|
HC MPCDS CELL SORTING BM
|
Facility
|
IP
|
$174.20
|
|
|
Service Code
|
CPT 88184
|
| Hospital Charge Code |
31100048
|
|
Hospital Revenue Code
|
311
|
| Min. Negotiated Rate |
$76.65 |
| Max. Negotiated Rate |
$156.78 |
| Rate for Payer: Aetna American Axle |
$113.23
|
| Rate for Payer: Aetna Commercial |
$148.07
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$113.23
|
| Rate for Payer: Cash Price |
$139.36
|
| Rate for Payer: Cofinity Advantage |
$121.94
|
| Rate for Payer: Cofinity Commercial |
$149.81
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$139.36
|
| Rate for Payer: Healthscope Commercial |
$156.78
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$121.94
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$130.65
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$148.07
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$130.65
|
| Rate for Payer: PHP Commercial |
$148.07
|
| Rate for Payer: Priority Health SBD |
$109.75
|
| Rate for Payer: UMR Bronson Commercial |
$76.65
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$130.65
|
|
|
HC MPCDS CELL SORTING BM CMPT
|
Facility
|
IP
|
$54.86
|
|
|
Service Code
|
CPT 88185
|
| Hospital Charge Code |
31100049
|
|
Hospital Revenue Code
|
311
|
| Min. Negotiated Rate |
$24.14 |
| Max. Negotiated Rate |
$49.37 |
| Rate for Payer: Aetna American Axle |
$35.66
|
| Rate for Payer: Aetna Commercial |
$46.63
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$35.66
|
| Rate for Payer: Cash Price |
$43.89
|
| Rate for Payer: Cofinity Advantage |
$38.40
|
| Rate for Payer: Cofinity Commercial |
$47.18
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$43.89
|
| Rate for Payer: Healthscope Commercial |
$49.37
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$38.40
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$41.15
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$46.63
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$41.15
|
| Rate for Payer: PHP Commercial |
$46.63
|
| Rate for Payer: Priority Health SBD |
$34.56
|
| Rate for Payer: UMR Bronson Commercial |
$24.14
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$41.15
|
|
|
HC MPCDS CELL SORTING BM CMPT
|
Facility
|
OP
|
$54.86
|
|
|
Service Code
|
CPT 88185
|
| Hospital Charge Code |
31100049
|
|
Hospital Revenue Code
|
311
|
| Min. Negotiated Rate |
$20.30 |
| Max. Negotiated Rate |
$49.37 |
| Rate for Payer: Aetna American Axle |
$35.66
|
| Rate for Payer: Aetna Commercial |
$46.63
|
| Rate for Payer: Aetna Medicare |
$27.43
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$35.66
|
| Rate for Payer: BCBS Complete |
$21.94
|
| Rate for Payer: BCBS Trust/PPO |
$41.88
|
| Rate for Payer: BCN Commercial |
$41.88
|
| Rate for Payer: Cash Price |
$43.89
|
| Rate for Payer: Cash Price |
$43.89
|
| Rate for Payer: Cofinity Advantage |
$38.40
|
| Rate for Payer: Cofinity Commercial |
$47.18
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$43.89
|
| Rate for Payer: Healthscope Commercial |
$49.37
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$38.40
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$41.15
|
| Rate for Payer: MI Amish Medical Board Commercial |
$43.89
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$46.63
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$41.15
|
| Rate for Payer: PHP Commercial |
$46.63
|
| Rate for Payer: Priority Health SBD |
$34.56
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$33.00
|
| Rate for Payer: UHC Core |
$33.00
|
| Rate for Payer: UHC Exchange |
$33.00
|
| Rate for Payer: UMR Bronson Commercial |
$20.30
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$41.15
|
|
|
HC MPL EXON 10 MUTATION DETECTION
|
Facility
|
IP
|
$387.35
|
|
|
Service Code
|
CPT 81339
|
| Hospital Charge Code |
31000149
|
|
Hospital Revenue Code
|
310
|
| Min. Negotiated Rate |
$170.43 |
| Max. Negotiated Rate |
$348.62 |
| Rate for Payer: Aetna American Axle |
$251.78
|
| Rate for Payer: Aetna Commercial |
$329.25
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$251.78
|
| Rate for Payer: Cash Price |
$309.88
|
| Rate for Payer: Cofinity Advantage |
$271.14
|
| Rate for Payer: Cofinity Commercial |
$333.12
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$309.88
|
| Rate for Payer: Healthscope Commercial |
$348.62
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$271.14
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$290.51
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$329.25
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$290.51
|
| Rate for Payer: PHP Commercial |
$329.25
|
| Rate for Payer: Priority Health SBD |
$244.03
|
| Rate for Payer: UMR Bronson Commercial |
$170.43
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$290.51
|
|
|
HC MPL EXON 10 MUTATION DETECTION
|
Facility
|
OP
|
$387.35
|
|
|
Service Code
|
CPT 81339
|
| Hospital Charge Code |
31000149
|
|
Hospital Revenue Code
|
310
|
| Min. Negotiated Rate |
$96.86 |
| Max. Negotiated Rate |
$555.60 |
| Rate for Payer: Aetna American Axle |
$251.78
|
| Rate for Payer: Aetna Commercial |
$329.25
|
| Rate for Payer: Aetna Medicare |
$192.61
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$251.78
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$231.50
|
| Rate for Payer: Amish Plain Church Group Commercial |
$231.50
|
| Rate for Payer: BCBS Complete |
$101.71
|
| Rate for Payer: BCBS MAPPO |
$185.20
|
| Rate for Payer: BCBS Trust/PPO |
$214.09
|
| Rate for Payer: BCN Commercial |
$214.09
|
| Rate for Payer: BCN Medicare Advantage |
$185.20
|
| Rate for Payer: Cash Price |
$309.88
|
| Rate for Payer: Cash Price |
$309.88
|
| Rate for Payer: Cofinity Advantage |
$271.14
|
| Rate for Payer: Cofinity Commercial |
$333.12
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$309.88
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$185.20
|
| Rate for Payer: Healthscope Commercial |
$348.62
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$271.14
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$290.51
|
| Rate for Payer: Mclaren Medicaid |
$185.20
|
| Rate for Payer: Mclaren Medicare |
$185.20
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$194.46
|
| Rate for Payer: Meridian Medicaid |
$194.46
|
| Rate for Payer: MI Amish Medical Board Commercial |
$212.98
|
| Rate for Payer: Molina Medicare/Medicaid |
$203.72
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$329.25
|
| Rate for Payer: Nomi Health Commercial |
$555.60
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$290.51
|
| Rate for Payer: PACE Medicare |
$175.94
|
| Rate for Payer: PACE SWMI |
$185.20
|
| Rate for Payer: PHP Commercial |
$329.25
|
| Rate for Payer: PHP Medicare Advantage |
$185.20
|
| Rate for Payer: Priority Health Choice Medicaid |
$96.86
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$185.20
|
| Rate for Payer: Priority Health Medicare |
$185.20
|
| Rate for Payer: Priority Health SBD |
$244.03
|
| Rate for Payer: Priority Health Tiered Network |
$148.16
|
| Rate for Payer: Railroad Medicare Medicare |
$185.20
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$277.80
|
| Rate for Payer: UHC Core |
$277.80
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$185.20
|
| Rate for Payer: UHC Exchange |
$277.80
|
| Rate for Payer: UHC Medicaid |
$96.86
|
| Rate for Payer: UHCCP Medicaid |
$96.86
|
| Rate for Payer: UMR Bronson Commercial |
$143.32
|
| Rate for Payer: VA VA |
$185.20
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$290.51
|
|
|
HC MPL EXON10 MUTATION DETECTION
|
Facility
|
IP
|
$612.32
|
|
|
Service Code
|
CPT 81170
|
| Hospital Charge Code |
30000109
|
|
Hospital Revenue Code
|
300
|
| Min. Negotiated Rate |
$269.42 |
| Max. Negotiated Rate |
$551.09 |
| Rate for Payer: Aetna American Axle |
$398.01
|
| Rate for Payer: Aetna Commercial |
$520.47
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$398.01
|
| Rate for Payer: Cash Price |
$489.86
|
| Rate for Payer: Cofinity Advantage |
$428.62
|
| Rate for Payer: Cofinity Commercial |
$526.60
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$489.86
|
| Rate for Payer: Healthscope Commercial |
$551.09
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$428.62
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$459.24
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$520.47
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$459.24
|
| Rate for Payer: PHP Commercial |
$520.47
|
| Rate for Payer: Priority Health SBD |
$385.76
|
| Rate for Payer: UMR Bronson Commercial |
$269.42
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$459.24
|
|
|
HC MPL EXON10 MUTATION DETECTION
|
Facility
|
OP
|
$612.32
|
|
|
Service Code
|
CPT 81170
|
| Hospital Charge Code |
30000109
|
|
Hospital Revenue Code
|
300
|
| Min. Negotiated Rate |
$156.90 |
| Max. Negotiated Rate |
$900.00 |
| Rate for Payer: Aetna American Axle |
$398.01
|
| Rate for Payer: Aetna Commercial |
$520.47
|
| Rate for Payer: Aetna Medicare |
$312.00
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$398.01
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$375.00
|
| Rate for Payer: Amish Plain Church Group Commercial |
$375.00
|
| Rate for Payer: BCBS Complete |
$164.76
|
| Rate for Payer: BCBS MAPPO |
$300.00
|
| Rate for Payer: BCBS Trust/PPO |
$346.79
|
| Rate for Payer: BCN Commercial |
$346.79
|
| Rate for Payer: BCN Medicare Advantage |
$300.00
|
| Rate for Payer: Cash Price |
$489.86
|
| Rate for Payer: Cash Price |
$489.86
|
| Rate for Payer: Cofinity Advantage |
$428.62
|
| Rate for Payer: Cofinity Commercial |
$526.60
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$489.86
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$300.00
|
| Rate for Payer: Healthscope Commercial |
$551.09
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$428.62
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$459.24
|
| Rate for Payer: Mclaren Medicaid |
$300.00
|
| Rate for Payer: Mclaren Medicare |
$300.00
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$315.00
|
| Rate for Payer: Meridian Medicaid |
$315.00
|
| Rate for Payer: MI Amish Medical Board Commercial |
$345.00
|
| Rate for Payer: Molina Medicare/Medicaid |
$330.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$520.47
|
| Rate for Payer: Nomi Health Commercial |
$900.00
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$459.24
|
| Rate for Payer: PACE Medicare |
$285.00
|
| Rate for Payer: PACE SWMI |
$300.00
|
| Rate for Payer: PHP Commercial |
$520.47
|
| Rate for Payer: PHP Medicare Advantage |
$300.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$156.90
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$300.00
|
| Rate for Payer: Priority Health Medicare |
$300.00
|
| Rate for Payer: Priority Health SBD |
$385.76
|
| Rate for Payer: Priority Health Tiered Network |
$240.00
|
| Rate for Payer: Railroad Medicare Medicare |
$300.00
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$450.00
|
| Rate for Payer: UHC Core |
$450.00
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$300.00
|
| Rate for Payer: UHC Exchange |
$450.00
|
| Rate for Payer: UHC Medicaid |
$156.90
|
| Rate for Payer: UHCCP Medicaid |
$156.90
|
| Rate for Payer: UMR Bronson Commercial |
$226.56
|
| Rate for Payer: VA VA |
$300.00
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$459.24
|
|
|
HC MPN, CALR GENE MUTATION, EXON 9
|
Facility
|
OP
|
$661.13
|
|
|
Service Code
|
CPT 81219
|
| Hospital Charge Code |
30000110
|
|
Hospital Revenue Code
|
300
|
| Min. Negotiated Rate |
$63.61 |
| Max. Negotiated Rate |
$595.02 |
| Rate for Payer: Aetna American Axle |
$429.73
|
| Rate for Payer: Aetna Commercial |
$561.96
|
| Rate for Payer: Aetna Medicare |
$126.50
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$429.73
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$152.04
|
| Rate for Payer: Amish Plain Church Group Commercial |
$152.04
|
| Rate for Payer: BCBS Complete |
$66.80
|
| Rate for Payer: BCBS MAPPO |
$121.63
|
| Rate for Payer: BCBS Trust/PPO |
$140.60
|
| Rate for Payer: BCN Commercial |
$140.60
|
| Rate for Payer: BCN Medicare Advantage |
$121.63
|
| Rate for Payer: Cash Price |
$528.90
|
| Rate for Payer: Cash Price |
$528.90
|
| Rate for Payer: Cofinity Advantage |
$462.79
|
| Rate for Payer: Cofinity Commercial |
$568.57
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$528.90
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$121.63
|
| Rate for Payer: Healthscope Commercial |
$595.02
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$462.79
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$495.85
|
| Rate for Payer: Mclaren Medicaid |
$121.63
|
| Rate for Payer: Mclaren Medicare |
$121.63
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$127.71
|
| Rate for Payer: Meridian Medicaid |
$127.71
|
| Rate for Payer: MI Amish Medical Board Commercial |
$139.87
|
| Rate for Payer: Molina Medicare/Medicaid |
$133.79
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$561.96
|
| Rate for Payer: Nomi Health Commercial |
$364.89
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$495.85
|
| Rate for Payer: PACE Medicare |
$115.55
|
| Rate for Payer: PACE SWMI |
$121.63
|
| Rate for Payer: PHP Commercial |
$561.96
|
| Rate for Payer: PHP Medicare Advantage |
$121.63
|
| Rate for Payer: Priority Health Choice Medicaid |
$63.61
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$121.63
|
| Rate for Payer: Priority Health Medicare |
$121.63
|
| Rate for Payer: Priority Health SBD |
$416.51
|
| Rate for Payer: Priority Health Tiered Network |
$97.30
|
| Rate for Payer: Railroad Medicare Medicare |
$121.63
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$182.45
|
| Rate for Payer: UHC Core |
$182.45
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$121.63
|
| Rate for Payer: UHC Exchange |
$182.45
|
| Rate for Payer: UHC Medicaid |
$63.61
|
| Rate for Payer: UHCCP Medicaid |
$63.61
|
| Rate for Payer: UMR Bronson Commercial |
$244.62
|
| Rate for Payer: VA VA |
$121.63
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$495.85
|
|
|
HC MPN, CALR GENE MUTATION, EXON 9
|
Facility
|
IP
|
$661.13
|
|
|
Service Code
|
CPT 81219
|
| Hospital Charge Code |
30000110
|
|
Hospital Revenue Code
|
300
|
| Min. Negotiated Rate |
$290.90 |
| Max. Negotiated Rate |
$595.02 |
| Rate for Payer: Aetna American Axle |
$429.73
|
| Rate for Payer: Aetna Commercial |
$561.96
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$429.73
|
| Rate for Payer: Cash Price |
$528.90
|
| Rate for Payer: Cofinity Advantage |
$462.79
|
| Rate for Payer: Cofinity Commercial |
$568.57
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$528.90
|
| Rate for Payer: Healthscope Commercial |
$595.02
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$462.79
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$495.85
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$561.96
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$495.85
|
| Rate for Payer: PHP Commercial |
$561.96
|
| Rate for Payer: Priority Health SBD |
$416.51
|
| Rate for Payer: UMR Bronson Commercial |
$290.90
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$495.85
|
|
|
HC MPN (JAK2, V617F, CALR, MPL) REFLEX
|
Facility
|
IP
|
$420.24
|
|
|
Service Code
|
CPT 81270
|
| Hospital Charge Code |
30000107
|
|
Hospital Revenue Code
|
300
|
| Min. Negotiated Rate |
$184.91 |
| Max. Negotiated Rate |
$378.22 |
| Rate for Payer: Aetna American Axle |
$273.16
|
| Rate for Payer: Aetna Commercial |
$357.20
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$273.16
|
| Rate for Payer: Cash Price |
$336.19
|
| Rate for Payer: Cofinity Advantage |
$294.17
|
| Rate for Payer: Cofinity Commercial |
$361.41
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$336.19
|
| Rate for Payer: Healthscope Commercial |
$378.22
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$294.17
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$315.18
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$357.20
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$315.18
|
| Rate for Payer: PHP Commercial |
$357.20
|
| Rate for Payer: Priority Health SBD |
$264.75
|
| Rate for Payer: UMR Bronson Commercial |
$184.91
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$315.18
|
|
|
HC MPN (JAK2, V617F, CALR, MPL) REFLEX
|
Facility
|
OP
|
$420.24
|
|
|
Service Code
|
CPT 81270
|
| Hospital Charge Code |
30000107
|
|
Hospital Revenue Code
|
300
|
| Min. Negotiated Rate |
$47.94 |
| Max. Negotiated Rate |
$378.22 |
| Rate for Payer: Aetna American Axle |
$273.16
|
| Rate for Payer: Aetna Commercial |
$357.20
|
| Rate for Payer: Aetna Medicare |
$95.33
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$273.16
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$114.58
|
| Rate for Payer: Amish Plain Church Group Commercial |
$114.58
|
| Rate for Payer: BCBS Complete |
$50.34
|
| Rate for Payer: BCBS MAPPO |
$91.66
|
| Rate for Payer: BCBS Trust/PPO |
$105.96
|
| Rate for Payer: BCN Commercial |
$105.96
|
| Rate for Payer: BCN Medicare Advantage |
$91.66
|
| Rate for Payer: Cash Price |
$336.19
|
| Rate for Payer: Cash Price |
$336.19
|
| Rate for Payer: Cofinity Advantage |
$294.17
|
| Rate for Payer: Cofinity Commercial |
$361.41
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$336.19
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$91.66
|
| Rate for Payer: Healthscope Commercial |
$378.22
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$294.17
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$315.18
|
| Rate for Payer: Mclaren Medicaid |
$91.66
|
| Rate for Payer: Mclaren Medicare |
$91.66
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$96.24
|
| Rate for Payer: Meridian Medicaid |
$96.24
|
| Rate for Payer: MI Amish Medical Board Commercial |
$105.41
|
| Rate for Payer: Molina Medicare/Medicaid |
$100.83
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$357.20
|
| Rate for Payer: Nomi Health Commercial |
$274.98
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$315.18
|
| Rate for Payer: PACE Medicare |
$87.08
|
| Rate for Payer: PACE SWMI |
$91.66
|
| Rate for Payer: PHP Commercial |
$357.20
|
| Rate for Payer: PHP Medicare Advantage |
$91.66
|
| Rate for Payer: Priority Health Choice Medicaid |
$47.94
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$91.66
|
| Rate for Payer: Priority Health Medicare |
$91.66
|
| Rate for Payer: Priority Health SBD |
$264.75
|
| Rate for Payer: Priority Health Tiered Network |
$73.33
|
| Rate for Payer: Railroad Medicare Medicare |
$91.66
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$137.49
|
| Rate for Payer: UHC Core |
$137.49
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$91.66
|
| Rate for Payer: UHC Exchange |
$137.49
|
| Rate for Payer: UHC Medicaid |
$47.94
|
| Rate for Payer: UHCCP Medicaid |
$47.94
|
| Rate for Payer: UMR Bronson Commercial |
$155.49
|
| Rate for Payer: VA VA |
$91.66
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$315.18
|
|
|
HC MR ABDOMEN W CON
|
Facility
|
IP
|
$2,412.01
|
|
|
Service Code
|
CPT 74182
|
| Hospital Charge Code |
61000043
|
|
Hospital Revenue Code
|
610
|
| Min. Negotiated Rate |
$1,061.28 |
| Max. Negotiated Rate |
$2,170.81 |
| Rate for Payer: Aetna American Axle |
$1,567.81
|
| Rate for Payer: Aetna Commercial |
$2,050.21
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,567.81
|
| Rate for Payer: Cash Price |
$1,929.61
|
| Rate for Payer: Cofinity Advantage |
$1,688.41
|
| Rate for Payer: Cofinity Commercial |
$2,074.33
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,929.61
|
| Rate for Payer: Healthscope Commercial |
$2,170.81
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,688.41
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,809.01
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,050.21
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,809.01
|
| Rate for Payer: PHP Commercial |
$2,050.21
|
| Rate for Payer: Priority Health SBD |
$1,519.57
|
| Rate for Payer: UMR Bronson Commercial |
$1,061.28
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,809.01
|
|
|
HC MR ABDOMEN W CON
|
Facility
|
OP
|
$2,412.01
|
|
|
Service Code
|
CPT 74182
|
| Hospital Charge Code |
61000043
|
|
Hospital Revenue Code
|
610
|
| Min. Negotiated Rate |
$181.81 |
| Max. Negotiated Rate |
$2,170.81 |
| Rate for Payer: Aetna American Axle |
$1,567.81
|
| Rate for Payer: Aetna Commercial |
$2,050.21
|
| Rate for Payer: Aetna Medicare |
$361.52
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,567.81
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$434.52
|
| Rate for Payer: Amish Plain Church Group Commercial |
$434.52
|
| Rate for Payer: BCBS Complete |
$190.91
|
| Rate for Payer: BCBS MAPPO |
$347.62
|
| Rate for Payer: BCBS Trust/PPO |
$554.93
|
| Rate for Payer: BCN Commercial |
$554.93
|
| Rate for Payer: BCN Medicare Advantage |
$347.62
|
| Rate for Payer: Cash Price |
$1,929.61
|
| Rate for Payer: Cash Price |
$1,929.61
|
| Rate for Payer: Cofinity Advantage |
$1,688.41
|
| Rate for Payer: Cofinity Commercial |
$2,074.33
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,929.61
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$347.62
|
| Rate for Payer: Healthscope Commercial |
$2,170.81
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,688.41
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,809.01
|
| Rate for Payer: Mclaren Medicaid |
$347.62
|
| Rate for Payer: Mclaren Medicare |
$347.62
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$365.00
|
| Rate for Payer: Meridian Medicaid |
$365.00
|
| Rate for Payer: MI Amish Medical Board Commercial |
$399.76
|
| Rate for Payer: Molina Medicare/Medicaid |
$382.38
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,050.21
|
| Rate for Payer: Nomi Health Commercial |
$1,042.86
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,809.01
|
| Rate for Payer: PACE Medicare |
$330.24
|
| Rate for Payer: PACE SWMI |
$347.62
|
| Rate for Payer: PHP Commercial |
$2,050.21
|
| Rate for Payer: PHP Medicare Advantage |
$347.62
|
| Rate for Payer: Priority Health Choice Medicaid |
$181.81
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$1,124.16
|
| Rate for Payer: Priority Health Medicare |
$347.62
|
| Rate for Payer: Priority Health SBD |
$1,519.57
|
| Rate for Payer: Priority Health Tiered Network |
$899.33
|
| Rate for Payer: Railroad Medicare Medicare |
$347.62
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,567.81
|
| Rate for Payer: UHC Core |
$1,256.66
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$347.62
|
| Rate for Payer: UHC Exchange |
$947.92
|
| Rate for Payer: UHC Medicaid |
$181.81
|
| Rate for Payer: UHCCP Medicaid |
$181.81
|
| Rate for Payer: UMR Bronson Commercial |
$892.44
|
| Rate for Payer: VA VA |
$347.62
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,809.01
|
|
|
HC MR ABDOMEN WO CON
|
Facility
|
OP
|
$2,152.66
|
|
|
Service Code
|
CPT 74181
|
| Hospital Charge Code |
61000082
|
|
Hospital Revenue Code
|
610
|
| Min. Negotiated Rate |
$124.34 |
| Max. Negotiated Rate |
$1,937.39 |
| Rate for Payer: Aetna American Axle |
$1,399.23
|
| Rate for Payer: Aetna Commercial |
$1,829.76
|
| Rate for Payer: Aetna Medicare |
$247.25
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,399.23
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$297.18
|
| Rate for Payer: Amish Plain Church Group Commercial |
$297.18
|
| Rate for Payer: BCBS Complete |
$130.57
|
| Rate for Payer: BCBS MAPPO |
$237.74
|
| Rate for Payer: BCBS Trust/PPO |
$320.14
|
| Rate for Payer: BCN Commercial |
$320.14
|
| Rate for Payer: BCN Medicare Advantage |
$237.74
|
| Rate for Payer: Cash Price |
$1,722.13
|
| Rate for Payer: Cash Price |
$1,722.13
|
| Rate for Payer: Cofinity Advantage |
$1,506.86
|
| Rate for Payer: Cofinity Commercial |
$1,851.29
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,722.13
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$237.74
|
| Rate for Payer: Healthscope Commercial |
$1,937.39
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,506.86
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,614.49
|
| Rate for Payer: Mclaren Medicaid |
$237.74
|
| Rate for Payer: Mclaren Medicare |
$237.74
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$249.63
|
| Rate for Payer: Meridian Medicaid |
$249.63
|
| Rate for Payer: MI Amish Medical Board Commercial |
$273.40
|
| Rate for Payer: Molina Medicare/Medicaid |
$261.51
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,829.76
|
| Rate for Payer: Nomi Health Commercial |
$713.22
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,614.49
|
| Rate for Payer: PACE Medicare |
$225.85
|
| Rate for Payer: PACE SWMI |
$237.74
|
| Rate for Payer: PHP Commercial |
$1,829.76
|
| Rate for Payer: PHP Medicare Advantage |
$237.74
|
| Rate for Payer: Priority Health Choice Medicaid |
$124.34
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$768.83
|
| Rate for Payer: Priority Health Medicare |
$237.74
|
| Rate for Payer: Priority Health SBD |
$1,356.18
|
| Rate for Payer: Priority Health Tiered Network |
$615.06
|
| Rate for Payer: Railroad Medicare Medicare |
$237.74
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,399.23
|
| Rate for Payer: UHC Core |
$1,121.54
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$237.74
|
| Rate for Payer: UHC Exchange |
$846.00
|
| Rate for Payer: UHC Medicaid |
$124.34
|
| Rate for Payer: UHCCP Medicaid |
$124.34
|
| Rate for Payer: UMR Bronson Commercial |
$796.48
|
| Rate for Payer: VA VA |
$237.74
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,614.49
|
|
|
HC MR ABDOMEN WO CON
|
Facility
|
IP
|
$2,152.66
|
|
|
Service Code
|
CPT 74181
|
| Hospital Charge Code |
61000082
|
|
Hospital Revenue Code
|
610
|
| Min. Negotiated Rate |
$947.17 |
| Max. Negotiated Rate |
$1,937.39 |
| Rate for Payer: Aetna American Axle |
$1,399.23
|
| Rate for Payer: Aetna Commercial |
$1,829.76
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,399.23
|
| Rate for Payer: Cash Price |
$1,722.13
|
| Rate for Payer: Cofinity Advantage |
$1,506.86
|
| Rate for Payer: Cofinity Commercial |
$1,851.29
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,722.13
|
| Rate for Payer: Healthscope Commercial |
$1,937.39
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,506.86
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,614.49
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,829.76
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,614.49
|
| Rate for Payer: PHP Commercial |
$1,829.76
|
| Rate for Payer: Priority Health SBD |
$1,356.18
|
| Rate for Payer: UMR Bronson Commercial |
$947.17
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,614.49
|
|
|
HC MR ABDOMEN WO W CON
|
Facility
|
IP
|
$3,152.11
|
|
|
Service Code
|
CPT 74183
|
| Hospital Charge Code |
61000044
|
|
Hospital Revenue Code
|
610
|
| Min. Negotiated Rate |
$1,386.93 |
| Max. Negotiated Rate |
$2,836.90 |
| Rate for Payer: Aetna American Axle |
$2,048.87
|
| Rate for Payer: Aetna Commercial |
$2,679.29
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,048.87
|
| Rate for Payer: Cash Price |
$2,521.69
|
| Rate for Payer: Cofinity Advantage |
$2,206.48
|
| Rate for Payer: Cofinity Commercial |
$2,710.81
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,521.69
|
| Rate for Payer: Healthscope Commercial |
$2,836.90
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$2,206.48
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,364.08
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,679.29
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,364.08
|
| Rate for Payer: PHP Commercial |
$2,679.29
|
| Rate for Payer: Priority Health SBD |
$1,985.83
|
| Rate for Payer: UMR Bronson Commercial |
$1,386.93
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,364.08
|
|
|
HC MR ABDOMEN WO W CON
|
Facility
|
OP
|
$3,152.11
|
|
|
Service Code
|
CPT 74183
|
| Hospital Charge Code |
61000044
|
|
Hospital Revenue Code
|
610
|
| Min. Negotiated Rate |
$181.81 |
| Max. Negotiated Rate |
$2,836.90 |
| Rate for Payer: Aetna American Axle |
$2,048.87
|
| Rate for Payer: Aetna Commercial |
$2,679.29
|
| Rate for Payer: Aetna Medicare |
$361.52
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,048.87
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$434.52
|
| Rate for Payer: Amish Plain Church Group Commercial |
$434.52
|
| Rate for Payer: BCBS Complete |
$190.91
|
| Rate for Payer: BCBS MAPPO |
$347.62
|
| Rate for Payer: BCBS Trust/PPO |
$588.58
|
| Rate for Payer: BCN Commercial |
$588.58
|
| Rate for Payer: BCN Medicare Advantage |
$347.62
|
| Rate for Payer: Cash Price |
$2,521.69
|
| Rate for Payer: Cash Price |
$2,521.69
|
| Rate for Payer: Cofinity Advantage |
$2,206.48
|
| Rate for Payer: Cofinity Commercial |
$2,710.81
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,521.69
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$347.62
|
| Rate for Payer: Healthscope Commercial |
$2,836.90
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$2,206.48
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,364.08
|
| Rate for Payer: Mclaren Medicaid |
$347.62
|
| Rate for Payer: Mclaren Medicare |
$347.62
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$365.00
|
| Rate for Payer: Meridian Medicaid |
$365.00
|
| Rate for Payer: MI Amish Medical Board Commercial |
$399.76
|
| Rate for Payer: Molina Medicare/Medicaid |
$382.38
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,679.29
|
| Rate for Payer: Nomi Health Commercial |
$1,042.86
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,364.08
|
| Rate for Payer: PACE Medicare |
$330.24
|
| Rate for Payer: PACE SWMI |
$347.62
|
| Rate for Payer: PHP Commercial |
$2,679.29
|
| Rate for Payer: PHP Medicare Advantage |
$347.62
|
| Rate for Payer: Priority Health Choice Medicaid |
$181.81
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$1,124.16
|
| Rate for Payer: Priority Health Medicare |
$347.62
|
| Rate for Payer: Priority Health SBD |
$1,985.83
|
| Rate for Payer: Priority Health Tiered Network |
$899.33
|
| Rate for Payer: Railroad Medicare Medicare |
$347.62
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,048.87
|
| Rate for Payer: UHC Core |
$1,642.25
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$347.62
|
| Rate for Payer: UHC Exchange |
$1,238.78
|
| Rate for Payer: UHC Medicaid |
$181.81
|
| Rate for Payer: UHCCP Medicaid |
$181.81
|
| Rate for Payer: UMR Bronson Commercial |
$1,166.28
|
| Rate for Payer: VA VA |
$347.62
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,364.08
|
|
|
HC MRA HEAD WO CON
|
Facility
|
IP
|
$1,845.38
|
|
|
Service Code
|
CPT 70544
|
| Hospital Charge Code |
61500001
|
|
Hospital Revenue Code
|
615
|
| Min. Negotiated Rate |
$811.97 |
| Max. Negotiated Rate |
$1,660.84 |
| Rate for Payer: Aetna American Axle |
$1,199.50
|
| Rate for Payer: Aetna Commercial |
$1,568.57
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,199.50
|
| Rate for Payer: Cash Price |
$1,476.30
|
| Rate for Payer: Cofinity Advantage |
$1,291.77
|
| Rate for Payer: Cofinity Commercial |
$1,587.03
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,476.30
|
| Rate for Payer: Healthscope Commercial |
$1,660.84
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,291.77
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,384.04
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,568.57
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,384.04
|
| Rate for Payer: PHP Commercial |
$1,568.57
|
| Rate for Payer: Priority Health SBD |
$1,162.59
|
| Rate for Payer: UMR Bronson Commercial |
$811.97
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,384.04
|
|
|
HC MRA HEAD WO CON
|
Facility
|
OP
|
$1,845.38
|
|
|
Service Code
|
CPT 70544
|
| Hospital Charge Code |
61500001
|
|
Hospital Revenue Code
|
615
|
| Min. Negotiated Rate |
$124.34 |
| Max. Negotiated Rate |
$1,660.84 |
| Rate for Payer: Aetna American Axle |
$1,199.50
|
| Rate for Payer: Aetna Commercial |
$1,568.57
|
| Rate for Payer: Aetna Medicare |
$247.25
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,199.50
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$297.18
|
| Rate for Payer: Amish Plain Church Group Commercial |
$297.18
|
| Rate for Payer: BCBS Complete |
$130.57
|
| Rate for Payer: BCBS MAPPO |
$237.74
|
| Rate for Payer: BCBS Trust/PPO |
$400.60
|
| Rate for Payer: BCN Commercial |
$400.60
|
| Rate for Payer: BCN Medicare Advantage |
$237.74
|
| Rate for Payer: Cash Price |
$1,476.30
|
| Rate for Payer: Cash Price |
$1,476.30
|
| Rate for Payer: Cofinity Advantage |
$1,291.77
|
| Rate for Payer: Cofinity Commercial |
$1,587.03
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,476.30
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$237.74
|
| Rate for Payer: Healthscope Commercial |
$1,660.84
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,291.77
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,384.04
|
| Rate for Payer: Mclaren Medicaid |
$237.74
|
| Rate for Payer: Mclaren Medicare |
$237.74
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$249.63
|
| Rate for Payer: Meridian Medicaid |
$249.63
|
| Rate for Payer: MI Amish Medical Board Commercial |
$273.40
|
| Rate for Payer: Molina Medicare/Medicaid |
$261.51
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,568.57
|
| Rate for Payer: Nomi Health Commercial |
$713.22
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,384.04
|
| Rate for Payer: PACE Medicare |
$225.85
|
| Rate for Payer: PACE SWMI |
$237.74
|
| Rate for Payer: PHP Commercial |
$1,568.57
|
| Rate for Payer: PHP Medicare Advantage |
$237.74
|
| Rate for Payer: Priority Health Choice Medicaid |
$124.34
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$768.83
|
| Rate for Payer: Priority Health Medicare |
$237.74
|
| Rate for Payer: Priority Health SBD |
$1,162.59
|
| Rate for Payer: Priority Health Tiered Network |
$615.06
|
| Rate for Payer: Railroad Medicare Medicare |
$237.74
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,199.50
|
| Rate for Payer: UHC Core |
$961.44
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$237.74
|
| Rate for Payer: UHC Exchange |
$725.23
|
| Rate for Payer: UHC Medicaid |
$124.34
|
| Rate for Payer: UHCCP Medicaid |
$124.34
|
| Rate for Payer: UMR Bronson Commercial |
$682.79
|
| Rate for Payer: VA VA |
$237.74
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,384.04
|
|
|
HC MRA HEAD WO W CON
|
Facility
|
IP
|
$3,113.86
|
|
|
Service Code
|
CPT 70546
|
| Hospital Charge Code |
61000006
|
|
Hospital Revenue Code
|
610
|
| Min. Negotiated Rate |
$1,370.10 |
| Max. Negotiated Rate |
$2,802.47 |
| Rate for Payer: Aetna American Axle |
$2,024.01
|
| Rate for Payer: Aetna Commercial |
$2,646.78
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,024.01
|
| Rate for Payer: Cash Price |
$2,491.09
|
| Rate for Payer: Cofinity Advantage |
$2,179.70
|
| Rate for Payer: Cofinity Commercial |
$2,677.92
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,491.09
|
| Rate for Payer: Healthscope Commercial |
$2,802.47
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$2,179.70
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,335.39
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,646.78
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,335.39
|
| Rate for Payer: PHP Commercial |
$2,646.78
|
| Rate for Payer: Priority Health SBD |
$1,961.73
|
| Rate for Payer: UMR Bronson Commercial |
$1,370.10
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,335.39
|
|
|
HC MRA HEAD WO W CON
|
Facility
|
OP
|
$3,113.86
|
|
|
Service Code
|
CPT 70546
|
| Hospital Charge Code |
61000006
|
|
Hospital Revenue Code
|
610
|
| Min. Negotiated Rate |
$181.81 |
| Max. Negotiated Rate |
$2,802.47 |
| Rate for Payer: Aetna American Axle |
$2,024.01
|
| Rate for Payer: Aetna Commercial |
$2,646.78
|
| Rate for Payer: Aetna Medicare |
$361.52
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,024.01
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$434.52
|
| Rate for Payer: Amish Plain Church Group Commercial |
$434.52
|
| Rate for Payer: BCBS Complete |
$190.91
|
| Rate for Payer: BCBS MAPPO |
$347.62
|
| Rate for Payer: BCBS Trust/PPO |
$653.43
|
| Rate for Payer: BCN Commercial |
$653.43
|
| Rate for Payer: BCN Medicare Advantage |
$347.62
|
| Rate for Payer: Cash Price |
$2,491.09
|
| Rate for Payer: Cash Price |
$2,491.09
|
| Rate for Payer: Cofinity Advantage |
$2,179.70
|
| Rate for Payer: Cofinity Commercial |
$2,677.92
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,491.09
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$347.62
|
| Rate for Payer: Healthscope Commercial |
$2,802.47
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$2,179.70
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,335.39
|
| Rate for Payer: Mclaren Medicaid |
$347.62
|
| Rate for Payer: Mclaren Medicare |
$347.62
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$365.00
|
| Rate for Payer: Meridian Medicaid |
$365.00
|
| Rate for Payer: MI Amish Medical Board Commercial |
$399.76
|
| Rate for Payer: Molina Medicare/Medicaid |
$382.38
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,646.78
|
| Rate for Payer: Nomi Health Commercial |
$1,042.86
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,335.39
|
| Rate for Payer: PACE Medicare |
$330.24
|
| Rate for Payer: PACE SWMI |
$347.62
|
| Rate for Payer: PHP Commercial |
$2,646.78
|
| Rate for Payer: PHP Medicare Advantage |
$347.62
|
| Rate for Payer: Priority Health Choice Medicaid |
$181.81
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$1,124.16
|
| Rate for Payer: Priority Health Medicare |
$347.62
|
| Rate for Payer: Priority Health SBD |
$1,961.73
|
| Rate for Payer: Priority Health Tiered Network |
$899.33
|
| Rate for Payer: Railroad Medicare Medicare |
$347.62
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,024.01
|
| Rate for Payer: UHC Core |
$1,622.32
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$347.62
|
| Rate for Payer: UHC Exchange |
$1,223.75
|
| Rate for Payer: UHC Medicaid |
$181.81
|
| Rate for Payer: UHCCP Medicaid |
$181.81
|
| Rate for Payer: UMR Bronson Commercial |
$1,152.13
|
| Rate for Payer: VA VA |
$347.62
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,335.39
|
|
|
HC MR BONE MARROW BLOOD SUPPLY
|
Facility
|
OP
|
$1,440.80
|
|
|
Service Code
|
CPT 77084
|
| Hospital Charge Code |
61000051
|
|
Hospital Revenue Code
|
610
|
| Min. Negotiated Rate |
$124.34 |
| Max. Negotiated Rate |
$1,296.72 |
| Rate for Payer: Aetna American Axle |
$936.52
|
| Rate for Payer: Aetna Commercial |
$1,224.68
|
| Rate for Payer: Aetna Medicare |
$247.25
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$936.52
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$297.18
|
| Rate for Payer: Amish Plain Church Group Commercial |
$297.18
|
| Rate for Payer: BCBS Complete |
$130.57
|
| Rate for Payer: BCBS MAPPO |
$237.74
|
| Rate for Payer: BCBS Trust/PPO |
$602.54
|
| Rate for Payer: BCN Commercial |
$602.54
|
| Rate for Payer: BCN Medicare Advantage |
$237.74
|
| Rate for Payer: Cash Price |
$1,152.64
|
| Rate for Payer: Cash Price |
$1,152.64
|
| Rate for Payer: Cofinity Advantage |
$1,008.56
|
| Rate for Payer: Cofinity Commercial |
$1,239.09
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,152.64
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$237.74
|
| Rate for Payer: Healthscope Commercial |
$1,296.72
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,008.56
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,080.60
|
| Rate for Payer: Mclaren Medicaid |
$237.74
|
| Rate for Payer: Mclaren Medicare |
$237.74
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$249.63
|
| Rate for Payer: Meridian Medicaid |
$249.63
|
| Rate for Payer: MI Amish Medical Board Commercial |
$273.40
|
| Rate for Payer: Molina Medicare/Medicaid |
$261.51
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,224.68
|
| Rate for Payer: Nomi Health Commercial |
$713.22
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,080.60
|
| Rate for Payer: PACE Medicare |
$225.85
|
| Rate for Payer: PACE SWMI |
$237.74
|
| Rate for Payer: PHP Commercial |
$1,224.68
|
| Rate for Payer: PHP Medicare Advantage |
$237.74
|
| Rate for Payer: Priority Health Choice Medicaid |
$124.34
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$768.83
|
| Rate for Payer: Priority Health Medicare |
$237.74
|
| Rate for Payer: Priority Health SBD |
$907.70
|
| Rate for Payer: Priority Health Tiered Network |
$615.06
|
| Rate for Payer: Railroad Medicare Medicare |
$237.74
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$936.52
|
| Rate for Payer: UHC Core |
$750.66
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$237.74
|
| Rate for Payer: UHC Exchange |
$566.23
|
| Rate for Payer: UHC Medicaid |
$124.34
|
| Rate for Payer: UHCCP Medicaid |
$124.34
|
| Rate for Payer: UMR Bronson Commercial |
$533.10
|
| Rate for Payer: VA VA |
$237.74
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,080.60
|
|
|
HC MR BONE MARROW BLOOD SUPPLY
|
Facility
|
IP
|
$1,440.80
|
|
|
Service Code
|
CPT 77084
|
| Hospital Charge Code |
61000051
|
|
Hospital Revenue Code
|
610
|
| Min. Negotiated Rate |
$633.95 |
| Max. Negotiated Rate |
$1,296.72 |
| Rate for Payer: Aetna American Axle |
$936.52
|
| Rate for Payer: Aetna Commercial |
$1,224.68
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$936.52
|
| Rate for Payer: Cash Price |
$1,152.64
|
| Rate for Payer: Cofinity Advantage |
$1,008.56
|
| Rate for Payer: Cofinity Commercial |
$1,239.09
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,152.64
|
| Rate for Payer: Healthscope Commercial |
$1,296.72
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,008.56
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,080.60
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,224.68
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,080.60
|
| Rate for Payer: PHP Commercial |
$1,224.68
|
| Rate for Payer: Priority Health SBD |
$907.70
|
| Rate for Payer: UMR Bronson Commercial |
$633.95
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,080.60
|
|
|
HC MR BRAIN STEREO W CON REDUCED
|
Facility
|
OP
|
$1,895.09
|
|
|
Service Code
|
CPT 77021
|
| Hospital Charge Code |
61100006
|
|
Hospital Revenue Code
|
611
|
| Min. Negotiated Rate |
$701.18 |
| Max. Negotiated Rate |
$1,705.58 |
| Rate for Payer: Aetna American Axle |
$1,231.81
|
| Rate for Payer: Aetna Commercial |
$1,610.83
|
| Rate for Payer: Aetna Medicare |
$947.54
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,231.81
|
| Rate for Payer: BCBS Complete |
$758.04
|
| Rate for Payer: BCBS Trust/PPO |
$851.28
|
| Rate for Payer: BCN Commercial |
$851.28
|
| Rate for Payer: Cash Price |
$1,516.07
|
| Rate for Payer: Cash Price |
$1,516.07
|
| Rate for Payer: Cofinity Advantage |
$1,326.56
|
| Rate for Payer: Cofinity Commercial |
$1,629.78
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,516.07
|
| Rate for Payer: Healthscope Commercial |
$1,705.58
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,326.56
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,421.32
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,516.07
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,610.83
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,421.32
|
| Rate for Payer: PHP Commercial |
$1,610.83
|
| Rate for Payer: Priority Health SBD |
$1,193.91
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,231.81
|
| Rate for Payer: UHC Core |
$987.34
|
| Rate for Payer: UHC Exchange |
$744.77
|
| Rate for Payer: UMR Bronson Commercial |
$701.18
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,421.32
|
|
|
HC MR BRAIN STEREO W CON REDUCED
|
Facility
|
IP
|
$1,895.09
|
|
|
Service Code
|
CPT 77021
|
| Hospital Charge Code |
61100006
|
|
Hospital Revenue Code
|
611
|
| Min. Negotiated Rate |
$833.84 |
| Max. Negotiated Rate |
$1,705.58 |
| Rate for Payer: Aetna American Axle |
$1,231.81
|
| Rate for Payer: Aetna Commercial |
$1,610.83
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,231.81
|
| Rate for Payer: Cash Price |
$1,516.07
|
| Rate for Payer: Cofinity Advantage |
$1,326.56
|
| Rate for Payer: Cofinity Commercial |
$1,629.78
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,516.07
|
| Rate for Payer: Healthscope Commercial |
$1,705.58
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,326.56
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,421.32
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,610.83
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,421.32
|
| Rate for Payer: PHP Commercial |
$1,610.83
|
| Rate for Payer: Priority Health SBD |
$1,193.91
|
| Rate for Payer: UMR Bronson Commercial |
$833.84
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,421.32
|
|
