|
HC ENDO CYTOLOGY/BRUSHING
|
Facility
|
IP
|
$1,805.46
|
|
| Hospital Charge Code |
36000012
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$794.40 |
| Max. Negotiated Rate |
$1,624.91 |
| Rate for Payer: Aetna American Axle |
$1,173.55
|
| Rate for Payer: Aetna Commercial |
$1,534.64
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,173.55
|
| Rate for Payer: Cash Price |
$1,444.37
|
| Rate for Payer: Cofinity Commercial |
$1,263.82
|
| Rate for Payer: Cofinity Commercial |
$1,552.70
|
| Rate for Payer: Cofinity Medicare Advantage |
$1,263.82
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,444.37
|
| Rate for Payer: Healthscope Commercial |
$1,624.91
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,263.82
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,354.10
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,534.64
|
| Rate for Payer: PHP Commercial |
$1,534.64
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,173.55
|
| Rate for Payer: Priority Health SBD |
$1,137.44
|
| Rate for Payer: UMR Bronson Commercial |
$794.40
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,354.10
|
|
|
HC ENDO CYTOLOGY/BRUSHING
|
Facility
|
OP
|
$1,805.46
|
|
| Hospital Charge Code |
36000012
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$668.02 |
| Max. Negotiated Rate |
$1,624.91 |
| Rate for Payer: Aetna American Axle |
$1,173.55
|
| Rate for Payer: Aetna Commercial |
$1,534.64
|
| Rate for Payer: Aetna Medicare |
$902.73
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,173.55
|
| Rate for Payer: BCBS Complete |
$722.18
|
| Rate for Payer: Cash Price |
$1,444.37
|
| Rate for Payer: Cofinity Commercial |
$1,263.82
|
| Rate for Payer: Cofinity Commercial |
$1,552.70
|
| Rate for Payer: Cofinity Medicare Advantage |
$1,263.82
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,444.37
|
| Rate for Payer: Healthscope Commercial |
$1,624.91
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,263.82
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,354.10
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,534.64
|
| Rate for Payer: PHP Commercial |
$1,534.64
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,173.55
|
| Rate for Payer: Priority Health SBD |
$1,137.44
|
| Rate for Payer: UMR Bronson Commercial |
$668.02
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,354.10
|
|
|
HC ENDO DILATATION
|
Facility
|
IP
|
$1,330.39
|
|
| Hospital Charge Code |
36000115
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$585.37 |
| Max. Negotiated Rate |
$1,197.35 |
| Rate for Payer: Aetna American Axle |
$864.75
|
| Rate for Payer: Aetna Commercial |
$1,130.83
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$864.75
|
| Rate for Payer: Cash Price |
$1,064.31
|
| Rate for Payer: Cofinity Commercial |
$1,144.14
|
| Rate for Payer: Cofinity Commercial |
$931.27
|
| Rate for Payer: Cofinity Medicare Advantage |
$931.27
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,064.31
|
| Rate for Payer: Healthscope Commercial |
$1,197.35
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$931.27
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$997.79
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,130.83
|
| Rate for Payer: PHP Commercial |
$1,130.83
|
| Rate for Payer: Priority Health Cigna Priority Health |
$864.75
|
| Rate for Payer: Priority Health SBD |
$838.15
|
| Rate for Payer: UMR Bronson Commercial |
$585.37
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$997.79
|
|
|
HC ENDO DILATATION
|
Facility
|
OP
|
$1,330.39
|
|
| Hospital Charge Code |
36000115
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$492.24 |
| Max. Negotiated Rate |
$1,197.35 |
| Rate for Payer: Aetna American Axle |
$864.75
|
| Rate for Payer: Aetna Commercial |
$1,130.83
|
| Rate for Payer: Aetna Medicare |
$665.20
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$864.75
|
| Rate for Payer: BCBS Complete |
$532.16
|
| Rate for Payer: Cash Price |
$1,064.31
|
| Rate for Payer: Cofinity Commercial |
$1,144.14
|
| Rate for Payer: Cofinity Commercial |
$931.27
|
| Rate for Payer: Cofinity Medicare Advantage |
$931.27
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,064.31
|
| Rate for Payer: Healthscope Commercial |
$1,197.35
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$931.27
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$997.79
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,130.83
|
| Rate for Payer: PHP Commercial |
$1,130.83
|
| Rate for Payer: Priority Health Cigna Priority Health |
$864.75
|
| Rate for Payer: Priority Health SBD |
$838.15
|
| Rate for Payer: UMR Bronson Commercial |
$492.24
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$997.79
|
|
|
HC ENDO FINE NEEDLE ASP/BIOPSY
|
Facility
|
OP
|
$1,074.53
|
|
| Hospital Charge Code |
36000103
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$397.58 |
| Max. Negotiated Rate |
$967.08 |
| Rate for Payer: Aetna American Axle |
$698.44
|
| Rate for Payer: Aetna Commercial |
$913.35
|
| Rate for Payer: Aetna Medicare |
$537.26
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$698.44
|
| Rate for Payer: BCBS Complete |
$429.81
|
| Rate for Payer: Cash Price |
$859.62
|
| Rate for Payer: Cofinity Commercial |
$752.17
|
| Rate for Payer: Cofinity Commercial |
$924.10
|
| Rate for Payer: Cofinity Medicare Advantage |
$752.17
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$859.62
|
| Rate for Payer: Healthscope Commercial |
$967.08
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$752.17
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$805.90
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$913.35
|
| Rate for Payer: PHP Commercial |
$913.35
|
| Rate for Payer: Priority Health Cigna Priority Health |
$698.44
|
| Rate for Payer: Priority Health SBD |
$676.95
|
| Rate for Payer: UMR Bronson Commercial |
$397.58
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$805.90
|
|
|
HC ENDO FINE NEEDLE ASP/BIOPSY
|
Facility
|
IP
|
$1,074.53
|
|
| Hospital Charge Code |
36000103
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$472.79 |
| Max. Negotiated Rate |
$967.08 |
| Rate for Payer: Aetna American Axle |
$698.44
|
| Rate for Payer: Aetna Commercial |
$913.35
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$698.44
|
| Rate for Payer: Cash Price |
$859.62
|
| Rate for Payer: Cofinity Commercial |
$752.17
|
| Rate for Payer: Cofinity Commercial |
$924.10
|
| Rate for Payer: Cofinity Medicare Advantage |
$752.17
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$859.62
|
| Rate for Payer: Healthscope Commercial |
$967.08
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$752.17
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$805.90
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$913.35
|
| Rate for Payer: PHP Commercial |
$913.35
|
| Rate for Payer: Priority Health Cigna Priority Health |
$698.44
|
| Rate for Payer: Priority Health SBD |
$676.95
|
| Rate for Payer: UMR Bronson Commercial |
$472.79
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$805.90
|
|
|
HC ENDOFORM 2X2
|
Facility
|
IP
|
$39.02
|
|
| Hospital Charge Code |
27000459
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$17.17 |
| Max. Negotiated Rate |
$35.12 |
| Rate for Payer: Aetna American Axle |
$25.36
|
| Rate for Payer: Aetna Commercial |
$33.17
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$25.36
|
| Rate for Payer: Cash Price |
$31.22
|
| Rate for Payer: Cofinity Commercial |
$27.31
|
| Rate for Payer: Cofinity Commercial |
$33.56
|
| Rate for Payer: Cofinity Medicare Advantage |
$27.31
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$31.22
|
| Rate for Payer: Healthscope Commercial |
$35.12
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$27.31
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$29.26
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$33.17
|
| Rate for Payer: PHP Commercial |
$33.17
|
| Rate for Payer: Priority Health Cigna Priority Health |
$25.36
|
| Rate for Payer: Priority Health SBD |
$24.58
|
| Rate for Payer: UMR Bronson Commercial |
$17.17
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$29.26
|
|
|
HC ENDOFORM 2X2
|
Facility
|
OP
|
$39.02
|
|
| Hospital Charge Code |
27000459
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$14.44 |
| Max. Negotiated Rate |
$35.12 |
| Rate for Payer: Aetna American Axle |
$25.36
|
| Rate for Payer: Aetna Commercial |
$33.17
|
| Rate for Payer: Aetna Medicare |
$19.51
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$25.36
|
| Rate for Payer: BCBS Complete |
$15.61
|
| Rate for Payer: Cash Price |
$31.22
|
| Rate for Payer: Cofinity Commercial |
$27.31
|
| Rate for Payer: Cofinity Commercial |
$33.56
|
| Rate for Payer: Cofinity Medicare Advantage |
$27.31
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$31.22
|
| Rate for Payer: Healthscope Commercial |
$35.12
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$27.31
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$29.26
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$33.17
|
| Rate for Payer: PHP Commercial |
$33.17
|
| Rate for Payer: Priority Health Cigna Priority Health |
$25.36
|
| Rate for Payer: Priority Health SBD |
$24.58
|
| Rate for Payer: UMR Bronson Commercial |
$14.44
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$29.26
|
|
|
HC ENDOFORM 4X4
|
Facility
|
IP
|
$135.72
|
|
| Hospital Charge Code |
27000460
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$59.72 |
| Max. Negotiated Rate |
$122.15 |
| Rate for Payer: Aetna American Axle |
$88.22
|
| Rate for Payer: Aetna Commercial |
$115.36
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$88.22
|
| Rate for Payer: Cash Price |
$108.58
|
| Rate for Payer: Cofinity Commercial |
$116.72
|
| Rate for Payer: Cofinity Commercial |
$95.00
|
| Rate for Payer: Cofinity Medicare Advantage |
$95.00
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$108.58
|
| Rate for Payer: Healthscope Commercial |
$122.15
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$95.00
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$101.79
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$115.36
|
| Rate for Payer: PHP Commercial |
$115.36
|
| Rate for Payer: Priority Health Cigna Priority Health |
$88.22
|
| Rate for Payer: Priority Health SBD |
$85.50
|
| Rate for Payer: UMR Bronson Commercial |
$59.72
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$101.79
|
|
|
HC ENDOFORM 4X4
|
Facility
|
OP
|
$135.72
|
|
| Hospital Charge Code |
27000460
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$50.22 |
| Max. Negotiated Rate |
$122.15 |
| Rate for Payer: Aetna American Axle |
$88.22
|
| Rate for Payer: Aetna Commercial |
$115.36
|
| Rate for Payer: Aetna Medicare |
$67.86
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$88.22
|
| Rate for Payer: BCBS Complete |
$54.29
|
| Rate for Payer: Cash Price |
$108.58
|
| Rate for Payer: Cofinity Commercial |
$116.72
|
| Rate for Payer: Cofinity Commercial |
$95.00
|
| Rate for Payer: Cofinity Medicare Advantage |
$95.00
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$108.58
|
| Rate for Payer: Healthscope Commercial |
$122.15
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$95.00
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$101.79
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$115.36
|
| Rate for Payer: PHP Commercial |
$115.36
|
| Rate for Payer: Priority Health Cigna Priority Health |
$88.22
|
| Rate for Payer: Priority Health SBD |
$85.50
|
| Rate for Payer: UMR Bronson Commercial |
$50.22
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$101.79
|
|
|
HC ENDO HEMOSTASIS
|
Facility
|
IP
|
$125.46
|
|
| Hospital Charge Code |
36000116
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$55.20 |
| Max. Negotiated Rate |
$112.91 |
| Rate for Payer: Aetna American Axle |
$81.55
|
| Rate for Payer: Aetna Commercial |
$106.64
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$81.55
|
| Rate for Payer: Cash Price |
$100.37
|
| Rate for Payer: Cofinity Commercial |
$107.90
|
| Rate for Payer: Cofinity Commercial |
$87.82
|
| Rate for Payer: Cofinity Medicare Advantage |
$87.82
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$100.37
|
| Rate for Payer: Healthscope Commercial |
$112.91
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$87.82
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$94.10
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$106.64
|
| Rate for Payer: PHP Commercial |
$106.64
|
| Rate for Payer: Priority Health Cigna Priority Health |
$81.55
|
| Rate for Payer: Priority Health SBD |
$79.04
|
| Rate for Payer: UMR Bronson Commercial |
$55.20
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$94.10
|
|
|
HC ENDO HEMOSTASIS
|
Facility
|
OP
|
$125.46
|
|
| Hospital Charge Code |
36000116
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$46.42 |
| Max. Negotiated Rate |
$112.91 |
| Rate for Payer: Aetna American Axle |
$81.55
|
| Rate for Payer: Aetna Commercial |
$106.64
|
| Rate for Payer: Aetna Medicare |
$62.73
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$81.55
|
| Rate for Payer: BCBS Complete |
$50.18
|
| Rate for Payer: Cash Price |
$100.37
|
| Rate for Payer: Cofinity Commercial |
$107.90
|
| Rate for Payer: Cofinity Commercial |
$87.82
|
| Rate for Payer: Cofinity Medicare Advantage |
$87.82
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$100.37
|
| Rate for Payer: Healthscope Commercial |
$112.91
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$87.82
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$94.10
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$106.64
|
| Rate for Payer: PHP Commercial |
$106.64
|
| Rate for Payer: Priority Health Cigna Priority Health |
$81.55
|
| Rate for Payer: Priority Health SBD |
$79.04
|
| Rate for Payer: UMR Bronson Commercial |
$46.42
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$94.10
|
|
|
HC ENDOLUMINAL BIOPSY OF BILIARY TREE
|
Facility
|
IP
|
$662.41
|
|
|
Service Code
|
CPT 47543
|
| Hospital Charge Code |
36100500
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$291.46 |
| Max. Negotiated Rate |
$596.17 |
| Rate for Payer: Aetna American Axle |
$430.57
|
| Rate for Payer: Aetna Commercial |
$563.05
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$430.57
|
| Rate for Payer: Cash Price |
$529.93
|
| Rate for Payer: Cofinity Commercial |
$463.69
|
| Rate for Payer: Cofinity Commercial |
$569.67
|
| Rate for Payer: Cofinity Medicare Advantage |
$463.69
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$529.93
|
| Rate for Payer: Healthscope Commercial |
$596.17
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$463.69
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$496.81
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$563.05
|
| Rate for Payer: PHP Commercial |
$563.05
|
| Rate for Payer: Priority Health Cigna Priority Health |
$430.57
|
| Rate for Payer: Priority Health SBD |
$417.32
|
| Rate for Payer: UMR Bronson Commercial |
$291.46
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$496.81
|
|
|
HC ENDOLUMINAL BIOPSY OF BILIARY TREE
|
Facility
|
OP
|
$662.41
|
|
|
Service Code
|
CPT 47543
|
| Hospital Charge Code |
36100500
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$135.20 |
| Max. Negotiated Rate |
$2,368.89 |
| Rate for Payer: Aetna American Axle |
$430.57
|
| Rate for Payer: Aetna Commercial |
$563.05
|
| Rate for Payer: Aetna Medicare |
$331.20
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$430.57
|
| Rate for Payer: BCBS Complete |
$264.96
|
| Rate for Payer: BCBS Trust/PPO |
$2,368.89
|
| Rate for Payer: BCN Commercial |
$2,368.89
|
| Rate for Payer: Cash Price |
$529.93
|
| Rate for Payer: Cash Price |
$529.93
|
| Rate for Payer: Cash Price |
$529.93
|
| Rate for Payer: Cofinity Commercial |
$569.67
|
| Rate for Payer: Cofinity Commercial |
$463.69
|
| Rate for Payer: Cofinity Medicare Advantage |
$463.69
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$529.93
|
| Rate for Payer: Healthscope Commercial |
$596.17
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$463.69
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$496.81
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$563.05
|
| Rate for Payer: PHP Commercial |
$563.05
|
| Rate for Payer: Priority Health Cigna Priority Health |
$430.57
|
| Rate for Payer: Priority Health SBD |
$417.32
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$148.72
|
| Rate for Payer: UHC Core |
$700.00
|
| Rate for Payer: UHC Exchange |
$135.20
|
| Rate for Payer: UMR Bronson Commercial |
$245.09
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$496.81
|
|
|
HC ENDOLUMINAL BX URTR &/RNL PELVIS NONENDOSCOPIC
|
Facility
|
OP
|
$5,097.96
|
|
|
Service Code
|
CPT 50606
|
| Hospital Charge Code |
36100615
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$133.66 |
| Max. Negotiated Rate |
$4,588.16 |
| Rate for Payer: Aetna American Axle |
$3,313.67
|
| Rate for Payer: Aetna Commercial |
$4,333.27
|
| Rate for Payer: Aetna Medicare |
$2,548.98
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$3,313.67
|
| Rate for Payer: BCBS Complete |
$2,039.18
|
| Rate for Payer: BCBS Trust/PPO |
$2,891.30
|
| Rate for Payer: BCN Commercial |
$2,891.30
|
| Rate for Payer: Cash Price |
$4,078.37
|
| Rate for Payer: Cash Price |
$4,078.37
|
| Rate for Payer: Cash Price |
$4,078.37
|
| Rate for Payer: Cofinity Commercial |
$4,384.25
|
| Rate for Payer: Cofinity Commercial |
$3,568.57
|
| Rate for Payer: Cofinity Medicare Advantage |
$3,568.57
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$4,078.37
|
| Rate for Payer: Healthscope Commercial |
$4,588.16
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$3,568.57
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$3,823.47
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$4,333.27
|
| Rate for Payer: PHP Commercial |
$4,333.27
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3,313.67
|
| Rate for Payer: Priority Health SBD |
$3,211.71
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$147.03
|
| Rate for Payer: UHC Core |
$700.00
|
| Rate for Payer: UHC Exchange |
$133.66
|
| Rate for Payer: UMR Bronson Commercial |
$1,886.25
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$3,823.47
|
|
|
HC ENDOLUMINAL BX URTR &/RNL PELVIS NONENDOSCOPIC
|
Facility
|
IP
|
$5,097.96
|
|
|
Service Code
|
CPT 50606
|
| Hospital Charge Code |
36100615
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$2,243.10 |
| Max. Negotiated Rate |
$4,588.16 |
| Rate for Payer: Aetna American Axle |
$3,313.67
|
| Rate for Payer: Aetna Commercial |
$4,333.27
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$3,313.67
|
| Rate for Payer: Cash Price |
$4,078.37
|
| Rate for Payer: Cofinity Commercial |
$3,568.57
|
| Rate for Payer: Cofinity Commercial |
$4,384.25
|
| Rate for Payer: Cofinity Medicare Advantage |
$3,568.57
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$4,078.37
|
| Rate for Payer: Healthscope Commercial |
$4,588.16
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$3,568.57
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$3,823.47
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$4,333.27
|
| Rate for Payer: PHP Commercial |
$4,333.27
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3,313.67
|
| Rate for Payer: Priority Health SBD |
$3,211.71
|
| Rate for Payer: UMR Bronson Commercial |
$2,243.10
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$3,823.47
|
|
|
HC ENDOMETR ABLATE THERMAL
|
Facility
|
OP
|
$13,353.53
|
|
|
Service Code
|
CPT 58353
|
| Hospital Charge Code |
76100336
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$223.55 |
| Max. Negotiated Rate |
$15,201.47 |
| Rate for Payer: Aetna American Axle |
$8,679.79
|
| Rate for Payer: Aetna Commercial |
$11,350.50
|
| Rate for Payer: Aetna Medicare |
$5,030.10
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$8,679.79
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$6,045.79
|
| Rate for Payer: Amish Plain Church Group Commercial |
$6,045.79
|
| Rate for Payer: BCBS Complete |
$2,722.06
|
| Rate for Payer: BCBS MAPPO |
$4,836.63
|
| Rate for Payer: BCBS Trust/PPO |
$3,606.74
|
| Rate for Payer: BCN Commercial |
$3,606.74
|
| Rate for Payer: BCN Medicare Advantage |
$4,836.63
|
| Rate for Payer: Cash Price |
$10,682.82
|
| Rate for Payer: Cash Price |
$10,682.82
|
| Rate for Payer: Cash Price |
$10,682.82
|
| Rate for Payer: Cofinity Commercial |
$9,347.47
|
| Rate for Payer: Cofinity Commercial |
$11,484.04
|
| Rate for Payer: Cofinity Medicare Advantage |
$9,347.47
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$10,682.82
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$4,836.63
|
| Rate for Payer: Healthscope Commercial |
$12,018.18
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$9,347.47
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$10,015.15
|
| Rate for Payer: Mclaren Medicaid |
$2,592.43
|
| Rate for Payer: Mclaren Medicare |
$4,836.63
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$5,078.46
|
| Rate for Payer: Meridian Medicaid |
$2,722.06
|
| Rate for Payer: MI Amish Medical Board Commercial |
$5,562.12
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$11,350.50
|
| Rate for Payer: Nomi Health Commercial |
$10,156.92
|
| Rate for Payer: PACE Medicare |
$4,594.80
|
| Rate for Payer: PACE SWMI |
$4,836.63
|
| Rate for Payer: PHP Commercial |
$11,350.50
|
| Rate for Payer: PHP Medicare Advantage |
$4,836.63
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,592.43
|
| Rate for Payer: Priority Health Cigna Priority Health |
$8,679.79
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$15,201.47
|
| Rate for Payer: Priority Health Medicare |
$4,836.63
|
| Rate for Payer: Priority Health Narrow Network |
$12,161.18
|
| Rate for Payer: Priority Health SBD |
$8,412.72
|
| Rate for Payer: Railroad Medicare Medicare |
$4,836.63
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$245.90
|
| Rate for Payer: UHC Core |
$5,042.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$4,836.63
|
| Rate for Payer: UHC Exchange |
$223.55
|
| Rate for Payer: UHC Medicare Advantage |
$4,836.63
|
| Rate for Payer: UHCCP Medicaid |
$2,592.43
|
| Rate for Payer: UMR Bronson Commercial |
$4,940.81
|
| Rate for Payer: VA VA |
$4,836.63
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$10,015.15
|
|
|
HC ENDOMETR ABLATE THERMAL
|
Facility
|
IP
|
$13,353.53
|
|
|
Service Code
|
CPT 58353
|
| Hospital Charge Code |
76100336
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$5,875.55 |
| Max. Negotiated Rate |
$12,018.18 |
| Rate for Payer: Aetna American Axle |
$8,679.79
|
| Rate for Payer: Aetna Commercial |
$11,350.50
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$8,679.79
|
| Rate for Payer: Cash Price |
$10,682.82
|
| Rate for Payer: Cofinity Commercial |
$11,484.04
|
| Rate for Payer: Cofinity Commercial |
$9,347.47
|
| Rate for Payer: Cofinity Medicare Advantage |
$9,347.47
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$10,682.82
|
| Rate for Payer: Healthscope Commercial |
$12,018.18
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$9,347.47
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$10,015.15
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$11,350.50
|
| Rate for Payer: PHP Commercial |
$11,350.50
|
| Rate for Payer: Priority Health Cigna Priority Health |
$8,679.79
|
| Rate for Payer: Priority Health SBD |
$8,412.72
|
| Rate for Payer: UMR Bronson Commercial |
$5,875.55
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$10,015.15
|
|
|
HC ENDOMETR BX CONJUNCT W/COLP
|
Facility
|
OP
|
$723.08
|
|
|
Service Code
|
CPT 58110
|
| Hospital Charge Code |
76100335
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$39.16 |
| Max. Negotiated Rate |
$700.00 |
| Rate for Payer: Aetna American Axle |
$470.00
|
| Rate for Payer: Aetna Commercial |
$614.62
|
| Rate for Payer: Aetna Medicare |
$361.54
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$470.00
|
| Rate for Payer: BCBS Complete |
$289.23
|
| Rate for Payer: BCBS Trust/PPO |
$171.82
|
| Rate for Payer: BCN Commercial |
$171.82
|
| Rate for Payer: Cash Price |
$578.46
|
| Rate for Payer: Cash Price |
$578.46
|
| Rate for Payer: Cash Price |
$578.46
|
| Rate for Payer: Cofinity Commercial |
$621.85
|
| Rate for Payer: Cofinity Commercial |
$506.16
|
| Rate for Payer: Cofinity Medicare Advantage |
$506.16
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$578.46
|
| Rate for Payer: Healthscope Commercial |
$650.77
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$506.16
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$542.31
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$614.62
|
| Rate for Payer: PHP Commercial |
$614.62
|
| Rate for Payer: Priority Health Cigna Priority Health |
$470.00
|
| Rate for Payer: Priority Health SBD |
$455.54
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$43.08
|
| Rate for Payer: UHC Core |
$700.00
|
| Rate for Payer: UHC Exchange |
$39.16
|
| Rate for Payer: UMR Bronson Commercial |
$267.54
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$542.31
|
|
|
HC ENDOMETR BX CONJUNCT W/COLP
|
Facility
|
IP
|
$723.08
|
|
|
Service Code
|
CPT 58110
|
| Hospital Charge Code |
76100335
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$318.16 |
| Max. Negotiated Rate |
$650.77 |
| Rate for Payer: Aetna American Axle |
$470.00
|
| Rate for Payer: Aetna Commercial |
$614.62
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$470.00
|
| Rate for Payer: Cash Price |
$578.46
|
| Rate for Payer: Cofinity Commercial |
$506.16
|
| Rate for Payer: Cofinity Commercial |
$621.85
|
| Rate for Payer: Cofinity Medicare Advantage |
$506.16
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$578.46
|
| Rate for Payer: Healthscope Commercial |
$650.77
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$506.16
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$542.31
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$614.62
|
| Rate for Payer: PHP Commercial |
$614.62
|
| Rate for Payer: Priority Health Cigna Priority Health |
$470.00
|
| Rate for Payer: Priority Health SBD |
$455.54
|
| Rate for Payer: UMR Bronson Commercial |
$318.16
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$542.31
|
|
|
HC ENDOMETRIAL SAMPLING
|
Facility
|
OP
|
$219.52
|
|
|
Service Code
|
CPT 58100
|
| Hospital Charge Code |
76100141
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$61.62 |
| Max. Negotiated Rate |
$700.00 |
| Rate for Payer: Aetna American Axle |
$142.69
|
| Rate for Payer: Aetna Commercial |
$186.59
|
| Rate for Payer: Aetna Medicare |
$204.98
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$142.69
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$246.38
|
| Rate for Payer: Amish Plain Church Group Commercial |
$246.38
|
| Rate for Payer: BCBS Complete |
$110.93
|
| Rate for Payer: BCBS MAPPO |
$197.10
|
| Rate for Payer: BCBS Trust/PPO |
$132.24
|
| Rate for Payer: BCCCP Commercial |
$97.15
|
| Rate for Payer: BCN Commercial |
$132.24
|
| Rate for Payer: BCN Medicare Advantage |
$197.10
|
| Rate for Payer: Cash Price |
$175.62
|
| Rate for Payer: Cash Price |
$175.62
|
| Rate for Payer: Cash Price |
$175.62
|
| Rate for Payer: Cofinity Commercial |
$188.79
|
| Rate for Payer: Cofinity Commercial |
$153.66
|
| Rate for Payer: Cofinity Medicare Advantage |
$153.66
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$175.62
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$197.10
|
| Rate for Payer: Healthscope Commercial |
$197.57
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$153.66
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$164.64
|
| Rate for Payer: Mclaren Medicaid |
$105.65
|
| Rate for Payer: Mclaren Medicare |
$197.10
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$206.96
|
| Rate for Payer: Meridian Medicaid |
$110.93
|
| Rate for Payer: MI Amish Medical Board Commercial |
$226.66
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$186.59
|
| Rate for Payer: Nomi Health Commercial |
$413.91
|
| Rate for Payer: PACE Medicare |
$187.24
|
| Rate for Payer: PACE SWMI |
$197.10
|
| Rate for Payer: PHP Commercial |
$186.59
|
| Rate for Payer: PHP Medicare Advantage |
$197.10
|
| Rate for Payer: Priority Health Choice Medicaid |
$105.65
|
| Rate for Payer: Priority Health Cigna Priority Health |
$142.69
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$619.50
|
| Rate for Payer: Priority Health Medicare |
$197.10
|
| Rate for Payer: Priority Health Narrow Network |
$495.60
|
| Rate for Payer: Priority Health SBD |
$138.30
|
| Rate for Payer: Railroad Medicare Medicare |
$197.10
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$67.78
|
| Rate for Payer: UHC Core |
$700.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$197.10
|
| Rate for Payer: UHC Exchange |
$61.62
|
| Rate for Payer: UHC Medicare Advantage |
$197.10
|
| Rate for Payer: UHCCP Medicaid |
$105.65
|
| Rate for Payer: UMR Bronson Commercial |
$81.22
|
| Rate for Payer: VA VA |
$197.10
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$164.64
|
|
|
HC ENDOMETRIAL SAMPLING
|
Facility
|
IP
|
$219.52
|
|
|
Service Code
|
CPT 58100
|
| Hospital Charge Code |
76100141
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$96.59 |
| Max. Negotiated Rate |
$197.57 |
| Rate for Payer: Aetna American Axle |
$142.69
|
| Rate for Payer: Aetna Commercial |
$186.59
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$142.69
|
| Rate for Payer: Cash Price |
$175.62
|
| Rate for Payer: Cofinity Commercial |
$153.66
|
| Rate for Payer: Cofinity Commercial |
$188.79
|
| Rate for Payer: Cofinity Medicare Advantage |
$153.66
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$175.62
|
| Rate for Payer: Healthscope Commercial |
$197.57
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$153.66
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$164.64
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$186.59
|
| Rate for Payer: PHP Commercial |
$186.59
|
| Rate for Payer: Priority Health Cigna Priority Health |
$142.69
|
| Rate for Payer: Priority Health SBD |
$138.30
|
| Rate for Payer: UMR Bronson Commercial |
$96.59
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$164.64
|
|
|
HC ENDOMYOCARDIAL BIOPSY
|
Facility
|
OP
|
$2,865.80
|
|
|
Service Code
|
CPT 93505
|
| Hospital Charge Code |
48100025
|
|
Hospital Revenue Code
|
481
|
| Min. Negotiated Rate |
$589.13 |
| Max. Negotiated Rate |
$9,692.51 |
| Rate for Payer: Aetna American Axle |
$1,862.77
|
| Rate for Payer: Aetna Commercial |
$2,435.93
|
| Rate for Payer: Aetna Medicare |
$3,207.21
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,862.77
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$3,854.82
|
| Rate for Payer: Amish Plain Church Group Commercial |
$3,854.82
|
| Rate for Payer: BCBS Complete |
$1,735.60
|
| Rate for Payer: BCBS MAPPO |
$3,083.86
|
| Rate for Payer: BCBS Trust/PPO |
$1,760.44
|
| Rate for Payer: BCN Commercial |
$1,760.44
|
| Rate for Payer: BCN Medicare Advantage |
$3,083.86
|
| Rate for Payer: Cash Price |
$2,292.64
|
| Rate for Payer: Cash Price |
$2,292.64
|
| Rate for Payer: Cash Price |
$2,292.64
|
| Rate for Payer: Cofinity Commercial |
$2,464.59
|
| Rate for Payer: Cofinity Commercial |
$2,006.06
|
| Rate for Payer: Cofinity Medicare Advantage |
$2,006.06
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,292.64
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$3,083.86
|
| Rate for Payer: Healthscope Commercial |
$2,579.22
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$2,006.06
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,149.35
|
| Rate for Payer: Mclaren Medicaid |
$1,652.95
|
| Rate for Payer: Mclaren Medicare |
$3,083.86
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$3,238.05
|
| Rate for Payer: Meridian Medicaid |
$1,735.60
|
| Rate for Payer: MI Amish Medical Board Commercial |
$3,546.44
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,435.93
|
| Rate for Payer: Nomi Health Commercial |
$6,476.11
|
| Rate for Payer: PACE Medicare |
$2,929.67
|
| Rate for Payer: PACE SWMI |
$3,083.86
|
| Rate for Payer: PHP Commercial |
$2,435.93
|
| Rate for Payer: PHP Medicare Advantage |
$3,083.86
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,652.95
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,862.77
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$9,692.51
|
| Rate for Payer: Priority Health Medicare |
$3,083.86
|
| Rate for Payer: Priority Health Narrow Network |
$7,754.01
|
| Rate for Payer: Priority Health SBD |
$1,805.45
|
| Rate for Payer: Railroad Medicare Medicare |
$3,083.86
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$648.04
|
| Rate for Payer: UHC Core |
$5,042.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$3,083.86
|
| Rate for Payer: UHC Exchange |
$589.13
|
| Rate for Payer: UHC Medicare Advantage |
$3,083.86
|
| Rate for Payer: UHCCP Medicaid |
$1,652.95
|
| Rate for Payer: UMR Bronson Commercial |
$1,060.35
|
| Rate for Payer: VA VA |
$3,083.86
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,149.35
|
|
|
HC ENDOMYOCARDIAL BIOPSY
|
Facility
|
IP
|
$2,865.80
|
|
|
Service Code
|
CPT 93505
|
| Hospital Charge Code |
48100025
|
|
Hospital Revenue Code
|
481
|
| Min. Negotiated Rate |
$1,260.95 |
| Max. Negotiated Rate |
$2,579.22 |
| Rate for Payer: Aetna American Axle |
$1,862.77
|
| Rate for Payer: Aetna Commercial |
$2,435.93
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,862.77
|
| Rate for Payer: Cash Price |
$2,292.64
|
| Rate for Payer: Cofinity Commercial |
$2,006.06
|
| Rate for Payer: Cofinity Commercial |
$2,464.59
|
| Rate for Payer: Cofinity Medicare Advantage |
$2,006.06
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,292.64
|
| Rate for Payer: Healthscope Commercial |
$2,579.22
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$2,006.06
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,149.35
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,435.93
|
| Rate for Payer: PHP Commercial |
$2,435.93
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,862.77
|
| Rate for Payer: Priority Health SBD |
$1,805.45
|
| Rate for Payer: UMR Bronson Commercial |
$1,260.95
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,149.35
|
|
|
HC ENDOMYSIAL IGA ANTIBODY.
|
Facility
|
OP
|
$80.11
|
|
|
Service Code
|
CPT 86255
|
| Hospital Charge Code |
30200426
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$6.46 |
| Max. Negotiated Rate |
$72.10 |
| Rate for Payer: Aetna American Axle |
$52.07
|
| Rate for Payer: Aetna Commercial |
$68.09
|
| Rate for Payer: Aetna Medicare |
$12.53
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$52.07
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$15.06
|
| Rate for Payer: Amish Plain Church Group Commercial |
$15.06
|
| Rate for Payer: BCBS Complete |
$6.78
|
| Rate for Payer: BCBS MAPPO |
$12.05
|
| Rate for Payer: BCBS Trust/PPO |
$8.71
|
| Rate for Payer: BCN Commercial |
$8.71
|
| Rate for Payer: BCN Medicare Advantage |
$12.05
|
| Rate for Payer: Cash Price |
$64.09
|
| Rate for Payer: Cash Price |
$64.09
|
| Rate for Payer: Cofinity Commercial |
$68.89
|
| Rate for Payer: Cofinity Commercial |
$56.08
|
| Rate for Payer: Cofinity Medicare Advantage |
$56.08
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$64.09
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$12.05
|
| Rate for Payer: Healthscope Commercial |
$72.10
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$56.08
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$60.08
|
| Rate for Payer: Mclaren Medicaid |
$6.46
|
| Rate for Payer: Mclaren Medicare |
$12.05
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$12.65
|
| Rate for Payer: Meridian Medicaid |
$6.78
|
| Rate for Payer: MI Amish Medical Board Commercial |
$13.86
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$68.09
|
| Rate for Payer: Nomi Health Commercial |
$18.08
|
| Rate for Payer: PACE Medicare |
$11.45
|
| Rate for Payer: PACE SWMI |
$12.05
|
| Rate for Payer: PHP Commercial |
$68.09
|
| Rate for Payer: PHP Medicare Advantage |
$12.05
|
| Rate for Payer: Priority Health Choice Medicaid |
$6.46
|
| Rate for Payer: Priority Health Cigna Priority Health |
$52.07
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$12.40
|
| Rate for Payer: Priority Health Medicare |
$12.05
|
| Rate for Payer: Priority Health Narrow Network |
$9.92
|
| Rate for Payer: Priority Health SBD |
$50.47
|
| Rate for Payer: Railroad Medicare Medicare |
$12.05
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$14.46
|
| Rate for Payer: UHC Dual Complete DSNP |
$12.05
|
| Rate for Payer: UHC Exchange |
$12.05
|
| Rate for Payer: UHC Medicare Advantage |
$12.05
|
| Rate for Payer: UHCCP Medicaid |
$6.46
|
| Rate for Payer: UMR Bronson Commercial |
$29.64
|
| Rate for Payer: VA VA |
$12.05
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$60.08
|
|
