|
HC DIABETES MELLITUS TYPE 1 EVAL
|
Facility
|
IP
|
$65.00
|
|
|
Service Code
|
CPT 86337
|
| Hospital Charge Code |
30200504
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$28.60 |
| Max. Negotiated Rate |
$58.50 |
| Rate for Payer: Aetna American Axle |
$42.25
|
| Rate for Payer: Aetna Commercial |
$55.25
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$42.25
|
| Rate for Payer: Cash Price |
$52.00
|
| Rate for Payer: Cofinity Advantage |
$45.50
|
| Rate for Payer: Cofinity Commercial |
$55.90
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$52.00
|
| Rate for Payer: Healthscope Commercial |
$58.50
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$45.50
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$48.75
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$55.25
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$48.75
|
| Rate for Payer: PHP Commercial |
$55.25
|
| Rate for Payer: Priority Health SBD |
$40.95
|
| Rate for Payer: UMR Bronson Commercial |
$28.60
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$48.75
|
|
|
HC DIABETES TRAINING PER 30 MIN
|
Facility
|
IP
|
$152.77
|
|
|
Service Code
|
HCPCS G0108
|
| Hospital Charge Code |
94200007
|
|
Hospital Revenue Code
|
942
|
| Min. Negotiated Rate |
$67.22 |
| Max. Negotiated Rate |
$137.49 |
| Rate for Payer: Aetna American Axle |
$99.30
|
| Rate for Payer: Aetna Commercial |
$129.85
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$99.30
|
| Rate for Payer: Cash Price |
$122.22
|
| Rate for Payer: Cofinity Advantage |
$106.94
|
| Rate for Payer: Cofinity Commercial |
$131.38
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$122.22
|
| Rate for Payer: Healthscope Commercial |
$137.49
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$106.94
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$114.58
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$129.85
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$114.58
|
| Rate for Payer: PHP Commercial |
$129.85
|
| Rate for Payer: Priority Health SBD |
$96.25
|
| Rate for Payer: UMR Bronson Commercial |
$67.22
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$114.58
|
|
|
HC DIABETES TRAINING PER 30 MIN
|
Facility
|
OP
|
$152.77
|
|
|
Service Code
|
HCPCS G0108
|
| Hospital Charge Code |
94200007
|
|
Hospital Revenue Code
|
942
|
| Min. Negotiated Rate |
$27.20 |
| Max. Negotiated Rate |
$137.49 |
| Rate for Payer: Aetna American Axle |
$99.30
|
| Rate for Payer: Aetna Commercial |
$129.85
|
| Rate for Payer: Aetna Medicare |
$76.39
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$99.30
|
| Rate for Payer: BCBS Complete |
$61.11
|
| Rate for Payer: BCBS Trust/PPO |
$98.62
|
| Rate for Payer: BCN Commercial |
$98.62
|
| Rate for Payer: Cash Price |
$122.22
|
| Rate for Payer: Cash Price |
$122.22
|
| Rate for Payer: Cofinity Advantage |
$106.94
|
| Rate for Payer: Cofinity Commercial |
$131.38
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$122.22
|
| Rate for Payer: Healthscope Commercial |
$137.49
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$106.94
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$114.58
|
| Rate for Payer: MI Amish Medical Board Commercial |
$122.22
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$129.85
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$114.58
|
| Rate for Payer: PHP Commercial |
$129.85
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$34.00
|
| Rate for Payer: Priority Health SBD |
$96.25
|
| Rate for Payer: Priority Health Tiered Network |
$27.20
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$99.30
|
| Rate for Payer: UHC Core |
$79.59
|
| Rate for Payer: UHC Exchange |
$60.04
|
| Rate for Payer: UMR Bronson Commercial |
$56.52
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$114.58
|
|
|
HC DIAG ANGIO OF DIALYSIS CIRCUIT W ANGIOPLASTY AND IMAGING
|
Facility
|
IP
|
$11,229.50
|
|
|
Service Code
|
CPT 36902
|
| Hospital Charge Code |
36100526
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$4,940.98 |
| Max. Negotiated Rate |
$10,106.55 |
| Rate for Payer: Aetna American Axle |
$7,299.18
|
| Rate for Payer: Aetna Commercial |
$9,545.08
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$7,299.18
|
| Rate for Payer: Cash Price |
$8,983.60
|
| Rate for Payer: Cofinity Advantage |
$7,860.65
|
| Rate for Payer: Cofinity Commercial |
$9,657.37
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$8,983.60
|
| Rate for Payer: Healthscope Commercial |
$10,106.55
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$7,860.65
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$8,422.12
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$9,545.08
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$8,422.12
|
| Rate for Payer: PHP Commercial |
$9,545.08
|
| Rate for Payer: Priority Health SBD |
$7,074.59
|
| Rate for Payer: UMR Bronson Commercial |
$4,940.98
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$8,422.12
|
|
|
HC DIAG ANGIO OF DIALYSIS CIRCUIT W ANGIOPLASTY AND IMAGING
|
Facility
|
OP
|
$11,229.50
|
|
|
Service Code
|
CPT 36902
|
| Hospital Charge Code |
36100526
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$2,965.99 |
| Max. Negotiated Rate |
$18,339.80 |
| Rate for Payer: Aetna American Axle |
$7,299.18
|
| Rate for Payer: Aetna Commercial |
$9,545.08
|
| Rate for Payer: Aetna Medicare |
$5,897.94
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$7,299.18
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$7,088.88
|
| Rate for Payer: Amish Plain Church Group Commercial |
$7,088.88
|
| Rate for Payer: BCBS Complete |
$3,114.57
|
| Rate for Payer: BCBS MAPPO |
$5,671.10
|
| Rate for Payer: BCBS Trust/PPO |
$4,484.21
|
| Rate for Payer: BCN Commercial |
$4,484.21
|
| Rate for Payer: BCN Medicare Advantage |
$5,671.10
|
| Rate for Payer: Cash Price |
$8,983.60
|
| Rate for Payer: Cash Price |
$8,983.60
|
| Rate for Payer: Cash Price |
$8,983.60
|
| Rate for Payer: Cofinity Advantage |
$7,860.65
|
| Rate for Payer: Cofinity Commercial |
$9,657.37
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$8,983.60
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$5,671.10
|
| Rate for Payer: Healthscope Commercial |
$10,106.55
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$7,860.65
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$8,422.12
|
| Rate for Payer: Mclaren Medicaid |
$5,671.10
|
| Rate for Payer: Mclaren Medicare |
$5,671.10
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$5,954.65
|
| Rate for Payer: Meridian Medicaid |
$5,954.65
|
| Rate for Payer: MI Amish Medical Board Commercial |
$6,521.77
|
| Rate for Payer: Molina Medicare/Medicaid |
$6,238.21
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$9,545.08
|
| Rate for Payer: Nomi Health Commercial |
$17,013.30
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$8,422.12
|
| Rate for Payer: PACE Medicare |
$5,387.55
|
| Rate for Payer: PACE SWMI |
$5,671.10
|
| Rate for Payer: PHP Commercial |
$9,545.08
|
| Rate for Payer: PHP Medicare Advantage |
$5,671.10
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,965.99
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$18,339.80
|
| Rate for Payer: Priority Health Medicare |
$5,671.10
|
| Rate for Payer: Priority Health SBD |
$7,074.59
|
| Rate for Payer: Priority Health Tiered Network |
$14,671.84
|
| Rate for Payer: Railroad Medicare Medicare |
$5,671.10
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$5,671.10
|
| Rate for Payer: UHC Medicaid |
$2,965.99
|
| Rate for Payer: UHCCP Medicaid |
$2,965.99
|
| Rate for Payer: UMR Bronson Commercial |
$4,154.91
|
| Rate for Payer: VA VA |
$5,671.10
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$8,422.12
|
|
|
HC DIAG ANGIO OF DIALYSIS CIRCUIT W IMAGING
|
Facility
|
OP
|
$2,189.04
|
|
|
Service Code
|
CPT 36901
|
| Hospital Charge Code |
36100525
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$809.94 |
| Max. Negotiated Rate |
$5,072.36 |
| Rate for Payer: Aetna American Axle |
$1,422.88
|
| Rate for Payer: Aetna Commercial |
$1,860.68
|
| Rate for Payer: Aetna Medicare |
$1,631.23
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,422.88
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,960.61
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1,960.61
|
| Rate for Payer: BCBS Complete |
$861.41
|
| Rate for Payer: BCBS MAPPO |
$1,568.49
|
| Rate for Payer: BCBS Trust/PPO |
$2,016.04
|
| Rate for Payer: BCN Commercial |
$2,016.04
|
| Rate for Payer: BCN Medicare Advantage |
$1,568.49
|
| Rate for Payer: Cash Price |
$1,751.23
|
| Rate for Payer: Cash Price |
$1,751.23
|
| Rate for Payer: Cash Price |
$1,751.23
|
| Rate for Payer: Cofinity Advantage |
$1,532.33
|
| Rate for Payer: Cofinity Commercial |
$1,882.57
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,751.23
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,568.49
|
| Rate for Payer: Healthscope Commercial |
$1,970.14
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,532.33
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,641.78
|
| Rate for Payer: Mclaren Medicaid |
$1,568.49
|
| Rate for Payer: Mclaren Medicare |
$1,568.49
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,646.91
|
| Rate for Payer: Meridian Medicaid |
$1,646.91
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,803.76
|
| Rate for Payer: Molina Medicare/Medicaid |
$1,725.34
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,860.68
|
| Rate for Payer: Nomi Health Commercial |
$4,705.47
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,641.78
|
| Rate for Payer: PACE Medicare |
$1,490.07
|
| Rate for Payer: PACE SWMI |
$1,568.49
|
| Rate for Payer: PHP Commercial |
$1,860.68
|
| Rate for Payer: PHP Medicare Advantage |
$1,568.49
|
| Rate for Payer: Priority Health Choice Medicaid |
$820.32
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$5,072.36
|
| Rate for Payer: Priority Health Medicare |
$1,568.49
|
| Rate for Payer: Priority Health SBD |
$1,379.10
|
| Rate for Payer: Priority Health Tiered Network |
$4,057.89
|
| Rate for Payer: Railroad Medicare Medicare |
$1,568.49
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$1,568.49
|
| Rate for Payer: UHC Medicaid |
$820.32
|
| Rate for Payer: UHCCP Medicaid |
$820.32
|
| Rate for Payer: UMR Bronson Commercial |
$809.94
|
| Rate for Payer: VA VA |
$1,568.49
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,641.78
|
|
|
HC DIAG ANGIO OF DIALYSIS CIRCUIT W IMAGING
|
Facility
|
IP
|
$2,189.04
|
|
|
Service Code
|
CPT 36901
|
| Hospital Charge Code |
36100525
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$963.18 |
| Max. Negotiated Rate |
$1,970.14 |
| Rate for Payer: Aetna American Axle |
$1,422.88
|
| Rate for Payer: Aetna Commercial |
$1,860.68
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,422.88
|
| Rate for Payer: Cash Price |
$1,751.23
|
| Rate for Payer: Cofinity Advantage |
$1,532.33
|
| Rate for Payer: Cofinity Commercial |
$1,882.57
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,751.23
|
| Rate for Payer: Healthscope Commercial |
$1,970.14
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,532.33
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,641.78
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,860.68
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,641.78
|
| Rate for Payer: PHP Commercial |
$1,860.68
|
| Rate for Payer: Priority Health SBD |
$1,379.10
|
| Rate for Payer: UMR Bronson Commercial |
$963.18
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,641.78
|
|
|
HC DIAG ANGIO OF DIALYSIS CIRCUIT W STENT AND IMAGING
|
Facility
|
IP
|
$18,905.74
|
|
|
Service Code
|
CPT 36903
|
| Hospital Charge Code |
36100527
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$8,318.53 |
| Max. Negotiated Rate |
$17,015.17 |
| Rate for Payer: Aetna American Axle |
$12,288.73
|
| Rate for Payer: Aetna Commercial |
$16,069.88
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$12,288.73
|
| Rate for Payer: Cash Price |
$15,124.59
|
| Rate for Payer: Cofinity Advantage |
$13,234.02
|
| Rate for Payer: Cofinity Commercial |
$16,258.94
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$15,124.59
|
| Rate for Payer: Healthscope Commercial |
$17,015.17
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$13,234.02
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$14,179.31
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$16,069.88
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$14,179.31
|
| Rate for Payer: PHP Commercial |
$16,069.88
|
| Rate for Payer: Priority Health SBD |
$11,910.62
|
| Rate for Payer: UMR Bronson Commercial |
$8,318.53
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$14,179.31
|
|
|
HC DIAG ANGIO OF DIALYSIS CIRCUIT W STENT AND IMAGING
|
Facility
|
OP
|
$18,905.74
|
|
|
Service Code
|
CPT 36903
|
| Hospital Charge Code |
36100527
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$6,015.90 |
| Max. Negotiated Rate |
$37,198.61 |
| Rate for Payer: Aetna American Axle |
$12,288.73
|
| Rate for Payer: Aetna Commercial |
$16,069.88
|
| Rate for Payer: Aetna Medicare |
$11,962.79
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$12,288.73
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$14,378.35
|
| Rate for Payer: Amish Plain Church Group Commercial |
$14,378.35
|
| Rate for Payer: BCBS Complete |
$6,317.27
|
| Rate for Payer: BCBS MAPPO |
$11,502.68
|
| Rate for Payer: BCBS Trust/PPO |
$12,402.80
|
| Rate for Payer: BCN Commercial |
$12,402.80
|
| Rate for Payer: BCN Medicare Advantage |
$11,502.68
|
| Rate for Payer: Cash Price |
$15,124.59
|
| Rate for Payer: Cash Price |
$15,124.59
|
| Rate for Payer: Cash Price |
$15,124.59
|
| Rate for Payer: Cofinity Advantage |
$13,234.02
|
| Rate for Payer: Cofinity Commercial |
$16,258.94
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$15,124.59
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$11,502.68
|
| Rate for Payer: Healthscope Commercial |
$17,015.17
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$13,234.02
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$14,179.31
|
| Rate for Payer: Mclaren Medicaid |
$11,502.68
|
| Rate for Payer: Mclaren Medicare |
$11,502.68
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$12,077.81
|
| Rate for Payer: Meridian Medicaid |
$12,077.81
|
| Rate for Payer: MI Amish Medical Board Commercial |
$13,228.08
|
| Rate for Payer: Molina Medicare/Medicaid |
$12,652.95
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$16,069.88
|
| Rate for Payer: Nomi Health Commercial |
$34,508.04
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$14,179.31
|
| Rate for Payer: PACE Medicare |
$10,927.55
|
| Rate for Payer: PACE SWMI |
$11,502.68
|
| Rate for Payer: PHP Commercial |
$16,069.88
|
| Rate for Payer: PHP Medicare Advantage |
$11,502.68
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,015.90
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$37,198.61
|
| Rate for Payer: Priority Health Medicare |
$11,502.68
|
| Rate for Payer: Priority Health SBD |
$11,910.62
|
| Rate for Payer: Priority Health Tiered Network |
$29,758.89
|
| Rate for Payer: Railroad Medicare Medicare |
$11,502.68
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$11,502.68
|
| Rate for Payer: UHC Medicaid |
$6,015.90
|
| Rate for Payer: UHCCP Medicaid |
$6,015.90
|
| Rate for Payer: UMR Bronson Commercial |
$6,995.12
|
| Rate for Payer: VA VA |
$11,502.68
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$14,179.31
|
|
|
HC DIALYSIS CATH LVL 10 LONG TERM
|
Facility
|
IP
|
$1,047.44
|
|
|
Service Code
|
HCPCS C1750
|
| Hospital Charge Code |
27200268
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$460.87 |
| Max. Negotiated Rate |
$942.70 |
| Rate for Payer: Aetna American Axle |
$680.84
|
| Rate for Payer: Aetna Commercial |
$890.32
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$680.84
|
| Rate for Payer: Cash Price |
$837.95
|
| Rate for Payer: Cofinity Advantage |
$733.21
|
| Rate for Payer: Cofinity Commercial |
$900.80
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$837.95
|
| Rate for Payer: Healthscope Commercial |
$942.70
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$733.21
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$785.58
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$890.32
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$785.58
|
| Rate for Payer: PHP Commercial |
$890.32
|
| Rate for Payer: Priority Health SBD |
$659.89
|
| Rate for Payer: UMR Bronson Commercial |
$460.87
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$785.58
|
|
|
HC DIALYSIS CATH LVL 10 LONG TERM
|
Facility
|
OP
|
$1,047.44
|
|
|
Service Code
|
HCPCS C1750
|
| Hospital Charge Code |
27200268
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$387.55 |
| Max. Negotiated Rate |
$942.70 |
| Rate for Payer: Aetna American Axle |
$680.84
|
| Rate for Payer: Aetna Commercial |
$890.32
|
| Rate for Payer: Aetna Medicare |
$523.72
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$680.84
|
| Rate for Payer: BCBS Complete |
$418.98
|
| Rate for Payer: Cash Price |
$837.95
|
| Rate for Payer: Cofinity Advantage |
$733.21
|
| Rate for Payer: Cofinity Commercial |
$900.80
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$837.95
|
| Rate for Payer: Healthscope Commercial |
$942.70
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$733.21
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$785.58
|
| Rate for Payer: MI Amish Medical Board Commercial |
$837.95
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$890.32
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$785.58
|
| Rate for Payer: PHP Commercial |
$890.32
|
| Rate for Payer: Priority Health SBD |
$659.89
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$680.84
|
| Rate for Payer: UHC Core |
$545.72
|
| Rate for Payer: UHC Exchange |
$411.64
|
| Rate for Payer: UMR Bronson Commercial |
$387.55
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$785.58
|
|
|
HC DIALYSIS CATH LVL 11 LONG TERM
|
Facility
|
OP
|
$1,171.97
|
|
|
Service Code
|
HCPCS C1750
|
| Hospital Charge Code |
27200269
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$433.63 |
| Max. Negotiated Rate |
$1,054.77 |
| Rate for Payer: Aetna American Axle |
$761.78
|
| Rate for Payer: Aetna Commercial |
$996.17
|
| Rate for Payer: Aetna Medicare |
$585.99
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$761.78
|
| Rate for Payer: BCBS Complete |
$468.79
|
| Rate for Payer: Cash Price |
$937.58
|
| Rate for Payer: Cofinity Advantage |
$820.38
|
| Rate for Payer: Cofinity Commercial |
$1,007.89
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$937.58
|
| Rate for Payer: Healthscope Commercial |
$1,054.77
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$820.38
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$878.98
|
| Rate for Payer: MI Amish Medical Board Commercial |
$937.58
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$996.17
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$878.98
|
| Rate for Payer: PHP Commercial |
$996.17
|
| Rate for Payer: Priority Health SBD |
$738.34
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$761.78
|
| Rate for Payer: UHC Core |
$610.60
|
| Rate for Payer: UHC Exchange |
$460.58
|
| Rate for Payer: UMR Bronson Commercial |
$433.63
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$878.98
|
|
|
HC DIALYSIS CATH LVL 11 LONG TERM
|
Facility
|
IP
|
$1,171.97
|
|
|
Service Code
|
HCPCS C1750
|
| Hospital Charge Code |
27200269
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$515.67 |
| Max. Negotiated Rate |
$1,054.77 |
| Rate for Payer: Aetna American Axle |
$761.78
|
| Rate for Payer: Aetna Commercial |
$996.17
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$761.78
|
| Rate for Payer: Cash Price |
$937.58
|
| Rate for Payer: Cofinity Advantage |
$820.38
|
| Rate for Payer: Cofinity Commercial |
$1,007.89
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$937.58
|
| Rate for Payer: Healthscope Commercial |
$1,054.77
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$820.38
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$878.98
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$996.17
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$878.98
|
| Rate for Payer: PHP Commercial |
$996.17
|
| Rate for Payer: Priority Health SBD |
$738.34
|
| Rate for Payer: UMR Bronson Commercial |
$515.67
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$878.98
|
|
|
HC DIALYSIS CATH LVL 13 LONG TERM
|
Facility
|
OP
|
$1,380.06
|
|
|
Service Code
|
HCPCS C1750
|
| Hospital Charge Code |
27200266
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$510.62 |
| Max. Negotiated Rate |
$1,242.05 |
| Rate for Payer: Aetna American Axle |
$897.04
|
| Rate for Payer: Aetna Commercial |
$1,173.05
|
| Rate for Payer: Aetna Medicare |
$690.03
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$897.04
|
| Rate for Payer: BCBS Complete |
$552.02
|
| Rate for Payer: Cash Price |
$1,104.05
|
| Rate for Payer: Cofinity Advantage |
$966.04
|
| Rate for Payer: Cofinity Commercial |
$1,186.85
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,104.05
|
| Rate for Payer: Healthscope Commercial |
$1,242.05
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$966.04
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,035.05
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,104.05
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,173.05
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,035.05
|
| Rate for Payer: PHP Commercial |
$1,173.05
|
| Rate for Payer: Priority Health SBD |
$869.44
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$897.04
|
| Rate for Payer: UHC Core |
$719.01
|
| Rate for Payer: UHC Exchange |
$542.36
|
| Rate for Payer: UMR Bronson Commercial |
$510.62
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,035.05
|
|
|
HC DIALYSIS CATH LVL 13 LONG TERM
|
Facility
|
IP
|
$1,380.06
|
|
|
Service Code
|
HCPCS C1750
|
| Hospital Charge Code |
27200266
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$607.23 |
| Max. Negotiated Rate |
$1,242.05 |
| Rate for Payer: Aetna American Axle |
$897.04
|
| Rate for Payer: Aetna Commercial |
$1,173.05
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$897.04
|
| Rate for Payer: Cash Price |
$1,104.05
|
| Rate for Payer: Cofinity Advantage |
$966.04
|
| Rate for Payer: Cofinity Commercial |
$1,186.85
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,104.05
|
| Rate for Payer: Healthscope Commercial |
$1,242.05
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$966.04
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,035.05
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,173.05
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,035.05
|
| Rate for Payer: PHP Commercial |
$1,173.05
|
| Rate for Payer: Priority Health SBD |
$869.44
|
| Rate for Payer: UMR Bronson Commercial |
$607.23
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,035.05
|
|
|
HC DIALYSIS CATH LVL 2 SHORT TERM
|
Facility
|
OP
|
$208.07
|
|
|
Service Code
|
HCPCS C1752
|
| Hospital Charge Code |
27200002
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$76.99 |
| Max. Negotiated Rate |
$187.26 |
| Rate for Payer: Aetna American Axle |
$135.25
|
| Rate for Payer: Aetna Commercial |
$176.86
|
| Rate for Payer: Aetna Medicare |
$104.03
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$135.25
|
| Rate for Payer: BCBS Complete |
$83.23
|
| Rate for Payer: Cash Price |
$166.46
|
| Rate for Payer: Cofinity Advantage |
$145.65
|
| Rate for Payer: Cofinity Commercial |
$178.94
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$166.46
|
| Rate for Payer: Healthscope Commercial |
$187.26
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$145.65
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$156.05
|
| Rate for Payer: MI Amish Medical Board Commercial |
$166.46
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$176.86
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$156.05
|
| Rate for Payer: PHP Commercial |
$176.86
|
| Rate for Payer: Priority Health SBD |
$131.08
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$135.25
|
| Rate for Payer: UHC Core |
$108.40
|
| Rate for Payer: UHC Exchange |
$81.77
|
| Rate for Payer: UMR Bronson Commercial |
$76.99
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$156.05
|
|
|
HC DIALYSIS CATH LVL 2 SHORT TERM
|
Facility
|
IP
|
$208.07
|
|
|
Service Code
|
HCPCS C1752
|
| Hospital Charge Code |
27200002
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$91.55 |
| Max. Negotiated Rate |
$187.26 |
| Rate for Payer: Aetna American Axle |
$135.25
|
| Rate for Payer: Aetna Commercial |
$176.86
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$135.25
|
| Rate for Payer: Cash Price |
$166.46
|
| Rate for Payer: Cofinity Advantage |
$145.65
|
| Rate for Payer: Cofinity Commercial |
$178.94
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$166.46
|
| Rate for Payer: Healthscope Commercial |
$187.26
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$145.65
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$156.05
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$176.86
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$156.05
|
| Rate for Payer: PHP Commercial |
$176.86
|
| Rate for Payer: Priority Health SBD |
$131.08
|
| Rate for Payer: UMR Bronson Commercial |
$91.55
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$156.05
|
|
|
HC DIALYSIS CATH LVL 3 SHORT TERM
|
Facility
|
IP
|
$315.17
|
|
|
Service Code
|
CPT C1752
|
| Hospital Charge Code |
27200317
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$138.67 |
| Max. Negotiated Rate |
$283.65 |
| Rate for Payer: Aetna American Axle |
$204.86
|
| Rate for Payer: Aetna Commercial |
$267.89
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$204.86
|
| Rate for Payer: Cash Price |
$252.14
|
| Rate for Payer: Cofinity Advantage |
$220.62
|
| Rate for Payer: Cofinity Commercial |
$271.05
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$252.14
|
| Rate for Payer: Healthscope Commercial |
$283.65
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$220.62
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$236.38
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$267.89
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$236.38
|
| Rate for Payer: PHP Commercial |
$267.89
|
| Rate for Payer: Priority Health SBD |
$198.56
|
| Rate for Payer: UMR Bronson Commercial |
$138.67
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$236.38
|
|
|
HC DIALYSIS CATH LVL 3 SHORT TERM
|
Facility
|
OP
|
$315.17
|
|
|
Service Code
|
CPT C1752
|
| Hospital Charge Code |
27200317
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$116.61 |
| Max. Negotiated Rate |
$283.65 |
| Rate for Payer: Aetna American Axle |
$204.86
|
| Rate for Payer: Aetna Commercial |
$267.89
|
| Rate for Payer: Aetna Medicare |
$157.59
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$204.86
|
| Rate for Payer: BCBS Complete |
$126.07
|
| Rate for Payer: Cash Price |
$252.14
|
| Rate for Payer: Cofinity Advantage |
$220.62
|
| Rate for Payer: Cofinity Commercial |
$271.05
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$252.14
|
| Rate for Payer: Healthscope Commercial |
$283.65
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$220.62
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$236.38
|
| Rate for Payer: MI Amish Medical Board Commercial |
$252.14
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$267.89
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$236.38
|
| Rate for Payer: PHP Commercial |
$267.89
|
| Rate for Payer: Priority Health SBD |
$198.56
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$204.86
|
| Rate for Payer: UHC Core |
$164.20
|
| Rate for Payer: UHC Exchange |
$123.86
|
| Rate for Payer: UMR Bronson Commercial |
$116.61
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$236.38
|
|
|
HC DIALYSIS CATH LVL 4 SHORT TERM
|
Facility
|
IP
|
$422.27
|
|
|
Service Code
|
HCPCS C1752
|
| Hospital Charge Code |
27200085
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$185.80 |
| Max. Negotiated Rate |
$380.04 |
| Rate for Payer: Aetna American Axle |
$274.48
|
| Rate for Payer: Aetna Commercial |
$358.93
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$274.48
|
| Rate for Payer: Cash Price |
$337.82
|
| Rate for Payer: Cofinity Advantage |
$295.59
|
| Rate for Payer: Cofinity Commercial |
$363.15
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$337.82
|
| Rate for Payer: Healthscope Commercial |
$380.04
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$295.59
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$316.70
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$358.93
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$316.70
|
| Rate for Payer: PHP Commercial |
$358.93
|
| Rate for Payer: Priority Health SBD |
$266.03
|
| Rate for Payer: UMR Bronson Commercial |
$185.80
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$316.70
|
|
|
HC DIALYSIS CATH LVL 4 SHORT TERM
|
Facility
|
OP
|
$422.27
|
|
|
Service Code
|
HCPCS C1752
|
| Hospital Charge Code |
27200085
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$156.24 |
| Max. Negotiated Rate |
$380.04 |
| Rate for Payer: Aetna American Axle |
$274.48
|
| Rate for Payer: Aetna Commercial |
$358.93
|
| Rate for Payer: Aetna Medicare |
$211.13
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$274.48
|
| Rate for Payer: BCBS Complete |
$168.91
|
| Rate for Payer: Cash Price |
$337.82
|
| Rate for Payer: Cofinity Advantage |
$295.59
|
| Rate for Payer: Cofinity Commercial |
$363.15
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$337.82
|
| Rate for Payer: Healthscope Commercial |
$380.04
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$295.59
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$316.70
|
| Rate for Payer: MI Amish Medical Board Commercial |
$337.82
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$358.93
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$316.70
|
| Rate for Payer: PHP Commercial |
$358.93
|
| Rate for Payer: Priority Health SBD |
$266.03
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$274.48
|
| Rate for Payer: UHC Core |
$220.00
|
| Rate for Payer: UHC Exchange |
$165.95
|
| Rate for Payer: UMR Bronson Commercial |
$156.24
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$316.70
|
|
|
HC DIALYSIS CATH LVL 5 SHORT TERM
|
Facility
|
IP
|
$529.37
|
|
|
Service Code
|
HCPCS C1752
|
| Hospital Charge Code |
27200318
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$232.92 |
| Max. Negotiated Rate |
$476.43 |
| Rate for Payer: Aetna American Axle |
$344.09
|
| Rate for Payer: Aetna Commercial |
$449.96
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$344.09
|
| Rate for Payer: Cash Price |
$423.50
|
| Rate for Payer: Cofinity Advantage |
$370.56
|
| Rate for Payer: Cofinity Commercial |
$455.26
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$423.50
|
| Rate for Payer: Healthscope Commercial |
$476.43
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$370.56
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$397.03
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$449.96
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$397.03
|
| Rate for Payer: PHP Commercial |
$449.96
|
| Rate for Payer: Priority Health SBD |
$333.50
|
| Rate for Payer: UMR Bronson Commercial |
$232.92
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$397.03
|
|
|
HC DIALYSIS CATH LVL 5 SHORT TERM
|
Facility
|
OP
|
$529.37
|
|
|
Service Code
|
HCPCS C1752
|
| Hospital Charge Code |
27200318
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$195.87 |
| Max. Negotiated Rate |
$476.43 |
| Rate for Payer: Aetna American Axle |
$344.09
|
| Rate for Payer: Aetna Commercial |
$449.96
|
| Rate for Payer: Aetna Medicare |
$264.69
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$344.09
|
| Rate for Payer: BCBS Complete |
$211.75
|
| Rate for Payer: Cash Price |
$423.50
|
| Rate for Payer: Cofinity Advantage |
$370.56
|
| Rate for Payer: Cofinity Commercial |
$455.26
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$423.50
|
| Rate for Payer: Healthscope Commercial |
$476.43
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$370.56
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$397.03
|
| Rate for Payer: MI Amish Medical Board Commercial |
$423.50
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$449.96
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$397.03
|
| Rate for Payer: PHP Commercial |
$449.96
|
| Rate for Payer: Priority Health SBD |
$333.50
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$344.09
|
| Rate for Payer: UHC Core |
$275.80
|
| Rate for Payer: UHC Exchange |
$208.04
|
| Rate for Payer: UMR Bronson Commercial |
$195.87
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$397.03
|
|
|
HC DIALYSIS CATH LVL 7 LONG TERM
|
Facility
|
OP
|
$743.57
|
|
|
Service Code
|
CPT C1750
|
| Hospital Charge Code |
27200319
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$275.12 |
| Max. Negotiated Rate |
$669.21 |
| Rate for Payer: Aetna American Axle |
$483.32
|
| Rate for Payer: Aetna Commercial |
$632.03
|
| Rate for Payer: Aetna Medicare |
$371.79
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$483.32
|
| Rate for Payer: BCBS Complete |
$297.43
|
| Rate for Payer: Cash Price |
$594.86
|
| Rate for Payer: Cofinity Advantage |
$520.50
|
| Rate for Payer: Cofinity Commercial |
$639.47
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$594.86
|
| Rate for Payer: Healthscope Commercial |
$669.21
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$520.50
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$557.68
|
| Rate for Payer: MI Amish Medical Board Commercial |
$594.86
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$632.03
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$557.68
|
| Rate for Payer: PHP Commercial |
$632.03
|
| Rate for Payer: Priority Health SBD |
$468.45
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$483.32
|
| Rate for Payer: UHC Core |
$387.40
|
| Rate for Payer: UHC Exchange |
$292.22
|
| Rate for Payer: UMR Bronson Commercial |
$275.12
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$557.68
|
|
|
HC DIALYSIS CATH LVL 7 LONG TERM
|
Facility
|
IP
|
$743.57
|
|
|
Service Code
|
CPT C1750
|
| Hospital Charge Code |
27200319
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$327.17 |
| Max. Negotiated Rate |
$669.21 |
| Rate for Payer: Aetna American Axle |
$483.32
|
| Rate for Payer: Aetna Commercial |
$632.03
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$483.32
|
| Rate for Payer: Cash Price |
$594.86
|
| Rate for Payer: Cofinity Advantage |
$520.50
|
| Rate for Payer: Cofinity Commercial |
$639.47
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$594.86
|
| Rate for Payer: Healthscope Commercial |
$669.21
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$520.50
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$557.68
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$632.03
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$557.68
|
| Rate for Payer: PHP Commercial |
$632.03
|
| Rate for Payer: Priority Health SBD |
$468.45
|
| Rate for Payer: UMR Bronson Commercial |
$327.17
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$557.68
|
|
