|
HC MR MRA CHEST WO CON
|
Facility
|
OP
|
$2,070.00
|
|
|
Service Code
|
HCPCS C8910
|
| Hospital Charge Code |
61000064
|
|
Hospital Revenue Code
|
610
|
| Min. Negotiated Rate |
$119.14 |
| Max. Negotiated Rate |
$1,943.00 |
| Rate for Payer: Aetna American Axle |
$1,345.50
|
| Rate for Payer: Aetna Commercial |
$1,759.50
|
| Rate for Payer: Aetna Medicare |
$226.52
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,345.50
|
| 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: BCN Medicare Advantage |
$217.81
|
| Rate for Payer: Cash Price |
$1,656.00
|
| Rate for Payer: Cash Price |
$1,656.00
|
| Rate for Payer: Cofinity Commercial |
$1,449.00
|
| Rate for Payer: Cofinity Commercial |
$1,780.20
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,656.00
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$217.81
|
| Rate for Payer: Healthscope Commercial |
$1,863.00
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,449.00
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,552.50
|
| 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 |
$1,759.50
|
| Rate for Payer: PACE Medicare |
$206.92
|
| Rate for Payer: PACE SWMI |
$217.81
|
| Rate for Payer: PHP Commercial |
$1,759.50
|
| 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 |
$1,449.00
|
| 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 |
$1,304.10
|
| Rate for Payer: Railroad Medicare Medicare |
$217.81
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$610.67
|
| Rate for Payer: UHC Core |
$1,943.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$217.81
|
| Rate for Payer: UHC Exchange |
$416.26
|
| Rate for Payer: UHC Medicare Advantage |
$224.34
|
| Rate for Payer: UMR Bronson Commercial |
$765.90
|
| Rate for Payer: VA VA |
$217.81
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,552.50
|
|
|
HC MR MRA CHEST WO W CON
|
Facility
|
OP
|
$2,674.34
|
|
|
Service Code
|
HCPCS C8911
|
| Hospital Charge Code |
61000065
|
|
Hospital Revenue Code
|
618
|
| Min. Negotiated Rate |
$186.99 |
| Max. Negotiated Rate |
$2,406.91 |
| Rate for Payer: Aetna American Axle |
$1,738.32
|
| Rate for Payer: Aetna Commercial |
$2,273.19
|
| Rate for Payer: Aetna Medicare |
$355.51
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,738.32
|
| 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: BCN Medicare Advantage |
$341.84
|
| Rate for Payer: Cash Price |
$2,139.47
|
| Rate for Payer: Cash Price |
$2,139.47
|
| Rate for Payer: Cofinity Commercial |
$2,299.93
|
| Rate for Payer: Cofinity Commercial |
$1,872.04
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,139.47
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$341.84
|
| Rate for Payer: Healthscope Commercial |
$2,406.91
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,872.04
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,005.76
|
| 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 |
$2,273.19
|
| Rate for Payer: PACE Medicare |
$324.75
|
| Rate for Payer: PACE SWMI |
$341.84
|
| Rate for Payer: PHP Commercial |
$2,273.19
|
| 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 |
$1,872.04
|
| 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 |
$1,684.83
|
| Rate for Payer: Railroad Medicare Medicare |
$341.84
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$958.42
|
| Rate for Payer: UHC Core |
$1,943.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$341.84
|
| Rate for Payer: UHC Exchange |
$653.29
|
| Rate for Payer: UHC Medicare Advantage |
$352.10
|
| Rate for Payer: UMR Bronson Commercial |
$989.51
|
| Rate for Payer: VA VA |
$341.84
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,005.76
|
|
|
HC MR MRA CHEST WO W CON
|
Facility
|
IP
|
$2,674.34
|
|
|
Service Code
|
HCPCS C8911
|
| Hospital Charge Code |
61000065
|
|
Hospital Revenue Code
|
618
|
| Min. Negotiated Rate |
$1,176.71 |
| Max. Negotiated Rate |
$2,406.91 |
| Rate for Payer: Aetna American Axle |
$1,738.32
|
| Rate for Payer: Aetna Commercial |
$2,273.19
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,738.32
|
| Rate for Payer: Cash Price |
$2,139.47
|
| Rate for Payer: Cofinity Commercial |
$1,872.04
|
| Rate for Payer: Cofinity Commercial |
$2,299.93
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,139.47
|
| Rate for Payer: Healthscope Commercial |
$2,406.91
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,872.04
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,005.76
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$2,273.19
|
| Rate for Payer: PHP Commercial |
$2,273.19
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,872.04
|
| Rate for Payer: Priority Health SBD |
$1,684.83
|
| Rate for Payer: UMR Bronson Commercial |
$1,176.71
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,005.76
|
|
|
HC MR MRA LOWR EXTREM BIL W CON
|
Facility
|
IP
|
$2,346.00
|
|
|
Service Code
|
HCPCS C8912
|
| Hospital Charge Code |
61000066
|
|
Hospital Revenue Code
|
610
|
| Min. Negotiated Rate |
$1,032.24 |
| Max. Negotiated Rate |
$2,111.40 |
| Rate for Payer: Aetna American Axle |
$1,524.90
|
| Rate for Payer: Aetna Commercial |
$1,994.10
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,524.90
|
| Rate for Payer: Cash Price |
$1,876.80
|
| Rate for Payer: Cofinity Commercial |
$1,642.20
|
| Rate for Payer: Cofinity Commercial |
$2,017.56
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,876.80
|
| Rate for Payer: Healthscope Commercial |
$2,111.40
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,642.20
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,759.50
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,994.10
|
| Rate for Payer: PHP Commercial |
$1,994.10
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,642.20
|
| Rate for Payer: Priority Health SBD |
$1,477.98
|
| Rate for Payer: UMR Bronson Commercial |
$1,032.24
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,759.50
|
|
|
HC MR MRA LOWR EXTREM BIL W CON
|
Facility
|
OP
|
$2,346.00
|
|
|
Service Code
|
HCPCS C8912
|
| Hospital Charge Code |
61000066
|
|
Hospital Revenue Code
|
610
|
| Min. Negotiated Rate |
$186.99 |
| Max. Negotiated Rate |
$2,111.40 |
| Rate for Payer: Aetna American Axle |
$1,524.90
|
| Rate for Payer: Aetna Commercial |
$1,994.10
|
| Rate for Payer: Aetna Medicare |
$355.51
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,524.90
|
| 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: BCN Medicare Advantage |
$341.84
|
| Rate for Payer: Cash Price |
$1,876.80
|
| Rate for Payer: Cash Price |
$1,876.80
|
| Rate for Payer: Cofinity Commercial |
$2,017.56
|
| Rate for Payer: Cofinity Commercial |
$1,642.20
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,876.80
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$341.84
|
| Rate for Payer: Healthscope Commercial |
$2,111.40
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,642.20
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,759.50
|
| 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 |
$1,994.10
|
| Rate for Payer: PACE Medicare |
$324.75
|
| Rate for Payer: PACE SWMI |
$341.84
|
| Rate for Payer: PHP Commercial |
$1,994.10
|
| 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 |
$1,642.20
|
| 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 |
$1,477.98
|
| Rate for Payer: Railroad Medicare Medicare |
$341.84
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$958.42
|
| Rate for Payer: UHC Core |
$1,943.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$341.84
|
| Rate for Payer: UHC Exchange |
$653.29
|
| Rate for Payer: UHC Medicare Advantage |
$352.10
|
| Rate for Payer: UMR Bronson Commercial |
$868.02
|
| Rate for Payer: VA VA |
$341.84
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,759.50
|
|
|
HC MR MRA LOWR EXTREM BIL WO CON
|
Facility
|
OP
|
$2,139.00
|
|
|
Service Code
|
HCPCS C8913
|
| Hospital Charge Code |
61000067
|
|
Hospital Revenue Code
|
610
|
| Min. Negotiated Rate |
$119.14 |
| Max. Negotiated Rate |
$1,943.00 |
| Rate for Payer: Aetna American Axle |
$1,390.35
|
| Rate for Payer: Aetna Commercial |
$1,818.15
|
| Rate for Payer: Aetna Medicare |
$226.52
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,390.35
|
| 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: BCN Medicare Advantage |
$217.81
|
| Rate for Payer: Cash Price |
$1,711.20
|
| Rate for Payer: Cash Price |
$1,711.20
|
| Rate for Payer: Cofinity Commercial |
$1,497.30
|
| Rate for Payer: Cofinity Commercial |
$1,839.54
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,711.20
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$217.81
|
| Rate for Payer: Healthscope Commercial |
$1,925.10
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,497.30
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,604.25
|
| 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 |
$1,818.15
|
| Rate for Payer: PACE Medicare |
$206.92
|
| Rate for Payer: PACE SWMI |
$217.81
|
| Rate for Payer: PHP Commercial |
$1,818.15
|
| 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 |
$1,497.30
|
| 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 |
$1,347.57
|
| Rate for Payer: Railroad Medicare Medicare |
$217.81
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$610.67
|
| Rate for Payer: UHC Core |
$1,943.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$217.81
|
| Rate for Payer: UHC Exchange |
$416.26
|
| Rate for Payer: UHC Medicare Advantage |
$224.34
|
| Rate for Payer: UMR Bronson Commercial |
$791.43
|
| Rate for Payer: VA VA |
$217.81
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,604.25
|
|
|
HC MR MRA LOWR EXTREM BIL WO CON
|
Facility
|
IP
|
$2,139.00
|
|
|
Service Code
|
HCPCS C8913
|
| Hospital Charge Code |
61000067
|
|
Hospital Revenue Code
|
610
|
| Min. Negotiated Rate |
$941.16 |
| Max. Negotiated Rate |
$1,925.10 |
| Rate for Payer: Aetna American Axle |
$1,390.35
|
| Rate for Payer: Aetna Commercial |
$1,818.15
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,390.35
|
| Rate for Payer: Cash Price |
$1,711.20
|
| Rate for Payer: Cofinity Commercial |
$1,497.30
|
| Rate for Payer: Cofinity Commercial |
$1,839.54
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,711.20
|
| Rate for Payer: Healthscope Commercial |
$1,925.10
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,497.30
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,604.25
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,818.15
|
| Rate for Payer: PHP Commercial |
$1,818.15
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,497.30
|
| Rate for Payer: Priority Health SBD |
$1,347.57
|
| Rate for Payer: UMR Bronson Commercial |
$941.16
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,604.25
|
|
|
HC MR MRA LOWR EXTREM BIL WO W
|
Facility
|
IP
|
$2,621.90
|
|
|
Service Code
|
HCPCS C8914
|
| Hospital Charge Code |
61000068
|
|
Hospital Revenue Code
|
610
|
| Min. Negotiated Rate |
$1,153.64 |
| Max. Negotiated Rate |
$2,359.71 |
| Rate for Payer: Aetna American Axle |
$1,704.24
|
| Rate for Payer: Aetna Commercial |
$2,228.62
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,704.24
|
| Rate for Payer: Cash Price |
$2,097.52
|
| Rate for Payer: Cofinity Commercial |
$1,835.33
|
| Rate for Payer: Cofinity Commercial |
$2,254.83
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,097.52
|
| Rate for Payer: Healthscope Commercial |
$2,359.71
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,835.33
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,966.42
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$2,228.62
|
| Rate for Payer: PHP Commercial |
$2,228.62
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,835.33
|
| Rate for Payer: Priority Health SBD |
$1,651.80
|
| Rate for Payer: UMR Bronson Commercial |
$1,153.64
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,966.42
|
|
|
HC MR MRA LOWR EXTREM BIL WO W
|
Facility
|
OP
|
$2,621.90
|
|
|
Service Code
|
HCPCS C8914
|
| Hospital Charge Code |
61000068
|
|
Hospital Revenue Code
|
610
|
| Min. Negotiated Rate |
$186.99 |
| Max. Negotiated Rate |
$2,359.71 |
| Rate for Payer: Aetna American Axle |
$1,704.24
|
| Rate for Payer: Aetna Commercial |
$2,228.62
|
| Rate for Payer: Aetna Medicare |
$355.51
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,704.24
|
| 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: BCN Medicare Advantage |
$341.84
|
| Rate for Payer: Cash Price |
$2,097.52
|
| Rate for Payer: Cash Price |
$2,097.52
|
| Rate for Payer: Cofinity Commercial |
$2,254.83
|
| Rate for Payer: Cofinity Commercial |
$1,835.33
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,097.52
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$341.84
|
| Rate for Payer: Healthscope Commercial |
$2,359.71
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,835.33
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,966.42
|
| 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 |
$2,228.62
|
| Rate for Payer: PACE Medicare |
$324.75
|
| Rate for Payer: PACE SWMI |
$341.84
|
| Rate for Payer: PHP Commercial |
$2,228.62
|
| 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 |
$1,835.33
|
| 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 |
$1,651.80
|
| Rate for Payer: Railroad Medicare Medicare |
$341.84
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$958.42
|
| Rate for Payer: UHC Core |
$1,943.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$341.84
|
| Rate for Payer: UHC Exchange |
$653.29
|
| Rate for Payer: UHC Medicare Advantage |
$352.10
|
| Rate for Payer: UMR Bronson Commercial |
$970.10
|
| Rate for Payer: VA VA |
$341.84
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,966.42
|
|
|
HC MR MRA LOWR EXTREM W CON
|
Facility
|
IP
|
$2,252.05
|
|
|
Service Code
|
HCPCS C8912
|
| Hospital Charge Code |
61000069
|
|
Hospital Revenue Code
|
610
|
| Min. Negotiated Rate |
$990.90 |
| Max. Negotiated Rate |
$2,026.84 |
| Rate for Payer: Aetna American Axle |
$1,463.83
|
| Rate for Payer: Aetna American Axle |
$2,195.75
|
| Rate for Payer: Aetna Commercial |
$1,914.24
|
| Rate for Payer: Aetna Commercial |
$2,871.37
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,195.75
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,463.83
|
| Rate for Payer: Cash Price |
$1,801.64
|
| Rate for Payer: Cash Price |
$2,702.46
|
| Rate for Payer: Cofinity Commercial |
$2,905.15
|
| Rate for Payer: Cofinity Commercial |
$1,936.76
|
| Rate for Payer: Cofinity Commercial |
$2,364.66
|
| Rate for Payer: Cofinity Commercial |
$1,576.44
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,801.64
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,702.46
|
| Rate for Payer: Healthscope Commercial |
$2,026.84
|
| Rate for Payer: Healthscope Commercial |
$3,040.27
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$2,364.66
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,576.44
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,689.04
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,533.56
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$2,871.37
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,914.24
|
| Rate for Payer: PHP Commercial |
$2,871.37
|
| Rate for Payer: PHP Commercial |
$1,914.24
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,364.66
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,576.44
|
| Rate for Payer: Priority Health SBD |
$1,418.79
|
| Rate for Payer: Priority Health SBD |
$2,128.19
|
| Rate for Payer: UMR Bronson Commercial |
$1,486.36
|
| Rate for Payer: UMR Bronson Commercial |
$990.90
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,689.04
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,533.56
|
|
|
HC MR MRA LOWR EXTREM W CON
|
Facility
|
OP
|
$3,378.08
|
|
|
Service Code
|
HCPCS C8912
|
| Hospital Charge Code |
61000069
|
|
Hospital Revenue Code
|
610
|
| Min. Negotiated Rate |
$186.99 |
| Max. Negotiated Rate |
$3,040.27 |
| Rate for Payer: Aetna American Axle |
$2,195.75
|
| Rate for Payer: Aetna American Axle |
$1,463.83
|
| Rate for Payer: Aetna Commercial |
$2,871.37
|
| Rate for Payer: Aetna Commercial |
$1,914.24
|
| Rate for Payer: Aetna Medicare |
$355.51
|
| Rate for Payer: Aetna Medicare |
$355.51
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,195.75
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,463.83
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$427.30
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$427.30
|
| Rate for Payer: Amish Plain Church Group Commercial |
$427.30
|
| Rate for Payer: Amish Plain Church Group Commercial |
$427.30
|
| Rate for Payer: BCBS Complete |
$196.35
|
| Rate for Payer: BCBS Complete |
$196.35
|
| Rate for Payer: BCBS MAPPO |
$341.84
|
| Rate for Payer: BCBS MAPPO |
$341.84
|
| Rate for Payer: BCN Medicare Advantage |
$341.84
|
| Rate for Payer: BCN Medicare Advantage |
$341.84
|
| Rate for Payer: Cash Price |
$2,702.46
|
| Rate for Payer: Cash Price |
$1,801.64
|
| Rate for Payer: Cash Price |
$1,801.64
|
| Rate for Payer: Cash Price |
$2,702.46
|
| Rate for Payer: Cofinity Commercial |
$1,576.44
|
| Rate for Payer: Cofinity Commercial |
$2,364.66
|
| Rate for Payer: Cofinity Commercial |
$2,905.15
|
| Rate for Payer: Cofinity Commercial |
$1,936.76
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,702.46
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,801.64
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$341.84
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$341.84
|
| Rate for Payer: Healthscope Commercial |
$2,026.84
|
| Rate for Payer: Healthscope Commercial |
$3,040.27
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,576.44
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$2,364.66
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,533.56
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,689.04
|
| Rate for Payer: Mclaren Medicaid |
$186.99
|
| Rate for Payer: Mclaren Medicaid |
$186.99
|
| Rate for Payer: Mclaren Medicare |
$341.84
|
| Rate for Payer: Mclaren Medicare |
$341.84
|
| Rate for Payer: Meridian Medicaid |
$196.35
|
| Rate for Payer: Meridian Medicaid |
$196.35
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$358.93
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$358.93
|
| Rate for Payer: MI Amish Medical Board Commercial |
$393.12
|
| Rate for Payer: MI Amish Medical Board Commercial |
$393.12
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$2,871.37
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,914.24
|
| Rate for Payer: PACE Medicare |
$324.75
|
| Rate for Payer: PACE Medicare |
$324.75
|
| Rate for Payer: PACE SWMI |
$341.84
|
| Rate for Payer: PACE SWMI |
$341.84
|
| Rate for Payer: PHP Commercial |
$1,914.24
|
| Rate for Payer: PHP Commercial |
$2,871.37
|
| Rate for Payer: PHP Medicare Advantage |
$341.84
|
| Rate for Payer: PHP Medicare Advantage |
$341.84
|
| Rate for Payer: Priority Health Choice Medicaid |
$186.99
|
| Rate for Payer: Priority Health Choice Medicaid |
$186.99
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,364.66
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,576.44
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,076.13
|
| 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 Medicare |
$341.84
|
| Rate for Payer: Priority Health Narrow Network |
$860.90
|
| Rate for Payer: Priority Health Narrow Network |
$860.90
|
| Rate for Payer: Priority Health SBD |
$1,418.79
|
| Rate for Payer: Priority Health SBD |
$2,128.19
|
| Rate for Payer: Railroad Medicare Medicare |
$341.84
|
| Rate for Payer: Railroad Medicare Medicare |
$341.84
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$958.42
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$958.42
|
| Rate for Payer: UHC Core |
$1,943.00
|
| Rate for Payer: UHC Core |
$1,943.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$341.84
|
| Rate for Payer: UHC Dual Complete DSNP |
$341.84
|
| Rate for Payer: UHC Exchange |
$653.29
|
| Rate for Payer: UHC Exchange |
$653.29
|
| Rate for Payer: UHC Medicare Advantage |
$352.10
|
| Rate for Payer: UHC Medicare Advantage |
$352.10
|
| Rate for Payer: UMR Bronson Commercial |
$833.26
|
| Rate for Payer: UMR Bronson Commercial |
$1,249.89
|
| Rate for Payer: VA VA |
$341.84
|
| Rate for Payer: VA VA |
$341.84
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,689.04
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,533.56
|
|
|
HC MR MRA LOWR EXTREM WO CON
|
Facility
|
OP
|
$3,167.10
|
|
|
Service Code
|
HCPCS C8913
|
| Hospital Charge Code |
61000070
|
|
Hospital Revenue Code
|
610
|
| Min. Negotiated Rate |
$119.14 |
| Max. Negotiated Rate |
$2,850.39 |
| Rate for Payer: Aetna American Axle |
$2,058.62
|
| Rate for Payer: Aetna American Axle |
$1,372.41
|
| Rate for Payer: Aetna Commercial |
$2,692.04
|
| Rate for Payer: Aetna Commercial |
$1,794.69
|
| Rate for Payer: Aetna Medicare |
$226.52
|
| Rate for Payer: Aetna Medicare |
$226.52
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,372.41
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,058.62
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$272.26
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$272.26
|
| Rate for Payer: Amish Plain Church Group Commercial |
$272.26
|
| Rate for Payer: Amish Plain Church Group Commercial |
$272.26
|
| Rate for Payer: BCBS Complete |
$125.11
|
| Rate for Payer: BCBS Complete |
$125.11
|
| Rate for Payer: BCBS MAPPO |
$217.81
|
| Rate for Payer: BCBS MAPPO |
$217.81
|
| Rate for Payer: BCN Medicare Advantage |
$217.81
|
| Rate for Payer: BCN Medicare Advantage |
$217.81
|
| Rate for Payer: Cash Price |
$1,689.12
|
| Rate for Payer: Cash Price |
$2,533.68
|
| Rate for Payer: Cash Price |
$1,689.12
|
| Rate for Payer: Cash Price |
$2,533.68
|
| Rate for Payer: Cofinity Commercial |
$2,216.97
|
| Rate for Payer: Cofinity Commercial |
$2,723.71
|
| Rate for Payer: Cofinity Commercial |
$1,477.98
|
| Rate for Payer: Cofinity Commercial |
$1,815.80
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,689.12
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,533.68
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$217.81
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$217.81
|
| Rate for Payer: Healthscope Commercial |
$2,850.39
|
| Rate for Payer: Healthscope Commercial |
$1,900.26
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$2,216.97
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,477.98
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,375.32
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,583.55
|
| Rate for Payer: Mclaren Medicaid |
$119.14
|
| Rate for Payer: Mclaren Medicaid |
$119.14
|
| Rate for Payer: Mclaren Medicare |
$217.81
|
| Rate for Payer: Mclaren Medicare |
$217.81
|
| Rate for Payer: Meridian Medicaid |
$125.11
|
| Rate for Payer: Meridian Medicaid |
$125.11
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$228.70
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$228.70
|
| Rate for Payer: MI Amish Medical Board Commercial |
$250.48
|
| Rate for Payer: MI Amish Medical Board Commercial |
$250.48
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,794.69
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$2,692.04
|
| Rate for Payer: PACE Medicare |
$206.92
|
| Rate for Payer: PACE Medicare |
$206.92
|
| Rate for Payer: PACE SWMI |
$217.81
|
| Rate for Payer: PACE SWMI |
$217.81
|
| Rate for Payer: PHP Commercial |
$1,794.69
|
| Rate for Payer: PHP Commercial |
$2,692.04
|
| Rate for Payer: PHP Medicare Advantage |
$217.81
|
| Rate for Payer: PHP Medicare Advantage |
$217.81
|
| Rate for Payer: Priority Health Choice Medicaid |
$119.14
|
| Rate for Payer: Priority Health Choice Medicaid |
$119.14
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,216.97
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,477.98
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$685.66
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$685.66
|
| Rate for Payer: Priority Health Medicare |
$217.81
|
| Rate for Payer: Priority Health Medicare |
$217.81
|
| Rate for Payer: Priority Health Narrow Network |
$548.53
|
| Rate for Payer: Priority Health Narrow Network |
$548.53
|
| Rate for Payer: Priority Health SBD |
$1,330.18
|
| Rate for Payer: Priority Health SBD |
$1,995.27
|
| Rate for Payer: Railroad Medicare Medicare |
$217.81
|
| Rate for Payer: Railroad Medicare Medicare |
$217.81
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$610.67
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$610.67
|
| Rate for Payer: UHC Core |
$1,943.00
|
| Rate for Payer: UHC Core |
$1,943.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$217.81
|
| Rate for Payer: UHC Dual Complete DSNP |
$217.81
|
| Rate for Payer: UHC Exchange |
$416.26
|
| Rate for Payer: UHC Exchange |
$416.26
|
| Rate for Payer: UHC Medicare Advantage |
$224.34
|
| Rate for Payer: UHC Medicare Advantage |
$224.34
|
| Rate for Payer: UMR Bronson Commercial |
$1,171.83
|
| Rate for Payer: UMR Bronson Commercial |
$781.22
|
| Rate for Payer: VA VA |
$217.81
|
| Rate for Payer: VA VA |
$217.81
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,583.55
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,375.32
|
|
|
HC MR MRA LOWR EXTREM WO CON
|
Facility
|
IP
|
$2,111.40
|
|
|
Service Code
|
HCPCS C8913
|
| Hospital Charge Code |
61000070
|
|
Hospital Revenue Code
|
610
|
| Min. Negotiated Rate |
$929.02 |
| Max. Negotiated Rate |
$1,900.26 |
| Rate for Payer: Aetna American Axle |
$1,372.41
|
| Rate for Payer: Aetna American Axle |
$2,058.62
|
| Rate for Payer: Aetna Commercial |
$2,692.04
|
| Rate for Payer: Aetna Commercial |
$1,794.69
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,372.41
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,058.62
|
| Rate for Payer: Cash Price |
$1,689.12
|
| Rate for Payer: Cash Price |
$2,533.68
|
| Rate for Payer: Cofinity Commercial |
$2,723.71
|
| Rate for Payer: Cofinity Commercial |
$1,477.98
|
| Rate for Payer: Cofinity Commercial |
$1,815.80
|
| Rate for Payer: Cofinity Commercial |
$2,216.97
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,533.68
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,689.12
|
| Rate for Payer: Healthscope Commercial |
$2,850.39
|
| Rate for Payer: Healthscope Commercial |
$1,900.26
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$2,216.97
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,477.98
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,583.55
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,375.32
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,794.69
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$2,692.04
|
| Rate for Payer: PHP Commercial |
$1,794.69
|
| Rate for Payer: PHP Commercial |
$2,692.04
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,477.98
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,216.97
|
| Rate for Payer: Priority Health SBD |
$1,330.18
|
| Rate for Payer: Priority Health SBD |
$1,995.27
|
| Rate for Payer: UMR Bronson Commercial |
$1,393.52
|
| Rate for Payer: UMR Bronson Commercial |
$929.02
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,583.55
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,375.32
|
|
|
HC MR MRA LOWR EXTREM WO W
|
Facility
|
IP
|
$2,533.57
|
|
|
Service Code
|
HCPCS C8914
|
| Hospital Charge Code |
61000071
|
|
Hospital Revenue Code
|
610
|
| Min. Negotiated Rate |
$1,114.77 |
| Max. Negotiated Rate |
$2,280.21 |
| Rate for Payer: Aetna American Axle |
$1,646.82
|
| Rate for Payer: Aetna American Axle |
$2,470.23
|
| Rate for Payer: Aetna Commercial |
$2,153.53
|
| Rate for Payer: Aetna Commercial |
$3,230.31
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,646.82
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,470.23
|
| Rate for Payer: Cash Price |
$3,040.29
|
| Rate for Payer: Cash Price |
$2,026.86
|
| Rate for Payer: Cofinity Commercial |
$1,773.50
|
| Rate for Payer: Cofinity Commercial |
$2,178.87
|
| Rate for Payer: Cofinity Commercial |
$3,268.31
|
| Rate for Payer: Cofinity Commercial |
$2,660.25
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,026.86
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,040.29
|
| Rate for Payer: Healthscope Commercial |
$3,420.32
|
| Rate for Payer: Healthscope Commercial |
$2,280.21
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,773.50
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$2,660.25
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,850.27
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,900.18
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$3,230.31
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$2,153.53
|
| Rate for Payer: PHP Commercial |
$3,230.31
|
| Rate for Payer: PHP Commercial |
$2,153.53
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,773.50
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,660.25
|
| Rate for Payer: Priority Health SBD |
$1,596.15
|
| Rate for Payer: Priority Health SBD |
$2,394.23
|
| Rate for Payer: UMR Bronson Commercial |
$1,114.77
|
| Rate for Payer: UMR Bronson Commercial |
$1,672.16
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,900.18
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,850.27
|
|
|
HC MR MRA LOWR EXTREM WO W
|
Facility
|
OP
|
$2,533.57
|
|
|
Service Code
|
HCPCS C8914
|
| Hospital Charge Code |
61000071
|
|
Hospital Revenue Code
|
610
|
| Min. Negotiated Rate |
$186.99 |
| Max. Negotiated Rate |
$2,280.21 |
| Rate for Payer: Aetna American Axle |
$1,646.82
|
| Rate for Payer: Aetna American Axle |
$2,470.23
|
| Rate for Payer: Aetna Commercial |
$3,230.31
|
| Rate for Payer: Aetna Commercial |
$2,153.53
|
| Rate for Payer: Aetna Medicare |
$355.51
|
| Rate for Payer: Aetna Medicare |
$355.51
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,470.23
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,646.82
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$427.30
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$427.30
|
| Rate for Payer: Amish Plain Church Group Commercial |
$427.30
|
| Rate for Payer: Amish Plain Church Group Commercial |
$427.30
|
| Rate for Payer: BCBS Complete |
$196.35
|
| Rate for Payer: BCBS Complete |
$196.35
|
| Rate for Payer: BCBS MAPPO |
$341.84
|
| Rate for Payer: BCBS MAPPO |
$341.84
|
| Rate for Payer: BCN Medicare Advantage |
$341.84
|
| Rate for Payer: BCN Medicare Advantage |
$341.84
|
| Rate for Payer: Cash Price |
$2,026.86
|
| Rate for Payer: Cash Price |
$2,026.86
|
| Rate for Payer: Cash Price |
$3,040.29
|
| Rate for Payer: Cash Price |
$3,040.29
|
| Rate for Payer: Cofinity Commercial |
$1,773.50
|
| Rate for Payer: Cofinity Commercial |
$3,268.31
|
| Rate for Payer: Cofinity Commercial |
$2,660.25
|
| Rate for Payer: Cofinity Commercial |
$2,178.87
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,040.29
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,026.86
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$341.84
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$341.84
|
| Rate for Payer: Healthscope Commercial |
$3,420.32
|
| Rate for Payer: Healthscope Commercial |
$2,280.21
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$2,660.25
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,773.50
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,900.18
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,850.27
|
| Rate for Payer: Mclaren Medicaid |
$186.99
|
| Rate for Payer: Mclaren Medicaid |
$186.99
|
| Rate for Payer: Mclaren Medicare |
$341.84
|
| Rate for Payer: Mclaren Medicare |
$341.84
|
| Rate for Payer: Meridian Medicaid |
$196.35
|
| Rate for Payer: Meridian Medicaid |
$196.35
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$358.93
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$358.93
|
| Rate for Payer: MI Amish Medical Board Commercial |
$393.12
|
| Rate for Payer: MI Amish Medical Board Commercial |
$393.12
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$2,153.53
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$3,230.31
|
| Rate for Payer: PACE Medicare |
$324.75
|
| Rate for Payer: PACE Medicare |
$324.75
|
| Rate for Payer: PACE SWMI |
$341.84
|
| Rate for Payer: PACE SWMI |
$341.84
|
| Rate for Payer: PHP Commercial |
$3,230.31
|
| Rate for Payer: PHP Commercial |
$2,153.53
|
| Rate for Payer: PHP Medicare Advantage |
$341.84
|
| Rate for Payer: PHP Medicare Advantage |
$341.84
|
| Rate for Payer: Priority Health Choice Medicaid |
$186.99
|
| Rate for Payer: Priority Health Choice Medicaid |
$186.99
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,660.25
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,773.50
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,076.13
|
| 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 Medicare |
$341.84
|
| Rate for Payer: Priority Health Narrow Network |
$860.90
|
| Rate for Payer: Priority Health Narrow Network |
$860.90
|
| Rate for Payer: Priority Health SBD |
$1,596.15
|
| Rate for Payer: Priority Health SBD |
$2,394.23
|
| Rate for Payer: Railroad Medicare Medicare |
$341.84
|
| Rate for Payer: Railroad Medicare Medicare |
$341.84
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$958.42
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$958.42
|
| Rate for Payer: UHC Core |
$1,943.00
|
| Rate for Payer: UHC Core |
$1,943.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$341.84
|
| Rate for Payer: UHC Dual Complete DSNP |
$341.84
|
| Rate for Payer: UHC Exchange |
$653.29
|
| Rate for Payer: UHC Exchange |
$653.29
|
| Rate for Payer: UHC Medicare Advantage |
$352.10
|
| Rate for Payer: UHC Medicare Advantage |
$352.10
|
| Rate for Payer: UMR Bronson Commercial |
$1,406.13
|
| Rate for Payer: UMR Bronson Commercial |
$937.42
|
| Rate for Payer: VA VA |
$341.84
|
| Rate for Payer: VA VA |
$341.84
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,850.27
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,900.18
|
|
|
HC MR MRA NECK W CON
|
Facility
|
IP
|
$2,357.48
|
|
|
Service Code
|
CPT 70548
|
| Hospital Charge Code |
61000008
|
|
Hospital Revenue Code
|
610
|
| Min. Negotiated Rate |
$1,037.29 |
| Max. Negotiated Rate |
$2,121.73 |
| Rate for Payer: Aetna American Axle |
$1,532.36
|
| Rate for Payer: Aetna Commercial |
$2,003.86
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,532.36
|
| Rate for Payer: Cash Price |
$1,885.98
|
| Rate for Payer: Cofinity Commercial |
$1,650.24
|
| Rate for Payer: Cofinity Commercial |
$2,027.43
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,885.98
|
| Rate for Payer: Healthscope Commercial |
$2,121.73
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,650.24
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,768.11
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$2,003.86
|
| Rate for Payer: PHP Commercial |
$2,003.86
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,650.24
|
| Rate for Payer: Priority Health SBD |
$1,485.21
|
| Rate for Payer: UMR Bronson Commercial |
$1,037.29
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,768.11
|
|
|
HC MR MRA NECK W CON
|
Facility
|
OP
|
$2,357.48
|
|
|
Service Code
|
CPT 70548
|
| Hospital Charge Code |
61000008
|
|
Hospital Revenue Code
|
610
|
| Min. Negotiated Rate |
$186.99 |
| Max. Negotiated Rate |
$2,121.73 |
| Rate for Payer: Aetna American Axle |
$1,532.36
|
| Rate for Payer: Aetna Commercial |
$2,003.86
|
| Rate for Payer: Aetna Medicare |
$355.51
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,532.36
|
| 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 |
$352.21
|
| Rate for Payer: BCN Medicare Advantage |
$341.84
|
| Rate for Payer: Cash Price |
$1,885.98
|
| Rate for Payer: Cash Price |
$1,885.98
|
| Rate for Payer: Cofinity Commercial |
$1,650.24
|
| Rate for Payer: Cofinity Commercial |
$2,027.43
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,885.98
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$341.84
|
| Rate for Payer: Healthscope Commercial |
$2,121.73
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,650.24
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,768.11
|
| 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 |
$2,003.86
|
| Rate for Payer: PACE Medicare |
$324.75
|
| Rate for Payer: PACE SWMI |
$341.84
|
| Rate for Payer: PHP Commercial |
$2,003.86
|
| 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 |
$1,650.24
|
| 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 |
$1,485.21
|
| Rate for Payer: Railroad Medicare Medicare |
$341.84
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$273.38
|
| Rate for Payer: UHC Core |
$1,943.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$341.84
|
| Rate for Payer: UHC Exchange |
$248.53
|
| Rate for Payer: UHC Medicare Advantage |
$352.10
|
| Rate for Payer: UMR Bronson Commercial |
$872.27
|
| Rate for Payer: VA VA |
$341.84
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,768.11
|
|
|
HC MR MRA NECK WO CON
|
Facility
|
OP
|
$1,965.54
|
|
|
Service Code
|
CPT 70547
|
| Hospital Charge Code |
61000007
|
|
Hospital Revenue Code
|
610
|
| Min. Negotiated Rate |
$119.14 |
| Max. Negotiated Rate |
$1,943.00 |
| Rate for Payer: Aetna American Axle |
$1,277.60
|
| Rate for Payer: Aetna Commercial |
$1,670.71
|
| Rate for Payer: Aetna Medicare |
$226.52
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,277.60
|
| 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 |
$318.64
|
| Rate for Payer: BCN Medicare Advantage |
$217.81
|
| Rate for Payer: Cash Price |
$1,572.43
|
| Rate for Payer: Cash Price |
$1,572.43
|
| Rate for Payer: Cofinity Commercial |
$1,375.88
|
| Rate for Payer: Cofinity Commercial |
$1,690.36
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,572.43
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$217.81
|
| Rate for Payer: Healthscope Commercial |
$1,768.99
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,375.88
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,474.16
|
| 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 |
$1,670.71
|
| Rate for Payer: PACE Medicare |
$206.92
|
| Rate for Payer: PACE SWMI |
$217.81
|
| Rate for Payer: PHP Commercial |
$1,670.71
|
| 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 |
$1,375.88
|
| 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 |
$1,238.29
|
| Rate for Payer: Railroad Medicare Medicare |
$217.81
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$239.89
|
| Rate for Payer: UHC Core |
$1,943.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$217.81
|
| Rate for Payer: UHC Exchange |
$218.08
|
| Rate for Payer: UHC Medicare Advantage |
$224.34
|
| Rate for Payer: UMR Bronson Commercial |
$727.25
|
| Rate for Payer: VA VA |
$217.81
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,474.16
|
|
|
HC MR MRA NECK WO CON
|
Facility
|
IP
|
$1,965.54
|
|
|
Service Code
|
CPT 70547
|
| Hospital Charge Code |
61000007
|
|
Hospital Revenue Code
|
610
|
| Min. Negotiated Rate |
$864.84 |
| Max. Negotiated Rate |
$1,768.99 |
| Rate for Payer: Aetna American Axle |
$1,277.60
|
| Rate for Payer: Aetna Commercial |
$1,670.71
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,277.60
|
| Rate for Payer: Cash Price |
$1,572.43
|
| Rate for Payer: Cofinity Commercial |
$1,375.88
|
| Rate for Payer: Cofinity Commercial |
$1,690.36
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,572.43
|
| Rate for Payer: Healthscope Commercial |
$1,768.99
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,375.88
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,474.16
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,670.71
|
| Rate for Payer: PHP Commercial |
$1,670.71
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,375.88
|
| Rate for Payer: Priority Health SBD |
$1,238.29
|
| Rate for Payer: UMR Bronson Commercial |
$864.84
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,474.16
|
|
|
HC MR MRA NECK WO W CON
|
Facility
|
OP
|
$2,771.09
|
|
|
Service Code
|
CPT 70549
|
| Hospital Charge Code |
61000009
|
|
Hospital Revenue Code
|
615
|
| Min. Negotiated Rate |
$186.99 |
| Max. Negotiated Rate |
$2,493.98 |
| Rate for Payer: Aetna American Axle |
$1,801.21
|
| Rate for Payer: Aetna Commercial |
$2,355.43
|
| Rate for Payer: Aetna Medicare |
$355.51
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,801.21
|
| 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 |
$521.99
|
| Rate for Payer: BCN Medicare Advantage |
$341.84
|
| Rate for Payer: Cash Price |
$2,216.87
|
| Rate for Payer: Cash Price |
$2,216.87
|
| Rate for Payer: Cofinity Commercial |
$2,383.14
|
| Rate for Payer: Cofinity Commercial |
$1,939.76
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,216.87
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$341.84
|
| Rate for Payer: Healthscope Commercial |
$2,493.98
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,939.76
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,078.32
|
| 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 |
$2,355.43
|
| Rate for Payer: PACE Medicare |
$324.75
|
| Rate for Payer: PACE SWMI |
$341.84
|
| Rate for Payer: PHP Commercial |
$2,355.43
|
| 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 |
$1,939.76
|
| 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 |
$1,745.79
|
| Rate for Payer: Railroad Medicare Medicare |
$341.84
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$383.96
|
| Rate for Payer: UHC Core |
$1,943.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$341.84
|
| Rate for Payer: UHC Exchange |
$349.05
|
| Rate for Payer: UHC Medicare Advantage |
$352.10
|
| Rate for Payer: UMR Bronson Commercial |
$1,025.30
|
| Rate for Payer: VA VA |
$341.84
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,078.32
|
|
|
HC MR MRA NECK WO W CON
|
Facility
|
IP
|
$2,771.09
|
|
|
Service Code
|
CPT 70549
|
| Hospital Charge Code |
61000009
|
|
Hospital Revenue Code
|
615
|
| Min. Negotiated Rate |
$1,219.28 |
| Max. Negotiated Rate |
$2,493.98 |
| Rate for Payer: Aetna American Axle |
$1,801.21
|
| Rate for Payer: Aetna Commercial |
$2,355.43
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,801.21
|
| Rate for Payer: Cash Price |
$2,216.87
|
| Rate for Payer: Cofinity Commercial |
$1,939.76
|
| Rate for Payer: Cofinity Commercial |
$2,383.14
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,216.87
|
| Rate for Payer: Healthscope Commercial |
$2,493.98
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,939.76
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,078.32
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$2,355.43
|
| Rate for Payer: PHP Commercial |
$2,355.43
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,939.76
|
| Rate for Payer: Priority Health SBD |
$1,745.79
|
| Rate for Payer: UMR Bronson Commercial |
$1,219.28
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,078.32
|
|
|
HC MR MRA PELVIS W CON
|
Facility
|
OP
|
$2,000.90
|
|
|
Service Code
|
HCPCS C8918
|
| Hospital Charge Code |
61800001
|
|
Hospital Revenue Code
|
618
|
| Min. Negotiated Rate |
$186.99 |
| Max. Negotiated Rate |
$1,943.00 |
| Rate for Payer: Aetna American Axle |
$1,300.58
|
| Rate for Payer: Aetna Commercial |
$1,700.76
|
| Rate for Payer: Aetna Medicare |
$355.51
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,300.58
|
| 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: BCN Medicare Advantage |
$341.84
|
| Rate for Payer: Cash Price |
$1,600.72
|
| Rate for Payer: Cash Price |
$1,600.72
|
| Rate for Payer: Cofinity Commercial |
$1,720.77
|
| Rate for Payer: Cofinity Commercial |
$1,400.63
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,600.72
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$341.84
|
| Rate for Payer: Healthscope Commercial |
$1,800.81
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,400.63
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,500.68
|
| 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 |
$1,700.76
|
| Rate for Payer: PACE Medicare |
$324.75
|
| Rate for Payer: PACE SWMI |
$341.84
|
| Rate for Payer: PHP Commercial |
$1,700.76
|
| 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 |
$1,400.63
|
| 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 |
$1,260.57
|
| Rate for Payer: Railroad Medicare Medicare |
$341.84
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$958.42
|
| Rate for Payer: UHC Core |
$1,943.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$341.84
|
| Rate for Payer: UHC Exchange |
$653.29
|
| Rate for Payer: UHC Medicare Advantage |
$352.10
|
| Rate for Payer: UMR Bronson Commercial |
$740.33
|
| Rate for Payer: VA VA |
$341.84
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,500.68
|
|
|
HC MR MRA PELVIS W CON
|
Facility
|
IP
|
$2,000.90
|
|
|
Service Code
|
HCPCS C8918
|
| Hospital Charge Code |
61800001
|
|
Hospital Revenue Code
|
618
|
| Min. Negotiated Rate |
$880.40 |
| Max. Negotiated Rate |
$1,800.81 |
| Rate for Payer: Aetna American Axle |
$1,300.58
|
| Rate for Payer: Aetna Commercial |
$1,700.76
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,300.58
|
| Rate for Payer: Cash Price |
$1,600.72
|
| Rate for Payer: Cofinity Commercial |
$1,400.63
|
| Rate for Payer: Cofinity Commercial |
$1,720.77
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,600.72
|
| Rate for Payer: Healthscope Commercial |
$1,800.81
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,400.63
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,500.68
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,700.76
|
| Rate for Payer: PHP Commercial |
$1,700.76
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,400.63
|
| Rate for Payer: Priority Health SBD |
$1,260.57
|
| Rate for Payer: UMR Bronson Commercial |
$880.40
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,500.68
|
|
|
HC MR MRA PELVIS WO CON
|
Facility
|
IP
|
$1,862.90
|
|
|
Service Code
|
HCPCS C8919
|
| Hospital Charge Code |
61800002
|
|
Hospital Revenue Code
|
618
|
| Min. Negotiated Rate |
$819.68 |
| Max. Negotiated Rate |
$1,676.61 |
| Rate for Payer: Aetna American Axle |
$1,210.88
|
| Rate for Payer: Aetna Commercial |
$1,583.46
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,210.88
|
| Rate for Payer: Cash Price |
$1,490.32
|
| Rate for Payer: Cofinity Commercial |
$1,304.03
|
| Rate for Payer: Cofinity Commercial |
$1,602.09
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,490.32
|
| Rate for Payer: Healthscope Commercial |
$1,676.61
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,304.03
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,397.18
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,583.46
|
| Rate for Payer: PHP Commercial |
$1,583.46
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,304.03
|
| Rate for Payer: Priority Health SBD |
$1,173.63
|
| Rate for Payer: UMR Bronson Commercial |
$819.68
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,397.18
|
|
|
HC MR MRA PELVIS WO CON
|
Facility
|
OP
|
$1,862.90
|
|
|
Service Code
|
HCPCS C8919
|
| Hospital Charge Code |
61800002
|
|
Hospital Revenue Code
|
618
|
| Min. Negotiated Rate |
$119.14 |
| Max. Negotiated Rate |
$1,943.00 |
| Rate for Payer: Aetna American Axle |
$1,210.88
|
| Rate for Payer: Aetna Commercial |
$1,583.46
|
| Rate for Payer: Aetna Medicare |
$226.52
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,210.88
|
| 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: BCN Medicare Advantage |
$217.81
|
| Rate for Payer: Cash Price |
$1,490.32
|
| Rate for Payer: Cash Price |
$1,490.32
|
| Rate for Payer: Cofinity Commercial |
$1,602.09
|
| Rate for Payer: Cofinity Commercial |
$1,304.03
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,490.32
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$217.81
|
| Rate for Payer: Healthscope Commercial |
$1,676.61
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,304.03
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,397.18
|
| 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 |
$1,583.46
|
| Rate for Payer: PACE Medicare |
$206.92
|
| Rate for Payer: PACE SWMI |
$217.81
|
| Rate for Payer: PHP Commercial |
$1,583.46
|
| 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 |
$1,304.03
|
| 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 |
$1,173.63
|
| Rate for Payer: Railroad Medicare Medicare |
$217.81
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$610.67
|
| Rate for Payer: UHC Core |
$1,943.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$217.81
|
| Rate for Payer: UHC Exchange |
$416.26
|
| Rate for Payer: UHC Medicare Advantage |
$224.34
|
| Rate for Payer: UMR Bronson Commercial |
$689.27
|
| Rate for Payer: VA VA |
$217.81
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,397.18
|
|
