|
HC MTHFR 2 MUTATIONS
|
Facility
|
IP
|
$517.08
|
|
|
Service Code
|
CPT 81291
|
| Hospital Charge Code |
31000126
|
|
Hospital Revenue Code
|
310
|
| Min. Negotiated Rate |
$227.52 |
| Max. Negotiated Rate |
$465.37 |
| Rate for Payer: Aetna American Axle |
$336.10
|
| Rate for Payer: Aetna Commercial |
$439.52
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$336.10
|
| Rate for Payer: Cash Price |
$413.66
|
| Rate for Payer: Cofinity Advantage |
$361.96
|
| Rate for Payer: Cofinity Commercial |
$444.69
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$413.66
|
| Rate for Payer: Healthscope Commercial |
$465.37
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$361.96
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$387.81
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$439.52
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$387.81
|
| Rate for Payer: PHP Commercial |
$439.52
|
| Rate for Payer: Priority Health SBD |
$325.76
|
| Rate for Payer: UMR Bronson Commercial |
$227.52
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$387.81
|
|
|
HC MTHFR MUTATION
|
Facility
|
OP
|
$390.15
|
|
|
Service Code
|
CPT 81291
|
| Hospital Charge Code |
31000102
|
|
Hospital Revenue Code
|
310
|
| Min. Negotiated Rate |
$34.17 |
| Max. Negotiated Rate |
$351.13 |
| Rate for Payer: Aetna American Axle |
$253.60
|
| Rate for Payer: Aetna Commercial |
$331.63
|
| Rate for Payer: Aetna Medicare |
$67.95
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$253.60
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$81.67
|
| Rate for Payer: Amish Plain Church Group Commercial |
$81.67
|
| Rate for Payer: BCBS Complete |
$35.88
|
| Rate for Payer: BCBS MAPPO |
$65.34
|
| Rate for Payer: BCN Medicare Advantage |
$65.34
|
| Rate for Payer: Cash Price |
$312.12
|
| Rate for Payer: Cash Price |
$312.12
|
| Rate for Payer: Cofinity Advantage |
$273.11
|
| Rate for Payer: Cofinity Commercial |
$335.53
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$312.12
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$65.34
|
| Rate for Payer: Healthscope Commercial |
$351.13
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$273.11
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$292.61
|
| Rate for Payer: Mclaren Medicaid |
$65.34
|
| Rate for Payer: Mclaren Medicare |
$65.34
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$68.61
|
| Rate for Payer: Meridian Medicaid |
$68.61
|
| Rate for Payer: MI Amish Medical Board Commercial |
$75.14
|
| Rate for Payer: Molina Medicare/Medicaid |
$71.87
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$331.63
|
| Rate for Payer: Nomi Health Commercial |
$196.02
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$292.61
|
| Rate for Payer: PACE Medicare |
$62.07
|
| Rate for Payer: PACE SWMI |
$65.34
|
| Rate for Payer: PHP Commercial |
$331.63
|
| Rate for Payer: PHP Medicare Advantage |
$65.34
|
| Rate for Payer: Priority Health Choice Medicaid |
$34.17
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$65.34
|
| Rate for Payer: Priority Health Medicare |
$65.34
|
| Rate for Payer: Priority Health SBD |
$245.79
|
| Rate for Payer: Priority Health Tiered Network |
$52.27
|
| Rate for Payer: Railroad Medicare Medicare |
$65.34
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$98.01
|
| Rate for Payer: UHC Core |
$98.01
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$65.34
|
| Rate for Payer: UHC Exchange |
$98.01
|
| Rate for Payer: UHC Medicaid |
$34.17
|
| Rate for Payer: UHCCP Medicaid |
$34.17
|
| Rate for Payer: UMR Bronson Commercial |
$144.36
|
| Rate for Payer: VA VA |
$65.34
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$292.61
|
|
|
HC MTHFR MUTATION
|
Facility
|
IP
|
$390.15
|
|
|
Service Code
|
CPT 81291
|
| Hospital Charge Code |
31000102
|
|
Hospital Revenue Code
|
310
|
| Min. Negotiated Rate |
$171.67 |
| Max. Negotiated Rate |
$351.13 |
| Rate for Payer: Aetna American Axle |
$253.60
|
| Rate for Payer: Aetna Commercial |
$331.63
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$253.60
|
| Rate for Payer: Cash Price |
$312.12
|
| Rate for Payer: Cofinity Advantage |
$273.11
|
| Rate for Payer: Cofinity Commercial |
$335.53
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$312.12
|
| Rate for Payer: Healthscope Commercial |
$351.13
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$273.11
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$292.61
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$331.63
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$292.61
|
| Rate for Payer: PHP Commercial |
$331.63
|
| Rate for Payer: Priority Health SBD |
$245.79
|
| Rate for Payer: UMR Bronson Commercial |
$171.67
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$292.61
|
|
|
HC M TUBERCULOSIS COMPLEX, PCR
|
Facility
|
IP
|
$201.84
|
|
|
Service Code
|
CPT 87556
|
| Hospital Charge Code |
30600291
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$88.81 |
| Max. Negotiated Rate |
$181.66 |
| Rate for Payer: Aetna American Axle |
$131.20
|
| Rate for Payer: Aetna Commercial |
$171.56
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$131.20
|
| Rate for Payer: Cash Price |
$161.47
|
| Rate for Payer: Cofinity Advantage |
$141.29
|
| Rate for Payer: Cofinity Commercial |
$173.58
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$161.47
|
| Rate for Payer: Healthscope Commercial |
$181.66
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$141.29
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$151.38
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$171.56
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$151.38
|
| Rate for Payer: PHP Commercial |
$171.56
|
| Rate for Payer: Priority Health SBD |
$127.16
|
| Rate for Payer: UMR Bronson Commercial |
$88.81
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$151.38
|
|
|
HC M TUBERCULOSIS COMPLEX, PCR
|
Facility
|
OP
|
$201.84
|
|
|
Service Code
|
CPT 87556
|
| Hospital Charge Code |
30600291
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$21.80 |
| Max. Negotiated Rate |
$181.66 |
| Rate for Payer: Aetna American Axle |
$131.20
|
| Rate for Payer: Aetna Commercial |
$171.56
|
| Rate for Payer: Aetna Medicare |
$43.35
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$131.20
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$52.10
|
| Rate for Payer: Amish Plain Church Group Commercial |
$52.10
|
| Rate for Payer: BCBS Complete |
$22.89
|
| Rate for Payer: BCBS MAPPO |
$41.68
|
| Rate for Payer: BCBS Trust/PPO |
$48.18
|
| Rate for Payer: BCN Commercial |
$48.18
|
| Rate for Payer: BCN Medicare Advantage |
$41.68
|
| Rate for Payer: Cash Price |
$161.47
|
| Rate for Payer: Cash Price |
$161.47
|
| Rate for Payer: Cofinity Advantage |
$141.29
|
| Rate for Payer: Cofinity Commercial |
$173.58
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$161.47
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$41.68
|
| Rate for Payer: Healthscope Commercial |
$181.66
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$141.29
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$151.38
|
| Rate for Payer: Mclaren Medicaid |
$41.68
|
| Rate for Payer: Mclaren Medicare |
$41.68
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$43.76
|
| Rate for Payer: Meridian Medicaid |
$43.76
|
| Rate for Payer: MI Amish Medical Board Commercial |
$47.93
|
| Rate for Payer: Molina Medicare/Medicaid |
$45.85
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$171.56
|
| Rate for Payer: Nomi Health Commercial |
$62.52
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$151.38
|
| Rate for Payer: PACE Medicare |
$39.60
|
| Rate for Payer: PACE SWMI |
$41.68
|
| Rate for Payer: PHP Commercial |
$171.56
|
| Rate for Payer: PHP Medicare Advantage |
$41.68
|
| Rate for Payer: Priority Health Choice Medicaid |
$21.80
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$41.68
|
| Rate for Payer: Priority Health Medicare |
$41.68
|
| Rate for Payer: Priority Health SBD |
$127.16
|
| Rate for Payer: Priority Health Tiered Network |
$33.34
|
| Rate for Payer: Railroad Medicare Medicare |
$41.68
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$62.52
|
| Rate for Payer: UHC Core |
$62.52
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$41.68
|
| Rate for Payer: UHC Exchange |
$62.52
|
| Rate for Payer: UHC Medicaid |
$21.80
|
| Rate for Payer: UHCCP Medicaid |
$21.80
|
| Rate for Payer: UMR Bronson Commercial |
$74.68
|
| Rate for Payer: VA VA |
$41.68
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$151.38
|
|
|
HC MUCORE RACEMOSUS IGE
|
Facility
|
OP
|
$25.90
|
|
|
Service Code
|
CPT 86003
|
| Hospital Charge Code |
30200093
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$2.73 |
| Max. Negotiated Rate |
$23.31 |
| Rate for Payer: Aetna American Axle |
$16.84
|
| Rate for Payer: Aetna Commercial |
$22.02
|
| Rate for Payer: Aetna Medicare |
$5.43
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$16.84
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$6.53
|
| Rate for Payer: Amish Plain Church Group Commercial |
$6.53
|
| Rate for Payer: BCBS Complete |
$2.87
|
| Rate for Payer: BCBS MAPPO |
$5.22
|
| Rate for Payer: BCBS Trust/PPO |
$6.04
|
| Rate for Payer: BCN Commercial |
$6.04
|
| Rate for Payer: BCN Medicare Advantage |
$5.22
|
| Rate for Payer: Cash Price |
$20.72
|
| Rate for Payer: Cash Price |
$20.72
|
| Rate for Payer: Cofinity Advantage |
$18.13
|
| Rate for Payer: Cofinity Commercial |
$22.27
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$20.72
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$5.22
|
| Rate for Payer: Healthscope Commercial |
$23.31
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$18.13
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$19.43
|
| Rate for Payer: Mclaren Medicaid |
$5.22
|
| Rate for Payer: Mclaren Medicare |
$5.22
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$5.48
|
| Rate for Payer: Meridian Medicaid |
$5.48
|
| Rate for Payer: MI Amish Medical Board Commercial |
$6.00
|
| Rate for Payer: Molina Medicare/Medicaid |
$5.74
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$22.02
|
| Rate for Payer: Nomi Health Commercial |
$7.83
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$19.43
|
| Rate for Payer: PACE Medicare |
$4.96
|
| Rate for Payer: PACE SWMI |
$5.22
|
| Rate for Payer: PHP Commercial |
$22.02
|
| Rate for Payer: PHP Medicare Advantage |
$5.22
|
| Rate for Payer: Priority Health Choice Medicaid |
$2.73
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$5.22
|
| Rate for Payer: Priority Health Medicare |
$5.22
|
| Rate for Payer: Priority Health SBD |
$16.32
|
| Rate for Payer: Priority Health Tiered Network |
$4.18
|
| Rate for Payer: Railroad Medicare Medicare |
$5.22
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$7.83
|
| Rate for Payer: UHC Core |
$7.83
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$5.22
|
| Rate for Payer: UHC Exchange |
$7.83
|
| Rate for Payer: UHC Medicaid |
$2.73
|
| Rate for Payer: UHCCP Medicaid |
$2.73
|
| Rate for Payer: UMR Bronson Commercial |
$9.58
|
| Rate for Payer: VA VA |
$5.22
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$19.43
|
|
|
HC MUCORE RACEMOSUS IGE
|
Facility
|
IP
|
$25.90
|
|
|
Service Code
|
CPT 86003
|
| Hospital Charge Code |
30200093
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$11.40 |
| Max. Negotiated Rate |
$23.31 |
| Rate for Payer: Aetna American Axle |
$16.84
|
| Rate for Payer: Aetna Commercial |
$22.02
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$16.84
|
| Rate for Payer: Cash Price |
$20.72
|
| Rate for Payer: Cofinity Advantage |
$18.13
|
| Rate for Payer: Cofinity Commercial |
$22.27
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$20.72
|
| Rate for Payer: Healthscope Commercial |
$23.31
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$18.13
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$19.43
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$22.02
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$19.43
|
| Rate for Payer: PHP Commercial |
$22.02
|
| Rate for Payer: Priority Health SBD |
$16.32
|
| Rate for Payer: UMR Bronson Commercial |
$11.40
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$19.43
|
|
|
HC MUGWORT IGE
|
Facility
|
IP
|
$25.90
|
|
|
Service Code
|
CPT 86003
|
| Hospital Charge Code |
30200094
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$11.40 |
| Max. Negotiated Rate |
$23.31 |
| Rate for Payer: Aetna American Axle |
$16.84
|
| Rate for Payer: Aetna Commercial |
$22.02
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$16.84
|
| Rate for Payer: Cash Price |
$20.72
|
| Rate for Payer: Cofinity Advantage |
$18.13
|
| Rate for Payer: Cofinity Commercial |
$22.27
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$20.72
|
| Rate for Payer: Healthscope Commercial |
$23.31
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$18.13
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$19.43
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$22.02
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$19.43
|
| Rate for Payer: PHP Commercial |
$22.02
|
| Rate for Payer: Priority Health SBD |
$16.32
|
| Rate for Payer: UMR Bronson Commercial |
$11.40
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$19.43
|
|
|
HC MUGWORT IGE
|
Facility
|
OP
|
$25.90
|
|
|
Service Code
|
CPT 86003
|
| Hospital Charge Code |
30200094
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$2.73 |
| Max. Negotiated Rate |
$23.31 |
| Rate for Payer: Aetna American Axle |
$16.84
|
| Rate for Payer: Aetna Commercial |
$22.02
|
| Rate for Payer: Aetna Medicare |
$5.43
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$16.84
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$6.53
|
| Rate for Payer: Amish Plain Church Group Commercial |
$6.53
|
| Rate for Payer: BCBS Complete |
$2.87
|
| Rate for Payer: BCBS MAPPO |
$5.22
|
| Rate for Payer: BCBS Trust/PPO |
$6.04
|
| Rate for Payer: BCN Commercial |
$6.04
|
| Rate for Payer: BCN Medicare Advantage |
$5.22
|
| Rate for Payer: Cash Price |
$20.72
|
| Rate for Payer: Cash Price |
$20.72
|
| Rate for Payer: Cofinity Advantage |
$18.13
|
| Rate for Payer: Cofinity Commercial |
$22.27
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$20.72
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$5.22
|
| Rate for Payer: Healthscope Commercial |
$23.31
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$18.13
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$19.43
|
| Rate for Payer: Mclaren Medicaid |
$5.22
|
| Rate for Payer: Mclaren Medicare |
$5.22
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$5.48
|
| Rate for Payer: Meridian Medicaid |
$5.48
|
| Rate for Payer: MI Amish Medical Board Commercial |
$6.00
|
| Rate for Payer: Molina Medicare/Medicaid |
$5.74
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$22.02
|
| Rate for Payer: Nomi Health Commercial |
$7.83
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$19.43
|
| Rate for Payer: PACE Medicare |
$4.96
|
| Rate for Payer: PACE SWMI |
$5.22
|
| Rate for Payer: PHP Commercial |
$22.02
|
| Rate for Payer: PHP Medicare Advantage |
$5.22
|
| Rate for Payer: Priority Health Choice Medicaid |
$2.73
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$5.22
|
| Rate for Payer: Priority Health Medicare |
$5.22
|
| Rate for Payer: Priority Health SBD |
$16.32
|
| Rate for Payer: Priority Health Tiered Network |
$4.18
|
| Rate for Payer: Railroad Medicare Medicare |
$5.22
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$7.83
|
| Rate for Payer: UHC Core |
$7.83
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$5.22
|
| Rate for Payer: UHC Exchange |
$7.83
|
| Rate for Payer: UHC Medicaid |
$2.73
|
| Rate for Payer: UHCCP Medicaid |
$2.73
|
| Rate for Payer: UMR Bronson Commercial |
$9.58
|
| Rate for Payer: VA VA |
$5.22
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$19.43
|
|
|
HC MULBERRY IGE
|
Facility
|
OP
|
$25.90
|
|
|
Service Code
|
CPT 86003
|
| Hospital Charge Code |
30200095
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$2.73 |
| Max. Negotiated Rate |
$23.31 |
| Rate for Payer: Aetna American Axle |
$16.84
|
| Rate for Payer: Aetna Commercial |
$22.02
|
| Rate for Payer: Aetna Medicare |
$5.43
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$16.84
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$6.53
|
| Rate for Payer: Amish Plain Church Group Commercial |
$6.53
|
| Rate for Payer: BCBS Complete |
$2.87
|
| Rate for Payer: BCBS MAPPO |
$5.22
|
| Rate for Payer: BCBS Trust/PPO |
$6.04
|
| Rate for Payer: BCN Commercial |
$6.04
|
| Rate for Payer: BCN Medicare Advantage |
$5.22
|
| Rate for Payer: Cash Price |
$20.72
|
| Rate for Payer: Cash Price |
$20.72
|
| Rate for Payer: Cofinity Advantage |
$18.13
|
| Rate for Payer: Cofinity Commercial |
$22.27
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$20.72
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$5.22
|
| Rate for Payer: Healthscope Commercial |
$23.31
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$18.13
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$19.43
|
| Rate for Payer: Mclaren Medicaid |
$5.22
|
| Rate for Payer: Mclaren Medicare |
$5.22
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$5.48
|
| Rate for Payer: Meridian Medicaid |
$5.48
|
| Rate for Payer: MI Amish Medical Board Commercial |
$6.00
|
| Rate for Payer: Molina Medicare/Medicaid |
$5.74
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$22.02
|
| Rate for Payer: Nomi Health Commercial |
$7.83
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$19.43
|
| Rate for Payer: PACE Medicare |
$4.96
|
| Rate for Payer: PACE SWMI |
$5.22
|
| Rate for Payer: PHP Commercial |
$22.02
|
| Rate for Payer: PHP Medicare Advantage |
$5.22
|
| Rate for Payer: Priority Health Choice Medicaid |
$2.73
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$5.22
|
| Rate for Payer: Priority Health Medicare |
$5.22
|
| Rate for Payer: Priority Health SBD |
$16.32
|
| Rate for Payer: Priority Health Tiered Network |
$4.18
|
| Rate for Payer: Railroad Medicare Medicare |
$5.22
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$7.83
|
| Rate for Payer: UHC Core |
$7.83
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$5.22
|
| Rate for Payer: UHC Exchange |
$7.83
|
| Rate for Payer: UHC Medicaid |
$2.73
|
| Rate for Payer: UHCCP Medicaid |
$2.73
|
| Rate for Payer: UMR Bronson Commercial |
$9.58
|
| Rate for Payer: VA VA |
$5.22
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$19.43
|
|
|
HC MULBERRY IGE
|
Facility
|
IP
|
$25.90
|
|
|
Service Code
|
CPT 86003
|
| Hospital Charge Code |
30200095
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$11.40 |
| Max. Negotiated Rate |
$23.31 |
| Rate for Payer: Aetna American Axle |
$16.84
|
| Rate for Payer: Aetna Commercial |
$22.02
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$16.84
|
| Rate for Payer: Cash Price |
$20.72
|
| Rate for Payer: Cofinity Advantage |
$18.13
|
| Rate for Payer: Cofinity Commercial |
$22.27
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$20.72
|
| Rate for Payer: Healthscope Commercial |
$23.31
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$18.13
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$19.43
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$22.02
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$19.43
|
| Rate for Payer: PHP Commercial |
$22.02
|
| Rate for Payer: Priority Health SBD |
$16.32
|
| Rate for Payer: UMR Bronson Commercial |
$11.40
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$19.43
|
|
|
HC MULTIDNA LYME/UREAPLASMA
|
Facility
|
IP
|
$130.00
|
|
|
Service Code
|
CPT 87801
|
| Hospital Charge Code |
30600354
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$57.20 |
| Max. Negotiated Rate |
$117.00 |
| Rate for Payer: Aetna American Axle |
$84.50
|
| Rate for Payer: Aetna Commercial |
$110.50
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$84.50
|
| Rate for Payer: Cash Price |
$104.00
|
| Rate for Payer: Cofinity Advantage |
$91.00
|
| Rate for Payer: Cofinity Commercial |
$111.80
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$104.00
|
| Rate for Payer: Healthscope Commercial |
$117.00
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$91.00
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$97.50
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$110.50
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$97.50
|
| Rate for Payer: PHP Commercial |
$110.50
|
| Rate for Payer: Priority Health SBD |
$81.90
|
| Rate for Payer: UMR Bronson Commercial |
$57.20
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$97.50
|
|
|
HC MULTIDNA LYME/UREAPLASMA
|
Facility
|
OP
|
$130.00
|
|
|
Service Code
|
CPT 87801
|
| Hospital Charge Code |
30600354
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$36.71 |
| Max. Negotiated Rate |
$117.00 |
| Rate for Payer: Aetna American Axle |
$84.50
|
| Rate for Payer: Aetna Commercial |
$110.50
|
| Rate for Payer: Aetna Medicare |
$73.01
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$84.50
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$87.75
|
| Rate for Payer: Amish Plain Church Group Commercial |
$87.75
|
| Rate for Payer: BCBS Complete |
$38.55
|
| Rate for Payer: BCBS MAPPO |
$70.20
|
| Rate for Payer: BCBS Trust/PPO |
$81.15
|
| Rate for Payer: BCN Commercial |
$81.15
|
| Rate for Payer: BCN Medicare Advantage |
$70.20
|
| Rate for Payer: Cash Price |
$104.00
|
| Rate for Payer: Cash Price |
$104.00
|
| Rate for Payer: Cofinity Advantage |
$91.00
|
| Rate for Payer: Cofinity Commercial |
$111.80
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$104.00
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$70.20
|
| Rate for Payer: Healthscope Commercial |
$117.00
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$91.00
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$97.50
|
| Rate for Payer: Mclaren Medicaid |
$70.20
|
| Rate for Payer: Mclaren Medicare |
$70.20
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$73.71
|
| Rate for Payer: Meridian Medicaid |
$73.71
|
| Rate for Payer: MI Amish Medical Board Commercial |
$80.73
|
| Rate for Payer: Molina Medicare/Medicaid |
$77.22
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$110.50
|
| Rate for Payer: Nomi Health Commercial |
$105.30
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$97.50
|
| Rate for Payer: PACE Medicare |
$66.69
|
| Rate for Payer: PACE SWMI |
$70.20
|
| Rate for Payer: PHP Commercial |
$110.50
|
| Rate for Payer: PHP Medicare Advantage |
$70.20
|
| Rate for Payer: Priority Health Choice Medicaid |
$36.71
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$70.20
|
| Rate for Payer: Priority Health Medicare |
$70.20
|
| Rate for Payer: Priority Health SBD |
$81.90
|
| Rate for Payer: Priority Health Tiered Network |
$56.16
|
| Rate for Payer: Railroad Medicare Medicare |
$70.20
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$105.30
|
| Rate for Payer: UHC Core |
$105.30
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$70.20
|
| Rate for Payer: UHC Exchange |
$105.30
|
| Rate for Payer: UHC Medicaid |
$36.71
|
| Rate for Payer: UHCCP Medicaid |
$36.71
|
| Rate for Payer: UMR Bronson Commercial |
$48.10
|
| Rate for Payer: VA VA |
$70.20
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$97.50
|
|
|
HC MULTIHANCE PER ML
|
Facility
|
IP
|
$6.81
|
|
|
Service Code
|
HCPCS A9577
|
| Hospital Charge Code |
63600016
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$3.00 |
| Max. Negotiated Rate |
$6.13 |
| Rate for Payer: Aetna American Axle |
$4.43
|
| Rate for Payer: Aetna Commercial |
$5.79
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$4.43
|
| Rate for Payer: Cash Price |
$5.45
|
| Rate for Payer: Cofinity Advantage |
$4.77
|
| Rate for Payer: Cofinity Commercial |
$5.86
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$5.45
|
| Rate for Payer: Healthscope Commercial |
$6.13
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$4.77
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$5.11
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$5.79
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$5.11
|
| Rate for Payer: PHP Commercial |
$5.79
|
| Rate for Payer: Priority Health SBD |
$4.29
|
| Rate for Payer: UMR Bronson Commercial |
$3.00
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$5.11
|
|
|
HC MULTIHANCE PER ML
|
Facility
|
OP
|
$6.81
|
|
|
Service Code
|
HCPCS A9577
|
| Hospital Charge Code |
63600016
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$2.52 |
| Max. Negotiated Rate |
$6.13 |
| Rate for Payer: Aetna American Axle |
$4.43
|
| Rate for Payer: Aetna Commercial |
$5.79
|
| Rate for Payer: Aetna Medicare |
$3.40
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$4.43
|
| Rate for Payer: BCBS Complete |
$2.72
|
| Rate for Payer: BCBS Trust/PPO |
$2.73
|
| Rate for Payer: BCN Commercial |
$2.73
|
| Rate for Payer: Cash Price |
$5.45
|
| Rate for Payer: Cash Price |
$5.45
|
| Rate for Payer: Cofinity Advantage |
$4.77
|
| Rate for Payer: Cofinity Commercial |
$5.86
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$5.45
|
| Rate for Payer: Healthscope Commercial |
$6.13
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$4.77
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$5.11
|
| Rate for Payer: MI Amish Medical Board Commercial |
$5.45
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$5.79
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$5.11
|
| Rate for Payer: PHP Commercial |
$5.79
|
| Rate for Payer: Priority Health SBD |
$4.29
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2.97
|
| Rate for Payer: UHC Core |
$2.97
|
| Rate for Payer: UHC Exchange |
$2.97
|
| Rate for Payer: UMR Bronson Commercial |
$2.52
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$5.11
|
|
|
HC MULTILAYER COMP DSG BK
|
Facility
|
OP
|
$654.41
|
|
|
Service Code
|
CPT 29581
|
| Hospital Charge Code |
76100020
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$84.68 |
| Max. Negotiated Rate |
$588.97 |
| Rate for Payer: Aetna American Axle |
$425.37
|
| Rate for Payer: Aetna Commercial |
$556.25
|
| Rate for Payer: Aetna Medicare |
$168.40
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$425.37
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$202.40
|
| Rate for Payer: Amish Plain Church Group Commercial |
$202.40
|
| Rate for Payer: BCBS Complete |
$88.93
|
| Rate for Payer: BCBS MAPPO |
$161.92
|
| Rate for Payer: BCBS Trust/PPO |
$184.98
|
| Rate for Payer: BCN Commercial |
$184.98
|
| Rate for Payer: BCN Medicare Advantage |
$161.92
|
| Rate for Payer: Cash Price |
$523.53
|
| Rate for Payer: Cash Price |
$523.53
|
| Rate for Payer: Cash Price |
$523.53
|
| Rate for Payer: Cofinity Advantage |
$458.09
|
| Rate for Payer: Cofinity Commercial |
$562.79
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$523.53
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$161.92
|
| Rate for Payer: Healthscope Commercial |
$588.97
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$458.09
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$490.81
|
| Rate for Payer: Mclaren Medicaid |
$161.92
|
| Rate for Payer: Mclaren Medicare |
$161.92
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$170.02
|
| Rate for Payer: Meridian Medicaid |
$170.02
|
| Rate for Payer: MI Amish Medical Board Commercial |
$186.21
|
| Rate for Payer: Molina Medicare/Medicaid |
$178.11
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$556.25
|
| Rate for Payer: Nomi Health Commercial |
$485.76
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$490.81
|
| Rate for Payer: PACE Medicare |
$153.82
|
| Rate for Payer: PACE SWMI |
$161.92
|
| Rate for Payer: PHP Commercial |
$556.25
|
| Rate for Payer: PHP Medicare Advantage |
$161.92
|
| Rate for Payer: Priority Health Choice Medicaid |
$84.68
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$523.62
|
| Rate for Payer: Priority Health Medicare |
$161.92
|
| Rate for Payer: Priority Health SBD |
$412.28
|
| Rate for Payer: Priority Health Tiered Network |
$418.90
|
| Rate for Payer: Railroad Medicare Medicare |
$161.92
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$425.37
|
| Rate for Payer: UHC Core |
$340.95
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$161.92
|
| Rate for Payer: UHC Exchange |
$257.18
|
| Rate for Payer: UHC Medicaid |
$84.68
|
| Rate for Payer: UHCCP Medicaid |
$84.68
|
| Rate for Payer: UMR Bronson Commercial |
$242.13
|
| Rate for Payer: VA VA |
$161.92
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$490.81
|
|
|
HC MULTILAYER COMP DSG BK
|
Facility
|
IP
|
$654.41
|
|
|
Service Code
|
CPT 29581
|
| Hospital Charge Code |
76100020
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$287.94 |
| Max. Negotiated Rate |
$588.97 |
| Rate for Payer: Aetna American Axle |
$425.37
|
| Rate for Payer: Aetna Commercial |
$556.25
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$425.37
|
| Rate for Payer: Cash Price |
$523.53
|
| Rate for Payer: Cofinity Advantage |
$458.09
|
| Rate for Payer: Cofinity Commercial |
$562.79
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$523.53
|
| Rate for Payer: Healthscope Commercial |
$588.97
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$458.09
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$490.81
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$556.25
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$490.81
|
| Rate for Payer: PHP Commercial |
$556.25
|
| Rate for Payer: Priority Health SBD |
$412.28
|
| Rate for Payer: UMR Bronson Commercial |
$287.94
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$490.81
|
|
|
HC MULTILEAF COLLIMATOR
|
Facility
|
OP
|
$870.19
|
|
|
Service Code
|
CPT 77338
|
| Hospital Charge Code |
33300016
|
|
Hospital Revenue Code
|
333
|
| Min. Negotiated Rate |
$195.12 |
| Max. Negotiated Rate |
$1,206.50 |
| Rate for Payer: Aetna American Axle |
$565.62
|
| Rate for Payer: Aetna Commercial |
$739.66
|
| Rate for Payer: Aetna Medicare |
$388.00
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$565.62
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$466.35
|
| Rate for Payer: Amish Plain Church Group Commercial |
$466.35
|
| Rate for Payer: BCBS Complete |
$204.90
|
| Rate for Payer: BCBS MAPPO |
$373.08
|
| Rate for Payer: BCBS Trust/PPO |
$680.45
|
| Rate for Payer: BCN Commercial |
$680.45
|
| Rate for Payer: BCN Medicare Advantage |
$373.08
|
| Rate for Payer: Cash Price |
$696.15
|
| Rate for Payer: Cash Price |
$696.15
|
| Rate for Payer: Cofinity Advantage |
$609.13
|
| Rate for Payer: Cofinity Commercial |
$748.36
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$696.15
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$373.08
|
| Rate for Payer: Healthscope Commercial |
$783.17
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$609.13
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$652.64
|
| Rate for Payer: Mclaren Medicaid |
$373.08
|
| Rate for Payer: Mclaren Medicare |
$373.08
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$391.73
|
| Rate for Payer: Meridian Medicaid |
$391.73
|
| Rate for Payer: MI Amish Medical Board Commercial |
$429.04
|
| Rate for Payer: Molina Medicare/Medicaid |
$410.39
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$739.66
|
| Rate for Payer: Nomi Health Commercial |
$1,119.24
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$652.64
|
| Rate for Payer: PACE Medicare |
$354.43
|
| Rate for Payer: PACE SWMI |
$373.08
|
| Rate for Payer: PHP Commercial |
$739.66
|
| Rate for Payer: PHP Medicare Advantage |
$373.08
|
| Rate for Payer: Priority Health Choice Medicaid |
$195.12
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$1,206.50
|
| Rate for Payer: Priority Health Medicare |
$373.08
|
| Rate for Payer: Priority Health SBD |
$548.22
|
| Rate for Payer: Priority Health Tiered Network |
$965.20
|
| Rate for Payer: Railroad Medicare Medicare |
$373.08
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$565.62
|
| Rate for Payer: UHC Core |
$453.37
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$373.08
|
| Rate for Payer: UHC Exchange |
$341.98
|
| Rate for Payer: UHC Medicaid |
$195.12
|
| Rate for Payer: UHCCP Medicaid |
$195.12
|
| Rate for Payer: UMR Bronson Commercial |
$321.97
|
| Rate for Payer: VA VA |
$373.08
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$652.64
|
|
|
HC MULTILEAF COLLIMATOR
|
Facility
|
IP
|
$870.19
|
|
|
Service Code
|
CPT 77338
|
| Hospital Charge Code |
33300016
|
|
Hospital Revenue Code
|
333
|
| Min. Negotiated Rate |
$382.88 |
| Max. Negotiated Rate |
$783.17 |
| Rate for Payer: Aetna American Axle |
$565.62
|
| Rate for Payer: Aetna Commercial |
$739.66
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$565.62
|
| Rate for Payer: Cash Price |
$696.15
|
| Rate for Payer: Cofinity Advantage |
$609.13
|
| Rate for Payer: Cofinity Commercial |
$748.36
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$696.15
|
| Rate for Payer: Healthscope Commercial |
$783.17
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$609.13
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$652.64
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$739.66
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$652.64
|
| Rate for Payer: PHP Commercial |
$739.66
|
| Rate for Payer: Priority Health SBD |
$548.22
|
| Rate for Payer: UMR Bronson Commercial |
$382.88
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$652.64
|
|
|
HC MULTIPLE SCLEROSIS CASCADE, S AND CSF
|
Facility
|
OP
|
$120.08
|
|
|
Service Code
|
CPT 83521
|
| Hospital Charge Code |
30100769
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$9.03 |
| Max. Negotiated Rate |
$108.07 |
| Rate for Payer: Aetna American Axle |
$78.05
|
| Rate for Payer: Aetna Commercial |
$102.07
|
| Rate for Payer: Aetna Medicare |
$17.96
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$78.05
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$21.59
|
| Rate for Payer: Amish Plain Church Group Commercial |
$21.59
|
| Rate for Payer: BCBS Complete |
$9.48
|
| Rate for Payer: BCBS MAPPO |
$17.27
|
| Rate for Payer: BCBS Trust/PPO |
$19.96
|
| Rate for Payer: BCN Commercial |
$19.96
|
| Rate for Payer: BCN Medicare Advantage |
$17.27
|
| Rate for Payer: Cash Price |
$96.06
|
| Rate for Payer: Cash Price |
$96.06
|
| Rate for Payer: Cofinity Advantage |
$84.06
|
| Rate for Payer: Cofinity Commercial |
$103.27
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$96.06
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$17.27
|
| Rate for Payer: Healthscope Commercial |
$108.07
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$84.06
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$90.06
|
| Rate for Payer: Mclaren Medicaid |
$17.27
|
| Rate for Payer: Mclaren Medicare |
$17.27
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$18.13
|
| Rate for Payer: Meridian Medicaid |
$18.13
|
| Rate for Payer: MI Amish Medical Board Commercial |
$19.86
|
| Rate for Payer: Molina Medicare/Medicaid |
$19.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$102.07
|
| Rate for Payer: Nomi Health Commercial |
$25.91
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$90.06
|
| Rate for Payer: PACE Medicare |
$16.41
|
| Rate for Payer: PACE SWMI |
$17.27
|
| Rate for Payer: PHP Commercial |
$102.07
|
| Rate for Payer: PHP Medicare Advantage |
$17.27
|
| Rate for Payer: Priority Health Choice Medicaid |
$9.03
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$17.27
|
| Rate for Payer: Priority Health Medicare |
$17.27
|
| Rate for Payer: Priority Health SBD |
$75.65
|
| Rate for Payer: Priority Health Tiered Network |
$13.82
|
| Rate for Payer: Railroad Medicare Medicare |
$17.27
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$25.91
|
| Rate for Payer: UHC Core |
$25.91
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$17.27
|
| Rate for Payer: UHC Exchange |
$25.91
|
| Rate for Payer: UHC Medicaid |
$9.03
|
| Rate for Payer: UHCCP Medicaid |
$9.03
|
| Rate for Payer: UMR Bronson Commercial |
$44.43
|
| Rate for Payer: VA VA |
$17.27
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$90.06
|
|
|
HC MULTIPLE SCLEROSIS CASCADE, S AND CSF
|
Facility
|
IP
|
$120.08
|
|
|
Service Code
|
CPT 83521
|
| Hospital Charge Code |
30100769
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$52.84 |
| Max. Negotiated Rate |
$108.07 |
| Rate for Payer: Aetna American Axle |
$78.05
|
| Rate for Payer: Aetna Commercial |
$102.07
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$78.05
|
| Rate for Payer: Cash Price |
$96.06
|
| Rate for Payer: Cofinity Advantage |
$84.06
|
| Rate for Payer: Cofinity Commercial |
$103.27
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$96.06
|
| Rate for Payer: Healthscope Commercial |
$108.07
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$84.06
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$90.06
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$102.07
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$90.06
|
| Rate for Payer: PHP Commercial |
$102.07
|
| Rate for Payer: Priority Health SBD |
$75.65
|
| Rate for Payer: UMR Bronson Commercial |
$52.84
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$90.06
|
|
|
HC MULTIPLE SCLEROSIS PROFILE
|
Facility
|
IP
|
$124.93
|
|
|
Service Code
|
CPT 83521
|
| Hospital Charge Code |
30100744
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$54.97 |
| Max. Negotiated Rate |
$112.44 |
| Rate for Payer: Aetna American Axle |
$81.20
|
| Rate for Payer: Aetna Commercial |
$106.19
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$81.20
|
| Rate for Payer: Cash Price |
$99.94
|
| Rate for Payer: Cofinity Advantage |
$87.45
|
| Rate for Payer: Cofinity Commercial |
$107.44
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$99.94
|
| Rate for Payer: Healthscope Commercial |
$112.44
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$87.45
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$93.70
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$106.19
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$93.70
|
| Rate for Payer: PHP Commercial |
$106.19
|
| Rate for Payer: Priority Health SBD |
$78.71
|
| Rate for Payer: UMR Bronson Commercial |
$54.97
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$93.70
|
|
|
HC MULTIPLE SCLEROSIS PROFILE
|
Facility
|
OP
|
$124.93
|
|
|
Service Code
|
CPT 83521
|
| Hospital Charge Code |
30100744
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$9.03 |
| Max. Negotiated Rate |
$112.44 |
| Rate for Payer: Aetna American Axle |
$81.20
|
| Rate for Payer: Aetna Commercial |
$106.19
|
| Rate for Payer: Aetna Medicare |
$17.96
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$81.20
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$21.59
|
| Rate for Payer: Amish Plain Church Group Commercial |
$21.59
|
| Rate for Payer: BCBS Complete |
$9.48
|
| Rate for Payer: BCBS MAPPO |
$17.27
|
| Rate for Payer: BCBS Trust/PPO |
$19.96
|
| Rate for Payer: BCN Commercial |
$19.96
|
| Rate for Payer: BCN Medicare Advantage |
$17.27
|
| Rate for Payer: Cash Price |
$99.94
|
| Rate for Payer: Cash Price |
$99.94
|
| Rate for Payer: Cofinity Advantage |
$87.45
|
| Rate for Payer: Cofinity Commercial |
$107.44
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$99.94
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$17.27
|
| Rate for Payer: Healthscope Commercial |
$112.44
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$87.45
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$93.70
|
| Rate for Payer: Mclaren Medicaid |
$17.27
|
| Rate for Payer: Mclaren Medicare |
$17.27
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$18.13
|
| Rate for Payer: Meridian Medicaid |
$18.13
|
| Rate for Payer: MI Amish Medical Board Commercial |
$19.86
|
| Rate for Payer: Molina Medicare/Medicaid |
$19.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$106.19
|
| Rate for Payer: Nomi Health Commercial |
$25.91
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$93.70
|
| Rate for Payer: PACE Medicare |
$16.41
|
| Rate for Payer: PACE SWMI |
$17.27
|
| Rate for Payer: PHP Commercial |
$106.19
|
| Rate for Payer: PHP Medicare Advantage |
$17.27
|
| Rate for Payer: Priority Health Choice Medicaid |
$9.03
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$17.27
|
| Rate for Payer: Priority Health Medicare |
$17.27
|
| Rate for Payer: Priority Health SBD |
$78.71
|
| Rate for Payer: Priority Health Tiered Network |
$13.82
|
| Rate for Payer: Railroad Medicare Medicare |
$17.27
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$25.91
|
| Rate for Payer: UHC Core |
$25.91
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$17.27
|
| Rate for Payer: UHC Exchange |
$25.91
|
| Rate for Payer: UHC Medicaid |
$9.03
|
| Rate for Payer: UHCCP Medicaid |
$9.03
|
| Rate for Payer: UMR Bronson Commercial |
$46.22
|
| Rate for Payer: VA VA |
$17.27
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$93.70
|
|
|
HC MUMPS AB IGG
|
Facility
|
OP
|
$82.19
|
|
|
Service Code
|
CPT 86735
|
| Hospital Charge Code |
30200305
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$6.83 |
| Max. Negotiated Rate |
$73.97 |
| Rate for Payer: Aetna American Axle |
$53.42
|
| Rate for Payer: Aetna Commercial |
$69.86
|
| Rate for Payer: Aetna Medicare |
$13.57
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$53.42
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$16.31
|
| Rate for Payer: Amish Plain Church Group Commercial |
$16.31
|
| Rate for Payer: BCBS Complete |
$7.17
|
| Rate for Payer: BCBS MAPPO |
$13.05
|
| Rate for Payer: BCBS Trust/PPO |
$15.09
|
| Rate for Payer: BCN Commercial |
$15.09
|
| Rate for Payer: BCN Medicare Advantage |
$13.05
|
| Rate for Payer: Cash Price |
$65.75
|
| Rate for Payer: Cash Price |
$65.75
|
| Rate for Payer: Cofinity Advantage |
$57.53
|
| Rate for Payer: Cofinity Commercial |
$70.68
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$65.75
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$13.05
|
| Rate for Payer: Healthscope Commercial |
$73.97
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$57.53
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$61.64
|
| Rate for Payer: Mclaren Medicaid |
$13.05
|
| Rate for Payer: Mclaren Medicare |
$13.05
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$13.70
|
| Rate for Payer: Meridian Medicaid |
$13.70
|
| Rate for Payer: MI Amish Medical Board Commercial |
$15.01
|
| Rate for Payer: Molina Medicare/Medicaid |
$14.36
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$69.86
|
| Rate for Payer: Nomi Health Commercial |
$19.57
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$61.64
|
| Rate for Payer: PACE Medicare |
$12.40
|
| Rate for Payer: PACE SWMI |
$13.05
|
| Rate for Payer: PHP Commercial |
$69.86
|
| Rate for Payer: PHP Medicare Advantage |
$13.05
|
| Rate for Payer: Priority Health Choice Medicaid |
$6.83
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$13.05
|
| Rate for Payer: Priority Health Medicare |
$13.05
|
| Rate for Payer: Priority Health SBD |
$51.78
|
| Rate for Payer: Priority Health Tiered Network |
$10.44
|
| Rate for Payer: Railroad Medicare Medicare |
$13.05
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$19.58
|
| Rate for Payer: UHC Core |
$19.58
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$13.05
|
| Rate for Payer: UHC Exchange |
$19.58
|
| Rate for Payer: UHC Medicaid |
$6.83
|
| Rate for Payer: UHCCP Medicaid |
$6.83
|
| Rate for Payer: UMR Bronson Commercial |
$30.41
|
| Rate for Payer: VA VA |
$13.05
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$61.64
|
|
|
HC MUMPS AB IGG
|
Facility
|
IP
|
$82.19
|
|
|
Service Code
|
CPT 86735
|
| Hospital Charge Code |
30200305
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$36.16 |
| Max. Negotiated Rate |
$73.97 |
| Rate for Payer: Aetna American Axle |
$53.42
|
| Rate for Payer: Aetna Commercial |
$69.86
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$53.42
|
| Rate for Payer: Cash Price |
$65.75
|
| Rate for Payer: Cofinity Advantage |
$57.53
|
| Rate for Payer: Cofinity Commercial |
$70.68
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$65.75
|
| Rate for Payer: Healthscope Commercial |
$73.97
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$57.53
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$61.64
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$69.86
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$61.64
|
| Rate for Payer: PHP Commercial |
$69.86
|
| Rate for Payer: Priority Health SBD |
$51.78
|
| Rate for Payer: UMR Bronson Commercial |
$36.16
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$61.64
|
|
