|
HC GROSHONG REPAIR KIT
|
Facility
|
OP
|
$473.46
|
|
| Hospital Charge Code |
27200125
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$175.18 |
| Max. Negotiated Rate |
$426.11 |
| Rate for Payer: Aetna American Axle |
$307.75
|
| Rate for Payer: Aetna Commercial |
$402.44
|
| Rate for Payer: Aetna Medicare |
$236.73
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$307.75
|
| Rate for Payer: BCBS Complete |
$189.38
|
| Rate for Payer: Cash Price |
$378.77
|
| Rate for Payer: Cofinity Advantage |
$331.42
|
| Rate for Payer: Cofinity Commercial |
$407.18
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$378.77
|
| Rate for Payer: Healthscope Commercial |
$426.11
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$331.42
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$355.10
|
| Rate for Payer: MI Amish Medical Board Commercial |
$378.77
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$402.44
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$355.10
|
| Rate for Payer: PHP Commercial |
$402.44
|
| Rate for Payer: Priority Health SBD |
$298.28
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$307.75
|
| Rate for Payer: UHC Core |
$246.67
|
| Rate for Payer: UHC Exchange |
$186.07
|
| Rate for Payer: UMR Bronson Commercial |
$175.18
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$355.10
|
|
|
HC GROUP B STREP, AMPLIFIED
|
Facility
|
OP
|
$106.12
|
|
|
Service Code
|
CPT 87150
|
| Hospital Charge Code |
30600210
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$18.35 |
| Max. Negotiated Rate |
$95.51 |
| Rate for Payer: Aetna American Axle |
$68.98
|
| Rate for Payer: Aetna Commercial |
$90.20
|
| Rate for Payer: Aetna Medicare |
$36.49
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$68.98
|
| 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 |
$84.90
|
| Rate for Payer: Cash Price |
$84.90
|
| Rate for Payer: Cofinity Advantage |
$74.28
|
| Rate for Payer: Cofinity Commercial |
$91.26
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$84.90
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$35.09
|
| Rate for Payer: Healthscope Commercial |
$95.51
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$74.28
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$79.59
|
| 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 |
$90.20
|
| Rate for Payer: Nomi Health Commercial |
$52.63
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$79.59
|
| Rate for Payer: PACE Medicare |
$33.34
|
| Rate for Payer: PACE SWMI |
$35.09
|
| Rate for Payer: PHP Commercial |
$90.20
|
| 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 |
$66.86
|
| 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 |
$39.26
|
| Rate for Payer: VA VA |
$35.09
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$79.59
|
|
|
HC GROUP B STREP, AMPLIFIED
|
Facility
|
IP
|
$106.12
|
|
|
Service Code
|
CPT 87150
|
| Hospital Charge Code |
30600210
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$46.69 |
| Max. Negotiated Rate |
$95.51 |
| Rate for Payer: Aetna American Axle |
$68.98
|
| Rate for Payer: Aetna Commercial |
$90.20
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$68.98
|
| Rate for Payer: Cash Price |
$84.90
|
| Rate for Payer: Cofinity Advantage |
$74.28
|
| Rate for Payer: Cofinity Commercial |
$91.26
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$84.90
|
| Rate for Payer: Healthscope Commercial |
$95.51
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$74.28
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$79.59
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$90.20
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$79.59
|
| Rate for Payer: PHP Commercial |
$90.20
|
| Rate for Payer: Priority Health SBD |
$66.86
|
| Rate for Payer: UMR Bronson Commercial |
$46.69
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$79.59
|
|
|
HC GROUP PSYCHOTHERAPY
|
Facility
|
OP
|
$100.82
|
|
|
Service Code
|
CPT 90853
|
| Hospital Charge Code |
91500001
|
|
Hospital Revenue Code
|
915
|
| Min. Negotiated Rate |
$22.22 |
| Max. Negotiated Rate |
$327.36 |
| Rate for Payer: Aetna American Axle |
$65.53
|
| Rate for Payer: Aetna Commercial |
$85.70
|
| Rate for Payer: Aetna Medicare |
$105.27
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$65.53
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$126.53
|
| Rate for Payer: Amish Plain Church Group Commercial |
$126.53
|
| Rate for Payer: BCBS Complete |
$55.59
|
| Rate for Payer: BCBS MAPPO |
$101.22
|
| Rate for Payer: BCBS Trust/PPO |
$22.22
|
| Rate for Payer: BCN Commercial |
$22.22
|
| Rate for Payer: BCN Medicare Advantage |
$101.22
|
| Rate for Payer: Cash Price |
$80.66
|
| Rate for Payer: Cash Price |
$80.66
|
| Rate for Payer: Cofinity Advantage |
$70.57
|
| Rate for Payer: Cofinity Commercial |
$86.71
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$80.66
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$101.22
|
| Rate for Payer: Healthscope Commercial |
$90.74
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$70.57
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$75.61
|
| Rate for Payer: Mclaren Medicaid |
$101.22
|
| Rate for Payer: Mclaren Medicare |
$101.22
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$106.28
|
| Rate for Payer: Meridian Medicaid |
$106.28
|
| Rate for Payer: MI Amish Medical Board Commercial |
$116.40
|
| Rate for Payer: Molina Medicare/Medicaid |
$111.34
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$85.70
|
| Rate for Payer: Nomi Health Commercial |
$303.66
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$75.61
|
| Rate for Payer: PACE Medicare |
$96.16
|
| Rate for Payer: PACE SWMI |
$101.22
|
| Rate for Payer: PHP Commercial |
$85.70
|
| Rate for Payer: PHP Medicare Advantage |
$101.22
|
| Rate for Payer: Priority Health Choice Medicaid |
$52.94
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$327.36
|
| Rate for Payer: Priority Health Medicare |
$101.22
|
| Rate for Payer: Priority Health SBD |
$63.52
|
| Rate for Payer: Priority Health Tiered Network |
$261.89
|
| Rate for Payer: Railroad Medicare Medicare |
$101.22
|
| Rate for Payer: UHC Medicaid |
$52.94
|
| Rate for Payer: UHCCP Medicaid |
$52.94
|
| Rate for Payer: UMR Bronson Commercial |
$37.30
|
| Rate for Payer: VA VA |
$101.22
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$75.61
|
|
|
HC GROUP PSYCHOTHERAPY
|
Facility
|
IP
|
$100.82
|
|
|
Service Code
|
CPT 90853
|
| Hospital Charge Code |
91500001
|
|
Hospital Revenue Code
|
915
|
| Min. Negotiated Rate |
$44.36 |
| Max. Negotiated Rate |
$90.74 |
| Rate for Payer: Aetna American Axle |
$65.53
|
| Rate for Payer: Aetna Commercial |
$85.70
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$65.53
|
| Rate for Payer: Cash Price |
$80.66
|
| Rate for Payer: Cofinity Advantage |
$70.57
|
| Rate for Payer: Cofinity Commercial |
$86.71
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$80.66
|
| Rate for Payer: Healthscope Commercial |
$90.74
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$70.57
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$75.61
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$85.70
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$75.61
|
| Rate for Payer: PHP Commercial |
$85.70
|
| Rate for Payer: Priority Health SBD |
$63.52
|
| Rate for Payer: UMR Bronson Commercial |
$44.36
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$75.61
|
|
|
HC GROUP SESSION 30 MIN RD G0109
|
Facility
|
IP
|
$64.35
|
|
|
Service Code
|
HCPCS G0109
|
| Hospital Charge Code |
94200028
|
|
Hospital Revenue Code
|
942
|
| Min. Negotiated Rate |
$28.31 |
| Max. Negotiated Rate |
$57.91 |
| Rate for Payer: Aetna American Axle |
$41.83
|
| Rate for Payer: Aetna Commercial |
$54.70
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$41.83
|
| Rate for Payer: Cash Price |
$51.48
|
| Rate for Payer: Cofinity Advantage |
$45.05
|
| Rate for Payer: Cofinity Commercial |
$55.34
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$51.48
|
| Rate for Payer: Healthscope Commercial |
$57.91
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$45.05
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$48.26
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$54.70
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$48.26
|
| Rate for Payer: PHP Commercial |
$54.70
|
| Rate for Payer: Priority Health SBD |
$40.54
|
| Rate for Payer: UMR Bronson Commercial |
$28.31
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$48.26
|
|
|
HC GROUP SESSION 30 MIN RD G0109
|
Facility
|
OP
|
$64.35
|
|
|
Service Code
|
HCPCS G0109
|
| Hospital Charge Code |
94200028
|
|
Hospital Revenue Code
|
942
|
| Min. Negotiated Rate |
$12.80 |
| Max. Negotiated Rate |
$57.91 |
| Rate for Payer: Aetna American Axle |
$41.83
|
| Rate for Payer: Aetna Commercial |
$54.70
|
| Rate for Payer: Aetna Medicare |
$32.17
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$41.83
|
| Rate for Payer: BCBS Complete |
$25.74
|
| Rate for Payer: BCBS Trust/PPO |
$29.57
|
| Rate for Payer: BCN Commercial |
$29.57
|
| Rate for Payer: Cash Price |
$51.48
|
| Rate for Payer: Cash Price |
$51.48
|
| Rate for Payer: Cofinity Advantage |
$45.05
|
| Rate for Payer: Cofinity Commercial |
$55.34
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$51.48
|
| Rate for Payer: Healthscope Commercial |
$57.91
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$45.05
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$48.26
|
| Rate for Payer: MI Amish Medical Board Commercial |
$51.48
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$54.70
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$48.26
|
| Rate for Payer: PHP Commercial |
$54.70
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$16.00
|
| Rate for Payer: Priority Health SBD |
$40.54
|
| Rate for Payer: Priority Health Tiered Network |
$12.80
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$41.83
|
| Rate for Payer: UHC Core |
$33.53
|
| Rate for Payer: UHC Exchange |
$25.29
|
| Rate for Payer: UMR Bronson Commercial |
$23.81
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$48.26
|
|
|
HC GROUP THERAPEUTIC PROCEDURES
|
Facility
|
OP
|
$109.35
|
|
|
Service Code
|
CPT 97150
|
| Hospital Charge Code |
42000027
|
|
Hospital Revenue Code
|
420
|
| Min. Negotiated Rate |
$14.40 |
| Max. Negotiated Rate |
$135.00 |
| Rate for Payer: Aetna American Axle |
$71.08
|
| Rate for Payer: Aetna Commercial |
$92.95
|
| Rate for Payer: Aetna Medicare |
$54.67
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$71.08
|
| Rate for Payer: BCBS Complete |
$43.74
|
| Rate for Payer: BCBS Trust/PPO |
$16.33
|
| Rate for Payer: BCN Commercial |
$16.33
|
| Rate for Payer: Cash Price |
$87.48
|
| Rate for Payer: Cash Price |
$87.48
|
| Rate for Payer: Cash Price |
$87.48
|
| Rate for Payer: Cofinity Advantage |
$76.55
|
| Rate for Payer: Cofinity Commercial |
$94.04
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$87.48
|
| Rate for Payer: Healthscope Commercial |
$98.42
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$76.55
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$82.01
|
| Rate for Payer: MI Amish Medical Board Commercial |
$87.48
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$92.95
|
| Rate for Payer: Nomi Health Commercial |
$135.00
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$82.01
|
| Rate for Payer: PHP Commercial |
$92.95
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$18.00
|
| Rate for Payer: Priority Health SBD |
$68.89
|
| Rate for Payer: Priority Health Tiered Network |
$14.40
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$71.08
|
| Rate for Payer: UHC Core |
$56.97
|
| Rate for Payer: UHC Exchange |
$42.97
|
| Rate for Payer: UMR Bronson Commercial |
$40.46
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$82.01
|
|
|
HC GROUP THERAPEUTIC PROCEDURES
|
Facility
|
IP
|
$109.35
|
|
|
Service Code
|
CPT 97150
|
| Hospital Charge Code |
42000027
|
|
Hospital Revenue Code
|
420
|
| Min. Negotiated Rate |
$48.11 |
| Max. Negotiated Rate |
$98.42 |
| Rate for Payer: Aetna American Axle |
$71.08
|
| Rate for Payer: Aetna Commercial |
$92.95
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$71.08
|
| Rate for Payer: Cash Price |
$87.48
|
| Rate for Payer: Cofinity Advantage |
$76.55
|
| Rate for Payer: Cofinity Commercial |
$94.04
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$87.48
|
| Rate for Payer: Healthscope Commercial |
$98.42
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$76.55
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$82.01
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$92.95
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$82.01
|
| Rate for Payer: PHP Commercial |
$92.95
|
| Rate for Payer: Priority Health SBD |
$68.89
|
| Rate for Payer: UMR Bronson Commercial |
$48.11
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$82.01
|
|
|
HC GROWTH HORMONE HGH
|
Facility
|
OP
|
$67.63
|
|
|
Service Code
|
CPT 83003
|
| Hospital Charge Code |
30100752
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$8.72 |
| Max. Negotiated Rate |
$60.87 |
| Rate for Payer: Aetna American Axle |
$43.96
|
| Rate for Payer: Aetna Commercial |
$57.49
|
| Rate for Payer: Aetna Medicare |
$17.34
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$43.96
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$20.84
|
| Rate for Payer: Amish Plain Church Group Commercial |
$20.84
|
| Rate for Payer: BCBS Complete |
$9.16
|
| Rate for Payer: BCBS MAPPO |
$16.67
|
| Rate for Payer: BCBS Trust/PPO |
$19.27
|
| Rate for Payer: BCN Commercial |
$19.27
|
| Rate for Payer: BCN Medicare Advantage |
$16.67
|
| Rate for Payer: Cash Price |
$54.10
|
| Rate for Payer: Cash Price |
$54.10
|
| Rate for Payer: Cofinity Advantage |
$47.34
|
| Rate for Payer: Cofinity Commercial |
$58.16
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$54.10
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$16.67
|
| Rate for Payer: Healthscope Commercial |
$60.87
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$47.34
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$50.72
|
| Rate for Payer: Mclaren Medicaid |
$16.67
|
| Rate for Payer: Mclaren Medicare |
$16.67
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$17.50
|
| Rate for Payer: Meridian Medicaid |
$17.50
|
| Rate for Payer: MI Amish Medical Board Commercial |
$19.17
|
| Rate for Payer: Molina Medicare/Medicaid |
$18.34
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$57.49
|
| Rate for Payer: Nomi Health Commercial |
$25.00
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$50.72
|
| Rate for Payer: PACE Medicare |
$15.84
|
| Rate for Payer: PACE SWMI |
$16.67
|
| Rate for Payer: PHP Commercial |
$57.49
|
| Rate for Payer: PHP Medicare Advantage |
$16.67
|
| Rate for Payer: Priority Health Choice Medicaid |
$8.72
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$16.67
|
| Rate for Payer: Priority Health Medicare |
$16.67
|
| Rate for Payer: Priority Health SBD |
$42.61
|
| Rate for Payer: Priority Health Tiered Network |
$13.34
|
| Rate for Payer: Railroad Medicare Medicare |
$16.67
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$25.01
|
| Rate for Payer: UHC Core |
$25.01
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$16.67
|
| Rate for Payer: UHC Exchange |
$25.01
|
| Rate for Payer: UHC Medicaid |
$8.72
|
| Rate for Payer: UHCCP Medicaid |
$8.72
|
| Rate for Payer: UMR Bronson Commercial |
$25.02
|
| Rate for Payer: VA VA |
$16.67
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$50.72
|
|
|
HC GROWTH HORMONE HGH
|
Facility
|
IP
|
$67.63
|
|
|
Service Code
|
CPT 83003
|
| Hospital Charge Code |
30100752
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$29.76 |
| Max. Negotiated Rate |
$60.87 |
| Rate for Payer: Aetna American Axle |
$43.96
|
| Rate for Payer: Aetna Commercial |
$57.49
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$43.96
|
| Rate for Payer: Cash Price |
$54.10
|
| Rate for Payer: Cofinity Advantage |
$47.34
|
| Rate for Payer: Cofinity Commercial |
$58.16
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$54.10
|
| Rate for Payer: Healthscope Commercial |
$60.87
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$47.34
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$50.72
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$57.49
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$50.72
|
| Rate for Payer: PHP Commercial |
$57.49
|
| Rate for Payer: Priority Health SBD |
$42.61
|
| Rate for Payer: UMR Bronson Commercial |
$29.76
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$50.72
|
|
|
HC GROWTH HORMONE STIMULATION TEST
|
Facility
|
IP
|
$689.79
|
|
|
Service Code
|
CPT 96365
|
| Hospital Charge Code |
76100362
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$303.51 |
| Max. Negotiated Rate |
$620.81 |
| Rate for Payer: Aetna American Axle |
$448.36
|
| Rate for Payer: Aetna Commercial |
$586.32
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$448.36
|
| Rate for Payer: Cash Price |
$551.83
|
| Rate for Payer: Cofinity Advantage |
$482.85
|
| Rate for Payer: Cofinity Commercial |
$593.22
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$551.83
|
| Rate for Payer: Healthscope Commercial |
$620.81
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$482.85
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$517.34
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$586.32
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$517.34
|
| Rate for Payer: PHP Commercial |
$586.32
|
| Rate for Payer: Priority Health SBD |
$434.57
|
| Rate for Payer: UMR Bronson Commercial |
$303.51
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$517.34
|
|
|
HC GROWTH HORMONE STIMULATION TEST
|
Facility
|
OP
|
$689.79
|
|
|
Service Code
|
CPT 96365
|
| Hospital Charge Code |
76100362
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$110.84 |
| Max. Negotiated Rate |
$685.39 |
| Rate for Payer: Aetna American Axle |
$448.36
|
| Rate for Payer: Aetna Commercial |
$586.32
|
| Rate for Payer: Aetna Medicare |
$220.42
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$448.36
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$264.93
|
| Rate for Payer: Amish Plain Church Group Commercial |
$264.93
|
| Rate for Payer: BCBS Complete |
$116.40
|
| Rate for Payer: BCBS MAPPO |
$211.94
|
| Rate for Payer: BCBS Trust/PPO |
$303.43
|
| Rate for Payer: BCN Commercial |
$303.43
|
| Rate for Payer: BCN Medicare Advantage |
$211.94
|
| Rate for Payer: Cash Price |
$551.83
|
| Rate for Payer: Cash Price |
$551.83
|
| Rate for Payer: Cofinity Advantage |
$482.85
|
| Rate for Payer: Cofinity Commercial |
$593.22
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$551.83
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$211.94
|
| Rate for Payer: Healthscope Commercial |
$620.81
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$482.85
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$517.34
|
| Rate for Payer: Mclaren Medicaid |
$211.94
|
| Rate for Payer: Mclaren Medicare |
$211.94
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$222.54
|
| Rate for Payer: Meridian Medicaid |
$222.54
|
| Rate for Payer: MI Amish Medical Board Commercial |
$243.73
|
| Rate for Payer: Molina Medicare/Medicaid |
$233.13
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$586.32
|
| Rate for Payer: Nomi Health Commercial |
$635.82
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$517.34
|
| Rate for Payer: PACE Medicare |
$201.34
|
| Rate for Payer: PACE SWMI |
$211.94
|
| Rate for Payer: PHP Commercial |
$586.32
|
| Rate for Payer: PHP Medicare Advantage |
$211.94
|
| Rate for Payer: Priority Health Choice Medicaid |
$110.84
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$685.39
|
| Rate for Payer: Priority Health Medicare |
$211.94
|
| Rate for Payer: Priority Health SBD |
$434.57
|
| Rate for Payer: Priority Health Tiered Network |
$548.31
|
| Rate for Payer: Railroad Medicare Medicare |
$211.94
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$448.36
|
| Rate for Payer: UHC Core |
$359.38
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$211.94
|
| Rate for Payer: UHC Exchange |
$271.09
|
| Rate for Payer: UHC Medicaid |
$110.84
|
| Rate for Payer: UHCCP Medicaid |
$110.84
|
| Rate for Payer: UMR Bronson Commercial |
$255.22
|
| Rate for Payer: VA VA |
$211.94
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$517.34
|
|
|
HC GSU OBSERVATION PER HOUR
|
Facility
|
IP
|
$160.00
|
|
|
Service Code
|
HCPCS G0378
|
| Hospital Charge Code |
76200011
|
|
Hospital Revenue Code
|
762
|
| Min. Negotiated Rate |
$70.40 |
| Max. Negotiated Rate |
$144.00 |
| Rate for Payer: Aetna American Axle |
$104.00
|
| Rate for Payer: Aetna Commercial |
$136.00
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$104.00
|
| Rate for Payer: Cash Price |
$128.00
|
| Rate for Payer: Cofinity Advantage |
$112.00
|
| Rate for Payer: Cofinity Commercial |
$137.60
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$128.00
|
| Rate for Payer: Healthscope Commercial |
$144.00
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$112.00
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$120.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$136.00
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$120.00
|
| Rate for Payer: PHP Commercial |
$136.00
|
| Rate for Payer: Priority Health SBD |
$100.80
|
| Rate for Payer: UMR Bronson Commercial |
$70.40
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$120.00
|
|
|
HC GSU OBSERVATION PER HOUR
|
Facility
|
OP
|
$160.00
|
|
|
Service Code
|
HCPCS G0378
|
| Hospital Charge Code |
76200011
|
|
Hospital Revenue Code
|
762
|
| Min. Negotiated Rate |
$59.20 |
| Max. Negotiated Rate |
$1,608.00 |
| Rate for Payer: Aetna American Axle |
$104.00
|
| Rate for Payer: Aetna Commercial |
$136.00
|
| Rate for Payer: Aetna Medicare |
$80.00
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$104.00
|
| Rate for Payer: BCBS Complete |
$64.00
|
| Rate for Payer: BCBS Trust/PPO |
$107.13
|
| Rate for Payer: BCN Commercial |
$107.13
|
| Rate for Payer: Cash Price |
$128.00
|
| Rate for Payer: Cash Price |
$128.00
|
| Rate for Payer: Cash Price |
$128.00
|
| Rate for Payer: Cash Price |
$128.00
|
| Rate for Payer: Cofinity Advantage |
$112.00
|
| Rate for Payer: Cofinity Commercial |
$137.60
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$128.00
|
| Rate for Payer: Healthscope Commercial |
$144.00
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$112.00
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$120.00
|
| Rate for Payer: MI Amish Medical Board Commercial |
$128.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$136.00
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$120.00
|
| Rate for Payer: PHP Commercial |
$136.00
|
| Rate for Payer: Priority Health SBD |
$100.80
|
| Rate for Payer: UHC Medicaid |
$1,608.00
|
| Rate for Payer: UHCCP Medicaid |
$850.00
|
| Rate for Payer: UMR Bronson Commercial |
$59.20
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$120.00
|
|
|
HC G TUBE REPLACEMENT
|
Facility
|
IP
|
$588.03
|
|
| Hospital Charge Code |
36000046
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$258.73 |
| Max. Negotiated Rate |
$529.23 |
| Rate for Payer: Aetna American Axle |
$382.22
|
| Rate for Payer: Aetna Commercial |
$499.83
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$382.22
|
| Rate for Payer: Cash Price |
$470.42
|
| Rate for Payer: Cofinity Advantage |
$411.62
|
| Rate for Payer: Cofinity Commercial |
$505.71
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$470.42
|
| Rate for Payer: Healthscope Commercial |
$529.23
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$411.62
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$441.02
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$499.83
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$441.02
|
| Rate for Payer: PHP Commercial |
$499.83
|
| Rate for Payer: Priority Health SBD |
$370.46
|
| Rate for Payer: UMR Bronson Commercial |
$258.73
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$441.02
|
|
|
HC G TUBE REPLACEMENT
|
Facility
|
OP
|
$588.03
|
|
| Hospital Charge Code |
36000046
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$217.57 |
| Max. Negotiated Rate |
$529.23 |
| Rate for Payer: Aetna American Axle |
$382.22
|
| Rate for Payer: Aetna Commercial |
$499.83
|
| Rate for Payer: Aetna Medicare |
$294.01
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$382.22
|
| Rate for Payer: BCBS Complete |
$235.21
|
| Rate for Payer: Cash Price |
$470.42
|
| Rate for Payer: Cofinity Advantage |
$411.62
|
| Rate for Payer: Cofinity Commercial |
$505.71
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$470.42
|
| Rate for Payer: Healthscope Commercial |
$529.23
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$411.62
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$441.02
|
| Rate for Payer: MI Amish Medical Board Commercial |
$470.42
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$499.83
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$441.02
|
| Rate for Payer: PHP Commercial |
$499.83
|
| Rate for Payer: Priority Health SBD |
$370.46
|
| Rate for Payer: UMR Bronson Commercial |
$217.57
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$441.02
|
|
|
HC GUIDANT CAROTID STENT
|
Facility
|
IP
|
$5,937.84
|
|
| Hospital Charge Code |
27800044
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$2,612.65 |
| Max. Negotiated Rate |
$5,344.06 |
| Rate for Payer: Aetna American Axle |
$3,859.60
|
| Rate for Payer: Aetna Commercial |
$5,047.16
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$3,859.60
|
| Rate for Payer: Cash Price |
$4,750.27
|
| Rate for Payer: Cofinity Advantage |
$4,156.49
|
| Rate for Payer: Cofinity Commercial |
$5,106.54
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$4,750.27
|
| Rate for Payer: Healthscope Commercial |
$5,344.06
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$4,156.49
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$4,453.38
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$5,047.16
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$4,453.38
|
| Rate for Payer: PHP Commercial |
$5,047.16
|
| Rate for Payer: Priority Health SBD |
$3,740.84
|
| Rate for Payer: UMR Bronson Commercial |
$2,612.65
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$4,453.38
|
|
|
HC GUIDANT CAROTID STENT
|
Facility
|
OP
|
$5,937.84
|
|
| Hospital Charge Code |
27800044
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$2,197.00 |
| Max. Negotiated Rate |
$5,344.06 |
| Rate for Payer: Aetna American Axle |
$3,859.60
|
| Rate for Payer: Aetna Commercial |
$5,047.16
|
| Rate for Payer: Aetna Medicare |
$2,968.92
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$3,859.60
|
| Rate for Payer: BCBS Complete |
$2,375.14
|
| Rate for Payer: Cash Price |
$4,750.27
|
| Rate for Payer: Cofinity Advantage |
$4,156.49
|
| Rate for Payer: Cofinity Commercial |
$5,106.54
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$4,750.27
|
| Rate for Payer: Healthscope Commercial |
$5,344.06
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$4,156.49
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$4,453.38
|
| Rate for Payer: MI Amish Medical Board Commercial |
$4,750.27
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$5,047.16
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$4,453.38
|
| Rate for Payer: PHP Commercial |
$5,047.16
|
| Rate for Payer: Priority Health SBD |
$3,740.84
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$3,859.60
|
| Rate for Payer: UHC Core |
$3,093.61
|
| Rate for Payer: UHC Exchange |
$2,333.57
|
| Rate for Payer: UMR Bronson Commercial |
$2,197.00
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$4,453.38
|
|
|
HC GUIDANT CRT LEAD
|
Facility
|
OP
|
$10,560.06
|
|
|
Service Code
|
HCPCS C1900
|
| Hospital Charge Code |
27800013
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$0.03 |
| Max. Negotiated Rate |
$9,504.05 |
| Rate for Payer: Aetna American Axle |
$6,864.04
|
| Rate for Payer: Aetna Commercial |
$8,976.05
|
| Rate for Payer: Aetna Medicare |
$5,280.03
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$6,864.04
|
| Rate for Payer: BCBS Complete |
$4,224.02
|
| Rate for Payer: BCBS Trust/PPO |
$0.03
|
| Rate for Payer: BCN Commercial |
$0.03
|
| Rate for Payer: Cash Price |
$8,448.05
|
| Rate for Payer: Cash Price |
$8,448.05
|
| Rate for Payer: Cofinity Advantage |
$7,392.04
|
| Rate for Payer: Cofinity Commercial |
$9,081.65
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$8,448.05
|
| Rate for Payer: Healthscope Commercial |
$9,504.05
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$7,392.04
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$7,920.05
|
| Rate for Payer: MI Amish Medical Board Commercial |
$8,448.05
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$8,976.05
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$7,920.05
|
| Rate for Payer: PHP Commercial |
$8,976.05
|
| Rate for Payer: Priority Health SBD |
$6,652.84
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$6,864.04
|
| Rate for Payer: UHC Core |
$5,501.79
|
| Rate for Payer: UHC Exchange |
$4,150.10
|
| Rate for Payer: UMR Bronson Commercial |
$3,907.22
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$7,920.05
|
|
|
HC GUIDANT CRT LEAD
|
Facility
|
IP
|
$10,560.06
|
|
|
Service Code
|
HCPCS C1900
|
| Hospital Charge Code |
27800013
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$4,646.43 |
| Max. Negotiated Rate |
$9,504.05 |
| Rate for Payer: Aetna American Axle |
$6,864.04
|
| Rate for Payer: Aetna Commercial |
$8,976.05
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$6,864.04
|
| Rate for Payer: Cash Price |
$8,448.05
|
| Rate for Payer: Cofinity Advantage |
$7,392.04
|
| Rate for Payer: Cofinity Commercial |
$9,081.65
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$8,448.05
|
| Rate for Payer: Healthscope Commercial |
$9,504.05
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$7,392.04
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$7,920.05
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$8,976.05
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$7,920.05
|
| Rate for Payer: PHP Commercial |
$8,976.05
|
| Rate for Payer: Priority Health SBD |
$6,652.84
|
| Rate for Payer: UMR Bronson Commercial |
$4,646.43
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$7,920.05
|
|
|
HC GUIDANT TACHY (ICD) LEAD
|
Facility
|
IP
|
$13,517.92
|
|
|
Service Code
|
HCPCS C1895
|
| Hospital Charge Code |
27800014
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$5,947.88 |
| Max. Negotiated Rate |
$12,166.13 |
| Rate for Payer: Aetna American Axle |
$8,786.65
|
| Rate for Payer: Aetna Commercial |
$11,490.23
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$8,786.65
|
| Rate for Payer: Cash Price |
$10,814.34
|
| Rate for Payer: Cofinity Advantage |
$9,462.54
|
| Rate for Payer: Cofinity Commercial |
$11,625.41
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$10,814.34
|
| Rate for Payer: Healthscope Commercial |
$12,166.13
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$9,462.54
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$10,138.44
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$11,490.23
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$10,138.44
|
| Rate for Payer: PHP Commercial |
$11,490.23
|
| Rate for Payer: Priority Health SBD |
$8,516.29
|
| Rate for Payer: UMR Bronson Commercial |
$5,947.88
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$10,138.44
|
|
|
HC GUIDANT TACHY (ICD) LEAD
|
Facility
|
OP
|
$13,517.92
|
|
|
Service Code
|
HCPCS C1895
|
| Hospital Charge Code |
27800014
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$5,001.63 |
| Max. Negotiated Rate |
$12,166.13 |
| Rate for Payer: Aetna American Axle |
$8,786.65
|
| Rate for Payer: Aetna Commercial |
$11,490.23
|
| Rate for Payer: Aetna Medicare |
$6,758.96
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$8,786.65
|
| Rate for Payer: BCBS Complete |
$5,407.17
|
| Rate for Payer: Cash Price |
$10,814.34
|
| Rate for Payer: Cofinity Advantage |
$9,462.54
|
| Rate for Payer: Cofinity Commercial |
$11,625.41
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$10,814.34
|
| Rate for Payer: Healthscope Commercial |
$12,166.13
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$9,462.54
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$10,138.44
|
| Rate for Payer: MI Amish Medical Board Commercial |
$10,814.34
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$11,490.23
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$10,138.44
|
| Rate for Payer: PHP Commercial |
$11,490.23
|
| Rate for Payer: Priority Health SBD |
$8,516.29
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$8,786.65
|
| Rate for Payer: UHC Core |
$7,042.84
|
| Rate for Payer: UHC Exchange |
$5,312.54
|
| Rate for Payer: UMR Bronson Commercial |
$5,001.63
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$10,138.44
|
|
|
HC GUIDED DRAIN CATH PLACEMENT
|
Facility
|
OP
|
$545.27
|
|
|
Service Code
|
CPT 75989
|
| Hospital Charge Code |
32000229
|
|
Hospital Revenue Code
|
320
|
| Min. Negotiated Rate |
$137.92 |
| Max. Negotiated Rate |
$490.74 |
| Rate for Payer: Aetna American Axle |
$354.43
|
| Rate for Payer: Aetna Commercial |
$463.48
|
| Rate for Payer: Aetna Medicare |
$272.63
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$354.43
|
| Rate for Payer: BCBS Complete |
$218.11
|
| Rate for Payer: BCBS Trust/PPO |
$137.92
|
| Rate for Payer: BCN Commercial |
$137.92
|
| Rate for Payer: Cash Price |
$436.22
|
| Rate for Payer: Cash Price |
$436.22
|
| Rate for Payer: Cofinity Advantage |
$381.69
|
| Rate for Payer: Cofinity Commercial |
$468.93
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$436.22
|
| Rate for Payer: Healthscope Commercial |
$490.74
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$381.69
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$408.95
|
| Rate for Payer: MI Amish Medical Board Commercial |
$436.22
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$463.48
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$408.95
|
| Rate for Payer: PHP Commercial |
$463.48
|
| Rate for Payer: Priority Health SBD |
$343.52
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$354.43
|
| Rate for Payer: UHC Core |
$284.09
|
| Rate for Payer: UHC Exchange |
$214.29
|
| Rate for Payer: UMR Bronson Commercial |
$201.75
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$408.95
|
|
|
HC GUIDED DRAIN CATH PLACEMENT
|
Facility
|
IP
|
$545.27
|
|
|
Service Code
|
CPT 75989
|
| Hospital Charge Code |
32000229
|
|
Hospital Revenue Code
|
320
|
| Min. Negotiated Rate |
$239.92 |
| Max. Negotiated Rate |
$490.74 |
| Rate for Payer: Aetna American Axle |
$354.43
|
| Rate for Payer: Aetna Commercial |
$463.48
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$354.43
|
| Rate for Payer: Cash Price |
$436.22
|
| Rate for Payer: Cofinity Advantage |
$381.69
|
| Rate for Payer: Cofinity Commercial |
$468.93
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$436.22
|
| Rate for Payer: Healthscope Commercial |
$490.74
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$381.69
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$408.95
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$463.48
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$408.95
|
| Rate for Payer: PHP Commercial |
$463.48
|
| Rate for Payer: Priority Health SBD |
$343.52
|
| Rate for Payer: UMR Bronson Commercial |
$239.92
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$408.95
|
|
