|
HC INTRODUCER REGULAR
|
Facility
|
IP
|
$96.57
|
|
|
Service Code
|
HCPCS C1893
|
| Hospital Charge Code |
27200051
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$42.49 |
| Max. Negotiated Rate |
$86.91 |
| Rate for Payer: Aetna American Axle |
$62.77
|
| Rate for Payer: Aetna Commercial |
$82.08
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$62.77
|
| Rate for Payer: Cash Price |
$77.26
|
| Rate for Payer: Cofinity Advantage |
$67.60
|
| Rate for Payer: Cofinity Commercial |
$83.05
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$77.26
|
| Rate for Payer: Healthscope Commercial |
$86.91
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$67.60
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$72.43
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$82.08
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$72.43
|
| Rate for Payer: PHP Commercial |
$82.08
|
| Rate for Payer: Priority Health SBD |
$60.84
|
| Rate for Payer: UMR Bronson Commercial |
$42.49
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$72.43
|
|
|
HC INTRODUCER REGULAR
|
Facility
|
OP
|
$96.57
|
|
|
Service Code
|
HCPCS C1893
|
| Hospital Charge Code |
27200051
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$0.03 |
| Max. Negotiated Rate |
$86.91 |
| Rate for Payer: Aetna American Axle |
$62.77
|
| Rate for Payer: Aetna Commercial |
$82.08
|
| Rate for Payer: Aetna Medicare |
$48.28
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$62.77
|
| Rate for Payer: BCBS Complete |
$38.63
|
| Rate for Payer: BCBS Trust/PPO |
$0.03
|
| Rate for Payer: BCN Commercial |
$0.03
|
| Rate for Payer: Cash Price |
$77.26
|
| Rate for Payer: Cash Price |
$77.26
|
| Rate for Payer: Cofinity Advantage |
$67.60
|
| Rate for Payer: Cofinity Commercial |
$83.05
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$77.26
|
| Rate for Payer: Healthscope Commercial |
$86.91
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$67.60
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$72.43
|
| Rate for Payer: MI Amish Medical Board Commercial |
$77.26
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$82.08
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$72.43
|
| Rate for Payer: PHP Commercial |
$82.08
|
| Rate for Payer: Priority Health SBD |
$60.84
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$62.77
|
| Rate for Payer: UHC Core |
$50.31
|
| Rate for Payer: UHC Exchange |
$37.95
|
| Rate for Payer: UMR Bronson Commercial |
$35.73
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$72.43
|
|
|
HC INTRODUCTION OF URETRAL CATH VIA NEPHROSTOMY
|
Facility
|
IP
|
$3,526.75
|
|
|
Service Code
|
CPT 50553
|
| Hospital Charge Code |
36100246
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$1,551.77 |
| Max. Negotiated Rate |
$3,174.07 |
| Rate for Payer: Aetna American Axle |
$2,292.39
|
| Rate for Payer: Aetna Commercial |
$2,997.74
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,292.39
|
| Rate for Payer: Cash Price |
$2,821.40
|
| Rate for Payer: Cofinity Advantage |
$2,468.72
|
| Rate for Payer: Cofinity Commercial |
$3,033.01
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,821.40
|
| Rate for Payer: Healthscope Commercial |
$3,174.07
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$2,468.72
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,645.06
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,997.74
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,645.06
|
| Rate for Payer: PHP Commercial |
$2,997.74
|
| Rate for Payer: Priority Health SBD |
$2,221.85
|
| Rate for Payer: UMR Bronson Commercial |
$1,551.77
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,645.06
|
|
|
HC INTRODUCTION OF URETRAL CATH VIA NEPHROSTOMY
|
Facility
|
OP
|
$3,526.75
|
|
|
Service Code
|
CPT 50553
|
| Hospital Charge Code |
36100246
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$1,304.90 |
| Max. Negotiated Rate |
$17,277.20 |
| Rate for Payer: Aetna American Axle |
$2,292.39
|
| Rate for Payer: Aetna Commercial |
$2,997.74
|
| Rate for Payer: Aetna Medicare |
$5,556.22
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,292.39
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$6,678.15
|
| Rate for Payer: Amish Plain Church Group Commercial |
$6,678.15
|
| Rate for Payer: BCBS Complete |
$2,934.11
|
| Rate for Payer: BCBS MAPPO |
$5,342.52
|
| Rate for Payer: BCBS Trust/PPO |
$3,274.56
|
| Rate for Payer: BCN Commercial |
$3,274.56
|
| Rate for Payer: BCN Medicare Advantage |
$5,342.52
|
| Rate for Payer: Cash Price |
$2,821.40
|
| Rate for Payer: Cash Price |
$2,821.40
|
| Rate for Payer: Cash Price |
$2,821.40
|
| Rate for Payer: Cofinity Advantage |
$2,468.72
|
| Rate for Payer: Cofinity Commercial |
$3,033.01
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,821.40
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$5,342.52
|
| Rate for Payer: Healthscope Commercial |
$3,174.07
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$2,468.72
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,645.06
|
| Rate for Payer: Mclaren Medicaid |
$5,342.52
|
| Rate for Payer: Mclaren Medicare |
$5,342.52
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$5,609.65
|
| Rate for Payer: Meridian Medicaid |
$5,609.65
|
| Rate for Payer: MI Amish Medical Board Commercial |
$6,143.90
|
| Rate for Payer: Molina Medicare/Medicaid |
$5,876.77
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,997.74
|
| Rate for Payer: Nomi Health Commercial |
$16,027.56
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,645.06
|
| Rate for Payer: PACE Medicare |
$5,075.39
|
| Rate for Payer: PACE SWMI |
$5,342.52
|
| Rate for Payer: PHP Commercial |
$2,997.74
|
| Rate for Payer: PHP Medicare Advantage |
$5,342.52
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,794.14
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$17,277.20
|
| Rate for Payer: Priority Health Medicare |
$5,342.52
|
| Rate for Payer: Priority Health SBD |
$2,221.85
|
| Rate for Payer: Priority Health Tiered Network |
$13,821.76
|
| Rate for Payer: Railroad Medicare Medicare |
$5,342.52
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$5,342.52
|
| Rate for Payer: UHC Medicaid |
$2,794.14
|
| Rate for Payer: UHCCP Medicaid |
$2,794.14
|
| Rate for Payer: UMR Bronson Commercial |
$1,304.90
|
| Rate for Payer: VA VA |
$5,342.52
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,645.06
|
|
|
HC INTRO SHEATH NON GUIDE LVL 1
|
Facility
|
IP
|
$41.77
|
|
|
Service Code
|
HCPCS C1894
|
| Hospital Charge Code |
27200276
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$18.38 |
| Max. Negotiated Rate |
$37.59 |
| Rate for Payer: Aetna American Axle |
$27.15
|
| Rate for Payer: Aetna Commercial |
$35.50
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$27.15
|
| Rate for Payer: Cash Price |
$33.42
|
| Rate for Payer: Cofinity Advantage |
$29.24
|
| Rate for Payer: Cofinity Commercial |
$35.92
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$33.42
|
| Rate for Payer: Healthscope Commercial |
$37.59
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$29.24
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$31.33
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$35.50
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$31.33
|
| Rate for Payer: PHP Commercial |
$35.50
|
| Rate for Payer: Priority Health SBD |
$26.32
|
| Rate for Payer: UMR Bronson Commercial |
$18.38
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$31.33
|
|
|
HC INTRO SHEATH NON GUIDE LVL 1
|
Facility
|
OP
|
$41.77
|
|
|
Service Code
|
HCPCS C1894
|
| Hospital Charge Code |
27200276
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$15.45 |
| Max. Negotiated Rate |
$37.59 |
| Rate for Payer: Aetna American Axle |
$27.15
|
| Rate for Payer: Aetna Commercial |
$35.50
|
| Rate for Payer: Aetna Medicare |
$20.89
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$27.15
|
| Rate for Payer: BCBS Complete |
$16.71
|
| Rate for Payer: Cash Price |
$33.42
|
| Rate for Payer: Cofinity Advantage |
$29.24
|
| Rate for Payer: Cofinity Commercial |
$35.92
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$33.42
|
| Rate for Payer: Healthscope Commercial |
$37.59
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$29.24
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$31.33
|
| Rate for Payer: MI Amish Medical Board Commercial |
$33.42
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$35.50
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$31.33
|
| Rate for Payer: PHP Commercial |
$35.50
|
| Rate for Payer: Priority Health SBD |
$26.32
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$27.15
|
| Rate for Payer: UHC Core |
$21.76
|
| Rate for Payer: UHC Exchange |
$16.42
|
| Rate for Payer: UMR Bronson Commercial |
$15.45
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$31.33
|
|
|
HC INTRO SHEATH NON GUIDE LVL 11
|
Facility
|
OP
|
$1,195.00
|
|
|
Service Code
|
HCPCS C1894
|
| Hospital Charge Code |
27200322
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$442.15 |
| Max. Negotiated Rate |
$1,075.50 |
| Rate for Payer: Aetna American Axle |
$776.75
|
| Rate for Payer: Aetna Commercial |
$1,015.75
|
| Rate for Payer: Aetna Medicare |
$597.50
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$776.75
|
| Rate for Payer: BCBS Complete |
$478.00
|
| Rate for Payer: Cash Price |
$956.00
|
| Rate for Payer: Cofinity Advantage |
$836.50
|
| Rate for Payer: Cofinity Commercial |
$1,027.70
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$956.00
|
| Rate for Payer: Healthscope Commercial |
$1,075.50
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$836.50
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$896.25
|
| Rate for Payer: MI Amish Medical Board Commercial |
$956.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,015.75
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$896.25
|
| Rate for Payer: PHP Commercial |
$1,015.75
|
| Rate for Payer: Priority Health SBD |
$752.85
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$776.75
|
| Rate for Payer: UHC Core |
$622.60
|
| Rate for Payer: UHC Exchange |
$469.63
|
| Rate for Payer: UMR Bronson Commercial |
$442.15
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$896.25
|
|
|
HC INTRO SHEATH NON GUIDE LVL 11
|
Facility
|
IP
|
$1,195.00
|
|
|
Service Code
|
HCPCS C1894
|
| Hospital Charge Code |
27200322
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$525.80 |
| Max. Negotiated Rate |
$1,075.50 |
| Rate for Payer: Aetna American Axle |
$776.75
|
| Rate for Payer: Aetna Commercial |
$1,015.75
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$776.75
|
| Rate for Payer: Cash Price |
$956.00
|
| Rate for Payer: Cofinity Advantage |
$836.50
|
| Rate for Payer: Cofinity Commercial |
$1,027.70
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$956.00
|
| Rate for Payer: Healthscope Commercial |
$1,075.50
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$836.50
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$896.25
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,015.75
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$896.25
|
| Rate for Payer: PHP Commercial |
$1,015.75
|
| Rate for Payer: Priority Health SBD |
$752.85
|
| Rate for Payer: UMR Bronson Commercial |
$525.80
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$896.25
|
|
|
HC INTRO SHEATH NON GUIDE LVL 2
|
Facility
|
OP
|
$162.30
|
|
|
Service Code
|
HCPCS C1894
|
| Hospital Charge Code |
27200020
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$60.05 |
| Max. Negotiated Rate |
$146.07 |
| Rate for Payer: Aetna American Axle |
$105.50
|
| Rate for Payer: Aetna Commercial |
$137.96
|
| Rate for Payer: Aetna Medicare |
$81.15
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$105.50
|
| Rate for Payer: BCBS Complete |
$64.92
|
| Rate for Payer: Cash Price |
$129.84
|
| Rate for Payer: Cofinity Advantage |
$113.61
|
| Rate for Payer: Cofinity Commercial |
$139.58
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$129.84
|
| Rate for Payer: Healthscope Commercial |
$146.07
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$113.61
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$121.72
|
| Rate for Payer: MI Amish Medical Board Commercial |
$129.84
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$137.96
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$121.72
|
| Rate for Payer: PHP Commercial |
$137.96
|
| Rate for Payer: Priority Health SBD |
$102.25
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$105.50
|
| Rate for Payer: UHC Core |
$84.56
|
| Rate for Payer: UHC Exchange |
$63.78
|
| Rate for Payer: UMR Bronson Commercial |
$60.05
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$121.72
|
|
|
HC INTRO SHEATH NON GUIDE LVL 2
|
Facility
|
IP
|
$162.30
|
|
|
Service Code
|
HCPCS C1894
|
| Hospital Charge Code |
27200020
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$71.41 |
| Max. Negotiated Rate |
$146.07 |
| Rate for Payer: Aetna American Axle |
$105.50
|
| Rate for Payer: Aetna Commercial |
$137.96
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$105.50
|
| Rate for Payer: Cash Price |
$129.84
|
| Rate for Payer: Cofinity Advantage |
$113.61
|
| Rate for Payer: Cofinity Commercial |
$139.58
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$129.84
|
| Rate for Payer: Healthscope Commercial |
$146.07
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$113.61
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$121.72
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$137.96
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$121.72
|
| Rate for Payer: PHP Commercial |
$137.96
|
| Rate for Payer: Priority Health SBD |
$102.25
|
| Rate for Payer: UMR Bronson Commercial |
$71.41
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$121.72
|
|
|
HC INTRO SHEATH NON GUIDE LVL 3
|
Facility
|
IP
|
$337.50
|
|
|
Service Code
|
HCPCS C1894
|
| Hospital Charge Code |
27200042
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$148.50 |
| Max. Negotiated Rate |
$303.75 |
| Rate for Payer: Aetna American Axle |
$219.38
|
| Rate for Payer: Aetna Commercial |
$286.88
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$219.38
|
| Rate for Payer: Cash Price |
$270.00
|
| Rate for Payer: Cofinity Advantage |
$236.25
|
| Rate for Payer: Cofinity Commercial |
$290.25
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$270.00
|
| Rate for Payer: Healthscope Commercial |
$303.75
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$236.25
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$253.12
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$286.88
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$253.12
|
| Rate for Payer: PHP Commercial |
$286.88
|
| Rate for Payer: Priority Health SBD |
$212.62
|
| Rate for Payer: UMR Bronson Commercial |
$148.50
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$253.12
|
|
|
HC INTRO SHEATH NON GUIDE LVL 3
|
Facility
|
OP
|
$337.50
|
|
|
Service Code
|
HCPCS C1894
|
| Hospital Charge Code |
27200042
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$124.88 |
| Max. Negotiated Rate |
$303.75 |
| Rate for Payer: Aetna American Axle |
$219.38
|
| Rate for Payer: Aetna Commercial |
$286.88
|
| Rate for Payer: Aetna Medicare |
$168.75
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$219.38
|
| Rate for Payer: BCBS Complete |
$135.00
|
| Rate for Payer: Cash Price |
$270.00
|
| Rate for Payer: Cofinity Advantage |
$236.25
|
| Rate for Payer: Cofinity Commercial |
$290.25
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$270.00
|
| Rate for Payer: Healthscope Commercial |
$303.75
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$236.25
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$253.12
|
| Rate for Payer: MI Amish Medical Board Commercial |
$270.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$286.88
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$253.12
|
| Rate for Payer: PHP Commercial |
$286.88
|
| Rate for Payer: Priority Health SBD |
$212.62
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$219.38
|
| Rate for Payer: UHC Core |
$175.84
|
| Rate for Payer: UHC Exchange |
$132.64
|
| Rate for Payer: UMR Bronson Commercial |
$124.88
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$253.12
|
|
|
HC INTRO SHEATH NON GUIDE LVL 4
|
Facility
|
OP
|
$485.16
|
|
|
Service Code
|
HCPCS C1894
|
| Hospital Charge Code |
27200277
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$179.51 |
| Max. Negotiated Rate |
$436.64 |
| Rate for Payer: Aetna American Axle |
$315.35
|
| Rate for Payer: Aetna Commercial |
$412.39
|
| Rate for Payer: Aetna Medicare |
$242.58
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$315.35
|
| Rate for Payer: BCBS Complete |
$194.06
|
| Rate for Payer: Cash Price |
$388.13
|
| Rate for Payer: Cofinity Advantage |
$339.61
|
| Rate for Payer: Cofinity Commercial |
$417.24
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$388.13
|
| Rate for Payer: Healthscope Commercial |
$436.64
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$339.61
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$363.87
|
| Rate for Payer: MI Amish Medical Board Commercial |
$388.13
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$412.39
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$363.87
|
| Rate for Payer: PHP Commercial |
$412.39
|
| Rate for Payer: Priority Health SBD |
$305.65
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$315.35
|
| Rate for Payer: UHC Core |
$252.77
|
| Rate for Payer: UHC Exchange |
$190.67
|
| Rate for Payer: UMR Bronson Commercial |
$179.51
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$363.87
|
|
|
HC INTRO SHEATH NON GUIDE LVL 4
|
Facility
|
IP
|
$485.16
|
|
|
Service Code
|
HCPCS C1894
|
| Hospital Charge Code |
27200277
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$213.47 |
| Max. Negotiated Rate |
$436.64 |
| Rate for Payer: Aetna American Axle |
$315.35
|
| Rate for Payer: Aetna Commercial |
$412.39
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$315.35
|
| Rate for Payer: Cash Price |
$388.13
|
| Rate for Payer: Cofinity Advantage |
$339.61
|
| Rate for Payer: Cofinity Commercial |
$417.24
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$388.13
|
| Rate for Payer: Healthscope Commercial |
$436.64
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$339.61
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$363.87
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$412.39
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$363.87
|
| Rate for Payer: PHP Commercial |
$412.39
|
| Rate for Payer: Priority Health SBD |
$305.65
|
| Rate for Payer: UMR Bronson Commercial |
$213.47
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$363.87
|
|
|
HC IODINE, S
|
Facility
|
IP
|
$63.67
|
|
|
Service Code
|
CPT 83789
|
| Hospital Charge Code |
30100687
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$28.01 |
| Max. Negotiated Rate |
$57.30 |
| Rate for Payer: Aetna American Axle |
$41.39
|
| Rate for Payer: Aetna Commercial |
$54.12
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$41.39
|
| Rate for Payer: Cash Price |
$50.94
|
| Rate for Payer: Cofinity Advantage |
$44.57
|
| Rate for Payer: Cofinity Commercial |
$54.76
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$50.94
|
| Rate for Payer: Healthscope Commercial |
$57.30
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$44.57
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$47.75
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$54.12
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$47.75
|
| Rate for Payer: PHP Commercial |
$54.12
|
| Rate for Payer: Priority Health SBD |
$40.11
|
| Rate for Payer: UMR Bronson Commercial |
$28.01
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$47.75
|
|
|
HC IODINE, S
|
Facility
|
OP
|
$63.67
|
|
|
Service Code
|
CPT 83789
|
| Hospital Charge Code |
30100687
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$12.61 |
| Max. Negotiated Rate |
$57.30 |
| Rate for Payer: Aetna American Axle |
$41.39
|
| Rate for Payer: Aetna Commercial |
$54.12
|
| Rate for Payer: Aetna Medicare |
$25.07
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$41.39
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$30.14
|
| Rate for Payer: Amish Plain Church Group Commercial |
$30.14
|
| Rate for Payer: BCBS Complete |
$13.24
|
| Rate for Payer: BCBS MAPPO |
$24.11
|
| Rate for Payer: BCBS Trust/PPO |
$27.87
|
| Rate for Payer: BCN Commercial |
$27.87
|
| Rate for Payer: BCN Medicare Advantage |
$24.11
|
| Rate for Payer: Cash Price |
$50.94
|
| Rate for Payer: Cash Price |
$50.94
|
| Rate for Payer: Cofinity Advantage |
$44.57
|
| Rate for Payer: Cofinity Commercial |
$54.76
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$50.94
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$24.11
|
| Rate for Payer: Healthscope Commercial |
$57.30
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$44.57
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$47.75
|
| Rate for Payer: Mclaren Medicaid |
$24.11
|
| Rate for Payer: Mclaren Medicare |
$24.11
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$25.32
|
| Rate for Payer: Meridian Medicaid |
$25.32
|
| Rate for Payer: MI Amish Medical Board Commercial |
$27.73
|
| Rate for Payer: Molina Medicare/Medicaid |
$26.52
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$54.12
|
| Rate for Payer: Nomi Health Commercial |
$36.16
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$47.75
|
| Rate for Payer: PACE Medicare |
$22.90
|
| Rate for Payer: PACE SWMI |
$24.11
|
| Rate for Payer: PHP Commercial |
$54.12
|
| Rate for Payer: PHP Medicare Advantage |
$24.11
|
| Rate for Payer: Priority Health Choice Medicaid |
$12.61
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$24.11
|
| Rate for Payer: Priority Health Medicare |
$24.11
|
| Rate for Payer: Priority Health SBD |
$40.11
|
| Rate for Payer: Priority Health Tiered Network |
$19.29
|
| Rate for Payer: Railroad Medicare Medicare |
$24.11
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$36.17
|
| Rate for Payer: UHC Core |
$36.17
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$24.11
|
| Rate for Payer: UHC Exchange |
$36.17
|
| Rate for Payer: UHC Medicaid |
$12.61
|
| Rate for Payer: UHCCP Medicaid |
$12.61
|
| Rate for Payer: UMR Bronson Commercial |
$23.56
|
| Rate for Payer: VA VA |
$24.11
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$47.75
|
|
|
HC IOFLUPANE I-123 PER STUDY
|
Facility
|
OP
|
$5,545.36
|
|
|
Service Code
|
HCPCS A9584
|
| Hospital Charge Code |
34300035
|
|
Hospital Revenue Code
|
343
|
| Min. Negotiated Rate |
$725.79 |
| Max. Negotiated Rate |
$4,990.82 |
| Rate for Payer: Aetna American Axle |
$3,604.48
|
| Rate for Payer: Aetna Commercial |
$4,713.56
|
| Rate for Payer: Aetna Medicare |
$1,443.25
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$3,604.48
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,734.67
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1,734.67
|
| Rate for Payer: BCBS Complete |
$762.15
|
| Rate for Payer: BCBS MAPPO |
$1,387.74
|
| Rate for Payer: BCBS Trust/PPO |
$2,139.36
|
| Rate for Payer: BCN Commercial |
$2,139.36
|
| Rate for Payer: BCN Medicare Advantage |
$1,387.74
|
| Rate for Payer: Cash Price |
$4,436.29
|
| Rate for Payer: Cash Price |
$4,436.29
|
| Rate for Payer: Cofinity Advantage |
$3,881.75
|
| Rate for Payer: Cofinity Commercial |
$4,769.01
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$4,436.29
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,387.74
|
| Rate for Payer: Healthscope Commercial |
$4,990.82
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$3,881.75
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$4,159.02
|
| Rate for Payer: Mclaren Medicaid |
$1,387.74
|
| Rate for Payer: Mclaren Medicare |
$1,387.74
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,457.13
|
| Rate for Payer: Meridian Medicaid |
$1,457.13
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,595.90
|
| Rate for Payer: Molina Medicare/Medicaid |
$1,526.51
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$4,713.56
|
| Rate for Payer: Nomi Health Commercial |
$4,163.22
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$4,159.02
|
| Rate for Payer: PACE Medicare |
$1,318.35
|
| Rate for Payer: PACE SWMI |
$1,387.74
|
| Rate for Payer: PHP Commercial |
$4,713.56
|
| Rate for Payer: PHP Medicare Advantage |
$1,387.74
|
| Rate for Payer: Priority Health Choice Medicaid |
$725.79
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$4,376.90
|
| Rate for Payer: Priority Health Medicare |
$1,387.74
|
| Rate for Payer: Priority Health SBD |
$3,493.58
|
| Rate for Payer: Priority Health Tiered Network |
$3,501.52
|
| Rate for Payer: Railroad Medicare Medicare |
$1,387.74
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,289.77
|
| Rate for Payer: UHC Core |
$2,289.77
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$1,387.74
|
| Rate for Payer: UHC Exchange |
$2,289.77
|
| Rate for Payer: UHC Medicaid |
$725.79
|
| Rate for Payer: UHCCP Medicaid |
$725.79
|
| Rate for Payer: UMR Bronson Commercial |
$2,051.78
|
| Rate for Payer: VA VA |
$1,387.74
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$4,159.02
|
|
|
HC IOFLUPANE I-123 PER STUDY
|
Facility
|
IP
|
$5,545.36
|
|
|
Service Code
|
HCPCS A9584
|
| Hospital Charge Code |
34300035
|
|
Hospital Revenue Code
|
343
|
| Min. Negotiated Rate |
$2,439.96 |
| Max. Negotiated Rate |
$4,990.82 |
| Rate for Payer: Aetna American Axle |
$3,604.48
|
| Rate for Payer: Aetna Commercial |
$4,713.56
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$3,604.48
|
| Rate for Payer: Cash Price |
$4,436.29
|
| Rate for Payer: Cofinity Advantage |
$3,881.75
|
| Rate for Payer: Cofinity Commercial |
$4,769.01
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$4,436.29
|
| Rate for Payer: Healthscope Commercial |
$4,990.82
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$3,881.75
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$4,159.02
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$4,713.56
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$4,159.02
|
| Rate for Payer: PHP Commercial |
$4,713.56
|
| Rate for Payer: Priority Health SBD |
$3,493.58
|
| Rate for Payer: UMR Bronson Commercial |
$2,439.96
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$4,159.02
|
|
|
HC IOM EEG CAROTID ENDARTERECTOMY
|
Facility
|
OP
|
$1,323.85
|
|
|
Service Code
|
CPT 95955
|
| Hospital Charge Code |
74000014
|
|
Hospital Revenue Code
|
740
|
| Min. Negotiated Rate |
$489.82 |
| Max. Negotiated Rate |
$1,191.46 |
| Rate for Payer: Aetna American Axle |
$860.50
|
| Rate for Payer: Aetna Commercial |
$1,125.27
|
| Rate for Payer: Aetna Medicare |
$661.92
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$860.50
|
| Rate for Payer: BCBS Complete |
$529.54
|
| Rate for Payer: BCBS Trust/PPO |
$546.65
|
| Rate for Payer: BCN Commercial |
$546.65
|
| Rate for Payer: Cash Price |
$1,059.08
|
| Rate for Payer: Cash Price |
$1,059.08
|
| Rate for Payer: Cofinity Advantage |
$926.70
|
| Rate for Payer: Cofinity Commercial |
$1,138.51
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,059.08
|
| Rate for Payer: Healthscope Commercial |
$1,191.46
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$926.70
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$992.89
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,059.08
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,125.27
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$992.89
|
| Rate for Payer: PHP Commercial |
$1,125.27
|
| Rate for Payer: Priority Health SBD |
$834.03
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$860.50
|
| Rate for Payer: UHC Core |
$689.73
|
| Rate for Payer: UHC Exchange |
$520.27
|
| Rate for Payer: UMR Bronson Commercial |
$489.82
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$992.89
|
|
|
HC IOM EEG CAROTID ENDARTERECTOMY
|
Facility
|
IP
|
$1,323.85
|
|
|
Service Code
|
CPT 95955
|
| Hospital Charge Code |
74000014
|
|
Hospital Revenue Code
|
740
|
| Min. Negotiated Rate |
$582.49 |
| Max. Negotiated Rate |
$1,191.46 |
| Rate for Payer: Aetna American Axle |
$860.50
|
| Rate for Payer: Aetna Commercial |
$1,125.27
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$860.50
|
| Rate for Payer: Cash Price |
$1,059.08
|
| Rate for Payer: Cofinity Advantage |
$926.70
|
| Rate for Payer: Cofinity Commercial |
$1,138.51
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,059.08
|
| Rate for Payer: Healthscope Commercial |
$1,191.46
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$926.70
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$992.89
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,125.27
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$992.89
|
| Rate for Payer: PHP Commercial |
$1,125.27
|
| Rate for Payer: Priority Health SBD |
$834.03
|
| Rate for Payer: UMR Bronson Commercial |
$582.49
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$992.89
|
|
|
HC IOM INTRAOPERATIVE MONITOR/15 MINUTES
|
Facility
|
OP
|
$190.81
|
|
|
Service Code
|
CPT 95940
|
| Hospital Charge Code |
74000017
|
|
Hospital Revenue Code
|
740
|
| Min. Negotiated Rate |
$70.60 |
| Max. Negotiated Rate |
$171.73 |
| Rate for Payer: Aetna American Axle |
$124.03
|
| Rate for Payer: Aetna Commercial |
$162.19
|
| Rate for Payer: Aetna Medicare |
$95.41
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$124.03
|
| Rate for Payer: BCBS Complete |
$76.32
|
| Rate for Payer: Cash Price |
$152.65
|
| Rate for Payer: Cofinity Advantage |
$133.57
|
| Rate for Payer: Cofinity Commercial |
$164.10
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$152.65
|
| Rate for Payer: Healthscope Commercial |
$171.73
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$133.57
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$143.11
|
| Rate for Payer: MI Amish Medical Board Commercial |
$152.65
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$162.19
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$143.11
|
| Rate for Payer: PHP Commercial |
$162.19
|
| Rate for Payer: Priority Health SBD |
$120.21
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$124.03
|
| Rate for Payer: UHC Core |
$99.41
|
| Rate for Payer: UHC Exchange |
$74.99
|
| Rate for Payer: UMR Bronson Commercial |
$70.60
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$143.11
|
|
|
HC IOM INTRAOPERATIVE MONITOR/15 MINUTES
|
Facility
|
IP
|
$190.81
|
|
|
Service Code
|
CPT 95940
|
| Hospital Charge Code |
74000017
|
|
Hospital Revenue Code
|
740
|
| Min. Negotiated Rate |
$83.96 |
| Max. Negotiated Rate |
$171.73 |
| Rate for Payer: Aetna American Axle |
$124.03
|
| Rate for Payer: Aetna Commercial |
$162.19
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$124.03
|
| Rate for Payer: Cash Price |
$152.65
|
| Rate for Payer: Cofinity Advantage |
$133.57
|
| Rate for Payer: Cofinity Commercial |
$164.10
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$152.65
|
| Rate for Payer: Healthscope Commercial |
$171.73
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$133.57
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$143.11
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$162.19
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$143.11
|
| Rate for Payer: PHP Commercial |
$162.19
|
| Rate for Payer: Priority Health SBD |
$120.21
|
| Rate for Payer: UMR Bronson Commercial |
$83.96
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$143.11
|
|
|
HC IOM STD PRASS PROBE
|
Facility
|
IP
|
$364.53
|
|
| Hospital Charge Code |
62200008
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$160.39 |
| Max. Negotiated Rate |
$328.08 |
| Rate for Payer: Aetna American Axle |
$236.94
|
| Rate for Payer: Aetna Commercial |
$309.85
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$236.94
|
| Rate for Payer: Cash Price |
$291.62
|
| Rate for Payer: Cofinity Advantage |
$255.17
|
| Rate for Payer: Cofinity Commercial |
$313.50
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$291.62
|
| Rate for Payer: Healthscope Commercial |
$328.08
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$255.17
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$273.40
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$309.85
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$273.40
|
| Rate for Payer: PHP Commercial |
$309.85
|
| Rate for Payer: Priority Health SBD |
$229.65
|
| Rate for Payer: UMR Bronson Commercial |
$160.39
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$273.40
|
|
|
HC IOM STD PRASS PROBE
|
Facility
|
OP
|
$364.53
|
|
| Hospital Charge Code |
62200008
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$134.88 |
| Max. Negotiated Rate |
$328.08 |
| Rate for Payer: Aetna American Axle |
$236.94
|
| Rate for Payer: Aetna Commercial |
$309.85
|
| Rate for Payer: Aetna Medicare |
$182.26
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$236.94
|
| Rate for Payer: BCBS Complete |
$145.81
|
| Rate for Payer: Cash Price |
$291.62
|
| Rate for Payer: Cofinity Advantage |
$255.17
|
| Rate for Payer: Cofinity Commercial |
$313.50
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$291.62
|
| Rate for Payer: Healthscope Commercial |
$328.08
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$255.17
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$273.40
|
| Rate for Payer: MI Amish Medical Board Commercial |
$291.62
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$309.85
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$273.40
|
| Rate for Payer: PHP Commercial |
$309.85
|
| Rate for Payer: Priority Health SBD |
$229.65
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$236.94
|
| Rate for Payer: UHC Core |
$189.92
|
| Rate for Payer: UHC Exchange |
$143.26
|
| Rate for Payer: UMR Bronson Commercial |
$134.88
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$273.40
|
|
|
HC IOM SUBDERMAL RECORDING ELECTR
|
Facility
|
OP
|
$15.67
|
|
| Hospital Charge Code |
62200009
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$5.80 |
| Max. Negotiated Rate |
$14.10 |
| Rate for Payer: Aetna American Axle |
$10.19
|
| Rate for Payer: Aetna Commercial |
$13.32
|
| Rate for Payer: Aetna Medicare |
$7.83
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$10.19
|
| Rate for Payer: BCBS Complete |
$6.27
|
| Rate for Payer: Cash Price |
$12.54
|
| Rate for Payer: Cofinity Advantage |
$10.97
|
| Rate for Payer: Cofinity Commercial |
$13.48
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$12.54
|
| Rate for Payer: Healthscope Commercial |
$14.10
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$10.97
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$11.75
|
| Rate for Payer: MI Amish Medical Board Commercial |
$12.54
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$13.32
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$11.75
|
| Rate for Payer: PHP Commercial |
$13.32
|
| Rate for Payer: Priority Health SBD |
$9.87
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$10.19
|
| Rate for Payer: UHC Core |
$8.16
|
| Rate for Payer: UHC Exchange |
$6.16
|
| Rate for Payer: UMR Bronson Commercial |
$5.80
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$11.75
|
|
