|
HC CT BRAIN WO W CON
|
Facility
|
OP
|
$1,862.42
|
|
|
Service Code
|
CPT 70470
|
| Hospital Charge Code |
35100003
|
|
Hospital Revenue Code
|
351
|
| Min. Negotiated Rate |
$91.40 |
| Max. Negotiated Rate |
$1,676.18 |
| Rate for Payer: Aetna American Axle |
$1,210.57
|
| Rate for Payer: Aetna Commercial |
$1,583.06
|
| Rate for Payer: Aetna Medicare |
$181.76
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,210.57
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$218.46
|
| Rate for Payer: Amish Plain Church Group Commercial |
$218.46
|
| Rate for Payer: BCBS Complete |
$95.98
|
| Rate for Payer: BCBS MAPPO |
$174.77
|
| Rate for Payer: BCBS Trust/PPO |
$286.50
|
| Rate for Payer: BCN Commercial |
$286.50
|
| Rate for Payer: BCN Medicare Advantage |
$174.77
|
| Rate for Payer: Cash Price |
$1,489.94
|
| Rate for Payer: Cash Price |
$1,489.94
|
| Rate for Payer: Cofinity Advantage |
$1,303.69
|
| Rate for Payer: Cofinity Commercial |
$1,601.68
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,489.94
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$174.77
|
| Rate for Payer: Healthscope Commercial |
$1,676.18
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,303.69
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,396.82
|
| Rate for Payer: Mclaren Medicaid |
$174.77
|
| Rate for Payer: Mclaren Medicare |
$174.77
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$183.51
|
| Rate for Payer: Meridian Medicaid |
$183.51
|
| Rate for Payer: MI Amish Medical Board Commercial |
$200.99
|
| Rate for Payer: Molina Medicare/Medicaid |
$192.25
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,583.06
|
| Rate for Payer: Nomi Health Commercial |
$524.31
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,396.82
|
| Rate for Payer: PACE Medicare |
$166.03
|
| Rate for Payer: PACE SWMI |
$174.77
|
| Rate for Payer: PHP Commercial |
$1,583.06
|
| Rate for Payer: PHP Medicare Advantage |
$174.77
|
| Rate for Payer: Priority Health Choice Medicaid |
$91.40
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$565.19
|
| Rate for Payer: Priority Health Medicare |
$174.77
|
| Rate for Payer: Priority Health SBD |
$1,173.32
|
| Rate for Payer: Priority Health Tiered Network |
$452.15
|
| Rate for Payer: Railroad Medicare Medicare |
$174.77
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,210.57
|
| Rate for Payer: UHC Core |
$970.32
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$174.77
|
| Rate for Payer: UHC Exchange |
$731.93
|
| Rate for Payer: UHC Medicaid |
$91.40
|
| Rate for Payer: UHCCP Medicaid |
$91.40
|
| Rate for Payer: UMR Bronson Commercial |
$689.10
|
| Rate for Payer: VA VA |
$174.77
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,396.82
|
|
|
HC CT BRAIN WO W CON
|
Facility
|
IP
|
$1,862.42
|
|
|
Service Code
|
CPT 70470
|
| Hospital Charge Code |
35100003
|
|
Hospital Revenue Code
|
351
|
| Min. Negotiated Rate |
$819.46 |
| Max. Negotiated Rate |
$1,676.18 |
| Rate for Payer: Aetna American Axle |
$1,210.57
|
| Rate for Payer: Aetna Commercial |
$1,583.06
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,210.57
|
| Rate for Payer: Cash Price |
$1,489.94
|
| Rate for Payer: Cofinity Advantage |
$1,303.69
|
| Rate for Payer: Cofinity Commercial |
$1,601.68
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,489.94
|
| Rate for Payer: Healthscope Commercial |
$1,676.18
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,303.69
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,396.82
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,583.06
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,396.82
|
| Rate for Payer: PHP Commercial |
$1,583.06
|
| Rate for Payer: Priority Health SBD |
$1,173.32
|
| Rate for Payer: UMR Bronson Commercial |
$819.46
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,396.82
|
|
|
HC CT CHEST ANGIOGRAPHY
|
Facility
|
OP
|
$2,109.36
|
|
|
Service Code
|
CPT 71275
|
| Hospital Charge Code |
35000006
|
|
Hospital Revenue Code
|
350
|
| Min. Negotiated Rate |
$91.40 |
| Max. Negotiated Rate |
$1,898.42 |
| Rate for Payer: Aetna American Axle |
$1,371.08
|
| Rate for Payer: Aetna Commercial |
$1,792.96
|
| Rate for Payer: Aetna Medicare |
$181.76
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,371.08
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$218.46
|
| Rate for Payer: Amish Plain Church Group Commercial |
$218.46
|
| Rate for Payer: BCBS Complete |
$95.98
|
| Rate for Payer: BCBS MAPPO |
$174.77
|
| Rate for Payer: BCBS Trust/PPO |
$494.19
|
| Rate for Payer: BCN Commercial |
$494.19
|
| Rate for Payer: BCN Medicare Advantage |
$174.77
|
| Rate for Payer: Cash Price |
$1,687.49
|
| Rate for Payer: Cash Price |
$1,687.49
|
| Rate for Payer: Cofinity Advantage |
$1,476.55
|
| Rate for Payer: Cofinity Commercial |
$1,814.05
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,687.49
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$174.77
|
| Rate for Payer: Healthscope Commercial |
$1,898.42
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,476.55
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,582.02
|
| Rate for Payer: Mclaren Medicaid |
$174.77
|
| Rate for Payer: Mclaren Medicare |
$174.77
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$183.51
|
| Rate for Payer: Meridian Medicaid |
$183.51
|
| Rate for Payer: MI Amish Medical Board Commercial |
$200.99
|
| Rate for Payer: Molina Medicare/Medicaid |
$192.25
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,792.96
|
| Rate for Payer: Nomi Health Commercial |
$524.31
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,582.02
|
| Rate for Payer: PACE Medicare |
$166.03
|
| Rate for Payer: PACE SWMI |
$174.77
|
| Rate for Payer: PHP Commercial |
$1,792.96
|
| Rate for Payer: PHP Medicare Advantage |
$174.77
|
| Rate for Payer: Priority Health Choice Medicaid |
$91.40
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$565.19
|
| Rate for Payer: Priority Health Medicare |
$174.77
|
| Rate for Payer: Priority Health SBD |
$1,328.90
|
| Rate for Payer: Priority Health Tiered Network |
$452.15
|
| Rate for Payer: Railroad Medicare Medicare |
$174.77
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,371.08
|
| Rate for Payer: UHC Core |
$1,098.98
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$174.77
|
| Rate for Payer: UHC Exchange |
$828.98
|
| Rate for Payer: UHC Medicaid |
$91.40
|
| Rate for Payer: UHCCP Medicaid |
$91.40
|
| Rate for Payer: UMR Bronson Commercial |
$780.46
|
| Rate for Payer: VA VA |
$174.77
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,582.02
|
|
|
HC CT CHEST ANGIOGRAPHY
|
Facility
|
IP
|
$2,109.36
|
|
|
Service Code
|
CPT 71275
|
| Hospital Charge Code |
35000006
|
|
Hospital Revenue Code
|
350
|
| Min. Negotiated Rate |
$928.12 |
| Max. Negotiated Rate |
$1,898.42 |
| Rate for Payer: Aetna American Axle |
$1,371.08
|
| Rate for Payer: Aetna Commercial |
$1,792.96
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,371.08
|
| Rate for Payer: Cash Price |
$1,687.49
|
| Rate for Payer: Cofinity Advantage |
$1,476.55
|
| Rate for Payer: Cofinity Commercial |
$1,814.05
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,687.49
|
| Rate for Payer: Healthscope Commercial |
$1,898.42
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,476.55
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,582.02
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,792.96
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,582.02
|
| Rate for Payer: PHP Commercial |
$1,792.96
|
| Rate for Payer: Priority Health SBD |
$1,328.90
|
| Rate for Payer: UMR Bronson Commercial |
$928.12
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,582.02
|
|
|
HC CT CHEST SCREENING LUNG CANCER
|
Facility
|
OP
|
$1,544.37
|
|
|
Service Code
|
CPT 71271
|
| Hospital Charge Code |
35000040
|
|
Hospital Revenue Code
|
350
|
| Min. Negotiated Rate |
$54.48 |
| Max. Negotiated Rate |
$1,389.93 |
| Rate for Payer: Aetna American Axle |
$1,003.84
|
| Rate for Payer: Aetna Commercial |
$1,312.71
|
| Rate for Payer: Aetna Medicare |
$108.34
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,003.84
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$130.21
|
| Rate for Payer: Amish Plain Church Group Commercial |
$130.21
|
| Rate for Payer: BCBS Complete |
$57.21
|
| Rate for Payer: BCBS MAPPO |
$104.17
|
| Rate for Payer: BCBS Trust/PPO |
$219.17
|
| Rate for Payer: BCN Commercial |
$219.17
|
| Rate for Payer: BCN Medicare Advantage |
$104.17
|
| Rate for Payer: Cash Price |
$1,235.50
|
| Rate for Payer: Cash Price |
$1,235.50
|
| Rate for Payer: Cofinity Advantage |
$1,081.06
|
| Rate for Payer: Cofinity Commercial |
$1,328.16
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,235.50
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$104.17
|
| Rate for Payer: Healthscope Commercial |
$1,389.93
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,081.06
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,158.28
|
| Rate for Payer: Mclaren Medicaid |
$104.17
|
| Rate for Payer: Mclaren Medicare |
$104.17
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$109.38
|
| Rate for Payer: Meridian Medicaid |
$109.38
|
| Rate for Payer: MI Amish Medical Board Commercial |
$119.80
|
| Rate for Payer: Molina Medicare/Medicaid |
$114.59
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,312.71
|
| Rate for Payer: Nomi Health Commercial |
$312.51
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,158.28
|
| Rate for Payer: PACE Medicare |
$98.96
|
| Rate for Payer: PACE SWMI |
$104.17
|
| Rate for Payer: PHP Commercial |
$1,312.71
|
| Rate for Payer: PHP Medicare Advantage |
$104.17
|
| Rate for Payer: Priority Health Choice Medicaid |
$54.48
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$336.87
|
| Rate for Payer: Priority Health Medicare |
$104.17
|
| Rate for Payer: Priority Health SBD |
$972.95
|
| Rate for Payer: Priority Health Tiered Network |
$269.50
|
| Rate for Payer: Railroad Medicare Medicare |
$104.17
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,003.84
|
| Rate for Payer: UHC Core |
$804.62
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$104.17
|
| Rate for Payer: UHC Exchange |
$606.94
|
| Rate for Payer: UHC Medicaid |
$54.48
|
| Rate for Payer: UHCCP Medicaid |
$54.48
|
| Rate for Payer: UMR Bronson Commercial |
$571.42
|
| Rate for Payer: VA VA |
$104.17
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,158.28
|
|
|
HC CT CHEST SCREENING LUNG CANCER
|
Facility
|
IP
|
$1,544.37
|
|
|
Service Code
|
CPT 71271
|
| Hospital Charge Code |
35000040
|
|
Hospital Revenue Code
|
350
|
| Min. Negotiated Rate |
$679.52 |
| Max. Negotiated Rate |
$1,389.93 |
| Rate for Payer: Aetna American Axle |
$1,003.84
|
| Rate for Payer: Aetna Commercial |
$1,312.71
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,003.84
|
| Rate for Payer: Cash Price |
$1,235.50
|
| Rate for Payer: Cofinity Advantage |
$1,081.06
|
| Rate for Payer: Cofinity Commercial |
$1,328.16
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,235.50
|
| Rate for Payer: Healthscope Commercial |
$1,389.93
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,081.06
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,158.28
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,312.71
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,158.28
|
| Rate for Payer: PHP Commercial |
$1,312.71
|
| Rate for Payer: Priority Health SBD |
$972.95
|
| Rate for Payer: UMR Bronson Commercial |
$679.52
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,158.28
|
|
|
HC CT CHEST WITH CON
|
Facility
|
IP
|
$1,771.89
|
|
|
Service Code
|
CPT 71260
|
| Hospital Charge Code |
35200001
|
|
Hospital Revenue Code
|
352
|
| Min. Negotiated Rate |
$779.63 |
| Max. Negotiated Rate |
$1,594.70 |
| Rate for Payer: Aetna American Axle |
$1,151.73
|
| Rate for Payer: Aetna Commercial |
$1,506.11
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,151.73
|
| Rate for Payer: Cash Price |
$1,417.51
|
| Rate for Payer: Cofinity Advantage |
$1,240.32
|
| Rate for Payer: Cofinity Commercial |
$1,523.83
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,417.51
|
| Rate for Payer: Healthscope Commercial |
$1,594.70
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,240.32
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,328.92
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,506.11
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,328.92
|
| Rate for Payer: PHP Commercial |
$1,506.11
|
| Rate for Payer: Priority Health SBD |
$1,116.29
|
| Rate for Payer: UMR Bronson Commercial |
$779.63
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,328.92
|
|
|
HC CT CHEST WITH CON
|
Facility
|
OP
|
$1,771.89
|
|
|
Service Code
|
CPT 71260
|
| Hospital Charge Code |
35200001
|
|
Hospital Revenue Code
|
352
|
| Min. Negotiated Rate |
$91.40 |
| Max. Negotiated Rate |
$1,594.70 |
| Rate for Payer: Aetna American Axle |
$1,151.73
|
| Rate for Payer: Aetna Commercial |
$1,506.11
|
| Rate for Payer: Aetna Medicare |
$181.76
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,151.73
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$218.46
|
| Rate for Payer: Amish Plain Church Group Commercial |
$218.46
|
| Rate for Payer: BCBS Complete |
$95.98
|
| Rate for Payer: BCBS MAPPO |
$174.77
|
| Rate for Payer: BCBS Trust/PPO |
$282.38
|
| Rate for Payer: BCN Commercial |
$282.38
|
| Rate for Payer: BCN Medicare Advantage |
$174.77
|
| Rate for Payer: Cash Price |
$1,417.51
|
| Rate for Payer: Cash Price |
$1,417.51
|
| Rate for Payer: Cofinity Advantage |
$1,240.32
|
| Rate for Payer: Cofinity Commercial |
$1,523.83
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,417.51
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$174.77
|
| Rate for Payer: Healthscope Commercial |
$1,594.70
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,240.32
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,328.92
|
| Rate for Payer: Mclaren Medicaid |
$174.77
|
| Rate for Payer: Mclaren Medicare |
$174.77
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$183.51
|
| Rate for Payer: Meridian Medicaid |
$183.51
|
| Rate for Payer: MI Amish Medical Board Commercial |
$200.99
|
| Rate for Payer: Molina Medicare/Medicaid |
$192.25
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,506.11
|
| Rate for Payer: Nomi Health Commercial |
$524.31
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,328.92
|
| Rate for Payer: PACE Medicare |
$166.03
|
| Rate for Payer: PACE SWMI |
$174.77
|
| Rate for Payer: PHP Commercial |
$1,506.11
|
| Rate for Payer: PHP Medicare Advantage |
$174.77
|
| Rate for Payer: Priority Health Choice Medicaid |
$91.40
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$565.19
|
| Rate for Payer: Priority Health Medicare |
$174.77
|
| Rate for Payer: Priority Health SBD |
$1,116.29
|
| Rate for Payer: Priority Health Tiered Network |
$452.15
|
| Rate for Payer: Railroad Medicare Medicare |
$174.77
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,151.73
|
| Rate for Payer: UHC Core |
$923.15
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$174.77
|
| Rate for Payer: UHC Exchange |
$696.35
|
| Rate for Payer: UHC Medicaid |
$91.40
|
| Rate for Payer: UHCCP Medicaid |
$91.40
|
| Rate for Payer: UMR Bronson Commercial |
$655.60
|
| Rate for Payer: VA VA |
$174.77
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,328.92
|
|
|
HC CT CHEST WO CON
|
Facility
|
IP
|
$1,544.37
|
|
|
Service Code
|
CPT 71250
|
| Hospital Charge Code |
35000005
|
|
Hospital Revenue Code
|
350
|
| Min. Negotiated Rate |
$679.52 |
| Max. Negotiated Rate |
$1,389.93 |
| Rate for Payer: Aetna American Axle |
$1,003.84
|
| Rate for Payer: Aetna Commercial |
$1,312.71
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,003.84
|
| Rate for Payer: Cash Price |
$1,235.50
|
| Rate for Payer: Cofinity Advantage |
$1,081.06
|
| Rate for Payer: Cofinity Commercial |
$1,328.16
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,235.50
|
| Rate for Payer: Healthscope Commercial |
$1,389.93
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,081.06
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,158.28
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,312.71
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,158.28
|
| Rate for Payer: PHP Commercial |
$1,312.71
|
| Rate for Payer: Priority Health SBD |
$972.95
|
| Rate for Payer: UMR Bronson Commercial |
$679.52
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,158.28
|
|
|
HC CT CHEST WO CON
|
Facility
|
OP
|
$1,544.37
|
|
|
Service Code
|
CPT 71250
|
| Hospital Charge Code |
35000005
|
|
Hospital Revenue Code
|
350
|
| Min. Negotiated Rate |
$54.48 |
| Max. Negotiated Rate |
$1,389.93 |
| Rate for Payer: Aetna American Axle |
$1,003.84
|
| Rate for Payer: Aetna Commercial |
$1,312.71
|
| Rate for Payer: Aetna Medicare |
$108.34
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,003.84
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$130.21
|
| Rate for Payer: Amish Plain Church Group Commercial |
$130.21
|
| Rate for Payer: BCBS Complete |
$57.21
|
| Rate for Payer: BCBS MAPPO |
$104.17
|
| Rate for Payer: BCBS Trust/PPO |
$207.69
|
| Rate for Payer: BCN Commercial |
$207.69
|
| Rate for Payer: BCN Medicare Advantage |
$104.17
|
| Rate for Payer: Cash Price |
$1,235.50
|
| Rate for Payer: Cash Price |
$1,235.50
|
| Rate for Payer: Cofinity Advantage |
$1,081.06
|
| Rate for Payer: Cofinity Commercial |
$1,328.16
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,235.50
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$104.17
|
| Rate for Payer: Healthscope Commercial |
$1,389.93
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,081.06
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,158.28
|
| Rate for Payer: Mclaren Medicaid |
$104.17
|
| Rate for Payer: Mclaren Medicare |
$104.17
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$109.38
|
| Rate for Payer: Meridian Medicaid |
$109.38
|
| Rate for Payer: MI Amish Medical Board Commercial |
$119.80
|
| Rate for Payer: Molina Medicare/Medicaid |
$114.59
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,312.71
|
| Rate for Payer: Nomi Health Commercial |
$312.51
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,158.28
|
| Rate for Payer: PACE Medicare |
$98.96
|
| Rate for Payer: PACE SWMI |
$104.17
|
| Rate for Payer: PHP Commercial |
$1,312.71
|
| Rate for Payer: PHP Medicare Advantage |
$104.17
|
| Rate for Payer: Priority Health Choice Medicaid |
$54.48
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$336.87
|
| Rate for Payer: Priority Health Medicare |
$104.17
|
| Rate for Payer: Priority Health SBD |
$972.95
|
| Rate for Payer: Priority Health Tiered Network |
$269.50
|
| Rate for Payer: Railroad Medicare Medicare |
$104.17
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,003.84
|
| Rate for Payer: UHC Core |
$804.62
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$104.17
|
| Rate for Payer: UHC Exchange |
$606.94
|
| Rate for Payer: UHC Medicaid |
$54.48
|
| Rate for Payer: UHCCP Medicaid |
$54.48
|
| Rate for Payer: UMR Bronson Commercial |
$571.42
|
| Rate for Payer: VA VA |
$104.17
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,158.28
|
|
|
HC CT CHEST WO W CON
|
Facility
|
IP
|
$2,097.05
|
|
|
Service Code
|
CPT 71270
|
| Hospital Charge Code |
35200002
|
|
Hospital Revenue Code
|
352
|
| Min. Negotiated Rate |
$922.70 |
| Max. Negotiated Rate |
$1,887.35 |
| Rate for Payer: Aetna American Axle |
$1,363.08
|
| Rate for Payer: Aetna Commercial |
$1,782.49
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,363.08
|
| Rate for Payer: Cash Price |
$1,677.64
|
| Rate for Payer: Cofinity Advantage |
$1,467.93
|
| Rate for Payer: Cofinity Commercial |
$1,803.46
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,677.64
|
| Rate for Payer: Healthscope Commercial |
$1,887.35
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,467.93
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,572.79
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,782.49
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,572.79
|
| Rate for Payer: PHP Commercial |
$1,782.49
|
| Rate for Payer: Priority Health SBD |
$1,321.14
|
| Rate for Payer: UMR Bronson Commercial |
$922.70
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,572.79
|
|
|
HC CT CHEST WO W CON
|
Facility
|
OP
|
$2,097.05
|
|
|
Service Code
|
CPT 71270
|
| Hospital Charge Code |
35200002
|
|
Hospital Revenue Code
|
352
|
| Min. Negotiated Rate |
$91.40 |
| Max. Negotiated Rate |
$1,887.35 |
| Rate for Payer: Aetna American Axle |
$1,363.08
|
| Rate for Payer: Aetna Commercial |
$1,782.49
|
| Rate for Payer: Aetna Medicare |
$181.76
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,363.08
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$218.46
|
| Rate for Payer: Amish Plain Church Group Commercial |
$218.46
|
| Rate for Payer: BCBS Complete |
$95.98
|
| Rate for Payer: BCBS MAPPO |
$174.77
|
| Rate for Payer: BCBS Trust/PPO |
$345.59
|
| Rate for Payer: BCN Commercial |
$345.59
|
| Rate for Payer: BCN Medicare Advantage |
$174.77
|
| Rate for Payer: Cash Price |
$1,677.64
|
| Rate for Payer: Cash Price |
$1,677.64
|
| Rate for Payer: Cofinity Advantage |
$1,467.93
|
| Rate for Payer: Cofinity Commercial |
$1,803.46
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,677.64
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$174.77
|
| Rate for Payer: Healthscope Commercial |
$1,887.35
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,467.93
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,572.79
|
| Rate for Payer: Mclaren Medicaid |
$174.77
|
| Rate for Payer: Mclaren Medicare |
$174.77
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$183.51
|
| Rate for Payer: Meridian Medicaid |
$183.51
|
| Rate for Payer: MI Amish Medical Board Commercial |
$200.99
|
| Rate for Payer: Molina Medicare/Medicaid |
$192.25
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,782.49
|
| Rate for Payer: Nomi Health Commercial |
$524.31
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,572.79
|
| Rate for Payer: PACE Medicare |
$166.03
|
| Rate for Payer: PACE SWMI |
$174.77
|
| Rate for Payer: PHP Commercial |
$1,782.49
|
| Rate for Payer: PHP Medicare Advantage |
$174.77
|
| Rate for Payer: Priority Health Choice Medicaid |
$91.40
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$565.19
|
| Rate for Payer: Priority Health Medicare |
$174.77
|
| Rate for Payer: Priority Health SBD |
$1,321.14
|
| Rate for Payer: Priority Health Tiered Network |
$452.15
|
| Rate for Payer: Railroad Medicare Medicare |
$174.77
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,363.08
|
| Rate for Payer: UHC Core |
$1,092.56
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$174.77
|
| Rate for Payer: UHC Exchange |
$824.14
|
| Rate for Payer: UHC Medicaid |
$91.40
|
| Rate for Payer: UHCCP Medicaid |
$91.40
|
| Rate for Payer: UMR Bronson Commercial |
$775.91
|
| Rate for Payer: VA VA |
$174.77
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,572.79
|
|
|
HC CT CORONARY ANGIO
|
Facility
|
IP
|
$1,408.02
|
|
|
Service Code
|
CPT 75574
|
| Hospital Charge Code |
35000019
|
|
Hospital Revenue Code
|
350
|
| Min. Negotiated Rate |
$619.53 |
| Max. Negotiated Rate |
$1,267.22 |
| Rate for Payer: Aetna American Axle |
$915.21
|
| Rate for Payer: Aetna Commercial |
$1,196.82
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$915.21
|
| Rate for Payer: Cash Price |
$1,126.42
|
| Rate for Payer: Cofinity Advantage |
$985.61
|
| Rate for Payer: Cofinity Commercial |
$1,210.90
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,126.42
|
| Rate for Payer: Healthscope Commercial |
$1,267.22
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$985.61
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,056.02
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,196.82
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,056.02
|
| Rate for Payer: PHP Commercial |
$1,196.82
|
| Rate for Payer: Priority Health SBD |
$887.05
|
| Rate for Payer: UMR Bronson Commercial |
$619.53
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,056.02
|
|
|
HC CT CORONARY ANGIO
|
Facility
|
OP
|
$1,408.02
|
|
|
Service Code
|
CPT 75574
|
| Hospital Charge Code |
35000019
|
|
Hospital Revenue Code
|
350
|
| Min. Negotiated Rate |
$181.81 |
| Max. Negotiated Rate |
$1,267.22 |
| Rate for Payer: Aetna American Axle |
$915.21
|
| Rate for Payer: Aetna Commercial |
$1,196.82
|
| Rate for Payer: Aetna Medicare |
$361.52
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$915.21
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$434.52
|
| Rate for Payer: Amish Plain Church Group Commercial |
$434.52
|
| Rate for Payer: BCBS Complete |
$190.91
|
| Rate for Payer: BCBS MAPPO |
$347.62
|
| Rate for Payer: BCBS Trust/PPO |
$531.12
|
| Rate for Payer: BCN Commercial |
$531.12
|
| Rate for Payer: BCN Medicare Advantage |
$347.62
|
| Rate for Payer: Cash Price |
$1,126.42
|
| Rate for Payer: Cash Price |
$1,126.42
|
| Rate for Payer: Cofinity Advantage |
$985.61
|
| Rate for Payer: Cofinity Commercial |
$1,210.90
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,126.42
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$347.62
|
| Rate for Payer: Healthscope Commercial |
$1,267.22
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$985.61
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,056.02
|
| Rate for Payer: Mclaren Medicaid |
$347.62
|
| Rate for Payer: Mclaren Medicare |
$347.62
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$365.00
|
| Rate for Payer: Meridian Medicaid |
$365.00
|
| Rate for Payer: MI Amish Medical Board Commercial |
$399.76
|
| Rate for Payer: Molina Medicare/Medicaid |
$382.38
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,196.82
|
| Rate for Payer: Nomi Health Commercial |
$1,042.86
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,056.02
|
| Rate for Payer: PACE Medicare |
$330.24
|
| Rate for Payer: PACE SWMI |
$347.62
|
| Rate for Payer: PHP Commercial |
$1,196.82
|
| Rate for Payer: PHP Medicare Advantage |
$347.62
|
| Rate for Payer: Priority Health Choice Medicaid |
$181.81
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$1,124.16
|
| Rate for Payer: Priority Health Medicare |
$347.62
|
| Rate for Payer: Priority Health SBD |
$887.05
|
| Rate for Payer: Priority Health Tiered Network |
$899.33
|
| Rate for Payer: Railroad Medicare Medicare |
$347.62
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$915.21
|
| Rate for Payer: UHC Core |
$733.58
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$347.62
|
| Rate for Payer: UHC Exchange |
$553.35
|
| Rate for Payer: UHC Medicaid |
$181.81
|
| Rate for Payer: UHCCP Medicaid |
$181.81
|
| Rate for Payer: UMR Bronson Commercial |
$520.97
|
| Rate for Payer: VA VA |
$347.62
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,056.02
|
|
|
HC CT CRYOABLATION GUIDANCE
|
Facility
|
OP
|
$1,156.81
|
|
|
Service Code
|
CPT 77013
|
| Hospital Charge Code |
35000041
|
|
Hospital Revenue Code
|
350
|
| Min. Negotiated Rate |
$428.02 |
| Max. Negotiated Rate |
$1,041.13 |
| Rate for Payer: Aetna American Axle |
$751.93
|
| Rate for Payer: Aetna Commercial |
$983.29
|
| Rate for Payer: Aetna Medicare |
$578.40
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$751.93
|
| Rate for Payer: BCBS Complete |
$462.72
|
| Rate for Payer: BCBS Trust/PPO |
$747.02
|
| Rate for Payer: BCN Commercial |
$747.02
|
| Rate for Payer: Cash Price |
$925.45
|
| Rate for Payer: Cash Price |
$925.45
|
| Rate for Payer: Cofinity Advantage |
$809.77
|
| Rate for Payer: Cofinity Commercial |
$994.86
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$925.45
|
| Rate for Payer: Healthscope Commercial |
$1,041.13
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$809.77
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$867.61
|
| Rate for Payer: MI Amish Medical Board Commercial |
$925.45
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$983.29
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$867.61
|
| Rate for Payer: PHP Commercial |
$983.29
|
| Rate for Payer: Priority Health SBD |
$728.79
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$751.93
|
| Rate for Payer: UHC Core |
$602.70
|
| Rate for Payer: UHC Exchange |
$454.63
|
| Rate for Payer: UMR Bronson Commercial |
$428.02
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$867.61
|
|
|
HC CT CRYOABLATION GUIDANCE
|
Facility
|
IP
|
$1,156.81
|
|
|
Service Code
|
CPT 77013
|
| Hospital Charge Code |
35000041
|
|
Hospital Revenue Code
|
350
|
| Min. Negotiated Rate |
$509.00 |
| Max. Negotiated Rate |
$1,041.13 |
| Rate for Payer: Aetna American Axle |
$751.93
|
| Rate for Payer: Aetna Commercial |
$983.29
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$751.93
|
| Rate for Payer: Cash Price |
$925.45
|
| Rate for Payer: Cofinity Advantage |
$809.77
|
| Rate for Payer: Cofinity Commercial |
$994.86
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$925.45
|
| Rate for Payer: Healthscope Commercial |
$1,041.13
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$809.77
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$867.61
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$983.29
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$867.61
|
| Rate for Payer: PHP Commercial |
$983.29
|
| Rate for Payer: Priority Health SBD |
$728.79
|
| Rate for Payer: UMR Bronson Commercial |
$509.00
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$867.61
|
|
|
HC CT FACIAL W CON
|
Facility
|
OP
|
$1,623.54
|
|
|
Service Code
|
CPT 70487
|
| Hospital Charge Code |
35100008
|
|
Hospital Revenue Code
|
351
|
| Min. Negotiated Rate |
$91.40 |
| Max. Negotiated Rate |
$1,461.19 |
| Rate for Payer: Aetna American Axle |
$1,055.30
|
| Rate for Payer: Aetna Commercial |
$1,380.01
|
| Rate for Payer: Aetna Medicare |
$181.76
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,055.30
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$218.46
|
| Rate for Payer: Amish Plain Church Group Commercial |
$218.46
|
| Rate for Payer: BCBS Complete |
$95.98
|
| Rate for Payer: BCBS MAPPO |
$174.77
|
| Rate for Payer: BCBS Trust/PPO |
$249.55
|
| Rate for Payer: BCN Commercial |
$249.55
|
| Rate for Payer: BCN Medicare Advantage |
$174.77
|
| Rate for Payer: Cash Price |
$1,298.83
|
| Rate for Payer: Cash Price |
$1,298.83
|
| Rate for Payer: Cofinity Advantage |
$1,136.48
|
| Rate for Payer: Cofinity Commercial |
$1,396.24
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,298.83
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$174.77
|
| Rate for Payer: Healthscope Commercial |
$1,461.19
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,136.48
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,217.65
|
| Rate for Payer: Mclaren Medicaid |
$174.77
|
| Rate for Payer: Mclaren Medicare |
$174.77
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$183.51
|
| Rate for Payer: Meridian Medicaid |
$183.51
|
| Rate for Payer: MI Amish Medical Board Commercial |
$200.99
|
| Rate for Payer: Molina Medicare/Medicaid |
$192.25
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,380.01
|
| Rate for Payer: Nomi Health Commercial |
$524.31
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,217.65
|
| Rate for Payer: PACE Medicare |
$166.03
|
| Rate for Payer: PACE SWMI |
$174.77
|
| Rate for Payer: PHP Commercial |
$1,380.01
|
| Rate for Payer: PHP Medicare Advantage |
$174.77
|
| Rate for Payer: Priority Health Choice Medicaid |
$91.40
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$565.19
|
| Rate for Payer: Priority Health Medicare |
$174.77
|
| Rate for Payer: Priority Health SBD |
$1,022.83
|
| Rate for Payer: Priority Health Tiered Network |
$452.15
|
| Rate for Payer: Railroad Medicare Medicare |
$174.77
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,055.30
|
| Rate for Payer: UHC Core |
$845.86
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$174.77
|
| Rate for Payer: UHC Exchange |
$638.05
|
| Rate for Payer: UHC Medicaid |
$91.40
|
| Rate for Payer: UHCCP Medicaid |
$91.40
|
| Rate for Payer: UMR Bronson Commercial |
$600.71
|
| Rate for Payer: VA VA |
$174.77
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,217.65
|
|
|
HC CT FACIAL W CON
|
Facility
|
IP
|
$1,623.54
|
|
|
Service Code
|
CPT 70487
|
| Hospital Charge Code |
35100008
|
|
Hospital Revenue Code
|
351
|
| Min. Negotiated Rate |
$714.36 |
| Max. Negotiated Rate |
$1,461.19 |
| Rate for Payer: Aetna American Axle |
$1,055.30
|
| Rate for Payer: Aetna Commercial |
$1,380.01
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,055.30
|
| Rate for Payer: Cash Price |
$1,298.83
|
| Rate for Payer: Cofinity Advantage |
$1,136.48
|
| Rate for Payer: Cofinity Commercial |
$1,396.24
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,298.83
|
| Rate for Payer: Healthscope Commercial |
$1,461.19
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,136.48
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,217.65
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,380.01
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,217.65
|
| Rate for Payer: PHP Commercial |
$1,380.01
|
| Rate for Payer: Priority Health SBD |
$1,022.83
|
| Rate for Payer: UMR Bronson Commercial |
$714.36
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,217.65
|
|
|
HC CT FACIAL WO CON
|
Facility
|
OP
|
$1,439.10
|
|
|
Service Code
|
CPT 70486
|
| Hospital Charge Code |
35100007
|
|
Hospital Revenue Code
|
351
|
| Min. Negotiated Rate |
$54.48 |
| Max. Negotiated Rate |
$1,295.19 |
| Rate for Payer: Aetna American Axle |
$935.41
|
| Rate for Payer: Aetna Commercial |
$1,223.23
|
| Rate for Payer: Aetna Medicare |
$108.34
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$935.41
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$130.21
|
| Rate for Payer: Amish Plain Church Group Commercial |
$130.21
|
| Rate for Payer: BCBS Complete |
$57.21
|
| Rate for Payer: BCBS MAPPO |
$104.17
|
| Rate for Payer: BCBS Trust/PPO |
$220.82
|
| Rate for Payer: BCN Commercial |
$220.82
|
| Rate for Payer: BCN Medicare Advantage |
$104.17
|
| Rate for Payer: Cash Price |
$1,151.28
|
| Rate for Payer: Cash Price |
$1,151.28
|
| Rate for Payer: Cofinity Advantage |
$1,007.37
|
| Rate for Payer: Cofinity Commercial |
$1,237.63
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,151.28
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$104.17
|
| Rate for Payer: Healthscope Commercial |
$1,295.19
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,007.37
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,079.33
|
| Rate for Payer: Mclaren Medicaid |
$104.17
|
| Rate for Payer: Mclaren Medicare |
$104.17
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$109.38
|
| Rate for Payer: Meridian Medicaid |
$109.38
|
| Rate for Payer: MI Amish Medical Board Commercial |
$119.80
|
| Rate for Payer: Molina Medicare/Medicaid |
$114.59
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,223.23
|
| Rate for Payer: Nomi Health Commercial |
$312.51
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,079.33
|
| Rate for Payer: PACE Medicare |
$98.96
|
| Rate for Payer: PACE SWMI |
$104.17
|
| Rate for Payer: PHP Commercial |
$1,223.23
|
| Rate for Payer: PHP Medicare Advantage |
$104.17
|
| Rate for Payer: Priority Health Choice Medicaid |
$54.48
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$336.87
|
| Rate for Payer: Priority Health Medicare |
$104.17
|
| Rate for Payer: Priority Health SBD |
$906.63
|
| Rate for Payer: Priority Health Tiered Network |
$269.50
|
| Rate for Payer: Railroad Medicare Medicare |
$104.17
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$935.41
|
| Rate for Payer: UHC Core |
$749.77
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$104.17
|
| Rate for Payer: UHC Exchange |
$565.57
|
| Rate for Payer: UHC Medicaid |
$54.48
|
| Rate for Payer: UHCCP Medicaid |
$54.48
|
| Rate for Payer: UMR Bronson Commercial |
$532.47
|
| Rate for Payer: VA VA |
$104.17
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,079.33
|
|
|
HC CT FACIAL WO CON
|
Facility
|
IP
|
$1,439.10
|
|
|
Service Code
|
CPT 70486
|
| Hospital Charge Code |
35100007
|
|
Hospital Revenue Code
|
351
|
| Min. Negotiated Rate |
$633.20 |
| Max. Negotiated Rate |
$1,295.19 |
| Rate for Payer: Aetna American Axle |
$935.41
|
| Rate for Payer: Aetna Commercial |
$1,223.23
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$935.41
|
| Rate for Payer: Cash Price |
$1,151.28
|
| Rate for Payer: Cofinity Advantage |
$1,007.37
|
| Rate for Payer: Cofinity Commercial |
$1,237.63
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,151.28
|
| Rate for Payer: Healthscope Commercial |
$1,295.19
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,007.37
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,079.33
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,223.23
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,079.33
|
| Rate for Payer: PHP Commercial |
$1,223.23
|
| Rate for Payer: Priority Health SBD |
$906.63
|
| Rate for Payer: UMR Bronson Commercial |
$633.20
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,079.33
|
|
|
HC CT FACIAL WO W CON
|
Facility
|
IP
|
$1,528.66
|
|
|
Service Code
|
CPT 70488
|
| Hospital Charge Code |
35101009
|
|
Hospital Revenue Code
|
351
|
| Min. Negotiated Rate |
$672.61 |
| Max. Negotiated Rate |
$1,375.79 |
| Rate for Payer: Aetna American Axle |
$993.63
|
| Rate for Payer: Aetna Commercial |
$1,299.36
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$993.63
|
| Rate for Payer: Cash Price |
$1,222.93
|
| Rate for Payer: Cofinity Advantage |
$1,070.06
|
| Rate for Payer: Cofinity Commercial |
$1,314.65
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,222.93
|
| Rate for Payer: Healthscope Commercial |
$1,375.79
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,070.06
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,146.49
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,299.36
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,146.49
|
| Rate for Payer: PHP Commercial |
$1,299.36
|
| Rate for Payer: Priority Health SBD |
$963.06
|
| Rate for Payer: UMR Bronson Commercial |
$672.61
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,146.49
|
|
|
HC CT FACIAL WO W CON
|
Facility
|
OP
|
$1,528.66
|
|
|
Service Code
|
CPT 70488
|
| Hospital Charge Code |
35101009
|
|
Hospital Revenue Code
|
351
|
| Min. Negotiated Rate |
$91.40 |
| Max. Negotiated Rate |
$1,375.79 |
| Rate for Payer: Aetna American Axle |
$993.63
|
| Rate for Payer: Aetna Commercial |
$1,299.36
|
| Rate for Payer: Aetna Medicare |
$181.76
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$993.63
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$218.46
|
| Rate for Payer: Amish Plain Church Group Commercial |
$218.46
|
| Rate for Payer: BCBS Complete |
$95.98
|
| Rate for Payer: BCBS MAPPO |
$174.77
|
| Rate for Payer: BCBS Trust/PPO |
$313.58
|
| Rate for Payer: BCN Commercial |
$313.58
|
| Rate for Payer: BCN Medicare Advantage |
$174.77
|
| Rate for Payer: Cash Price |
$1,222.93
|
| Rate for Payer: Cash Price |
$1,222.93
|
| Rate for Payer: Cofinity Advantage |
$1,070.06
|
| Rate for Payer: Cofinity Commercial |
$1,314.65
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,222.93
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$174.77
|
| Rate for Payer: Healthscope Commercial |
$1,375.79
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,070.06
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,146.49
|
| Rate for Payer: Mclaren Medicaid |
$174.77
|
| Rate for Payer: Mclaren Medicare |
$174.77
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$183.51
|
| Rate for Payer: Meridian Medicaid |
$183.51
|
| Rate for Payer: MI Amish Medical Board Commercial |
$200.99
|
| Rate for Payer: Molina Medicare/Medicaid |
$192.25
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,299.36
|
| Rate for Payer: Nomi Health Commercial |
$524.31
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,146.49
|
| Rate for Payer: PACE Medicare |
$166.03
|
| Rate for Payer: PACE SWMI |
$174.77
|
| Rate for Payer: PHP Commercial |
$1,299.36
|
| Rate for Payer: PHP Medicare Advantage |
$174.77
|
| Rate for Payer: Priority Health Choice Medicaid |
$91.40
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$565.19
|
| Rate for Payer: Priority Health Medicare |
$174.77
|
| Rate for Payer: Priority Health SBD |
$963.06
|
| Rate for Payer: Priority Health Tiered Network |
$452.15
|
| Rate for Payer: Railroad Medicare Medicare |
$174.77
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$993.63
|
| Rate for Payer: UHC Core |
$796.43
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$174.77
|
| Rate for Payer: UHC Exchange |
$600.76
|
| Rate for Payer: UHC Medicaid |
$91.40
|
| Rate for Payer: UHCCP Medicaid |
$91.40
|
| Rate for Payer: UMR Bronson Commercial |
$565.60
|
| Rate for Payer: VA VA |
$174.77
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,146.49
|
|
|
HC CT GUIDE JOINT ASP OR INJECTIO
|
Facility
|
IP
|
$1,477.52
|
|
|
Service Code
|
CPT 77012
|
| Hospital Charge Code |
35000029
|
|
Hospital Revenue Code
|
350
|
| Min. Negotiated Rate |
$650.11 |
| Max. Negotiated Rate |
$1,329.77 |
| Rate for Payer: Aetna American Axle |
$960.39
|
| Rate for Payer: Aetna Commercial |
$1,255.89
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$960.39
|
| Rate for Payer: Cash Price |
$1,182.02
|
| Rate for Payer: Cofinity Advantage |
$1,034.26
|
| Rate for Payer: Cofinity Commercial |
$1,270.67
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,182.02
|
| Rate for Payer: Healthscope Commercial |
$1,329.77
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,034.26
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,108.14
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,255.89
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,108.14
|
| Rate for Payer: PHP Commercial |
$1,255.89
|
| Rate for Payer: Priority Health SBD |
$930.84
|
| Rate for Payer: UMR Bronson Commercial |
$650.11
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,108.14
|
|
|
HC CT GUIDE JOINT ASP OR INJECTIO
|
Facility
|
OP
|
$1,477.52
|
|
|
Service Code
|
CPT 77012
|
| Hospital Charge Code |
35000029
|
|
Hospital Revenue Code
|
350
|
| Min. Negotiated Rate |
$141.20 |
| Max. Negotiated Rate |
$1,329.77 |
| Rate for Payer: Aetna American Axle |
$960.39
|
| Rate for Payer: Aetna Commercial |
$1,255.89
|
| Rate for Payer: Aetna Medicare |
$738.76
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$960.39
|
| Rate for Payer: BCBS Complete |
$591.01
|
| Rate for Payer: BCBS Trust/PPO |
$141.20
|
| Rate for Payer: BCN Commercial |
$141.20
|
| Rate for Payer: Cash Price |
$1,182.02
|
| Rate for Payer: Cash Price |
$1,182.02
|
| Rate for Payer: Cofinity Advantage |
$1,034.26
|
| Rate for Payer: Cofinity Commercial |
$1,270.67
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,182.02
|
| Rate for Payer: Healthscope Commercial |
$1,329.77
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,034.26
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,108.14
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,182.02
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,255.89
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,108.14
|
| Rate for Payer: PHP Commercial |
$1,255.89
|
| Rate for Payer: Priority Health SBD |
$930.84
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$960.39
|
| Rate for Payer: UHC Core |
$769.79
|
| Rate for Payer: UHC Exchange |
$580.67
|
| Rate for Payer: UMR Bronson Commercial |
$546.68
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,108.14
|
|
|
HC CT GUIDE NEEDLE PLACEMENT
|
Facility
|
IP
|
$1,337.12
|
|
|
Service Code
|
CPT 77012
|
| Hospital Charge Code |
35000028
|
|
Hospital Revenue Code
|
350
|
| Min. Negotiated Rate |
$588.33 |
| Max. Negotiated Rate |
$1,203.41 |
| Rate for Payer: Aetna American Axle |
$869.13
|
| Rate for Payer: Aetna Commercial |
$1,136.55
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$869.13
|
| Rate for Payer: Cash Price |
$1,069.70
|
| Rate for Payer: Cofinity Advantage |
$935.98
|
| Rate for Payer: Cofinity Commercial |
$1,149.92
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,069.70
|
| Rate for Payer: Healthscope Commercial |
$1,203.41
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$935.98
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,002.84
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,136.55
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,002.84
|
| Rate for Payer: PHP Commercial |
$1,136.55
|
| Rate for Payer: Priority Health SBD |
$842.39
|
| Rate for Payer: UMR Bronson Commercial |
$588.33
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,002.84
|
|
