|
HC MALARIA SMEAR
|
Facility
|
OP
|
$75.40
|
|
|
Service Code
|
CPT 87207
|
| Hospital Charge Code |
30600106
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$3.28 |
| Max. Negotiated Rate |
$67.86 |
| Rate for Payer: Aetna American Axle |
$49.01
|
| Rate for Payer: Aetna Commercial |
$64.09
|
| Rate for Payer: Aetna Medicare |
$6.23
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$49.01
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$7.49
|
| Rate for Payer: Amish Plain Church Group Commercial |
$7.49
|
| Rate for Payer: BCBS Complete |
$3.44
|
| Rate for Payer: BCBS MAPPO |
$5.99
|
| Rate for Payer: BCBS Trust/PPO |
$4.04
|
| Rate for Payer: BCN Medicare Advantage |
$5.99
|
| Rate for Payer: Cash Price |
$60.32
|
| Rate for Payer: Cash Price |
$60.32
|
| Rate for Payer: Cofinity Commercial |
$64.84
|
| Rate for Payer: Cofinity Commercial |
$52.78
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$60.32
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$5.99
|
| Rate for Payer: Healthscope Commercial |
$67.86
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$52.78
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$56.55
|
| Rate for Payer: Mclaren Medicaid |
$3.28
|
| Rate for Payer: Mclaren Medicare |
$5.99
|
| Rate for Payer: Meridian Medicaid |
$3.44
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$6.29
|
| Rate for Payer: MI Amish Medical Board Commercial |
$6.89
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$64.09
|
| Rate for Payer: PACE Medicare |
$5.69
|
| Rate for Payer: PACE SWMI |
$5.99
|
| Rate for Payer: PHP Commercial |
$64.09
|
| Rate for Payer: PHP Medicare Advantage |
$5.99
|
| Rate for Payer: Priority Health Choice Medicaid |
$3.28
|
| Rate for Payer: Priority Health Cigna Priority Health |
$52.78
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$8.22
|
| Rate for Payer: Priority Health Medicare |
$5.99
|
| Rate for Payer: Priority Health Narrow Network |
$6.58
|
| Rate for Payer: Priority Health SBD |
$47.50
|
| Rate for Payer: Railroad Medicare Medicare |
$5.99
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$7.19
|
| Rate for Payer: UHC Core |
$9.89
|
| Rate for Payer: UHC Dual Complete DSNP |
$5.99
|
| Rate for Payer: UHC Exchange |
$5.99
|
| Rate for Payer: UHC Medicare Advantage |
$6.17
|
| Rate for Payer: UMR Bronson Commercial |
$27.90
|
| Rate for Payer: VA VA |
$5.99
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$56.55
|
|
|
HC MALONEY/BOUGIE DILATATION
|
Facility
|
IP
|
$1,304.30
|
|
| Hospital Charge Code |
36000074
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$573.89 |
| Max. Negotiated Rate |
$1,173.87 |
| Rate for Payer: Aetna American Axle |
$847.80
|
| Rate for Payer: Aetna Commercial |
$1,108.66
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$847.80
|
| Rate for Payer: Cash Price |
$1,043.44
|
| Rate for Payer: Cofinity Commercial |
$1,121.70
|
| Rate for Payer: Cofinity Commercial |
$913.01
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,043.44
|
| Rate for Payer: Healthscope Commercial |
$1,173.87
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$913.01
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$978.22
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,108.66
|
| Rate for Payer: PHP Commercial |
$1,108.66
|
| Rate for Payer: Priority Health Cigna Priority Health |
$913.01
|
| Rate for Payer: Priority Health SBD |
$821.71
|
| Rate for Payer: UMR Bronson Commercial |
$573.89
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$978.22
|
|
|
HC MALONEY/BOUGIE DILATATION
|
Facility
|
OP
|
$1,304.30
|
|
| Hospital Charge Code |
36000074
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$482.59 |
| Max. Negotiated Rate |
$1,173.87 |
| Rate for Payer: Aetna American Axle |
$847.80
|
| Rate for Payer: Aetna Commercial |
$1,108.66
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$847.80
|
| Rate for Payer: BCBS Complete |
$521.72
|
| Rate for Payer: Cash Price |
$1,043.44
|
| Rate for Payer: Cofinity Commercial |
$1,121.70
|
| Rate for Payer: Cofinity Commercial |
$913.01
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,043.44
|
| Rate for Payer: Healthscope Commercial |
$1,173.87
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$913.01
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$978.22
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,108.66
|
| Rate for Payer: PHP Commercial |
$1,108.66
|
| Rate for Payer: Priority Health Cigna Priority Health |
$913.01
|
| Rate for Payer: Priority Health SBD |
$821.71
|
| Rate for Payer: UMR Bronson Commercial |
$482.59
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$978.22
|
|
|
HC MAMM BILAT DIAGNOSTIC W CAD
|
Facility
|
IP
|
$421.71
|
|
|
Service Code
|
HCPCS 77066
|
| Hospital Charge Code |
40100004
|
|
Hospital Revenue Code
|
401
|
| Min. Negotiated Rate |
$185.55 |
| Max. Negotiated Rate |
$379.54 |
| Rate for Payer: Aetna American Axle |
$274.11
|
| Rate for Payer: Aetna Commercial |
$358.45
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$274.11
|
| Rate for Payer: Cash Price |
$337.37
|
| Rate for Payer: Cofinity Commercial |
$295.20
|
| Rate for Payer: Cofinity Commercial |
$362.67
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$337.37
|
| Rate for Payer: Healthscope Commercial |
$379.54
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$295.20
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$316.28
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$358.45
|
| Rate for Payer: PHP Commercial |
$358.45
|
| Rate for Payer: Priority Health Cigna Priority Health |
$295.20
|
| Rate for Payer: Priority Health SBD |
$265.68
|
| Rate for Payer: UMR Bronson Commercial |
$185.55
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$316.28
|
|
|
HC MAMM BILAT DIAGNOSTIC W CAD
|
Facility
|
OP
|
$421.71
|
|
|
Service Code
|
HCPCS 77066
|
| Hospital Charge Code |
40100004
|
|
Hospital Revenue Code
|
401
|
| Min. Negotiated Rate |
$97.33 |
| Max. Negotiated Rate |
$379.54 |
| Rate for Payer: Aetna American Axle |
$274.11
|
| Rate for Payer: Aetna Commercial |
$358.45
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$274.11
|
| Rate for Payer: BCBS Complete |
$168.68
|
| Rate for Payer: BCBS Trust/PPO |
$211.58
|
| Rate for Payer: BCCCP Commercial |
$160.76
|
| Rate for Payer: Cash Price |
$337.37
|
| Rate for Payer: Cash Price |
$337.37
|
| Rate for Payer: Cash Price |
$337.37
|
| Rate for Payer: Cofinity Commercial |
$295.20
|
| Rate for Payer: Cofinity Commercial |
$362.67
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$337.37
|
| Rate for Payer: Healthscope Commercial |
$379.54
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$295.20
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$316.28
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$358.45
|
| Rate for Payer: PHP Commercial |
$358.45
|
| Rate for Payer: Priority Health Cigna Priority Health |
$295.20
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$121.66
|
| Rate for Payer: Priority Health Narrow Network |
$97.33
|
| Rate for Payer: Priority Health SBD |
$265.68
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$171.45
|
| Rate for Payer: UHC Core |
$332.00
|
| Rate for Payer: UHC Exchange |
$155.86
|
| Rate for Payer: UMR Bronson Commercial |
$156.03
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$316.28
|
|
|
HC MAMM BILAT SCREEN WITH CAD
|
Facility
|
IP
|
$416.09
|
|
|
Service Code
|
HCPCS 77067
|
| Hospital Charge Code |
40300006
|
|
Hospital Revenue Code
|
403
|
| Min. Negotiated Rate |
$183.08 |
| Max. Negotiated Rate |
$374.48 |
| Rate for Payer: Aetna American Axle |
$270.46
|
| Rate for Payer: Aetna Commercial |
$353.68
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$270.46
|
| Rate for Payer: Cash Price |
$332.87
|
| Rate for Payer: Cofinity Commercial |
$291.26
|
| Rate for Payer: Cofinity Commercial |
$357.84
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$332.87
|
| Rate for Payer: Healthscope Commercial |
$374.48
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$291.26
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$312.07
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$353.68
|
| Rate for Payer: PHP Commercial |
$353.68
|
| Rate for Payer: Priority Health Cigna Priority Health |
$291.26
|
| Rate for Payer: Priority Health SBD |
$262.14
|
| Rate for Payer: UMR Bronson Commercial |
$183.08
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$312.07
|
|
|
HC MAMM BILAT SCREEN WITH CAD
|
Facility
|
OP
|
$416.09
|
|
|
Service Code
|
HCPCS 77067
|
| Hospital Charge Code |
40300006
|
|
Hospital Revenue Code
|
403
|
| Min. Negotiated Rate |
$80.39 |
| Max. Negotiated Rate |
$374.48 |
| Rate for Payer: Aetna American Axle |
$270.46
|
| Rate for Payer: Aetna Commercial |
$353.68
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$270.46
|
| Rate for Payer: BCBS Complete |
$166.44
|
| Rate for Payer: BCBS Trust/PPO |
$175.48
|
| Rate for Payer: BCCCP Commercial |
$130.78
|
| Rate for Payer: Cash Price |
$332.87
|
| Rate for Payer: Cash Price |
$332.87
|
| Rate for Payer: Cash Price |
$332.87
|
| Rate for Payer: Cofinity Commercial |
$357.84
|
| Rate for Payer: Cofinity Commercial |
$291.26
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$332.87
|
| Rate for Payer: Healthscope Commercial |
$374.48
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$291.26
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$312.07
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$353.68
|
| Rate for Payer: PHP Commercial |
$353.68
|
| Rate for Payer: Priority Health Cigna Priority Health |
$291.26
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$100.49
|
| Rate for Payer: Priority Health Narrow Network |
$80.39
|
| Rate for Payer: Priority Health SBD |
$262.14
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$138.31
|
| Rate for Payer: UHC Core |
$332.00
|
| Rate for Payer: UHC Exchange |
$125.74
|
| Rate for Payer: UMR Bronson Commercial |
$153.95
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$312.07
|
|
|
HC MAMMO BREAST ASP CYST
|
Facility
|
IP
|
$600.30
|
|
|
Service Code
|
CPT 19000
|
| Hospital Charge Code |
36100008
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$264.13 |
| Max. Negotiated Rate |
$540.27 |
| Rate for Payer: Aetna American Axle |
$390.20
|
| Rate for Payer: Aetna Commercial |
$510.26
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$390.20
|
| Rate for Payer: Cash Price |
$480.24
|
| Rate for Payer: Cofinity Commercial |
$420.21
|
| Rate for Payer: Cofinity Commercial |
$516.26
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$480.24
|
| Rate for Payer: Healthscope Commercial |
$540.27
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$420.21
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$450.22
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$510.26
|
| Rate for Payer: PHP Commercial |
$510.26
|
| Rate for Payer: Priority Health Cigna Priority Health |
$420.21
|
| Rate for Payer: Priority Health SBD |
$378.19
|
| Rate for Payer: UMR Bronson Commercial |
$264.13
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$450.22
|
|
|
HC MAMMO BREAST ASP CYST
|
Facility
|
OP
|
$600.30
|
|
|
Service Code
|
CPT 19000
|
| Hospital Charge Code |
36100008
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$40.93 |
| Max. Negotiated Rate |
$1,968.76 |
| Rate for Payer: Aetna American Axle |
$390.20
|
| Rate for Payer: Aetna Commercial |
$510.26
|
| Rate for Payer: Aetna Medicare |
$650.41
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$390.20
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$781.74
|
| Rate for Payer: Amish Plain Church Group Commercial |
$781.74
|
| Rate for Payer: BCBS Complete |
$359.22
|
| Rate for Payer: BCBS MAPPO |
$625.39
|
| Rate for Payer: BCBS Trust/PPO |
$694.01
|
| Rate for Payer: BCCCP Commercial |
$105.62
|
| Rate for Payer: BCN Medicare Advantage |
$625.39
|
| Rate for Payer: Cash Price |
$480.24
|
| Rate for Payer: Cash Price |
$480.24
|
| Rate for Payer: Cofinity Commercial |
$516.26
|
| Rate for Payer: Cofinity Commercial |
$420.21
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$480.24
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$625.39
|
| Rate for Payer: Healthscope Commercial |
$540.27
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$420.21
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$450.22
|
| Rate for Payer: Mclaren Medicaid |
$342.09
|
| Rate for Payer: Mclaren Medicare |
$625.39
|
| Rate for Payer: Meridian Medicaid |
$359.22
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$656.66
|
| Rate for Payer: MI Amish Medical Board Commercial |
$719.20
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$510.26
|
| Rate for Payer: PACE Medicare |
$594.12
|
| Rate for Payer: PACE SWMI |
$625.39
|
| Rate for Payer: PHP Commercial |
$510.26
|
| Rate for Payer: PHP Medicare Advantage |
$625.39
|
| Rate for Payer: Priority Health Choice Medicaid |
$342.09
|
| Rate for Payer: Priority Health Cigna Priority Health |
$420.21
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,968.76
|
| Rate for Payer: Priority Health Medicare |
$625.39
|
| Rate for Payer: Priority Health Narrow Network |
$1,575.01
|
| Rate for Payer: Priority Health SBD |
$378.19
|
| Rate for Payer: Railroad Medicare Medicare |
$625.39
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$45.02
|
| Rate for Payer: UHC Core |
$981.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$625.39
|
| Rate for Payer: UHC Exchange |
$40.93
|
| Rate for Payer: UHC Medicare Advantage |
$644.15
|
| Rate for Payer: UMR Bronson Commercial |
$222.11
|
| Rate for Payer: VA VA |
$625.39
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$450.22
|
|
|
HC MAMMO BREAST ASP CYST ADD LESION
|
Facility
|
OP
|
$388.80
|
|
|
Service Code
|
CPT 19001
|
| Hospital Charge Code |
36100009
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$20.30 |
| Max. Negotiated Rate |
$700.00 |
| Rate for Payer: Aetna American Axle |
$252.72
|
| Rate for Payer: Aetna Commercial |
$330.48
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$252.72
|
| Rate for Payer: BCBS Complete |
$155.52
|
| Rate for Payer: BCBS Trust/PPO |
$92.76
|
| Rate for Payer: BCCCP Commercial |
$27.25
|
| Rate for Payer: Cash Price |
$311.04
|
| Rate for Payer: Cash Price |
$311.04
|
| Rate for Payer: Cofinity Commercial |
$334.37
|
| Rate for Payer: Cofinity Commercial |
$272.16
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$311.04
|
| Rate for Payer: Healthscope Commercial |
$349.92
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$272.16
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$291.60
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$330.48
|
| Rate for Payer: PHP Commercial |
$330.48
|
| Rate for Payer: Priority Health Cigna Priority Health |
$272.16
|
| Rate for Payer: Priority Health SBD |
$244.94
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$22.33
|
| Rate for Payer: UHC Core |
$700.00
|
| Rate for Payer: UHC Exchange |
$20.30
|
| Rate for Payer: UMR Bronson Commercial |
$143.86
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$291.60
|
|
|
HC MAMMO BREAST ASP CYST ADD LESION
|
Facility
|
IP
|
$388.80
|
|
|
Service Code
|
CPT 19001
|
| Hospital Charge Code |
36100009
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$171.07 |
| Max. Negotiated Rate |
$349.92 |
| Rate for Payer: Aetna American Axle |
$252.72
|
| Rate for Payer: Aetna Commercial |
$330.48
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$252.72
|
| Rate for Payer: Cash Price |
$311.04
|
| Rate for Payer: Cofinity Commercial |
$272.16
|
| Rate for Payer: Cofinity Commercial |
$334.37
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$311.04
|
| Rate for Payer: Healthscope Commercial |
$349.92
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$272.16
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$291.60
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$330.48
|
| Rate for Payer: PHP Commercial |
$330.48
|
| Rate for Payer: Priority Health Cigna Priority Health |
$272.16
|
| Rate for Payer: Priority Health SBD |
$244.94
|
| Rate for Payer: UMR Bronson Commercial |
$171.07
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$291.60
|
|
|
HC MAMMO BREAST GUIDED MASTOTOMY
|
Facility
|
IP
|
$2,731.95
|
|
|
Service Code
|
CPT 19020
|
| Hospital Charge Code |
36100010
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$1,202.06 |
| Max. Negotiated Rate |
$2,458.76 |
| Rate for Payer: Aetna American Axle |
$1,775.77
|
| Rate for Payer: Aetna Commercial |
$2,322.16
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,775.77
|
| Rate for Payer: Cash Price |
$2,185.56
|
| Rate for Payer: Cofinity Commercial |
$1,912.36
|
| Rate for Payer: Cofinity Commercial |
$2,349.48
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,185.56
|
| Rate for Payer: Healthscope Commercial |
$2,458.76
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,912.36
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,048.96
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$2,322.16
|
| Rate for Payer: PHP Commercial |
$2,322.16
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,912.36
|
| Rate for Payer: Priority Health SBD |
$1,721.13
|
| Rate for Payer: UMR Bronson Commercial |
$1,202.06
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,048.96
|
|
|
HC MAMMO BREAST GUIDED MASTOTOMY
|
Facility
|
OP
|
$2,731.95
|
|
|
Service Code
|
CPT 19020
|
| Hospital Charge Code |
36100010
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$311.72 |
| Max. Negotiated Rate |
$4,536.73 |
| Rate for Payer: Aetna American Axle |
$1,775.77
|
| Rate for Payer: Aetna Commercial |
$2,322.16
|
| Rate for Payer: Aetna Medicare |
$1,498.78
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,775.77
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,801.41
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1,801.41
|
| Rate for Payer: BCBS Complete |
$827.79
|
| Rate for Payer: BCBS MAPPO |
$1,441.13
|
| Rate for Payer: BCBS Trust/PPO |
$2,225.96
|
| Rate for Payer: BCN Medicare Advantage |
$1,441.13
|
| Rate for Payer: Cash Price |
$2,185.56
|
| Rate for Payer: Cash Price |
$2,185.56
|
| Rate for Payer: Cofinity Commercial |
$2,349.48
|
| Rate for Payer: Cofinity Commercial |
$1,912.36
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,185.56
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,441.13
|
| Rate for Payer: Healthscope Commercial |
$2,458.76
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,912.36
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,048.96
|
| Rate for Payer: Mclaren Medicaid |
$788.30
|
| Rate for Payer: Mclaren Medicare |
$1,441.13
|
| Rate for Payer: Meridian Medicaid |
$827.79
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,513.19
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,657.30
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$2,322.16
|
| Rate for Payer: PACE Medicare |
$1,369.07
|
| Rate for Payer: PACE SWMI |
$1,441.13
|
| Rate for Payer: PHP Commercial |
$2,322.16
|
| Rate for Payer: PHP Medicare Advantage |
$1,441.13
|
| Rate for Payer: Priority Health Choice Medicaid |
$788.30
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,912.36
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$4,536.73
|
| Rate for Payer: Priority Health Medicare |
$1,441.13
|
| Rate for Payer: Priority Health Narrow Network |
$3,629.38
|
| Rate for Payer: Priority Health SBD |
$1,721.13
|
| Rate for Payer: Railroad Medicare Medicare |
$1,441.13
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$342.89
|
| Rate for Payer: UHC Core |
$3,604.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,441.13
|
| Rate for Payer: UHC Exchange |
$311.72
|
| Rate for Payer: UHC Medicare Advantage |
$1,484.36
|
| Rate for Payer: UMR Bronson Commercial |
$1,010.82
|
| Rate for Payer: VA VA |
$1,441.13
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,048.96
|
|
|
HC MAMMO BREAST INJECTION DUCTOGRAM
|
Facility
|
OP
|
$1,154.20
|
|
|
Service Code
|
CPT 19030
|
| Hospital Charge Code |
36100011
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$73.02 |
| Max. Negotiated Rate |
$1,038.78 |
| Rate for Payer: Aetna American Axle |
$750.23
|
| Rate for Payer: Aetna Commercial |
$981.07
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$750.23
|
| Rate for Payer: BCBS Complete |
$461.68
|
| Rate for Payer: BCBS Trust/PPO |
$564.99
|
| Rate for Payer: BCCCP Commercial |
$171.06
|
| Rate for Payer: Cash Price |
$923.36
|
| Rate for Payer: Cash Price |
$923.36
|
| Rate for Payer: Cofinity Commercial |
$992.61
|
| Rate for Payer: Cofinity Commercial |
$807.94
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$923.36
|
| Rate for Payer: Healthscope Commercial |
$1,038.78
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$807.94
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$865.65
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$981.07
|
| Rate for Payer: PHP Commercial |
$981.07
|
| Rate for Payer: Priority Health Cigna Priority Health |
$807.94
|
| Rate for Payer: Priority Health SBD |
$727.15
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$80.32
|
| Rate for Payer: UHC Core |
$700.00
|
| Rate for Payer: UHC Exchange |
$73.02
|
| Rate for Payer: UMR Bronson Commercial |
$427.05
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$865.65
|
|
|
HC MAMMO BREAST INJECTION DUCTOGRAM
|
Facility
|
IP
|
$1,154.20
|
|
|
Service Code
|
CPT 19030
|
| Hospital Charge Code |
36100011
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$507.85 |
| Max. Negotiated Rate |
$1,038.78 |
| Rate for Payer: Aetna American Axle |
$750.23
|
| Rate for Payer: Aetna Commercial |
$981.07
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$750.23
|
| Rate for Payer: Cash Price |
$923.36
|
| Rate for Payer: Cofinity Commercial |
$807.94
|
| Rate for Payer: Cofinity Commercial |
$992.61
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$923.36
|
| Rate for Payer: Healthscope Commercial |
$1,038.78
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$807.94
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$865.65
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$981.07
|
| Rate for Payer: PHP Commercial |
$981.07
|
| Rate for Payer: Priority Health Cigna Priority Health |
$807.94
|
| Rate for Payer: Priority Health SBD |
$727.15
|
| Rate for Payer: UMR Bronson Commercial |
$507.85
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$865.65
|
|
|
HC MAMMO DIAGNOSTIC UNI WITH CAD
|
Facility
|
IP
|
$365.48
|
|
|
Service Code
|
CPT 77065
|
| Hospital Charge Code |
40100005
|
|
Hospital Revenue Code
|
401
|
| Min. Negotiated Rate |
$160.81 |
| Max. Negotiated Rate |
$328.93 |
| Rate for Payer: Aetna American Axle |
$237.56
|
| Rate for Payer: Aetna Commercial |
$310.66
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$237.56
|
| Rate for Payer: Cash Price |
$292.38
|
| Rate for Payer: Cofinity Commercial |
$255.84
|
| Rate for Payer: Cofinity Commercial |
$314.31
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$292.38
|
| Rate for Payer: Healthscope Commercial |
$328.93
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$255.84
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$274.11
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$310.66
|
| Rate for Payer: PHP Commercial |
$310.66
|
| Rate for Payer: Priority Health Cigna Priority Health |
$255.84
|
| Rate for Payer: Priority Health SBD |
$230.25
|
| Rate for Payer: UMR Bronson Commercial |
$160.81
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$274.11
|
|
|
HC MAMMO DIAGNOSTIC UNI WITH CAD
|
Facility
|
OP
|
$365.48
|
|
|
Service Code
|
CPT 77065
|
| Hospital Charge Code |
40100005
|
|
Hospital Revenue Code
|
401
|
| Min. Negotiated Rate |
$76.09 |
| Max. Negotiated Rate |
$332.00 |
| Rate for Payer: Aetna American Axle |
$237.56
|
| Rate for Payer: Aetna Commercial |
$310.66
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$237.56
|
| Rate for Payer: BCBS Complete |
$146.19
|
| Rate for Payer: BCBS Trust/PPO |
$165.97
|
| Rate for Payer: BCCCP Commercial |
$127.76
|
| Rate for Payer: Cash Price |
$292.38
|
| Rate for Payer: Cash Price |
$292.38
|
| Rate for Payer: Cash Price |
$292.38
|
| Rate for Payer: Cofinity Commercial |
$314.31
|
| Rate for Payer: Cofinity Commercial |
$255.84
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$292.38
|
| Rate for Payer: Healthscope Commercial |
$328.93
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$255.84
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$274.11
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$310.66
|
| Rate for Payer: PHP Commercial |
$310.66
|
| Rate for Payer: Priority Health Cigna Priority Health |
$255.84
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$95.11
|
| Rate for Payer: Priority Health Narrow Network |
$76.09
|
| Rate for Payer: Priority Health SBD |
$230.25
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$135.43
|
| Rate for Payer: UHC Core |
$332.00
|
| Rate for Payer: UHC Exchange |
$123.12
|
| Rate for Payer: UMR Bronson Commercial |
$135.23
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$274.11
|
|
|
HC MAMMO DUCTOGRAM MULTIPLE
|
Facility
|
OP
|
$580.45
|
|
|
Service Code
|
CPT 77054
|
| Hospital Charge Code |
32000251
|
|
Hospital Revenue Code
|
320
|
| Min. Negotiated Rate |
$68.11 |
| Max. Negotiated Rate |
$685.66 |
| Rate for Payer: Aetna American Axle |
$377.29
|
| Rate for Payer: Aetna Commercial |
$493.38
|
| Rate for Payer: Aetna Medicare |
$226.52
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$377.29
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$272.26
|
| Rate for Payer: Amish Plain Church Group Commercial |
$272.26
|
| Rate for Payer: BCBS Complete |
$125.11
|
| Rate for Payer: BCBS MAPPO |
$217.81
|
| Rate for Payer: BCBS Trust/PPO |
$91.23
|
| Rate for Payer: BCCCP Commercial |
$70.40
|
| Rate for Payer: BCN Medicare Advantage |
$217.81
|
| Rate for Payer: Cash Price |
$464.36
|
| Rate for Payer: Cash Price |
$464.36
|
| Rate for Payer: Cofinity Commercial |
$406.32
|
| Rate for Payer: Cofinity Commercial |
$499.19
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$464.36
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$217.81
|
| Rate for Payer: Healthscope Commercial |
$522.40
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$406.32
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$435.34
|
| Rate for Payer: Mclaren Medicaid |
$119.14
|
| Rate for Payer: Mclaren Medicare |
$217.81
|
| Rate for Payer: Meridian Medicaid |
$125.11
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$228.70
|
| Rate for Payer: MI Amish Medical Board Commercial |
$250.48
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$493.38
|
| Rate for Payer: PACE Medicare |
$206.92
|
| Rate for Payer: PACE SWMI |
$217.81
|
| Rate for Payer: PHP Commercial |
$493.38
|
| Rate for Payer: PHP Medicare Advantage |
$217.81
|
| Rate for Payer: Priority Health Choice Medicaid |
$119.14
|
| Rate for Payer: Priority Health Cigna Priority Health |
$406.32
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$685.66
|
| Rate for Payer: Priority Health Medicare |
$217.81
|
| Rate for Payer: Priority Health Narrow Network |
$548.53
|
| Rate for Payer: Priority Health SBD |
$365.68
|
| Rate for Payer: Railroad Medicare Medicare |
$217.81
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$74.92
|
| Rate for Payer: UHC Core |
$262.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$217.81
|
| Rate for Payer: UHC Exchange |
$68.11
|
| Rate for Payer: UHC Medicare Advantage |
$224.34
|
| Rate for Payer: UMR Bronson Commercial |
$214.77
|
| Rate for Payer: VA VA |
$217.81
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$435.34
|
|
|
HC MAMMO DUCTOGRAM MULTIPLE
|
Facility
|
IP
|
$580.45
|
|
|
Service Code
|
CPT 77054
|
| Hospital Charge Code |
32000251
|
|
Hospital Revenue Code
|
320
|
| Min. Negotiated Rate |
$255.40 |
| Max. Negotiated Rate |
$522.40 |
| Rate for Payer: Aetna American Axle |
$377.29
|
| Rate for Payer: Aetna Commercial |
$493.38
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$377.29
|
| Rate for Payer: Cash Price |
$464.36
|
| Rate for Payer: Cofinity Commercial |
$406.32
|
| Rate for Payer: Cofinity Commercial |
$499.19
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$464.36
|
| Rate for Payer: Healthscope Commercial |
$522.40
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$406.32
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$435.34
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$493.38
|
| Rate for Payer: PHP Commercial |
$493.38
|
| Rate for Payer: Priority Health Cigna Priority Health |
$406.32
|
| Rate for Payer: Priority Health SBD |
$365.68
|
| Rate for Payer: UMR Bronson Commercial |
$255.40
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$435.34
|
|
|
HC MAMMO DUCTOGRAM SINGLE
|
Facility
|
IP
|
$700.46
|
|
|
Service Code
|
CPT 77053
|
| Hospital Charge Code |
32000250
|
|
Hospital Revenue Code
|
320
|
| Min. Negotiated Rate |
$308.20 |
| Max. Negotiated Rate |
$630.41 |
| Rate for Payer: Aetna American Axle |
$455.30
|
| Rate for Payer: Aetna Commercial |
$595.39
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$455.30
|
| Rate for Payer: Cash Price |
$560.37
|
| Rate for Payer: Cofinity Commercial |
$490.32
|
| Rate for Payer: Cofinity Commercial |
$602.40
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$560.37
|
| Rate for Payer: Healthscope Commercial |
$630.41
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$490.32
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$525.34
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$595.39
|
| Rate for Payer: PHP Commercial |
$595.39
|
| Rate for Payer: Priority Health Cigna Priority Health |
$490.32
|
| Rate for Payer: Priority Health SBD |
$441.29
|
| Rate for Payer: UMR Bronson Commercial |
$308.20
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$525.34
|
|
|
HC MAMMO DUCTOGRAM SINGLE
|
Facility
|
OP
|
$700.46
|
|
|
Service Code
|
CPT 77053
|
| Hospital Charge Code |
32000250
|
|
Hospital Revenue Code
|
320
|
| Min. Negotiated Rate |
$53.05 |
| Max. Negotiated Rate |
$685.66 |
| Rate for Payer: Aetna American Axle |
$455.30
|
| Rate for Payer: Aetna Commercial |
$595.39
|
| Rate for Payer: Aetna Medicare |
$226.52
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$455.30
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$272.26
|
| Rate for Payer: Amish Plain Church Group Commercial |
$272.26
|
| Rate for Payer: BCBS Complete |
$125.11
|
| Rate for Payer: BCBS MAPPO |
$217.81
|
| Rate for Payer: BCBS Trust/PPO |
$69.04
|
| Rate for Payer: BCCCP Commercial |
$54.57
|
| Rate for Payer: BCN Medicare Advantage |
$217.81
|
| Rate for Payer: Cash Price |
$560.37
|
| Rate for Payer: Cash Price |
$560.37
|
| Rate for Payer: Cofinity Commercial |
$490.32
|
| Rate for Payer: Cofinity Commercial |
$602.40
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$560.37
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$217.81
|
| Rate for Payer: Healthscope Commercial |
$630.41
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$490.32
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$525.34
|
| Rate for Payer: Mclaren Medicaid |
$119.14
|
| Rate for Payer: Mclaren Medicare |
$217.81
|
| Rate for Payer: Meridian Medicaid |
$125.11
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$228.70
|
| Rate for Payer: MI Amish Medical Board Commercial |
$250.48
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$595.39
|
| Rate for Payer: PACE Medicare |
$206.92
|
| Rate for Payer: PACE SWMI |
$217.81
|
| Rate for Payer: PHP Commercial |
$595.39
|
| Rate for Payer: PHP Medicare Advantage |
$217.81
|
| Rate for Payer: Priority Health Choice Medicaid |
$119.14
|
| Rate for Payer: Priority Health Cigna Priority Health |
$490.32
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$685.66
|
| Rate for Payer: Priority Health Medicare |
$217.81
|
| Rate for Payer: Priority Health Narrow Network |
$548.53
|
| Rate for Payer: Priority Health SBD |
$441.29
|
| Rate for Payer: Railroad Medicare Medicare |
$217.81
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$58.36
|
| Rate for Payer: UHC Core |
$262.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$217.81
|
| Rate for Payer: UHC Exchange |
$53.05
|
| Rate for Payer: UHC Medicare Advantage |
$224.34
|
| Rate for Payer: UMR Bronson Commercial |
$259.17
|
| Rate for Payer: VA VA |
$217.81
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$525.34
|
|
|
HC MANIFOLD 5-GANG
|
Facility
|
OP
|
$82.50
|
|
| Hospital Charge Code |
27000672
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$30.52 |
| Max. Negotiated Rate |
$74.25 |
| Rate for Payer: Aetna American Axle |
$53.62
|
| Rate for Payer: Aetna Commercial |
$70.12
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$53.62
|
| Rate for Payer: BCBS Complete |
$33.00
|
| Rate for Payer: Cash Price |
$66.00
|
| Rate for Payer: Cofinity Commercial |
$57.75
|
| Rate for Payer: Cofinity Commercial |
$70.95
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$66.00
|
| Rate for Payer: Healthscope Commercial |
$74.25
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$57.75
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$61.88
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$70.12
|
| Rate for Payer: PHP Commercial |
$70.12
|
| Rate for Payer: Priority Health Cigna Priority Health |
$57.75
|
| Rate for Payer: Priority Health SBD |
$51.98
|
| Rate for Payer: UMR Bronson Commercial |
$30.52
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$61.88
|
|
|
HC MANIFOLD 5-GANG
|
Facility
|
IP
|
$82.50
|
|
| Hospital Charge Code |
27000672
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$36.30 |
| Max. Negotiated Rate |
$74.25 |
| Rate for Payer: Aetna American Axle |
$53.62
|
| Rate for Payer: Aetna Commercial |
$70.12
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$53.62
|
| Rate for Payer: Cash Price |
$66.00
|
| Rate for Payer: Cofinity Commercial |
$57.75
|
| Rate for Payer: Cofinity Commercial |
$70.95
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$66.00
|
| Rate for Payer: Healthscope Commercial |
$74.25
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$57.75
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$61.88
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$70.12
|
| Rate for Payer: PHP Commercial |
$70.12
|
| Rate for Payer: Priority Health Cigna Priority Health |
$57.75
|
| Rate for Payer: Priority Health SBD |
$51.98
|
| Rate for Payer: UMR Bronson Commercial |
$36.30
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$61.88
|
|
|
HC MANIPULATION FINGER JOINT UNDER ANES EACH JOINT
|
Facility
|
IP
|
$4,000.00
|
|
|
Service Code
|
CPT 26340
|
| Hospital Charge Code |
76100382
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$1,760.00 |
| Max. Negotiated Rate |
$3,600.00 |
| Rate for Payer: Aetna American Axle |
$2,600.00
|
| Rate for Payer: Aetna Commercial |
$3,400.00
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,600.00
|
| Rate for Payer: Cash Price |
$3,200.00
|
| Rate for Payer: Cofinity Commercial |
$2,800.00
|
| Rate for Payer: Cofinity Commercial |
$3,440.00
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,200.00
|
| Rate for Payer: Healthscope Commercial |
$3,600.00
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$2,800.00
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$3,000.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$3,400.00
|
| Rate for Payer: PHP Commercial |
$3,400.00
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,800.00
|
| Rate for Payer: Priority Health SBD |
$2,520.00
|
| Rate for Payer: UMR Bronson Commercial |
$1,760.00
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$3,000.00
|
|
|
HC MANIPULATION FINGER JOINT UNDER ANES EACH JOINT
|
Facility
|
OP
|
$4,000.00
|
|
|
Service Code
|
CPT 26340
|
| Hospital Charge Code |
76100382
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$361.82 |
| Max. Negotiated Rate |
$4,497.31 |
| Rate for Payer: Aetna American Axle |
$2,600.00
|
| Rate for Payer: Aetna Commercial |
$3,400.00
|
| Rate for Payer: Aetna Medicare |
$1,485.75
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,600.00
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,785.76
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1,785.76
|
| Rate for Payer: BCBS Complete |
$820.59
|
| Rate for Payer: BCBS MAPPO |
$1,428.61
|
| Rate for Payer: BCBS Trust/PPO |
$1,032.82
|
| Rate for Payer: BCN Medicare Advantage |
$1,428.61
|
| Rate for Payer: Cash Price |
$3,200.00
|
| Rate for Payer: Cash Price |
$3,200.00
|
| Rate for Payer: Cofinity Commercial |
$2,800.00
|
| Rate for Payer: Cofinity Commercial |
$3,440.00
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,200.00
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,428.61
|
| Rate for Payer: Healthscope Commercial |
$3,600.00
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$2,800.00
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$3,000.00
|
| Rate for Payer: Mclaren Medicaid |
$781.45
|
| Rate for Payer: Mclaren Medicare |
$1,428.61
|
| Rate for Payer: Meridian Medicaid |
$820.59
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,500.04
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,642.90
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$3,400.00
|
| Rate for Payer: PACE Medicare |
$1,357.18
|
| Rate for Payer: PACE SWMI |
$1,428.61
|
| Rate for Payer: PHP Commercial |
$3,400.00
|
| Rate for Payer: PHP Medicare Advantage |
$1,428.61
|
| Rate for Payer: Priority Health Choice Medicaid |
$781.45
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,800.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$4,497.31
|
| Rate for Payer: Priority Health Medicare |
$1,428.61
|
| Rate for Payer: Priority Health Narrow Network |
$3,597.85
|
| Rate for Payer: Priority Health SBD |
$2,520.00
|
| Rate for Payer: Railroad Medicare Medicare |
$1,428.61
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$398.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,428.61
|
| Rate for Payer: UHC Exchange |
$361.82
|
| Rate for Payer: UHC Medicare Advantage |
$1,471.47
|
| Rate for Payer: UMR Bronson Commercial |
$1,480.00
|
| Rate for Payer: VA VA |
$1,428.61
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$3,000.00
|
|
