
|
|
Hospital Revenue Code
|
700
|
| Min. Negotiated Rate |
$165.54 |
| Max. Negotiated Rate |
$338.61 |
| Rate for Payer: Aetna American Axle |
$244.55
|
| Rate for Payer: Aetna Commercial |
$319.80
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$244.55
|
| Rate for Payer: Cash Price |
$300.98
|
| Rate for Payer: Cofinity Advantage |
$263.36
|
| Rate for Payer: Cofinity Commercial |
$323.56
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$300.98
|
| Rate for Payer: Healthscope Commercial |
$338.61
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$263.36
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$282.17
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$319.80
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$282.17
|
| Rate for Payer: PHP Commercial |
$319.80
|
| Rate for Payer: Priority Health SBD |
$237.02
|
| Rate for Payer: UMR Bronson Commercial |
$165.54
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$282.17
|
|
|
HC CAST SHORT LEG WALKING
|
Facility
|
IP
|
$376.23
|
|
|
Service Code
|
CPT 29425
|
| Hospital Charge Code |
70000008
|
|
Hospital Revenue Code
|
700
|
| Min. Negotiated Rate |
$165.54 |
| Max. Negotiated Rate |
$338.61 |
| Rate for Payer: Aetna American Axle |
$244.55
|
| Rate for Payer: Aetna Commercial |
$319.80
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$244.55
|
| Rate for Payer: Cash Price |
$300.98
|
| Rate for Payer: Cofinity Advantage |
$263.36
|
| Rate for Payer: Cofinity Commercial |
$323.56
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$300.98
|
| Rate for Payer: Healthscope Commercial |
$338.61
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$263.36
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$282.17
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$319.80
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$282.17
|
| Rate for Payer: PHP Commercial |
$319.80
|
| Rate for Payer: Priority Health SBD |
$237.02
|
| Rate for Payer: UMR Bronson Commercial |
$165.54
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$282.17
|
|
|
HC CAST SHORT LEG WALKING
|
Facility
|
OP
|
$376.23
|
|
|
Service Code
|
CPT 29425
|
| Hospital Charge Code |
70000008
|
|
Hospital Revenue Code
|
700
|
| Min. Negotiated Rate |
$139.21 |
| Max. Negotiated Rate |
$901.26 |
| Rate for Payer: Aetna American Axle |
$244.55
|
| Rate for Payer: Aetna Commercial |
$319.80
|
| Rate for Payer: Aetna Medicare |
$289.84
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$244.55
|
| 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 |
$325.08
|
| Rate for Payer: BCN Commercial |
$325.08
|
| Rate for Payer: BCN Medicare Advantage |
$278.69
|
| Rate for Payer: Cash Price |
$300.98
|
| Rate for Payer: Cash Price |
$300.98
|
| Rate for Payer: Cash Price |
$300.98
|
| Rate for Payer: Cofinity Advantage |
$263.36
|
| Rate for Payer: Cofinity Commercial |
$323.56
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$300.98
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$278.69
|
| Rate for Payer: Healthscope Commercial |
$338.61
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$263.36
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$282.17
|
| 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 |
$319.80
|
| Rate for Payer: Nomi Health Commercial |
$836.07
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$282.17
|
| Rate for Payer: PACE Medicare |
$264.76
|
| Rate for Payer: PACE SWMI |
$278.69
|
| Rate for Payer: PHP Commercial |
$319.80
|
| 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 |
$237.02
|
| 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) |
$244.55
|
| Rate for Payer: UHC Core |
$196.02
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$278.69
|
| Rate for Payer: UHC Exchange |
$147.86
|
| Rate for Payer: UHC Medicaid |
$145.75
|
| Rate for Payer: UHCCP Medicaid |
$145.75
|
| Rate for Payer: UMR Bronson Commercial |
$139.21
|
| Rate for Payer: VA VA |
$278.69
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$282.17
|
|
|
HC CAST SUP LNG ARM ADULT FBRGLS
|
Facility
|
OP
|
$58.36
|
|
| Hospital Charge Code |
27200327
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$21.59 |
| Max. Negotiated Rate |
$52.52 |
| Rate for Payer: Aetna American Axle |
$37.93
|
| Rate for Payer: Aetna Commercial |
$49.61
|
| Rate for Payer: Aetna Medicare |
$29.18
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$37.93
|
| Rate for Payer: BCBS Complete |
$23.34
|
| Rate for Payer: Cash Price |
$46.69
|
| Rate for Payer: Cofinity Advantage |
$40.85
|
| Rate for Payer: Cofinity Commercial |
$50.19
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$46.69
|
| Rate for Payer: Healthscope Commercial |
$52.52
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$40.85
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$43.77
|
| Rate for Payer: MI Amish Medical Board Commercial |
$46.69
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$49.61
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$43.77
|
| Rate for Payer: PHP Commercial |
$49.61
|
| Rate for Payer: Priority Health SBD |
$36.77
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$37.93
|
| Rate for Payer: UHC Core |
$30.41
|
| Rate for Payer: UHC Exchange |
$22.94
|
| Rate for Payer: UMR Bronson Commercial |
$21.59
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$43.77
|
|
|
HC CAST SUP LNG ARM ADULT FBRGLS
|
Facility
|
IP
|
$58.36
|
|
| Hospital Charge Code |
27200327
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$25.68 |
| Max. Negotiated Rate |
$52.52 |
| Rate for Payer: Aetna American Axle |
$37.93
|
| Rate for Payer: Aetna Commercial |
$49.61
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$37.93
|
| Rate for Payer: Cash Price |
$46.69
|
| Rate for Payer: Cofinity Advantage |
$40.85
|
| Rate for Payer: Cofinity Commercial |
$50.19
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$46.69
|
| Rate for Payer: Healthscope Commercial |
$52.52
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$40.85
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$43.77
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$49.61
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$43.77
|
| Rate for Payer: PHP Commercial |
$49.61
|
| Rate for Payer: Priority Health SBD |
$36.77
|
| Rate for Payer: UMR Bronson Commercial |
$25.68
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$43.77
|
|
|
HC CAST SUP LNG ARM PED FBRGLS
|
Facility
|
OP
|
$26.53
|
|
| Hospital Charge Code |
27200328
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$9.82 |
| Max. Negotiated Rate |
$23.88 |
| Rate for Payer: Aetna American Axle |
$17.24
|
| Rate for Payer: Aetna Commercial |
$22.55
|
| Rate for Payer: Aetna Medicare |
$13.27
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$17.24
|
| Rate for Payer: BCBS Complete |
$10.61
|
| Rate for Payer: Cash Price |
$21.22
|
| Rate for Payer: Cofinity Advantage |
$18.57
|
| Rate for Payer: Cofinity Commercial |
$22.82
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$21.22
|
| Rate for Payer: Healthscope Commercial |
$23.88
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$18.57
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$19.90
|
| Rate for Payer: MI Amish Medical Board Commercial |
$21.22
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$22.55
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$19.90
|
| Rate for Payer: PHP Commercial |
$22.55
|
| Rate for Payer: Priority Health SBD |
$16.71
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$17.24
|
| Rate for Payer: UHC Core |
$13.82
|
| Rate for Payer: UHC Exchange |
$10.43
|
| Rate for Payer: UMR Bronson Commercial |
$9.82
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$19.90
|
|
|
HC CAST SUP LNG ARM PED FBRGLS
|
Facility
|
IP
|
$26.53
|
|
| Hospital Charge Code |
27200328
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$11.67 |
| Max. Negotiated Rate |
$23.88 |
| Rate for Payer: Aetna American Axle |
$17.24
|
| Rate for Payer: Aetna Commercial |
$22.55
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$17.24
|
| Rate for Payer: Cash Price |
$21.22
|
| Rate for Payer: Cofinity Advantage |
$18.57
|
| Rate for Payer: Cofinity Commercial |
$22.82
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$21.22
|
| Rate for Payer: Healthscope Commercial |
$23.88
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$18.57
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$19.90
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$22.55
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$19.90
|
| Rate for Payer: PHP Commercial |
$22.55
|
| Rate for Payer: Priority Health SBD |
$16.71
|
| Rate for Payer: UMR Bronson Commercial |
$11.67
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$19.90
|
|
|
HC CAST SUP LNG ARM SPLINT ADULT FBRGLS
|
Facility
|
OP
|
$26.53
|
|
| Hospital Charge Code |
27200332
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$9.82 |
| Max. Negotiated Rate |
$23.88 |
| Rate for Payer: Aetna American Axle |
$17.24
|
| Rate for Payer: Aetna Commercial |
$22.55
|
| Rate for Payer: Aetna Medicare |
$13.27
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$17.24
|
| Rate for Payer: BCBS Complete |
$10.61
|
| Rate for Payer: Cash Price |
$21.22
|
| Rate for Payer: Cofinity Advantage |
$18.57
|
| Rate for Payer: Cofinity Commercial |
$22.82
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$21.22
|
| Rate for Payer: Healthscope Commercial |
$23.88
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$18.57
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$19.90
|
| Rate for Payer: MI Amish Medical Board Commercial |
$21.22
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$22.55
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$19.90
|
| Rate for Payer: PHP Commercial |
$22.55
|
| Rate for Payer: Priority Health SBD |
$16.71
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$17.24
|
| Rate for Payer: UHC Core |
$13.82
|
| Rate for Payer: UHC Exchange |
$10.43
|
| Rate for Payer: UMR Bronson Commercial |
$9.82
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$19.90
|
|
|
HC CAST SUP LNG ARM SPLINT ADULT FBRGLS
|
Facility
|
IP
|
$26.53
|
|
| Hospital Charge Code |
27200332
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$11.67 |
| Max. Negotiated Rate |
$23.88 |
| Rate for Payer: Aetna American Axle |
$17.24
|
| Rate for Payer: Aetna Commercial |
$22.55
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$17.24
|
| Rate for Payer: Cash Price |
$21.22
|
| Rate for Payer: Cofinity Advantage |
$18.57
|
| Rate for Payer: Cofinity Commercial |
$22.82
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$21.22
|
| Rate for Payer: Healthscope Commercial |
$23.88
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$18.57
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$19.90
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$22.55
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$19.90
|
| Rate for Payer: PHP Commercial |
$22.55
|
| Rate for Payer: Priority Health SBD |
$16.71
|
| Rate for Payer: UMR Bronson Commercial |
$11.67
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$19.90
|
|
|
HC CAST SUP LNG ARM SPLINT ADULT PLST
|
Facility
|
IP
|
$43.86
|
|
| Hospital Charge Code |
27200392
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$19.30 |
| Max. Negotiated Rate |
$39.47 |
| Rate for Payer: Aetna American Axle |
$28.51
|
| Rate for Payer: Aetna Commercial |
$37.28
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$28.51
|
| Rate for Payer: Cash Price |
$35.09
|
| Rate for Payer: Cofinity Advantage |
$30.70
|
| Rate for Payer: Cofinity Commercial |
$37.72
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$35.09
|
| Rate for Payer: Healthscope Commercial |
$39.47
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$30.70
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$32.90
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$37.28
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$32.90
|
| Rate for Payer: PHP Commercial |
$37.28
|
| Rate for Payer: Priority Health SBD |
$27.63
|
| Rate for Payer: UMR Bronson Commercial |
$19.30
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$32.90
|
|
|
HC CAST SUP LNG ARM SPLINT ADULT PLST
|
Facility
|
OP
|
$43.86
|
|
| Hospital Charge Code |
27200392
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$16.23 |
| Max. Negotiated Rate |
$39.47 |
| Rate for Payer: Aetna American Axle |
$28.51
|
| Rate for Payer: Aetna Commercial |
$37.28
|
| Rate for Payer: Aetna Medicare |
$21.93
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$28.51
|
| Rate for Payer: BCBS Complete |
$17.54
|
| Rate for Payer: Cash Price |
$35.09
|
| Rate for Payer: Cofinity Advantage |
$30.70
|
| Rate for Payer: Cofinity Commercial |
$37.72
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$35.09
|
| Rate for Payer: Healthscope Commercial |
$39.47
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$30.70
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$32.90
|
| Rate for Payer: MI Amish Medical Board Commercial |
$35.09
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$37.28
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$32.90
|
| Rate for Payer: PHP Commercial |
$37.28
|
| Rate for Payer: Priority Health SBD |
$27.63
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$28.51
|
| Rate for Payer: UHC Core |
$22.85
|
| Rate for Payer: UHC Exchange |
$17.24
|
| Rate for Payer: UMR Bronson Commercial |
$16.23
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$32.90
|
|
|
HC CAST SUP LNG ARM SPLNT PED FBRGLS
|
Facility
|
OP
|
$25.47
|
|
| Hospital Charge Code |
27200333
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$9.42 |
| Max. Negotiated Rate |
$22.92 |
| Rate for Payer: Aetna American Axle |
$16.56
|
| Rate for Payer: Aetna Commercial |
$21.65
|
| Rate for Payer: Aetna Medicare |
$12.73
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$16.56
|
| Rate for Payer: BCBS Complete |
$10.19
|
| Rate for Payer: Cash Price |
$20.38
|
| Rate for Payer: Cofinity Advantage |
$17.83
|
| Rate for Payer: Cofinity Commercial |
$21.90
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$20.38
|
| Rate for Payer: Healthscope Commercial |
$22.92
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$17.83
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$19.10
|
| Rate for Payer: MI Amish Medical Board Commercial |
$20.38
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$21.65
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$19.10
|
| Rate for Payer: PHP Commercial |
$21.65
|
| Rate for Payer: Priority Health SBD |
$16.05
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$16.56
|
| Rate for Payer: UHC Core |
$13.27
|
| Rate for Payer: UHC Exchange |
$10.01
|
| Rate for Payer: UMR Bronson Commercial |
$9.42
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$19.10
|
|
|
HC CAST SUP LNG ARM SPLNT PED FBRGLS
|
Facility
|
IP
|
$25.47
|
|
| Hospital Charge Code |
27200333
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$11.21 |
| Max. Negotiated Rate |
$22.92 |
| Rate for Payer: Aetna American Axle |
$16.56
|
| Rate for Payer: Aetna Commercial |
$21.65
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$16.56
|
| Rate for Payer: Cash Price |
$20.38
|
| Rate for Payer: Cofinity Advantage |
$17.83
|
| Rate for Payer: Cofinity Commercial |
$21.90
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$20.38
|
| Rate for Payer: Healthscope Commercial |
$22.92
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$17.83
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$19.10
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$21.65
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$19.10
|
| Rate for Payer: PHP Commercial |
$21.65
|
| Rate for Payer: Priority Health SBD |
$16.05
|
| Rate for Payer: UMR Bronson Commercial |
$11.21
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$19.10
|
|
|
HC CAST SUP LNG LEG ADULT FBRGLS
|
Facility
|
OP
|
$120.98
|
|
| Hospital Charge Code |
27200336
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$44.76 |
| Max. Negotiated Rate |
$108.88 |
| Rate for Payer: Aetna American Axle |
$78.64
|
| Rate for Payer: Aetna Commercial |
$102.83
|
| Rate for Payer: Aetna Medicare |
$60.49
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$78.64
|
| Rate for Payer: BCBS Complete |
$48.39
|
| Rate for Payer: Cash Price |
$96.78
|
| Rate for Payer: Cofinity Advantage |
$84.69
|
| Rate for Payer: Cofinity Commercial |
$104.04
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$96.78
|
| Rate for Payer: Healthscope Commercial |
$108.88
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$84.69
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$90.73
|
| Rate for Payer: MI Amish Medical Board Commercial |
$96.78
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$102.83
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$90.73
|
| Rate for Payer: PHP Commercial |
$102.83
|
| Rate for Payer: Priority Health SBD |
$76.22
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$78.64
|
| Rate for Payer: UHC Core |
$63.03
|
| Rate for Payer: UHC Exchange |
$47.55
|
| Rate for Payer: UMR Bronson Commercial |
$44.76
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$90.73
|
|
