|
HC RAVAS CTO/DES
|
Facility
|
IP
|
$29,091.52
|
|
|
Service Code
|
CPT C9607
|
| Hospital Charge Code |
48100088
|
|
Hospital Revenue Code
|
481
|
| Min. Negotiated Rate |
$12,800.27 |
| Max. Negotiated Rate |
$26,182.37 |
| Rate for Payer: Aetna American Axle |
$18,909.49
|
| Rate for Payer: Aetna Commercial |
$24,727.79
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$18,909.49
|
| Rate for Payer: Cash Price |
$23,273.22
|
| Rate for Payer: Cofinity Commercial |
$20,364.06
|
| Rate for Payer: Cofinity Commercial |
$25,018.71
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$23,273.22
|
| Rate for Payer: Healthscope Commercial |
$26,182.37
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$20,364.06
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$21,818.64
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$24,727.79
|
| Rate for Payer: PHP Commercial |
$24,727.79
|
| Rate for Payer: Priority Health Cigna Priority Health |
$20,364.06
|
| Rate for Payer: Priority Health SBD |
$18,327.66
|
| Rate for Payer: UMR Bronson Commercial |
$12,800.27
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$21,818.64
|
|
|
HC RAVAS CTO/STENT
|
Facility
|
OP
|
$29,091.52
|
|
|
Service Code
|
CPT 92943
|
| Hospital Charge Code |
48100087
|
|
Hospital Revenue Code
|
481
|
| Min. Negotiated Rate |
$631.96 |
| Max. Negotiated Rate |
$30,783.77 |
| Rate for Payer: Aetna American Axle |
$18,909.49
|
| Rate for Payer: Aetna Commercial |
$24,727.79
|
| Rate for Payer: Aetna Medicare |
$10,169.84
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$18,909.49
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$12,223.36
|
| Rate for Payer: Amish Plain Church Group Commercial |
$12,223.36
|
| Rate for Payer: BCBS Complete |
$5,616.88
|
| Rate for Payer: BCBS MAPPO |
$9,778.69
|
| Rate for Payer: BCBS Trust/PPO |
$9,300.27
|
| Rate for Payer: BCN Medicare Advantage |
$9,778.69
|
| Rate for Payer: Cash Price |
$23,273.22
|
| Rate for Payer: Cash Price |
$23,273.22
|
| Rate for Payer: Cofinity Commercial |
$25,018.71
|
| Rate for Payer: Cofinity Commercial |
$20,364.06
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$23,273.22
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$9,778.69
|
| Rate for Payer: Healthscope Commercial |
$26,182.37
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$20,364.06
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$21,818.64
|
| Rate for Payer: Mclaren Medicaid |
$5,348.94
|
| Rate for Payer: Mclaren Medicare |
$9,778.69
|
| Rate for Payer: Meridian Medicaid |
$5,616.88
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$10,267.62
|
| Rate for Payer: MI Amish Medical Board Commercial |
$11,245.49
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$24,727.79
|
| Rate for Payer: PACE Medicare |
$9,289.76
|
| Rate for Payer: PACE SWMI |
$9,778.69
|
| Rate for Payer: PHP Commercial |
$24,727.79
|
| Rate for Payer: PHP Medicare Advantage |
$9,778.69
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,348.94
|
| Rate for Payer: Priority Health Cigna Priority Health |
$20,364.06
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$30,783.77
|
| Rate for Payer: Priority Health Medicare |
$9,778.69
|
| Rate for Payer: Priority Health Narrow Network |
$24,627.02
|
| Rate for Payer: Priority Health SBD |
$18,327.66
|
| Rate for Payer: Railroad Medicare Medicare |
$9,778.69
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$695.16
|
| Rate for Payer: UHC Core |
$8,596.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$9,778.69
|
| Rate for Payer: UHC Exchange |
$631.96
|
| Rate for Payer: UHC Medicare Advantage |
$10,072.05
|
| Rate for Payer: UMR Bronson Commercial |
$10,763.86
|
| Rate for Payer: VA VA |
$9,778.69
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$21,818.64
|
|
|
HC RAVAS CTO/STENT
|
Facility
|
IP
|
$29,091.52
|
|
|
Service Code
|
CPT 92943
|
| Hospital Charge Code |
48100087
|
|
Hospital Revenue Code
|
481
|
| Min. Negotiated Rate |
$12,800.27 |
| Max. Negotiated Rate |
$26,182.37 |
| Rate for Payer: Aetna American Axle |
$18,909.49
|
| Rate for Payer: Aetna Commercial |
$24,727.79
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$18,909.49
|
| Rate for Payer: Cash Price |
$23,273.22
|
| Rate for Payer: Cofinity Commercial |
$25,018.71
|
| Rate for Payer: Cofinity Commercial |
$20,364.06
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$23,273.22
|
| Rate for Payer: Healthscope Commercial |
$26,182.37
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$20,364.06
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$21,818.64
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$24,727.79
|
| Rate for Payer: PHP Commercial |
$24,727.79
|
| Rate for Payer: Priority Health Cigna Priority Health |
$20,364.06
|
| Rate for Payer: Priority Health SBD |
$18,327.66
|
| Rate for Payer: UMR Bronson Commercial |
$12,800.27
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$21,818.64
|
|
|
HC RBC LEUKO REDUCED
|
Facility
|
OP
|
$711.37
|
|
|
Service Code
|
HCPCS P9016
|
| Hospital Charge Code |
39000059
|
|
Hospital Revenue Code
|
390
|
| Min. Negotiated Rate |
$92.27 |
| Max. Negotiated Rate |
$640.23 |
| Rate for Payer: Aetna American Axle |
$462.39
|
| Rate for Payer: Aetna Commercial |
$604.66
|
| Rate for Payer: Aetna Medicare |
$175.44
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$462.39
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$210.86
|
| Rate for Payer: Amish Plain Church Group Commercial |
$210.86
|
| Rate for Payer: BCBS Complete |
$96.90
|
| Rate for Payer: BCBS MAPPO |
$168.69
|
| Rate for Payer: BCBS Trust/PPO |
$600.12
|
| Rate for Payer: BCN Medicare Advantage |
$168.69
|
| Rate for Payer: Cash Price |
$569.10
|
| Rate for Payer: Cash Price |
$569.10
|
| Rate for Payer: Cash Price |
$569.10
|
| Rate for Payer: Cofinity Commercial |
$497.96
|
| Rate for Payer: Cofinity Commercial |
$611.78
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$569.10
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$168.69
|
| Rate for Payer: Healthscope Commercial |
$640.23
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$497.96
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$533.53
|
| Rate for Payer: Mclaren Medicaid |
$92.27
|
| Rate for Payer: Mclaren Medicare |
$168.69
|
| Rate for Payer: Meridian Medicaid |
$96.90
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$177.12
|
| Rate for Payer: MI Amish Medical Board Commercial |
$193.99
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$604.66
|
| Rate for Payer: PACE Medicare |
$160.26
|
| Rate for Payer: PACE SWMI |
$168.69
|
| Rate for Payer: PHP Commercial |
$604.66
|
| Rate for Payer: PHP Medicare Advantage |
$168.69
|
| Rate for Payer: Priority Health Choice Medicaid |
$92.27
|
| Rate for Payer: Priority Health Cigna Priority Health |
$497.96
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$531.04
|
| Rate for Payer: Priority Health Medicare |
$168.69
|
| Rate for Payer: Priority Health Narrow Network |
$424.83
|
| Rate for Payer: Priority Health SBD |
$448.16
|
| Rate for Payer: Railroad Medicare Medicare |
$168.69
|
| Rate for Payer: UHC Core |
$446.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$168.69
|
| Rate for Payer: UHC Medicare Advantage |
$173.75
|
| Rate for Payer: UMR Bronson Commercial |
$263.21
|
| Rate for Payer: VA VA |
$168.69
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$533.53
|
|
|
HC RBC LEUKO REDUCED
|
Facility
|
IP
|
$711.37
|
|
|
Service Code
|
HCPCS P9016
|
| Hospital Charge Code |
39000059
|
|
Hospital Revenue Code
|
390
|
| Min. Negotiated Rate |
$313.00 |
| Max. Negotiated Rate |
$640.23 |
| Rate for Payer: Aetna American Axle |
$462.39
|
| Rate for Payer: Aetna Commercial |
$604.66
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$462.39
|
| Rate for Payer: Cash Price |
$569.10
|
| Rate for Payer: Cofinity Commercial |
$497.96
|
| Rate for Payer: Cofinity Commercial |
$611.78
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$569.10
|
| Rate for Payer: Healthscope Commercial |
$640.23
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$497.96
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$533.53
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$604.66
|
| Rate for Payer: PHP Commercial |
$604.66
|
| Rate for Payer: Priority Health Cigna Priority Health |
$497.96
|
| Rate for Payer: Priority Health SBD |
$448.16
|
| Rate for Payer: UMR Bronson Commercial |
$313.00
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$533.53
|
|
|
HC RBC LEUKO REDUCED IRRAD
|
Facility
|
IP
|
$1,232.44
|
|
|
Service Code
|
HCPCS P9040
|
| Hospital Charge Code |
39000072
|
|
Hospital Revenue Code
|
390
|
| Min. Negotiated Rate |
$542.27 |
| Max. Negotiated Rate |
$1,109.20 |
| Rate for Payer: Aetna American Axle |
$801.09
|
| Rate for Payer: Aetna Commercial |
$1,047.57
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$801.09
|
| Rate for Payer: Cash Price |
$985.95
|
| Rate for Payer: Cofinity Commercial |
$1,059.90
|
| Rate for Payer: Cofinity Commercial |
$862.71
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$985.95
|
| Rate for Payer: Healthscope Commercial |
$1,109.20
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$862.71
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$924.33
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,047.57
|
| Rate for Payer: PHP Commercial |
$1,047.57
|
| Rate for Payer: Priority Health Cigna Priority Health |
$862.71
|
| Rate for Payer: Priority Health SBD |
$776.44
|
| Rate for Payer: UMR Bronson Commercial |
$542.27
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$924.33
|
|
|
HC RBC LEUKO REDUCED IRRAD
|
Facility
|
OP
|
$1,232.44
|
|
|
Service Code
|
HCPCS P9040
|
| Hospital Charge Code |
39000072
|
|
Hospital Revenue Code
|
390
|
| Min. Negotiated Rate |
$128.84 |
| Max. Negotiated Rate |
$1,109.20 |
| Rate for Payer: Aetna American Axle |
$801.09
|
| Rate for Payer: Aetna Commercial |
$1,047.57
|
| Rate for Payer: Aetna Medicare |
$244.96
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$801.09
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$294.42
|
| Rate for Payer: Amish Plain Church Group Commercial |
$294.42
|
| Rate for Payer: BCBS Complete |
$135.29
|
| Rate for Payer: BCBS MAPPO |
$235.54
|
| Rate for Payer: BCBS Trust/PPO |
$821.85
|
| Rate for Payer: BCN Medicare Advantage |
$235.54
|
| Rate for Payer: Cash Price |
$985.95
|
| Rate for Payer: Cash Price |
$985.95
|
| Rate for Payer: Cash Price |
$985.95
|
| Rate for Payer: Cofinity Commercial |
$862.71
|
| Rate for Payer: Cofinity Commercial |
$1,059.90
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$985.95
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$235.54
|
| Rate for Payer: Healthscope Commercial |
$1,109.20
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$862.71
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$924.33
|
| Rate for Payer: Mclaren Medicaid |
$128.84
|
| Rate for Payer: Mclaren Medicare |
$235.54
|
| Rate for Payer: Meridian Medicaid |
$135.29
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$247.32
|
| Rate for Payer: MI Amish Medical Board Commercial |
$270.87
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,047.57
|
| Rate for Payer: PACE Medicare |
$223.76
|
| Rate for Payer: PACE SWMI |
$235.54
|
| Rate for Payer: PHP Commercial |
$1,047.57
|
| Rate for Payer: PHP Medicare Advantage |
$235.54
|
| Rate for Payer: Priority Health Choice Medicaid |
$128.84
|
| Rate for Payer: Priority Health Cigna Priority Health |
$862.71
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$741.51
|
| Rate for Payer: Priority Health Medicare |
$235.54
|
| Rate for Payer: Priority Health Narrow Network |
$593.21
|
| Rate for Payer: Priority Health SBD |
$776.44
|
| Rate for Payer: Railroad Medicare Medicare |
$235.54
|
| Rate for Payer: UHC Core |
$446.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$235.54
|
| Rate for Payer: UHC Medicare Advantage |
$242.61
|
| Rate for Payer: UMR Bronson Commercial |
$456.00
|
| Rate for Payer: VA VA |
$235.54
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$924.33
|
|
|
HC RECEPTOR ASSAY OTHER ENDOCRINE
|
Facility
|
OP
|
$199.97
|
|
|
Service Code
|
CPT 84235
|
| Hospital Charge Code |
30100418
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$38.96 |
| Max. Negotiated Rate |
$179.97 |
| Rate for Payer: Aetna American Axle |
$129.98
|
| Rate for Payer: Aetna Commercial |
$169.97
|
| Rate for Payer: Aetna Medicare |
$74.08
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$129.98
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$89.04
|
| Rate for Payer: Amish Plain Church Group Commercial |
$89.04
|
| Rate for Payer: BCBS Complete |
$40.91
|
| Rate for Payer: BCBS MAPPO |
$71.23
|
| Rate for Payer: BCBS Trust/PPO |
$64.06
|
| Rate for Payer: BCN Medicare Advantage |
$71.23
|
| Rate for Payer: Cash Price |
$159.98
|
| Rate for Payer: Cash Price |
$159.98
|
| Rate for Payer: Cofinity Commercial |
$139.98
|
| Rate for Payer: Cofinity Commercial |
$171.97
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$159.98
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$71.23
|
| Rate for Payer: Healthscope Commercial |
$179.97
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$139.98
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$149.98
|
| Rate for Payer: Mclaren Medicaid |
$38.96
|
| Rate for Payer: Mclaren Medicare |
$71.23
|
| Rate for Payer: Meridian Medicaid |
$40.91
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$74.79
|
| Rate for Payer: MI Amish Medical Board Commercial |
$81.91
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$169.97
|
| Rate for Payer: PACE Medicare |
$67.67
|
| Rate for Payer: PACE SWMI |
$71.23
|
| Rate for Payer: PHP Commercial |
$169.97
|
| Rate for Payer: PHP Medicare Advantage |
$71.23
|
| Rate for Payer: Priority Health Choice Medicaid |
$38.96
|
| Rate for Payer: Priority Health Cigna Priority Health |
$139.98
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$71.79
|
| Rate for Payer: Priority Health Medicare |
$71.23
|
| Rate for Payer: Priority Health Narrow Network |
$57.43
|
| Rate for Payer: Priority Health SBD |
$125.98
|
| Rate for Payer: Railroad Medicare Medicare |
$71.23
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$85.48
|
| Rate for Payer: UHC Core |
$86.33
|
| Rate for Payer: UHC Dual Complete DSNP |
$71.23
|
| Rate for Payer: UHC Exchange |
$71.23
|
| Rate for Payer: UHC Medicare Advantage |
$73.37
|
| Rate for Payer: UMR Bronson Commercial |
$73.99
|
| Rate for Payer: VA VA |
$71.23
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$149.98
|
|
|
HC RECEPTOR ASSAY OTHER ENDOCRINE
|
Facility
|
IP
|
$199.97
|
|
|
Service Code
|
CPT 84235
|
| Hospital Charge Code |
30100418
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$87.99 |
| Max. Negotiated Rate |
$179.97 |
| Rate for Payer: Aetna American Axle |
$129.98
|
| Rate for Payer: Aetna Commercial |
$169.97
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$129.98
|
| Rate for Payer: Cash Price |
$159.98
|
| Rate for Payer: Cofinity Commercial |
$139.98
|
| Rate for Payer: Cofinity Commercial |
$171.97
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$159.98
|
| Rate for Payer: Healthscope Commercial |
$179.97
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$139.98
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$149.98
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$169.97
|
| Rate for Payer: PHP Commercial |
$169.97
|
| Rate for Payer: Priority Health Cigna Priority Health |
$139.98
|
| Rate for Payer: Priority Health SBD |
$125.98
|
| Rate for Payer: UMR Bronson Commercial |
$87.99
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$149.98
|
|
|
HC RECOVERY 1 ADD'L 15 MIN
|
Facility
|
IP
|
$153.93
|
|
| Hospital Charge Code |
71000020
|
|
Hospital Revenue Code
|
710
|
| Min. Negotiated Rate |
$67.73 |
| Max. Negotiated Rate |
$138.54 |
| Rate for Payer: Aetna American Axle |
$100.05
|
| Rate for Payer: Aetna Commercial |
$130.84
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$100.05
|
| Rate for Payer: Cash Price |
$123.14
|
| Rate for Payer: Cofinity Commercial |
$107.75
|
| Rate for Payer: Cofinity Commercial |
$132.38
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$123.14
|
| Rate for Payer: Healthscope Commercial |
$138.54
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$107.75
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$115.45
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$130.84
|
| Rate for Payer: PHP Commercial |
$130.84
|
| Rate for Payer: Priority Health Cigna Priority Health |
$107.75
|
| Rate for Payer: Priority Health SBD |
$96.98
|
| Rate for Payer: UMR Bronson Commercial |
$67.73
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$115.45
|
|
|
HC RECOVERY 1 ADD'L 15 MIN
|
Facility
|
OP
|
$153.93
|
|
| Hospital Charge Code |
71000020
|
|
Hospital Revenue Code
|
710
|
| Min. Negotiated Rate |
$56.95 |
| Max. Negotiated Rate |
$138.54 |
| Rate for Payer: Aetna American Axle |
$100.05
|
| Rate for Payer: Aetna Commercial |
$130.84
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$100.05
|
| Rate for Payer: BCBS Complete |
$61.57
|
| Rate for Payer: Cash Price |
$123.14
|
| Rate for Payer: Cofinity Commercial |
$107.75
|
| Rate for Payer: Cofinity Commercial |
$132.38
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$123.14
|
| Rate for Payer: Healthscope Commercial |
$138.54
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$107.75
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$115.45
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$130.84
|
| Rate for Payer: PHP Commercial |
$130.84
|
| Rate for Payer: Priority Health Cigna Priority Health |
$107.75
|
| Rate for Payer: Priority Health SBD |
$96.98
|
| Rate for Payer: UMR Bronson Commercial |
$56.95
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$115.45
|
|
|
HC RECOVERY 1 INIT 30 MIN
|
Facility
|
IP
|
$363.41
|
|
| Hospital Charge Code |
71000021
|
|
Hospital Revenue Code
|
710
|
| Min. Negotiated Rate |
$159.90 |
| Max. Negotiated Rate |
$327.07 |
| Rate for Payer: Aetna American Axle |
$236.22
|
| Rate for Payer: Aetna Commercial |
$308.90
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$236.22
|
| Rate for Payer: Cash Price |
$290.73
|
| Rate for Payer: Cofinity Commercial |
$254.39
|
| Rate for Payer: Cofinity Commercial |
$312.53
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$290.73
|
| Rate for Payer: Healthscope Commercial |
$327.07
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$254.39
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$272.56
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$308.90
|
| Rate for Payer: PHP Commercial |
$308.90
|
| Rate for Payer: Priority Health Cigna Priority Health |
$254.39
|
| Rate for Payer: Priority Health SBD |
$228.95
|
| Rate for Payer: UMR Bronson Commercial |
$159.90
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$272.56
|
|
|
HC RECOVERY 1 INIT 30 MIN
|
Facility
|
OP
|
$363.41
|
|
| Hospital Charge Code |
71000021
|
|
Hospital Revenue Code
|
710
|
| Min. Negotiated Rate |
$134.46 |
| Max. Negotiated Rate |
$327.07 |
| Rate for Payer: Aetna American Axle |
$236.22
|
| Rate for Payer: Aetna Commercial |
$308.90
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$236.22
|
| Rate for Payer: BCBS Complete |
$145.36
|
| Rate for Payer: Cash Price |
$290.73
|
| Rate for Payer: Cofinity Commercial |
$254.39
|
| Rate for Payer: Cofinity Commercial |
$312.53
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$290.73
|
| Rate for Payer: Healthscope Commercial |
$327.07
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$254.39
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$272.56
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$308.90
|
| Rate for Payer: PHP Commercial |
$308.90
|
| Rate for Payer: Priority Health Cigna Priority Health |
$254.39
|
| Rate for Payer: Priority Health SBD |
$228.95
|
| Rate for Payer: UMR Bronson Commercial |
$134.46
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$272.56
|
|
|
HC RECOVERY 2 ADD'L 15 MIN
|
Facility
|
OP
|
$180.23
|
|
| Hospital Charge Code |
71000022
|
|
Hospital Revenue Code
|
710
|
| Min. Negotiated Rate |
$66.69 |
| Max. Negotiated Rate |
$162.21 |
| Rate for Payer: Aetna American Axle |
$117.15
|
| Rate for Payer: Aetna Commercial |
$153.20
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$117.15
|
| Rate for Payer: BCBS Complete |
$72.09
|
| Rate for Payer: Cash Price |
$144.18
|
| Rate for Payer: Cofinity Commercial |
$126.16
|
| Rate for Payer: Cofinity Commercial |
$155.00
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$144.18
|
| Rate for Payer: Healthscope Commercial |
$162.21
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$126.16
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$135.17
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$153.20
|
| Rate for Payer: PHP Commercial |
$153.20
|
| Rate for Payer: Priority Health Cigna Priority Health |
$126.16
|
| Rate for Payer: Priority Health SBD |
$113.54
|
| Rate for Payer: UMR Bronson Commercial |
$66.69
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$135.17
|
|
|
HC RECOVERY 2 ADD'L 15 MIN
|
Facility
|
IP
|
$180.23
|
|
| Hospital Charge Code |
71000022
|
|
Hospital Revenue Code
|
710
|
| Min. Negotiated Rate |
$79.30 |
| Max. Negotiated Rate |
$162.21 |
| Rate for Payer: Aetna American Axle |
$117.15
|
| Rate for Payer: Aetna Commercial |
$153.20
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$117.15
|
| Rate for Payer: Cash Price |
$144.18
|
| Rate for Payer: Cofinity Commercial |
$126.16
|
| Rate for Payer: Cofinity Commercial |
$155.00
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$144.18
|
| Rate for Payer: Healthscope Commercial |
$162.21
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$126.16
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$135.17
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$153.20
|
| Rate for Payer: PHP Commercial |
$153.20
|
| Rate for Payer: Priority Health Cigna Priority Health |
$126.16
|
| Rate for Payer: Priority Health SBD |
$113.54
|
| Rate for Payer: UMR Bronson Commercial |
$79.30
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$135.17
|
|
|
HC RECOVERY 2 INIT 30 MIN
|
Facility
|
IP
|
$325.07
|
|
| Hospital Charge Code |
71000023
|
|
Hospital Revenue Code
|
710
|
| Min. Negotiated Rate |
$143.03 |
| Max. Negotiated Rate |
$292.56 |
| Rate for Payer: Aetna American Axle |
$211.30
|
| Rate for Payer: Aetna Commercial |
$276.31
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$211.30
|
| Rate for Payer: Cash Price |
$260.06
|
| Rate for Payer: Cofinity Commercial |
$227.55
|
| Rate for Payer: Cofinity Commercial |
$279.56
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$260.06
|
| Rate for Payer: Healthscope Commercial |
$292.56
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$227.55
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$243.80
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$276.31
|
| Rate for Payer: PHP Commercial |
$276.31
|
| Rate for Payer: Priority Health Cigna Priority Health |
$227.55
|
| Rate for Payer: Priority Health SBD |
$204.79
|
| Rate for Payer: UMR Bronson Commercial |
$143.03
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$243.80
|
|
|
HC RECOVERY 2 INIT 30 MIN
|
Facility
|
OP
|
$325.07
|
|
| Hospital Charge Code |
71000023
|
|
Hospital Revenue Code
|
710
|
| Min. Negotiated Rate |
$120.28 |
| Max. Negotiated Rate |
$292.56 |
| Rate for Payer: Aetna American Axle |
$211.30
|
| Rate for Payer: Aetna Commercial |
$276.31
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$211.30
|
| Rate for Payer: BCBS Complete |
$130.03
|
| Rate for Payer: Cash Price |
$260.06
|
| Rate for Payer: Cofinity Commercial |
$227.55
|
| Rate for Payer: Cofinity Commercial |
$279.56
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$260.06
|
| Rate for Payer: Healthscope Commercial |
$292.56
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$227.55
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$243.80
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$276.31
|
| Rate for Payer: PHP Commercial |
$276.31
|
| Rate for Payer: Priority Health Cigna Priority Health |
$227.55
|
| Rate for Payer: Priority Health SBD |
$204.79
|
| Rate for Payer: UMR Bronson Commercial |
$120.28
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$243.80
|
|
|
HC RECOVERY 3 ADD'L 15 MIN
|
Facility
|
IP
|
$100.17
|
|
| Hospital Charge Code |
71000024
|
|
Hospital Revenue Code
|
710
|
| Min. Negotiated Rate |
$44.07 |
| Max. Negotiated Rate |
$90.15 |
| Rate for Payer: Aetna American Axle |
$65.11
|
| Rate for Payer: Aetna Commercial |
$85.14
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$65.11
|
| Rate for Payer: Cash Price |
$80.14
|
| Rate for Payer: Cofinity Commercial |
$70.12
|
| Rate for Payer: Cofinity Commercial |
$86.15
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$80.14
|
| Rate for Payer: Healthscope Commercial |
$90.15
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$70.12
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$75.13
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$85.14
|
| Rate for Payer: PHP Commercial |
$85.14
|
| Rate for Payer: Priority Health Cigna Priority Health |
$70.12
|
| Rate for Payer: Priority Health SBD |
$63.11
|
| Rate for Payer: UMR Bronson Commercial |
$44.07
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$75.13
|
|
|
HC RECOVERY 3 ADD'L 15 MIN
|
Facility
|
OP
|
$100.17
|
|
| Hospital Charge Code |
71000024
|
|
Hospital Revenue Code
|
710
|
| Min. Negotiated Rate |
$37.06 |
| Max. Negotiated Rate |
$90.15 |
| Rate for Payer: Aetna American Axle |
$65.11
|
| Rate for Payer: Aetna Commercial |
$85.14
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$65.11
|
| Rate for Payer: BCBS Complete |
$40.07
|
| Rate for Payer: Cash Price |
$80.14
|
| Rate for Payer: Cofinity Commercial |
$70.12
|
| Rate for Payer: Cofinity Commercial |
$86.15
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$80.14
|
| Rate for Payer: Healthscope Commercial |
$90.15
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$70.12
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$75.13
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$85.14
|
| Rate for Payer: PHP Commercial |
$85.14
|
| Rate for Payer: Priority Health Cigna Priority Health |
$70.12
|
| Rate for Payer: Priority Health SBD |
$63.11
|
| Rate for Payer: UMR Bronson Commercial |
$37.06
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$75.13
|
|
|
HC RECOVERY 3 INIT 30 MIN
|
Facility
|
OP
|
$202.38
|
|
| Hospital Charge Code |
71000025
|
|
Hospital Revenue Code
|
710
|
| Min. Negotiated Rate |
$74.88 |
| Max. Negotiated Rate |
$182.14 |
| Rate for Payer: Aetna American Axle |
$131.55
|
| Rate for Payer: Aetna Commercial |
$172.02
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$131.55
|
| Rate for Payer: BCBS Complete |
$80.95
|
| Rate for Payer: Cash Price |
$161.90
|
| Rate for Payer: Cofinity Commercial |
$141.67
|
| Rate for Payer: Cofinity Commercial |
$174.05
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$161.90
|
| Rate for Payer: Healthscope Commercial |
$182.14
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$141.67
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$151.78
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$172.02
|
| Rate for Payer: PHP Commercial |
$172.02
|
| Rate for Payer: Priority Health Cigna Priority Health |
$141.67
|
| Rate for Payer: Priority Health SBD |
$127.50
|
| Rate for Payer: UMR Bronson Commercial |
$74.88
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$151.78
|
|
|
HC RECOVERY 3 INIT 30 MIN
|
Facility
|
IP
|
$202.38
|
|
| Hospital Charge Code |
71000025
|
|
Hospital Revenue Code
|
710
|
| Min. Negotiated Rate |
$89.05 |
| Max. Negotiated Rate |
$182.14 |
| Rate for Payer: Aetna American Axle |
$131.55
|
| Rate for Payer: Aetna Commercial |
$172.02
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$131.55
|
| Rate for Payer: Cash Price |
$161.90
|
| Rate for Payer: Cofinity Commercial |
$141.67
|
| Rate for Payer: Cofinity Commercial |
$174.05
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$161.90
|
| Rate for Payer: Healthscope Commercial |
$182.14
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$141.67
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$151.78
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$172.02
|
| Rate for Payer: PHP Commercial |
$172.02
|
| Rate for Payer: Priority Health Cigna Priority Health |
$141.67
|
| Rate for Payer: Priority Health SBD |
$127.50
|
| Rate for Payer: UMR Bronson Commercial |
$89.05
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$151.78
|
|
|
HC RED CEDAR IGE
|
Facility
|
OP
|
$24.89
|
|
|
Service Code
|
CPT 86003
|
| Hospital Charge Code |
30200099
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$2.86 |
| Max. Negotiated Rate |
$22.40 |
| Rate for Payer: Aetna American Axle |
$16.18
|
| Rate for Payer: Aetna Commercial |
$21.16
|
| Rate for Payer: Aetna Medicare |
$5.43
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$16.18
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$6.52
|
| Rate for Payer: Amish Plain Church Group Commercial |
$6.52
|
| Rate for Payer: BCBS Complete |
$3.00
|
| Rate for Payer: BCBS MAPPO |
$5.22
|
| Rate for Payer: BCBS Trust/PPO |
$4.70
|
| Rate for Payer: BCN Medicare Advantage |
$5.22
|
| Rate for Payer: Cash Price |
$19.91
|
| Rate for Payer: Cash Price |
$19.91
|
| Rate for Payer: Cofinity Commercial |
$21.41
|
| Rate for Payer: Cofinity Commercial |
$17.42
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$19.91
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$5.22
|
| Rate for Payer: Healthscope Commercial |
$22.40
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$17.42
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$18.67
|
| Rate for Payer: Mclaren Medicaid |
$2.86
|
| Rate for Payer: Mclaren Medicare |
$5.22
|
| Rate for Payer: Meridian Medicaid |
$3.00
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$5.48
|
| Rate for Payer: MI Amish Medical Board Commercial |
$6.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$21.16
|
| Rate for Payer: PACE Medicare |
$4.96
|
| Rate for Payer: PACE SWMI |
$5.22
|
| Rate for Payer: PHP Commercial |
$21.16
|
| Rate for Payer: PHP Medicare Advantage |
$5.22
|
| Rate for Payer: Priority Health Choice Medicaid |
$2.86
|
| Rate for Payer: Priority Health Cigna Priority Health |
$17.42
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$7.16
|
| Rate for Payer: Priority Health Medicare |
$5.22
|
| Rate for Payer: Priority Health Narrow Network |
$5.73
|
| Rate for Payer: Priority Health SBD |
$15.68
|
| Rate for Payer: Railroad Medicare Medicare |
$5.22
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$6.26
|
| Rate for Payer: UHC Core |
$8.60
|
| Rate for Payer: UHC Dual Complete DSNP |
$5.22
|
| Rate for Payer: UHC Exchange |
$5.22
|
| Rate for Payer: UHC Medicare Advantage |
$5.38
|
| Rate for Payer: UMR Bronson Commercial |
$9.21
|
| Rate for Payer: VA VA |
$5.22
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$18.67
|
|
|
HC RED CEDAR IGE
|
Facility
|
IP
|
$24.89
|
|
|
Service Code
|
CPT 86003
|
| Hospital Charge Code |
30200099
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$10.95 |
| Max. Negotiated Rate |
$22.40 |
| Rate for Payer: Aetna American Axle |
$16.18
|
| Rate for Payer: Aetna Commercial |
$21.16
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$16.18
|
| Rate for Payer: Cash Price |
$19.91
|
| Rate for Payer: Cofinity Commercial |
$17.42
|
| Rate for Payer: Cofinity Commercial |
$21.41
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$19.91
|
| Rate for Payer: Healthscope Commercial |
$22.40
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$17.42
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$18.67
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$21.16
|
| Rate for Payer: PHP Commercial |
$21.16
|
| Rate for Payer: Priority Health Cigna Priority Health |
$17.42
|
| Rate for Payer: Priority Health SBD |
$15.68
|
| Rate for Payer: UMR Bronson Commercial |
$10.95
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$18.67
|
|
|
HC RED CELL GENO MI BLD
|
Facility
|
OP
|
$286.73
|
|
|
Service Code
|
CPT 81403
|
| Hospital Charge Code |
31000135
|
|
Hospital Revenue Code
|
310
|
| Min. Negotiated Rate |
$87.31 |
| Max. Negotiated Rate |
$258.06 |
| Rate for Payer: Aetna American Axle |
$186.37
|
| Rate for Payer: Aetna Commercial |
$243.72
|
| Rate for Payer: Aetna Medicare |
$192.61
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$186.37
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$231.50
|
| Rate for Payer: Amish Plain Church Group Commercial |
$231.50
|
| Rate for Payer: BCBS Complete |
$106.38
|
| Rate for Payer: BCBS MAPPO |
$185.20
|
| Rate for Payer: BCBS Trust/PPO |
$166.55
|
| Rate for Payer: BCN Medicare Advantage |
$185.20
|
| Rate for Payer: Cash Price |
$229.38
|
| Rate for Payer: Cash Price |
$229.38
|
| Rate for Payer: Cofinity Commercial |
$246.59
|
| Rate for Payer: Cofinity Commercial |
$200.71
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$229.38
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$185.20
|
| Rate for Payer: Healthscope Commercial |
$258.06
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$200.71
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$215.05
|
| Rate for Payer: Mclaren Medicaid |
$101.30
|
| Rate for Payer: Mclaren Medicare |
$185.20
|
| Rate for Payer: Meridian Medicaid |
$106.38
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$194.46
|
| Rate for Payer: MI Amish Medical Board Commercial |
$212.98
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$243.72
|
| Rate for Payer: PACE Medicare |
$175.94
|
| Rate for Payer: PACE SWMI |
$185.20
|
| Rate for Payer: PHP Commercial |
$243.72
|
| Rate for Payer: PHP Medicare Advantage |
$185.20
|
| Rate for Payer: Priority Health Choice Medicaid |
$101.30
|
| Rate for Payer: Priority Health Cigna Priority Health |
$200.71
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$109.14
|
| Rate for Payer: Priority Health Medicare |
$185.20
|
| Rate for Payer: Priority Health Narrow Network |
$87.31
|
| Rate for Payer: Priority Health SBD |
$180.64
|
| Rate for Payer: Railroad Medicare Medicare |
$185.20
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$222.24
|
| Rate for Payer: UHC Core |
$222.24
|
| Rate for Payer: UHC Dual Complete DSNP |
$185.20
|
| Rate for Payer: UHC Exchange |
$185.20
|
| Rate for Payer: UHC Medicare Advantage |
$190.76
|
| Rate for Payer: UMR Bronson Commercial |
$106.09
|
| Rate for Payer: VA VA |
$185.20
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$215.05
|
|
|
HC RED CELL GENO MI BLD
|
Facility
|
IP
|
$286.73
|
|
|
Service Code
|
CPT 81403
|
| Hospital Charge Code |
31000135
|
|
Hospital Revenue Code
|
310
|
| Min. Negotiated Rate |
$126.16 |
| Max. Negotiated Rate |
$258.06 |
| Rate for Payer: Aetna American Axle |
$186.37
|
| Rate for Payer: Aetna Commercial |
$243.72
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$186.37
|
| Rate for Payer: Cash Price |
$229.38
|
| Rate for Payer: Cofinity Commercial |
$200.71
|
| Rate for Payer: Cofinity Commercial |
$246.59
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$229.38
|
| Rate for Payer: Healthscope Commercial |
$258.06
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$200.71
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$215.05
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$243.72
|
| Rate for Payer: PHP Commercial |
$243.72
|
| Rate for Payer: Priority Health Cigna Priority Health |
$200.71
|
| Rate for Payer: Priority Health SBD |
$180.64
|
| Rate for Payer: UMR Bronson Commercial |
$126.16
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$215.05
|
|
