|
HC CRYOGLOBULINS
|
Facility
|
IP
|
$20.17
|
|
|
Service Code
|
CPT 82595
|
| Hospital Charge Code |
30100184
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$8.87 |
| Max. Negotiated Rate |
$18.15 |
| Rate for Payer: Aetna American Axle |
$13.11
|
| Rate for Payer: Aetna Commercial |
$17.14
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$13.11
|
| Rate for Payer: Cash Price |
$16.14
|
| Rate for Payer: Cofinity Advantage |
$14.12
|
| Rate for Payer: Cofinity Commercial |
$17.35
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$16.14
|
| Rate for Payer: Healthscope Commercial |
$18.15
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$14.12
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$15.13
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$17.14
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$15.13
|
| Rate for Payer: PHP Commercial |
$17.14
|
| Rate for Payer: Priority Health SBD |
$12.71
|
| Rate for Payer: UMR Bronson Commercial |
$8.87
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$15.13
|
|
|
HC CRYOGLOBULINS
|
Facility
|
OP
|
$20.17
|
|
|
Service Code
|
CPT 82595
|
| Hospital Charge Code |
30100184
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$3.38 |
| Max. Negotiated Rate |
$18.15 |
| Rate for Payer: Aetna American Axle |
$13.11
|
| Rate for Payer: Aetna Commercial |
$17.14
|
| Rate for Payer: Aetna Medicare |
$6.73
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$13.11
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$8.09
|
| Rate for Payer: Amish Plain Church Group Commercial |
$8.09
|
| Rate for Payer: BCBS Complete |
$3.55
|
| Rate for Payer: BCBS MAPPO |
$6.47
|
| Rate for Payer: BCBS Trust/PPO |
$7.48
|
| Rate for Payer: BCN Commercial |
$7.48
|
| Rate for Payer: BCN Medicare Advantage |
$6.47
|
| Rate for Payer: Cash Price |
$16.14
|
| Rate for Payer: Cash Price |
$16.14
|
| Rate for Payer: Cofinity Advantage |
$14.12
|
| Rate for Payer: Cofinity Commercial |
$17.35
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$16.14
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$6.47
|
| Rate for Payer: Healthscope Commercial |
$18.15
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$14.12
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$15.13
|
| Rate for Payer: Mclaren Medicaid |
$6.47
|
| Rate for Payer: Mclaren Medicare |
$6.47
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$6.79
|
| Rate for Payer: Meridian Medicaid |
$6.79
|
| Rate for Payer: MI Amish Medical Board Commercial |
$7.44
|
| Rate for Payer: Molina Medicare/Medicaid |
$7.12
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$17.14
|
| Rate for Payer: Nomi Health Commercial |
$9.71
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$15.13
|
| Rate for Payer: PACE Medicare |
$6.15
|
| Rate for Payer: PACE SWMI |
$6.47
|
| Rate for Payer: PHP Commercial |
$17.14
|
| Rate for Payer: PHP Medicare Advantage |
$6.47
|
| Rate for Payer: Priority Health Choice Medicaid |
$3.38
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$6.47
|
| Rate for Payer: Priority Health Medicare |
$6.47
|
| Rate for Payer: Priority Health SBD |
$12.71
|
| Rate for Payer: Priority Health Tiered Network |
$5.18
|
| Rate for Payer: Railroad Medicare Medicare |
$6.47
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$9.71
|
| Rate for Payer: UHC Core |
$9.71
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$6.47
|
| Rate for Payer: UHC Exchange |
$9.71
|
| Rate for Payer: UHC Medicaid |
$3.38
|
| Rate for Payer: UHCCP Medicaid |
$3.38
|
| Rate for Payer: UMR Bronson Commercial |
$7.46
|
| Rate for Payer: VA VA |
$6.47
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$15.13
|
|
|
HC CRYOGLOBULINS CMPT
|
Facility
|
IP
|
$25.32
|
|
|
Service Code
|
CPT 82585
|
| Hospital Charge Code |
30100183
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$11.14 |
| Max. Negotiated Rate |
$22.79 |
| Rate for Payer: Aetna American Axle |
$16.46
|
| Rate for Payer: Aetna Commercial |
$21.52
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$16.46
|
| Rate for Payer: Cash Price |
$20.26
|
| Rate for Payer: Cofinity Advantage |
$17.72
|
| Rate for Payer: Cofinity Commercial |
$21.78
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$20.26
|
| Rate for Payer: Healthscope Commercial |
$22.79
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$17.72
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$18.99
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$21.52
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$18.99
|
| Rate for Payer: PHP Commercial |
$21.52
|
| Rate for Payer: Priority Health SBD |
$15.95
|
| Rate for Payer: UMR Bronson Commercial |
$11.14
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$18.99
|
|
|
HC CRYOGLOBULINS CMPT
|
Facility
|
OP
|
$25.32
|
|
|
Service Code
|
CPT 82585
|
| Hospital Charge Code |
30100183
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$7.40 |
| Max. Negotiated Rate |
$22.79 |
| Rate for Payer: Aetna American Axle |
$16.46
|
| Rate for Payer: Aetna Commercial |
$21.52
|
| Rate for Payer: Aetna Medicare |
$14.71
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$16.46
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$17.68
|
| Rate for Payer: Amish Plain Church Group Commercial |
$17.68
|
| Rate for Payer: BCBS Complete |
$7.77
|
| Rate for Payer: BCBS MAPPO |
$14.14
|
| Rate for Payer: BCBS Trust/PPO |
$16.35
|
| Rate for Payer: BCN Commercial |
$16.35
|
| Rate for Payer: BCN Medicare Advantage |
$14.14
|
| Rate for Payer: Cash Price |
$20.26
|
| Rate for Payer: Cash Price |
$20.26
|
| Rate for Payer: Cofinity Advantage |
$17.72
|
| Rate for Payer: Cofinity Commercial |
$21.78
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$20.26
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$14.14
|
| Rate for Payer: Healthscope Commercial |
$22.79
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$17.72
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$18.99
|
| Rate for Payer: Mclaren Medicaid |
$14.14
|
| Rate for Payer: Mclaren Medicare |
$14.14
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$14.85
|
| Rate for Payer: Meridian Medicaid |
$14.85
|
| Rate for Payer: MI Amish Medical Board Commercial |
$16.26
|
| Rate for Payer: Molina Medicare/Medicaid |
$15.55
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$21.52
|
| Rate for Payer: Nomi Health Commercial |
$21.21
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$18.99
|
| Rate for Payer: PACE Medicare |
$13.43
|
| Rate for Payer: PACE SWMI |
$14.14
|
| Rate for Payer: PHP Commercial |
$21.52
|
| Rate for Payer: PHP Medicare Advantage |
$14.14
|
| Rate for Payer: Priority Health Choice Medicaid |
$7.40
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$14.14
|
| Rate for Payer: Priority Health Medicare |
$14.14
|
| Rate for Payer: Priority Health SBD |
$15.95
|
| Rate for Payer: Priority Health Tiered Network |
$11.31
|
| Rate for Payer: Railroad Medicare Medicare |
$14.14
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$21.21
|
| Rate for Payer: UHC Core |
$21.21
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$14.14
|
| Rate for Payer: UHC Exchange |
$21.21
|
| Rate for Payer: UHC Medicaid |
$7.40
|
| Rate for Payer: UHCCP Medicaid |
$7.40
|
| Rate for Payer: UMR Bronson Commercial |
$9.37
|
| Rate for Payer: VA VA |
$14.14
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$18.99
|
|
|
HC CRYOGLOBULIN, SERUM
|
Facility
|
IP
|
$44.74
|
|
|
Service Code
|
CPT 82595
|
| Hospital Charge Code |
30100600
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$19.69 |
| Max. Negotiated Rate |
$40.27 |
| Rate for Payer: Aetna American Axle |
$29.08
|
| Rate for Payer: Aetna Commercial |
$38.03
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$29.08
|
| Rate for Payer: Cash Price |
$35.79
|
| Rate for Payer: Cofinity Advantage |
$31.32
|
| Rate for Payer: Cofinity Commercial |
$38.48
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$35.79
|
| Rate for Payer: Healthscope Commercial |
$40.27
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$31.32
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$33.55
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$38.03
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$33.55
|
| Rate for Payer: PHP Commercial |
$38.03
|
| Rate for Payer: Priority Health SBD |
$28.19
|
| Rate for Payer: UMR Bronson Commercial |
$19.69
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$33.55
|
|
|
HC CRYOGLOBULIN, SERUM
|
Facility
|
OP
|
$44.74
|
|
|
Service Code
|
CPT 82595
|
| Hospital Charge Code |
30100600
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$3.38 |
| Max. Negotiated Rate |
$40.27 |
| Rate for Payer: Aetna American Axle |
$29.08
|
| Rate for Payer: Aetna Commercial |
$38.03
|
| Rate for Payer: Aetna Medicare |
$6.73
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$29.08
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$8.09
|
| Rate for Payer: Amish Plain Church Group Commercial |
$8.09
|
| Rate for Payer: BCBS Complete |
$3.55
|
| Rate for Payer: BCBS MAPPO |
$6.47
|
| Rate for Payer: BCBS Trust/PPO |
$7.48
|
| Rate for Payer: BCN Commercial |
$7.48
|
| Rate for Payer: BCN Medicare Advantage |
$6.47
|
| Rate for Payer: Cash Price |
$35.79
|
| Rate for Payer: Cash Price |
$35.79
|
| Rate for Payer: Cofinity Advantage |
$31.32
|
| Rate for Payer: Cofinity Commercial |
$38.48
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$35.79
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$6.47
|
| Rate for Payer: Healthscope Commercial |
$40.27
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$31.32
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$33.55
|
| Rate for Payer: Mclaren Medicaid |
$6.47
|
| Rate for Payer: Mclaren Medicare |
$6.47
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$6.79
|
| Rate for Payer: Meridian Medicaid |
$6.79
|
| Rate for Payer: MI Amish Medical Board Commercial |
$7.44
|
| Rate for Payer: Molina Medicare/Medicaid |
$7.12
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$38.03
|
| Rate for Payer: Nomi Health Commercial |
$9.71
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$33.55
|
| Rate for Payer: PACE Medicare |
$6.15
|
| Rate for Payer: PACE SWMI |
$6.47
|
| Rate for Payer: PHP Commercial |
$38.03
|
| Rate for Payer: PHP Medicare Advantage |
$6.47
|
| Rate for Payer: Priority Health Choice Medicaid |
$3.38
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$6.47
|
| Rate for Payer: Priority Health Medicare |
$6.47
|
| Rate for Payer: Priority Health SBD |
$28.19
|
| Rate for Payer: Priority Health Tiered Network |
$5.18
|
| Rate for Payer: Railroad Medicare Medicare |
$6.47
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$9.71
|
| Rate for Payer: UHC Core |
$9.71
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$6.47
|
| Rate for Payer: UHC Exchange |
$9.71
|
| Rate for Payer: UHC Medicaid |
$3.38
|
| Rate for Payer: UHCCP Medicaid |
$3.38
|
| Rate for Payer: UMR Bronson Commercial |
$16.55
|
| Rate for Payer: VA VA |
$6.47
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$33.55
|
|
|
HC CRYOPRECIPITATE
|
Facility
|
IP
|
$146.02
|
|
|
Service Code
|
HCPCS P9012
|
| Hospital Charge Code |
39000042
|
|
Hospital Revenue Code
|
390
|
| Min. Negotiated Rate |
$64.25 |
| Max. Negotiated Rate |
$131.42 |
| Rate for Payer: Aetna American Axle |
$94.91
|
| Rate for Payer: Aetna Commercial |
$124.12
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$94.91
|
| Rate for Payer: Cash Price |
$116.82
|
| Rate for Payer: Cofinity Advantage |
$102.21
|
| Rate for Payer: Cofinity Commercial |
$125.58
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$116.82
|
| Rate for Payer: Healthscope Commercial |
$131.42
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$102.21
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$109.52
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$124.12
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$109.52
|
| Rate for Payer: PHP Commercial |
$124.12
|
| Rate for Payer: Priority Health SBD |
$91.99
|
| Rate for Payer: UMR Bronson Commercial |
$64.25
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$109.52
|
|
|
HC CRYOPRECIPITATE
|
Facility
|
OP
|
$146.02
|
|
|
Service Code
|
HCPCS P9012
|
| Hospital Charge Code |
39000042
|
|
Hospital Revenue Code
|
390
|
| Min. Negotiated Rate |
$36.70 |
| Max. Negotiated Rate |
$226.94 |
| Rate for Payer: Aetna American Axle |
$94.91
|
| Rate for Payer: Aetna Commercial |
$124.12
|
| Rate for Payer: Aetna Medicare |
$72.98
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$94.91
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$87.71
|
| Rate for Payer: Amish Plain Church Group Commercial |
$87.71
|
| Rate for Payer: BCBS Complete |
$38.54
|
| Rate for Payer: BCBS MAPPO |
$70.17
|
| Rate for Payer: BCBS Trust/PPO |
$168.16
|
| Rate for Payer: BCN Commercial |
$168.16
|
| Rate for Payer: BCN Medicare Advantage |
$70.17
|
| Rate for Payer: Cash Price |
$116.82
|
| Rate for Payer: Cash Price |
$116.82
|
| Rate for Payer: Cofinity Advantage |
$102.21
|
| Rate for Payer: Cofinity Commercial |
$125.58
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$116.82
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$70.17
|
| Rate for Payer: Healthscope Commercial |
$131.42
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$102.21
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$109.52
|
| Rate for Payer: Mclaren Medicaid |
$70.17
|
| Rate for Payer: Mclaren Medicare |
$70.17
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$73.68
|
| Rate for Payer: Meridian Medicaid |
$73.68
|
| Rate for Payer: MI Amish Medical Board Commercial |
$80.70
|
| Rate for Payer: Molina Medicare/Medicaid |
$77.19
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$124.12
|
| Rate for Payer: Nomi Health Commercial |
$210.51
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$109.52
|
| Rate for Payer: PACE Medicare |
$66.66
|
| Rate for Payer: PACE SWMI |
$70.17
|
| Rate for Payer: PHP Commercial |
$124.12
|
| Rate for Payer: PHP Medicare Advantage |
$70.17
|
| Rate for Payer: Priority Health Choice Medicaid |
$36.70
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$226.94
|
| Rate for Payer: Priority Health Medicare |
$70.17
|
| Rate for Payer: Priority Health SBD |
$91.99
|
| Rate for Payer: Priority Health Tiered Network |
$181.55
|
| Rate for Payer: Railroad Medicare Medicare |
$70.17
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$94.91
|
| Rate for Payer: UHC Core |
$76.08
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$70.17
|
| Rate for Payer: UHC Exchange |
$57.39
|
| Rate for Payer: UHC Medicaid |
$36.70
|
| Rate for Payer: UHCCP Medicaid |
$36.70
|
| Rate for Payer: UMR Bronson Commercial |
$54.03
|
| Rate for Payer: VA VA |
$70.17
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$109.52
|
|
|
HC CRYOPRECIPITATE DIRECT
|
Facility
|
IP
|
$347.60
|
|
|
Service Code
|
HCPCS P9012
|
| Hospital Charge Code |
39000043
|
|
Hospital Revenue Code
|
390
|
| Min. Negotiated Rate |
$152.94 |
| Max. Negotiated Rate |
$312.84 |
| Rate for Payer: Aetna American Axle |
$225.94
|
| Rate for Payer: Aetna Commercial |
$295.46
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$225.94
|
| Rate for Payer: Cash Price |
$278.08
|
| Rate for Payer: Cofinity Advantage |
$243.32
|
| Rate for Payer: Cofinity Commercial |
$298.94
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$278.08
|
| Rate for Payer: Healthscope Commercial |
$312.84
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$243.32
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$260.70
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$295.46
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$260.70
|
| Rate for Payer: PHP Commercial |
$295.46
|
| Rate for Payer: Priority Health SBD |
$218.99
|
| Rate for Payer: UMR Bronson Commercial |
$152.94
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$260.70
|
|
|
HC CRYOPRECIPITATE DIRECT
|
Facility
|
OP
|
$347.60
|
|
|
Service Code
|
HCPCS P9012
|
| Hospital Charge Code |
39000043
|
|
Hospital Revenue Code
|
390
|
| Min. Negotiated Rate |
$36.70 |
| Max. Negotiated Rate |
$312.84 |
| Rate for Payer: Aetna American Axle |
$225.94
|
| Rate for Payer: Aetna Commercial |
$295.46
|
| Rate for Payer: Aetna Medicare |
$72.98
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$225.94
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$87.71
|
| Rate for Payer: Amish Plain Church Group Commercial |
$87.71
|
| Rate for Payer: BCBS Complete |
$38.54
|
| Rate for Payer: BCBS MAPPO |
$70.17
|
| Rate for Payer: BCBS Trust/PPO |
$168.16
|
| Rate for Payer: BCN Commercial |
$168.16
|
| Rate for Payer: BCN Medicare Advantage |
$70.17
|
| Rate for Payer: Cash Price |
$278.08
|
| Rate for Payer: Cash Price |
$278.08
|
| Rate for Payer: Cofinity Advantage |
$243.32
|
| Rate for Payer: Cofinity Commercial |
$298.94
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$278.08
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$70.17
|
| Rate for Payer: Healthscope Commercial |
$312.84
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$243.32
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$260.70
|
| Rate for Payer: Mclaren Medicaid |
$70.17
|
| Rate for Payer: Mclaren Medicare |
$70.17
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$73.68
|
| Rate for Payer: Meridian Medicaid |
$73.68
|
| Rate for Payer: MI Amish Medical Board Commercial |
$80.70
|
| Rate for Payer: Molina Medicare/Medicaid |
$77.19
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$295.46
|
| Rate for Payer: Nomi Health Commercial |
$210.51
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$260.70
|
| Rate for Payer: PACE Medicare |
$66.66
|
| Rate for Payer: PACE SWMI |
$70.17
|
| Rate for Payer: PHP Commercial |
$295.46
|
| Rate for Payer: PHP Medicare Advantage |
$70.17
|
| Rate for Payer: Priority Health Choice Medicaid |
$36.70
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$226.94
|
| Rate for Payer: Priority Health Medicare |
$70.17
|
| Rate for Payer: Priority Health SBD |
$218.99
|
| Rate for Payer: Priority Health Tiered Network |
$181.55
|
| Rate for Payer: Railroad Medicare Medicare |
$70.17
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$225.94
|
| Rate for Payer: UHC Core |
$181.10
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$70.17
|
| Rate for Payer: UHC Exchange |
$136.61
|
| Rate for Payer: UHC Medicaid |
$36.70
|
| Rate for Payer: UHCCP Medicaid |
$36.70
|
| Rate for Payer: UMR Bronson Commercial |
$128.61
|
| Rate for Payer: VA VA |
$70.17
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$260.70
|
|
|
HC CRYOPRECIPITATE POOL
|
Facility
|
IP
|
$253.78
|
|
|
Service Code
|
HCPCS P9012
|
| Hospital Charge Code |
39000044
|
|
Hospital Revenue Code
|
390
|
| Min. Negotiated Rate |
$111.66 |
| Max. Negotiated Rate |
$228.40 |
| Rate for Payer: Aetna American Axle |
$164.96
|
| Rate for Payer: Aetna Commercial |
$215.71
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$164.96
|
| Rate for Payer: Cash Price |
$203.02
|
| Rate for Payer: Cofinity Advantage |
$177.65
|
| Rate for Payer: Cofinity Commercial |
$218.25
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$203.02
|
| Rate for Payer: Healthscope Commercial |
$228.40
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$177.65
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$190.34
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$215.71
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$190.34
|
| Rate for Payer: PHP Commercial |
$215.71
|
| Rate for Payer: Priority Health SBD |
$159.88
|
| Rate for Payer: UMR Bronson Commercial |
$111.66
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$190.34
|
|
|
HC CRYOPRECIPITATE POOL
|
Facility
|
OP
|
$253.78
|
|
|
Service Code
|
HCPCS P9012
|
| Hospital Charge Code |
39000044
|
|
Hospital Revenue Code
|
390
|
| Min. Negotiated Rate |
$36.70 |
| Max. Negotiated Rate |
$228.40 |
| Rate for Payer: Aetna American Axle |
$164.96
|
| Rate for Payer: Aetna Commercial |
$215.71
|
| Rate for Payer: Aetna Medicare |
$72.98
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$164.96
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$87.71
|
| Rate for Payer: Amish Plain Church Group Commercial |
$87.71
|
| Rate for Payer: BCBS Complete |
$38.54
|
| Rate for Payer: BCBS MAPPO |
$70.17
|
| Rate for Payer: BCBS Trust/PPO |
$168.16
|
| Rate for Payer: BCN Commercial |
$168.16
|
| Rate for Payer: BCN Medicare Advantage |
$70.17
|
| Rate for Payer: Cash Price |
$203.02
|
| Rate for Payer: Cash Price |
$203.02
|
| Rate for Payer: Cofinity Advantage |
$177.65
|
| Rate for Payer: Cofinity Commercial |
$218.25
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$203.02
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$70.17
|
| Rate for Payer: Healthscope Commercial |
$228.40
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$177.65
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$190.34
|
| Rate for Payer: Mclaren Medicaid |
$70.17
|
| Rate for Payer: Mclaren Medicare |
$70.17
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$73.68
|
| Rate for Payer: Meridian Medicaid |
$73.68
|
| Rate for Payer: MI Amish Medical Board Commercial |
$80.70
|
| Rate for Payer: Molina Medicare/Medicaid |
$77.19
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$215.71
|
| Rate for Payer: Nomi Health Commercial |
$210.51
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$190.34
|
| Rate for Payer: PACE Medicare |
$66.66
|
| Rate for Payer: PACE SWMI |
$70.17
|
| Rate for Payer: PHP Commercial |
$215.71
|
| Rate for Payer: PHP Medicare Advantage |
$70.17
|
| Rate for Payer: Priority Health Choice Medicaid |
$36.70
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$226.94
|
| Rate for Payer: Priority Health Medicare |
$70.17
|
| Rate for Payer: Priority Health SBD |
$159.88
|
| Rate for Payer: Priority Health Tiered Network |
$181.55
|
| Rate for Payer: Railroad Medicare Medicare |
$70.17
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$164.96
|
| Rate for Payer: UHC Core |
$132.22
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$70.17
|
| Rate for Payer: UHC Exchange |
$99.74
|
| Rate for Payer: UHC Medicaid |
$36.70
|
| Rate for Payer: UHCCP Medicaid |
$36.70
|
| Rate for Payer: UMR Bronson Commercial |
$93.90
|
| Rate for Payer: VA VA |
$70.17
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$190.34
|
|
|
HC CRYOPRECIPITATE POOL CMPT1
|
Facility
|
IP
|
$253.78
|
|
|
Service Code
|
HCPCS P9012
|
| Hospital Charge Code |
39000045
|
|
Hospital Revenue Code
|
390
|
| Min. Negotiated Rate |
$111.66 |
| Max. Negotiated Rate |
$228.40 |
| Rate for Payer: Aetna American Axle |
$164.96
|
| Rate for Payer: Aetna Commercial |
$215.71
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$164.96
|
| Rate for Payer: Cash Price |
$203.02
|
| Rate for Payer: Cofinity Advantage |
$177.65
|
| Rate for Payer: Cofinity Commercial |
$218.25
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$203.02
|
| Rate for Payer: Healthscope Commercial |
$228.40
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$177.65
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$190.34
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$215.71
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$190.34
|
| Rate for Payer: PHP Commercial |
$215.71
|
| Rate for Payer: Priority Health SBD |
$159.88
|
| Rate for Payer: UMR Bronson Commercial |
$111.66
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$190.34
|
|
|
HC CRYOPRECIPITATE POOL CMPT1
|
Facility
|
OP
|
$253.78
|
|
|
Service Code
|
HCPCS P9012
|
| Hospital Charge Code |
39000045
|
|
Hospital Revenue Code
|
390
|
| Min. Negotiated Rate |
$36.70 |
| Max. Negotiated Rate |
$228.40 |
| Rate for Payer: Aetna American Axle |
$164.96
|
| Rate for Payer: Aetna Commercial |
$215.71
|
| Rate for Payer: Aetna Medicare |
$72.98
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$164.96
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$87.71
|
| Rate for Payer: Amish Plain Church Group Commercial |
$87.71
|
| Rate for Payer: BCBS Complete |
$38.54
|
| Rate for Payer: BCBS MAPPO |
$70.17
|
| Rate for Payer: BCBS Trust/PPO |
$168.16
|
| Rate for Payer: BCN Commercial |
$168.16
|
| Rate for Payer: BCN Medicare Advantage |
$70.17
|
| Rate for Payer: Cash Price |
$203.02
|
| Rate for Payer: Cash Price |
$203.02
|
| Rate for Payer: Cofinity Advantage |
$177.65
|
| Rate for Payer: Cofinity Commercial |
$218.25
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$203.02
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$70.17
|
| Rate for Payer: Healthscope Commercial |
$228.40
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$177.65
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$190.34
|
| Rate for Payer: Mclaren Medicaid |
$70.17
|
| Rate for Payer: Mclaren Medicare |
$70.17
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$73.68
|
| Rate for Payer: Meridian Medicaid |
$73.68
|
| Rate for Payer: MI Amish Medical Board Commercial |
$80.70
|
| Rate for Payer: Molina Medicare/Medicaid |
$77.19
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$215.71
|
| Rate for Payer: Nomi Health Commercial |
$210.51
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$190.34
|
| Rate for Payer: PACE Medicare |
$66.66
|
| Rate for Payer: PACE SWMI |
$70.17
|
| Rate for Payer: PHP Commercial |
$215.71
|
| Rate for Payer: PHP Medicare Advantage |
$70.17
|
| Rate for Payer: Priority Health Choice Medicaid |
$36.70
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$226.94
|
| Rate for Payer: Priority Health Medicare |
$70.17
|
| Rate for Payer: Priority Health SBD |
$159.88
|
| Rate for Payer: Priority Health Tiered Network |
$181.55
|
| Rate for Payer: Railroad Medicare Medicare |
$70.17
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$164.96
|
| Rate for Payer: UHC Core |
$132.22
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$70.17
|
| Rate for Payer: UHC Exchange |
$99.74
|
| Rate for Payer: UHC Medicaid |
$36.70
|
| Rate for Payer: UHCCP Medicaid |
$36.70
|
| Rate for Payer: UMR Bronson Commercial |
$93.90
|
| Rate for Payer: VA VA |
$70.17
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$190.34
|
|
|
HC CRYOPRECIPITATE POOL CMPT2
|
Facility
|
OP
|
$253.78
|
|
|
Service Code
|
HCPCS P9012
|
| Hospital Charge Code |
39000046
|
|
Hospital Revenue Code
|
390
|
| Min. Negotiated Rate |
$36.70 |
| Max. Negotiated Rate |
$228.40 |
| Rate for Payer: Aetna American Axle |
$164.96
|
| Rate for Payer: Aetna Commercial |
$215.71
|
| Rate for Payer: Aetna Medicare |
$72.98
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$164.96
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$87.71
|
| Rate for Payer: Amish Plain Church Group Commercial |
$87.71
|
| Rate for Payer: BCBS Complete |
$38.54
|
| Rate for Payer: BCBS MAPPO |
$70.17
|
| Rate for Payer: BCBS Trust/PPO |
$168.16
|
| Rate for Payer: BCN Commercial |
$168.16
|
| Rate for Payer: BCN Medicare Advantage |
$70.17
|
| Rate for Payer: Cash Price |
$203.02
|
| Rate for Payer: Cash Price |
$203.02
|
| Rate for Payer: Cofinity Advantage |
$177.65
|
| Rate for Payer: Cofinity Commercial |
$218.25
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$203.02
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$70.17
|
| Rate for Payer: Healthscope Commercial |
$228.40
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$177.65
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$190.34
|
| Rate for Payer: Mclaren Medicaid |
$70.17
|
| Rate for Payer: Mclaren Medicare |
$70.17
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$73.68
|
| Rate for Payer: Meridian Medicaid |
$73.68
|
| Rate for Payer: MI Amish Medical Board Commercial |
$80.70
|
| Rate for Payer: Molina Medicare/Medicaid |
$77.19
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$215.71
|
| Rate for Payer: Nomi Health Commercial |
$210.51
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$190.34
|
| Rate for Payer: PACE Medicare |
$66.66
|
| Rate for Payer: PACE SWMI |
$70.17
|
| Rate for Payer: PHP Commercial |
$215.71
|
| Rate for Payer: PHP Medicare Advantage |
$70.17
|
| Rate for Payer: Priority Health Choice Medicaid |
$36.70
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$226.94
|
| Rate for Payer: Priority Health Medicare |
$70.17
|
| Rate for Payer: Priority Health SBD |
$159.88
|
| Rate for Payer: Priority Health Tiered Network |
$181.55
|
| Rate for Payer: Railroad Medicare Medicare |
$70.17
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$164.96
|
| Rate for Payer: UHC Core |
$132.22
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$70.17
|
| Rate for Payer: UHC Exchange |
$99.74
|
| Rate for Payer: UHC Medicaid |
$36.70
|
| Rate for Payer: UHCCP Medicaid |
$36.70
|
| Rate for Payer: UMR Bronson Commercial |
$93.90
|
| Rate for Payer: VA VA |
$70.17
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$190.34
|
|
|
HC CRYOPRECIPITATE POOL CMPT2
|
Facility
|
IP
|
$253.78
|
|
|
Service Code
|
HCPCS P9012
|
| Hospital Charge Code |
39000046
|
|
Hospital Revenue Code
|
390
|
| Min. Negotiated Rate |
$111.66 |
| Max. Negotiated Rate |
$228.40 |
| Rate for Payer: Aetna American Axle |
$164.96
|
| Rate for Payer: Aetna Commercial |
$215.71
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$164.96
|
| Rate for Payer: Cash Price |
$203.02
|
| Rate for Payer: Cofinity Advantage |
$177.65
|
| Rate for Payer: Cofinity Commercial |
$218.25
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$203.02
|
| Rate for Payer: Healthscope Commercial |
$228.40
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$177.65
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$190.34
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$215.71
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$190.34
|
| Rate for Payer: PHP Commercial |
$215.71
|
| Rate for Payer: Priority Health SBD |
$159.88
|
| Rate for Payer: UMR Bronson Commercial |
$111.66
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$190.34
|
|
|
HC CRYOPRECIPITATE POOL CMPT3
|
Facility
|
OP
|
$253.78
|
|
|
Service Code
|
HCPCS P9012
|
| Hospital Charge Code |
39000047
|
|
Hospital Revenue Code
|
390
|
| Min. Negotiated Rate |
$36.70 |
| Max. Negotiated Rate |
$228.40 |
| Rate for Payer: Aetna American Axle |
$164.96
|
| Rate for Payer: Aetna Commercial |
$215.71
|
| Rate for Payer: Aetna Medicare |
$72.98
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$164.96
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$87.71
|
| Rate for Payer: Amish Plain Church Group Commercial |
$87.71
|
| Rate for Payer: BCBS Complete |
$38.54
|
| Rate for Payer: BCBS MAPPO |
$70.17
|
| Rate for Payer: BCBS Trust/PPO |
$168.16
|
| Rate for Payer: BCN Commercial |
$168.16
|
| Rate for Payer: BCN Medicare Advantage |
$70.17
|
| Rate for Payer: Cash Price |
$203.02
|
| Rate for Payer: Cash Price |
$203.02
|
| Rate for Payer: Cofinity Advantage |
$177.65
|
| Rate for Payer: Cofinity Commercial |
$218.25
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$203.02
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$70.17
|
| Rate for Payer: Healthscope Commercial |
$228.40
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$177.65
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$190.34
|
| Rate for Payer: Mclaren Medicaid |
$70.17
|
| Rate for Payer: Mclaren Medicare |
$70.17
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$73.68
|
| Rate for Payer: Meridian Medicaid |
$73.68
|
| Rate for Payer: MI Amish Medical Board Commercial |
$80.70
|
| Rate for Payer: Molina Medicare/Medicaid |
$77.19
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$215.71
|
| Rate for Payer: Nomi Health Commercial |
$210.51
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$190.34
|
| Rate for Payer: PACE Medicare |
$66.66
|
| Rate for Payer: PACE SWMI |
$70.17
|
| Rate for Payer: PHP Commercial |
$215.71
|
| Rate for Payer: PHP Medicare Advantage |
$70.17
|
| Rate for Payer: Priority Health Choice Medicaid |
$36.70
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$226.94
|
| Rate for Payer: Priority Health Medicare |
$70.17
|
| Rate for Payer: Priority Health SBD |
$159.88
|
| Rate for Payer: Priority Health Tiered Network |
$181.55
|
| Rate for Payer: Railroad Medicare Medicare |
$70.17
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$164.96
|
| Rate for Payer: UHC Core |
$132.22
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$70.17
|
| Rate for Payer: UHC Exchange |
$99.74
|
| Rate for Payer: UHC Medicaid |
$36.70
|
| Rate for Payer: UHCCP Medicaid |
$36.70
|
| Rate for Payer: UMR Bronson Commercial |
$93.90
|
| Rate for Payer: VA VA |
$70.17
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$190.34
|
|
|
HC CRYOPRECIPITATE POOL CMPT3
|
Facility
|
IP
|
$253.78
|
|
|
Service Code
|
HCPCS P9012
|
| Hospital Charge Code |
39000047
|
|
Hospital Revenue Code
|
390
|
| Min. Negotiated Rate |
$111.66 |
| Max. Negotiated Rate |
$228.40 |
| Rate for Payer: Aetna American Axle |
$164.96
|
| Rate for Payer: Aetna Commercial |
$215.71
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$164.96
|
| Rate for Payer: Cash Price |
$203.02
|
| Rate for Payer: Cofinity Advantage |
$177.65
|
| Rate for Payer: Cofinity Commercial |
$218.25
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$203.02
|
| Rate for Payer: Healthscope Commercial |
$228.40
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$177.65
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$190.34
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$215.71
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$190.34
|
| Rate for Payer: PHP Commercial |
$215.71
|
| Rate for Payer: Priority Health SBD |
$159.88
|
| Rate for Payer: UMR Bronson Commercial |
$111.66
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$190.34
|
|
|
HC CRYOPRECIPITATE POOL CMPT4
|
Facility
|
OP
|
$253.78
|
|
|
Service Code
|
HCPCS P9012
|
| Hospital Charge Code |
39000048
|
|
Hospital Revenue Code
|
390
|
| Min. Negotiated Rate |
$36.70 |
| Max. Negotiated Rate |
$228.40 |
| Rate for Payer: Aetna American Axle |
$164.96
|
| Rate for Payer: Aetna Commercial |
$215.71
|
| Rate for Payer: Aetna Medicare |
$72.98
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$164.96
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$87.71
|
| Rate for Payer: Amish Plain Church Group Commercial |
$87.71
|
| Rate for Payer: BCBS Complete |
$38.54
|
| Rate for Payer: BCBS MAPPO |
$70.17
|
| Rate for Payer: BCBS Trust/PPO |
$168.16
|
| Rate for Payer: BCN Commercial |
$168.16
|
| Rate for Payer: BCN Medicare Advantage |
$70.17
|
| Rate for Payer: Cash Price |
$203.02
|
| Rate for Payer: Cash Price |
$203.02
|
| Rate for Payer: Cofinity Advantage |
$177.65
|
| Rate for Payer: Cofinity Commercial |
$218.25
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$203.02
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$70.17
|
| Rate for Payer: Healthscope Commercial |
$228.40
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$177.65
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$190.34
|
| Rate for Payer: Mclaren Medicaid |
$70.17
|
| Rate for Payer: Mclaren Medicare |
$70.17
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$73.68
|
| Rate for Payer: Meridian Medicaid |
$73.68
|
| Rate for Payer: MI Amish Medical Board Commercial |
$80.70
|
| Rate for Payer: Molina Medicare/Medicaid |
$77.19
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$215.71
|
| Rate for Payer: Nomi Health Commercial |
$210.51
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$190.34
|
| Rate for Payer: PACE Medicare |
$66.66
|
| Rate for Payer: PACE SWMI |
$70.17
|
| Rate for Payer: PHP Commercial |
$215.71
|
| Rate for Payer: PHP Medicare Advantage |
$70.17
|
| Rate for Payer: Priority Health Choice Medicaid |
$36.70
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$226.94
|
| Rate for Payer: Priority Health Medicare |
$70.17
|
| Rate for Payer: Priority Health SBD |
$159.88
|
| Rate for Payer: Priority Health Tiered Network |
$181.55
|
| Rate for Payer: Railroad Medicare Medicare |
$70.17
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$164.96
|
| Rate for Payer: UHC Core |
$132.22
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$70.17
|
| Rate for Payer: UHC Exchange |
$99.74
|
| Rate for Payer: UHC Medicaid |
$36.70
|
| Rate for Payer: UHCCP Medicaid |
$36.70
|
| Rate for Payer: UMR Bronson Commercial |
$93.90
|
| Rate for Payer: VA VA |
$70.17
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$190.34
|
|
|
HC CRYOPRECIPITATE POOL CMPT4
|
Facility
|
IP
|
$253.78
|
|
|
Service Code
|
HCPCS P9012
|
| Hospital Charge Code |
39000048
|
|
Hospital Revenue Code
|
390
|
| Min. Negotiated Rate |
$111.66 |
| Max. Negotiated Rate |
$228.40 |
| Rate for Payer: Aetna American Axle |
$164.96
|
| Rate for Payer: Aetna Commercial |
$215.71
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$164.96
|
| Rate for Payer: Cash Price |
$203.02
|
| Rate for Payer: Cofinity Advantage |
$177.65
|
| Rate for Payer: Cofinity Commercial |
$218.25
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$203.02
|
| Rate for Payer: Healthscope Commercial |
$228.40
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$177.65
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$190.34
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$215.71
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$190.34
|
| Rate for Payer: PHP Commercial |
$215.71
|
| Rate for Payer: Priority Health SBD |
$159.88
|
| Rate for Payer: UMR Bronson Commercial |
$111.66
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$190.34
|
|
|
HC CRYOSURGERY ANAL LESION(S)
|
Facility
|
IP
|
$564.42
|
|
|
Service Code
|
CPT 46916
|
| Hospital Charge Code |
76100353
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$248.34 |
| Max. Negotiated Rate |
$507.98 |
| Rate for Payer: Aetna American Axle |
$366.87
|
| Rate for Payer: Aetna Commercial |
$479.76
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$366.87
|
| Rate for Payer: Cash Price |
$451.54
|
| Rate for Payer: Cofinity Advantage |
$395.09
|
| Rate for Payer: Cofinity Commercial |
$485.40
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$451.54
|
| Rate for Payer: Healthscope Commercial |
$507.98
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$395.09
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$423.31
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$479.76
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$423.31
|
| Rate for Payer: PHP Commercial |
$479.76
|
| Rate for Payer: Priority Health SBD |
$355.58
|
| Rate for Payer: UMR Bronson Commercial |
$248.34
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$423.31
|
|
|
HC CRYOSURGERY ANAL LESION(S)
|
Facility
|
OP
|
$564.42
|
|
|
Service Code
|
CPT 46916
|
| Hospital Charge Code |
76100353
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$104.55 |
| Max. Negotiated Rate |
$646.50 |
| Rate for Payer: Aetna American Axle |
$366.87
|
| Rate for Payer: Aetna Commercial |
$479.76
|
| Rate for Payer: Aetna Medicare |
$207.91
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$366.87
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$249.89
|
| Rate for Payer: Amish Plain Church Group Commercial |
$249.89
|
| Rate for Payer: BCBS Complete |
$109.79
|
| Rate for Payer: BCBS MAPPO |
$199.91
|
| Rate for Payer: BCBS Trust/PPO |
$132.33
|
| Rate for Payer: BCN Commercial |
$132.33
|
| Rate for Payer: BCN Medicare Advantage |
$199.91
|
| Rate for Payer: Cash Price |
$451.54
|
| Rate for Payer: Cash Price |
$451.54
|
| Rate for Payer: Cash Price |
$451.54
|
| Rate for Payer: Cofinity Advantage |
$395.09
|
| Rate for Payer: Cofinity Commercial |
$485.40
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$451.54
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$199.91
|
| Rate for Payer: Healthscope Commercial |
$507.98
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$395.09
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$423.31
|
| Rate for Payer: Mclaren Medicaid |
$199.91
|
| Rate for Payer: Mclaren Medicare |
$199.91
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$209.91
|
| Rate for Payer: Meridian Medicaid |
$209.91
|
| Rate for Payer: MI Amish Medical Board Commercial |
$229.90
|
| Rate for Payer: Molina Medicare/Medicaid |
$219.90
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$479.76
|
| Rate for Payer: Nomi Health Commercial |
$599.73
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$423.31
|
| Rate for Payer: PACE Medicare |
$189.91
|
| Rate for Payer: PACE SWMI |
$199.91
|
| Rate for Payer: PHP Commercial |
$479.76
|
| Rate for Payer: PHP Medicare Advantage |
$199.91
|
| Rate for Payer: Priority Health Choice Medicaid |
$104.55
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$646.50
|
| Rate for Payer: Priority Health Medicare |
$199.91
|
| Rate for Payer: Priority Health SBD |
$355.58
|
| Rate for Payer: Priority Health Tiered Network |
$517.20
|
| Rate for Payer: Railroad Medicare Medicare |
$199.91
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$366.87
|
| Rate for Payer: UHC Core |
$294.06
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$199.91
|
| Rate for Payer: UHC Exchange |
$221.82
|
| Rate for Payer: UHC Medicaid |
$104.55
|
| Rate for Payer: UHCCP Medicaid |
$104.55
|
| Rate for Payer: UMR Bronson Commercial |
$208.84
|
| Rate for Payer: VA VA |
$199.91
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$423.31
|
|
|
HC CRYPTOCOCCAL ANTIGEN FLUID
|
Facility
|
OP
|
$47.76
|
|
|
Service Code
|
CPT 87899
|
| Hospital Charge Code |
30200210
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$8.40 |
| Max. Negotiated Rate |
$42.98 |
| Rate for Payer: Aetna American Axle |
$31.04
|
| Rate for Payer: Aetna Commercial |
$40.60
|
| Rate for Payer: Aetna Medicare |
$16.71
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$31.04
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$20.09
|
| Rate for Payer: Amish Plain Church Group Commercial |
$20.09
|
| Rate for Payer: BCBS Complete |
$8.83
|
| Rate for Payer: BCBS MAPPO |
$16.07
|
| Rate for Payer: BCBS Trust/PPO |
$18.57
|
| Rate for Payer: BCN Commercial |
$18.57
|
| Rate for Payer: BCN Medicare Advantage |
$16.07
|
| Rate for Payer: Cash Price |
$38.21
|
| Rate for Payer: Cash Price |
$38.21
|
| Rate for Payer: Cofinity Advantage |
$33.43
|
| Rate for Payer: Cofinity Commercial |
$41.07
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$38.21
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$16.07
|
| Rate for Payer: Healthscope Commercial |
$42.98
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$33.43
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$35.82
|
| Rate for Payer: Mclaren Medicaid |
$16.07
|
| Rate for Payer: Mclaren Medicare |
$16.07
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$16.87
|
| Rate for Payer: Meridian Medicaid |
$16.87
|
| Rate for Payer: MI Amish Medical Board Commercial |
$18.48
|
| Rate for Payer: Molina Medicare/Medicaid |
$17.68
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$40.60
|
| Rate for Payer: Nomi Health Commercial |
$24.11
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$35.82
|
| Rate for Payer: PACE Medicare |
$15.27
|
| Rate for Payer: PACE SWMI |
$16.07
|
| Rate for Payer: PHP Commercial |
$40.60
|
| Rate for Payer: PHP Medicare Advantage |
$16.07
|
| Rate for Payer: Priority Health Choice Medicaid |
$8.40
|
| Rate for Payer: Priority Health Medicare |
$16.07
|
| Rate for Payer: Priority Health SBD |
$30.09
|
| Rate for Payer: Railroad Medicare Medicare |
$16.07
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$24.11
|
| Rate for Payer: UHC Core |
$24.11
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$16.07
|
| Rate for Payer: UHC Exchange |
$24.11
|
| Rate for Payer: UHC Medicaid |
$8.40
|
| Rate for Payer: UHCCP Medicaid |
$8.40
|
| Rate for Payer: UMR Bronson Commercial |
$17.67
|
| Rate for Payer: VA VA |
$16.07
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$35.82
|
|
|
HC CRYPTOCOCCAL ANTIGEN FLUID
|
Facility
|
IP
|
$47.76
|
|
|
Service Code
|
CPT 87899
|
| Hospital Charge Code |
30200210
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$21.01 |
| Max. Negotiated Rate |
$42.98 |
| Rate for Payer: Aetna American Axle |
$31.04
|
| Rate for Payer: Aetna Commercial |
$40.60
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$31.04
|
| Rate for Payer: Cash Price |
$38.21
|
| Rate for Payer: Cofinity Advantage |
$33.43
|
| Rate for Payer: Cofinity Commercial |
$41.07
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$38.21
|
| Rate for Payer: Healthscope Commercial |
$42.98
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$33.43
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$35.82
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$40.60
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$35.82
|
| Rate for Payer: PHP Commercial |
$40.60
|
| Rate for Payer: Priority Health SBD |
$30.09
|
| Rate for Payer: UMR Bronson Commercial |
$21.01
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$35.82
|
|
|
HC CRYPTOCOCCUS NEOFORMANS GATTII
|
Facility
|
OP
|
$53.06
|
|
|
Service Code
|
CPT 87798
|
| Hospital Charge Code |
30600265
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$18.35 |
| Max. Negotiated Rate |
$52.64 |
| Rate for Payer: Aetna American Axle |
$34.49
|
| Rate for Payer: Aetna Commercial |
$45.10
|
| Rate for Payer: Aetna Medicare |
$36.49
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$34.49
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$43.86
|
| Rate for Payer: Amish Plain Church Group Commercial |
$43.86
|
| Rate for Payer: BCBS Complete |
$19.27
|
| Rate for Payer: BCBS MAPPO |
$35.09
|
| Rate for Payer: BCBS Trust/PPO |
$40.57
|
| Rate for Payer: BCN Commercial |
$40.57
|
| Rate for Payer: BCN Medicare Advantage |
$35.09
|
| Rate for Payer: Cash Price |
$42.45
|
| Rate for Payer: Cash Price |
$42.45
|
| Rate for Payer: Cofinity Advantage |
$37.14
|
| Rate for Payer: Cofinity Commercial |
$45.63
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$42.45
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$35.09
|
| Rate for Payer: Healthscope Commercial |
$47.75
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$37.14
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$39.80
|
| Rate for Payer: Mclaren Medicaid |
$35.09
|
| Rate for Payer: Mclaren Medicare |
$35.09
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$36.84
|
| Rate for Payer: Meridian Medicaid |
$36.84
|
| Rate for Payer: MI Amish Medical Board Commercial |
$40.35
|
| Rate for Payer: Molina Medicare/Medicaid |
$38.60
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$45.10
|
| Rate for Payer: Nomi Health Commercial |
$52.63
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$39.80
|
| Rate for Payer: PACE Medicare |
$33.34
|
| Rate for Payer: PACE SWMI |
$35.09
|
| Rate for Payer: PHP Commercial |
$45.10
|
| Rate for Payer: PHP Medicare Advantage |
$35.09
|
| Rate for Payer: Priority Health Choice Medicaid |
$18.35
|
| Rate for Payer: Priority Health Medicare |
$35.09
|
| Rate for Payer: Priority Health SBD |
$33.43
|
| Rate for Payer: Railroad Medicare Medicare |
$35.09
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$52.64
|
| Rate for Payer: UHC Core |
$52.64
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$35.09
|
| Rate for Payer: UHC Exchange |
$52.64
|
| Rate for Payer: UHC Medicaid |
$18.35
|
| Rate for Payer: UHCCP Medicaid |
$18.35
|
| Rate for Payer: UMR Bronson Commercial |
$19.63
|
| Rate for Payer: VA VA |
$35.09
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$39.80
|
|
