|
HC CHOLETEC PER STUDY
|
Facility
|
IP
|
$473.22
|
|
|
Service Code
|
HCPCS A9537
|
| Hospital Charge Code |
34300003
|
|
Hospital Revenue Code
|
343
|
| Min. Negotiated Rate |
$208.22 |
| Max. Negotiated Rate |
$425.90 |
| Rate for Payer: Aetna American Axle |
$307.59
|
| Rate for Payer: Aetna Commercial |
$402.24
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$307.59
|
| Rate for Payer: Cash Price |
$378.58
|
| Rate for Payer: Cofinity Advantage |
$331.25
|
| Rate for Payer: Cofinity Commercial |
$406.97
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$378.58
|
| Rate for Payer: Healthscope Commercial |
$425.90
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$331.25
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$354.92
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$402.24
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$354.92
|
| Rate for Payer: PHP Commercial |
$402.24
|
| Rate for Payer: Priority Health SBD |
$298.13
|
| Rate for Payer: UMR Bronson Commercial |
$208.22
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$354.92
|
|
|
HC CHOLETEC PER STUDY
|
Facility
|
OP
|
$473.22
|
|
|
Service Code
|
HCPCS A9537
|
| Hospital Charge Code |
34300003
|
|
Hospital Revenue Code
|
343
|
| Min. Negotiated Rate |
$107.57 |
| Max. Negotiated Rate |
$425.90 |
| Rate for Payer: Aetna American Axle |
$307.59
|
| Rate for Payer: Aetna Commercial |
$402.24
|
| Rate for Payer: Aetna Medicare |
$236.61
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$307.59
|
| Rate for Payer: BCBS Complete |
$189.29
|
| Rate for Payer: BCBS Trust/PPO |
$107.57
|
| Rate for Payer: BCN Commercial |
$107.57
|
| Rate for Payer: Cash Price |
$378.58
|
| Rate for Payer: Cash Price |
$378.58
|
| Rate for Payer: Cofinity Advantage |
$331.25
|
| Rate for Payer: Cofinity Commercial |
$406.97
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$378.58
|
| Rate for Payer: Healthscope Commercial |
$425.90
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$331.25
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$354.92
|
| Rate for Payer: MI Amish Medical Board Commercial |
$378.58
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$402.24
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$354.92
|
| Rate for Payer: PHP Commercial |
$402.24
|
| Rate for Payer: Priority Health SBD |
$298.13
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$187.21
|
| Rate for Payer: UHC Core |
$187.21
|
| Rate for Payer: UHC Exchange |
$187.21
|
| Rate for Payer: UMR Bronson Commercial |
$175.09
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$354.92
|
|
|
HC CHOLINESTERASE RBC
|
Facility
|
OP
|
$67.63
|
|
|
Service Code
|
CPT 82482
|
| Hospital Charge Code |
30100157
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$5.13 |
| Max. Negotiated Rate |
$60.87 |
| Rate for Payer: Aetna American Axle |
$43.96
|
| Rate for Payer: Aetna Commercial |
$57.49
|
| Rate for Payer: Aetna Medicare |
$10.20
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$43.96
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$12.26
|
| Rate for Payer: Amish Plain Church Group Commercial |
$12.26
|
| Rate for Payer: BCBS Complete |
$5.39
|
| Rate for Payer: BCBS MAPPO |
$9.81
|
| Rate for Payer: BCBS Trust/PPO |
$11.34
|
| Rate for Payer: BCN Commercial |
$11.34
|
| Rate for Payer: BCN Medicare Advantage |
$9.81
|
| Rate for Payer: Cash Price |
$54.10
|
| Rate for Payer: Cash Price |
$54.10
|
| Rate for Payer: Cofinity Advantage |
$47.34
|
| Rate for Payer: Cofinity Commercial |
$58.16
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$54.10
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$9.81
|
| Rate for Payer: Healthscope Commercial |
$60.87
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$47.34
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$50.72
|
| Rate for Payer: Mclaren Medicaid |
$9.81
|
| Rate for Payer: Mclaren Medicare |
$9.81
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$10.30
|
| Rate for Payer: Meridian Medicaid |
$10.30
|
| Rate for Payer: MI Amish Medical Board Commercial |
$11.28
|
| Rate for Payer: Molina Medicare/Medicaid |
$10.79
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$57.49
|
| Rate for Payer: Nomi Health Commercial |
$14.71
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$50.72
|
| Rate for Payer: PACE Medicare |
$9.32
|
| Rate for Payer: PACE SWMI |
$9.81
|
| Rate for Payer: PHP Commercial |
$57.49
|
| Rate for Payer: PHP Medicare Advantage |
$9.81
|
| Rate for Payer: Priority Health Choice Medicaid |
$5.13
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$9.81
|
| Rate for Payer: Priority Health Medicare |
$9.81
|
| Rate for Payer: Priority Health SBD |
$42.61
|
| Rate for Payer: Priority Health Tiered Network |
$7.85
|
| Rate for Payer: Railroad Medicare Medicare |
$9.81
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$14.72
|
| Rate for Payer: UHC Core |
$14.72
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$9.81
|
| Rate for Payer: UHC Exchange |
$14.72
|
| Rate for Payer: UHC Medicaid |
$5.13
|
| Rate for Payer: UHCCP Medicaid |
$5.13
|
| Rate for Payer: UMR Bronson Commercial |
$25.02
|
| Rate for Payer: VA VA |
$9.81
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$50.72
|
|
|
HC CHOLINESTERASE RBC
|
Facility
|
IP
|
$67.63
|
|
|
Service Code
|
CPT 82482
|
| Hospital Charge Code |
30100157
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$29.76 |
| Max. Negotiated Rate |
$60.87 |
| Rate for Payer: Aetna American Axle |
$43.96
|
| Rate for Payer: Aetna Commercial |
$57.49
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$43.96
|
| Rate for Payer: Cash Price |
$54.10
|
| Rate for Payer: Cofinity Advantage |
$47.34
|
| Rate for Payer: Cofinity Commercial |
$58.16
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$54.10
|
| Rate for Payer: Healthscope Commercial |
$60.87
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$47.34
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$50.72
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$57.49
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$50.72
|
| Rate for Payer: PHP Commercial |
$57.49
|
| Rate for Payer: Priority Health SBD |
$42.61
|
| Rate for Payer: UMR Bronson Commercial |
$29.76
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$50.72
|
|
|
HC CHORIONIC VILLUS SAMPLING
|
Facility
|
IP
|
$694.03
|
|
|
Service Code
|
CPT 59015
|
| Hospital Charge Code |
40200003
|
|
Hospital Revenue Code
|
402
|
| Min. Negotiated Rate |
$305.37 |
| Max. Negotiated Rate |
$624.63 |
| Rate for Payer: Aetna American Axle |
$451.12
|
| Rate for Payer: Aetna Commercial |
$589.93
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$451.12
|
| Rate for Payer: Cash Price |
$555.22
|
| Rate for Payer: Cofinity Advantage |
$485.82
|
| Rate for Payer: Cofinity Commercial |
$596.87
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$555.22
|
| Rate for Payer: Healthscope Commercial |
$624.63
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$485.82
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$520.52
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$589.93
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$520.52
|
| Rate for Payer: PHP Commercial |
$589.93
|
| Rate for Payer: Priority Health SBD |
$437.24
|
| Rate for Payer: UMR Bronson Commercial |
$305.37
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$520.52
|
|
|
HC CHORIONIC VILLUS SAMPLING
|
Facility
|
OP
|
$694.03
|
|
|
Service Code
|
CPT 59015
|
| Hospital Charge Code |
40200003
|
|
Hospital Revenue Code
|
402
|
| Min. Negotiated Rate |
$256.79 |
| Max. Negotiated Rate |
$2,967.88 |
| Rate for Payer: Aetna American Axle |
$451.12
|
| Rate for Payer: Aetna Commercial |
$589.93
|
| Rate for Payer: Aetna Medicare |
$954.45
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$451.12
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,147.17
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1,147.17
|
| Rate for Payer: BCBS Complete |
$504.02
|
| Rate for Payer: BCBS MAPPO |
$917.74
|
| Rate for Payer: BCBS Trust/PPO |
$953.20
|
| Rate for Payer: BCN Commercial |
$953.20
|
| Rate for Payer: BCN Medicare Advantage |
$917.74
|
| Rate for Payer: Cash Price |
$555.22
|
| Rate for Payer: Cash Price |
$555.22
|
| Rate for Payer: Cash Price |
$555.22
|
| Rate for Payer: Cofinity Advantage |
$485.82
|
| Rate for Payer: Cofinity Commercial |
$596.87
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$555.22
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$917.74
|
| Rate for Payer: Healthscope Commercial |
$624.63
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$485.82
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$520.52
|
| Rate for Payer: Mclaren Medicaid |
$917.74
|
| Rate for Payer: Mclaren Medicare |
$917.74
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$963.63
|
| Rate for Payer: Meridian Medicaid |
$963.63
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,055.40
|
| Rate for Payer: Molina Medicare/Medicaid |
$1,009.51
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$589.93
|
| Rate for Payer: Nomi Health Commercial |
$2,753.22
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$520.52
|
| Rate for Payer: PACE Medicare |
$871.85
|
| Rate for Payer: PACE SWMI |
$917.74
|
| Rate for Payer: PHP Commercial |
$589.93
|
| Rate for Payer: PHP Medicare Advantage |
$917.74
|
| Rate for Payer: Priority Health Choice Medicaid |
$479.98
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$2,967.88
|
| Rate for Payer: Priority Health Medicare |
$917.74
|
| Rate for Payer: Priority Health SBD |
$437.24
|
| Rate for Payer: Priority Health Tiered Network |
$2,374.30
|
| Rate for Payer: Railroad Medicare Medicare |
$917.74
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$451.12
|
| Rate for Payer: UHC Core |
$361.59
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$917.74
|
| Rate for Payer: UHC Exchange |
$272.75
|
| Rate for Payer: UHC Medicaid |
$479.98
|
| Rate for Payer: UHCCP Medicaid |
$479.98
|
| Rate for Payer: UMR Bronson Commercial |
$256.79
|
| Rate for Payer: VA VA |
$917.74
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$520.52
|
|
|
HC CHROM ANALYSIS METAPHASE <20 AND 20 TO 25
|
Facility
|
OP
|
$258.87
|
|
|
Service Code
|
CPT 88264
|
| Hospital Charge Code |
31000020
|
|
Hospital Revenue Code
|
310
|
| Min. Negotiated Rate |
$75.63 |
| Max. Negotiated Rate |
$232.98 |
| Rate for Payer: Aetna American Axle |
$168.27
|
| Rate for Payer: Aetna Commercial |
$220.04
|
| Rate for Payer: Aetna Medicare |
$150.39
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$168.27
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$180.76
|
| Rate for Payer: Amish Plain Church Group Commercial |
$180.76
|
| Rate for Payer: BCBS Complete |
$79.42
|
| Rate for Payer: BCBS MAPPO |
$144.61
|
| Rate for Payer: BCBS Trust/PPO |
$167.17
|
| Rate for Payer: BCN Commercial |
$167.17
|
| Rate for Payer: BCN Medicare Advantage |
$144.61
|
| Rate for Payer: Cash Price |
$207.10
|
| Rate for Payer: Cash Price |
$207.10
|
| Rate for Payer: Cofinity Advantage |
$181.21
|
| Rate for Payer: Cofinity Commercial |
$222.63
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$207.10
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$144.61
|
| Rate for Payer: Healthscope Commercial |
$232.98
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$181.21
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$194.15
|
| Rate for Payer: Mclaren Medicaid |
$144.61
|
| Rate for Payer: Mclaren Medicare |
$144.61
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$151.84
|
| Rate for Payer: Meridian Medicaid |
$151.84
|
| Rate for Payer: MI Amish Medical Board Commercial |
$166.30
|
| Rate for Payer: Molina Medicare/Medicaid |
$159.07
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$220.04
|
| Rate for Payer: Nomi Health Commercial |
$216.91
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$194.15
|
| Rate for Payer: PACE Medicare |
$137.38
|
| Rate for Payer: PACE SWMI |
$144.61
|
| Rate for Payer: PHP Commercial |
$220.04
|
| Rate for Payer: PHP Medicare Advantage |
$144.61
|
| Rate for Payer: Priority Health Choice Medicaid |
$75.63
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$144.61
|
| Rate for Payer: Priority Health Medicare |
$144.61
|
| Rate for Payer: Priority Health SBD |
$163.09
|
| Rate for Payer: Priority Health Tiered Network |
$115.69
|
| Rate for Payer: Railroad Medicare Medicare |
$144.61
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$216.92
|
| Rate for Payer: UHC Core |
$216.92
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$144.61
|
| Rate for Payer: UHC Exchange |
$216.92
|
| Rate for Payer: UHC Medicaid |
$75.63
|
| Rate for Payer: UHCCP Medicaid |
$75.63
|
| Rate for Payer: UMR Bronson Commercial |
$95.78
|
| Rate for Payer: VA VA |
$144.61
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$194.15
|
|
|
HC CHROM ANALYSIS METAPHASE <20 AND 20 TO 25
|
Facility
|
IP
|
$258.87
|
|
|
Service Code
|
CPT 88264
|
| Hospital Charge Code |
31000020
|
|
Hospital Revenue Code
|
310
|
| Min. Negotiated Rate |
$113.90 |
| Max. Negotiated Rate |
$232.98 |
| Rate for Payer: Aetna American Axle |
$168.27
|
| Rate for Payer: Aetna Commercial |
$220.04
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$168.27
|
| Rate for Payer: Cash Price |
$207.10
|
| Rate for Payer: Cofinity Advantage |
$181.21
|
| Rate for Payer: Cofinity Commercial |
$222.63
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$207.10
|
| Rate for Payer: Healthscope Commercial |
$232.98
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$181.21
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$194.15
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$220.04
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$194.15
|
| Rate for Payer: PHP Commercial |
$220.04
|
| Rate for Payer: Priority Health SBD |
$163.09
|
| Rate for Payer: UMR Bronson Commercial |
$113.90
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$194.15
|
|
|
HC CHROMATIN DNP
|
Facility
|
OP
|
$35.87
|
|
|
Service Code
|
CPT 86235
|
| Hospital Charge Code |
30200432
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$9.38 |
| Max. Negotiated Rate |
$32.28 |
| Rate for Payer: Aetna American Axle |
$23.32
|
| Rate for Payer: Aetna Commercial |
$30.49
|
| Rate for Payer: Aetna Medicare |
$18.65
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$23.32
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$22.41
|
| Rate for Payer: Amish Plain Church Group Commercial |
$22.41
|
| Rate for Payer: BCBS Complete |
$9.85
|
| Rate for Payer: BCBS MAPPO |
$17.93
|
| Rate for Payer: BCBS Trust/PPO |
$20.73
|
| Rate for Payer: BCN Commercial |
$20.73
|
| Rate for Payer: BCN Medicare Advantage |
$17.93
|
| Rate for Payer: Cash Price |
$28.70
|
| Rate for Payer: Cash Price |
$28.70
|
| Rate for Payer: Cofinity Advantage |
$25.11
|
| Rate for Payer: Cofinity Commercial |
$30.85
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$28.70
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$17.93
|
| Rate for Payer: Healthscope Commercial |
$32.28
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$25.11
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$26.90
|
| Rate for Payer: Mclaren Medicaid |
$17.93
|
| Rate for Payer: Mclaren Medicare |
$17.93
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$18.83
|
| Rate for Payer: Meridian Medicaid |
$18.83
|
| Rate for Payer: MI Amish Medical Board Commercial |
$20.62
|
| Rate for Payer: Molina Medicare/Medicaid |
$19.72
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$30.49
|
| Rate for Payer: Nomi Health Commercial |
$26.89
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$26.90
|
| Rate for Payer: PACE Medicare |
$17.03
|
| Rate for Payer: PACE SWMI |
$17.93
|
| Rate for Payer: PHP Commercial |
$30.49
|
| Rate for Payer: PHP Medicare Advantage |
$17.93
|
| Rate for Payer: Priority Health Choice Medicaid |
$9.38
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$17.93
|
| Rate for Payer: Priority Health Medicare |
$17.93
|
| Rate for Payer: Priority Health SBD |
$22.60
|
| Rate for Payer: Priority Health Tiered Network |
$14.34
|
| Rate for Payer: Railroad Medicare Medicare |
$17.93
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$26.90
|
| Rate for Payer: UHC Core |
$26.90
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$17.93
|
| Rate for Payer: UHC Exchange |
$26.90
|
| Rate for Payer: UHC Medicaid |
$9.38
|
| Rate for Payer: UHCCP Medicaid |
$9.38
|
| Rate for Payer: UMR Bronson Commercial |
$13.27
|
| Rate for Payer: VA VA |
$17.93
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$26.90
|
|
|
HC CHROMATIN DNP
|
Facility
|
IP
|
$35.87
|
|
|
Service Code
|
CPT 86235
|
| Hospital Charge Code |
30200432
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$15.78 |
| Max. Negotiated Rate |
$32.28 |
| Rate for Payer: Aetna American Axle |
$23.32
|
| Rate for Payer: Aetna Commercial |
$30.49
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$23.32
|
| Rate for Payer: Cash Price |
$28.70
|
| Rate for Payer: Cofinity Advantage |
$25.11
|
| Rate for Payer: Cofinity Commercial |
$30.85
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$28.70
|
| Rate for Payer: Healthscope Commercial |
$32.28
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$25.11
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$26.90
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$30.49
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$26.90
|
| Rate for Payer: PHP Commercial |
$30.49
|
| Rate for Payer: Priority Health SBD |
$22.60
|
| Rate for Payer: UMR Bronson Commercial |
$15.78
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$26.90
|
|
|
HC CHROMIUM
|
Facility
|
OP
|
$63.46
|
|
|
Service Code
|
CPT 82495
|
| Hospital Charge Code |
30100165
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$10.61 |
| Max. Negotiated Rate |
$57.11 |
| Rate for Payer: Aetna American Axle |
$41.25
|
| Rate for Payer: Aetna Commercial |
$53.94
|
| Rate for Payer: Aetna Medicare |
$21.09
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$41.25
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$25.35
|
| Rate for Payer: Amish Plain Church Group Commercial |
$25.35
|
| Rate for Payer: BCBS Complete |
$11.14
|
| Rate for Payer: BCBS MAPPO |
$20.28
|
| Rate for Payer: BCBS Trust/PPO |
$23.44
|
| Rate for Payer: BCN Commercial |
$23.44
|
| Rate for Payer: BCN Medicare Advantage |
$20.28
|
| Rate for Payer: Cash Price |
$50.77
|
| Rate for Payer: Cash Price |
$50.77
|
| Rate for Payer: Cofinity Advantage |
$44.42
|
| Rate for Payer: Cofinity Commercial |
$54.58
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$50.77
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$20.28
|
| Rate for Payer: Healthscope Commercial |
$57.11
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$44.42
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$47.59
|
| Rate for Payer: Mclaren Medicaid |
$20.28
|
| Rate for Payer: Mclaren Medicare |
$20.28
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$21.29
|
| Rate for Payer: Meridian Medicaid |
$21.29
|
| Rate for Payer: MI Amish Medical Board Commercial |
$23.32
|
| Rate for Payer: Molina Medicare/Medicaid |
$22.31
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$53.94
|
| Rate for Payer: Nomi Health Commercial |
$30.42
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$47.59
|
| Rate for Payer: PACE Medicare |
$19.27
|
| Rate for Payer: PACE SWMI |
$20.28
|
| Rate for Payer: PHP Commercial |
$53.94
|
| Rate for Payer: PHP Medicare Advantage |
$20.28
|
| Rate for Payer: Priority Health Choice Medicaid |
$10.61
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$20.28
|
| Rate for Payer: Priority Health Medicare |
$20.28
|
| Rate for Payer: Priority Health SBD |
$39.98
|
| Rate for Payer: Priority Health Tiered Network |
$16.22
|
| Rate for Payer: Railroad Medicare Medicare |
$20.28
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$30.42
|
| Rate for Payer: UHC Core |
$30.42
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$20.28
|
| Rate for Payer: UHC Exchange |
$30.42
|
| Rate for Payer: UHC Medicaid |
$10.61
|
| Rate for Payer: UHCCP Medicaid |
$10.61
|
| Rate for Payer: UMR Bronson Commercial |
$23.48
|
| Rate for Payer: VA VA |
$20.28
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$47.59
|
|
|
HC CHROMIUM
|
Facility
|
IP
|
$63.46
|
|
|
Service Code
|
CPT 82495
|
| Hospital Charge Code |
30100165
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$27.92 |
| Max. Negotiated Rate |
$57.11 |
| Rate for Payer: Aetna American Axle |
$41.25
|
| Rate for Payer: Aetna Commercial |
$53.94
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$41.25
|
| Rate for Payer: Cash Price |
$50.77
|
| Rate for Payer: Cofinity Advantage |
$44.42
|
| Rate for Payer: Cofinity Commercial |
$54.58
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$50.77
|
| Rate for Payer: Healthscope Commercial |
$57.11
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$44.42
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$47.59
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$53.94
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$47.59
|
| Rate for Payer: PHP Commercial |
$53.94
|
| Rate for Payer: Priority Health SBD |
$39.98
|
| Rate for Payer: UMR Bronson Commercial |
$27.92
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$47.59
|
|
|
HC CHROMOGRANIN A
|
Facility
|
OP
|
$62.61
|
|
|
Service Code
|
CPT 86316
|
| Hospital Charge Code |
30200187
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$10.88 |
| Max. Negotiated Rate |
$56.35 |
| Rate for Payer: Aetna American Axle |
$40.70
|
| Rate for Payer: Aetna Commercial |
$53.22
|
| Rate for Payer: Aetna Medicare |
$21.64
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$40.70
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$26.01
|
| Rate for Payer: Amish Plain Church Group Commercial |
$26.01
|
| Rate for Payer: BCBS Complete |
$11.43
|
| Rate for Payer: BCBS MAPPO |
$20.81
|
| Rate for Payer: BCBS Trust/PPO |
$24.06
|
| Rate for Payer: BCN Commercial |
$24.06
|
| Rate for Payer: BCN Medicare Advantage |
$20.81
|
| Rate for Payer: Cash Price |
$50.09
|
| Rate for Payer: Cash Price |
$50.09
|
| Rate for Payer: Cofinity Advantage |
$43.83
|
| Rate for Payer: Cofinity Commercial |
$53.84
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$50.09
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$20.81
|
| Rate for Payer: Healthscope Commercial |
$56.35
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$43.83
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$46.96
|
| Rate for Payer: Mclaren Medicaid |
$20.81
|
| Rate for Payer: Mclaren Medicare |
$20.81
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$21.85
|
| Rate for Payer: Meridian Medicaid |
$21.85
|
| Rate for Payer: MI Amish Medical Board Commercial |
$23.93
|
| Rate for Payer: Molina Medicare/Medicaid |
$22.89
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$53.22
|
| Rate for Payer: Nomi Health Commercial |
$31.21
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$46.96
|
| Rate for Payer: PACE Medicare |
$19.77
|
| Rate for Payer: PACE SWMI |
$20.81
|
| Rate for Payer: PHP Commercial |
$53.22
|
| Rate for Payer: PHP Medicare Advantage |
$20.81
|
| Rate for Payer: Priority Health Choice Medicaid |
$10.88
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$20.81
|
| Rate for Payer: Priority Health Medicare |
$20.81
|
| Rate for Payer: Priority Health SBD |
$39.44
|
| Rate for Payer: Priority Health Tiered Network |
$16.65
|
| Rate for Payer: Railroad Medicare Medicare |
$20.81
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$31.22
|
| Rate for Payer: UHC Core |
$31.22
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$20.81
|
| Rate for Payer: UHC Exchange |
$31.22
|
| Rate for Payer: UHC Medicaid |
$10.88
|
| Rate for Payer: UHCCP Medicaid |
$10.88
|
| Rate for Payer: UMR Bronson Commercial |
$23.17
|
| Rate for Payer: VA VA |
$20.81
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$46.96
|
|
|
HC CHROMOGRANIN A
|
Facility
|
IP
|
$62.61
|
|
|
Service Code
|
CPT 86316
|
| Hospital Charge Code |
30200187
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$27.55 |
| Max. Negotiated Rate |
$56.35 |
| Rate for Payer: Aetna American Axle |
$40.70
|
| Rate for Payer: Aetna Commercial |
$53.22
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$40.70
|
| Rate for Payer: Cash Price |
$50.09
|
| Rate for Payer: Cofinity Advantage |
$43.83
|
| Rate for Payer: Cofinity Commercial |
$53.84
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$50.09
|
| Rate for Payer: Healthscope Commercial |
$56.35
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$43.83
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$46.96
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$53.22
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$46.96
|
| Rate for Payer: PHP Commercial |
$53.22
|
| Rate for Payer: Priority Health SBD |
$39.44
|
| Rate for Payer: UMR Bronson Commercial |
$27.55
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$46.96
|
|
|
HC CHROMOSOMAL MICROARRAY, CONGENITAL, BLOOD
|
Facility
|
OP
|
$2,496.96
|
|
|
Service Code
|
CPT 81229
|
| Hospital Charge Code |
31000150
|
|
Hospital Revenue Code
|
310
|
| Min. Negotiated Rate |
$606.68 |
| Max. Negotiated Rate |
$3,480.00 |
| Rate for Payer: Aetna American Axle |
$1,623.02
|
| Rate for Payer: Aetna Commercial |
$2,122.42
|
| Rate for Payer: Aetna Medicare |
$1,206.40
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,623.02
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,450.00
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1,450.00
|
| Rate for Payer: BCBS Complete |
$637.07
|
| Rate for Payer: BCBS MAPPO |
$1,160.00
|
| Rate for Payer: BCBS Trust/PPO |
$1,787.91
|
| Rate for Payer: BCN Commercial |
$1,787.91
|
| Rate for Payer: BCN Medicare Advantage |
$1,160.00
|
| Rate for Payer: Cash Price |
$1,997.57
|
| Rate for Payer: Cash Price |
$1,997.57
|
| Rate for Payer: Cofinity Advantage |
$1,747.87
|
| Rate for Payer: Cofinity Commercial |
$2,147.39
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,997.57
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,160.00
|
| Rate for Payer: Healthscope Commercial |
$2,247.26
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,747.87
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,872.72
|
| Rate for Payer: Mclaren Medicaid |
$1,160.00
|
| Rate for Payer: Mclaren Medicare |
$1,160.00
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,218.00
|
| Rate for Payer: Meridian Medicaid |
$1,218.00
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,334.00
|
| Rate for Payer: Molina Medicare/Medicaid |
$1,276.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,122.42
|
| Rate for Payer: Nomi Health Commercial |
$3,480.00
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,872.72
|
| Rate for Payer: PACE Medicare |
$1,102.00
|
| Rate for Payer: PACE SWMI |
$1,160.00
|
| Rate for Payer: PHP Commercial |
$2,122.42
|
| Rate for Payer: PHP Medicare Advantage |
$1,160.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$606.68
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$1,160.00
|
| Rate for Payer: Priority Health Medicare |
$1,160.00
|
| Rate for Payer: Priority Health SBD |
$1,573.08
|
| Rate for Payer: Priority Health Tiered Network |
$928.00
|
| Rate for Payer: Railroad Medicare Medicare |
$1,160.00
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,740.00
|
| Rate for Payer: UHC Core |
$1,740.00
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$1,160.00
|
| Rate for Payer: UHC Exchange |
$1,740.00
|
| Rate for Payer: UHC Medicaid |
$606.68
|
| Rate for Payer: UHCCP Medicaid |
$606.68
|
| Rate for Payer: UMR Bronson Commercial |
$923.88
|
| Rate for Payer: VA VA |
$1,160.00
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,872.72
|
|
|
HC CHROMOSOMAL MICROARRAY, CONGENITAL, BLOOD
|
Facility
|
IP
|
$2,496.96
|
|
|
Service Code
|
CPT 81229
|
| Hospital Charge Code |
31000150
|
|
Hospital Revenue Code
|
310
|
| Min. Negotiated Rate |
$1,098.66 |
| Max. Negotiated Rate |
$2,247.26 |
| Rate for Payer: Aetna American Axle |
$1,623.02
|
| Rate for Payer: Aetna Commercial |
$2,122.42
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,623.02
|
| Rate for Payer: Cash Price |
$1,997.57
|
| Rate for Payer: Cofinity Advantage |
$1,747.87
|
| Rate for Payer: Cofinity Commercial |
$2,147.39
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,997.57
|
| Rate for Payer: Healthscope Commercial |
$2,247.26
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,747.87
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,872.72
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,122.42
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,872.72
|
| Rate for Payer: PHP Commercial |
$2,122.42
|
| Rate for Payer: Priority Health SBD |
$1,573.08
|
| Rate for Payer: UMR Bronson Commercial |
$1,098.66
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,872.72
|
|
|
HC CHROMOSOMAL MICROARRAY, PRENATAL
|
Facility
|
IP
|
$1,979.21
|
|
|
Service Code
|
CPT 81229
|
| Hospital Charge Code |
31000141
|
|
Hospital Revenue Code
|
310
|
| Min. Negotiated Rate |
$870.85 |
| Max. Negotiated Rate |
$1,781.29 |
| Rate for Payer: Aetna American Axle |
$1,286.49
|
| Rate for Payer: Aetna Commercial |
$1,682.33
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,286.49
|
| Rate for Payer: Cash Price |
$1,583.37
|
| Rate for Payer: Cofinity Advantage |
$1,385.45
|
| Rate for Payer: Cofinity Commercial |
$1,702.12
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,583.37
|
| Rate for Payer: Healthscope Commercial |
$1,781.29
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,385.45
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,484.41
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,682.33
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,484.41
|
| Rate for Payer: PHP Commercial |
$1,682.33
|
| Rate for Payer: Priority Health SBD |
$1,246.90
|
| Rate for Payer: UMR Bronson Commercial |
$870.85
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,484.41
|
|
|
HC CHROMOSOMAL MICROARRAY, PRENATAL
|
Facility
|
OP
|
$1,979.21
|
|
|
Service Code
|
CPT 81229
|
| Hospital Charge Code |
31000141
|
|
Hospital Revenue Code
|
310
|
| Min. Negotiated Rate |
$606.68 |
| Max. Negotiated Rate |
$3,480.00 |
| Rate for Payer: Aetna American Axle |
$1,286.49
|
| Rate for Payer: Aetna Commercial |
$1,682.33
|
| Rate for Payer: Aetna Medicare |
$1,206.40
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,286.49
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,450.00
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1,450.00
|
| Rate for Payer: BCBS Complete |
$637.07
|
| Rate for Payer: BCBS MAPPO |
$1,160.00
|
| Rate for Payer: BCBS Trust/PPO |
$1,787.91
|
| Rate for Payer: BCN Commercial |
$1,787.91
|
| Rate for Payer: BCN Medicare Advantage |
$1,160.00
|
| Rate for Payer: Cash Price |
$1,583.37
|
| Rate for Payer: Cash Price |
$1,583.37
|
| Rate for Payer: Cofinity Advantage |
$1,385.45
|
| Rate for Payer: Cofinity Commercial |
$1,702.12
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,583.37
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,160.00
|
| Rate for Payer: Healthscope Commercial |
$1,781.29
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,385.45
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,484.41
|
| Rate for Payer: Mclaren Medicaid |
$1,160.00
|
| Rate for Payer: Mclaren Medicare |
$1,160.00
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,218.00
|
| Rate for Payer: Meridian Medicaid |
$1,218.00
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,334.00
|
| Rate for Payer: Molina Medicare/Medicaid |
$1,276.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,682.33
|
| Rate for Payer: Nomi Health Commercial |
$3,480.00
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,484.41
|
| Rate for Payer: PACE Medicare |
$1,102.00
|
| Rate for Payer: PACE SWMI |
$1,160.00
|
| Rate for Payer: PHP Commercial |
$1,682.33
|
| Rate for Payer: PHP Medicare Advantage |
$1,160.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$606.68
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$1,160.00
|
| Rate for Payer: Priority Health Medicare |
$1,160.00
|
| Rate for Payer: Priority Health SBD |
$1,246.90
|
| Rate for Payer: Priority Health Tiered Network |
$928.00
|
| Rate for Payer: Railroad Medicare Medicare |
$1,160.00
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,740.00
|
| Rate for Payer: UHC Core |
$1,740.00
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$1,160.00
|
| Rate for Payer: UHC Exchange |
$1,740.00
|
| Rate for Payer: UHC Medicaid |
$606.68
|
| Rate for Payer: UHCCP Medicaid |
$606.68
|
| Rate for Payer: UMR Bronson Commercial |
$732.31
|
| Rate for Payer: VA VA |
$1,160.00
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,484.41
|
|
|
HC CHROMOSOME ADDITIONAL KARYOTYPES
|
Facility
|
IP
|
$37.14
|
|
|
Service Code
|
CPT 88280
|
| Hospital Charge Code |
31000044
|
|
Hospital Revenue Code
|
310
|
| Min. Negotiated Rate |
$16.34 |
| Max. Negotiated Rate |
$33.43 |
| Rate for Payer: Aetna American Axle |
$24.14
|
| Rate for Payer: Aetna Commercial |
$31.57
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$24.14
|
| Rate for Payer: Cash Price |
$29.71
|
| Rate for Payer: Cofinity Advantage |
$26.00
|
| Rate for Payer: Cofinity Commercial |
$31.94
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$29.71
|
| Rate for Payer: Healthscope Commercial |
$33.43
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$26.00
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$27.86
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$31.57
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$27.86
|
| Rate for Payer: PHP Commercial |
$31.57
|
| Rate for Payer: Priority Health SBD |
$23.40
|
| Rate for Payer: UMR Bronson Commercial |
$16.34
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$27.86
|
|
|
HC CHROMOSOME ADDITIONAL KARYOTYPES
|
Facility
|
OP
|
$37.14
|
|
|
Service Code
|
CPT 88280
|
| Hospital Charge Code |
31000044
|
|
Hospital Revenue Code
|
310
|
| Min. Negotiated Rate |
$13.74 |
| Max. Negotiated Rate |
$50.21 |
| Rate for Payer: Aetna American Axle |
$24.14
|
| Rate for Payer: Aetna Commercial |
$31.57
|
| Rate for Payer: Aetna Medicare |
$34.81
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$24.14
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$41.84
|
| Rate for Payer: Amish Plain Church Group Commercial |
$41.84
|
| Rate for Payer: BCBS Complete |
$18.38
|
| Rate for Payer: BCBS MAPPO |
$33.47
|
| Rate for Payer: BCBS Trust/PPO |
$38.69
|
| Rate for Payer: BCN Commercial |
$38.69
|
| Rate for Payer: BCN Medicare Advantage |
$33.47
|
| Rate for Payer: Cash Price |
$29.71
|
| Rate for Payer: Cash Price |
$29.71
|
| Rate for Payer: Cofinity Advantage |
$26.00
|
| Rate for Payer: Cofinity Commercial |
$31.94
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$29.71
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$33.47
|
| Rate for Payer: Healthscope Commercial |
$33.43
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$26.00
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$27.86
|
| Rate for Payer: Mclaren Medicaid |
$33.47
|
| Rate for Payer: Mclaren Medicare |
$33.47
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$35.14
|
| Rate for Payer: Meridian Medicaid |
$35.14
|
| Rate for Payer: MI Amish Medical Board Commercial |
$38.49
|
| Rate for Payer: Molina Medicare/Medicaid |
$36.82
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$31.57
|
| Rate for Payer: Nomi Health Commercial |
$50.20
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$27.86
|
| Rate for Payer: PACE Medicare |
$31.80
|
| Rate for Payer: PACE SWMI |
$33.47
|
| Rate for Payer: PHP Commercial |
$31.57
|
| Rate for Payer: PHP Medicare Advantage |
$33.47
|
| Rate for Payer: Priority Health Choice Medicaid |
$17.50
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$33.47
|
| Rate for Payer: Priority Health Medicare |
$33.47
|
| Rate for Payer: Priority Health SBD |
$23.40
|
| Rate for Payer: Priority Health Tiered Network |
$26.78
|
| Rate for Payer: Railroad Medicare Medicare |
$33.47
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$50.21
|
| Rate for Payer: UHC Core |
$50.21
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$33.47
|
| Rate for Payer: UHC Exchange |
$50.21
|
| Rate for Payer: UHC Medicaid |
$17.50
|
| Rate for Payer: UHCCP Medicaid |
$17.50
|
| Rate for Payer: UMR Bronson Commercial |
$13.74
|
| Rate for Payer: VA VA |
$33.47
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$27.86
|
|
|
HC CHROMOSOME ANALYSIS AMNIOTIC
|
Facility
|
IP
|
$211.18
|
|
|
Service Code
|
CPT 88269
|
| Hospital Charge Code |
31000022
|
|
Hospital Revenue Code
|
310
|
| Min. Negotiated Rate |
$92.92 |
| Max. Negotiated Rate |
$190.06 |
| Rate for Payer: Aetna American Axle |
$137.27
|
| Rate for Payer: Aetna Commercial |
$179.50
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$137.27
|
| Rate for Payer: Cash Price |
$168.94
|
| Rate for Payer: Cofinity Advantage |
$147.83
|
| Rate for Payer: Cofinity Commercial |
$181.61
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$168.94
|
| Rate for Payer: Healthscope Commercial |
$190.06
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$147.83
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$158.38
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$179.50
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$158.38
|
| Rate for Payer: PHP Commercial |
$179.50
|
| Rate for Payer: Priority Health SBD |
$133.04
|
| Rate for Payer: UMR Bronson Commercial |
$92.92
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$158.38
|
|
|
HC CHROMOSOME ANALYSIS AMNIOTIC
|
Facility
|
OP
|
$211.18
|
|
|
Service Code
|
CPT 88269
|
| Hospital Charge Code |
31000022
|
|
Hospital Revenue Code
|
310
|
| Min. Negotiated Rate |
$78.14 |
| Max. Negotiated Rate |
$260.49 |
| Rate for Payer: Aetna American Axle |
$137.27
|
| Rate for Payer: Aetna Commercial |
$179.50
|
| Rate for Payer: Aetna Medicare |
$180.61
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$137.27
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$217.07
|
| Rate for Payer: Amish Plain Church Group Commercial |
$217.07
|
| Rate for Payer: BCBS Complete |
$95.37
|
| Rate for Payer: BCBS MAPPO |
$173.66
|
| Rate for Payer: BCBS Trust/PPO |
$200.75
|
| Rate for Payer: BCN Commercial |
$200.75
|
| Rate for Payer: BCN Medicare Advantage |
$173.66
|
| Rate for Payer: Cash Price |
$168.94
|
| Rate for Payer: Cash Price |
$168.94
|
| Rate for Payer: Cofinity Advantage |
$147.83
|
| Rate for Payer: Cofinity Commercial |
$181.61
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$168.94
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$173.66
|
| Rate for Payer: Healthscope Commercial |
$190.06
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$147.83
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$158.38
|
| Rate for Payer: Mclaren Medicaid |
$173.66
|
| Rate for Payer: Mclaren Medicare |
$173.66
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$182.34
|
| Rate for Payer: Meridian Medicaid |
$182.34
|
| Rate for Payer: MI Amish Medical Board Commercial |
$199.71
|
| Rate for Payer: Molina Medicare/Medicaid |
$191.03
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$179.50
|
| Rate for Payer: Nomi Health Commercial |
$260.49
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$158.38
|
| Rate for Payer: PACE Medicare |
$164.98
|
| Rate for Payer: PACE SWMI |
$173.66
|
| Rate for Payer: PHP Commercial |
$179.50
|
| Rate for Payer: PHP Medicare Advantage |
$173.66
|
| Rate for Payer: Priority Health Choice Medicaid |
$90.82
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$173.66
|
| Rate for Payer: Priority Health Medicare |
$173.66
|
| Rate for Payer: Priority Health SBD |
$133.04
|
| Rate for Payer: Priority Health Tiered Network |
$138.93
|
| Rate for Payer: Railroad Medicare Medicare |
$173.66
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$260.49
|
| Rate for Payer: UHC Core |
$260.49
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$173.66
|
| Rate for Payer: UHC Exchange |
$260.49
|
| Rate for Payer: UHC Medicaid |
$90.82
|
| Rate for Payer: UHCCP Medicaid |
$90.82
|
| Rate for Payer: UMR Bronson Commercial |
$78.14
|
| Rate for Payer: VA VA |
$173.66
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$158.38
|
|
|
HC CHROMOSOME ANALYSIS CHORIONIC VILLUS
|
Facility
|
OP
|
$383.09
|
|
|
Service Code
|
CPT 88267
|
| Hospital Charge Code |
31000021
|
|
Hospital Revenue Code
|
310
|
| Min. Negotiated Rate |
$98.62 |
| Max. Negotiated Rate |
$344.78 |
| Rate for Payer: Aetna American Axle |
$249.01
|
| Rate for Payer: Aetna Commercial |
$325.63
|
| Rate for Payer: Aetna Medicare |
$196.11
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$249.01
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$235.71
|
| Rate for Payer: Amish Plain Church Group Commercial |
$235.71
|
| Rate for Payer: BCBS Complete |
$103.56
|
| Rate for Payer: BCBS MAPPO |
$188.57
|
| Rate for Payer: BCBS Trust/PPO |
$217.99
|
| Rate for Payer: BCN Commercial |
$217.99
|
| Rate for Payer: BCN Medicare Advantage |
$188.57
|
| Rate for Payer: Cash Price |
$306.47
|
| Rate for Payer: Cash Price |
$306.47
|
| Rate for Payer: Cofinity Advantage |
$268.16
|
| Rate for Payer: Cofinity Commercial |
$329.46
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$306.47
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$188.57
|
| Rate for Payer: Healthscope Commercial |
$344.78
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$268.16
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$287.32
|
| Rate for Payer: Mclaren Medicaid |
$188.57
|
| Rate for Payer: Mclaren Medicare |
$188.57
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$198.00
|
| Rate for Payer: Meridian Medicaid |
$198.00
|
| Rate for Payer: MI Amish Medical Board Commercial |
$216.86
|
| Rate for Payer: Molina Medicare/Medicaid |
$207.43
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$325.63
|
| Rate for Payer: Nomi Health Commercial |
$282.86
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$287.32
|
| Rate for Payer: PACE Medicare |
$179.14
|
| Rate for Payer: PACE SWMI |
$188.57
|
| Rate for Payer: PHP Commercial |
$325.63
|
| Rate for Payer: PHP Medicare Advantage |
$188.57
|
| Rate for Payer: Priority Health Choice Medicaid |
$98.62
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$188.57
|
| Rate for Payer: Priority Health Medicare |
$188.57
|
| Rate for Payer: Priority Health SBD |
$241.35
|
| Rate for Payer: Priority Health Tiered Network |
$150.86
|
| Rate for Payer: Railroad Medicare Medicare |
$188.57
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$282.86
|
| Rate for Payer: UHC Core |
$282.86
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$188.57
|
| Rate for Payer: UHC Exchange |
$282.86
|
| Rate for Payer: UHC Medicaid |
$98.62
|
| Rate for Payer: UHCCP Medicaid |
$98.62
|
| Rate for Payer: UMR Bronson Commercial |
$141.74
|
| Rate for Payer: VA VA |
$188.57
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$287.32
|
|
|
HC CHROMOSOME ANALYSIS CHORIONIC VILLUS
|
Facility
|
IP
|
$383.09
|
|
|
Service Code
|
CPT 88267
|
| Hospital Charge Code |
31000021
|
|
Hospital Revenue Code
|
310
|
| Min. Negotiated Rate |
$168.56 |
| Max. Negotiated Rate |
$344.78 |
| Rate for Payer: Aetna American Axle |
$249.01
|
| Rate for Payer: Aetna Commercial |
$325.63
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$249.01
|
| Rate for Payer: Cash Price |
$306.47
|
| Rate for Payer: Cofinity Advantage |
$268.16
|
| Rate for Payer: Cofinity Commercial |
$329.46
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$306.47
|
| Rate for Payer: Healthscope Commercial |
$344.78
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$268.16
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$287.32
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$325.63
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$287.32
|
| Rate for Payer: PHP Commercial |
$325.63
|
| Rate for Payer: Priority Health SBD |
$241.35
|
| Rate for Payer: UMR Bronson Commercial |
$168.56
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$287.32
|
|
|
HC CHROMOSOME ANALYSIS CONGENITAL
|
Facility
|
IP
|
$226.04
|
|
|
Service Code
|
CPT 88230
|
| Hospital Charge Code |
31000013
|
|
Hospital Revenue Code
|
310
|
| Min. Negotiated Rate |
$99.46 |
| Max. Negotiated Rate |
$203.44 |
| Rate for Payer: Aetna American Axle |
$146.93
|
| Rate for Payer: Aetna Commercial |
$192.13
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$146.93
|
| Rate for Payer: Cash Price |
$180.83
|
| Rate for Payer: Cofinity Advantage |
$158.23
|
| Rate for Payer: Cofinity Commercial |
$194.39
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$180.83
|
| Rate for Payer: Healthscope Commercial |
$203.44
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$158.23
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$169.53
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$192.13
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$169.53
|
| Rate for Payer: PHP Commercial |
$192.13
|
| Rate for Payer: Priority Health SBD |
$142.41
|
| Rate for Payer: UMR Bronson Commercial |
$99.46
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$169.53
|
|
