|
HC INSERTION TUNNELED PLEURAL CATHETER
|
Facility
|
IP
|
$3,221.06
|
|
|
Service Code
|
CPT 32550
|
| Hospital Charge Code |
36100052
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$1,417.27 |
| Max. Negotiated Rate |
$2,898.95 |
| Rate for Payer: Aetna American Axle |
$2,093.69
|
| Rate for Payer: Aetna Commercial |
$2,737.90
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,093.69
|
| Rate for Payer: Cash Price |
$2,576.85
|
| Rate for Payer: Cofinity Commercial |
$2,254.74
|
| Rate for Payer: Cofinity Commercial |
$2,770.11
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,576.85
|
| Rate for Payer: Healthscope Commercial |
$2,898.95
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$2,254.74
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,415.80
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$2,737.90
|
| Rate for Payer: PHP Commercial |
$2,737.90
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,254.74
|
| Rate for Payer: Priority Health SBD |
$2,029.27
|
| Rate for Payer: UMR Bronson Commercial |
$1,417.27
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,415.80
|
|
|
HC INSERT PICC 5 YEARS OR ABOVE W IMAGING
|
Facility
|
IP
|
$2,141.90
|
|
|
Service Code
|
CPT 36573
|
| Hospital Charge Code |
36100553
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$942.44 |
| Max. Negotiated Rate |
$1,927.71 |
| Rate for Payer: Aetna American Axle |
$1,392.24
|
| Rate for Payer: Aetna Commercial |
$1,820.62
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,392.24
|
| Rate for Payer: Cash Price |
$1,713.52
|
| Rate for Payer: Cofinity Commercial |
$1,499.33
|
| Rate for Payer: Cofinity Commercial |
$1,842.03
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,713.52
|
| Rate for Payer: Healthscope Commercial |
$1,927.71
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,499.33
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,606.42
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,820.62
|
| Rate for Payer: PHP Commercial |
$1,820.62
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,499.33
|
| Rate for Payer: Priority Health SBD |
$1,349.40
|
| Rate for Payer: UMR Bronson Commercial |
$942.44
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,606.42
|
|
|
HC INSERT PICC 5 YEARS OR ABOVE W IMAGING
|
Facility
|
OP
|
$2,141.90
|
|
|
Service Code
|
CPT 36573
|
| Hospital Charge Code |
36100553
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$79.90 |
| Max. Negotiated Rate |
$4,481.48 |
| Rate for Payer: Aetna American Axle |
$1,392.24
|
| Rate for Payer: Aetna Commercial |
$1,820.62
|
| Rate for Payer: Aetna Medicare |
$1,480.51
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,392.24
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,779.46
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1,779.46
|
| Rate for Payer: BCBS Complete |
$817.70
|
| Rate for Payer: BCBS MAPPO |
$1,423.57
|
| Rate for Payer: BCBS Trust/PPO |
$1,124.65
|
| Rate for Payer: BCN Medicare Advantage |
$1,423.57
|
| Rate for Payer: Cash Price |
$1,713.52
|
| Rate for Payer: Cash Price |
$1,713.52
|
| Rate for Payer: Cofinity Commercial |
$1,499.33
|
| Rate for Payer: Cofinity Commercial |
$1,842.03
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,713.52
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,423.57
|
| Rate for Payer: Healthscope Commercial |
$1,927.71
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,499.33
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,606.42
|
| Rate for Payer: Mclaren Medicaid |
$778.69
|
| Rate for Payer: Mclaren Medicare |
$1,423.57
|
| Rate for Payer: Meridian Medicaid |
$817.70
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,494.75
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,637.11
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,820.62
|
| Rate for Payer: PACE Medicare |
$1,352.39
|
| Rate for Payer: PACE SWMI |
$1,423.57
|
| Rate for Payer: PHP Commercial |
$1,820.62
|
| Rate for Payer: PHP Medicare Advantage |
$1,423.57
|
| Rate for Payer: Priority Health Choice Medicaid |
$778.69
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,499.33
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$4,481.48
|
| Rate for Payer: Priority Health Medicare |
$1,423.57
|
| Rate for Payer: Priority Health Narrow Network |
$3,585.18
|
| Rate for Payer: Priority Health SBD |
$1,349.40
|
| Rate for Payer: Railroad Medicare Medicare |
$1,423.57
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$87.89
|
| Rate for Payer: UHC Core |
$2,014.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,423.57
|
| Rate for Payer: UHC Exchange |
$79.90
|
| Rate for Payer: UHC Medicare Advantage |
$1,466.28
|
| Rate for Payer: UMR Bronson Commercial |
$792.50
|
| Rate for Payer: VA VA |
$1,423.57
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,606.42
|
|
|
HC INSERT PICC LESS THAN 5 YRS W IMAGING
|
Facility
|
OP
|
$1,947.18
|
|
|
Service Code
|
CPT 36572
|
| Hospital Charge Code |
36100552
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$77.93 |
| Max. Negotiated Rate |
$1,757.86 |
| Rate for Payer: Aetna American Axle |
$1,265.67
|
| Rate for Payer: Aetna Commercial |
$1,655.10
|
| Rate for Payer: Aetna Medicare |
$580.74
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,265.67
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$698.00
|
| Rate for Payer: Amish Plain Church Group Commercial |
$698.00
|
| Rate for Payer: BCBS Complete |
$320.74
|
| Rate for Payer: BCBS MAPPO |
$558.40
|
| Rate for Payer: BCBS Trust/PPO |
$541.67
|
| Rate for Payer: BCN Medicare Advantage |
$558.40
|
| Rate for Payer: Cash Price |
$1,557.74
|
| Rate for Payer: Cash Price |
$1,557.74
|
| Rate for Payer: Cofinity Commercial |
$1,674.57
|
| Rate for Payer: Cofinity Commercial |
$1,363.03
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,557.74
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$558.40
|
| Rate for Payer: Healthscope Commercial |
$1,752.46
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,363.03
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,460.38
|
| Rate for Payer: Mclaren Medicaid |
$305.44
|
| Rate for Payer: Mclaren Medicare |
$558.40
|
| Rate for Payer: Meridian Medicaid |
$320.74
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$586.32
|
| Rate for Payer: MI Amish Medical Board Commercial |
$642.16
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,655.10
|
| Rate for Payer: PACE Medicare |
$530.48
|
| Rate for Payer: PACE SWMI |
$558.40
|
| Rate for Payer: PHP Commercial |
$1,655.10
|
| Rate for Payer: PHP Medicare Advantage |
$558.40
|
| Rate for Payer: Priority Health Choice Medicaid |
$305.44
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,363.03
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,757.86
|
| Rate for Payer: Priority Health Medicare |
$558.40
|
| Rate for Payer: Priority Health Narrow Network |
$1,406.29
|
| Rate for Payer: Priority Health SBD |
$1,226.72
|
| Rate for Payer: Railroad Medicare Medicare |
$558.40
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$85.72
|
| Rate for Payer: UHC Core |
$981.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$558.40
|
| Rate for Payer: UHC Exchange |
$77.93
|
| Rate for Payer: UHC Medicare Advantage |
$575.15
|
| Rate for Payer: UMR Bronson Commercial |
$720.46
|
| Rate for Payer: VA VA |
$558.40
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,460.38
|
|
|
HC INSERT PICC LESS THAN 5 YRS W IMAGING
|
Facility
|
IP
|
$1,947.18
|
|
|
Service Code
|
CPT 36572
|
| Hospital Charge Code |
36100552
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$856.76 |
| Max. Negotiated Rate |
$1,752.46 |
| Rate for Payer: Aetna American Axle |
$1,265.67
|
| Rate for Payer: Aetna Commercial |
$1,655.10
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,265.67
|
| Rate for Payer: Cash Price |
$1,557.74
|
| Rate for Payer: Cofinity Commercial |
$1,363.03
|
| Rate for Payer: Cofinity Commercial |
$1,674.57
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,557.74
|
| Rate for Payer: Healthscope Commercial |
$1,752.46
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,363.03
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,460.38
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,655.10
|
| Rate for Payer: PHP Commercial |
$1,655.10
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,363.03
|
| Rate for Payer: Priority Health SBD |
$1,226.72
|
| Rate for Payer: UMR Bronson Commercial |
$856.76
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,460.38
|
|
|
HC INSERT/REPLACE SQ ICD W ELECTRODES
|
Facility
|
OP
|
$83,233.86
|
|
|
Service Code
|
CPT 33270
|
| Hospital Charge Code |
48100113
|
|
Hospital Revenue Code
|
481
|
| Min. Negotiated Rate |
$540.28 |
| Max. Negotiated Rate |
$92,059.21 |
| Rate for Payer: Aetna American Axle |
$54,102.01
|
| Rate for Payer: Aetna Commercial |
$70,748.78
|
| Rate for Payer: Aetna Medicare |
$30,413.02
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$54,102.01
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$36,554.11
|
| Rate for Payer: Amish Plain Church Group Commercial |
$36,554.11
|
| Rate for Payer: BCBS Complete |
$16,797.35
|
| Rate for Payer: BCBS MAPPO |
$29,243.29
|
| Rate for Payer: BCBS Trust/PPO |
$46,074.85
|
| Rate for Payer: BCN Medicare Advantage |
$29,243.29
|
| Rate for Payer: Cash Price |
$66,587.09
|
| Rate for Payer: Cash Price |
$66,587.09
|
| Rate for Payer: Cofinity Commercial |
$58,263.70
|
| Rate for Payer: Cofinity Commercial |
$71,581.12
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$66,587.09
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$29,243.29
|
| Rate for Payer: Healthscope Commercial |
$74,910.47
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$58,263.70
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$62,425.40
|
| Rate for Payer: Mclaren Medicaid |
$15,996.08
|
| Rate for Payer: Mclaren Medicare |
$29,243.29
|
| Rate for Payer: Meridian Medicaid |
$16,797.35
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$30,705.45
|
| Rate for Payer: MI Amish Medical Board Commercial |
$33,629.78
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$70,748.78
|
| Rate for Payer: PACE Medicare |
$27,781.13
|
| Rate for Payer: PACE SWMI |
$29,243.29
|
| Rate for Payer: PHP Commercial |
$70,748.78
|
| Rate for Payer: PHP Medicare Advantage |
$29,243.29
|
| Rate for Payer: Priority Health Choice Medicaid |
$15,996.08
|
| Rate for Payer: Priority Health Cigna Priority Health |
$58,263.70
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$92,059.21
|
| Rate for Payer: Priority Health Medicare |
$29,243.29
|
| Rate for Payer: Priority Health Narrow Network |
$73,647.37
|
| Rate for Payer: Priority Health SBD |
$52,437.33
|
| Rate for Payer: Railroad Medicare Medicare |
$29,243.29
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$594.31
|
| Rate for Payer: UHC Core |
$52,490.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$29,243.29
|
| Rate for Payer: UHC Exchange |
$540.28
|
| Rate for Payer: UHC Medicare Advantage |
$30,120.59
|
| Rate for Payer: UMR Bronson Commercial |
$30,796.53
|
| Rate for Payer: VA VA |
$29,243.29
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$62,425.40
|
|
|
HC INSERT/REPLACE SQ ICD W ELECTRODES
|
Facility
|
IP
|
$83,233.86
|
|
|
Service Code
|
CPT 33270
|
| Hospital Charge Code |
48100113
|
|
Hospital Revenue Code
|
481
|
| Min. Negotiated Rate |
$36,622.90 |
| Max. Negotiated Rate |
$74,910.47 |
| Rate for Payer: Aetna American Axle |
$54,102.01
|
| Rate for Payer: Aetna Commercial |
$70,748.78
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$54,102.01
|
| Rate for Payer: Cash Price |
$66,587.09
|
| Rate for Payer: Cofinity Commercial |
$58,263.70
|
| Rate for Payer: Cofinity Commercial |
$71,581.12
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$66,587.09
|
| Rate for Payer: Healthscope Commercial |
$74,910.47
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$58,263.70
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$62,425.40
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$70,748.78
|
| Rate for Payer: PHP Commercial |
$70,748.78
|
| Rate for Payer: Priority Health Cigna Priority Health |
$58,263.70
|
| Rate for Payer: Priority Health SBD |
$52,437.33
|
| Rate for Payer: UMR Bronson Commercial |
$36,622.90
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$62,425.40
|
|
|
HC INSERT STRAIGHT CATH
|
Facility
|
OP
|
$181.67
|
|
|
Service Code
|
CPT 51701
|
| Hospital Charge Code |
45000003
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$24.89 |
| Max. Negotiated Rate |
$357.43 |
| Rate for Payer: Aetna American Axle |
$118.09
|
| Rate for Payer: Aetna Commercial |
$154.42
|
| Rate for Payer: Aetna Medicare |
$118.09
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$118.09
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$141.94
|
| Rate for Payer: Amish Plain Church Group Commercial |
$141.94
|
| Rate for Payer: BCBS Complete |
$65.22
|
| Rate for Payer: BCBS MAPPO |
$113.55
|
| Rate for Payer: BCBS Trust/PPO |
$124.17
|
| Rate for Payer: BCN Medicare Advantage |
$113.55
|
| Rate for Payer: Cash Price |
$145.34
|
| Rate for Payer: Cash Price |
$145.34
|
| Rate for Payer: Cofinity Commercial |
$156.24
|
| Rate for Payer: Cofinity Commercial |
$127.17
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$145.34
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$113.55
|
| Rate for Payer: Healthscope Commercial |
$163.50
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$127.17
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$136.25
|
| Rate for Payer: Mclaren Medicaid |
$62.11
|
| Rate for Payer: Mclaren Medicare |
$113.55
|
| Rate for Payer: Meridian Medicaid |
$65.22
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$119.23
|
| Rate for Payer: MI Amish Medical Board Commercial |
$130.58
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$154.42
|
| Rate for Payer: PACE Medicare |
$107.87
|
| Rate for Payer: PACE SWMI |
$113.55
|
| Rate for Payer: PHP Commercial |
$154.42
|
| Rate for Payer: PHP Medicare Advantage |
$113.55
|
| Rate for Payer: Priority Health Choice Medicaid |
$62.11
|
| Rate for Payer: Priority Health Cigna Priority Health |
$127.17
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$357.43
|
| Rate for Payer: Priority Health Medicare |
$113.55
|
| Rate for Payer: Priority Health Narrow Network |
$285.94
|
| Rate for Payer: Priority Health SBD |
$114.45
|
| Rate for Payer: Railroad Medicare Medicare |
$113.55
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$27.38
|
| Rate for Payer: UHC Dual Complete DSNP |
$113.55
|
| Rate for Payer: UHC Exchange |
$24.89
|
| Rate for Payer: UHC Medicare Advantage |
$116.96
|
| Rate for Payer: UMR Bronson Commercial |
$67.22
|
| Rate for Payer: VA VA |
$113.55
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$136.25
|
|
|
HC INSERT STRAIGHT CATH
|
Facility
|
IP
|
$181.67
|
|
|
Service Code
|
CPT 51701
|
| Hospital Charge Code |
45000003
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$79.93 |
| Max. Negotiated Rate |
$163.50 |
| Rate for Payer: Aetna American Axle |
$118.09
|
| Rate for Payer: Aetna Commercial |
$154.42
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$118.09
|
| Rate for Payer: Cash Price |
$145.34
|
| Rate for Payer: Cofinity Commercial |
$127.17
|
| Rate for Payer: Cofinity Commercial |
$156.24
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$145.34
|
| Rate for Payer: Healthscope Commercial |
$163.50
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$127.17
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$136.25
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$154.42
|
| Rate for Payer: PHP Commercial |
$154.42
|
| Rate for Payer: Priority Health Cigna Priority Health |
$127.17
|
| Rate for Payer: Priority Health SBD |
$114.45
|
| Rate for Payer: UMR Bronson Commercial |
$79.93
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$136.25
|
|
|
HC INSERT TUNNELED CENTRAL LINE WO PORT OR PUMP ABOVE 5 YRS AGE
|
Facility
|
OP
|
$3,997.05
|
|
|
Service Code
|
CPT 36558
|
| Hospital Charge Code |
36100123
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$249.84 |
| Max. Negotiated Rate |
$8,919.33 |
| Rate for Payer: Aetna American Axle |
$2,598.08
|
| Rate for Payer: Aetna Commercial |
$3,397.49
|
| Rate for Payer: Aetna Medicare |
$2,946.62
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,598.08
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$3,541.61
|
| Rate for Payer: Amish Plain Church Group Commercial |
$3,541.61
|
| Rate for Payer: BCBS Complete |
$1,627.44
|
| Rate for Payer: BCBS MAPPO |
$2,833.29
|
| Rate for Payer: BCBS Trust/PPO |
$2,105.82
|
| Rate for Payer: BCN Medicare Advantage |
$2,833.29
|
| Rate for Payer: Cash Price |
$3,197.64
|
| Rate for Payer: Cash Price |
$3,197.64
|
| Rate for Payer: Cofinity Commercial |
$3,437.46
|
| Rate for Payer: Cofinity Commercial |
$2,797.94
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,197.64
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,833.29
|
| Rate for Payer: Healthscope Commercial |
$3,597.34
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$2,797.94
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,997.79
|
| Rate for Payer: Mclaren Medicaid |
$1,549.81
|
| Rate for Payer: Mclaren Medicare |
$2,833.29
|
| Rate for Payer: Meridian Medicaid |
$1,627.44
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$2,974.95
|
| Rate for Payer: MI Amish Medical Board Commercial |
$3,258.28
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$3,397.49
|
| Rate for Payer: PACE Medicare |
$2,691.63
|
| Rate for Payer: PACE SWMI |
$2,833.29
|
| Rate for Payer: PHP Commercial |
$3,397.49
|
| Rate for Payer: PHP Medicare Advantage |
$2,833.29
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,549.81
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,797.94
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$8,919.33
|
| Rate for Payer: Priority Health Medicare |
$2,833.29
|
| Rate for Payer: Priority Health Narrow Network |
$7,135.46
|
| Rate for Payer: Priority Health SBD |
$2,518.14
|
| Rate for Payer: Railroad Medicare Medicare |
$2,833.29
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$274.82
|
| Rate for Payer: UHC Core |
$5,042.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$2,833.29
|
| Rate for Payer: UHC Exchange |
$249.84
|
| Rate for Payer: UHC Medicare Advantage |
$2,918.29
|
| Rate for Payer: UMR Bronson Commercial |
$1,478.91
|
| Rate for Payer: VA VA |
$2,833.29
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,997.79
|
|
|
HC INSERT TUNNELED CENTRAL LINE WO PORT OR PUMP ABOVE 5 YRS AGE
|
Facility
|
IP
|
$3,997.05
|
|
|
Service Code
|
CPT 36558
|
| Hospital Charge Code |
36100123
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$1,758.70 |
| Max. Negotiated Rate |
$3,597.34 |
| Rate for Payer: Aetna American Axle |
$2,598.08
|
| Rate for Payer: Aetna Commercial |
$3,397.49
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,598.08
|
| Rate for Payer: Cash Price |
$3,197.64
|
| Rate for Payer: Cofinity Commercial |
$3,437.46
|
| Rate for Payer: Cofinity Commercial |
$2,797.94
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,197.64
|
| Rate for Payer: Healthscope Commercial |
$3,597.34
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$2,797.94
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,997.79
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$3,397.49
|
| Rate for Payer: PHP Commercial |
$3,397.49
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,797.94
|
| Rate for Payer: Priority Health SBD |
$2,518.14
|
| Rate for Payer: UMR Bronson Commercial |
$1,758.70
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,997.79
|
|
|
HC INSERT TUNNELED CENTRAL LINE WO PORT OR PUMP LESS THAN 5 YRS AGE
|
Facility
|
IP
|
$4,058.39
|
|
|
Service Code
|
CPT 36557
|
| Hospital Charge Code |
36100122
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$1,785.69 |
| Max. Negotiated Rate |
$3,652.55 |
| Rate for Payer: Aetna American Axle |
$2,637.95
|
| Rate for Payer: Aetna Commercial |
$3,449.63
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,637.95
|
| Rate for Payer: Cash Price |
$3,246.71
|
| Rate for Payer: Cofinity Commercial |
$2,840.87
|
| Rate for Payer: Cofinity Commercial |
$3,490.22
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,246.71
|
| Rate for Payer: Healthscope Commercial |
$3,652.55
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$2,840.87
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$3,043.79
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$3,449.63
|
| Rate for Payer: PHP Commercial |
$3,449.63
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,840.87
|
| Rate for Payer: Priority Health SBD |
$2,556.79
|
| Rate for Payer: UMR Bronson Commercial |
$1,785.69
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$3,043.79
|
|
|
HC INSERT TUNNELED CENTRAL LINE WO PORT OR PUMP LESS THAN 5 YRS AGE
|
Facility
|
OP
|
$4,058.39
|
|
|
Service Code
|
CPT 36557
|
| Hospital Charge Code |
36100122
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$314.34 |
| Max. Negotiated Rate |
$15,377.24 |
| Rate for Payer: Aetna American Axle |
$2,637.95
|
| Rate for Payer: Aetna Commercial |
$3,449.63
|
| Rate for Payer: Aetna Medicare |
$5,080.08
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,637.95
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$6,105.86
|
| Rate for Payer: Amish Plain Church Group Commercial |
$6,105.86
|
| Rate for Payer: BCBS Complete |
$2,805.77
|
| Rate for Payer: BCBS MAPPO |
$4,884.69
|
| Rate for Payer: BCBS Trust/PPO |
$3,149.17
|
| Rate for Payer: BCN Medicare Advantage |
$4,884.69
|
| Rate for Payer: Cash Price |
$3,246.71
|
| Rate for Payer: Cash Price |
$3,246.71
|
| Rate for Payer: Cofinity Commercial |
$2,840.87
|
| Rate for Payer: Cofinity Commercial |
$3,490.22
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,246.71
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$4,884.69
|
| Rate for Payer: Healthscope Commercial |
$3,652.55
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$2,840.87
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$3,043.79
|
| Rate for Payer: Mclaren Medicaid |
$2,671.93
|
| Rate for Payer: Mclaren Medicare |
$4,884.69
|
| Rate for Payer: Meridian Medicaid |
$2,805.77
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$5,128.92
|
| Rate for Payer: MI Amish Medical Board Commercial |
$5,617.39
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$3,449.63
|
| Rate for Payer: PACE Medicare |
$4,640.46
|
| Rate for Payer: PACE SWMI |
$4,884.69
|
| Rate for Payer: PHP Commercial |
$3,449.63
|
| Rate for Payer: PHP Medicare Advantage |
$4,884.69
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,671.93
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,840.87
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$15,377.24
|
| Rate for Payer: Priority Health Medicare |
$4,884.69
|
| Rate for Payer: Priority Health Narrow Network |
$12,301.79
|
| Rate for Payer: Priority Health SBD |
$2,556.79
|
| Rate for Payer: Railroad Medicare Medicare |
$4,884.69
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$345.77
|
| Rate for Payer: UHC Core |
$8,596.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$4,884.69
|
| Rate for Payer: UHC Exchange |
$314.34
|
| Rate for Payer: UHC Medicare Advantage |
$5,031.23
|
| Rate for Payer: UMR Bronson Commercial |
$1,501.60
|
| Rate for Payer: VA VA |
$4,884.69
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$3,043.79
|
|
|
HC IN SITU HYBRID EA ADDL PROBE STAIN PER SPECIMEN
|
Facility
|
IP
|
$259.90
|
|
|
Service Code
|
CPT 88364
|
| Hospital Charge Code |
31000120
|
|
Hospital Revenue Code
|
310
|
| Min. Negotiated Rate |
$114.36 |
| Max. Negotiated Rate |
$233.91 |
| Rate for Payer: Aetna American Axle |
$168.94
|
| Rate for Payer: Aetna Commercial |
$220.92
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$168.94
|
| Rate for Payer: Cash Price |
$207.92
|
| Rate for Payer: Cofinity Commercial |
$181.93
|
| Rate for Payer: Cofinity Commercial |
$223.51
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$207.92
|
| Rate for Payer: Healthscope Commercial |
$233.91
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$181.93
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$194.92
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$220.92
|
| Rate for Payer: PHP Commercial |
$220.92
|
| Rate for Payer: Priority Health Cigna Priority Health |
$181.93
|
| Rate for Payer: Priority Health SBD |
$163.74
|
| Rate for Payer: UMR Bronson Commercial |
$114.36
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$194.92
|
|
|
HC IN SITU HYBRID EA ADDL PROBE STAIN PER SPECIMEN
|
Facility
|
OP
|
$259.90
|
|
|
Service Code
|
CPT 88364
|
| Hospital Charge Code |
31000120
|
|
Hospital Revenue Code
|
310
|
| Min. Negotiated Rate |
$84.20 |
| Max. Negotiated Rate |
$233.91 |
| Rate for Payer: Aetna American Axle |
$168.94
|
| Rate for Payer: Aetna Commercial |
$220.92
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$168.94
|
| Rate for Payer: BCBS Complete |
$103.96
|
| Rate for Payer: BCBS Trust/PPO |
$146.34
|
| Rate for Payer: BCCCP Commercial |
$137.47
|
| Rate for Payer: Cash Price |
$207.92
|
| Rate for Payer: Cash Price |
$207.92
|
| Rate for Payer: Cofinity Commercial |
$223.51
|
| Rate for Payer: Cofinity Commercial |
$181.93
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$207.92
|
| Rate for Payer: Healthscope Commercial |
$233.91
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$181.93
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$194.92
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$220.92
|
| Rate for Payer: PHP Commercial |
$220.92
|
| Rate for Payer: Priority Health Cigna Priority Health |
$181.93
|
| Rate for Payer: Priority Health SBD |
$163.74
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$144.08
|
| Rate for Payer: UHC Core |
$84.20
|
| Rate for Payer: UHC Exchange |
$130.98
|
| Rate for Payer: UMR Bronson Commercial |
$96.16
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$194.92
|
|
|
HC IN SITU HYBRID MULTIPLX MRPH QUANT OR SEMI-QUANT
|
Facility
|
IP
|
$642.60
|
|
|
Service Code
|
CPT 88377
|
| Hospital Charge Code |
31000119
|
|
Hospital Revenue Code
|
310
|
| Min. Negotiated Rate |
$282.74 |
| Max. Negotiated Rate |
$578.34 |
| Rate for Payer: Aetna American Axle |
$417.69
|
| Rate for Payer: Aetna Commercial |
$546.21
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$417.69
|
| Rate for Payer: Cash Price |
$514.08
|
| Rate for Payer: Cofinity Commercial |
$449.82
|
| Rate for Payer: Cofinity Commercial |
$552.64
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$514.08
|
| Rate for Payer: Healthscope Commercial |
$578.34
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$449.82
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$481.95
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$546.21
|
| Rate for Payer: PHP Commercial |
$546.21
|
| Rate for Payer: Priority Health Cigna Priority Health |
$449.82
|
| Rate for Payer: Priority Health SBD |
$404.84
|
| Rate for Payer: UMR Bronson Commercial |
$282.74
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$481.95
|
|
|
HC IN SITU HYBRID MULTIPLX MRPH QUANT OR SEMI-QUANT
|
Facility
|
OP
|
$642.60
|
|
|
Service Code
|
CPT 88377
|
| Hospital Charge Code |
31000119
|
|
Hospital Revenue Code
|
310
|
| Min. Negotiated Rate |
$83.05 |
| Max. Negotiated Rate |
$578.34 |
| Rate for Payer: Aetna American Axle |
$417.69
|
| Rate for Payer: Aetna Commercial |
$546.21
|
| Rate for Payer: Aetna Medicare |
$157.89
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$417.69
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$189.78
|
| Rate for Payer: Amish Plain Church Group Commercial |
$189.78
|
| Rate for Payer: BCBS Complete |
$87.21
|
| Rate for Payer: BCBS MAPPO |
$151.82
|
| Rate for Payer: BCBS Trust/PPO |
$473.21
|
| Rate for Payer: BCCCP Commercial |
$398.07
|
| Rate for Payer: BCN Medicare Advantage |
$151.82
|
| Rate for Payer: Cash Price |
$514.08
|
| Rate for Payer: Cash Price |
$514.08
|
| Rate for Payer: Cofinity Commercial |
$552.64
|
| Rate for Payer: Cofinity Commercial |
$449.82
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$514.08
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$151.82
|
| Rate for Payer: Healthscope Commercial |
$578.34
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$449.82
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$481.95
|
| Rate for Payer: Mclaren Medicaid |
$83.05
|
| Rate for Payer: Mclaren Medicare |
$151.82
|
| Rate for Payer: Meridian Medicaid |
$87.21
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$159.41
|
| Rate for Payer: MI Amish Medical Board Commercial |
$174.59
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$546.21
|
| Rate for Payer: PACE Medicare |
$144.23
|
| Rate for Payer: PACE SWMI |
$151.82
|
| Rate for Payer: PHP Commercial |
$546.21
|
| Rate for Payer: PHP Medicare Advantage |
$151.82
|
| Rate for Payer: Priority Health Choice Medicaid |
$83.05
|
| Rate for Payer: Priority Health Cigna Priority Health |
$449.82
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$477.95
|
| Rate for Payer: Priority Health Medicare |
$151.82
|
| Rate for Payer: Priority Health Narrow Network |
$382.36
|
| Rate for Payer: Priority Health SBD |
$404.84
|
| Rate for Payer: Railroad Medicare Medicare |
$151.82
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$427.18
|
| Rate for Payer: UHC Core |
$220.34
|
| Rate for Payer: UHC Dual Complete DSNP |
$151.82
|
| Rate for Payer: UHC Exchange |
$388.35
|
| Rate for Payer: UHC Medicare Advantage |
$156.37
|
| Rate for Payer: UMR Bronson Commercial |
$237.76
|
| Rate for Payer: VA VA |
$151.82
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$481.95
|
|
|
HC INSTILL ANTICARCIN BLADDER
|
Facility
|
OP
|
$731.89
|
|
|
Service Code
|
CPT 51720
|
| Hospital Charge Code |
36100449
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$42.24 |
| Max. Negotiated Rate |
$1,911.48 |
| Rate for Payer: Aetna American Axle |
$475.73
|
| Rate for Payer: Aetna Commercial |
$622.11
|
| Rate for Payer: Aetna Medicare |
$631.49
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$475.73
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$759.00
|
| Rate for Payer: Amish Plain Church Group Commercial |
$759.00
|
| Rate for Payer: BCBS Complete |
$348.78
|
| Rate for Payer: BCBS MAPPO |
$607.20
|
| Rate for Payer: BCBS Trust/PPO |
$668.74
|
| Rate for Payer: BCN Medicare Advantage |
$607.20
|
| Rate for Payer: Cash Price |
$585.51
|
| Rate for Payer: Cash Price |
$585.51
|
| Rate for Payer: Cofinity Commercial |
$512.32
|
| Rate for Payer: Cofinity Commercial |
$629.43
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$585.51
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$607.20
|
| Rate for Payer: Healthscope Commercial |
$658.70
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$512.32
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$548.92
|
| Rate for Payer: Mclaren Medicaid |
$332.14
|
| Rate for Payer: Mclaren Medicare |
$607.20
|
| Rate for Payer: Meridian Medicaid |
$348.78
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$637.56
|
| Rate for Payer: MI Amish Medical Board Commercial |
$698.28
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$622.11
|
| Rate for Payer: PACE Medicare |
$576.84
|
| Rate for Payer: PACE SWMI |
$607.20
|
| Rate for Payer: PHP Commercial |
$622.11
|
| Rate for Payer: PHP Medicare Advantage |
$607.20
|
| Rate for Payer: Priority Health Choice Medicaid |
$332.14
|
| Rate for Payer: Priority Health Cigna Priority Health |
$512.32
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,911.48
|
| Rate for Payer: Priority Health Medicare |
$607.20
|
| Rate for Payer: Priority Health Narrow Network |
$1,529.18
|
| Rate for Payer: Priority Health SBD |
$461.09
|
| Rate for Payer: Railroad Medicare Medicare |
$607.20
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$46.46
|
| Rate for Payer: UHC Dual Complete DSNP |
$607.20
|
| Rate for Payer: UHC Exchange |
$42.24
|
| Rate for Payer: UHC Medicare Advantage |
$625.42
|
| Rate for Payer: UMR Bronson Commercial |
$270.80
|
| Rate for Payer: VA VA |
$607.20
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$548.92
|
|
|
HC INSTILL ANTICARCIN BLADDER
|
Facility
|
IP
|
$731.89
|
|
|
Service Code
|
CPT 51720
|
| Hospital Charge Code |
36100449
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$322.03 |
| Max. Negotiated Rate |
$658.70 |
| Rate for Payer: Aetna American Axle |
$475.73
|
| Rate for Payer: Aetna Commercial |
$622.11
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$475.73
|
| Rate for Payer: Cash Price |
$585.51
|
| Rate for Payer: Cofinity Commercial |
$629.43
|
| Rate for Payer: Cofinity Commercial |
$512.32
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$585.51
|
| Rate for Payer: Healthscope Commercial |
$658.70
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$512.32
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$548.92
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$622.11
|
| Rate for Payer: PHP Commercial |
$622.11
|
| Rate for Payer: Priority Health Cigna Priority Health |
$512.32
|
| Rate for Payer: Priority Health SBD |
$461.09
|
| Rate for Payer: UMR Bronson Commercial |
$322.03
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$548.92
|
|
|
HC INST THER AGENT RENAL PELVIS/URETER VIA TUB
|
Facility
|
IP
|
$653.82
|
|
|
Service Code
|
CPT 50391
|
| Hospital Charge Code |
36100571
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$287.68 |
| Max. Negotiated Rate |
$588.44 |
| Rate for Payer: Aetna American Axle |
$424.98
|
| Rate for Payer: Aetna Commercial |
$555.75
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$424.98
|
| Rate for Payer: Cash Price |
$523.06
|
| Rate for Payer: Cofinity Commercial |
$457.67
|
| Rate for Payer: Cofinity Commercial |
$562.29
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$523.06
|
| Rate for Payer: Healthscope Commercial |
$588.44
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$457.67
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$490.36
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$555.75
|
| Rate for Payer: PHP Commercial |
$555.75
|
| Rate for Payer: Priority Health Cigna Priority Health |
$457.67
|
| Rate for Payer: Priority Health SBD |
$411.91
|
| Rate for Payer: UMR Bronson Commercial |
$287.68
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$490.36
|
|
|
HC INST THER AGENT RENAL PELVIS/URETER VIA TUB
|
Facility
|
OP
|
$653.82
|
|
|
Service Code
|
CPT 50391
|
| Hospital Charge Code |
36100571
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$60.66 |
| Max. Negotiated Rate |
$700.00 |
| Rate for Payer: Aetna American Axle |
$424.98
|
| Rate for Payer: Aetna Commercial |
$555.75
|
| Rate for Payer: Aetna Medicare |
$228.47
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$424.98
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$274.60
|
| Rate for Payer: Amish Plain Church Group Commercial |
$274.60
|
| Rate for Payer: BCBS Complete |
$126.18
|
| Rate for Payer: BCBS MAPPO |
$219.68
|
| Rate for Payer: BCBS Trust/PPO |
$60.66
|
| Rate for Payer: BCN Medicare Advantage |
$219.68
|
| Rate for Payer: Cash Price |
$523.06
|
| Rate for Payer: Cash Price |
$523.06
|
| Rate for Payer: Cofinity Commercial |
$457.67
|
| Rate for Payer: Cofinity Commercial |
$562.29
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$523.06
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$219.68
|
| Rate for Payer: Healthscope Commercial |
$588.44
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$457.67
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$490.36
|
| Rate for Payer: Mclaren Medicaid |
$120.16
|
| Rate for Payer: Mclaren Medicare |
$219.68
|
| Rate for Payer: Meridian Medicaid |
$126.18
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$230.66
|
| Rate for Payer: MI Amish Medical Board Commercial |
$252.63
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$555.75
|
| Rate for Payer: PACE Medicare |
$208.70
|
| Rate for Payer: PACE SWMI |
$219.68
|
| Rate for Payer: PHP Commercial |
$555.75
|
| Rate for Payer: PHP Medicare Advantage |
$219.68
|
| Rate for Payer: Priority Health Choice Medicaid |
$120.16
|
| Rate for Payer: Priority Health Cigna Priority Health |
$457.67
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$691.57
|
| Rate for Payer: Priority Health Medicare |
$219.68
|
| Rate for Payer: Priority Health Narrow Network |
$553.26
|
| Rate for Payer: Priority Health SBD |
$411.91
|
| Rate for Payer: Railroad Medicare Medicare |
$219.68
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$104.46
|
| Rate for Payer: UHC Core |
$700.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$219.68
|
| Rate for Payer: UHC Exchange |
$94.96
|
| Rate for Payer: UHC Medicare Advantage |
$226.27
|
| Rate for Payer: UMR Bronson Commercial |
$241.91
|
| Rate for Payer: VA VA |
$219.68
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$490.36
|
|
|
HC INSULIN
|
Facility
|
IP
|
$98.00
|
|
|
Service Code
|
CPT 83525
|
| Hospital Charge Code |
30100266
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$43.12 |
| Max. Negotiated Rate |
$88.20 |
| Rate for Payer: Aetna American Axle |
$63.70
|
| Rate for Payer: Aetna Commercial |
$83.30
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$63.70
|
| Rate for Payer: Cash Price |
$78.40
|
| Rate for Payer: Cofinity Commercial |
$68.60
|
| Rate for Payer: Cofinity Commercial |
$84.28
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$78.40
|
| Rate for Payer: Healthscope Commercial |
$88.20
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$68.60
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$73.50
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$83.30
|
| Rate for Payer: PHP Commercial |
$83.30
|
| Rate for Payer: Priority Health Cigna Priority Health |
$68.60
|
| Rate for Payer: Priority Health SBD |
$61.74
|
| Rate for Payer: UMR Bronson Commercial |
$43.12
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$73.50
|
|
|
HC INSULIN
|
Facility
|
OP
|
$98.00
|
|
|
Service Code
|
CPT 83525
|
| Hospital Charge Code |
30100266
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$6.25 |
| Max. Negotiated Rate |
$88.20 |
| Rate for Payer: Aetna American Axle |
$63.70
|
| Rate for Payer: Aetna Commercial |
$83.30
|
| Rate for Payer: Aetna Medicare |
$11.89
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$63.70
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$14.29
|
| Rate for Payer: Amish Plain Church Group Commercial |
$14.29
|
| Rate for Payer: BCBS Complete |
$6.57
|
| Rate for Payer: BCBS MAPPO |
$11.43
|
| Rate for Payer: BCBS Trust/PPO |
$10.28
|
| Rate for Payer: BCN Medicare Advantage |
$11.43
|
| Rate for Payer: Cash Price |
$78.40
|
| Rate for Payer: Cash Price |
$78.40
|
| Rate for Payer: Cofinity Commercial |
$68.60
|
| Rate for Payer: Cofinity Commercial |
$84.28
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$78.40
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$11.43
|
| Rate for Payer: Healthscope Commercial |
$88.20
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$68.60
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$73.50
|
| Rate for Payer: Mclaren Medicaid |
$6.25
|
| Rate for Payer: Mclaren Medicare |
$11.43
|
| Rate for Payer: Meridian Medicaid |
$6.57
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$12.00
|
| Rate for Payer: MI Amish Medical Board Commercial |
$13.14
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$83.30
|
| Rate for Payer: PACE Medicare |
$10.86
|
| Rate for Payer: PACE SWMI |
$11.43
|
| Rate for Payer: PHP Commercial |
$83.30
|
| Rate for Payer: PHP Medicare Advantage |
$11.43
|
| Rate for Payer: Priority Health Choice Medicaid |
$6.25
|
| Rate for Payer: Priority Health Cigna Priority Health |
$68.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$15.68
|
| Rate for Payer: Priority Health Medicare |
$11.43
|
| Rate for Payer: Priority Health Narrow Network |
$12.54
|
| Rate for Payer: Priority Health SBD |
$61.74
|
| Rate for Payer: Railroad Medicare Medicare |
$11.43
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$13.72
|
| Rate for Payer: UHC Core |
$18.85
|
| Rate for Payer: UHC Dual Complete DSNP |
$11.43
|
| Rate for Payer: UHC Exchange |
$11.43
|
| Rate for Payer: UHC Medicare Advantage |
$11.77
|
| Rate for Payer: UMR Bronson Commercial |
$36.26
|
| Rate for Payer: VA VA |
$11.43
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$73.50
|
|
|
HC INSULIN ANTIBODIES
|
Facility
|
IP
|
$68.00
|
|
|
Service Code
|
CPT 86337
|
| Hospital Charge Code |
30200199
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$29.92 |
| Max. Negotiated Rate |
$61.20 |
| Rate for Payer: Aetna American Axle |
$44.20
|
| Rate for Payer: Aetna Commercial |
$57.80
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$44.20
|
| Rate for Payer: Cash Price |
$54.40
|
| Rate for Payer: Cofinity Commercial |
$47.60
|
| Rate for Payer: Cofinity Commercial |
$58.48
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$54.40
|
| Rate for Payer: Healthscope Commercial |
$61.20
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$47.60
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$51.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$57.80
|
| Rate for Payer: PHP Commercial |
$57.80
|
| Rate for Payer: Priority Health Cigna Priority Health |
$47.60
|
| Rate for Payer: Priority Health SBD |
$42.84
|
| Rate for Payer: UMR Bronson Commercial |
$29.92
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$51.00
|
|
|
HC INSULIN ANTIBODIES
|
Facility
|
OP
|
$68.00
|
|
|
Service Code
|
CPT 86337
|
| Hospital Charge Code |
30200199
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$11.71 |
| Max. Negotiated Rate |
$61.20 |
| Rate for Payer: Aetna American Axle |
$44.20
|
| Rate for Payer: Aetna Commercial |
$57.80
|
| Rate for Payer: Aetna Medicare |
$22.27
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$44.20
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$26.76
|
| Rate for Payer: Amish Plain Church Group Commercial |
$26.76
|
| Rate for Payer: BCBS Complete |
$12.30
|
| Rate for Payer: BCBS MAPPO |
$21.41
|
| Rate for Payer: BCBS Trust/PPO |
$19.26
|
| Rate for Payer: BCN Medicare Advantage |
$21.41
|
| Rate for Payer: Cash Price |
$54.40
|
| Rate for Payer: Cash Price |
$54.40
|
| Rate for Payer: Cofinity Commercial |
$58.48
|
| Rate for Payer: Cofinity Commercial |
$47.60
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$54.40
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$21.41
|
| Rate for Payer: Healthscope Commercial |
$61.20
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$47.60
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$51.00
|
| Rate for Payer: Mclaren Medicaid |
$11.71
|
| Rate for Payer: Mclaren Medicare |
$21.41
|
| Rate for Payer: Meridian Medicaid |
$12.30
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$22.48
|
| Rate for Payer: MI Amish Medical Board Commercial |
$24.62
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$57.80
|
| Rate for Payer: PACE Medicare |
$20.34
|
| Rate for Payer: PACE SWMI |
$21.41
|
| Rate for Payer: PHP Commercial |
$57.80
|
| Rate for Payer: PHP Medicare Advantage |
$21.41
|
| Rate for Payer: Priority Health Choice Medicaid |
$11.71
|
| Rate for Payer: Priority Health Cigna Priority Health |
$47.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$29.37
|
| Rate for Payer: Priority Health Medicare |
$21.41
|
| Rate for Payer: Priority Health Narrow Network |
$23.50
|
| Rate for Payer: Priority Health SBD |
$42.84
|
| Rate for Payer: Railroad Medicare Medicare |
$21.41
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$25.69
|
| Rate for Payer: UHC Core |
$35.32
|
| Rate for Payer: UHC Dual Complete DSNP |
$21.41
|
| Rate for Payer: UHC Exchange |
$21.41
|
| Rate for Payer: UHC Medicare Advantage |
$22.05
|
| Rate for Payer: UMR Bronson Commercial |
$25.16
|
| Rate for Payer: VA VA |
$21.41
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$51.00
|
|
