|
HC STIZ MARKER
|
Facility
|
IP
|
$84.00
|
|
|
Service Code
|
CPT A9698
|
| Hospital Charge Code |
25500004
|
|
Hospital Revenue Code
|
255
|
| Min. Negotiated Rate |
$36.96 |
| Max. Negotiated Rate |
$75.60 |
| Rate for Payer: Aetna American Axle |
$54.60
|
| Rate for Payer: Aetna Commercial |
$71.40
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$54.60
|
| Rate for Payer: Cash Price |
$67.20
|
| Rate for Payer: Cofinity Commercial |
$58.80
|
| Rate for Payer: Cofinity Commercial |
$72.24
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$67.20
|
| Rate for Payer: Healthscope Commercial |
$75.60
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$58.80
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$63.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$71.40
|
| Rate for Payer: PHP Commercial |
$71.40
|
| Rate for Payer: Priority Health Cigna Priority Health |
$58.80
|
| Rate for Payer: Priority Health SBD |
$52.92
|
| Rate for Payer: UMR Bronson Commercial |
$36.96
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$63.00
|
|
|
HC ST JUDE CRT ICD
|
Facility
|
IP
|
$27,540.00
|
|
|
Service Code
|
HCPCS C1882
|
| Hospital Charge Code |
27500009
|
|
Hospital Revenue Code
|
275
|
| Min. Negotiated Rate |
$12,117.60 |
| Max. Negotiated Rate |
$24,786.00 |
| Rate for Payer: Aetna American Axle |
$17,901.00
|
| Rate for Payer: Aetna Commercial |
$23,409.00
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$17,901.00
|
| Rate for Payer: Cash Price |
$22,032.00
|
| Rate for Payer: Cofinity Commercial |
$19,278.00
|
| Rate for Payer: Cofinity Commercial |
$23,684.40
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$22,032.00
|
| Rate for Payer: Healthscope Commercial |
$24,786.00
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$19,278.00
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$20,655.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$23,409.00
|
| Rate for Payer: PHP Commercial |
$23,409.00
|
| Rate for Payer: Priority Health Cigna Priority Health |
$19,278.00
|
| Rate for Payer: Priority Health SBD |
$17,350.20
|
| Rate for Payer: UMR Bronson Commercial |
$12,117.60
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$20,655.00
|
|
|
HC ST JUDE CRT ICD
|
Facility
|
OP
|
$27,540.00
|
|
|
Service Code
|
HCPCS C1882
|
| Hospital Charge Code |
27500009
|
|
Hospital Revenue Code
|
275
|
| Min. Negotiated Rate |
$0.03 |
| Max. Negotiated Rate |
$24,786.00 |
| Rate for Payer: Aetna American Axle |
$17,901.00
|
| Rate for Payer: Aetna Commercial |
$23,409.00
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$17,901.00
|
| Rate for Payer: BCBS Complete |
$11,016.00
|
| Rate for Payer: BCBS Trust/PPO |
$0.03
|
| Rate for Payer: Cash Price |
$22,032.00
|
| Rate for Payer: Cash Price |
$22,032.00
|
| Rate for Payer: Cofinity Commercial |
$19,278.00
|
| Rate for Payer: Cofinity Commercial |
$23,684.40
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$22,032.00
|
| Rate for Payer: Healthscope Commercial |
$24,786.00
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$19,278.00
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$20,655.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$23,409.00
|
| Rate for Payer: PHP Commercial |
$23,409.00
|
| Rate for Payer: Priority Health Cigna Priority Health |
$19,278.00
|
| Rate for Payer: Priority Health SBD |
$17,350.20
|
| Rate for Payer: UMR Bronson Commercial |
$10,189.80
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$20,655.00
|
|
|
HC ST JUDE CRT LEAD
|
Facility
|
IP
|
$5,712.00
|
|
|
Service Code
|
HCPCS C1900
|
| Hospital Charge Code |
27800026
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$2,513.28 |
| Max. Negotiated Rate |
$5,140.80 |
| Rate for Payer: Aetna American Axle |
$3,712.80
|
| Rate for Payer: Aetna Commercial |
$4,855.20
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$3,712.80
|
| Rate for Payer: Cash Price |
$4,569.60
|
| Rate for Payer: Cofinity Commercial |
$3,998.40
|
| Rate for Payer: Cofinity Commercial |
$4,912.32
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$4,569.60
|
| Rate for Payer: Healthscope Commercial |
$5,140.80
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$3,998.40
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$4,284.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$4,855.20
|
| Rate for Payer: PHP Commercial |
$4,855.20
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3,998.40
|
| Rate for Payer: Priority Health SBD |
$3,598.56
|
| Rate for Payer: UMR Bronson Commercial |
$2,513.28
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$4,284.00
|
|
|
HC ST JUDE CRT LEAD
|
Facility
|
OP
|
$5,712.00
|
|
|
Service Code
|
HCPCS C1900
|
| Hospital Charge Code |
27800026
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$0.03 |
| Max. Negotiated Rate |
$5,140.80 |
| Rate for Payer: Aetna American Axle |
$3,712.80
|
| Rate for Payer: Aetna Commercial |
$4,855.20
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$3,712.80
|
| Rate for Payer: BCBS Complete |
$2,284.80
|
| Rate for Payer: BCBS Trust/PPO |
$0.03
|
| Rate for Payer: Cash Price |
$4,569.60
|
| Rate for Payer: Cash Price |
$4,569.60
|
| Rate for Payer: Cofinity Commercial |
$3,998.40
|
| Rate for Payer: Cofinity Commercial |
$4,912.32
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$4,569.60
|
| Rate for Payer: Healthscope Commercial |
$5,140.80
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$3,998.40
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$4,284.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$4,855.20
|
| Rate for Payer: PHP Commercial |
$4,855.20
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3,998.40
|
| Rate for Payer: Priority Health SBD |
$3,598.56
|
| Rate for Payer: UMR Bronson Commercial |
$2,113.44
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$4,284.00
|
|
|
HC ST JUDE DUAL PACEMAKER
|
Facility
|
OP
|
$9,180.00
|
|
|
Service Code
|
HCPCS C1785
|
| Hospital Charge Code |
27500010
|
|
Hospital Revenue Code
|
275
|
| Min. Negotiated Rate |
$3,396.60 |
| Max. Negotiated Rate |
$8,262.00 |
| Rate for Payer: Aetna American Axle |
$5,967.00
|
| Rate for Payer: Aetna Commercial |
$7,803.00
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$5,967.00
|
| Rate for Payer: BCBS Complete |
$3,672.00
|
| Rate for Payer: Cash Price |
$7,344.00
|
| Rate for Payer: Cofinity Commercial |
$6,426.00
|
| Rate for Payer: Cofinity Commercial |
$7,894.80
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$7,344.00
|
| Rate for Payer: Healthscope Commercial |
$8,262.00
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$6,426.00
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$6,885.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$7,803.00
|
| Rate for Payer: PHP Commercial |
$7,803.00
|
| Rate for Payer: Priority Health Cigna Priority Health |
$6,426.00
|
| Rate for Payer: Priority Health SBD |
$5,783.40
|
| Rate for Payer: UMR Bronson Commercial |
$3,396.60
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$6,885.00
|
|
|
HC ST JUDE DUAL PACEMAKER
|
Facility
|
IP
|
$9,180.00
|
|
|
Service Code
|
HCPCS C1785
|
| Hospital Charge Code |
27500010
|
|
Hospital Revenue Code
|
275
|
| Min. Negotiated Rate |
$4,039.20 |
| Max. Negotiated Rate |
$8,262.00 |
| Rate for Payer: Aetna American Axle |
$5,967.00
|
| Rate for Payer: Aetna Commercial |
$7,803.00
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$5,967.00
|
| Rate for Payer: Cash Price |
$7,344.00
|
| Rate for Payer: Cofinity Commercial |
$6,426.00
|
| Rate for Payer: Cofinity Commercial |
$7,894.80
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$7,344.00
|
| Rate for Payer: Healthscope Commercial |
$8,262.00
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$6,426.00
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$6,885.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$7,803.00
|
| Rate for Payer: PHP Commercial |
$7,803.00
|
| Rate for Payer: Priority Health Cigna Priority Health |
$6,426.00
|
| Rate for Payer: Priority Health SBD |
$5,783.40
|
| Rate for Payer: UMR Bronson Commercial |
$4,039.20
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$6,885.00
|
|
|
HC ST JUDE ICD DUAL
|
Facility
|
OP
|
$20,808.00
|
|
|
Service Code
|
HCPCS C1721
|
| Hospital Charge Code |
27800027
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$7,698.96 |
| Max. Negotiated Rate |
$18,727.20 |
| Rate for Payer: Aetna American Axle |
$13,525.20
|
| Rate for Payer: Aetna Commercial |
$17,686.80
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$13,525.20
|
| Rate for Payer: BCBS Complete |
$8,323.20
|
| Rate for Payer: Cash Price |
$16,646.40
|
| Rate for Payer: Cofinity Commercial |
$14,565.60
|
| Rate for Payer: Cofinity Commercial |
$17,894.88
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$16,646.40
|
| Rate for Payer: Healthscope Commercial |
$18,727.20
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$14,565.60
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$15,606.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$17,686.80
|
| Rate for Payer: PHP Commercial |
$17,686.80
|
| Rate for Payer: Priority Health Cigna Priority Health |
$14,565.60
|
| Rate for Payer: Priority Health SBD |
$13,109.04
|
| Rate for Payer: UMR Bronson Commercial |
$7,698.96
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$15,606.00
|
|
|
HC ST JUDE ICD DUAL
|
Facility
|
IP
|
$20,808.00
|
|
|
Service Code
|
HCPCS C1721
|
| Hospital Charge Code |
27800027
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$9,155.52 |
| Max. Negotiated Rate |
$18,727.20 |
| Rate for Payer: Aetna American Axle |
$13,525.20
|
| Rate for Payer: Aetna Commercial |
$17,686.80
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$13,525.20
|
| Rate for Payer: Cash Price |
$16,646.40
|
| Rate for Payer: Cofinity Commercial |
$14,565.60
|
| Rate for Payer: Cofinity Commercial |
$17,894.88
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$16,646.40
|
| Rate for Payer: Healthscope Commercial |
$18,727.20
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$14,565.60
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$15,606.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$17,686.80
|
| Rate for Payer: PHP Commercial |
$17,686.80
|
| Rate for Payer: Priority Health Cigna Priority Health |
$14,565.60
|
| Rate for Payer: Priority Health SBD |
$13,109.04
|
| Rate for Payer: UMR Bronson Commercial |
$9,155.52
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$15,606.00
|
|
|
HC ST JUDE ICD SINGLE
|
Facility
|
IP
|
$13,790.40
|
|
|
Service Code
|
HCPCS C1722
|
| Hospital Charge Code |
27800028
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$6,067.78 |
| Max. Negotiated Rate |
$12,411.36 |
| Rate for Payer: Aetna American Axle |
$8,963.76
|
| Rate for Payer: Aetna Commercial |
$11,721.84
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$8,963.76
|
| Rate for Payer: Cash Price |
$11,032.32
|
| Rate for Payer: Cofinity Commercial |
$11,859.74
|
| Rate for Payer: Cofinity Commercial |
$9,653.28
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$11,032.32
|
| Rate for Payer: Healthscope Commercial |
$12,411.36
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$9,653.28
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$10,342.80
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$11,721.84
|
| Rate for Payer: PHP Commercial |
$11,721.84
|
| Rate for Payer: Priority Health Cigna Priority Health |
$9,653.28
|
| Rate for Payer: Priority Health SBD |
$8,687.95
|
| Rate for Payer: UMR Bronson Commercial |
$6,067.78
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$10,342.80
|
|
|
HC ST JUDE ICD SINGLE
|
Facility
|
OP
|
$13,790.40
|
|
|
Service Code
|
HCPCS C1722
|
| Hospital Charge Code |
27800028
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$5,102.45 |
| Max. Negotiated Rate |
$12,411.36 |
| Rate for Payer: Aetna American Axle |
$8,963.76
|
| Rate for Payer: Aetna Commercial |
$11,721.84
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$8,963.76
|
| Rate for Payer: BCBS Complete |
$5,516.16
|
| Rate for Payer: Cash Price |
$11,032.32
|
| Rate for Payer: Cofinity Commercial |
$11,859.74
|
| Rate for Payer: Cofinity Commercial |
$9,653.28
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$11,032.32
|
| Rate for Payer: Healthscope Commercial |
$12,411.36
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$9,653.28
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$10,342.80
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$11,721.84
|
| Rate for Payer: PHP Commercial |
$11,721.84
|
| Rate for Payer: Priority Health Cigna Priority Health |
$9,653.28
|
| Rate for Payer: Priority Health SBD |
$8,687.95
|
| Rate for Payer: UMR Bronson Commercial |
$5,102.45
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$10,342.80
|
|
|
HC ST JUDE SINGLE PACEMAKER
|
Facility
|
OP
|
$7,038.00
|
|
|
Service Code
|
HCPCS C1786
|
| Hospital Charge Code |
27500011
|
|
Hospital Revenue Code
|
275
|
| Min. Negotiated Rate |
$2,604.06 |
| Max. Negotiated Rate |
$6,334.20 |
| Rate for Payer: Aetna American Axle |
$4,574.70
|
| Rate for Payer: Aetna Commercial |
$5,982.30
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$4,574.70
|
| Rate for Payer: BCBS Complete |
$2,815.20
|
| Rate for Payer: Cash Price |
$5,630.40
|
| Rate for Payer: Cofinity Commercial |
$4,926.60
|
| Rate for Payer: Cofinity Commercial |
$6,052.68
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$5,630.40
|
| Rate for Payer: Healthscope Commercial |
$6,334.20
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$4,926.60
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$5,278.50
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$5,982.30
|
| Rate for Payer: PHP Commercial |
$5,982.30
|
| Rate for Payer: Priority Health Cigna Priority Health |
$4,926.60
|
| Rate for Payer: Priority Health SBD |
$4,433.94
|
| Rate for Payer: UMR Bronson Commercial |
$2,604.06
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$5,278.50
|
|
|
HC ST JUDE SINGLE PACEMAKER
|
Facility
|
IP
|
$7,038.00
|
|
|
Service Code
|
HCPCS C1786
|
| Hospital Charge Code |
27500011
|
|
Hospital Revenue Code
|
275
|
| Min. Negotiated Rate |
$3,096.72 |
| Max. Negotiated Rate |
$6,334.20 |
| Rate for Payer: Aetna American Axle |
$4,574.70
|
| Rate for Payer: Aetna Commercial |
$5,982.30
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$4,574.70
|
| Rate for Payer: Cash Price |
$5,630.40
|
| Rate for Payer: Cofinity Commercial |
$4,926.60
|
| Rate for Payer: Cofinity Commercial |
$6,052.68
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$5,630.40
|
| Rate for Payer: Healthscope Commercial |
$6,334.20
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$4,926.60
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$5,278.50
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$5,982.30
|
| Rate for Payer: PHP Commercial |
$5,982.30
|
| Rate for Payer: Priority Health Cigna Priority Health |
$4,926.60
|
| Rate for Payer: Priority Health SBD |
$4,433.94
|
| Rate for Payer: UMR Bronson Commercial |
$3,096.72
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$5,278.50
|
|
|
HC ST JUDE TACHY (ICD) LEAD
|
Facility
|
IP
|
$8,004.63
|
|
|
Service Code
|
HCPCS C1895
|
| Hospital Charge Code |
27800029
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$3,522.04 |
| Max. Negotiated Rate |
$7,204.17 |
| Rate for Payer: Aetna American Axle |
$5,203.01
|
| Rate for Payer: Aetna Commercial |
$6,803.94
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$5,203.01
|
| Rate for Payer: Cash Price |
$6,403.70
|
| Rate for Payer: Cofinity Commercial |
$5,603.24
|
| Rate for Payer: Cofinity Commercial |
$6,883.98
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$6,403.70
|
| Rate for Payer: Healthscope Commercial |
$7,204.17
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$5,603.24
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$6,003.47
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$6,803.94
|
| Rate for Payer: PHP Commercial |
$6,803.94
|
| Rate for Payer: Priority Health Cigna Priority Health |
$5,603.24
|
| Rate for Payer: Priority Health SBD |
$5,042.92
|
| Rate for Payer: UMR Bronson Commercial |
$3,522.04
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$6,003.47
|
|
|
HC ST JUDE TACHY (ICD) LEAD
|
Facility
|
OP
|
$8,004.63
|
|
|
Service Code
|
HCPCS C1895
|
| Hospital Charge Code |
27800029
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$2,961.71 |
| Max. Negotiated Rate |
$7,204.17 |
| Rate for Payer: Aetna American Axle |
$5,203.01
|
| Rate for Payer: Aetna Commercial |
$6,803.94
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$5,203.01
|
| Rate for Payer: BCBS Complete |
$3,201.85
|
| Rate for Payer: Cash Price |
$6,403.70
|
| Rate for Payer: Cofinity Commercial |
$5,603.24
|
| Rate for Payer: Cofinity Commercial |
$6,883.98
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$6,403.70
|
| Rate for Payer: Healthscope Commercial |
$7,204.17
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$5,603.24
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$6,003.47
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$6,803.94
|
| Rate for Payer: PHP Commercial |
$6,803.94
|
| Rate for Payer: Priority Health Cigna Priority Health |
$5,603.24
|
| Rate for Payer: Priority Health SBD |
$5,042.92
|
| Rate for Payer: UMR Bronson Commercial |
$2,961.71
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$6,003.47
|
|
|
HC STOOL CULTURE
|
Facility
|
OP
|
$39.17
|
|
|
Service Code
|
CPT 87045
|
| Hospital Charge Code |
30600073
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$5.16 |
| Max. Negotiated Rate |
$35.25 |
| Rate for Payer: Aetna American Axle |
$25.46
|
| Rate for Payer: Aetna Commercial |
$33.29
|
| Rate for Payer: Aetna Medicare |
$9.82
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$25.46
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$11.80
|
| Rate for Payer: Amish Plain Church Group Commercial |
$11.80
|
| Rate for Payer: BCBS Complete |
$5.42
|
| Rate for Payer: BCBS MAPPO |
$9.44
|
| Rate for Payer: BCBS Trust/PPO |
$8.49
|
| Rate for Payer: BCN Medicare Advantage |
$9.44
|
| Rate for Payer: Cash Price |
$31.34
|
| Rate for Payer: Cash Price |
$31.34
|
| Rate for Payer: Cofinity Commercial |
$33.69
|
| Rate for Payer: Cofinity Commercial |
$27.42
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$31.34
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$9.44
|
| Rate for Payer: Healthscope Commercial |
$35.25
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$27.42
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$29.38
|
| Rate for Payer: Mclaren Medicaid |
$5.16
|
| Rate for Payer: Mclaren Medicare |
$9.44
|
| Rate for Payer: Meridian Medicaid |
$5.42
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$9.91
|
| Rate for Payer: MI Amish Medical Board Commercial |
$10.86
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$33.29
|
| Rate for Payer: PACE Medicare |
$8.97
|
| Rate for Payer: PACE SWMI |
$9.44
|
| Rate for Payer: PHP Commercial |
$33.29
|
| Rate for Payer: PHP Medicare Advantage |
$9.44
|
| Rate for Payer: Priority Health Choice Medicaid |
$5.16
|
| Rate for Payer: Priority Health Cigna Priority Health |
$27.42
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$12.95
|
| Rate for Payer: Priority Health Medicare |
$9.44
|
| Rate for Payer: Priority Health Narrow Network |
$10.36
|
| Rate for Payer: Priority Health SBD |
$24.68
|
| Rate for Payer: Railroad Medicare Medicare |
$9.44
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$11.33
|
| Rate for Payer: UHC Core |
$15.56
|
| Rate for Payer: UHC Dual Complete DSNP |
$9.44
|
| Rate for Payer: UHC Exchange |
$9.44
|
| Rate for Payer: UHC Medicare Advantage |
$9.72
|
| Rate for Payer: UMR Bronson Commercial |
$14.49
|
| Rate for Payer: VA VA |
$9.44
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$29.38
|
|
|
HC STOOL CULTURE
|
Facility
|
IP
|
$39.17
|
|
|
Service Code
|
CPT 87045
|
| Hospital Charge Code |
30600073
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$17.23 |
| Max. Negotiated Rate |
$35.25 |
| Rate for Payer: Aetna American Axle |
$25.46
|
| Rate for Payer: Aetna Commercial |
$33.29
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$25.46
|
| Rate for Payer: Cash Price |
$31.34
|
| Rate for Payer: Cofinity Commercial |
$27.42
|
| Rate for Payer: Cofinity Commercial |
$33.69
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$31.34
|
| Rate for Payer: Healthscope Commercial |
$35.25
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$27.42
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$29.38
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$33.29
|
| Rate for Payer: PHP Commercial |
$33.29
|
| Rate for Payer: Priority Health Cigna Priority Health |
$27.42
|
| Rate for Payer: Priority Health SBD |
$24.68
|
| Rate for Payer: UMR Bronson Commercial |
$17.23
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$29.38
|
|
|
HC STOOL CULTURE CMPT
|
Facility
|
OP
|
$39.17
|
|
|
Service Code
|
CPT 87046
|
| Hospital Charge Code |
30600074
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$5.16 |
| Max. Negotiated Rate |
$35.25 |
| Rate for Payer: Aetna American Axle |
$25.46
|
| Rate for Payer: Aetna Commercial |
$33.29
|
| Rate for Payer: Aetna Medicare |
$9.82
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$25.46
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$11.80
|
| Rate for Payer: Amish Plain Church Group Commercial |
$11.80
|
| Rate for Payer: BCBS Complete |
$5.42
|
| Rate for Payer: BCBS MAPPO |
$9.44
|
| Rate for Payer: BCBS Trust/PPO |
$8.49
|
| Rate for Payer: BCN Medicare Advantage |
$9.44
|
| Rate for Payer: Cash Price |
$31.34
|
| Rate for Payer: Cash Price |
$31.34
|
| Rate for Payer: Cofinity Commercial |
$27.42
|
| Rate for Payer: Cofinity Commercial |
$33.69
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$31.34
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$9.44
|
| Rate for Payer: Healthscope Commercial |
$35.25
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$27.42
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$29.38
|
| Rate for Payer: Mclaren Medicaid |
$5.16
|
| Rate for Payer: Mclaren Medicare |
$9.44
|
| Rate for Payer: Meridian Medicaid |
$5.42
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$9.91
|
| Rate for Payer: MI Amish Medical Board Commercial |
$10.86
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$33.29
|
| Rate for Payer: PACE Medicare |
$8.97
|
| Rate for Payer: PACE SWMI |
$9.44
|
| Rate for Payer: PHP Commercial |
$33.29
|
| Rate for Payer: PHP Medicare Advantage |
$9.44
|
| Rate for Payer: Priority Health Choice Medicaid |
$5.16
|
| Rate for Payer: Priority Health Cigna Priority Health |
$27.42
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$12.95
|
| Rate for Payer: Priority Health Medicare |
$9.44
|
| Rate for Payer: Priority Health Narrow Network |
$10.36
|
| Rate for Payer: Priority Health SBD |
$24.68
|
| Rate for Payer: Railroad Medicare Medicare |
$9.44
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$11.33
|
| Rate for Payer: UHC Core |
$15.56
|
| Rate for Payer: UHC Dual Complete DSNP |
$9.44
|
| Rate for Payer: UHC Exchange |
$9.44
|
| Rate for Payer: UHC Medicare Advantage |
$9.72
|
| Rate for Payer: UMR Bronson Commercial |
$14.49
|
| Rate for Payer: VA VA |
$9.44
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$29.38
|
|
|
HC STOOL CULTURE CMPT
|
Facility
|
IP
|
$39.17
|
|
|
Service Code
|
CPT 87046
|
| Hospital Charge Code |
30600074
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$17.23 |
| Max. Negotiated Rate |
$35.25 |
| Rate for Payer: Aetna American Axle |
$25.46
|
| Rate for Payer: Aetna Commercial |
$33.29
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$25.46
|
| Rate for Payer: Cash Price |
$31.34
|
| Rate for Payer: Cofinity Commercial |
$27.42
|
| Rate for Payer: Cofinity Commercial |
$33.69
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$31.34
|
| Rate for Payer: Healthscope Commercial |
$35.25
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$27.42
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$29.38
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$33.29
|
| Rate for Payer: PHP Commercial |
$33.29
|
| Rate for Payer: Priority Health Cigna Priority Health |
$27.42
|
| Rate for Payer: Priority Health SBD |
$24.68
|
| Rate for Payer: UMR Bronson Commercial |
$17.23
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$29.38
|
|
|
HC STOOL CULTURE CMPT2
|
Facility
|
IP
|
$13.06
|
|
|
Service Code
|
CPT 87015
|
| Hospital Charge Code |
30600069
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$5.75 |
| Max. Negotiated Rate |
$11.75 |
| Rate for Payer: Aetna American Axle |
$8.49
|
| Rate for Payer: Aetna Commercial |
$11.10
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$8.49
|
| Rate for Payer: Cash Price |
$10.45
|
| Rate for Payer: Cofinity Commercial |
$11.23
|
| Rate for Payer: Cofinity Commercial |
$9.14
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$10.45
|
| Rate for Payer: Healthscope Commercial |
$11.75
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$9.14
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$9.80
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$11.10
|
| Rate for Payer: PHP Commercial |
$11.10
|
| Rate for Payer: Priority Health Cigna Priority Health |
$9.14
|
| Rate for Payer: Priority Health SBD |
$8.23
|
| Rate for Payer: UMR Bronson Commercial |
$5.75
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$9.80
|
|
|
HC STOOL CULTURE CMPT2
|
Facility
|
OP
|
$13.06
|
|
|
Service Code
|
CPT 87015
|
| Hospital Charge Code |
30600069
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$2.65 |
| Max. Negotiated Rate |
$11.75 |
| Rate for Payer: Aetna American Axle |
$8.49
|
| Rate for Payer: Aetna Commercial |
$11.10
|
| Rate for Payer: Aetna Medicare |
$6.95
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$8.49
|
| 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 |
$10.45
|
| Rate for Payer: Cash Price |
$10.45
|
| Rate for Payer: Cofinity Commercial |
$11.23
|
| Rate for Payer: Cofinity Commercial |
$9.14
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$10.45
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$6.68
|
| Rate for Payer: Healthscope Commercial |
$11.75
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$9.14
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$9.80
|
| 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 |
$11.10
|
| Rate for Payer: PACE Medicare |
$6.35
|
| Rate for Payer: PACE SWMI |
$6.68
|
| Rate for Payer: PHP Commercial |
$11.10
|
| 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 |
$9.14
|
| 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 |
$8.23
|
| 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 |
$4.83
|
| Rate for Payer: VA VA |
$6.68
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$9.80
|
|
|
HC STOOL CULTURE CMPT 3
|
Facility
|
OP
|
$41.72
|
|
|
Service Code
|
CPT 87899
|
| Hospital Charge Code |
30600177
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$8.79 |
| Max. Negotiated Rate |
$37.55 |
| Rate for Payer: Aetna American Axle |
$27.12
|
| Rate for Payer: Aetna Commercial |
$35.46
|
| Rate for Payer: Aetna Medicare |
$16.71
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$27.12
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$20.09
|
| Rate for Payer: Amish Plain Church Group Commercial |
$20.09
|
| Rate for Payer: BCBS Complete |
$9.23
|
| Rate for Payer: BCBS MAPPO |
$16.07
|
| Rate for Payer: BCBS Trust/PPO |
$14.45
|
| Rate for Payer: BCN Medicare Advantage |
$16.07
|
| Rate for Payer: Cash Price |
$33.38
|
| Rate for Payer: Cash Price |
$33.38
|
| Rate for Payer: Cofinity Commercial |
$35.88
|
| Rate for Payer: Cofinity Commercial |
$29.20
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$33.38
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$16.07
|
| Rate for Payer: Healthscope Commercial |
$37.55
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$29.20
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$31.29
|
| Rate for Payer: Mclaren Medicaid |
$8.79
|
| Rate for Payer: Mclaren Medicare |
$16.07
|
| Rate for Payer: Meridian Medicaid |
$9.23
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$16.87
|
| Rate for Payer: MI Amish Medical Board Commercial |
$18.48
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$35.46
|
| Rate for Payer: PACE Medicare |
$15.27
|
| Rate for Payer: PACE SWMI |
$16.07
|
| Rate for Payer: PHP Commercial |
$35.46
|
| Rate for Payer: PHP Medicare Advantage |
$16.07
|
| Rate for Payer: Priority Health Choice Medicaid |
$8.79
|
| Rate for Payer: Priority Health Cigna Priority Health |
$29.20
|
| Rate for Payer: Priority Health Medicare |
$16.07
|
| Rate for Payer: Priority Health SBD |
$26.28
|
| Rate for Payer: Railroad Medicare Medicare |
$16.07
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$19.28
|
| Rate for Payer: UHC Core |
$19.79
|
| Rate for Payer: UHC Dual Complete DSNP |
$16.07
|
| Rate for Payer: UHC Exchange |
$16.07
|
| Rate for Payer: UHC Medicare Advantage |
$16.55
|
| Rate for Payer: UMR Bronson Commercial |
$15.44
|
| Rate for Payer: VA VA |
$16.07
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$31.29
|
|
|
HC STOOL CULTURE CMPT 3
|
Facility
|
IP
|
$41.72
|
|
|
Service Code
|
CPT 87899
|
| Hospital Charge Code |
30600177
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$18.36 |
| Max. Negotiated Rate |
$37.55 |
| Rate for Payer: Aetna American Axle |
$27.12
|
| Rate for Payer: Aetna Commercial |
$35.46
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$27.12
|
| Rate for Payer: Cash Price |
$33.38
|
| Rate for Payer: Cofinity Commercial |
$29.20
|
| Rate for Payer: Cofinity Commercial |
$35.88
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$33.38
|
| Rate for Payer: Healthscope Commercial |
$37.55
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$29.20
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$31.29
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$35.46
|
| Rate for Payer: PHP Commercial |
$35.46
|
| Rate for Payer: Priority Health Cigna Priority Health |
$29.20
|
| Rate for Payer: Priority Health SBD |
$26.28
|
| Rate for Payer: UMR Bronson Commercial |
$18.36
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$31.29
|
|
|
HC STRAPPING ANKLE AND OR FOOT
|
Facility
|
IP
|
$131.88
|
|
|
Service Code
|
CPT 29540
|
| Hospital Charge Code |
42000005
|
|
Hospital Revenue Code
|
420
|
| Min. Negotiated Rate |
$58.03 |
| Max. Negotiated Rate |
$118.69 |
| Rate for Payer: Aetna American Axle |
$85.72
|
| Rate for Payer: Aetna Commercial |
$112.10
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$85.72
|
| Rate for Payer: Cash Price |
$105.50
|
| Rate for Payer: Cofinity Commercial |
$113.42
|
| Rate for Payer: Cofinity Commercial |
$92.32
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$105.50
|
| Rate for Payer: Healthscope Commercial |
$118.69
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$92.32
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$98.91
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$112.10
|
| Rate for Payer: PHP Commercial |
$112.10
|
| Rate for Payer: Priority Health Cigna Priority Health |
$92.32
|
| Rate for Payer: Priority Health SBD |
$83.08
|
| Rate for Payer: UMR Bronson Commercial |
$58.03
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$98.91
|
|
|
HC STRAPPING ANKLE AND OR FOOT
|
Facility
|
OP
|
$131.88
|
|
|
Service Code
|
CPT 29540
|
| Hospital Charge Code |
42000005
|
|
Hospital Revenue Code
|
420
|
| Min. Negotiated Rate |
$16.70 |
| Max. Negotiated Rate |
$440.92 |
| Rate for Payer: Aetna American Axle |
$85.72
|
| Rate for Payer: Aetna Commercial |
$112.10
|
| Rate for Payer: Aetna Medicare |
$145.66
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$85.72
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$175.08
|
| Rate for Payer: Amish Plain Church Group Commercial |
$175.08
|
| Rate for Payer: BCBS Complete |
$80.45
|
| Rate for Payer: BCBS MAPPO |
$140.06
|
| Rate for Payer: BCBS Trust/PPO |
$155.88
|
| Rate for Payer: BCN Medicare Advantage |
$140.06
|
| Rate for Payer: Cash Price |
$105.50
|
| Rate for Payer: Cash Price |
$105.50
|
| Rate for Payer: Cash Price |
$105.50
|
| Rate for Payer: Cofinity Commercial |
$92.32
|
| Rate for Payer: Cofinity Commercial |
$113.42
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$105.50
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$140.06
|
| Rate for Payer: Healthscope Commercial |
$118.69
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$92.32
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$98.91
|
| Rate for Payer: Mclaren Medicaid |
$76.61
|
| Rate for Payer: Mclaren Medicare |
$140.06
|
| Rate for Payer: Meridian Medicaid |
$80.45
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$147.06
|
| Rate for Payer: MI Amish Medical Board Commercial |
$161.07
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$112.10
|
| Rate for Payer: PACE Medicare |
$133.06
|
| Rate for Payer: PACE SWMI |
$140.06
|
| Rate for Payer: PHP Commercial |
$112.10
|
| Rate for Payer: PHP Medicare Advantage |
$140.06
|
| Rate for Payer: Priority Health Choice Medicaid |
$76.61
|
| Rate for Payer: Priority Health Cigna Priority Health |
$92.32
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$440.92
|
| Rate for Payer: Priority Health Medicare |
$140.06
|
| Rate for Payer: Priority Health Narrow Network |
$352.74
|
| Rate for Payer: Priority Health SBD |
$83.08
|
| Rate for Payer: Railroad Medicare Medicare |
$140.06
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$18.37
|
| Rate for Payer: UHC Core |
$294.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$140.06
|
| Rate for Payer: UHC Exchange |
$16.70
|
| Rate for Payer: UHC Medicare Advantage |
$144.26
|
| Rate for Payer: UMR Bronson Commercial |
$48.80
|
| Rate for Payer: VA VA |
$140.06
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$98.91
|
|
