|
HC LOCAL ANES ADDL 15 MIN
|
Facility
|
OP
|
$98.30
|
|
| Hospital Charge Code |
37000009
|
|
Hospital Revenue Code
|
370
|
| Min. Negotiated Rate |
$36.37 |
| Max. Negotiated Rate |
$88.47 |
| Rate for Payer: Aetna American Axle |
$63.90
|
| Rate for Payer: Aetna Commercial |
$83.56
|
| Rate for Payer: Aetna Medicare |
$49.15
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$63.90
|
| Rate for Payer: BCBS Complete |
$39.32
|
| Rate for Payer: Cash Price |
$78.64
|
| Rate for Payer: Cofinity Advantage |
$68.81
|
| Rate for Payer: Cofinity Commercial |
$84.54
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$78.64
|
| Rate for Payer: Healthscope Commercial |
$88.47
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$68.81
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$73.72
|
| Rate for Payer: MI Amish Medical Board Commercial |
$78.64
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$83.56
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$73.72
|
| Rate for Payer: PHP Commercial |
$83.56
|
| Rate for Payer: Priority Health SBD |
$61.93
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$63.90
|
| Rate for Payer: UHC Core |
$51.21
|
| Rate for Payer: UHC Exchange |
$38.63
|
| Rate for Payer: UMR Bronson Commercial |
$36.37
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$73.72
|
|
|
HC LOCAL ANES ADDL 15 MIN
|
Facility
|
IP
|
$98.30
|
|
| Hospital Charge Code |
37000009
|
|
Hospital Revenue Code
|
370
|
| Min. Negotiated Rate |
$43.25 |
| Max. Negotiated Rate |
$88.47 |
| Rate for Payer: Aetna American Axle |
$63.90
|
| Rate for Payer: Aetna Commercial |
$83.56
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$63.90
|
| Rate for Payer: Cash Price |
$78.64
|
| Rate for Payer: Cofinity Advantage |
$68.81
|
| Rate for Payer: Cofinity Commercial |
$84.54
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$78.64
|
| Rate for Payer: Healthscope Commercial |
$88.47
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$68.81
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$73.72
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$83.56
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$73.72
|
| Rate for Payer: PHP Commercial |
$83.56
|
| Rate for Payer: Priority Health SBD |
$61.93
|
| Rate for Payer: UMR Bronson Commercial |
$43.25
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$73.72
|
|
|
HC LOCAL ANES INIT 30 MIN
|
Facility
|
OP
|
$356.63
|
|
| Hospital Charge Code |
37000010
|
|
Hospital Revenue Code
|
370
|
| Min. Negotiated Rate |
$131.95 |
| Max. Negotiated Rate |
$320.97 |
| Rate for Payer: Aetna American Axle |
$231.81
|
| Rate for Payer: Aetna Commercial |
$303.14
|
| Rate for Payer: Aetna Medicare |
$178.31
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$231.81
|
| Rate for Payer: BCBS Complete |
$142.65
|
| Rate for Payer: Cash Price |
$285.30
|
| Rate for Payer: Cofinity Advantage |
$249.64
|
| Rate for Payer: Cofinity Commercial |
$306.70
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$285.30
|
| Rate for Payer: Healthscope Commercial |
$320.97
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$249.64
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$267.47
|
| Rate for Payer: MI Amish Medical Board Commercial |
$285.30
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$303.14
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$267.47
|
| Rate for Payer: PHP Commercial |
$303.14
|
| Rate for Payer: Priority Health SBD |
$224.68
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$231.81
|
| Rate for Payer: UHC Core |
$185.80
|
| Rate for Payer: UHC Exchange |
$140.16
|
| Rate for Payer: UMR Bronson Commercial |
$131.95
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$267.47
|
|
|
HC LOCAL ANES INIT 30 MIN
|
Facility
|
IP
|
$356.63
|
|
| Hospital Charge Code |
37000010
|
|
Hospital Revenue Code
|
370
|
| Min. Negotiated Rate |
$156.92 |
| Max. Negotiated Rate |
$320.97 |
| Rate for Payer: Aetna American Axle |
$231.81
|
| Rate for Payer: Aetna Commercial |
$303.14
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$231.81
|
| Rate for Payer: Cash Price |
$285.30
|
| Rate for Payer: Cofinity Advantage |
$249.64
|
| Rate for Payer: Cofinity Commercial |
$306.70
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$285.30
|
| Rate for Payer: Healthscope Commercial |
$320.97
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$249.64
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$267.47
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$303.14
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$267.47
|
| Rate for Payer: PHP Commercial |
$303.14
|
| Rate for Payer: Priority Health SBD |
$224.68
|
| Rate for Payer: UMR Bronson Commercial |
$156.92
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$267.47
|
|
|
HC LOCALIZATION CLIP
|
Facility
|
IP
|
$210.97
|
|
|
Service Code
|
HCPCS A4648
|
| Hospital Charge Code |
27800040
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$92.83 |
| Max. Negotiated Rate |
$189.87 |
| Rate for Payer: Aetna American Axle |
$137.13
|
| Rate for Payer: Aetna Commercial |
$179.32
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$137.13
|
| Rate for Payer: Cash Price |
$168.78
|
| Rate for Payer: Cofinity Advantage |
$147.68
|
| Rate for Payer: Cofinity Commercial |
$181.43
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$168.78
|
| Rate for Payer: Healthscope Commercial |
$189.87
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$147.68
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$158.23
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$179.32
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$158.23
|
| Rate for Payer: PHP Commercial |
$179.32
|
| Rate for Payer: Priority Health SBD |
$132.91
|
| Rate for Payer: UMR Bronson Commercial |
$92.83
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$158.23
|
|
|
HC LOCALIZATION CLIP
|
Facility
|
OP
|
$210.97
|
|
|
Service Code
|
HCPCS A4648
|
| Hospital Charge Code |
27800040
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$78.06 |
| Max. Negotiated Rate |
$189.87 |
| Rate for Payer: Aetna American Axle |
$137.13
|
| Rate for Payer: Aetna Commercial |
$179.32
|
| Rate for Payer: Aetna Medicare |
$105.48
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$137.13
|
| Rate for Payer: BCBS Complete |
$84.39
|
| Rate for Payer: Cash Price |
$168.78
|
| Rate for Payer: Cofinity Advantage |
$147.68
|
| Rate for Payer: Cofinity Commercial |
$181.43
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$168.78
|
| Rate for Payer: Healthscope Commercial |
$189.87
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$147.68
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$158.23
|
| Rate for Payer: MI Amish Medical Board Commercial |
$168.78
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$179.32
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$158.23
|
| Rate for Payer: PHP Commercial |
$179.32
|
| Rate for Payer: Priority Health SBD |
$132.91
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$137.13
|
| Rate for Payer: UHC Core |
$109.92
|
| Rate for Payer: UHC Exchange |
$82.91
|
| Rate for Payer: UMR Bronson Commercial |
$78.06
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$158.23
|
|
|
HC LOCALIZATION DEVICE LEVEL 1
|
Facility
|
IP
|
$146.88
|
|
|
Service Code
|
HCPCS A4648
|
| Hospital Charge Code |
27800350
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$64.63 |
| Max. Negotiated Rate |
$132.19 |
| Rate for Payer: Aetna American Axle |
$95.47
|
| Rate for Payer: Aetna Commercial |
$124.85
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$95.47
|
| Rate for Payer: Cash Price |
$117.50
|
| Rate for Payer: Cofinity Advantage |
$102.82
|
| Rate for Payer: Cofinity Commercial |
$126.32
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$117.50
|
| Rate for Payer: Healthscope Commercial |
$132.19
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$102.82
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$110.16
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$124.85
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$110.16
|
| Rate for Payer: PHP Commercial |
$124.85
|
| Rate for Payer: Priority Health SBD |
$92.53
|
| Rate for Payer: UMR Bronson Commercial |
$64.63
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$110.16
|
|
|
HC LOCALIZATION DEVICE LEVEL 1
|
Facility
|
OP
|
$146.88
|
|
|
Service Code
|
HCPCS A4648
|
| Hospital Charge Code |
27800350
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$54.35 |
| Max. Negotiated Rate |
$132.19 |
| Rate for Payer: Aetna American Axle |
$95.47
|
| Rate for Payer: Aetna Commercial |
$124.85
|
| Rate for Payer: Aetna Medicare |
$73.44
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$95.47
|
| Rate for Payer: BCBS Complete |
$58.75
|
| Rate for Payer: Cash Price |
$117.50
|
| Rate for Payer: Cofinity Advantage |
$102.82
|
| Rate for Payer: Cofinity Commercial |
$126.32
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$117.50
|
| Rate for Payer: Healthscope Commercial |
$132.19
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$102.82
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$110.16
|
| Rate for Payer: MI Amish Medical Board Commercial |
$117.50
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$124.85
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$110.16
|
| Rate for Payer: PHP Commercial |
$124.85
|
| Rate for Payer: Priority Health SBD |
$92.53
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$95.47
|
| Rate for Payer: UHC Core |
$76.52
|
| Rate for Payer: UHC Exchange |
$57.72
|
| Rate for Payer: UMR Bronson Commercial |
$54.35
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$110.16
|
|
|
HC LOC INFIL W/CS 15 MIN
|
Facility
|
OP
|
$147.26
|
|
| Hospital Charge Code |
37000007
|
|
Hospital Revenue Code
|
370
|
| Min. Negotiated Rate |
$54.49 |
| Max. Negotiated Rate |
$132.53 |
| Rate for Payer: Aetna American Axle |
$95.72
|
| Rate for Payer: Aetna Commercial |
$125.17
|
| Rate for Payer: Aetna Medicare |
$73.63
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$95.72
|
| Rate for Payer: BCBS Complete |
$58.90
|
| Rate for Payer: Cash Price |
$117.81
|
| Rate for Payer: Cofinity Advantage |
$103.08
|
| Rate for Payer: Cofinity Commercial |
$126.64
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$117.81
|
| Rate for Payer: Healthscope Commercial |
$132.53
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$103.08
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$110.44
|
| Rate for Payer: MI Amish Medical Board Commercial |
$117.81
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$125.17
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$110.44
|
| Rate for Payer: PHP Commercial |
$125.17
|
| Rate for Payer: Priority Health SBD |
$92.77
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$95.72
|
| Rate for Payer: UHC Core |
$76.72
|
| Rate for Payer: UHC Exchange |
$57.87
|
| Rate for Payer: UMR Bronson Commercial |
$54.49
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$110.44
|
|
|
HC LOC INFIL W/CS 15 MIN
|
Facility
|
IP
|
$147.26
|
|
| Hospital Charge Code |
37000007
|
|
Hospital Revenue Code
|
370
|
| Min. Negotiated Rate |
$64.79 |
| Max. Negotiated Rate |
$132.53 |
| Rate for Payer: Aetna American Axle |
$95.72
|
| Rate for Payer: Aetna Commercial |
$125.17
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$95.72
|
| Rate for Payer: Cash Price |
$117.81
|
| Rate for Payer: Cofinity Advantage |
$103.08
|
| Rate for Payer: Cofinity Commercial |
$126.64
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$117.81
|
| Rate for Payer: Healthscope Commercial |
$132.53
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$103.08
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$110.44
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$125.17
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$110.44
|
| Rate for Payer: PHP Commercial |
$125.17
|
| Rate for Payer: Priority Health SBD |
$92.77
|
| Rate for Payer: UMR Bronson Commercial |
$64.79
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$110.44
|
|
|
HC LOC INFIL W/CS 30 MIN
|
Facility
|
OP
|
$736.01
|
|
| Hospital Charge Code |
37000008
|
|
Hospital Revenue Code
|
370
|
| Min. Negotiated Rate |
$272.32 |
| Max. Negotiated Rate |
$662.41 |
| Rate for Payer: Aetna American Axle |
$478.41
|
| Rate for Payer: Aetna Commercial |
$625.61
|
| Rate for Payer: Aetna Medicare |
$368.00
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$478.41
|
| Rate for Payer: BCBS Complete |
$294.40
|
| Rate for Payer: Cash Price |
$588.81
|
| Rate for Payer: Cofinity Advantage |
$515.21
|
| Rate for Payer: Cofinity Commercial |
$632.97
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$588.81
|
| Rate for Payer: Healthscope Commercial |
$662.41
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$515.21
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$552.01
|
| Rate for Payer: MI Amish Medical Board Commercial |
$588.81
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$625.61
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$552.01
|
| Rate for Payer: PHP Commercial |
$625.61
|
| Rate for Payer: Priority Health SBD |
$463.69
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$478.41
|
| Rate for Payer: UHC Core |
$383.46
|
| Rate for Payer: UHC Exchange |
$289.25
|
| Rate for Payer: UMR Bronson Commercial |
$272.32
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$552.01
|
|
|
HC LOC INFIL W/CS 30 MIN
|
Facility
|
IP
|
$736.01
|
|
| Hospital Charge Code |
37000008
|
|
Hospital Revenue Code
|
370
|
| Min. Negotiated Rate |
$323.84 |
| Max. Negotiated Rate |
$662.41 |
| Rate for Payer: Aetna American Axle |
$478.41
|
| Rate for Payer: Aetna Commercial |
$625.61
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$478.41
|
| Rate for Payer: Cash Price |
$588.81
|
| Rate for Payer: Cofinity Advantage |
$515.21
|
| Rate for Payer: Cofinity Commercial |
$632.97
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$588.81
|
| Rate for Payer: Healthscope Commercial |
$662.41
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$515.21
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$552.01
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$625.61
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$552.01
|
| Rate for Payer: PHP Commercial |
$625.61
|
| Rate for Payer: Priority Health SBD |
$463.69
|
| Rate for Payer: UMR Bronson Commercial |
$323.84
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$552.01
|
|
|
HC LOCM 100-199 MG/ML IODINE/ML1
|
Facility
|
OP
|
$3.83
|
|
|
Service Code
|
HCPCS Q9965
|
| Hospital Charge Code |
25500002
|
|
Hospital Revenue Code
|
255
|
| Min. Negotiated Rate |
$1.42 |
| Max. Negotiated Rate |
$3.45 |
| Rate for Payer: Aetna American Axle |
$2.49
|
| Rate for Payer: Aetna Commercial |
$3.26
|
| Rate for Payer: Aetna Medicare |
$1.92
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2.49
|
| Rate for Payer: BCBS Complete |
$1.53
|
| Rate for Payer: BCBS Trust/PPO |
$3.34
|
| Rate for Payer: BCN Commercial |
$3.34
|
| Rate for Payer: Cash Price |
$3.06
|
| Rate for Payer: Cash Price |
$3.06
|
| Rate for Payer: Cofinity Advantage |
$2.68
|
| Rate for Payer: Cofinity Commercial |
$3.29
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3.06
|
| Rate for Payer: Healthscope Commercial |
$3.45
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$2.68
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2.87
|
| Rate for Payer: MI Amish Medical Board Commercial |
$3.06
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3.26
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2.87
|
| Rate for Payer: PHP Commercial |
$3.26
|
| Rate for Payer: Priority Health SBD |
$2.41
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2.49
|
| Rate for Payer: UHC Core |
$2.00
|
| Rate for Payer: UHC Exchange |
$1.51
|
| Rate for Payer: UMR Bronson Commercial |
$1.42
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2.87
|
|
|
HC LOCM 100-199 MG/ML IODINE/ML1
|
Facility
|
IP
|
$3.83
|
|
|
Service Code
|
HCPCS Q9965
|
| Hospital Charge Code |
25500002
|
|
Hospital Revenue Code
|
255
|
| Min. Negotiated Rate |
$1.69 |
| Max. Negotiated Rate |
$3.45 |
| Rate for Payer: Aetna American Axle |
$2.49
|
| Rate for Payer: Aetna Commercial |
$3.26
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2.49
|
| Rate for Payer: Cash Price |
$3.06
|
| Rate for Payer: Cofinity Advantage |
$2.68
|
| Rate for Payer: Cofinity Commercial |
$3.29
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3.06
|
| Rate for Payer: Healthscope Commercial |
$3.45
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$2.68
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2.87
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3.26
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2.87
|
| Rate for Payer: PHP Commercial |
$3.26
|
| Rate for Payer: Priority Health SBD |
$2.41
|
| Rate for Payer: UMR Bronson Commercial |
$1.69
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2.87
|
|
|
HC LOOP AV 3/8 INCH OR 1/2 INCH
|
Facility
|
OP
|
$220.36
|
|
| Hospital Charge Code |
27000444
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$81.53 |
| Max. Negotiated Rate |
$198.32 |
| Rate for Payer: Aetna American Axle |
$143.23
|
| Rate for Payer: Aetna Commercial |
$187.31
|
| Rate for Payer: Aetna Medicare |
$110.18
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$143.23
|
| Rate for Payer: BCBS Complete |
$88.14
|
| Rate for Payer: Cash Price |
$176.29
|
| Rate for Payer: Cofinity Advantage |
$154.25
|
| Rate for Payer: Cofinity Commercial |
$189.51
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$176.29
|
| Rate for Payer: Healthscope Commercial |
$198.32
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$154.25
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$165.27
|
| Rate for Payer: MI Amish Medical Board Commercial |
$176.29
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$187.31
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$165.27
|
| Rate for Payer: PHP Commercial |
$187.31
|
| Rate for Payer: Priority Health SBD |
$138.83
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$143.23
|
| Rate for Payer: UHC Core |
$114.81
|
| Rate for Payer: UHC Exchange |
$86.60
|
| Rate for Payer: UMR Bronson Commercial |
$81.53
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$165.27
|
|
|
HC LOOP AV 3/8 INCH OR 1/2 INCH
|
Facility
|
IP
|
$220.36
|
|
| Hospital Charge Code |
27000444
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$96.96 |
| Max. Negotiated Rate |
$198.32 |
| Rate for Payer: Aetna American Axle |
$143.23
|
| Rate for Payer: Aetna Commercial |
$187.31
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$143.23
|
| Rate for Payer: Cash Price |
$176.29
|
| Rate for Payer: Cofinity Advantage |
$154.25
|
| Rate for Payer: Cofinity Commercial |
$189.51
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$176.29
|
| Rate for Payer: Healthscope Commercial |
$198.32
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$154.25
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$165.27
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$187.31
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$165.27
|
| Rate for Payer: PHP Commercial |
$187.31
|
| Rate for Payer: Priority Health SBD |
$138.83
|
| Rate for Payer: UMR Bronson Commercial |
$96.96
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$165.27
|
|
|
HC LOWER EXT FASCIAL PLANE BLOCK UNILAT CONT
|
Facility
|
OP
|
$562.50
|
|
|
Service Code
|
CPT 64474
|
| Hospital Charge Code |
37000030
|
|
Hospital Revenue Code
|
370
|
| Min. Negotiated Rate |
$208.12 |
| Max. Negotiated Rate |
$506.25 |
| Rate for Payer: Aetna American Axle |
$365.62
|
| Rate for Payer: Aetna American Axle |
$243.75
|
| Rate for Payer: Aetna Commercial |
$478.12
|
| Rate for Payer: Aetna Commercial |
$318.75
|
| Rate for Payer: Aetna Medicare |
$187.50
|
| Rate for Payer: Aetna Medicare |
$281.25
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$365.62
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$243.75
|
| Rate for Payer: BCBS Complete |
$225.00
|
| Rate for Payer: BCBS Complete |
$150.00
|
| Rate for Payer: Cash Price |
$300.00
|
| Rate for Payer: Cash Price |
$450.00
|
| Rate for Payer: Cofinity Advantage |
$262.50
|
| Rate for Payer: Cofinity Advantage |
$393.75
|
| Rate for Payer: Cofinity Commercial |
$322.50
|
| Rate for Payer: Cofinity Commercial |
$483.75
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$300.00
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$450.00
|
| Rate for Payer: Healthscope Commercial |
$337.50
|
| Rate for Payer: Healthscope Commercial |
$506.25
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$393.75
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$262.50
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$281.25
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$421.88
|
| Rate for Payer: MI Amish Medical Board Commercial |
$450.00
|
| Rate for Payer: MI Amish Medical Board Commercial |
$300.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$478.12
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$318.75
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$421.88
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$281.25
|
| Rate for Payer: PHP Commercial |
$318.75
|
| Rate for Payer: PHP Commercial |
$478.12
|
| Rate for Payer: Priority Health SBD |
$236.25
|
| Rate for Payer: Priority Health SBD |
$354.38
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$365.62
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$243.75
|
| Rate for Payer: UHC Core |
$195.38
|
| Rate for Payer: UHC Core |
$293.06
|
| Rate for Payer: UHC Exchange |
$221.06
|
| Rate for Payer: UHC Exchange |
$147.38
|
| Rate for Payer: UMR Bronson Commercial |
$138.75
|
| Rate for Payer: UMR Bronson Commercial |
$208.12
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$281.25
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$421.88
|
|
|
HC LOWER EXT FASCIAL PLANE BLOCK UNILAT CONT
|
Facility
|
IP
|
$375.00
|
|
|
Service Code
|
CPT 64474
|
| Hospital Charge Code |
37000030
|
|
Hospital Revenue Code
|
370
|
| Min. Negotiated Rate |
$165.00 |
| Max. Negotiated Rate |
$337.50 |
| Rate for Payer: Aetna American Axle |
$243.75
|
| Rate for Payer: Aetna American Axle |
$365.62
|
| Rate for Payer: Aetna Commercial |
$318.75
|
| Rate for Payer: Aetna Commercial |
$478.12
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$243.75
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$365.62
|
| Rate for Payer: Cash Price |
$300.00
|
| Rate for Payer: Cash Price |
$450.00
|
| Rate for Payer: Cofinity Advantage |
$393.75
|
| Rate for Payer: Cofinity Advantage |
$262.50
|
| Rate for Payer: Cofinity Commercial |
$483.75
|
| Rate for Payer: Cofinity Commercial |
$322.50
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$300.00
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$450.00
|
| Rate for Payer: Healthscope Commercial |
$337.50
|
| Rate for Payer: Healthscope Commercial |
$506.25
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$393.75
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$262.50
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$281.25
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$421.88
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$318.75
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$478.12
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$281.25
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$421.88
|
| Rate for Payer: PHP Commercial |
$318.75
|
| Rate for Payer: PHP Commercial |
$478.12
|
| Rate for Payer: Priority Health SBD |
$354.38
|
| Rate for Payer: Priority Health SBD |
$236.25
|
| Rate for Payer: UMR Bronson Commercial |
$165.00
|
| Rate for Payer: UMR Bronson Commercial |
$247.50
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$281.25
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$421.88
|
|
|
HC LOWER EXT FASCIAL PLANE BLOCK UNILAT INJ
|
Facility
|
OP
|
$450.00
|
|
|
Service Code
|
CPT 64473
|
| Hospital Charge Code |
37000029
|
|
Hospital Revenue Code
|
370
|
| Min. Negotiated Rate |
$166.50 |
| Max. Negotiated Rate |
$405.00 |
| Rate for Payer: Aetna American Axle |
$292.50
|
| Rate for Payer: Aetna American Axle |
$195.00
|
| Rate for Payer: Aetna Commercial |
$382.50
|
| Rate for Payer: Aetna Commercial |
$255.00
|
| Rate for Payer: Aetna Medicare |
$150.00
|
| Rate for Payer: Aetna Medicare |
$225.00
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$292.50
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$195.00
|
| Rate for Payer: BCBS Complete |
$180.00
|
| Rate for Payer: BCBS Complete |
$120.00
|
| Rate for Payer: Cash Price |
$240.00
|
| Rate for Payer: Cash Price |
$360.00
|
| Rate for Payer: Cofinity Advantage |
$210.00
|
| Rate for Payer: Cofinity Advantage |
$315.00
|
| Rate for Payer: Cofinity Commercial |
$258.00
|
| Rate for Payer: Cofinity Commercial |
$387.00
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$240.00
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$360.00
|
| Rate for Payer: Healthscope Commercial |
$270.00
|
| Rate for Payer: Healthscope Commercial |
$405.00
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$315.00
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$210.00
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$225.00
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$337.50
|
| Rate for Payer: MI Amish Medical Board Commercial |
$360.00
|
| Rate for Payer: MI Amish Medical Board Commercial |
$240.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$382.50
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$255.00
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$337.50
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$225.00
|
| Rate for Payer: PHP Commercial |
$255.00
|
| Rate for Payer: PHP Commercial |
$382.50
|
| Rate for Payer: Priority Health SBD |
$189.00
|
| Rate for Payer: Priority Health SBD |
$283.50
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$292.50
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$195.00
|
| Rate for Payer: UHC Core |
$156.30
|
| Rate for Payer: UHC Core |
$234.45
|
| Rate for Payer: UHC Exchange |
$176.85
|
| Rate for Payer: UHC Exchange |
$117.90
|
| Rate for Payer: UMR Bronson Commercial |
$111.00
|
| Rate for Payer: UMR Bronson Commercial |
$166.50
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$225.00
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$337.50
|
|
|
HC LOWER EXT FASCIAL PLANE BLOCK UNILAT INJ
|
Facility
|
IP
|
$300.00
|
|
|
Service Code
|
CPT 64473
|
| Hospital Charge Code |
37000029
|
|
Hospital Revenue Code
|
370
|
| Min. Negotiated Rate |
$132.00 |
| Max. Negotiated Rate |
$270.00 |
| Rate for Payer: Aetna American Axle |
$195.00
|
| Rate for Payer: Aetna American Axle |
$292.50
|
| Rate for Payer: Aetna Commercial |
$255.00
|
| Rate for Payer: Aetna Commercial |
$382.50
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$195.00
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$292.50
|
| Rate for Payer: Cash Price |
$240.00
|
| Rate for Payer: Cash Price |
$360.00
|
| Rate for Payer: Cofinity Advantage |
$315.00
|
| Rate for Payer: Cofinity Advantage |
$210.00
|
| Rate for Payer: Cofinity Commercial |
$387.00
|
| Rate for Payer: Cofinity Commercial |
$258.00
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$240.00
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$360.00
|
| Rate for Payer: Healthscope Commercial |
$270.00
|
| Rate for Payer: Healthscope Commercial |
$405.00
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$315.00
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$210.00
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$225.00
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$337.50
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$255.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$382.50
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$225.00
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$337.50
|
| Rate for Payer: PHP Commercial |
$255.00
|
| Rate for Payer: PHP Commercial |
$382.50
|
| Rate for Payer: Priority Health SBD |
$283.50
|
| Rate for Payer: Priority Health SBD |
$189.00
|
| Rate for Payer: UMR Bronson Commercial |
$132.00
|
| Rate for Payer: UMR Bronson Commercial |
$198.00
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$225.00
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$337.50
|
|
|
HC LOW-LEVEL LASER THERAPY
|
Facility
|
IP
|
$93.64
|
|
|
Service Code
|
CPT 0552T
|
| Hospital Charge Code |
43000024
|
|
Hospital Revenue Code
|
420
|
| Min. Negotiated Rate |
$41.20 |
| Max. Negotiated Rate |
$84.28 |
| Rate for Payer: Aetna American Axle |
$60.87
|
| Rate for Payer: Aetna Commercial |
$79.59
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$60.87
|
| Rate for Payer: Cash Price |
$74.91
|
| Rate for Payer: Cofinity Advantage |
$65.55
|
| Rate for Payer: Cofinity Commercial |
$80.53
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$74.91
|
| Rate for Payer: Healthscope Commercial |
$84.28
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$65.55
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$70.23
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$79.59
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$70.23
|
| Rate for Payer: PHP Commercial |
$79.59
|
| Rate for Payer: Priority Health SBD |
$58.99
|
| Rate for Payer: UMR Bronson Commercial |
$41.20
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$70.23
|
|
|
HC LOW-LEVEL LASER THERAPY
|
Facility
|
OP
|
$93.64
|
|
|
Service Code
|
CPT 0552T
|
| Hospital Charge Code |
43000024
|
|
Hospital Revenue Code
|
420
|
| Min. Negotiated Rate |
$34.65 |
| Max. Negotiated Rate |
$165.94 |
| Rate for Payer: Aetna American Axle |
$60.87
|
| Rate for Payer: Aetna Commercial |
$79.59
|
| Rate for Payer: Aetna Medicare |
$46.82
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$60.87
|
| Rate for Payer: BCBS Complete |
$37.46
|
| Rate for Payer: BCBS Trust/PPO |
$165.94
|
| Rate for Payer: BCN Commercial |
$165.94
|
| Rate for Payer: Cash Price |
$74.91
|
| Rate for Payer: Cash Price |
$74.91
|
| Rate for Payer: Cash Price |
$74.91
|
| Rate for Payer: Cofinity Advantage |
$65.55
|
| Rate for Payer: Cofinity Commercial |
$80.53
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$74.91
|
| Rate for Payer: Healthscope Commercial |
$84.28
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$65.55
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$70.23
|
| Rate for Payer: MI Amish Medical Board Commercial |
$74.91
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$79.59
|
| Rate for Payer: Nomi Health Commercial |
$135.00
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$70.23
|
| Rate for Payer: PHP Commercial |
$79.59
|
| Rate for Payer: Priority Health SBD |
$58.99
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$60.87
|
| Rate for Payer: UHC Core |
$48.79
|
| Rate for Payer: UHC Exchange |
$36.80
|
| Rate for Payer: UMR Bronson Commercial |
$34.65
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$70.23
|
|
|
HC LP (A) CHOLESTEROL LMPP
|
Facility
|
IP
|
$24.41
|
|
|
Service Code
|
CPT 83700
|
| Hospital Charge Code |
30100636
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$10.74 |
| Max. Negotiated Rate |
$21.97 |
| Rate for Payer: Aetna American Axle |
$15.87
|
| Rate for Payer: Aetna Commercial |
$20.75
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$15.87
|
| Rate for Payer: Cash Price |
$19.53
|
| Rate for Payer: Cofinity Advantage |
$17.09
|
| Rate for Payer: Cofinity Commercial |
$20.99
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$19.53
|
| Rate for Payer: Healthscope Commercial |
$21.97
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$17.09
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$18.31
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$20.75
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$18.31
|
| Rate for Payer: PHP Commercial |
$20.75
|
| Rate for Payer: Priority Health SBD |
$15.38
|
| Rate for Payer: UMR Bronson Commercial |
$10.74
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$18.31
|
|
|
HC LP (A) CHOLESTEROL LMPP
|
Facility
|
OP
|
$24.41
|
|
|
Service Code
|
CPT 83700
|
| Hospital Charge Code |
30100636
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$5.89 |
| Max. Negotiated Rate |
$21.97 |
| Rate for Payer: Aetna American Axle |
$15.87
|
| Rate for Payer: Aetna Commercial |
$20.75
|
| Rate for Payer: Aetna Medicare |
$11.71
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$15.87
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$14.07
|
| Rate for Payer: Amish Plain Church Group Commercial |
$14.07
|
| Rate for Payer: BCBS Complete |
$6.18
|
| Rate for Payer: BCBS MAPPO |
$11.26
|
| Rate for Payer: BCBS Trust/PPO |
$13.02
|
| Rate for Payer: BCN Commercial |
$13.02
|
| Rate for Payer: BCN Medicare Advantage |
$11.26
|
| Rate for Payer: Cash Price |
$19.53
|
| Rate for Payer: Cash Price |
$19.53
|
| Rate for Payer: Cofinity Advantage |
$17.09
|
| Rate for Payer: Cofinity Commercial |
$20.99
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$19.53
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$11.26
|
| Rate for Payer: Healthscope Commercial |
$21.97
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$17.09
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$18.31
|
| Rate for Payer: Mclaren Medicaid |
$11.26
|
| Rate for Payer: Mclaren Medicare |
$11.26
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$11.82
|
| Rate for Payer: Meridian Medicaid |
$11.82
|
| Rate for Payer: MI Amish Medical Board Commercial |
$12.95
|
| Rate for Payer: Molina Medicare/Medicaid |
$12.39
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$20.75
|
| Rate for Payer: Nomi Health Commercial |
$16.89
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$18.31
|
| Rate for Payer: PACE Medicare |
$10.70
|
| Rate for Payer: PACE SWMI |
$11.26
|
| Rate for Payer: PHP Commercial |
$20.75
|
| Rate for Payer: PHP Medicare Advantage |
$11.26
|
| Rate for Payer: Priority Health Choice Medicaid |
$5.89
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$11.26
|
| Rate for Payer: Priority Health Medicare |
$11.26
|
| Rate for Payer: Priority Health SBD |
$15.38
|
| Rate for Payer: Priority Health Tiered Network |
$9.01
|
| Rate for Payer: Railroad Medicare Medicare |
$11.26
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$16.89
|
| Rate for Payer: UHC Core |
$16.89
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$11.26
|
| Rate for Payer: UHC Exchange |
$16.89
|
| Rate for Payer: UHC Medicaid |
$5.89
|
| Rate for Payer: UHCCP Medicaid |
$5.89
|
| Rate for Payer: UMR Bronson Commercial |
$9.03
|
| Rate for Payer: VA VA |
$11.26
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$18.31
|
|
|
HC LTC ROOM AND BOARD
|
Facility
|
IP
|
$377.40
|
|
| Hospital Charge Code |
11000003
|
|
Hospital Revenue Code
|
110
|
| Min. Negotiated Rate |
$166.06 |
| Max. Negotiated Rate |
$339.66 |
| Rate for Payer: Aetna American Axle |
$245.31
|
| Rate for Payer: Aetna Commercial |
$320.79
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$245.31
|
| Rate for Payer: Cash Price |
$301.92
|
| Rate for Payer: Cofinity Advantage |
$264.18
|
| Rate for Payer: Cofinity Commercial |
$324.56
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$301.92
|
| Rate for Payer: Healthscope Commercial |
$339.66
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$264.18
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$283.05
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$320.79
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$283.05
|
| Rate for Payer: PHP Commercial |
$320.79
|
| Rate for Payer: Priority Health SBD |
$237.76
|
| Rate for Payer: UMR Bronson Commercial |
$166.06
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$283.05
|
|
