|
HC IR ATHERECTOMY TIB PERONL UNI
|
Facility
|
OP
|
$21,529.00
|
|
|
Service Code
|
CPT 37229
|
| Hospital Charge Code |
36100173
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$659.80 |
| Max. Negotiated Rate |
$49,067.27 |
| Rate for Payer: Aetna American Axle |
$13,993.85
|
| Rate for Payer: Aetna Commercial |
$18,299.65
|
| Rate for Payer: Aetna Medicare |
$16,210.04
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$13,993.85
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$19,483.22
|
| Rate for Payer: Amish Plain Church Group Commercial |
$19,483.22
|
| Rate for Payer: BCBS Complete |
$8,952.93
|
| Rate for Payer: BCBS MAPPO |
$15,586.58
|
| Rate for Payer: BCBS Trust/PPO |
$12,144.58
|
| Rate for Payer: BCN Medicare Advantage |
$15,586.58
|
| Rate for Payer: Cash Price |
$17,223.20
|
| Rate for Payer: Cash Price |
$17,223.20
|
| Rate for Payer: Cofinity Commercial |
$18,514.94
|
| Rate for Payer: Cofinity Commercial |
$15,070.30
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$17,223.20
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$15,586.58
|
| Rate for Payer: Healthscope Commercial |
$19,376.10
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$15,070.30
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$16,146.75
|
| Rate for Payer: Mclaren Medicaid |
$8,525.86
|
| Rate for Payer: Mclaren Medicare |
$15,586.58
|
| Rate for Payer: Meridian Medicaid |
$8,952.93
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$16,365.91
|
| Rate for Payer: MI Amish Medical Board Commercial |
$17,924.57
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$18,299.65
|
| Rate for Payer: PACE Medicare |
$14,807.25
|
| Rate for Payer: PACE SWMI |
$15,586.58
|
| Rate for Payer: PHP Commercial |
$18,299.65
|
| Rate for Payer: PHP Medicare Advantage |
$15,586.58
|
| Rate for Payer: Priority Health Choice Medicaid |
$8,525.86
|
| Rate for Payer: Priority Health Cigna Priority Health |
$15,070.30
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$49,067.27
|
| Rate for Payer: Priority Health Medicare |
$15,586.58
|
| Rate for Payer: Priority Health Narrow Network |
$39,253.82
|
| Rate for Payer: Priority Health SBD |
$13,563.27
|
| Rate for Payer: Railroad Medicare Medicare |
$15,586.58
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$725.78
|
| Rate for Payer: UHC Core |
$13,752.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$15,586.58
|
| Rate for Payer: UHC Exchange |
$659.80
|
| Rate for Payer: UHC Medicare Advantage |
$16,054.18
|
| Rate for Payer: UMR Bronson Commercial |
$7,965.73
|
| Rate for Payer: VA VA |
$15,586.58
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$16,146.75
|
|
|
HC IR ATHERECTOMY TIB PERONL UNI EACH ADDL
|
Facility
|
OP
|
$9,329.13
|
|
|
Service Code
|
CPT 37233
|
| Hospital Charge Code |
36100177
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$306.49 |
| Max. Negotiated Rate |
$13,752.00 |
| Rate for Payer: Aetna American Axle |
$6,063.93
|
| Rate for Payer: Aetna Commercial |
$7,929.76
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$6,063.93
|
| Rate for Payer: BCBS Complete |
$3,731.65
|
| Rate for Payer: BCBS Trust/PPO |
$4,897.00
|
| Rate for Payer: Cash Price |
$7,463.30
|
| Rate for Payer: Cash Price |
$7,463.30
|
| Rate for Payer: Cofinity Commercial |
$6,530.39
|
| Rate for Payer: Cofinity Commercial |
$8,023.05
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$7,463.30
|
| Rate for Payer: Healthscope Commercial |
$8,396.22
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$6,530.39
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$6,996.85
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$7,929.76
|
| Rate for Payer: PHP Commercial |
$7,929.76
|
| Rate for Payer: Priority Health Cigna Priority Health |
$6,530.39
|
| Rate for Payer: Priority Health SBD |
$5,877.35
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$337.14
|
| Rate for Payer: UHC Core |
$13,752.00
|
| Rate for Payer: UHC Exchange |
$306.49
|
| Rate for Payer: UMR Bronson Commercial |
$3,451.78
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$6,996.85
|
|
|
HC IR ATHERECTOMY TIB PERONL UNI EACH ADDL
|
Facility
|
IP
|
$9,329.13
|
|
|
Service Code
|
CPT 37233
|
| Hospital Charge Code |
36100177
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$4,104.82 |
| Max. Negotiated Rate |
$8,396.22 |
| Rate for Payer: Aetna American Axle |
$6,063.93
|
| Rate for Payer: Aetna Commercial |
$7,929.76
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$6,063.93
|
| Rate for Payer: Cash Price |
$7,463.30
|
| Rate for Payer: Cofinity Commercial |
$6,530.39
|
| Rate for Payer: Cofinity Commercial |
$8,023.05
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$7,463.30
|
| Rate for Payer: Healthscope Commercial |
$8,396.22
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$6,530.39
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$6,996.85
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$7,929.76
|
| Rate for Payer: PHP Commercial |
$7,929.76
|
| Rate for Payer: Priority Health Cigna Priority Health |
$6,530.39
|
| Rate for Payer: Priority Health SBD |
$5,877.35
|
| Rate for Payer: UMR Bronson Commercial |
$4,104.82
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$6,996.85
|
|
|
HC IR ATHERECT STENT TIB PERON UN
|
Facility
|
IP
|
$19,694.46
|
|
|
Service Code
|
CPT 37231
|
| Hospital Charge Code |
36100175
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$8,665.56 |
| Max. Negotiated Rate |
$17,725.01 |
| Rate for Payer: Aetna American Axle |
$12,801.40
|
| Rate for Payer: Aetna Commercial |
$16,740.29
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$12,801.40
|
| Rate for Payer: Cash Price |
$15,755.57
|
| Rate for Payer: Cofinity Commercial |
$13,786.12
|
| Rate for Payer: Cofinity Commercial |
$16,937.24
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$15,755.57
|
| Rate for Payer: Healthscope Commercial |
$17,725.01
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$13,786.12
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$14,770.84
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$16,740.29
|
| Rate for Payer: PHP Commercial |
$16,740.29
|
| Rate for Payer: Priority Health Cigna Priority Health |
$13,786.12
|
| Rate for Payer: Priority Health SBD |
$12,407.51
|
| Rate for Payer: UMR Bronson Commercial |
$8,665.56
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$14,770.84
|
|
|
HC IR ATHERECT STENT TIB PERON UN
|
Facility
|
OP
|
$19,694.46
|
|
|
Service Code
|
CPT 37231
|
| Hospital Charge Code |
36100175
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$699.09 |
| Max. Negotiated Rate |
$49,067.27 |
| Rate for Payer: Aetna American Axle |
$12,801.40
|
| Rate for Payer: Aetna Commercial |
$16,740.29
|
| Rate for Payer: Aetna Medicare |
$16,210.04
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$12,801.40
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$19,483.22
|
| Rate for Payer: Amish Plain Church Group Commercial |
$19,483.22
|
| Rate for Payer: BCBS Complete |
$8,952.93
|
| Rate for Payer: BCBS MAPPO |
$15,586.58
|
| Rate for Payer: BCBS Trust/PPO |
$16,829.08
|
| Rate for Payer: BCN Medicare Advantage |
$15,586.58
|
| Rate for Payer: Cash Price |
$15,755.57
|
| Rate for Payer: Cash Price |
$15,755.57
|
| Rate for Payer: Cofinity Commercial |
$13,786.12
|
| Rate for Payer: Cofinity Commercial |
$16,937.24
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$15,755.57
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$15,586.58
|
| Rate for Payer: Healthscope Commercial |
$17,725.01
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$13,786.12
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$14,770.84
|
| Rate for Payer: Mclaren Medicaid |
$8,525.86
|
| Rate for Payer: Mclaren Medicare |
$15,586.58
|
| Rate for Payer: Meridian Medicaid |
$8,952.93
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$16,365.91
|
| Rate for Payer: MI Amish Medical Board Commercial |
$17,924.57
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$16,740.29
|
| Rate for Payer: PACE Medicare |
$14,807.25
|
| Rate for Payer: PACE SWMI |
$15,586.58
|
| Rate for Payer: PHP Commercial |
$16,740.29
|
| Rate for Payer: PHP Medicare Advantage |
$15,586.58
|
| Rate for Payer: Priority Health Choice Medicaid |
$8,525.86
|
| Rate for Payer: Priority Health Cigna Priority Health |
$13,786.12
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$49,067.27
|
| Rate for Payer: Priority Health Medicare |
$15,586.58
|
| Rate for Payer: Priority Health Narrow Network |
$39,253.82
|
| Rate for Payer: Priority Health SBD |
$12,407.51
|
| Rate for Payer: Railroad Medicare Medicare |
$15,586.58
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$769.00
|
| Rate for Payer: UHC Core |
$30,600.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$15,586.58
|
| Rate for Payer: UHC Exchange |
$699.09
|
| Rate for Payer: UHC Medicare Advantage |
$16,054.18
|
| Rate for Payer: UMR Bronson Commercial |
$7,286.95
|
| Rate for Payer: VA VA |
$15,586.58
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$14,770.84
|
|
|
HC IR CATHETER
|
Facility
|
OP
|
$43.86
|
|
| Hospital Charge Code |
27200307
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$16.23 |
| Max. Negotiated Rate |
$39.47 |
| Rate for Payer: Aetna American Axle |
$28.51
|
| Rate for Payer: Aetna Commercial |
$37.28
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$28.51
|
| Rate for Payer: BCBS Complete |
$17.54
|
| Rate for Payer: Cash Price |
$35.09
|
| Rate for Payer: Cofinity Commercial |
$30.70
|
| Rate for Payer: Cofinity Commercial |
$37.72
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$35.09
|
| Rate for Payer: Healthscope Commercial |
$39.47
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$30.70
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$32.90
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$37.28
|
| Rate for Payer: PHP Commercial |
$37.28
|
| Rate for Payer: Priority Health Cigna Priority Health |
$30.70
|
| Rate for Payer: Priority Health SBD |
$27.63
|
| Rate for Payer: UMR Bronson Commercial |
$16.23
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$32.90
|
|
|
HC IR CATHETER
|
Facility
|
IP
|
$43.86
|
|
| Hospital Charge Code |
27200307
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$19.30 |
| Max. Negotiated Rate |
$39.47 |
| Rate for Payer: Aetna American Axle |
$28.51
|
| Rate for Payer: Aetna Commercial |
$37.28
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$28.51
|
| Rate for Payer: Cash Price |
$35.09
|
| Rate for Payer: Cofinity Commercial |
$30.70
|
| Rate for Payer: Cofinity Commercial |
$37.72
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$35.09
|
| Rate for Payer: Healthscope Commercial |
$39.47
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$30.70
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$32.90
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$37.28
|
| Rate for Payer: PHP Commercial |
$37.28
|
| Rate for Payer: Priority Health Cigna Priority Health |
$30.70
|
| Rate for Payer: Priority Health SBD |
$27.63
|
| Rate for Payer: UMR Bronson Commercial |
$19.30
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$32.90
|
|
|
HC IR CATHETER.
|
Facility
|
IP
|
$229.50
|
|
| Hospital Charge Code |
27200308
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$100.98 |
| Max. Negotiated Rate |
$206.55 |
| Rate for Payer: Aetna American Axle |
$149.18
|
| Rate for Payer: Aetna Commercial |
$195.08
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$149.18
|
| Rate for Payer: Cash Price |
$183.60
|
| Rate for Payer: Cofinity Commercial |
$160.65
|
| Rate for Payer: Cofinity Commercial |
$197.37
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$183.60
|
| Rate for Payer: Healthscope Commercial |
$206.55
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$160.65
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$172.12
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$195.08
|
| Rate for Payer: PHP Commercial |
$195.08
|
| Rate for Payer: Priority Health Cigna Priority Health |
$160.65
|
| Rate for Payer: Priority Health SBD |
$144.58
|
| Rate for Payer: UMR Bronson Commercial |
$100.98
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$172.12
|
|
|
HC IR CATHETER.
|
Facility
|
OP
|
$229.50
|
|
| Hospital Charge Code |
27200308
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$84.92 |
| Max. Negotiated Rate |
$206.55 |
| Rate for Payer: Aetna American Axle |
$149.18
|
| Rate for Payer: Aetna Commercial |
$195.08
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$149.18
|
| Rate for Payer: BCBS Complete |
$91.80
|
| Rate for Payer: Cash Price |
$183.60
|
| Rate for Payer: Cofinity Commercial |
$160.65
|
| Rate for Payer: Cofinity Commercial |
$197.37
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$183.60
|
| Rate for Payer: Healthscope Commercial |
$206.55
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$160.65
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$172.12
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$195.08
|
| Rate for Payer: PHP Commercial |
$195.08
|
| Rate for Payer: Priority Health Cigna Priority Health |
$160.65
|
| Rate for Payer: Priority Health SBD |
$144.58
|
| Rate for Payer: UMR Bronson Commercial |
$84.92
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$172.12
|
|
|
HC IR CENTRAL LINE CHECK W FLUOROSCOPY
|
Facility
|
OP
|
$544.76
|
|
|
Service Code
|
CPT 36598
|
| Hospital Charge Code |
36100145
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$34.05 |
| Max. Negotiated Rate |
$700.00 |
| Rate for Payer: Aetna American Axle |
$354.09
|
| Rate for Payer: Aetna Commercial |
$463.05
|
| Rate for Payer: Aetna Medicare |
$198.14
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$354.09
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$238.15
|
| Rate for Payer: Amish Plain Church Group Commercial |
$238.15
|
| Rate for Payer: BCBS Complete |
$109.43
|
| Rate for Payer: BCBS MAPPO |
$190.52
|
| Rate for Payer: BCBS Trust/PPO |
$220.91
|
| Rate for Payer: BCN Medicare Advantage |
$190.52
|
| Rate for Payer: Cash Price |
$435.81
|
| Rate for Payer: Cash Price |
$435.81
|
| Rate for Payer: Cofinity Commercial |
$381.33
|
| Rate for Payer: Cofinity Commercial |
$468.49
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$435.81
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$190.52
|
| Rate for Payer: Healthscope Commercial |
$490.28
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$381.33
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$408.57
|
| Rate for Payer: Mclaren Medicaid |
$104.21
|
| Rate for Payer: Mclaren Medicare |
$190.52
|
| Rate for Payer: Meridian Medicaid |
$109.43
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$200.05
|
| Rate for Payer: MI Amish Medical Board Commercial |
$219.10
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$463.05
|
| Rate for Payer: PACE Medicare |
$180.99
|
| Rate for Payer: PACE SWMI |
$190.52
|
| Rate for Payer: PHP Commercial |
$463.05
|
| Rate for Payer: PHP Medicare Advantage |
$190.52
|
| Rate for Payer: Priority Health Choice Medicaid |
$104.21
|
| Rate for Payer: Priority Health Cigna Priority Health |
$381.33
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$599.77
|
| Rate for Payer: Priority Health Medicare |
$190.52
|
| Rate for Payer: Priority Health Narrow Network |
$479.82
|
| Rate for Payer: Priority Health SBD |
$343.20
|
| Rate for Payer: Railroad Medicare Medicare |
$190.52
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$37.46
|
| Rate for Payer: UHC Core |
$700.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$190.52
|
| Rate for Payer: UHC Exchange |
$34.05
|
| Rate for Payer: UHC Medicare Advantage |
$196.24
|
| Rate for Payer: UMR Bronson Commercial |
$201.56
|
| Rate for Payer: VA VA |
$190.52
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$408.57
|
|
|
HC IR CENTRAL LINE CHECK W FLUOROSCOPY
|
Facility
|
IP
|
$544.76
|
|
|
Service Code
|
CPT 36598
|
| Hospital Charge Code |
36100145
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$239.69 |
| Max. Negotiated Rate |
$490.28 |
| Rate for Payer: Aetna American Axle |
$354.09
|
| Rate for Payer: Aetna Commercial |
$463.05
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$354.09
|
| Rate for Payer: Cash Price |
$435.81
|
| Rate for Payer: Cofinity Commercial |
$381.33
|
| Rate for Payer: Cofinity Commercial |
$468.49
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$435.81
|
| Rate for Payer: Healthscope Commercial |
$490.28
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$381.33
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$408.57
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$463.05
|
| Rate for Payer: PHP Commercial |
$463.05
|
| Rate for Payer: Priority Health Cigna Priority Health |
$381.33
|
| Rate for Payer: Priority Health SBD |
$343.20
|
| Rate for Payer: UMR Bronson Commercial |
$239.69
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$408.57
|
|
|
HC IR CYSTOSTOMY WITH DRAINAGE
|
Facility
|
IP
|
$3,490.95
|
|
|
Service Code
|
CPT 51040
|
| Hospital Charge Code |
36100398
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$1,536.02 |
| Max. Negotiated Rate |
$3,141.86 |
| Rate for Payer: Aetna American Axle |
$2,269.12
|
| Rate for Payer: Aetna Commercial |
$2,967.31
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,269.12
|
| Rate for Payer: Cash Price |
$2,792.76
|
| Rate for Payer: Cofinity Commercial |
$2,443.66
|
| Rate for Payer: Cofinity Commercial |
$3,002.22
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,792.76
|
| Rate for Payer: Healthscope Commercial |
$3,141.86
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$2,443.66
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,618.21
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$2,967.31
|
| Rate for Payer: PHP Commercial |
$2,967.31
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,443.66
|
| Rate for Payer: Priority Health SBD |
$2,199.30
|
| Rate for Payer: UMR Bronson Commercial |
$1,536.02
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,618.21
|
|
|
HC IR CYSTOSTOMY WITH DRAINAGE
|
Facility
|
OP
|
$3,490.95
|
|
|
Service Code
|
CPT 51040
|
| Hospital Charge Code |
36100398
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$288.15 |
| Max. Negotiated Rate |
$5,699.47 |
| Rate for Payer: Aetna American Axle |
$2,269.12
|
| Rate for Payer: Aetna Commercial |
$2,967.31
|
| Rate for Payer: Aetna Medicare |
$1,882.90
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,269.12
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$2,263.10
|
| Rate for Payer: Amish Plain Church Group Commercial |
$2,263.10
|
| Rate for Payer: BCBS Complete |
$1,039.94
|
| Rate for Payer: BCBS MAPPO |
$1,810.48
|
| Rate for Payer: BCBS Trust/PPO |
$1,583.63
|
| Rate for Payer: BCN Medicare Advantage |
$1,810.48
|
| Rate for Payer: Cash Price |
$2,792.76
|
| Rate for Payer: Cash Price |
$2,792.76
|
| Rate for Payer: Cofinity Commercial |
$3,002.22
|
| Rate for Payer: Cofinity Commercial |
$2,443.66
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,792.76
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,810.48
|
| Rate for Payer: Healthscope Commercial |
$3,141.86
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$2,443.66
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,618.21
|
| Rate for Payer: Mclaren Medicaid |
$990.33
|
| Rate for Payer: Mclaren Medicare |
$1,810.48
|
| Rate for Payer: Meridian Medicaid |
$1,039.94
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,901.00
|
| Rate for Payer: MI Amish Medical Board Commercial |
$2,082.05
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$2,967.31
|
| Rate for Payer: PACE Medicare |
$1,719.96
|
| Rate for Payer: PACE SWMI |
$1,810.48
|
| Rate for Payer: PHP Commercial |
$2,967.31
|
| Rate for Payer: PHP Medicare Advantage |
$1,810.48
|
| Rate for Payer: Priority Health Choice Medicaid |
$990.33
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,443.66
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$5,699.47
|
| Rate for Payer: Priority Health Medicare |
$1,810.48
|
| Rate for Payer: Priority Health Narrow Network |
$4,559.58
|
| Rate for Payer: Priority Health SBD |
$2,199.30
|
| Rate for Payer: Railroad Medicare Medicare |
$1,810.48
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$316.96
|
| Rate for Payer: UHC Core |
$3,604.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,810.48
|
| Rate for Payer: UHC Exchange |
$288.15
|
| Rate for Payer: UHC Medicare Advantage |
$1,864.79
|
| Rate for Payer: UMR Bronson Commercial |
$1,291.65
|
| Rate for Payer: VA VA |
$1,810.48
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,618.21
|
|
|
HC IR DISKOGRAM CERVICAL THORACIC
|
Facility
|
IP
|
$2,507.98
|
|
|
Service Code
|
CPT 72285
|
| Hospital Charge Code |
32000057
|
|
Hospital Revenue Code
|
320
|
| Min. Negotiated Rate |
$1,103.51 |
| Max. Negotiated Rate |
$2,257.18 |
| Rate for Payer: Aetna American Axle |
$1,630.19
|
| Rate for Payer: Aetna Commercial |
$2,131.78
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,630.19
|
| Rate for Payer: Cash Price |
$2,006.38
|
| Rate for Payer: Cofinity Commercial |
$1,755.59
|
| Rate for Payer: Cofinity Commercial |
$2,156.86
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,006.38
|
| Rate for Payer: Healthscope Commercial |
$2,257.18
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,755.59
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,880.98
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$2,131.78
|
| Rate for Payer: PHP Commercial |
$2,131.78
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,755.59
|
| Rate for Payer: Priority Health SBD |
$1,580.03
|
| Rate for Payer: UMR Bronson Commercial |
$1,103.51
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,880.98
|
|
|
HC IR DISKOGRAM CERVICAL THORACIC
|
Facility
|
OP
|
$2,507.98
|
|
|
Service Code
|
CPT 72285
|
| Hospital Charge Code |
32000057
|
|
Hospital Revenue Code
|
320
|
| Min. Negotiated Rate |
$129.67 |
| Max. Negotiated Rate |
$5,402.75 |
| Rate for Payer: Aetna American Axle |
$1,630.19
|
| Rate for Payer: Aetna Commercial |
$2,131.78
|
| Rate for Payer: Aetna Medicare |
$1,784.88
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,630.19
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$2,145.29
|
| Rate for Payer: Amish Plain Church Group Commercial |
$2,145.29
|
| Rate for Payer: BCBS Complete |
$985.80
|
| Rate for Payer: BCBS MAPPO |
$1,716.23
|
| Rate for Payer: BCBS Trust/PPO |
$139.99
|
| Rate for Payer: BCN Medicare Advantage |
$1,716.23
|
| Rate for Payer: Cash Price |
$2,006.38
|
| Rate for Payer: Cash Price |
$2,006.38
|
| Rate for Payer: Cofinity Commercial |
$2,156.86
|
| Rate for Payer: Cofinity Commercial |
$1,755.59
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,006.38
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,716.23
|
| Rate for Payer: Healthscope Commercial |
$2,257.18
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,755.59
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,880.98
|
| Rate for Payer: Mclaren Medicaid |
$938.78
|
| Rate for Payer: Mclaren Medicare |
$1,716.23
|
| Rate for Payer: Meridian Medicaid |
$985.80
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,802.04
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,973.66
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$2,131.78
|
| Rate for Payer: PACE Medicare |
$1,630.42
|
| Rate for Payer: PACE SWMI |
$1,716.23
|
| Rate for Payer: PHP Commercial |
$2,131.78
|
| Rate for Payer: PHP Medicare Advantage |
$1,716.23
|
| Rate for Payer: Priority Health Choice Medicaid |
$938.78
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,755.59
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$5,402.75
|
| Rate for Payer: Priority Health Medicare |
$1,716.23
|
| Rate for Payer: Priority Health Narrow Network |
$4,322.20
|
| Rate for Payer: Priority Health SBD |
$1,580.03
|
| Rate for Payer: Railroad Medicare Medicare |
$1,716.23
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$142.64
|
| Rate for Payer: UHC Core |
$262.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,716.23
|
| Rate for Payer: UHC Exchange |
$129.67
|
| Rate for Payer: UHC Medicare Advantage |
$1,767.72
|
| Rate for Payer: UMR Bronson Commercial |
$927.95
|
| Rate for Payer: VA VA |
$1,716.23
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,880.98
|
|
|
HC IR DISKOGRAM LUMBAR ONLY
|
Facility
|
OP
|
$2,871.60
|
|
|
Service Code
|
CPT 72295
|
| Hospital Charge Code |
32000277
|
|
Hospital Revenue Code
|
320
|
| Min. Negotiated Rate |
$109.37 |
| Max. Negotiated Rate |
$5,402.75 |
| Rate for Payer: Aetna American Axle |
$1,866.54
|
| Rate for Payer: Aetna Commercial |
$2,440.86
|
| Rate for Payer: Aetna Medicare |
$1,784.88
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,866.54
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$2,145.29
|
| Rate for Payer: Amish Plain Church Group Commercial |
$2,145.29
|
| Rate for Payer: BCBS Complete |
$985.80
|
| Rate for Payer: BCBS MAPPO |
$1,716.23
|
| Rate for Payer: BCBS Trust/PPO |
$136.19
|
| Rate for Payer: BCN Medicare Advantage |
$1,716.23
|
| Rate for Payer: Cash Price |
$2,297.28
|
| Rate for Payer: Cash Price |
$2,297.28
|
| Rate for Payer: Cofinity Commercial |
$2,469.58
|
| Rate for Payer: Cofinity Commercial |
$2,010.12
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,297.28
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,716.23
|
| Rate for Payer: Healthscope Commercial |
$2,584.44
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$2,010.12
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,153.70
|
| Rate for Payer: Mclaren Medicaid |
$938.78
|
| Rate for Payer: Mclaren Medicare |
$1,716.23
|
| Rate for Payer: Meridian Medicaid |
$985.80
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,802.04
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,973.66
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$2,440.86
|
| Rate for Payer: PACE Medicare |
$1,630.42
|
| Rate for Payer: PACE SWMI |
$1,716.23
|
| Rate for Payer: PHP Commercial |
$2,440.86
|
| Rate for Payer: PHP Medicare Advantage |
$1,716.23
|
| Rate for Payer: Priority Health Choice Medicaid |
$938.78
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,010.12
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$5,402.75
|
| Rate for Payer: Priority Health Medicare |
$1,716.23
|
| Rate for Payer: Priority Health Narrow Network |
$4,322.20
|
| Rate for Payer: Priority Health SBD |
$1,809.11
|
| Rate for Payer: Railroad Medicare Medicare |
$1,716.23
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$120.31
|
| Rate for Payer: UHC Core |
$262.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,716.23
|
| Rate for Payer: UHC Exchange |
$109.37
|
| Rate for Payer: UHC Medicare Advantage |
$1,767.72
|
| Rate for Payer: UMR Bronson Commercial |
$1,062.49
|
| Rate for Payer: VA VA |
$1,716.23
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,153.70
|
|
|
HC IR DISKOGRAM LUMBAR ONLY
|
Facility
|
IP
|
$2,871.60
|
|
|
Service Code
|
CPT 72295
|
| Hospital Charge Code |
32000277
|
|
Hospital Revenue Code
|
320
|
| Min. Negotiated Rate |
$1,263.50 |
| Max. Negotiated Rate |
$2,584.44 |
| Rate for Payer: Aetna American Axle |
$1,866.54
|
| Rate for Payer: Aetna Commercial |
$2,440.86
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,866.54
|
| Rate for Payer: Cash Price |
$2,297.28
|
| Rate for Payer: Cofinity Commercial |
$2,010.12
|
| Rate for Payer: Cofinity Commercial |
$2,469.58
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,297.28
|
| Rate for Payer: Healthscope Commercial |
$2,584.44
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$2,010.12
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,153.70
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$2,440.86
|
| Rate for Payer: PHP Commercial |
$2,440.86
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,010.12
|
| Rate for Payer: Priority Health SBD |
$1,809.11
|
| Rate for Payer: UMR Bronson Commercial |
$1,263.50
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,153.70
|
|
|
HC IR EMBOLIZATION
|
Facility
|
OP
|
$3,430.91
|
|
|
Service Code
|
CPT 75894
|
| Hospital Charge Code |
32000210
|
|
Hospital Revenue Code
|
320
|
| Min. Negotiated Rate |
$262.00 |
| Max. Negotiated Rate |
$3,087.82 |
| Rate for Payer: Aetna American Axle |
$2,230.09
|
| Rate for Payer: Aetna Commercial |
$2,916.27
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,230.09
|
| Rate for Payer: BCBS Complete |
$1,372.36
|
| Rate for Payer: BCBS Trust/PPO |
$1,748.42
|
| Rate for Payer: Cash Price |
$2,744.73
|
| Rate for Payer: Cash Price |
$2,744.73
|
| Rate for Payer: Cofinity Commercial |
$2,950.58
|
| Rate for Payer: Cofinity Commercial |
$2,401.64
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,744.73
|
| Rate for Payer: Healthscope Commercial |
$3,087.82
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$2,401.64
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,573.18
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$2,916.27
|
| Rate for Payer: PHP Commercial |
$2,916.27
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,401.64
|
| Rate for Payer: Priority Health SBD |
$2,161.47
|
| Rate for Payer: UHC Core |
$262.00
|
| Rate for Payer: UMR Bronson Commercial |
$1,269.44
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,573.18
|
|
|
HC IR EMBOLIZATION
|
Facility
|
IP
|
$3,430.91
|
|
|
Service Code
|
CPT 75894
|
| Hospital Charge Code |
32000210
|
|
Hospital Revenue Code
|
320
|
| Min. Negotiated Rate |
$1,509.60 |
| Max. Negotiated Rate |
$3,087.82 |
| Rate for Payer: Aetna American Axle |
$2,230.09
|
| Rate for Payer: Aetna Commercial |
$2,916.27
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,230.09
|
| Rate for Payer: Cash Price |
$2,744.73
|
| Rate for Payer: Cofinity Commercial |
$2,401.64
|
| Rate for Payer: Cofinity Commercial |
$2,950.58
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,744.73
|
| Rate for Payer: Healthscope Commercial |
$3,087.82
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$2,401.64
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,573.18
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$2,916.27
|
| Rate for Payer: PHP Commercial |
$2,916.27
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,401.64
|
| Rate for Payer: Priority Health SBD |
$2,161.47
|
| Rate for Payer: UMR Bronson Commercial |
$1,509.60
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,573.18
|
|
|
HC IR ERCP
|
Facility
|
IP
|
$800.65
|
|
|
Service Code
|
CPT 74330
|
| Hospital Charge Code |
32000155
|
|
Hospital Revenue Code
|
320
|
| Min. Negotiated Rate |
$352.29 |
| Max. Negotiated Rate |
$720.58 |
| Rate for Payer: Aetna American Axle |
$520.42
|
| Rate for Payer: Aetna Commercial |
$680.55
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$520.42
|
| Rate for Payer: Cash Price |
$640.52
|
| Rate for Payer: Cofinity Commercial |
$560.46
|
| Rate for Payer: Cofinity Commercial |
$688.56
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$640.52
|
| Rate for Payer: Healthscope Commercial |
$720.58
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$560.46
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$600.49
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$680.55
|
| Rate for Payer: PHP Commercial |
$680.55
|
| Rate for Payer: Priority Health Cigna Priority Health |
$560.46
|
| Rate for Payer: Priority Health SBD |
$504.41
|
| Rate for Payer: UMR Bronson Commercial |
$352.29
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$600.49
|
|
|
HC IR ERCP
|
Facility
|
OP
|
$800.65
|
|
|
Service Code
|
CPT 74330
|
| Hospital Charge Code |
32000155
|
|
Hospital Revenue Code
|
320
|
| Min. Negotiated Rate |
$140.63 |
| Max. Negotiated Rate |
$720.58 |
| Rate for Payer: Aetna American Axle |
$520.42
|
| Rate for Payer: Aetna Commercial |
$680.55
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$520.42
|
| Rate for Payer: BCBS Complete |
$320.26
|
| Rate for Payer: BCBS Trust/PPO |
$140.63
|
| Rate for Payer: Cash Price |
$640.52
|
| Rate for Payer: Cash Price |
$640.52
|
| Rate for Payer: Cofinity Commercial |
$688.56
|
| Rate for Payer: Cofinity Commercial |
$560.46
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$640.52
|
| Rate for Payer: Healthscope Commercial |
$720.58
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$560.46
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$600.49
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$680.55
|
| Rate for Payer: PHP Commercial |
$680.55
|
| Rate for Payer: Priority Health Cigna Priority Health |
$560.46
|
| Rate for Payer: Priority Health SBD |
$504.41
|
| Rate for Payer: UHC Core |
$262.00
|
| Rate for Payer: UMR Bronson Commercial |
$296.24
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$600.49
|
|
|
HC IR FIBRIN STRIPPING OF VAD
|
Facility
|
IP
|
$616.61
|
|
|
Service Code
|
CPT 75901
|
| Hospital Charge Code |
32000275
|
|
Hospital Revenue Code
|
320
|
| Min. Negotiated Rate |
$271.31 |
| Max. Negotiated Rate |
$554.95 |
| Rate for Payer: Aetna American Axle |
$400.80
|
| Rate for Payer: Aetna Commercial |
$524.12
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$400.80
|
| Rate for Payer: Cash Price |
$493.29
|
| Rate for Payer: Cofinity Commercial |
$431.63
|
| Rate for Payer: Cofinity Commercial |
$530.28
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$493.29
|
| Rate for Payer: Healthscope Commercial |
$554.95
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$431.63
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$462.46
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$524.12
|
| Rate for Payer: PHP Commercial |
$524.12
|
| Rate for Payer: Priority Health Cigna Priority Health |
$431.63
|
| Rate for Payer: Priority Health SBD |
$388.46
|
| Rate for Payer: UMR Bronson Commercial |
$271.31
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$462.46
|
|
|
HC IR FIBRIN STRIPPING OF VAD
|
Facility
|
OP
|
$616.61
|
|
|
Service Code
|
CPT 75901
|
| Hospital Charge Code |
32000275
|
|
Hospital Revenue Code
|
320
|
| Min. Negotiated Rate |
$223.32 |
| Max. Negotiated Rate |
$554.95 |
| Rate for Payer: Aetna American Axle |
$400.80
|
| Rate for Payer: Aetna Commercial |
$524.12
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$400.80
|
| Rate for Payer: BCBS Complete |
$246.64
|
| Rate for Payer: BCBS Trust/PPO |
$397.19
|
| Rate for Payer: Cash Price |
$493.29
|
| Rate for Payer: Cash Price |
$493.29
|
| Rate for Payer: Cofinity Commercial |
$530.28
|
| Rate for Payer: Cofinity Commercial |
$431.63
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$493.29
|
| Rate for Payer: Healthscope Commercial |
$554.95
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$431.63
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$462.46
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$524.12
|
| Rate for Payer: PHP Commercial |
$524.12
|
| Rate for Payer: Priority Health Cigna Priority Health |
$431.63
|
| Rate for Payer: Priority Health SBD |
$388.46
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$245.65
|
| Rate for Payer: UHC Core |
$262.00
|
| Rate for Payer: UHC Exchange |
$223.32
|
| Rate for Payer: UMR Bronson Commercial |
$228.15
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$462.46
|
|
|
HC IR FLUORO GUIDE CVA
|
Facility
|
OP
|
$300.42
|
|
|
Service Code
|
CPT 77001
|
| Hospital Charge Code |
32000245
|
|
Hospital Revenue Code
|
320
|
| Min. Negotiated Rate |
$96.92 |
| Max. Negotiated Rate |
$270.38 |
| Rate for Payer: Aetna American Axle |
$195.27
|
| Rate for Payer: Aetna Commercial |
$255.36
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$195.27
|
| Rate for Payer: BCBS Complete |
$120.17
|
| Rate for Payer: BCBS Trust/PPO |
$157.74
|
| Rate for Payer: Cash Price |
$240.34
|
| Rate for Payer: Cash Price |
$240.34
|
| Rate for Payer: Cofinity Commercial |
$210.29
|
| Rate for Payer: Cofinity Commercial |
$258.36
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$240.34
|
| Rate for Payer: Healthscope Commercial |
$270.38
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$210.29
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$225.32
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$255.36
|
| Rate for Payer: PHP Commercial |
$255.36
|
| Rate for Payer: Priority Health Cigna Priority Health |
$210.29
|
| Rate for Payer: Priority Health SBD |
$189.26
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$106.61
|
| Rate for Payer: UHC Core |
$262.00
|
| Rate for Payer: UHC Exchange |
$96.92
|
| Rate for Payer: UMR Bronson Commercial |
$111.16
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$225.32
|
|
|
HC IR FLUORO GUIDE CVA
|
Facility
|
IP
|
$300.42
|
|
|
Service Code
|
CPT 77001
|
| Hospital Charge Code |
32000245
|
|
Hospital Revenue Code
|
320
|
| Min. Negotiated Rate |
$132.18 |
| Max. Negotiated Rate |
$270.38 |
| Rate for Payer: Aetna American Axle |
$195.27
|
| Rate for Payer: Aetna Commercial |
$255.36
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$195.27
|
| Rate for Payer: Cash Price |
$240.34
|
| Rate for Payer: Cofinity Commercial |
$210.29
|
| Rate for Payer: Cofinity Commercial |
$258.36
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$240.34
|
| Rate for Payer: Healthscope Commercial |
$270.38
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$210.29
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$225.32
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$255.36
|
| Rate for Payer: PHP Commercial |
$255.36
|
| Rate for Payer: Priority Health Cigna Priority Health |
$210.29
|
| Rate for Payer: Priority Health SBD |
$189.26
|
| Rate for Payer: UMR Bronson Commercial |
$132.18
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$225.32
|
|
