|
HC ENDOSCOPIC MUCOSAL RESECTION
|
Facility
|
IP
|
$2,826.77
|
|
| Hospital Charge Code |
36000118
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$1,243.78 |
| Max. Negotiated Rate |
$2,544.09 |
| Rate for Payer: Aetna American Axle |
$1,837.40
|
| Rate for Payer: Aetna Commercial |
$2,402.75
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,837.40
|
| Rate for Payer: Cash Price |
$2,261.42
|
| Rate for Payer: Cofinity Advantage |
$1,978.74
|
| Rate for Payer: Cofinity Commercial |
$2,431.02
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,261.42
|
| Rate for Payer: Healthscope Commercial |
$2,544.09
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,978.74
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,120.08
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,402.75
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,120.08
|
| Rate for Payer: PHP Commercial |
$2,402.75
|
| Rate for Payer: Priority Health SBD |
$1,780.87
|
| Rate for Payer: UMR Bronson Commercial |
$1,243.78
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,120.08
|
|
|
HC ENDOSCOPIC MUCOSAL RESECTION COLD
|
Facility
|
IP
|
$8,177.54
|
|
| Hospital Charge Code |
36000121
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$3,598.12 |
| Max. Negotiated Rate |
$7,359.79 |
| Rate for Payer: Aetna American Axle |
$5,315.40
|
| Rate for Payer: Aetna Commercial |
$6,950.91
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$5,315.40
|
| Rate for Payer: Cash Price |
$6,542.03
|
| Rate for Payer: Cofinity Advantage |
$5,724.28
|
| Rate for Payer: Cofinity Commercial |
$7,032.68
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$6,542.03
|
| Rate for Payer: Healthscope Commercial |
$7,359.79
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$5,724.28
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$6,133.15
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$6,950.91
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$6,133.15
|
| Rate for Payer: PHP Commercial |
$6,950.91
|
| Rate for Payer: Priority Health SBD |
$5,151.85
|
| Rate for Payer: UMR Bronson Commercial |
$3,598.12
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$6,133.15
|
|
|
HC ENDOSCOPIC MUCOSAL RESECTION COLD
|
Facility
|
OP
|
$8,177.54
|
|
| Hospital Charge Code |
36000121
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$3,025.69 |
| Max. Negotiated Rate |
$7,359.79 |
| Rate for Payer: Aetna American Axle |
$5,315.40
|
| Rate for Payer: Aetna Commercial |
$6,950.91
|
| Rate for Payer: Aetna Medicare |
$4,088.77
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$5,315.40
|
| Rate for Payer: BCBS Complete |
$3,271.02
|
| Rate for Payer: Cash Price |
$6,542.03
|
| Rate for Payer: Cofinity Advantage |
$5,724.28
|
| Rate for Payer: Cofinity Commercial |
$7,032.68
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$6,542.03
|
| Rate for Payer: Healthscope Commercial |
$7,359.79
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$5,724.28
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$6,133.15
|
| Rate for Payer: MI Amish Medical Board Commercial |
$6,542.03
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$6,950.91
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$6,133.15
|
| Rate for Payer: PHP Commercial |
$6,950.91
|
| Rate for Payer: Priority Health SBD |
$5,151.85
|
| Rate for Payer: UMR Bronson Commercial |
$3,025.69
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$6,133.15
|
|
|
HC ENDOSCOPIC MUCOSAL RESECTION HOT
|
Facility
|
IP
|
$8,177.54
|
|
| Hospital Charge Code |
36000122
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$3,598.12 |
| Max. Negotiated Rate |
$7,359.79 |
| Rate for Payer: Aetna American Axle |
$5,315.40
|
| Rate for Payer: Aetna Commercial |
$6,950.91
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$5,315.40
|
| Rate for Payer: Cash Price |
$6,542.03
|
| Rate for Payer: Cofinity Advantage |
$5,724.28
|
| Rate for Payer: Cofinity Commercial |
$7,032.68
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$6,542.03
|
| Rate for Payer: Healthscope Commercial |
$7,359.79
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$5,724.28
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$6,133.15
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$6,950.91
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$6,133.15
|
| Rate for Payer: PHP Commercial |
$6,950.91
|
| Rate for Payer: Priority Health SBD |
$5,151.85
|
| Rate for Payer: UMR Bronson Commercial |
$3,598.12
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$6,133.15
|
|
|
HC ENDOSCOPIC MUCOSAL RESECTION HOT
|
Facility
|
OP
|
$8,177.54
|
|
| Hospital Charge Code |
36000122
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$3,025.69 |
| Max. Negotiated Rate |
$7,359.79 |
| Rate for Payer: Aetna American Axle |
$5,315.40
|
| Rate for Payer: Aetna Commercial |
$6,950.91
|
| Rate for Payer: Aetna Medicare |
$4,088.77
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$5,315.40
|
| Rate for Payer: BCBS Complete |
$3,271.02
|
| Rate for Payer: Cash Price |
$6,542.03
|
| Rate for Payer: Cofinity Advantage |
$5,724.28
|
| Rate for Payer: Cofinity Commercial |
$7,032.68
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$6,542.03
|
| Rate for Payer: Healthscope Commercial |
$7,359.79
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$5,724.28
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$6,133.15
|
| Rate for Payer: MI Amish Medical Board Commercial |
$6,542.03
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$6,950.91
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$6,133.15
|
| Rate for Payer: PHP Commercial |
$6,950.91
|
| Rate for Payer: Priority Health SBD |
$5,151.85
|
| Rate for Payer: UMR Bronson Commercial |
$3,025.69
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$6,133.15
|
|
|
HC ENDOSCOPIC SUBMUCOSAL DISSECTION
|
Facility
|
IP
|
$5,204.08
|
|
| Hospital Charge Code |
36000119
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$2,289.80 |
| Max. Negotiated Rate |
$4,683.67 |
| Rate for Payer: Aetna American Axle |
$3,382.65
|
| Rate for Payer: Aetna Commercial |
$4,423.47
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$3,382.65
|
| Rate for Payer: Cash Price |
$4,163.26
|
| Rate for Payer: Cofinity Advantage |
$3,642.86
|
| Rate for Payer: Cofinity Commercial |
$4,475.51
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$4,163.26
|
| Rate for Payer: Healthscope Commercial |
$4,683.67
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$3,642.86
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$3,903.06
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$4,423.47
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$3,903.06
|
| Rate for Payer: PHP Commercial |
$4,423.47
|
| Rate for Payer: Priority Health SBD |
$3,278.57
|
| Rate for Payer: UMR Bronson Commercial |
$2,289.80
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$3,903.06
|
|
|
HC ENDOSCOPIC SUBMUCOSAL DISSECTION
|
Facility
|
OP
|
$5,204.08
|
|
| Hospital Charge Code |
36000119
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$1,925.51 |
| Max. Negotiated Rate |
$4,683.67 |
| Rate for Payer: Aetna American Axle |
$3,382.65
|
| Rate for Payer: Aetna Commercial |
$4,423.47
|
| Rate for Payer: Aetna Medicare |
$2,602.04
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$3,382.65
|
| Rate for Payer: BCBS Complete |
$2,081.63
|
| Rate for Payer: Cash Price |
$4,163.26
|
| Rate for Payer: Cofinity Advantage |
$3,642.86
|
| Rate for Payer: Cofinity Commercial |
$4,475.51
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$4,163.26
|
| Rate for Payer: Healthscope Commercial |
$4,683.67
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$3,642.86
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$3,903.06
|
| Rate for Payer: MI Amish Medical Board Commercial |
$4,163.26
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$4,423.47
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$3,903.06
|
| Rate for Payer: PHP Commercial |
$4,423.47
|
| Rate for Payer: Priority Health SBD |
$3,278.57
|
| Rate for Payer: UMR Bronson Commercial |
$1,925.51
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$3,903.06
|
|
|
HC ENDO STENT PLACEMENT
|
Facility
|
IP
|
$804.23
|
|
| Hospital Charge Code |
36000114
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$353.86 |
| Max. Negotiated Rate |
$723.81 |
| Rate for Payer: Aetna American Axle |
$522.75
|
| Rate for Payer: Aetna Commercial |
$683.60
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$522.75
|
| Rate for Payer: Cash Price |
$643.38
|
| Rate for Payer: Cofinity Advantage |
$562.96
|
| Rate for Payer: Cofinity Commercial |
$691.64
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$643.38
|
| Rate for Payer: Healthscope Commercial |
$723.81
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$562.96
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$603.17
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$683.60
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$603.17
|
| Rate for Payer: PHP Commercial |
$683.60
|
| Rate for Payer: Priority Health SBD |
$506.66
|
| Rate for Payer: UMR Bronson Commercial |
$353.86
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$603.17
|
|
|
HC ENDO STENT PLACEMENT
|
Facility
|
OP
|
$804.23
|
|
| Hospital Charge Code |
36000114
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$297.57 |
| Max. Negotiated Rate |
$723.81 |
| Rate for Payer: Aetna American Axle |
$522.75
|
| Rate for Payer: Aetna Commercial |
$683.60
|
| Rate for Payer: Aetna Medicare |
$402.12
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$522.75
|
| Rate for Payer: BCBS Complete |
$321.69
|
| Rate for Payer: Cash Price |
$643.38
|
| Rate for Payer: Cofinity Advantage |
$562.96
|
| Rate for Payer: Cofinity Commercial |
$691.64
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$643.38
|
| Rate for Payer: Healthscope Commercial |
$723.81
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$562.96
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$603.17
|
| Rate for Payer: MI Amish Medical Board Commercial |
$643.38
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$683.60
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$603.17
|
| Rate for Payer: PHP Commercial |
$683.60
|
| Rate for Payer: Priority Health SBD |
$506.66
|
| Rate for Payer: UMR Bronson Commercial |
$297.57
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$603.17
|
|
|
HC ENDOVEN ABLTJ INCMPTNT VEIN XTR LASER 2ND+ VEINS
|
Facility
|
IP
|
$3,056.70
|
|
|
Service Code
|
CPT 36479
|
| Hospital Charge Code |
76100407
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$1,344.95 |
| Max. Negotiated Rate |
$2,751.03 |
| Rate for Payer: Aetna American Axle |
$1,986.86
|
| Rate for Payer: Aetna Commercial |
$2,598.20
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,986.86
|
| Rate for Payer: Cash Price |
$2,445.36
|
| Rate for Payer: Cofinity Advantage |
$2,139.69
|
| Rate for Payer: Cofinity Commercial |
$2,628.76
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,445.36
|
| Rate for Payer: Healthscope Commercial |
$2,751.03
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$2,139.69
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,292.53
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,598.20
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,292.53
|
| Rate for Payer: PHP Commercial |
$2,598.20
|
| Rate for Payer: Priority Health SBD |
$1,925.72
|
| Rate for Payer: UMR Bronson Commercial |
$1,344.95
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,292.53
|
|
|
HC ENDOVEN ABLTJ INCMPTNT VEIN XTR LASER 2ND+ VEINS
|
Facility
|
OP
|
$3,056.70
|
|
|
Service Code
|
CPT 36479
|
| Hospital Charge Code |
76100407
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$1,130.98 |
| Max. Negotiated Rate |
$2,751.03 |
| Rate for Payer: Aetna American Axle |
$1,986.86
|
| Rate for Payer: Aetna Commercial |
$2,598.20
|
| Rate for Payer: Aetna Medicare |
$1,528.35
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,986.86
|
| Rate for Payer: BCBS Complete |
$1,222.68
|
| Rate for Payer: BCBS Trust/PPO |
$1,344.76
|
| Rate for Payer: BCN Commercial |
$1,344.76
|
| Rate for Payer: Cash Price |
$2,445.36
|
| Rate for Payer: Cash Price |
$2,445.36
|
| Rate for Payer: Cash Price |
$2,445.36
|
| Rate for Payer: Cofinity Advantage |
$2,139.69
|
| Rate for Payer: Cofinity Commercial |
$2,628.76
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,445.36
|
| Rate for Payer: Healthscope Commercial |
$2,751.03
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$2,139.69
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,292.53
|
| Rate for Payer: MI Amish Medical Board Commercial |
$2,445.36
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,598.20
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,292.53
|
| Rate for Payer: PHP Commercial |
$2,598.20
|
| Rate for Payer: Priority Health SBD |
$1,925.72
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,986.86
|
| Rate for Payer: UHC Core |
$1,592.54
|
| Rate for Payer: UHC Exchange |
$1,201.28
|
| Rate for Payer: UMR Bronson Commercial |
$1,130.98
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,292.53
|
|
|
HC ENDOVENOUS ABLAT EXTR W IMAGING PERC FIRST VEIN
|
Facility
|
IP
|
$4,160.46
|
|
|
Service Code
|
CPT 36473
|
| Hospital Charge Code |
36100523
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$1,830.60 |
| Max. Negotiated Rate |
$3,744.41 |
| Rate for Payer: Aetna American Axle |
$2,704.30
|
| Rate for Payer: Aetna Commercial |
$3,536.39
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,704.30
|
| Rate for Payer: Cash Price |
$3,328.37
|
| Rate for Payer: Cofinity Advantage |
$2,912.32
|
| Rate for Payer: Cofinity Commercial |
$3,578.00
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,328.37
|
| Rate for Payer: Healthscope Commercial |
$3,744.41
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$2,912.32
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$3,120.34
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,536.39
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$3,120.34
|
| Rate for Payer: PHP Commercial |
$3,536.39
|
| Rate for Payer: Priority Health SBD |
$2,621.09
|
| Rate for Payer: UMR Bronson Commercial |
$1,830.60
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$3,120.34
|
|
|
HC ENDOVENOUS ABLAT EXTR W IMAGING PERC FIRST VEIN
|
Facility
|
OP
|
$4,160.46
|
|
|
Service Code
|
CPT 36473
|
| Hospital Charge Code |
36100523
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$1,539.37 |
| Max. Negotiated Rate |
$10,174.29 |
| Rate for Payer: Aetna American Axle |
$2,704.30
|
| Rate for Payer: Aetna Commercial |
$3,536.39
|
| Rate for Payer: Aetna Medicare |
$3,271.98
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,704.30
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$3,932.66
|
| Rate for Payer: Amish Plain Church Group Commercial |
$3,932.66
|
| Rate for Payer: BCBS Complete |
$1,727.85
|
| Rate for Payer: BCBS MAPPO |
$3,146.13
|
| Rate for Payer: BCN Medicare Advantage |
$3,146.13
|
| Rate for Payer: Cash Price |
$3,328.37
|
| Rate for Payer: Cash Price |
$3,328.37
|
| Rate for Payer: Cofinity Advantage |
$2,912.32
|
| Rate for Payer: Cofinity Commercial |
$3,578.00
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,328.37
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$3,146.13
|
| Rate for Payer: Healthscope Commercial |
$3,744.41
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$2,912.32
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$3,120.34
|
| Rate for Payer: Mclaren Medicaid |
$3,146.13
|
| Rate for Payer: Mclaren Medicare |
$3,146.13
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$3,303.44
|
| Rate for Payer: Meridian Medicaid |
$3,303.44
|
| Rate for Payer: MI Amish Medical Board Commercial |
$3,618.05
|
| Rate for Payer: Molina Medicare/Medicaid |
$3,460.74
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,536.39
|
| Rate for Payer: Nomi Health Commercial |
$9,438.39
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$3,120.34
|
| Rate for Payer: PACE Medicare |
$2,988.82
|
| Rate for Payer: PACE SWMI |
$3,146.13
|
| Rate for Payer: PHP Commercial |
$3,536.39
|
| Rate for Payer: PHP Medicare Advantage |
$3,146.13
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,645.43
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$10,174.29
|
| Rate for Payer: Priority Health Medicare |
$3,146.13
|
| Rate for Payer: Priority Health SBD |
$2,621.09
|
| Rate for Payer: Priority Health Tiered Network |
$8,139.43
|
| Rate for Payer: Railroad Medicare Medicare |
$3,146.13
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$3,146.13
|
| Rate for Payer: UHC Medicaid |
$1,645.43
|
| Rate for Payer: UHCCP Medicaid |
$1,645.43
|
| Rate for Payer: UMR Bronson Commercial |
$1,539.37
|
| Rate for Payer: VA VA |
$3,146.13
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$3,120.34
|
|
|
HC ENDOVENOUS ABLAT SUBS VEIN SEP ACCESS SITE EXTR
|
Facility
|
IP
|
$266.76
|
|
|
Service Code
|
CPT 36474
|
| Hospital Charge Code |
36100524
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$117.37 |
| Max. Negotiated Rate |
$240.08 |
| Rate for Payer: Aetna American Axle |
$173.39
|
| Rate for Payer: Aetna Commercial |
$226.75
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$173.39
|
| Rate for Payer: Cash Price |
$213.41
|
| Rate for Payer: Cofinity Advantage |
$186.73
|
| Rate for Payer: Cofinity Commercial |
$229.41
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$213.41
|
| Rate for Payer: Healthscope Commercial |
$240.08
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$186.73
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$200.07
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$226.75
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$200.07
|
| Rate for Payer: PHP Commercial |
$226.75
|
| Rate for Payer: Priority Health SBD |
$168.06
|
| Rate for Payer: UMR Bronson Commercial |
$117.37
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$200.07
|
|
|
HC ENDOVENOUS ABLAT SUBS VEIN SEP ACCESS SITE EXTR
|
Facility
|
OP
|
$266.76
|
|
|
Service Code
|
CPT 36474
|
| Hospital Charge Code |
36100524
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$98.70 |
| Max. Negotiated Rate |
$240.08 |
| Rate for Payer: Aetna American Axle |
$173.39
|
| Rate for Payer: Aetna Commercial |
$226.75
|
| Rate for Payer: Aetna Medicare |
$133.38
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$173.39
|
| Rate for Payer: BCBS Complete |
$106.70
|
| Rate for Payer: Cash Price |
$213.41
|
| Rate for Payer: Cofinity Advantage |
$186.73
|
| Rate for Payer: Cofinity Commercial |
$229.41
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$213.41
|
| Rate for Payer: Healthscope Commercial |
$240.08
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$186.73
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$200.07
|
| Rate for Payer: MI Amish Medical Board Commercial |
$213.41
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$226.75
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$200.07
|
| Rate for Payer: PHP Commercial |
$226.75
|
| Rate for Payer: Priority Health SBD |
$168.06
|
| Rate for Payer: UMR Bronson Commercial |
$98.70
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$200.07
|
|
|
HC ENDOVENOUS LASER 1ST VEIN
|
Facility
|
IP
|
$4,204.81
|
|
|
Service Code
|
CPT 36478
|
| Hospital Charge Code |
76100184
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$1,850.12 |
| Max. Negotiated Rate |
$3,784.33 |
| Rate for Payer: Aetna American Axle |
$2,733.13
|
| Rate for Payer: Aetna Commercial |
$3,574.09
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,733.13
|
| Rate for Payer: Cash Price |
$3,363.85
|
| Rate for Payer: Cofinity Advantage |
$2,943.37
|
| Rate for Payer: Cofinity Commercial |
$3,616.14
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,363.85
|
| Rate for Payer: Healthscope Commercial |
$3,784.33
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$2,943.37
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$3,153.61
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,574.09
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$3,153.61
|
| Rate for Payer: PHP Commercial |
$3,574.09
|
| Rate for Payer: Priority Health SBD |
$2,649.03
|
| Rate for Payer: UMR Bronson Commercial |
$1,850.12
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$3,153.61
|
|
|
HC ENDOVENOUS LASER 1ST VEIN
|
Facility
|
OP
|
$4,204.81
|
|
|
Service Code
|
CPT 36478
|
| Hospital Charge Code |
76100184
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$1,555.78 |
| Max. Negotiated Rate |
$10,174.29 |
| Rate for Payer: Aetna American Axle |
$2,733.13
|
| Rate for Payer: Aetna Commercial |
$3,574.09
|
| Rate for Payer: Aetna Medicare |
$3,271.98
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,733.13
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$3,932.66
|
| Rate for Payer: Amish Plain Church Group Commercial |
$3,932.66
|
| Rate for Payer: BCBS Complete |
$1,727.85
|
| Rate for Payer: BCBS MAPPO |
$3,146.13
|
| Rate for Payer: BCBS Trust/PPO |
$3,131.84
|
| Rate for Payer: BCN Commercial |
$3,131.84
|
| Rate for Payer: BCN Medicare Advantage |
$3,146.13
|
| Rate for Payer: Cash Price |
$3,363.85
|
| Rate for Payer: Cash Price |
$3,363.85
|
| Rate for Payer: Cash Price |
$3,363.85
|
| Rate for Payer: Cofinity Advantage |
$2,943.37
|
| Rate for Payer: Cofinity Commercial |
$3,616.14
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,363.85
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$3,146.13
|
| Rate for Payer: Healthscope Commercial |
$3,784.33
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$2,943.37
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$3,153.61
|
| Rate for Payer: Mclaren Medicaid |
$3,146.13
|
| Rate for Payer: Mclaren Medicare |
$3,146.13
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$3,303.44
|
| Rate for Payer: Meridian Medicaid |
$3,303.44
|
| Rate for Payer: MI Amish Medical Board Commercial |
$3,618.05
|
| Rate for Payer: Molina Medicare/Medicaid |
$3,460.74
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,574.09
|
| Rate for Payer: Nomi Health Commercial |
$9,438.39
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$3,153.61
|
| Rate for Payer: PACE Medicare |
$2,988.82
|
| Rate for Payer: PACE SWMI |
$3,146.13
|
| Rate for Payer: PHP Commercial |
$3,574.09
|
| Rate for Payer: PHP Medicare Advantage |
$3,146.13
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,645.43
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$10,174.29
|
| Rate for Payer: Priority Health Medicare |
$3,146.13
|
| Rate for Payer: Priority Health SBD |
$2,649.03
|
| Rate for Payer: Priority Health Tiered Network |
$8,139.43
|
| Rate for Payer: Railroad Medicare Medicare |
$3,146.13
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,733.13
|
| Rate for Payer: UHC Core |
$2,190.71
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$3,146.13
|
| Rate for Payer: UHC Exchange |
$1,652.49
|
| Rate for Payer: UHC Medicaid |
$1,645.43
|
| Rate for Payer: UHCCP Medicaid |
$1,645.43
|
| Rate for Payer: UMR Bronson Commercial |
$1,555.78
|
| Rate for Payer: VA VA |
$3,146.13
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$3,153.61
|
|
|
HC ENDOVENT
|
Facility
|
IP
|
$4,901.65
|
|
| Hospital Charge Code |
27000099
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$2,156.73 |
| Max. Negotiated Rate |
$4,411.48 |
| Rate for Payer: Aetna American Axle |
$3,186.07
|
| Rate for Payer: Aetna Commercial |
$4,166.40
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$3,186.07
|
| Rate for Payer: Cash Price |
$3,921.32
|
| Rate for Payer: Cofinity Advantage |
$3,431.16
|
| Rate for Payer: Cofinity Commercial |
$4,215.42
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,921.32
|
| Rate for Payer: Healthscope Commercial |
$4,411.48
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$3,431.16
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$3,676.24
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$4,166.40
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$3,676.24
|
| Rate for Payer: PHP Commercial |
$4,166.40
|
| Rate for Payer: Priority Health SBD |
$3,088.04
|
| Rate for Payer: UMR Bronson Commercial |
$2,156.73
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$3,676.24
|
|
|
HC ENDOVENT
|
Facility
|
OP
|
$4,901.65
|
|
| Hospital Charge Code |
27000099
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$1,813.61 |
| Max. Negotiated Rate |
$4,411.48 |
| Rate for Payer: Aetna American Axle |
$3,186.07
|
| Rate for Payer: Aetna Commercial |
$4,166.40
|
| Rate for Payer: Aetna Medicare |
$2,450.82
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$3,186.07
|
| Rate for Payer: BCBS Complete |
$1,960.66
|
| Rate for Payer: Cash Price |
$3,921.32
|
| Rate for Payer: Cofinity Advantage |
$3,431.16
|
| Rate for Payer: Cofinity Commercial |
$4,215.42
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,921.32
|
| Rate for Payer: Healthscope Commercial |
$4,411.48
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$3,431.16
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$3,676.24
|
| Rate for Payer: MI Amish Medical Board Commercial |
$3,921.32
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$4,166.40
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$3,676.24
|
| Rate for Payer: PHP Commercial |
$4,166.40
|
| Rate for Payer: Priority Health SBD |
$3,088.04
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$3,186.07
|
| Rate for Payer: UHC Core |
$2,553.76
|
| Rate for Payer: UHC Exchange |
$1,926.35
|
| Rate for Payer: UMR Bronson Commercial |
$1,813.61
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$3,676.24
|
|
|
HC ENGLISH PLANTAIN IGE
|
Facility
|
OP
|
$25.90
|
|
|
Service Code
|
CPT 86003
|
| Hospital Charge Code |
30200084
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$2.73 |
| Max. Negotiated Rate |
$23.31 |
| Rate for Payer: Aetna American Axle |
$16.84
|
| Rate for Payer: Aetna Commercial |
$22.02
|
| Rate for Payer: Aetna Medicare |
$5.43
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$16.84
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$6.53
|
| Rate for Payer: Amish Plain Church Group Commercial |
$6.53
|
| Rate for Payer: BCBS Complete |
$2.87
|
| Rate for Payer: BCBS MAPPO |
$5.22
|
| Rate for Payer: BCBS Trust/PPO |
$6.04
|
| Rate for Payer: BCN Commercial |
$6.04
|
| Rate for Payer: BCN Medicare Advantage |
$5.22
|
| Rate for Payer: Cash Price |
$20.72
|
| Rate for Payer: Cash Price |
$20.72
|
| Rate for Payer: Cofinity Advantage |
$18.13
|
| Rate for Payer: Cofinity Commercial |
$22.27
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$20.72
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$5.22
|
| Rate for Payer: Healthscope Commercial |
$23.31
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$18.13
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$19.43
|
| Rate for Payer: Mclaren Medicaid |
$5.22
|
| Rate for Payer: Mclaren Medicare |
$5.22
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$5.48
|
| Rate for Payer: Meridian Medicaid |
$5.48
|
| Rate for Payer: MI Amish Medical Board Commercial |
$6.00
|
| Rate for Payer: Molina Medicare/Medicaid |
$5.74
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$22.02
|
| Rate for Payer: Nomi Health Commercial |
$7.83
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$19.43
|
| Rate for Payer: PACE Medicare |
$4.96
|
| Rate for Payer: PACE SWMI |
$5.22
|
| Rate for Payer: PHP Commercial |
$22.02
|
| Rate for Payer: PHP Medicare Advantage |
$5.22
|
| Rate for Payer: Priority Health Choice Medicaid |
$2.73
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$5.22
|
| Rate for Payer: Priority Health Medicare |
$5.22
|
| Rate for Payer: Priority Health SBD |
$16.32
|
| Rate for Payer: Priority Health Tiered Network |
$4.18
|
| Rate for Payer: Railroad Medicare Medicare |
$5.22
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$7.83
|
| Rate for Payer: UHC Core |
$7.83
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$5.22
|
| Rate for Payer: UHC Exchange |
$7.83
|
| Rate for Payer: UHC Medicaid |
$2.73
|
| Rate for Payer: UHCCP Medicaid |
$2.73
|
| Rate for Payer: UMR Bronson Commercial |
$9.58
|
| Rate for Payer: VA VA |
$5.22
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$19.43
|
|
|
HC ENGLISH PLANTAIN IGE
|
Facility
|
IP
|
$25.90
|
|
|
Service Code
|
CPT 86003
|
| Hospital Charge Code |
30200084
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$11.40 |
| Max. Negotiated Rate |
$23.31 |
| Rate for Payer: Aetna American Axle |
$16.84
|
| Rate for Payer: Aetna Commercial |
$22.02
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$16.84
|
| Rate for Payer: Cash Price |
$20.72
|
| Rate for Payer: Cofinity Advantage |
$18.13
|
| Rate for Payer: Cofinity Commercial |
$22.27
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$20.72
|
| Rate for Payer: Healthscope Commercial |
$23.31
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$18.13
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$19.43
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$22.02
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$19.43
|
| Rate for Payer: PHP Commercial |
$22.02
|
| Rate for Payer: Priority Health SBD |
$16.32
|
| Rate for Payer: UMR Bronson Commercial |
$11.40
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$19.43
|
|
|
HC ENSITE NAVX KIT
|
Facility
|
IP
|
$4,897.16
|
|
| Hospital Charge Code |
27200121
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$2,154.75 |
| Max. Negotiated Rate |
$4,407.44 |
| Rate for Payer: Aetna American Axle |
$3,183.15
|
| Rate for Payer: Aetna Commercial |
$4,162.59
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$3,183.15
|
| Rate for Payer: Cash Price |
$3,917.73
|
| Rate for Payer: Cofinity Advantage |
$3,428.01
|
| Rate for Payer: Cofinity Commercial |
$4,211.56
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,917.73
|
| Rate for Payer: Healthscope Commercial |
$4,407.44
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$3,428.01
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$3,672.87
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$4,162.59
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$3,672.87
|
| Rate for Payer: PHP Commercial |
$4,162.59
|
| Rate for Payer: Priority Health SBD |
$3,085.21
|
| Rate for Payer: UMR Bronson Commercial |
$2,154.75
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$3,672.87
|
|
|
HC ENSITE NAVX KIT
|
Facility
|
OP
|
$4,897.16
|
|
| Hospital Charge Code |
27200121
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$1,811.95 |
| Max. Negotiated Rate |
$4,407.44 |
| Rate for Payer: Aetna American Axle |
$3,183.15
|
| Rate for Payer: Aetna Commercial |
$4,162.59
|
| Rate for Payer: Aetna Medicare |
$2,448.58
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$3,183.15
|
| Rate for Payer: BCBS Complete |
$1,958.86
|
| Rate for Payer: Cash Price |
$3,917.73
|
| Rate for Payer: Cofinity Advantage |
$3,428.01
|
| Rate for Payer: Cofinity Commercial |
$4,211.56
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,917.73
|
| Rate for Payer: Healthscope Commercial |
$4,407.44
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$3,428.01
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$3,672.87
|
| Rate for Payer: MI Amish Medical Board Commercial |
$3,917.73
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$4,162.59
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$3,672.87
|
| Rate for Payer: PHP Commercial |
$4,162.59
|
| Rate for Payer: Priority Health SBD |
$3,085.21
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$3,183.15
|
| Rate for Payer: UHC Core |
$2,551.42
|
| Rate for Payer: UHC Exchange |
$1,924.58
|
| Rate for Payer: UMR Bronson Commercial |
$1,811.95
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$3,672.87
|
|
|
HC ENTEROVIRUS
|
Facility
|
OP
|
$53.06
|
|
|
Service Code
|
CPT 87498
|
| Hospital Charge Code |
30600267
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$18.35 |
| Max. Negotiated Rate |
$52.64 |
| Rate for Payer: Aetna American Axle |
$34.49
|
| Rate for Payer: Aetna Commercial |
$45.10
|
| Rate for Payer: Aetna Medicare |
$36.49
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$34.49
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$43.86
|
| Rate for Payer: Amish Plain Church Group Commercial |
$43.86
|
| Rate for Payer: BCBS Complete |
$19.27
|
| Rate for Payer: BCBS MAPPO |
$35.09
|
| Rate for Payer: BCBS Trust/PPO |
$40.57
|
| Rate for Payer: BCN Commercial |
$40.57
|
| Rate for Payer: BCN Medicare Advantage |
$35.09
|
| Rate for Payer: Cash Price |
$42.45
|
| Rate for Payer: Cash Price |
$42.45
|
| Rate for Payer: Cofinity Advantage |
$37.14
|
| Rate for Payer: Cofinity Commercial |
$45.63
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$42.45
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$35.09
|
| Rate for Payer: Healthscope Commercial |
$47.75
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$37.14
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$39.80
|
| Rate for Payer: Mclaren Medicaid |
$35.09
|
| Rate for Payer: Mclaren Medicare |
$35.09
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$36.84
|
| Rate for Payer: Meridian Medicaid |
$36.84
|
| Rate for Payer: MI Amish Medical Board Commercial |
$40.35
|
| Rate for Payer: Molina Medicare/Medicaid |
$38.60
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$45.10
|
| Rate for Payer: Nomi Health Commercial |
$52.63
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$39.80
|
| Rate for Payer: PACE Medicare |
$33.34
|
| Rate for Payer: PACE SWMI |
$35.09
|
| Rate for Payer: PHP Commercial |
$45.10
|
| Rate for Payer: PHP Medicare Advantage |
$35.09
|
| Rate for Payer: Priority Health Choice Medicaid |
$18.35
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$35.09
|
| Rate for Payer: Priority Health Medicare |
$35.09
|
| Rate for Payer: Priority Health SBD |
$33.43
|
| Rate for Payer: Priority Health Tiered Network |
$28.07
|
| Rate for Payer: Railroad Medicare Medicare |
$35.09
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$52.64
|
| Rate for Payer: UHC Core |
$52.64
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$35.09
|
| Rate for Payer: UHC Exchange |
$52.64
|
| Rate for Payer: UHC Medicaid |
$18.35
|
| Rate for Payer: UHCCP Medicaid |
$18.35
|
| Rate for Payer: UMR Bronson Commercial |
$19.63
|
| Rate for Payer: VA VA |
$35.09
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$39.80
|
|
|
HC ENTEROVIRUS
|
Facility
|
IP
|
$53.06
|
|
|
Service Code
|
CPT 87498
|
| Hospital Charge Code |
30600267
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$23.35 |
| Max. Negotiated Rate |
$47.75 |
| Rate for Payer: Aetna American Axle |
$34.49
|
| Rate for Payer: Aetna Commercial |
$45.10
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$34.49
|
| Rate for Payer: Cash Price |
$42.45
|
| Rate for Payer: Cofinity Advantage |
$37.14
|
| Rate for Payer: Cofinity Commercial |
$45.63
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$42.45
|
| Rate for Payer: Healthscope Commercial |
$47.75
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$37.14
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$39.80
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$45.10
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$39.80
|
| Rate for Payer: PHP Commercial |
$45.10
|
| Rate for Payer: Priority Health SBD |
$33.43
|
| Rate for Payer: UMR Bronson Commercial |
$23.35
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$39.80
|
|
