|
HC EOSINOPHIL NASAL SMEAR
|
Facility
|
OP
|
$46.31
|
|
|
Service Code
|
CPT 89190
|
| Hospital Charge Code |
30000003
|
|
Hospital Revenue Code
|
300
|
| Min. Negotiated Rate |
$3.10 |
| Max. Negotiated Rate |
$41.68 |
| Rate for Payer: Aetna American Axle |
$30.10
|
| Rate for Payer: Aetna Commercial |
$39.36
|
| Rate for Payer: Aetna Medicare |
$6.02
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$30.10
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$7.24
|
| Rate for Payer: Amish Plain Church Group Commercial |
$7.24
|
| Rate for Payer: BCBS Complete |
$3.26
|
| Rate for Payer: BCBS MAPPO |
$5.79
|
| Rate for Payer: BCBS Trust/PPO |
$5.58
|
| Rate for Payer: BCN Commercial |
$5.58
|
| Rate for Payer: BCN Medicare Advantage |
$5.79
|
| Rate for Payer: Cash Price |
$37.05
|
| Rate for Payer: Cash Price |
$37.05
|
| Rate for Payer: Cofinity Commercial |
$39.83
|
| Rate for Payer: Cofinity Commercial |
$32.42
|
| Rate for Payer: Cofinity Medicare Advantage |
$32.42
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$37.05
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$5.79
|
| Rate for Payer: Healthscope Commercial |
$41.68
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$32.42
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$34.73
|
| Rate for Payer: Mclaren Medicaid |
$3.10
|
| Rate for Payer: Mclaren Medicare |
$5.79
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$6.08
|
| Rate for Payer: Meridian Medicaid |
$3.26
|
| Rate for Payer: MI Amish Medical Board Commercial |
$6.66
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$39.36
|
| Rate for Payer: Nomi Health Commercial |
$8.68
|
| Rate for Payer: PACE Medicare |
$5.50
|
| Rate for Payer: PACE SWMI |
$5.79
|
| Rate for Payer: PHP Commercial |
$39.36
|
| Rate for Payer: PHP Medicare Advantage |
$5.79
|
| Rate for Payer: Priority Health Choice Medicaid |
$3.10
|
| Rate for Payer: Priority Health Cigna Priority Health |
$30.10
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$5.79
|
| Rate for Payer: Priority Health Medicare |
$5.79
|
| Rate for Payer: Priority Health Narrow Network |
$4.63
|
| Rate for Payer: Priority Health SBD |
$29.18
|
| Rate for Payer: Railroad Medicare Medicare |
$5.79
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$6.95
|
| Rate for Payer: UHC Dual Complete DSNP |
$5.79
|
| Rate for Payer: UHC Exchange |
$5.79
|
| Rate for Payer: UHC Medicare Advantage |
$5.79
|
| Rate for Payer: UHCCP Medicaid |
$3.10
|
| Rate for Payer: UMR Bronson Commercial |
$17.13
|
| Rate for Payer: VA VA |
$5.79
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$34.73
|
|
|
HC EOVIST PER ML
|
Facility
|
OP
|
$31.31
|
|
|
Service Code
|
HCPCS A9581
|
| Hospital Charge Code |
63600009
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$11.58 |
| Max. Negotiated Rate |
$28.18 |
| Rate for Payer: Aetna American Axle |
$20.35
|
| Rate for Payer: Aetna Commercial |
$26.61
|
| Rate for Payer: Aetna Medicare |
$15.66
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$20.35
|
| Rate for Payer: BCBS Complete |
$12.52
|
| Rate for Payer: BCBS Trust/PPO |
$19.27
|
| Rate for Payer: BCN Commercial |
$19.27
|
| Rate for Payer: Cash Price |
$25.05
|
| Rate for Payer: Cash Price |
$25.05
|
| Rate for Payer: Cofinity Commercial |
$21.92
|
| Rate for Payer: Cofinity Commercial |
$26.93
|
| Rate for Payer: Cofinity Medicare Advantage |
$21.92
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$25.05
|
| Rate for Payer: Healthscope Commercial |
$28.18
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$21.92
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$23.48
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$26.61
|
| Rate for Payer: PHP Commercial |
$26.61
|
| Rate for Payer: Priority Health Cigna Priority Health |
$20.35
|
| Rate for Payer: Priority Health SBD |
$19.73
|
| Rate for Payer: UMR Bronson Commercial |
$11.58
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$23.48
|
|
|
HC EOVIST PER ML
|
Facility
|
IP
|
$31.31
|
|
|
Service Code
|
HCPCS A9581
|
| Hospital Charge Code |
63600009
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$13.78 |
| Max. Negotiated Rate |
$28.18 |
| Rate for Payer: Aetna American Axle |
$20.35
|
| Rate for Payer: Aetna Commercial |
$26.61
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$20.35
|
| Rate for Payer: Cash Price |
$25.05
|
| Rate for Payer: Cofinity Commercial |
$21.92
|
| Rate for Payer: Cofinity Commercial |
$26.93
|
| Rate for Payer: Cofinity Medicare Advantage |
$21.92
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$25.05
|
| Rate for Payer: Healthscope Commercial |
$28.18
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$21.92
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$23.48
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$26.61
|
| Rate for Payer: PHP Commercial |
$26.61
|
| Rate for Payer: Priority Health Cigna Priority Health |
$20.35
|
| Rate for Payer: Priority Health SBD |
$19.73
|
| Rate for Payer: UMR Bronson Commercial |
$13.78
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$23.48
|
|
|
HC EO W/O JOINTS CF
|
Facility
|
OP
|
$275.71
|
|
|
Service Code
|
HCPCS L3702
|
| Hospital Charge Code |
27400050
|
|
Hospital Revenue Code
|
274
|
| Min. Negotiated Rate |
$102.01 |
| Max. Negotiated Rate |
$818.32 |
| Rate for Payer: Aetna American Axle |
$179.21
|
| Rate for Payer: Aetna Commercial |
$234.35
|
| Rate for Payer: Aetna Medicare |
$137.86
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$179.21
|
| Rate for Payer: BCBS Complete |
$110.28
|
| Rate for Payer: BCBS Trust/PPO |
$818.32
|
| Rate for Payer: BCN Commercial |
$818.32
|
| Rate for Payer: Cash Price |
$220.57
|
| Rate for Payer: Cash Price |
$220.57
|
| Rate for Payer: Cofinity Commercial |
$193.00
|
| Rate for Payer: Cofinity Commercial |
$237.11
|
| Rate for Payer: Cofinity Medicare Advantage |
$193.00
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$220.57
|
| Rate for Payer: Healthscope Commercial |
$248.14
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$193.00
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$206.78
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$234.35
|
| Rate for Payer: PHP Commercial |
$234.35
|
| Rate for Payer: Priority Health Cigna Priority Health |
$179.21
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$316.64
|
| Rate for Payer: Priority Health Narrow Network |
$253.31
|
| Rate for Payer: Priority Health SBD |
$173.70
|
| Rate for Payer: UMR Bronson Commercial |
$102.01
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$206.78
|
|
|
HC EO W/O JOINTS CF
|
Facility
|
IP
|
$275.71
|
|
|
Service Code
|
HCPCS L3702
|
| Hospital Charge Code |
27400050
|
|
Hospital Revenue Code
|
274
|
| Min. Negotiated Rate |
$121.31 |
| Max. Negotiated Rate |
$248.14 |
| Rate for Payer: Aetna American Axle |
$179.21
|
| Rate for Payer: Aetna Commercial |
$234.35
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$179.21
|
| Rate for Payer: Cash Price |
$220.57
|
| Rate for Payer: Cofinity Commercial |
$193.00
|
| Rate for Payer: Cofinity Commercial |
$237.11
|
| Rate for Payer: Cofinity Medicare Advantage |
$193.00
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$220.57
|
| Rate for Payer: Healthscope Commercial |
$248.14
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$193.00
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$206.78
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$234.35
|
| Rate for Payer: PHP Commercial |
$234.35
|
| Rate for Payer: Priority Health Cigna Priority Health |
$179.21
|
| Rate for Payer: Priority Health SBD |
$173.70
|
| Rate for Payer: UMR Bronson Commercial |
$121.31
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$206.78
|
|
|
HC EP+ABL ARRHYTHMIA
|
Facility
|
IP
|
$17,739.50
|
|
|
Service Code
|
CPT 93653
|
| Hospital Charge Code |
48100091
|
|
Hospital Revenue Code
|
481
|
| Min. Negotiated Rate |
$7,805.38 |
| Max. Negotiated Rate |
$15,965.55 |
| Rate for Payer: Aetna American Axle |
$11,530.68
|
| Rate for Payer: Aetna Commercial |
$15,078.58
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$11,530.68
|
| Rate for Payer: Cash Price |
$14,191.60
|
| Rate for Payer: Cofinity Commercial |
$12,417.65
|
| Rate for Payer: Cofinity Commercial |
$15,255.97
|
| Rate for Payer: Cofinity Medicare Advantage |
$12,417.65
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$14,191.60
|
| Rate for Payer: Healthscope Commercial |
$15,965.55
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$12,417.65
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$13,304.62
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$15,078.58
|
| Rate for Payer: PHP Commercial |
$15,078.58
|
| Rate for Payer: Priority Health Cigna Priority Health |
$11,530.68
|
| Rate for Payer: Priority Health SBD |
$11,175.88
|
| Rate for Payer: UMR Bronson Commercial |
$7,805.38
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$13,304.62
|
|
|
HC EP+ABL ARRHYTHMIA
|
Facility
|
OP
|
$17,739.50
|
|
|
Service Code
|
CPT 93653
|
| Hospital Charge Code |
48100091
|
|
Hospital Revenue Code
|
481
|
| Min. Negotiated Rate |
$801.50 |
| Max. Negotiated Rate |
$75,545.59 |
| Rate for Payer: Cash Price |
$14,191.60
|
| Rate for Payer: Aetna American Axle |
$11,530.68
|
| Rate for Payer: Aetna Commercial |
$15,078.58
|
| Rate for Payer: Aetna Medicare |
$24,997.71
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$11,530.68
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$30,045.32
|
| Rate for Payer: Amish Plain Church Group Commercial |
$30,045.32
|
| Rate for Payer: BCBS Complete |
$13,527.61
|
| Rate for Payer: BCBS MAPPO |
$24,036.26
|
| Rate for Payer: BCBS Trust/PPO |
$845.68
|
| Rate for Payer: BCN Commercial |
$845.68
|
| Rate for Payer: BCN Medicare Advantage |
$24,036.26
|
| Rate for Payer: Cash Price |
$14,191.60
|
| Rate for Payer: Cash Price |
$14,191.60
|
| Rate for Payer: Cofinity Commercial |
$15,255.97
|
| Rate for Payer: Cofinity Commercial |
$12,417.65
|
| Rate for Payer: Cofinity Medicare Advantage |
$12,417.65
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$14,191.60
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$24,036.26
|
| Rate for Payer: Healthscope Commercial |
$15,965.55
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$12,417.65
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$13,304.62
|
| Rate for Payer: Mclaren Medicaid |
$12,883.44
|
| Rate for Payer: Mclaren Medicare |
$24,036.26
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$25,238.07
|
| Rate for Payer: Meridian Medicaid |
$13,527.61
|
| Rate for Payer: MI Amish Medical Board Commercial |
$27,641.70
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$15,078.58
|
| Rate for Payer: Nomi Health Commercial |
$50,476.15
|
| Rate for Payer: PACE Medicare |
$22,834.45
|
| Rate for Payer: PACE SWMI |
$24,036.26
|
| Rate for Payer: PHP Commercial |
$15,078.58
|
| Rate for Payer: PHP Medicare Advantage |
$24,036.26
|
| Rate for Payer: Priority Health Choice Medicaid |
$12,883.44
|
| Rate for Payer: Priority Health Cigna Priority Health |
$11,530.68
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$75,545.59
|
| Rate for Payer: Priority Health Medicare |
$24,036.26
|
| Rate for Payer: Priority Health Narrow Network |
$60,436.47
|
| Rate for Payer: Priority Health SBD |
$11,175.88
|
| Rate for Payer: Railroad Medicare Medicare |
$24,036.26
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$881.65
|
| Rate for Payer: UHC Core |
$18,337.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$24,036.26
|
| Rate for Payer: UHC Exchange |
$801.50
|
| Rate for Payer: UHC Medicare Advantage |
$24,036.26
|
| Rate for Payer: UHCCP Medicaid |
$12,883.44
|
| Rate for Payer: UMR Bronson Commercial |
$6,563.62
|
| Rate for Payer: VA VA |
$24,036.26
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$13,304.62
|
|
|
HC EP+ABL VT
|
Facility
|
OP
|
$17,739.50
|
|
|
Service Code
|
CPT 93654
|
| Hospital Charge Code |
48100092
|
|
Hospital Revenue Code
|
481
|
| Min. Negotiated Rate |
$965.69 |
| Max. Negotiated Rate |
$75,545.59 |
| Rate for Payer: Aetna American Axle |
$11,530.68
|
| Rate for Payer: Aetna Commercial |
$15,078.58
|
| Rate for Payer: Aetna Medicare |
$24,997.71
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$11,530.68
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$30,045.32
|
| Rate for Payer: Amish Plain Church Group Commercial |
$30,045.32
|
| Rate for Payer: BCBS Complete |
$13,527.61
|
| Rate for Payer: BCBS MAPPO |
$24,036.26
|
| Rate for Payer: BCBS Trust/PPO |
$1,014.82
|
| Rate for Payer: BCN Commercial |
$1,014.82
|
| Rate for Payer: BCN Medicare Advantage |
$24,036.26
|
| Rate for Payer: Cash Price |
$14,191.60
|
| Rate for Payer: Cash Price |
$14,191.60
|
| Rate for Payer: Cash Price |
$14,191.60
|
| Rate for Payer: Cofinity Commercial |
$15,255.97
|
| Rate for Payer: Cofinity Commercial |
$12,417.65
|
| Rate for Payer: Cofinity Medicare Advantage |
$12,417.65
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$14,191.60
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$24,036.26
|
| Rate for Payer: Healthscope Commercial |
$15,965.55
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$12,417.65
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$13,304.62
|
| Rate for Payer: Mclaren Medicaid |
$12,883.44
|
| Rate for Payer: Mclaren Medicare |
$24,036.26
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$25,238.07
|
| Rate for Payer: Meridian Medicaid |
$13,527.61
|
| Rate for Payer: MI Amish Medical Board Commercial |
$27,641.70
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$15,078.58
|
| Rate for Payer: Nomi Health Commercial |
$50,476.15
|
| Rate for Payer: PACE Medicare |
$22,834.45
|
| Rate for Payer: PACE SWMI |
$24,036.26
|
| Rate for Payer: PHP Commercial |
$15,078.58
|
| Rate for Payer: PHP Medicare Advantage |
$24,036.26
|
| Rate for Payer: Priority Health Choice Medicaid |
$12,883.44
|
| Rate for Payer: Priority Health Cigna Priority Health |
$11,530.68
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$75,545.59
|
| Rate for Payer: Priority Health Medicare |
$24,036.26
|
| Rate for Payer: Priority Health Narrow Network |
$60,436.47
|
| Rate for Payer: Priority Health SBD |
$11,175.88
|
| Rate for Payer: Railroad Medicare Medicare |
$24,036.26
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,062.26
|
| Rate for Payer: UHC Core |
$18,337.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$24,036.26
|
| Rate for Payer: UHC Exchange |
$965.69
|
| Rate for Payer: UHC Medicare Advantage |
$24,036.26
|
| Rate for Payer: UHCCP Medicaid |
$12,883.44
|
| Rate for Payer: UMR Bronson Commercial |
$6,563.62
|
| Rate for Payer: VA VA |
$24,036.26
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$13,304.62
|
|
|
HC EP+ABL VT
|
Facility
|
IP
|
$17,739.50
|
|
|
Service Code
|
CPT 93654
|
| Hospital Charge Code |
48100092
|
|
Hospital Revenue Code
|
481
|
| Min. Negotiated Rate |
$7,805.38 |
| Max. Negotiated Rate |
$15,965.55 |
| Rate for Payer: Aetna American Axle |
$11,530.68
|
| Rate for Payer: Aetna Commercial |
$15,078.58
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$11,530.68
|
| Rate for Payer: Cash Price |
$14,191.60
|
| Rate for Payer: Cofinity Commercial |
$12,417.65
|
| Rate for Payer: Cofinity Commercial |
$15,255.97
|
| Rate for Payer: Cofinity Medicare Advantage |
$12,417.65
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$14,191.60
|
| Rate for Payer: Healthscope Commercial |
$15,965.55
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$12,417.65
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$13,304.62
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$15,078.58
|
| Rate for Payer: PHP Commercial |
$15,078.58
|
| Rate for Payer: Priority Health Cigna Priority Health |
$11,530.68
|
| Rate for Payer: Priority Health SBD |
$11,175.88
|
| Rate for Payer: UMR Bronson Commercial |
$7,805.38
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$13,304.62
|
|
|
HC EP AFTER DRUGS
|
Facility
|
OP
|
$7,423.93
|
|
|
Service Code
|
CPT 93623
|
| Hospital Charge Code |
48100039
|
|
Hospital Revenue Code
|
481
|
| Min. Negotiated Rate |
$700.00 |
| Max. Negotiated Rate |
$6,681.54 |
| Rate for Payer: Aetna American Axle |
$4,825.55
|
| Rate for Payer: Aetna Commercial |
$6,310.34
|
| Rate for Payer: Aetna Medicare |
$3,711.96
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$4,825.55
|
| Rate for Payer: BCBS Complete |
$2,969.57
|
| Rate for Payer: BCBS Trust/PPO |
$4,357.72
|
| Rate for Payer: BCN Commercial |
$4,357.72
|
| Rate for Payer: Cash Price |
$5,939.14
|
| Rate for Payer: Cash Price |
$5,939.14
|
| Rate for Payer: Cash Price |
$5,939.14
|
| Rate for Payer: Cofinity Commercial |
$6,384.58
|
| Rate for Payer: Cofinity Commercial |
$5,196.75
|
| Rate for Payer: Cofinity Medicare Advantage |
$5,196.75
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$5,939.14
|
| Rate for Payer: Healthscope Commercial |
$6,681.54
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$5,196.75
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$5,567.95
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$6,310.34
|
| Rate for Payer: PHP Commercial |
$6,310.34
|
| Rate for Payer: Priority Health Cigna Priority Health |
$4,825.55
|
| Rate for Payer: Priority Health SBD |
$4,677.08
|
| Rate for Payer: UHC Core |
$700.00
|
| Rate for Payer: UMR Bronson Commercial |
$2,746.85
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$5,567.95
|
|
|
HC EP AFTER DRUGS
|
Facility
|
IP
|
$7,423.93
|
|
|
Service Code
|
CPT 93623
|
| Hospital Charge Code |
48100039
|
|
Hospital Revenue Code
|
481
|
| Min. Negotiated Rate |
$3,266.53 |
| Max. Negotiated Rate |
$6,681.54 |
| Rate for Payer: Aetna American Axle |
$4,825.55
|
| Rate for Payer: Aetna Commercial |
$6,310.34
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$4,825.55
|
| Rate for Payer: Cash Price |
$5,939.14
|
| Rate for Payer: Cofinity Commercial |
$5,196.75
|
| Rate for Payer: Cofinity Commercial |
$6,384.58
|
| Rate for Payer: Cofinity Medicare Advantage |
$5,196.75
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$5,939.14
|
| Rate for Payer: Healthscope Commercial |
$6,681.54
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$5,196.75
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$5,567.95
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$6,310.34
|
| Rate for Payer: PHP Commercial |
$6,310.34
|
| Rate for Payer: Priority Health Cigna Priority Health |
$4,825.55
|
| Rate for Payer: Priority Health SBD |
$4,677.08
|
| Rate for Payer: UMR Bronson Commercial |
$3,266.53
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$5,567.95
|
|
|
HC EP EVAL OF SQ ICD
|
Facility
|
OP
|
$3,342.81
|
|
|
Service Code
|
CPT 93644
|
| Hospital Charge Code |
48000027
|
|
Hospital Revenue Code
|
480
|
| Min. Negotiated Rate |
$179.45 |
| Max. Negotiated Rate |
$3,008.53 |
| Rate for Payer: Aetna American Axle |
$2,172.83
|
| Rate for Payer: Aetna Commercial |
$2,841.39
|
| Rate for Payer: Aetna Medicare |
$1,671.40
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,172.83
|
| Rate for Payer: BCBS Complete |
$1,337.12
|
| Rate for Payer: Cash Price |
$2,674.25
|
| Rate for Payer: Cash Price |
$2,674.25
|
| Rate for Payer: Cash Price |
$2,674.25
|
| Rate for Payer: Cofinity Commercial |
$2,874.82
|
| Rate for Payer: Cofinity Commercial |
$2,339.97
|
| Rate for Payer: Cofinity Medicare Advantage |
$2,339.97
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,674.25
|
| Rate for Payer: Healthscope Commercial |
$3,008.53
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$2,339.97
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,507.11
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,841.39
|
| Rate for Payer: PHP Commercial |
$2,841.39
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,172.83
|
| Rate for Payer: Priority Health SBD |
$2,105.97
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$197.40
|
| Rate for Payer: UHC Core |
$700.00
|
| Rate for Payer: UHC Exchange |
$179.45
|
| Rate for Payer: UMR Bronson Commercial |
$1,236.84
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,507.11
|
|
|
HC EP EVAL OF SQ ICD
|
Facility
|
IP
|
$3,342.81
|
|
|
Service Code
|
CPT 93644
|
| Hospital Charge Code |
48000027
|
|
Hospital Revenue Code
|
480
|
| Min. Negotiated Rate |
$1,470.84 |
| Max. Negotiated Rate |
$3,008.53 |
| Rate for Payer: Aetna American Axle |
$2,172.83
|
| Rate for Payer: Aetna Commercial |
$2,841.39
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,172.83
|
| Rate for Payer: Cash Price |
$2,674.25
|
| Rate for Payer: Cofinity Commercial |
$2,339.97
|
| Rate for Payer: Cofinity Commercial |
$2,874.82
|
| Rate for Payer: Cofinity Medicare Advantage |
$2,339.97
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,674.25
|
| Rate for Payer: Healthscope Commercial |
$3,008.53
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$2,339.97
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,507.11
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,841.39
|
| Rate for Payer: PHP Commercial |
$2,841.39
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,172.83
|
| Rate for Payer: Priority Health SBD |
$2,105.97
|
| Rate for Payer: UMR Bronson Commercial |
$1,470.84
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,507.11
|
|
|
HC EP EVALUATION OF GEN/LEADS
|
Facility
|
IP
|
$2,388.64
|
|
|
Service Code
|
CPT 93641
|
| Hospital Charge Code |
48100042
|
|
Hospital Revenue Code
|
481
|
| Min. Negotiated Rate |
$1,051.00 |
| Max. Negotiated Rate |
$2,149.78 |
| Rate for Payer: Aetna American Axle |
$1,552.62
|
| Rate for Payer: Aetna Commercial |
$2,030.34
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,552.62
|
| Rate for Payer: Cash Price |
$1,910.91
|
| Rate for Payer: Cofinity Commercial |
$1,672.05
|
| Rate for Payer: Cofinity Commercial |
$2,054.23
|
| Rate for Payer: Cofinity Medicare Advantage |
$1,672.05
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,910.91
|
| Rate for Payer: Healthscope Commercial |
$2,149.78
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,672.05
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,791.48
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,030.34
|
| Rate for Payer: PHP Commercial |
$2,030.34
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,552.62
|
| Rate for Payer: Priority Health SBD |
$1,504.84
|
| Rate for Payer: UMR Bronson Commercial |
$1,051.00
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,791.48
|
|
|
HC EP EVALUATION OF GEN/LEADS
|
Facility
|
OP
|
$2,388.64
|
|
|
Service Code
|
CPT 93641
|
| Hospital Charge Code |
48100042
|
|
Hospital Revenue Code
|
481
|
| Min. Negotiated Rate |
$700.00 |
| Max. Negotiated Rate |
$2,149.78 |
| Rate for Payer: Aetna American Axle |
$1,552.62
|
| Rate for Payer: Aetna Commercial |
$2,030.34
|
| Rate for Payer: Aetna Medicare |
$1,194.32
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,552.62
|
| Rate for Payer: BCBS Complete |
$955.46
|
| Rate for Payer: BCBS Trust/PPO |
$1,124.75
|
| Rate for Payer: BCN Commercial |
$1,124.75
|
| Rate for Payer: Cash Price |
$1,910.91
|
| Rate for Payer: Cash Price |
$1,910.91
|
| Rate for Payer: Cash Price |
$1,910.91
|
| Rate for Payer: Cofinity Commercial |
$2,054.23
|
| Rate for Payer: Cofinity Commercial |
$1,672.05
|
| Rate for Payer: Cofinity Medicare Advantage |
$1,672.05
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,910.91
|
| Rate for Payer: Healthscope Commercial |
$2,149.78
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,672.05
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,791.48
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,030.34
|
| Rate for Payer: PHP Commercial |
$2,030.34
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,552.62
|
| Rate for Payer: Priority Health SBD |
$1,504.84
|
| Rate for Payer: UHC Core |
$700.00
|
| Rate for Payer: UMR Bronson Commercial |
$883.80
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,791.48
|
|
|
HC EP EVALUATION OF LEADS
|
Facility
|
IP
|
$2,189.46
|
|
|
Service Code
|
CPT 93640
|
| Hospital Charge Code |
48100041
|
|
Hospital Revenue Code
|
481
|
| Min. Negotiated Rate |
$963.36 |
| Max. Negotiated Rate |
$1,970.51 |
| Rate for Payer: Aetna American Axle |
$1,423.15
|
| Rate for Payer: Aetna Commercial |
$1,861.04
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,423.15
|
| Rate for Payer: Cash Price |
$1,751.57
|
| Rate for Payer: Cofinity Commercial |
$1,532.62
|
| Rate for Payer: Cofinity Commercial |
$1,882.94
|
| Rate for Payer: Cofinity Medicare Advantage |
$1,532.62
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,751.57
|
| Rate for Payer: Healthscope Commercial |
$1,970.51
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,532.62
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,642.10
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,861.04
|
| Rate for Payer: PHP Commercial |
$1,861.04
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,423.15
|
| Rate for Payer: Priority Health SBD |
$1,379.36
|
| Rate for Payer: UMR Bronson Commercial |
$963.36
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,642.10
|
|
|
HC EP EVALUATION OF LEADS
|
Facility
|
OP
|
$2,189.46
|
|
|
Service Code
|
CPT 93640
|
| Hospital Charge Code |
48100041
|
|
Hospital Revenue Code
|
481
|
| Min. Negotiated Rate |
$700.00 |
| Max. Negotiated Rate |
$1,970.51 |
| Rate for Payer: Aetna American Axle |
$1,423.15
|
| Rate for Payer: Aetna Commercial |
$1,861.04
|
| Rate for Payer: Aetna Medicare |
$1,094.73
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,423.15
|
| Rate for Payer: BCBS Complete |
$875.78
|
| Rate for Payer: BCBS Trust/PPO |
$1,085.29
|
| Rate for Payer: BCN Commercial |
$1,085.29
|
| Rate for Payer: Cash Price |
$1,751.57
|
| Rate for Payer: Cash Price |
$1,751.57
|
| Rate for Payer: Cash Price |
$1,751.57
|
| Rate for Payer: Cofinity Commercial |
$1,882.94
|
| Rate for Payer: Cofinity Commercial |
$1,532.62
|
| Rate for Payer: Cofinity Medicare Advantage |
$1,532.62
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,751.57
|
| Rate for Payer: Healthscope Commercial |
$1,970.51
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,532.62
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,642.10
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,861.04
|
| Rate for Payer: PHP Commercial |
$1,861.04
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,423.15
|
| Rate for Payer: Priority Health SBD |
$1,379.36
|
| Rate for Payer: UHC Core |
$700.00
|
| Rate for Payer: UMR Bronson Commercial |
$810.10
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,642.10
|
|
|
HC EPIDURAL/LOCAL FLAT
|
Facility
|
IP
|
$675.00
|
|
| Hospital Charge Code |
37000023
|
|
Hospital Revenue Code
|
370
|
| Min. Negotiated Rate |
$297.00 |
| Max. Negotiated Rate |
$607.50 |
| Rate for Payer: Aetna American Axle |
$438.75
|
| Rate for Payer: Aetna Commercial |
$573.75
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$438.75
|
| Rate for Payer: Cash Price |
$540.00
|
| Rate for Payer: Cofinity Commercial |
$472.50
|
| Rate for Payer: Cofinity Commercial |
$580.50
|
| Rate for Payer: Cofinity Medicare Advantage |
$472.50
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$540.00
|
| Rate for Payer: Healthscope Commercial |
$607.50
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$472.50
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$506.25
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$573.75
|
| Rate for Payer: PHP Commercial |
$573.75
|
| Rate for Payer: Priority Health Cigna Priority Health |
$438.75
|
| Rate for Payer: Priority Health SBD |
$425.25
|
| Rate for Payer: UMR Bronson Commercial |
$297.00
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$506.25
|
|
|
HC EPIDURAL/LOCAL FLAT
|
Facility
|
OP
|
$675.00
|
|
| Hospital Charge Code |
37000023
|
|
Hospital Revenue Code
|
370
|
| Min. Negotiated Rate |
$249.75 |
| Max. Negotiated Rate |
$607.50 |
| Rate for Payer: Aetna American Axle |
$438.75
|
| Rate for Payer: Aetna Commercial |
$573.75
|
| Rate for Payer: Aetna Medicare |
$337.50
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$438.75
|
| Rate for Payer: BCBS Complete |
$270.00
|
| Rate for Payer: Cash Price |
$540.00
|
| Rate for Payer: Cofinity Commercial |
$472.50
|
| Rate for Payer: Cofinity Commercial |
$580.50
|
| Rate for Payer: Cofinity Medicare Advantage |
$472.50
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$540.00
|
| Rate for Payer: Healthscope Commercial |
$607.50
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$472.50
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$506.25
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$573.75
|
| Rate for Payer: PHP Commercial |
$573.75
|
| Rate for Payer: Priority Health Cigna Priority Health |
$438.75
|
| Rate for Payer: Priority Health SBD |
$425.25
|
| Rate for Payer: UMR Bronson Commercial |
$249.75
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$506.25
|
|
|
HC EPIDURAL PREP (OB)
|
Facility
|
IP
|
$646.09
|
|
| Hospital Charge Code |
37000003
|
|
Hospital Revenue Code
|
370
|
| Min. Negotiated Rate |
$284.28 |
| Max. Negotiated Rate |
$581.48 |
| Rate for Payer: Aetna American Axle |
$419.96
|
| Rate for Payer: Aetna Commercial |
$549.18
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$419.96
|
| Rate for Payer: Cash Price |
$516.87
|
| Rate for Payer: Cofinity Commercial |
$452.26
|
| Rate for Payer: Cofinity Commercial |
$555.64
|
| Rate for Payer: Cofinity Medicare Advantage |
$452.26
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$516.87
|
| Rate for Payer: Healthscope Commercial |
$581.48
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$452.26
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$484.57
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$549.18
|
| Rate for Payer: PHP Commercial |
$549.18
|
| Rate for Payer: Priority Health Cigna Priority Health |
$419.96
|
| Rate for Payer: Priority Health SBD |
$407.04
|
| Rate for Payer: UMR Bronson Commercial |
$284.28
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$484.57
|
|
|
HC EPIDURAL PREP (OB)
|
Facility
|
OP
|
$646.09
|
|
| Hospital Charge Code |
37000003
|
|
Hospital Revenue Code
|
370
|
| Min. Negotiated Rate |
$239.05 |
| Max. Negotiated Rate |
$581.48 |
| Rate for Payer: Aetna American Axle |
$419.96
|
| Rate for Payer: Aetna Commercial |
$549.18
|
| Rate for Payer: Aetna Medicare |
$323.04
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$419.96
|
| Rate for Payer: BCBS Complete |
$258.44
|
| Rate for Payer: Cash Price |
$516.87
|
| Rate for Payer: Cofinity Commercial |
$452.26
|
| Rate for Payer: Cofinity Commercial |
$555.64
|
| Rate for Payer: Cofinity Medicare Advantage |
$452.26
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$516.87
|
| Rate for Payer: Healthscope Commercial |
$581.48
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$452.26
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$484.57
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$549.18
|
| Rate for Payer: PHP Commercial |
$549.18
|
| Rate for Payer: Priority Health Cigna Priority Health |
$419.96
|
| Rate for Payer: Priority Health SBD |
$407.04
|
| Rate for Payer: UMR Bronson Commercial |
$239.05
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$484.57
|
|
|
HC EPIFIX (14 MM DISC) PER SQ CM
|
Facility
|
IP
|
$488.47
|
|
|
Service Code
|
HCPCS Q4186
|
| Hospital Charge Code |
63600135
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$214.93 |
| Max. Negotiated Rate |
$439.62 |
| Rate for Payer: Aetna American Axle |
$317.51
|
| Rate for Payer: Aetna Commercial |
$415.20
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$317.51
|
| Rate for Payer: Cash Price |
$390.78
|
| Rate for Payer: Cofinity Commercial |
$341.93
|
| Rate for Payer: Cofinity Commercial |
$420.08
|
| Rate for Payer: Cofinity Medicare Advantage |
$341.93
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$390.78
|
| Rate for Payer: Healthscope Commercial |
$439.62
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$341.93
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$366.35
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$415.20
|
| Rate for Payer: PHP Commercial |
$415.20
|
| Rate for Payer: Priority Health Cigna Priority Health |
$317.51
|
| Rate for Payer: Priority Health SBD |
$307.74
|
| Rate for Payer: UMR Bronson Commercial |
$214.93
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$366.35
|
|
|
HC EPIFIX (14 MM DISC) PER SQ CM
|
Facility
|
OP
|
$488.47
|
|
|
Service Code
|
HCPCS Q4186
|
| Hospital Charge Code |
63600135
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$180.73 |
| Max. Negotiated Rate |
$504.88 |
| Rate for Payer: Aetna American Axle |
$317.51
|
| Rate for Payer: Aetna Commercial |
$415.20
|
| Rate for Payer: Aetna Medicare |
$244.24
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$317.51
|
| Rate for Payer: BCBS Complete |
$195.39
|
| Rate for Payer: BCBS Trust/PPO |
$504.88
|
| Rate for Payer: BCN Commercial |
$504.88
|
| Rate for Payer: Cash Price |
$390.78
|
| Rate for Payer: Cash Price |
$390.78
|
| Rate for Payer: Cofinity Commercial |
$341.93
|
| Rate for Payer: Cofinity Commercial |
$420.08
|
| Rate for Payer: Cofinity Medicare Advantage |
$341.93
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$390.78
|
| Rate for Payer: Healthscope Commercial |
$439.62
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$341.93
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$366.35
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$415.20
|
| Rate for Payer: PHP Commercial |
$415.20
|
| Rate for Payer: Priority Health Cigna Priority Health |
$317.51
|
| Rate for Payer: Priority Health SBD |
$307.74
|
| Rate for Payer: UMR Bronson Commercial |
$180.73
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$366.35
|
|
|
HC EPIFIX (18 MM DISC) PER SQ CM
|
Facility
|
OP
|
$709.55
|
|
|
Service Code
|
HCPCS Q4186
|
| Hospital Charge Code |
63600136
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$262.53 |
| Max. Negotiated Rate |
$638.60 |
| Rate for Payer: Aetna American Axle |
$461.21
|
| Rate for Payer: Aetna Commercial |
$603.12
|
| Rate for Payer: Aetna Medicare |
$354.78
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$461.21
|
| Rate for Payer: BCBS Complete |
$283.82
|
| Rate for Payer: BCBS Trust/PPO |
$504.88
|
| Rate for Payer: BCN Commercial |
$504.88
|
| Rate for Payer: Cash Price |
$567.64
|
| Rate for Payer: Cash Price |
$567.64
|
| Rate for Payer: Cofinity Commercial |
$496.68
|
| Rate for Payer: Cofinity Commercial |
$610.21
|
| Rate for Payer: Cofinity Medicare Advantage |
$496.68
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$567.64
|
| Rate for Payer: Healthscope Commercial |
$638.60
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$496.68
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$532.16
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$603.12
|
| Rate for Payer: PHP Commercial |
$603.12
|
| Rate for Payer: Priority Health Cigna Priority Health |
$461.21
|
| Rate for Payer: Priority Health SBD |
$447.02
|
| Rate for Payer: UMR Bronson Commercial |
$262.53
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$532.16
|
|
|
HC EPIFIX (18 MM DISC) PER SQ CM
|
Facility
|
IP
|
$709.55
|
|
|
Service Code
|
HCPCS Q4186
|
| Hospital Charge Code |
63600136
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$312.20 |
| Max. Negotiated Rate |
$638.60 |
| Rate for Payer: Aetna American Axle |
$461.21
|
| Rate for Payer: Aetna Commercial |
$603.12
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$461.21
|
| Rate for Payer: Cash Price |
$567.64
|
| Rate for Payer: Cofinity Commercial |
$496.68
|
| Rate for Payer: Cofinity Commercial |
$610.21
|
| Rate for Payer: Cofinity Medicare Advantage |
$496.68
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$567.64
|
| Rate for Payer: Healthscope Commercial |
$638.60
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$496.68
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$532.16
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$603.12
|
| Rate for Payer: PHP Commercial |
$603.12
|
| Rate for Payer: Priority Health Cigna Priority Health |
$461.21
|
| Rate for Payer: Priority Health SBD |
$447.02
|
| Rate for Payer: UMR Bronson Commercial |
$312.20
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$532.16
|
|
