|
HC CONNECTOR REDUCER
|
Facility
|
OP
|
$5.36
|
|
| Hospital Charge Code |
27000651
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$1.98 |
| Max. Negotiated Rate |
$4.82 |
| Rate for Payer: Aetna American Axle |
$3.48
|
| Rate for Payer: Aetna Commercial |
$4.56
|
| Rate for Payer: Aetna Medicare |
$2.68
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$3.48
|
| Rate for Payer: BCBS Complete |
$2.14
|
| Rate for Payer: Cash Price |
$4.29
|
| Rate for Payer: Cofinity Commercial |
$3.75
|
| Rate for Payer: Cofinity Commercial |
$4.61
|
| Rate for Payer: Cofinity Medicare Advantage |
$3.75
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$4.29
|
| Rate for Payer: Healthscope Commercial |
$4.82
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$3.75
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$4.02
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$4.56
|
| Rate for Payer: PHP Commercial |
$4.56
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3.48
|
| Rate for Payer: Priority Health SBD |
$3.38
|
| Rate for Payer: UMR Bronson Commercial |
$1.98
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$4.02
|
|
|
HC CONNECTOR REDUCER
|
Facility
|
IP
|
$5.36
|
|
| Hospital Charge Code |
27000651
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$2.36 |
| Max. Negotiated Rate |
$4.82 |
| Rate for Payer: Aetna American Axle |
$3.48
|
| Rate for Payer: Aetna Commercial |
$4.56
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$3.48
|
| Rate for Payer: Cash Price |
$4.29
|
| Rate for Payer: Cofinity Commercial |
$3.75
|
| Rate for Payer: Cofinity Commercial |
$4.61
|
| Rate for Payer: Cofinity Medicare Advantage |
$3.75
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$4.29
|
| Rate for Payer: Healthscope Commercial |
$4.82
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$3.75
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$4.02
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$4.56
|
| Rate for Payer: PHP Commercial |
$4.56
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3.48
|
| Rate for Payer: Priority Health SBD |
$3.38
|
| Rate for Payer: UMR Bronson Commercial |
$2.36
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$4.02
|
|
|
HC CONNECTOR ST 1/2 X 1/2
|
Facility
|
IP
|
$7.65
|
|
| Hospital Charge Code |
27000047
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$3.37 |
| Max. Negotiated Rate |
$6.88 |
| Rate for Payer: Aetna American Axle |
$4.97
|
| Rate for Payer: Aetna Commercial |
$6.50
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$4.97
|
| Rate for Payer: Cash Price |
$6.12
|
| Rate for Payer: Cofinity Commercial |
$5.36
|
| Rate for Payer: Cofinity Commercial |
$6.58
|
| Rate for Payer: Cofinity Medicare Advantage |
$5.36
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$6.12
|
| Rate for Payer: Healthscope Commercial |
$6.88
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$5.36
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$5.74
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$6.50
|
| Rate for Payer: PHP Commercial |
$6.50
|
| Rate for Payer: Priority Health Cigna Priority Health |
$4.97
|
| Rate for Payer: Priority Health SBD |
$4.82
|
| Rate for Payer: UMR Bronson Commercial |
$3.37
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$5.74
|
|
|
HC CONNECTOR ST 1/2 X 1/2
|
Facility
|
OP
|
$7.65
|
|
| Hospital Charge Code |
27000047
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$2.83 |
| Max. Negotiated Rate |
$6.88 |
| Rate for Payer: Aetna American Axle |
$4.97
|
| Rate for Payer: Aetna Commercial |
$6.50
|
| Rate for Payer: Aetna Medicare |
$3.83
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$4.97
|
| Rate for Payer: BCBS Complete |
$3.06
|
| Rate for Payer: Cash Price |
$6.12
|
| Rate for Payer: Cofinity Commercial |
$5.36
|
| Rate for Payer: Cofinity Commercial |
$6.58
|
| Rate for Payer: Cofinity Medicare Advantage |
$5.36
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$6.12
|
| Rate for Payer: Healthscope Commercial |
$6.88
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$5.36
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$5.74
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$6.50
|
| Rate for Payer: PHP Commercial |
$6.50
|
| Rate for Payer: Priority Health Cigna Priority Health |
$4.97
|
| Rate for Payer: Priority Health SBD |
$4.82
|
| Rate for Payer: UMR Bronson Commercial |
$2.83
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$5.74
|
|
|
HC CONNECTOR ST 3/8 OR 1/4
|
Facility
|
OP
|
$5.36
|
|
| Hospital Charge Code |
27000685
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$1.98 |
| Max. Negotiated Rate |
$4.82 |
| Rate for Payer: Aetna American Axle |
$3.48
|
| Rate for Payer: Aetna Commercial |
$4.56
|
| Rate for Payer: Aetna Medicare |
$2.68
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$3.48
|
| Rate for Payer: BCBS Complete |
$2.14
|
| Rate for Payer: Cash Price |
$4.29
|
| Rate for Payer: Cofinity Commercial |
$3.75
|
| Rate for Payer: Cofinity Commercial |
$4.61
|
| Rate for Payer: Cofinity Medicare Advantage |
$3.75
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$4.29
|
| Rate for Payer: Healthscope Commercial |
$4.82
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$3.75
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$4.02
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$4.56
|
| Rate for Payer: PHP Commercial |
$4.56
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3.48
|
| Rate for Payer: Priority Health SBD |
$3.38
|
| Rate for Payer: UMR Bronson Commercial |
$1.98
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$4.02
|
|
|
HC CONNECTOR ST 3/8 OR 1/4
|
Facility
|
IP
|
$5.36
|
|
| Hospital Charge Code |
27000685
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$2.36 |
| Max. Negotiated Rate |
$4.82 |
| Rate for Payer: Aetna American Axle |
$3.48
|
| Rate for Payer: Aetna Commercial |
$4.56
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$3.48
|
| Rate for Payer: Cash Price |
$4.29
|
| Rate for Payer: Cofinity Commercial |
$3.75
|
| Rate for Payer: Cofinity Commercial |
$4.61
|
| Rate for Payer: Cofinity Medicare Advantage |
$3.75
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$4.29
|
| Rate for Payer: Healthscope Commercial |
$4.82
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$3.75
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$4.02
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$4.56
|
| Rate for Payer: PHP Commercial |
$4.56
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3.48
|
| Rate for Payer: Priority Health SBD |
$3.38
|
| Rate for Payer: UMR Bronson Commercial |
$2.36
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$4.02
|
|
|
HC CONNECTOR V
|
Facility
|
OP
|
$7.65
|
|
| Hospital Charge Code |
27000678
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$2.83 |
| Max. Negotiated Rate |
$6.88 |
| Rate for Payer: Aetna American Axle |
$4.97
|
| Rate for Payer: Aetna Commercial |
$6.50
|
| Rate for Payer: Aetna Medicare |
$3.83
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$4.97
|
| Rate for Payer: BCBS Complete |
$3.06
|
| Rate for Payer: Cash Price |
$6.12
|
| Rate for Payer: Cofinity Commercial |
$5.36
|
| Rate for Payer: Cofinity Commercial |
$6.58
|
| Rate for Payer: Cofinity Medicare Advantage |
$5.36
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$6.12
|
| Rate for Payer: Healthscope Commercial |
$6.88
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$5.36
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$5.74
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$6.50
|
| Rate for Payer: PHP Commercial |
$6.50
|
| Rate for Payer: Priority Health Cigna Priority Health |
$4.97
|
| Rate for Payer: Priority Health SBD |
$4.82
|
| Rate for Payer: UMR Bronson Commercial |
$2.83
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$5.74
|
|
|
HC CONNECTOR V
|
Facility
|
IP
|
$7.65
|
|
| Hospital Charge Code |
27000678
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$3.37 |
| Max. Negotiated Rate |
$6.88 |
| Rate for Payer: Aetna American Axle |
$4.97
|
| Rate for Payer: Aetna Commercial |
$6.50
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$4.97
|
| Rate for Payer: Cash Price |
$6.12
|
| Rate for Payer: Cofinity Commercial |
$5.36
|
| Rate for Payer: Cofinity Commercial |
$6.58
|
| Rate for Payer: Cofinity Medicare Advantage |
$5.36
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$6.12
|
| Rate for Payer: Healthscope Commercial |
$6.88
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$5.36
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$5.74
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$6.50
|
| Rate for Payer: PHP Commercial |
$6.50
|
| Rate for Payer: Priority Health Cigna Priority Health |
$4.97
|
| Rate for Payer: Priority Health SBD |
$4.82
|
| Rate for Payer: UMR Bronson Commercial |
$3.37
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$5.74
|
|
|
HC CONNECTOR Y
|
Facility
|
OP
|
$5.36
|
|
| Hospital Charge Code |
27000048
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$1.98 |
| Max. Negotiated Rate |
$4.82 |
| Rate for Payer: Aetna American Axle |
$3.48
|
| Rate for Payer: Aetna Commercial |
$4.56
|
| Rate for Payer: Aetna Medicare |
$2.68
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$3.48
|
| Rate for Payer: BCBS Complete |
$2.14
|
| Rate for Payer: Cash Price |
$4.29
|
| Rate for Payer: Cofinity Commercial |
$3.75
|
| Rate for Payer: Cofinity Commercial |
$4.61
|
| Rate for Payer: Cofinity Medicare Advantage |
$3.75
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$4.29
|
| Rate for Payer: Healthscope Commercial |
$4.82
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$3.75
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$4.02
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$4.56
|
| Rate for Payer: PHP Commercial |
$4.56
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3.48
|
| Rate for Payer: Priority Health SBD |
$3.38
|
| Rate for Payer: UMR Bronson Commercial |
$1.98
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$4.02
|
|
|
HC CONNECTOR Y
|
Facility
|
IP
|
$5.36
|
|
| Hospital Charge Code |
27000048
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$2.36 |
| Max. Negotiated Rate |
$4.82 |
| Rate for Payer: Aetna American Axle |
$3.48
|
| Rate for Payer: Aetna Commercial |
$4.56
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$3.48
|
| Rate for Payer: Cash Price |
$4.29
|
| Rate for Payer: Cofinity Commercial |
$3.75
|
| Rate for Payer: Cofinity Commercial |
$4.61
|
| Rate for Payer: Cofinity Medicare Advantage |
$3.75
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$4.29
|
| Rate for Payer: Healthscope Commercial |
$4.82
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$3.75
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$4.02
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$4.56
|
| Rate for Payer: PHP Commercial |
$4.56
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3.48
|
| Rate for Payer: Priority Health SBD |
$3.38
|
| Rate for Payer: UMR Bronson Commercial |
$2.36
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$4.02
|
|
|
HC CONSULT NUTRITIONAL
|
Facility
|
IP
|
$34.96
|
|
| Hospital Charge Code |
94200010
|
|
Hospital Revenue Code
|
942
|
| Min. Negotiated Rate |
$15.38 |
| Max. Negotiated Rate |
$31.46 |
| Rate for Payer: Aetna American Axle |
$22.72
|
| Rate for Payer: Aetna Commercial |
$29.72
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$22.72
|
| Rate for Payer: Cash Price |
$27.97
|
| Rate for Payer: Cofinity Commercial |
$24.47
|
| Rate for Payer: Cofinity Commercial |
$30.07
|
| Rate for Payer: Cofinity Medicare Advantage |
$24.47
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$27.97
|
| Rate for Payer: Healthscope Commercial |
$31.46
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$24.47
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$26.22
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$29.72
|
| Rate for Payer: PHP Commercial |
$29.72
|
| Rate for Payer: Priority Health Cigna Priority Health |
$22.72
|
| Rate for Payer: Priority Health SBD |
$22.02
|
| Rate for Payer: UMR Bronson Commercial |
$15.38
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$26.22
|
|
|
HC CONSULT NUTRITIONAL
|
Facility
|
OP
|
$34.96
|
|
| Hospital Charge Code |
94200010
|
|
Hospital Revenue Code
|
942
|
| Min. Negotiated Rate |
$12.94 |
| Max. Negotiated Rate |
$294.00 |
| Rate for Payer: Aetna American Axle |
$22.72
|
| Rate for Payer: Aetna Commercial |
$29.72
|
| Rate for Payer: Aetna Medicare |
$17.48
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$22.72
|
| Rate for Payer: BCBS Complete |
$13.98
|
| Rate for Payer: Cash Price |
$27.97
|
| Rate for Payer: Cash Price |
$27.97
|
| Rate for Payer: Cofinity Commercial |
$30.07
|
| Rate for Payer: Cofinity Commercial |
$24.47
|
| Rate for Payer: Cofinity Medicare Advantage |
$24.47
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$27.97
|
| Rate for Payer: Healthscope Commercial |
$31.46
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$24.47
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$26.22
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$29.72
|
| Rate for Payer: PHP Commercial |
$29.72
|
| Rate for Payer: Priority Health Cigna Priority Health |
$22.72
|
| Rate for Payer: Priority Health SBD |
$22.02
|
| Rate for Payer: UHC Core |
$294.00
|
| Rate for Payer: UMR Bronson Commercial |
$12.94
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$26.22
|
|
|
HC CONT GLUCOSE MONITOR OFFICE EQUIP
|
Facility
|
OP
|
$984.59
|
|
|
Service Code
|
CPT 95250
|
| Hospital Charge Code |
94200001
|
|
Hospital Revenue Code
|
942
|
| Min. Negotiated Rate |
$67.36 |
| Max. Negotiated Rate |
$886.13 |
| Rate for Payer: Aetna American Axle |
$639.98
|
| Rate for Payer: Aetna Commercial |
$836.90
|
| Rate for Payer: Aetna Medicare |
$130.71
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$639.98
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$157.10
|
| Rate for Payer: Amish Plain Church Group Commercial |
$157.10
|
| Rate for Payer: BCBS Complete |
$70.73
|
| Rate for Payer: BCBS MAPPO |
$125.68
|
| Rate for Payer: BCN Medicare Advantage |
$125.68
|
| Rate for Payer: Cash Price |
$787.67
|
| Rate for Payer: Cash Price |
$787.67
|
| Rate for Payer: Cash Price |
$787.67
|
| Rate for Payer: Cofinity Commercial |
$689.21
|
| Rate for Payer: Cofinity Commercial |
$846.75
|
| Rate for Payer: Cofinity Medicare Advantage |
$689.21
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$787.67
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$125.68
|
| Rate for Payer: Healthscope Commercial |
$886.13
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$689.21
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$738.44
|
| Rate for Payer: Mclaren Medicaid |
$67.36
|
| Rate for Payer: Mclaren Medicare |
$125.68
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$131.96
|
| Rate for Payer: Meridian Medicaid |
$70.73
|
| Rate for Payer: MI Amish Medical Board Commercial |
$144.53
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$836.90
|
| Rate for Payer: PACE Medicare |
$119.40
|
| Rate for Payer: PACE SWMI |
$125.68
|
| Rate for Payer: PHP Commercial |
$836.90
|
| Rate for Payer: PHP Medicare Advantage |
$125.68
|
| Rate for Payer: Priority Health Choice Medicaid |
$67.36
|
| Rate for Payer: Priority Health Cigna Priority Health |
$639.98
|
| Rate for Payer: Priority Health Medicare |
$125.68
|
| Rate for Payer: Priority Health SBD |
$620.29
|
| Rate for Payer: Railroad Medicare Medicare |
$125.68
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$353.78
|
| Rate for Payer: UHC Core |
$294.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$125.68
|
| Rate for Payer: UHC Exchange |
$240.19
|
| Rate for Payer: UHC Medicare Advantage |
$125.68
|
| Rate for Payer: UHCCP Medicaid |
$67.36
|
| Rate for Payer: UMR Bronson Commercial |
$364.30
|
| Rate for Payer: VA VA |
$125.68
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$738.44
|
|
|
HC CONT GLUCOSE MONITOR OFFICE EQUIP
|
Facility
|
IP
|
$984.59
|
|
|
Service Code
|
CPT 95250
|
| Hospital Charge Code |
94200001
|
|
Hospital Revenue Code
|
942
|
| Min. Negotiated Rate |
$433.22 |
| Max. Negotiated Rate |
$886.13 |
| Rate for Payer: Aetna American Axle |
$639.98
|
| Rate for Payer: Aetna Commercial |
$836.90
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$639.98
|
| Rate for Payer: Cash Price |
$787.67
|
| Rate for Payer: Cofinity Commercial |
$689.21
|
| Rate for Payer: Cofinity Commercial |
$846.75
|
| Rate for Payer: Cofinity Medicare Advantage |
$689.21
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$787.67
|
| Rate for Payer: Healthscope Commercial |
$886.13
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$689.21
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$738.44
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$836.90
|
| Rate for Payer: PHP Commercial |
$836.90
|
| Rate for Payer: Priority Health Cigna Priority Health |
$639.98
|
| Rate for Payer: Priority Health SBD |
$620.29
|
| Rate for Payer: UMR Bronson Commercial |
$433.22
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$738.44
|
|
|
HC CONT GLUCOSE MONITOR PATIENT EQUIP
|
Facility
|
IP
|
$384.44
|
|
|
Service Code
|
CPT 95249
|
| Hospital Charge Code |
94200038
|
|
Hospital Revenue Code
|
942
|
| Min. Negotiated Rate |
$169.15 |
| Max. Negotiated Rate |
$346.00 |
| Rate for Payer: Aetna American Axle |
$249.89
|
| Rate for Payer: Aetna Commercial |
$326.77
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$249.89
|
| Rate for Payer: Cash Price |
$307.55
|
| Rate for Payer: Cofinity Commercial |
$269.11
|
| Rate for Payer: Cofinity Commercial |
$330.62
|
| Rate for Payer: Cofinity Medicare Advantage |
$269.11
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$307.55
|
| Rate for Payer: Healthscope Commercial |
$346.00
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$269.11
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$288.33
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$326.77
|
| Rate for Payer: PHP Commercial |
$326.77
|
| Rate for Payer: Priority Health Cigna Priority Health |
$249.89
|
| Rate for Payer: Priority Health SBD |
$242.20
|
| Rate for Payer: UMR Bronson Commercial |
$169.15
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$288.33
|
|
|
HC CONT GLUCOSE MONITOR PATIENT EQUIP
|
Facility
|
OP
|
$384.44
|
|
|
Service Code
|
CPT 95249
|
| Hospital Charge Code |
94200038
|
|
Hospital Revenue Code
|
942
|
| Min. Negotiated Rate |
$31.05 |
| Max. Negotiated Rate |
$346.00 |
| Rate for Payer: Aetna American Axle |
$249.89
|
| Rate for Payer: Aetna Commercial |
$326.77
|
| Rate for Payer: Aetna Medicare |
$60.25
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$249.89
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$72.41
|
| Rate for Payer: Amish Plain Church Group Commercial |
$72.41
|
| Rate for Payer: BCBS Complete |
$32.60
|
| Rate for Payer: BCBS MAPPO |
$57.93
|
| Rate for Payer: BCN Medicare Advantage |
$57.93
|
| Rate for Payer: Cash Price |
$307.55
|
| Rate for Payer: Cash Price |
$307.55
|
| Rate for Payer: Cash Price |
$307.55
|
| Rate for Payer: Cofinity Commercial |
$269.11
|
| Rate for Payer: Cofinity Commercial |
$330.62
|
| Rate for Payer: Cofinity Medicare Advantage |
$269.11
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$307.55
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$57.93
|
| Rate for Payer: Healthscope Commercial |
$346.00
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$269.11
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$288.33
|
| Rate for Payer: Mclaren Medicaid |
$31.05
|
| Rate for Payer: Mclaren Medicare |
$57.93
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$60.83
|
| Rate for Payer: Meridian Medicaid |
$32.60
|
| Rate for Payer: MI Amish Medical Board Commercial |
$66.62
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$326.77
|
| Rate for Payer: PACE Medicare |
$55.03
|
| Rate for Payer: PACE SWMI |
$57.93
|
| Rate for Payer: PHP Commercial |
$326.77
|
| Rate for Payer: PHP Medicare Advantage |
$57.93
|
| Rate for Payer: Priority Health Choice Medicaid |
$31.05
|
| Rate for Payer: Priority Health Cigna Priority Health |
$249.89
|
| Rate for Payer: Priority Health Medicare |
$57.93
|
| Rate for Payer: Priority Health SBD |
$242.20
|
| Rate for Payer: Railroad Medicare Medicare |
$57.93
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$163.07
|
| Rate for Payer: UHC Core |
$294.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$57.93
|
| Rate for Payer: UHC Exchange |
$110.71
|
| Rate for Payer: UHC Medicare Advantage |
$57.93
|
| Rate for Payer: UHCCP Medicaid |
$31.05
|
| Rate for Payer: UMR Bronson Commercial |
$142.24
|
| Rate for Payer: VA VA |
$57.93
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$288.33
|
|
|
HC CONTINUOUS NEB SUBSEQUENT HR
|
Facility
|
OP
|
$104.53
|
|
|
Service Code
|
CPT 94645
|
| Hospital Charge Code |
41000007
|
|
Hospital Revenue Code
|
410
|
| Min. Negotiated Rate |
$38.68 |
| Max. Negotiated Rate |
$294.00 |
| Rate for Payer: Aetna American Axle |
$67.94
|
| Rate for Payer: Aetna Commercial |
$88.85
|
| Rate for Payer: Aetna Medicare |
$52.27
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$67.94
|
| Rate for Payer: BCBS Complete |
$41.81
|
| Rate for Payer: Cash Price |
$83.62
|
| Rate for Payer: Cash Price |
$83.62
|
| Rate for Payer: Cofinity Commercial |
$89.90
|
| Rate for Payer: Cofinity Commercial |
$73.17
|
| Rate for Payer: Cofinity Medicare Advantage |
$73.17
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$83.62
|
| Rate for Payer: Healthscope Commercial |
$94.08
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$73.17
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$78.40
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$88.85
|
| Rate for Payer: PHP Commercial |
$88.85
|
| Rate for Payer: Priority Health Cigna Priority Health |
$67.94
|
| Rate for Payer: Priority Health SBD |
$65.85
|
| Rate for Payer: UHC Core |
$294.00
|
| Rate for Payer: UMR Bronson Commercial |
$38.68
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$78.40
|
|
|
HC CONTINUOUS NEB SUBSEQUENT HR
|
Facility
|
IP
|
$104.53
|
|
|
Service Code
|
CPT 94645
|
| Hospital Charge Code |
41000007
|
|
Hospital Revenue Code
|
410
|
| Min. Negotiated Rate |
$45.99 |
| Max. Negotiated Rate |
$94.08 |
| Rate for Payer: Aetna American Axle |
$67.94
|
| Rate for Payer: Aetna Commercial |
$88.85
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$67.94
|
| Rate for Payer: Cash Price |
$83.62
|
| Rate for Payer: Cofinity Commercial |
$73.17
|
| Rate for Payer: Cofinity Commercial |
$89.90
|
| Rate for Payer: Cofinity Medicare Advantage |
$73.17
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$83.62
|
| Rate for Payer: Healthscope Commercial |
$94.08
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$73.17
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$78.40
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$88.85
|
| Rate for Payer: PHP Commercial |
$88.85
|
| Rate for Payer: Priority Health Cigna Priority Health |
$67.94
|
| Rate for Payer: Priority Health SBD |
$65.85
|
| Rate for Payer: UMR Bronson Commercial |
$45.99
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$78.40
|
|
|
HC CONTINUOUS NEB TX INITIAL HOUR
|
Facility
|
IP
|
$375.42
|
|
|
Service Code
|
CPT 94644
|
| Hospital Charge Code |
41000006
|
|
Hospital Revenue Code
|
410
|
| Min. Negotiated Rate |
$165.18 |
| Max. Negotiated Rate |
$337.88 |
| Rate for Payer: Aetna American Axle |
$244.02
|
| Rate for Payer: Aetna Commercial |
$319.11
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$244.02
|
| Rate for Payer: Cash Price |
$300.34
|
| Rate for Payer: Cofinity Commercial |
$262.79
|
| Rate for Payer: Cofinity Commercial |
$322.86
|
| Rate for Payer: Cofinity Medicare Advantage |
$262.79
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$300.34
|
| Rate for Payer: Healthscope Commercial |
$337.88
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$262.79
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$281.56
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$319.11
|
| Rate for Payer: PHP Commercial |
$319.11
|
| Rate for Payer: Priority Health Cigna Priority Health |
$244.02
|
| Rate for Payer: Priority Health SBD |
$236.51
|
| Rate for Payer: UMR Bronson Commercial |
$165.18
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$281.56
|
|
|
HC CONTINUOUS NEB TX INITIAL HOUR
|
Facility
|
OP
|
$375.42
|
|
|
Service Code
|
CPT 94644
|
| Hospital Charge Code |
41000006
|
|
Hospital Revenue Code
|
410
|
| Min. Negotiated Rate |
$67.38 |
| Max. Negotiated Rate |
$353.86 |
| Rate for Payer: Aetna American Axle |
$244.02
|
| Rate for Payer: Aetna Commercial |
$319.11
|
| Rate for Payer: Aetna Medicare |
$130.74
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$244.02
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$157.14
|
| Rate for Payer: Amish Plain Church Group Commercial |
$157.14
|
| Rate for Payer: BCBS Complete |
$70.75
|
| Rate for Payer: BCBS MAPPO |
$125.71
|
| Rate for Payer: BCN Medicare Advantage |
$125.71
|
| Rate for Payer: Cash Price |
$300.34
|
| Rate for Payer: Cash Price |
$300.34
|
| Rate for Payer: Cash Price |
$300.34
|
| Rate for Payer: Cofinity Commercial |
$262.79
|
| Rate for Payer: Cofinity Commercial |
$322.86
|
| Rate for Payer: Cofinity Medicare Advantage |
$262.79
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$300.34
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$125.71
|
| Rate for Payer: Healthscope Commercial |
$337.88
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$262.79
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$281.56
|
| Rate for Payer: Mclaren Medicaid |
$67.38
|
| Rate for Payer: Mclaren Medicare |
$125.71
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$132.00
|
| Rate for Payer: Meridian Medicaid |
$70.75
|
| Rate for Payer: MI Amish Medical Board Commercial |
$144.57
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$319.11
|
| Rate for Payer: PACE Medicare |
$119.42
|
| Rate for Payer: PACE SWMI |
$125.71
|
| Rate for Payer: PHP Commercial |
$319.11
|
| Rate for Payer: PHP Medicare Advantage |
$125.71
|
| Rate for Payer: Priority Health Choice Medicaid |
$67.38
|
| Rate for Payer: Priority Health Cigna Priority Health |
$244.02
|
| Rate for Payer: Priority Health Medicare |
$125.71
|
| Rate for Payer: Priority Health SBD |
$236.51
|
| Rate for Payer: Railroad Medicare Medicare |
$125.71
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$353.86
|
| Rate for Payer: UHC Core |
$294.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$125.71
|
| Rate for Payer: UHC Exchange |
$240.24
|
| Rate for Payer: UHC Medicare Advantage |
$125.71
|
| Rate for Payer: UHCCP Medicaid |
$67.38
|
| Rate for Payer: UMR Bronson Commercial |
$138.91
|
| Rate for Payer: VA VA |
$125.71
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$281.56
|
|
|
HC CONT PHYSICS CONSULT
|
Facility
|
IP
|
$584.70
|
|
|
Service Code
|
CPT 77336
|
| Hospital Charge Code |
33300015
|
|
Hospital Revenue Code
|
333
|
| Min. Negotiated Rate |
$257.27 |
| Max. Negotiated Rate |
$526.23 |
| Rate for Payer: Aetna American Axle |
$380.06
|
| Rate for Payer: Aetna Commercial |
$497.00
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$380.06
|
| Rate for Payer: Cash Price |
$467.76
|
| Rate for Payer: Cofinity Commercial |
$409.29
|
| Rate for Payer: Cofinity Commercial |
$502.84
|
| Rate for Payer: Cofinity Medicare Advantage |
$409.29
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$467.76
|
| Rate for Payer: Healthscope Commercial |
$526.23
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$409.29
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$438.52
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$497.00
|
| Rate for Payer: PHP Commercial |
$497.00
|
| Rate for Payer: Priority Health Cigna Priority Health |
$380.06
|
| Rate for Payer: Priority Health SBD |
$368.36
|
| Rate for Payer: UMR Bronson Commercial |
$257.27
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$438.52
|
|
|
HC CONT PHYSICS CONSULT
|
Facility
|
OP
|
$584.70
|
|
|
Service Code
|
CPT 77336
|
| Hospital Charge Code |
33300015
|
|
Hospital Revenue Code
|
333
|
| Min. Negotiated Rate |
$69.41 |
| Max. Negotiated Rate |
$979.00 |
| Rate for Payer: Aetna American Axle |
$380.06
|
| Rate for Payer: Aetna Commercial |
$497.00
|
| Rate for Payer: Aetna Medicare |
$134.67
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$380.06
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$161.86
|
| Rate for Payer: Amish Plain Church Group Commercial |
$161.86
|
| Rate for Payer: BCBS Complete |
$72.88
|
| Rate for Payer: BCBS MAPPO |
$129.49
|
| Rate for Payer: BCN Medicare Advantage |
$129.49
|
| Rate for Payer: Cash Price |
$467.76
|
| Rate for Payer: Cash Price |
$467.76
|
| Rate for Payer: Cash Price |
$467.76
|
| Rate for Payer: Cofinity Commercial |
$409.29
|
| Rate for Payer: Cofinity Commercial |
$502.84
|
| Rate for Payer: Cofinity Medicare Advantage |
$409.29
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$467.76
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$129.49
|
| Rate for Payer: Healthscope Commercial |
$526.23
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$409.29
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$438.52
|
| Rate for Payer: Mclaren Medicaid |
$69.41
|
| Rate for Payer: Mclaren Medicare |
$129.49
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$135.96
|
| Rate for Payer: Meridian Medicaid |
$72.88
|
| Rate for Payer: MI Amish Medical Board Commercial |
$148.91
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$497.00
|
| Rate for Payer: PACE Medicare |
$123.02
|
| Rate for Payer: PACE SWMI |
$129.49
|
| Rate for Payer: PHP Commercial |
$497.00
|
| Rate for Payer: PHP Medicare Advantage |
$129.49
|
| Rate for Payer: Priority Health Choice Medicaid |
$69.41
|
| Rate for Payer: Priority Health Cigna Priority Health |
$380.06
|
| Rate for Payer: Priority Health Medicare |
$129.49
|
| Rate for Payer: Priority Health SBD |
$368.36
|
| Rate for Payer: Railroad Medicare Medicare |
$129.49
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$364.50
|
| Rate for Payer: UHC Core |
$979.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$129.49
|
| Rate for Payer: UHC Exchange |
$247.47
|
| Rate for Payer: UHC Medicare Advantage |
$129.49
|
| Rate for Payer: UHCCP Medicaid |
$69.41
|
| Rate for Payer: UMR Bronson Commercial |
$216.34
|
| Rate for Payer: VA VA |
$129.49
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$438.52
|
|
|
HC CONTRAST BATHS EACH 15 MIN
|
Facility
|
OP
|
$105.77
|
|
|
Service Code
|
CPT 97034
|
| Hospital Charge Code |
42000017
|
|
Hospital Revenue Code
|
420
|
| Min. Negotiated Rate |
$39.13 |
| Max. Negotiated Rate |
$294.00 |
| Rate for Payer: Aetna American Axle |
$68.75
|
| Rate for Payer: Aetna Commercial |
$89.90
|
| Rate for Payer: Aetna Medicare |
$52.88
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$68.75
|
| Rate for Payer: BCBS Complete |
$42.31
|
| Rate for Payer: Cash Price |
$84.62
|
| Rate for Payer: Cash Price |
$84.62
|
| Rate for Payer: Cofinity Commercial |
$90.96
|
| Rate for Payer: Cofinity Commercial |
$74.04
|
| Rate for Payer: Cofinity Medicare Advantage |
$74.04
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$84.62
|
| Rate for Payer: Healthscope Commercial |
$95.19
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$74.04
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$79.33
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$89.90
|
| Rate for Payer: Nomi Health Commercial |
$135.00
|
| Rate for Payer: PHP Commercial |
$89.90
|
| Rate for Payer: Priority Health Cigna Priority Health |
$68.75
|
| Rate for Payer: Priority Health SBD |
$66.64
|
| Rate for Payer: UHC Core |
$294.00
|
| Rate for Payer: UMR Bronson Commercial |
$39.13
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$79.33
|
|
|
HC CONTRAST BATHS EACH 15 MIN
|
Facility
|
IP
|
$105.77
|
|
|
Service Code
|
CPT 97034
|
| Hospital Charge Code |
42000017
|
|
Hospital Revenue Code
|
420
|
| Min. Negotiated Rate |
$46.54 |
| Max. Negotiated Rate |
$95.19 |
| Rate for Payer: Aetna American Axle |
$68.75
|
| Rate for Payer: Aetna Commercial |
$89.90
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$68.75
|
| Rate for Payer: Cash Price |
$84.62
|
| Rate for Payer: Cofinity Commercial |
$74.04
|
| Rate for Payer: Cofinity Commercial |
$90.96
|
| Rate for Payer: Cofinity Medicare Advantage |
$74.04
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$84.62
|
| Rate for Payer: Healthscope Commercial |
$95.19
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$74.04
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$79.33
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$89.90
|
| Rate for Payer: PHP Commercial |
$89.90
|
| Rate for Payer: Priority Health Cigna Priority Health |
$68.75
|
| Rate for Payer: Priority Health SBD |
$66.64
|
| Rate for Payer: UMR Bronson Commercial |
$46.54
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$79.33
|
|
|
HC CONTROL NOSEBLEED ANTERIOR SIMPLE
|
Facility
|
OP
|
$414.64
|
|
|
Service Code
|
CPT 30901
|
| Hospital Charge Code |
45000011
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$67.38 |
| Max. Negotiated Rate |
$373.18 |
| Rate for Payer: Aetna American Axle |
$269.52
|
| Rate for Payer: Aetna Commercial |
$352.44
|
| Rate for Payer: Aetna Medicare |
$130.74
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$269.52
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$157.14
|
| Rate for Payer: Amish Plain Church Group Commercial |
$157.14
|
| Rate for Payer: BCBS Complete |
$70.75
|
| Rate for Payer: BCBS MAPPO |
$125.71
|
| Rate for Payer: BCN Medicare Advantage |
$125.71
|
| Rate for Payer: Cash Price |
$331.71
|
| Rate for Payer: Cash Price |
$331.71
|
| Rate for Payer: Cofinity Commercial |
$356.59
|
| Rate for Payer: Cofinity Commercial |
$290.25
|
| Rate for Payer: Cofinity Medicare Advantage |
$290.25
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$331.71
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$125.71
|
| Rate for Payer: Healthscope Commercial |
$373.18
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$290.25
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$310.98
|
| Rate for Payer: Mclaren Medicaid |
$67.38
|
| Rate for Payer: Mclaren Medicare |
$125.71
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$132.00
|
| Rate for Payer: Meridian Medicaid |
$70.75
|
| Rate for Payer: MI Amish Medical Board Commercial |
$144.57
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$352.44
|
| Rate for Payer: PACE Medicare |
$119.42
|
| Rate for Payer: PACE SWMI |
$125.71
|
| Rate for Payer: PHP Commercial |
$352.44
|
| Rate for Payer: PHP Medicare Advantage |
$125.71
|
| Rate for Payer: Priority Health Choice Medicaid |
$67.38
|
| Rate for Payer: Priority Health Cigna Priority Health |
$269.52
|
| Rate for Payer: Priority Health Medicare |
$125.71
|
| Rate for Payer: Priority Health SBD |
$261.22
|
| Rate for Payer: Railroad Medicare Medicare |
$125.71
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$353.86
|
| Rate for Payer: UHC Dual Complete DSNP |
$125.71
|
| Rate for Payer: UHC Exchange |
$240.24
|
| Rate for Payer: UHC Medicare Advantage |
$125.71
|
| Rate for Payer: UHCCP Medicaid |
$67.38
|
| Rate for Payer: UMR Bronson Commercial |
$153.42
|
| Rate for Payer: VA VA |
$125.71
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$310.98
|
|
