|
HC COLON DECOMPRESSION
|
Facility
|
IP
|
$2,450.59
|
|
| Hospital Charge Code |
36000019
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$1,078.26 |
| Max. Negotiated Rate |
$2,205.53 |
| Rate for Payer: Aetna American Axle |
$1,592.88
|
| Rate for Payer: Aetna Commercial |
$2,083.00
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,592.88
|
| Rate for Payer: Cash Price |
$1,960.47
|
| Rate for Payer: Cofinity Advantage |
$1,715.41
|
| Rate for Payer: Cofinity Commercial |
$2,107.51
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,960.47
|
| Rate for Payer: Healthscope Commercial |
$2,205.53
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,715.41
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,837.94
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,083.00
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,837.94
|
| Rate for Payer: PHP Commercial |
$2,083.00
|
| Rate for Payer: Priority Health SBD |
$1,543.87
|
| Rate for Payer: UMR Bronson Commercial |
$1,078.26
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,837.94
|
|
|
HC COLON MOTILITY STUDY 6 HRS CONT RECORDING
|
Facility
|
IP
|
$373.92
|
|
|
Service Code
|
CPT 91117
|
| Hospital Charge Code |
75000011
|
|
Hospital Revenue Code
|
750
|
| Min. Negotiated Rate |
$164.52 |
| Max. Negotiated Rate |
$336.53 |
| Rate for Payer: Aetna American Axle |
$243.05
|
| Rate for Payer: Aetna Commercial |
$317.83
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$243.05
|
| Rate for Payer: Cash Price |
$299.14
|
| Rate for Payer: Cofinity Advantage |
$261.74
|
| Rate for Payer: Cofinity Commercial |
$321.57
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$299.14
|
| Rate for Payer: Healthscope Commercial |
$336.53
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$261.74
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$280.44
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$317.83
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$280.44
|
| Rate for Payer: PHP Commercial |
$317.83
|
| Rate for Payer: Priority Health SBD |
$235.57
|
| Rate for Payer: UMR Bronson Commercial |
$164.52
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$280.44
|
|
|
HC COLON MOTILITY STUDY 6 HRS CONT RECORDING
|
Facility
|
OP
|
$373.92
|
|
|
Service Code
|
CPT 91117
|
| Hospital Charge Code |
75000011
|
|
Hospital Revenue Code
|
750
|
| Min. Negotiated Rate |
$112.52 |
| Max. Negotiated Rate |
$695.77 |
| Rate for Payer: Aetna American Axle |
$243.05
|
| Rate for Payer: Aetna Commercial |
$317.83
|
| Rate for Payer: Aetna Medicare |
$223.76
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$243.05
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$268.94
|
| Rate for Payer: Amish Plain Church Group Commercial |
$268.94
|
| Rate for Payer: BCBS Complete |
$118.16
|
| Rate for Payer: BCBS MAPPO |
$215.15
|
| Rate for Payer: BCBS Trust/PPO |
$200.06
|
| Rate for Payer: BCN Commercial |
$200.06
|
| Rate for Payer: BCN Medicare Advantage |
$215.15
|
| Rate for Payer: Cash Price |
$299.14
|
| Rate for Payer: Cash Price |
$299.14
|
| Rate for Payer: Cofinity Advantage |
$261.74
|
| Rate for Payer: Cofinity Commercial |
$321.57
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$299.14
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$215.15
|
| Rate for Payer: Healthscope Commercial |
$336.53
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$261.74
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$280.44
|
| Rate for Payer: Mclaren Medicaid |
$215.15
|
| Rate for Payer: Mclaren Medicare |
$215.15
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$225.91
|
| Rate for Payer: Meridian Medicaid |
$225.91
|
| Rate for Payer: MI Amish Medical Board Commercial |
$247.42
|
| Rate for Payer: Molina Medicare/Medicaid |
$236.66
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$317.83
|
| Rate for Payer: Nomi Health Commercial |
$645.45
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$280.44
|
| Rate for Payer: PACE Medicare |
$204.39
|
| Rate for Payer: PACE SWMI |
$215.15
|
| Rate for Payer: PHP Commercial |
$317.83
|
| Rate for Payer: PHP Medicare Advantage |
$215.15
|
| Rate for Payer: Priority Health Choice Medicaid |
$112.52
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$695.77
|
| Rate for Payer: Priority Health Medicare |
$215.15
|
| Rate for Payer: Priority Health SBD |
$235.57
|
| Rate for Payer: Priority Health Tiered Network |
$556.62
|
| Rate for Payer: Railroad Medicare Medicare |
$215.15
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$215.15
|
| Rate for Payer: UHC Medicaid |
$112.52
|
| Rate for Payer: UHCCP Medicaid |
$112.52
|
| Rate for Payer: UMR Bronson Commercial |
$138.35
|
| Rate for Payer: VA VA |
$215.15
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$280.44
|
|
|
HC COLONOSCOPY
|
Facility
|
OP
|
$2,663.93
|
|
| Hospital Charge Code |
36000020
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$985.65 |
| Max. Negotiated Rate |
$2,397.54 |
| Rate for Payer: Aetna American Axle |
$1,731.55
|
| Rate for Payer: Aetna Commercial |
$2,264.34
|
| Rate for Payer: Aetna Medicare |
$1,331.96
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,731.55
|
| Rate for Payer: BCBS Complete |
$1,065.57
|
| Rate for Payer: Cash Price |
$2,131.14
|
| Rate for Payer: Cofinity Advantage |
$1,864.75
|
| Rate for Payer: Cofinity Commercial |
$2,290.98
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,131.14
|
| Rate for Payer: Healthscope Commercial |
$2,397.54
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,864.75
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,997.95
|
| Rate for Payer: MI Amish Medical Board Commercial |
$2,131.14
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,264.34
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,997.95
|
| Rate for Payer: PHP Commercial |
$2,264.34
|
| Rate for Payer: Priority Health SBD |
$1,678.28
|
| Rate for Payer: UMR Bronson Commercial |
$985.65
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,997.95
|
|
|
HC COLONOSCOPY
|
Facility
|
IP
|
$2,663.93
|
|
| Hospital Charge Code |
36000020
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$1,172.13 |
| Max. Negotiated Rate |
$2,397.54 |
| Rate for Payer: Aetna American Axle |
$1,731.55
|
| Rate for Payer: Aetna Commercial |
$2,264.34
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,731.55
|
| Rate for Payer: Cash Price |
$2,131.14
|
| Rate for Payer: Cofinity Advantage |
$1,864.75
|
| Rate for Payer: Cofinity Commercial |
$2,290.98
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,131.14
|
| Rate for Payer: Healthscope Commercial |
$2,397.54
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,864.75
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,997.95
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,264.34
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,997.95
|
| Rate for Payer: PHP Commercial |
$2,264.34
|
| Rate for Payer: Priority Health SBD |
$1,678.28
|
| Rate for Payer: UMR Bronson Commercial |
$1,172.13
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,997.95
|
|
|
HC COLONOSCOPY W EUS EXAM
|
Facility
|
OP
|
$2,856.06
|
|
| Hospital Charge Code |
36000022
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$1,056.74 |
| Max. Negotiated Rate |
$2,570.45 |
| Rate for Payer: Aetna American Axle |
$1,856.44
|
| Rate for Payer: Aetna Commercial |
$2,427.65
|
| Rate for Payer: Aetna Medicare |
$1,428.03
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,856.44
|
| Rate for Payer: BCBS Complete |
$1,142.42
|
| Rate for Payer: Cash Price |
$2,284.85
|
| Rate for Payer: Cofinity Advantage |
$1,999.24
|
| Rate for Payer: Cofinity Commercial |
$2,456.21
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,284.85
|
| Rate for Payer: Healthscope Commercial |
$2,570.45
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,999.24
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,142.05
|
| Rate for Payer: MI Amish Medical Board Commercial |
$2,284.85
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,427.65
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,142.05
|
| Rate for Payer: PHP Commercial |
$2,427.65
|
| Rate for Payer: Priority Health SBD |
$1,799.32
|
| Rate for Payer: UMR Bronson Commercial |
$1,056.74
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,142.05
|
|
|
HC COLONOSCOPY W EUS EXAM
|
Facility
|
IP
|
$2,856.06
|
|
| Hospital Charge Code |
36000022
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$1,256.67 |
| Max. Negotiated Rate |
$2,570.45 |
| Rate for Payer: Aetna American Axle |
$1,856.44
|
| Rate for Payer: Aetna Commercial |
$2,427.65
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,856.44
|
| Rate for Payer: Cash Price |
$2,284.85
|
| Rate for Payer: Cofinity Advantage |
$1,999.24
|
| Rate for Payer: Cofinity Commercial |
$2,456.21
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,284.85
|
| Rate for Payer: Healthscope Commercial |
$2,570.45
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,999.24
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,142.05
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,427.65
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,142.05
|
| Rate for Payer: PHP Commercial |
$2,427.65
|
| Rate for Payer: Priority Health SBD |
$1,799.32
|
| Rate for Payer: UMR Bronson Commercial |
$1,256.67
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,142.05
|
|
|
HC COLPOSCOPY CERVIX VAG ELTRD CONIZATION CERVIX
|
Facility
|
IP
|
$7,108.93
|
|
|
Service Code
|
CPT 57461
|
| Hospital Charge Code |
76100328
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$3,127.93 |
| Max. Negotiated Rate |
$6,398.04 |
| Rate for Payer: Aetna American Axle |
$4,620.80
|
| Rate for Payer: Aetna Commercial |
$6,042.59
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$4,620.80
|
| Rate for Payer: Cash Price |
$5,687.14
|
| Rate for Payer: Cofinity Advantage |
$4,976.25
|
| Rate for Payer: Cofinity Commercial |
$6,113.68
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$5,687.14
|
| Rate for Payer: Healthscope Commercial |
$6,398.04
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$4,976.25
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$5,331.70
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$6,042.59
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$5,331.70
|
| Rate for Payer: PHP Commercial |
$6,042.59
|
| Rate for Payer: Priority Health SBD |
$4,478.63
|
| Rate for Payer: UMR Bronson Commercial |
$3,127.93
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$5,331.70
|
|
|
HC COLPOSCOPY CERVIX VAG ELTRD CONIZATION CERVIX
|
Facility
|
OP
|
$7,108.93
|
|
|
Service Code
|
CPT 57461
|
| Hospital Charge Code |
76100328
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$331.06 |
| Max. Negotiated Rate |
$10,430.93 |
| Rate for Payer: Aetna American Axle |
$4,620.80
|
| Rate for Payer: Aetna Commercial |
$6,042.59
|
| Rate for Payer: Aetna Medicare |
$3,354.51
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$4,620.80
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$4,031.86
|
| Rate for Payer: Amish Plain Church Group Commercial |
$4,031.86
|
| Rate for Payer: BCBS Complete |
$1,771.44
|
| Rate for Payer: BCBS MAPPO |
$3,225.49
|
| Rate for Payer: BCBS Trust/PPO |
$3,831.18
|
| Rate for Payer: BCCCP Commercial |
$331.06
|
| Rate for Payer: BCN Commercial |
$3,831.18
|
| Rate for Payer: BCN Medicare Advantage |
$3,225.49
|
| Rate for Payer: Cash Price |
$5,687.14
|
| Rate for Payer: Cash Price |
$5,687.14
|
| Rate for Payer: Cash Price |
$5,687.14
|
| Rate for Payer: Cofinity Advantage |
$4,976.25
|
| Rate for Payer: Cofinity Commercial |
$6,113.68
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$5,687.14
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$3,225.49
|
| Rate for Payer: Healthscope Commercial |
$6,398.04
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$4,976.25
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$5,331.70
|
| Rate for Payer: Mclaren Medicaid |
$3,225.49
|
| Rate for Payer: Mclaren Medicare |
$3,225.49
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$3,386.76
|
| Rate for Payer: Meridian Medicaid |
$3,386.76
|
| Rate for Payer: MI Amish Medical Board Commercial |
$3,709.31
|
| Rate for Payer: Molina Medicare/Medicaid |
$3,548.04
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$6,042.59
|
| Rate for Payer: Nomi Health Commercial |
$9,676.47
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$5,331.70
|
| Rate for Payer: PACE Medicare |
$3,064.22
|
| Rate for Payer: PACE SWMI |
$3,225.49
|
| Rate for Payer: PHP Commercial |
$6,042.59
|
| Rate for Payer: PHP Medicare Advantage |
$3,225.49
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,686.93
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$10,430.93
|
| Rate for Payer: Priority Health Medicare |
$3,225.49
|
| Rate for Payer: Priority Health SBD |
$4,478.63
|
| Rate for Payer: Priority Health Tiered Network |
$8,344.74
|
| Rate for Payer: Railroad Medicare Medicare |
$3,225.49
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$4,620.80
|
| Rate for Payer: UHC Core |
$3,703.75
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$3,225.49
|
| Rate for Payer: UHC Exchange |
$2,793.81
|
| Rate for Payer: UHC Medicaid |
$1,686.93
|
| Rate for Payer: UHCCP Medicaid |
$1,686.93
|
| Rate for Payer: UMR Bronson Commercial |
$2,630.30
|
| Rate for Payer: VA VA |
$3,225.49
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$5,331.70
|
|
|
HC COLPOSCOPY CERVIX VAG LOOP ELTRD BX CERVIX
|
Facility
|
IP
|
$8,271.18
|
|
|
Service Code
|
CPT 57460
|
| Hospital Charge Code |
76100395
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$3,639.32 |
| Max. Negotiated Rate |
$7,444.06 |
| Rate for Payer: Aetna American Axle |
$5,376.27
|
| Rate for Payer: Aetna Commercial |
$7,030.50
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$5,376.27
|
| Rate for Payer: Cash Price |
$6,616.94
|
| Rate for Payer: Cofinity Advantage |
$5,789.83
|
| Rate for Payer: Cofinity Commercial |
$7,113.21
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$6,616.94
|
| Rate for Payer: Healthscope Commercial |
$7,444.06
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$5,789.83
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$6,203.39
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$7,030.50
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$6,203.39
|
| Rate for Payer: PHP Commercial |
$7,030.50
|
| Rate for Payer: Priority Health SBD |
$5,210.84
|
| Rate for Payer: UMR Bronson Commercial |
$3,639.32
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$6,203.39
|
|
|
HC COLPOSCOPY CERVIX VAG LOOP ELTRD BX CERVIX
|
Facility
|
OP
|
$8,271.18
|
|
|
Service Code
|
CPT 57460
|
| Hospital Charge Code |
76100395
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$295.08 |
| Max. Negotiated Rate |
$10,430.93 |
| Rate for Payer: Aetna American Axle |
$5,376.27
|
| Rate for Payer: Aetna Commercial |
$7,030.50
|
| Rate for Payer: Aetna Medicare |
$3,354.51
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$5,376.27
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$4,031.86
|
| Rate for Payer: Amish Plain Church Group Commercial |
$4,031.86
|
| Rate for Payer: BCBS Complete |
$1,771.44
|
| Rate for Payer: BCBS MAPPO |
$3,225.49
|
| Rate for Payer: BCBS Trust/PPO |
$3,831.18
|
| Rate for Payer: BCCCP Commercial |
$295.08
|
| Rate for Payer: BCN Commercial |
$3,831.18
|
| Rate for Payer: BCN Medicare Advantage |
$3,225.49
|
| Rate for Payer: Cash Price |
$6,616.94
|
| Rate for Payer: Cash Price |
$6,616.94
|
| Rate for Payer: Cash Price |
$6,616.94
|
| Rate for Payer: Cofinity Advantage |
$5,789.83
|
| Rate for Payer: Cofinity Commercial |
$7,113.21
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$6,616.94
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$3,225.49
|
| Rate for Payer: Healthscope Commercial |
$7,444.06
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$5,789.83
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$6,203.39
|
| Rate for Payer: Mclaren Medicaid |
$3,225.49
|
| Rate for Payer: Mclaren Medicare |
$3,225.49
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$3,386.76
|
| Rate for Payer: Meridian Medicaid |
$3,386.76
|
| Rate for Payer: MI Amish Medical Board Commercial |
$3,709.31
|
| Rate for Payer: Molina Medicare/Medicaid |
$3,548.04
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$7,030.50
|
| Rate for Payer: Nomi Health Commercial |
$9,676.47
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$6,203.39
|
| Rate for Payer: PACE Medicare |
$3,064.22
|
| Rate for Payer: PACE SWMI |
$3,225.49
|
| Rate for Payer: PHP Commercial |
$7,030.50
|
| Rate for Payer: PHP Medicare Advantage |
$3,225.49
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,686.93
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$10,430.93
|
| Rate for Payer: Priority Health Medicare |
$3,225.49
|
| Rate for Payer: Priority Health SBD |
$5,210.84
|
| Rate for Payer: Priority Health Tiered Network |
$8,344.74
|
| Rate for Payer: Railroad Medicare Medicare |
$3,225.49
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$5,376.27
|
| Rate for Payer: UHC Core |
$4,309.28
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$3,225.49
|
| Rate for Payer: UHC Exchange |
$3,250.57
|
| Rate for Payer: UHC Medicaid |
$1,686.93
|
| Rate for Payer: UHCCP Medicaid |
$1,686.93
|
| Rate for Payer: UMR Bronson Commercial |
$3,060.34
|
| Rate for Payer: VA VA |
$3,225.49
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$6,203.39
|
|
|
HC COLPOSCOPY CERVIX W ADJ VAGINA
|
Facility
|
OP
|
$290.77
|
|
|
Service Code
|
CPT 57452
|
| Hospital Charge Code |
76100204
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$105.35 |
| Max. Negotiated Rate |
$651.46 |
| Rate for Payer: Aetna American Axle |
$189.00
|
| Rate for Payer: Aetna Commercial |
$247.15
|
| Rate for Payer: Aetna Medicare |
$209.50
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$189.00
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$251.80
|
| Rate for Payer: Amish Plain Church Group Commercial |
$251.80
|
| Rate for Payer: BCBS Complete |
$110.63
|
| Rate for Payer: BCBS MAPPO |
$201.44
|
| Rate for Payer: BCBS Trust/PPO |
$197.94
|
| Rate for Payer: BCCCP Commercial |
$122.41
|
| Rate for Payer: BCN Commercial |
$197.94
|
| Rate for Payer: BCN Medicare Advantage |
$201.44
|
| Rate for Payer: Cash Price |
$232.62
|
| Rate for Payer: Cash Price |
$232.62
|
| Rate for Payer: Cash Price |
$232.62
|
| Rate for Payer: Cofinity Advantage |
$203.54
|
| Rate for Payer: Cofinity Commercial |
$250.06
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$232.62
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$201.44
|
| Rate for Payer: Healthscope Commercial |
$261.69
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$203.54
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$218.08
|
| Rate for Payer: Mclaren Medicaid |
$201.44
|
| Rate for Payer: Mclaren Medicare |
$201.44
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$211.51
|
| Rate for Payer: Meridian Medicaid |
$211.51
|
| Rate for Payer: MI Amish Medical Board Commercial |
$231.66
|
| Rate for Payer: Molina Medicare/Medicaid |
$221.58
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$247.15
|
| Rate for Payer: Nomi Health Commercial |
$604.32
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$218.08
|
| Rate for Payer: PACE Medicare |
$191.37
|
| Rate for Payer: PACE SWMI |
$201.44
|
| Rate for Payer: PHP Commercial |
$247.15
|
| Rate for Payer: PHP Medicare Advantage |
$201.44
|
| Rate for Payer: Priority Health Choice Medicaid |
$105.35
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$651.46
|
| Rate for Payer: Priority Health Medicare |
$201.44
|
| Rate for Payer: Priority Health SBD |
$183.19
|
| Rate for Payer: Priority Health Tiered Network |
$521.17
|
| Rate for Payer: Railroad Medicare Medicare |
$201.44
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$189.00
|
| Rate for Payer: UHC Core |
$151.49
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$201.44
|
| Rate for Payer: UHC Exchange |
$114.27
|
| Rate for Payer: UHC Medicaid |
$105.35
|
| Rate for Payer: UHCCP Medicaid |
$105.35
|
| Rate for Payer: UMR Bronson Commercial |
$107.58
|
| Rate for Payer: VA VA |
$201.44
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$218.08
|
|
|
HC COLPOSCOPY CERVIX W ADJ VAGINA
|
Facility
|
IP
|
$290.77
|
|
|
Service Code
|
CPT 57452
|
| Hospital Charge Code |
76100204
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$127.94 |
| Max. Negotiated Rate |
$261.69 |
| Rate for Payer: Aetna American Axle |
$189.00
|
| Rate for Payer: Aetna Commercial |
$247.15
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$189.00
|
| Rate for Payer: Cash Price |
$232.62
|
| Rate for Payer: Cofinity Advantage |
$203.54
|
| Rate for Payer: Cofinity Commercial |
$250.06
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$232.62
|
| Rate for Payer: Healthscope Commercial |
$261.69
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$203.54
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$218.08
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$247.15
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$218.08
|
| Rate for Payer: PHP Commercial |
$247.15
|
| Rate for Payer: Priority Health SBD |
$183.19
|
| Rate for Payer: UMR Bronson Commercial |
$127.94
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$218.08
|
|
|
HC COLPOSCOPY CERVIX W ADJ VAGINA CURETTAGE
|
Facility
|
OP
|
$434.56
|
|
|
Service Code
|
CPT 57456
|
| Hospital Charge Code |
76100206
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$146.69 |
| Max. Negotiated Rate |
$981.93 |
| Rate for Payer: Aetna American Axle |
$282.46
|
| Rate for Payer: Aetna Commercial |
$369.38
|
| Rate for Payer: Aetna Medicare |
$315.78
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$282.46
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$379.54
|
| Rate for Payer: Amish Plain Church Group Commercial |
$379.54
|
| Rate for Payer: BCBS Complete |
$166.75
|
| Rate for Payer: BCBS MAPPO |
$303.63
|
| Rate for Payer: BCBS Trust/PPO |
$253.94
|
| Rate for Payer: BCCCP Commercial |
$146.69
|
| Rate for Payer: BCN Commercial |
$253.94
|
| Rate for Payer: BCN Medicare Advantage |
$303.63
|
| Rate for Payer: Cash Price |
$347.65
|
| Rate for Payer: Cash Price |
$347.65
|
| Rate for Payer: Cash Price |
$347.65
|
| Rate for Payer: Cofinity Advantage |
$304.19
|
| Rate for Payer: Cofinity Commercial |
$373.72
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$347.65
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$303.63
|
| Rate for Payer: Healthscope Commercial |
$391.10
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$304.19
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$325.92
|
| Rate for Payer: Mclaren Medicaid |
$303.63
|
| Rate for Payer: Mclaren Medicare |
$303.63
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$318.81
|
| Rate for Payer: Meridian Medicaid |
$318.81
|
| Rate for Payer: MI Amish Medical Board Commercial |
$349.17
|
| Rate for Payer: Molina Medicare/Medicaid |
$333.99
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$369.38
|
| Rate for Payer: Nomi Health Commercial |
$910.89
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$325.92
|
| Rate for Payer: PACE Medicare |
$288.45
|
| Rate for Payer: PACE SWMI |
$303.63
|
| Rate for Payer: PHP Commercial |
$369.38
|
| Rate for Payer: PHP Medicare Advantage |
$303.63
|
| Rate for Payer: Priority Health Choice Medicaid |
$158.80
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$981.93
|
| Rate for Payer: Priority Health Medicare |
$303.63
|
| Rate for Payer: Priority Health SBD |
$273.77
|
| Rate for Payer: Priority Health Tiered Network |
$785.54
|
| Rate for Payer: Railroad Medicare Medicare |
$303.63
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$282.46
|
| Rate for Payer: UHC Core |
$226.41
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$303.63
|
| Rate for Payer: UHC Exchange |
$170.78
|
| Rate for Payer: UHC Medicaid |
$158.80
|
| Rate for Payer: UHCCP Medicaid |
$158.80
|
| Rate for Payer: UMR Bronson Commercial |
$160.79
|
| Rate for Payer: VA VA |
$303.63
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$325.92
|
|
|
HC COLPOSCOPY CERVIX W ADJ VAGINA CURETTAGE
|
Facility
|
IP
|
$434.56
|
|
|
Service Code
|
CPT 57456
|
| Hospital Charge Code |
76100206
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$191.21 |
| Max. Negotiated Rate |
$391.10 |
| Rate for Payer: Aetna American Axle |
$282.46
|
| Rate for Payer: Aetna Commercial |
$369.38
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$282.46
|
| Rate for Payer: Cash Price |
$347.65
|
| Rate for Payer: Cofinity Advantage |
$304.19
|
| Rate for Payer: Cofinity Commercial |
$373.72
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$347.65
|
| Rate for Payer: Healthscope Commercial |
$391.10
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$304.19
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$325.92
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$369.38
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$325.92
|
| Rate for Payer: PHP Commercial |
$369.38
|
| Rate for Payer: Priority Health SBD |
$273.77
|
| Rate for Payer: UMR Bronson Commercial |
$191.21
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$325.92
|
|
|
HC COLPOSCOPY CERVIX W ADJ VAGINA W BX
|
Facility
|
IP
|
$434.56
|
|
|
Service Code
|
CPT 57455
|
| Hospital Charge Code |
76100205
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$191.21 |
| Max. Negotiated Rate |
$391.10 |
| Rate for Payer: Aetna American Axle |
$282.46
|
| Rate for Payer: Aetna Commercial |
$369.38
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$282.46
|
| Rate for Payer: Cash Price |
$347.65
|
| Rate for Payer: Cofinity Advantage |
$304.19
|
| Rate for Payer: Cofinity Commercial |
$373.72
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$347.65
|
| Rate for Payer: Healthscope Commercial |
$391.10
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$304.19
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$325.92
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$369.38
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$325.92
|
| Rate for Payer: PHP Commercial |
$369.38
|
| Rate for Payer: Priority Health SBD |
$273.77
|
| Rate for Payer: UMR Bronson Commercial |
$191.21
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$325.92
|
|
|
HC COLPOSCOPY CERVIX W ADJ VAGINA W BX
|
Facility
|
OP
|
$434.56
|
|
|
Service Code
|
CPT 57455
|
| Hospital Charge Code |
76100205
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$157.18 |
| Max. Negotiated Rate |
$981.93 |
| Rate for Payer: Aetna American Axle |
$282.46
|
| Rate for Payer: Aetna Commercial |
$369.38
|
| Rate for Payer: Aetna Medicare |
$315.78
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$282.46
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$379.54
|
| Rate for Payer: Amish Plain Church Group Commercial |
$379.54
|
| Rate for Payer: BCBS Complete |
$166.75
|
| Rate for Payer: BCBS MAPPO |
$303.63
|
| Rate for Payer: BCBS Trust/PPO |
$268.94
|
| Rate for Payer: BCCCP Commercial |
$157.18
|
| Rate for Payer: BCN Commercial |
$268.94
|
| Rate for Payer: BCN Medicare Advantage |
$303.63
|
| Rate for Payer: Cash Price |
$347.65
|
| Rate for Payer: Cash Price |
$347.65
|
| Rate for Payer: Cash Price |
$347.65
|
| Rate for Payer: Cofinity Advantage |
$304.19
|
| Rate for Payer: Cofinity Commercial |
$373.72
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$347.65
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$303.63
|
| Rate for Payer: Healthscope Commercial |
$391.10
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$304.19
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$325.92
|
| Rate for Payer: Mclaren Medicaid |
$303.63
|
| Rate for Payer: Mclaren Medicare |
$303.63
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$318.81
|
| Rate for Payer: Meridian Medicaid |
$318.81
|
| Rate for Payer: MI Amish Medical Board Commercial |
$349.17
|
| Rate for Payer: Molina Medicare/Medicaid |
$333.99
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$369.38
|
| Rate for Payer: Nomi Health Commercial |
$910.89
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$325.92
|
| Rate for Payer: PACE Medicare |
$288.45
|
| Rate for Payer: PACE SWMI |
$303.63
|
| Rate for Payer: PHP Commercial |
$369.38
|
| Rate for Payer: PHP Medicare Advantage |
$303.63
|
| Rate for Payer: Priority Health Choice Medicaid |
$158.80
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$981.93
|
| Rate for Payer: Priority Health Medicare |
$303.63
|
| Rate for Payer: Priority Health SBD |
$273.77
|
| Rate for Payer: Priority Health Tiered Network |
$785.54
|
| Rate for Payer: Railroad Medicare Medicare |
$303.63
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$282.46
|
| Rate for Payer: UHC Core |
$226.41
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$303.63
|
| Rate for Payer: UHC Exchange |
$170.78
|
| Rate for Payer: UHC Medicaid |
$158.80
|
| Rate for Payer: UHCCP Medicaid |
$158.80
|
| Rate for Payer: UMR Bronson Commercial |
$160.79
|
| Rate for Payer: VA VA |
$303.63
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$325.92
|
|
|
HC COLPOSCOPY OF CERVIX/VAGINA W/BIOPSY AND CURETTAGE
|
Facility
|
OP
|
$375.67
|
|
|
Service Code
|
CPT 57454
|
| Hospital Charge Code |
76100140
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$139.00 |
| Max. Negotiated Rate |
$981.93 |
| Rate for Payer: Aetna American Axle |
$244.19
|
| Rate for Payer: Aetna Commercial |
$319.32
|
| Rate for Payer: Aetna Medicare |
$315.78
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$244.19
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$379.54
|
| Rate for Payer: Amish Plain Church Group Commercial |
$379.54
|
| Rate for Payer: BCBS Complete |
$166.75
|
| Rate for Payer: BCBS MAPPO |
$303.63
|
| Rate for Payer: BCBS Trust/PPO |
$284.21
|
| Rate for Payer: BCCCP Commercial |
$164.88
|
| Rate for Payer: BCN Commercial |
$284.21
|
| Rate for Payer: BCN Medicare Advantage |
$303.63
|
| Rate for Payer: Cash Price |
$300.54
|
| Rate for Payer: Cash Price |
$300.54
|
| Rate for Payer: Cash Price |
$300.54
|
| Rate for Payer: Cofinity Advantage |
$262.97
|
| Rate for Payer: Cofinity Commercial |
$323.08
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$300.54
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$303.63
|
| Rate for Payer: Healthscope Commercial |
$338.10
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$262.97
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$281.75
|
| Rate for Payer: Mclaren Medicaid |
$303.63
|
| Rate for Payer: Mclaren Medicare |
$303.63
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$318.81
|
| Rate for Payer: Meridian Medicaid |
$318.81
|
| Rate for Payer: MI Amish Medical Board Commercial |
$349.17
|
| Rate for Payer: Molina Medicare/Medicaid |
$333.99
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$319.32
|
| Rate for Payer: Nomi Health Commercial |
$910.89
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$281.75
|
| Rate for Payer: PACE Medicare |
$288.45
|
| Rate for Payer: PACE SWMI |
$303.63
|
| Rate for Payer: PHP Commercial |
$319.32
|
| Rate for Payer: PHP Medicare Advantage |
$303.63
|
| Rate for Payer: Priority Health Choice Medicaid |
$158.80
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$981.93
|
| Rate for Payer: Priority Health Medicare |
$303.63
|
| Rate for Payer: Priority Health SBD |
$236.67
|
| Rate for Payer: Priority Health Tiered Network |
$785.54
|
| Rate for Payer: Railroad Medicare Medicare |
$303.63
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$244.19
|
| Rate for Payer: UHC Core |
$195.72
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$303.63
|
| Rate for Payer: UHC Exchange |
$147.64
|
| Rate for Payer: UHC Medicaid |
$158.80
|
| Rate for Payer: UHCCP Medicaid |
$158.80
|
| Rate for Payer: UMR Bronson Commercial |
$139.00
|
| Rate for Payer: VA VA |
$303.63
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$281.75
|
|
|
HC COLPOSCOPY OF CERVIX/VAGINA W/BIOPSY AND CURETTAGE
|
Facility
|
IP
|
$375.67
|
|
|
Service Code
|
CPT 57454
|
| Hospital Charge Code |
76100140
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$165.29 |
| Max. Negotiated Rate |
$338.10 |
| Rate for Payer: Aetna American Axle |
$244.19
|
| Rate for Payer: Aetna Commercial |
$319.32
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$244.19
|
| Rate for Payer: Cash Price |
$300.54
|
| Rate for Payer: Cofinity Advantage |
$262.97
|
| Rate for Payer: Cofinity Commercial |
$323.08
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$300.54
|
| Rate for Payer: Healthscope Commercial |
$338.10
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$262.97
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$281.75
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$319.32
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$281.75
|
| Rate for Payer: PHP Commercial |
$319.32
|
| Rate for Payer: Priority Health SBD |
$236.67
|
| Rate for Payer: UMR Bronson Commercial |
$165.29
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$281.75
|
|
|
HC COLPOSCOPY VAGINA W/BIOPSY
|
Facility
|
IP
|
$888.23
|
|
|
Service Code
|
CPT 57421
|
| Hospital Charge Code |
76100223
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$390.82 |
| Max. Negotiated Rate |
$799.41 |
| Rate for Payer: Aetna American Axle |
$577.35
|
| Rate for Payer: Aetna Commercial |
$755.00
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$577.35
|
| Rate for Payer: Cash Price |
$710.58
|
| Rate for Payer: Cofinity Advantage |
$621.76
|
| Rate for Payer: Cofinity Commercial |
$763.88
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$710.58
|
| Rate for Payer: Healthscope Commercial |
$799.41
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$621.76
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$666.17
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$755.00
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$666.17
|
| Rate for Payer: PHP Commercial |
$755.00
|
| Rate for Payer: Priority Health SBD |
$559.58
|
| Rate for Payer: UMR Bronson Commercial |
$390.82
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$666.17
|
|
|
HC COLPOSCOPY VAGINA W/BIOPSY
|
Facility
|
OP
|
$888.23
|
|
|
Service Code
|
CPT 57421
|
| Hospital Charge Code |
76100223
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$328.65 |
| Max. Negotiated Rate |
$2,967.88 |
| Rate for Payer: Aetna American Axle |
$577.35
|
| Rate for Payer: Aetna Commercial |
$755.00
|
| Rate for Payer: Aetna Medicare |
$954.45
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$577.35
|
| 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 |
$710.58
|
| Rate for Payer: Cash Price |
$710.58
|
| Rate for Payer: Cash Price |
$710.58
|
| Rate for Payer: Cofinity Advantage |
$621.76
|
| Rate for Payer: Cofinity Commercial |
$763.88
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$710.58
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$917.74
|
| Rate for Payer: Healthscope Commercial |
$799.41
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$621.76
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$666.17
|
| 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 |
$755.00
|
| Rate for Payer: Nomi Health Commercial |
$2,753.22
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$666.17
|
| Rate for Payer: PACE Medicare |
$871.85
|
| Rate for Payer: PACE SWMI |
$917.74
|
| Rate for Payer: PHP Commercial |
$755.00
|
| 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 |
$559.58
|
| 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) |
$577.35
|
| Rate for Payer: UHC Core |
$462.77
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$917.74
|
| Rate for Payer: UHC Exchange |
$349.07
|
| Rate for Payer: UHC Medicaid |
$479.98
|
| Rate for Payer: UHCCP Medicaid |
$479.98
|
| Rate for Payer: UMR Bronson Commercial |
$328.65
|
| Rate for Payer: VA VA |
$917.74
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$666.17
|
|
|
HC COLPOSCOPY VAGINA W/O BIOPSY
|
Facility
|
IP
|
$430.93
|
|
|
Service Code
|
CPT 57420
|
| Hospital Charge Code |
76100254
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$189.61 |
| Max. Negotiated Rate |
$387.84 |
| Rate for Payer: Aetna American Axle |
$280.10
|
| Rate for Payer: Aetna Commercial |
$366.29
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$280.10
|
| Rate for Payer: Cash Price |
$344.74
|
| Rate for Payer: Cofinity Advantage |
$301.65
|
| Rate for Payer: Cofinity Commercial |
$370.60
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$344.74
|
| Rate for Payer: Healthscope Commercial |
$387.84
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$301.65
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$323.20
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$366.29
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$323.20
|
| Rate for Payer: PHP Commercial |
$366.29
|
| Rate for Payer: Priority Health SBD |
$271.49
|
| Rate for Payer: UMR Bronson Commercial |
$189.61
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$323.20
|
|
|
HC COLPOSCOPY VAGINA W/O BIOPSY
|
Facility
|
OP
|
$430.93
|
|
|
Service Code
|
CPT 57420
|
| Hospital Charge Code |
76100254
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$86.61 |
| Max. Negotiated Rate |
$981.93 |
| Rate for Payer: Aetna American Axle |
$280.10
|
| Rate for Payer: Aetna Commercial |
$366.29
|
| Rate for Payer: Aetna Medicare |
$315.78
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$280.10
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$379.54
|
| Rate for Payer: Amish Plain Church Group Commercial |
$379.54
|
| Rate for Payer: BCBS Complete |
$166.75
|
| Rate for Payer: BCBS MAPPO |
$303.63
|
| Rate for Payer: BCBS Trust/PPO |
$86.61
|
| Rate for Payer: BCN Commercial |
$86.61
|
| Rate for Payer: BCN Medicare Advantage |
$303.63
|
| Rate for Payer: Cash Price |
$344.74
|
| Rate for Payer: Cash Price |
$344.74
|
| Rate for Payer: Cash Price |
$344.74
|
| Rate for Payer: Cofinity Advantage |
$301.65
|
| Rate for Payer: Cofinity Commercial |
$370.60
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$344.74
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$303.63
|
| Rate for Payer: Healthscope Commercial |
$387.84
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$301.65
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$323.20
|
| Rate for Payer: Mclaren Medicaid |
$303.63
|
| Rate for Payer: Mclaren Medicare |
$303.63
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$318.81
|
| Rate for Payer: Meridian Medicaid |
$318.81
|
| Rate for Payer: MI Amish Medical Board Commercial |
$349.17
|
| Rate for Payer: Molina Medicare/Medicaid |
$333.99
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$366.29
|
| Rate for Payer: Nomi Health Commercial |
$910.89
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$323.20
|
| Rate for Payer: PACE Medicare |
$288.45
|
| Rate for Payer: PACE SWMI |
$303.63
|
| Rate for Payer: PHP Commercial |
$366.29
|
| Rate for Payer: PHP Medicare Advantage |
$303.63
|
| Rate for Payer: Priority Health Choice Medicaid |
$158.80
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$981.93
|
| Rate for Payer: Priority Health Medicare |
$303.63
|
| Rate for Payer: Priority Health SBD |
$271.49
|
| Rate for Payer: Priority Health Tiered Network |
$785.54
|
| Rate for Payer: Railroad Medicare Medicare |
$303.63
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$280.10
|
| Rate for Payer: UHC Core |
$224.51
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$303.63
|
| Rate for Payer: UHC Exchange |
$169.36
|
| Rate for Payer: UHC Medicaid |
$158.80
|
| Rate for Payer: UHCCP Medicaid |
$158.80
|
| Rate for Payer: UMR Bronson Commercial |
$159.44
|
| Rate for Payer: VA VA |
$303.63
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$323.20
|
|
|
HC COLPOSCOPY, VULVA
|
Facility
|
OP
|
$335.35
|
|
|
Service Code
|
CPT 56820
|
| Hospital Charge Code |
76100258
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$105.35 |
| Max. Negotiated Rate |
$651.46 |
| Rate for Payer: Aetna American Axle |
$217.98
|
| Rate for Payer: Aetna Commercial |
$285.05
|
| Rate for Payer: Aetna Medicare |
$209.50
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$217.98
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$251.80
|
| Rate for Payer: Amish Plain Church Group Commercial |
$251.80
|
| Rate for Payer: BCBS Complete |
$110.63
|
| Rate for Payer: BCBS MAPPO |
$201.44
|
| Rate for Payer: BCBS Trust/PPO |
$153.75
|
| Rate for Payer: BCN Commercial |
$153.75
|
| Rate for Payer: BCN Medicare Advantage |
$201.44
|
| Rate for Payer: Cash Price |
$268.28
|
| Rate for Payer: Cash Price |
$268.28
|
| Rate for Payer: Cash Price |
$268.28
|
| Rate for Payer: Cofinity Advantage |
$234.75
|
| Rate for Payer: Cofinity Commercial |
$288.40
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$268.28
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$201.44
|
| Rate for Payer: Healthscope Commercial |
$301.81
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$234.75
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$251.51
|
| Rate for Payer: Mclaren Medicaid |
$201.44
|
| Rate for Payer: Mclaren Medicare |
$201.44
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$211.51
|
| Rate for Payer: Meridian Medicaid |
$211.51
|
| Rate for Payer: MI Amish Medical Board Commercial |
$231.66
|
| Rate for Payer: Molina Medicare/Medicaid |
$221.58
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$285.05
|
| Rate for Payer: Nomi Health Commercial |
$604.32
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$251.51
|
| Rate for Payer: PACE Medicare |
$191.37
|
| Rate for Payer: PACE SWMI |
$201.44
|
| Rate for Payer: PHP Commercial |
$285.05
|
| Rate for Payer: PHP Medicare Advantage |
$201.44
|
| Rate for Payer: Priority Health Choice Medicaid |
$105.35
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$651.46
|
| Rate for Payer: Priority Health Medicare |
$201.44
|
| Rate for Payer: Priority Health SBD |
$211.27
|
| Rate for Payer: Priority Health Tiered Network |
$521.17
|
| Rate for Payer: Railroad Medicare Medicare |
$201.44
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$217.98
|
| Rate for Payer: UHC Core |
$174.72
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$201.44
|
| Rate for Payer: UHC Exchange |
$131.79
|
| Rate for Payer: UHC Medicaid |
$105.35
|
| Rate for Payer: UHCCP Medicaid |
$105.35
|
| Rate for Payer: UMR Bronson Commercial |
$124.08
|
| Rate for Payer: VA VA |
$201.44
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$251.51
|
|
|
HC COLPOSCOPY, VULVA
|
Facility
|
IP
|
$335.35
|
|
|
Service Code
|
CPT 56820
|
| Hospital Charge Code |
76100258
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$147.55 |
| Max. Negotiated Rate |
$301.81 |
| Rate for Payer: Aetna American Axle |
$217.98
|
| Rate for Payer: Aetna Commercial |
$285.05
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$217.98
|
| Rate for Payer: Cash Price |
$268.28
|
| Rate for Payer: Cofinity Advantage |
$234.75
|
| Rate for Payer: Cofinity Commercial |
$288.40
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$268.28
|
| Rate for Payer: Healthscope Commercial |
$301.81
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$234.75
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$251.51
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$285.05
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$251.51
|
| Rate for Payer: PHP Commercial |
$285.05
|
| Rate for Payer: Priority Health SBD |
$211.27
|
| Rate for Payer: UMR Bronson Commercial |
$147.55
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$251.51
|
|
