|
HC PEP VALVE SUPPLY
|
Facility
|
IP
|
$53.51
|
|
| Hospital Charge Code |
27000134
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$23.54 |
| Max. Negotiated Rate |
$48.16 |
| Rate for Payer: Aetna American Axle |
$34.78
|
| Rate for Payer: Aetna Commercial |
$45.48
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$34.78
|
| Rate for Payer: Cash Price |
$42.81
|
| Rate for Payer: Cofinity Commercial |
$37.46
|
| Rate for Payer: Cofinity Commercial |
$46.02
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$42.81
|
| Rate for Payer: Healthscope Commercial |
$48.16
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$37.46
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$40.13
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$45.48
|
| Rate for Payer: PHP Commercial |
$45.48
|
| Rate for Payer: Priority Health Cigna Priority Health |
$37.46
|
| Rate for Payer: Priority Health SBD |
$33.71
|
| Rate for Payer: UMR Bronson Commercial |
$23.54
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$40.13
|
|
|
HC PEP VALVE SUPPLY
|
Facility
|
OP
|
$53.51
|
|
| Hospital Charge Code |
27000134
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$19.80 |
| Max. Negotiated Rate |
$48.16 |
| Rate for Payer: Aetna American Axle |
$34.78
|
| Rate for Payer: Aetna Commercial |
$45.48
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$34.78
|
| Rate for Payer: BCBS Complete |
$21.40
|
| Rate for Payer: Cash Price |
$42.81
|
| Rate for Payer: Cofinity Commercial |
$37.46
|
| Rate for Payer: Cofinity Commercial |
$46.02
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$42.81
|
| Rate for Payer: Healthscope Commercial |
$48.16
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$37.46
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$40.13
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$45.48
|
| Rate for Payer: PHP Commercial |
$45.48
|
| Rate for Payer: Priority Health Cigna Priority Health |
$37.46
|
| Rate for Payer: Priority Health SBD |
$33.71
|
| Rate for Payer: UMR Bronson Commercial |
$19.80
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$40.13
|
|
|
HC PERC CHOLECYSTOSTOMY
|
Facility
|
OP
|
$5,063.57
|
|
|
Service Code
|
CPT 47490
|
| Hospital Charge Code |
36100200
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$320.57 |
| Max. Negotiated Rate |
$9,680.93 |
| Rate for Payer: Aetna American Axle |
$3,291.32
|
| Rate for Payer: Aetna Commercial |
$4,304.03
|
| Rate for Payer: Aetna Medicare |
$3,198.23
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$3,291.32
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$3,844.02
|
| Rate for Payer: Amish Plain Church Group Commercial |
$3,844.02
|
| Rate for Payer: BCBS Complete |
$1,766.41
|
| Rate for Payer: BCBS MAPPO |
$3,075.22
|
| Rate for Payer: BCBS Trust/PPO |
$2,549.30
|
| Rate for Payer: BCN Medicare Advantage |
$3,075.22
|
| Rate for Payer: Cash Price |
$4,050.86
|
| Rate for Payer: Cash Price |
$4,050.86
|
| Rate for Payer: Cofinity Commercial |
$4,354.67
|
| Rate for Payer: Cofinity Commercial |
$3,544.50
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$4,050.86
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$3,075.22
|
| Rate for Payer: Healthscope Commercial |
$4,557.21
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$3,544.50
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$3,797.68
|
| Rate for Payer: Mclaren Medicaid |
$1,682.15
|
| Rate for Payer: Mclaren Medicare |
$3,075.22
|
| Rate for Payer: Meridian Medicaid |
$1,766.41
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$3,228.98
|
| Rate for Payer: MI Amish Medical Board Commercial |
$3,536.50
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$4,304.03
|
| Rate for Payer: PACE Medicare |
$2,921.46
|
| Rate for Payer: PACE SWMI |
$3,075.22
|
| Rate for Payer: PHP Commercial |
$4,304.03
|
| Rate for Payer: PHP Medicare Advantage |
$3,075.22
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,682.15
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3,544.50
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$9,680.93
|
| Rate for Payer: Priority Health Medicare |
$3,075.22
|
| Rate for Payer: Priority Health Narrow Network |
$7,744.74
|
| Rate for Payer: Priority Health SBD |
$3,190.05
|
| Rate for Payer: Railroad Medicare Medicare |
$3,075.22
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$352.63
|
| Rate for Payer: UHC Core |
$5,042.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$3,075.22
|
| Rate for Payer: UHC Exchange |
$320.57
|
| Rate for Payer: UHC Medicare Advantage |
$3,167.48
|
| Rate for Payer: UMR Bronson Commercial |
$1,873.52
|
| Rate for Payer: VA VA |
$3,075.22
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$3,797.68
|
|
|
HC PERC CHOLECYSTOSTOMY
|
Facility
|
IP
|
$5,063.57
|
|
|
Service Code
|
CPT 47490
|
| Hospital Charge Code |
36100200
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$2,227.97 |
| Max. Negotiated Rate |
$4,557.21 |
| Rate for Payer: Aetna American Axle |
$3,291.32
|
| Rate for Payer: Aetna Commercial |
$4,304.03
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$3,291.32
|
| Rate for Payer: Cash Price |
$4,050.86
|
| Rate for Payer: Cofinity Commercial |
$3,544.50
|
| Rate for Payer: Cofinity Commercial |
$4,354.67
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$4,050.86
|
| Rate for Payer: Healthscope Commercial |
$4,557.21
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$3,544.50
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$3,797.68
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$4,304.03
|
| Rate for Payer: PHP Commercial |
$4,304.03
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3,544.50
|
| Rate for Payer: Priority Health SBD |
$3,190.05
|
| Rate for Payer: UMR Bronson Commercial |
$2,227.97
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$3,797.68
|
|
|
HC PERCH OCEAN IGE
|
Facility
|
IP
|
$71.40
|
|
|
Service Code
|
CPT 86003
|
| Hospital Charge Code |
30200481
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$31.42 |
| Max. Negotiated Rate |
$64.26 |
| Rate for Payer: Aetna American Axle |
$46.41
|
| Rate for Payer: Aetna Commercial |
$60.69
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$46.41
|
| Rate for Payer: Cash Price |
$57.12
|
| Rate for Payer: Cofinity Commercial |
$49.98
|
| Rate for Payer: Cofinity Commercial |
$61.40
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$57.12
|
| Rate for Payer: Healthscope Commercial |
$64.26
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$49.98
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$53.55
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$60.69
|
| Rate for Payer: PHP Commercial |
$60.69
|
| Rate for Payer: Priority Health Cigna Priority Health |
$49.98
|
| Rate for Payer: Priority Health SBD |
$44.98
|
| Rate for Payer: UMR Bronson Commercial |
$31.42
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$53.55
|
|
|
HC PERCH OCEAN IGE
|
Facility
|
OP
|
$71.40
|
|
|
Service Code
|
CPT 86003
|
| Hospital Charge Code |
30200481
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$2.86 |
| Max. Negotiated Rate |
$64.26 |
| Rate for Payer: Aetna American Axle |
$46.41
|
| Rate for Payer: Aetna Commercial |
$60.69
|
| Rate for Payer: Aetna Medicare |
$5.43
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$46.41
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$6.52
|
| Rate for Payer: Amish Plain Church Group Commercial |
$6.52
|
| Rate for Payer: BCBS Complete |
$3.00
|
| Rate for Payer: BCBS MAPPO |
$5.22
|
| Rate for Payer: BCBS Trust/PPO |
$4.70
|
| Rate for Payer: BCN Medicare Advantage |
$5.22
|
| Rate for Payer: Cash Price |
$57.12
|
| Rate for Payer: Cash Price |
$57.12
|
| Rate for Payer: Cofinity Commercial |
$61.40
|
| Rate for Payer: Cofinity Commercial |
$49.98
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$57.12
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$5.22
|
| Rate for Payer: Healthscope Commercial |
$64.26
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$49.98
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$53.55
|
| Rate for Payer: Mclaren Medicaid |
$2.86
|
| Rate for Payer: Mclaren Medicare |
$5.22
|
| Rate for Payer: Meridian Medicaid |
$3.00
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$5.48
|
| Rate for Payer: MI Amish Medical Board Commercial |
$6.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$60.69
|
| Rate for Payer: PACE Medicare |
$4.96
|
| Rate for Payer: PACE SWMI |
$5.22
|
| Rate for Payer: PHP Commercial |
$60.69
|
| Rate for Payer: PHP Medicare Advantage |
$5.22
|
| Rate for Payer: Priority Health Choice Medicaid |
$2.86
|
| Rate for Payer: Priority Health Cigna Priority Health |
$49.98
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$7.16
|
| Rate for Payer: Priority Health Medicare |
$5.22
|
| Rate for Payer: Priority Health Narrow Network |
$5.73
|
| Rate for Payer: Priority Health SBD |
$44.98
|
| Rate for Payer: Railroad Medicare Medicare |
$5.22
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$6.26
|
| Rate for Payer: UHC Core |
$8.60
|
| Rate for Payer: UHC Dual Complete DSNP |
$5.22
|
| Rate for Payer: UHC Exchange |
$5.22
|
| Rate for Payer: UHC Medicare Advantage |
$5.38
|
| Rate for Payer: UMR Bronson Commercial |
$26.42
|
| Rate for Payer: VA VA |
$5.22
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$53.55
|
|
|
HC PERC IMPLANT OF NEUROSTIM EPIDURAL
|
Facility
|
OP
|
$13,824.57
|
|
|
Service Code
|
CPT 63650
|
| Hospital Charge Code |
36100610
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$406.68 |
| Max. Negotiated Rate |
$19,137.49 |
| Rate for Payer: Aetna American Axle |
$8,985.97
|
| Rate for Payer: Aetna Commercial |
$11,750.88
|
| Rate for Payer: Aetna Medicare |
$6,322.34
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$8,985.97
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$7,598.96
|
| Rate for Payer: Amish Plain Church Group Commercial |
$7,598.96
|
| Rate for Payer: BCBS Complete |
$3,491.88
|
| Rate for Payer: BCBS MAPPO |
$6,079.17
|
| Rate for Payer: BCBS Trust/PPO |
$6,520.78
|
| Rate for Payer: BCN Medicare Advantage |
$6,079.17
|
| Rate for Payer: Cash Price |
$11,059.66
|
| Rate for Payer: Cash Price |
$11,059.66
|
| Rate for Payer: Cofinity Commercial |
$11,889.13
|
| Rate for Payer: Cofinity Commercial |
$9,677.20
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$11,059.66
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$6,079.17
|
| Rate for Payer: Healthscope Commercial |
$12,442.11
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$9,677.20
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$10,368.43
|
| Rate for Payer: Mclaren Medicaid |
$3,325.31
|
| Rate for Payer: Mclaren Medicare |
$6,079.17
|
| Rate for Payer: Meridian Medicaid |
$3,491.88
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$6,383.13
|
| Rate for Payer: MI Amish Medical Board Commercial |
$6,991.05
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$11,750.88
|
| Rate for Payer: PACE Medicare |
$5,775.21
|
| Rate for Payer: PACE SWMI |
$6,079.17
|
| Rate for Payer: PHP Commercial |
$11,750.88
|
| Rate for Payer: PHP Medicare Advantage |
$6,079.17
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,325.31
|
| Rate for Payer: Priority Health Cigna Priority Health |
$9,677.20
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$19,137.49
|
| Rate for Payer: Priority Health Medicare |
$6,079.17
|
| Rate for Payer: Priority Health Narrow Network |
$15,309.99
|
| Rate for Payer: Priority Health SBD |
$8,709.48
|
| Rate for Payer: Railroad Medicare Medicare |
$6,079.17
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$447.35
|
| Rate for Payer: UHC Core |
$8,596.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$6,079.17
|
| Rate for Payer: UHC Exchange |
$406.68
|
| Rate for Payer: UHC Medicare Advantage |
$6,261.55
|
| Rate for Payer: UMR Bronson Commercial |
$5,115.09
|
| Rate for Payer: VA VA |
$6,079.17
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$10,368.43
|
|
|
HC PERC IMPLANT OF NEUROSTIM EPIDURAL
|
Facility
|
IP
|
$13,824.57
|
|
|
Service Code
|
CPT 63650
|
| Hospital Charge Code |
36100610
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$6,082.81 |
| Max. Negotiated Rate |
$12,442.11 |
| Rate for Payer: Aetna American Axle |
$8,985.97
|
| Rate for Payer: Aetna Commercial |
$11,750.88
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$8,985.97
|
| Rate for Payer: Cash Price |
$11,059.66
|
| Rate for Payer: Cofinity Commercial |
$11,889.13
|
| Rate for Payer: Cofinity Commercial |
$9,677.20
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$11,059.66
|
| Rate for Payer: Healthscope Commercial |
$12,442.11
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$9,677.20
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$10,368.43
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$11,750.88
|
| Rate for Payer: PHP Commercial |
$11,750.88
|
| Rate for Payer: Priority Health Cigna Priority Health |
$9,677.20
|
| Rate for Payer: Priority Health SBD |
$8,709.48
|
| Rate for Payer: UMR Bronson Commercial |
$6,082.81
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$10,368.43
|
|
|
HC PERCLOSE
|
Facility
|
IP
|
$1,031.60
|
|
|
Service Code
|
HCPCS C1760
|
| Hospital Charge Code |
27200060
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$453.90 |
| Max. Negotiated Rate |
$928.44 |
| Rate for Payer: Aetna American Axle |
$670.54
|
| Rate for Payer: Aetna Commercial |
$876.86
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$670.54
|
| Rate for Payer: Cash Price |
$825.28
|
| Rate for Payer: Cofinity Commercial |
$722.12
|
| Rate for Payer: Cofinity Commercial |
$887.18
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$825.28
|
| Rate for Payer: Healthscope Commercial |
$928.44
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$722.12
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$773.70
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$876.86
|
| Rate for Payer: PHP Commercial |
$876.86
|
| Rate for Payer: Priority Health Cigna Priority Health |
$722.12
|
| Rate for Payer: Priority Health SBD |
$649.91
|
| Rate for Payer: UMR Bronson Commercial |
$453.90
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$773.70
|
|
|
HC PERCLOSE
|
Facility
|
OP
|
$1,031.60
|
|
|
Service Code
|
HCPCS C1760
|
| Hospital Charge Code |
27200060
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$381.69 |
| Max. Negotiated Rate |
$928.44 |
| Rate for Payer: Aetna American Axle |
$670.54
|
| Rate for Payer: Aetna Commercial |
$876.86
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$670.54
|
| Rate for Payer: BCBS Complete |
$412.64
|
| Rate for Payer: Cash Price |
$825.28
|
| Rate for Payer: Cofinity Commercial |
$722.12
|
| Rate for Payer: Cofinity Commercial |
$887.18
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$825.28
|
| Rate for Payer: Healthscope Commercial |
$928.44
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$722.12
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$773.70
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$876.86
|
| Rate for Payer: PHP Commercial |
$876.86
|
| Rate for Payer: Priority Health Cigna Priority Health |
$722.12
|
| Rate for Payer: Priority Health SBD |
$649.91
|
| Rate for Payer: UMR Bronson Commercial |
$381.69
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$773.70
|
|
|
HC PERC THROMBECTOMY OR INFUSION DIALYSIS CIRCUIT W IMAGING
|
Facility
|
IP
|
$6,381.71
|
|
|
Service Code
|
CPT 36904
|
| Hospital Charge Code |
36100528
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$2,807.95 |
| Max. Negotiated Rate |
$5,743.54 |
| Rate for Payer: Aetna American Axle |
$4,148.11
|
| Rate for Payer: Aetna Commercial |
$5,424.45
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$4,148.11
|
| Rate for Payer: Cash Price |
$5,105.37
|
| Rate for Payer: Cofinity Commercial |
$4,467.20
|
| Rate for Payer: Cofinity Commercial |
$5,488.27
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$5,105.37
|
| Rate for Payer: Healthscope Commercial |
$5,743.54
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$4,467.20
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$4,786.28
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$5,424.45
|
| Rate for Payer: PHP Commercial |
$5,424.45
|
| Rate for Payer: Priority Health Cigna Priority Health |
$4,467.20
|
| Rate for Payer: Priority Health SBD |
$4,020.48
|
| Rate for Payer: UMR Bronson Commercial |
$2,807.95
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$4,786.28
|
|
|
HC PERC THROMBECTOMY OR INFUSION DIALYSIS CIRCUIT W IMAGING
|
Facility
|
OP
|
$6,381.71
|
|
|
Service Code
|
CPT 36904
|
| Hospital Charge Code |
36100528
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$351.02 |
| Max. Negotiated Rate |
$15,993.75 |
| Rate for Payer: Aetna American Axle |
$4,148.11
|
| Rate for Payer: Aetna Commercial |
$5,424.45
|
| Rate for Payer: Aetna Medicare |
$5,283.75
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$4,148.11
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$6,350.66
|
| Rate for Payer: Amish Plain Church Group Commercial |
$6,350.66
|
| Rate for Payer: BCBS Complete |
$2,918.26
|
| Rate for Payer: BCBS MAPPO |
$5,080.53
|
| Rate for Payer: BCBS Trust/PPO |
$5,165.90
|
| Rate for Payer: BCN Medicare Advantage |
$5,080.53
|
| Rate for Payer: Cash Price |
$5,105.37
|
| Rate for Payer: Cash Price |
$5,105.37
|
| Rate for Payer: Cofinity Commercial |
$4,467.20
|
| Rate for Payer: Cofinity Commercial |
$5,488.27
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$5,105.37
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$5,080.53
|
| Rate for Payer: Healthscope Commercial |
$5,743.54
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$4,467.20
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$4,786.28
|
| Rate for Payer: Mclaren Medicaid |
$2,779.05
|
| Rate for Payer: Mclaren Medicare |
$5,080.53
|
| Rate for Payer: Meridian Medicaid |
$2,918.26
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$5,334.56
|
| Rate for Payer: MI Amish Medical Board Commercial |
$5,842.61
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$5,424.45
|
| Rate for Payer: PACE Medicare |
$4,826.50
|
| Rate for Payer: PACE SWMI |
$5,080.53
|
| Rate for Payer: PHP Commercial |
$5,424.45
|
| Rate for Payer: PHP Medicare Advantage |
$5,080.53
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,779.05
|
| Rate for Payer: Priority Health Cigna Priority Health |
$4,467.20
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$15,993.75
|
| Rate for Payer: Priority Health Medicare |
$5,080.53
|
| Rate for Payer: Priority Health Narrow Network |
$12,795.00
|
| Rate for Payer: Priority Health SBD |
$4,020.48
|
| Rate for Payer: Railroad Medicare Medicare |
$5,080.53
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$386.12
|
| Rate for Payer: UHC Core |
$8,596.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$5,080.53
|
| Rate for Payer: UHC Exchange |
$351.02
|
| Rate for Payer: UHC Medicare Advantage |
$5,232.95
|
| Rate for Payer: UMR Bronson Commercial |
$2,361.23
|
| Rate for Payer: VA VA |
$5,080.53
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$4,786.28
|
|
|
HC PERC THROMBECT OR INF W ANGIOPLASTY PERIPH DIALYSIS W IMAGING
|
Facility
|
IP
|
$17,345.63
|
|
|
Service Code
|
CPT 36905
|
| Hospital Charge Code |
36100529
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$7,632.08 |
| Max. Negotiated Rate |
$15,611.07 |
| Rate for Payer: Aetna American Axle |
$11,274.66
|
| Rate for Payer: Aetna Commercial |
$14,743.79
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$11,274.66
|
| Rate for Payer: Cash Price |
$13,876.50
|
| Rate for Payer: Cofinity Commercial |
$12,141.94
|
| Rate for Payer: Cofinity Commercial |
$14,917.24
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$13,876.50
|
| Rate for Payer: Healthscope Commercial |
$15,611.07
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$12,141.94
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$13,009.22
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$14,743.79
|
| Rate for Payer: PHP Commercial |
$14,743.79
|
| Rate for Payer: Priority Health Cigna Priority Health |
$12,141.94
|
| Rate for Payer: Priority Health SBD |
$10,927.75
|
| Rate for Payer: UMR Bronson Commercial |
$7,632.08
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$13,009.22
|
|
|
HC PERC THROMBECT OR INF W ANGIOPLASTY PERIPH DIALYSIS W IMAGING
|
Facility
|
OP
|
$17,345.63
|
|
|
Service Code
|
CPT 36905
|
| Hospital Charge Code |
36100529
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$421.42 |
| Max. Negotiated Rate |
$30,783.77 |
| Rate for Payer: Aetna American Axle |
$11,274.66
|
| Rate for Payer: Aetna Commercial |
$14,743.79
|
| Rate for Payer: Aetna Medicare |
$10,169.84
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$11,274.66
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$12,223.36
|
| Rate for Payer: Amish Plain Church Group Commercial |
$12,223.36
|
| Rate for Payer: BCBS Complete |
$5,616.88
|
| Rate for Payer: BCBS MAPPO |
$9,778.69
|
| Rate for Payer: BCBS Trust/PPO |
$9,788.60
|
| Rate for Payer: BCN Medicare Advantage |
$9,778.69
|
| Rate for Payer: Cash Price |
$13,876.50
|
| Rate for Payer: Cash Price |
$13,876.50
|
| Rate for Payer: Cofinity Commercial |
$12,141.94
|
| Rate for Payer: Cofinity Commercial |
$14,917.24
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$13,876.50
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$9,778.69
|
| Rate for Payer: Healthscope Commercial |
$15,611.07
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$12,141.94
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$13,009.22
|
| Rate for Payer: Mclaren Medicaid |
$5,348.94
|
| Rate for Payer: Mclaren Medicare |
$9,778.69
|
| Rate for Payer: Meridian Medicaid |
$5,616.88
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$10,267.62
|
| Rate for Payer: MI Amish Medical Board Commercial |
$11,245.49
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$14,743.79
|
| Rate for Payer: PACE Medicare |
$9,289.76
|
| Rate for Payer: PACE SWMI |
$9,778.69
|
| Rate for Payer: PHP Commercial |
$14,743.79
|
| Rate for Payer: PHP Medicare Advantage |
$9,778.69
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,348.94
|
| Rate for Payer: Priority Health Cigna Priority Health |
$12,141.94
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$30,783.77
|
| Rate for Payer: Priority Health Medicare |
$9,778.69
|
| Rate for Payer: Priority Health Narrow Network |
$24,627.02
|
| Rate for Payer: Priority Health SBD |
$10,927.75
|
| Rate for Payer: Railroad Medicare Medicare |
$9,778.69
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$463.56
|
| Rate for Payer: UHC Core |
$13,752.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$9,778.69
|
| Rate for Payer: UHC Exchange |
$421.42
|
| Rate for Payer: UHC Medicare Advantage |
$10,072.05
|
| Rate for Payer: UMR Bronson Commercial |
$6,417.88
|
| Rate for Payer: VA VA |
$9,778.69
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$13,009.22
|
|
|
HC PERC THROMBECT OR INF W STENT PERIPH DIALYSIS W IMAGING
|
Facility
|
IP
|
$27,544.40
|
|
|
Service Code
|
CPT 36906
|
| Hospital Charge Code |
36100530
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$12,119.54 |
| Max. Negotiated Rate |
$24,789.96 |
| Rate for Payer: Aetna American Axle |
$17,903.86
|
| Rate for Payer: Aetna Commercial |
$23,412.74
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$17,903.86
|
| Rate for Payer: Cash Price |
$22,035.52
|
| Rate for Payer: Cofinity Commercial |
$23,688.18
|
| Rate for Payer: Cofinity Commercial |
$19,281.08
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$22,035.52
|
| Rate for Payer: Healthscope Commercial |
$24,789.96
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$19,281.08
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$20,658.30
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$23,412.74
|
| Rate for Payer: PHP Commercial |
$23,412.74
|
| Rate for Payer: Priority Health Cigna Priority Health |
$19,281.08
|
| Rate for Payer: Priority Health SBD |
$17,352.97
|
| Rate for Payer: UMR Bronson Commercial |
$12,119.54
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$20,658.30
|
|
|
HC PERC THROMBECT OR INF W STENT PERIPH DIALYSIS W IMAGING
|
Facility
|
OP
|
$27,544.40
|
|
|
Service Code
|
CPT 36906
|
| Hospital Charge Code |
36100530
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$486.58 |
| Max. Negotiated Rate |
$49,067.27 |
| Rate for Payer: Aetna American Axle |
$17,903.86
|
| Rate for Payer: Aetna Commercial |
$23,412.74
|
| Rate for Payer: Aetna Medicare |
$16,210.04
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$17,903.86
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$19,483.22
|
| Rate for Payer: Amish Plain Church Group Commercial |
$19,483.22
|
| Rate for Payer: BCBS Complete |
$8,952.93
|
| Rate for Payer: BCBS MAPPO |
$15,586.58
|
| Rate for Payer: BCBS Trust/PPO |
$15,324.76
|
| Rate for Payer: BCN Medicare Advantage |
$15,586.58
|
| Rate for Payer: Cash Price |
$22,035.52
|
| Rate for Payer: Cash Price |
$22,035.52
|
| Rate for Payer: Cofinity Commercial |
$23,688.18
|
| Rate for Payer: Cofinity Commercial |
$19,281.08
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$22,035.52
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$15,586.58
|
| Rate for Payer: Healthscope Commercial |
$24,789.96
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$19,281.08
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$20,658.30
|
| Rate for Payer: Mclaren Medicaid |
$8,525.86
|
| Rate for Payer: Mclaren Medicare |
$15,586.58
|
| Rate for Payer: Meridian Medicaid |
$8,952.93
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$16,365.91
|
| Rate for Payer: MI Amish Medical Board Commercial |
$17,924.57
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$23,412.74
|
| Rate for Payer: PACE Medicare |
$14,807.25
|
| Rate for Payer: PACE SWMI |
$15,586.58
|
| Rate for Payer: PHP Commercial |
$23,412.74
|
| Rate for Payer: PHP Medicare Advantage |
$15,586.58
|
| Rate for Payer: Priority Health Choice Medicaid |
$8,525.86
|
| Rate for Payer: Priority Health Cigna Priority Health |
$19,281.08
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$49,067.27
|
| Rate for Payer: Priority Health Medicare |
$15,586.58
|
| Rate for Payer: Priority Health Narrow Network |
$39,253.82
|
| Rate for Payer: Priority Health SBD |
$17,352.97
|
| Rate for Payer: Railroad Medicare Medicare |
$15,586.58
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$535.24
|
| Rate for Payer: UHC Core |
$30,600.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$15,586.58
|
| Rate for Payer: UHC Exchange |
$486.58
|
| Rate for Payer: UHC Medicare Advantage |
$16,054.18
|
| Rate for Payer: UMR Bronson Commercial |
$10,191.43
|
| Rate for Payer: VA VA |
$15,586.58
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$20,658.30
|
|
|
HC PERCUTANEOUS NEEDLE
|
Facility
|
OP
|
$13.42
|
|
| Hospital Charge Code |
27200144
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$4.97 |
| Max. Negotiated Rate |
$12.08 |
| Rate for Payer: Aetna American Axle |
$8.72
|
| Rate for Payer: Aetna Commercial |
$11.41
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$8.72
|
| Rate for Payer: BCBS Complete |
$5.37
|
| Rate for Payer: Cash Price |
$10.74
|
| Rate for Payer: Cofinity Commercial |
$11.54
|
| Rate for Payer: Cofinity Commercial |
$9.39
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$10.74
|
| Rate for Payer: Healthscope Commercial |
$12.08
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$9.39
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$10.06
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$11.41
|
| Rate for Payer: PHP Commercial |
$11.41
|
| Rate for Payer: Priority Health Cigna Priority Health |
$9.39
|
| Rate for Payer: Priority Health SBD |
$8.45
|
| Rate for Payer: UMR Bronson Commercial |
$4.97
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$10.06
|
|
|
HC PERCUTANEOUS NEEDLE
|
Facility
|
IP
|
$13.42
|
|
| Hospital Charge Code |
27200144
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$5.90 |
| Max. Negotiated Rate |
$12.08 |
| Rate for Payer: Aetna American Axle |
$8.72
|
| Rate for Payer: Aetna Commercial |
$11.41
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$8.72
|
| Rate for Payer: Cash Price |
$10.74
|
| Rate for Payer: Cofinity Commercial |
$11.54
|
| Rate for Payer: Cofinity Commercial |
$9.39
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$10.74
|
| Rate for Payer: Healthscope Commercial |
$12.08
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$9.39
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$10.06
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$11.41
|
| Rate for Payer: PHP Commercial |
$11.41
|
| Rate for Payer: Priority Health Cigna Priority Health |
$9.39
|
| Rate for Payer: Priority Health SBD |
$8.45
|
| Rate for Payer: UMR Bronson Commercial |
$5.90
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$10.06
|
|
|
HC PERCUTANEOUS TRACHEOSTOMY
|
Facility
|
OP
|
$4,449.05
|
|
|
Service Code
|
CPT 31600
|
| Hospital Charge Code |
36000001
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$296.99 |
| Max. Negotiated Rate |
$9,009.23 |
| Rate for Payer: Aetna American Axle |
$2,891.88
|
| Rate for Payer: Aetna Commercial |
$3,781.69
|
| Rate for Payer: Aetna Medicare |
$2,976.31
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,891.88
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$3,577.30
|
| Rate for Payer: Amish Plain Church Group Commercial |
$3,577.30
|
| Rate for Payer: BCBS Complete |
$1,643.84
|
| Rate for Payer: BCBS MAPPO |
$2,861.84
|
| Rate for Payer: BCBS Trust/PPO |
$1,935.71
|
| Rate for Payer: BCN Medicare Advantage |
$2,861.84
|
| Rate for Payer: Cash Price |
$3,559.24
|
| Rate for Payer: Cash Price |
$3,559.24
|
| Rate for Payer: Cofinity Commercial |
$3,114.34
|
| Rate for Payer: Cofinity Commercial |
$3,826.18
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,559.24
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,861.84
|
| Rate for Payer: Healthscope Commercial |
$4,004.14
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$3,114.34
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$3,336.79
|
| Rate for Payer: Mclaren Medicaid |
$1,565.43
|
| Rate for Payer: Mclaren Medicare |
$2,861.84
|
| Rate for Payer: Meridian Medicaid |
$1,643.84
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$3,004.93
|
| Rate for Payer: MI Amish Medical Board Commercial |
$3,291.12
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$3,781.69
|
| Rate for Payer: PACE Medicare |
$2,718.75
|
| Rate for Payer: PACE SWMI |
$2,861.84
|
| Rate for Payer: PHP Commercial |
$3,781.69
|
| Rate for Payer: PHP Medicare Advantage |
$2,861.84
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,565.43
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3,114.34
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$9,009.23
|
| Rate for Payer: Priority Health Medicare |
$2,861.84
|
| Rate for Payer: Priority Health Narrow Network |
$7,207.38
|
| Rate for Payer: Priority Health SBD |
$2,802.90
|
| Rate for Payer: Railroad Medicare Medicare |
$2,861.84
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$326.69
|
| Rate for Payer: UHC Core |
$3,604.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$2,861.84
|
| Rate for Payer: UHC Exchange |
$296.99
|
| Rate for Payer: UHC Medicare Advantage |
$2,947.70
|
| Rate for Payer: UMR Bronson Commercial |
$1,646.15
|
| Rate for Payer: VA VA |
$2,861.84
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$3,336.79
|
|
|
HC PERCUTANEOUS TRACHEOSTOMY
|
Facility
|
IP
|
$4,449.05
|
|
|
Service Code
|
CPT 31600
|
| Hospital Charge Code |
36000001
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$1,957.58 |
| Max. Negotiated Rate |
$4,004.14 |
| Rate for Payer: Aetna American Axle |
$2,891.88
|
| Rate for Payer: Aetna Commercial |
$3,781.69
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,891.88
|
| Rate for Payer: Cash Price |
$3,559.24
|
| Rate for Payer: Cofinity Commercial |
$3,114.34
|
| Rate for Payer: Cofinity Commercial |
$3,826.18
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,559.24
|
| Rate for Payer: Healthscope Commercial |
$4,004.14
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$3,114.34
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$3,336.79
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$3,781.69
|
| Rate for Payer: PHP Commercial |
$3,781.69
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3,114.34
|
| Rate for Payer: Priority Health SBD |
$2,802.90
|
| Rate for Payer: UMR Bronson Commercial |
$1,957.58
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$3,336.79
|
|
|
HC PERENNIAL RYE IGE
|
Facility
|
IP
|
$24.89
|
|
|
Service Code
|
CPT 86003
|
| Hospital Charge Code |
30200097
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$10.95 |
| Max. Negotiated Rate |
$22.40 |
| Rate for Payer: Aetna American Axle |
$16.18
|
| Rate for Payer: Aetna Commercial |
$21.16
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$16.18
|
| Rate for Payer: Cash Price |
$19.91
|
| Rate for Payer: Cofinity Commercial |
$17.42
|
| Rate for Payer: Cofinity Commercial |
$21.41
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$19.91
|
| Rate for Payer: Healthscope Commercial |
$22.40
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$17.42
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$18.67
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$21.16
|
| Rate for Payer: PHP Commercial |
$21.16
|
| Rate for Payer: Priority Health Cigna Priority Health |
$17.42
|
| Rate for Payer: Priority Health SBD |
$15.68
|
| Rate for Payer: UMR Bronson Commercial |
$10.95
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$18.67
|
|
|
HC PERENNIAL RYE IGE
|
Facility
|
OP
|
$24.89
|
|
|
Service Code
|
CPT 86003
|
| Hospital Charge Code |
30200097
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$2.86 |
| Max. Negotiated Rate |
$22.40 |
| Rate for Payer: Aetna American Axle |
$16.18
|
| Rate for Payer: Aetna Commercial |
$21.16
|
| Rate for Payer: Aetna Medicare |
$5.43
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$16.18
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$6.52
|
| Rate for Payer: Amish Plain Church Group Commercial |
$6.52
|
| Rate for Payer: BCBS Complete |
$3.00
|
| Rate for Payer: BCBS MAPPO |
$5.22
|
| Rate for Payer: BCBS Trust/PPO |
$4.70
|
| Rate for Payer: BCN Medicare Advantage |
$5.22
|
| Rate for Payer: Cash Price |
$19.91
|
| Rate for Payer: Cash Price |
$19.91
|
| Rate for Payer: Cofinity Commercial |
$17.42
|
| Rate for Payer: Cofinity Commercial |
$21.41
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$19.91
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$5.22
|
| Rate for Payer: Healthscope Commercial |
$22.40
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$17.42
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$18.67
|
| Rate for Payer: Mclaren Medicaid |
$2.86
|
| Rate for Payer: Mclaren Medicare |
$5.22
|
| Rate for Payer: Meridian Medicaid |
$3.00
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$5.48
|
| Rate for Payer: MI Amish Medical Board Commercial |
$6.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$21.16
|
| Rate for Payer: PACE Medicare |
$4.96
|
| Rate for Payer: PACE SWMI |
$5.22
|
| Rate for Payer: PHP Commercial |
$21.16
|
| Rate for Payer: PHP Medicare Advantage |
$5.22
|
| Rate for Payer: Priority Health Choice Medicaid |
$2.86
|
| Rate for Payer: Priority Health Cigna Priority Health |
$17.42
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$7.16
|
| Rate for Payer: Priority Health Medicare |
$5.22
|
| Rate for Payer: Priority Health Narrow Network |
$5.73
|
| Rate for Payer: Priority Health SBD |
$15.68
|
| Rate for Payer: Railroad Medicare Medicare |
$5.22
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$6.26
|
| Rate for Payer: UHC Core |
$8.60
|
| Rate for Payer: UHC Dual Complete DSNP |
$5.22
|
| Rate for Payer: UHC Exchange |
$5.22
|
| Rate for Payer: UHC Medicare Advantage |
$5.38
|
| Rate for Payer: UMR Bronson Commercial |
$9.21
|
| Rate for Payer: VA VA |
$5.22
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$18.67
|
|
|
HC PERFUSION OPEN HEART
|
Facility
|
OP
|
$6,397.73
|
|
| Hospital Charge Code |
27000107
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$2,367.16 |
| Max. Negotiated Rate |
$5,757.96 |
| Rate for Payer: Aetna American Axle |
$4,158.52
|
| Rate for Payer: Aetna Commercial |
$5,438.07
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$4,158.52
|
| Rate for Payer: BCBS Complete |
$2,559.09
|
| Rate for Payer: Cash Price |
$5,118.18
|
| Rate for Payer: Cofinity Commercial |
$4,478.41
|
| Rate for Payer: Cofinity Commercial |
$5,502.05
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$5,118.18
|
| Rate for Payer: Healthscope Commercial |
$5,757.96
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$4,478.41
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$4,798.30
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$5,438.07
|
| Rate for Payer: PHP Commercial |
$5,438.07
|
| Rate for Payer: Priority Health Cigna Priority Health |
$4,478.41
|
| Rate for Payer: Priority Health SBD |
$4,030.57
|
| Rate for Payer: UMR Bronson Commercial |
$2,367.16
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$4,798.30
|
|
|
HC PERFUSION OPEN HEART
|
Facility
|
IP
|
$6,397.73
|
|
| Hospital Charge Code |
27000107
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$2,815.00 |
| Max. Negotiated Rate |
$5,757.96 |
| Rate for Payer: Aetna American Axle |
$4,158.52
|
| Rate for Payer: Aetna Commercial |
$5,438.07
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$4,158.52
|
| Rate for Payer: Cash Price |
$5,118.18
|
| Rate for Payer: Cofinity Commercial |
$4,478.41
|
| Rate for Payer: Cofinity Commercial |
$5,502.05
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$5,118.18
|
| Rate for Payer: Healthscope Commercial |
$5,757.96
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$4,478.41
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$4,798.30
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$5,438.07
|
| Rate for Payer: PHP Commercial |
$5,438.07
|
| Rate for Payer: Priority Health Cigna Priority Health |
$4,478.41
|
| Rate for Payer: Priority Health SBD |
$4,030.57
|
| Rate for Payer: UMR Bronson Commercial |
$2,815.00
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$4,798.30
|
|
|
HC PERIDARDIOCENTESIS WITH GUIDANCE
|
Facility
|
IP
|
$2,495.36
|
|
|
Service Code
|
CPT 33016
|
| Hospital Charge Code |
36100582
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$1,097.96 |
| Max. Negotiated Rate |
$2,245.82 |
| Rate for Payer: Aetna American Axle |
$1,621.98
|
| Rate for Payer: Aetna Commercial |
$2,121.06
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,621.98
|
| Rate for Payer: Cash Price |
$1,996.29
|
| Rate for Payer: Cofinity Commercial |
$1,746.75
|
| Rate for Payer: Cofinity Commercial |
$2,146.01
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,996.29
|
| Rate for Payer: Healthscope Commercial |
$2,245.82
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,746.75
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,871.52
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$2,121.06
|
| Rate for Payer: PHP Commercial |
$2,121.06
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,746.75
|
| Rate for Payer: Priority Health SBD |
$1,572.08
|
| Rate for Payer: UMR Bronson Commercial |
$1,097.96
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,871.52
|
|
