|
HC IR CENTRAL LINE CHECK W FLUOROSCOPY
|
Facility
|
IP
|
$566.77
|
|
|
Service Code
|
CPT 36598
|
| Hospital Charge Code |
36100145
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$249.38 |
| Max. Negotiated Rate |
$510.09 |
| Rate for Payer: Aetna American Axle |
$368.40
|
| Rate for Payer: Aetna Commercial |
$481.75
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$368.40
|
| Rate for Payer: Cash Price |
$453.42
|
| Rate for Payer: Cofinity Advantage |
$396.74
|
| Rate for Payer: Cofinity Commercial |
$487.42
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$453.42
|
| Rate for Payer: Healthscope Commercial |
$510.09
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$396.74
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$425.08
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$481.75
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$425.08
|
| Rate for Payer: PHP Commercial |
$481.75
|
| Rate for Payer: Priority Health SBD |
$357.07
|
| Rate for Payer: UMR Bronson Commercial |
$249.38
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$425.08
|
|
|
HC IR CYSTOSTOMY WITH DRAINAGE
|
Facility
|
OP
|
$3,631.99
|
|
|
Service Code
|
CPT 51040
|
| Hospital Charge Code |
36100398
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$1,089.34 |
| Max. Negotiated Rate |
$6,735.82 |
| Rate for Payer: Aetna American Axle |
$2,360.79
|
| Rate for Payer: Aetna Commercial |
$3,087.19
|
| Rate for Payer: Aetna Medicare |
$2,166.18
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,360.79
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$2,603.59
|
| Rate for Payer: Amish Plain Church Group Commercial |
$2,603.59
|
| Rate for Payer: BCBS Complete |
$1,143.91
|
| Rate for Payer: BCBS MAPPO |
$2,082.87
|
| Rate for Payer: BCBS Trust/PPO |
$2,006.57
|
| Rate for Payer: BCN Commercial |
$2,006.57
|
| Rate for Payer: BCN Medicare Advantage |
$2,082.87
|
| Rate for Payer: Cash Price |
$2,905.59
|
| Rate for Payer: Cash Price |
$2,905.59
|
| Rate for Payer: Cash Price |
$2,905.59
|
| Rate for Payer: Cofinity Advantage |
$2,542.39
|
| Rate for Payer: Cofinity Commercial |
$3,123.51
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,905.59
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,082.87
|
| Rate for Payer: Healthscope Commercial |
$3,268.79
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$2,542.39
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,723.99
|
| Rate for Payer: Mclaren Medicaid |
$2,082.87
|
| Rate for Payer: Mclaren Medicare |
$2,082.87
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$2,187.01
|
| Rate for Payer: Meridian Medicaid |
$2,187.01
|
| Rate for Payer: MI Amish Medical Board Commercial |
$2,395.30
|
| Rate for Payer: Molina Medicare/Medicaid |
$2,291.16
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,087.19
|
| Rate for Payer: Nomi Health Commercial |
$6,248.61
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,723.99
|
| Rate for Payer: PACE Medicare |
$1,978.73
|
| Rate for Payer: PACE SWMI |
$2,082.87
|
| Rate for Payer: PHP Commercial |
$3,087.19
|
| Rate for Payer: PHP Medicare Advantage |
$2,082.87
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,089.34
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$6,735.82
|
| Rate for Payer: Priority Health Medicare |
$2,082.87
|
| Rate for Payer: Priority Health SBD |
$2,288.15
|
| Rate for Payer: Priority Health Tiered Network |
$5,388.66
|
| Rate for Payer: Railroad Medicare Medicare |
$2,082.87
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$2,082.87
|
| Rate for Payer: UHC Medicaid |
$1,089.34
|
| Rate for Payer: UHCCP Medicaid |
$1,089.34
|
| Rate for Payer: UMR Bronson Commercial |
$1,343.84
|
| Rate for Payer: VA VA |
$2,082.87
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,723.99
|
|
|
HC IR CYSTOSTOMY WITH DRAINAGE
|
Facility
|
IP
|
$3,631.99
|
|
|
Service Code
|
CPT 51040
|
| Hospital Charge Code |
36100398
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$1,598.08 |
| Max. Negotiated Rate |
$3,268.79 |
| Rate for Payer: Aetna American Axle |
$2,360.79
|
| Rate for Payer: Aetna Commercial |
$3,087.19
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,360.79
|
| Rate for Payer: Cash Price |
$2,905.59
|
| Rate for Payer: Cofinity Advantage |
$2,542.39
|
| Rate for Payer: Cofinity Commercial |
$3,123.51
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,905.59
|
| Rate for Payer: Healthscope Commercial |
$3,268.79
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$2,542.39
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,723.99
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,087.19
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,723.99
|
| Rate for Payer: PHP Commercial |
$3,087.19
|
| Rate for Payer: Priority Health SBD |
$2,288.15
|
| Rate for Payer: UMR Bronson Commercial |
$1,598.08
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,723.99
|
|
|
HC IR DISKOGRAM CERVICAL THORACIC
|
Facility
|
OP
|
$2,609.30
|
|
|
Service Code
|
CPT 72285
|
| Hospital Charge Code |
32000057
|
|
Hospital Revenue Code
|
320
|
| Min. Negotiated Rate |
$187.99 |
| Max. Negotiated Rate |
$6,292.24 |
| Rate for Payer: Aetna American Axle |
$1,696.05
|
| Rate for Payer: Aetna Commercial |
$2,217.91
|
| Rate for Payer: Aetna Medicare |
$2,023.53
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,696.05
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$2,432.12
|
| Rate for Payer: Amish Plain Church Group Commercial |
$2,432.12
|
| Rate for Payer: BCBS Complete |
$1,068.58
|
| Rate for Payer: BCBS MAPPO |
$1,945.70
|
| Rate for Payer: BCBS Trust/PPO |
$187.99
|
| Rate for Payer: BCN Commercial |
$187.99
|
| Rate for Payer: BCN Medicare Advantage |
$1,945.70
|
| Rate for Payer: Cash Price |
$2,087.44
|
| Rate for Payer: Cash Price |
$2,087.44
|
| Rate for Payer: Cofinity Advantage |
$1,826.51
|
| Rate for Payer: Cofinity Commercial |
$2,244.00
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,087.44
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,945.70
|
| Rate for Payer: Healthscope Commercial |
$2,348.37
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,826.51
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,956.97
|
| Rate for Payer: Mclaren Medicaid |
$1,945.70
|
| Rate for Payer: Mclaren Medicare |
$1,945.70
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$2,042.98
|
| Rate for Payer: Meridian Medicaid |
$2,042.98
|
| Rate for Payer: MI Amish Medical Board Commercial |
$2,237.55
|
| Rate for Payer: Molina Medicare/Medicaid |
$2,140.27
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,217.91
|
| Rate for Payer: Nomi Health Commercial |
$5,837.10
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,956.97
|
| Rate for Payer: PACE Medicare |
$1,848.41
|
| Rate for Payer: PACE SWMI |
$1,945.70
|
| Rate for Payer: PHP Commercial |
$2,217.91
|
| Rate for Payer: PHP Medicare Advantage |
$1,945.70
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,017.60
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$6,292.24
|
| Rate for Payer: Priority Health Medicare |
$1,945.70
|
| Rate for Payer: Priority Health SBD |
$1,643.86
|
| Rate for Payer: Priority Health Tiered Network |
$5,033.79
|
| Rate for Payer: Railroad Medicare Medicare |
$1,945.70
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,696.05
|
| Rate for Payer: UHC Core |
$1,359.45
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$1,945.70
|
| Rate for Payer: UHC Exchange |
$1,025.45
|
| Rate for Payer: UHC Medicaid |
$1,017.60
|
| Rate for Payer: UHCCP Medicaid |
$1,017.60
|
| Rate for Payer: UMR Bronson Commercial |
$965.44
|
| Rate for Payer: VA VA |
$1,945.70
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,956.97
|
|
|
HC IR DISKOGRAM CERVICAL THORACIC
|
Facility
|
IP
|
$2,609.30
|
|
|
Service Code
|
CPT 72285
|
| Hospital Charge Code |
32000057
|
|
Hospital Revenue Code
|
320
|
| Min. Negotiated Rate |
$1,148.09 |
| Max. Negotiated Rate |
$2,348.37 |
| Rate for Payer: Aetna American Axle |
$1,696.05
|
| Rate for Payer: Aetna Commercial |
$2,217.91
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,696.05
|
| Rate for Payer: Cash Price |
$2,087.44
|
| Rate for Payer: Cofinity Advantage |
$1,826.51
|
| Rate for Payer: Cofinity Commercial |
$2,244.00
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,087.44
|
| Rate for Payer: Healthscope Commercial |
$2,348.37
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,826.51
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,956.97
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,217.91
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,956.97
|
| Rate for Payer: PHP Commercial |
$2,217.91
|
| Rate for Payer: Priority Health SBD |
$1,643.86
|
| Rate for Payer: UMR Bronson Commercial |
$1,148.09
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,956.97
|
|
|
HC IR DISKOGRAM LUMBAR ONLY
|
Facility
|
OP
|
$2,987.61
|
|
|
Service Code
|
CPT 72295
|
| Hospital Charge Code |
32000277
|
|
Hospital Revenue Code
|
320
|
| Min. Negotiated Rate |
$175.68 |
| Max. Negotiated Rate |
$6,292.24 |
| Rate for Payer: Aetna American Axle |
$1,941.95
|
| Rate for Payer: Aetna Commercial |
$2,539.47
|
| Rate for Payer: Aetna Medicare |
$2,023.53
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,941.95
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$2,432.12
|
| Rate for Payer: Amish Plain Church Group Commercial |
$2,432.12
|
| Rate for Payer: BCBS Complete |
$1,068.58
|
| Rate for Payer: BCBS MAPPO |
$1,945.70
|
| Rate for Payer: BCBS Trust/PPO |
$175.68
|
| Rate for Payer: BCN Commercial |
$175.68
|
| Rate for Payer: BCN Medicare Advantage |
$1,945.70
|
| Rate for Payer: Cash Price |
$2,390.09
|
| Rate for Payer: Cash Price |
$2,390.09
|
| Rate for Payer: Cofinity Advantage |
$2,091.33
|
| Rate for Payer: Cofinity Commercial |
$2,569.34
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,390.09
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,945.70
|
| Rate for Payer: Healthscope Commercial |
$2,688.85
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$2,091.33
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,240.71
|
| Rate for Payer: Mclaren Medicaid |
$1,945.70
|
| Rate for Payer: Mclaren Medicare |
$1,945.70
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$2,042.98
|
| Rate for Payer: Meridian Medicaid |
$2,042.98
|
| Rate for Payer: MI Amish Medical Board Commercial |
$2,237.55
|
| Rate for Payer: Molina Medicare/Medicaid |
$2,140.27
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,539.47
|
| Rate for Payer: Nomi Health Commercial |
$5,837.10
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,240.71
|
| Rate for Payer: PACE Medicare |
$1,848.41
|
| Rate for Payer: PACE SWMI |
$1,945.70
|
| Rate for Payer: PHP Commercial |
$2,539.47
|
| Rate for Payer: PHP Medicare Advantage |
$1,945.70
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,017.60
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$6,292.24
|
| Rate for Payer: Priority Health Medicare |
$1,945.70
|
| Rate for Payer: Priority Health SBD |
$1,882.19
|
| Rate for Payer: Priority Health Tiered Network |
$5,033.79
|
| Rate for Payer: Railroad Medicare Medicare |
$1,945.70
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,941.95
|
| Rate for Payer: UHC Core |
$1,556.54
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$1,945.70
|
| Rate for Payer: UHC Exchange |
$1,174.13
|
| Rate for Payer: UHC Medicaid |
$1,017.60
|
| Rate for Payer: UHCCP Medicaid |
$1,017.60
|
| Rate for Payer: UMR Bronson Commercial |
$1,105.42
|
| Rate for Payer: VA VA |
$1,945.70
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,240.71
|
|
|
HC IR DISKOGRAM LUMBAR ONLY
|
Facility
|
IP
|
$2,987.61
|
|
|
Service Code
|
CPT 72295
|
| Hospital Charge Code |
32000277
|
|
Hospital Revenue Code
|
320
|
| Min. Negotiated Rate |
$1,314.55 |
| Max. Negotiated Rate |
$2,688.85 |
| Rate for Payer: Aetna American Axle |
$1,941.95
|
| Rate for Payer: Aetna Commercial |
$2,539.47
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,941.95
|
| Rate for Payer: Cash Price |
$2,390.09
|
| Rate for Payer: Cofinity Advantage |
$2,091.33
|
| Rate for Payer: Cofinity Commercial |
$2,569.34
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,390.09
|
| Rate for Payer: Healthscope Commercial |
$2,688.85
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$2,091.33
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,240.71
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,539.47
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,240.71
|
| Rate for Payer: PHP Commercial |
$2,539.47
|
| Rate for Payer: Priority Health SBD |
$1,882.19
|
| Rate for Payer: UMR Bronson Commercial |
$1,314.55
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,240.71
|
|
|
HC IR EMBOLIZATION
|
Facility
|
IP
|
$3,569.52
|
|
|
Service Code
|
CPT 75894
|
| Hospital Charge Code |
32000210
|
|
Hospital Revenue Code
|
320
|
| Min. Negotiated Rate |
$1,570.59 |
| Max. Negotiated Rate |
$3,212.57 |
| Rate for Payer: Aetna American Axle |
$2,320.19
|
| Rate for Payer: Aetna Commercial |
$3,034.09
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,320.19
|
| Rate for Payer: Cash Price |
$2,855.62
|
| Rate for Payer: Cofinity Advantage |
$2,498.66
|
| Rate for Payer: Cofinity Commercial |
$3,069.79
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,855.62
|
| Rate for Payer: Healthscope Commercial |
$3,212.57
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$2,498.66
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,677.14
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,034.09
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,677.14
|
| Rate for Payer: PHP Commercial |
$3,034.09
|
| Rate for Payer: Priority Health SBD |
$2,248.80
|
| Rate for Payer: UMR Bronson Commercial |
$1,570.59
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,677.14
|
|
|
HC IR EMBOLIZATION
|
Facility
|
OP
|
$3,569.52
|
|
|
Service Code
|
CPT 75894
|
| Hospital Charge Code |
32000210
|
|
Hospital Revenue Code
|
320
|
| Min. Negotiated Rate |
$1,320.72 |
| Max. Negotiated Rate |
$3,212.57 |
| Rate for Payer: Aetna American Axle |
$2,320.19
|
| Rate for Payer: Aetna Commercial |
$3,034.09
|
| Rate for Payer: Aetna Medicare |
$1,784.76
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,320.19
|
| Rate for Payer: BCBS Complete |
$1,427.81
|
| Rate for Payer: BCBS Trust/PPO |
$2,276.35
|
| Rate for Payer: BCN Commercial |
$2,276.35
|
| Rate for Payer: Cash Price |
$2,855.62
|
| Rate for Payer: Cash Price |
$2,855.62
|
| Rate for Payer: Cofinity Advantage |
$2,498.66
|
| Rate for Payer: Cofinity Commercial |
$3,069.79
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,855.62
|
| Rate for Payer: Healthscope Commercial |
$3,212.57
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$2,498.66
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,677.14
|
| Rate for Payer: MI Amish Medical Board Commercial |
$2,855.62
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,034.09
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,677.14
|
| Rate for Payer: PHP Commercial |
$3,034.09
|
| Rate for Payer: Priority Health SBD |
$2,248.80
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,320.19
|
| Rate for Payer: UHC Core |
$1,859.72
|
| Rate for Payer: UHC Exchange |
$1,402.82
|
| Rate for Payer: UMR Bronson Commercial |
$1,320.72
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,677.14
|
|
|
HC IR ERCP
|
Facility
|
IP
|
$832.99
|
|
|
Service Code
|
CPT 74330
|
| Hospital Charge Code |
32000155
|
|
Hospital Revenue Code
|
320
|
| Min. Negotiated Rate |
$366.52 |
| Max. Negotiated Rate |
$749.69 |
| Rate for Payer: Aetna American Axle |
$541.44
|
| Rate for Payer: Aetna Commercial |
$708.04
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$541.44
|
| Rate for Payer: Cash Price |
$666.39
|
| Rate for Payer: Cofinity Advantage |
$583.09
|
| Rate for Payer: Cofinity Commercial |
$716.37
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$666.39
|
| Rate for Payer: Healthscope Commercial |
$749.69
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$583.09
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$624.74
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$708.04
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$624.74
|
| Rate for Payer: PHP Commercial |
$708.04
|
| Rate for Payer: Priority Health SBD |
$524.78
|
| Rate for Payer: UMR Bronson Commercial |
$366.52
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$624.74
|
|
|
HC IR ERCP
|
Facility
|
OP
|
$832.99
|
|
|
Service Code
|
CPT 74330
|
| Hospital Charge Code |
32000155
|
|
Hospital Revenue Code
|
320
|
| Min. Negotiated Rate |
$178.13 |
| Max. Negotiated Rate |
$749.69 |
| Rate for Payer: Aetna American Axle |
$541.44
|
| Rate for Payer: Aetna Commercial |
$708.04
|
| Rate for Payer: Aetna Medicare |
$416.50
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$541.44
|
| Rate for Payer: BCBS Complete |
$333.20
|
| Rate for Payer: BCBS Trust/PPO |
$178.13
|
| Rate for Payer: BCN Commercial |
$178.13
|
| Rate for Payer: Cash Price |
$666.39
|
| Rate for Payer: Cash Price |
$666.39
|
| Rate for Payer: Cofinity Advantage |
$583.09
|
| Rate for Payer: Cofinity Commercial |
$716.37
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$666.39
|
| Rate for Payer: Healthscope Commercial |
$749.69
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$583.09
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$624.74
|
| Rate for Payer: MI Amish Medical Board Commercial |
$666.39
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$708.04
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$624.74
|
| Rate for Payer: PHP Commercial |
$708.04
|
| Rate for Payer: Priority Health SBD |
$524.78
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$541.44
|
| Rate for Payer: UHC Core |
$433.99
|
| Rate for Payer: UHC Exchange |
$327.37
|
| Rate for Payer: UMR Bronson Commercial |
$308.21
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$624.74
|
|
|
HC IR FIBRIN STRIPPING OF VAD
|
Facility
|
OP
|
$641.52
|
|
|
Service Code
|
CPT 75901
|
| Hospital Charge Code |
32000275
|
|
Hospital Revenue Code
|
320
|
| Min. Negotiated Rate |
$237.36 |
| Max. Negotiated Rate |
$577.37 |
| Rate for Payer: Aetna American Axle |
$416.99
|
| Rate for Payer: Aetna Commercial |
$545.29
|
| Rate for Payer: Aetna Medicare |
$320.76
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$416.99
|
| Rate for Payer: BCBS Complete |
$256.61
|
| Rate for Payer: BCBS Trust/PPO |
$492.54
|
| Rate for Payer: BCN Commercial |
$492.54
|
| Rate for Payer: Cash Price |
$513.22
|
| Rate for Payer: Cash Price |
$513.22
|
| Rate for Payer: Cofinity Advantage |
$449.06
|
| Rate for Payer: Cofinity Commercial |
$551.71
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$513.22
|
| Rate for Payer: Healthscope Commercial |
$577.37
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$449.06
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$481.14
|
| Rate for Payer: MI Amish Medical Board Commercial |
$513.22
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$545.29
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$481.14
|
| Rate for Payer: PHP Commercial |
$545.29
|
| Rate for Payer: Priority Health SBD |
$404.16
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$416.99
|
| Rate for Payer: UHC Core |
$334.23
|
| Rate for Payer: UHC Exchange |
$252.12
|
| Rate for Payer: UMR Bronson Commercial |
$237.36
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$481.14
|
|
|
HC IR FIBRIN STRIPPING OF VAD
|
Facility
|
IP
|
$641.52
|
|
|
Service Code
|
CPT 75901
|
| Hospital Charge Code |
32000275
|
|
Hospital Revenue Code
|
320
|
| Min. Negotiated Rate |
$282.27 |
| Max. Negotiated Rate |
$577.37 |
| Rate for Payer: Aetna American Axle |
$416.99
|
| Rate for Payer: Aetna Commercial |
$545.29
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$416.99
|
| Rate for Payer: Cash Price |
$513.22
|
| Rate for Payer: Cofinity Advantage |
$449.06
|
| Rate for Payer: Cofinity Commercial |
$551.71
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$513.22
|
| Rate for Payer: Healthscope Commercial |
$577.37
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$449.06
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$481.14
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$545.29
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$481.14
|
| Rate for Payer: PHP Commercial |
$545.29
|
| Rate for Payer: Priority Health SBD |
$404.16
|
| Rate for Payer: UMR Bronson Commercial |
$282.27
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$481.14
|
|
|
HC IR FLUORO GUIDE CVA
|
Facility
|
OP
|
$312.56
|
|
|
Service Code
|
CPT 77001
|
| Hospital Charge Code |
32000245
|
|
Hospital Revenue Code
|
320
|
| Min. Negotiated Rate |
$115.65 |
| Max. Negotiated Rate |
$281.30 |
| Rate for Payer: Aetna American Axle |
$203.16
|
| Rate for Payer: Aetna Commercial |
$265.68
|
| Rate for Payer: Aetna Medicare |
$156.28
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$203.16
|
| Rate for Payer: BCBS Complete |
$125.02
|
| Rate for Payer: BCBS Trust/PPO |
$194.56
|
| Rate for Payer: BCN Commercial |
$194.56
|
| Rate for Payer: Cash Price |
$250.05
|
| Rate for Payer: Cash Price |
$250.05
|
| Rate for Payer: Cofinity Advantage |
$218.79
|
| Rate for Payer: Cofinity Commercial |
$268.80
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$250.05
|
| Rate for Payer: Healthscope Commercial |
$281.30
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$218.79
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$234.42
|
| Rate for Payer: MI Amish Medical Board Commercial |
$250.05
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$265.68
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$234.42
|
| Rate for Payer: PHP Commercial |
$265.68
|
| Rate for Payer: Priority Health SBD |
$196.91
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$203.16
|
| Rate for Payer: UHC Core |
$162.84
|
| Rate for Payer: UHC Exchange |
$122.84
|
| Rate for Payer: UMR Bronson Commercial |
$115.65
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$234.42
|
|
|
HC IR FLUORO GUIDE CVA
|
Facility
|
IP
|
$312.56
|
|
|
Service Code
|
CPT 77001
|
| Hospital Charge Code |
32000245
|
|
Hospital Revenue Code
|
320
|
| Min. Negotiated Rate |
$137.53 |
| Max. Negotiated Rate |
$281.30 |
| Rate for Payer: Aetna American Axle |
$203.16
|
| Rate for Payer: Aetna Commercial |
$265.68
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$203.16
|
| Rate for Payer: Cash Price |
$250.05
|
| Rate for Payer: Cofinity Advantage |
$218.79
|
| Rate for Payer: Cofinity Commercial |
$268.80
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$250.05
|
| Rate for Payer: Healthscope Commercial |
$281.30
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$218.79
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$234.42
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$265.68
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$234.42
|
| Rate for Payer: PHP Commercial |
$265.68
|
| Rate for Payer: Priority Health SBD |
$196.91
|
| Rate for Payer: UMR Bronson Commercial |
$137.53
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$234.42
|
|
|
HC IR FLUOROSCOPIC GUIDE SPINE
|
Facility
|
IP
|
$572.82
|
|
|
Service Code
|
CPT 77003
|
| Hospital Charge Code |
32000247
|
|
Hospital Revenue Code
|
320
|
| Min. Negotiated Rate |
$252.04 |
| Max. Negotiated Rate |
$515.54 |
| Rate for Payer: Aetna American Axle |
$372.33
|
| Rate for Payer: Aetna Commercial |
$486.90
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$372.33
|
| Rate for Payer: Cash Price |
$458.26
|
| Rate for Payer: Cofinity Advantage |
$400.97
|
| Rate for Payer: Cofinity Commercial |
$492.63
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$458.26
|
| Rate for Payer: Healthscope Commercial |
$515.54
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$400.97
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$429.62
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$486.90
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$429.62
|
| Rate for Payer: PHP Commercial |
$486.90
|
| Rate for Payer: Priority Health SBD |
$360.88
|
| Rate for Payer: UMR Bronson Commercial |
$252.04
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$429.62
|
|
|
HC IR FLUOROSCOPIC GUIDE SPINE
|
Facility
|
OP
|
$572.82
|
|
|
Service Code
|
CPT 77003
|
| Hospital Charge Code |
32000247
|
|
Hospital Revenue Code
|
320
|
| Min. Negotiated Rate |
$183.88 |
| Max. Negotiated Rate |
$515.54 |
| Rate for Payer: Aetna American Axle |
$372.33
|
| Rate for Payer: Aetna Commercial |
$486.90
|
| Rate for Payer: Aetna Medicare |
$286.41
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$372.33
|
| Rate for Payer: BCBS Complete |
$229.13
|
| Rate for Payer: BCBS Trust/PPO |
$183.88
|
| Rate for Payer: BCN Commercial |
$183.88
|
| Rate for Payer: Cash Price |
$458.26
|
| Rate for Payer: Cash Price |
$458.26
|
| Rate for Payer: Cofinity Advantage |
$400.97
|
| Rate for Payer: Cofinity Commercial |
$492.63
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$458.26
|
| Rate for Payer: Healthscope Commercial |
$515.54
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$400.97
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$429.62
|
| Rate for Payer: MI Amish Medical Board Commercial |
$458.26
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$486.90
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$429.62
|
| Rate for Payer: PHP Commercial |
$486.90
|
| Rate for Payer: Priority Health SBD |
$360.88
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$372.33
|
| Rate for Payer: UHC Core |
$298.44
|
| Rate for Payer: UHC Exchange |
$225.12
|
| Rate for Payer: UMR Bronson Commercial |
$211.94
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$429.62
|
|
|
HC IR FLUORO UP TO 1 HOUR DR TIME
|
Facility
|
IP
|
$572.82
|
|
|
Service Code
|
CPT 76000
|
| Hospital Charge Code |
32000231
|
|
Hospital Revenue Code
|
320
|
| Min. Negotiated Rate |
$252.04 |
| Max. Negotiated Rate |
$515.54 |
| Rate for Payer: Aetna American Axle |
$372.33
|
| Rate for Payer: Aetna Commercial |
$486.90
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$372.33
|
| Rate for Payer: Cash Price |
$458.26
|
| Rate for Payer: Cofinity Advantage |
$400.97
|
| Rate for Payer: Cofinity Commercial |
$492.63
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$458.26
|
| Rate for Payer: Healthscope Commercial |
$515.54
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$400.97
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$429.62
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$486.90
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$429.62
|
| Rate for Payer: PHP Commercial |
$486.90
|
| Rate for Payer: Priority Health SBD |
$360.88
|
| Rate for Payer: UMR Bronson Commercial |
$252.04
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$429.62
|
|
|
HC IR FLUORO UP TO 1 HOUR DR TIME
|
Facility
|
OP
|
$572.82
|
|
|
Service Code
|
CPT 76000
|
| Hospital Charge Code |
32000231
|
|
Hospital Revenue Code
|
320
|
| Min. Negotiated Rate |
$68.96 |
| Max. Negotiated Rate |
$768.83 |
| Rate for Payer: Aetna American Axle |
$372.33
|
| Rate for Payer: Aetna Commercial |
$486.90
|
| Rate for Payer: Aetna Medicare |
$247.25
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$372.33
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$297.18
|
| Rate for Payer: Amish Plain Church Group Commercial |
$297.18
|
| Rate for Payer: BCBS Complete |
$130.57
|
| Rate for Payer: BCBS MAPPO |
$237.74
|
| Rate for Payer: BCBS Trust/PPO |
$68.96
|
| Rate for Payer: BCN Commercial |
$68.96
|
| Rate for Payer: BCN Medicare Advantage |
$237.74
|
| Rate for Payer: Cash Price |
$458.26
|
| Rate for Payer: Cash Price |
$458.26
|
| Rate for Payer: Cofinity Advantage |
$400.97
|
| Rate for Payer: Cofinity Commercial |
$492.63
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$458.26
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$237.74
|
| Rate for Payer: Healthscope Commercial |
$515.54
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$400.97
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$429.62
|
| Rate for Payer: Mclaren Medicaid |
$237.74
|
| Rate for Payer: Mclaren Medicare |
$237.74
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$249.63
|
| Rate for Payer: Meridian Medicaid |
$249.63
|
| Rate for Payer: MI Amish Medical Board Commercial |
$273.40
|
| Rate for Payer: Molina Medicare/Medicaid |
$261.51
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$486.90
|
| Rate for Payer: Nomi Health Commercial |
$713.22
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$429.62
|
| Rate for Payer: PACE Medicare |
$225.85
|
| Rate for Payer: PACE SWMI |
$237.74
|
| Rate for Payer: PHP Commercial |
$486.90
|
| Rate for Payer: PHP Medicare Advantage |
$237.74
|
| Rate for Payer: Priority Health Choice Medicaid |
$124.34
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$768.83
|
| Rate for Payer: Priority Health Medicare |
$237.74
|
| Rate for Payer: Priority Health SBD |
$360.88
|
| Rate for Payer: Priority Health Tiered Network |
$615.06
|
| Rate for Payer: Railroad Medicare Medicare |
$237.74
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$372.33
|
| Rate for Payer: UHC Core |
$298.44
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$237.74
|
| Rate for Payer: UHC Exchange |
$225.12
|
| Rate for Payer: UHC Medicaid |
$124.34
|
| Rate for Payer: UHCCP Medicaid |
$124.34
|
| Rate for Payer: UMR Bronson Commercial |
$211.94
|
| Rate for Payer: VA VA |
$237.74
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$429.62
|
|
|
HC IR GENICULAR NERVE BRANCHES ANESTHETIC/STEROID INJ
|
Facility
|
IP
|
$1,492.33
|
|
|
Service Code
|
CPT 64454
|
| Hospital Charge Code |
36100581
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$656.63 |
| Max. Negotiated Rate |
$1,343.10 |
| Rate for Payer: Aetna American Axle |
$970.01
|
| Rate for Payer: Aetna American Axle |
$646.68
|
| Rate for Payer: Aetna Commercial |
$1,268.48
|
| Rate for Payer: Aetna Commercial |
$845.66
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$970.01
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$646.68
|
| Rate for Payer: Cash Price |
$1,193.86
|
| Rate for Payer: Cash Price |
$795.91
|
| Rate for Payer: Cofinity Advantage |
$696.42
|
| Rate for Payer: Cofinity Advantage |
$1,044.63
|
| Rate for Payer: Cofinity Commercial |
$855.61
|
| Rate for Payer: Cofinity Commercial |
$1,283.40
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,193.86
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$795.91
|
| Rate for Payer: Healthscope Commercial |
$1,343.10
|
| Rate for Payer: Healthscope Commercial |
$895.40
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$696.42
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,044.63
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,119.25
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$746.17
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,268.48
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$845.66
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,119.25
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$746.17
|
| Rate for Payer: PHP Commercial |
$1,268.48
|
| Rate for Payer: PHP Commercial |
$845.66
|
| Rate for Payer: Priority Health SBD |
$626.78
|
| Rate for Payer: Priority Health SBD |
$940.17
|
| Rate for Payer: UMR Bronson Commercial |
$656.63
|
| Rate for Payer: UMR Bronson Commercial |
$437.75
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,119.25
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$746.17
|
|
|
HC IR GENICULAR NERVE BRANCHES ANESTHETIC/STEROID INJ
|
Facility
|
OP
|
$994.89
|
|
|
Service Code
|
CPT 64454
|
| Hospital Charge Code |
36100581
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$367.85 |
| Max. Negotiated Rate |
$2,274.56 |
| Rate for Payer: Aetna American Axle |
$646.68
|
| Rate for Payer: Aetna American Axle |
$970.01
|
| Rate for Payer: Aetna Commercial |
$1,268.48
|
| Rate for Payer: Aetna Commercial |
$845.66
|
| Rate for Payer: Aetna Medicare |
$731.47
|
| Rate for Payer: Aetna Medicare |
$731.47
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$646.68
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$970.01
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$879.17
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$879.17
|
| Rate for Payer: Amish Plain Church Group Commercial |
$879.17
|
| Rate for Payer: Amish Plain Church Group Commercial |
$879.17
|
| Rate for Payer: BCBS Complete |
$386.27
|
| Rate for Payer: BCBS Complete |
$386.27
|
| Rate for Payer: BCBS MAPPO |
$703.34
|
| Rate for Payer: BCBS MAPPO |
$703.34
|
| Rate for Payer: BCN Medicare Advantage |
$703.34
|
| Rate for Payer: BCN Medicare Advantage |
$703.34
|
| Rate for Payer: Cash Price |
$1,193.86
|
| Rate for Payer: Cash Price |
$795.91
|
| Rate for Payer: Cash Price |
$1,193.86
|
| Rate for Payer: Cash Price |
$795.91
|
| Rate for Payer: Cofinity Advantage |
$696.42
|
| Rate for Payer: Cofinity Advantage |
$1,044.63
|
| Rate for Payer: Cofinity Commercial |
$1,283.40
|
| Rate for Payer: Cofinity Commercial |
$855.61
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$795.91
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,193.86
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$703.34
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$703.34
|
| Rate for Payer: Healthscope Commercial |
$1,343.10
|
| Rate for Payer: Healthscope Commercial |
$895.40
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$696.42
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,044.63
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$746.17
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,119.25
|
| Rate for Payer: Mclaren Medicaid |
$703.34
|
| Rate for Payer: Mclaren Medicaid |
$703.34
|
| Rate for Payer: Mclaren Medicare |
$703.34
|
| Rate for Payer: Mclaren Medicare |
$703.34
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$738.51
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$738.51
|
| Rate for Payer: Meridian Medicaid |
$738.51
|
| Rate for Payer: Meridian Medicaid |
$738.51
|
| Rate for Payer: MI Amish Medical Board Commercial |
$808.84
|
| Rate for Payer: MI Amish Medical Board Commercial |
$808.84
|
| Rate for Payer: Molina Medicare/Medicaid |
$773.67
|
| Rate for Payer: Molina Medicare/Medicaid |
$773.67
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,268.48
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$845.66
|
| Rate for Payer: Nomi Health Commercial |
$2,110.02
|
| Rate for Payer: Nomi Health Commercial |
$2,110.02
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$746.17
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,119.25
|
| Rate for Payer: PACE Medicare |
$668.17
|
| Rate for Payer: PACE Medicare |
$668.17
|
| Rate for Payer: PACE SWMI |
$703.34
|
| Rate for Payer: PACE SWMI |
$703.34
|
| Rate for Payer: PHP Commercial |
$1,268.48
|
| Rate for Payer: PHP Commercial |
$845.66
|
| Rate for Payer: PHP Medicare Advantage |
$703.34
|
| Rate for Payer: PHP Medicare Advantage |
$703.34
|
| Rate for Payer: Priority Health Choice Medicaid |
$367.85
|
| Rate for Payer: Priority Health Choice Medicaid |
$367.85
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$2,274.56
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$2,274.56
|
| Rate for Payer: Priority Health Medicare |
$703.34
|
| Rate for Payer: Priority Health Medicare |
$703.34
|
| Rate for Payer: Priority Health SBD |
$626.78
|
| Rate for Payer: Priority Health SBD |
$940.17
|
| Rate for Payer: Priority Health Tiered Network |
$1,819.65
|
| Rate for Payer: Priority Health Tiered Network |
$1,819.65
|
| Rate for Payer: Railroad Medicare Medicare |
$703.34
|
| Rate for Payer: Railroad Medicare Medicare |
$703.34
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$970.01
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$646.68
|
| Rate for Payer: UHC Core |
$777.50
|
| Rate for Payer: UHC Core |
$518.34
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$703.34
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$703.34
|
| Rate for Payer: UHC Exchange |
$586.49
|
| Rate for Payer: UHC Exchange |
$390.99
|
| Rate for Payer: UHC Medicaid |
$367.85
|
| Rate for Payer: UHC Medicaid |
$367.85
|
| Rate for Payer: UHCCP Medicaid |
$367.85
|
| Rate for Payer: UHCCP Medicaid |
$367.85
|
| Rate for Payer: UMR Bronson Commercial |
$552.16
|
| Rate for Payer: UMR Bronson Commercial |
$368.11
|
| Rate for Payer: VA VA |
$703.34
|
| Rate for Payer: VA VA |
$703.34
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$746.17
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,119.25
|
|
|
HC IR GI BILI DUCT DIL W WO STENT
|
Facility
|
IP
|
$1,537.04
|
|
|
Service Code
|
CPT 74363
|
| Hospital Charge Code |
32000157
|
|
Hospital Revenue Code
|
320
|
| Min. Negotiated Rate |
$676.30 |
| Max. Negotiated Rate |
$1,383.34 |
| Rate for Payer: Aetna American Axle |
$999.08
|
| Rate for Payer: Aetna Commercial |
$1,306.48
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$999.08
|
| Rate for Payer: Cash Price |
$1,229.63
|
| Rate for Payer: Cofinity Advantage |
$1,075.93
|
| Rate for Payer: Cofinity Commercial |
$1,321.85
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,229.63
|
| Rate for Payer: Healthscope Commercial |
$1,383.34
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,075.93
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,152.78
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,306.48
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,152.78
|
| Rate for Payer: PHP Commercial |
$1,306.48
|
| Rate for Payer: Priority Health SBD |
$968.34
|
| Rate for Payer: UMR Bronson Commercial |
$676.30
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,152.78
|
|
|
HC IR GI BILI DUCT DIL W WO STENT
|
Facility
|
OP
|
$1,537.04
|
|
|
Service Code
|
CPT 74363
|
| Hospital Charge Code |
32000157
|
|
Hospital Revenue Code
|
320
|
| Min. Negotiated Rate |
$527.02 |
| Max. Negotiated Rate |
$1,383.34 |
| Rate for Payer: Aetna American Axle |
$999.08
|
| Rate for Payer: Aetna Commercial |
$1,306.48
|
| Rate for Payer: Aetna Medicare |
$768.52
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$999.08
|
| Rate for Payer: BCBS Complete |
$614.82
|
| Rate for Payer: BCBS Trust/PPO |
$527.02
|
| Rate for Payer: BCN Commercial |
$527.02
|
| Rate for Payer: Cash Price |
$1,229.63
|
| Rate for Payer: Cash Price |
$1,229.63
|
| Rate for Payer: Cofinity Advantage |
$1,075.93
|
| Rate for Payer: Cofinity Commercial |
$1,321.85
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,229.63
|
| Rate for Payer: Healthscope Commercial |
$1,383.34
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,075.93
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,152.78
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,229.63
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,306.48
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,152.78
|
| Rate for Payer: PHP Commercial |
$1,306.48
|
| Rate for Payer: Priority Health SBD |
$968.34
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$999.08
|
| Rate for Payer: UHC Core |
$800.80
|
| Rate for Payer: UHC Exchange |
$604.06
|
| Rate for Payer: UMR Bronson Commercial |
$568.70
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,152.78
|
|
|
HC IR GI INJ PREV PLACE GI TUBE FL
|
Facility
|
OP
|
$2,249.70
|
|
|
Service Code
|
CPT 44799
|
| Hospital Charge Code |
36100194
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$472.65 |
| Max. Negotiated Rate |
$2,922.56 |
| Rate for Payer: Aetna American Axle |
$1,462.31
|
| Rate for Payer: Aetna Commercial |
$1,912.24
|
| Rate for Payer: Aetna Medicare |
$939.87
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,462.31
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,129.65
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1,129.65
|
| Rate for Payer: BCBS Complete |
$496.32
|
| Rate for Payer: BCBS MAPPO |
$903.72
|
| Rate for Payer: BCBS Trust/PPO |
$789.59
|
| Rate for Payer: BCN Commercial |
$789.59
|
| Rate for Payer: BCN Medicare Advantage |
$903.72
|
| Rate for Payer: Cash Price |
$1,799.76
|
| Rate for Payer: Cash Price |
$1,799.76
|
| Rate for Payer: Cash Price |
$1,799.76
|
| Rate for Payer: Cofinity Advantage |
$1,574.79
|
| Rate for Payer: Cofinity Commercial |
$1,934.74
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,799.76
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$903.72
|
| Rate for Payer: Healthscope Commercial |
$2,024.73
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,574.79
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,687.28
|
| Rate for Payer: Mclaren Medicaid |
$903.72
|
| Rate for Payer: Mclaren Medicare |
$903.72
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$948.91
|
| Rate for Payer: Meridian Medicaid |
$948.91
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,039.28
|
| Rate for Payer: Molina Medicare/Medicaid |
$994.09
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,912.24
|
| Rate for Payer: Nomi Health Commercial |
$2,711.16
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,687.28
|
| Rate for Payer: PACE Medicare |
$858.53
|
| Rate for Payer: PACE SWMI |
$903.72
|
| Rate for Payer: PHP Commercial |
$1,912.24
|
| Rate for Payer: PHP Medicare Advantage |
$903.72
|
| Rate for Payer: Priority Health Choice Medicaid |
$472.65
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$2,922.56
|
| Rate for Payer: Priority Health Medicare |
$903.72
|
| Rate for Payer: Priority Health SBD |
$1,417.31
|
| Rate for Payer: Priority Health Tiered Network |
$2,338.05
|
| Rate for Payer: Railroad Medicare Medicare |
$903.72
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$903.72
|
| Rate for Payer: UHC Medicaid |
$472.65
|
| Rate for Payer: UHCCP Medicaid |
$472.65
|
| Rate for Payer: UMR Bronson Commercial |
$832.39
|
| Rate for Payer: VA VA |
$903.72
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,687.28
|
|
|
HC IR GI INJ PREV PLACE GI TUBE FL
|
Facility
|
IP
|
$2,249.70
|
|
|
Service Code
|
CPT 44799
|
| Hospital Charge Code |
36100194
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$989.87 |
| Max. Negotiated Rate |
$2,024.73 |
| Rate for Payer: Aetna American Axle |
$1,462.31
|
| Rate for Payer: Aetna Commercial |
$1,912.24
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,462.31
|
| Rate for Payer: Cash Price |
$1,799.76
|
| Rate for Payer: Cofinity Advantage |
$1,574.79
|
| Rate for Payer: Cofinity Commercial |
$1,934.74
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,799.76
|
| Rate for Payer: Healthscope Commercial |
$2,024.73
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,574.79
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,687.28
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,912.24
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,687.28
|
| Rate for Payer: PHP Commercial |
$1,912.24
|
| Rate for Payer: Priority Health SBD |
$1,417.31
|
| Rate for Payer: UMR Bronson Commercial |
$989.87
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,687.28
|
|
