|
HC EXERCISE CHALLENGE
|
Facility
|
IP
|
$1,040.64
|
|
|
Service Code
|
CPT 93464
|
| Hospital Charge Code |
48100108
|
|
Hospital Revenue Code
|
481
|
| Min. Negotiated Rate |
$457.88 |
| Max. Negotiated Rate |
$936.58 |
| Rate for Payer: Aetna American Axle |
$676.42
|
| Rate for Payer: Aetna Commercial |
$884.54
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$676.42
|
| Rate for Payer: Cash Price |
$832.51
|
| Rate for Payer: Cofinity Advantage |
$728.45
|
| Rate for Payer: Cofinity Commercial |
$894.95
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$832.51
|
| Rate for Payer: Healthscope Commercial |
$936.58
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$728.45
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$780.48
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$884.54
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$780.48
|
| Rate for Payer: PHP Commercial |
$884.54
|
| Rate for Payer: Priority Health SBD |
$655.60
|
| Rate for Payer: UMR Bronson Commercial |
$457.88
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$780.48
|
|
|
HC EXERCISE TEST FOR BRONCHOSPASM W/EKG
|
Facility
|
IP
|
$349.77
|
|
|
Service Code
|
CPT 94617
|
| Hospital Charge Code |
46000033
|
|
Hospital Revenue Code
|
460
|
| Min. Negotiated Rate |
$153.90 |
| Max. Negotiated Rate |
$314.79 |
| Rate for Payer: Aetna American Axle |
$227.35
|
| Rate for Payer: Aetna Commercial |
$297.30
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$227.35
|
| Rate for Payer: Cash Price |
$279.82
|
| Rate for Payer: Cofinity Advantage |
$244.84
|
| Rate for Payer: Cofinity Commercial |
$300.80
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$279.82
|
| Rate for Payer: Healthscope Commercial |
$314.79
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$244.84
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$262.33
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$297.30
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$262.33
|
| Rate for Payer: PHP Commercial |
$297.30
|
| Rate for Payer: Priority Health SBD |
$220.36
|
| Rate for Payer: UMR Bronson Commercial |
$153.90
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$262.33
|
|
|
HC EXERCISE TEST FOR BRONCHOSPASM W/EKG
|
Facility
|
OP
|
$349.77
|
|
|
Service Code
|
CPT 94617
|
| Hospital Charge Code |
46000033
|
|
Hospital Revenue Code
|
460
|
| Min. Negotiated Rate |
$69.33 |
| Max. Negotiated Rate |
$428.73 |
| Rate for Payer: Aetna American Axle |
$227.35
|
| Rate for Payer: Aetna Commercial |
$297.30
|
| Rate for Payer: Aetna Medicare |
$137.87
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$227.35
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$165.71
|
| Rate for Payer: Amish Plain Church Group Commercial |
$165.71
|
| Rate for Payer: BCBS Complete |
$72.81
|
| Rate for Payer: BCBS MAPPO |
$132.57
|
| Rate for Payer: BCBS Trust/PPO |
$246.57
|
| Rate for Payer: BCN Commercial |
$246.57
|
| Rate for Payer: BCN Medicare Advantage |
$132.57
|
| Rate for Payer: Cash Price |
$279.82
|
| Rate for Payer: Cash Price |
$279.82
|
| Rate for Payer: Cofinity Advantage |
$244.84
|
| Rate for Payer: Cofinity Commercial |
$300.80
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$279.82
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$132.57
|
| Rate for Payer: Healthscope Commercial |
$314.79
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$244.84
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$262.33
|
| Rate for Payer: Mclaren Medicaid |
$132.57
|
| Rate for Payer: Mclaren Medicare |
$132.57
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$139.20
|
| Rate for Payer: Meridian Medicaid |
$139.20
|
| Rate for Payer: MI Amish Medical Board Commercial |
$152.46
|
| Rate for Payer: Molina Medicare/Medicaid |
$145.83
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$297.30
|
| Rate for Payer: Nomi Health Commercial |
$397.71
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$262.33
|
| Rate for Payer: PACE Medicare |
$125.94
|
| Rate for Payer: PACE SWMI |
$132.57
|
| Rate for Payer: PHP Commercial |
$297.30
|
| Rate for Payer: PHP Medicare Advantage |
$132.57
|
| Rate for Payer: Priority Health Choice Medicaid |
$69.33
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$428.73
|
| Rate for Payer: Priority Health Medicare |
$132.57
|
| Rate for Payer: Priority Health SBD |
$220.36
|
| Rate for Payer: Priority Health Tiered Network |
$342.98
|
| Rate for Payer: Railroad Medicare Medicare |
$132.57
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$227.35
|
| Rate for Payer: UHC Core |
$182.23
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$132.57
|
| Rate for Payer: UHC Exchange |
$137.46
|
| Rate for Payer: UHC Medicaid |
$69.33
|
| Rate for Payer: UHCCP Medicaid |
$69.33
|
| Rate for Payer: UMR Bronson Commercial |
$129.41
|
| Rate for Payer: VA VA |
$132.57
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$262.33
|
|
|
HC EXERCISE TEST FOR BRONCHOSPASM WO ECG
|
Facility
|
OP
|
$138.98
|
|
|
Service Code
|
CPT 94619
|
| Hospital Charge Code |
46000032
|
|
Hospital Revenue Code
|
460
|
| Min. Negotiated Rate |
$30.74 |
| Max. Negotiated Rate |
$190.09 |
| Rate for Payer: Aetna American Axle |
$90.34
|
| Rate for Payer: Aetna Commercial |
$118.13
|
| Rate for Payer: Aetna Medicare |
$61.13
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$90.34
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$73.47
|
| Rate for Payer: Amish Plain Church Group Commercial |
$73.47
|
| Rate for Payer: BCBS Complete |
$32.28
|
| Rate for Payer: BCBS MAPPO |
$58.78
|
| Rate for Payer: BCBS Trust/PPO |
$187.39
|
| Rate for Payer: BCN Commercial |
$187.39
|
| Rate for Payer: BCN Medicare Advantage |
$58.78
|
| Rate for Payer: Cash Price |
$111.18
|
| Rate for Payer: Cash Price |
$111.18
|
| Rate for Payer: Cofinity Advantage |
$97.29
|
| Rate for Payer: Cofinity Commercial |
$119.52
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$111.18
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$58.78
|
| Rate for Payer: Healthscope Commercial |
$125.08
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$97.29
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$104.23
|
| Rate for Payer: Mclaren Medicaid |
$58.78
|
| Rate for Payer: Mclaren Medicare |
$58.78
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$61.72
|
| Rate for Payer: Meridian Medicaid |
$61.72
|
| Rate for Payer: MI Amish Medical Board Commercial |
$67.60
|
| Rate for Payer: Molina Medicare/Medicaid |
$64.66
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$118.13
|
| Rate for Payer: Nomi Health Commercial |
$176.34
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$104.23
|
| Rate for Payer: PACE Medicare |
$55.84
|
| Rate for Payer: PACE SWMI |
$58.78
|
| Rate for Payer: PHP Commercial |
$118.13
|
| Rate for Payer: PHP Medicare Advantage |
$58.78
|
| Rate for Payer: Priority Health Choice Medicaid |
$30.74
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$190.09
|
| Rate for Payer: Priority Health Medicare |
$58.78
|
| Rate for Payer: Priority Health SBD |
$87.56
|
| Rate for Payer: Priority Health Tiered Network |
$152.07
|
| Rate for Payer: Railroad Medicare Medicare |
$58.78
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$90.34
|
| Rate for Payer: UHC Core |
$72.41
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$58.78
|
| Rate for Payer: UHC Exchange |
$54.62
|
| Rate for Payer: UHC Medicaid |
$30.74
|
| Rate for Payer: UHCCP Medicaid |
$30.74
|
| Rate for Payer: UMR Bronson Commercial |
$51.42
|
| Rate for Payer: VA VA |
$58.78
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$104.23
|
|
|
HC EXERCISE TEST FOR BRONCHOSPASM WO ECG
|
Facility
|
IP
|
$138.98
|
|
|
Service Code
|
CPT 94619
|
| Hospital Charge Code |
46000032
|
|
Hospital Revenue Code
|
460
|
| Min. Negotiated Rate |
$61.15 |
| Max. Negotiated Rate |
$125.08 |
| Rate for Payer: Aetna American Axle |
$90.34
|
| Rate for Payer: Aetna Commercial |
$118.13
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$90.34
|
| Rate for Payer: Cash Price |
$111.18
|
| Rate for Payer: Cofinity Advantage |
$97.29
|
| Rate for Payer: Cofinity Commercial |
$119.52
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$111.18
|
| Rate for Payer: Healthscope Commercial |
$125.08
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$97.29
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$104.23
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$118.13
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$104.23
|
| Rate for Payer: PHP Commercial |
$118.13
|
| Rate for Payer: Priority Health SBD |
$87.56
|
| Rate for Payer: UMR Bronson Commercial |
$61.15
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$104.23
|
|
|
HC EXPLORE WOUND EXTREMITY
|
Facility
|
OP
|
$1,981.19
|
|
|
Service Code
|
CPT 20103
|
| Hospital Charge Code |
45000007
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$733.04 |
| Max. Negotiated Rate |
$5,321.93 |
| Rate for Payer: Aetna American Axle |
$1,287.77
|
| Rate for Payer: Aetna Commercial |
$1,684.01
|
| Rate for Payer: Aetna Medicare |
$1,711.49
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,287.77
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$2,057.07
|
| Rate for Payer: Amish Plain Church Group Commercial |
$2,057.07
|
| Rate for Payer: BCBS Complete |
$903.80
|
| Rate for Payer: BCBS MAPPO |
$1,645.66
|
| Rate for Payer: BCBS Trust/PPO |
$965.82
|
| Rate for Payer: BCN Commercial |
$965.82
|
| Rate for Payer: BCN Medicare Advantage |
$1,645.66
|
| Rate for Payer: Cash Price |
$1,584.95
|
| Rate for Payer: Cash Price |
$1,584.95
|
| Rate for Payer: Cash Price |
$1,584.95
|
| Rate for Payer: Cofinity Advantage |
$1,386.83
|
| Rate for Payer: Cofinity Commercial |
$1,703.82
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,584.95
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,645.66
|
| Rate for Payer: Healthscope Commercial |
$1,783.07
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,386.83
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,485.89
|
| Rate for Payer: Mclaren Medicaid |
$1,645.66
|
| Rate for Payer: Mclaren Medicare |
$1,645.66
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,727.94
|
| Rate for Payer: Meridian Medicaid |
$1,727.94
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,892.51
|
| Rate for Payer: Molina Medicare/Medicaid |
$1,810.23
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,684.01
|
| Rate for Payer: Nomi Health Commercial |
$4,936.98
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,485.89
|
| Rate for Payer: PACE Medicare |
$1,563.38
|
| Rate for Payer: PACE SWMI |
$1,645.66
|
| Rate for Payer: PHP Commercial |
$1,684.01
|
| Rate for Payer: PHP Medicare Advantage |
$1,645.66
|
| Rate for Payer: Priority Health Choice Medicaid |
$860.68
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$5,321.93
|
| Rate for Payer: Priority Health Medicare |
$1,645.66
|
| Rate for Payer: Priority Health SBD |
$1,248.15
|
| Rate for Payer: Priority Health Tiered Network |
$4,257.54
|
| Rate for Payer: Railroad Medicare Medicare |
$1,645.66
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,287.77
|
| Rate for Payer: UHC Core |
$1,032.20
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$1,645.66
|
| Rate for Payer: UHC Exchange |
$778.61
|
| Rate for Payer: UHC Medicaid |
$860.68
|
| Rate for Payer: UHCCP Medicaid |
$860.68
|
| Rate for Payer: UMR Bronson Commercial |
$733.04
|
| Rate for Payer: VA VA |
$1,645.66
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,485.89
|
|
|
HC EXPLORE WOUND EXTREMITY
|
Facility
|
IP
|
$1,981.19
|
|
|
Service Code
|
CPT 20103
|
| Hospital Charge Code |
45000007
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$871.72 |
| Max. Negotiated Rate |
$1,783.07 |
| Rate for Payer: Aetna American Axle |
$1,287.77
|
| Rate for Payer: Aetna Commercial |
$1,684.01
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,287.77
|
| Rate for Payer: Cash Price |
$1,584.95
|
| Rate for Payer: Cofinity Advantage |
$1,386.83
|
| Rate for Payer: Cofinity Commercial |
$1,703.82
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,584.95
|
| Rate for Payer: Healthscope Commercial |
$1,783.07
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,386.83
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,485.89
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,684.01
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,485.89
|
| Rate for Payer: PHP Commercial |
$1,684.01
|
| Rate for Payer: Priority Health SBD |
$1,248.15
|
| Rate for Payer: UMR Bronson Commercial |
$871.72
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,485.89
|
|
|
HC EXTENDED RECOVERY 0-6 HRS
|
Facility
|
OP
|
$1,796.14
|
|
| Hospital Charge Code |
71000005
|
|
Hospital Revenue Code
|
710
|
| Min. Negotiated Rate |
$664.57 |
| Max. Negotiated Rate |
$1,616.53 |
| Rate for Payer: Aetna American Axle |
$1,167.49
|
| Rate for Payer: Aetna Commercial |
$1,526.72
|
| Rate for Payer: Aetna Medicare |
$898.07
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,167.49
|
| Rate for Payer: BCBS Complete |
$718.46
|
| Rate for Payer: Cash Price |
$1,436.91
|
| Rate for Payer: Cofinity Advantage |
$1,257.30
|
| Rate for Payer: Cofinity Commercial |
$1,544.68
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,436.91
|
| Rate for Payer: Healthscope Commercial |
$1,616.53
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,257.30
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,347.11
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,436.91
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,526.72
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,347.11
|
| Rate for Payer: PHP Commercial |
$1,526.72
|
| Rate for Payer: Priority Health SBD |
$1,131.57
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,167.49
|
| Rate for Payer: UHC Core |
$935.79
|
| Rate for Payer: UHC Exchange |
$705.88
|
| Rate for Payer: UMR Bronson Commercial |
$664.57
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,347.11
|
|
|
HC EXTENDED RECOVERY 0-6 HRS
|
Facility
|
IP
|
$1,796.14
|
|
| Hospital Charge Code |
71000005
|
|
Hospital Revenue Code
|
710
|
| Min. Negotiated Rate |
$790.30 |
| Max. Negotiated Rate |
$1,616.53 |
| Rate for Payer: Aetna American Axle |
$1,167.49
|
| Rate for Payer: Aetna Commercial |
$1,526.72
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,167.49
|
| Rate for Payer: Cash Price |
$1,436.91
|
| Rate for Payer: Cofinity Advantage |
$1,257.30
|
| Rate for Payer: Cofinity Commercial |
$1,544.68
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,436.91
|
| Rate for Payer: Healthscope Commercial |
$1,616.53
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,257.30
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,347.11
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,526.72
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,347.11
|
| Rate for Payer: PHP Commercial |
$1,526.72
|
| Rate for Payer: Priority Health SBD |
$1,131.57
|
| Rate for Payer: UMR Bronson Commercial |
$790.30
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,347.11
|
|
|
HC EXTENDED RECOVERY 12-18 HRS
|
Facility
|
IP
|
$2,099.99
|
|
| Hospital Charge Code |
71000006
|
|
Hospital Revenue Code
|
710
|
| Min. Negotiated Rate |
$924.00 |
| Max. Negotiated Rate |
$1,889.99 |
| Rate for Payer: Aetna American Axle |
$1,364.99
|
| Rate for Payer: Aetna Commercial |
$1,784.99
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,364.99
|
| Rate for Payer: Cash Price |
$1,679.99
|
| Rate for Payer: Cofinity Advantage |
$1,469.99
|
| Rate for Payer: Cofinity Commercial |
$1,805.99
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,679.99
|
| Rate for Payer: Healthscope Commercial |
$1,889.99
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,469.99
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,574.99
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,784.99
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,574.99
|
| Rate for Payer: PHP Commercial |
$1,784.99
|
| Rate for Payer: Priority Health SBD |
$1,322.99
|
| Rate for Payer: UMR Bronson Commercial |
$924.00
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,574.99
|
|
|
HC EXTENDED RECOVERY 12-18 HRS
|
Facility
|
OP
|
$2,099.99
|
|
| Hospital Charge Code |
71000006
|
|
Hospital Revenue Code
|
710
|
| Min. Negotiated Rate |
$777.00 |
| Max. Negotiated Rate |
$1,889.99 |
| Rate for Payer: Aetna American Axle |
$1,364.99
|
| Rate for Payer: Aetna Commercial |
$1,784.99
|
| Rate for Payer: Aetna Medicare |
$1,049.99
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,364.99
|
| Rate for Payer: BCBS Complete |
$840.00
|
| Rate for Payer: Cash Price |
$1,679.99
|
| Rate for Payer: Cofinity Advantage |
$1,469.99
|
| Rate for Payer: Cofinity Commercial |
$1,805.99
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,679.99
|
| Rate for Payer: Healthscope Commercial |
$1,889.99
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,469.99
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,574.99
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,679.99
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,784.99
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,574.99
|
| Rate for Payer: PHP Commercial |
$1,784.99
|
| Rate for Payer: Priority Health SBD |
$1,322.99
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,364.99
|
| Rate for Payer: UHC Core |
$1,094.09
|
| Rate for Payer: UHC Exchange |
$825.30
|
| Rate for Payer: UMR Bronson Commercial |
$777.00
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,574.99
|
|
|
HC EXTENDED RECOVERY 18-24 HRS
|
Facility
|
IP
|
$2,295.29
|
|
| Hospital Charge Code |
71000007
|
|
Hospital Revenue Code
|
710
|
| Min. Negotiated Rate |
$1,009.93 |
| Max. Negotiated Rate |
$2,065.76 |
| Rate for Payer: Aetna American Axle |
$1,491.94
|
| Rate for Payer: Aetna Commercial |
$1,951.00
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,491.94
|
| Rate for Payer: Cash Price |
$1,836.23
|
| Rate for Payer: Cofinity Advantage |
$1,606.70
|
| Rate for Payer: Cofinity Commercial |
$1,973.95
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,836.23
|
| Rate for Payer: Healthscope Commercial |
$2,065.76
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,606.70
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,721.47
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,951.00
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,721.47
|
| Rate for Payer: PHP Commercial |
$1,951.00
|
| Rate for Payer: Priority Health SBD |
$1,446.03
|
| Rate for Payer: UMR Bronson Commercial |
$1,009.93
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,721.47
|
|
|
HC EXTENDED RECOVERY 18-24 HRS
|
Facility
|
OP
|
$2,295.29
|
|
| Hospital Charge Code |
71000007
|
|
Hospital Revenue Code
|
710
|
| Min. Negotiated Rate |
$849.26 |
| Max. Negotiated Rate |
$2,065.76 |
| Rate for Payer: Aetna American Axle |
$1,491.94
|
| Rate for Payer: Aetna Commercial |
$1,951.00
|
| Rate for Payer: Aetna Medicare |
$1,147.64
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,491.94
|
| Rate for Payer: BCBS Complete |
$918.12
|
| Rate for Payer: Cash Price |
$1,836.23
|
| Rate for Payer: Cofinity Advantage |
$1,606.70
|
| Rate for Payer: Cofinity Commercial |
$1,973.95
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,836.23
|
| Rate for Payer: Healthscope Commercial |
$2,065.76
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,606.70
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,721.47
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,836.23
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,951.00
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,721.47
|
| Rate for Payer: PHP Commercial |
$1,951.00
|
| Rate for Payer: Priority Health SBD |
$1,446.03
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,491.94
|
| Rate for Payer: UHC Core |
$1,195.85
|
| Rate for Payer: UHC Exchange |
$902.05
|
| Rate for Payer: UMR Bronson Commercial |
$849.26
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,721.47
|
|
|
HC EXTENDED RECOVERY 6-12 HRS
|
Facility
|
OP
|
$1,964.32
|
|
| Hospital Charge Code |
71000008
|
|
Hospital Revenue Code
|
710
|
| Min. Negotiated Rate |
$726.80 |
| Max. Negotiated Rate |
$1,767.89 |
| Rate for Payer: Aetna American Axle |
$1,276.81
|
| Rate for Payer: Aetna Commercial |
$1,669.67
|
| Rate for Payer: Aetna Medicare |
$982.16
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,276.81
|
| Rate for Payer: BCBS Complete |
$785.73
|
| Rate for Payer: Cash Price |
$1,571.46
|
| Rate for Payer: Cofinity Advantage |
$1,375.02
|
| Rate for Payer: Cofinity Commercial |
$1,689.32
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,571.46
|
| Rate for Payer: Healthscope Commercial |
$1,767.89
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,375.02
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,473.24
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,571.46
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,669.67
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,473.24
|
| Rate for Payer: PHP Commercial |
$1,669.67
|
| Rate for Payer: Priority Health SBD |
$1,237.52
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,276.81
|
| Rate for Payer: UHC Core |
$1,023.41
|
| Rate for Payer: UHC Exchange |
$771.98
|
| Rate for Payer: UMR Bronson Commercial |
$726.80
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,473.24
|
|
|
HC EXTENDED RECOVERY 6-12 HRS
|
Facility
|
IP
|
$1,964.32
|
|
| Hospital Charge Code |
71000008
|
|
Hospital Revenue Code
|
710
|
| Min. Negotiated Rate |
$864.30 |
| Max. Negotiated Rate |
$1,767.89 |
| Rate for Payer: Aetna American Axle |
$1,276.81
|
| Rate for Payer: Aetna Commercial |
$1,669.67
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,276.81
|
| Rate for Payer: Cash Price |
$1,571.46
|
| Rate for Payer: Cofinity Advantage |
$1,375.02
|
| Rate for Payer: Cofinity Commercial |
$1,689.32
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,571.46
|
| Rate for Payer: Healthscope Commercial |
$1,767.89
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,375.02
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,473.24
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,669.67
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,473.24
|
| Rate for Payer: PHP Commercial |
$1,669.67
|
| Rate for Payer: Priority Health SBD |
$1,237.52
|
| Rate for Payer: UMR Bronson Commercial |
$864.30
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,473.24
|
|
|
HC EXTENDED RECOVERY PER HR
|
Facility
|
IP
|
$145.86
|
|
| Hospital Charge Code |
71000038
|
|
Hospital Revenue Code
|
710
|
| Min. Negotiated Rate |
$64.18 |
| Max. Negotiated Rate |
$131.27 |
| Rate for Payer: Aetna American Axle |
$94.81
|
| Rate for Payer: Aetna Commercial |
$123.98
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$94.81
|
| Rate for Payer: Cash Price |
$116.69
|
| Rate for Payer: Cofinity Advantage |
$102.10
|
| Rate for Payer: Cofinity Commercial |
$125.44
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$116.69
|
| Rate for Payer: Healthscope Commercial |
$131.27
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$102.10
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$109.39
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$123.98
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$109.39
|
| Rate for Payer: PHP Commercial |
$123.98
|
| Rate for Payer: Priority Health SBD |
$91.89
|
| Rate for Payer: UMR Bronson Commercial |
$64.18
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$109.39
|
|
|
HC EXTENDED RECOVERY PER HR
|
Facility
|
OP
|
$145.86
|
|
| Hospital Charge Code |
71000038
|
|
Hospital Revenue Code
|
710
|
| Min. Negotiated Rate |
$53.97 |
| Max. Negotiated Rate |
$131.27 |
| Rate for Payer: Aetna American Axle |
$94.81
|
| Rate for Payer: Aetna Commercial |
$123.98
|
| Rate for Payer: Aetna Medicare |
$72.93
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$94.81
|
| Rate for Payer: BCBS Complete |
$58.34
|
| Rate for Payer: Cash Price |
$116.69
|
| Rate for Payer: Cofinity Advantage |
$102.10
|
| Rate for Payer: Cofinity Commercial |
$125.44
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$116.69
|
| Rate for Payer: Healthscope Commercial |
$131.27
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$102.10
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$109.39
|
| Rate for Payer: MI Amish Medical Board Commercial |
$116.69
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$123.98
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$109.39
|
| Rate for Payer: PHP Commercial |
$123.98
|
| Rate for Payer: Priority Health SBD |
$91.89
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$94.81
|
| Rate for Payer: UHC Core |
$75.99
|
| Rate for Payer: UHC Exchange |
$57.32
|
| Rate for Payer: UMR Bronson Commercial |
$53.97
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$109.39
|
|
|
HC EXTENSION KIT
|
Facility
|
OP
|
$2,072.62
|
|
|
Service Code
|
HCPCS C1883
|
| Hospital Charge Code |
27800052
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$766.87 |
| Max. Negotiated Rate |
$1,865.36 |
| Rate for Payer: Aetna American Axle |
$1,347.20
|
| Rate for Payer: Aetna Commercial |
$1,761.73
|
| Rate for Payer: Aetna Medicare |
$1,036.31
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,347.20
|
| Rate for Payer: BCBS Complete |
$829.05
|
| Rate for Payer: Cash Price |
$1,658.10
|
| Rate for Payer: Cofinity Advantage |
$1,450.83
|
| Rate for Payer: Cofinity Commercial |
$1,782.45
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,658.10
|
| Rate for Payer: Healthscope Commercial |
$1,865.36
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,450.83
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,554.46
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,658.10
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,761.73
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,554.46
|
| Rate for Payer: PHP Commercial |
$1,761.73
|
| Rate for Payer: Priority Health SBD |
$1,305.75
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,347.20
|
| Rate for Payer: UHC Core |
$1,079.84
|
| Rate for Payer: UHC Exchange |
$814.54
|
| Rate for Payer: UMR Bronson Commercial |
$766.87
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,554.46
|
|
|
HC EXTENSION KIT
|
Facility
|
IP
|
$2,072.62
|
|
|
Service Code
|
HCPCS C1883
|
| Hospital Charge Code |
27800052
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$911.95 |
| Max. Negotiated Rate |
$1,865.36 |
| Rate for Payer: Aetna American Axle |
$1,347.20
|
| Rate for Payer: Aetna Commercial |
$1,761.73
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,347.20
|
| Rate for Payer: Cash Price |
$1,658.10
|
| Rate for Payer: Cofinity Advantage |
$1,450.83
|
| Rate for Payer: Cofinity Commercial |
$1,782.45
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,658.10
|
| Rate for Payer: Healthscope Commercial |
$1,865.36
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,450.83
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,554.46
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,761.73
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,554.46
|
| Rate for Payer: PHP Commercial |
$1,761.73
|
| Rate for Payer: Priority Health SBD |
$1,305.75
|
| Rate for Payer: UMR Bronson Commercial |
$911.95
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,554.46
|
|
|
HC EXTENSION ST JUDE
|
Facility
|
OP
|
$2,418.07
|
|
|
Service Code
|
HCPCS C1883
|
| Hospital Charge Code |
27800053
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$894.69 |
| Max. Negotiated Rate |
$2,176.26 |
| Rate for Payer: Aetna American Axle |
$1,571.75
|
| Rate for Payer: Aetna Commercial |
$2,055.36
|
| Rate for Payer: Aetna Medicare |
$1,209.04
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,571.75
|
| Rate for Payer: BCBS Complete |
$967.23
|
| Rate for Payer: Cash Price |
$1,934.46
|
| Rate for Payer: Cofinity Advantage |
$1,692.65
|
| Rate for Payer: Cofinity Commercial |
$2,079.54
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,934.46
|
| Rate for Payer: Healthscope Commercial |
$2,176.26
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,692.65
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,813.55
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,934.46
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,055.36
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,813.55
|
| Rate for Payer: PHP Commercial |
$2,055.36
|
| Rate for Payer: Priority Health SBD |
$1,523.38
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,571.75
|
| Rate for Payer: UHC Core |
$1,259.81
|
| Rate for Payer: UHC Exchange |
$950.30
|
| Rate for Payer: UMR Bronson Commercial |
$894.69
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,813.55
|
|
|
HC EXTENSION ST JUDE
|
Facility
|
IP
|
$2,418.07
|
|
|
Service Code
|
HCPCS C1883
|
| Hospital Charge Code |
27800053
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$1,063.95 |
| Max. Negotiated Rate |
$2,176.26 |
| Rate for Payer: Aetna American Axle |
$1,571.75
|
| Rate for Payer: Aetna Commercial |
$2,055.36
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,571.75
|
| Rate for Payer: Cash Price |
$1,934.46
|
| Rate for Payer: Cofinity Advantage |
$1,692.65
|
| Rate for Payer: Cofinity Commercial |
$2,079.54
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,934.46
|
| Rate for Payer: Healthscope Commercial |
$2,176.26
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,692.65
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,813.55
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,055.36
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,813.55
|
| Rate for Payer: PHP Commercial |
$2,055.36
|
| Rate for Payer: Priority Health SBD |
$1,523.38
|
| Rate for Payer: UMR Bronson Commercial |
$1,063.95
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,813.55
|
|
|
HC EXTERNAL EKG RECORDIN >48 HRS UP TO 7 DAYS
|
Facility
|
IP
|
$92.95
|
|
|
Service Code
|
CPT 93242
|
| Hospital Charge Code |
48000030
|
|
Hospital Revenue Code
|
480
|
| Min. Negotiated Rate |
$40.90 |
| Max. Negotiated Rate |
$83.66 |
| Rate for Payer: Aetna American Axle |
$60.42
|
| Rate for Payer: Aetna Commercial |
$79.01
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$60.42
|
| Rate for Payer: Cash Price |
$74.36
|
| Rate for Payer: Cofinity Advantage |
$65.06
|
| Rate for Payer: Cofinity Commercial |
$79.94
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$74.36
|
| Rate for Payer: Healthscope Commercial |
$83.66
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$65.06
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$69.71
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$79.01
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$69.71
|
| Rate for Payer: PHP Commercial |
$79.01
|
| Rate for Payer: Priority Health SBD |
$58.56
|
| Rate for Payer: UMR Bronson Commercial |
$40.90
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$69.71
|
|
|
HC EXTERNAL EKG RECORDIN >48 HRS UP TO 7 DAYS
|
Facility
|
OP
|
$92.95
|
|
|
Service Code
|
CPT 93242
|
| Hospital Charge Code |
48000030
|
|
Hospital Revenue Code
|
480
|
| Min. Negotiated Rate |
$19.47 |
| Max. Negotiated Rate |
$120.34 |
| Rate for Payer: Aetna American Axle |
$60.42
|
| Rate for Payer: Aetna Commercial |
$79.01
|
| Rate for Payer: Aetna Medicare |
$38.71
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$60.42
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$46.52
|
| Rate for Payer: Amish Plain Church Group Commercial |
$46.52
|
| Rate for Payer: BCBS Complete |
$20.44
|
| Rate for Payer: BCBS MAPPO |
$37.22
|
| Rate for Payer: BCBS Trust/PPO |
$37.77
|
| Rate for Payer: BCN Commercial |
$37.77
|
| Rate for Payer: BCN Medicare Advantage |
$37.22
|
| Rate for Payer: Cash Price |
$74.36
|
| Rate for Payer: Cash Price |
$74.36
|
| Rate for Payer: Cofinity Advantage |
$65.06
|
| Rate for Payer: Cofinity Commercial |
$79.94
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$74.36
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$37.22
|
| Rate for Payer: Healthscope Commercial |
$83.66
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$65.06
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$69.71
|
| Rate for Payer: Mclaren Medicaid |
$37.22
|
| Rate for Payer: Mclaren Medicare |
$37.22
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$39.08
|
| Rate for Payer: Meridian Medicaid |
$39.08
|
| Rate for Payer: MI Amish Medical Board Commercial |
$42.80
|
| Rate for Payer: Molina Medicare/Medicaid |
$40.94
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$79.01
|
| Rate for Payer: Nomi Health Commercial |
$111.66
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$69.71
|
| Rate for Payer: PACE Medicare |
$35.36
|
| Rate for Payer: PACE SWMI |
$37.22
|
| Rate for Payer: PHP Commercial |
$79.01
|
| Rate for Payer: PHP Medicare Advantage |
$37.22
|
| Rate for Payer: Priority Health Choice Medicaid |
$19.47
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$120.34
|
| Rate for Payer: Priority Health Medicare |
$37.22
|
| Rate for Payer: Priority Health SBD |
$58.56
|
| Rate for Payer: Priority Health Tiered Network |
$96.27
|
| Rate for Payer: Railroad Medicare Medicare |
$37.22
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$60.42
|
| Rate for Payer: UHC Core |
$48.43
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$37.22
|
| Rate for Payer: UHC Exchange |
$36.53
|
| Rate for Payer: UHC Medicaid |
$19.47
|
| Rate for Payer: UHCCP Medicaid |
$19.47
|
| Rate for Payer: UMR Bronson Commercial |
$34.39
|
| Rate for Payer: VA VA |
$37.22
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$69.71
|
|
|
HC EXTERNAL EKG RECORDING >7 DAYS UP TO 15 DAYS
|
Facility
|
IP
|
$140.14
|
|
|
Service Code
|
CPT 93246
|
| Hospital Charge Code |
48000031
|
|
Hospital Revenue Code
|
480
|
| Min. Negotiated Rate |
$61.66 |
| Max. Negotiated Rate |
$126.13 |
| Rate for Payer: Aetna American Axle |
$91.09
|
| Rate for Payer: Aetna Commercial |
$119.12
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$91.09
|
| Rate for Payer: Cash Price |
$112.11
|
| Rate for Payer: Cofinity Advantage |
$98.10
|
| Rate for Payer: Cofinity Commercial |
$120.52
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$112.11
|
| Rate for Payer: Healthscope Commercial |
$126.13
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$98.10
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$105.11
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$119.12
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$105.11
|
| Rate for Payer: PHP Commercial |
$119.12
|
| Rate for Payer: Priority Health SBD |
$88.29
|
| Rate for Payer: UMR Bronson Commercial |
$61.66
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$105.11
|
|
|
HC EXTERNAL EKG RECORDING >7 DAYS UP TO 15 DAYS
|
Facility
|
OP
|
$140.14
|
|
|
Service Code
|
CPT 93246
|
| Hospital Charge Code |
48000031
|
|
Hospital Revenue Code
|
480
|
| Min. Negotiated Rate |
$19.47 |
| Max. Negotiated Rate |
$126.13 |
| Rate for Payer: Aetna American Axle |
$91.09
|
| Rate for Payer: Aetna Commercial |
$119.12
|
| Rate for Payer: Aetna Medicare |
$38.71
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$91.09
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$46.52
|
| Rate for Payer: Amish Plain Church Group Commercial |
$46.52
|
| Rate for Payer: BCBS Complete |
$20.44
|
| Rate for Payer: BCBS MAPPO |
$37.22
|
| Rate for Payer: BCBS Trust/PPO |
$37.77
|
| Rate for Payer: BCN Commercial |
$37.77
|
| Rate for Payer: BCN Medicare Advantage |
$37.22
|
| Rate for Payer: Cash Price |
$112.11
|
| Rate for Payer: Cash Price |
$112.11
|
| Rate for Payer: Cofinity Advantage |
$98.10
|
| Rate for Payer: Cofinity Commercial |
$120.52
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$112.11
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$37.22
|
| Rate for Payer: Healthscope Commercial |
$126.13
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$98.10
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$105.11
|
| Rate for Payer: Mclaren Medicaid |
$37.22
|
| Rate for Payer: Mclaren Medicare |
$37.22
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$39.08
|
| Rate for Payer: Meridian Medicaid |
$39.08
|
| Rate for Payer: MI Amish Medical Board Commercial |
$42.80
|
| Rate for Payer: Molina Medicare/Medicaid |
$40.94
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$119.12
|
| Rate for Payer: Nomi Health Commercial |
$111.66
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$105.11
|
| Rate for Payer: PACE Medicare |
$35.36
|
| Rate for Payer: PACE SWMI |
$37.22
|
| Rate for Payer: PHP Commercial |
$119.12
|
| Rate for Payer: PHP Medicare Advantage |
$37.22
|
| Rate for Payer: Priority Health Choice Medicaid |
$19.47
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$120.34
|
| Rate for Payer: Priority Health Medicare |
$37.22
|
| Rate for Payer: Priority Health SBD |
$88.29
|
| Rate for Payer: Priority Health Tiered Network |
$96.27
|
| Rate for Payer: Railroad Medicare Medicare |
$37.22
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$91.09
|
| Rate for Payer: UHC Core |
$73.01
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$37.22
|
| Rate for Payer: UHC Exchange |
$55.08
|
| Rate for Payer: UHC Medicaid |
$19.47
|
| Rate for Payer: UHCCP Medicaid |
$19.47
|
| Rate for Payer: UMR Bronson Commercial |
$51.85
|
| Rate for Payer: VA VA |
$37.22
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$105.11
|
|
