|
HC RENO 60 PER ML
|
Facility
|
IP
|
$0.39
|
|
|
Service Code
|
HCPCS Q9961
|
| Hospital Charge Code |
63600018
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$0.17 |
| Max. Negotiated Rate |
$0.35 |
| Rate for Payer: Aetna American Axle |
$0.25
|
| Rate for Payer: Aetna Commercial |
$0.33
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$0.25
|
| Rate for Payer: Cash Price |
$0.31
|
| Rate for Payer: Cofinity Commercial |
$0.27
|
| Rate for Payer: Cofinity Commercial |
$0.34
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$0.31
|
| Rate for Payer: Healthscope Commercial |
$0.35
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$0.27
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$0.29
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$0.33
|
| Rate for Payer: PHP Commercial |
$0.33
|
| Rate for Payer: Priority Health Cigna Priority Health |
$0.27
|
| Rate for Payer: Priority Health SBD |
$0.25
|
| Rate for Payer: UMR Bronson Commercial |
$0.17
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$0.29
|
|
|
HC REPAIR COMPLEX EYELID/NOSE/EAR/LIP 1.1-2.5 CM
|
Facility
|
IP
|
$1,550.00
|
|
|
Service Code
|
CPT 13151
|
| Hospital Charge Code |
76100443
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$682.00 |
| Max. Negotiated Rate |
$1,395.00 |
| Rate for Payer: Aetna American Axle |
$1,007.50
|
| Rate for Payer: Aetna Commercial |
$1,317.50
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,007.50
|
| Rate for Payer: Cash Price |
$1,240.00
|
| Rate for Payer: Cofinity Commercial |
$1,085.00
|
| Rate for Payer: Cofinity Commercial |
$1,333.00
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,240.00
|
| Rate for Payer: Healthscope Commercial |
$1,395.00
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,085.00
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,162.50
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,317.50
|
| Rate for Payer: PHP Commercial |
$1,317.50
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,085.00
|
| Rate for Payer: Priority Health SBD |
$976.50
|
| Rate for Payer: UMR Bronson Commercial |
$682.00
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,162.50
|
|
|
HC REPAIR COMPLEX EYELID/NOSE/EAR/LIP 1.1-2.5 CM
|
Facility
|
OP
|
$1,550.00
|
|
|
Service Code
|
CPT 13151
|
| Hospital Charge Code |
76100443
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$271.12 |
| Max. Negotiated Rate |
$1,757.43 |
| Rate for Payer: Aetna American Axle |
$1,007.50
|
| Rate for Payer: Aetna Commercial |
$1,317.50
|
| Rate for Payer: Aetna Medicare |
$580.59
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,007.50
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$697.82
|
| Rate for Payer: Amish Plain Church Group Commercial |
$697.82
|
| Rate for Payer: BCBS Complete |
$320.66
|
| Rate for Payer: BCBS MAPPO |
$558.26
|
| Rate for Payer: BCBS Trust/PPO |
$621.27
|
| Rate for Payer: BCN Medicare Advantage |
$558.26
|
| Rate for Payer: Cash Price |
$1,240.00
|
| Rate for Payer: Cash Price |
$1,240.00
|
| Rate for Payer: Cofinity Commercial |
$1,085.00
|
| Rate for Payer: Cofinity Commercial |
$1,333.00
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,240.00
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$558.26
|
| Rate for Payer: Healthscope Commercial |
$1,395.00
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,085.00
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,162.50
|
| Rate for Payer: Mclaren Medicaid |
$305.37
|
| Rate for Payer: Mclaren Medicare |
$558.26
|
| Rate for Payer: Meridian Medicaid |
$320.66
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$586.17
|
| Rate for Payer: MI Amish Medical Board Commercial |
$642.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,317.50
|
| Rate for Payer: PACE Medicare |
$530.35
|
| Rate for Payer: PACE SWMI |
$558.26
|
| Rate for Payer: PHP Commercial |
$1,317.50
|
| Rate for Payer: PHP Medicare Advantage |
$558.26
|
| Rate for Payer: Priority Health Choice Medicaid |
$305.37
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,085.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,757.43
|
| Rate for Payer: Priority Health Medicare |
$558.26
|
| Rate for Payer: Priority Health Narrow Network |
$1,405.94
|
| Rate for Payer: Priority Health SBD |
$976.50
|
| Rate for Payer: Railroad Medicare Medicare |
$558.26
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$298.23
|
| Rate for Payer: UHC Dual Complete DSNP |
$558.26
|
| Rate for Payer: UHC Exchange |
$271.12
|
| Rate for Payer: UHC Medicare Advantage |
$575.01
|
| Rate for Payer: UMR Bronson Commercial |
$573.50
|
| Rate for Payer: VA VA |
$558.26
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,162.50
|
|
|
HC REPAIR COMPLEX EYELID/NOSE/EAR/LIP 2.6-7.5 CM
|
Facility
|
OP
|
$1,550.00
|
|
|
Service Code
|
CPT 13152
|
| Hospital Charge Code |
76100444
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$305.37 |
| Max. Negotiated Rate |
$1,757.43 |
| Rate for Payer: Aetna American Axle |
$1,007.50
|
| Rate for Payer: Aetna Commercial |
$1,317.50
|
| Rate for Payer: Aetna Medicare |
$580.59
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,007.50
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$697.82
|
| Rate for Payer: Amish Plain Church Group Commercial |
$697.82
|
| Rate for Payer: BCBS Complete |
$320.66
|
| Rate for Payer: BCBS MAPPO |
$558.26
|
| Rate for Payer: BCBS Trust/PPO |
$1,291.61
|
| Rate for Payer: BCN Medicare Advantage |
$558.26
|
| Rate for Payer: Cash Price |
$1,240.00
|
| Rate for Payer: Cash Price |
$1,240.00
|
| Rate for Payer: Cofinity Commercial |
$1,333.00
|
| Rate for Payer: Cofinity Commercial |
$1,085.00
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,240.00
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$558.26
|
| Rate for Payer: Healthscope Commercial |
$1,395.00
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,085.00
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,162.50
|
| Rate for Payer: Mclaren Medicaid |
$305.37
|
| Rate for Payer: Mclaren Medicare |
$558.26
|
| Rate for Payer: Meridian Medicaid |
$320.66
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$586.17
|
| Rate for Payer: MI Amish Medical Board Commercial |
$642.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,317.50
|
| Rate for Payer: PACE Medicare |
$530.35
|
| Rate for Payer: PACE SWMI |
$558.26
|
| Rate for Payer: PHP Commercial |
$1,317.50
|
| Rate for Payer: PHP Medicare Advantage |
$558.26
|
| Rate for Payer: Priority Health Choice Medicaid |
$305.37
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,085.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,757.43
|
| Rate for Payer: Priority Health Medicare |
$558.26
|
| Rate for Payer: Priority Health Narrow Network |
$1,405.94
|
| Rate for Payer: Priority Health SBD |
$976.50
|
| Rate for Payer: Railroad Medicare Medicare |
$558.26
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$359.47
|
| Rate for Payer: UHC Dual Complete DSNP |
$558.26
|
| Rate for Payer: UHC Exchange |
$326.79
|
| Rate for Payer: UHC Medicare Advantage |
$575.01
|
| Rate for Payer: UMR Bronson Commercial |
$573.50
|
| Rate for Payer: VA VA |
$558.26
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,162.50
|
|
|
HC REPAIR COMPLEX EYELID/NOSE/EAR/LIP 2.6-7.5 CM
|
Facility
|
IP
|
$1,550.00
|
|
|
Service Code
|
CPT 13152
|
| Hospital Charge Code |
76100444
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$682.00 |
| Max. Negotiated Rate |
$1,395.00 |
| Rate for Payer: Aetna American Axle |
$1,007.50
|
| Rate for Payer: Aetna Commercial |
$1,317.50
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,007.50
|
| Rate for Payer: Cash Price |
$1,240.00
|
| Rate for Payer: Cofinity Commercial |
$1,085.00
|
| Rate for Payer: Cofinity Commercial |
$1,333.00
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,240.00
|
| Rate for Payer: Healthscope Commercial |
$1,395.00
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,085.00
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,162.50
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,317.50
|
| Rate for Payer: PHP Commercial |
$1,317.50
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,085.00
|
| Rate for Payer: Priority Health SBD |
$976.50
|
| Rate for Payer: UMR Bronson Commercial |
$682.00
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,162.50
|
|
|
HC REPAIR COMPLEX F/C/C/M/N/AX/G/H/F 2.6-7.5 CM
|
Facility
|
IP
|
$1,630.00
|
|
|
Service Code
|
CPT 13132
|
| Hospital Charge Code |
76100379
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$717.20 |
| Max. Negotiated Rate |
$1,467.00 |
| Rate for Payer: Aetna American Axle |
$1,059.50
|
| Rate for Payer: Aetna Commercial |
$1,385.50
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,059.50
|
| Rate for Payer: Cash Price |
$1,304.00
|
| Rate for Payer: Cofinity Commercial |
$1,141.00
|
| Rate for Payer: Cofinity Commercial |
$1,401.80
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,304.00
|
| Rate for Payer: Healthscope Commercial |
$1,467.00
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,141.00
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,222.50
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,385.50
|
| Rate for Payer: PHP Commercial |
$1,385.50
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,141.00
|
| Rate for Payer: Priority Health SBD |
$1,026.90
|
| Rate for Payer: UMR Bronson Commercial |
$717.20
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,222.50
|
|
|
HC REPAIR COMPLEX F/C/C/M/N/AX/G/H/F 2.6-7.5 CM
|
Facility
|
OP
|
$1,630.00
|
|
|
Service Code
|
CPT 13132
|
| Hospital Charge Code |
76100379
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$294.70 |
| Max. Negotiated Rate |
$1,757.43 |
| Rate for Payer: Aetna American Axle |
$1,059.50
|
| Rate for Payer: Aetna Commercial |
$1,385.50
|
| Rate for Payer: Aetna Medicare |
$580.59
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,059.50
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$697.82
|
| Rate for Payer: Amish Plain Church Group Commercial |
$697.82
|
| Rate for Payer: BCBS Complete |
$320.66
|
| Rate for Payer: BCBS MAPPO |
$558.26
|
| Rate for Payer: BCBS Trust/PPO |
$902.35
|
| Rate for Payer: BCN Medicare Advantage |
$558.26
|
| Rate for Payer: Cash Price |
$1,304.00
|
| Rate for Payer: Cash Price |
$1,304.00
|
| Rate for Payer: Cofinity Commercial |
$1,401.80
|
| Rate for Payer: Cofinity Commercial |
$1,141.00
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,304.00
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$558.26
|
| Rate for Payer: Healthscope Commercial |
$1,467.00
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,141.00
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,222.50
|
| Rate for Payer: Mclaren Medicaid |
$305.37
|
| Rate for Payer: Mclaren Medicare |
$558.26
|
| Rate for Payer: Meridian Medicaid |
$320.66
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$586.17
|
| Rate for Payer: MI Amish Medical Board Commercial |
$642.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,385.50
|
| Rate for Payer: PACE Medicare |
$530.35
|
| Rate for Payer: PACE SWMI |
$558.26
|
| Rate for Payer: PHP Commercial |
$1,385.50
|
| Rate for Payer: PHP Medicare Advantage |
$558.26
|
| Rate for Payer: Priority Health Choice Medicaid |
$305.37
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,141.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,757.43
|
| Rate for Payer: Priority Health Medicare |
$558.26
|
| Rate for Payer: Priority Health Narrow Network |
$1,405.94
|
| Rate for Payer: Priority Health SBD |
$1,026.90
|
| Rate for Payer: Railroad Medicare Medicare |
$558.26
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$324.17
|
| Rate for Payer: UHC Dual Complete DSNP |
$558.26
|
| Rate for Payer: UHC Exchange |
$294.70
|
| Rate for Payer: UHC Medicare Advantage |
$575.01
|
| Rate for Payer: UMR Bronson Commercial |
$603.10
|
| Rate for Payer: VA VA |
$558.26
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,222.50
|
|
|
HC REPAIR CVAC WO PORT OR PUMP
|
Facility
|
IP
|
$1,048.38
|
|
|
Service Code
|
CPT 36575
|
| Hospital Charge Code |
36100131
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$461.29 |
| Max. Negotiated Rate |
$943.54 |
| Rate for Payer: Aetna American Axle |
$681.45
|
| Rate for Payer: Aetna Commercial |
$891.12
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$681.45
|
| Rate for Payer: Cash Price |
$838.70
|
| Rate for Payer: Cofinity Commercial |
$733.87
|
| Rate for Payer: Cofinity Commercial |
$901.61
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$838.70
|
| Rate for Payer: Healthscope Commercial |
$943.54
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$733.87
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$786.28
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$891.12
|
| Rate for Payer: PHP Commercial |
$891.12
|
| Rate for Payer: Priority Health Cigna Priority Health |
$733.87
|
| Rate for Payer: Priority Health SBD |
$660.48
|
| Rate for Payer: UMR Bronson Commercial |
$461.29
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$786.28
|
|
|
HC REPAIR CVAC WO PORT OR PUMP
|
Facility
|
OP
|
$1,048.38
|
|
|
Service Code
|
CPT 36575
|
| Hospital Charge Code |
36100131
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$32.09 |
| Max. Negotiated Rate |
$1,757.86 |
| Rate for Payer: Aetna American Axle |
$681.45
|
| Rate for Payer: Aetna Commercial |
$891.12
|
| Rate for Payer: Aetna Medicare |
$580.74
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$681.45
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$698.00
|
| Rate for Payer: Amish Plain Church Group Commercial |
$698.00
|
| Rate for Payer: BCBS Complete |
$320.74
|
| Rate for Payer: BCBS MAPPO |
$558.40
|
| Rate for Payer: BCBS Trust/PPO |
$549.00
|
| Rate for Payer: BCN Medicare Advantage |
$558.40
|
| Rate for Payer: Cash Price |
$838.70
|
| Rate for Payer: Cash Price |
$838.70
|
| Rate for Payer: Cofinity Commercial |
$901.61
|
| Rate for Payer: Cofinity Commercial |
$733.87
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$838.70
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$558.40
|
| Rate for Payer: Healthscope Commercial |
$943.54
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$733.87
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$786.28
|
| Rate for Payer: Mclaren Medicaid |
$305.44
|
| Rate for Payer: Mclaren Medicare |
$558.40
|
| Rate for Payer: Meridian Medicaid |
$320.74
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$586.32
|
| Rate for Payer: MI Amish Medical Board Commercial |
$642.16
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$891.12
|
| Rate for Payer: PACE Medicare |
$530.48
|
| Rate for Payer: PACE SWMI |
$558.40
|
| Rate for Payer: PHP Commercial |
$891.12
|
| Rate for Payer: PHP Medicare Advantage |
$558.40
|
| Rate for Payer: Priority Health Choice Medicaid |
$305.44
|
| Rate for Payer: Priority Health Cigna Priority Health |
$733.87
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,757.86
|
| Rate for Payer: Priority Health Medicare |
$558.40
|
| Rate for Payer: Priority Health Narrow Network |
$1,406.29
|
| Rate for Payer: Priority Health SBD |
$660.48
|
| Rate for Payer: Railroad Medicare Medicare |
$558.40
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$35.30
|
| Rate for Payer: UHC Dual Complete DSNP |
$558.40
|
| Rate for Payer: UHC Exchange |
$32.09
|
| Rate for Payer: UHC Medicare Advantage |
$575.15
|
| Rate for Payer: UMR Bronson Commercial |
$387.90
|
| Rate for Payer: VA VA |
$558.40
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$786.28
|
|
|
HC REPAIR EXT TENDON FINGER WO GRAFT EA
|
Facility
|
OP
|
$4,132.31
|
|
|
Service Code
|
CPT 26418
|
| Hospital Charge Code |
45000093
|
|
Hospital Revenue Code
|
450
|
| Min. Negotiated Rate |
$623.45 |
| Max. Negotiated Rate |
$4,497.31 |
| Rate for Payer: Aetna American Axle |
$2,686.00
|
| Rate for Payer: Aetna Commercial |
$3,512.46
|
| Rate for Payer: Aetna Medicare |
$1,485.75
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,686.00
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,785.76
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1,785.76
|
| Rate for Payer: BCBS Complete |
$820.59
|
| Rate for Payer: BCBS MAPPO |
$1,428.61
|
| Rate for Payer: BCBS Trust/PPO |
$2,399.71
|
| Rate for Payer: BCN Medicare Advantage |
$1,428.61
|
| Rate for Payer: Cash Price |
$3,305.85
|
| Rate for Payer: Cash Price |
$3,305.85
|
| Rate for Payer: Cofinity Commercial |
$3,553.79
|
| Rate for Payer: Cofinity Commercial |
$2,892.62
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,305.85
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,428.61
|
| Rate for Payer: Healthscope Commercial |
$3,719.08
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$2,892.62
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$3,099.23
|
| Rate for Payer: Mclaren Medicaid |
$781.45
|
| Rate for Payer: Mclaren Medicare |
$1,428.61
|
| Rate for Payer: Meridian Medicaid |
$820.59
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,500.04
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,642.90
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$3,512.46
|
| Rate for Payer: PACE Medicare |
$1,357.18
|
| Rate for Payer: PACE SWMI |
$1,428.61
|
| Rate for Payer: PHP Commercial |
$3,512.46
|
| Rate for Payer: PHP Medicare Advantage |
$1,428.61
|
| Rate for Payer: Priority Health Choice Medicaid |
$781.45
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,892.62
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$4,497.31
|
| Rate for Payer: Priority Health Medicare |
$1,428.61
|
| Rate for Payer: Priority Health Narrow Network |
$3,597.85
|
| Rate for Payer: Priority Health SBD |
$2,603.36
|
| Rate for Payer: Railroad Medicare Medicare |
$1,428.61
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$685.80
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,428.61
|
| Rate for Payer: UHC Exchange |
$623.45
|
| Rate for Payer: UHC Medicare Advantage |
$1,471.47
|
| Rate for Payer: UMR Bronson Commercial |
$1,528.95
|
| Rate for Payer: VA VA |
$1,428.61
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$3,099.23
|
|
|
HC REPAIR EXT TENDON FINGER WO GRAFT EA
|
Facility
|
IP
|
$4,132.31
|
|
|
Service Code
|
CPT 26418
|
| Hospital Charge Code |
45000093
|
|
Hospital Revenue Code
|
450
|
| Min. Negotiated Rate |
$1,818.22 |
| Max. Negotiated Rate |
$3,719.08 |
| Rate for Payer: Aetna American Axle |
$2,686.00
|
| Rate for Payer: Aetna Commercial |
$3,512.46
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,686.00
|
| Rate for Payer: Cash Price |
$3,305.85
|
| Rate for Payer: Cofinity Commercial |
$2,892.62
|
| Rate for Payer: Cofinity Commercial |
$3,553.79
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,305.85
|
| Rate for Payer: Healthscope Commercial |
$3,719.08
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$2,892.62
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$3,099.23
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$3,512.46
|
| Rate for Payer: PHP Commercial |
$3,512.46
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,892.62
|
| Rate for Payer: Priority Health SBD |
$2,603.36
|
| Rate for Payer: UMR Bronson Commercial |
$1,818.22
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$3,099.23
|
|
|
HC REPAIR FINGER TENDON
|
Facility
|
IP
|
$4,207.79
|
|
|
Service Code
|
CPT 26432
|
| Hospital Charge Code |
76100358
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$1,851.43 |
| Max. Negotiated Rate |
$3,787.01 |
| Rate for Payer: Aetna American Axle |
$2,735.06
|
| Rate for Payer: Aetna Commercial |
$3,576.62
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,735.06
|
| Rate for Payer: Cash Price |
$3,366.23
|
| Rate for Payer: Cofinity Commercial |
$2,945.45
|
| Rate for Payer: Cofinity Commercial |
$3,618.70
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,366.23
|
| Rate for Payer: Healthscope Commercial |
$3,787.01
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$2,945.45
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$3,155.84
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$3,576.62
|
| Rate for Payer: PHP Commercial |
$3,576.62
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,945.45
|
| Rate for Payer: Priority Health SBD |
$2,650.91
|
| Rate for Payer: UMR Bronson Commercial |
$1,851.43
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$3,155.84
|
|
|
HC REPAIR FINGER TENDON
|
Facility
|
OP
|
$4,207.79
|
|
|
Service Code
|
CPT 26432
|
| Hospital Charge Code |
76100358
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$542.57 |
| Max. Negotiated Rate |
$4,497.31 |
| Rate for Payer: Aetna American Axle |
$2,735.06
|
| Rate for Payer: Aetna Commercial |
$3,576.62
|
| Rate for Payer: Aetna Medicare |
$1,485.75
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,735.06
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,785.76
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1,785.76
|
| Rate for Payer: BCBS Complete |
$820.59
|
| Rate for Payer: BCBS MAPPO |
$1,428.61
|
| Rate for Payer: BCBS Trust/PPO |
$1,377.10
|
| Rate for Payer: BCN Medicare Advantage |
$1,428.61
|
| Rate for Payer: Cash Price |
$3,366.23
|
| Rate for Payer: Cash Price |
$3,366.23
|
| Rate for Payer: Cofinity Commercial |
$2,945.45
|
| Rate for Payer: Cofinity Commercial |
$3,618.70
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,366.23
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,428.61
|
| Rate for Payer: Healthscope Commercial |
$3,787.01
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$2,945.45
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$3,155.84
|
| Rate for Payer: Mclaren Medicaid |
$781.45
|
| Rate for Payer: Mclaren Medicare |
$1,428.61
|
| Rate for Payer: Meridian Medicaid |
$820.59
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,500.04
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,642.90
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$3,576.62
|
| Rate for Payer: PACE Medicare |
$1,357.18
|
| Rate for Payer: PACE SWMI |
$1,428.61
|
| Rate for Payer: PHP Commercial |
$3,576.62
|
| Rate for Payer: PHP Medicare Advantage |
$1,428.61
|
| Rate for Payer: Priority Health Choice Medicaid |
$781.45
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,945.45
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$4,497.31
|
| Rate for Payer: Priority Health Medicare |
$1,428.61
|
| Rate for Payer: Priority Health Narrow Network |
$3,597.85
|
| Rate for Payer: Priority Health SBD |
$2,650.91
|
| Rate for Payer: Railroad Medicare Medicare |
$1,428.61
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$596.83
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,428.61
|
| Rate for Payer: UHC Exchange |
$542.57
|
| Rate for Payer: UHC Medicare Advantage |
$1,471.47
|
| Rate for Payer: UMR Bronson Commercial |
$1,556.88
|
| Rate for Payer: VA VA |
$1,428.61
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$3,155.84
|
|
|
HC REPAIR SINGLE ELECTRODE PACEMAKER OR ICD
|
Facility
|
OP
|
$4,789.72
|
|
|
Service Code
|
CPT 33218
|
| Hospital Charge Code |
36100569
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$377.21 |
| Max. Negotiated Rate |
$10,988.67 |
| Rate for Payer: Aetna American Axle |
$3,113.32
|
| Rate for Payer: Aetna Commercial |
$4,071.26
|
| Rate for Payer: Aetna Medicare |
$3,630.26
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$3,113.32
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$4,363.29
|
| Rate for Payer: Amish Plain Church Group Commercial |
$4,363.29
|
| Rate for Payer: BCBS Complete |
$2,005.02
|
| Rate for Payer: BCBS MAPPO |
$3,490.63
|
| Rate for Payer: BCBS Trust/PPO |
$2,054.04
|
| Rate for Payer: BCN Medicare Advantage |
$3,490.63
|
| Rate for Payer: Cash Price |
$3,831.78
|
| Rate for Payer: Cash Price |
$3,831.78
|
| Rate for Payer: Cofinity Commercial |
$4,119.16
|
| Rate for Payer: Cofinity Commercial |
$3,352.80
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,831.78
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$3,490.63
|
| Rate for Payer: Healthscope Commercial |
$4,310.75
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$3,352.80
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$3,592.29
|
| Rate for Payer: Mclaren Medicaid |
$1,909.37
|
| Rate for Payer: Mclaren Medicare |
$3,490.63
|
| Rate for Payer: Meridian Medicaid |
$2,005.02
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$3,665.16
|
| Rate for Payer: MI Amish Medical Board Commercial |
$4,014.22
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$4,071.26
|
| Rate for Payer: PACE Medicare |
$3,316.10
|
| Rate for Payer: PACE SWMI |
$3,490.63
|
| Rate for Payer: PHP Commercial |
$4,071.26
|
| Rate for Payer: PHP Medicare Advantage |
$3,490.63
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,909.37
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3,352.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$10,988.67
|
| Rate for Payer: Priority Health Medicare |
$3,490.63
|
| Rate for Payer: Priority Health Narrow Network |
$8,790.94
|
| Rate for Payer: Priority Health SBD |
$3,017.52
|
| Rate for Payer: Railroad Medicare Medicare |
$3,490.63
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$414.93
|
| Rate for Payer: UHC Core |
$5,042.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$3,490.63
|
| Rate for Payer: UHC Exchange |
$377.21
|
| Rate for Payer: UHC Medicare Advantage |
$3,595.35
|
| Rate for Payer: UMR Bronson Commercial |
$1,772.20
|
| Rate for Payer: VA VA |
$3,490.63
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$3,592.29
|
|
|
HC REPAIR SINGLE ELECTRODE PACEMAKER OR ICD
|
Facility
|
IP
|
$4,789.72
|
|
|
Service Code
|
CPT 33218
|
| Hospital Charge Code |
36100569
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$2,107.48 |
| Max. Negotiated Rate |
$4,310.75 |
| Rate for Payer: Aetna American Axle |
$3,113.32
|
| Rate for Payer: Aetna Commercial |
$4,071.26
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$3,113.32
|
| Rate for Payer: Cash Price |
$3,831.78
|
| Rate for Payer: Cofinity Commercial |
$3,352.80
|
| Rate for Payer: Cofinity Commercial |
$4,119.16
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,831.78
|
| Rate for Payer: Healthscope Commercial |
$4,310.75
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$3,352.80
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$3,592.29
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$4,071.26
|
| Rate for Payer: PHP Commercial |
$4,071.26
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3,352.80
|
| Rate for Payer: Priority Health SBD |
$3,017.52
|
| Rate for Payer: UMR Bronson Commercial |
$2,107.48
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$3,592.29
|
|
|
HC REPAIR SPICA/BODY CAST
|
Facility
|
IP
|
$190.11
|
|
|
Service Code
|
CPT 29720
|
| Hospital Charge Code |
70000017
|
|
Hospital Revenue Code
|
700
|
| Min. Negotiated Rate |
$83.65 |
| Max. Negotiated Rate |
$171.10 |
| Rate for Payer: Aetna American Axle |
$123.57
|
| Rate for Payer: Aetna Commercial |
$161.59
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$123.57
|
| Rate for Payer: Cash Price |
$152.09
|
| Rate for Payer: Cofinity Commercial |
$133.08
|
| Rate for Payer: Cofinity Commercial |
$163.49
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$152.09
|
| Rate for Payer: Healthscope Commercial |
$171.10
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$133.08
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$142.58
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$161.59
|
| Rate for Payer: PHP Commercial |
$161.59
|
| Rate for Payer: Priority Health Cigna Priority Health |
$133.08
|
| Rate for Payer: Priority Health SBD |
$119.77
|
| Rate for Payer: UMR Bronson Commercial |
$83.65
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$142.58
|
|
|
HC REPAIR SPICA/BODY CAST
|
Facility
|
OP
|
$190.11
|
|
|
Service Code
|
CPT 29720
|
| Hospital Charge Code |
70000017
|
|
Hospital Revenue Code
|
700
|
| Min. Negotiated Rate |
$42.89 |
| Max. Negotiated Rate |
$440.92 |
| Rate for Payer: Aetna American Axle |
$123.57
|
| Rate for Payer: Aetna Commercial |
$161.59
|
| Rate for Payer: Aetna Medicare |
$145.66
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$123.57
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$175.08
|
| Rate for Payer: Amish Plain Church Group Commercial |
$175.08
|
| Rate for Payer: BCBS Complete |
$80.45
|
| Rate for Payer: BCBS MAPPO |
$140.06
|
| Rate for Payer: BCBS Trust/PPO |
$72.92
|
| Rate for Payer: BCN Medicare Advantage |
$140.06
|
| Rate for Payer: Cash Price |
$152.09
|
| Rate for Payer: Cash Price |
$152.09
|
| Rate for Payer: Cofinity Commercial |
$133.08
|
| Rate for Payer: Cofinity Commercial |
$163.49
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$152.09
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$140.06
|
| Rate for Payer: Healthscope Commercial |
$171.10
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$133.08
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$142.58
|
| Rate for Payer: Mclaren Medicaid |
$76.61
|
| Rate for Payer: Mclaren Medicare |
$140.06
|
| Rate for Payer: Meridian Medicaid |
$80.45
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$147.06
|
| Rate for Payer: MI Amish Medical Board Commercial |
$161.07
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$161.59
|
| Rate for Payer: PACE Medicare |
$133.06
|
| Rate for Payer: PACE SWMI |
$140.06
|
| Rate for Payer: PHP Commercial |
$161.59
|
| Rate for Payer: PHP Medicare Advantage |
$140.06
|
| Rate for Payer: Priority Health Choice Medicaid |
$76.61
|
| Rate for Payer: Priority Health Cigna Priority Health |
$133.08
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$440.92
|
| Rate for Payer: Priority Health Medicare |
$140.06
|
| Rate for Payer: Priority Health Narrow Network |
$352.74
|
| Rate for Payer: Priority Health SBD |
$119.77
|
| Rate for Payer: Railroad Medicare Medicare |
$140.06
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$47.18
|
| Rate for Payer: UHC Dual Complete DSNP |
$140.06
|
| Rate for Payer: UHC Exchange |
$42.89
|
| Rate for Payer: UHC Medicare Advantage |
$144.26
|
| Rate for Payer: UMR Bronson Commercial |
$70.34
|
| Rate for Payer: VA VA |
$140.06
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$142.58
|
|
|
HC REPAIR TENDON HAND/FINGER
|
Facility
|
OP
|
$4,132.31
|
|
| Hospital Charge Code |
45000096
|
|
Hospital Revenue Code
|
450
|
| Min. Negotiated Rate |
$1,528.95 |
| Max. Negotiated Rate |
$3,719.08 |
| Rate for Payer: Aetna American Axle |
$2,686.00
|
| Rate for Payer: Aetna Commercial |
$3,512.46
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,686.00
|
| Rate for Payer: BCBS Complete |
$1,652.92
|
| Rate for Payer: Cash Price |
$3,305.85
|
| Rate for Payer: Cofinity Commercial |
$2,892.62
|
| Rate for Payer: Cofinity Commercial |
$3,553.79
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,305.85
|
| Rate for Payer: Healthscope Commercial |
$3,719.08
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$2,892.62
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$3,099.23
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$3,512.46
|
| Rate for Payer: PHP Commercial |
$3,512.46
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,892.62
|
| Rate for Payer: Priority Health SBD |
$2,603.36
|
| Rate for Payer: UMR Bronson Commercial |
$1,528.95
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$3,099.23
|
|
|
HC REPAIR TENDON HAND/FINGER
|
Facility
|
IP
|
$4,132.31
|
|
| Hospital Charge Code |
45000096
|
|
Hospital Revenue Code
|
450
|
| Min. Negotiated Rate |
$1,818.22 |
| Max. Negotiated Rate |
$3,719.08 |
| Rate for Payer: Aetna American Axle |
$2,686.00
|
| Rate for Payer: Aetna Commercial |
$3,512.46
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,686.00
|
| Rate for Payer: Cash Price |
$3,305.85
|
| Rate for Payer: Cofinity Commercial |
$2,892.62
|
| Rate for Payer: Cofinity Commercial |
$3,553.79
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,305.85
|
| Rate for Payer: Healthscope Commercial |
$3,719.08
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$2,892.62
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$3,099.23
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$3,512.46
|
| Rate for Payer: PHP Commercial |
$3,512.46
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,892.62
|
| Rate for Payer: Priority Health SBD |
$2,603.36
|
| Rate for Payer: UMR Bronson Commercial |
$1,818.22
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$3,099.23
|
|
|
HC REPAZ CVAD WITH PORT OR PUMP
|
Facility
|
IP
|
$1,610.04
|
|
|
Service Code
|
CPT 36576
|
| Hospital Charge Code |
36100132
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$708.42 |
| Max. Negotiated Rate |
$1,449.04 |
| Rate for Payer: Aetna American Axle |
$1,046.53
|
| Rate for Payer: Aetna Commercial |
$1,368.53
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,046.53
|
| Rate for Payer: Cash Price |
$1,288.03
|
| Rate for Payer: Cofinity Commercial |
$1,127.03
|
| Rate for Payer: Cofinity Commercial |
$1,384.63
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,288.03
|
| Rate for Payer: Healthscope Commercial |
$1,449.04
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,127.03
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,207.53
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,368.53
|
| Rate for Payer: PHP Commercial |
$1,368.53
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,127.03
|
| Rate for Payer: Priority Health SBD |
$1,014.33
|
| Rate for Payer: UMR Bronson Commercial |
$708.42
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,207.53
|
|
|
HC REPAZ CVAD WITH PORT OR PUMP
|
Facility
|
OP
|
$1,610.04
|
|
|
Service Code
|
CPT 36576
|
| Hospital Charge Code |
36100132
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$177.80 |
| Max. Negotiated Rate |
$4,481.48 |
| Rate for Payer: Aetna American Axle |
$1,046.53
|
| Rate for Payer: Aetna Commercial |
$1,368.53
|
| Rate for Payer: Aetna Medicare |
$1,480.51
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,046.53
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,779.46
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1,779.46
|
| Rate for Payer: BCBS Complete |
$817.70
|
| Rate for Payer: BCBS MAPPO |
$1,423.57
|
| Rate for Payer: BCBS Trust/PPO |
$640.52
|
| Rate for Payer: BCN Medicare Advantage |
$1,423.57
|
| Rate for Payer: Cash Price |
$1,288.03
|
| Rate for Payer: Cash Price |
$1,288.03
|
| Rate for Payer: Cofinity Commercial |
$1,384.63
|
| Rate for Payer: Cofinity Commercial |
$1,127.03
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,288.03
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,423.57
|
| Rate for Payer: Healthscope Commercial |
$1,449.04
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,127.03
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,207.53
|
| Rate for Payer: Mclaren Medicaid |
$778.69
|
| Rate for Payer: Mclaren Medicare |
$1,423.57
|
| Rate for Payer: Meridian Medicaid |
$817.70
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,494.75
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,637.11
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,368.53
|
| Rate for Payer: PACE Medicare |
$1,352.39
|
| Rate for Payer: PACE SWMI |
$1,423.57
|
| Rate for Payer: PHP Commercial |
$1,368.53
|
| Rate for Payer: PHP Medicare Advantage |
$1,423.57
|
| Rate for Payer: Priority Health Choice Medicaid |
$778.69
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,127.03
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$4,481.48
|
| Rate for Payer: Priority Health Medicare |
$1,423.57
|
| Rate for Payer: Priority Health Narrow Network |
$3,585.18
|
| Rate for Payer: Priority Health SBD |
$1,014.33
|
| Rate for Payer: Railroad Medicare Medicare |
$1,423.57
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$195.58
|
| Rate for Payer: UHC Core |
$981.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,423.57
|
| Rate for Payer: UHC Exchange |
$177.80
|
| Rate for Payer: UHC Medicare Advantage |
$1,466.28
|
| Rate for Payer: UMR Bronson Commercial |
$595.71
|
| Rate for Payer: VA VA |
$1,423.57
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,207.53
|
|
|
HC REPLACE AORTIC VALVE OPEN AXILLRY ARTERY APPR
|
Facility
|
OP
|
$65,453.40
|
|
|
Service Code
|
CPT 33363
|
| Hospital Charge Code |
48100119
|
|
Hospital Revenue Code
|
481
|
| Min. Negotiated Rate |
$1,311.73 |
| Max. Negotiated Rate |
$58,908.06 |
| Rate for Payer: Aetna American Axle |
$42,544.71
|
| Rate for Payer: Aetna Commercial |
$55,635.39
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$42,544.71
|
| Rate for Payer: BCBS Complete |
$26,181.36
|
| Rate for Payer: BCBS Trust/PPO |
$5,478.84
|
| Rate for Payer: Cash Price |
$52,362.72
|
| Rate for Payer: Cash Price |
$52,362.72
|
| Rate for Payer: Cofinity Commercial |
$45,817.38
|
| Rate for Payer: Cofinity Commercial |
$56,289.92
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$52,362.72
|
| Rate for Payer: Healthscope Commercial |
$58,908.06
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$45,817.38
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$49,090.05
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$55,635.39
|
| Rate for Payer: PHP Commercial |
$55,635.39
|
| Rate for Payer: Priority Health Cigna Priority Health |
$45,817.38
|
| Rate for Payer: Priority Health SBD |
$41,235.64
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,442.90
|
| Rate for Payer: UHC Core |
$1,879.00
|
| Rate for Payer: UHC Exchange |
$1,311.73
|
| Rate for Payer: UMR Bronson Commercial |
$24,217.76
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$49,090.05
|
|
|
HC REPLACE AORTIC VALVE OPEN AXILLRY ARTERY APPR
|
Facility
|
IP
|
$65,453.40
|
|
|
Service Code
|
CPT 33363
|
| Hospital Charge Code |
48100119
|
|
Hospital Revenue Code
|
481
|
| Min. Negotiated Rate |
$28,799.50 |
| Max. Negotiated Rate |
$58,908.06 |
| Rate for Payer: Aetna American Axle |
$42,544.71
|
| Rate for Payer: Aetna Commercial |
$55,635.39
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$42,544.71
|
| Rate for Payer: Cash Price |
$52,362.72
|
| Rate for Payer: Cofinity Commercial |
$45,817.38
|
| Rate for Payer: Cofinity Commercial |
$56,289.92
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$52,362.72
|
| Rate for Payer: Healthscope Commercial |
$58,908.06
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$45,817.38
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$49,090.05
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$55,635.39
|
| Rate for Payer: PHP Commercial |
$55,635.39
|
| Rate for Payer: Priority Health Cigna Priority Health |
$45,817.38
|
| Rate for Payer: Priority Health SBD |
$41,235.64
|
| Rate for Payer: UMR Bronson Commercial |
$28,799.50
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$49,090.05
|
|
|
HC REPLACE AORTIC VALVE OPEN FEMORAL ARTERY APPR
|
Facility
|
OP
|
$62,393.40
|
|
|
Service Code
|
CPT 33362
|
| Hospital Charge Code |
48100118
|
|
Hospital Revenue Code
|
481
|
| Min. Negotiated Rate |
$1,263.93 |
| Max. Negotiated Rate |
$56,154.06 |
| Rate for Payer: Aetna American Axle |
$40,555.71
|
| Rate for Payer: Aetna Commercial |
$53,034.39
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$40,555.71
|
| Rate for Payer: BCBS Complete |
$24,957.36
|
| Rate for Payer: BCBS Trust/PPO |
$5,204.18
|
| Rate for Payer: Cash Price |
$49,914.72
|
| Rate for Payer: Cash Price |
$49,914.72
|
| Rate for Payer: Cofinity Commercial |
$53,658.32
|
| Rate for Payer: Cofinity Commercial |
$43,675.38
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$49,914.72
|
| Rate for Payer: Healthscope Commercial |
$56,154.06
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$43,675.38
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$46,795.05
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$53,034.39
|
| Rate for Payer: PHP Commercial |
$53,034.39
|
| Rate for Payer: Priority Health Cigna Priority Health |
$43,675.38
|
| Rate for Payer: Priority Health SBD |
$39,307.84
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,390.32
|
| Rate for Payer: UHC Core |
$1,879.00
|
| Rate for Payer: UHC Exchange |
$1,263.93
|
| Rate for Payer: UMR Bronson Commercial |
$23,085.56
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$46,795.05
|
|
|
HC REPLACE AORTIC VALVE OPEN FEMORAL ARTERY APPR
|
Facility
|
IP
|
$62,393.40
|
|
|
Service Code
|
CPT 33362
|
| Hospital Charge Code |
48100118
|
|
Hospital Revenue Code
|
481
|
| Min. Negotiated Rate |
$27,453.10 |
| Max. Negotiated Rate |
$56,154.06 |
| Rate for Payer: Aetna American Axle |
$40,555.71
|
| Rate for Payer: Aetna Commercial |
$53,034.39
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$40,555.71
|
| Rate for Payer: Cash Price |
$49,914.72
|
| Rate for Payer: Cofinity Commercial |
$43,675.38
|
| Rate for Payer: Cofinity Commercial |
$53,658.32
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$49,914.72
|
| Rate for Payer: Healthscope Commercial |
$56,154.06
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$43,675.38
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$46,795.05
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$53,034.39
|
| Rate for Payer: PHP Commercial |
$53,034.39
|
| Rate for Payer: Priority Health Cigna Priority Health |
$43,675.38
|
| Rate for Payer: Priority Health SBD |
$39,307.84
|
| Rate for Payer: UMR Bronson Commercial |
$27,453.10
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$46,795.05
|
|
