|
HC SUMP VENTRICULAR LIVANOVA
|
Facility
|
OP
|
$43.50
|
|
| Hospital Charge Code |
27000659
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$16.10 |
| Max. Negotiated Rate |
$39.15 |
| Rate for Payer: Aetna American Axle |
$28.28
|
| Rate for Payer: Aetna Commercial |
$36.98
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$28.28
|
| Rate for Payer: BCBS Complete |
$17.40
|
| Rate for Payer: Cash Price |
$34.80
|
| Rate for Payer: Cofinity Commercial |
$30.45
|
| Rate for Payer: Cofinity Commercial |
$37.41
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$34.80
|
| Rate for Payer: Healthscope Commercial |
$39.15
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$30.45
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$32.62
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$36.98
|
| Rate for Payer: PHP Commercial |
$36.98
|
| Rate for Payer: Priority Health Cigna Priority Health |
$30.45
|
| Rate for Payer: Priority Health SBD |
$27.40
|
| Rate for Payer: UMR Bronson Commercial |
$16.10
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$32.62
|
|
|
HC SUMP VENTRICULAR LIVANOVA
|
Facility
|
IP
|
$43.50
|
|
| Hospital Charge Code |
27000659
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$19.14 |
| Max. Negotiated Rate |
$39.15 |
| Rate for Payer: Aetna American Axle |
$28.28
|
| Rate for Payer: Aetna Commercial |
$36.98
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$28.28
|
| Rate for Payer: Cash Price |
$34.80
|
| Rate for Payer: Cofinity Commercial |
$30.45
|
| Rate for Payer: Cofinity Commercial |
$37.41
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$34.80
|
| Rate for Payer: Healthscope Commercial |
$39.15
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$30.45
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$32.62
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$36.98
|
| Rate for Payer: PHP Commercial |
$36.98
|
| Rate for Payer: Priority Health Cigna Priority Health |
$30.45
|
| Rate for Payer: Priority Health SBD |
$27.40
|
| Rate for Payer: UMR Bronson Commercial |
$19.14
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$32.62
|
|
|
HC SUMP VENTRICULAR MEDTRONIC
|
Facility
|
IP
|
$42.00
|
|
| Hospital Charge Code |
27000122
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$18.48 |
| Max. Negotiated Rate |
$37.80 |
| Rate for Payer: Aetna American Axle |
$27.30
|
| Rate for Payer: Aetna Commercial |
$35.70
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$27.30
|
| Rate for Payer: Cash Price |
$33.60
|
| Rate for Payer: Cofinity Commercial |
$29.40
|
| Rate for Payer: Cofinity Commercial |
$36.12
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$33.60
|
| Rate for Payer: Healthscope Commercial |
$37.80
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$29.40
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$31.50
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$35.70
|
| Rate for Payer: PHP Commercial |
$35.70
|
| Rate for Payer: Priority Health Cigna Priority Health |
$29.40
|
| Rate for Payer: Priority Health SBD |
$26.46
|
| Rate for Payer: UMR Bronson Commercial |
$18.48
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$31.50
|
|
|
HC SUMP VENTRICULAR MEDTRONIC
|
Facility
|
OP
|
$42.00
|
|
| Hospital Charge Code |
27000122
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$15.54 |
| Max. Negotiated Rate |
$37.80 |
| Rate for Payer: Aetna American Axle |
$27.30
|
| Rate for Payer: Aetna Commercial |
$35.70
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$27.30
|
| Rate for Payer: BCBS Complete |
$16.80
|
| Rate for Payer: Cash Price |
$33.60
|
| Rate for Payer: Cofinity Commercial |
$29.40
|
| Rate for Payer: Cofinity Commercial |
$36.12
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$33.60
|
| Rate for Payer: Healthscope Commercial |
$37.80
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$29.40
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$31.50
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$35.70
|
| Rate for Payer: PHP Commercial |
$35.70
|
| Rate for Payer: Priority Health Cigna Priority Health |
$29.40
|
| Rate for Payer: Priority Health SBD |
$26.46
|
| Rate for Payer: UMR Bronson Commercial |
$15.54
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$31.50
|
|
|
HC SUPERVISION & HANDLING
|
Facility
|
OP
|
$154.02
|
|
|
Service Code
|
CPT 77790
|
| Hospital Charge Code |
33300029
|
|
Hospital Revenue Code
|
333
|
| Min. Negotiated Rate |
$17.68 |
| Max. Negotiated Rate |
$979.00 |
| Rate for Payer: Aetna American Axle |
$100.11
|
| Rate for Payer: Aetna American Axle |
$109.20
|
| Rate for Payer: Aetna Commercial |
$142.80
|
| Rate for Payer: Aetna Commercial |
$130.92
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$109.20
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$100.11
|
| Rate for Payer: BCBS Complete |
$67.20
|
| Rate for Payer: BCBS Complete |
$61.61
|
| Rate for Payer: BCBS Trust/PPO |
$32.94
|
| Rate for Payer: BCBS Trust/PPO |
$32.94
|
| Rate for Payer: Cash Price |
$134.40
|
| Rate for Payer: Cash Price |
$123.22
|
| Rate for Payer: Cash Price |
$123.22
|
| Rate for Payer: Cash Price |
$134.40
|
| Rate for Payer: Cash Price |
$123.22
|
| Rate for Payer: Cash Price |
$134.40
|
| Rate for Payer: Cofinity Commercial |
$144.48
|
| Rate for Payer: Cofinity Commercial |
$117.60
|
| Rate for Payer: Cofinity Commercial |
$132.46
|
| Rate for Payer: Cofinity Commercial |
$107.81
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$134.40
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$123.22
|
| Rate for Payer: Healthscope Commercial |
$151.20
|
| Rate for Payer: Healthscope Commercial |
$138.62
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$107.81
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$117.60
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$126.00
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$115.52
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$142.80
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$130.92
|
| Rate for Payer: PHP Commercial |
$130.92
|
| Rate for Payer: PHP Commercial |
$142.80
|
| Rate for Payer: Priority Health Cigna Priority Health |
$107.81
|
| Rate for Payer: Priority Health Cigna Priority Health |
$117.60
|
| Rate for Payer: Priority Health SBD |
$105.84
|
| Rate for Payer: Priority Health SBD |
$97.03
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$19.45
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$19.45
|
| Rate for Payer: UHC Core |
$979.00
|
| Rate for Payer: UHC Core |
$979.00
|
| Rate for Payer: UHC Exchange |
$17.68
|
| Rate for Payer: UHC Exchange |
$17.68
|
| Rate for Payer: UMR Bronson Commercial |
$62.16
|
| Rate for Payer: UMR Bronson Commercial |
$56.99
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$126.00
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$115.52
|
|
|
HC SUPERVISION & HANDLING
|
Facility
|
IP
|
$168.00
|
|
|
Service Code
|
CPT 77790
|
| Hospital Charge Code |
33300029
|
|
Hospital Revenue Code
|
333
|
| Min. Negotiated Rate |
$73.92 |
| Max. Negotiated Rate |
$151.20 |
| Rate for Payer: Aetna American Axle |
$109.20
|
| Rate for Payer: Aetna American Axle |
$100.11
|
| Rate for Payer: Aetna Commercial |
$130.92
|
| Rate for Payer: Aetna Commercial |
$142.80
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$109.20
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$100.11
|
| Rate for Payer: Cash Price |
$123.22
|
| Rate for Payer: Cash Price |
$134.40
|
| Rate for Payer: Cofinity Commercial |
$144.48
|
| Rate for Payer: Cofinity Commercial |
$107.81
|
| Rate for Payer: Cofinity Commercial |
$132.46
|
| Rate for Payer: Cofinity Commercial |
$117.60
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$134.40
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$123.22
|
| Rate for Payer: Healthscope Commercial |
$138.62
|
| Rate for Payer: Healthscope Commercial |
$151.20
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$107.81
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$117.60
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$115.52
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$126.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$142.80
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$130.92
|
| Rate for Payer: PHP Commercial |
$130.92
|
| Rate for Payer: PHP Commercial |
$142.80
|
| Rate for Payer: Priority Health Cigna Priority Health |
$117.60
|
| Rate for Payer: Priority Health Cigna Priority Health |
$107.81
|
| Rate for Payer: Priority Health SBD |
$97.03
|
| Rate for Payer: Priority Health SBD |
$105.84
|
| Rate for Payer: UMR Bronson Commercial |
$67.77
|
| Rate for Payer: UMR Bronson Commercial |
$73.92
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$126.00
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$115.52
|
|
|
HC SUPPLEMENTAL NEWBORN SCRN
|
Facility
|
OP
|
$85.00
|
|
|
Service Code
|
CPT 83789
|
| Hospital Charge Code |
30100686
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$12.78 |
| Max. Negotiated Rate |
$76.50 |
| Rate for Payer: Aetna American Axle |
$55.25
|
| Rate for Payer: Aetna Commercial |
$72.25
|
| Rate for Payer: Aetna Medicare |
$25.07
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$55.25
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$30.14
|
| Rate for Payer: Amish Plain Church Group Commercial |
$30.14
|
| Rate for Payer: BCBS Complete |
$13.85
|
| Rate for Payer: BCBS MAPPO |
$24.11
|
| Rate for Payer: BCBS Trust/PPO |
$21.68
|
| Rate for Payer: BCN Medicare Advantage |
$24.11
|
| Rate for Payer: Cash Price |
$68.00
|
| Rate for Payer: Cash Price |
$68.00
|
| Rate for Payer: Cofinity Commercial |
$59.50
|
| Rate for Payer: Cofinity Commercial |
$73.10
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$68.00
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$24.11
|
| Rate for Payer: Healthscope Commercial |
$76.50
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$59.50
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$63.75
|
| Rate for Payer: Mclaren Medicaid |
$13.19
|
| Rate for Payer: Mclaren Medicare |
$24.11
|
| Rate for Payer: Meridian Medicaid |
$13.85
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$25.32
|
| Rate for Payer: MI Amish Medical Board Commercial |
$27.73
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$72.25
|
| Rate for Payer: PACE Medicare |
$22.90
|
| Rate for Payer: PACE SWMI |
$24.11
|
| Rate for Payer: PHP Commercial |
$72.25
|
| Rate for Payer: PHP Medicare Advantage |
$24.11
|
| Rate for Payer: Priority Health Choice Medicaid |
$13.19
|
| Rate for Payer: Priority Health Cigna Priority Health |
$59.50
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$15.98
|
| Rate for Payer: Priority Health Medicare |
$24.11
|
| Rate for Payer: Priority Health Narrow Network |
$12.78
|
| Rate for Payer: Priority Health SBD |
$53.55
|
| Rate for Payer: Railroad Medicare Medicare |
$24.11
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$28.93
|
| Rate for Payer: UHC Core |
$29.78
|
| Rate for Payer: UHC Dual Complete DSNP |
$24.11
|
| Rate for Payer: UHC Exchange |
$24.11
|
| Rate for Payer: UHC Medicare Advantage |
$24.83
|
| Rate for Payer: UMR Bronson Commercial |
$31.45
|
| Rate for Payer: VA VA |
$24.11
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$63.75
|
|
|
HC SUPPLEMENTAL NEWBORN SCRN
|
Facility
|
IP
|
$85.00
|
|
|
Service Code
|
CPT 83789
|
| Hospital Charge Code |
30100686
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$37.40 |
| Max. Negotiated Rate |
$76.50 |
| Rate for Payer: Aetna American Axle |
$55.25
|
| Rate for Payer: Aetna Commercial |
$72.25
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$55.25
|
| Rate for Payer: Cash Price |
$68.00
|
| Rate for Payer: Cofinity Commercial |
$59.50
|
| Rate for Payer: Cofinity Commercial |
$73.10
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$68.00
|
| Rate for Payer: Healthscope Commercial |
$76.50
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$59.50
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$63.75
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$72.25
|
| Rate for Payer: PHP Commercial |
$72.25
|
| Rate for Payer: Priority Health Cigna Priority Health |
$59.50
|
| Rate for Payer: Priority Health SBD |
$53.55
|
| Rate for Payer: UMR Bronson Commercial |
$37.40
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$63.75
|
|
|
HC SUPRAPUBIC CATHETER
|
Facility
|
OP
|
$116.64
|
|
|
Service Code
|
HCPCS C2627
|
| Hospital Charge Code |
27200072
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$43.16 |
| Max. Negotiated Rate |
$104.98 |
| Rate for Payer: Aetna American Axle |
$75.82
|
| Rate for Payer: Aetna Commercial |
$99.14
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$75.82
|
| Rate for Payer: BCBS Complete |
$46.66
|
| Rate for Payer: Cash Price |
$93.31
|
| Rate for Payer: Cofinity Commercial |
$100.31
|
| Rate for Payer: Cofinity Commercial |
$81.65
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$93.31
|
| Rate for Payer: Healthscope Commercial |
$104.98
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$81.65
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$87.48
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$99.14
|
| Rate for Payer: PHP Commercial |
$99.14
|
| Rate for Payer: Priority Health Cigna Priority Health |
$81.65
|
| Rate for Payer: Priority Health SBD |
$73.48
|
| Rate for Payer: UMR Bronson Commercial |
$43.16
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$87.48
|
|
|
HC SUPRAPUBIC CATHETER
|
Facility
|
IP
|
$116.64
|
|
|
Service Code
|
HCPCS C2627
|
| Hospital Charge Code |
27200072
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$51.32 |
| Max. Negotiated Rate |
$104.98 |
| Rate for Payer: Aetna American Axle |
$75.82
|
| Rate for Payer: Aetna Commercial |
$99.14
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$75.82
|
| Rate for Payer: Cash Price |
$93.31
|
| Rate for Payer: Cofinity Commercial |
$100.31
|
| Rate for Payer: Cofinity Commercial |
$81.65
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$93.31
|
| Rate for Payer: Healthscope Commercial |
$104.98
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$81.65
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$87.48
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$99.14
|
| Rate for Payer: PHP Commercial |
$99.14
|
| Rate for Payer: Priority Health Cigna Priority Health |
$81.65
|
| Rate for Payer: Priority Health SBD |
$73.48
|
| Rate for Payer: UMR Bronson Commercial |
$51.32
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$87.48
|
|
|
HC SURGERY FROZEN EA ADDL
|
Facility
|
OP
|
$73.24
|
|
|
Service Code
|
CPT 88332
|
| Hospital Charge Code |
31000057
|
|
Hospital Revenue Code
|
310
|
| Min. Negotiated Rate |
$15.25 |
| Max. Negotiated Rate |
$65.92 |
| Rate for Payer: Aetna American Axle |
$47.61
|
| Rate for Payer: Aetna Commercial |
$62.25
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$47.61
|
| Rate for Payer: BCBS Complete |
$29.30
|
| Rate for Payer: BCBS Trust/PPO |
$35.16
|
| Rate for Payer: BCCCP Commercial |
$55.41
|
| Rate for Payer: Cash Price |
$58.59
|
| Rate for Payer: Cash Price |
$58.59
|
| Rate for Payer: Cofinity Commercial |
$51.27
|
| Rate for Payer: Cofinity Commercial |
$62.99
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$58.59
|
| Rate for Payer: Healthscope Commercial |
$65.92
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$51.27
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$54.93
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$62.25
|
| Rate for Payer: PHP Commercial |
$62.25
|
| Rate for Payer: Priority Health Cigna Priority Health |
$51.27
|
| Rate for Payer: Priority Health SBD |
$46.14
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$58.71
|
| Rate for Payer: UHC Core |
$15.25
|
| Rate for Payer: UHC Exchange |
$53.37
|
| Rate for Payer: UMR Bronson Commercial |
$27.10
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$54.93
|
|
|
HC SURGERY FROZEN EA ADDL
|
Facility
|
IP
|
$73.24
|
|
|
Service Code
|
CPT 88332
|
| Hospital Charge Code |
31000057
|
|
Hospital Revenue Code
|
310
|
| Min. Negotiated Rate |
$32.23 |
| Max. Negotiated Rate |
$65.92 |
| Rate for Payer: Aetna American Axle |
$47.61
|
| Rate for Payer: Aetna Commercial |
$62.25
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$47.61
|
| Rate for Payer: Cash Price |
$58.59
|
| Rate for Payer: Cofinity Commercial |
$51.27
|
| Rate for Payer: Cofinity Commercial |
$62.99
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$58.59
|
| Rate for Payer: Healthscope Commercial |
$65.92
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$51.27
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$54.93
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$62.25
|
| Rate for Payer: PHP Commercial |
$62.25
|
| Rate for Payer: Priority Health Cigna Priority Health |
$51.27
|
| Rate for Payer: Priority Health SBD |
$46.14
|
| Rate for Payer: UMR Bronson Commercial |
$32.23
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$54.93
|
|
|
HC SURGICAL HAND
|
Facility
|
OP
|
$690.61
|
|
| Hospital Charge Code |
45000053
|
|
Hospital Revenue Code
|
450
|
| Min. Negotiated Rate |
$255.53 |
| Max. Negotiated Rate |
$621.55 |
| Rate for Payer: Aetna American Axle |
$448.90
|
| Rate for Payer: Aetna Commercial |
$587.02
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$448.90
|
| Rate for Payer: BCBS Complete |
$276.24
|
| Rate for Payer: Cash Price |
$552.49
|
| Rate for Payer: Cofinity Commercial |
$483.43
|
| Rate for Payer: Cofinity Commercial |
$593.92
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$552.49
|
| Rate for Payer: Healthscope Commercial |
$621.55
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$483.43
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$517.96
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$587.02
|
| Rate for Payer: PHP Commercial |
$587.02
|
| Rate for Payer: Priority Health Cigna Priority Health |
$483.43
|
| Rate for Payer: Priority Health SBD |
$435.08
|
| Rate for Payer: UMR Bronson Commercial |
$255.53
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$517.96
|
|
|
HC SURGICAL HAND
|
Facility
|
IP
|
$690.61
|
|
| Hospital Charge Code |
45000053
|
|
Hospital Revenue Code
|
450
|
| Min. Negotiated Rate |
$303.87 |
| Max. Negotiated Rate |
$621.55 |
| Rate for Payer: Aetna American Axle |
$448.90
|
| Rate for Payer: Aetna Commercial |
$587.02
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$448.90
|
| Rate for Payer: Cash Price |
$552.49
|
| Rate for Payer: Cofinity Commercial |
$483.43
|
| Rate for Payer: Cofinity Commercial |
$593.92
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$552.49
|
| Rate for Payer: Healthscope Commercial |
$621.55
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$483.43
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$517.96
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$587.02
|
| Rate for Payer: PHP Commercial |
$587.02
|
| Rate for Payer: Priority Health Cigna Priority Health |
$483.43
|
| Rate for Payer: Priority Health SBD |
$435.08
|
| Rate for Payer: UMR Bronson Commercial |
$303.87
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$517.96
|
|
|
HC SURG SUPPLY MISC
|
Facility
|
IP
|
$84.74
|
|
|
Service Code
|
HCPCS A4649
|
| Hospital Charge Code |
62300132
|
|
Hospital Revenue Code
|
623
|
| Min. Negotiated Rate |
$37.29 |
| Max. Negotiated Rate |
$76.27 |
| Rate for Payer: Aetna American Axle |
$55.08
|
| Rate for Payer: Aetna Commercial |
$72.03
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$55.08
|
| Rate for Payer: Cash Price |
$67.79
|
| Rate for Payer: Cofinity Commercial |
$59.32
|
| Rate for Payer: Cofinity Commercial |
$72.88
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$67.79
|
| Rate for Payer: Healthscope Commercial |
$76.27
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$59.32
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$63.56
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$72.03
|
| Rate for Payer: PHP Commercial |
$72.03
|
| Rate for Payer: Priority Health Cigna Priority Health |
$59.32
|
| Rate for Payer: Priority Health SBD |
$53.39
|
| Rate for Payer: UMR Bronson Commercial |
$37.29
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$63.56
|
|
|
HC SURG SUPPLY MISC
|
Facility
|
OP
|
$84.74
|
|
|
Service Code
|
HCPCS A4649
|
| Hospital Charge Code |
62300132
|
|
Hospital Revenue Code
|
623
|
| Min. Negotiated Rate |
$31.35 |
| Max. Negotiated Rate |
$430.18 |
| Rate for Payer: Aetna American Axle |
$55.08
|
| Rate for Payer: Aetna Commercial |
$72.03
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$55.08
|
| Rate for Payer: BCBS Complete |
$33.90
|
| Rate for Payer: BCBS Trust/PPO |
$430.18
|
| Rate for Payer: Cash Price |
$67.79
|
| Rate for Payer: Cash Price |
$67.79
|
| Rate for Payer: Cofinity Commercial |
$59.32
|
| Rate for Payer: Cofinity Commercial |
$72.88
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$67.79
|
| Rate for Payer: Healthscope Commercial |
$76.27
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$59.32
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$63.56
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$72.03
|
| Rate for Payer: PHP Commercial |
$72.03
|
| Rate for Payer: Priority Health Cigna Priority Health |
$59.32
|
| Rate for Payer: Priority Health SBD |
$53.39
|
| Rate for Payer: UMR Bronson Commercial |
$31.35
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$63.56
|
|
|
HC SUSCEPTIBILITY DISK
|
Facility
|
OP
|
$57.50
|
|
|
Service Code
|
CPT 87184
|
| Hospital Charge Code |
30600098
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$4.09 |
| Max. Negotiated Rate |
$51.75 |
| Rate for Payer: Aetna American Axle |
$37.38
|
| Rate for Payer: Aetna Commercial |
$48.88
|
| Rate for Payer: Aetna Medicare |
$7.78
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$37.38
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$9.35
|
| Rate for Payer: Amish Plain Church Group Commercial |
$9.35
|
| Rate for Payer: BCBS Complete |
$4.30
|
| Rate for Payer: BCBS MAPPO |
$7.48
|
| Rate for Payer: BCBS Trust/PPO |
$6.73
|
| Rate for Payer: BCN Medicare Advantage |
$7.48
|
| Rate for Payer: Cash Price |
$46.00
|
| Rate for Payer: Cash Price |
$46.00
|
| Rate for Payer: Cofinity Commercial |
$40.25
|
| Rate for Payer: Cofinity Commercial |
$49.45
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$46.00
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$7.48
|
| Rate for Payer: Healthscope Commercial |
$51.75
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$40.25
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$43.12
|
| Rate for Payer: Mclaren Medicaid |
$4.09
|
| Rate for Payer: Mclaren Medicare |
$7.48
|
| Rate for Payer: Meridian Medicaid |
$4.30
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$7.85
|
| Rate for Payer: MI Amish Medical Board Commercial |
$8.60
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$48.88
|
| Rate for Payer: PACE Medicare |
$7.11
|
| Rate for Payer: PACE SWMI |
$7.48
|
| Rate for Payer: PHP Commercial |
$48.88
|
| Rate for Payer: PHP Medicare Advantage |
$7.48
|
| Rate for Payer: Priority Health Choice Medicaid |
$4.09
|
| Rate for Payer: Priority Health Cigna Priority Health |
$40.25
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$9.46
|
| Rate for Payer: Priority Health Medicare |
$7.48
|
| Rate for Payer: Priority Health Narrow Network |
$7.57
|
| Rate for Payer: Priority Health SBD |
$36.22
|
| Rate for Payer: Railroad Medicare Medicare |
$7.48
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$8.98
|
| Rate for Payer: UHC Core |
$11.39
|
| Rate for Payer: UHC Dual Complete DSNP |
$7.48
|
| Rate for Payer: UHC Exchange |
$7.48
|
| Rate for Payer: UHC Medicare Advantage |
$7.70
|
| Rate for Payer: UMR Bronson Commercial |
$21.28
|
| Rate for Payer: VA VA |
$7.48
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$43.12
|
|
|
HC SUSCEPTIBILITY DISK
|
Facility
|
IP
|
$57.50
|
|
|
Service Code
|
CPT 87184
|
| Hospital Charge Code |
30600098
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$25.30 |
| Max. Negotiated Rate |
$51.75 |
| Rate for Payer: Aetna American Axle |
$37.38
|
| Rate for Payer: Aetna Commercial |
$48.88
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$37.38
|
| Rate for Payer: Cash Price |
$46.00
|
| Rate for Payer: Cofinity Commercial |
$40.25
|
| Rate for Payer: Cofinity Commercial |
$49.45
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$46.00
|
| Rate for Payer: Healthscope Commercial |
$51.75
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$40.25
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$43.12
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$48.88
|
| Rate for Payer: PHP Commercial |
$48.88
|
| Rate for Payer: Priority Health Cigna Priority Health |
$40.25
|
| Rate for Payer: Priority Health SBD |
$36.22
|
| Rate for Payer: UMR Bronson Commercial |
$25.30
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$43.12
|
|
|
HC SUSCEPTIBILITY E TEST
|
Facility
|
OP
|
$32.13
|
|
|
Service Code
|
CPT 87181
|
| Hospital Charge Code |
30600097
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$2.60 |
| Max. Negotiated Rate |
$28.92 |
| Rate for Payer: Aetna American Axle |
$20.88
|
| Rate for Payer: Aetna Commercial |
$27.31
|
| Rate for Payer: Aetna Medicare |
$4.94
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$20.88
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$5.94
|
| Rate for Payer: Amish Plain Church Group Commercial |
$5.94
|
| Rate for Payer: BCBS Complete |
$2.73
|
| Rate for Payer: BCBS MAPPO |
$4.75
|
| Rate for Payer: BCBS Trust/PPO |
$4.27
|
| Rate for Payer: BCN Medicare Advantage |
$4.75
|
| Rate for Payer: Cash Price |
$25.70
|
| Rate for Payer: Cash Price |
$25.70
|
| Rate for Payer: Cofinity Commercial |
$22.49
|
| Rate for Payer: Cofinity Commercial |
$27.63
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$25.70
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$4.75
|
| Rate for Payer: Healthscope Commercial |
$28.92
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$22.49
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$24.10
|
| Rate for Payer: Mclaren Medicaid |
$2.60
|
| Rate for Payer: Mclaren Medicare |
$4.75
|
| Rate for Payer: Meridian Medicaid |
$2.73
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$4.99
|
| Rate for Payer: MI Amish Medical Board Commercial |
$5.46
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$27.31
|
| Rate for Payer: PACE Medicare |
$4.51
|
| Rate for Payer: PACE SWMI |
$4.75
|
| Rate for Payer: PHP Commercial |
$27.31
|
| Rate for Payer: PHP Medicare Advantage |
$4.75
|
| Rate for Payer: Priority Health Choice Medicaid |
$2.60
|
| Rate for Payer: Priority Health Cigna Priority Health |
$22.49
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$3.31
|
| Rate for Payer: Priority Health Medicare |
$4.75
|
| Rate for Payer: Priority Health Narrow Network |
$2.65
|
| Rate for Payer: Priority Health SBD |
$20.24
|
| Rate for Payer: Railroad Medicare Medicare |
$4.75
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$5.70
|
| Rate for Payer: UHC Core |
$7.84
|
| Rate for Payer: UHC Dual Complete DSNP |
$4.75
|
| Rate for Payer: UHC Exchange |
$4.75
|
| Rate for Payer: UHC Medicare Advantage |
$4.89
|
| Rate for Payer: UMR Bronson Commercial |
$11.89
|
| Rate for Payer: VA VA |
$4.75
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$24.10
|
|
|
HC SUSCEPTIBILITY E TEST
|
Facility
|
IP
|
$32.13
|
|
|
Service Code
|
CPT 87181
|
| Hospital Charge Code |
30600097
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$14.14 |
| Max. Negotiated Rate |
$28.92 |
| Rate for Payer: Aetna American Axle |
$20.88
|
| Rate for Payer: Aetna Commercial |
$27.31
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$20.88
|
| Rate for Payer: Cash Price |
$25.70
|
| Rate for Payer: Cofinity Commercial |
$22.49
|
| Rate for Payer: Cofinity Commercial |
$27.63
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$25.70
|
| Rate for Payer: Healthscope Commercial |
$28.92
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$22.49
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$24.10
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$27.31
|
| Rate for Payer: PHP Commercial |
$27.31
|
| Rate for Payer: Priority Health Cigna Priority Health |
$22.49
|
| Rate for Payer: Priority Health SBD |
$20.24
|
| Rate for Payer: UMR Bronson Commercial |
$14.14
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$24.10
|
|
|
HC SUSCEPTIBILITY, MIC
|
Facility
|
IP
|
$79.00
|
|
|
Service Code
|
CPT 87186
|
| Hospital Charge Code |
30600100
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$34.76 |
| Max. Negotiated Rate |
$71.10 |
| Rate for Payer: Aetna American Axle |
$51.35
|
| Rate for Payer: Aetna Commercial |
$67.15
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$51.35
|
| Rate for Payer: Cash Price |
$63.20
|
| Rate for Payer: Cofinity Commercial |
$55.30
|
| Rate for Payer: Cofinity Commercial |
$67.94
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$63.20
|
| Rate for Payer: Healthscope Commercial |
$71.10
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$55.30
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$59.25
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$67.15
|
| Rate for Payer: PHP Commercial |
$67.15
|
| Rate for Payer: Priority Health Cigna Priority Health |
$55.30
|
| Rate for Payer: Priority Health SBD |
$49.77
|
| Rate for Payer: UMR Bronson Commercial |
$34.76
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$59.25
|
|
|
HC SUSCEPTIBILITY, MIC
|
Facility
|
OP
|
$79.00
|
|
|
Service Code
|
CPT 87186
|
| Hospital Charge Code |
30600100
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$4.73 |
| Max. Negotiated Rate |
$71.10 |
| Rate for Payer: Aetna American Axle |
$51.35
|
| Rate for Payer: Aetna Commercial |
$67.15
|
| Rate for Payer: Aetna Medicare |
$9.00
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$51.35
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$10.81
|
| Rate for Payer: Amish Plain Church Group Commercial |
$10.81
|
| Rate for Payer: BCBS Complete |
$4.97
|
| Rate for Payer: BCBS MAPPO |
$8.65
|
| Rate for Payer: BCBS Trust/PPO |
$7.78
|
| Rate for Payer: BCN Medicare Advantage |
$8.65
|
| Rate for Payer: Cash Price |
$63.20
|
| Rate for Payer: Cash Price |
$63.20
|
| Rate for Payer: Cofinity Commercial |
$67.94
|
| Rate for Payer: Cofinity Commercial |
$55.30
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$63.20
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$8.65
|
| Rate for Payer: Healthscope Commercial |
$71.10
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$55.30
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$59.25
|
| Rate for Payer: Mclaren Medicaid |
$4.73
|
| Rate for Payer: Mclaren Medicare |
$8.65
|
| Rate for Payer: Meridian Medicaid |
$4.97
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$9.08
|
| Rate for Payer: MI Amish Medical Board Commercial |
$9.95
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$67.15
|
| Rate for Payer: PACE Medicare |
$8.22
|
| Rate for Payer: PACE SWMI |
$8.65
|
| Rate for Payer: PHP Commercial |
$67.15
|
| Rate for Payer: PHP Medicare Advantage |
$8.65
|
| Rate for Payer: Priority Health Choice Medicaid |
$4.73
|
| Rate for Payer: Priority Health Cigna Priority Health |
$55.30
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$11.86
|
| Rate for Payer: Priority Health Medicare |
$8.65
|
| Rate for Payer: Priority Health Narrow Network |
$9.49
|
| Rate for Payer: Priority Health SBD |
$49.77
|
| Rate for Payer: Railroad Medicare Medicare |
$8.65
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$10.38
|
| Rate for Payer: UHC Core |
$14.26
|
| Rate for Payer: UHC Dual Complete DSNP |
$8.65
|
| Rate for Payer: UHC Exchange |
$8.65
|
| Rate for Payer: UHC Medicare Advantage |
$8.91
|
| Rate for Payer: UMR Bronson Commercial |
$29.23
|
| Rate for Payer: VA VA |
$8.65
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$59.25
|
|
|
HC SUTURE REMOVAL UNDER ANESTHESIA
|
Facility
|
OP
|
$768.07
|
|
| Hospital Charge Code |
36100544
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$284.19 |
| Max. Negotiated Rate |
$691.26 |
| Rate for Payer: Aetna American Axle |
$499.25
|
| Rate for Payer: Aetna Commercial |
$652.86
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$499.25
|
| Rate for Payer: BCBS Complete |
$307.23
|
| Rate for Payer: Cash Price |
$614.46
|
| Rate for Payer: Cofinity Commercial |
$537.65
|
| Rate for Payer: Cofinity Commercial |
$660.54
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$614.46
|
| Rate for Payer: Healthscope Commercial |
$691.26
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$537.65
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$576.05
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$652.86
|
| Rate for Payer: PHP Commercial |
$652.86
|
| Rate for Payer: Priority Health Cigna Priority Health |
$537.65
|
| Rate for Payer: Priority Health SBD |
$483.88
|
| Rate for Payer: UMR Bronson Commercial |
$284.19
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$576.05
|
|
|
HC SUTURE REMOVAL UNDER ANESTHESIA
|
Facility
|
IP
|
$768.07
|
|
| Hospital Charge Code |
36100544
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$337.95 |
| Max. Negotiated Rate |
$691.26 |
| Rate for Payer: Aetna American Axle |
$499.25
|
| Rate for Payer: Aetna Commercial |
$652.86
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$499.25
|
| Rate for Payer: Cash Price |
$614.46
|
| Rate for Payer: Cofinity Commercial |
$537.65
|
| Rate for Payer: Cofinity Commercial |
$660.54
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$614.46
|
| Rate for Payer: Healthscope Commercial |
$691.26
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$537.65
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$576.05
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$652.86
|
| Rate for Payer: PHP Commercial |
$652.86
|
| Rate for Payer: Priority Health Cigna Priority Health |
$537.65
|
| Rate for Payer: Priority Health SBD |
$483.88
|
| Rate for Payer: UMR Bronson Commercial |
$337.95
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$576.05
|
|
|
HC SWALLOW EVALUATION
|
Facility
|
IP
|
$326.81
|
|
|
Service Code
|
CPT 92610
|
| Hospital Charge Code |
44400004
|
|
Hospital Revenue Code
|
444
|
| Min. Negotiated Rate |
$143.80 |
| Max. Negotiated Rate |
$294.13 |
| Rate for Payer: Aetna American Axle |
$212.43
|
| Rate for Payer: Aetna Commercial |
$277.79
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$212.43
|
| Rate for Payer: Cash Price |
$261.45
|
| Rate for Payer: Cofinity Commercial |
$228.77
|
| Rate for Payer: Cofinity Commercial |
$281.06
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$261.45
|
| Rate for Payer: Healthscope Commercial |
$294.13
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$228.77
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$245.11
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$277.79
|
| Rate for Payer: PHP Commercial |
$277.79
|
| Rate for Payer: Priority Health Cigna Priority Health |
$228.77
|
| Rate for Payer: Priority Health SBD |
$205.89
|
| Rate for Payer: UMR Bronson Commercial |
$143.80
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$245.11
|
|
