|
HC REPLACE MULTICHAMBER ICD
|
Facility
|
IP
|
$19,921.38
|
|
|
Service Code
|
CPT 33264
|
| Hospital Charge Code |
36100359
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$8,765.41 |
| Max. Negotiated Rate |
$17,929.24 |
| Rate for Payer: Aetna American Axle |
$12,948.90
|
| Rate for Payer: Aetna Commercial |
$16,933.17
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$12,948.90
|
| Rate for Payer: Cash Price |
$15,937.10
|
| Rate for Payer: Cofinity Commercial |
$13,944.97
|
| Rate for Payer: Cofinity Commercial |
$17,132.39
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$15,937.10
|
| Rate for Payer: Healthscope Commercial |
$17,929.24
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$13,944.97
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$14,941.04
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$16,933.17
|
| Rate for Payer: PHP Commercial |
$16,933.17
|
| Rate for Payer: Priority Health Cigna Priority Health |
$13,944.97
|
| Rate for Payer: Priority Health SBD |
$12,550.47
|
| Rate for Payer: UMR Bronson Commercial |
$8,765.41
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$14,941.04
|
|
|
HC REPLACE MULTI CHAMBER PPM
|
Facility
|
IP
|
$16,800.36
|
|
|
Service Code
|
CPT 33229
|
| Hospital Charge Code |
36100356
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$7,392.16 |
| Max. Negotiated Rate |
$15,120.32 |
| Rate for Payer: Aetna American Axle |
$10,920.23
|
| Rate for Payer: Aetna Commercial |
$14,280.31
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$10,920.23
|
| Rate for Payer: Cash Price |
$13,440.29
|
| Rate for Payer: Cofinity Commercial |
$11,760.25
|
| Rate for Payer: Cofinity Commercial |
$14,448.31
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$13,440.29
|
| Rate for Payer: Healthscope Commercial |
$15,120.32
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$11,760.25
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$12,600.27
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$14,280.31
|
| Rate for Payer: PHP Commercial |
$14,280.31
|
| Rate for Payer: Priority Health Cigna Priority Health |
$11,760.25
|
| Rate for Payer: Priority Health SBD |
$10,584.23
|
| Rate for Payer: UMR Bronson Commercial |
$7,392.16
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$12,600.27
|
|
|
HC REPLACE MULTI CHAMBER PPM
|
Facility
|
OP
|
$16,800.36
|
|
|
Service Code
|
CPT 33229
|
| Hospital Charge Code |
36100356
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$360.51 |
| Max. Negotiated Rate |
$54,524.10 |
| Rate for Payer: Aetna American Axle |
$10,920.23
|
| Rate for Payer: Aetna Commercial |
$14,280.31
|
| Rate for Payer: Aetna Medicare |
$18,012.79
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$10,920.23
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$21,649.99
|
| Rate for Payer: Amish Plain Church Group Commercial |
$21,649.99
|
| Rate for Payer: BCBS Complete |
$9,948.60
|
| Rate for Payer: BCBS MAPPO |
$17,319.99
|
| Rate for Payer: BCBS Trust/PPO |
$15,603.42
|
| Rate for Payer: BCN Medicare Advantage |
$17,319.99
|
| Rate for Payer: Cash Price |
$13,440.29
|
| Rate for Payer: Cash Price |
$13,440.29
|
| Rate for Payer: Cofinity Commercial |
$11,760.25
|
| Rate for Payer: Cofinity Commercial |
$14,448.31
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$13,440.29
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$17,319.99
|
| Rate for Payer: Healthscope Commercial |
$15,120.32
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$11,760.25
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$12,600.27
|
| Rate for Payer: Mclaren Medicaid |
$9,474.03
|
| Rate for Payer: Mclaren Medicare |
$17,319.99
|
| Rate for Payer: Meridian Medicaid |
$9,948.60
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$18,185.99
|
| Rate for Payer: MI Amish Medical Board Commercial |
$19,917.99
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$14,280.31
|
| Rate for Payer: PACE Medicare |
$16,453.99
|
| Rate for Payer: PACE SWMI |
$17,319.99
|
| Rate for Payer: PHP Commercial |
$14,280.31
|
| Rate for Payer: PHP Medicare Advantage |
$17,319.99
|
| Rate for Payer: Priority Health Choice Medicaid |
$9,474.03
|
| Rate for Payer: Priority Health Cigna Priority Health |
$11,760.25
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$54,524.10
|
| Rate for Payer: Priority Health Medicare |
$17,319.99
|
| Rate for Payer: Priority Health Narrow Network |
$43,619.28
|
| Rate for Payer: Priority Health SBD |
$10,584.23
|
| Rate for Payer: Railroad Medicare Medicare |
$17,319.99
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$396.56
|
| Rate for Payer: UHC Core |
$13,752.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$17,319.99
|
| Rate for Payer: UHC Exchange |
$360.51
|
| Rate for Payer: UHC Medicare Advantage |
$17,839.59
|
| Rate for Payer: UMR Bronson Commercial |
$6,216.13
|
| Rate for Payer: VA VA |
$17,319.99
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$12,600.27
|
|
|
HC REPLACE SINGLE CHAMBER ICD
|
Facility
|
OP
|
$17,530.81
|
|
|
Service Code
|
CPT 33262
|
| Hospital Charge Code |
36100357
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$359.86 |
| Max. Negotiated Rate |
$65,958.25 |
| Rate for Payer: Aetna American Axle |
$11,395.03
|
| Rate for Payer: Aetna Commercial |
$14,901.19
|
| Rate for Payer: Aetna Medicare |
$21,790.20
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$11,395.03
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$26,190.15
|
| Rate for Payer: Amish Plain Church Group Commercial |
$26,190.15
|
| Rate for Payer: BCBS Complete |
$12,034.90
|
| Rate for Payer: BCBS MAPPO |
$20,952.12
|
| Rate for Payer: BCBS Trust/PPO |
$27,269.29
|
| Rate for Payer: BCN Medicare Advantage |
$20,952.12
|
| Rate for Payer: Cash Price |
$14,024.65
|
| Rate for Payer: Cash Price |
$14,024.65
|
| Rate for Payer: Cofinity Commercial |
$12,271.57
|
| Rate for Payer: Cofinity Commercial |
$15,076.50
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$14,024.65
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$20,952.12
|
| Rate for Payer: Healthscope Commercial |
$15,777.73
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$12,271.57
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$13,148.11
|
| Rate for Payer: Mclaren Medicaid |
$11,460.81
|
| Rate for Payer: Mclaren Medicare |
$20,952.12
|
| Rate for Payer: Meridian Medicaid |
$12,034.90
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$21,999.73
|
| Rate for Payer: MI Amish Medical Board Commercial |
$24,094.94
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$14,901.19
|
| Rate for Payer: PACE Medicare |
$19,904.51
|
| Rate for Payer: PACE SWMI |
$20,952.12
|
| Rate for Payer: PHP Commercial |
$14,901.19
|
| Rate for Payer: PHP Medicare Advantage |
$20,952.12
|
| Rate for Payer: Priority Health Choice Medicaid |
$11,460.81
|
| Rate for Payer: Priority Health Cigna Priority Health |
$12,271.57
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$65,958.25
|
| Rate for Payer: Priority Health Medicare |
$20,952.12
|
| Rate for Payer: Priority Health Narrow Network |
$52,766.60
|
| Rate for Payer: Priority Health SBD |
$11,044.41
|
| Rate for Payer: Railroad Medicare Medicare |
$20,952.12
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$395.85
|
| Rate for Payer: UHC Core |
$52,490.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$20,952.12
|
| Rate for Payer: UHC Exchange |
$359.86
|
| Rate for Payer: UHC Medicare Advantage |
$21,580.68
|
| Rate for Payer: UMR Bronson Commercial |
$6,486.40
|
| Rate for Payer: VA VA |
$20,952.12
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$13,148.11
|
|
|
HC REPLACE SINGLE CHAMBER ICD
|
Facility
|
IP
|
$17,530.81
|
|
|
Service Code
|
CPT 33262
|
| Hospital Charge Code |
36100357
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$7,713.56 |
| Max. Negotiated Rate |
$15,777.73 |
| Rate for Payer: Aetna American Axle |
$11,395.03
|
| Rate for Payer: Aetna Commercial |
$14,901.19
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$11,395.03
|
| Rate for Payer: Cash Price |
$14,024.65
|
| Rate for Payer: Cofinity Commercial |
$12,271.57
|
| Rate for Payer: Cofinity Commercial |
$15,076.50
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$14,024.65
|
| Rate for Payer: Healthscope Commercial |
$15,777.73
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$12,271.57
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$13,148.11
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$14,901.19
|
| Rate for Payer: PHP Commercial |
$14,901.19
|
| Rate for Payer: Priority Health Cigna Priority Health |
$12,271.57
|
| Rate for Payer: Priority Health SBD |
$11,044.41
|
| Rate for Payer: UMR Bronson Commercial |
$7,713.56
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$13,148.11
|
|
|
HC REPLACE SINGLE CHAMBER PPM
|
Facility
|
OP
|
$11,942.23
|
|
|
Service Code
|
CPT 33227
|
| Hospital Charge Code |
36100354
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$328.42 |
| Max. Negotiated Rate |
$23,772.84 |
| Rate for Payer: Aetna American Axle |
$7,762.45
|
| Rate for Payer: Aetna Commercial |
$10,150.90
|
| Rate for Payer: Aetna Medicare |
$7,853.68
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$7,762.45
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$9,439.52
|
| Rate for Payer: Amish Plain Church Group Commercial |
$9,439.52
|
| Rate for Payer: BCBS Complete |
$4,337.65
|
| Rate for Payer: BCBS MAPPO |
$7,551.62
|
| Rate for Payer: BCBS Trust/PPO |
$9,792.41
|
| Rate for Payer: BCN Medicare Advantage |
$7,551.62
|
| Rate for Payer: Cash Price |
$9,553.78
|
| Rate for Payer: Cash Price |
$9,553.78
|
| Rate for Payer: Cofinity Commercial |
$10,270.32
|
| Rate for Payer: Cofinity Commercial |
$8,359.56
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$9,553.78
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$7,551.62
|
| Rate for Payer: Healthscope Commercial |
$10,748.01
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$8,359.56
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$8,956.67
|
| Rate for Payer: Mclaren Medicaid |
$4,130.74
|
| Rate for Payer: Mclaren Medicare |
$7,551.62
|
| Rate for Payer: Meridian Medicaid |
$4,337.65
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$7,929.20
|
| Rate for Payer: MI Amish Medical Board Commercial |
$8,684.36
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$10,150.90
|
| Rate for Payer: PACE Medicare |
$7,174.04
|
| Rate for Payer: PACE SWMI |
$7,551.62
|
| Rate for Payer: PHP Commercial |
$10,150.90
|
| Rate for Payer: PHP Medicare Advantage |
$7,551.62
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,130.74
|
| Rate for Payer: Priority Health Cigna Priority Health |
$8,359.56
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$23,772.84
|
| Rate for Payer: Priority Health Medicare |
$7,551.62
|
| Rate for Payer: Priority Health Narrow Network |
$19,018.27
|
| Rate for Payer: Priority Health SBD |
$7,523.60
|
| Rate for Payer: Railroad Medicare Medicare |
$7,551.62
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$361.26
|
| Rate for Payer: UHC Core |
$13,752.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$7,551.62
|
| Rate for Payer: UHC Exchange |
$328.42
|
| Rate for Payer: UHC Medicare Advantage |
$7,778.17
|
| Rate for Payer: UMR Bronson Commercial |
$4,418.63
|
| Rate for Payer: VA VA |
$7,551.62
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$8,956.67
|
|
|
HC REPLACE SINGLE CHAMBER PPM
|
Facility
|
IP
|
$11,942.23
|
|
|
Service Code
|
CPT 33227
|
| Hospital Charge Code |
36100354
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$5,254.58 |
| Max. Negotiated Rate |
$10,748.01 |
| Rate for Payer: Aetna American Axle |
$7,762.45
|
| Rate for Payer: Aetna Commercial |
$10,150.90
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$7,762.45
|
| Rate for Payer: Cash Price |
$9,553.78
|
| Rate for Payer: Cofinity Commercial |
$10,270.32
|
| Rate for Payer: Cofinity Commercial |
$8,359.56
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$9,553.78
|
| Rate for Payer: Healthscope Commercial |
$10,748.01
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$8,359.56
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$8,956.67
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$10,150.90
|
| Rate for Payer: PHP Commercial |
$10,150.90
|
| Rate for Payer: Priority Health Cigna Priority Health |
$8,359.56
|
| Rate for Payer: Priority Health SBD |
$7,523.60
|
| Rate for Payer: UMR Bronson Commercial |
$5,254.58
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$8,956.67
|
|
|
HC REPLACE SQ ICD ONLY
|
Facility
|
IP
|
$35,520.57
|
|
|
Service Code
|
CPT 33262
|
| Hospital Charge Code |
36100551
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$15,629.05 |
| Max. Negotiated Rate |
$31,968.51 |
| Rate for Payer: Aetna American Axle |
$23,088.37
|
| Rate for Payer: Aetna Commercial |
$30,192.48
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$23,088.37
|
| Rate for Payer: Cash Price |
$28,416.46
|
| Rate for Payer: Cofinity Commercial |
$24,864.40
|
| Rate for Payer: Cofinity Commercial |
$30,547.69
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$28,416.46
|
| Rate for Payer: Healthscope Commercial |
$31,968.51
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$24,864.40
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$26,640.43
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$30,192.48
|
| Rate for Payer: PHP Commercial |
$30,192.48
|
| Rate for Payer: Priority Health Cigna Priority Health |
$24,864.40
|
| Rate for Payer: Priority Health SBD |
$22,377.96
|
| Rate for Payer: UMR Bronson Commercial |
$15,629.05
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$26,640.43
|
|
|
HC REPLACE SQ ICD ONLY
|
Facility
|
OP
|
$35,520.57
|
|
|
Service Code
|
CPT 33262
|
| Hospital Charge Code |
36100551
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$359.86 |
| Max. Negotiated Rate |
$65,958.25 |
| Rate for Payer: Aetna American Axle |
$23,088.37
|
| Rate for Payer: Aetna Commercial |
$30,192.48
|
| Rate for Payer: Aetna Medicare |
$21,790.20
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$23,088.37
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$26,190.15
|
| Rate for Payer: Amish Plain Church Group Commercial |
$26,190.15
|
| Rate for Payer: BCBS Complete |
$12,034.90
|
| Rate for Payer: BCBS MAPPO |
$20,952.12
|
| Rate for Payer: BCBS Trust/PPO |
$27,269.29
|
| Rate for Payer: BCN Medicare Advantage |
$20,952.12
|
| Rate for Payer: Cash Price |
$28,416.46
|
| Rate for Payer: Cash Price |
$28,416.46
|
| Rate for Payer: Cofinity Commercial |
$30,547.69
|
| Rate for Payer: Cofinity Commercial |
$24,864.40
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$28,416.46
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$20,952.12
|
| Rate for Payer: Healthscope Commercial |
$31,968.51
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$24,864.40
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$26,640.43
|
| Rate for Payer: Mclaren Medicaid |
$11,460.81
|
| Rate for Payer: Mclaren Medicare |
$20,952.12
|
| Rate for Payer: Meridian Medicaid |
$12,034.90
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$21,999.73
|
| Rate for Payer: MI Amish Medical Board Commercial |
$24,094.94
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$30,192.48
|
| Rate for Payer: PACE Medicare |
$19,904.51
|
| Rate for Payer: PACE SWMI |
$20,952.12
|
| Rate for Payer: PHP Commercial |
$30,192.48
|
| Rate for Payer: PHP Medicare Advantage |
$20,952.12
|
| Rate for Payer: Priority Health Choice Medicaid |
$11,460.81
|
| Rate for Payer: Priority Health Cigna Priority Health |
$24,864.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$65,958.25
|
| Rate for Payer: Priority Health Medicare |
$20,952.12
|
| Rate for Payer: Priority Health Narrow Network |
$52,766.60
|
| Rate for Payer: Priority Health SBD |
$22,377.96
|
| Rate for Payer: Railroad Medicare Medicare |
$20,952.12
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$395.85
|
| Rate for Payer: UHC Core |
$52,490.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$20,952.12
|
| Rate for Payer: UHC Exchange |
$359.86
|
| Rate for Payer: UHC Medicare Advantage |
$21,580.68
|
| Rate for Payer: UMR Bronson Commercial |
$13,142.61
|
| Rate for Payer: VA VA |
$20,952.12
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$26,640.43
|
|
|
HC REPOSITION CVAC
|
Facility
|
OP
|
$2,459.63
|
|
|
Service Code
|
CPT 36597
|
| Hospital Charge Code |
36100144
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$57.63 |
| Max. Negotiated Rate |
$4,481.48 |
| Rate for Payer: Aetna American Axle |
$1,598.76
|
| Rate for Payer: Aetna Commercial |
$2,090.69
|
| Rate for Payer: Aetna Medicare |
$1,480.51
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,598.76
|
| 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 |
$775.52
|
| Rate for Payer: BCN Medicare Advantage |
$1,423.57
|
| Rate for Payer: Cash Price |
$1,967.70
|
| Rate for Payer: Cash Price |
$1,967.70
|
| Rate for Payer: Cofinity Commercial |
$1,721.74
|
| Rate for Payer: Cofinity Commercial |
$2,115.28
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,967.70
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,423.57
|
| Rate for Payer: Healthscope Commercial |
$2,213.67
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,721.74
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,844.72
|
| 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 |
$2,090.69
|
| Rate for Payer: PACE Medicare |
$1,352.39
|
| Rate for Payer: PACE SWMI |
$1,423.57
|
| Rate for Payer: PHP Commercial |
$2,090.69
|
| 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 |
$1,721.74
|
| 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 |
$1,549.57
|
| Rate for Payer: Railroad Medicare Medicare |
$1,423.57
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$63.39
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,423.57
|
| Rate for Payer: UHC Exchange |
$57.63
|
| Rate for Payer: UHC Medicare Advantage |
$1,466.28
|
| Rate for Payer: UMR Bronson Commercial |
$910.06
|
| Rate for Payer: VA VA |
$1,423.57
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,844.72
|
|
|
HC REPOSITION CVAC
|
Facility
|
IP
|
$2,459.63
|
|
|
Service Code
|
CPT 36597
|
| Hospital Charge Code |
36100144
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$1,082.24 |
| Max. Negotiated Rate |
$2,213.67 |
| Rate for Payer: Aetna American Axle |
$1,598.76
|
| Rate for Payer: Aetna Commercial |
$2,090.69
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,598.76
|
| Rate for Payer: Cash Price |
$1,967.70
|
| Rate for Payer: Cofinity Commercial |
$1,721.74
|
| Rate for Payer: Cofinity Commercial |
$2,115.28
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,967.70
|
| Rate for Payer: Healthscope Commercial |
$2,213.67
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,721.74
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,844.72
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$2,090.69
|
| Rate for Payer: PHP Commercial |
$2,090.69
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,721.74
|
| Rate for Payer: Priority Health SBD |
$1,549.57
|
| Rate for Payer: UMR Bronson Commercial |
$1,082.24
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,844.72
|
|
|
HC REPOSITION RA/RV ELECTRODE
|
Facility
|
OP
|
$2,883.95
|
|
|
Service Code
|
CPT 33215
|
| Hospital Charge Code |
36100064
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$300.26 |
| Max. Negotiated Rate |
$8,919.33 |
| Rate for Payer: Aetna American Axle |
$1,874.57
|
| Rate for Payer: Aetna Commercial |
$2,451.36
|
| Rate for Payer: Aetna Medicare |
$2,946.62
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,874.57
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$3,541.61
|
| Rate for Payer: Amish Plain Church Group Commercial |
$3,541.61
|
| Rate for Payer: BCBS Complete |
$1,627.44
|
| Rate for Payer: BCBS MAPPO |
$2,833.29
|
| Rate for Payer: BCBS Trust/PPO |
$1,073.74
|
| Rate for Payer: BCN Medicare Advantage |
$2,833.29
|
| Rate for Payer: Cash Price |
$2,307.16
|
| Rate for Payer: Cash Price |
$2,307.16
|
| Rate for Payer: Cofinity Commercial |
$2,480.20
|
| Rate for Payer: Cofinity Commercial |
$2,018.76
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,307.16
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,833.29
|
| Rate for Payer: Healthscope Commercial |
$2,595.56
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$2,018.76
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,162.96
|
| Rate for Payer: Mclaren Medicaid |
$1,549.81
|
| Rate for Payer: Mclaren Medicare |
$2,833.29
|
| Rate for Payer: Meridian Medicaid |
$1,627.44
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$2,974.95
|
| Rate for Payer: MI Amish Medical Board Commercial |
$3,258.28
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$2,451.36
|
| Rate for Payer: PACE Medicare |
$2,691.63
|
| Rate for Payer: PACE SWMI |
$2,833.29
|
| Rate for Payer: PHP Commercial |
$2,451.36
|
| Rate for Payer: PHP Medicare Advantage |
$2,833.29
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,549.81
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,018.76
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$8,919.33
|
| Rate for Payer: Priority Health Medicare |
$2,833.29
|
| Rate for Payer: Priority Health Narrow Network |
$7,135.46
|
| Rate for Payer: Priority Health SBD |
$1,816.89
|
| Rate for Payer: Railroad Medicare Medicare |
$2,833.29
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$330.29
|
| Rate for Payer: UHC Core |
$5,042.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$2,833.29
|
| Rate for Payer: UHC Exchange |
$300.26
|
| Rate for Payer: UHC Medicare Advantage |
$2,918.29
|
| Rate for Payer: UMR Bronson Commercial |
$1,067.06
|
| Rate for Payer: VA VA |
$2,833.29
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,162.96
|
|
|
HC REPOSITION RA/RV ELECTRODE
|
Facility
|
IP
|
$2,883.95
|
|
|
Service Code
|
CPT 33215
|
| Hospital Charge Code |
36100064
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$1,268.94 |
| Max. Negotiated Rate |
$2,595.56 |
| Rate for Payer: Aetna American Axle |
$1,874.57
|
| Rate for Payer: Aetna Commercial |
$2,451.36
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,874.57
|
| Rate for Payer: Cash Price |
$2,307.16
|
| Rate for Payer: Cofinity Commercial |
$2,018.76
|
| Rate for Payer: Cofinity Commercial |
$2,480.20
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,307.16
|
| Rate for Payer: Healthscope Commercial |
$2,595.56
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$2,018.76
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,162.96
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$2,451.36
|
| Rate for Payer: PHP Commercial |
$2,451.36
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,018.76
|
| Rate for Payer: Priority Health SBD |
$1,816.89
|
| Rate for Payer: UMR Bronson Commercial |
$1,268.94
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,162.96
|
|
|
HC RESERVOIR 20 MICRON
|
Facility
|
IP
|
$105.00
|
|
| Hospital Charge Code |
27000039
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$46.20 |
| Max. Negotiated Rate |
$94.50 |
| Rate for Payer: Aetna American Axle |
$68.25
|
| Rate for Payer: Aetna Commercial |
$89.25
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$68.25
|
| Rate for Payer: Cash Price |
$84.00
|
| Rate for Payer: Cofinity Commercial |
$73.50
|
| Rate for Payer: Cofinity Commercial |
$90.30
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$84.00
|
| Rate for Payer: Healthscope Commercial |
$94.50
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$73.50
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$78.75
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$89.25
|
| Rate for Payer: PHP Commercial |
$89.25
|
| Rate for Payer: Priority Health Cigna Priority Health |
$73.50
|
| Rate for Payer: Priority Health SBD |
$66.15
|
| Rate for Payer: UMR Bronson Commercial |
$46.20
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$78.75
|
|
|
HC RESERVOIR 20 MICRON
|
Facility
|
OP
|
$105.00
|
|
| Hospital Charge Code |
27000039
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$38.85 |
| Max. Negotiated Rate |
$94.50 |
| Rate for Payer: Aetna American Axle |
$68.25
|
| Rate for Payer: Aetna Commercial |
$89.25
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$68.25
|
| Rate for Payer: BCBS Complete |
$42.00
|
| Rate for Payer: Cash Price |
$84.00
|
| Rate for Payer: Cofinity Commercial |
$73.50
|
| Rate for Payer: Cofinity Commercial |
$90.30
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$84.00
|
| Rate for Payer: Healthscope Commercial |
$94.50
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$73.50
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$78.75
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$89.25
|
| Rate for Payer: PHP Commercial |
$89.25
|
| Rate for Payer: Priority Health Cigna Priority Health |
$73.50
|
| Rate for Payer: Priority Health SBD |
$66.15
|
| Rate for Payer: UMR Bronson Commercial |
$38.85
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$78.75
|
|
|
HC RESERVOIR OUTLET Y
|
Facility
|
IP
|
$30.00
|
|
| Hospital Charge Code |
27000668
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$13.20 |
| Max. Negotiated Rate |
$27.00 |
| Rate for Payer: Aetna American Axle |
$19.50
|
| Rate for Payer: Aetna Commercial |
$25.50
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$19.50
|
| Rate for Payer: Cash Price |
$24.00
|
| Rate for Payer: Cofinity Commercial |
$21.00
|
| Rate for Payer: Cofinity Commercial |
$25.80
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$24.00
|
| Rate for Payer: Healthscope Commercial |
$27.00
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$21.00
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$22.50
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$25.50
|
| Rate for Payer: PHP Commercial |
$25.50
|
| Rate for Payer: Priority Health Cigna Priority Health |
$21.00
|
| Rate for Payer: Priority Health SBD |
$18.90
|
| Rate for Payer: UMR Bronson Commercial |
$13.20
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$22.50
|
|
|
HC RESERVOIR OUTLET Y
|
Facility
|
OP
|
$30.00
|
|
| Hospital Charge Code |
27000668
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$11.10 |
| Max. Negotiated Rate |
$27.00 |
| Rate for Payer: Aetna American Axle |
$19.50
|
| Rate for Payer: Aetna Commercial |
$25.50
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$19.50
|
| Rate for Payer: BCBS Complete |
$12.00
|
| Rate for Payer: Cash Price |
$24.00
|
| Rate for Payer: Cofinity Commercial |
$21.00
|
| Rate for Payer: Cofinity Commercial |
$25.80
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$24.00
|
| Rate for Payer: Healthscope Commercial |
$27.00
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$21.00
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$22.50
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$25.50
|
| Rate for Payer: PHP Commercial |
$25.50
|
| Rate for Payer: Priority Health Cigna Priority Health |
$21.00
|
| Rate for Payer: Priority Health SBD |
$18.90
|
| Rate for Payer: UMR Bronson Commercial |
$11.10
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$22.50
|
|
|
HC RESERVOIR TANDEM Y
|
Facility
|
IP
|
$30.00
|
|
| Hospital Charge Code |
27000667
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$13.20 |
| Max. Negotiated Rate |
$27.00 |
| Rate for Payer: Aetna American Axle |
$19.50
|
| Rate for Payer: Aetna Commercial |
$25.50
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$19.50
|
| Rate for Payer: Cash Price |
$24.00
|
| Rate for Payer: Cofinity Commercial |
$21.00
|
| Rate for Payer: Cofinity Commercial |
$25.80
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$24.00
|
| Rate for Payer: Healthscope Commercial |
$27.00
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$21.00
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$22.50
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$25.50
|
| Rate for Payer: PHP Commercial |
$25.50
|
| Rate for Payer: Priority Health Cigna Priority Health |
$21.00
|
| Rate for Payer: Priority Health SBD |
$18.90
|
| Rate for Payer: UMR Bronson Commercial |
$13.20
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$22.50
|
|
|
HC RESERVOIR TANDEM Y
|
Facility
|
OP
|
$30.00
|
|
| Hospital Charge Code |
27000667
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$11.10 |
| Max. Negotiated Rate |
$27.00 |
| Rate for Payer: Aetna American Axle |
$19.50
|
| Rate for Payer: Aetna Commercial |
$25.50
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$19.50
|
| Rate for Payer: BCBS Complete |
$12.00
|
| Rate for Payer: Cash Price |
$24.00
|
| Rate for Payer: Cofinity Commercial |
$21.00
|
| Rate for Payer: Cofinity Commercial |
$25.80
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$24.00
|
| Rate for Payer: Healthscope Commercial |
$27.00
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$21.00
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$22.50
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$25.50
|
| Rate for Payer: PHP Commercial |
$25.50
|
| Rate for Payer: Priority Health Cigna Priority Health |
$21.00
|
| Rate for Payer: Priority Health SBD |
$18.90
|
| Rate for Payer: UMR Bronson Commercial |
$11.10
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$22.50
|
|
|
HC RESERVOIR VEN STAND ALONE
|
Facility
|
OP
|
$825.00
|
|
| Hospital Charge Code |
27000653
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$305.25 |
| Max. Negotiated Rate |
$742.50 |
| Rate for Payer: Aetna American Axle |
$536.25
|
| Rate for Payer: Aetna Commercial |
$701.25
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$536.25
|
| Rate for Payer: BCBS Complete |
$330.00
|
| Rate for Payer: Cash Price |
$660.00
|
| Rate for Payer: Cofinity Commercial |
$577.50
|
| Rate for Payer: Cofinity Commercial |
$709.50
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$660.00
|
| Rate for Payer: Healthscope Commercial |
$742.50
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$577.50
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$618.75
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$701.25
|
| Rate for Payer: PHP Commercial |
$701.25
|
| Rate for Payer: Priority Health Cigna Priority Health |
$577.50
|
| Rate for Payer: Priority Health SBD |
$519.75
|
| Rate for Payer: UMR Bronson Commercial |
$305.25
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$618.75
|
|
|
HC RESERVOIR VEN STAND ALONE
|
Facility
|
IP
|
$825.00
|
|
| Hospital Charge Code |
27000653
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$363.00 |
| Max. Negotiated Rate |
$742.50 |
| Rate for Payer: Aetna American Axle |
$536.25
|
| Rate for Payer: Aetna Commercial |
$701.25
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$536.25
|
| Rate for Payer: Cash Price |
$660.00
|
| Rate for Payer: Cofinity Commercial |
$577.50
|
| Rate for Payer: Cofinity Commercial |
$709.50
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$660.00
|
| Rate for Payer: Healthscope Commercial |
$742.50
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$577.50
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$618.75
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$701.25
|
| Rate for Payer: PHP Commercial |
$701.25
|
| Rate for Payer: Priority Health Cigna Priority Health |
$577.50
|
| Rate for Payer: Priority Health SBD |
$519.75
|
| Rate for Payer: UMR Bronson Commercial |
$363.00
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$618.75
|
|
|
HC RESPIRATORY ALLERGEN PROFILE
|
Facility
|
IP
|
$24.89
|
|
|
Service Code
|
CPT 86003
|
| Hospital Charge Code |
30200121
|
|
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 RESPIRATORY ALLERGEN PROFILE
|
Facility
|
OP
|
$24.89
|
|
|
Service Code
|
CPT 86003
|
| Hospital Charge Code |
30200121
|
|
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 |
$17.42
|
| Rate for Payer: Cofinity Commercial |
$21.41
|
| 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 RESPIRATORY FLOW VOLUME
|
Facility
|
IP
|
$174.91
|
|
|
Service Code
|
CPT 94375
|
| Hospital Charge Code |
46000023
|
|
Hospital Revenue Code
|
460
|
| Min. Negotiated Rate |
$76.96 |
| Max. Negotiated Rate |
$157.42 |
| Rate for Payer: Aetna American Axle |
$113.69
|
| Rate for Payer: Aetna Commercial |
$148.67
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$113.69
|
| Rate for Payer: Cash Price |
$139.93
|
| Rate for Payer: Cofinity Commercial |
$150.42
|
| Rate for Payer: Cofinity Commercial |
$122.44
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$139.93
|
| Rate for Payer: Healthscope Commercial |
$157.42
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$122.44
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$131.18
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$148.67
|
| Rate for Payer: PHP Commercial |
$148.67
|
| Rate for Payer: Priority Health Cigna Priority Health |
$122.44
|
| Rate for Payer: Priority Health SBD |
$110.19
|
| Rate for Payer: UMR Bronson Commercial |
$76.96
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$131.18
|
|
|
HC RESPIRATORY FLOW VOLUME
|
Facility
|
OP
|
$174.91
|
|
|
Service Code
|
CPT 94375
|
| Hospital Charge Code |
46000023
|
|
Hospital Revenue Code
|
460
|
| Min. Negotiated Rate |
$38.31 |
| Max. Negotiated Rate |
$878.32 |
| Rate for Payer: Aetna American Axle |
$113.69
|
| Rate for Payer: Aetna Commercial |
$148.67
|
| Rate for Payer: Aetna Medicare |
$290.16
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$113.69
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$348.75
|
| Rate for Payer: Amish Plain Church Group Commercial |
$348.75
|
| Rate for Payer: BCBS Complete |
$160.26
|
| Rate for Payer: BCBS MAPPO |
$279.00
|
| Rate for Payer: BCBS Trust/PPO |
$120.65
|
| Rate for Payer: BCN Medicare Advantage |
$279.00
|
| Rate for Payer: Cash Price |
$139.93
|
| Rate for Payer: Cash Price |
$139.93
|
| Rate for Payer: Cash Price |
$139.93
|
| Rate for Payer: Cofinity Commercial |
$150.42
|
| Rate for Payer: Cofinity Commercial |
$122.44
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$139.93
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$279.00
|
| Rate for Payer: Healthscope Commercial |
$157.42
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$122.44
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$131.18
|
| Rate for Payer: Mclaren Medicaid |
$152.61
|
| Rate for Payer: Mclaren Medicare |
$279.00
|
| Rate for Payer: Meridian Medicaid |
$160.26
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$292.95
|
| Rate for Payer: MI Amish Medical Board Commercial |
$320.85
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$148.67
|
| Rate for Payer: PACE Medicare |
$265.05
|
| Rate for Payer: PACE SWMI |
$279.00
|
| Rate for Payer: PHP Commercial |
$148.67
|
| Rate for Payer: PHP Medicare Advantage |
$279.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$152.61
|
| Rate for Payer: Priority Health Cigna Priority Health |
$122.44
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$878.32
|
| Rate for Payer: Priority Health Medicare |
$279.00
|
| Rate for Payer: Priority Health Narrow Network |
$702.66
|
| Rate for Payer: Priority Health SBD |
$110.19
|
| Rate for Payer: Railroad Medicare Medicare |
$279.00
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$42.14
|
| Rate for Payer: UHC Core |
$294.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$279.00
|
| Rate for Payer: UHC Exchange |
$38.31
|
| Rate for Payer: UHC Medicare Advantage |
$287.37
|
| Rate for Payer: UMR Bronson Commercial |
$64.72
|
| Rate for Payer: VA VA |
$279.00
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$131.18
|
|
