|
HC PLACEMENT SELECTIVE ART ABOVE ARCH 3RD ORDER
|
Facility
|
OP
|
$828.96
|
|
|
Service Code
|
CPT 36217
|
| Hospital Charge Code |
36100108
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$306.72 |
| Max. Negotiated Rate |
$6,490.77 |
| Rate for Payer: Aetna American Axle |
$538.82
|
| Rate for Payer: Aetna Commercial |
$704.62
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$538.82
|
| Rate for Payer: BCBS Complete |
$331.58
|
| Rate for Payer: BCBS Trust/PPO |
$6,490.77
|
| Rate for Payer: Cash Price |
$663.17
|
| Rate for Payer: Cash Price |
$663.17
|
| Rate for Payer: Cofinity Commercial |
$580.27
|
| Rate for Payer: Cofinity Commercial |
$712.91
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$663.17
|
| Rate for Payer: Healthscope Commercial |
$746.06
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$580.27
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$621.72
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$704.62
|
| Rate for Payer: PHP Commercial |
$704.62
|
| Rate for Payer: Priority Health Cigna Priority Health |
$580.27
|
| Rate for Payer: Priority Health SBD |
$522.24
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$352.26
|
| Rate for Payer: UHC Core |
$700.00
|
| Rate for Payer: UHC Exchange |
$320.24
|
| Rate for Payer: UMR Bronson Commercial |
$306.72
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$621.72
|
|
|
HC PLACEMENT SELECTIVE ART ABOVE ARCH ADDL 2ND OR 3RD ORDER
|
Facility
|
IP
|
$1,100.84
|
|
|
Service Code
|
CPT 36218
|
| Hospital Charge Code |
36100109
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$484.37 |
| Max. Negotiated Rate |
$990.76 |
| Rate for Payer: Aetna American Axle |
$715.55
|
| Rate for Payer: Aetna Commercial |
$935.71
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$715.55
|
| Rate for Payer: Cash Price |
$880.67
|
| Rate for Payer: Cofinity Commercial |
$770.59
|
| Rate for Payer: Cofinity Commercial |
$946.72
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$880.67
|
| Rate for Payer: Healthscope Commercial |
$990.76
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$770.59
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$825.63
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$935.71
|
| Rate for Payer: PHP Commercial |
$935.71
|
| Rate for Payer: Priority Health Cigna Priority Health |
$770.59
|
| Rate for Payer: Priority Health SBD |
$693.53
|
| Rate for Payer: UMR Bronson Commercial |
$484.37
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$825.63
|
|
|
HC PLACEMENT SELECTIVE ART ABOVE ARCH ADDL 2ND OR 3RD ORDER
|
Facility
|
OP
|
$1,100.84
|
|
|
Service Code
|
CPT 36218
|
| Hospital Charge Code |
36100109
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$50.43 |
| Max. Negotiated Rate |
$990.76 |
| Rate for Payer: Aetna American Axle |
$715.55
|
| Rate for Payer: Aetna Commercial |
$935.71
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$715.55
|
| Rate for Payer: BCBS Complete |
$440.34
|
| Rate for Payer: BCBS Trust/PPO |
$634.85
|
| Rate for Payer: Cash Price |
$880.67
|
| Rate for Payer: Cash Price |
$880.67
|
| Rate for Payer: Cofinity Commercial |
$770.59
|
| Rate for Payer: Cofinity Commercial |
$946.72
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$880.67
|
| Rate for Payer: Healthscope Commercial |
$990.76
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$770.59
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$825.63
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$935.71
|
| Rate for Payer: PHP Commercial |
$935.71
|
| Rate for Payer: Priority Health Cigna Priority Health |
$770.59
|
| Rate for Payer: Priority Health SBD |
$693.53
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$55.47
|
| Rate for Payer: UHC Core |
$700.00
|
| Rate for Payer: UHC Exchange |
$50.43
|
| Rate for Payer: UMR Bronson Commercial |
$407.31
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$825.63
|
|
|
HC PLACEMENT SELECTIVE ART BELOW ARCH 3RD ORDER
|
Facility
|
OP
|
$10,241.99
|
|
|
Service Code
|
CPT 36247
|
| Hospital Charge Code |
36100112
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$284.55 |
| Max. Negotiated Rate |
$9,217.79 |
| Rate for Payer: Aetna American Axle |
$6,657.29
|
| Rate for Payer: Aetna Commercial |
$8,705.69
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$6,657.29
|
| Rate for Payer: BCBS Complete |
$4,096.80
|
| Rate for Payer: BCBS Trust/PPO |
$4,388.22
|
| Rate for Payer: Cash Price |
$8,193.59
|
| Rate for Payer: Cash Price |
$8,193.59
|
| Rate for Payer: Cofinity Commercial |
$7,169.39
|
| Rate for Payer: Cofinity Commercial |
$8,808.11
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$8,193.59
|
| Rate for Payer: Healthscope Commercial |
$9,217.79
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$7,169.39
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$7,681.49
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$8,705.69
|
| Rate for Payer: PHP Commercial |
$8,705.69
|
| Rate for Payer: Priority Health Cigna Priority Health |
$7,169.39
|
| Rate for Payer: Priority Health SBD |
$6,452.45
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$313.00
|
| Rate for Payer: UHC Core |
$700.00
|
| Rate for Payer: UHC Exchange |
$284.55
|
| Rate for Payer: UMR Bronson Commercial |
$3,789.54
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$7,681.49
|
|
|
HC PLACEMENT SELECTIVE ART BELOW ARCH 3RD ORDER
|
Facility
|
IP
|
$10,241.99
|
|
|
Service Code
|
CPT 36247
|
| Hospital Charge Code |
36100112
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$4,506.48 |
| Max. Negotiated Rate |
$9,217.79 |
| Rate for Payer: Aetna American Axle |
$6,657.29
|
| Rate for Payer: Aetna Commercial |
$8,705.69
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$6,657.29
|
| Rate for Payer: Cash Price |
$8,193.59
|
| Rate for Payer: Cofinity Commercial |
$7,169.39
|
| Rate for Payer: Cofinity Commercial |
$8,808.11
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$8,193.59
|
| Rate for Payer: Healthscope Commercial |
$9,217.79
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$7,169.39
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$7,681.49
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$8,705.69
|
| Rate for Payer: PHP Commercial |
$8,705.69
|
| Rate for Payer: Priority Health Cigna Priority Health |
$7,169.39
|
| Rate for Payer: Priority Health SBD |
$6,452.45
|
| Rate for Payer: UMR Bronson Commercial |
$4,506.48
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$7,681.49
|
|
|
HC PLACEMENT SELECTIVE ART BELOW ARCH ADDL 2ND OR 3RD ORDER
|
Facility
|
IP
|
$1,000.76
|
|
|
Service Code
|
CPT 36248
|
| Hospital Charge Code |
36100113
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$440.33 |
| Max. Negotiated Rate |
$900.68 |
| Rate for Payer: Aetna American Axle |
$650.49
|
| Rate for Payer: Aetna Commercial |
$850.65
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$650.49
|
| Rate for Payer: Cash Price |
$800.61
|
| Rate for Payer: Cofinity Commercial |
$860.65
|
| Rate for Payer: Cofinity Commercial |
$700.53
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$800.61
|
| Rate for Payer: Healthscope Commercial |
$900.68
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$700.53
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$750.57
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$850.65
|
| Rate for Payer: PHP Commercial |
$850.65
|
| Rate for Payer: Priority Health Cigna Priority Health |
$700.53
|
| Rate for Payer: Priority Health SBD |
$630.48
|
| Rate for Payer: UMR Bronson Commercial |
$440.33
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$750.57
|
|
|
HC PLACEMENT SELECTIVE ART BELOW ARCH ADDL 2ND OR 3RD ORDER
|
Facility
|
OP
|
$1,000.76
|
|
|
Service Code
|
CPT 36248
|
| Hospital Charge Code |
36100113
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$45.84 |
| Max. Negotiated Rate |
$900.68 |
| Rate for Payer: Aetna American Axle |
$650.49
|
| Rate for Payer: Aetna Commercial |
$850.65
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$650.49
|
| Rate for Payer: BCBS Complete |
$400.30
|
| Rate for Payer: BCBS Trust/PPO |
$521.63
|
| Rate for Payer: Cash Price |
$800.61
|
| Rate for Payer: Cash Price |
$800.61
|
| Rate for Payer: Cofinity Commercial |
$700.53
|
| Rate for Payer: Cofinity Commercial |
$860.65
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$800.61
|
| Rate for Payer: Healthscope Commercial |
$900.68
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$700.53
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$750.57
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$850.65
|
| Rate for Payer: PHP Commercial |
$850.65
|
| Rate for Payer: Priority Health Cigna Priority Health |
$700.53
|
| Rate for Payer: Priority Health SBD |
$630.48
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$50.42
|
| Rate for Payer: UHC Core |
$700.00
|
| Rate for Payer: UHC Exchange |
$45.84
|
| Rate for Payer: UMR Bronson Commercial |
$370.28
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$750.57
|
|
|
HC PLACEMENT SELECTIVE PULMONARY
|
Facility
|
OP
|
$912.16
|
|
|
Service Code
|
CPT 36014
|
| Hospital Charge Code |
36100100
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$144.40 |
| Max. Negotiated Rate |
$2,724.97 |
| Rate for Payer: Aetna American Axle |
$592.90
|
| Rate for Payer: Aetna Commercial |
$775.34
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$592.90
|
| Rate for Payer: BCBS Complete |
$364.86
|
| Rate for Payer: BCBS Trust/PPO |
$2,724.97
|
| Rate for Payer: Cash Price |
$729.73
|
| Rate for Payer: Cash Price |
$729.73
|
| Rate for Payer: Cofinity Commercial |
$638.51
|
| Rate for Payer: Cofinity Commercial |
$784.46
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$729.73
|
| Rate for Payer: Healthscope Commercial |
$820.94
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$638.51
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$684.12
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$775.34
|
| Rate for Payer: PHP Commercial |
$775.34
|
| Rate for Payer: Priority Health Cigna Priority Health |
$638.51
|
| Rate for Payer: Priority Health SBD |
$574.66
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$158.84
|
| Rate for Payer: UHC Core |
$700.00
|
| Rate for Payer: UHC Exchange |
$144.40
|
| Rate for Payer: UMR Bronson Commercial |
$337.50
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$684.12
|
|
|
HC PLACEMENT SELECTIVE PULMONARY
|
Facility
|
IP
|
$912.16
|
|
|
Service Code
|
CPT 36014
|
| Hospital Charge Code |
36100100
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$401.35 |
| Max. Negotiated Rate |
$820.94 |
| Rate for Payer: Aetna American Axle |
$592.90
|
| Rate for Payer: Aetna Commercial |
$775.34
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$592.90
|
| Rate for Payer: Cash Price |
$729.73
|
| Rate for Payer: Cofinity Commercial |
$638.51
|
| Rate for Payer: Cofinity Commercial |
$784.46
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$729.73
|
| Rate for Payer: Healthscope Commercial |
$820.94
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$638.51
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$684.12
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$775.34
|
| Rate for Payer: PHP Commercial |
$775.34
|
| Rate for Payer: Priority Health Cigna Priority Health |
$638.51
|
| Rate for Payer: Priority Health SBD |
$574.66
|
| Rate for Payer: UMR Bronson Commercial |
$401.35
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$684.12
|
|
|
HC PLACEMENT SELECTIVE VENOUS 1ST ORDER
|
Facility
|
IP
|
$5,773.44
|
|
|
Service Code
|
CPT 36011
|
| Hospital Charge Code |
36100097
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$2,540.31 |
| Max. Negotiated Rate |
$5,196.10 |
| Rate for Payer: Aetna American Axle |
$3,752.74
|
| Rate for Payer: Aetna Commercial |
$4,907.42
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$3,752.74
|
| Rate for Payer: Cash Price |
$4,618.75
|
| Rate for Payer: Cofinity Commercial |
$4,041.41
|
| Rate for Payer: Cofinity Commercial |
$4,965.16
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$4,618.75
|
| Rate for Payer: Healthscope Commercial |
$5,196.10
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$4,041.41
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$4,330.08
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$4,907.42
|
| Rate for Payer: PHP Commercial |
$4,907.42
|
| Rate for Payer: Priority Health Cigna Priority Health |
$4,041.41
|
| Rate for Payer: Priority Health SBD |
$3,637.27
|
| Rate for Payer: UMR Bronson Commercial |
$2,540.31
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$4,330.08
|
|
|
HC PLACEMENT SELECTIVE VENOUS 1ST ORDER
|
Facility
|
OP
|
$5,773.44
|
|
|
Service Code
|
CPT 36011
|
| Hospital Charge Code |
36100097
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$148.99 |
| Max. Negotiated Rate |
$5,196.10 |
| Rate for Payer: Aetna American Axle |
$3,752.74
|
| Rate for Payer: Aetna Commercial |
$4,907.42
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$3,752.74
|
| Rate for Payer: BCBS Complete |
$2,309.38
|
| Rate for Payer: BCBS Trust/PPO |
$3,445.90
|
| Rate for Payer: Cash Price |
$4,618.75
|
| Rate for Payer: Cash Price |
$4,618.75
|
| Rate for Payer: Cofinity Commercial |
$4,965.16
|
| Rate for Payer: Cofinity Commercial |
$4,041.41
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$4,618.75
|
| Rate for Payer: Healthscope Commercial |
$5,196.10
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$4,041.41
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$4,330.08
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$4,907.42
|
| Rate for Payer: PHP Commercial |
$4,907.42
|
| Rate for Payer: Priority Health Cigna Priority Health |
$4,041.41
|
| Rate for Payer: Priority Health SBD |
$3,637.27
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$163.89
|
| Rate for Payer: UHC Core |
$700.00
|
| Rate for Payer: UHC Exchange |
$148.99
|
| Rate for Payer: UMR Bronson Commercial |
$2,136.17
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$4,330.08
|
|
|
HC PLACEMENT SELECTIVE VENOUS 2ND ORDER
|
Facility
|
OP
|
$5,409.65
|
|
|
Service Code
|
CPT 36012
|
| Hospital Charge Code |
36100098
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$166.01 |
| Max. Negotiated Rate |
$4,868.68 |
| Rate for Payer: Aetna American Axle |
$3,516.27
|
| Rate for Payer: Aetna Commercial |
$4,598.20
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$3,516.27
|
| Rate for Payer: BCBS Complete |
$2,163.86
|
| Rate for Payer: BCBS Trust/PPO |
$3,513.63
|
| Rate for Payer: Cash Price |
$4,327.72
|
| Rate for Payer: Cash Price |
$4,327.72
|
| Rate for Payer: Cofinity Commercial |
$4,652.30
|
| Rate for Payer: Cofinity Commercial |
$3,786.76
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$4,327.72
|
| Rate for Payer: Healthscope Commercial |
$4,868.68
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$3,786.76
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$4,057.24
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$4,598.20
|
| Rate for Payer: PHP Commercial |
$4,598.20
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3,786.76
|
| Rate for Payer: Priority Health SBD |
$3,408.08
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$182.61
|
| Rate for Payer: UHC Core |
$700.00
|
| Rate for Payer: UHC Exchange |
$166.01
|
| Rate for Payer: UMR Bronson Commercial |
$2,001.57
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$4,057.24
|
|
|
HC PLACEMENT SELECTIVE VENOUS 2ND ORDER
|
Facility
|
IP
|
$5,409.65
|
|
|
Service Code
|
CPT 36012
|
| Hospital Charge Code |
36100098
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$2,380.25 |
| Max. Negotiated Rate |
$4,868.68 |
| Rate for Payer: Aetna American Axle |
$3,516.27
|
| Rate for Payer: Aetna Commercial |
$4,598.20
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$3,516.27
|
| Rate for Payer: Cash Price |
$4,327.72
|
| Rate for Payer: Cofinity Commercial |
$3,786.76
|
| Rate for Payer: Cofinity Commercial |
$4,652.30
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$4,327.72
|
| Rate for Payer: Healthscope Commercial |
$4,868.68
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$3,786.76
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$4,057.24
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$4,598.20
|
| Rate for Payer: PHP Commercial |
$4,598.20
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3,786.76
|
| Rate for Payer: Priority Health SBD |
$3,408.08
|
| Rate for Payer: UMR Bronson Commercial |
$2,380.25
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$4,057.24
|
|
|
HC PLACE NEPHROSTOMY CATHETER
|
Facility
|
OP
|
$3,282.56
|
|
|
Service Code
|
CPT 50432
|
| Hospital Charge Code |
36100504
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$195.16 |
| Max. Negotiated Rate |
$5,699.47 |
| Rate for Payer: Aetna American Axle |
$2,133.66
|
| Rate for Payer: Aetna Commercial |
$2,790.18
|
| Rate for Payer: Aetna Medicare |
$1,882.90
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,133.66
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$2,263.10
|
| Rate for Payer: Amish Plain Church Group Commercial |
$2,263.10
|
| Rate for Payer: BCBS Complete |
$1,039.94
|
| Rate for Payer: BCBS MAPPO |
$1,810.48
|
| Rate for Payer: BCBS Trust/PPO |
$2,588.76
|
| Rate for Payer: BCN Medicare Advantage |
$1,810.48
|
| Rate for Payer: Cash Price |
$2,626.05
|
| Rate for Payer: Cash Price |
$2,626.05
|
| Rate for Payer: Cofinity Commercial |
$2,297.79
|
| Rate for Payer: Cofinity Commercial |
$2,823.00
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,626.05
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,810.48
|
| Rate for Payer: Healthscope Commercial |
$2,954.30
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$2,297.79
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,461.92
|
| Rate for Payer: Mclaren Medicaid |
$990.33
|
| Rate for Payer: Mclaren Medicare |
$1,810.48
|
| Rate for Payer: Meridian Medicaid |
$1,039.94
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,901.00
|
| Rate for Payer: MI Amish Medical Board Commercial |
$2,082.05
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$2,790.18
|
| Rate for Payer: PACE Medicare |
$1,719.96
|
| Rate for Payer: PACE SWMI |
$1,810.48
|
| Rate for Payer: PHP Commercial |
$2,790.18
|
| Rate for Payer: PHP Medicare Advantage |
$1,810.48
|
| Rate for Payer: Priority Health Choice Medicaid |
$990.33
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,297.79
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$5,699.47
|
| Rate for Payer: Priority Health Medicare |
$1,810.48
|
| Rate for Payer: Priority Health Narrow Network |
$4,559.58
|
| Rate for Payer: Priority Health SBD |
$2,068.01
|
| Rate for Payer: Railroad Medicare Medicare |
$1,810.48
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$214.68
|
| Rate for Payer: UHC Core |
$3,604.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,810.48
|
| Rate for Payer: UHC Exchange |
$195.16
|
| Rate for Payer: UHC Medicare Advantage |
$1,864.79
|
| Rate for Payer: UMR Bronson Commercial |
$1,214.55
|
| Rate for Payer: VA VA |
$1,810.48
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,461.92
|
|
|
HC PLACE NEPHROSTOMY CATHETER
|
Facility
|
IP
|
$3,282.56
|
|
|
Service Code
|
CPT 50432
|
| Hospital Charge Code |
36100504
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$1,444.33 |
| Max. Negotiated Rate |
$2,954.30 |
| Rate for Payer: Aetna American Axle |
$2,133.66
|
| Rate for Payer: Aetna Commercial |
$2,790.18
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,133.66
|
| Rate for Payer: Cash Price |
$2,626.05
|
| Rate for Payer: Cofinity Commercial |
$2,297.79
|
| Rate for Payer: Cofinity Commercial |
$2,823.00
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,626.05
|
| Rate for Payer: Healthscope Commercial |
$2,954.30
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$2,297.79
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,461.92
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$2,790.18
|
| Rate for Payer: PHP Commercial |
$2,790.18
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,297.79
|
| Rate for Payer: Priority Health SBD |
$2,068.01
|
| Rate for Payer: UMR Bronson Commercial |
$1,444.33
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,461.92
|
|
|
HC PLACE NEPHROURETERAL CATHETER
|
Facility
|
IP
|
$3,282.56
|
|
|
Service Code
|
CPT 50433
|
| Hospital Charge Code |
36100505
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$1,444.33 |
| Max. Negotiated Rate |
$2,954.30 |
| Rate for Payer: Aetna American Axle |
$2,133.66
|
| Rate for Payer: Aetna Commercial |
$2,790.18
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,133.66
|
| Rate for Payer: Cash Price |
$2,626.05
|
| Rate for Payer: Cofinity Commercial |
$2,297.79
|
| Rate for Payer: Cofinity Commercial |
$2,823.00
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,626.05
|
| Rate for Payer: Healthscope Commercial |
$2,954.30
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$2,297.79
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,461.92
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$2,790.18
|
| Rate for Payer: PHP Commercial |
$2,790.18
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,297.79
|
| Rate for Payer: Priority Health SBD |
$2,068.01
|
| Rate for Payer: UMR Bronson Commercial |
$1,444.33
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,461.92
|
|
|
HC PLACE NEPHROURETERAL CATHETER
|
Facility
|
OP
|
$3,282.56
|
|
|
Service Code
|
CPT 50433
|
| Hospital Charge Code |
36100505
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$242.31 |
| Max. Negotiated Rate |
$9,755.07 |
| Rate for Payer: Aetna American Axle |
$2,133.66
|
| Rate for Payer: Aetna Commercial |
$2,790.18
|
| Rate for Payer: Aetna Medicare |
$3,222.72
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,133.66
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$3,873.46
|
| Rate for Payer: Amish Plain Church Group Commercial |
$3,873.46
|
| Rate for Payer: BCBS Complete |
$1,779.93
|
| Rate for Payer: BCBS MAPPO |
$3,098.77
|
| Rate for Payer: BCBS Trust/PPO |
$1,594.23
|
| Rate for Payer: BCN Medicare Advantage |
$3,098.77
|
| Rate for Payer: Cash Price |
$2,626.05
|
| Rate for Payer: Cash Price |
$2,626.05
|
| Rate for Payer: Cofinity Commercial |
$2,297.79
|
| Rate for Payer: Cofinity Commercial |
$2,823.00
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,626.05
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$3,098.77
|
| Rate for Payer: Healthscope Commercial |
$2,954.30
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$2,297.79
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,461.92
|
| Rate for Payer: Mclaren Medicaid |
$1,695.03
|
| Rate for Payer: Mclaren Medicare |
$3,098.77
|
| Rate for Payer: Meridian Medicaid |
$1,779.93
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$3,253.71
|
| Rate for Payer: MI Amish Medical Board Commercial |
$3,563.59
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$2,790.18
|
| Rate for Payer: PACE Medicare |
$2,943.83
|
| Rate for Payer: PACE SWMI |
$3,098.77
|
| Rate for Payer: PHP Commercial |
$2,790.18
|
| Rate for Payer: PHP Medicare Advantage |
$3,098.77
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,695.03
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,297.79
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$9,755.07
|
| Rate for Payer: Priority Health Medicare |
$3,098.77
|
| Rate for Payer: Priority Health Narrow Network |
$7,804.06
|
| Rate for Payer: Priority Health SBD |
$2,068.01
|
| Rate for Payer: Railroad Medicare Medicare |
$3,098.77
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$266.54
|
| Rate for Payer: UHC Core |
$3,604.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$3,098.77
|
| Rate for Payer: UHC Exchange |
$242.31
|
| Rate for Payer: UHC Medicare Advantage |
$3,191.73
|
| Rate for Payer: UMR Bronson Commercial |
$1,214.55
|
| Rate for Payer: VA VA |
$3,098.77
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,461.92
|
|
|
HC PLACE SELECTIVE ART BELOW ARCH 1ST ORDER
|
Facility
|
OP
|
$8,255.44
|
|
|
Service Code
|
CPT 36245
|
| Hospital Charge Code |
36100474
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$225.28 |
| Max. Negotiated Rate |
$7,429.90 |
| Rate for Payer: Aetna American Axle |
$5,366.04
|
| Rate for Payer: Aetna Commercial |
$7,017.12
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$5,366.04
|
| Rate for Payer: BCBS Complete |
$3,302.18
|
| Rate for Payer: BCBS Trust/PPO |
$4,445.25
|
| Rate for Payer: Cash Price |
$6,604.35
|
| Rate for Payer: Cash Price |
$6,604.35
|
| Rate for Payer: Cofinity Commercial |
$7,099.68
|
| Rate for Payer: Cofinity Commercial |
$5,778.81
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$6,604.35
|
| Rate for Payer: Healthscope Commercial |
$7,429.90
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$5,778.81
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$6,191.58
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$7,017.12
|
| Rate for Payer: PHP Commercial |
$7,017.12
|
| Rate for Payer: Priority Health Cigna Priority Health |
$5,778.81
|
| Rate for Payer: Priority Health SBD |
$5,200.93
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$247.81
|
| Rate for Payer: UHC Core |
$700.00
|
| Rate for Payer: UHC Exchange |
$225.28
|
| Rate for Payer: UMR Bronson Commercial |
$3,054.51
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$6,191.58
|
|
|
HC PLACE SELECTIVE ART BELOW ARCH 1ST ORDER
|
Facility
|
IP
|
$8,255.44
|
|
|
Service Code
|
CPT 36245
|
| Hospital Charge Code |
36100474
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$3,632.39 |
| Max. Negotiated Rate |
$7,429.90 |
| Rate for Payer: Aetna American Axle |
$5,366.04
|
| Rate for Payer: Aetna Commercial |
$7,017.12
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$5,366.04
|
| Rate for Payer: Cash Price |
$6,604.35
|
| Rate for Payer: Cofinity Commercial |
$7,099.68
|
| Rate for Payer: Cofinity Commercial |
$5,778.81
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$6,604.35
|
| Rate for Payer: Healthscope Commercial |
$7,429.90
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$5,778.81
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$6,191.58
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$7,017.12
|
| Rate for Payer: PHP Commercial |
$7,017.12
|
| Rate for Payer: Priority Health Cigna Priority Health |
$5,778.81
|
| Rate for Payer: Priority Health SBD |
$5,200.93
|
| Rate for Payer: UMR Bronson Commercial |
$3,632.39
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$6,191.58
|
|
|
HC PLACE SELECTIVE ART BELOW ARCH 2ND ORDER
|
Facility
|
OP
|
$5,277.07
|
|
|
Service Code
|
CPT 36246
|
| Hospital Charge Code |
36100475
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$241.65 |
| Max. Negotiated Rate |
$4,749.36 |
| Rate for Payer: Aetna American Axle |
$3,430.10
|
| Rate for Payer: Aetna Commercial |
$4,485.51
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$3,430.10
|
| Rate for Payer: BCBS Complete |
$2,110.83
|
| Rate for Payer: BCBS Trust/PPO |
$3,309.20
|
| Rate for Payer: Cash Price |
$4,221.66
|
| Rate for Payer: Cash Price |
$4,221.66
|
| Rate for Payer: Cofinity Commercial |
$4,538.28
|
| Rate for Payer: Cofinity Commercial |
$3,693.95
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$4,221.66
|
| Rate for Payer: Healthscope Commercial |
$4,749.36
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$3,693.95
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$3,957.80
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$4,485.51
|
| Rate for Payer: PHP Commercial |
$4,485.51
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3,693.95
|
| Rate for Payer: Priority Health SBD |
$3,324.55
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$265.82
|
| Rate for Payer: UHC Core |
$700.00
|
| Rate for Payer: UHC Exchange |
$241.65
|
| Rate for Payer: UMR Bronson Commercial |
$1,952.52
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$3,957.80
|
|
|
HC PLACE SELECTIVE ART BELOW ARCH 2ND ORDER
|
Facility
|
IP
|
$5,277.07
|
|
|
Service Code
|
CPT 36246
|
| Hospital Charge Code |
36100475
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$2,321.91 |
| Max. Negotiated Rate |
$4,749.36 |
| Rate for Payer: Aetna American Axle |
$3,430.10
|
| Rate for Payer: Aetna Commercial |
$4,485.51
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$3,430.10
|
| Rate for Payer: Cash Price |
$4,221.66
|
| Rate for Payer: Cofinity Commercial |
$4,538.28
|
| Rate for Payer: Cofinity Commercial |
$3,693.95
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$4,221.66
|
| Rate for Payer: Healthscope Commercial |
$4,749.36
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$3,693.95
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$3,957.80
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$4,485.51
|
| Rate for Payer: PHP Commercial |
$4,485.51
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3,693.95
|
| Rate for Payer: Priority Health SBD |
$3,324.55
|
| Rate for Payer: UMR Bronson Commercial |
$2,321.91
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$3,957.80
|
|
|
HC PLACE SOFT TISSUE LOCALIZATION DEVICE
|
Facility
|
IP
|
$617.10
|
|
|
Service Code
|
CPT 10035
|
| Hospital Charge Code |
36100486
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$271.52 |
| Max. Negotiated Rate |
$555.39 |
| Rate for Payer: Aetna American Axle |
$401.12
|
| Rate for Payer: Aetna Commercial |
$524.54
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$401.12
|
| Rate for Payer: Cash Price |
$493.68
|
| Rate for Payer: Cofinity Commercial |
$431.97
|
| Rate for Payer: Cofinity Commercial |
$530.71
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$493.68
|
| Rate for Payer: Healthscope Commercial |
$555.39
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$431.97
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$462.82
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$524.54
|
| Rate for Payer: PHP Commercial |
$524.54
|
| Rate for Payer: Priority Health Cigna Priority Health |
$431.97
|
| Rate for Payer: Priority Health SBD |
$388.77
|
| Rate for Payer: UMR Bronson Commercial |
$271.52
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$462.82
|
|
|
HC PLACE SOFT TISSUE LOCALIZATION DEVICE
|
Facility
|
OP
|
$617.10
|
|
|
Service Code
|
CPT 10035
|
| Hospital Charge Code |
36100486
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$80.88 |
| Max. Negotiated Rate |
$1,968.76 |
| Rate for Payer: Aetna American Axle |
$401.12
|
| Rate for Payer: Aetna Commercial |
$524.54
|
| Rate for Payer: Aetna Medicare |
$650.41
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$401.12
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$781.74
|
| Rate for Payer: Amish Plain Church Group Commercial |
$781.74
|
| Rate for Payer: BCBS Complete |
$359.22
|
| Rate for Payer: BCBS MAPPO |
$625.39
|
| Rate for Payer: BCBS Trust/PPO |
$538.32
|
| Rate for Payer: BCN Medicare Advantage |
$625.39
|
| Rate for Payer: Cash Price |
$493.68
|
| Rate for Payer: Cash Price |
$493.68
|
| Rate for Payer: Cofinity Commercial |
$431.97
|
| Rate for Payer: Cofinity Commercial |
$530.71
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$493.68
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$625.39
|
| Rate for Payer: Healthscope Commercial |
$555.39
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$431.97
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$462.82
|
| Rate for Payer: Mclaren Medicaid |
$342.09
|
| Rate for Payer: Mclaren Medicare |
$625.39
|
| Rate for Payer: Meridian Medicaid |
$359.22
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$656.66
|
| Rate for Payer: MI Amish Medical Board Commercial |
$719.20
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$524.54
|
| Rate for Payer: PACE Medicare |
$594.12
|
| Rate for Payer: PACE SWMI |
$625.39
|
| Rate for Payer: PHP Commercial |
$524.54
|
| Rate for Payer: PHP Medicare Advantage |
$625.39
|
| Rate for Payer: Priority Health Choice Medicaid |
$342.09
|
| Rate for Payer: Priority Health Cigna Priority Health |
$431.97
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,968.76
|
| Rate for Payer: Priority Health Medicare |
$625.39
|
| Rate for Payer: Priority Health Narrow Network |
$1,575.01
|
| Rate for Payer: Priority Health SBD |
$388.77
|
| Rate for Payer: Railroad Medicare Medicare |
$625.39
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$88.97
|
| Rate for Payer: UHC Core |
$981.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$625.39
|
| Rate for Payer: UHC Exchange |
$80.88
|
| Rate for Payer: UHC Medicare Advantage |
$644.15
|
| Rate for Payer: UMR Bronson Commercial |
$228.33
|
| Rate for Payer: VA VA |
$625.39
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$462.82
|
|
|
HC PLACE SOFT TISSUE LOCALIZATION DEVICE EA ADDL LESION
|
Facility
|
IP
|
$413.27
|
|
|
Service Code
|
CPT 10036
|
| Hospital Charge Code |
36100487
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$181.84 |
| Max. Negotiated Rate |
$371.94 |
| Rate for Payer: Aetna American Axle |
$268.63
|
| Rate for Payer: Aetna Commercial |
$351.28
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$268.63
|
| Rate for Payer: Cash Price |
$330.62
|
| Rate for Payer: Cofinity Commercial |
$289.29
|
| Rate for Payer: Cofinity Commercial |
$355.41
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$330.62
|
| Rate for Payer: Healthscope Commercial |
$371.94
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$289.29
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$309.95
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$351.28
|
| Rate for Payer: PHP Commercial |
$351.28
|
| Rate for Payer: Priority Health Cigna Priority Health |
$289.29
|
| Rate for Payer: Priority Health SBD |
$260.36
|
| Rate for Payer: UMR Bronson Commercial |
$181.84
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$309.95
|
|
|
HC PLACE SOFT TISSUE LOCALIZATION DEVICE EA ADDL LESION
|
Facility
|
OP
|
$413.27
|
|
|
Service Code
|
CPT 10036
|
| Hospital Charge Code |
36100487
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$40.93 |
| Max. Negotiated Rate |
$1,781.68 |
| Rate for Payer: Aetna American Axle |
$268.63
|
| Rate for Payer: Aetna Commercial |
$351.28
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$268.63
|
| Rate for Payer: BCBS Complete |
$165.31
|
| Rate for Payer: BCBS Trust/PPO |
$1,781.68
|
| Rate for Payer: Cash Price |
$330.62
|
| Rate for Payer: Cash Price |
$330.62
|
| Rate for Payer: Cofinity Commercial |
$355.41
|
| Rate for Payer: Cofinity Commercial |
$289.29
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$330.62
|
| Rate for Payer: Healthscope Commercial |
$371.94
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$289.29
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$309.95
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$351.28
|
| Rate for Payer: PHP Commercial |
$351.28
|
| Rate for Payer: Priority Health Cigna Priority Health |
$289.29
|
| Rate for Payer: Priority Health SBD |
$260.36
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$45.02
|
| Rate for Payer: UHC Core |
$700.00
|
| Rate for Payer: UHC Exchange |
$40.93
|
| Rate for Payer: UMR Bronson Commercial |
$152.91
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$309.95
|
|
