|
HC CATH LAB STANDBY
|
Facility
|
OP
|
$509.70
|
|
| Hospital Charge Code |
27000042
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$188.59 |
| Max. Negotiated Rate |
$458.73 |
| Rate for Payer: Aetna American Axle |
$331.31
|
| Rate for Payer: Aetna Commercial |
$433.25
|
| Rate for Payer: Aetna Medicare |
$254.85
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$331.31
|
| Rate for Payer: BCBS Complete |
$203.88
|
| Rate for Payer: Cash Price |
$407.76
|
| Rate for Payer: Cofinity Advantage |
$356.79
|
| Rate for Payer: Cofinity Commercial |
$438.34
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$407.76
|
| Rate for Payer: Healthscope Commercial |
$458.73
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$356.79
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$382.27
|
| Rate for Payer: MI Amish Medical Board Commercial |
$407.76
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$433.25
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$382.27
|
| Rate for Payer: PHP Commercial |
$433.25
|
| Rate for Payer: Priority Health SBD |
$321.11
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$331.31
|
| Rate for Payer: UHC Core |
$265.55
|
| Rate for Payer: UHC Exchange |
$200.31
|
| Rate for Payer: UMR Bronson Commercial |
$188.59
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$382.27
|
|
|
HC CATH LAB STANDBY
|
Facility
|
IP
|
$509.70
|
|
| Hospital Charge Code |
27000042
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$224.27 |
| Max. Negotiated Rate |
$458.73 |
| Rate for Payer: Aetna American Axle |
$331.31
|
| Rate for Payer: Aetna Commercial |
$433.25
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$331.31
|
| Rate for Payer: Cash Price |
$407.76
|
| Rate for Payer: Cofinity Advantage |
$356.79
|
| Rate for Payer: Cofinity Commercial |
$438.34
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$407.76
|
| Rate for Payer: Healthscope Commercial |
$458.73
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$356.79
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$382.27
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$433.25
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$382.27
|
| Rate for Payer: PHP Commercial |
$433.25
|
| Rate for Payer: Priority Health SBD |
$321.11
|
| Rate for Payer: UMR Bronson Commercial |
$224.27
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$382.27
|
|
|
HC CATH PULM ART VENT 14FR
|
Facility
|
OP
|
$156.06
|
|
| Hospital Charge Code |
27000284
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$57.74 |
| Max. Negotiated Rate |
$140.45 |
| Rate for Payer: Aetna American Axle |
$101.44
|
| Rate for Payer: Aetna Commercial |
$132.65
|
| Rate for Payer: Aetna Medicare |
$78.03
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$101.44
|
| Rate for Payer: BCBS Complete |
$62.42
|
| Rate for Payer: Cash Price |
$124.85
|
| Rate for Payer: Cofinity Advantage |
$109.24
|
| Rate for Payer: Cofinity Commercial |
$134.21
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$124.85
|
| Rate for Payer: Healthscope Commercial |
$140.45
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$109.24
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$117.05
|
| Rate for Payer: MI Amish Medical Board Commercial |
$124.85
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$132.65
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$117.05
|
| Rate for Payer: PHP Commercial |
$132.65
|
| Rate for Payer: Priority Health SBD |
$98.32
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$101.44
|
| Rate for Payer: UHC Core |
$81.31
|
| Rate for Payer: UHC Exchange |
$61.33
|
| Rate for Payer: UMR Bronson Commercial |
$57.74
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$117.05
|
|
|
HC CATH PULM ART VENT 14FR
|
Facility
|
IP
|
$156.06
|
|
| Hospital Charge Code |
27000284
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$68.67 |
| Max. Negotiated Rate |
$140.45 |
| Rate for Payer: Aetna American Axle |
$101.44
|
| Rate for Payer: Aetna Commercial |
$132.65
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$101.44
|
| Rate for Payer: Cash Price |
$124.85
|
| Rate for Payer: Cofinity Advantage |
$109.24
|
| Rate for Payer: Cofinity Commercial |
$134.21
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$124.85
|
| Rate for Payer: Healthscope Commercial |
$140.45
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$109.24
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$117.05
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$132.65
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$117.05
|
| Rate for Payer: PHP Commercial |
$132.65
|
| Rate for Payer: Priority Health SBD |
$98.32
|
| Rate for Payer: UMR Bronson Commercial |
$68.67
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$117.05
|
|
|
HC CATHTER NOS LVL 7
|
Facility
|
IP
|
$734.40
|
|
|
Service Code
|
HCPCS C1889
|
| Hospital Charge Code |
27800352
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$323.14 |
| Max. Negotiated Rate |
$660.96 |
| Rate for Payer: Aetna American Axle |
$477.36
|
| Rate for Payer: Aetna Commercial |
$624.24
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$477.36
|
| Rate for Payer: Cash Price |
$587.52
|
| Rate for Payer: Cofinity Advantage |
$514.08
|
| Rate for Payer: Cofinity Commercial |
$631.58
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$587.52
|
| Rate for Payer: Healthscope Commercial |
$660.96
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$514.08
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$550.80
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$624.24
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$550.80
|
| Rate for Payer: PHP Commercial |
$624.24
|
| Rate for Payer: Priority Health SBD |
$462.67
|
| Rate for Payer: UMR Bronson Commercial |
$323.14
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$550.80
|
|
|
HC CATHTER NOS LVL 7
|
Facility
|
OP
|
$734.40
|
|
|
Service Code
|
HCPCS C1889
|
| Hospital Charge Code |
27800352
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$0.03 |
| Max. Negotiated Rate |
$660.96 |
| Rate for Payer: Aetna American Axle |
$477.36
|
| Rate for Payer: Aetna Commercial |
$624.24
|
| Rate for Payer: Aetna Medicare |
$367.20
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$477.36
|
| Rate for Payer: BCBS Complete |
$293.76
|
| Rate for Payer: BCBS Trust/PPO |
$0.03
|
| Rate for Payer: BCN Commercial |
$0.03
|
| Rate for Payer: Cash Price |
$587.52
|
| Rate for Payer: Cash Price |
$587.52
|
| Rate for Payer: Cofinity Advantage |
$514.08
|
| Rate for Payer: Cofinity Commercial |
$631.58
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$587.52
|
| Rate for Payer: Healthscope Commercial |
$660.96
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$514.08
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$550.80
|
| Rate for Payer: MI Amish Medical Board Commercial |
$587.52
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$624.24
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$550.80
|
| Rate for Payer: PHP Commercial |
$624.24
|
| Rate for Payer: Priority Health SBD |
$462.67
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$477.36
|
| Rate for Payer: UHC Core |
$382.62
|
| Rate for Payer: UHC Exchange |
$288.62
|
| Rate for Payer: UMR Bronson Commercial |
$271.73
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$550.80
|
|
|
HC CAT IGE
|
Facility
|
OP
|
$25.90
|
|
|
Service Code
|
CPT 86003
|
| Hospital Charge Code |
30200031
|
|
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 CAT IGE
|
Facility
|
IP
|
$25.90
|
|
|
Service Code
|
CPT 86003
|
| Hospital Charge Code |
30200031
|
|
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 CBC INCLUDES DIFF & PLATELETS
|
Facility
|
OP
|
$31.06
|
|
|
Service Code
|
CPT 85025
|
| Hospital Charge Code |
30500007
|
|
Hospital Revenue Code
|
305
|
| Min. Negotiated Rate |
$4.06 |
| Max. Negotiated Rate |
$27.95 |
| Rate for Payer: Aetna American Axle |
$20.19
|
| Rate for Payer: Aetna Commercial |
$26.40
|
| Rate for Payer: Aetna Medicare |
$8.08
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$20.19
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$9.71
|
| Rate for Payer: Amish Plain Church Group Commercial |
$9.71
|
| Rate for Payer: BCBS Complete |
$4.27
|
| Rate for Payer: BCBS MAPPO |
$7.77
|
| Rate for Payer: BCBS Trust/PPO |
$8.99
|
| Rate for Payer: BCN Commercial |
$8.99
|
| Rate for Payer: BCN Medicare Advantage |
$7.77
|
| Rate for Payer: Cash Price |
$24.85
|
| Rate for Payer: Cash Price |
$24.85
|
| Rate for Payer: Cofinity Advantage |
$21.74
|
| Rate for Payer: Cofinity Commercial |
$26.71
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$24.85
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$7.77
|
| Rate for Payer: Healthscope Commercial |
$27.95
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$21.74
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$23.30
|
| Rate for Payer: Mclaren Medicaid |
$7.77
|
| Rate for Payer: Mclaren Medicare |
$7.77
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$8.16
|
| Rate for Payer: Meridian Medicaid |
$8.16
|
| Rate for Payer: MI Amish Medical Board Commercial |
$8.94
|
| Rate for Payer: Molina Medicare/Medicaid |
$8.55
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$26.40
|
| Rate for Payer: Nomi Health Commercial |
$11.65
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$23.30
|
| Rate for Payer: PACE Medicare |
$7.38
|
| Rate for Payer: PACE SWMI |
$7.77
|
| Rate for Payer: PHP Commercial |
$26.40
|
| Rate for Payer: PHP Medicare Advantage |
$7.77
|
| Rate for Payer: Priority Health Choice Medicaid |
$4.06
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$7.77
|
| Rate for Payer: Priority Health Medicare |
$7.77
|
| Rate for Payer: Priority Health SBD |
$19.57
|
| Rate for Payer: Priority Health Tiered Network |
$6.22
|
| Rate for Payer: Railroad Medicare Medicare |
$7.77
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$11.66
|
| Rate for Payer: UHC Core |
$11.66
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$7.77
|
| Rate for Payer: UHC Exchange |
$11.66
|
| Rate for Payer: UHC Medicaid |
$4.06
|
| Rate for Payer: UHCCP Medicaid |
$4.06
|
| Rate for Payer: UMR Bronson Commercial |
$11.49
|
| Rate for Payer: VA VA |
$7.77
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$23.30
|
|
|
HC CBC INCLUDES DIFF & PLATELETS
|
Facility
|
IP
|
$31.06
|
|
|
Service Code
|
CPT 85025
|
| Hospital Charge Code |
30500007
|
|
Hospital Revenue Code
|
305
|
| Min. Negotiated Rate |
$13.67 |
| Max. Negotiated Rate |
$27.95 |
| Rate for Payer: Aetna American Axle |
$20.19
|
| Rate for Payer: Aetna Commercial |
$26.40
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$20.19
|
| Rate for Payer: Cash Price |
$24.85
|
| Rate for Payer: Cofinity Advantage |
$21.74
|
| Rate for Payer: Cofinity Commercial |
$26.71
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$24.85
|
| Rate for Payer: Healthscope Commercial |
$27.95
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$21.74
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$23.30
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$26.40
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$23.30
|
| Rate for Payer: PHP Commercial |
$26.40
|
| Rate for Payer: Priority Health SBD |
$19.57
|
| Rate for Payer: UMR Bronson Commercial |
$13.67
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$23.30
|
|
|
HC CBC NO DIFF INCLUDES PLATELETS
|
Facility
|
IP
|
$19.10
|
|
|
Service Code
|
CPT 85027
|
| Hospital Charge Code |
30500008
|
|
Hospital Revenue Code
|
305
|
| Min. Negotiated Rate |
$8.40 |
| Max. Negotiated Rate |
$17.19 |
| Rate for Payer: Aetna American Axle |
$12.41
|
| Rate for Payer: Aetna Commercial |
$16.23
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$12.41
|
| Rate for Payer: Cash Price |
$15.28
|
| Rate for Payer: Cofinity Advantage |
$13.37
|
| Rate for Payer: Cofinity Commercial |
$16.43
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$15.28
|
| Rate for Payer: Healthscope Commercial |
$17.19
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$13.37
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$14.32
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$16.23
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$14.32
|
| Rate for Payer: PHP Commercial |
$16.23
|
| Rate for Payer: Priority Health SBD |
$12.03
|
| Rate for Payer: UMR Bronson Commercial |
$8.40
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$14.32
|
|
|
HC CBC NO DIFF INCLUDES PLATELETS
|
Facility
|
OP
|
$19.10
|
|
|
Service Code
|
CPT 85027
|
| Hospital Charge Code |
30500008
|
|
Hospital Revenue Code
|
305
|
| Min. Negotiated Rate |
$3.38 |
| Max. Negotiated Rate |
$17.19 |
| Rate for Payer: Aetna American Axle |
$12.41
|
| Rate for Payer: Aetna Commercial |
$16.23
|
| Rate for Payer: Aetna Medicare |
$6.73
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$12.41
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$8.09
|
| Rate for Payer: Amish Plain Church Group Commercial |
$8.09
|
| Rate for Payer: BCBS Complete |
$3.55
|
| Rate for Payer: BCBS MAPPO |
$6.47
|
| Rate for Payer: BCBS Trust/PPO |
$7.48
|
| Rate for Payer: BCN Commercial |
$7.48
|
| Rate for Payer: BCN Medicare Advantage |
$6.47
|
| Rate for Payer: Cash Price |
$15.28
|
| Rate for Payer: Cash Price |
$15.28
|
| Rate for Payer: Cofinity Advantage |
$13.37
|
| Rate for Payer: Cofinity Commercial |
$16.43
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$15.28
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$6.47
|
| Rate for Payer: Healthscope Commercial |
$17.19
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$13.37
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$14.32
|
| Rate for Payer: Mclaren Medicaid |
$6.47
|
| Rate for Payer: Mclaren Medicare |
$6.47
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$6.79
|
| Rate for Payer: Meridian Medicaid |
$6.79
|
| Rate for Payer: MI Amish Medical Board Commercial |
$7.44
|
| Rate for Payer: Molina Medicare/Medicaid |
$7.12
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$16.23
|
| Rate for Payer: Nomi Health Commercial |
$9.71
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$14.32
|
| Rate for Payer: PACE Medicare |
$6.15
|
| Rate for Payer: PACE SWMI |
$6.47
|
| Rate for Payer: PHP Commercial |
$16.23
|
| Rate for Payer: PHP Medicare Advantage |
$6.47
|
| Rate for Payer: Priority Health Choice Medicaid |
$3.38
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$6.47
|
| Rate for Payer: Priority Health Medicare |
$6.47
|
| Rate for Payer: Priority Health SBD |
$12.03
|
| Rate for Payer: Priority Health Tiered Network |
$5.18
|
| Rate for Payer: Railroad Medicare Medicare |
$6.47
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$9.71
|
| Rate for Payer: UHC Core |
$9.71
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$6.47
|
| Rate for Payer: UHC Exchange |
$9.71
|
| Rate for Payer: UHC Medicaid |
$3.38
|
| Rate for Payer: UHCCP Medicaid |
$3.38
|
| Rate for Payer: UMR Bronson Commercial |
$7.07
|
| Rate for Payer: VA VA |
$6.47
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$14.32
|
|
|
HC C DIFFICILE PCR
|
Facility
|
IP
|
$143.47
|
|
|
Service Code
|
CPT 87493
|
| Hospital Charge Code |
30600183
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$63.13 |
| Max. Negotiated Rate |
$129.12 |
| Rate for Payer: Aetna American Axle |
$93.26
|
| Rate for Payer: Aetna Commercial |
$121.95
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$93.26
|
| Rate for Payer: Cash Price |
$114.78
|
| Rate for Payer: Cofinity Advantage |
$100.43
|
| Rate for Payer: Cofinity Commercial |
$123.38
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$114.78
|
| Rate for Payer: Healthscope Commercial |
$129.12
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$100.43
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$107.60
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$121.95
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$107.60
|
| Rate for Payer: PHP Commercial |
$121.95
|
| Rate for Payer: Priority Health SBD |
$90.39
|
| Rate for Payer: UMR Bronson Commercial |
$63.13
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$107.60
|
|
|
HC C DIFFICILE PCR
|
Facility
|
OP
|
$143.47
|
|
|
Service Code
|
CPT 87493
|
| Hospital Charge Code |
30600183
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$19.49 |
| Max. Negotiated Rate |
$129.12 |
| Rate for Payer: Aetna American Axle |
$93.26
|
| Rate for Payer: Aetna Commercial |
$121.95
|
| Rate for Payer: Aetna Medicare |
$38.76
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$93.26
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$46.59
|
| Rate for Payer: Amish Plain Church Group Commercial |
$46.59
|
| Rate for Payer: BCBS Complete |
$20.47
|
| Rate for Payer: BCBS MAPPO |
$37.27
|
| Rate for Payer: BCBS Trust/PPO |
$43.08
|
| Rate for Payer: BCN Commercial |
$43.08
|
| Rate for Payer: BCN Medicare Advantage |
$37.27
|
| Rate for Payer: Cash Price |
$114.78
|
| Rate for Payer: Cash Price |
$114.78
|
| Rate for Payer: Cofinity Advantage |
$100.43
|
| Rate for Payer: Cofinity Commercial |
$123.38
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$114.78
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$37.27
|
| Rate for Payer: Healthscope Commercial |
$129.12
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$100.43
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$107.60
|
| Rate for Payer: Mclaren Medicaid |
$37.27
|
| Rate for Payer: Mclaren Medicare |
$37.27
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$39.13
|
| Rate for Payer: Meridian Medicaid |
$39.13
|
| Rate for Payer: MI Amish Medical Board Commercial |
$42.86
|
| Rate for Payer: Molina Medicare/Medicaid |
$41.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$121.95
|
| Rate for Payer: Nomi Health Commercial |
$55.91
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$107.60
|
| Rate for Payer: PACE Medicare |
$35.41
|
| Rate for Payer: PACE SWMI |
$37.27
|
| Rate for Payer: PHP Commercial |
$121.95
|
| Rate for Payer: PHP Medicare Advantage |
$37.27
|
| Rate for Payer: Priority Health Choice Medicaid |
$19.49
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$37.27
|
| Rate for Payer: Priority Health Medicare |
$37.27
|
| Rate for Payer: Priority Health SBD |
$90.39
|
| Rate for Payer: Priority Health Tiered Network |
$29.82
|
| Rate for Payer: Railroad Medicare Medicare |
$37.27
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$55.91
|
| Rate for Payer: UHC Core |
$55.91
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$37.27
|
| Rate for Payer: UHC Exchange |
$55.91
|
| Rate for Payer: UHC Medicaid |
$19.49
|
| Rate for Payer: UHCCP Medicaid |
$19.49
|
| Rate for Payer: UMR Bronson Commercial |
$53.08
|
| Rate for Payer: VA VA |
$37.27
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$107.60
|
|
|
HC C DIFF TOXIN
|
Facility
|
IP
|
$42.45
|
|
|
Service Code
|
CPT 87324
|
| Hospital Charge Code |
30600327
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$18.68 |
| Max. Negotiated Rate |
$38.20 |
| Rate for Payer: Aetna American Axle |
$27.59
|
| Rate for Payer: Aetna Commercial |
$36.08
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$27.59
|
| Rate for Payer: Cash Price |
$33.96
|
| Rate for Payer: Cofinity Advantage |
$29.71
|
| Rate for Payer: Cofinity Commercial |
$36.51
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$33.96
|
| Rate for Payer: Healthscope Commercial |
$38.20
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$29.71
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$31.84
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$36.08
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$31.84
|
| Rate for Payer: PHP Commercial |
$36.08
|
| Rate for Payer: Priority Health SBD |
$26.74
|
| Rate for Payer: UMR Bronson Commercial |
$18.68
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$31.84
|
|
|
HC C DIFF TOXIN
|
Facility
|
OP
|
$42.45
|
|
|
Service Code
|
CPT 87324
|
| Hospital Charge Code |
30600327
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$6.27 |
| Max. Negotiated Rate |
$38.20 |
| Rate for Payer: Aetna American Axle |
$27.59
|
| Rate for Payer: Aetna Commercial |
$36.08
|
| Rate for Payer: Aetna Medicare |
$12.46
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$27.59
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$14.97
|
| Rate for Payer: Amish Plain Church Group Commercial |
$14.97
|
| Rate for Payer: BCBS Complete |
$6.58
|
| Rate for Payer: BCBS MAPPO |
$11.98
|
| Rate for Payer: BCBS Trust/PPO |
$13.86
|
| Rate for Payer: BCN Commercial |
$13.86
|
| Rate for Payer: BCN Medicare Advantage |
$11.98
|
| Rate for Payer: Cash Price |
$33.96
|
| Rate for Payer: Cash Price |
$33.96
|
| Rate for Payer: Cofinity Advantage |
$29.71
|
| Rate for Payer: Cofinity Commercial |
$36.51
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$33.96
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$11.98
|
| Rate for Payer: Healthscope Commercial |
$38.20
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$29.71
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$31.84
|
| Rate for Payer: Mclaren Medicaid |
$11.98
|
| Rate for Payer: Mclaren Medicare |
$11.98
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$12.58
|
| Rate for Payer: Meridian Medicaid |
$12.58
|
| Rate for Payer: MI Amish Medical Board Commercial |
$13.78
|
| Rate for Payer: Molina Medicare/Medicaid |
$13.18
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$36.08
|
| Rate for Payer: Nomi Health Commercial |
$17.97
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$31.84
|
| Rate for Payer: PACE Medicare |
$11.38
|
| Rate for Payer: PACE SWMI |
$11.98
|
| Rate for Payer: PHP Commercial |
$36.08
|
| Rate for Payer: PHP Medicare Advantage |
$11.98
|
| Rate for Payer: Priority Health Choice Medicaid |
$6.27
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$11.98
|
| Rate for Payer: Priority Health Medicare |
$11.98
|
| Rate for Payer: Priority Health SBD |
$26.74
|
| Rate for Payer: Priority Health Tiered Network |
$9.58
|
| Rate for Payer: Railroad Medicare Medicare |
$11.98
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$17.97
|
| Rate for Payer: UHC Core |
$17.97
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$11.98
|
| Rate for Payer: UHC Exchange |
$17.97
|
| Rate for Payer: UHC Medicaid |
$6.27
|
| Rate for Payer: UHCCP Medicaid |
$6.27
|
| Rate for Payer: UMR Bronson Commercial |
$15.71
|
| Rate for Payer: VA VA |
$11.98
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$31.84
|
|
|
HC CEA (CARCINOEMBRYONIC ANTIGEN)
|
Facility
|
IP
|
$133.38
|
|
|
Service Code
|
CPT 82378
|
| Hospital Charge Code |
30100135
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$58.69 |
| Max. Negotiated Rate |
$120.04 |
| Rate for Payer: Aetna American Axle |
$86.70
|
| Rate for Payer: Aetna Commercial |
$113.37
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$86.70
|
| Rate for Payer: Cash Price |
$106.70
|
| Rate for Payer: Cofinity Advantage |
$93.37
|
| Rate for Payer: Cofinity Commercial |
$114.71
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$106.70
|
| Rate for Payer: Healthscope Commercial |
$120.04
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$93.37
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$100.03
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$113.37
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$100.03
|
| Rate for Payer: PHP Commercial |
$113.37
|
| Rate for Payer: Priority Health SBD |
$84.03
|
| Rate for Payer: UMR Bronson Commercial |
$58.69
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$100.03
|
|
|
HC CEA (CARCINOEMBRYONIC ANTIGEN)
|
Facility
|
OP
|
$133.38
|
|
|
Service Code
|
CPT 82378
|
| Hospital Charge Code |
30100135
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$9.92 |
| Max. Negotiated Rate |
$120.04 |
| Rate for Payer: Aetna American Axle |
$86.70
|
| Rate for Payer: Aetna Commercial |
$113.37
|
| Rate for Payer: Aetna Medicare |
$19.72
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$86.70
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$23.70
|
| Rate for Payer: Amish Plain Church Group Commercial |
$23.70
|
| Rate for Payer: BCBS Complete |
$10.41
|
| Rate for Payer: BCBS MAPPO |
$18.96
|
| Rate for Payer: BCBS Trust/PPO |
$21.92
|
| Rate for Payer: BCN Commercial |
$21.92
|
| Rate for Payer: BCN Medicare Advantage |
$18.96
|
| Rate for Payer: Cash Price |
$106.70
|
| Rate for Payer: Cash Price |
$106.70
|
| Rate for Payer: Cofinity Advantage |
$93.37
|
| Rate for Payer: Cofinity Commercial |
$114.71
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$106.70
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$18.96
|
| Rate for Payer: Healthscope Commercial |
$120.04
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$93.37
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$100.03
|
| Rate for Payer: Mclaren Medicaid |
$18.96
|
| Rate for Payer: Mclaren Medicare |
$18.96
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$19.91
|
| Rate for Payer: Meridian Medicaid |
$19.91
|
| Rate for Payer: MI Amish Medical Board Commercial |
$21.80
|
| Rate for Payer: Molina Medicare/Medicaid |
$20.86
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$113.37
|
| Rate for Payer: Nomi Health Commercial |
$28.44
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$100.03
|
| Rate for Payer: PACE Medicare |
$18.01
|
| Rate for Payer: PACE SWMI |
$18.96
|
| Rate for Payer: PHP Commercial |
$113.37
|
| Rate for Payer: PHP Medicare Advantage |
$18.96
|
| Rate for Payer: Priority Health Choice Medicaid |
$9.92
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$18.96
|
| Rate for Payer: Priority Health Medicare |
$18.96
|
| Rate for Payer: Priority Health SBD |
$84.03
|
| Rate for Payer: Priority Health Tiered Network |
$15.17
|
| Rate for Payer: Railroad Medicare Medicare |
$18.96
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$28.44
|
| Rate for Payer: UHC Core |
$28.44
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$18.96
|
| Rate for Payer: UHC Exchange |
$28.44
|
| Rate for Payer: UHC Medicaid |
$9.92
|
| Rate for Payer: UHCCP Medicaid |
$9.92
|
| Rate for Payer: UMR Bronson Commercial |
$49.35
|
| Rate for Payer: VA VA |
$18.96
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$100.03
|
|
|
HC CEA PANCREATIC CYST
|
Facility
|
OP
|
$188.06
|
|
|
Service Code
|
CPT 82378
|
| Hospital Charge Code |
30100712
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$9.92 |
| Max. Negotiated Rate |
$169.25 |
| Rate for Payer: Aetna American Axle |
$122.24
|
| Rate for Payer: Aetna Commercial |
$159.85
|
| Rate for Payer: Aetna Medicare |
$19.72
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$122.24
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$23.70
|
| Rate for Payer: Amish Plain Church Group Commercial |
$23.70
|
| Rate for Payer: BCBS Complete |
$10.41
|
| Rate for Payer: BCBS MAPPO |
$18.96
|
| Rate for Payer: BCBS Trust/PPO |
$21.92
|
| Rate for Payer: BCN Commercial |
$21.92
|
| Rate for Payer: BCN Medicare Advantage |
$18.96
|
| Rate for Payer: Cash Price |
$150.45
|
| Rate for Payer: Cash Price |
$150.45
|
| Rate for Payer: Cofinity Advantage |
$131.64
|
| Rate for Payer: Cofinity Commercial |
$161.73
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$150.45
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$18.96
|
| Rate for Payer: Healthscope Commercial |
$169.25
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$131.64
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$141.04
|
| Rate for Payer: Mclaren Medicaid |
$18.96
|
| Rate for Payer: Mclaren Medicare |
$18.96
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$19.91
|
| Rate for Payer: Meridian Medicaid |
$19.91
|
| Rate for Payer: MI Amish Medical Board Commercial |
$21.80
|
| Rate for Payer: Molina Medicare/Medicaid |
$20.86
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$159.85
|
| Rate for Payer: Nomi Health Commercial |
$28.44
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$141.04
|
| Rate for Payer: PACE Medicare |
$18.01
|
| Rate for Payer: PACE SWMI |
$18.96
|
| Rate for Payer: PHP Commercial |
$159.85
|
| Rate for Payer: PHP Medicare Advantage |
$18.96
|
| Rate for Payer: Priority Health Choice Medicaid |
$9.92
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$18.96
|
| Rate for Payer: Priority Health Medicare |
$18.96
|
| Rate for Payer: Priority Health SBD |
$118.48
|
| Rate for Payer: Priority Health Tiered Network |
$15.17
|
| Rate for Payer: Railroad Medicare Medicare |
$18.96
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$28.44
|
| Rate for Payer: UHC Core |
$28.44
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$18.96
|
| Rate for Payer: UHC Exchange |
$28.44
|
| Rate for Payer: UHC Medicaid |
$9.92
|
| Rate for Payer: UHCCP Medicaid |
$9.92
|
| Rate for Payer: UMR Bronson Commercial |
$69.58
|
| Rate for Payer: VA VA |
$18.96
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$141.04
|
|
|
HC CEA PANCREATIC CYST
|
Facility
|
IP
|
$188.06
|
|
|
Service Code
|
CPT 82378
|
| Hospital Charge Code |
30100712
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$82.75 |
| Max. Negotiated Rate |
$169.25 |
| Rate for Payer: Aetna American Axle |
$122.24
|
| Rate for Payer: Aetna Commercial |
$159.85
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$122.24
|
| Rate for Payer: Cash Price |
$150.45
|
| Rate for Payer: Cofinity Advantage |
$131.64
|
| Rate for Payer: Cofinity Commercial |
$161.73
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$150.45
|
| Rate for Payer: Healthscope Commercial |
$169.25
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$131.64
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$141.04
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$159.85
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$141.04
|
| Rate for Payer: PHP Commercial |
$159.85
|
| Rate for Payer: Priority Health SBD |
$118.48
|
| Rate for Payer: UMR Bronson Commercial |
$82.75
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$141.04
|
|
|
HC CELIAC ASSOCIATED HLA DQ TYPING
|
Facility
|
IP
|
$194.55
|
|
|
Service Code
|
CPT 86812
|
| Hospital Charge Code |
30200339
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$85.60 |
| Max. Negotiated Rate |
$175.09 |
| Rate for Payer: Aetna American Axle |
$126.46
|
| Rate for Payer: Aetna Commercial |
$165.37
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$126.46
|
| Rate for Payer: Cash Price |
$155.64
|
| Rate for Payer: Cofinity Advantage |
$136.19
|
| Rate for Payer: Cofinity Commercial |
$167.31
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$155.64
|
| Rate for Payer: Healthscope Commercial |
$175.09
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$136.19
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$145.91
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$165.37
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$145.91
|
| Rate for Payer: PHP Commercial |
$165.37
|
| Rate for Payer: Priority Health SBD |
$122.57
|
| Rate for Payer: UMR Bronson Commercial |
$85.60
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$145.91
|
|
|
HC CELIAC ASSOCIATED HLA DQ TYPING
|
Facility
|
IP
|
$218.80
|
|
|
Service Code
|
CPT 81376
|
| Hospital Charge Code |
31000097
|
|
Hospital Revenue Code
|
310
|
| Min. Negotiated Rate |
$96.27 |
| Max. Negotiated Rate |
$196.92 |
| Rate for Payer: Aetna American Axle |
$142.22
|
| Rate for Payer: Aetna Commercial |
$185.98
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$142.22
|
| Rate for Payer: Cash Price |
$175.04
|
| Rate for Payer: Cofinity Advantage |
$153.16
|
| Rate for Payer: Cofinity Commercial |
$188.17
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$175.04
|
| Rate for Payer: Healthscope Commercial |
$196.92
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$153.16
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$164.10
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$185.98
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$164.10
|
| Rate for Payer: PHP Commercial |
$185.98
|
| Rate for Payer: Priority Health SBD |
$137.84
|
| Rate for Payer: UMR Bronson Commercial |
$96.27
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$164.10
|
|
|
HC CELIAC ASSOCIATED HLA DQ TYPING
|
Facility
|
OP
|
$218.80
|
|
|
Service Code
|
CPT 81376
|
| Hospital Charge Code |
31000097
|
|
Hospital Revenue Code
|
310
|
| Min. Negotiated Rate |
$63.92 |
| Max. Negotiated Rate |
$366.66 |
| Rate for Payer: Aetna American Axle |
$142.22
|
| Rate for Payer: Aetna Commercial |
$185.98
|
| Rate for Payer: Aetna Medicare |
$127.11
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$142.22
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$152.78
|
| Rate for Payer: Amish Plain Church Group Commercial |
$152.78
|
| Rate for Payer: BCBS Complete |
$67.12
|
| Rate for Payer: BCBS MAPPO |
$122.22
|
| Rate for Payer: BCBS Trust/PPO |
$141.29
|
| Rate for Payer: BCN Commercial |
$141.29
|
| Rate for Payer: BCN Medicare Advantage |
$122.22
|
| Rate for Payer: Cash Price |
$175.04
|
| Rate for Payer: Cash Price |
$175.04
|
| Rate for Payer: Cofinity Advantage |
$153.16
|
| Rate for Payer: Cofinity Commercial |
$188.17
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$175.04
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$122.22
|
| Rate for Payer: Healthscope Commercial |
$196.92
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$153.16
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$164.10
|
| Rate for Payer: Mclaren Medicaid |
$122.22
|
| Rate for Payer: Mclaren Medicare |
$122.22
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$128.33
|
| Rate for Payer: Meridian Medicaid |
$128.33
|
| Rate for Payer: MI Amish Medical Board Commercial |
$140.55
|
| Rate for Payer: Molina Medicare/Medicaid |
$134.44
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$185.98
|
| Rate for Payer: Nomi Health Commercial |
$366.66
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$164.10
|
| Rate for Payer: PACE Medicare |
$116.11
|
| Rate for Payer: PACE SWMI |
$122.22
|
| Rate for Payer: PHP Commercial |
$185.98
|
| Rate for Payer: PHP Medicare Advantage |
$122.22
|
| Rate for Payer: Priority Health Choice Medicaid |
$63.92
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$122.22
|
| Rate for Payer: Priority Health Medicare |
$122.22
|
| Rate for Payer: Priority Health SBD |
$137.84
|
| Rate for Payer: Priority Health Tiered Network |
$97.78
|
| Rate for Payer: Railroad Medicare Medicare |
$122.22
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$183.33
|
| Rate for Payer: UHC Core |
$183.33
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$122.22
|
| Rate for Payer: UHC Exchange |
$183.33
|
| Rate for Payer: UHC Medicaid |
$63.92
|
| Rate for Payer: UHCCP Medicaid |
$63.92
|
| Rate for Payer: UMR Bronson Commercial |
$80.96
|
| Rate for Payer: VA VA |
$122.22
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$164.10
|
|
|
HC CELIAC ASSOCIATED HLA DQ TYPING
|
Facility
|
OP
|
$194.55
|
|
|
Service Code
|
CPT 86812
|
| Hospital Charge Code |
30200339
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$13.50 |
| Max. Negotiated Rate |
$175.09 |
| Rate for Payer: Aetna American Axle |
$126.46
|
| Rate for Payer: Aetna Commercial |
$165.37
|
| Rate for Payer: Aetna Medicare |
$26.84
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$126.46
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$32.26
|
| Rate for Payer: Amish Plain Church Group Commercial |
$32.26
|
| Rate for Payer: BCBS Complete |
$14.17
|
| Rate for Payer: BCBS MAPPO |
$25.81
|
| Rate for Payer: BCBS Trust/PPO |
$29.84
|
| Rate for Payer: BCN Commercial |
$29.84
|
| Rate for Payer: BCN Medicare Advantage |
$25.81
|
| Rate for Payer: Cash Price |
$155.64
|
| Rate for Payer: Cash Price |
$155.64
|
| Rate for Payer: Cofinity Advantage |
$136.19
|
| Rate for Payer: Cofinity Commercial |
$167.31
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$155.64
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$25.81
|
| Rate for Payer: Healthscope Commercial |
$175.09
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$136.19
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$145.91
|
| Rate for Payer: Mclaren Medicaid |
$25.81
|
| Rate for Payer: Mclaren Medicare |
$25.81
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$27.10
|
| Rate for Payer: Meridian Medicaid |
$27.10
|
| Rate for Payer: MI Amish Medical Board Commercial |
$29.68
|
| Rate for Payer: Molina Medicare/Medicaid |
$28.39
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$165.37
|
| Rate for Payer: Nomi Health Commercial |
$38.72
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$145.91
|
| Rate for Payer: PACE Medicare |
$24.52
|
| Rate for Payer: PACE SWMI |
$25.81
|
| Rate for Payer: PHP Commercial |
$165.37
|
| Rate for Payer: PHP Medicare Advantage |
$25.81
|
| Rate for Payer: Priority Health Choice Medicaid |
$13.50
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$25.81
|
| Rate for Payer: Priority Health Medicare |
$25.81
|
| Rate for Payer: Priority Health SBD |
$122.57
|
| Rate for Payer: Priority Health Tiered Network |
$20.65
|
| Rate for Payer: Railroad Medicare Medicare |
$25.81
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$38.72
|
| Rate for Payer: UHC Core |
$38.72
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$25.81
|
| Rate for Payer: UHC Exchange |
$38.72
|
| Rate for Payer: UHC Medicaid |
$13.50
|
| Rate for Payer: UHCCP Medicaid |
$13.50
|
| Rate for Payer: UMR Bronson Commercial |
$71.98
|
| Rate for Payer: VA VA |
$25.81
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$145.91
|
|
|
HC CELIAC ASSOCIATED HLA DQ TYPING CMPT
|
Facility
|
IP
|
$218.80
|
|
|
Service Code
|
CPT 81376
|
| Hospital Charge Code |
31000105
|
|
Hospital Revenue Code
|
310
|
| Min. Negotiated Rate |
$96.27 |
| Max. Negotiated Rate |
$196.92 |
| Rate for Payer: Aetna American Axle |
$142.22
|
| Rate for Payer: Aetna Commercial |
$185.98
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$142.22
|
| Rate for Payer: Cash Price |
$175.04
|
| Rate for Payer: Cofinity Advantage |
$153.16
|
| Rate for Payer: Cofinity Commercial |
$188.17
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$175.04
|
| Rate for Payer: Healthscope Commercial |
$196.92
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$153.16
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$164.10
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$185.98
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$164.10
|
| Rate for Payer: PHP Commercial |
$185.98
|
| Rate for Payer: Priority Health SBD |
$137.84
|
| Rate for Payer: UMR Bronson Commercial |
$96.27
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$164.10
|
|
