|
HC ELECTROLYTES WHOLE BLOOD
|
Facility
|
OP
|
$89.58
|
|
|
Service Code
|
CPT 80051
|
| Hospital Charge Code |
30100490
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$3.67 |
| Max. Negotiated Rate |
$80.62 |
| Rate for Payer: Aetna American Axle |
$58.23
|
| Rate for Payer: Aetna Commercial |
$76.14
|
| Rate for Payer: Aetna Medicare |
$7.29
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$58.23
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$8.76
|
| Rate for Payer: Amish Plain Church Group Commercial |
$8.76
|
| Rate for Payer: BCBS Complete |
$3.85
|
| Rate for Payer: BCBS MAPPO |
$7.01
|
| Rate for Payer: BCBS Trust/PPO |
$6.69
|
| Rate for Payer: BCN Commercial |
$6.69
|
| Rate for Payer: BCN Medicare Advantage |
$7.01
|
| Rate for Payer: Cash Price |
$71.66
|
| Rate for Payer: Cash Price |
$71.66
|
| Rate for Payer: Cofinity Advantage |
$62.71
|
| Rate for Payer: Cofinity Commercial |
$77.04
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$71.66
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$7.01
|
| Rate for Payer: Healthscope Commercial |
$80.62
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$62.71
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$67.19
|
| Rate for Payer: Mclaren Medicaid |
$7.01
|
| Rate for Payer: Mclaren Medicare |
$7.01
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$7.36
|
| Rate for Payer: Meridian Medicaid |
$7.36
|
| Rate for Payer: MI Amish Medical Board Commercial |
$8.06
|
| Rate for Payer: Molina Medicare/Medicaid |
$7.71
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$76.14
|
| Rate for Payer: Nomi Health Commercial |
$10.52
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$67.19
|
| Rate for Payer: PACE Medicare |
$6.66
|
| Rate for Payer: PACE SWMI |
$7.01
|
| Rate for Payer: PHP Commercial |
$76.14
|
| Rate for Payer: PHP Medicare Advantage |
$7.01
|
| Rate for Payer: Priority Health Choice Medicaid |
$3.67
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$7.01
|
| Rate for Payer: Priority Health Medicare |
$7.01
|
| Rate for Payer: Priority Health SBD |
$56.44
|
| Rate for Payer: Priority Health Tiered Network |
$5.61
|
| Rate for Payer: Railroad Medicare Medicare |
$7.01
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$10.52
|
| Rate for Payer: UHC Core |
$10.52
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$7.01
|
| Rate for Payer: UHC Exchange |
$10.52
|
| Rate for Payer: UHC Medicaid |
$3.67
|
| Rate for Payer: UHCCP Medicaid |
$3.67
|
| Rate for Payer: UMR Bronson Commercial |
$33.14
|
| Rate for Payer: VA VA |
$7.01
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$67.19
|
|
|
HC ELECTROPHYSIOLOGY CATH 3D OR VECTOR MAPPING LEVEL 100
|
Facility
|
OP
|
$10,050.00
|
|
|
Service Code
|
HCPCS C1732
|
| Hospital Charge Code |
27200406
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$0.03 |
| Max. Negotiated Rate |
$9,045.00 |
| Rate for Payer: Aetna American Axle |
$6,532.50
|
| Rate for Payer: Aetna Commercial |
$8,542.50
|
| Rate for Payer: Aetna Medicare |
$5,025.00
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$6,532.50
|
| Rate for Payer: BCBS Complete |
$4,020.00
|
| Rate for Payer: BCBS Trust/PPO |
$0.03
|
| Rate for Payer: BCN Commercial |
$0.03
|
| Rate for Payer: Cash Price |
$8,040.00
|
| Rate for Payer: Cash Price |
$8,040.00
|
| Rate for Payer: Cofinity Advantage |
$7,035.00
|
| Rate for Payer: Cofinity Commercial |
$8,643.00
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$8,040.00
|
| Rate for Payer: Healthscope Commercial |
$9,045.00
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$7,035.00
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$7,537.50
|
| Rate for Payer: MI Amish Medical Board Commercial |
$8,040.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$8,542.50
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$7,537.50
|
| Rate for Payer: PHP Commercial |
$8,542.50
|
| Rate for Payer: Priority Health SBD |
$6,331.50
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$6,532.50
|
| Rate for Payer: UHC Core |
$5,236.05
|
| Rate for Payer: UHC Exchange |
$3,949.65
|
| Rate for Payer: UMR Bronson Commercial |
$3,718.50
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$7,537.50
|
|
|
HC ELECTROPHYSIOLOGY CATH 3D OR VECTOR MAPPING LEVEL 100
|
Facility
|
IP
|
$10,050.00
|
|
|
Service Code
|
HCPCS C1732
|
| Hospital Charge Code |
27200406
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$4,422.00 |
| Max. Negotiated Rate |
$9,045.00 |
| Rate for Payer: Aetna American Axle |
$6,532.50
|
| Rate for Payer: Aetna Commercial |
$8,542.50
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$6,532.50
|
| Rate for Payer: Cash Price |
$8,040.00
|
| Rate for Payer: Cofinity Advantage |
$7,035.00
|
| Rate for Payer: Cofinity Commercial |
$8,643.00
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$8,040.00
|
| Rate for Payer: Healthscope Commercial |
$9,045.00
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$7,035.00
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$7,537.50
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$8,542.50
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$7,537.50
|
| Rate for Payer: PHP Commercial |
$8,542.50
|
| Rate for Payer: Priority Health SBD |
$6,331.50
|
| Rate for Payer: UMR Bronson Commercial |
$4,422.00
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$7,537.50
|
|
|
HC ELECTROPHYSIOLOGY CATH 3D OR VECTOR MAPPINGLEVEL 31
|
Facility
|
OP
|
$3,150.00
|
|
|
Service Code
|
HCPCS C1732
|
| Hospital Charge Code |
27200369
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$0.03 |
| Max. Negotiated Rate |
$2,835.00 |
| Rate for Payer: Aetna American Axle |
$2,047.50
|
| Rate for Payer: Aetna Commercial |
$2,677.50
|
| Rate for Payer: Aetna Medicare |
$1,575.00
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,047.50
|
| Rate for Payer: BCBS Complete |
$1,260.00
|
| Rate for Payer: BCBS Trust/PPO |
$0.03
|
| Rate for Payer: BCN Commercial |
$0.03
|
| Rate for Payer: Cash Price |
$2,520.00
|
| Rate for Payer: Cash Price |
$2,520.00
|
| Rate for Payer: Cofinity Advantage |
$2,205.00
|
| Rate for Payer: Cofinity Commercial |
$2,709.00
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,520.00
|
| Rate for Payer: Healthscope Commercial |
$2,835.00
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$2,205.00
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,362.50
|
| Rate for Payer: MI Amish Medical Board Commercial |
$2,520.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,677.50
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,362.50
|
| Rate for Payer: PHP Commercial |
$2,677.50
|
| Rate for Payer: Priority Health SBD |
$1,984.50
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,047.50
|
| Rate for Payer: UHC Core |
$1,641.15
|
| Rate for Payer: UHC Exchange |
$1,237.95
|
| Rate for Payer: UMR Bronson Commercial |
$1,165.50
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,362.50
|
|
|
HC ELECTROPHYSIOLOGY CATH 3D OR VECTOR MAPPINGLEVEL 31
|
Facility
|
IP
|
$3,150.00
|
|
|
Service Code
|
HCPCS C1732
|
| Hospital Charge Code |
27200369
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$1,386.00 |
| Max. Negotiated Rate |
$2,835.00 |
| Rate for Payer: Aetna American Axle |
$2,047.50
|
| Rate for Payer: Aetna Commercial |
$2,677.50
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,047.50
|
| Rate for Payer: Cash Price |
$2,520.00
|
| Rate for Payer: Cofinity Advantage |
$2,205.00
|
| Rate for Payer: Cofinity Commercial |
$2,709.00
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,520.00
|
| Rate for Payer: Healthscope Commercial |
$2,835.00
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$2,205.00
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,362.50
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,677.50
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,362.50
|
| Rate for Payer: PHP Commercial |
$2,677.50
|
| Rate for Payer: Priority Health SBD |
$1,984.50
|
| Rate for Payer: UMR Bronson Commercial |
$1,386.00
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,362.50
|
|
|
HC ELECTROPHYSIOLOGY CATH 3D OR VECTOR MAPPING LEVEL 39
|
Facility
|
IP
|
$3,988.00
|
|
|
Service Code
|
HCPCS C1732
|
| Hospital Charge Code |
27200371
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$1,754.72 |
| Max. Negotiated Rate |
$3,589.20 |
| Rate for Payer: Aetna American Axle |
$2,592.20
|
| Rate for Payer: Aetna Commercial |
$3,389.80
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,592.20
|
| Rate for Payer: Cash Price |
$3,190.40
|
| Rate for Payer: Cofinity Advantage |
$2,791.60
|
| Rate for Payer: Cofinity Commercial |
$3,429.68
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,190.40
|
| Rate for Payer: Healthscope Commercial |
$3,589.20
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$2,791.60
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,991.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,389.80
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,991.00
|
| Rate for Payer: PHP Commercial |
$3,389.80
|
| Rate for Payer: Priority Health SBD |
$2,512.44
|
| Rate for Payer: UMR Bronson Commercial |
$1,754.72
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,991.00
|
|
|
HC ELECTROPHYSIOLOGY CATH 3D OR VECTOR MAPPING LEVEL 39
|
Facility
|
OP
|
$3,988.00
|
|
|
Service Code
|
HCPCS C1732
|
| Hospital Charge Code |
27200371
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$0.03 |
| Max. Negotiated Rate |
$3,589.20 |
| Rate for Payer: Aetna American Axle |
$2,592.20
|
| Rate for Payer: Aetna Commercial |
$3,389.80
|
| Rate for Payer: Aetna Medicare |
$1,994.00
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,592.20
|
| Rate for Payer: BCBS Complete |
$1,595.20
|
| Rate for Payer: BCBS Trust/PPO |
$0.03
|
| Rate for Payer: BCN Commercial |
$0.03
|
| Rate for Payer: Cash Price |
$3,190.40
|
| Rate for Payer: Cash Price |
$3,190.40
|
| Rate for Payer: Cofinity Advantage |
$2,791.60
|
| Rate for Payer: Cofinity Commercial |
$3,429.68
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,190.40
|
| Rate for Payer: Healthscope Commercial |
$3,589.20
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$2,791.60
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,991.00
|
| Rate for Payer: MI Amish Medical Board Commercial |
$3,190.40
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,389.80
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,991.00
|
| Rate for Payer: PHP Commercial |
$3,389.80
|
| Rate for Payer: Priority Health SBD |
$2,512.44
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,592.20
|
| Rate for Payer: UHC Core |
$2,077.75
|
| Rate for Payer: UHC Exchange |
$1,567.28
|
| Rate for Payer: UMR Bronson Commercial |
$1,475.56
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,991.00
|
|
|
HC ELECTROPHYSIOLOGY CATH 3D OR VECTOR MAPPING LEVEL 46
|
Facility
|
OP
|
$4,620.00
|
|
|
Service Code
|
HCPCS C1732
|
| Hospital Charge Code |
27200372
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$0.03 |
| Max. Negotiated Rate |
$4,158.00 |
| Rate for Payer: Aetna American Axle |
$3,003.00
|
| Rate for Payer: Aetna Commercial |
$3,927.00
|
| Rate for Payer: Aetna Medicare |
$2,310.00
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$3,003.00
|
| Rate for Payer: BCBS Complete |
$1,848.00
|
| Rate for Payer: BCBS Trust/PPO |
$0.03
|
| Rate for Payer: BCN Commercial |
$0.03
|
| Rate for Payer: Cash Price |
$3,696.00
|
| Rate for Payer: Cash Price |
$3,696.00
|
| Rate for Payer: Cofinity Advantage |
$3,234.00
|
| Rate for Payer: Cofinity Commercial |
$3,973.20
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,696.00
|
| Rate for Payer: Healthscope Commercial |
$4,158.00
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$3,234.00
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$3,465.00
|
| Rate for Payer: MI Amish Medical Board Commercial |
$3,696.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,927.00
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$3,465.00
|
| Rate for Payer: PHP Commercial |
$3,927.00
|
| Rate for Payer: Priority Health SBD |
$2,910.60
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$3,003.00
|
| Rate for Payer: UHC Core |
$2,407.02
|
| Rate for Payer: UHC Exchange |
$1,815.66
|
| Rate for Payer: UMR Bronson Commercial |
$1,709.40
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$3,465.00
|
|
|
HC ELECTROPHYSIOLOGY CATH 3D OR VECTOR MAPPING LEVEL 46
|
Facility
|
IP
|
$4,620.00
|
|
|
Service Code
|
HCPCS C1732
|
| Hospital Charge Code |
27200372
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$2,032.80 |
| Max. Negotiated Rate |
$4,158.00 |
| Rate for Payer: Aetna American Axle |
$3,003.00
|
| Rate for Payer: Aetna Commercial |
$3,927.00
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$3,003.00
|
| Rate for Payer: Cash Price |
$3,696.00
|
| Rate for Payer: Cofinity Advantage |
$3,234.00
|
| Rate for Payer: Cofinity Commercial |
$3,973.20
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,696.00
|
| Rate for Payer: Healthscope Commercial |
$4,158.00
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$3,234.00
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$3,465.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,927.00
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$3,465.00
|
| Rate for Payer: PHP Commercial |
$3,927.00
|
| Rate for Payer: Priority Health SBD |
$2,910.60
|
| Rate for Payer: UMR Bronson Commercial |
$2,032.80
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$3,465.00
|
|
|
HC ELECTROPHYSIOLOGY CATH 3D OR VECTOR MAPPING LEVEL 47
|
Facility
|
IP
|
$4,788.00
|
|
|
Service Code
|
HCPCS C1732
|
| Hospital Charge Code |
27200373
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$2,106.72 |
| Max. Negotiated Rate |
$4,309.20 |
| Rate for Payer: Aetna American Axle |
$3,112.20
|
| Rate for Payer: Aetna Commercial |
$4,069.80
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$3,112.20
|
| Rate for Payer: Cash Price |
$3,830.40
|
| Rate for Payer: Cofinity Advantage |
$3,351.60
|
| Rate for Payer: Cofinity Commercial |
$4,117.68
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,830.40
|
| Rate for Payer: Healthscope Commercial |
$4,309.20
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$3,351.60
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$3,591.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$4,069.80
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$3,591.00
|
| Rate for Payer: PHP Commercial |
$4,069.80
|
| Rate for Payer: Priority Health SBD |
$3,016.44
|
| Rate for Payer: UMR Bronson Commercial |
$2,106.72
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$3,591.00
|
|
|
HC ELECTROPHYSIOLOGY CATH 3D OR VECTOR MAPPING LEVEL 47
|
Facility
|
OP
|
$4,788.00
|
|
|
Service Code
|
HCPCS C1732
|
| Hospital Charge Code |
27200373
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$0.03 |
| Max. Negotiated Rate |
$4,309.20 |
| Rate for Payer: Aetna American Axle |
$3,112.20
|
| Rate for Payer: Aetna Commercial |
$4,069.80
|
| Rate for Payer: Aetna Medicare |
$2,394.00
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$3,112.20
|
| Rate for Payer: BCBS Complete |
$1,915.20
|
| Rate for Payer: BCBS Trust/PPO |
$0.03
|
| Rate for Payer: BCN Commercial |
$0.03
|
| Rate for Payer: Cash Price |
$3,830.40
|
| Rate for Payer: Cash Price |
$3,830.40
|
| Rate for Payer: Cofinity Advantage |
$3,351.60
|
| Rate for Payer: Cofinity Commercial |
$4,117.68
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,830.40
|
| Rate for Payer: Healthscope Commercial |
$4,309.20
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$3,351.60
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$3,591.00
|
| Rate for Payer: MI Amish Medical Board Commercial |
$3,830.40
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$4,069.80
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$3,591.00
|
| Rate for Payer: PHP Commercial |
$4,069.80
|
| Rate for Payer: Priority Health SBD |
$3,016.44
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$3,112.20
|
| Rate for Payer: UHC Core |
$2,494.55
|
| Rate for Payer: UHC Exchange |
$1,881.68
|
| Rate for Payer: UMR Bronson Commercial |
$1,771.56
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$3,591.00
|
|
|
HC ELECTROPHYSIOLOGY CATH NO 3D 19 OR < ELECTRODES LEVEL 11
|
Facility
|
IP
|
$1,119.00
|
|
|
Service Code
|
HCPCS C1730
|
| Hospital Charge Code |
27200361
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$492.36 |
| Max. Negotiated Rate |
$1,007.10 |
| Rate for Payer: Aetna American Axle |
$727.35
|
| Rate for Payer: Aetna Commercial |
$951.15
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$727.35
|
| Rate for Payer: Cash Price |
$895.20
|
| Rate for Payer: Cofinity Advantage |
$783.30
|
| Rate for Payer: Cofinity Commercial |
$962.34
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$895.20
|
| Rate for Payer: Healthscope Commercial |
$1,007.10
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$783.30
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$839.25
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$951.15
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$839.25
|
| Rate for Payer: PHP Commercial |
$951.15
|
| Rate for Payer: Priority Health SBD |
$704.97
|
| Rate for Payer: UMR Bronson Commercial |
$492.36
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$839.25
|
|
|
HC ELECTROPHYSIOLOGY CATH NO 3D 19 OR < ELECTRODES LEVEL 11
|
Facility
|
OP
|
$1,119.00
|
|
|
Service Code
|
HCPCS C1730
|
| Hospital Charge Code |
27200361
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$0.03 |
| Max. Negotiated Rate |
$1,007.10 |
| Rate for Payer: Aetna American Axle |
$727.35
|
| Rate for Payer: Aetna Commercial |
$951.15
|
| Rate for Payer: Aetna Medicare |
$559.50
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$727.35
|
| Rate for Payer: BCBS Complete |
$447.60
|
| Rate for Payer: BCBS Trust/PPO |
$0.03
|
| Rate for Payer: BCN Commercial |
$0.03
|
| Rate for Payer: Cash Price |
$895.20
|
| Rate for Payer: Cash Price |
$895.20
|
| Rate for Payer: Cofinity Advantage |
$783.30
|
| Rate for Payer: Cofinity Commercial |
$962.34
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$895.20
|
| Rate for Payer: Healthscope Commercial |
$1,007.10
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$783.30
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$839.25
|
| Rate for Payer: MI Amish Medical Board Commercial |
$895.20
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$951.15
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$839.25
|
| Rate for Payer: PHP Commercial |
$951.15
|
| Rate for Payer: Priority Health SBD |
$704.97
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$727.35
|
| Rate for Payer: UHC Core |
$583.00
|
| Rate for Payer: UHC Exchange |
$439.77
|
| Rate for Payer: UMR Bronson Commercial |
$414.03
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$839.25
|
|
|
HC ELECTROPHYSIOLOGY CATH NO 3D 19 OR < ELECTRODES LEVEL 13
|
Facility
|
IP
|
$1,342.50
|
|
|
Service Code
|
HCPCS C1730
|
| Hospital Charge Code |
27200375
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$590.70 |
| Max. Negotiated Rate |
$1,208.25 |
| Rate for Payer: Aetna American Axle |
$872.62
|
| Rate for Payer: Aetna Commercial |
$1,141.12
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$872.62
|
| Rate for Payer: Cash Price |
$1,074.00
|
| Rate for Payer: Cofinity Advantage |
$939.75
|
| Rate for Payer: Cofinity Commercial |
$1,154.55
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,074.00
|
| Rate for Payer: Healthscope Commercial |
$1,208.25
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$939.75
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,006.88
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,141.12
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,006.88
|
| Rate for Payer: PHP Commercial |
$1,141.12
|
| Rate for Payer: Priority Health SBD |
$845.77
|
| Rate for Payer: UMR Bronson Commercial |
$590.70
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,006.88
|
|
|
HC ELECTROPHYSIOLOGY CATH NO 3D 19 OR < ELECTRODES LEVEL 13
|
Facility
|
OP
|
$1,342.50
|
|
|
Service Code
|
HCPCS C1730
|
| Hospital Charge Code |
27200375
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$0.03 |
| Max. Negotiated Rate |
$1,208.25 |
| Rate for Payer: Aetna American Axle |
$872.62
|
| Rate for Payer: Aetna Commercial |
$1,141.12
|
| Rate for Payer: Aetna Medicare |
$671.25
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$872.62
|
| Rate for Payer: BCBS Complete |
$537.00
|
| Rate for Payer: BCBS Trust/PPO |
$0.03
|
| Rate for Payer: BCN Commercial |
$0.03
|
| Rate for Payer: Cash Price |
$1,074.00
|
| Rate for Payer: Cash Price |
$1,074.00
|
| Rate for Payer: Cofinity Advantage |
$939.75
|
| Rate for Payer: Cofinity Commercial |
$1,154.55
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,074.00
|
| Rate for Payer: Healthscope Commercial |
$1,208.25
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$939.75
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,006.88
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,074.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,141.12
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,006.88
|
| Rate for Payer: PHP Commercial |
$1,141.12
|
| Rate for Payer: Priority Health SBD |
$845.77
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$872.62
|
| Rate for Payer: UHC Core |
$699.44
|
| Rate for Payer: UHC Exchange |
$527.60
|
| Rate for Payer: UMR Bronson Commercial |
$496.73
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,006.88
|
|
|
HC ELECTROPHYSIOLOGY CATH NO 3D 19 OR < ELECTRODES LEVEL 15
|
Facility
|
OP
|
$1,537.50
|
|
|
Service Code
|
HCPCS C1730
|
| Hospital Charge Code |
27200363
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$0.03 |
| Max. Negotiated Rate |
$1,383.75 |
| Rate for Payer: Aetna American Axle |
$999.38
|
| Rate for Payer: Aetna Commercial |
$1,306.88
|
| Rate for Payer: Aetna Medicare |
$768.75
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$999.38
|
| Rate for Payer: BCBS Complete |
$615.00
|
| Rate for Payer: BCBS Trust/PPO |
$0.03
|
| Rate for Payer: BCN Commercial |
$0.03
|
| Rate for Payer: Cash Price |
$1,230.00
|
| Rate for Payer: Cash Price |
$1,230.00
|
| Rate for Payer: Cofinity Advantage |
$1,076.25
|
| Rate for Payer: Cofinity Commercial |
$1,322.25
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,230.00
|
| Rate for Payer: Healthscope Commercial |
$1,383.75
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,076.25
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,153.12
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,230.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,306.88
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,153.12
|
| Rate for Payer: PHP Commercial |
$1,306.88
|
| Rate for Payer: Priority Health SBD |
$968.62
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$999.38
|
| Rate for Payer: UHC Core |
$801.04
|
| Rate for Payer: UHC Exchange |
$604.24
|
| Rate for Payer: UMR Bronson Commercial |
$568.88
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,153.12
|
|
|
HC ELECTROPHYSIOLOGY CATH NO 3D 19 OR < ELECTRODES LEVEL 15
|
Facility
|
IP
|
$1,537.50
|
|
|
Service Code
|
HCPCS C1730
|
| Hospital Charge Code |
27200363
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$676.50 |
| Max. Negotiated Rate |
$1,383.75 |
| Rate for Payer: Aetna American Axle |
$999.38
|
| Rate for Payer: Aetna Commercial |
$1,306.88
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$999.38
|
| Rate for Payer: Cash Price |
$1,230.00
|
| Rate for Payer: Cofinity Advantage |
$1,076.25
|
| Rate for Payer: Cofinity Commercial |
$1,322.25
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,230.00
|
| Rate for Payer: Healthscope Commercial |
$1,383.75
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,076.25
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,153.12
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,306.88
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,153.12
|
| Rate for Payer: PHP Commercial |
$1,306.88
|
| Rate for Payer: Priority Health SBD |
$968.62
|
| Rate for Payer: UMR Bronson Commercial |
$676.50
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,153.12
|
|
|
HC ELECTROPHYSIOLOGY CATH NO 3D 19 OR < ELECTRODES LEVEL 37
|
Facility
|
OP
|
$3,750.00
|
|
|
Service Code
|
HCPCS C1730
|
| Hospital Charge Code |
27200365
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$0.03 |
| Max. Negotiated Rate |
$3,375.00 |
| Rate for Payer: Aetna American Axle |
$2,437.50
|
| Rate for Payer: Aetna Commercial |
$3,187.50
|
| Rate for Payer: Aetna Medicare |
$1,875.00
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,437.50
|
| Rate for Payer: BCBS Complete |
$1,500.00
|
| Rate for Payer: BCBS Trust/PPO |
$0.03
|
| Rate for Payer: BCN Commercial |
$0.03
|
| Rate for Payer: Cash Price |
$3,000.00
|
| Rate for Payer: Cash Price |
$3,000.00
|
| Rate for Payer: Cofinity Advantage |
$2,625.00
|
| Rate for Payer: Cofinity Commercial |
$3,225.00
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,000.00
|
| Rate for Payer: Healthscope Commercial |
$3,375.00
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$2,625.00
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,812.50
|
| Rate for Payer: MI Amish Medical Board Commercial |
$3,000.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,187.50
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,812.50
|
| Rate for Payer: PHP Commercial |
$3,187.50
|
| Rate for Payer: Priority Health SBD |
$2,362.50
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,437.50
|
| Rate for Payer: UHC Core |
$1,953.75
|
| Rate for Payer: UHC Exchange |
$1,473.75
|
| Rate for Payer: UMR Bronson Commercial |
$1,387.50
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,812.50
|
|
|
HC ELECTROPHYSIOLOGY CATH NO 3D 19 OR < ELECTRODES LEVEL 37
|
Facility
|
IP
|
$3,750.00
|
|
|
Service Code
|
HCPCS C1730
|
| Hospital Charge Code |
27200365
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$1,650.00 |
| Max. Negotiated Rate |
$3,375.00 |
| Rate for Payer: Aetna American Axle |
$2,437.50
|
| Rate for Payer: Aetna Commercial |
$3,187.50
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,437.50
|
| Rate for Payer: Cash Price |
$3,000.00
|
| Rate for Payer: Cofinity Advantage |
$2,625.00
|
| Rate for Payer: Cofinity Commercial |
$3,225.00
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,000.00
|
| Rate for Payer: Healthscope Commercial |
$3,375.00
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$2,625.00
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,812.50
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,187.50
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,812.50
|
| Rate for Payer: PHP Commercial |
$3,187.50
|
| Rate for Payer: Priority Health SBD |
$2,362.50
|
| Rate for Payer: UMR Bronson Commercial |
$1,650.00
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,812.50
|
|
|
HC ELECTROPHYSIOLOGY CATH NO 3D 19 OR < ELECTRODES LEVEL 4
|
Facility
|
OP
|
$438.60
|
|
|
Service Code
|
HCPCS C1730
|
| Hospital Charge Code |
27200360
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$0.03 |
| Max. Negotiated Rate |
$394.74 |
| Rate for Payer: Aetna American Axle |
$285.09
|
| Rate for Payer: Aetna Commercial |
$372.81
|
| Rate for Payer: Aetna Medicare |
$219.30
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$285.09
|
| Rate for Payer: BCBS Complete |
$175.44
|
| Rate for Payer: BCBS Trust/PPO |
$0.03
|
| Rate for Payer: BCN Commercial |
$0.03
|
| Rate for Payer: Cash Price |
$350.88
|
| Rate for Payer: Cash Price |
$350.88
|
| Rate for Payer: Cofinity Advantage |
$307.02
|
| Rate for Payer: Cofinity Commercial |
$377.20
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$350.88
|
| Rate for Payer: Healthscope Commercial |
$394.74
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$307.02
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$328.95
|
| Rate for Payer: MI Amish Medical Board Commercial |
$350.88
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$372.81
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$328.95
|
| Rate for Payer: PHP Commercial |
$372.81
|
| Rate for Payer: Priority Health SBD |
$276.32
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$285.09
|
| Rate for Payer: UHC Core |
$228.51
|
| Rate for Payer: UHC Exchange |
$172.37
|
| Rate for Payer: UMR Bronson Commercial |
$162.28
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$328.95
|
|
|
HC ELECTROPHYSIOLOGY CATH NO 3D 19 OR < ELECTRODES LEVEL 4
|
Facility
|
IP
|
$438.60
|
|
|
Service Code
|
HCPCS C1730
|
| Hospital Charge Code |
27200360
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$192.98 |
| Max. Negotiated Rate |
$394.74 |
| Rate for Payer: Aetna American Axle |
$285.09
|
| Rate for Payer: Aetna Commercial |
$372.81
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$285.09
|
| Rate for Payer: Cash Price |
$350.88
|
| Rate for Payer: Cofinity Advantage |
$307.02
|
| Rate for Payer: Cofinity Commercial |
$377.20
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$350.88
|
| Rate for Payer: Healthscope Commercial |
$394.74
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$307.02
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$328.95
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$372.81
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$328.95
|
| Rate for Payer: PHP Commercial |
$372.81
|
| Rate for Payer: Priority Health SBD |
$276.32
|
| Rate for Payer: UMR Bronson Commercial |
$192.98
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$328.95
|
|
|
HC ELECTROPHYSIOLOGY CATH NO 3D 20 OR > ELECTRODES LEVEL 25
|
Facility
|
OP
|
$2,500.00
|
|
|
Service Code
|
HCPCS C1731
|
| Hospital Charge Code |
27200367
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$0.03 |
| Max. Negotiated Rate |
$2,250.00 |
| Rate for Payer: Aetna American Axle |
$1,625.00
|
| Rate for Payer: Aetna Commercial |
$2,125.00
|
| Rate for Payer: Aetna Medicare |
$1,250.00
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,625.00
|
| Rate for Payer: BCBS Complete |
$1,000.00
|
| Rate for Payer: BCBS Trust/PPO |
$0.03
|
| Rate for Payer: BCN Commercial |
$0.03
|
| Rate for Payer: Cash Price |
$2,000.00
|
| Rate for Payer: Cash Price |
$2,000.00
|
| Rate for Payer: Cofinity Advantage |
$1,750.00
|
| Rate for Payer: Cofinity Commercial |
$2,150.00
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,000.00
|
| Rate for Payer: Healthscope Commercial |
$2,250.00
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,750.00
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,875.00
|
| Rate for Payer: MI Amish Medical Board Commercial |
$2,000.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,125.00
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,875.00
|
| Rate for Payer: PHP Commercial |
$2,125.00
|
| Rate for Payer: Priority Health SBD |
$1,575.00
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,625.00
|
| Rate for Payer: UHC Core |
$1,302.50
|
| Rate for Payer: UHC Exchange |
$982.50
|
| Rate for Payer: UMR Bronson Commercial |
$925.00
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,875.00
|
|
|
HC ELECTROPHYSIOLOGY CATH NO 3D 20 OR > ELECTRODES LEVEL 25
|
Facility
|
IP
|
$2,500.00
|
|
|
Service Code
|
HCPCS C1731
|
| Hospital Charge Code |
27200367
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$1,100.00 |
| Max. Negotiated Rate |
$2,250.00 |
| Rate for Payer: Aetna American Axle |
$1,625.00
|
| Rate for Payer: Aetna Commercial |
$2,125.00
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,625.00
|
| Rate for Payer: Cash Price |
$2,000.00
|
| Rate for Payer: Cofinity Advantage |
$1,750.00
|
| Rate for Payer: Cofinity Commercial |
$2,150.00
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,000.00
|
| Rate for Payer: Healthscope Commercial |
$2,250.00
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,750.00
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,875.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,125.00
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,875.00
|
| Rate for Payer: PHP Commercial |
$2,125.00
|
| Rate for Payer: Priority Health SBD |
$1,575.00
|
| Rate for Payer: UMR Bronson Commercial |
$1,100.00
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,875.00
|
|
|
HC ELECTROPHYSIOLOGY CATH NO 3D 20 OR > ELECTRODES LEVEL 32
|
Facility
|
OP
|
$3,242.50
|
|
|
Service Code
|
HCPCS C1731
|
| Hospital Charge Code |
27200368
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$0.03 |
| Max. Negotiated Rate |
$2,918.25 |
| Rate for Payer: Aetna American Axle |
$2,107.62
|
| Rate for Payer: Aetna Commercial |
$2,756.12
|
| Rate for Payer: Aetna Medicare |
$1,621.25
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,107.62
|
| Rate for Payer: BCBS Complete |
$1,297.00
|
| Rate for Payer: BCBS Trust/PPO |
$0.03
|
| Rate for Payer: BCN Commercial |
$0.03
|
| Rate for Payer: Cash Price |
$2,594.00
|
| Rate for Payer: Cash Price |
$2,594.00
|
| Rate for Payer: Cofinity Advantage |
$2,269.75
|
| Rate for Payer: Cofinity Commercial |
$2,788.55
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,594.00
|
| Rate for Payer: Healthscope Commercial |
$2,918.25
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$2,269.75
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,431.88
|
| Rate for Payer: MI Amish Medical Board Commercial |
$2,594.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,756.12
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,431.88
|
| Rate for Payer: PHP Commercial |
$2,756.12
|
| Rate for Payer: Priority Health SBD |
$2,042.78
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,107.62
|
| Rate for Payer: UHC Core |
$1,689.34
|
| Rate for Payer: UHC Exchange |
$1,274.30
|
| Rate for Payer: UMR Bronson Commercial |
$1,199.72
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,431.88
|
|
|
HC ELECTROPHYSIOLOGY CATH NO 3D 20 OR > ELECTRODES LEVEL 32
|
Facility
|
IP
|
$3,242.50
|
|
|
Service Code
|
HCPCS C1731
|
| Hospital Charge Code |
27200368
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$1,426.70 |
| Max. Negotiated Rate |
$2,918.25 |
| Rate for Payer: Aetna American Axle |
$2,107.62
|
| Rate for Payer: Aetna Commercial |
$2,756.12
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,107.62
|
| Rate for Payer: Cash Price |
$2,594.00
|
| Rate for Payer: Cofinity Advantage |
$2,269.75
|
| Rate for Payer: Cofinity Commercial |
$2,788.55
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,594.00
|
| Rate for Payer: Healthscope Commercial |
$2,918.25
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$2,269.75
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,431.88
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,756.12
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,431.88
|
| Rate for Payer: PHP Commercial |
$2,756.12
|
| Rate for Payer: Priority Health SBD |
$2,042.78
|
| Rate for Payer: UMR Bronson Commercial |
$1,426.70
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,431.88
|
|
