|
HC SPECIMEN CONCENTRATION FOR INFECTIOUS AGENTS
|
Facility
|
IP
|
$43.20
|
|
|
Service Code
|
CPT 87015
|
| Hospital Charge Code |
30600068
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$19.01 |
| Max. Negotiated Rate |
$38.88 |
| Rate for Payer: Aetna American Axle |
$28.08
|
| Rate for Payer: Aetna Commercial |
$36.72
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$28.08
|
| Rate for Payer: Cash Price |
$34.56
|
| Rate for Payer: Cofinity Commercial |
$30.24
|
| Rate for Payer: Cofinity Commercial |
$37.15
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$34.56
|
| Rate for Payer: Healthscope Commercial |
$38.88
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$30.24
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$32.40
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$36.72
|
| Rate for Payer: PHP Commercial |
$36.72
|
| Rate for Payer: Priority Health Cigna Priority Health |
$30.24
|
| Rate for Payer: Priority Health SBD |
$27.22
|
| Rate for Payer: UMR Bronson Commercial |
$19.01
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$32.40
|
|
|
HC SPECIMEN CONCENTRATION FOR INFECTIOUS AGENTS
|
Facility
|
OP
|
$43.20
|
|
|
Service Code
|
CPT 87015
|
| Hospital Charge Code |
30600068
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$2.65 |
| Max. Negotiated Rate |
$38.88 |
| Rate for Payer: Aetna American Axle |
$28.08
|
| Rate for Payer: Aetna Commercial |
$36.72
|
| Rate for Payer: Aetna Medicare |
$6.95
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$28.08
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$8.35
|
| Rate for Payer: Amish Plain Church Group Commercial |
$8.35
|
| Rate for Payer: BCBS Complete |
$3.84
|
| Rate for Payer: BCBS MAPPO |
$6.68
|
| Rate for Payer: BCBS Trust/PPO |
$6.01
|
| Rate for Payer: BCN Medicare Advantage |
$6.68
|
| Rate for Payer: Cash Price |
$34.56
|
| Rate for Payer: Cash Price |
$34.56
|
| Rate for Payer: Cofinity Commercial |
$30.24
|
| Rate for Payer: Cofinity Commercial |
$37.15
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$34.56
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$6.68
|
| Rate for Payer: Healthscope Commercial |
$38.88
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$30.24
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$32.40
|
| Rate for Payer: Mclaren Medicaid |
$3.65
|
| Rate for Payer: Mclaren Medicare |
$6.68
|
| Rate for Payer: Meridian Medicaid |
$3.84
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$7.01
|
| Rate for Payer: MI Amish Medical Board Commercial |
$7.68
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$36.72
|
| Rate for Payer: PACE Medicare |
$6.35
|
| Rate for Payer: PACE SWMI |
$6.68
|
| Rate for Payer: PHP Commercial |
$36.72
|
| Rate for Payer: PHP Medicare Advantage |
$6.68
|
| Rate for Payer: Priority Health Choice Medicaid |
$3.65
|
| Rate for Payer: Priority Health Cigna Priority Health |
$30.24
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$3.31
|
| Rate for Payer: Priority Health Medicare |
$6.68
|
| Rate for Payer: Priority Health Narrow Network |
$2.65
|
| Rate for Payer: Priority Health SBD |
$27.22
|
| Rate for Payer: Railroad Medicare Medicare |
$6.68
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$8.02
|
| Rate for Payer: UHC Core |
$11.02
|
| Rate for Payer: UHC Dual Complete DSNP |
$6.68
|
| Rate for Payer: UHC Exchange |
$6.68
|
| Rate for Payer: UHC Medicare Advantage |
$6.88
|
| Rate for Payer: UMR Bronson Commercial |
$15.98
|
| Rate for Payer: VA VA |
$6.68
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$32.40
|
|
|
HC SPEC PHYSICS CONSULT
|
Facility
|
IP
|
$826.00
|
|
|
Service Code
|
CPT 77370
|
| Hospital Charge Code |
33300017
|
|
Hospital Revenue Code
|
333
|
| Min. Negotiated Rate |
$363.44 |
| Max. Negotiated Rate |
$743.40 |
| Rate for Payer: Aetna American Axle |
$536.90
|
| Rate for Payer: Aetna American Axle |
$354.70
|
| Rate for Payer: Aetna Commercial |
$463.84
|
| Rate for Payer: Aetna Commercial |
$702.10
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$536.90
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$354.70
|
| Rate for Payer: Cash Price |
$436.56
|
| Rate for Payer: Cash Price |
$660.80
|
| Rate for Payer: Cofinity Commercial |
$710.36
|
| Rate for Payer: Cofinity Commercial |
$578.20
|
| Rate for Payer: Cofinity Commercial |
$381.99
|
| Rate for Payer: Cofinity Commercial |
$469.30
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$660.80
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$436.56
|
| Rate for Payer: Healthscope Commercial |
$743.40
|
| Rate for Payer: Healthscope Commercial |
$491.13
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$578.20
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$381.99
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$409.28
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$619.50
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$702.10
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$463.84
|
| Rate for Payer: PHP Commercial |
$463.84
|
| Rate for Payer: PHP Commercial |
$702.10
|
| Rate for Payer: Priority Health Cigna Priority Health |
$578.20
|
| Rate for Payer: Priority Health Cigna Priority Health |
$381.99
|
| Rate for Payer: Priority Health SBD |
$520.38
|
| Rate for Payer: Priority Health SBD |
$343.79
|
| Rate for Payer: UMR Bronson Commercial |
$240.11
|
| Rate for Payer: UMR Bronson Commercial |
$363.44
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$619.50
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$409.28
|
|
|
HC SPEC PHYSICS CONSULT
|
Facility
|
OP
|
$545.70
|
|
|
Service Code
|
CPT 77370
|
| Hospital Charge Code |
33300017
|
|
Hospital Revenue Code
|
333
|
| Min. Negotiated Rate |
$65.97 |
| Max. Negotiated Rate |
$979.00 |
| Rate for Payer: Aetna American Axle |
$354.70
|
| Rate for Payer: Aetna American Axle |
$536.90
|
| Rate for Payer: Aetna Commercial |
$463.84
|
| Rate for Payer: Aetna Commercial |
$702.10
|
| Rate for Payer: Aetna Medicare |
$125.43
|
| Rate for Payer: Aetna Medicare |
$125.43
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$354.70
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$536.90
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$150.76
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$150.76
|
| Rate for Payer: Amish Plain Church Group Commercial |
$150.76
|
| Rate for Payer: Amish Plain Church Group Commercial |
$150.76
|
| Rate for Payer: BCBS Complete |
$69.28
|
| Rate for Payer: BCBS Complete |
$69.28
|
| Rate for Payer: BCBS MAPPO |
$120.61
|
| Rate for Payer: BCBS MAPPO |
$120.61
|
| Rate for Payer: BCBS Trust/PPO |
$262.89
|
| Rate for Payer: BCBS Trust/PPO |
$262.89
|
| Rate for Payer: BCN Medicare Advantage |
$120.61
|
| Rate for Payer: BCN Medicare Advantage |
$120.61
|
| Rate for Payer: Cash Price |
$660.80
|
| Rate for Payer: Cash Price |
$436.56
|
| Rate for Payer: Cash Price |
$436.56
|
| Rate for Payer: Cash Price |
$436.56
|
| Rate for Payer: Cash Price |
$660.80
|
| Rate for Payer: Cash Price |
$660.80
|
| Rate for Payer: Cofinity Commercial |
$710.36
|
| Rate for Payer: Cofinity Commercial |
$381.99
|
| Rate for Payer: Cofinity Commercial |
$469.30
|
| Rate for Payer: Cofinity Commercial |
$578.20
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$436.56
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$660.80
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$120.61
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$120.61
|
| Rate for Payer: Healthscope Commercial |
$743.40
|
| Rate for Payer: Healthscope Commercial |
$491.13
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$381.99
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$578.20
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$409.28
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$619.50
|
| Rate for Payer: Mclaren Medicaid |
$65.97
|
| Rate for Payer: Mclaren Medicaid |
$65.97
|
| Rate for Payer: Mclaren Medicare |
$120.61
|
| Rate for Payer: Mclaren Medicare |
$120.61
|
| Rate for Payer: Meridian Medicaid |
$69.28
|
| Rate for Payer: Meridian Medicaid |
$69.28
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$126.64
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$126.64
|
| Rate for Payer: MI Amish Medical Board Commercial |
$138.70
|
| Rate for Payer: MI Amish Medical Board Commercial |
$138.70
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$702.10
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$463.84
|
| Rate for Payer: PACE Medicare |
$114.58
|
| Rate for Payer: PACE Medicare |
$114.58
|
| Rate for Payer: PACE SWMI |
$120.61
|
| Rate for Payer: PACE SWMI |
$120.61
|
| Rate for Payer: PHP Commercial |
$463.84
|
| Rate for Payer: PHP Commercial |
$702.10
|
| Rate for Payer: PHP Medicare Advantage |
$120.61
|
| Rate for Payer: PHP Medicare Advantage |
$120.61
|
| Rate for Payer: Priority Health Choice Medicaid |
$65.97
|
| Rate for Payer: Priority Health Choice Medicaid |
$65.97
|
| Rate for Payer: Priority Health Cigna Priority Health |
$578.20
|
| Rate for Payer: Priority Health Cigna Priority Health |
$381.99
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$379.68
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$379.68
|
| Rate for Payer: Priority Health Medicare |
$120.61
|
| Rate for Payer: Priority Health Medicare |
$120.61
|
| Rate for Payer: Priority Health Narrow Network |
$303.74
|
| Rate for Payer: Priority Health Narrow Network |
$303.74
|
| Rate for Payer: Priority Health SBD |
$520.38
|
| Rate for Payer: Priority Health SBD |
$343.79
|
| Rate for Payer: Railroad Medicare Medicare |
$120.61
|
| Rate for Payer: Railroad Medicare Medicare |
$120.61
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$156.32
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$156.32
|
| Rate for Payer: UHC Core |
$979.00
|
| Rate for Payer: UHC Core |
$979.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$120.61
|
| Rate for Payer: UHC Dual Complete DSNP |
$120.61
|
| Rate for Payer: UHC Exchange |
$142.11
|
| Rate for Payer: UHC Exchange |
$142.11
|
| Rate for Payer: UHC Medicare Advantage |
$124.23
|
| Rate for Payer: UHC Medicare Advantage |
$124.23
|
| Rate for Payer: UMR Bronson Commercial |
$201.91
|
| Rate for Payer: UMR Bronson Commercial |
$305.62
|
| Rate for Payer: VA VA |
$120.61
|
| Rate for Payer: VA VA |
$120.61
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$619.50
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$409.28
|
|
|
HC SPECTRAL DOPPLER
|
Facility
|
OP
|
$483.91
|
|
|
Service Code
|
CPT 93320
|
| Hospital Charge Code |
48000006
|
|
Hospital Revenue Code
|
480
|
| Min. Negotiated Rate |
$49.77 |
| Max. Negotiated Rate |
$816.00 |
| Rate for Payer: Aetna American Axle |
$314.54
|
| Rate for Payer: Aetna Commercial |
$411.32
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$314.54
|
| Rate for Payer: BCBS Complete |
$193.56
|
| Rate for Payer: BCBS Trust/PPO |
$165.88
|
| Rate for Payer: Cash Price |
$387.13
|
| Rate for Payer: Cash Price |
$387.13
|
| Rate for Payer: Cash Price |
$387.13
|
| Rate for Payer: Cofinity Commercial |
$416.16
|
| Rate for Payer: Cofinity Commercial |
$338.74
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$387.13
|
| Rate for Payer: Healthscope Commercial |
$435.52
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$338.74
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$362.93
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$411.32
|
| Rate for Payer: PHP Commercial |
$411.32
|
| Rate for Payer: Priority Health Cigna Priority Health |
$338.74
|
| Rate for Payer: Priority Health SBD |
$304.86
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$54.75
|
| Rate for Payer: UHC Core |
$816.00
|
| Rate for Payer: UHC Exchange |
$49.77
|
| Rate for Payer: UMR Bronson Commercial |
$179.05
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$362.93
|
|
|
HC SPECTRAL DOPPLER
|
Facility
|
IP
|
$483.91
|
|
|
Service Code
|
CPT 93320
|
| Hospital Charge Code |
48000006
|
|
Hospital Revenue Code
|
480
|
| Min. Negotiated Rate |
$212.92 |
| Max. Negotiated Rate |
$435.52 |
| Rate for Payer: Aetna American Axle |
$314.54
|
| Rate for Payer: Aetna Commercial |
$411.32
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$314.54
|
| Rate for Payer: Cash Price |
$387.13
|
| Rate for Payer: Cofinity Commercial |
$338.74
|
| Rate for Payer: Cofinity Commercial |
$416.16
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$387.13
|
| Rate for Payer: Healthscope Commercial |
$435.52
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$338.74
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$362.93
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$411.32
|
| Rate for Payer: PHP Commercial |
$411.32
|
| Rate for Payer: Priority Health Cigna Priority Health |
$338.74
|
| Rate for Payer: Priority Health SBD |
$304.86
|
| Rate for Payer: UMR Bronson Commercial |
$212.92
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$362.93
|
|
|
HC SPEC TX PROCEDURE
|
Facility
|
IP
|
$1,556.52
|
|
|
Service Code
|
CPT 77470
|
| Hospital Charge Code |
33300026
|
|
Hospital Revenue Code
|
333
|
| Min. Negotiated Rate |
$684.87 |
| Max. Negotiated Rate |
$1,400.87 |
| Rate for Payer: Aetna American Axle |
$1,011.74
|
| Rate for Payer: Aetna American Axle |
$1,519.70
|
| Rate for Payer: Aetna Commercial |
$1,323.04
|
| Rate for Payer: Aetna Commercial |
$1,987.30
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,519.70
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,011.74
|
| Rate for Payer: Cash Price |
$1,870.40
|
| Rate for Payer: Cash Price |
$1,245.22
|
| Rate for Payer: Cofinity Commercial |
$2,010.68
|
| Rate for Payer: Cofinity Commercial |
$1,338.61
|
| Rate for Payer: Cofinity Commercial |
$1,089.56
|
| Rate for Payer: Cofinity Commercial |
$1,636.60
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,245.22
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,870.40
|
| Rate for Payer: Healthscope Commercial |
$2,104.20
|
| Rate for Payer: Healthscope Commercial |
$1,400.87
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,636.60
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,089.56
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,753.50
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,167.39
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,987.30
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,323.04
|
| Rate for Payer: PHP Commercial |
$1,987.30
|
| Rate for Payer: PHP Commercial |
$1,323.04
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,636.60
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,089.56
|
| Rate for Payer: Priority Health SBD |
$980.61
|
| Rate for Payer: Priority Health SBD |
$1,472.94
|
| Rate for Payer: UMR Bronson Commercial |
$684.87
|
| Rate for Payer: UMR Bronson Commercial |
$1,028.72
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,167.39
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,753.50
|
|
|
HC SPEC TX PROCEDURE
|
Facility
|
OP
|
$1,556.52
|
|
|
Service Code
|
CPT 77470
|
| Hospital Charge Code |
33300026
|
|
Hospital Revenue Code
|
333
|
| Min. Negotiated Rate |
$61.45 |
| Max. Negotiated Rate |
$1,647.21 |
| Rate for Payer: Aetna American Axle |
$1,011.74
|
| Rate for Payer: Aetna American Axle |
$1,519.70
|
| Rate for Payer: Aetna Commercial |
$1,323.04
|
| Rate for Payer: Aetna Commercial |
$1,987.30
|
| Rate for Payer: Aetna Medicare |
$544.18
|
| Rate for Payer: Aetna Medicare |
$544.18
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,519.70
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,011.74
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$654.06
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$654.06
|
| Rate for Payer: Amish Plain Church Group Commercial |
$654.06
|
| Rate for Payer: Amish Plain Church Group Commercial |
$654.06
|
| Rate for Payer: BCBS Complete |
$300.55
|
| Rate for Payer: BCBS Complete |
$300.55
|
| Rate for Payer: BCBS MAPPO |
$523.25
|
| Rate for Payer: BCBS MAPPO |
$523.25
|
| Rate for Payer: BCBS Trust/PPO |
$61.45
|
| Rate for Payer: BCBS Trust/PPO |
$61.45
|
| Rate for Payer: BCN Medicare Advantage |
$523.25
|
| Rate for Payer: BCN Medicare Advantage |
$523.25
|
| Rate for Payer: Cash Price |
$1,245.22
|
| Rate for Payer: Cash Price |
$1,870.40
|
| Rate for Payer: Cash Price |
$1,870.40
|
| Rate for Payer: Cash Price |
$1,245.22
|
| Rate for Payer: Cash Price |
$1,245.22
|
| Rate for Payer: Cash Price |
$1,870.40
|
| Rate for Payer: Cofinity Commercial |
$1,089.56
|
| Rate for Payer: Cofinity Commercial |
$2,010.68
|
| Rate for Payer: Cofinity Commercial |
$1,636.60
|
| Rate for Payer: Cofinity Commercial |
$1,338.61
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,870.40
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,245.22
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$523.25
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$523.25
|
| Rate for Payer: Healthscope Commercial |
$1,400.87
|
| Rate for Payer: Healthscope Commercial |
$2,104.20
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,636.60
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,089.56
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,753.50
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,167.39
|
| Rate for Payer: Mclaren Medicaid |
$286.22
|
| Rate for Payer: Mclaren Medicaid |
$286.22
|
| Rate for Payer: Mclaren Medicare |
$523.25
|
| Rate for Payer: Mclaren Medicare |
$523.25
|
| Rate for Payer: Meridian Medicaid |
$300.55
|
| Rate for Payer: Meridian Medicaid |
$300.55
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$549.41
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$549.41
|
| Rate for Payer: MI Amish Medical Board Commercial |
$601.74
|
| Rate for Payer: MI Amish Medical Board Commercial |
$601.74
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,323.04
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,987.30
|
| Rate for Payer: PACE Medicare |
$497.09
|
| Rate for Payer: PACE Medicare |
$497.09
|
| Rate for Payer: PACE SWMI |
$523.25
|
| Rate for Payer: PACE SWMI |
$523.25
|
| Rate for Payer: PHP Commercial |
$1,987.30
|
| Rate for Payer: PHP Commercial |
$1,323.04
|
| Rate for Payer: PHP Medicare Advantage |
$523.25
|
| Rate for Payer: PHP Medicare Advantage |
$523.25
|
| Rate for Payer: Priority Health Choice Medicaid |
$286.22
|
| Rate for Payer: Priority Health Choice Medicaid |
$286.22
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,636.60
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,089.56
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,647.21
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,647.21
|
| Rate for Payer: Priority Health Medicare |
$523.25
|
| Rate for Payer: Priority Health Medicare |
$523.25
|
| Rate for Payer: Priority Health Narrow Network |
$1,317.77
|
| Rate for Payer: Priority Health Narrow Network |
$1,317.77
|
| Rate for Payer: Priority Health SBD |
$980.61
|
| Rate for Payer: Priority Health SBD |
$1,472.94
|
| Rate for Payer: Railroad Medicare Medicare |
$523.25
|
| Rate for Payer: Railroad Medicare Medicare |
$523.25
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$153.44
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$153.44
|
| Rate for Payer: UHC Core |
$979.00
|
| Rate for Payer: UHC Core |
$979.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$523.25
|
| Rate for Payer: UHC Dual Complete DSNP |
$523.25
|
| Rate for Payer: UHC Exchange |
$139.49
|
| Rate for Payer: UHC Exchange |
$139.49
|
| Rate for Payer: UHC Medicare Advantage |
$538.95
|
| Rate for Payer: UHC Medicare Advantage |
$538.95
|
| Rate for Payer: UMR Bronson Commercial |
$865.06
|
| Rate for Payer: UMR Bronson Commercial |
$575.91
|
| Rate for Payer: VA VA |
$523.25
|
| Rate for Payer: VA VA |
$523.25
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,167.39
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,753.50
|
|
|
HC SPEECH AUDIOMETRY COMPLETE
|
Facility
|
IP
|
$65.00
|
|
|
Service Code
|
CPT 92556
|
| Hospital Charge Code |
76100502
|
|
Hospital Revenue Code
|
471
|
| Min. Negotiated Rate |
$28.60 |
| Max. Negotiated Rate |
$58.50 |
| Rate for Payer: Aetna American Axle |
$42.25
|
| Rate for Payer: Aetna Commercial |
$55.25
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$42.25
|
| Rate for Payer: Cash Price |
$52.00
|
| Rate for Payer: Cofinity Commercial |
$45.50
|
| Rate for Payer: Cofinity Commercial |
$55.90
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$52.00
|
| Rate for Payer: Healthscope Commercial |
$58.50
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$45.50
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$48.75
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$55.25
|
| Rate for Payer: PHP Commercial |
$55.25
|
| Rate for Payer: Priority Health Cigna Priority Health |
$45.50
|
| Rate for Payer: Priority Health SBD |
$40.95
|
| Rate for Payer: UMR Bronson Commercial |
$28.60
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$48.75
|
|
|
HC SPEECH AUDIOMETRY COMPLETE
|
Facility
|
OP
|
$65.00
|
|
|
Service Code
|
CPT 92556
|
| Hospital Charge Code |
76100502
|
|
Hospital Revenue Code
|
471
|
| Min. Negotiated Rate |
$24.05 |
| Max. Negotiated Rate |
$294.00 |
| Rate for Payer: Aetna American Axle |
$42.25
|
| Rate for Payer: Aetna Commercial |
$55.25
|
| Rate for Payer: Aetna Medicare |
$56.54
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$42.25
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$67.96
|
| Rate for Payer: Amish Plain Church Group Commercial |
$67.96
|
| Rate for Payer: BCBS Complete |
$31.23
|
| Rate for Payer: BCBS MAPPO |
$54.37
|
| Rate for Payer: BCBS Trust/PPO |
$211.14
|
| Rate for Payer: BCN Medicare Advantage |
$54.37
|
| Rate for Payer: Cash Price |
$52.00
|
| Rate for Payer: Cash Price |
$52.00
|
| Rate for Payer: Cash Price |
$52.00
|
| Rate for Payer: Cofinity Commercial |
$45.50
|
| Rate for Payer: Cofinity Commercial |
$55.90
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$52.00
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$54.37
|
| Rate for Payer: Healthscope Commercial |
$58.50
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$45.50
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$48.75
|
| Rate for Payer: Mclaren Medicaid |
$29.74
|
| Rate for Payer: Mclaren Medicare |
$54.37
|
| Rate for Payer: Meridian Medicaid |
$31.23
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$57.09
|
| Rate for Payer: MI Amish Medical Board Commercial |
$62.53
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$55.25
|
| Rate for Payer: PACE Medicare |
$51.65
|
| Rate for Payer: PACE SWMI |
$54.37
|
| Rate for Payer: PHP Commercial |
$55.25
|
| Rate for Payer: PHP Medicare Advantage |
$54.37
|
| Rate for Payer: Priority Health Choice Medicaid |
$29.74
|
| Rate for Payer: Priority Health Cigna Priority Health |
$45.50
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$171.15
|
| Rate for Payer: Priority Health Medicare |
$54.37
|
| Rate for Payer: Priority Health Narrow Network |
$136.92
|
| Rate for Payer: Priority Health SBD |
$40.95
|
| Rate for Payer: Railroad Medicare Medicare |
$54.37
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$48.62
|
| Rate for Payer: UHC Core |
$294.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$54.37
|
| Rate for Payer: UHC Exchange |
$44.20
|
| Rate for Payer: UHC Medicare Advantage |
$56.00
|
| Rate for Payer: UMR Bronson Commercial |
$24.05
|
| Rate for Payer: VA VA |
$54.37
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$48.75
|
|
|
HC SPEECH EVAL
|
Facility
|
OP
|
$575.48
|
|
|
Service Code
|
CPT 92523
|
| Hospital Charge Code |
44400009
|
|
Hospital Revenue Code
|
444
|
| Min. Negotiated Rate |
$146.43 |
| Max. Negotiated Rate |
$517.93 |
| Rate for Payer: Aetna American Axle |
$374.06
|
| Rate for Payer: Aetna Commercial |
$489.16
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$374.06
|
| Rate for Payer: BCBS Complete |
$230.19
|
| Rate for Payer: BCBS Trust/PPO |
$238.55
|
| Rate for Payer: Cash Price |
$460.38
|
| Rate for Payer: Cash Price |
$460.38
|
| Rate for Payer: Cash Price |
$460.38
|
| Rate for Payer: Cofinity Commercial |
$494.91
|
| Rate for Payer: Cofinity Commercial |
$402.84
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$460.38
|
| Rate for Payer: Healthscope Commercial |
$517.93
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$402.84
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$431.61
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$489.16
|
| Rate for Payer: PHP Commercial |
$489.16
|
| Rate for Payer: Priority Health Cigna Priority Health |
$402.84
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$183.04
|
| Rate for Payer: Priority Health Narrow Network |
$146.43
|
| Rate for Payer: Priority Health SBD |
$362.55
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$246.37
|
| Rate for Payer: UHC Core |
$294.00
|
| Rate for Payer: UHC Exchange |
$223.97
|
| Rate for Payer: UMR Bronson Commercial |
$212.93
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$431.61
|
|
|
HC SPEECH EVAL
|
Facility
|
IP
|
$575.48
|
|
|
Service Code
|
CPT 92523
|
| Hospital Charge Code |
44400009
|
|
Hospital Revenue Code
|
444
|
| Min. Negotiated Rate |
$253.21 |
| Max. Negotiated Rate |
$517.93 |
| Rate for Payer: Aetna American Axle |
$374.06
|
| Rate for Payer: Aetna Commercial |
$489.16
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$374.06
|
| Rate for Payer: Cash Price |
$460.38
|
| Rate for Payer: Cofinity Commercial |
$402.84
|
| Rate for Payer: Cofinity Commercial |
$494.91
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$460.38
|
| Rate for Payer: Healthscope Commercial |
$517.93
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$402.84
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$431.61
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$489.16
|
| Rate for Payer: PHP Commercial |
$489.16
|
| Rate for Payer: Priority Health Cigna Priority Health |
$402.84
|
| Rate for Payer: Priority Health SBD |
$362.55
|
| Rate for Payer: UMR Bronson Commercial |
$253.21
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$431.61
|
|
|
HC SPEECH FLUENCY EVAL
|
Facility
|
OP
|
$289.77
|
|
|
Service Code
|
CPT 92521
|
| Hospital Charge Code |
44400012
|
|
Hospital Revenue Code
|
444
|
| Min. Negotiated Rate |
$86.82 |
| Max. Negotiated Rate |
$294.00 |
| Rate for Payer: Aetna American Axle |
$188.35
|
| Rate for Payer: Aetna Commercial |
$246.30
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$188.35
|
| Rate for Payer: BCBS Complete |
$115.91
|
| Rate for Payer: BCBS Trust/PPO |
$139.12
|
| Rate for Payer: Cash Price |
$231.82
|
| Rate for Payer: Cash Price |
$231.82
|
| Rate for Payer: Cash Price |
$231.82
|
| Rate for Payer: Cofinity Commercial |
$202.84
|
| Rate for Payer: Cofinity Commercial |
$249.20
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$231.82
|
| Rate for Payer: Healthscope Commercial |
$260.79
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$202.84
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$217.33
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$246.30
|
| Rate for Payer: PHP Commercial |
$246.30
|
| Rate for Payer: Priority Health Cigna Priority Health |
$202.84
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$108.53
|
| Rate for Payer: Priority Health Narrow Network |
$86.82
|
| Rate for Payer: Priority Health SBD |
$182.56
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$143.72
|
| Rate for Payer: UHC Core |
$294.00
|
| Rate for Payer: UHC Exchange |
$130.65
|
| Rate for Payer: UMR Bronson Commercial |
$107.21
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$217.33
|
|
|
HC SPEECH FLUENCY EVAL
|
Facility
|
IP
|
$289.77
|
|
|
Service Code
|
CPT 92521
|
| Hospital Charge Code |
44400012
|
|
Hospital Revenue Code
|
444
|
| Min. Negotiated Rate |
$127.50 |
| Max. Negotiated Rate |
$260.79 |
| Rate for Payer: Aetna American Axle |
$188.35
|
| Rate for Payer: Aetna Commercial |
$246.30
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$188.35
|
| Rate for Payer: Cash Price |
$231.82
|
| Rate for Payer: Cofinity Commercial |
$202.84
|
| Rate for Payer: Cofinity Commercial |
$249.20
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$231.82
|
| Rate for Payer: Healthscope Commercial |
$260.79
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$202.84
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$217.33
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$246.30
|
| Rate for Payer: PHP Commercial |
$246.30
|
| Rate for Payer: Priority Health Cigna Priority Health |
$202.84
|
| Rate for Payer: Priority Health SBD |
$182.56
|
| Rate for Payer: UMR Bronson Commercial |
$127.50
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$217.33
|
|
|
HC SPEECH/LANGUAGE/HEARING THERAPY
|
Facility
|
OP
|
$212.16
|
|
|
Service Code
|
CPT 92507
|
| Hospital Charge Code |
44000001
|
|
Hospital Revenue Code
|
440
|
| Min. Negotiated Rate |
$66.40 |
| Max. Negotiated Rate |
$294.00 |
| Rate for Payer: Aetna American Axle |
$137.90
|
| Rate for Payer: Aetna Commercial |
$180.34
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$137.90
|
| Rate for Payer: BCBS Complete |
$84.86
|
| Rate for Payer: BCBS Trust/PPO |
$80.10
|
| Rate for Payer: Cash Price |
$169.73
|
| Rate for Payer: Cash Price |
$169.73
|
| Rate for Payer: Cash Price |
$169.73
|
| Rate for Payer: Cofinity Commercial |
$182.46
|
| Rate for Payer: Cofinity Commercial |
$148.51
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$169.73
|
| Rate for Payer: Healthscope Commercial |
$190.94
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$148.51
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$159.12
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$180.34
|
| Rate for Payer: PHP Commercial |
$180.34
|
| Rate for Payer: Priority Health Cigna Priority Health |
$148.51
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$83.00
|
| Rate for Payer: Priority Health Narrow Network |
$66.40
|
| Rate for Payer: Priority Health SBD |
$133.66
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$82.48
|
| Rate for Payer: UHC Core |
$294.00
|
| Rate for Payer: UHC Exchange |
$74.98
|
| Rate for Payer: UMR Bronson Commercial |
$78.50
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$159.12
|
|
|
HC SPEECH/LANGUAGE/HEARING THERAPY
|
Facility
|
IP
|
$212.16
|
|
|
Service Code
|
CPT 92507
|
| Hospital Charge Code |
44000001
|
|
Hospital Revenue Code
|
440
|
| Min. Negotiated Rate |
$93.35 |
| Max. Negotiated Rate |
$190.94 |
| Rate for Payer: Aetna American Axle |
$137.90
|
| Rate for Payer: Aetna Commercial |
$180.34
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$137.90
|
| Rate for Payer: Cash Price |
$169.73
|
| Rate for Payer: Cofinity Commercial |
$148.51
|
| Rate for Payer: Cofinity Commercial |
$182.46
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$169.73
|
| Rate for Payer: Healthscope Commercial |
$190.94
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$148.51
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$159.12
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$180.34
|
| Rate for Payer: PHP Commercial |
$180.34
|
| Rate for Payer: Priority Health Cigna Priority Health |
$148.51
|
| Rate for Payer: Priority Health SBD |
$133.66
|
| Rate for Payer: UMR Bronson Commercial |
$93.35
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$159.12
|
|
|
HC SPEECH SOUND PRODUCTION EVAL
|
Facility
|
IP
|
$254.47
|
|
|
Service Code
|
CPT 92522
|
| Hospital Charge Code |
44400010
|
|
Hospital Revenue Code
|
444
|
| Min. Negotiated Rate |
$111.97 |
| Max. Negotiated Rate |
$229.02 |
| Rate for Payer: Aetna American Axle |
$165.41
|
| Rate for Payer: Aetna Commercial |
$216.30
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$165.41
|
| Rate for Payer: Cash Price |
$203.58
|
| Rate for Payer: Cofinity Commercial |
$178.13
|
| Rate for Payer: Cofinity Commercial |
$218.84
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$203.58
|
| Rate for Payer: Healthscope Commercial |
$229.02
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$178.13
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$190.85
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$216.30
|
| Rate for Payer: PHP Commercial |
$216.30
|
| Rate for Payer: Priority Health Cigna Priority Health |
$178.13
|
| Rate for Payer: Priority Health SBD |
$160.32
|
| Rate for Payer: UMR Bronson Commercial |
$111.97
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$190.85
|
|
|
HC SPEECH SOUND PRODUCTION EVAL
|
Facility
|
OP
|
$254.47
|
|
|
Service Code
|
CPT 92522
|
| Hospital Charge Code |
44400010
|
|
Hospital Revenue Code
|
444
|
| Min. Negotiated Rate |
$70.50 |
| Max. Negotiated Rate |
$294.00 |
| Rate for Payer: Aetna American Axle |
$165.41
|
| Rate for Payer: Aetna Commercial |
$216.30
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$165.41
|
| Rate for Payer: BCBS Complete |
$101.79
|
| Rate for Payer: BCBS Trust/PPO |
$116.29
|
| Rate for Payer: Cash Price |
$203.58
|
| Rate for Payer: Cash Price |
$203.58
|
| Rate for Payer: Cash Price |
$203.58
|
| Rate for Payer: Cofinity Commercial |
$218.84
|
| Rate for Payer: Cofinity Commercial |
$178.13
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$203.58
|
| Rate for Payer: Healthscope Commercial |
$229.02
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$178.13
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$190.85
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$216.30
|
| Rate for Payer: PHP Commercial |
$216.30
|
| Rate for Payer: Priority Health Cigna Priority Health |
$178.13
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$88.12
|
| Rate for Payer: Priority Health Narrow Network |
$70.50
|
| Rate for Payer: Priority Health SBD |
$160.32
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$120.31
|
| Rate for Payer: UHC Core |
$294.00
|
| Rate for Payer: UHC Exchange |
$109.37
|
| Rate for Payer: UMR Bronson Commercial |
$94.15
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$190.85
|
|
|
HC SPEECH THRESHOLD AUDIOMETRY
|
Facility
|
IP
|
$49.14
|
|
|
Service Code
|
CPT 92555
|
| Hospital Charge Code |
47100011
|
|
Hospital Revenue Code
|
471
|
| Min. Negotiated Rate |
$21.62 |
| Max. Negotiated Rate |
$44.23 |
| Rate for Payer: Aetna American Axle |
$31.94
|
| Rate for Payer: Aetna Commercial |
$41.77
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$31.94
|
| Rate for Payer: Cash Price |
$39.31
|
| Rate for Payer: Cofinity Commercial |
$34.40
|
| Rate for Payer: Cofinity Commercial |
$42.26
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$39.31
|
| Rate for Payer: Healthscope Commercial |
$44.23
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$34.40
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$36.86
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$41.77
|
| Rate for Payer: PHP Commercial |
$41.77
|
| Rate for Payer: Priority Health Cigna Priority Health |
$34.40
|
| Rate for Payer: Priority Health SBD |
$30.96
|
| Rate for Payer: UMR Bronson Commercial |
$21.62
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$36.86
|
|
|
HC SPEECH THRESHOLD AUDIOMETRY
|
Facility
|
OP
|
$49.14
|
|
|
Service Code
|
CPT 92555
|
| Hospital Charge Code |
47100011
|
|
Hospital Revenue Code
|
471
|
| Min. Negotiated Rate |
$18.18 |
| Max. Negotiated Rate |
$294.00 |
| Rate for Payer: Aetna American Axle |
$31.94
|
| Rate for Payer: Aetna Commercial |
$41.77
|
| Rate for Payer: Aetna Medicare |
$56.54
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$31.94
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$67.96
|
| Rate for Payer: Amish Plain Church Group Commercial |
$67.96
|
| Rate for Payer: BCBS Complete |
$31.23
|
| Rate for Payer: BCBS MAPPO |
$54.37
|
| Rate for Payer: BCBS Trust/PPO |
$135.72
|
| Rate for Payer: BCN Medicare Advantage |
$54.37
|
| Rate for Payer: Cash Price |
$39.31
|
| Rate for Payer: Cash Price |
$39.31
|
| Rate for Payer: Cash Price |
$39.31
|
| Rate for Payer: Cofinity Commercial |
$42.26
|
| Rate for Payer: Cofinity Commercial |
$34.40
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$39.31
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$54.37
|
| Rate for Payer: Healthscope Commercial |
$44.23
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$34.40
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$36.86
|
| Rate for Payer: Mclaren Medicaid |
$29.74
|
| Rate for Payer: Mclaren Medicare |
$54.37
|
| Rate for Payer: Meridian Medicaid |
$31.23
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$57.09
|
| Rate for Payer: MI Amish Medical Board Commercial |
$62.53
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$41.77
|
| Rate for Payer: PACE Medicare |
$51.65
|
| Rate for Payer: PACE SWMI |
$54.37
|
| Rate for Payer: PHP Commercial |
$41.77
|
| Rate for Payer: PHP Medicare Advantage |
$54.37
|
| Rate for Payer: Priority Health Choice Medicaid |
$29.74
|
| Rate for Payer: Priority Health Cigna Priority Health |
$34.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$171.15
|
| Rate for Payer: Priority Health Medicare |
$54.37
|
| Rate for Payer: Priority Health Narrow Network |
$136.92
|
| Rate for Payer: Priority Health SBD |
$30.96
|
| Rate for Payer: Railroad Medicare Medicare |
$54.37
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$31.34
|
| Rate for Payer: UHC Core |
$294.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$54.37
|
| Rate for Payer: UHC Exchange |
$28.49
|
| Rate for Payer: UHC Medicare Advantage |
$56.00
|
| Rate for Payer: UMR Bronson Commercial |
$18.18
|
| Rate for Payer: VA VA |
$54.37
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$36.86
|
|
|
HC SPEECH VIDEO FLUORO EVAL
|
Facility
|
OP
|
$389.23
|
|
|
Service Code
|
CPT 92611
|
| Hospital Charge Code |
44000004
|
|
Hospital Revenue Code
|
440
|
| Min. Negotiated Rate |
$90.37 |
| Max. Negotiated Rate |
$350.31 |
| Rate for Payer: Aetna American Axle |
$253.00
|
| Rate for Payer: Aetna Commercial |
$330.85
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$253.00
|
| Rate for Payer: BCBS Complete |
$155.69
|
| Rate for Payer: BCBS Trust/PPO |
$172.95
|
| Rate for Payer: Cash Price |
$311.38
|
| Rate for Payer: Cash Price |
$311.38
|
| Rate for Payer: Cash Price |
$311.38
|
| Rate for Payer: Cofinity Commercial |
$272.46
|
| Rate for Payer: Cofinity Commercial |
$334.74
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$311.38
|
| Rate for Payer: Healthscope Commercial |
$350.31
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$272.46
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$291.92
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$330.85
|
| Rate for Payer: PHP Commercial |
$330.85
|
| Rate for Payer: Priority Health Cigna Priority Health |
$272.46
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$115.00
|
| Rate for Payer: Priority Health Narrow Network |
$92.00
|
| Rate for Payer: Priority Health SBD |
$245.21
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$99.41
|
| Rate for Payer: UHC Core |
$294.00
|
| Rate for Payer: UHC Exchange |
$90.37
|
| Rate for Payer: UMR Bronson Commercial |
$144.02
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$291.92
|
|
|
HC SPEECH VIDEO FLUORO EVAL
|
Facility
|
IP
|
$389.23
|
|
|
Service Code
|
CPT 92611
|
| Hospital Charge Code |
44000004
|
|
Hospital Revenue Code
|
440
|
| Min. Negotiated Rate |
$171.26 |
| Max. Negotiated Rate |
$350.31 |
| Rate for Payer: Aetna American Axle |
$253.00
|
| Rate for Payer: Aetna Commercial |
$330.85
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$253.00
|
| Rate for Payer: Cash Price |
$311.38
|
| Rate for Payer: Cofinity Commercial |
$272.46
|
| Rate for Payer: Cofinity Commercial |
$334.74
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$311.38
|
| Rate for Payer: Healthscope Commercial |
$350.31
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$272.46
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$291.92
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$330.85
|
| Rate for Payer: PHP Commercial |
$330.85
|
| Rate for Payer: Priority Health Cigna Priority Health |
$272.46
|
| Rate for Payer: Priority Health SBD |
$245.21
|
| Rate for Payer: UMR Bronson Commercial |
$171.26
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$291.92
|
|
|
HC SPEECH VOICE EVALUATION
|
Facility
|
IP
|
$280.23
|
|
|
Service Code
|
CPT 92524
|
| Hospital Charge Code |
44400011
|
|
Hospital Revenue Code
|
444
|
| Min. Negotiated Rate |
$123.30 |
| Max. Negotiated Rate |
$252.21 |
| Rate for Payer: Aetna American Axle |
$182.15
|
| Rate for Payer: Aetna Commercial |
$238.20
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$182.15
|
| Rate for Payer: Cash Price |
$224.18
|
| Rate for Payer: Cofinity Commercial |
$196.16
|
| Rate for Payer: Cofinity Commercial |
$241.00
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$224.18
|
| Rate for Payer: Healthscope Commercial |
$252.21
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$196.16
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$210.17
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$238.20
|
| Rate for Payer: PHP Commercial |
$238.20
|
| Rate for Payer: Priority Health Cigna Priority Health |
$196.16
|
| Rate for Payer: Priority Health SBD |
$176.54
|
| Rate for Payer: UMR Bronson Commercial |
$123.30
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$210.17
|
|
|
HC SPEECH VOICE EVALUATION
|
Facility
|
OP
|
$280.23
|
|
|
Service Code
|
CPT 92524
|
| Hospital Charge Code |
44400011
|
|
Hospital Revenue Code
|
444
|
| Min. Negotiated Rate |
$73.49 |
| Max. Negotiated Rate |
$294.00 |
| Rate for Payer: Aetna American Axle |
$182.15
|
| Rate for Payer: Aetna Commercial |
$238.20
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$182.15
|
| Rate for Payer: BCBS Complete |
$112.09
|
| Rate for Payer: BCBS Trust/PPO |
$114.88
|
| Rate for Payer: Cash Price |
$224.18
|
| Rate for Payer: Cash Price |
$224.18
|
| Rate for Payer: Cash Price |
$224.18
|
| Rate for Payer: Cofinity Commercial |
$241.00
|
| Rate for Payer: Cofinity Commercial |
$196.16
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$224.18
|
| Rate for Payer: Healthscope Commercial |
$252.21
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$196.16
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$210.17
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$238.20
|
| Rate for Payer: PHP Commercial |
$238.20
|
| Rate for Payer: Priority Health Cigna Priority Health |
$196.16
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$91.86
|
| Rate for Payer: Priority Health Narrow Network |
$73.49
|
| Rate for Payer: Priority Health SBD |
$176.54
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$118.50
|
| Rate for Payer: UHC Core |
$294.00
|
| Rate for Payer: UHC Exchange |
$107.73
|
| Rate for Payer: UMR Bronson Commercial |
$103.69
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$210.17
|
|
|
HC SPIKE BLOOD ACCESS
|
Facility
|
IP
|
$15.75
|
|
| Hospital Charge Code |
27000669
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$6.93 |
| Max. Negotiated Rate |
$14.18 |
| Rate for Payer: Aetna American Axle |
$10.24
|
| Rate for Payer: Aetna Commercial |
$13.39
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$10.24
|
| Rate for Payer: Cash Price |
$12.60
|
| Rate for Payer: Cofinity Commercial |
$11.02
|
| Rate for Payer: Cofinity Commercial |
$13.54
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$12.60
|
| Rate for Payer: Healthscope Commercial |
$14.18
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$11.02
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$11.81
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$13.39
|
| Rate for Payer: PHP Commercial |
$13.39
|
| Rate for Payer: Priority Health Cigna Priority Health |
$11.02
|
| Rate for Payer: Priority Health SBD |
$9.92
|
| Rate for Payer: UMR Bronson Commercial |
$6.93
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$11.81
|
|
