|
HC MPN, CALR GENE MUTATION, EXON 9
|
Facility
|
IP
|
$635.46
|
|
|
Service Code
|
CPT 81219
|
| Hospital Charge Code |
30000110
|
|
Hospital Revenue Code
|
300
|
| Min. Negotiated Rate |
$279.60 |
| Max. Negotiated Rate |
$571.91 |
| Rate for Payer: Aetna American Axle |
$413.05
|
| Rate for Payer: Aetna Commercial |
$540.14
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$413.05
|
| Rate for Payer: Cash Price |
$508.37
|
| Rate for Payer: Cofinity Commercial |
$444.82
|
| Rate for Payer: Cofinity Commercial |
$546.50
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$508.37
|
| Rate for Payer: Healthscope Commercial |
$571.91
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$444.82
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$476.60
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$540.14
|
| Rate for Payer: PHP Commercial |
$540.14
|
| Rate for Payer: Priority Health Cigna Priority Health |
$444.82
|
| Rate for Payer: Priority Health SBD |
$400.34
|
| Rate for Payer: UMR Bronson Commercial |
$279.60
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$476.60
|
|
|
HC MPN (JAK2, V617F, CALR, MPL) REFLEX
|
Facility
|
OP
|
$403.92
|
|
|
Service Code
|
CPT 81270
|
| Hospital Charge Code |
30000107
|
|
Hospital Revenue Code
|
300
|
| Min. Negotiated Rate |
$50.14 |
| Max. Negotiated Rate |
$363.53 |
| Rate for Payer: Aetna American Axle |
$262.55
|
| Rate for Payer: Aetna Commercial |
$343.33
|
| Rate for Payer: Aetna Medicare |
$95.33
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$262.55
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$114.58
|
| Rate for Payer: Amish Plain Church Group Commercial |
$114.58
|
| Rate for Payer: BCBS Complete |
$52.65
|
| Rate for Payer: BCBS MAPPO |
$91.66
|
| Rate for Payer: BCBS Trust/PPO |
$82.44
|
| Rate for Payer: BCN Medicare Advantage |
$91.66
|
| Rate for Payer: Cash Price |
$323.14
|
| Rate for Payer: Cash Price |
$323.14
|
| Rate for Payer: Cofinity Commercial |
$347.37
|
| Rate for Payer: Cofinity Commercial |
$282.74
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$323.14
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$91.66
|
| Rate for Payer: Healthscope Commercial |
$363.53
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$282.74
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$302.94
|
| Rate for Payer: Mclaren Medicaid |
$50.14
|
| Rate for Payer: Mclaren Medicare |
$91.66
|
| Rate for Payer: Meridian Medicaid |
$52.65
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$96.24
|
| Rate for Payer: MI Amish Medical Board Commercial |
$105.41
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$343.33
|
| Rate for Payer: PACE Medicare |
$87.08
|
| Rate for Payer: PACE SWMI |
$91.66
|
| Rate for Payer: PHP Commercial |
$343.33
|
| Rate for Payer: PHP Medicare Advantage |
$91.66
|
| Rate for Payer: Priority Health Choice Medicaid |
$50.14
|
| Rate for Payer: Priority Health Cigna Priority Health |
$282.74
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$125.74
|
| Rate for Payer: Priority Health Medicare |
$91.66
|
| Rate for Payer: Priority Health Narrow Network |
$100.59
|
| Rate for Payer: Priority Health SBD |
$254.47
|
| Rate for Payer: Railroad Medicare Medicare |
$91.66
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$109.99
|
| Rate for Payer: UHC Core |
$150.07
|
| Rate for Payer: UHC Dual Complete DSNP |
$91.66
|
| Rate for Payer: UHC Exchange |
$91.66
|
| Rate for Payer: UHC Medicare Advantage |
$94.41
|
| Rate for Payer: UMR Bronson Commercial |
$149.45
|
| Rate for Payer: VA VA |
$91.66
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$302.94
|
|
|
HC MPN (JAK2, V617F, CALR, MPL) REFLEX
|
Facility
|
IP
|
$403.92
|
|
|
Service Code
|
CPT 81270
|
| Hospital Charge Code |
30000107
|
|
Hospital Revenue Code
|
300
|
| Min. Negotiated Rate |
$177.72 |
| Max. Negotiated Rate |
$363.53 |
| Rate for Payer: Aetna American Axle |
$262.55
|
| Rate for Payer: Aetna Commercial |
$343.33
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$262.55
|
| Rate for Payer: Cash Price |
$323.14
|
| Rate for Payer: Cofinity Commercial |
$282.74
|
| Rate for Payer: Cofinity Commercial |
$347.37
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$323.14
|
| Rate for Payer: Healthscope Commercial |
$363.53
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$282.74
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$302.94
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$343.33
|
| Rate for Payer: PHP Commercial |
$343.33
|
| Rate for Payer: Priority Health Cigna Priority Health |
$282.74
|
| Rate for Payer: Priority Health SBD |
$254.47
|
| Rate for Payer: UMR Bronson Commercial |
$177.72
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$302.94
|
|
|
HC MR ABDOMEN W CON
|
Facility
|
OP
|
$2,318.35
|
|
|
Service Code
|
CPT 74182
|
| Hospital Charge Code |
61000043
|
|
Hospital Revenue Code
|
610
|
| Min. Negotiated Rate |
$186.99 |
| Max. Negotiated Rate |
$2,086.52 |
| Rate for Payer: Aetna American Axle |
$1,506.93
|
| Rate for Payer: Aetna Commercial |
$1,970.60
|
| Rate for Payer: Aetna Medicare |
$355.51
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,506.93
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$427.30
|
| Rate for Payer: Amish Plain Church Group Commercial |
$427.30
|
| Rate for Payer: BCBS Complete |
$196.35
|
| Rate for Payer: BCBS MAPPO |
$341.84
|
| Rate for Payer: BCBS Trust/PPO |
$446.60
|
| Rate for Payer: BCN Medicare Advantage |
$341.84
|
| Rate for Payer: Cash Price |
$1,854.68
|
| Rate for Payer: Cash Price |
$1,854.68
|
| Rate for Payer: Cofinity Commercial |
$1,622.84
|
| Rate for Payer: Cofinity Commercial |
$1,993.78
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,854.68
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$341.84
|
| Rate for Payer: Healthscope Commercial |
$2,086.52
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,622.84
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,738.76
|
| Rate for Payer: Mclaren Medicaid |
$186.99
|
| Rate for Payer: Mclaren Medicare |
$341.84
|
| Rate for Payer: Meridian Medicaid |
$196.35
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$358.93
|
| Rate for Payer: MI Amish Medical Board Commercial |
$393.12
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,970.60
|
| Rate for Payer: PACE Medicare |
$324.75
|
| Rate for Payer: PACE SWMI |
$341.84
|
| Rate for Payer: PHP Commercial |
$1,970.60
|
| Rate for Payer: PHP Medicare Advantage |
$341.84
|
| Rate for Payer: Priority Health Choice Medicaid |
$186.99
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,622.84
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,076.13
|
| Rate for Payer: Priority Health Medicare |
$341.84
|
| Rate for Payer: Priority Health Narrow Network |
$860.90
|
| Rate for Payer: Priority Health SBD |
$1,460.56
|
| Rate for Payer: Railroad Medicare Medicare |
$341.84
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$336.05
|
| Rate for Payer: UHC Core |
$1,943.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$341.84
|
| Rate for Payer: UHC Exchange |
$305.50
|
| Rate for Payer: UHC Medicare Advantage |
$352.10
|
| Rate for Payer: UMR Bronson Commercial |
$857.79
|
| Rate for Payer: VA VA |
$341.84
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,738.76
|
|
|
HC MR ABDOMEN W CON
|
Facility
|
IP
|
$2,318.35
|
|
|
Service Code
|
CPT 74182
|
| Hospital Charge Code |
61000043
|
|
Hospital Revenue Code
|
610
|
| Min. Negotiated Rate |
$1,020.07 |
| Max. Negotiated Rate |
$2,086.52 |
| Rate for Payer: Aetna American Axle |
$1,506.93
|
| Rate for Payer: Aetna Commercial |
$1,970.60
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,506.93
|
| Rate for Payer: Cash Price |
$1,854.68
|
| Rate for Payer: Cofinity Commercial |
$1,622.84
|
| Rate for Payer: Cofinity Commercial |
$1,993.78
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,854.68
|
| Rate for Payer: Healthscope Commercial |
$2,086.52
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,622.84
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,738.76
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,970.60
|
| Rate for Payer: PHP Commercial |
$1,970.60
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,622.84
|
| Rate for Payer: Priority Health SBD |
$1,460.56
|
| Rate for Payer: UMR Bronson Commercial |
$1,020.07
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,738.76
|
|
|
HC MR ABDOMEN WO CON
|
Facility
|
OP
|
$2,069.07
|
|
|
Service Code
|
CPT 74181
|
| Hospital Charge Code |
61000082
|
|
Hospital Revenue Code
|
610
|
| Min. Negotiated Rate |
$119.14 |
| Max. Negotiated Rate |
$1,943.00 |
| Rate for Payer: Aetna American Axle |
$1,344.90
|
| Rate for Payer: Aetna Commercial |
$1,758.71
|
| Rate for Payer: Aetna Medicare |
$226.52
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,344.90
|
| 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 |
$257.19
|
| Rate for Payer: BCN Medicare Advantage |
$217.81
|
| Rate for Payer: Cash Price |
$1,655.26
|
| Rate for Payer: Cash Price |
$1,655.26
|
| Rate for Payer: Cofinity Commercial |
$1,448.35
|
| Rate for Payer: Cofinity Commercial |
$1,779.40
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,655.26
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$217.81
|
| Rate for Payer: Healthscope Commercial |
$1,862.16
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,448.35
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,551.80
|
| 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 |
$1,758.71
|
| Rate for Payer: PACE Medicare |
$206.92
|
| Rate for Payer: PACE SWMI |
$217.81
|
| Rate for Payer: PHP Commercial |
$1,758.71
|
| 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 |
$1,448.35
|
| 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 |
$1,303.51
|
| Rate for Payer: Railroad Medicare Medicare |
$217.81
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$217.55
|
| Rate for Payer: UHC Core |
$1,943.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$217.81
|
| Rate for Payer: UHC Exchange |
$197.77
|
| Rate for Payer: UHC Medicare Advantage |
$224.34
|
| Rate for Payer: UMR Bronson Commercial |
$765.56
|
| Rate for Payer: VA VA |
$217.81
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,551.80
|
|
|
HC MR ABDOMEN WO CON
|
Facility
|
IP
|
$2,069.07
|
|
|
Service Code
|
CPT 74181
|
| Hospital Charge Code |
61000082
|
|
Hospital Revenue Code
|
610
|
| Min. Negotiated Rate |
$910.39 |
| Max. Negotiated Rate |
$1,862.16 |
| Rate for Payer: Aetna American Axle |
$1,344.90
|
| Rate for Payer: Aetna Commercial |
$1,758.71
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,344.90
|
| Rate for Payer: Cash Price |
$1,655.26
|
| Rate for Payer: Cofinity Commercial |
$1,448.35
|
| Rate for Payer: Cofinity Commercial |
$1,779.40
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,655.26
|
| Rate for Payer: Healthscope Commercial |
$1,862.16
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,448.35
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,551.80
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,758.71
|
| Rate for Payer: PHP Commercial |
$1,758.71
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,448.35
|
| Rate for Payer: Priority Health SBD |
$1,303.51
|
| Rate for Payer: UMR Bronson Commercial |
$910.39
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,551.80
|
|
|
HC MR ABDOMEN WO W CON
|
Facility
|
IP
|
$3,029.71
|
|
|
Service Code
|
CPT 74183
|
| Hospital Charge Code |
61000044
|
|
Hospital Revenue Code
|
610
|
| Min. Negotiated Rate |
$1,333.07 |
| Max. Negotiated Rate |
$2,726.74 |
| Rate for Payer: Aetna American Axle |
$1,969.31
|
| Rate for Payer: Aetna Commercial |
$2,575.25
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,969.31
|
| Rate for Payer: Cash Price |
$2,423.77
|
| Rate for Payer: Cofinity Commercial |
$2,120.80
|
| Rate for Payer: Cofinity Commercial |
$2,605.55
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,423.77
|
| Rate for Payer: Healthscope Commercial |
$2,726.74
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$2,120.80
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,272.28
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$2,575.25
|
| Rate for Payer: PHP Commercial |
$2,575.25
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,120.80
|
| Rate for Payer: Priority Health SBD |
$1,908.72
|
| Rate for Payer: UMR Bronson Commercial |
$1,333.07
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,272.28
|
|
|
HC MR ABDOMEN WO W CON
|
Facility
|
OP
|
$3,029.71
|
|
|
Service Code
|
CPT 74183
|
| Hospital Charge Code |
61000044
|
|
Hospital Revenue Code
|
610
|
| Min. Negotiated Rate |
$186.99 |
| Max. Negotiated Rate |
$2,726.74 |
| Rate for Payer: Aetna American Axle |
$1,969.31
|
| Rate for Payer: Aetna Commercial |
$2,575.25
|
| Rate for Payer: Aetna Medicare |
$355.51
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,969.31
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$427.30
|
| Rate for Payer: Amish Plain Church Group Commercial |
$427.30
|
| Rate for Payer: BCBS Complete |
$196.35
|
| Rate for Payer: BCBS MAPPO |
$341.84
|
| Rate for Payer: BCBS Trust/PPO |
$475.74
|
| Rate for Payer: BCN Medicare Advantage |
$341.84
|
| Rate for Payer: Cash Price |
$2,423.77
|
| Rate for Payer: Cash Price |
$2,423.77
|
| Rate for Payer: Cofinity Commercial |
$2,605.55
|
| Rate for Payer: Cofinity Commercial |
$2,120.80
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,423.77
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$341.84
|
| Rate for Payer: Healthscope Commercial |
$2,726.74
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$2,120.80
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,272.28
|
| Rate for Payer: Mclaren Medicaid |
$186.99
|
| Rate for Payer: Mclaren Medicare |
$341.84
|
| Rate for Payer: Meridian Medicaid |
$196.35
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$358.93
|
| Rate for Payer: MI Amish Medical Board Commercial |
$393.12
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$2,575.25
|
| Rate for Payer: PACE Medicare |
$324.75
|
| Rate for Payer: PACE SWMI |
$341.84
|
| Rate for Payer: PHP Commercial |
$2,575.25
|
| Rate for Payer: PHP Medicare Advantage |
$341.84
|
| Rate for Payer: Priority Health Choice Medicaid |
$186.99
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,120.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,076.13
|
| Rate for Payer: Priority Health Medicare |
$341.84
|
| Rate for Payer: Priority Health Narrow Network |
$860.90
|
| Rate for Payer: Priority Health SBD |
$1,908.72
|
| Rate for Payer: Railroad Medicare Medicare |
$341.84
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$375.67
|
| Rate for Payer: UHC Core |
$1,943.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$341.84
|
| Rate for Payer: UHC Exchange |
$341.52
|
| Rate for Payer: UHC Medicare Advantage |
$352.10
|
| Rate for Payer: UMR Bronson Commercial |
$1,120.99
|
| Rate for Payer: VA VA |
$341.84
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,272.28
|
|
|
HC MRA HEAD WO CON
|
Facility
|
IP
|
$1,773.73
|
|
|
Service Code
|
CPT 70544
|
| Hospital Charge Code |
61500001
|
|
Hospital Revenue Code
|
615
|
| Min. Negotiated Rate |
$780.44 |
| Max. Negotiated Rate |
$1,596.36 |
| Rate for Payer: Aetna American Axle |
$1,152.92
|
| Rate for Payer: Aetna Commercial |
$1,507.67
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,152.92
|
| Rate for Payer: Cash Price |
$1,418.98
|
| Rate for Payer: Cofinity Commercial |
$1,241.61
|
| Rate for Payer: Cofinity Commercial |
$1,525.41
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,418.98
|
| Rate for Payer: Healthscope Commercial |
$1,596.36
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,241.61
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,330.30
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,507.67
|
| Rate for Payer: PHP Commercial |
$1,507.67
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,241.61
|
| Rate for Payer: Priority Health SBD |
$1,117.45
|
| Rate for Payer: UMR Bronson Commercial |
$780.44
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,330.30
|
|
|
HC MRA HEAD WO CON
|
Facility
|
OP
|
$1,773.73
|
|
|
Service Code
|
CPT 70544
|
| Hospital Charge Code |
61500001
|
|
Hospital Revenue Code
|
615
|
| Min. Negotiated Rate |
$119.14 |
| Max. Negotiated Rate |
$1,943.00 |
| Rate for Payer: Aetna American Axle |
$1,152.92
|
| Rate for Payer: Aetna Commercial |
$1,507.67
|
| Rate for Payer: Aetna Medicare |
$226.52
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,152.92
|
| 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 |
$318.01
|
| Rate for Payer: BCN Medicare Advantage |
$217.81
|
| Rate for Payer: Cash Price |
$1,418.98
|
| Rate for Payer: Cash Price |
$1,418.98
|
| Rate for Payer: Cofinity Commercial |
$1,241.61
|
| Rate for Payer: Cofinity Commercial |
$1,525.41
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,418.98
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$217.81
|
| Rate for Payer: Healthscope Commercial |
$1,596.36
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,241.61
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,330.30
|
| 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 |
$1,507.67
|
| Rate for Payer: PACE Medicare |
$206.92
|
| Rate for Payer: PACE SWMI |
$217.81
|
| Rate for Payer: PHP Commercial |
$1,507.67
|
| 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 |
$1,241.61
|
| 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 |
$1,117.45
|
| Rate for Payer: Railroad Medicare Medicare |
$217.81
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$239.52
|
| Rate for Payer: UHC Core |
$1,943.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$217.81
|
| Rate for Payer: UHC Exchange |
$217.75
|
| Rate for Payer: UHC Medicare Advantage |
$224.34
|
| Rate for Payer: UMR Bronson Commercial |
$656.28
|
| Rate for Payer: VA VA |
$217.81
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,330.30
|
|
|
HC MRA HEAD WO W CON
|
Facility
|
OP
|
$2,992.94
|
|
|
Service Code
|
CPT 70546
|
| Hospital Charge Code |
61000006
|
|
Hospital Revenue Code
|
610
|
| Min. Negotiated Rate |
$186.99 |
| Max. Negotiated Rate |
$2,693.65 |
| Rate for Payer: Aetna American Axle |
$1,945.41
|
| Rate for Payer: Aetna Commercial |
$2,544.00
|
| Rate for Payer: Aetna Medicare |
$355.51
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,945.41
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$427.30
|
| Rate for Payer: Amish Plain Church Group Commercial |
$427.30
|
| Rate for Payer: BCBS Complete |
$196.35
|
| Rate for Payer: BCBS MAPPO |
$341.84
|
| Rate for Payer: BCBS Trust/PPO |
$519.46
|
| Rate for Payer: BCN Medicare Advantage |
$341.84
|
| Rate for Payer: Cash Price |
$2,394.35
|
| Rate for Payer: Cash Price |
$2,394.35
|
| Rate for Payer: Cofinity Commercial |
$2,573.93
|
| Rate for Payer: Cofinity Commercial |
$2,095.06
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,394.35
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$341.84
|
| Rate for Payer: Healthscope Commercial |
$2,693.65
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$2,095.06
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,244.70
|
| Rate for Payer: Mclaren Medicaid |
$186.99
|
| Rate for Payer: Mclaren Medicare |
$341.84
|
| Rate for Payer: Meridian Medicaid |
$196.35
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$358.93
|
| Rate for Payer: MI Amish Medical Board Commercial |
$393.12
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$2,544.00
|
| Rate for Payer: PACE Medicare |
$324.75
|
| Rate for Payer: PACE SWMI |
$341.84
|
| Rate for Payer: PHP Commercial |
$2,544.00
|
| Rate for Payer: PHP Medicare Advantage |
$341.84
|
| Rate for Payer: Priority Health Choice Medicaid |
$186.99
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,095.06
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,076.13
|
| Rate for Payer: Priority Health Medicare |
$341.84
|
| Rate for Payer: Priority Health Narrow Network |
$860.90
|
| Rate for Payer: Priority Health SBD |
$1,885.55
|
| Rate for Payer: Railroad Medicare Medicare |
$341.84
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$366.67
|
| Rate for Payer: UHC Core |
$1,943.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$341.84
|
| Rate for Payer: UHC Exchange |
$333.34
|
| Rate for Payer: UHC Medicare Advantage |
$352.10
|
| Rate for Payer: UMR Bronson Commercial |
$1,107.39
|
| Rate for Payer: VA VA |
$341.84
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,244.70
|
|
|
HC MRA HEAD WO W CON
|
Facility
|
IP
|
$2,992.94
|
|
|
Service Code
|
CPT 70546
|
| Hospital Charge Code |
61000006
|
|
Hospital Revenue Code
|
610
|
| Min. Negotiated Rate |
$1,316.89 |
| Max. Negotiated Rate |
$2,693.65 |
| Rate for Payer: Aetna American Axle |
$1,945.41
|
| Rate for Payer: Aetna Commercial |
$2,544.00
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,945.41
|
| Rate for Payer: Cash Price |
$2,394.35
|
| Rate for Payer: Cofinity Commercial |
$2,095.06
|
| Rate for Payer: Cofinity Commercial |
$2,573.93
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,394.35
|
| Rate for Payer: Healthscope Commercial |
$2,693.65
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$2,095.06
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,244.70
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$2,544.00
|
| Rate for Payer: PHP Commercial |
$2,544.00
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,095.06
|
| Rate for Payer: Priority Health SBD |
$1,885.55
|
| Rate for Payer: UMR Bronson Commercial |
$1,316.89
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,244.70
|
|
|
HC MR BONE MARROW BLOOD SUPPLY
|
Facility
|
OP
|
$1,384.85
|
|
|
Service Code
|
CPT 77084
|
| Hospital Charge Code |
61000051
|
|
Hospital Revenue Code
|
610
|
| Min. Negotiated Rate |
$119.14 |
| Max. Negotiated Rate |
$1,943.00 |
| Rate for Payer: Aetna American Axle |
$900.15
|
| Rate for Payer: Aetna Commercial |
$1,177.12
|
| Rate for Payer: Aetna Medicare |
$226.52
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$900.15
|
| 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 |
$487.78
|
| Rate for Payer: BCN Medicare Advantage |
$217.81
|
| Rate for Payer: Cash Price |
$1,107.88
|
| Rate for Payer: Cash Price |
$1,107.88
|
| Rate for Payer: Cofinity Commercial |
$969.40
|
| Rate for Payer: Cofinity Commercial |
$1,190.97
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,107.88
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$217.81
|
| Rate for Payer: Healthscope Commercial |
$1,246.36
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$969.40
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,038.64
|
| 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 |
$1,177.12
|
| Rate for Payer: PACE Medicare |
$206.92
|
| Rate for Payer: PACE SWMI |
$217.81
|
| Rate for Payer: PHP Commercial |
$1,177.12
|
| 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 |
$969.40
|
| 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 |
$872.46
|
| Rate for Payer: Railroad Medicare Medicare |
$217.81
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$352.26
|
| Rate for Payer: UHC Core |
$1,943.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$217.81
|
| Rate for Payer: UHC Exchange |
$320.24
|
| Rate for Payer: UHC Medicare Advantage |
$224.34
|
| Rate for Payer: UMR Bronson Commercial |
$512.39
|
| Rate for Payer: VA VA |
$217.81
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,038.64
|
|
|
HC MR BONE MARROW BLOOD SUPPLY
|
Facility
|
IP
|
$1,384.85
|
|
|
Service Code
|
CPT 77084
|
| Hospital Charge Code |
61000051
|
|
Hospital Revenue Code
|
610
|
| Min. Negotiated Rate |
$609.33 |
| Max. Negotiated Rate |
$1,246.36 |
| Rate for Payer: Aetna American Axle |
$900.15
|
| Rate for Payer: Aetna Commercial |
$1,177.12
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$900.15
|
| Rate for Payer: Cash Price |
$1,107.88
|
| Rate for Payer: Cofinity Commercial |
$1,190.97
|
| Rate for Payer: Cofinity Commercial |
$969.40
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,107.88
|
| Rate for Payer: Healthscope Commercial |
$1,246.36
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$969.40
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,038.64
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,177.12
|
| Rate for Payer: PHP Commercial |
$1,177.12
|
| Rate for Payer: Priority Health Cigna Priority Health |
$969.40
|
| Rate for Payer: Priority Health SBD |
$872.46
|
| Rate for Payer: UMR Bronson Commercial |
$609.33
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,038.64
|
|
|
HC MR BRAIN STEREO W CON REDUCED
|
Facility
|
IP
|
$1,821.50
|
|
|
Service Code
|
CPT 77021
|
| Hospital Charge Code |
61100006
|
|
Hospital Revenue Code
|
611
|
| Min. Negotiated Rate |
$801.46 |
| Max. Negotiated Rate |
$1,639.35 |
| Rate for Payer: Aetna American Axle |
$1,183.98
|
| Rate for Payer: Aetna Commercial |
$1,548.28
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,183.98
|
| Rate for Payer: Cash Price |
$1,457.20
|
| Rate for Payer: Cofinity Commercial |
$1,275.05
|
| Rate for Payer: Cofinity Commercial |
$1,566.49
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,457.20
|
| Rate for Payer: Healthscope Commercial |
$1,639.35
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,275.05
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,366.12
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,548.28
|
| Rate for Payer: PHP Commercial |
$1,548.28
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,275.05
|
| Rate for Payer: Priority Health SBD |
$1,147.54
|
| Rate for Payer: UMR Bronson Commercial |
$801.46
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,366.12
|
|
|
HC MR BRAIN STEREO W CON REDUCED
|
Facility
|
OP
|
$1,821.50
|
|
|
Service Code
|
CPT 77021
|
| Hospital Charge Code |
61100006
|
|
Hospital Revenue Code
|
611
|
| Min. Negotiated Rate |
$417.82 |
| Max. Negotiated Rate |
$1,943.00 |
| Rate for Payer: Aetna American Axle |
$1,183.98
|
| Rate for Payer: Aetna Commercial |
$1,548.28
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,183.98
|
| Rate for Payer: BCBS Complete |
$728.60
|
| Rate for Payer: BCBS Trust/PPO |
$682.26
|
| Rate for Payer: Cash Price |
$1,457.20
|
| Rate for Payer: Cash Price |
$1,457.20
|
| Rate for Payer: Cofinity Commercial |
$1,275.05
|
| Rate for Payer: Cofinity Commercial |
$1,566.49
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,457.20
|
| Rate for Payer: Healthscope Commercial |
$1,639.35
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,275.05
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,366.12
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,548.28
|
| Rate for Payer: PHP Commercial |
$1,548.28
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,275.05
|
| Rate for Payer: Priority Health SBD |
$1,147.54
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$459.60
|
| Rate for Payer: UHC Core |
$1,943.00
|
| Rate for Payer: UHC Exchange |
$417.82
|
| Rate for Payer: UMR Bronson Commercial |
$673.96
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,366.12
|
|
|
HC MR BRAIN STEREO WO CON REDUCED
|
Facility
|
IP
|
$1,517.90
|
|
|
Service Code
|
CPT 77021
|
| Hospital Charge Code |
61100005
|
|
Hospital Revenue Code
|
611
|
| Min. Negotiated Rate |
$667.88 |
| Max. Negotiated Rate |
$1,366.11 |
| Rate for Payer: Aetna American Axle |
$986.64
|
| Rate for Payer: Aetna Commercial |
$1,290.22
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$986.64
|
| Rate for Payer: Cash Price |
$1,214.32
|
| Rate for Payer: Cofinity Commercial |
$1,062.53
|
| Rate for Payer: Cofinity Commercial |
$1,305.39
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,214.32
|
| Rate for Payer: Healthscope Commercial |
$1,366.11
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,062.53
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,138.42
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,290.22
|
| Rate for Payer: PHP Commercial |
$1,290.22
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,062.53
|
| Rate for Payer: Priority Health SBD |
$956.28
|
| Rate for Payer: UMR Bronson Commercial |
$667.88
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,138.42
|
|
|
HC MR BRAIN STEREO WO CON REDUCED
|
Facility
|
OP
|
$1,517.90
|
|
|
Service Code
|
CPT 77021
|
| Hospital Charge Code |
61100005
|
|
Hospital Revenue Code
|
611
|
| Min. Negotiated Rate |
$417.82 |
| Max. Negotiated Rate |
$1,943.00 |
| Rate for Payer: Aetna American Axle |
$986.64
|
| Rate for Payer: Aetna Commercial |
$1,290.22
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$986.64
|
| Rate for Payer: BCBS Complete |
$607.16
|
| Rate for Payer: BCBS Trust/PPO |
$682.26
|
| Rate for Payer: Cash Price |
$1,214.32
|
| Rate for Payer: Cash Price |
$1,214.32
|
| Rate for Payer: Cofinity Commercial |
$1,305.39
|
| Rate for Payer: Cofinity Commercial |
$1,062.53
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,214.32
|
| Rate for Payer: Healthscope Commercial |
$1,366.11
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,062.53
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,138.42
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,290.22
|
| Rate for Payer: PHP Commercial |
$1,290.22
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,062.53
|
| Rate for Payer: Priority Health SBD |
$956.28
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$459.60
|
| Rate for Payer: UHC Core |
$1,943.00
|
| Rate for Payer: UHC Exchange |
$417.82
|
| Rate for Payer: UMR Bronson Commercial |
$561.62
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,138.42
|
|
|
HC MR BRAIN STEREO WO W CON REDUCED
|
Facility
|
IP
|
$2,319.50
|
|
|
Service Code
|
CPT 77021
|
| Hospital Charge Code |
61100007
|
|
Hospital Revenue Code
|
611
|
| Min. Negotiated Rate |
$1,020.58 |
| Max. Negotiated Rate |
$2,087.55 |
| Rate for Payer: Aetna American Axle |
$1,507.68
|
| Rate for Payer: Aetna Commercial |
$1,971.58
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,507.68
|
| Rate for Payer: Cash Price |
$1,855.60
|
| Rate for Payer: Cofinity Commercial |
$1,623.65
|
| Rate for Payer: Cofinity Commercial |
$1,994.77
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,855.60
|
| Rate for Payer: Healthscope Commercial |
$2,087.55
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,623.65
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,739.62
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,971.58
|
| Rate for Payer: PHP Commercial |
$1,971.58
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,623.65
|
| Rate for Payer: Priority Health SBD |
$1,461.28
|
| Rate for Payer: UMR Bronson Commercial |
$1,020.58
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,739.62
|
|
|
HC MR BRAIN STEREO WO W CON REDUCED
|
Facility
|
OP
|
$2,319.50
|
|
|
Service Code
|
CPT 77021
|
| Hospital Charge Code |
61100007
|
|
Hospital Revenue Code
|
611
|
| Min. Negotiated Rate |
$417.82 |
| Max. Negotiated Rate |
$2,087.55 |
| Rate for Payer: Aetna American Axle |
$1,507.68
|
| Rate for Payer: Aetna Commercial |
$1,971.58
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,507.68
|
| Rate for Payer: BCBS Complete |
$927.80
|
| Rate for Payer: BCBS Trust/PPO |
$682.26
|
| Rate for Payer: Cash Price |
$1,855.60
|
| Rate for Payer: Cash Price |
$1,855.60
|
| Rate for Payer: Cofinity Commercial |
$1,994.77
|
| Rate for Payer: Cofinity Commercial |
$1,623.65
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,855.60
|
| Rate for Payer: Healthscope Commercial |
$2,087.55
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,623.65
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,739.62
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,971.58
|
| Rate for Payer: PHP Commercial |
$1,971.58
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,623.65
|
| Rate for Payer: Priority Health SBD |
$1,461.28
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$459.60
|
| Rate for Payer: UHC Core |
$1,943.00
|
| Rate for Payer: UHC Exchange |
$417.82
|
| Rate for Payer: UMR Bronson Commercial |
$858.22
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,739.62
|
|
|
HC MR BRAIN W CON
|
Facility
|
OP
|
$2,438.51
|
|
|
Service Code
|
CPT 70552
|
| Hospital Charge Code |
61100002
|
|
Hospital Revenue Code
|
611
|
| Min. Negotiated Rate |
$186.99 |
| Max. Negotiated Rate |
$2,194.66 |
| Rate for Payer: Aetna American Axle |
$1,585.03
|
| Rate for Payer: Aetna Commercial |
$2,072.73
|
| Rate for Payer: Aetna Medicare |
$355.51
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,585.03
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$427.30
|
| Rate for Payer: Amish Plain Church Group Commercial |
$427.30
|
| Rate for Payer: BCBS Complete |
$196.35
|
| Rate for Payer: BCBS MAPPO |
$341.84
|
| Rate for Payer: BCBS Trust/PPO |
$375.65
|
| Rate for Payer: BCN Medicare Advantage |
$341.84
|
| Rate for Payer: Cash Price |
$1,950.81
|
| Rate for Payer: Cash Price |
$1,950.81
|
| Rate for Payer: Cofinity Commercial |
$2,097.12
|
| Rate for Payer: Cofinity Commercial |
$1,706.96
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,950.81
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$341.84
|
| Rate for Payer: Healthscope Commercial |
$2,194.66
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,706.96
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,828.88
|
| Rate for Payer: Mclaren Medicaid |
$186.99
|
| Rate for Payer: Mclaren Medicare |
$341.84
|
| Rate for Payer: Meridian Medicaid |
$196.35
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$358.93
|
| Rate for Payer: MI Amish Medical Board Commercial |
$393.12
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$2,072.73
|
| Rate for Payer: PACE Medicare |
$324.75
|
| Rate for Payer: PACE SWMI |
$341.84
|
| Rate for Payer: PHP Commercial |
$2,072.73
|
| Rate for Payer: PHP Medicare Advantage |
$341.84
|
| Rate for Payer: Priority Health Choice Medicaid |
$186.99
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,706.96
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,076.13
|
| Rate for Payer: Priority Health Medicare |
$341.84
|
| Rate for Payer: Priority Health Narrow Network |
$860.90
|
| Rate for Payer: Priority Health SBD |
$1,536.26
|
| Rate for Payer: Railroad Medicare Medicare |
$341.84
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$300.40
|
| Rate for Payer: UHC Core |
$1,943.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$341.84
|
| Rate for Payer: UHC Exchange |
$273.09
|
| Rate for Payer: UHC Medicare Advantage |
$352.10
|
| Rate for Payer: UMR Bronson Commercial |
$902.25
|
| Rate for Payer: VA VA |
$341.84
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,828.88
|
|
|
HC MR BRAIN W CON
|
Facility
|
IP
|
$2,438.51
|
|
|
Service Code
|
CPT 70552
|
| Hospital Charge Code |
61100002
|
|
Hospital Revenue Code
|
611
|
| Min. Negotiated Rate |
$1,072.94 |
| Max. Negotiated Rate |
$2,194.66 |
| Rate for Payer: Aetna American Axle |
$1,585.03
|
| Rate for Payer: Aetna Commercial |
$2,072.73
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,585.03
|
| Rate for Payer: Cash Price |
$1,950.81
|
| Rate for Payer: Cofinity Commercial |
$1,706.96
|
| Rate for Payer: Cofinity Commercial |
$2,097.12
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,950.81
|
| Rate for Payer: Healthscope Commercial |
$2,194.66
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,706.96
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,828.88
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$2,072.73
|
| Rate for Payer: PHP Commercial |
$2,072.73
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,706.96
|
| Rate for Payer: Priority Health SBD |
$1,536.26
|
| Rate for Payer: UMR Bronson Commercial |
$1,072.94
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,828.88
|
|
|
HC MR BRAIN WO CON
|
Facility
|
OP
|
$2,032.25
|
|
|
Service Code
|
CPT 70551
|
| Hospital Charge Code |
61100001
|
|
Hospital Revenue Code
|
611
|
| Min. Negotiated Rate |
$119.14 |
| Max. Negotiated Rate |
$1,943.00 |
| Rate for Payer: Aetna American Axle |
$1,320.96
|
| Rate for Payer: Aetna Commercial |
$1,727.41
|
| Rate for Payer: Aetna Medicare |
$226.52
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,320.96
|
| 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 |
$254.03
|
| Rate for Payer: BCN Medicare Advantage |
$217.81
|
| Rate for Payer: Cash Price |
$1,625.80
|
| Rate for Payer: Cash Price |
$1,625.80
|
| Rate for Payer: Cofinity Commercial |
$1,422.58
|
| Rate for Payer: Cofinity Commercial |
$1,747.74
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,625.80
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$217.81
|
| Rate for Payer: Healthscope Commercial |
$1,829.02
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,422.58
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,524.19
|
| 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 |
$1,727.41
|
| Rate for Payer: PACE Medicare |
$206.92
|
| Rate for Payer: PACE SWMI |
$217.81
|
| Rate for Payer: PHP Commercial |
$1,727.41
|
| 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 |
$1,422.58
|
| 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 |
$1,280.32
|
| Rate for Payer: Railroad Medicare Medicare |
$217.81
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$217.91
|
| Rate for Payer: UHC Core |
$1,943.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$217.81
|
| Rate for Payer: UHC Exchange |
$198.10
|
| Rate for Payer: UHC Medicare Advantage |
$224.34
|
| Rate for Payer: UMR Bronson Commercial |
$751.93
|
| Rate for Payer: VA VA |
$217.81
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,524.19
|
|
|
HC MR BRAIN WO CON
|
Facility
|
IP
|
$2,032.25
|
|
|
Service Code
|
CPT 70551
|
| Hospital Charge Code |
61100001
|
|
Hospital Revenue Code
|
611
|
| Min. Negotiated Rate |
$894.19 |
| Max. Negotiated Rate |
$1,829.02 |
| Rate for Payer: Aetna American Axle |
$1,320.96
|
| Rate for Payer: Aetna Commercial |
$1,727.41
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,320.96
|
| Rate for Payer: Cash Price |
$1,625.80
|
| Rate for Payer: Cofinity Commercial |
$1,422.58
|
| Rate for Payer: Cofinity Commercial |
$1,747.74
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,625.80
|
| Rate for Payer: Healthscope Commercial |
$1,829.02
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,422.58
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,524.19
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,727.41
|
| Rate for Payer: PHP Commercial |
$1,727.41
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,422.58
|
| Rate for Payer: Priority Health SBD |
$1,280.32
|
| Rate for Payer: UMR Bronson Commercial |
$894.19
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,524.19
|
|
