|
HC LA RO SSB SJOGRENS AB
|
Facility
|
OP
|
$34.48
|
|
|
Service Code
|
CPT 86235
|
| Hospital Charge Code |
30200160
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$9.81 |
| Max. Negotiated Rate |
$31.03 |
| Rate for Payer: Aetna American Axle |
$22.41
|
| Rate for Payer: Aetna Commercial |
$29.31
|
| Rate for Payer: Aetna Medicare |
$18.65
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$22.41
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$22.41
|
| Rate for Payer: Amish Plain Church Group Commercial |
$22.41
|
| Rate for Payer: BCBS Complete |
$10.30
|
| Rate for Payer: BCBS MAPPO |
$17.93
|
| Rate for Payer: BCBS Trust/PPO |
$16.13
|
| Rate for Payer: BCN Medicare Advantage |
$17.93
|
| Rate for Payer: Cash Price |
$27.58
|
| Rate for Payer: Cash Price |
$27.58
|
| Rate for Payer: Cofinity Commercial |
$29.65
|
| Rate for Payer: Cofinity Commercial |
$24.14
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$27.58
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$17.93
|
| Rate for Payer: Healthscope Commercial |
$31.03
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$24.14
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$25.86
|
| Rate for Payer: Mclaren Medicaid |
$9.81
|
| Rate for Payer: Mclaren Medicare |
$17.93
|
| Rate for Payer: Meridian Medicaid |
$10.30
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$18.83
|
| Rate for Payer: MI Amish Medical Board Commercial |
$20.62
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$29.31
|
| Rate for Payer: PACE Medicare |
$17.03
|
| Rate for Payer: PACE SWMI |
$17.93
|
| Rate for Payer: PHP Commercial |
$29.31
|
| Rate for Payer: PHP Medicare Advantage |
$17.93
|
| Rate for Payer: Priority Health Choice Medicaid |
$9.81
|
| Rate for Payer: Priority Health Cigna Priority Health |
$24.14
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$19.91
|
| Rate for Payer: Priority Health Medicare |
$17.93
|
| Rate for Payer: Priority Health Narrow Network |
$15.93
|
| Rate for Payer: Priority Health SBD |
$21.72
|
| Rate for Payer: Railroad Medicare Medicare |
$17.93
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$21.52
|
| Rate for Payer: UHC Core |
$29.58
|
| Rate for Payer: UHC Dual Complete DSNP |
$17.93
|
| Rate for Payer: UHC Exchange |
$17.93
|
| Rate for Payer: UHC Medicare Advantage |
$18.47
|
| Rate for Payer: UMR Bronson Commercial |
$12.76
|
| Rate for Payer: VA VA |
$17.93
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$25.86
|
|
|
HC LA RO SSB SJOGRENS AB
|
Facility
|
IP
|
$34.48
|
|
|
Service Code
|
CPT 86235
|
| Hospital Charge Code |
30200160
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$15.17 |
| Max. Negotiated Rate |
$31.03 |
| Rate for Payer: Aetna American Axle |
$22.41
|
| Rate for Payer: Aetna Commercial |
$29.31
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$22.41
|
| Rate for Payer: Cash Price |
$27.58
|
| Rate for Payer: Cofinity Commercial |
$24.14
|
| Rate for Payer: Cofinity Commercial |
$29.65
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$27.58
|
| Rate for Payer: Healthscope Commercial |
$31.03
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$24.14
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$25.86
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$29.31
|
| Rate for Payer: PHP Commercial |
$29.31
|
| Rate for Payer: Priority Health Cigna Priority Health |
$24.14
|
| Rate for Payer: Priority Health SBD |
$21.72
|
| Rate for Payer: UMR Bronson Commercial |
$15.17
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$25.86
|
|
|
HC LARYNGOSCOPY
|
Facility
|
OP
|
$2,514.51
|
|
| Hospital Charge Code |
36000113
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$930.37 |
| Max. Negotiated Rate |
$2,263.06 |
| Rate for Payer: Aetna American Axle |
$1,634.43
|
| Rate for Payer: Aetna Commercial |
$2,137.33
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,634.43
|
| Rate for Payer: BCBS Complete |
$1,005.80
|
| Rate for Payer: Cash Price |
$2,011.61
|
| Rate for Payer: Cofinity Commercial |
$1,760.16
|
| Rate for Payer: Cofinity Commercial |
$2,162.48
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,011.61
|
| Rate for Payer: Healthscope Commercial |
$2,263.06
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,760.16
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,885.88
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$2,137.33
|
| Rate for Payer: PHP Commercial |
$2,137.33
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,760.16
|
| Rate for Payer: Priority Health SBD |
$1,584.14
|
| Rate for Payer: UMR Bronson Commercial |
$930.37
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,885.88
|
|
|
HC LARYNGOSCOPY
|
Facility
|
IP
|
$2,514.51
|
|
| Hospital Charge Code |
36000113
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$1,106.38 |
| Max. Negotiated Rate |
$2,263.06 |
| Rate for Payer: Aetna American Axle |
$1,634.43
|
| Rate for Payer: Aetna Commercial |
$2,137.33
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,634.43
|
| Rate for Payer: Cash Price |
$2,011.61
|
| Rate for Payer: Cofinity Commercial |
$1,760.16
|
| Rate for Payer: Cofinity Commercial |
$2,162.48
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,011.61
|
| Rate for Payer: Healthscope Commercial |
$2,263.06
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,760.16
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,885.88
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$2,137.33
|
| Rate for Payer: PHP Commercial |
$2,137.33
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,760.16
|
| Rate for Payer: Priority Health SBD |
$1,584.14
|
| Rate for Payer: UMR Bronson Commercial |
$1,106.38
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,885.88
|
|
|
HC LARYNGOSCOPY FIBEROPTIC
|
Facility
|
IP
|
$311.92
|
|
|
Service Code
|
CPT 31575
|
| Hospital Charge Code |
36100443
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$137.24 |
| Max. Negotiated Rate |
$280.73 |
| Rate for Payer: Aetna American Axle |
$202.75
|
| Rate for Payer: Aetna Commercial |
$265.13
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$202.75
|
| Rate for Payer: Cash Price |
$249.54
|
| Rate for Payer: Cofinity Commercial |
$218.34
|
| Rate for Payer: Cofinity Commercial |
$268.25
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$249.54
|
| Rate for Payer: Healthscope Commercial |
$280.73
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$218.34
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$233.94
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$265.13
|
| Rate for Payer: PHP Commercial |
$265.13
|
| Rate for Payer: Priority Health Cigna Priority Health |
$218.34
|
| Rate for Payer: Priority Health SBD |
$196.51
|
| Rate for Payer: UMR Bronson Commercial |
$137.24
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$233.94
|
|
|
HC LARYNGOSCOPY FIBEROPTIC
|
Facility
|
OP
|
$311.92
|
|
|
Service Code
|
CPT 31575
|
| Hospital Charge Code |
36100443
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$67.45 |
| Max. Negotiated Rate |
$554.27 |
| Rate for Payer: Aetna American Axle |
$202.75
|
| Rate for Payer: Aetna Commercial |
$265.13
|
| Rate for Payer: Aetna Medicare |
$183.11
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$202.75
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$220.09
|
| Rate for Payer: Amish Plain Church Group Commercial |
$220.09
|
| Rate for Payer: BCBS Complete |
$101.13
|
| Rate for Payer: BCBS MAPPO |
$176.07
|
| Rate for Payer: BCBS Trust/PPO |
$192.65
|
| Rate for Payer: BCN Medicare Advantage |
$176.07
|
| Rate for Payer: Cash Price |
$249.54
|
| Rate for Payer: Cash Price |
$249.54
|
| Rate for Payer: Cofinity Commercial |
$218.34
|
| Rate for Payer: Cofinity Commercial |
$268.25
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$249.54
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$176.07
|
| Rate for Payer: Healthscope Commercial |
$280.73
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$218.34
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$233.94
|
| Rate for Payer: Mclaren Medicaid |
$96.31
|
| Rate for Payer: Mclaren Medicare |
$176.07
|
| Rate for Payer: Meridian Medicaid |
$101.13
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$184.87
|
| Rate for Payer: MI Amish Medical Board Commercial |
$202.48
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$265.13
|
| Rate for Payer: PACE Medicare |
$167.27
|
| Rate for Payer: PACE SWMI |
$176.07
|
| Rate for Payer: PHP Commercial |
$265.13
|
| Rate for Payer: PHP Medicare Advantage |
$176.07
|
| Rate for Payer: Priority Health Choice Medicaid |
$96.31
|
| Rate for Payer: Priority Health Cigna Priority Health |
$218.34
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$554.27
|
| Rate for Payer: Priority Health Medicare |
$176.07
|
| Rate for Payer: Priority Health Narrow Network |
$443.42
|
| Rate for Payer: Priority Health SBD |
$196.51
|
| Rate for Payer: Railroad Medicare Medicare |
$176.07
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$74.20
|
| Rate for Payer: UHC Dual Complete DSNP |
$176.07
|
| Rate for Payer: UHC Exchange |
$67.45
|
| Rate for Payer: UHC Medicare Advantage |
$181.35
|
| Rate for Payer: UMR Bronson Commercial |
$115.41
|
| Rate for Payer: VA VA |
$176.07
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$233.94
|
|
|
HC LARYNGOSCOPY FLX/RGD TELESCOP W/STROBOSCOP
|
Facility
|
IP
|
$1,100.00
|
|
|
Service Code
|
CPT 31579
|
| Hospital Charge Code |
76100455
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$484.00 |
| Max. Negotiated Rate |
$990.00 |
| Rate for Payer: Aetna American Axle |
$715.00
|
| Rate for Payer: Aetna Commercial |
$935.00
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$715.00
|
| Rate for Payer: Cash Price |
$880.00
|
| Rate for Payer: Cofinity Commercial |
$770.00
|
| Rate for Payer: Cofinity Commercial |
$946.00
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$880.00
|
| Rate for Payer: Healthscope Commercial |
$990.00
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$770.00
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$825.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$935.00
|
| Rate for Payer: PHP Commercial |
$935.00
|
| Rate for Payer: Priority Health Cigna Priority Health |
$770.00
|
| Rate for Payer: Priority Health SBD |
$693.00
|
| Rate for Payer: UMR Bronson Commercial |
$484.00
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$825.00
|
|
|
HC LARYNGOSCOPY FLX/RGD TELESCOP W/STROBOSCOP
|
Facility
|
OP
|
$1,100.00
|
|
|
Service Code
|
CPT 31579
|
| Hospital Charge Code |
76100455
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$117.22 |
| Max. Negotiated Rate |
$1,142.59 |
| Rate for Payer: Aetna American Axle |
$715.00
|
| Rate for Payer: Aetna Commercial |
$935.00
|
| Rate for Payer: Aetna Medicare |
$377.47
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$715.00
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$453.69
|
| Rate for Payer: Amish Plain Church Group Commercial |
$453.69
|
| Rate for Payer: BCBS Complete |
$208.48
|
| Rate for Payer: BCBS MAPPO |
$362.95
|
| Rate for Payer: BCBS Trust/PPO |
$291.83
|
| Rate for Payer: BCN Medicare Advantage |
$362.95
|
| Rate for Payer: Cash Price |
$880.00
|
| Rate for Payer: Cash Price |
$880.00
|
| Rate for Payer: Cofinity Commercial |
$946.00
|
| Rate for Payer: Cofinity Commercial |
$770.00
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$880.00
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$362.95
|
| Rate for Payer: Healthscope Commercial |
$990.00
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$770.00
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$825.00
|
| Rate for Payer: Mclaren Medicaid |
$198.53
|
| Rate for Payer: Mclaren Medicare |
$362.95
|
| Rate for Payer: Meridian Medicaid |
$208.48
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$381.10
|
| Rate for Payer: MI Amish Medical Board Commercial |
$417.39
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$935.00
|
| Rate for Payer: PACE Medicare |
$344.80
|
| Rate for Payer: PACE SWMI |
$362.95
|
| Rate for Payer: PHP Commercial |
$935.00
|
| Rate for Payer: PHP Medicare Advantage |
$362.95
|
| Rate for Payer: Priority Health Choice Medicaid |
$198.53
|
| Rate for Payer: Priority Health Cigna Priority Health |
$770.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,142.59
|
| Rate for Payer: Priority Health Medicare |
$362.95
|
| Rate for Payer: Priority Health Narrow Network |
$914.07
|
| Rate for Payer: Priority Health SBD |
$693.00
|
| Rate for Payer: Railroad Medicare Medicare |
$362.95
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$128.94
|
| Rate for Payer: UHC Dual Complete DSNP |
$362.95
|
| Rate for Payer: UHC Exchange |
$117.22
|
| Rate for Payer: UHC Medicare Advantage |
$373.84
|
| Rate for Payer: UMR Bronson Commercial |
$407.00
|
| Rate for Payer: VA VA |
$362.95
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$825.00
|
|
|
HC LASER CATHETER
|
Facility
|
OP
|
$4,842.47
|
|
|
Service Code
|
HCPCS C1885
|
| Hospital Charge Code |
27200054
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$1,791.71 |
| Max. Negotiated Rate |
$4,358.22 |
| Rate for Payer: Aetna American Axle |
$3,147.61
|
| Rate for Payer: Aetna Commercial |
$4,116.10
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$3,147.61
|
| Rate for Payer: BCBS Complete |
$1,936.99
|
| Rate for Payer: Cash Price |
$3,873.98
|
| Rate for Payer: Cofinity Commercial |
$3,389.73
|
| Rate for Payer: Cofinity Commercial |
$4,164.52
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,873.98
|
| Rate for Payer: Healthscope Commercial |
$4,358.22
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$3,389.73
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$3,631.85
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$4,116.10
|
| Rate for Payer: PHP Commercial |
$4,116.10
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3,389.73
|
| Rate for Payer: Priority Health SBD |
$3,050.76
|
| Rate for Payer: UMR Bronson Commercial |
$1,791.71
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$3,631.85
|
|
|
HC LASER CATHETER
|
Facility
|
IP
|
$4,842.47
|
|
|
Service Code
|
HCPCS C1885
|
| Hospital Charge Code |
27200054
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$2,130.69 |
| Max. Negotiated Rate |
$4,358.22 |
| Rate for Payer: Aetna American Axle |
$3,147.61
|
| Rate for Payer: Aetna Commercial |
$4,116.10
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$3,147.61
|
| Rate for Payer: Cash Price |
$3,873.98
|
| Rate for Payer: Cofinity Commercial |
$3,389.73
|
| Rate for Payer: Cofinity Commercial |
$4,164.52
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,873.98
|
| Rate for Payer: Healthscope Commercial |
$4,358.22
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$3,389.73
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$3,631.85
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$4,116.10
|
| Rate for Payer: PHP Commercial |
$4,116.10
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3,389.73
|
| Rate for Payer: Priority Health SBD |
$3,050.76
|
| Rate for Payer: UMR Bronson Commercial |
$2,130.69
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$3,631.85
|
|
|
HC LATEX IGE
|
Facility
|
OP
|
$35.09
|
|
|
Service Code
|
CPT 86003
|
| Hospital Charge Code |
30200044
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$2.86 |
| Max. Negotiated Rate |
$31.58 |
| Rate for Payer: Aetna American Axle |
$22.81
|
| Rate for Payer: Aetna Commercial |
$29.83
|
| Rate for Payer: Aetna Medicare |
$5.43
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$22.81
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$6.52
|
| Rate for Payer: Amish Plain Church Group Commercial |
$6.52
|
| Rate for Payer: BCBS Complete |
$3.00
|
| Rate for Payer: BCBS MAPPO |
$5.22
|
| Rate for Payer: BCBS Trust/PPO |
$4.70
|
| Rate for Payer: BCN Medicare Advantage |
$5.22
|
| Rate for Payer: Cash Price |
$28.07
|
| Rate for Payer: Cash Price |
$28.07
|
| Rate for Payer: Cofinity Commercial |
$30.18
|
| Rate for Payer: Cofinity Commercial |
$24.56
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$28.07
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$5.22
|
| Rate for Payer: Healthscope Commercial |
$31.58
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$24.56
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$26.32
|
| Rate for Payer: Mclaren Medicaid |
$2.86
|
| Rate for Payer: Mclaren Medicare |
$5.22
|
| Rate for Payer: Meridian Medicaid |
$3.00
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$5.48
|
| Rate for Payer: MI Amish Medical Board Commercial |
$6.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$29.83
|
| Rate for Payer: PACE Medicare |
$4.96
|
| Rate for Payer: PACE SWMI |
$5.22
|
| Rate for Payer: PHP Commercial |
$29.83
|
| Rate for Payer: PHP Medicare Advantage |
$5.22
|
| Rate for Payer: Priority Health Choice Medicaid |
$2.86
|
| Rate for Payer: Priority Health Cigna Priority Health |
$24.56
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$7.16
|
| Rate for Payer: Priority Health Medicare |
$5.22
|
| Rate for Payer: Priority Health Narrow Network |
$5.73
|
| Rate for Payer: Priority Health SBD |
$22.11
|
| Rate for Payer: Railroad Medicare Medicare |
$5.22
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$6.26
|
| Rate for Payer: UHC Core |
$8.60
|
| Rate for Payer: UHC Dual Complete DSNP |
$5.22
|
| Rate for Payer: UHC Exchange |
$5.22
|
| Rate for Payer: UHC Medicare Advantage |
$5.38
|
| Rate for Payer: UMR Bronson Commercial |
$12.98
|
| Rate for Payer: VA VA |
$5.22
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$26.32
|
|
|
HC LATEX IGE
|
Facility
|
IP
|
$35.09
|
|
|
Service Code
|
CPT 86003
|
| Hospital Charge Code |
30200044
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$15.44 |
| Max. Negotiated Rate |
$31.58 |
| Rate for Payer: Aetna American Axle |
$22.81
|
| Rate for Payer: Aetna Commercial |
$29.83
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$22.81
|
| Rate for Payer: Cash Price |
$28.07
|
| Rate for Payer: Cofinity Commercial |
$24.56
|
| Rate for Payer: Cofinity Commercial |
$30.18
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$28.07
|
| Rate for Payer: Healthscope Commercial |
$31.58
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$24.56
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$26.32
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$29.83
|
| Rate for Payer: PHP Commercial |
$29.83
|
| Rate for Payer: Priority Health Cigna Priority Health |
$24.56
|
| Rate for Payer: Priority Health SBD |
$22.11
|
| Rate for Payer: UMR Bronson Commercial |
$15.44
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$26.32
|
|
|
HC LAYR CLOS WND REST BODY <2.5 CM
|
Facility
|
IP
|
$488.86
|
|
|
Service Code
|
CPT 12041
|
| Hospital Charge Code |
76100228
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$215.10 |
| Max. Negotiated Rate |
$439.97 |
| Rate for Payer: Aetna American Axle |
$317.76
|
| Rate for Payer: Aetna Commercial |
$415.53
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$317.76
|
| Rate for Payer: Cash Price |
$391.09
|
| Rate for Payer: Cofinity Commercial |
$342.20
|
| Rate for Payer: Cofinity Commercial |
$420.42
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$391.09
|
| Rate for Payer: Healthscope Commercial |
$439.97
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$342.20
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$366.64
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$415.53
|
| Rate for Payer: PHP Commercial |
$415.53
|
| Rate for Payer: Priority Health Cigna Priority Health |
$342.20
|
| Rate for Payer: Priority Health SBD |
$307.98
|
| Rate for Payer: UMR Bronson Commercial |
$215.10
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$366.64
|
|
|
HC LAYR CLOS WND REST BODY <2.5 CM
|
Facility
|
OP
|
$488.86
|
|
|
Service Code
|
CPT 12041
|
| Hospital Charge Code |
76100228
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$142.44 |
| Max. Negotiated Rate |
$1,115.78 |
| Rate for Payer: Aetna American Axle |
$317.76
|
| Rate for Payer: Aetna Commercial |
$415.53
|
| Rate for Payer: Aetna Medicare |
$368.61
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$317.76
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$443.04
|
| Rate for Payer: Amish Plain Church Group Commercial |
$443.04
|
| Rate for Payer: BCBS Complete |
$203.58
|
| Rate for Payer: BCBS MAPPO |
$354.43
|
| Rate for Payer: BCBS Trust/PPO |
$435.04
|
| Rate for Payer: BCN Medicare Advantage |
$354.43
|
| Rate for Payer: Cash Price |
$391.09
|
| Rate for Payer: Cash Price |
$391.09
|
| Rate for Payer: Cofinity Commercial |
$342.20
|
| Rate for Payer: Cofinity Commercial |
$420.42
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$391.09
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$354.43
|
| Rate for Payer: Healthscope Commercial |
$439.97
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$342.20
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$366.64
|
| Rate for Payer: Mclaren Medicaid |
$193.87
|
| Rate for Payer: Mclaren Medicare |
$354.43
|
| Rate for Payer: Meridian Medicaid |
$203.58
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$372.15
|
| Rate for Payer: MI Amish Medical Board Commercial |
$407.59
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$415.53
|
| Rate for Payer: PACE Medicare |
$336.71
|
| Rate for Payer: PACE SWMI |
$354.43
|
| Rate for Payer: PHP Commercial |
$415.53
|
| Rate for Payer: PHP Medicare Advantage |
$354.43
|
| Rate for Payer: Priority Health Choice Medicaid |
$193.87
|
| Rate for Payer: Priority Health Cigna Priority Health |
$342.20
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,115.78
|
| Rate for Payer: Priority Health Medicare |
$354.43
|
| Rate for Payer: Priority Health Narrow Network |
$892.62
|
| Rate for Payer: Priority Health SBD |
$307.98
|
| Rate for Payer: Railroad Medicare Medicare |
$354.43
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$156.68
|
| Rate for Payer: UHC Dual Complete DSNP |
$354.43
|
| Rate for Payer: UHC Exchange |
$142.44
|
| Rate for Payer: UHC Medicare Advantage |
$365.06
|
| Rate for Payer: UMR Bronson Commercial |
$180.88
|
| Rate for Payer: VA VA |
$354.43
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$366.64
|
|
|
HC LC/CABG'S W INTERVENTION
|
Facility
|
OP
|
$10,797.39
|
|
|
Service Code
|
CPT 93459
|
| Hospital Charge Code |
48100050
|
|
Hospital Revenue Code
|
481
|
| Min. Negotiated Rate |
$1,083.51 |
| Max. Negotiated Rate |
$9,717.65 |
| Rate for Payer: Aetna American Axle |
$7,018.30
|
| Rate for Payer: Aetna Commercial |
$9,177.78
|
| Rate for Payer: Aetna Medicare |
$3,012.32
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$7,018.30
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$3,620.58
|
| Rate for Payer: Amish Plain Church Group Commercial |
$3,620.58
|
| Rate for Payer: BCBS Complete |
$1,663.73
|
| Rate for Payer: BCBS MAPPO |
$2,896.46
|
| Rate for Payer: BCBS Trust/PPO |
$3,989.62
|
| Rate for Payer: BCN Medicare Advantage |
$2,896.46
|
| Rate for Payer: Cash Price |
$8,637.91
|
| Rate for Payer: Cash Price |
$8,637.91
|
| Rate for Payer: Cofinity Commercial |
$7,558.17
|
| Rate for Payer: Cofinity Commercial |
$9,285.76
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$8,637.91
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,896.46
|
| Rate for Payer: Healthscope Commercial |
$9,717.65
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$7,558.17
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$8,098.04
|
| Rate for Payer: Mclaren Medicaid |
$1,584.36
|
| Rate for Payer: Mclaren Medicare |
$2,896.46
|
| Rate for Payer: Meridian Medicaid |
$1,663.73
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$3,041.28
|
| Rate for Payer: MI Amish Medical Board Commercial |
$3,330.93
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$9,177.78
|
| Rate for Payer: PACE Medicare |
$2,751.64
|
| Rate for Payer: PACE SWMI |
$2,896.46
|
| Rate for Payer: PHP Commercial |
$9,177.78
|
| Rate for Payer: PHP Medicare Advantage |
$2,896.46
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,584.36
|
| Rate for Payer: Priority Health Cigna Priority Health |
$7,558.17
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$9,118.19
|
| Rate for Payer: Priority Health Medicare |
$2,896.46
|
| Rate for Payer: Priority Health Narrow Network |
$7,294.55
|
| Rate for Payer: Priority Health SBD |
$6,802.36
|
| Rate for Payer: Railroad Medicare Medicare |
$2,896.46
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,191.86
|
| Rate for Payer: UHC Core |
$6,395.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$2,896.46
|
| Rate for Payer: UHC Exchange |
$1,083.51
|
| Rate for Payer: UHC Medicare Advantage |
$2,983.35
|
| Rate for Payer: UMR Bronson Commercial |
$3,995.03
|
| Rate for Payer: VA VA |
$2,896.46
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$8,098.04
|
|
|
HC LC/CABG'S W INTERVENTION
|
Facility
|
IP
|
$10,797.39
|
|
|
Service Code
|
CPT 93459
|
| Hospital Charge Code |
48100050
|
|
Hospital Revenue Code
|
481
|
| Min. Negotiated Rate |
$4,750.85 |
| Max. Negotiated Rate |
$9,717.65 |
| Rate for Payer: Aetna American Axle |
$7,018.30
|
| Rate for Payer: Aetna Commercial |
$9,177.78
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$7,018.30
|
| Rate for Payer: Cash Price |
$8,637.91
|
| Rate for Payer: Cofinity Commercial |
$9,285.76
|
| Rate for Payer: Cofinity Commercial |
$7,558.17
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$8,637.91
|
| Rate for Payer: Healthscope Commercial |
$9,717.65
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$7,558.17
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$8,098.04
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$9,177.78
|
| Rate for Payer: PHP Commercial |
$9,177.78
|
| Rate for Payer: Priority Health Cigna Priority Health |
$7,558.17
|
| Rate for Payer: Priority Health SBD |
$6,802.36
|
| Rate for Payer: UMR Bronson Commercial |
$4,750.85
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$8,098.04
|
|
|
HC LDL DIRECT MEASURE
|
Facility
|
OP
|
$58.60
|
|
|
Service Code
|
CPT 83721
|
| Hospital Charge Code |
30100283
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$5.74 |
| Max. Negotiated Rate |
$52.74 |
| Rate for Payer: Aetna American Axle |
$38.09
|
| Rate for Payer: Aetna Commercial |
$49.81
|
| Rate for Payer: Aetna Medicare |
$10.92
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$38.09
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$13.12
|
| Rate for Payer: Amish Plain Church Group Commercial |
$13.12
|
| Rate for Payer: BCBS Complete |
$6.03
|
| Rate for Payer: BCBS MAPPO |
$10.50
|
| Rate for Payer: BCBS Trust/PPO |
$9.45
|
| Rate for Payer: BCN Medicare Advantage |
$10.50
|
| Rate for Payer: Cash Price |
$46.88
|
| Rate for Payer: Cash Price |
$46.88
|
| Rate for Payer: Cofinity Commercial |
$50.40
|
| Rate for Payer: Cofinity Commercial |
$41.02
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$46.88
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$10.50
|
| Rate for Payer: Healthscope Commercial |
$52.74
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$41.02
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$43.95
|
| Rate for Payer: Mclaren Medicaid |
$5.74
|
| Rate for Payer: Mclaren Medicare |
$10.50
|
| Rate for Payer: Meridian Medicaid |
$6.03
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$11.02
|
| Rate for Payer: MI Amish Medical Board Commercial |
$12.08
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$49.81
|
| Rate for Payer: PACE Medicare |
$9.98
|
| Rate for Payer: PACE SWMI |
$10.50
|
| Rate for Payer: PHP Commercial |
$49.81
|
| Rate for Payer: PHP Medicare Advantage |
$10.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$5.74
|
| Rate for Payer: Priority Health Cigna Priority Health |
$41.02
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$13.09
|
| Rate for Payer: Priority Health Medicare |
$10.50
|
| Rate for Payer: Priority Health Narrow Network |
$10.47
|
| Rate for Payer: Priority Health SBD |
$36.92
|
| Rate for Payer: Railroad Medicare Medicare |
$10.50
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$12.60
|
| Rate for Payer: UHC Core |
$15.73
|
| Rate for Payer: UHC Dual Complete DSNP |
$10.50
|
| Rate for Payer: UHC Exchange |
$10.50
|
| Rate for Payer: UHC Medicare Advantage |
$10.82
|
| Rate for Payer: UMR Bronson Commercial |
$21.68
|
| Rate for Payer: VA VA |
$10.50
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$43.95
|
|
|
HC LDL DIRECT MEASURE
|
Facility
|
IP
|
$58.60
|
|
|
Service Code
|
CPT 83721
|
| Hospital Charge Code |
30100283
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$25.78 |
| Max. Negotiated Rate |
$52.74 |
| Rate for Payer: Aetna American Axle |
$38.09
|
| Rate for Payer: Aetna Commercial |
$49.81
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$38.09
|
| Rate for Payer: Cash Price |
$46.88
|
| Rate for Payer: Cofinity Commercial |
$41.02
|
| Rate for Payer: Cofinity Commercial |
$50.40
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$46.88
|
| Rate for Payer: Healthscope Commercial |
$52.74
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$41.02
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$43.95
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$49.81
|
| Rate for Payer: PHP Commercial |
$49.81
|
| Rate for Payer: Priority Health Cigna Priority Health |
$41.02
|
| Rate for Payer: Priority Health SBD |
$36.92
|
| Rate for Payer: UMR Bronson Commercial |
$25.78
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$43.95
|
|
|
HC L&D MEDICAL EMERGENCY VISIT
|
Facility
|
IP
|
$860.74
|
|
|
Service Code
|
CPT 99283
|
| Hospital Charge Code |
45000023
|
|
Hospital Revenue Code
|
450
|
| Min. Negotiated Rate |
$378.73 |
| Max. Negotiated Rate |
$774.67 |
| Rate for Payer: Aetna American Axle |
$559.48
|
| Rate for Payer: Aetna Commercial |
$731.63
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$559.48
|
| Rate for Payer: Cash Price |
$688.59
|
| Rate for Payer: Cofinity Commercial |
$602.52
|
| Rate for Payer: Cofinity Commercial |
$740.24
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$688.59
|
| Rate for Payer: Healthscope Commercial |
$774.67
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$602.52
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$645.56
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$731.63
|
| Rate for Payer: PHP Commercial |
$731.63
|
| Rate for Payer: Priority Health Cigna Priority Health |
$602.52
|
| Rate for Payer: Priority Health SBD |
$542.27
|
| Rate for Payer: UMR Bronson Commercial |
$378.73
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$645.56
|
|
|
HC L&D MEDICAL EMERGENCY VISIT
|
Facility
|
OP
|
$860.74
|
|
|
Service Code
|
CPT 99283
|
| Hospital Charge Code |
45000023
|
|
Hospital Revenue Code
|
450
|
| Min. Negotiated Rate |
$69.09 |
| Max. Negotiated Rate |
$1,462.00 |
| Rate for Payer: Aetna American Axle |
$559.48
|
| Rate for Payer: Aetna Commercial |
$731.63
|
| Rate for Payer: Aetna Medicare |
$263.75
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$559.48
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$317.01
|
| Rate for Payer: Amish Plain Church Group Commercial |
$317.01
|
| Rate for Payer: BCBS Complete |
$145.67
|
| Rate for Payer: BCBS MAPPO |
$253.61
|
| Rate for Payer: BCBS Trust/PPO |
$458.14
|
| Rate for Payer: BCN Medicare Advantage |
$253.61
|
| Rate for Payer: Cash Price |
$688.59
|
| Rate for Payer: Cash Price |
$688.59
|
| Rate for Payer: Cash Price |
$688.59
|
| Rate for Payer: Cofinity Commercial |
$602.52
|
| Rate for Payer: Cofinity Commercial |
$740.24
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$688.59
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$253.61
|
| Rate for Payer: Healthscope Commercial |
$774.67
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$602.52
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$645.56
|
| Rate for Payer: Mclaren Medicaid |
$138.72
|
| Rate for Payer: Mclaren Medicare |
$253.61
|
| Rate for Payer: Meridian Medicaid |
$145.67
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$266.29
|
| Rate for Payer: MI Amish Medical Board Commercial |
$291.65
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$731.63
|
| Rate for Payer: PACE Medicare |
$240.93
|
| Rate for Payer: PACE SWMI |
$253.61
|
| Rate for Payer: PHP Commercial |
$731.63
|
| Rate for Payer: PHP Medicare Advantage |
$253.61
|
| Rate for Payer: Priority Health Choice Medicaid |
$138.72
|
| Rate for Payer: Priority Health Cigna Priority Health |
$602.52
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$798.40
|
| Rate for Payer: Priority Health Medicare |
$253.61
|
| Rate for Payer: Priority Health Narrow Network |
$638.72
|
| Rate for Payer: Priority Health SBD |
$542.27
|
| Rate for Payer: Railroad Medicare Medicare |
$253.61
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$76.00
|
| Rate for Payer: UHC Core |
$1,462.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$253.61
|
| Rate for Payer: UHC Exchange |
$69.09
|
| Rate for Payer: UHC Medicare Advantage |
$261.22
|
| Rate for Payer: UMR Bronson Commercial |
$318.47
|
| Rate for Payer: VA VA |
$253.61
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$645.56
|
|
|
HC LD RECOVERY 0-2 HRS
|
Facility
|
OP
|
$1,441.05
|
|
| Hospital Charge Code |
71000012
|
|
Hospital Revenue Code
|
710
|
| Min. Negotiated Rate |
$533.19 |
| Max. Negotiated Rate |
$1,296.94 |
| Rate for Payer: Aetna American Axle |
$936.68
|
| Rate for Payer: Aetna Commercial |
$1,224.89
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$936.68
|
| Rate for Payer: BCBS Complete |
$576.42
|
| Rate for Payer: Cash Price |
$1,152.84
|
| Rate for Payer: Cofinity Commercial |
$1,008.74
|
| Rate for Payer: Cofinity Commercial |
$1,239.30
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,152.84
|
| Rate for Payer: Healthscope Commercial |
$1,296.94
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,008.74
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,080.79
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,224.89
|
| Rate for Payer: PHP Commercial |
$1,224.89
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,008.74
|
| Rate for Payer: Priority Health SBD |
$907.86
|
| Rate for Payer: UMR Bronson Commercial |
$533.19
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,080.79
|
|
|
HC LD RECOVERY 0-2 HRS
|
Facility
|
IP
|
$1,441.05
|
|
| Hospital Charge Code |
71000012
|
|
Hospital Revenue Code
|
710
|
| Min. Negotiated Rate |
$634.06 |
| Max. Negotiated Rate |
$1,296.94 |
| Rate for Payer: Aetna American Axle |
$936.68
|
| Rate for Payer: Aetna Commercial |
$1,224.89
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$936.68
|
| Rate for Payer: Cash Price |
$1,152.84
|
| Rate for Payer: Cofinity Commercial |
$1,008.74
|
| Rate for Payer: Cofinity Commercial |
$1,239.30
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,152.84
|
| Rate for Payer: Healthscope Commercial |
$1,296.94
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,008.74
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,080.79
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,224.89
|
| Rate for Payer: PHP Commercial |
$1,224.89
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,008.74
|
| Rate for Payer: Priority Health SBD |
$907.86
|
| Rate for Payer: UMR Bronson Commercial |
$634.06
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,080.79
|
|
|
HC LD RECOVERY 10 OR MORE HOURS
|
Facility
|
IP
|
$3,602.41
|
|
| Hospital Charge Code |
71000013
|
|
Hospital Revenue Code
|
710
|
| Min. Negotiated Rate |
$1,585.06 |
| Max. Negotiated Rate |
$3,242.17 |
| Rate for Payer: Aetna American Axle |
$2,341.57
|
| Rate for Payer: Aetna Commercial |
$3,062.05
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,341.57
|
| Rate for Payer: Cash Price |
$2,881.93
|
| Rate for Payer: Cofinity Commercial |
$2,521.69
|
| Rate for Payer: Cofinity Commercial |
$3,098.07
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,881.93
|
| Rate for Payer: Healthscope Commercial |
$3,242.17
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$2,521.69
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,701.81
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$3,062.05
|
| Rate for Payer: PHP Commercial |
$3,062.05
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,521.69
|
| Rate for Payer: Priority Health SBD |
$2,269.52
|
| Rate for Payer: UMR Bronson Commercial |
$1,585.06
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,701.81
|
|
|
HC LD RECOVERY 10 OR MORE HOURS
|
Facility
|
OP
|
$3,602.41
|
|
| Hospital Charge Code |
71000013
|
|
Hospital Revenue Code
|
710
|
| Min. Negotiated Rate |
$1,332.89 |
| Max. Negotiated Rate |
$3,242.17 |
| Rate for Payer: Aetna American Axle |
$2,341.57
|
| Rate for Payer: Aetna Commercial |
$3,062.05
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,341.57
|
| Rate for Payer: BCBS Complete |
$1,440.96
|
| Rate for Payer: Cash Price |
$2,881.93
|
| Rate for Payer: Cofinity Commercial |
$2,521.69
|
| Rate for Payer: Cofinity Commercial |
$3,098.07
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,881.93
|
| Rate for Payer: Healthscope Commercial |
$3,242.17
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$2,521.69
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,701.81
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$3,062.05
|
| Rate for Payer: PHP Commercial |
$3,062.05
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,521.69
|
| Rate for Payer: Priority Health SBD |
$2,269.52
|
| Rate for Payer: UMR Bronson Commercial |
$1,332.89
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,701.81
|
|
|
HC LD RECOVERY 2-4 HRS
|
Facility
|
IP
|
$2,881.83
|
|
| Hospital Charge Code |
71000014
|
|
Hospital Revenue Code
|
710
|
| Min. Negotiated Rate |
$1,268.01 |
| Max. Negotiated Rate |
$2,593.65 |
| Rate for Payer: Aetna American Axle |
$1,873.19
|
| Rate for Payer: Aetna Commercial |
$2,449.56
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,873.19
|
| Rate for Payer: Cash Price |
$2,305.46
|
| Rate for Payer: Cofinity Commercial |
$2,017.28
|
| Rate for Payer: Cofinity Commercial |
$2,478.37
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,305.46
|
| Rate for Payer: Healthscope Commercial |
$2,593.65
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$2,017.28
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,161.37
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$2,449.56
|
| Rate for Payer: PHP Commercial |
$2,449.56
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,017.28
|
| Rate for Payer: Priority Health SBD |
$1,815.55
|
| Rate for Payer: UMR Bronson Commercial |
$1,268.01
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,161.37
|
|
