|
HC CONTROL NASAL HEMORR POST PACK/CAUTERY INIT
|
Facility
|
IP
|
$461.04
|
|
|
Service Code
|
CPT 30905
|
| Hospital Charge Code |
76100530
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$202.86 |
| Max. Negotiated Rate |
$414.94 |
| Rate for Payer: Aetna American Axle |
$299.68
|
| Rate for Payer: Aetna Commercial |
$391.88
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$299.68
|
| Rate for Payer: Cash Price |
$368.83
|
| Rate for Payer: Cofinity Advantage |
$322.73
|
| Rate for Payer: Cofinity Commercial |
$396.49
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$368.83
|
| Rate for Payer: Healthscope Commercial |
$414.94
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$322.73
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$345.78
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$391.88
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$345.78
|
| Rate for Payer: PHP Commercial |
$391.88
|
| Rate for Payer: Priority Health SBD |
$290.46
|
| Rate for Payer: UMR Bronson Commercial |
$202.86
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$345.78
|
|
|
HC CONTROL NASAL HEMORR POST PACK/CAUTERY INIT
|
Facility
|
OP
|
$461.04
|
|
|
Service Code
|
CPT 30905
|
| Hospital Charge Code |
76100530
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$69.33 |
| Max. Negotiated Rate |
$428.73 |
| Rate for Payer: Aetna American Axle |
$299.68
|
| Rate for Payer: Aetna Commercial |
$391.88
|
| Rate for Payer: Aetna Medicare |
$137.87
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$299.68
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$165.71
|
| Rate for Payer: Amish Plain Church Group Commercial |
$165.71
|
| Rate for Payer: BCBS Complete |
$72.81
|
| Rate for Payer: BCBS MAPPO |
$132.57
|
| Rate for Payer: BCBS Trust/PPO |
$301.27
|
| Rate for Payer: BCN Commercial |
$301.27
|
| Rate for Payer: BCN Medicare Advantage |
$132.57
|
| Rate for Payer: Cash Price |
$368.83
|
| Rate for Payer: Cash Price |
$368.83
|
| Rate for Payer: Cash Price |
$368.83
|
| Rate for Payer: Cofinity Advantage |
$322.73
|
| Rate for Payer: Cofinity Commercial |
$396.49
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$368.83
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$132.57
|
| Rate for Payer: Healthscope Commercial |
$414.94
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$322.73
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$345.78
|
| Rate for Payer: Mclaren Medicaid |
$132.57
|
| Rate for Payer: Mclaren Medicare |
$132.57
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$139.20
|
| Rate for Payer: Meridian Medicaid |
$139.20
|
| Rate for Payer: MI Amish Medical Board Commercial |
$152.46
|
| Rate for Payer: Molina Medicare/Medicaid |
$145.83
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$391.88
|
| Rate for Payer: Nomi Health Commercial |
$397.71
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$345.78
|
| Rate for Payer: PACE Medicare |
$125.94
|
| Rate for Payer: PACE SWMI |
$132.57
|
| Rate for Payer: PHP Commercial |
$391.88
|
| Rate for Payer: PHP Medicare Advantage |
$132.57
|
| Rate for Payer: Priority Health Choice Medicaid |
$69.33
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$428.73
|
| Rate for Payer: Priority Health Medicare |
$132.57
|
| Rate for Payer: Priority Health SBD |
$290.46
|
| Rate for Payer: Priority Health Tiered Network |
$342.98
|
| Rate for Payer: Railroad Medicare Medicare |
$132.57
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$299.68
|
| Rate for Payer: UHC Core |
$240.20
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$132.57
|
| Rate for Payer: UHC Exchange |
$181.19
|
| Rate for Payer: UHC Medicaid |
$69.33
|
| Rate for Payer: UHCCP Medicaid |
$69.33
|
| Rate for Payer: UMR Bronson Commercial |
$170.58
|
| Rate for Payer: VA VA |
$132.57
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$345.78
|
|
|
HC CONTROL NOSEBLEED ANTERIOR SIMPLE
|
Facility
|
IP
|
$422.93
|
|
|
Service Code
|
CPT 30901
|
| Hospital Charge Code |
45000011
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$186.09 |
| Max. Negotiated Rate |
$380.64 |
| Rate for Payer: Aetna American Axle |
$274.90
|
| Rate for Payer: Aetna Commercial |
$359.49
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$274.90
|
| Rate for Payer: Cash Price |
$338.34
|
| Rate for Payer: Cofinity Advantage |
$296.05
|
| Rate for Payer: Cofinity Commercial |
$363.72
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$338.34
|
| Rate for Payer: Healthscope Commercial |
$380.64
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$296.05
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$317.20
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$359.49
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$317.20
|
| Rate for Payer: PHP Commercial |
$359.49
|
| Rate for Payer: Priority Health SBD |
$266.45
|
| Rate for Payer: UMR Bronson Commercial |
$186.09
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$317.20
|
|
|
HC CONTROL NOSEBLEED ANTERIOR SIMPLE
|
Facility
|
OP
|
$422.93
|
|
|
Service Code
|
CPT 30901
|
| Hospital Charge Code |
45000011
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$69.33 |
| Max. Negotiated Rate |
$428.73 |
| Rate for Payer: Aetna American Axle |
$274.90
|
| Rate for Payer: Aetna Commercial |
$359.49
|
| Rate for Payer: Aetna Medicare |
$137.87
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$274.90
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$165.71
|
| Rate for Payer: Amish Plain Church Group Commercial |
$165.71
|
| Rate for Payer: BCBS Complete |
$72.81
|
| Rate for Payer: BCBS MAPPO |
$132.57
|
| Rate for Payer: BCBS Trust/PPO |
$216.94
|
| Rate for Payer: BCN Commercial |
$216.94
|
| Rate for Payer: BCN Medicare Advantage |
$132.57
|
| Rate for Payer: Cash Price |
$338.34
|
| Rate for Payer: Cash Price |
$338.34
|
| Rate for Payer: Cash Price |
$338.34
|
| Rate for Payer: Cofinity Advantage |
$296.05
|
| Rate for Payer: Cofinity Commercial |
$363.72
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$338.34
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$132.57
|
| Rate for Payer: Healthscope Commercial |
$380.64
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$296.05
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$317.20
|
| Rate for Payer: Mclaren Medicaid |
$132.57
|
| Rate for Payer: Mclaren Medicare |
$132.57
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$139.20
|
| Rate for Payer: Meridian Medicaid |
$139.20
|
| Rate for Payer: MI Amish Medical Board Commercial |
$152.46
|
| Rate for Payer: Molina Medicare/Medicaid |
$145.83
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$359.49
|
| Rate for Payer: Nomi Health Commercial |
$397.71
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$317.20
|
| Rate for Payer: PACE Medicare |
$125.94
|
| Rate for Payer: PACE SWMI |
$132.57
|
| Rate for Payer: PHP Commercial |
$359.49
|
| Rate for Payer: PHP Medicare Advantage |
$132.57
|
| Rate for Payer: Priority Health Choice Medicaid |
$69.33
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$428.73
|
| Rate for Payer: Priority Health Medicare |
$132.57
|
| Rate for Payer: Priority Health SBD |
$266.45
|
| Rate for Payer: Priority Health Tiered Network |
$342.98
|
| Rate for Payer: Railroad Medicare Medicare |
$132.57
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$274.90
|
| Rate for Payer: UHC Core |
$220.35
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$132.57
|
| Rate for Payer: UHC Exchange |
$166.21
|
| Rate for Payer: UHC Medicaid |
$69.33
|
| Rate for Payer: UHCCP Medicaid |
$69.33
|
| Rate for Payer: UMR Bronson Commercial |
$156.48
|
| Rate for Payer: VA VA |
$132.57
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$317.20
|
|
|
HC CONTROL OROPHARYNGEAL HEM SIMPLE
|
Facility
|
OP
|
$768.85
|
|
|
Service Code
|
CPT 42960
|
| Hospital Charge Code |
45000100
|
|
Hospital Revenue Code
|
450
|
| Min. Negotiated Rate |
$125.00 |
| Max. Negotiated Rate |
$1,737.88 |
| Rate for Payer: Aetna American Axle |
$499.75
|
| Rate for Payer: Aetna Commercial |
$653.52
|
| Rate for Payer: Aetna Medicare |
$558.89
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$499.75
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$671.74
|
| Rate for Payer: Amish Plain Church Group Commercial |
$671.74
|
| Rate for Payer: BCBS Complete |
$295.13
|
| Rate for Payer: BCBS MAPPO |
$537.39
|
| Rate for Payer: BCBS Trust/PPO |
$618.99
|
| Rate for Payer: BCN Commercial |
$618.99
|
| Rate for Payer: BCN Medicare Advantage |
$537.39
|
| Rate for Payer: Cash Price |
$615.08
|
| Rate for Payer: Cash Price |
$615.08
|
| Rate for Payer: Cash Price |
$615.08
|
| Rate for Payer: Cofinity Advantage |
$538.20
|
| Rate for Payer: Cofinity Commercial |
$661.21
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$615.08
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$537.39
|
| Rate for Payer: Healthscope Commercial |
$691.97
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$538.20
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$576.64
|
| Rate for Payer: Mclaren Medicaid |
$537.39
|
| Rate for Payer: Mclaren Medicare |
$537.39
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$564.26
|
| Rate for Payer: Meridian Medicaid |
$564.26
|
| Rate for Payer: MI Amish Medical Board Commercial |
$618.00
|
| Rate for Payer: Molina Medicare/Medicaid |
$591.13
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$653.52
|
| Rate for Payer: Nomi Health Commercial |
$1,612.17
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$576.64
|
| Rate for Payer: PACE Medicare |
$510.52
|
| Rate for Payer: PACE SWMI |
$537.39
|
| Rate for Payer: PHP Commercial |
$653.52
|
| Rate for Payer: PHP Medicare Advantage |
$537.39
|
| Rate for Payer: Priority Health Choice Medicaid |
$281.05
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$1,737.88
|
| Rate for Payer: Priority Health Medicare |
$537.39
|
| Rate for Payer: Priority Health SBD |
$484.38
|
| Rate for Payer: Priority Health Tiered Network |
$1,390.30
|
| Rate for Payer: Railroad Medicare Medicare |
$537.39
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$537.39
|
| Rate for Payer: UHC Medicaid |
$281.05
|
| Rate for Payer: UHCCP Medicaid |
$125.00
|
| Rate for Payer: UMR Bronson Commercial |
$284.47
|
| Rate for Payer: VA VA |
$537.39
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$576.64
|
|
|
HC CONTROL OROPHARYNGEAL HEM SIMPLE
|
Facility
|
IP
|
$768.85
|
|
|
Service Code
|
CPT 42960
|
| Hospital Charge Code |
45000100
|
|
Hospital Revenue Code
|
450
|
| Min. Negotiated Rate |
$338.29 |
| Max. Negotiated Rate |
$691.97 |
| Rate for Payer: Aetna American Axle |
$499.75
|
| Rate for Payer: Aetna Commercial |
$653.52
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$499.75
|
| Rate for Payer: Cash Price |
$615.08
|
| Rate for Payer: Cofinity Advantage |
$538.20
|
| Rate for Payer: Cofinity Commercial |
$661.21
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$615.08
|
| Rate for Payer: Healthscope Commercial |
$691.97
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$538.20
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$576.64
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$653.52
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$576.64
|
| Rate for Payer: PHP Commercial |
$653.52
|
| Rate for Payer: Priority Health SBD |
$484.38
|
| Rate for Payer: UMR Bronson Commercial |
$338.29
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$576.64
|
|
|
HC CONTROL OROPHARYNG HEMORRHAGE SIMPLE
|
Facility
|
IP
|
$1,369.17
|
|
|
Service Code
|
CPT 42960
|
| Hospital Charge Code |
76100478
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$602.43 |
| Max. Negotiated Rate |
$1,232.25 |
| Rate for Payer: Aetna American Axle |
$889.96
|
| Rate for Payer: Aetna Commercial |
$1,163.79
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$889.96
|
| Rate for Payer: Cash Price |
$1,095.34
|
| Rate for Payer: Cofinity Advantage |
$958.42
|
| Rate for Payer: Cofinity Commercial |
$1,177.49
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,095.34
|
| Rate for Payer: Healthscope Commercial |
$1,232.25
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$958.42
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,026.88
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,163.79
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,026.88
|
| Rate for Payer: PHP Commercial |
$1,163.79
|
| Rate for Payer: Priority Health SBD |
$862.58
|
| Rate for Payer: UMR Bronson Commercial |
$602.43
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,026.88
|
|
|
HC CONTROL OROPHARYNG HEMORRHAGE SIMPLE
|
Facility
|
OP
|
$1,369.17
|
|
|
Service Code
|
CPT 42960
|
| Hospital Charge Code |
76100478
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$281.05 |
| Max. Negotiated Rate |
$1,737.88 |
| Rate for Payer: Aetna American Axle |
$889.96
|
| Rate for Payer: Aetna Commercial |
$1,163.79
|
| Rate for Payer: Aetna Medicare |
$558.89
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$889.96
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$671.74
|
| Rate for Payer: Amish Plain Church Group Commercial |
$671.74
|
| Rate for Payer: BCBS Complete |
$295.13
|
| Rate for Payer: BCBS MAPPO |
$537.39
|
| Rate for Payer: BCBS Trust/PPO |
$618.99
|
| Rate for Payer: BCN Commercial |
$618.99
|
| Rate for Payer: BCN Medicare Advantage |
$537.39
|
| Rate for Payer: Cash Price |
$1,095.34
|
| Rate for Payer: Cash Price |
$1,095.34
|
| Rate for Payer: Cash Price |
$1,095.34
|
| Rate for Payer: Cofinity Advantage |
$958.42
|
| Rate for Payer: Cofinity Commercial |
$1,177.49
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,095.34
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$537.39
|
| Rate for Payer: Healthscope Commercial |
$1,232.25
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$958.42
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,026.88
|
| Rate for Payer: Mclaren Medicaid |
$537.39
|
| Rate for Payer: Mclaren Medicare |
$537.39
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$564.26
|
| Rate for Payer: Meridian Medicaid |
$564.26
|
| Rate for Payer: MI Amish Medical Board Commercial |
$618.00
|
| Rate for Payer: Molina Medicare/Medicaid |
$591.13
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,163.79
|
| Rate for Payer: Nomi Health Commercial |
$1,612.17
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,026.88
|
| Rate for Payer: PACE Medicare |
$510.52
|
| Rate for Payer: PACE SWMI |
$537.39
|
| Rate for Payer: PHP Commercial |
$1,163.79
|
| Rate for Payer: PHP Medicare Advantage |
$537.39
|
| Rate for Payer: Priority Health Choice Medicaid |
$281.05
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$1,737.88
|
| Rate for Payer: Priority Health Medicare |
$537.39
|
| Rate for Payer: Priority Health SBD |
$862.58
|
| Rate for Payer: Priority Health Tiered Network |
$1,390.30
|
| Rate for Payer: Railroad Medicare Medicare |
$537.39
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$889.96
|
| Rate for Payer: UHC Core |
$713.34
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$537.39
|
| Rate for Payer: UHC Exchange |
$538.08
|
| Rate for Payer: UHC Medicaid |
$281.05
|
| Rate for Payer: UHCCP Medicaid |
$281.05
|
| Rate for Payer: UMR Bronson Commercial |
$506.59
|
| Rate for Payer: VA VA |
$537.39
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,026.88
|
|
|
HC CONVERT EXTERNAL BILIARY DRAIN TO INTERNAL EXTERNAL
|
Facility
|
OP
|
$3,867.19
|
|
|
Service Code
|
CPT 47535
|
| Hospital Charge Code |
36100492
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$1,430.86 |
| Max. Negotiated Rate |
$11,537.07 |
| Rate for Payer: Aetna American Axle |
$2,513.67
|
| Rate for Payer: Aetna Commercial |
$3,287.11
|
| Rate for Payer: Aetna Medicare |
$3,710.23
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,513.67
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$4,459.41
|
| Rate for Payer: Amish Plain Church Group Commercial |
$4,459.41
|
| Rate for Payer: BCBS Complete |
$1,959.29
|
| Rate for Payer: BCBS MAPPO |
$3,567.53
|
| Rate for Payer: BCBS Trust/PPO |
$2,735.91
|
| Rate for Payer: BCN Commercial |
$2,735.91
|
| Rate for Payer: BCN Medicare Advantage |
$3,567.53
|
| Rate for Payer: Cash Price |
$3,093.75
|
| Rate for Payer: Cash Price |
$3,093.75
|
| Rate for Payer: Cash Price |
$3,093.75
|
| Rate for Payer: Cofinity Advantage |
$2,707.03
|
| Rate for Payer: Cofinity Commercial |
$3,325.78
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,093.75
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$3,567.53
|
| Rate for Payer: Healthscope Commercial |
$3,480.47
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$2,707.03
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,900.39
|
| Rate for Payer: Mclaren Medicaid |
$3,567.53
|
| Rate for Payer: Mclaren Medicare |
$3,567.53
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$3,745.91
|
| Rate for Payer: Meridian Medicaid |
$3,745.91
|
| Rate for Payer: MI Amish Medical Board Commercial |
$4,102.66
|
| Rate for Payer: Molina Medicare/Medicaid |
$3,924.28
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,287.11
|
| Rate for Payer: Nomi Health Commercial |
$10,702.59
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,900.39
|
| Rate for Payer: PACE Medicare |
$3,389.15
|
| Rate for Payer: PACE SWMI |
$3,567.53
|
| Rate for Payer: PHP Commercial |
$3,287.11
|
| Rate for Payer: PHP Medicare Advantage |
$3,567.53
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,865.82
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$11,537.07
|
| Rate for Payer: Priority Health Medicare |
$3,567.53
|
| Rate for Payer: Priority Health SBD |
$2,436.33
|
| Rate for Payer: Priority Health Tiered Network |
$9,229.66
|
| Rate for Payer: Railroad Medicare Medicare |
$3,567.53
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$3,567.53
|
| Rate for Payer: UHC Medicaid |
$1,865.82
|
| Rate for Payer: UHCCP Medicaid |
$1,865.82
|
| Rate for Payer: UMR Bronson Commercial |
$1,430.86
|
| Rate for Payer: VA VA |
$3,567.53
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,900.39
|
|
|
HC CONVERT EXTERNAL BILIARY DRAIN TO INTERNAL EXTERNAL
|
Facility
|
IP
|
$3,867.19
|
|
|
Service Code
|
CPT 47535
|
| Hospital Charge Code |
36100492
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$1,701.56 |
| Max. Negotiated Rate |
$3,480.47 |
| Rate for Payer: Aetna American Axle |
$2,513.67
|
| Rate for Payer: Aetna Commercial |
$3,287.11
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,513.67
|
| Rate for Payer: Cash Price |
$3,093.75
|
| Rate for Payer: Cofinity Advantage |
$2,707.03
|
| Rate for Payer: Cofinity Commercial |
$3,325.78
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,093.75
|
| Rate for Payer: Healthscope Commercial |
$3,480.47
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$2,707.03
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,900.39
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,287.11
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,900.39
|
| Rate for Payer: PHP Commercial |
$3,287.11
|
| Rate for Payer: Priority Health SBD |
$2,436.33
|
| Rate for Payer: UMR Bronson Commercial |
$1,701.56
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,900.39
|
|
|
HC CONVERT NEPHROSTOMY TO NEPHROURETERAL CATH
|
Facility
|
IP
|
$1,228.49
|
|
|
Service Code
|
CPT 50434
|
| Hospital Charge Code |
36100506
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$540.54 |
| Max. Negotiated Rate |
$1,105.64 |
| Rate for Payer: Aetna American Axle |
$798.52
|
| Rate for Payer: Aetna Commercial |
$1,044.22
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$798.52
|
| Rate for Payer: Cash Price |
$982.79
|
| Rate for Payer: Cofinity Advantage |
$859.94
|
| Rate for Payer: Cofinity Commercial |
$1,056.50
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$982.79
|
| Rate for Payer: Healthscope Commercial |
$1,105.64
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$859.94
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$921.37
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,044.22
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$921.37
|
| Rate for Payer: PHP Commercial |
$1,044.22
|
| Rate for Payer: Priority Health SBD |
$773.95
|
| Rate for Payer: UMR Bronson Commercial |
$540.54
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$921.37
|
|
|
HC CONVERT NEPHROSTOMY TO NEPHROURETERAL CATH
|
Facility
|
OP
|
$1,228.49
|
|
|
Service Code
|
CPT 50434
|
| Hospital Charge Code |
36100506
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$454.54 |
| Max. Negotiated Rate |
$6,735.82 |
| Rate for Payer: Aetna American Axle |
$798.52
|
| Rate for Payer: Aetna Commercial |
$1,044.22
|
| Rate for Payer: Aetna Medicare |
$2,166.18
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$798.52
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$2,603.59
|
| Rate for Payer: Amish Plain Church Group Commercial |
$2,603.59
|
| Rate for Payer: BCBS Complete |
$1,143.91
|
| Rate for Payer: BCBS MAPPO |
$2,082.87
|
| Rate for Payer: BCBS Trust/PPO |
$651.78
|
| Rate for Payer: BCN Commercial |
$651.78
|
| Rate for Payer: BCN Medicare Advantage |
$2,082.87
|
| Rate for Payer: Cash Price |
$982.79
|
| Rate for Payer: Cash Price |
$982.79
|
| Rate for Payer: Cash Price |
$982.79
|
| Rate for Payer: Cofinity Advantage |
$859.94
|
| Rate for Payer: Cofinity Commercial |
$1,056.50
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$982.79
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,082.87
|
| Rate for Payer: Healthscope Commercial |
$1,105.64
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$859.94
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$921.37
|
| Rate for Payer: Mclaren Medicaid |
$2,082.87
|
| Rate for Payer: Mclaren Medicare |
$2,082.87
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$2,187.01
|
| Rate for Payer: Meridian Medicaid |
$2,187.01
|
| Rate for Payer: MI Amish Medical Board Commercial |
$2,395.30
|
| Rate for Payer: Molina Medicare/Medicaid |
$2,291.16
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,044.22
|
| Rate for Payer: Nomi Health Commercial |
$6,248.61
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$921.37
|
| Rate for Payer: PACE Medicare |
$1,978.73
|
| Rate for Payer: PACE SWMI |
$2,082.87
|
| Rate for Payer: PHP Commercial |
$1,044.22
|
| Rate for Payer: PHP Medicare Advantage |
$2,082.87
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,089.34
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$6,735.82
|
| Rate for Payer: Priority Health Medicare |
$2,082.87
|
| Rate for Payer: Priority Health SBD |
$773.95
|
| Rate for Payer: Priority Health Tiered Network |
$5,388.66
|
| Rate for Payer: Railroad Medicare Medicare |
$2,082.87
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$2,082.87
|
| Rate for Payer: UHC Medicaid |
$1,089.34
|
| Rate for Payer: UHCCP Medicaid |
$1,089.34
|
| Rate for Payer: UMR Bronson Commercial |
$454.54
|
| Rate for Payer: VA VA |
$2,082.87
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$921.37
|
|
|
HC CONVEX WAFER
|
Facility
|
OP
|
$58.18
|
|
| Hospital Charge Code |
27000049
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$21.53 |
| Max. Negotiated Rate |
$52.36 |
| Rate for Payer: Aetna American Axle |
$37.82
|
| Rate for Payer: Aetna Commercial |
$49.45
|
| Rate for Payer: Aetna Medicare |
$29.09
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$37.82
|
| Rate for Payer: BCBS Complete |
$23.27
|
| Rate for Payer: Cash Price |
$46.54
|
| Rate for Payer: Cofinity Advantage |
$40.73
|
| Rate for Payer: Cofinity Commercial |
$50.03
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$46.54
|
| Rate for Payer: Healthscope Commercial |
$52.36
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$40.73
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$43.63
|
| Rate for Payer: MI Amish Medical Board Commercial |
$46.54
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$49.45
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$43.63
|
| Rate for Payer: PHP Commercial |
$49.45
|
| Rate for Payer: Priority Health SBD |
$36.65
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$37.82
|
| Rate for Payer: UHC Core |
$30.31
|
| Rate for Payer: UHC Exchange |
$22.86
|
| Rate for Payer: UMR Bronson Commercial |
$21.53
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$43.63
|
|
|
HC CONVEX WAFER
|
Facility
|
IP
|
$58.18
|
|
| Hospital Charge Code |
27000049
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$25.60 |
| Max. Negotiated Rate |
$52.36 |
| Rate for Payer: Aetna American Axle |
$37.82
|
| Rate for Payer: Aetna Commercial |
$49.45
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$37.82
|
| Rate for Payer: Cash Price |
$46.54
|
| Rate for Payer: Cofinity Advantage |
$40.73
|
| Rate for Payer: Cofinity Commercial |
$50.03
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$46.54
|
| Rate for Payer: Healthscope Commercial |
$52.36
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$40.73
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$43.63
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$49.45
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$43.63
|
| Rate for Payer: PHP Commercial |
$49.45
|
| Rate for Payer: Priority Health SBD |
$36.65
|
| Rate for Payer: UMR Bronson Commercial |
$25.60
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$43.63
|
|
|
HC COOK GUIDEWIRE
|
Facility
|
OP
|
$48.83
|
|
|
Service Code
|
HCPCS C1769
|
| Hospital Charge Code |
27200019
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$18.07 |
| Max. Negotiated Rate |
$43.95 |
| Rate for Payer: Aetna American Axle |
$31.74
|
| Rate for Payer: Aetna Commercial |
$41.51
|
| Rate for Payer: Aetna Medicare |
$24.41
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$31.74
|
| Rate for Payer: BCBS Complete |
$19.53
|
| Rate for Payer: Cash Price |
$39.06
|
| Rate for Payer: Cofinity Advantage |
$34.18
|
| Rate for Payer: Cofinity Commercial |
$41.99
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$39.06
|
| Rate for Payer: Healthscope Commercial |
$43.95
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$34.18
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$36.62
|
| Rate for Payer: MI Amish Medical Board Commercial |
$39.06
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$41.51
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$36.62
|
| Rate for Payer: PHP Commercial |
$41.51
|
| Rate for Payer: Priority Health SBD |
$30.76
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$31.74
|
| Rate for Payer: UHC Core |
$25.44
|
| Rate for Payer: UHC Exchange |
$19.19
|
| Rate for Payer: UMR Bronson Commercial |
$18.07
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$36.62
|
|
|
HC COOK GUIDEWIRE
|
Facility
|
IP
|
$48.83
|
|
|
Service Code
|
HCPCS C1769
|
| Hospital Charge Code |
27200019
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$21.49 |
| Max. Negotiated Rate |
$43.95 |
| Rate for Payer: Aetna American Axle |
$31.74
|
| Rate for Payer: Aetna Commercial |
$41.51
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$31.74
|
| Rate for Payer: Cash Price |
$39.06
|
| Rate for Payer: Cofinity Advantage |
$34.18
|
| Rate for Payer: Cofinity Commercial |
$41.99
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$39.06
|
| Rate for Payer: Healthscope Commercial |
$43.95
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$34.18
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$36.62
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$41.51
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$36.62
|
| Rate for Payer: PHP Commercial |
$41.51
|
| Rate for Payer: Priority Health SBD |
$30.76
|
| Rate for Payer: UMR Bronson Commercial |
$21.49
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$36.62
|
|
|
HC COOK PIGTAIL
|
Facility
|
OP
|
$477.69
|
|
| Hospital Charge Code |
27200233
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$176.75 |
| Max. Negotiated Rate |
$429.92 |
| Rate for Payer: Aetna American Axle |
$310.50
|
| Rate for Payer: Aetna Commercial |
$406.04
|
| Rate for Payer: Aetna Medicare |
$238.84
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$310.50
|
| Rate for Payer: BCBS Complete |
$191.08
|
| Rate for Payer: Cash Price |
$382.15
|
| Rate for Payer: Cofinity Advantage |
$334.38
|
| Rate for Payer: Cofinity Commercial |
$410.81
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$382.15
|
| Rate for Payer: Healthscope Commercial |
$429.92
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$334.38
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$358.27
|
| Rate for Payer: MI Amish Medical Board Commercial |
$382.15
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$406.04
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$358.27
|
| Rate for Payer: PHP Commercial |
$406.04
|
| Rate for Payer: Priority Health SBD |
$300.94
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$310.50
|
| Rate for Payer: UHC Core |
$248.88
|
| Rate for Payer: UHC Exchange |
$187.73
|
| Rate for Payer: UMR Bronson Commercial |
$176.75
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$358.27
|
|
|
HC COOK PIGTAIL
|
Facility
|
IP
|
$477.69
|
|
| Hospital Charge Code |
27200233
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$210.18 |
| Max. Negotiated Rate |
$429.92 |
| Rate for Payer: Aetna American Axle |
$310.50
|
| Rate for Payer: Aetna Commercial |
$406.04
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$310.50
|
| Rate for Payer: Cash Price |
$382.15
|
| Rate for Payer: Cofinity Advantage |
$334.38
|
| Rate for Payer: Cofinity Commercial |
$410.81
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$382.15
|
| Rate for Payer: Healthscope Commercial |
$429.92
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$334.38
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$358.27
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$406.04
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$358.27
|
| Rate for Payer: PHP Commercial |
$406.04
|
| Rate for Payer: Priority Health SBD |
$300.94
|
| Rate for Payer: UMR Bronson Commercial |
$210.18
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$358.27
|
|
|
HC COOLIEF RF PROBE
|
Facility
|
IP
|
$1,950.75
|
|
| Hospital Charge Code |
27200355
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$858.33 |
| Max. Negotiated Rate |
$1,755.67 |
| Rate for Payer: Aetna American Axle |
$1,267.99
|
| Rate for Payer: Aetna Commercial |
$1,658.14
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,267.99
|
| Rate for Payer: Cash Price |
$1,560.60
|
| Rate for Payer: Cofinity Advantage |
$1,365.53
|
| Rate for Payer: Cofinity Commercial |
$1,677.64
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,560.60
|
| Rate for Payer: Healthscope Commercial |
$1,755.67
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,365.53
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,463.06
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,658.14
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,463.06
|
| Rate for Payer: PHP Commercial |
$1,658.14
|
| Rate for Payer: Priority Health SBD |
$1,228.97
|
| Rate for Payer: UMR Bronson Commercial |
$858.33
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,463.06
|
|
|
HC COOLIEF RF PROBE
|
Facility
|
OP
|
$1,950.75
|
|
| Hospital Charge Code |
27200355
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$721.78 |
| Max. Negotiated Rate |
$1,755.67 |
| Rate for Payer: Aetna American Axle |
$1,267.99
|
| Rate for Payer: Aetna Commercial |
$1,658.14
|
| Rate for Payer: Aetna Medicare |
$975.38
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,267.99
|
| Rate for Payer: BCBS Complete |
$780.30
|
| Rate for Payer: Cash Price |
$1,560.60
|
| Rate for Payer: Cofinity Advantage |
$1,365.53
|
| Rate for Payer: Cofinity Commercial |
$1,677.64
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,560.60
|
| Rate for Payer: Healthscope Commercial |
$1,755.67
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,365.53
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,463.06
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,560.60
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,658.14
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,463.06
|
| Rate for Payer: PHP Commercial |
$1,658.14
|
| Rate for Payer: Priority Health SBD |
$1,228.97
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,267.99
|
| Rate for Payer: UHC Core |
$1,016.34
|
| Rate for Payer: UHC Exchange |
$766.64
|
| Rate for Payer: UMR Bronson Commercial |
$721.78
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,463.06
|
|
|
HC COPPER SERUM
|
Facility
|
IP
|
$45.78
|
|
|
Service Code
|
CPT 82525
|
| Hospital Charge Code |
30100170
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$20.14 |
| Max. Negotiated Rate |
$41.20 |
| Rate for Payer: Aetna American Axle |
$29.76
|
| Rate for Payer: Aetna Commercial |
$38.91
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$29.76
|
| Rate for Payer: Cash Price |
$36.62
|
| Rate for Payer: Cofinity Advantage |
$32.05
|
| Rate for Payer: Cofinity Commercial |
$39.37
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$36.62
|
| Rate for Payer: Healthscope Commercial |
$41.20
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$32.05
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$34.34
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$38.91
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$34.34
|
| Rate for Payer: PHP Commercial |
$38.91
|
| Rate for Payer: Priority Health SBD |
$28.84
|
| Rate for Payer: UMR Bronson Commercial |
$20.14
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$34.34
|
|
|
HC COPPER SERUM
|
Facility
|
OP
|
$45.78
|
|
|
Service Code
|
CPT 82525
|
| Hospital Charge Code |
30100170
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$6.49 |
| Max. Negotiated Rate |
$41.20 |
| Rate for Payer: Aetna American Axle |
$29.76
|
| Rate for Payer: Aetna Commercial |
$38.91
|
| Rate for Payer: Aetna Medicare |
$12.91
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$29.76
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$15.51
|
| Rate for Payer: Amish Plain Church Group Commercial |
$15.51
|
| Rate for Payer: BCBS Complete |
$6.82
|
| Rate for Payer: BCBS MAPPO |
$12.41
|
| Rate for Payer: BCBS Trust/PPO |
$14.35
|
| Rate for Payer: BCN Commercial |
$14.35
|
| Rate for Payer: BCN Medicare Advantage |
$12.41
|
| Rate for Payer: Cash Price |
$36.62
|
| Rate for Payer: Cash Price |
$36.62
|
| Rate for Payer: Cofinity Advantage |
$32.05
|
| Rate for Payer: Cofinity Commercial |
$39.37
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$36.62
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$12.41
|
| Rate for Payer: Healthscope Commercial |
$41.20
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$32.05
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$34.34
|
| Rate for Payer: Mclaren Medicaid |
$12.41
|
| Rate for Payer: Mclaren Medicare |
$12.41
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$13.03
|
| Rate for Payer: Meridian Medicaid |
$13.03
|
| Rate for Payer: MI Amish Medical Board Commercial |
$14.27
|
| Rate for Payer: Molina Medicare/Medicaid |
$13.65
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$38.91
|
| Rate for Payer: Nomi Health Commercial |
$18.61
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$34.34
|
| Rate for Payer: PACE Medicare |
$11.79
|
| Rate for Payer: PACE SWMI |
$12.41
|
| Rate for Payer: PHP Commercial |
$38.91
|
| Rate for Payer: PHP Medicare Advantage |
$12.41
|
| Rate for Payer: Priority Health Choice Medicaid |
$6.49
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$12.41
|
| Rate for Payer: Priority Health Medicare |
$12.41
|
| Rate for Payer: Priority Health SBD |
$28.84
|
| Rate for Payer: Priority Health Tiered Network |
$9.93
|
| Rate for Payer: Railroad Medicare Medicare |
$12.41
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$18.62
|
| Rate for Payer: UHC Core |
$18.62
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$12.41
|
| Rate for Payer: UHC Exchange |
$18.62
|
| Rate for Payer: UHC Medicaid |
$6.49
|
| Rate for Payer: UHCCP Medicaid |
$6.49
|
| Rate for Payer: UMR Bronson Commercial |
$16.94
|
| Rate for Payer: VA VA |
$12.41
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$34.34
|
|
|
HC COPPER URINE
|
Facility
|
OP
|
$64.50
|
|
|
Service Code
|
CPT 82525
|
| Hospital Charge Code |
30100171
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$6.49 |
| Max. Negotiated Rate |
$58.05 |
| Rate for Payer: Aetna American Axle |
$41.92
|
| Rate for Payer: Aetna Commercial |
$54.83
|
| Rate for Payer: Aetna Medicare |
$12.91
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$41.92
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$15.51
|
| Rate for Payer: Amish Plain Church Group Commercial |
$15.51
|
| Rate for Payer: BCBS Complete |
$6.82
|
| Rate for Payer: BCBS MAPPO |
$12.41
|
| Rate for Payer: BCBS Trust/PPO |
$14.35
|
| Rate for Payer: BCN Commercial |
$14.35
|
| Rate for Payer: BCN Medicare Advantage |
$12.41
|
| Rate for Payer: Cash Price |
$51.60
|
| Rate for Payer: Cash Price |
$51.60
|
| Rate for Payer: Cofinity Advantage |
$45.15
|
| Rate for Payer: Cofinity Commercial |
$55.47
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$51.60
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$12.41
|
| Rate for Payer: Healthscope Commercial |
$58.05
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$45.15
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$48.38
|
| Rate for Payer: Mclaren Medicaid |
$12.41
|
| Rate for Payer: Mclaren Medicare |
$12.41
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$13.03
|
| Rate for Payer: Meridian Medicaid |
$13.03
|
| Rate for Payer: MI Amish Medical Board Commercial |
$14.27
|
| Rate for Payer: Molina Medicare/Medicaid |
$13.65
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$54.83
|
| Rate for Payer: Nomi Health Commercial |
$18.61
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$48.38
|
| Rate for Payer: PACE Medicare |
$11.79
|
| Rate for Payer: PACE SWMI |
$12.41
|
| Rate for Payer: PHP Commercial |
$54.83
|
| Rate for Payer: PHP Medicare Advantage |
$12.41
|
| Rate for Payer: Priority Health Choice Medicaid |
$6.49
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$12.41
|
| Rate for Payer: Priority Health Medicare |
$12.41
|
| Rate for Payer: Priority Health SBD |
$40.63
|
| Rate for Payer: Priority Health Tiered Network |
$9.93
|
| Rate for Payer: Railroad Medicare Medicare |
$12.41
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$18.62
|
| Rate for Payer: UHC Core |
$18.62
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$12.41
|
| Rate for Payer: UHC Exchange |
$18.62
|
| Rate for Payer: UHC Medicaid |
$6.49
|
| Rate for Payer: UHCCP Medicaid |
$6.49
|
| Rate for Payer: UMR Bronson Commercial |
$23.86
|
| Rate for Payer: VA VA |
$12.41
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$48.38
|
|
|
HC COPPER URINE
|
Facility
|
IP
|
$64.50
|
|
|
Service Code
|
CPT 82525
|
| Hospital Charge Code |
30100171
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$28.38 |
| Max. Negotiated Rate |
$58.05 |
| Rate for Payer: Aetna American Axle |
$41.92
|
| Rate for Payer: Aetna Commercial |
$54.83
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$41.92
|
| Rate for Payer: Cash Price |
$51.60
|
| Rate for Payer: Cofinity Advantage |
$45.15
|
| Rate for Payer: Cofinity Commercial |
$55.47
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$51.60
|
| Rate for Payer: Healthscope Commercial |
$58.05
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$45.15
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$48.38
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$54.83
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$48.38
|
| Rate for Payer: PHP Commercial |
$54.83
|
| Rate for Payer: Priority Health SBD |
$40.63
|
| Rate for Payer: UMR Bronson Commercial |
$28.38
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$48.38
|
|
|
HC CORDIS CATHETER
|
Facility
|
OP
|
$200.55
|
|
|
Service Code
|
HCPCS C1751
|
| Hospital Charge Code |
27200021
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$74.20 |
| Max. Negotiated Rate |
$180.50 |
| Rate for Payer: Aetna American Axle |
$130.36
|
| Rate for Payer: Aetna Commercial |
$170.47
|
| Rate for Payer: Aetna Medicare |
$100.28
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$130.36
|
| Rate for Payer: BCBS Complete |
$80.22
|
| Rate for Payer: Cash Price |
$160.44
|
| Rate for Payer: Cofinity Advantage |
$140.38
|
| Rate for Payer: Cofinity Commercial |
$172.47
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$160.44
|
| Rate for Payer: Healthscope Commercial |
$180.50
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$140.38
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$150.41
|
| Rate for Payer: MI Amish Medical Board Commercial |
$160.44
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$170.47
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$150.41
|
| Rate for Payer: PHP Commercial |
$170.47
|
| Rate for Payer: Priority Health SBD |
$126.35
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$130.36
|
| Rate for Payer: UHC Core |
$104.49
|
| Rate for Payer: UHC Exchange |
$78.82
|
| Rate for Payer: UMR Bronson Commercial |
$74.20
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$150.41
|
|
