|
HC IBD DIFFERENTIATION CMPT
|
Facility
|
OP
|
$58.14
|
|
|
Service Code
|
CPT 86671
|
| Hospital Charge Code |
30200386
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$6.57 |
| Max. Negotiated Rate |
$52.33 |
| Rate for Payer: Aetna American Axle |
$37.79
|
| Rate for Payer: Aetna Commercial |
$49.42
|
| Rate for Payer: Aetna Medicare |
$12.74
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$37.79
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$15.31
|
| Rate for Payer: Amish Plain Church Group Commercial |
$15.31
|
| Rate for Payer: BCBS Complete |
$6.89
|
| Rate for Payer: BCBS MAPPO |
$12.25
|
| Rate for Payer: BCN Medicare Advantage |
$12.25
|
| Rate for Payer: Cash Price |
$46.51
|
| Rate for Payer: Cash Price |
$46.51
|
| Rate for Payer: Cofinity Commercial |
$50.00
|
| Rate for Payer: Cofinity Commercial |
$40.70
|
| Rate for Payer: Cofinity Medicare Advantage |
$40.70
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$46.51
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$12.25
|
| Rate for Payer: Healthscope Commercial |
$52.33
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$40.70
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$43.60
|
| Rate for Payer: Mclaren Medicaid |
$6.57
|
| Rate for Payer: Mclaren Medicare |
$12.25
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$12.86
|
| Rate for Payer: Meridian Medicaid |
$6.89
|
| Rate for Payer: MI Amish Medical Board Commercial |
$14.09
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$49.42
|
| Rate for Payer: PACE Medicare |
$11.64
|
| Rate for Payer: PACE SWMI |
$12.25
|
| Rate for Payer: PHP Commercial |
$49.42
|
| Rate for Payer: PHP Medicare Advantage |
$12.25
|
| Rate for Payer: Priority Health Choice Medicaid |
$6.57
|
| Rate for Payer: Priority Health Cigna Priority Health |
$37.79
|
| Rate for Payer: Priority Health Medicare |
$12.25
|
| Rate for Payer: Priority Health SBD |
$36.63
|
| Rate for Payer: Railroad Medicare Medicare |
$12.25
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$34.48
|
| Rate for Payer: UHC Dual Complete DSNP |
$12.25
|
| Rate for Payer: UHC Exchange |
$23.41
|
| Rate for Payer: UHC Medicare Advantage |
$12.25
|
| Rate for Payer: UHCCP Medicaid |
$6.57
|
| Rate for Payer: UMR Bronson Commercial |
$21.51
|
| Rate for Payer: VA VA |
$12.25
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$43.60
|
|
|
HC IBD DIFFERENTIATION CMPT
|
Facility
|
IP
|
$58.14
|
|
|
Service Code
|
CPT 86671
|
| Hospital Charge Code |
30200386
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$25.58 |
| Max. Negotiated Rate |
$52.33 |
| Rate for Payer: Aetna American Axle |
$37.79
|
| Rate for Payer: Aetna Commercial |
$49.42
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$37.79
|
| Rate for Payer: Cash Price |
$46.51
|
| Rate for Payer: Cofinity Commercial |
$40.70
|
| Rate for Payer: Cofinity Commercial |
$50.00
|
| Rate for Payer: Cofinity Medicare Advantage |
$40.70
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$46.51
|
| Rate for Payer: Healthscope Commercial |
$52.33
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$40.70
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$43.60
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$49.42
|
| Rate for Payer: PHP Commercial |
$49.42
|
| Rate for Payer: Priority Health Cigna Priority Health |
$37.79
|
| Rate for Payer: Priority Health SBD |
$36.63
|
| Rate for Payer: UMR Bronson Commercial |
$25.58
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$43.60
|
|
|
HC ICD CRT/DUAL IMPLANT/REPLACE
|
Facility
|
IP
|
$26,928.00
|
|
|
Service Code
|
CPT 33249
|
| Hospital Charge Code |
36100080
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$11,848.32 |
| Max. Negotiated Rate |
$24,235.20 |
| Rate for Payer: Aetna American Axle |
$17,503.20
|
| Rate for Payer: Aetna Commercial |
$22,888.80
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$17,503.20
|
| Rate for Payer: Cash Price |
$21,542.40
|
| Rate for Payer: Cofinity Commercial |
$18,849.60
|
| Rate for Payer: Cofinity Commercial |
$23,158.08
|
| Rate for Payer: Cofinity Medicare Advantage |
$18,849.60
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$21,542.40
|
| Rate for Payer: Healthscope Commercial |
$24,235.20
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$18,849.60
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$20,196.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$22,888.80
|
| Rate for Payer: PHP Commercial |
$22,888.80
|
| Rate for Payer: Priority Health Cigna Priority Health |
$17,503.20
|
| Rate for Payer: Priority Health SBD |
$16,964.64
|
| Rate for Payer: UMR Bronson Commercial |
$11,848.32
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$20,196.00
|
|
|
HC ICD CRT/DUAL IMPLANT/REPLACE
|
Facility
|
OP
|
$26,928.00
|
|
|
Service Code
|
CPT 33249
|
| Hospital Charge Code |
36100080
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$9,963.36 |
| Max. Negotiated Rate |
$88,019.16 |
| Rate for Payer: Aetna American Axle |
$17,503.20
|
| Rate for Payer: Aetna Commercial |
$22,888.80
|
| Rate for Payer: Aetna Medicare |
$32,519.78
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$17,503.20
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$39,086.28
|
| Rate for Payer: Amish Plain Church Group Commercial |
$39,086.28
|
| Rate for Payer: BCBS Complete |
$17,598.20
|
| Rate for Payer: BCBS MAPPO |
$31,269.02
|
| Rate for Payer: BCN Medicare Advantage |
$31,269.02
|
| Rate for Payer: Cash Price |
$21,542.40
|
| Rate for Payer: Cash Price |
$21,542.40
|
| Rate for Payer: Cofinity Commercial |
$23,158.08
|
| Rate for Payer: Cofinity Commercial |
$18,849.60
|
| Rate for Payer: Cofinity Medicare Advantage |
$18,849.60
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$21,542.40
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$31,269.02
|
| Rate for Payer: Healthscope Commercial |
$24,235.20
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$18,849.60
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$20,196.00
|
| Rate for Payer: Mclaren Medicaid |
$16,760.19
|
| Rate for Payer: Mclaren Medicare |
$31,269.02
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$32,832.47
|
| Rate for Payer: Meridian Medicaid |
$17,598.20
|
| Rate for Payer: MI Amish Medical Board Commercial |
$35,959.37
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$22,888.80
|
| Rate for Payer: PACE Medicare |
$29,705.57
|
| Rate for Payer: PACE SWMI |
$31,269.02
|
| Rate for Payer: PHP Commercial |
$22,888.80
|
| Rate for Payer: PHP Medicare Advantage |
$31,269.02
|
| Rate for Payer: Priority Health Choice Medicaid |
$16,760.19
|
| Rate for Payer: Priority Health Cigna Priority Health |
$17,503.20
|
| Rate for Payer: Priority Health Medicare |
$31,269.02
|
| Rate for Payer: Priority Health SBD |
$16,964.64
|
| Rate for Payer: Railroad Medicare Medicare |
$31,269.02
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$88,019.16
|
| Rate for Payer: UHC Dual Complete DSNP |
$31,269.02
|
| Rate for Payer: UHC Exchange |
$59,758.22
|
| Rate for Payer: UHC Medicare Advantage |
$31,269.02
|
| Rate for Payer: UHCCP Medicaid |
$16,760.19
|
| Rate for Payer: UMR Bronson Commercial |
$9,963.36
|
| Rate for Payer: VA VA |
$31,269.02
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$20,196.00
|
|
|
HC ICD CRT/DUAL REPLACEMENT
|
Facility
|
IP
|
$11,444.40
|
|
|
Service Code
|
CPT 33240
|
| Hospital Charge Code |
36100075
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$5,035.54 |
| Max. Negotiated Rate |
$10,299.96 |
| Rate for Payer: Aetna American Axle |
$7,438.86
|
| Rate for Payer: Aetna Commercial |
$9,727.74
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$7,438.86
|
| Rate for Payer: Cash Price |
$9,155.52
|
| Rate for Payer: Cofinity Commercial |
$8,011.08
|
| Rate for Payer: Cofinity Commercial |
$9,842.18
|
| Rate for Payer: Cofinity Medicare Advantage |
$8,011.08
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$9,155.52
|
| Rate for Payer: Healthscope Commercial |
$10,299.96
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$8,011.08
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$8,583.30
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$9,727.74
|
| Rate for Payer: PHP Commercial |
$9,727.74
|
| Rate for Payer: Priority Health Cigna Priority Health |
$7,438.86
|
| Rate for Payer: Priority Health SBD |
$7,209.97
|
| Rate for Payer: UMR Bronson Commercial |
$5,035.54
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$8,583.30
|
|
|
HC ICD CRT/DUAL REPLACEMENT
|
Facility
|
OP
|
$11,444.40
|
|
|
Service Code
|
CPT 33240
|
| Hospital Charge Code |
36100075
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$4,234.43 |
| Max. Negotiated Rate |
$61,621.88 |
| Rate for Payer: Aetna American Axle |
$7,438.86
|
| Rate for Payer: Aetna Commercial |
$9,727.74
|
| Rate for Payer: Aetna Medicare |
$22,766.97
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$7,438.86
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$27,364.15
|
| Rate for Payer: Amish Plain Church Group Commercial |
$27,364.15
|
| Rate for Payer: BCBS Complete |
$12,320.43
|
| Rate for Payer: BCBS MAPPO |
$21,891.32
|
| Rate for Payer: BCN Medicare Advantage |
$21,891.32
|
| Rate for Payer: Cash Price |
$9,155.52
|
| Rate for Payer: Cash Price |
$9,155.52
|
| Rate for Payer: Cofinity Commercial |
$9,842.18
|
| Rate for Payer: Cofinity Commercial |
$8,011.08
|
| Rate for Payer: Cofinity Medicare Advantage |
$8,011.08
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$9,155.52
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$21,891.32
|
| Rate for Payer: Healthscope Commercial |
$10,299.96
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$8,011.08
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$8,583.30
|
| Rate for Payer: Mclaren Medicaid |
$11,733.75
|
| Rate for Payer: Mclaren Medicare |
$21,891.32
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$22,985.89
|
| Rate for Payer: Meridian Medicaid |
$12,320.43
|
| Rate for Payer: MI Amish Medical Board Commercial |
$25,175.02
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$9,727.74
|
| Rate for Payer: PACE Medicare |
$20,796.75
|
| Rate for Payer: PACE SWMI |
$21,891.32
|
| Rate for Payer: PHP Commercial |
$9,727.74
|
| Rate for Payer: PHP Medicare Advantage |
$21,891.32
|
| Rate for Payer: Priority Health Choice Medicaid |
$11,733.75
|
| Rate for Payer: Priority Health Cigna Priority Health |
$7,438.86
|
| Rate for Payer: Priority Health Medicare |
$21,891.32
|
| Rate for Payer: Priority Health SBD |
$7,209.97
|
| Rate for Payer: Railroad Medicare Medicare |
$21,891.32
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$61,621.88
|
| Rate for Payer: UHC Dual Complete DSNP |
$21,891.32
|
| Rate for Payer: UHC Exchange |
$41,836.50
|
| Rate for Payer: UHC Medicare Advantage |
$21,891.32
|
| Rate for Payer: UHCCP Medicaid |
$11,733.75
|
| Rate for Payer: UMR Bronson Commercial |
$4,234.43
|
| Rate for Payer: VA VA |
$21,891.32
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$8,583.30
|
|
|
HC ICD LEAD REMOVAL
|
Facility
|
IP
|
$2,717.88
|
|
|
Service Code
|
CPT 33244
|
| Hospital Charge Code |
36100078
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$1,195.87 |
| Max. Negotiated Rate |
$2,446.09 |
| Rate for Payer: Aetna American Axle |
$1,766.62
|
| Rate for Payer: Aetna Commercial |
$2,310.20
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,766.62
|
| Rate for Payer: Cash Price |
$2,174.30
|
| Rate for Payer: Cofinity Commercial |
$1,902.52
|
| Rate for Payer: Cofinity Commercial |
$2,337.38
|
| Rate for Payer: Cofinity Medicare Advantage |
$1,902.52
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,174.30
|
| Rate for Payer: Healthscope Commercial |
$2,446.09
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,902.52
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,038.41
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,310.20
|
| Rate for Payer: PHP Commercial |
$2,310.20
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,766.62
|
| Rate for Payer: Priority Health SBD |
$1,712.26
|
| Rate for Payer: UMR Bronson Commercial |
$1,195.87
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,038.41
|
|
|
HC ICD LEAD REMOVAL
|
Facility
|
OP
|
$2,717.88
|
|
|
Service Code
|
CPT 33244
|
| Hospital Charge Code |
36100078
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$1,005.62 |
| Max. Negotiated Rate |
$9,991.04 |
| Rate for Payer: Aetna American Axle |
$1,766.62
|
| Rate for Payer: Aetna Commercial |
$2,310.20
|
| Rate for Payer: Aetna Medicare |
$3,691.31
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,766.62
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$4,436.68
|
| Rate for Payer: Amish Plain Church Group Commercial |
$4,436.68
|
| Rate for Payer: BCBS Complete |
$1,997.57
|
| Rate for Payer: BCBS MAPPO |
$3,549.34
|
| Rate for Payer: BCN Medicare Advantage |
$3,549.34
|
| Rate for Payer: Cash Price |
$2,174.30
|
| Rate for Payer: Cash Price |
$2,174.30
|
| Rate for Payer: Cofinity Commercial |
$2,337.38
|
| Rate for Payer: Cofinity Commercial |
$1,902.52
|
| Rate for Payer: Cofinity Medicare Advantage |
$1,902.52
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,174.30
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$3,549.34
|
| Rate for Payer: Healthscope Commercial |
$2,446.09
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,902.52
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,038.41
|
| Rate for Payer: Mclaren Medicaid |
$1,902.45
|
| Rate for Payer: Mclaren Medicare |
$3,549.34
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$3,726.81
|
| Rate for Payer: Meridian Medicaid |
$1,997.57
|
| Rate for Payer: MI Amish Medical Board Commercial |
$4,081.74
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,310.20
|
| Rate for Payer: PACE Medicare |
$3,371.87
|
| Rate for Payer: PACE SWMI |
$3,549.34
|
| Rate for Payer: PHP Commercial |
$2,310.20
|
| Rate for Payer: PHP Medicare Advantage |
$3,549.34
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,902.45
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,766.62
|
| Rate for Payer: Priority Health Medicare |
$3,549.34
|
| Rate for Payer: Priority Health SBD |
$1,712.26
|
| Rate for Payer: Railroad Medicare Medicare |
$3,549.34
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$9,991.04
|
| Rate for Payer: UHC Dual Complete DSNP |
$3,549.34
|
| Rate for Payer: UHC Exchange |
$6,783.14
|
| Rate for Payer: UHC Medicare Advantage |
$3,549.34
|
| Rate for Payer: UHCCP Medicaid |
$1,902.45
|
| Rate for Payer: UMR Bronson Commercial |
$1,005.62
|
| Rate for Payer: VA VA |
$3,549.34
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,038.41
|
|
|
HC ICD POCKET REVISION
|
Facility
|
OP
|
$3,164.22
|
|
|
Service Code
|
CPT 33223
|
| Hospital Charge Code |
36100068
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$956.23 |
| Max. Negotiated Rate |
$5,021.81 |
| Rate for Payer: Aetna American Axle |
$2,056.74
|
| Rate for Payer: Aetna Commercial |
$2,689.59
|
| Rate for Payer: Aetna Medicare |
$1,855.37
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,056.74
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$2,230.01
|
| Rate for Payer: Amish Plain Church Group Commercial |
$2,230.01
|
| Rate for Payer: BCBS Complete |
$1,004.04
|
| Rate for Payer: BCBS MAPPO |
$1,784.01
|
| Rate for Payer: BCN Medicare Advantage |
$1,784.01
|
| Rate for Payer: Cash Price |
$2,531.38
|
| Rate for Payer: Cash Price |
$2,531.38
|
| Rate for Payer: Cofinity Commercial |
$2,721.23
|
| Rate for Payer: Cofinity Commercial |
$2,214.95
|
| Rate for Payer: Cofinity Medicare Advantage |
$2,214.95
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,531.38
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,784.01
|
| Rate for Payer: Healthscope Commercial |
$2,847.80
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$2,214.95
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,373.16
|
| Rate for Payer: Mclaren Medicaid |
$956.23
|
| Rate for Payer: Mclaren Medicare |
$1,784.01
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,873.21
|
| Rate for Payer: Meridian Medicaid |
$1,004.04
|
| Rate for Payer: MI Amish Medical Board Commercial |
$2,051.61
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,689.59
|
| Rate for Payer: PACE Medicare |
$1,694.81
|
| Rate for Payer: PACE SWMI |
$1,784.01
|
| Rate for Payer: PHP Commercial |
$2,689.59
|
| Rate for Payer: PHP Medicare Advantage |
$1,784.01
|
| Rate for Payer: Priority Health Choice Medicaid |
$956.23
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,056.74
|
| Rate for Payer: Priority Health Medicare |
$1,784.01
|
| Rate for Payer: Priority Health SBD |
$1,993.46
|
| Rate for Payer: Railroad Medicare Medicare |
$1,784.01
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$5,021.81
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,784.01
|
| Rate for Payer: UHC Exchange |
$3,409.42
|
| Rate for Payer: UHC Medicare Advantage |
$1,784.01
|
| Rate for Payer: UHCCP Medicaid |
$956.23
|
| Rate for Payer: UMR Bronson Commercial |
$1,170.76
|
| Rate for Payer: VA VA |
$1,784.01
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,373.16
|
|
|
HC ICD POCKET REVISION
|
Facility
|
IP
|
$3,164.22
|
|
|
Service Code
|
CPT 33223
|
| Hospital Charge Code |
36100068
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$1,392.26 |
| Max. Negotiated Rate |
$2,847.80 |
| Rate for Payer: Aetna American Axle |
$2,056.74
|
| Rate for Payer: Aetna Commercial |
$2,689.59
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,056.74
|
| Rate for Payer: Cash Price |
$2,531.38
|
| Rate for Payer: Cofinity Commercial |
$2,214.95
|
| Rate for Payer: Cofinity Commercial |
$2,721.23
|
| Rate for Payer: Cofinity Medicare Advantage |
$2,214.95
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,531.38
|
| Rate for Payer: Healthscope Commercial |
$2,847.80
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$2,214.95
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,373.16
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,689.59
|
| Rate for Payer: PHP Commercial |
$2,689.59
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,056.74
|
| Rate for Payer: Priority Health SBD |
$1,993.46
|
| Rate for Payer: UMR Bronson Commercial |
$1,392.26
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,373.16
|
|
|
HC ICD SINGLE IMPLANT
|
Facility
|
IP
|
$19,074.00
|
|
|
Service Code
|
CPT 33249
|
| Hospital Charge Code |
36100079
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$8,392.56 |
| Max. Negotiated Rate |
$17,166.60 |
| Rate for Payer: Aetna American Axle |
$12,398.10
|
| Rate for Payer: Aetna Commercial |
$16,212.90
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$12,398.10
|
| Rate for Payer: Cash Price |
$15,259.20
|
| Rate for Payer: Cofinity Commercial |
$13,351.80
|
| Rate for Payer: Cofinity Commercial |
$16,403.64
|
| Rate for Payer: Cofinity Medicare Advantage |
$13,351.80
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$15,259.20
|
| Rate for Payer: Healthscope Commercial |
$17,166.60
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$13,351.80
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$14,305.50
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$16,212.90
|
| Rate for Payer: PHP Commercial |
$16,212.90
|
| Rate for Payer: Priority Health Cigna Priority Health |
$12,398.10
|
| Rate for Payer: Priority Health SBD |
$12,016.62
|
| Rate for Payer: UMR Bronson Commercial |
$8,392.56
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$14,305.50
|
|
|
HC ICD SINGLE IMPLANT
|
Facility
|
OP
|
$19,074.00
|
|
|
Service Code
|
CPT 33249
|
| Hospital Charge Code |
36100079
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$7,057.38 |
| Max. Negotiated Rate |
$88,019.16 |
| Rate for Payer: Aetna American Axle |
$12,398.10
|
| Rate for Payer: Aetna Commercial |
$16,212.90
|
| Rate for Payer: Aetna Medicare |
$32,519.78
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$12,398.10
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$39,086.28
|
| Rate for Payer: Amish Plain Church Group Commercial |
$39,086.28
|
| Rate for Payer: BCBS Complete |
$17,598.20
|
| Rate for Payer: BCBS MAPPO |
$31,269.02
|
| Rate for Payer: BCN Medicare Advantage |
$31,269.02
|
| Rate for Payer: Cash Price |
$15,259.20
|
| Rate for Payer: Cash Price |
$15,259.20
|
| Rate for Payer: Cofinity Commercial |
$16,403.64
|
| Rate for Payer: Cofinity Commercial |
$13,351.80
|
| Rate for Payer: Cofinity Medicare Advantage |
$13,351.80
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$15,259.20
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$31,269.02
|
| Rate for Payer: Healthscope Commercial |
$17,166.60
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$13,351.80
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$14,305.50
|
| Rate for Payer: Mclaren Medicaid |
$16,760.19
|
| Rate for Payer: Mclaren Medicare |
$31,269.02
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$32,832.47
|
| Rate for Payer: Meridian Medicaid |
$17,598.20
|
| Rate for Payer: MI Amish Medical Board Commercial |
$35,959.37
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$16,212.90
|
| Rate for Payer: PACE Medicare |
$29,705.57
|
| Rate for Payer: PACE SWMI |
$31,269.02
|
| Rate for Payer: PHP Commercial |
$16,212.90
|
| Rate for Payer: PHP Medicare Advantage |
$31,269.02
|
| Rate for Payer: Priority Health Choice Medicaid |
$16,760.19
|
| Rate for Payer: Priority Health Cigna Priority Health |
$12,398.10
|
| Rate for Payer: Priority Health Medicare |
$31,269.02
|
| Rate for Payer: Priority Health SBD |
$12,016.62
|
| Rate for Payer: Railroad Medicare Medicare |
$31,269.02
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$88,019.16
|
| Rate for Payer: UHC Dual Complete DSNP |
$31,269.02
|
| Rate for Payer: UHC Exchange |
$59,758.22
|
| Rate for Payer: UHC Medicare Advantage |
$31,269.02
|
| Rate for Payer: UHCCP Medicaid |
$16,760.19
|
| Rate for Payer: UMR Bronson Commercial |
$7,057.38
|
| Rate for Payer: VA VA |
$31,269.02
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$14,305.50
|
|
|
HC ICP MONITOR
|
Facility
|
IP
|
$1,996.65
|
|
| Hospital Charge Code |
27800143
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$878.53 |
| Max. Negotiated Rate |
$1,796.98 |
| Rate for Payer: Aetna American Axle |
$1,297.82
|
| Rate for Payer: Aetna Commercial |
$1,697.15
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,297.82
|
| Rate for Payer: Cash Price |
$1,597.32
|
| Rate for Payer: Cofinity Commercial |
$1,397.65
|
| Rate for Payer: Cofinity Commercial |
$1,717.12
|
| Rate for Payer: Cofinity Medicare Advantage |
$1,397.65
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,597.32
|
| Rate for Payer: Healthscope Commercial |
$1,796.98
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,397.65
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,497.49
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,697.15
|
| Rate for Payer: PHP Commercial |
$1,697.15
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,297.82
|
| Rate for Payer: Priority Health SBD |
$1,257.89
|
| Rate for Payer: UMR Bronson Commercial |
$878.53
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,497.49
|
|
|
HC ICP MONITOR
|
Facility
|
OP
|
$1,996.65
|
|
| Hospital Charge Code |
27800143
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$738.76 |
| Max. Negotiated Rate |
$1,796.98 |
| Rate for Payer: Aetna American Axle |
$1,297.82
|
| Rate for Payer: Aetna Commercial |
$1,697.15
|
| Rate for Payer: Aetna Medicare |
$998.33
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,297.82
|
| Rate for Payer: BCBS Complete |
$798.66
|
| Rate for Payer: Cash Price |
$1,597.32
|
| Rate for Payer: Cofinity Commercial |
$1,397.65
|
| Rate for Payer: Cofinity Commercial |
$1,717.12
|
| Rate for Payer: Cofinity Medicare Advantage |
$1,397.65
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,597.32
|
| Rate for Payer: Healthscope Commercial |
$1,796.98
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,397.65
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,497.49
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,697.15
|
| Rate for Payer: PHP Commercial |
$1,697.15
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,297.82
|
| Rate for Payer: Priority Health SBD |
$1,257.89
|
| Rate for Payer: UMR Bronson Commercial |
$738.76
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,497.49
|
|
|
HC I&D BARTHOLIN GLAND ABSCESS
|
Facility
|
OP
|
$259.06
|
|
|
Service Code
|
CPT 56420
|
| Hospital Charge Code |
36100573
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$95.85 |
| Max. Negotiated Rate |
$552.28 |
| Rate for Payer: Aetna American Axle |
$168.39
|
| Rate for Payer: Aetna Commercial |
$220.20
|
| Rate for Payer: Aetna Medicare |
$204.05
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$168.39
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$245.25
|
| Rate for Payer: Amish Plain Church Group Commercial |
$245.25
|
| Rate for Payer: BCBS Complete |
$110.42
|
| Rate for Payer: BCBS MAPPO |
$196.20
|
| Rate for Payer: BCN Medicare Advantage |
$196.20
|
| Rate for Payer: Cash Price |
$207.25
|
| Rate for Payer: Cash Price |
$207.25
|
| Rate for Payer: Cofinity Commercial |
$222.79
|
| Rate for Payer: Cofinity Commercial |
$181.34
|
| Rate for Payer: Cofinity Medicare Advantage |
$181.34
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$207.25
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$196.20
|
| Rate for Payer: Healthscope Commercial |
$233.15
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$181.34
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$194.29
|
| Rate for Payer: Mclaren Medicaid |
$105.16
|
| Rate for Payer: Mclaren Medicare |
$196.20
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$206.01
|
| Rate for Payer: Meridian Medicaid |
$110.42
|
| Rate for Payer: MI Amish Medical Board Commercial |
$225.63
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$220.20
|
| Rate for Payer: PACE Medicare |
$186.39
|
| Rate for Payer: PACE SWMI |
$196.20
|
| Rate for Payer: PHP Commercial |
$220.20
|
| Rate for Payer: PHP Medicare Advantage |
$196.20
|
| Rate for Payer: Priority Health Choice Medicaid |
$105.16
|
| Rate for Payer: Priority Health Cigna Priority Health |
$168.39
|
| Rate for Payer: Priority Health Medicare |
$196.20
|
| Rate for Payer: Priority Health SBD |
$163.21
|
| Rate for Payer: Railroad Medicare Medicare |
$196.20
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$552.28
|
| Rate for Payer: UHC Dual Complete DSNP |
$196.20
|
| Rate for Payer: UHC Exchange |
$374.96
|
| Rate for Payer: UHC Medicare Advantage |
$196.20
|
| Rate for Payer: UHCCP Medicaid |
$105.16
|
| Rate for Payer: UMR Bronson Commercial |
$95.85
|
| Rate for Payer: VA VA |
$196.20
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$194.29
|
|
|
HC I&D BARTHOLIN GLAND ABSCESS
|
Facility
|
IP
|
$259.06
|
|
|
Service Code
|
CPT 56420
|
| Hospital Charge Code |
36100573
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$113.99 |
| Max. Negotiated Rate |
$233.15 |
| Rate for Payer: Aetna American Axle |
$168.39
|
| Rate for Payer: Aetna Commercial |
$220.20
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$168.39
|
| Rate for Payer: Cash Price |
$207.25
|
| Rate for Payer: Cofinity Commercial |
$181.34
|
| Rate for Payer: Cofinity Commercial |
$222.79
|
| Rate for Payer: Cofinity Medicare Advantage |
$181.34
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$207.25
|
| Rate for Payer: Healthscope Commercial |
$233.15
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$181.34
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$194.29
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$220.20
|
| Rate for Payer: PHP Commercial |
$220.20
|
| Rate for Payer: Priority Health Cigna Priority Health |
$168.39
|
| Rate for Payer: Priority Health SBD |
$163.21
|
| Rate for Payer: UMR Bronson Commercial |
$113.99
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$194.29
|
|
|
HC IDENTIFICATION BY AGGLUTINATION
|
Facility
|
IP
|
$29.86
|
|
|
Service Code
|
CPT 87147
|
| Hospital Charge Code |
30600091
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$13.14 |
| Max. Negotiated Rate |
$26.87 |
| Rate for Payer: Aetna American Axle |
$19.41
|
| Rate for Payer: Aetna Commercial |
$25.38
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$19.41
|
| Rate for Payer: Cash Price |
$23.89
|
| Rate for Payer: Cofinity Commercial |
$20.90
|
| Rate for Payer: Cofinity Commercial |
$25.68
|
| Rate for Payer: Cofinity Medicare Advantage |
$20.90
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$23.89
|
| Rate for Payer: Healthscope Commercial |
$26.87
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$20.90
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$22.39
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$25.38
|
| Rate for Payer: PHP Commercial |
$25.38
|
| Rate for Payer: Priority Health Cigna Priority Health |
$19.41
|
| Rate for Payer: Priority Health SBD |
$18.81
|
| Rate for Payer: UMR Bronson Commercial |
$13.14
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$22.39
|
|
|
HC IDENTIFICATION BY AGGLUTINATION
|
Facility
|
OP
|
$29.86
|
|
|
Service Code
|
CPT 87147
|
| Hospital Charge Code |
30600091
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$2.78 |
| Max. Negotiated Rate |
$26.87 |
| Rate for Payer: Aetna American Axle |
$19.41
|
| Rate for Payer: Aetna Commercial |
$25.38
|
| Rate for Payer: Aetna Medicare |
$5.39
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$19.41
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$6.47
|
| Rate for Payer: Amish Plain Church Group Commercial |
$6.47
|
| Rate for Payer: BCBS Complete |
$2.92
|
| Rate for Payer: BCBS MAPPO |
$5.18
|
| Rate for Payer: BCN Medicare Advantage |
$5.18
|
| Rate for Payer: Cash Price |
$23.89
|
| Rate for Payer: Cash Price |
$23.89
|
| Rate for Payer: Cofinity Commercial |
$25.68
|
| Rate for Payer: Cofinity Commercial |
$20.90
|
| Rate for Payer: Cofinity Medicare Advantage |
$20.90
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$23.89
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$5.18
|
| Rate for Payer: Healthscope Commercial |
$26.87
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$20.90
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$22.39
|
| Rate for Payer: Mclaren Medicaid |
$2.78
|
| Rate for Payer: Mclaren Medicare |
$5.18
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$5.44
|
| Rate for Payer: Meridian Medicaid |
$2.92
|
| Rate for Payer: MI Amish Medical Board Commercial |
$5.96
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$25.38
|
| Rate for Payer: PACE Medicare |
$4.92
|
| Rate for Payer: PACE SWMI |
$5.18
|
| Rate for Payer: PHP Commercial |
$25.38
|
| Rate for Payer: PHP Medicare Advantage |
$5.18
|
| Rate for Payer: Priority Health Choice Medicaid |
$2.78
|
| Rate for Payer: Priority Health Cigna Priority Health |
$19.41
|
| Rate for Payer: Priority Health Medicare |
$5.18
|
| Rate for Payer: Priority Health SBD |
$18.81
|
| Rate for Payer: Railroad Medicare Medicare |
$5.18
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$14.58
|
| Rate for Payer: UHC Dual Complete DSNP |
$5.18
|
| Rate for Payer: UHC Exchange |
$9.90
|
| Rate for Payer: UHC Medicare Advantage |
$5.18
|
| Rate for Payer: UHCCP Medicaid |
$2.78
|
| Rate for Payer: UMR Bronson Commercial |
$11.05
|
| Rate for Payer: VA VA |
$5.18
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$22.39
|
|
|
HC I&D (OB SURGERY)
|
Facility
|
IP
|
$535.51
|
|
| Hospital Charge Code |
36000054
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$235.62 |
| Max. Negotiated Rate |
$481.96 |
| Rate for Payer: Aetna American Axle |
$348.08
|
| Rate for Payer: Aetna Commercial |
$455.18
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$348.08
|
| Rate for Payer: Cash Price |
$428.41
|
| Rate for Payer: Cofinity Commercial |
$374.86
|
| Rate for Payer: Cofinity Commercial |
$460.54
|
| Rate for Payer: Cofinity Medicare Advantage |
$374.86
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$428.41
|
| Rate for Payer: Healthscope Commercial |
$481.96
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$374.86
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$401.63
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$455.18
|
| Rate for Payer: PHP Commercial |
$455.18
|
| Rate for Payer: Priority Health Cigna Priority Health |
$348.08
|
| Rate for Payer: Priority Health SBD |
$337.37
|
| Rate for Payer: UMR Bronson Commercial |
$235.62
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$401.63
|
|
|
HC I&D (OB SURGERY)
|
Facility
|
OP
|
$535.51
|
|
| Hospital Charge Code |
36000054
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$198.14 |
| Max. Negotiated Rate |
$481.96 |
| Rate for Payer: Aetna American Axle |
$348.08
|
| Rate for Payer: Aetna Commercial |
$455.18
|
| Rate for Payer: Aetna Medicare |
$267.75
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$348.08
|
| Rate for Payer: BCBS Complete |
$214.20
|
| Rate for Payer: Cash Price |
$428.41
|
| Rate for Payer: Cofinity Commercial |
$374.86
|
| Rate for Payer: Cofinity Commercial |
$460.54
|
| Rate for Payer: Cofinity Medicare Advantage |
$374.86
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$428.41
|
| Rate for Payer: Healthscope Commercial |
$481.96
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$374.86
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$401.63
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$455.18
|
| Rate for Payer: PHP Commercial |
$455.18
|
| Rate for Payer: Priority Health Cigna Priority Health |
$348.08
|
| Rate for Payer: Priority Health SBD |
$337.37
|
| Rate for Payer: UMR Bronson Commercial |
$198.14
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$401.63
|
|
|
HC I&D PILONIDAL CYST
|
Facility
|
IP
|
$931.90
|
|
|
Service Code
|
CPT 10080
|
| Hospital Charge Code |
45000097
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$410.04 |
| Max. Negotiated Rate |
$838.71 |
| Rate for Payer: Aetna American Axle |
$605.74
|
| Rate for Payer: Aetna Commercial |
$792.12
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$605.74
|
| Rate for Payer: Cash Price |
$745.52
|
| Rate for Payer: Cofinity Commercial |
$652.33
|
| Rate for Payer: Cofinity Commercial |
$801.43
|
| Rate for Payer: Cofinity Medicare Advantage |
$652.33
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$745.52
|
| Rate for Payer: Healthscope Commercial |
$838.71
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$652.33
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$698.92
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$792.12
|
| Rate for Payer: PHP Commercial |
$792.12
|
| Rate for Payer: Priority Health Cigna Priority Health |
$605.74
|
| Rate for Payer: Priority Health SBD |
$587.10
|
| Rate for Payer: UMR Bronson Commercial |
$410.04
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$698.92
|
|
|
HC I&D PILONIDAL CYST
|
Facility
|
OP
|
$931.90
|
|
|
Service Code
|
CPT 10080
|
| Hospital Charge Code |
45000097
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$344.80 |
| Max. Negotiated Rate |
$1,931.58 |
| Rate for Payer: Aetna American Axle |
$605.74
|
| Rate for Payer: Aetna Commercial |
$792.12
|
| Rate for Payer: Aetna Medicare |
$713.65
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$605.74
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$857.75
|
| Rate for Payer: Amish Plain Church Group Commercial |
$857.75
|
| Rate for Payer: BCBS Complete |
$386.19
|
| Rate for Payer: BCBS MAPPO |
$686.20
|
| Rate for Payer: BCN Medicare Advantage |
$686.20
|
| Rate for Payer: Cash Price |
$745.52
|
| Rate for Payer: Cash Price |
$745.52
|
| Rate for Payer: Cofinity Commercial |
$801.43
|
| Rate for Payer: Cofinity Commercial |
$652.33
|
| Rate for Payer: Cofinity Medicare Advantage |
$652.33
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$745.52
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$686.20
|
| Rate for Payer: Healthscope Commercial |
$838.71
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$652.33
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$698.92
|
| Rate for Payer: Mclaren Medicaid |
$367.80
|
| Rate for Payer: Mclaren Medicare |
$686.20
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$720.51
|
| Rate for Payer: Meridian Medicaid |
$386.19
|
| Rate for Payer: MI Amish Medical Board Commercial |
$789.13
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$792.12
|
| Rate for Payer: PACE Medicare |
$651.89
|
| Rate for Payer: PACE SWMI |
$686.20
|
| Rate for Payer: PHP Commercial |
$792.12
|
| Rate for Payer: PHP Medicare Advantage |
$686.20
|
| Rate for Payer: Priority Health Choice Medicaid |
$367.80
|
| Rate for Payer: Priority Health Cigna Priority Health |
$605.74
|
| Rate for Payer: Priority Health Medicare |
$686.20
|
| Rate for Payer: Priority Health SBD |
$587.10
|
| Rate for Payer: Railroad Medicare Medicare |
$686.20
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,931.58
|
| Rate for Payer: UHC Dual Complete DSNP |
$686.20
|
| Rate for Payer: UHC Exchange |
$1,311.40
|
| Rate for Payer: UHC Medicare Advantage |
$686.20
|
| Rate for Payer: UHCCP Medicaid |
$367.80
|
| Rate for Payer: UMR Bronson Commercial |
$344.80
|
| Rate for Payer: VA VA |
$686.20
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$698.92
|
|
|
HC I&D PROCEDURE
|
Facility
|
IP
|
$490.15
|
|
| Hospital Charge Code |
45000045
|
|
Hospital Revenue Code
|
450
|
| Min. Negotiated Rate |
$215.67 |
| Max. Negotiated Rate |
$441.13 |
| Rate for Payer: Aetna American Axle |
$318.60
|
| Rate for Payer: Aetna Commercial |
$416.63
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$318.60
|
| Rate for Payer: Cash Price |
$392.12
|
| Rate for Payer: Cofinity Commercial |
$343.11
|
| Rate for Payer: Cofinity Commercial |
$421.53
|
| Rate for Payer: Cofinity Medicare Advantage |
$343.11
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$392.12
|
| Rate for Payer: Healthscope Commercial |
$441.13
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$343.11
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$367.61
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$416.63
|
| Rate for Payer: PHP Commercial |
$416.63
|
| Rate for Payer: Priority Health Cigna Priority Health |
$318.60
|
| Rate for Payer: Priority Health SBD |
$308.79
|
| Rate for Payer: UMR Bronson Commercial |
$215.67
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$367.61
|
|
|
HC I&D PROCEDURE
|
Facility
|
OP
|
$490.15
|
|
| Hospital Charge Code |
45000045
|
|
Hospital Revenue Code
|
450
|
| Min. Negotiated Rate |
$181.36 |
| Max. Negotiated Rate |
$441.13 |
| Rate for Payer: Aetna American Axle |
$318.60
|
| Rate for Payer: Aetna Commercial |
$416.63
|
| Rate for Payer: Aetna Medicare |
$245.07
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$318.60
|
| Rate for Payer: BCBS Complete |
$196.06
|
| Rate for Payer: Cash Price |
$392.12
|
| Rate for Payer: Cofinity Commercial |
$343.11
|
| Rate for Payer: Cofinity Commercial |
$421.53
|
| Rate for Payer: Cofinity Medicare Advantage |
$343.11
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$392.12
|
| Rate for Payer: Healthscope Commercial |
$441.13
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$343.11
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$367.61
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$416.63
|
| Rate for Payer: PHP Commercial |
$416.63
|
| Rate for Payer: Priority Health Cigna Priority Health |
$318.60
|
| Rate for Payer: Priority Health SBD |
$308.79
|
| Rate for Payer: UMR Bronson Commercial |
$181.36
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$367.61
|
|
|
HC I&D VULVA/PERINEAL ABSCESS
|
Facility
|
IP
|
$849.27
|
|
|
Service Code
|
CPT 56405
|
| Hospital Charge Code |
76100319
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$373.68 |
| Max. Negotiated Rate |
$764.34 |
| Rate for Payer: Aetna American Axle |
$552.03
|
| Rate for Payer: Aetna Commercial |
$721.88
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$552.03
|
| Rate for Payer: Cash Price |
$679.42
|
| Rate for Payer: Cofinity Commercial |
$594.49
|
| Rate for Payer: Cofinity Commercial |
$730.37
|
| Rate for Payer: Cofinity Medicare Advantage |
$594.49
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$679.42
|
| Rate for Payer: Healthscope Commercial |
$764.34
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$594.49
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$636.95
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$721.88
|
| Rate for Payer: PHP Commercial |
$721.88
|
| Rate for Payer: Priority Health Cigna Priority Health |
$552.03
|
| Rate for Payer: Priority Health SBD |
$535.04
|
| Rate for Payer: UMR Bronson Commercial |
$373.68
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$636.95
|
|
