|
HC COVID FLU AB RSV GENEMARKERS
|
Facility
|
IP
|
$260.00
|
|
|
Service Code
|
CPT 87637
|
| Hospital Charge Code |
30600316
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$114.40 |
| Max. Negotiated Rate |
$234.00 |
| Rate for Payer: Aetna American Axle |
$169.00
|
| Rate for Payer: Aetna Commercial |
$221.00
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$169.00
|
| Rate for Payer: Cash Price |
$208.00
|
| Rate for Payer: Cofinity Advantage |
$182.00
|
| Rate for Payer: Cofinity Commercial |
$223.60
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$208.00
|
| Rate for Payer: Healthscope Commercial |
$234.00
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$182.00
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$195.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$221.00
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$195.00
|
| Rate for Payer: PHP Commercial |
$221.00
|
| Rate for Payer: Priority Health SBD |
$163.80
|
| Rate for Payer: UMR Bronson Commercial |
$114.40
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$195.00
|
|
|
HC COVID FLU AB RSV GENEMARKERS
|
Facility
|
OP
|
$260.00
|
|
|
Service Code
|
CPT 87637
|
| Hospital Charge Code |
30600316
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$74.60 |
| Max. Negotiated Rate |
$427.89 |
| Rate for Payer: Aetna American Axle |
$169.00
|
| Rate for Payer: Aetna Commercial |
$221.00
|
| Rate for Payer: Aetna Medicare |
$148.34
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$169.00
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$178.29
|
| Rate for Payer: Amish Plain Church Group Commercial |
$178.29
|
| Rate for Payer: BCBS Complete |
$78.33
|
| Rate for Payer: BCBS MAPPO |
$142.63
|
| Rate for Payer: BCBS Trust/PPO |
$164.87
|
| Rate for Payer: BCN Commercial |
$164.87
|
| Rate for Payer: BCN Medicare Advantage |
$142.63
|
| Rate for Payer: Cash Price |
$208.00
|
| Rate for Payer: Cash Price |
$208.00
|
| Rate for Payer: Cofinity Advantage |
$182.00
|
| Rate for Payer: Cofinity Commercial |
$223.60
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$208.00
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$142.63
|
| Rate for Payer: Healthscope Commercial |
$234.00
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$182.00
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$195.00
|
| Rate for Payer: Mclaren Medicaid |
$142.63
|
| Rate for Payer: Mclaren Medicare |
$142.63
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$149.76
|
| Rate for Payer: Meridian Medicaid |
$149.76
|
| Rate for Payer: MI Amish Medical Board Commercial |
$164.02
|
| Rate for Payer: Molina Medicare/Medicaid |
$156.89
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$221.00
|
| Rate for Payer: Nomi Health Commercial |
$427.89
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$195.00
|
| Rate for Payer: PACE Medicare |
$135.50
|
| Rate for Payer: PACE SWMI |
$142.63
|
| Rate for Payer: PHP Commercial |
$221.00
|
| Rate for Payer: PHP Medicare Advantage |
$142.63
|
| Rate for Payer: Priority Health Choice Medicaid |
$74.60
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$142.63
|
| Rate for Payer: Priority Health Medicare |
$142.63
|
| Rate for Payer: Priority Health SBD |
$163.80
|
| Rate for Payer: Priority Health Tiered Network |
$114.10
|
| Rate for Payer: Railroad Medicare Medicare |
$142.63
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$213.95
|
| Rate for Payer: UHC Core |
$213.95
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$142.63
|
| Rate for Payer: UHC Exchange |
$213.95
|
| Rate for Payer: UHC Medicaid |
$74.60
|
| Rate for Payer: UHCCP Medicaid |
$74.60
|
| Rate for Payer: UMR Bronson Commercial |
$96.20
|
| Rate for Payer: VA VA |
$142.63
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$195.00
|
|
|
HC COXIELLA BURNETTI ANTIBODY CMP
|
Facility
|
OP
|
$44.57
|
|
|
Service Code
|
CPT 86638
|
| Hospital Charge Code |
30200248
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$6.34 |
| Max. Negotiated Rate |
$40.11 |
| Rate for Payer: Aetna American Axle |
$28.97
|
| Rate for Payer: Aetna Commercial |
$37.88
|
| Rate for Payer: Aetna Medicare |
$12.60
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$28.97
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$15.15
|
| Rate for Payer: Amish Plain Church Group Commercial |
$15.15
|
| Rate for Payer: BCBS Complete |
$6.66
|
| Rate for Payer: BCBS MAPPO |
$12.12
|
| Rate for Payer: BCBS Trust/PPO |
$14.01
|
| Rate for Payer: BCN Commercial |
$14.01
|
| Rate for Payer: BCN Medicare Advantage |
$12.12
|
| Rate for Payer: Cash Price |
$35.66
|
| Rate for Payer: Cash Price |
$35.66
|
| Rate for Payer: Cofinity Advantage |
$31.20
|
| Rate for Payer: Cofinity Commercial |
$38.33
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$35.66
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$12.12
|
| Rate for Payer: Healthscope Commercial |
$40.11
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$31.20
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$33.43
|
| Rate for Payer: Mclaren Medicaid |
$12.12
|
| Rate for Payer: Mclaren Medicare |
$12.12
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$12.73
|
| Rate for Payer: Meridian Medicaid |
$12.73
|
| Rate for Payer: MI Amish Medical Board Commercial |
$13.94
|
| Rate for Payer: Molina Medicare/Medicaid |
$13.33
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$37.88
|
| Rate for Payer: Nomi Health Commercial |
$18.18
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$33.43
|
| Rate for Payer: PACE Medicare |
$11.51
|
| Rate for Payer: PACE SWMI |
$12.12
|
| Rate for Payer: PHP Commercial |
$37.88
|
| Rate for Payer: PHP Medicare Advantage |
$12.12
|
| Rate for Payer: Priority Health Choice Medicaid |
$6.34
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$12.12
|
| Rate for Payer: Priority Health Medicare |
$12.12
|
| Rate for Payer: Priority Health SBD |
$28.08
|
| Rate for Payer: Priority Health Tiered Network |
$9.70
|
| Rate for Payer: Railroad Medicare Medicare |
$12.12
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$18.18
|
| Rate for Payer: UHC Core |
$18.18
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$12.12
|
| Rate for Payer: UHC Exchange |
$18.18
|
| Rate for Payer: UHC Medicaid |
$6.34
|
| Rate for Payer: UHCCP Medicaid |
$6.34
|
| Rate for Payer: UMR Bronson Commercial |
$16.49
|
| Rate for Payer: VA VA |
$12.12
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$33.43
|
|
|
HC COXIELLA BURNETTI ANTIBODY CMP
|
Facility
|
IP
|
$44.57
|
|
|
Service Code
|
CPT 86638
|
| Hospital Charge Code |
30200248
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$19.61 |
| Max. Negotiated Rate |
$40.11 |
| Rate for Payer: Aetna American Axle |
$28.97
|
| Rate for Payer: Aetna Commercial |
$37.88
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$28.97
|
| Rate for Payer: Cash Price |
$35.66
|
| Rate for Payer: Cofinity Advantage |
$31.20
|
| Rate for Payer: Cofinity Commercial |
$38.33
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$35.66
|
| Rate for Payer: Healthscope Commercial |
$40.11
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$31.20
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$33.43
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$37.88
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$33.43
|
| Rate for Payer: PHP Commercial |
$37.88
|
| Rate for Payer: Priority Health SBD |
$28.08
|
| Rate for Payer: UMR Bronson Commercial |
$19.61
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$33.43
|
|
|
HC COXSACKIE A AB CMPT
|
Facility
|
IP
|
$21.23
|
|
|
Service Code
|
CPT 86658
|
| Hospital Charge Code |
30200266
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$9.34 |
| Max. Negotiated Rate |
$19.11 |
| Rate for Payer: Aetna American Axle |
$13.80
|
| Rate for Payer: Aetna Commercial |
$18.05
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$13.80
|
| Rate for Payer: Cash Price |
$16.98
|
| Rate for Payer: Cofinity Advantage |
$14.86
|
| Rate for Payer: Cofinity Commercial |
$18.26
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$16.98
|
| Rate for Payer: Healthscope Commercial |
$19.11
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$14.86
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$15.92
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$18.05
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$15.92
|
| Rate for Payer: PHP Commercial |
$18.05
|
| Rate for Payer: Priority Health SBD |
$13.37
|
| Rate for Payer: UMR Bronson Commercial |
$9.34
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$15.92
|
|
|
HC COXSACKIE A AB CMPT
|
Facility
|
OP
|
$21.23
|
|
|
Service Code
|
CPT 86658
|
| Hospital Charge Code |
30200266
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$6.81 |
| Max. Negotiated Rate |
$19.55 |
| Rate for Payer: Aetna American Axle |
$13.80
|
| Rate for Payer: Aetna Commercial |
$18.05
|
| Rate for Payer: Aetna Medicare |
$13.55
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$13.80
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$16.29
|
| Rate for Payer: Amish Plain Church Group Commercial |
$16.29
|
| Rate for Payer: BCBS Complete |
$7.16
|
| Rate for Payer: BCBS MAPPO |
$13.03
|
| Rate for Payer: BCBS Trust/PPO |
$15.06
|
| Rate for Payer: BCN Commercial |
$15.06
|
| Rate for Payer: BCN Medicare Advantage |
$13.03
|
| Rate for Payer: Cash Price |
$16.98
|
| Rate for Payer: Cash Price |
$16.98
|
| Rate for Payer: Cofinity Advantage |
$14.86
|
| Rate for Payer: Cofinity Commercial |
$18.26
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$16.98
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$13.03
|
| Rate for Payer: Healthscope Commercial |
$19.11
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$14.86
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$15.92
|
| Rate for Payer: Mclaren Medicaid |
$13.03
|
| Rate for Payer: Mclaren Medicare |
$13.03
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$13.68
|
| Rate for Payer: Meridian Medicaid |
$13.68
|
| Rate for Payer: MI Amish Medical Board Commercial |
$14.98
|
| Rate for Payer: Molina Medicare/Medicaid |
$14.33
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$18.05
|
| Rate for Payer: Nomi Health Commercial |
$19.55
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$15.92
|
| Rate for Payer: PACE Medicare |
$12.38
|
| Rate for Payer: PACE SWMI |
$13.03
|
| Rate for Payer: PHP Commercial |
$18.05
|
| Rate for Payer: PHP Medicare Advantage |
$13.03
|
| Rate for Payer: Priority Health Choice Medicaid |
$6.81
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$13.03
|
| Rate for Payer: Priority Health Medicare |
$13.03
|
| Rate for Payer: Priority Health SBD |
$13.37
|
| Rate for Payer: Priority Health Tiered Network |
$10.42
|
| Rate for Payer: Railroad Medicare Medicare |
$13.03
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$19.55
|
| Rate for Payer: UHC Core |
$19.55
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$13.03
|
| Rate for Payer: UHC Exchange |
$19.55
|
| Rate for Payer: UHC Medicaid |
$6.81
|
| Rate for Payer: UHCCP Medicaid |
$6.81
|
| Rate for Payer: UMR Bronson Commercial |
$7.86
|
| Rate for Payer: VA VA |
$13.03
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$15.92
|
|
|
HC COXSACKIE B AB CMPT
|
Facility
|
OP
|
$21.23
|
|
|
Service Code
|
CPT 86658
|
| Hospital Charge Code |
30200265
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$6.81 |
| Max. Negotiated Rate |
$19.55 |
| Rate for Payer: Aetna American Axle |
$13.80
|
| Rate for Payer: Aetna Commercial |
$18.05
|
| Rate for Payer: Aetna Medicare |
$13.55
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$13.80
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$16.29
|
| Rate for Payer: Amish Plain Church Group Commercial |
$16.29
|
| Rate for Payer: BCBS Complete |
$7.16
|
| Rate for Payer: BCBS MAPPO |
$13.03
|
| Rate for Payer: BCBS Trust/PPO |
$15.06
|
| Rate for Payer: BCN Commercial |
$15.06
|
| Rate for Payer: BCN Medicare Advantage |
$13.03
|
| Rate for Payer: Cash Price |
$16.98
|
| Rate for Payer: Cash Price |
$16.98
|
| Rate for Payer: Cofinity Advantage |
$14.86
|
| Rate for Payer: Cofinity Commercial |
$18.26
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$16.98
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$13.03
|
| Rate for Payer: Healthscope Commercial |
$19.11
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$14.86
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$15.92
|
| Rate for Payer: Mclaren Medicaid |
$13.03
|
| Rate for Payer: Mclaren Medicare |
$13.03
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$13.68
|
| Rate for Payer: Meridian Medicaid |
$13.68
|
| Rate for Payer: MI Amish Medical Board Commercial |
$14.98
|
| Rate for Payer: Molina Medicare/Medicaid |
$14.33
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$18.05
|
| Rate for Payer: Nomi Health Commercial |
$19.55
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$15.92
|
| Rate for Payer: PACE Medicare |
$12.38
|
| Rate for Payer: PACE SWMI |
$13.03
|
| Rate for Payer: PHP Commercial |
$18.05
|
| Rate for Payer: PHP Medicare Advantage |
$13.03
|
| Rate for Payer: Priority Health Choice Medicaid |
$6.81
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$13.03
|
| Rate for Payer: Priority Health Medicare |
$13.03
|
| Rate for Payer: Priority Health SBD |
$13.37
|
| Rate for Payer: Priority Health Tiered Network |
$10.42
|
| Rate for Payer: Railroad Medicare Medicare |
$13.03
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$19.55
|
| Rate for Payer: UHC Core |
$19.55
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$13.03
|
| Rate for Payer: UHC Exchange |
$19.55
|
| Rate for Payer: UHC Medicaid |
$6.81
|
| Rate for Payer: UHCCP Medicaid |
$6.81
|
| Rate for Payer: UMR Bronson Commercial |
$7.86
|
| Rate for Payer: VA VA |
$13.03
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$15.92
|
|
|
HC COXSACKIE B AB CMPT
|
Facility
|
IP
|
$21.23
|
|
|
Service Code
|
CPT 86658
|
| Hospital Charge Code |
30200265
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$9.34 |
| Max. Negotiated Rate |
$19.11 |
| Rate for Payer: Aetna American Axle |
$13.80
|
| Rate for Payer: Aetna Commercial |
$18.05
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$13.80
|
| Rate for Payer: Cash Price |
$16.98
|
| Rate for Payer: Cofinity Advantage |
$14.86
|
| Rate for Payer: Cofinity Commercial |
$18.26
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$16.98
|
| Rate for Payer: Healthscope Commercial |
$19.11
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$14.86
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$15.92
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$18.05
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$15.92
|
| Rate for Payer: PHP Commercial |
$18.05
|
| Rate for Payer: Priority Health SBD |
$13.37
|
| Rate for Payer: UMR Bronson Commercial |
$9.34
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$15.92
|
|
|
HC C PEPTIDE LEVEL
|
Facility
|
IP
|
$38.20
|
|
|
Service Code
|
CPT 84681
|
| Hospital Charge Code |
30100464
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$16.81 |
| Max. Negotiated Rate |
$34.38 |
| Rate for Payer: Aetna American Axle |
$24.83
|
| Rate for Payer: Aetna Commercial |
$32.47
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$24.83
|
| Rate for Payer: Cash Price |
$30.56
|
| Rate for Payer: Cofinity Advantage |
$26.74
|
| Rate for Payer: Cofinity Commercial |
$32.85
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$30.56
|
| Rate for Payer: Healthscope Commercial |
$34.38
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$26.74
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$28.65
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$32.47
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$28.65
|
| Rate for Payer: PHP Commercial |
$32.47
|
| Rate for Payer: Priority Health SBD |
$24.07
|
| Rate for Payer: UMR Bronson Commercial |
$16.81
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$28.65
|
|
|
HC C PEPTIDE LEVEL
|
Facility
|
OP
|
$38.20
|
|
|
Service Code
|
CPT 84681
|
| Hospital Charge Code |
30100464
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$10.88 |
| Max. Negotiated Rate |
$34.38 |
| Rate for Payer: Aetna American Axle |
$24.83
|
| Rate for Payer: Aetna Commercial |
$32.47
|
| Rate for Payer: Aetna Medicare |
$21.64
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$24.83
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$26.01
|
| Rate for Payer: Amish Plain Church Group Commercial |
$26.01
|
| Rate for Payer: BCBS Complete |
$11.43
|
| Rate for Payer: BCBS MAPPO |
$20.81
|
| Rate for Payer: BCBS Trust/PPO |
$24.06
|
| Rate for Payer: BCN Commercial |
$24.06
|
| Rate for Payer: BCN Medicare Advantage |
$20.81
|
| Rate for Payer: Cash Price |
$30.56
|
| Rate for Payer: Cash Price |
$30.56
|
| Rate for Payer: Cofinity Advantage |
$26.74
|
| Rate for Payer: Cofinity Commercial |
$32.85
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$30.56
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$20.81
|
| Rate for Payer: Healthscope Commercial |
$34.38
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$26.74
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$28.65
|
| Rate for Payer: Mclaren Medicaid |
$20.81
|
| Rate for Payer: Mclaren Medicare |
$20.81
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$21.85
|
| Rate for Payer: Meridian Medicaid |
$21.85
|
| Rate for Payer: MI Amish Medical Board Commercial |
$23.93
|
| Rate for Payer: Molina Medicare/Medicaid |
$22.89
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$32.47
|
| Rate for Payer: Nomi Health Commercial |
$31.21
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$28.65
|
| Rate for Payer: PACE Medicare |
$19.77
|
| Rate for Payer: PACE SWMI |
$20.81
|
| Rate for Payer: PHP Commercial |
$32.47
|
| Rate for Payer: PHP Medicare Advantage |
$20.81
|
| Rate for Payer: Priority Health Choice Medicaid |
$10.88
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$20.81
|
| Rate for Payer: Priority Health Medicare |
$20.81
|
| Rate for Payer: Priority Health SBD |
$24.07
|
| Rate for Payer: Priority Health Tiered Network |
$16.65
|
| Rate for Payer: Railroad Medicare Medicare |
$20.81
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$31.22
|
| Rate for Payer: UHC Core |
$31.22
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$20.81
|
| Rate for Payer: UHC Exchange |
$31.22
|
| Rate for Payer: UHC Medicaid |
$10.88
|
| Rate for Payer: UHCCP Medicaid |
$10.88
|
| Rate for Payer: UMR Bronson Commercial |
$14.13
|
| Rate for Payer: VA VA |
$20.81
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$28.65
|
|
|
HC CPK
|
Facility
|
IP
|
$54.33
|
|
|
Service Code
|
CPT 82550
|
| Hospital Charge Code |
30100178
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$23.91 |
| Max. Negotiated Rate |
$48.90 |
| Rate for Payer: Aetna American Axle |
$35.31
|
| Rate for Payer: Aetna Commercial |
$46.18
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$35.31
|
| Rate for Payer: Cash Price |
$43.46
|
| Rate for Payer: Cofinity Advantage |
$38.03
|
| Rate for Payer: Cofinity Commercial |
$46.72
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$43.46
|
| Rate for Payer: Healthscope Commercial |
$48.90
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$38.03
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$40.75
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$46.18
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$40.75
|
| Rate for Payer: PHP Commercial |
$46.18
|
| Rate for Payer: Priority Health SBD |
$34.23
|
| Rate for Payer: UMR Bronson Commercial |
$23.91
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$40.75
|
|
|
HC CPK
|
Facility
|
OP
|
$54.33
|
|
|
Service Code
|
CPT 82550
|
| Hospital Charge Code |
30100178
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$3.40 |
| Max. Negotiated Rate |
$48.90 |
| Rate for Payer: Aetna American Axle |
$35.31
|
| Rate for Payer: Aetna Commercial |
$46.18
|
| Rate for Payer: Aetna Medicare |
$6.77
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$35.31
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$8.14
|
| Rate for Payer: Amish Plain Church Group Commercial |
$8.14
|
| Rate for Payer: BCBS Complete |
$3.58
|
| Rate for Payer: BCBS MAPPO |
$6.51
|
| Rate for Payer: BCN Medicare Advantage |
$6.51
|
| Rate for Payer: Cash Price |
$43.46
|
| Rate for Payer: Cash Price |
$43.46
|
| Rate for Payer: Cofinity Advantage |
$38.03
|
| Rate for Payer: Cofinity Commercial |
$46.72
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$43.46
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$6.51
|
| Rate for Payer: Healthscope Commercial |
$48.90
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$38.03
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$40.75
|
| Rate for Payer: Mclaren Medicaid |
$6.51
|
| Rate for Payer: Mclaren Medicare |
$6.51
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$6.84
|
| Rate for Payer: Meridian Medicaid |
$6.84
|
| Rate for Payer: MI Amish Medical Board Commercial |
$7.49
|
| Rate for Payer: Molina Medicare/Medicaid |
$7.16
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$46.18
|
| Rate for Payer: Nomi Health Commercial |
$9.77
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$40.75
|
| Rate for Payer: PACE Medicare |
$6.18
|
| Rate for Payer: PACE SWMI |
$6.51
|
| Rate for Payer: PHP Commercial |
$46.18
|
| Rate for Payer: PHP Medicare Advantage |
$6.51
|
| Rate for Payer: Priority Health Choice Medicaid |
$3.40
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$6.51
|
| Rate for Payer: Priority Health Medicare |
$6.51
|
| Rate for Payer: Priority Health SBD |
$34.23
|
| Rate for Payer: Priority Health Tiered Network |
$5.21
|
| Rate for Payer: Railroad Medicare Medicare |
$6.51
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$9.77
|
| Rate for Payer: UHC Core |
$9.77
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$6.51
|
| Rate for Payer: UHC Exchange |
$9.77
|
| Rate for Payer: UHC Medicaid |
$3.40
|
| Rate for Payer: UHCCP Medicaid |
$3.40
|
| Rate for Payer: UMR Bronson Commercial |
$20.10
|
| Rate for Payer: VA VA |
$6.51
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$40.75
|
|
|
HC CPLX CHRNC CARE 1ST 60 MIN
|
Facility
|
OP
|
$420.54
|
|
|
Service Code
|
CPT 99487
|
| Hospital Charge Code |
51000108
|
|
Hospital Revenue Code
|
510
|
| Min. Negotiated Rate |
$92.50 |
| Max. Negotiated Rate |
$571.94 |
| Rate for Payer: Aetna American Axle |
$273.35
|
| Rate for Payer: Aetna Commercial |
$357.46
|
| Rate for Payer: Aetna Medicare |
$183.93
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$273.35
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$221.07
|
| Rate for Payer: Amish Plain Church Group Commercial |
$221.07
|
| Rate for Payer: BCBS Complete |
$97.13
|
| Rate for Payer: BCBS MAPPO |
$176.86
|
| Rate for Payer: BCN Medicare Advantage |
$176.86
|
| Rate for Payer: Cash Price |
$336.43
|
| Rate for Payer: Cash Price |
$336.43
|
| Rate for Payer: Cofinity Advantage |
$294.38
|
| Rate for Payer: Cofinity Commercial |
$361.66
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$336.43
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$176.86
|
| Rate for Payer: Healthscope Commercial |
$378.49
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$294.38
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$315.40
|
| Rate for Payer: Mclaren Medicaid |
$176.86
|
| Rate for Payer: Mclaren Medicare |
$176.86
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$185.70
|
| Rate for Payer: Meridian Medicaid |
$185.70
|
| Rate for Payer: MI Amish Medical Board Commercial |
$203.39
|
| Rate for Payer: Molina Medicare/Medicaid |
$194.55
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$357.46
|
| Rate for Payer: Nomi Health Commercial |
$530.58
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$315.40
|
| Rate for Payer: PACE Medicare |
$168.02
|
| Rate for Payer: PACE SWMI |
$176.86
|
| Rate for Payer: PHP Commercial |
$357.46
|
| Rate for Payer: PHP Medicare Advantage |
$176.86
|
| Rate for Payer: Priority Health Choice Medicaid |
$92.50
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$571.94
|
| Rate for Payer: Priority Health Medicare |
$176.86
|
| Rate for Payer: Priority Health SBD |
$264.94
|
| Rate for Payer: Priority Health Tiered Network |
$457.55
|
| Rate for Payer: Railroad Medicare Medicare |
$176.86
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$273.35
|
| Rate for Payer: UHC Core |
$219.10
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$176.86
|
| Rate for Payer: UHC Exchange |
$165.27
|
| Rate for Payer: UHC Medicaid |
$92.50
|
| Rate for Payer: UHCCP Medicaid |
$92.50
|
| Rate for Payer: UMR Bronson Commercial |
$155.60
|
| Rate for Payer: VA VA |
$176.86
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$315.40
|
|
|
HC CPLX CHRNC CARE 1ST 60 MIN
|
Facility
|
IP
|
$420.54
|
|
|
Service Code
|
CPT 99487
|
| Hospital Charge Code |
51000108
|
|
Hospital Revenue Code
|
510
|
| Min. Negotiated Rate |
$185.04 |
| Max. Negotiated Rate |
$378.49 |
| Rate for Payer: Aetna American Axle |
$273.35
|
| Rate for Payer: Aetna Commercial |
$357.46
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$273.35
|
| Rate for Payer: Cash Price |
$336.43
|
| Rate for Payer: Cofinity Advantage |
$294.38
|
| Rate for Payer: Cofinity Commercial |
$361.66
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$336.43
|
| Rate for Payer: Healthscope Commercial |
$378.49
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$294.38
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$315.40
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$357.46
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$315.40
|
| Rate for Payer: PHP Commercial |
$357.46
|
| Rate for Payer: Priority Health SBD |
$264.94
|
| Rate for Payer: UMR Bronson Commercial |
$185.04
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$315.40
|
|
|
HC CPR
|
Facility
|
IP
|
$999.61
|
|
|
Service Code
|
CPT 92950
|
| Hospital Charge Code |
45000018
|
|
Hospital Revenue Code
|
450
|
| Min. Negotiated Rate |
$439.83 |
| Max. Negotiated Rate |
$899.65 |
| Rate for Payer: Aetna American Axle |
$649.75
|
| Rate for Payer: Aetna Commercial |
$849.67
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$649.75
|
| Rate for Payer: Cash Price |
$799.69
|
| Rate for Payer: Cofinity Advantage |
$699.73
|
| Rate for Payer: Cofinity Commercial |
$859.66
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$799.69
|
| Rate for Payer: Healthscope Commercial |
$899.65
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$699.73
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$749.71
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$849.67
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$749.71
|
| Rate for Payer: PHP Commercial |
$849.67
|
| Rate for Payer: Priority Health SBD |
$629.75
|
| Rate for Payer: UMR Bronson Commercial |
$439.83
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$749.71
|
|
|
HC CPR
|
Facility
|
OP
|
$999.61
|
|
|
Service Code
|
CPT 92950
|
| Hospital Charge Code |
45000018
|
|
Hospital Revenue Code
|
450
|
| Min. Negotiated Rate |
$112.52 |
| Max. Negotiated Rate |
$899.65 |
| Rate for Payer: Aetna American Axle |
$649.75
|
| Rate for Payer: Aetna Commercial |
$849.67
|
| Rate for Payer: Aetna Medicare |
$223.76
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$649.75
|
| 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 |
$379.48
|
| Rate for Payer: BCN Commercial |
$379.48
|
| Rate for Payer: BCN Medicare Advantage |
$215.15
|
| Rate for Payer: Cash Price |
$799.69
|
| Rate for Payer: Cash Price |
$799.69
|
| Rate for Payer: Cash Price |
$799.69
|
| Rate for Payer: Cofinity Advantage |
$699.73
|
| Rate for Payer: Cofinity Commercial |
$859.66
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$799.69
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$215.15
|
| Rate for Payer: Healthscope Commercial |
$899.65
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$699.73
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$749.71
|
| 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 |
$849.67
|
| Rate for Payer: Nomi Health Commercial |
$645.45
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$749.71
|
| Rate for Payer: PACE Medicare |
$204.39
|
| Rate for Payer: PACE SWMI |
$215.15
|
| Rate for Payer: PHP Commercial |
$849.67
|
| 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 |
$629.75
|
| 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 |
$125.00
|
| Rate for Payer: UMR Bronson Commercial |
$369.86
|
| Rate for Payer: VA VA |
$215.15
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$749.71
|
|
|
HC CRAB IGE
|
Facility
|
IP
|
$25.90
|
|
|
Service Code
|
CPT 86003
|
| Hospital Charge Code |
30200037
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$11.40 |
| Max. Negotiated Rate |
$23.31 |
| Rate for Payer: Aetna American Axle |
$16.84
|
| Rate for Payer: Aetna Commercial |
$22.02
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$16.84
|
| Rate for Payer: Cash Price |
$20.72
|
| Rate for Payer: Cofinity Advantage |
$18.13
|
| Rate for Payer: Cofinity Commercial |
$22.27
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$20.72
|
| Rate for Payer: Healthscope Commercial |
$23.31
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$18.13
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$19.43
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$22.02
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$19.43
|
| Rate for Payer: PHP Commercial |
$22.02
|
| Rate for Payer: Priority Health SBD |
$16.32
|
| Rate for Payer: UMR Bronson Commercial |
$11.40
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$19.43
|
|
|
HC CRAB IGE
|
Facility
|
OP
|
$25.90
|
|
|
Service Code
|
CPT 86003
|
| Hospital Charge Code |
30200037
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$2.73 |
| Max. Negotiated Rate |
$23.31 |
| Rate for Payer: Aetna American Axle |
$16.84
|
| Rate for Payer: Aetna Commercial |
$22.02
|
| Rate for Payer: Aetna Medicare |
$5.43
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$16.84
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$6.53
|
| Rate for Payer: Amish Plain Church Group Commercial |
$6.53
|
| Rate for Payer: BCBS Complete |
$2.87
|
| Rate for Payer: BCBS MAPPO |
$5.22
|
| Rate for Payer: BCBS Trust/PPO |
$6.04
|
| Rate for Payer: BCN Commercial |
$6.04
|
| Rate for Payer: BCN Medicare Advantage |
$5.22
|
| Rate for Payer: Cash Price |
$20.72
|
| Rate for Payer: Cash Price |
$20.72
|
| Rate for Payer: Cofinity Advantage |
$18.13
|
| Rate for Payer: Cofinity Commercial |
$22.27
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$20.72
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$5.22
|
| Rate for Payer: Healthscope Commercial |
$23.31
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$18.13
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$19.43
|
| Rate for Payer: Mclaren Medicaid |
$5.22
|
| Rate for Payer: Mclaren Medicare |
$5.22
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$5.48
|
| Rate for Payer: Meridian Medicaid |
$5.48
|
| Rate for Payer: MI Amish Medical Board Commercial |
$6.00
|
| Rate for Payer: Molina Medicare/Medicaid |
$5.74
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$22.02
|
| Rate for Payer: Nomi Health Commercial |
$7.83
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$19.43
|
| Rate for Payer: PACE Medicare |
$4.96
|
| Rate for Payer: PACE SWMI |
$5.22
|
| Rate for Payer: PHP Commercial |
$22.02
|
| Rate for Payer: PHP Medicare Advantage |
$5.22
|
| Rate for Payer: Priority Health Choice Medicaid |
$2.73
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$5.22
|
| Rate for Payer: Priority Health Medicare |
$5.22
|
| Rate for Payer: Priority Health SBD |
$16.32
|
| Rate for Payer: Priority Health Tiered Network |
$4.18
|
| Rate for Payer: Railroad Medicare Medicare |
$5.22
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$7.83
|
| Rate for Payer: UHC Core |
$7.83
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$5.22
|
| Rate for Payer: UHC Exchange |
$7.83
|
| Rate for Payer: UHC Medicaid |
$2.73
|
| Rate for Payer: UHCCP Medicaid |
$2.73
|
| Rate for Payer: UMR Bronson Commercial |
$9.58
|
| Rate for Payer: VA VA |
$5.22
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$19.43
|
|
|
HC CRE
|
Facility
|
OP
|
$1,482.28
|
|
|
Service Code
|
HCPCS C1726
|
| Hospital Charge Code |
27200104
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$0.03 |
| Max. Negotiated Rate |
$1,334.05 |
| Rate for Payer: Aetna American Axle |
$963.48
|
| Rate for Payer: Aetna Commercial |
$1,259.94
|
| Rate for Payer: Aetna Medicare |
$741.14
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$963.48
|
| Rate for Payer: BCBS Complete |
$592.91
|
| Rate for Payer: BCBS Trust/PPO |
$0.03
|
| Rate for Payer: BCN Commercial |
$0.03
|
| Rate for Payer: Cash Price |
$1,185.82
|
| Rate for Payer: Cash Price |
$1,185.82
|
| Rate for Payer: Cofinity Advantage |
$1,037.60
|
| Rate for Payer: Cofinity Commercial |
$1,274.76
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,185.82
|
| Rate for Payer: Healthscope Commercial |
$1,334.05
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,037.60
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,111.71
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,185.82
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,259.94
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,111.71
|
| Rate for Payer: PHP Commercial |
$1,259.94
|
| Rate for Payer: Priority Health SBD |
$933.84
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$963.48
|
| Rate for Payer: UHC Core |
$772.27
|
| Rate for Payer: UHC Exchange |
$582.54
|
| Rate for Payer: UMR Bronson Commercial |
$548.44
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,111.71
|
|
|
HC CRE
|
Facility
|
IP
|
$1,482.28
|
|
|
Service Code
|
HCPCS C1726
|
| Hospital Charge Code |
27200104
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$652.20 |
| Max. Negotiated Rate |
$1,334.05 |
| Rate for Payer: Aetna American Axle |
$963.48
|
| Rate for Payer: Aetna Commercial |
$1,259.94
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$963.48
|
| Rate for Payer: Cash Price |
$1,185.82
|
| Rate for Payer: Cofinity Advantage |
$1,037.60
|
| Rate for Payer: Cofinity Commercial |
$1,274.76
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,185.82
|
| Rate for Payer: Healthscope Commercial |
$1,334.05
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,037.60
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,111.71
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,259.94
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,111.71
|
| Rate for Payer: PHP Commercial |
$1,259.94
|
| Rate for Payer: Priority Health SBD |
$933.84
|
| Rate for Payer: UMR Bronson Commercial |
$652.20
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,111.71
|
|
|
HC C REACTIVE PROTEIN
|
Facility
|
OP
|
$62.84
|
|
|
Service Code
|
CPT 86140
|
| Hospital Charge Code |
30200137
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$2.71 |
| Max. Negotiated Rate |
$56.56 |
| Rate for Payer: Aetna American Axle |
$40.85
|
| Rate for Payer: Aetna Commercial |
$53.41
|
| Rate for Payer: Aetna Medicare |
$5.39
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$40.85
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$6.47
|
| Rate for Payer: Amish Plain Church Group Commercial |
$6.47
|
| Rate for Payer: BCBS Complete |
$2.84
|
| Rate for Payer: BCBS MAPPO |
$5.18
|
| Rate for Payer: BCBS Trust/PPO |
$6.00
|
| Rate for Payer: BCN Commercial |
$6.00
|
| Rate for Payer: BCN Medicare Advantage |
$5.18
|
| Rate for Payer: Cash Price |
$50.27
|
| Rate for Payer: Cash Price |
$50.27
|
| Rate for Payer: Cofinity Advantage |
$43.99
|
| Rate for Payer: Cofinity Commercial |
$54.04
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$50.27
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$5.18
|
| Rate for Payer: Healthscope Commercial |
$56.56
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$43.99
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$47.13
|
| Rate for Payer: Mclaren Medicaid |
$5.18
|
| Rate for Payer: Mclaren Medicare |
$5.18
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$5.44
|
| Rate for Payer: Meridian Medicaid |
$5.44
|
| Rate for Payer: MI Amish Medical Board Commercial |
$5.96
|
| Rate for Payer: Molina Medicare/Medicaid |
$5.70
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$53.41
|
| Rate for Payer: Nomi Health Commercial |
$7.77
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$47.13
|
| Rate for Payer: PACE Medicare |
$4.92
|
| Rate for Payer: PACE SWMI |
$5.18
|
| Rate for Payer: PHP Commercial |
$53.41
|
| Rate for Payer: PHP Medicare Advantage |
$5.18
|
| Rate for Payer: Priority Health Choice Medicaid |
$2.71
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$5.18
|
| Rate for Payer: Priority Health Medicare |
$5.18
|
| Rate for Payer: Priority Health SBD |
$39.59
|
| Rate for Payer: Priority Health Tiered Network |
$4.14
|
| Rate for Payer: Railroad Medicare Medicare |
$5.18
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$7.77
|
| Rate for Payer: UHC Core |
$7.77
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$5.18
|
| Rate for Payer: UHC Exchange |
$7.77
|
| Rate for Payer: UHC Medicaid |
$2.71
|
| Rate for Payer: UHCCP Medicaid |
$2.71
|
| Rate for Payer: UMR Bronson Commercial |
$23.25
|
| Rate for Payer: VA VA |
$5.18
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$47.13
|
|
|
HC C REACTIVE PROTEIN
|
Facility
|
IP
|
$62.84
|
|
|
Service Code
|
CPT 86140
|
| Hospital Charge Code |
30200137
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$27.65 |
| Max. Negotiated Rate |
$56.56 |
| Rate for Payer: Aetna American Axle |
$40.85
|
| Rate for Payer: Aetna Commercial |
$53.41
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$40.85
|
| Rate for Payer: Cash Price |
$50.27
|
| Rate for Payer: Cofinity Advantage |
$43.99
|
| Rate for Payer: Cofinity Commercial |
$54.04
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$50.27
|
| Rate for Payer: Healthscope Commercial |
$56.56
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$43.99
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$47.13
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$53.41
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$47.13
|
| Rate for Payer: PHP Commercial |
$53.41
|
| Rate for Payer: Priority Health SBD |
$39.59
|
| Rate for Payer: UMR Bronson Commercial |
$27.65
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$47.13
|
|
|
HC CREATE TEAR SAC DRAIN
|
Facility
|
IP
|
$5,261.47
|
|
|
Service Code
|
CPT 68720
|
| Hospital Charge Code |
76100308
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$2,315.05 |
| Max. Negotiated Rate |
$4,735.32 |
| Rate for Payer: Aetna American Axle |
$3,419.96
|
| Rate for Payer: Aetna Commercial |
$4,472.25
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$3,419.96
|
| Rate for Payer: Cash Price |
$4,209.18
|
| Rate for Payer: Cofinity Advantage |
$3,683.03
|
| Rate for Payer: Cofinity Commercial |
$4,524.86
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$4,209.18
|
| Rate for Payer: Healthscope Commercial |
$4,735.32
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$3,683.03
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$3,946.10
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$4,472.25
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$3,946.10
|
| Rate for Payer: PHP Commercial |
$4,472.25
|
| Rate for Payer: Priority Health SBD |
$3,314.73
|
| Rate for Payer: UMR Bronson Commercial |
$2,315.05
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$3,946.10
|
|
|
HC CREATE TEAR SAC DRAIN
|
Facility
|
OP
|
$5,261.47
|
|
|
Service Code
|
CPT 68720
|
| Hospital Charge Code |
76100308
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$1,946.74 |
| Max. Negotiated Rate |
$12,668.06 |
| Rate for Payer: Aetna American Axle |
$3,419.96
|
| Rate for Payer: Aetna Commercial |
$4,472.25
|
| Rate for Payer: Aetna Medicare |
$4,073.95
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$3,419.96
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$4,896.57
|
| Rate for Payer: Amish Plain Church Group Commercial |
$4,896.57
|
| Rate for Payer: BCBS Complete |
$2,151.36
|
| Rate for Payer: BCBS MAPPO |
$3,917.26
|
| Rate for Payer: BCBS Trust/PPO |
$2,863.79
|
| Rate for Payer: BCN Commercial |
$2,863.79
|
| Rate for Payer: BCN Medicare Advantage |
$3,917.26
|
| Rate for Payer: Cash Price |
$4,209.18
|
| Rate for Payer: Cash Price |
$4,209.18
|
| Rate for Payer: Cash Price |
$4,209.18
|
| Rate for Payer: Cofinity Advantage |
$3,683.03
|
| Rate for Payer: Cofinity Commercial |
$4,524.86
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$4,209.18
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$3,917.26
|
| Rate for Payer: Healthscope Commercial |
$4,735.32
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$3,683.03
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$3,946.10
|
| Rate for Payer: Mclaren Medicaid |
$3,917.26
|
| Rate for Payer: Mclaren Medicare |
$3,917.26
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$4,113.12
|
| Rate for Payer: Meridian Medicaid |
$4,113.12
|
| Rate for Payer: MI Amish Medical Board Commercial |
$4,504.85
|
| Rate for Payer: Molina Medicare/Medicaid |
$4,308.99
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$4,472.25
|
| Rate for Payer: Nomi Health Commercial |
$11,751.78
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$3,946.10
|
| Rate for Payer: PACE Medicare |
$3,721.40
|
| Rate for Payer: PACE SWMI |
$3,917.26
|
| Rate for Payer: PHP Commercial |
$4,472.25
|
| Rate for Payer: PHP Medicare Advantage |
$3,917.26
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,048.73
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$12,668.06
|
| Rate for Payer: Priority Health Medicare |
$3,917.26
|
| Rate for Payer: Priority Health SBD |
$3,314.73
|
| Rate for Payer: Priority Health Tiered Network |
$10,134.45
|
| Rate for Payer: Railroad Medicare Medicare |
$3,917.26
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$3,419.96
|
| Rate for Payer: UHC Core |
$2,741.23
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$3,917.26
|
| Rate for Payer: UHC Exchange |
$2,067.76
|
| Rate for Payer: UHC Medicaid |
$2,048.73
|
| Rate for Payer: UHCCP Medicaid |
$2,048.73
|
| Rate for Payer: UMR Bronson Commercial |
$1,946.74
|
| Rate for Payer: VA VA |
$3,917.26
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$3,946.10
|
|
|
HC CREATININE CLEARANCE
|
Facility
|
OP
|
$78.45
|
|
|
Service Code
|
CPT 82575
|
| Hospital Charge Code |
30100182
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$4.95 |
| Max. Negotiated Rate |
$70.61 |
| Rate for Payer: Aetna American Axle |
$50.99
|
| Rate for Payer: Aetna Commercial |
$66.68
|
| Rate for Payer: Aetna Medicare |
$9.84
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$50.99
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$11.82
|
| Rate for Payer: Amish Plain Church Group Commercial |
$11.82
|
| Rate for Payer: BCBS Complete |
$5.20
|
| Rate for Payer: BCBS MAPPO |
$9.46
|
| Rate for Payer: BCBS Trust/PPO |
$10.94
|
| Rate for Payer: BCN Commercial |
$10.94
|
| Rate for Payer: BCN Medicare Advantage |
$9.46
|
| Rate for Payer: Cash Price |
$62.76
|
| Rate for Payer: Cash Price |
$62.76
|
| Rate for Payer: Cofinity Advantage |
$54.91
|
| Rate for Payer: Cofinity Commercial |
$67.47
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$62.76
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$9.46
|
| Rate for Payer: Healthscope Commercial |
$70.61
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$54.91
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$58.84
|
| Rate for Payer: Mclaren Medicaid |
$9.46
|
| Rate for Payer: Mclaren Medicare |
$9.46
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$9.93
|
| Rate for Payer: Meridian Medicaid |
$9.93
|
| Rate for Payer: MI Amish Medical Board Commercial |
$10.88
|
| Rate for Payer: Molina Medicare/Medicaid |
$10.41
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$66.68
|
| Rate for Payer: Nomi Health Commercial |
$14.19
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$58.84
|
| Rate for Payer: PACE Medicare |
$8.99
|
| Rate for Payer: PACE SWMI |
$9.46
|
| Rate for Payer: PHP Commercial |
$66.68
|
| Rate for Payer: PHP Medicare Advantage |
$9.46
|
| Rate for Payer: Priority Health Choice Medicaid |
$4.95
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$9.46
|
| Rate for Payer: Priority Health Medicare |
$9.46
|
| Rate for Payer: Priority Health SBD |
$49.42
|
| Rate for Payer: Priority Health Tiered Network |
$7.57
|
| Rate for Payer: Railroad Medicare Medicare |
$9.46
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$14.19
|
| Rate for Payer: UHC Core |
$14.19
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$9.46
|
| Rate for Payer: UHC Exchange |
$14.19
|
| Rate for Payer: UHC Medicaid |
$4.95
|
| Rate for Payer: UHCCP Medicaid |
$4.95
|
| Rate for Payer: UMR Bronson Commercial |
$29.03
|
| Rate for Payer: VA VA |
$9.46
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$58.84
|
|
