|
HC POUCH WOUND 9 X 6
|
Facility
|
IP
|
$100.59
|
|
|
Service Code
|
HCPCS A6154
|
| Hospital Charge Code |
27000620
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$44.26 |
| Max. Negotiated Rate |
$90.53 |
| Rate for Payer: Aetna American Axle |
$65.38
|
| Rate for Payer: Aetna Commercial |
$85.50
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$65.38
|
| Rate for Payer: Cash Price |
$80.47
|
| Rate for Payer: Cofinity Commercial |
$70.41
|
| Rate for Payer: Cofinity Commercial |
$86.51
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$80.47
|
| Rate for Payer: Healthscope Commercial |
$90.53
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$70.41
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$75.44
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$85.50
|
| Rate for Payer: PHP Commercial |
$85.50
|
| Rate for Payer: Priority Health Cigna Priority Health |
$70.41
|
| Rate for Payer: Priority Health SBD |
$63.37
|
| Rate for Payer: UMR Bronson Commercial |
$44.26
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$75.44
|
|
|
HC POUCH WOUND 9 X 6
|
Facility
|
OP
|
$100.59
|
|
|
Service Code
|
HCPCS A6154
|
| Hospital Charge Code |
27000620
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$19.62 |
| Max. Negotiated Rate |
$90.53 |
| Rate for Payer: Aetna American Axle |
$65.38
|
| Rate for Payer: Aetna Commercial |
$85.50
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$65.38
|
| Rate for Payer: BCBS Complete |
$40.24
|
| Rate for Payer: BCBS Trust/PPO |
$60.64
|
| Rate for Payer: Cash Price |
$80.47
|
| Rate for Payer: Cash Price |
$80.47
|
| Rate for Payer: Cofinity Commercial |
$70.41
|
| Rate for Payer: Cofinity Commercial |
$86.51
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$80.47
|
| Rate for Payer: Healthscope Commercial |
$90.53
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$70.41
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$75.44
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$85.50
|
| Rate for Payer: PHP Commercial |
$85.50
|
| Rate for Payer: Priority Health Cigna Priority Health |
$70.41
|
| Rate for Payer: Priority Health SBD |
$63.37
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$23.54
|
| Rate for Payer: UHC Exchange |
$19.62
|
| Rate for Payer: UMR Bronson Commercial |
$37.22
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$75.44
|
|
|
HC POWDER MICANOZOLE
|
Facility
|
OP
|
$19.60
|
|
| Hospital Charge Code |
27000625
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$7.25 |
| Max. Negotiated Rate |
$17.64 |
| Rate for Payer: Aetna American Axle |
$12.74
|
| Rate for Payer: Aetna Commercial |
$16.66
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$12.74
|
| Rate for Payer: BCBS Complete |
$7.84
|
| Rate for Payer: Cash Price |
$15.68
|
| Rate for Payer: Cofinity Commercial |
$13.72
|
| Rate for Payer: Cofinity Commercial |
$16.86
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$15.68
|
| Rate for Payer: Healthscope Commercial |
$17.64
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$13.72
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$14.70
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$16.66
|
| Rate for Payer: PHP Commercial |
$16.66
|
| Rate for Payer: Priority Health Cigna Priority Health |
$13.72
|
| Rate for Payer: Priority Health SBD |
$12.35
|
| Rate for Payer: UMR Bronson Commercial |
$7.25
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$14.70
|
|
|
HC POWDER MICANOZOLE
|
Facility
|
IP
|
$19.60
|
|
| Hospital Charge Code |
27000625
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$8.62 |
| Max. Negotiated Rate |
$17.64 |
| Rate for Payer: Aetna American Axle |
$12.74
|
| Rate for Payer: Aetna Commercial |
$16.66
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$12.74
|
| Rate for Payer: Cash Price |
$15.68
|
| Rate for Payer: Cofinity Commercial |
$13.72
|
| Rate for Payer: Cofinity Commercial |
$16.86
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$15.68
|
| Rate for Payer: Healthscope Commercial |
$17.64
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$13.72
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$14.70
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$16.66
|
| Rate for Payer: PHP Commercial |
$16.66
|
| Rate for Payer: Priority Health Cigna Priority Health |
$13.72
|
| Rate for Payer: Priority Health SBD |
$12.35
|
| Rate for Payer: UMR Bronson Commercial |
$8.62
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$14.70
|
|
|
HC POWDER OSTOMY
|
Facility
|
IP
|
$25.18
|
|
| Hospital Charge Code |
27000139
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$11.08 |
| Max. Negotiated Rate |
$22.66 |
| Rate for Payer: Aetna American Axle |
$16.37
|
| Rate for Payer: Aetna Commercial |
$21.40
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$16.37
|
| Rate for Payer: Cash Price |
$20.14
|
| Rate for Payer: Cofinity Commercial |
$17.63
|
| Rate for Payer: Cofinity Commercial |
$21.65
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$20.14
|
| Rate for Payer: Healthscope Commercial |
$22.66
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$17.63
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$18.88
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$21.40
|
| Rate for Payer: PHP Commercial |
$21.40
|
| Rate for Payer: Priority Health Cigna Priority Health |
$17.63
|
| Rate for Payer: Priority Health SBD |
$15.86
|
| Rate for Payer: UMR Bronson Commercial |
$11.08
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$18.88
|
|
|
HC POWDER OSTOMY
|
Facility
|
OP
|
$25.18
|
|
| Hospital Charge Code |
27000139
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$9.32 |
| Max. Negotiated Rate |
$22.66 |
| Rate for Payer: Aetna American Axle |
$16.37
|
| Rate for Payer: Aetna Commercial |
$21.40
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$16.37
|
| Rate for Payer: BCBS Complete |
$10.07
|
| Rate for Payer: Cash Price |
$20.14
|
| Rate for Payer: Cofinity Commercial |
$17.63
|
| Rate for Payer: Cofinity Commercial |
$21.65
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$20.14
|
| Rate for Payer: Healthscope Commercial |
$22.66
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$17.63
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$18.88
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$21.40
|
| Rate for Payer: PHP Commercial |
$21.40
|
| Rate for Payer: Priority Health Cigna Priority Health |
$17.63
|
| Rate for Payer: Priority Health SBD |
$15.86
|
| Rate for Payer: UMR Bronson Commercial |
$9.32
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$18.88
|
|
|
HC POWER CVC
|
Facility
|
IP
|
$541.86
|
|
|
Service Code
|
HCPCS C1751
|
| Hospital Charge Code |
27200235
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$238.42 |
| Max. Negotiated Rate |
$487.67 |
| Rate for Payer: Aetna American Axle |
$352.21
|
| Rate for Payer: Aetna Commercial |
$460.58
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$352.21
|
| Rate for Payer: Cash Price |
$433.49
|
| Rate for Payer: Cofinity Commercial |
$379.30
|
| Rate for Payer: Cofinity Commercial |
$466.00
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$433.49
|
| Rate for Payer: Healthscope Commercial |
$487.67
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$379.30
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$406.40
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$460.58
|
| Rate for Payer: PHP Commercial |
$460.58
|
| Rate for Payer: Priority Health Cigna Priority Health |
$379.30
|
| Rate for Payer: Priority Health SBD |
$341.37
|
| Rate for Payer: UMR Bronson Commercial |
$238.42
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$406.40
|
|
|
HC POWER CVC
|
Facility
|
OP
|
$541.86
|
|
|
Service Code
|
HCPCS C1751
|
| Hospital Charge Code |
27200235
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$200.49 |
| Max. Negotiated Rate |
$487.67 |
| Rate for Payer: Aetna American Axle |
$352.21
|
| Rate for Payer: Aetna Commercial |
$460.58
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$352.21
|
| Rate for Payer: BCBS Complete |
$216.74
|
| Rate for Payer: Cash Price |
$433.49
|
| Rate for Payer: Cofinity Commercial |
$379.30
|
| Rate for Payer: Cofinity Commercial |
$466.00
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$433.49
|
| Rate for Payer: Healthscope Commercial |
$487.67
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$379.30
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$406.40
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$460.58
|
| Rate for Payer: PHP Commercial |
$460.58
|
| Rate for Payer: Priority Health Cigna Priority Health |
$379.30
|
| Rate for Payer: Priority Health SBD |
$341.37
|
| Rate for Payer: UMR Bronson Commercial |
$200.49
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$406.40
|
|
|
HC POWER CVC SPRINGWIRE GUIDE
|
Facility
|
IP
|
$37.95
|
|
|
Service Code
|
HCPCS C1769
|
| Hospital Charge Code |
27200236
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$16.70 |
| Max. Negotiated Rate |
$34.16 |
| Rate for Payer: Aetna American Axle |
$24.67
|
| Rate for Payer: Aetna Commercial |
$32.26
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$24.67
|
| Rate for Payer: Cash Price |
$30.36
|
| Rate for Payer: Cofinity Commercial |
$26.56
|
| Rate for Payer: Cofinity Commercial |
$32.64
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$30.36
|
| Rate for Payer: Healthscope Commercial |
$34.16
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$26.56
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$28.46
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$32.26
|
| Rate for Payer: PHP Commercial |
$32.26
|
| Rate for Payer: Priority Health Cigna Priority Health |
$26.56
|
| Rate for Payer: Priority Health SBD |
$23.91
|
| Rate for Payer: UMR Bronson Commercial |
$16.70
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$28.46
|
|
|
HC POWER CVC SPRINGWIRE GUIDE
|
Facility
|
OP
|
$37.95
|
|
|
Service Code
|
HCPCS C1769
|
| Hospital Charge Code |
27200236
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$14.04 |
| Max. Negotiated Rate |
$34.16 |
| Rate for Payer: Aetna American Axle |
$24.67
|
| Rate for Payer: Aetna Commercial |
$32.26
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$24.67
|
| Rate for Payer: BCBS Complete |
$15.18
|
| Rate for Payer: Cash Price |
$30.36
|
| Rate for Payer: Cofinity Commercial |
$26.56
|
| Rate for Payer: Cofinity Commercial |
$32.64
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$30.36
|
| Rate for Payer: Healthscope Commercial |
$34.16
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$26.56
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$28.46
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$32.26
|
| Rate for Payer: PHP Commercial |
$32.26
|
| Rate for Payer: Priority Health Cigna Priority Health |
$26.56
|
| Rate for Payer: Priority Health SBD |
$23.91
|
| Rate for Payer: UMR Bronson Commercial |
$14.04
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$28.46
|
|
|
HC POWERWAND CATHETER
|
Facility
|
OP
|
$527.43
|
|
|
Service Code
|
HCPCS C1751
|
| Hospital Charge Code |
27200241
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$195.15 |
| Max. Negotiated Rate |
$474.69 |
| Rate for Payer: Aetna American Axle |
$342.83
|
| Rate for Payer: Aetna Commercial |
$448.32
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$342.83
|
| Rate for Payer: BCBS Complete |
$210.97
|
| Rate for Payer: Cash Price |
$421.94
|
| Rate for Payer: Cofinity Commercial |
$369.20
|
| Rate for Payer: Cofinity Commercial |
$453.59
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$421.94
|
| Rate for Payer: Healthscope Commercial |
$474.69
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$369.20
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$395.57
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$448.32
|
| Rate for Payer: PHP Commercial |
$448.32
|
| Rate for Payer: Priority Health Cigna Priority Health |
$369.20
|
| Rate for Payer: Priority Health SBD |
$332.28
|
| Rate for Payer: UMR Bronson Commercial |
$195.15
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$395.57
|
|
|
HC POWERWAND CATHETER
|
Facility
|
IP
|
$527.43
|
|
|
Service Code
|
HCPCS C1751
|
| Hospital Charge Code |
27200241
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$232.07 |
| Max. Negotiated Rate |
$474.69 |
| Rate for Payer: Aetna American Axle |
$342.83
|
| Rate for Payer: Aetna Commercial |
$448.32
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$342.83
|
| Rate for Payer: Cash Price |
$421.94
|
| Rate for Payer: Cofinity Commercial |
$369.20
|
| Rate for Payer: Cofinity Commercial |
$453.59
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$421.94
|
| Rate for Payer: Healthscope Commercial |
$474.69
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$369.20
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$395.57
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$448.32
|
| Rate for Payer: PHP Commercial |
$448.32
|
| Rate for Payer: Priority Health Cigna Priority Health |
$369.20
|
| Rate for Payer: Priority Health SBD |
$332.28
|
| Rate for Payer: UMR Bronson Commercial |
$232.07
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$395.57
|
|
|
HC PPM SINGLE/A LEAD
|
Facility
|
IP
|
$11,640.28
|
|
|
Service Code
|
CPT 33206
|
| Hospital Charge Code |
36100057
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$5,121.72 |
| Max. Negotiated Rate |
$10,476.25 |
| Rate for Payer: Aetna American Axle |
$7,566.18
|
| Rate for Payer: Aetna Commercial |
$9,894.24
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$7,566.18
|
| Rate for Payer: Cash Price |
$9,312.22
|
| Rate for Payer: Cofinity Commercial |
$10,010.64
|
| Rate for Payer: Cofinity Commercial |
$8,148.20
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$9,312.22
|
| Rate for Payer: Healthscope Commercial |
$10,476.25
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$8,148.20
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$8,730.21
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$9,894.24
|
| Rate for Payer: PHP Commercial |
$9,894.24
|
| Rate for Payer: Priority Health Cigna Priority Health |
$8,148.20
|
| Rate for Payer: Priority Health SBD |
$7,333.38
|
| Rate for Payer: UMR Bronson Commercial |
$5,121.72
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$8,730.21
|
|
|
HC PPM SINGLE/A LEAD
|
Facility
|
OP
|
$11,640.28
|
|
|
Service Code
|
CPT 33206
|
| Hospital Charge Code |
36100057
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$439.10 |
| Max. Negotiated Rate |
$29,880.23 |
| Rate for Payer: Aetna American Axle |
$7,566.18
|
| Rate for Payer: Aetna Commercial |
$9,894.24
|
| Rate for Payer: Aetna Medicare |
$9,871.35
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$7,566.18
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$11,864.60
|
| Rate for Payer: Amish Plain Church Group Commercial |
$11,864.60
|
| Rate for Payer: BCBS Complete |
$5,452.02
|
| Rate for Payer: BCBS MAPPO |
$9,491.68
|
| Rate for Payer: BCBS Trust/PPO |
$13,384.44
|
| Rate for Payer: BCN Medicare Advantage |
$9,491.68
|
| Rate for Payer: Cash Price |
$9,312.22
|
| Rate for Payer: Cash Price |
$9,312.22
|
| Rate for Payer: Cofinity Commercial |
$10,010.64
|
| Rate for Payer: Cofinity Commercial |
$8,148.20
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$9,312.22
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$9,491.68
|
| Rate for Payer: Healthscope Commercial |
$10,476.25
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$8,148.20
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$8,730.21
|
| Rate for Payer: Mclaren Medicaid |
$5,191.95
|
| Rate for Payer: Mclaren Medicare |
$9,491.68
|
| Rate for Payer: Meridian Medicaid |
$5,452.02
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$9,966.26
|
| Rate for Payer: MI Amish Medical Board Commercial |
$10,915.43
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$9,894.24
|
| Rate for Payer: PACE Medicare |
$9,017.10
|
| Rate for Payer: PACE SWMI |
$9,491.68
|
| Rate for Payer: PHP Commercial |
$9,894.24
|
| Rate for Payer: PHP Medicare Advantage |
$9,491.68
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,191.95
|
| Rate for Payer: Priority Health Cigna Priority Health |
$8,148.20
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$29,880.23
|
| Rate for Payer: Priority Health Medicare |
$9,491.68
|
| Rate for Payer: Priority Health Narrow Network |
$23,904.18
|
| Rate for Payer: Priority Health SBD |
$7,333.38
|
| Rate for Payer: Railroad Medicare Medicare |
$9,491.68
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$483.01
|
| Rate for Payer: UHC Core |
$13,752.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$9,491.68
|
| Rate for Payer: UHC Exchange |
$439.10
|
| Rate for Payer: UHC Medicare Advantage |
$9,776.43
|
| Rate for Payer: UMR Bronson Commercial |
$4,306.90
|
| Rate for Payer: VA VA |
$9,491.68
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$8,730.21
|
|
|
HC PPM SINGLE/V LEAD
|
Facility
|
OP
|
$12,804.30
|
|
|
Service Code
|
CPT 33207
|
| Hospital Charge Code |
36100058
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$461.37 |
| Max. Negotiated Rate |
$29,880.23 |
| Rate for Payer: Aetna American Axle |
$8,322.80
|
| Rate for Payer: Aetna Commercial |
$10,883.66
|
| Rate for Payer: Aetna Medicare |
$9,871.35
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$8,322.80
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$11,864.60
|
| Rate for Payer: Amish Plain Church Group Commercial |
$11,864.60
|
| Rate for Payer: BCBS Complete |
$5,452.02
|
| Rate for Payer: BCBS MAPPO |
$9,491.68
|
| Rate for Payer: BCBS Trust/PPO |
$12,322.39
|
| Rate for Payer: BCN Medicare Advantage |
$9,491.68
|
| Rate for Payer: Cash Price |
$10,243.44
|
| Rate for Payer: Cash Price |
$10,243.44
|
| Rate for Payer: Cofinity Commercial |
$11,011.70
|
| Rate for Payer: Cofinity Commercial |
$8,963.01
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$10,243.44
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$9,491.68
|
| Rate for Payer: Healthscope Commercial |
$11,523.87
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$8,963.01
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$9,603.22
|
| Rate for Payer: Mclaren Medicaid |
$5,191.95
|
| Rate for Payer: Mclaren Medicare |
$9,491.68
|
| Rate for Payer: Meridian Medicaid |
$5,452.02
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$9,966.26
|
| Rate for Payer: MI Amish Medical Board Commercial |
$10,915.43
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$10,883.66
|
| Rate for Payer: PACE Medicare |
$9,017.10
|
| Rate for Payer: PACE SWMI |
$9,491.68
|
| Rate for Payer: PHP Commercial |
$10,883.66
|
| Rate for Payer: PHP Medicare Advantage |
$9,491.68
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,191.95
|
| Rate for Payer: Priority Health Cigna Priority Health |
$8,963.01
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$29,880.23
|
| Rate for Payer: Priority Health Medicare |
$9,491.68
|
| Rate for Payer: Priority Health Narrow Network |
$23,904.18
|
| Rate for Payer: Priority Health SBD |
$8,066.71
|
| Rate for Payer: Railroad Medicare Medicare |
$9,491.68
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$507.51
|
| Rate for Payer: UHC Core |
$13,752.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$9,491.68
|
| Rate for Payer: UHC Exchange |
$461.37
|
| Rate for Payer: UHC Medicare Advantage |
$9,776.43
|
| Rate for Payer: UMR Bronson Commercial |
$4,737.59
|
| Rate for Payer: VA VA |
$9,491.68
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$9,603.22
|
|
|
HC PPM SINGLE/V LEAD
|
Facility
|
IP
|
$12,804.30
|
|
|
Service Code
|
CPT 33207
|
| Hospital Charge Code |
36100058
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$5,633.89 |
| Max. Negotiated Rate |
$11,523.87 |
| Rate for Payer: Aetna American Axle |
$8,322.80
|
| Rate for Payer: Aetna Commercial |
$10,883.66
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$8,322.80
|
| Rate for Payer: Cash Price |
$10,243.44
|
| Rate for Payer: Cofinity Commercial |
$11,011.70
|
| Rate for Payer: Cofinity Commercial |
$8,963.01
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$10,243.44
|
| Rate for Payer: Healthscope Commercial |
$11,523.87
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$8,963.01
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$9,603.22
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$10,883.66
|
| Rate for Payer: PHP Commercial |
$10,883.66
|
| Rate for Payer: Priority Health Cigna Priority Health |
$8,963.01
|
| Rate for Payer: Priority Health SBD |
$8,066.71
|
| Rate for Payer: UMR Bronson Commercial |
$5,633.89
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$9,603.22
|
|
|
HC PPU OBSERVATION PER HOUR
|
Facility
|
IP
|
$134.33
|
|
|
Service Code
|
HCPCS G0378
|
| Hospital Charge Code |
76200007
|
|
Hospital Revenue Code
|
762
|
| Min. Negotiated Rate |
$59.11 |
| Max. Negotiated Rate |
$120.90 |
| Rate for Payer: Aetna American Axle |
$87.31
|
| Rate for Payer: Aetna Commercial |
$114.18
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$87.31
|
| Rate for Payer: Cash Price |
$107.46
|
| Rate for Payer: Cofinity Commercial |
$94.03
|
| Rate for Payer: Cofinity Commercial |
$115.52
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$107.46
|
| Rate for Payer: Healthscope Commercial |
$120.90
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$94.03
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$100.75
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$114.18
|
| Rate for Payer: PHP Commercial |
$114.18
|
| Rate for Payer: Priority Health Cigna Priority Health |
$94.03
|
| Rate for Payer: Priority Health SBD |
$84.63
|
| Rate for Payer: UMR Bronson Commercial |
$59.11
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$100.75
|
|
|
HC PPU OBSERVATION PER HOUR
|
Facility
|
OP
|
$134.33
|
|
|
Service Code
|
HCPCS G0378
|
| Hospital Charge Code |
76200007
|
|
Hospital Revenue Code
|
762
|
| Min. Negotiated Rate |
$49.70 |
| Max. Negotiated Rate |
$4,092.00 |
| Rate for Payer: Aetna American Axle |
$87.31
|
| Rate for Payer: Aetna Commercial |
$114.18
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$87.31
|
| Rate for Payer: BCBS Complete |
$53.73
|
| Rate for Payer: BCBS Trust/PPO |
$118.88
|
| Rate for Payer: Cash Price |
$107.46
|
| Rate for Payer: Cash Price |
$107.46
|
| Rate for Payer: Cash Price |
$107.46
|
| Rate for Payer: Cofinity Commercial |
$115.52
|
| Rate for Payer: Cofinity Commercial |
$94.03
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$107.46
|
| Rate for Payer: Healthscope Commercial |
$120.90
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$94.03
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$100.75
|
| Rate for Payer: Meridian Medicaid |
$1,000.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$114.18
|
| Rate for Payer: PHP Commercial |
$114.18
|
| Rate for Payer: Priority Health Cigna Priority Health |
$94.03
|
| Rate for Payer: Priority Health SBD |
$84.63
|
| Rate for Payer: UHC Core |
$4,092.00
|
| Rate for Payer: UMR Bronson Commercial |
$49.70
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$100.75
|
|
|
HC PRADER WILLI MOL ANALYSIS
|
Facility
|
OP
|
$430.00
|
|
|
Service Code
|
CPT 81331
|
| Hospital Charge Code |
31000103
|
|
Hospital Revenue Code
|
310
|
| Min. Negotiated Rate |
$27.94 |
| Max. Negotiated Rate |
$387.00 |
| Rate for Payer: Aetna American Axle |
$279.50
|
| Rate for Payer: Aetna Commercial |
$365.50
|
| Rate for Payer: Aetna Medicare |
$53.11
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$279.50
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$63.84
|
| Rate for Payer: Amish Plain Church Group Commercial |
$63.84
|
| Rate for Payer: BCBS Complete |
$29.33
|
| Rate for Payer: BCBS MAPPO |
$51.07
|
| Rate for Payer: BCBS Trust/PPO |
$45.93
|
| Rate for Payer: BCN Medicare Advantage |
$51.07
|
| Rate for Payer: Cash Price |
$344.00
|
| Rate for Payer: Cash Price |
$344.00
|
| Rate for Payer: Cofinity Commercial |
$369.80
|
| Rate for Payer: Cofinity Commercial |
$301.00
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$344.00
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$51.07
|
| Rate for Payer: Healthscope Commercial |
$387.00
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$301.00
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$322.50
|
| Rate for Payer: Mclaren Medicaid |
$27.94
|
| Rate for Payer: Mclaren Medicare |
$51.07
|
| Rate for Payer: Meridian Medicaid |
$29.33
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$53.62
|
| Rate for Payer: MI Amish Medical Board Commercial |
$58.73
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$365.50
|
| Rate for Payer: PACE Medicare |
$48.52
|
| Rate for Payer: PACE SWMI |
$51.07
|
| Rate for Payer: PHP Commercial |
$365.50
|
| Rate for Payer: PHP Medicare Advantage |
$51.07
|
| Rate for Payer: Priority Health Choice Medicaid |
$27.94
|
| Rate for Payer: Priority Health Cigna Priority Health |
$301.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$50.00
|
| Rate for Payer: Priority Health Medicare |
$51.07
|
| Rate for Payer: Priority Health Narrow Network |
$40.00
|
| Rate for Payer: Priority Health SBD |
$270.90
|
| Rate for Payer: Railroad Medicare Medicare |
$51.07
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$61.28
|
| Rate for Payer: UHC Core |
$61.28
|
| Rate for Payer: UHC Dual Complete DSNP |
$51.07
|
| Rate for Payer: UHC Exchange |
$51.07
|
| Rate for Payer: UHC Medicare Advantage |
$52.60
|
| Rate for Payer: UMR Bronson Commercial |
$159.10
|
| Rate for Payer: VA VA |
$51.07
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$322.50
|
|
|
HC PRADER WILLI MOL ANALYSIS
|
Facility
|
IP
|
$430.00
|
|
|
Service Code
|
CPT 81331
|
| Hospital Charge Code |
31000103
|
|
Hospital Revenue Code
|
310
|
| Min. Negotiated Rate |
$189.20 |
| Max. Negotiated Rate |
$387.00 |
| Rate for Payer: Aetna American Axle |
$279.50
|
| Rate for Payer: Aetna Commercial |
$365.50
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$279.50
|
| Rate for Payer: Cash Price |
$344.00
|
| Rate for Payer: Cofinity Commercial |
$301.00
|
| Rate for Payer: Cofinity Commercial |
$369.80
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$344.00
|
| Rate for Payer: Healthscope Commercial |
$387.00
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$301.00
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$322.50
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$365.50
|
| Rate for Payer: PHP Commercial |
$365.50
|
| Rate for Payer: Priority Health Cigna Priority Health |
$301.00
|
| Rate for Payer: Priority Health SBD |
$270.90
|
| Rate for Payer: UMR Bronson Commercial |
$189.20
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$322.50
|
|
|
HC PREALBUMIN
|
Facility
|
IP
|
$68.00
|
|
|
Service Code
|
CPT 84134
|
| Hospital Charge Code |
30100398
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$29.92 |
| Max. Negotiated Rate |
$61.20 |
| Rate for Payer: Aetna American Axle |
$44.20
|
| Rate for Payer: Aetna Commercial |
$57.80
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$44.20
|
| Rate for Payer: Cash Price |
$54.40
|
| Rate for Payer: Cofinity Commercial |
$47.60
|
| Rate for Payer: Cofinity Commercial |
$58.48
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$54.40
|
| Rate for Payer: Healthscope Commercial |
$61.20
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$47.60
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$51.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$57.80
|
| Rate for Payer: PHP Commercial |
$57.80
|
| Rate for Payer: Priority Health Cigna Priority Health |
$47.60
|
| Rate for Payer: Priority Health SBD |
$42.84
|
| Rate for Payer: UMR Bronson Commercial |
$29.92
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$51.00
|
|
|
HC PREALBUMIN
|
Facility
|
OP
|
$68.00
|
|
|
Service Code
|
CPT 84134
|
| Hospital Charge Code |
30100398
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$6.17 |
| Max. Negotiated Rate |
$61.20 |
| Rate for Payer: Aetna American Axle |
$44.20
|
| Rate for Payer: Aetna Commercial |
$57.80
|
| Rate for Payer: Aetna Medicare |
$15.17
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$44.20
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$18.24
|
| Rate for Payer: Amish Plain Church Group Commercial |
$18.24
|
| Rate for Payer: BCBS Complete |
$8.38
|
| Rate for Payer: BCBS MAPPO |
$14.59
|
| Rate for Payer: BCBS Trust/PPO |
$13.12
|
| Rate for Payer: BCN Medicare Advantage |
$14.59
|
| Rate for Payer: Cash Price |
$54.40
|
| Rate for Payer: Cash Price |
$54.40
|
| Rate for Payer: Cofinity Commercial |
$47.60
|
| Rate for Payer: Cofinity Commercial |
$58.48
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$54.40
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$14.59
|
| Rate for Payer: Healthscope Commercial |
$61.20
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$47.60
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$51.00
|
| Rate for Payer: Mclaren Medicaid |
$7.98
|
| Rate for Payer: Mclaren Medicare |
$14.59
|
| Rate for Payer: Meridian Medicaid |
$8.38
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$15.32
|
| Rate for Payer: MI Amish Medical Board Commercial |
$16.78
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$57.80
|
| Rate for Payer: PACE Medicare |
$13.86
|
| Rate for Payer: PACE SWMI |
$14.59
|
| Rate for Payer: PHP Commercial |
$57.80
|
| Rate for Payer: PHP Medicare Advantage |
$14.59
|
| Rate for Payer: Priority Health Choice Medicaid |
$7.98
|
| Rate for Payer: Priority Health Cigna Priority Health |
$47.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$7.71
|
| Rate for Payer: Priority Health Medicare |
$14.59
|
| Rate for Payer: Priority Health Narrow Network |
$6.17
|
| Rate for Payer: Priority Health SBD |
$42.84
|
| Rate for Payer: Railroad Medicare Medicare |
$14.59
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$17.51
|
| Rate for Payer: UHC Core |
$24.06
|
| Rate for Payer: UHC Dual Complete DSNP |
$14.59
|
| Rate for Payer: UHC Exchange |
$14.59
|
| Rate for Payer: UHC Medicare Advantage |
$15.03
|
| Rate for Payer: UMR Bronson Commercial |
$25.16
|
| Rate for Payer: VA VA |
$14.59
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$51.00
|
|
|
HC PREGNANCY TEST SERUM
|
Facility
|
OP
|
$30.60
|
|
|
Service Code
|
CPT 84703
|
| Hospital Charge Code |
30100467
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$4.11 |
| Max. Negotiated Rate |
$27.54 |
| Rate for Payer: Aetna American Axle |
$19.89
|
| Rate for Payer: Aetna Commercial |
$26.01
|
| Rate for Payer: Aetna Medicare |
$7.82
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$19.89
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$9.40
|
| Rate for Payer: Amish Plain Church Group Commercial |
$9.40
|
| Rate for Payer: BCBS Complete |
$4.32
|
| Rate for Payer: BCBS MAPPO |
$7.52
|
| Rate for Payer: BCBS Trust/PPO |
$6.76
|
| Rate for Payer: BCN Medicare Advantage |
$7.52
|
| Rate for Payer: Cash Price |
$24.48
|
| Rate for Payer: Cash Price |
$24.48
|
| Rate for Payer: Cofinity Commercial |
$26.32
|
| Rate for Payer: Cofinity Commercial |
$21.42
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$24.48
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$7.52
|
| Rate for Payer: Healthscope Commercial |
$27.54
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$21.42
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$22.95
|
| Rate for Payer: Mclaren Medicaid |
$4.11
|
| Rate for Payer: Mclaren Medicare |
$7.52
|
| Rate for Payer: Meridian Medicaid |
$4.32
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$7.90
|
| Rate for Payer: MI Amish Medical Board Commercial |
$8.65
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$26.01
|
| Rate for Payer: PACE Medicare |
$7.14
|
| Rate for Payer: PACE SWMI |
$7.52
|
| Rate for Payer: PHP Commercial |
$26.01
|
| Rate for Payer: PHP Medicare Advantage |
$7.52
|
| Rate for Payer: Priority Health Choice Medicaid |
$4.11
|
| Rate for Payer: Priority Health Cigna Priority Health |
$21.42
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$10.32
|
| Rate for Payer: Priority Health Medicare |
$7.52
|
| Rate for Payer: Priority Health Narrow Network |
$8.26
|
| Rate for Payer: Priority Health SBD |
$19.28
|
| Rate for Payer: Railroad Medicare Medicare |
$7.52
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$9.02
|
| Rate for Payer: UHC Core |
$12.40
|
| Rate for Payer: UHC Dual Complete DSNP |
$7.52
|
| Rate for Payer: UHC Exchange |
$7.52
|
| Rate for Payer: UHC Medicare Advantage |
$7.75
|
| Rate for Payer: UMR Bronson Commercial |
$11.32
|
| Rate for Payer: VA VA |
$7.52
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$22.95
|
|
|
HC PREGNANCY TEST SERUM
|
Facility
|
IP
|
$30.60
|
|
|
Service Code
|
CPT 84703
|
| Hospital Charge Code |
30100467
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$13.46 |
| Max. Negotiated Rate |
$27.54 |
| Rate for Payer: Aetna American Axle |
$19.89
|
| Rate for Payer: Aetna Commercial |
$26.01
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$19.89
|
| Rate for Payer: Cash Price |
$24.48
|
| Rate for Payer: Cofinity Commercial |
$21.42
|
| Rate for Payer: Cofinity Commercial |
$26.32
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$24.48
|
| Rate for Payer: Healthscope Commercial |
$27.54
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$21.42
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$22.95
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$26.01
|
| Rate for Payer: PHP Commercial |
$26.01
|
| Rate for Payer: Priority Health Cigna Priority Health |
$21.42
|
| Rate for Payer: Priority Health SBD |
$19.28
|
| Rate for Payer: UMR Bronson Commercial |
$13.46
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$22.95
|
|
|
HC PREGNENOLONE
|
Facility
|
OP
|
$90.00
|
|
|
Service Code
|
CPT 84140
|
| Hospital Charge Code |
30100561
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$11.31 |
| Max. Negotiated Rate |
$81.00 |
| Rate for Payer: Aetna American Axle |
$58.50
|
| Rate for Payer: Aetna Commercial |
$76.50
|
| Rate for Payer: Aetna Medicare |
$21.50
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$58.50
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$25.84
|
| Rate for Payer: Amish Plain Church Group Commercial |
$25.84
|
| Rate for Payer: BCBS Complete |
$11.87
|
| Rate for Payer: BCBS MAPPO |
$20.67
|
| Rate for Payer: BCBS Trust/PPO |
$18.59
|
| Rate for Payer: BCN Medicare Advantage |
$20.67
|
| Rate for Payer: Cash Price |
$72.00
|
| Rate for Payer: Cash Price |
$72.00
|
| Rate for Payer: Cofinity Commercial |
$77.40
|
| Rate for Payer: Cofinity Commercial |
$63.00
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$72.00
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$20.67
|
| Rate for Payer: Healthscope Commercial |
$81.00
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$63.00
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$67.50
|
| Rate for Payer: Mclaren Medicaid |
$11.31
|
| Rate for Payer: Mclaren Medicare |
$20.67
|
| Rate for Payer: Meridian Medicaid |
$11.87
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$21.70
|
| Rate for Payer: MI Amish Medical Board Commercial |
$23.77
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$76.50
|
| Rate for Payer: PACE Medicare |
$19.64
|
| Rate for Payer: PACE SWMI |
$20.67
|
| Rate for Payer: PHP Commercial |
$76.50
|
| Rate for Payer: PHP Medicare Advantage |
$20.67
|
| Rate for Payer: Priority Health Choice Medicaid |
$11.31
|
| Rate for Payer: Priority Health Cigna Priority Health |
$63.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$28.36
|
| Rate for Payer: Priority Health Medicare |
$20.67
|
| Rate for Payer: Priority Health Narrow Network |
$22.69
|
| Rate for Payer: Priority Health SBD |
$56.70
|
| Rate for Payer: Railroad Medicare Medicare |
$20.67
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$24.80
|
| Rate for Payer: UHC Core |
$34.10
|
| Rate for Payer: UHC Dual Complete DSNP |
$20.67
|
| Rate for Payer: UHC Exchange |
$20.67
|
| Rate for Payer: UHC Medicare Advantage |
$21.29
|
| Rate for Payer: UMR Bronson Commercial |
$33.30
|
| Rate for Payer: VA VA |
$20.67
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$67.50
|
|
