|
HC MYOMARKER 3 PROFILE
|
Facility
|
OP
|
$20.65
|
|
|
Service Code
|
CPT 83516
|
| Hospital Charge Code |
30100746
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$6.03 |
| Max. Negotiated Rate |
$18.59 |
| Rate for Payer: Aetna American Axle |
$13.42
|
| Rate for Payer: Aetna Commercial |
$17.55
|
| Rate for Payer: Aetna Medicare |
$11.99
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$13.42
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$14.41
|
| Rate for Payer: Amish Plain Church Group Commercial |
$14.41
|
| Rate for Payer: BCBS Complete |
$6.33
|
| Rate for Payer: BCBS MAPPO |
$11.53
|
| Rate for Payer: BCBS Trust/PPO |
$13.33
|
| Rate for Payer: BCN Commercial |
$13.33
|
| Rate for Payer: BCN Medicare Advantage |
$11.53
|
| Rate for Payer: Cash Price |
$16.52
|
| Rate for Payer: Cash Price |
$16.52
|
| Rate for Payer: Cofinity Advantage |
$14.46
|
| Rate for Payer: Cofinity Commercial |
$17.76
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$16.52
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$11.53
|
| Rate for Payer: Healthscope Commercial |
$18.59
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$14.46
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$15.49
|
| Rate for Payer: Mclaren Medicaid |
$11.53
|
| Rate for Payer: Mclaren Medicare |
$11.53
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$12.11
|
| Rate for Payer: Meridian Medicaid |
$12.11
|
| Rate for Payer: MI Amish Medical Board Commercial |
$13.26
|
| Rate for Payer: Molina Medicare/Medicaid |
$12.68
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$17.55
|
| Rate for Payer: Nomi Health Commercial |
$17.30
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$15.49
|
| Rate for Payer: PACE Medicare |
$10.95
|
| Rate for Payer: PACE SWMI |
$11.53
|
| Rate for Payer: PHP Commercial |
$17.55
|
| Rate for Payer: PHP Medicare Advantage |
$11.53
|
| Rate for Payer: Priority Health Choice Medicaid |
$6.03
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$11.53
|
| Rate for Payer: Priority Health Medicare |
$11.53
|
| Rate for Payer: Priority Health SBD |
$13.01
|
| Rate for Payer: Priority Health Tiered Network |
$9.22
|
| Rate for Payer: Railroad Medicare Medicare |
$11.53
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$17.30
|
| Rate for Payer: UHC Core |
$17.30
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$11.53
|
| Rate for Payer: UHC Exchange |
$17.30
|
| Rate for Payer: UHC Medicaid |
$6.03
|
| Rate for Payer: UHCCP Medicaid |
$6.03
|
| Rate for Payer: UMR Bronson Commercial |
$7.64
|
| Rate for Payer: VA VA |
$11.53
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$15.49
|
|
|
HC MYOMARKER 3 PROFILE
|
Facility
|
IP
|
$20.65
|
|
|
Service Code
|
CPT 83516
|
| Hospital Charge Code |
30100746
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$9.09 |
| Max. Negotiated Rate |
$18.59 |
| Rate for Payer: Aetna American Axle |
$13.42
|
| Rate for Payer: Aetna Commercial |
$17.55
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$13.42
|
| Rate for Payer: Cash Price |
$16.52
|
| Rate for Payer: Cofinity Advantage |
$14.46
|
| Rate for Payer: Cofinity Commercial |
$17.76
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$16.52
|
| Rate for Payer: Healthscope Commercial |
$18.59
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$14.46
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$15.49
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$17.55
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$15.49
|
| Rate for Payer: PHP Commercial |
$17.55
|
| Rate for Payer: Priority Health SBD |
$13.01
|
| Rate for Payer: UMR Bronson Commercial |
$9.09
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$15.49
|
|
|
HC MYRINGOPLASTY
|
Facility
|
IP
|
$13,800.60
|
|
|
Service Code
|
CPT 69620
|
| Hospital Charge Code |
76100435
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$6,072.26 |
| Max. Negotiated Rate |
$12,420.54 |
| Rate for Payer: Aetna American Axle |
$8,970.39
|
| Rate for Payer: Aetna American Axle |
$5,980.26
|
| Rate for Payer: Aetna Commercial |
$11,730.51
|
| Rate for Payer: Aetna Commercial |
$7,820.34
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$8,970.39
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$5,980.26
|
| Rate for Payer: Cash Price |
$11,040.48
|
| Rate for Payer: Cash Price |
$7,360.32
|
| Rate for Payer: Cofinity Advantage |
$6,440.28
|
| Rate for Payer: Cofinity Advantage |
$9,660.42
|
| Rate for Payer: Cofinity Commercial |
$7,912.34
|
| Rate for Payer: Cofinity Commercial |
$11,868.52
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$11,040.48
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$7,360.32
|
| Rate for Payer: Healthscope Commercial |
$12,420.54
|
| Rate for Payer: Healthscope Commercial |
$8,280.36
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$6,440.28
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$9,660.42
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$10,350.45
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$6,900.30
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$11,730.51
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$7,820.34
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$10,350.45
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$6,900.30
|
| Rate for Payer: PHP Commercial |
$11,730.51
|
| Rate for Payer: PHP Commercial |
$7,820.34
|
| Rate for Payer: Priority Health SBD |
$5,796.25
|
| Rate for Payer: Priority Health SBD |
$8,694.38
|
| Rate for Payer: UMR Bronson Commercial |
$6,072.26
|
| Rate for Payer: UMR Bronson Commercial |
$4,048.18
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$10,350.45
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$6,900.30
|
|
|
HC MYRINGOPLASTY
|
Facility
|
OP
|
$13,800.60
|
|
|
Service Code
|
CPT 69620
|
| Hospital Charge Code |
76100435
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$1,727.75 |
| Max. Negotiated Rate |
$12,420.54 |
| Rate for Payer: Aetna American Axle |
$8,970.39
|
| Rate for Payer: Aetna American Axle |
$5,980.26
|
| Rate for Payer: Aetna Commercial |
$11,730.51
|
| Rate for Payer: Aetna Commercial |
$7,820.34
|
| Rate for Payer: Aetna Medicare |
$3,435.68
|
| Rate for Payer: Aetna Medicare |
$3,435.68
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$8,970.39
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$5,980.26
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$4,129.43
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$4,129.43
|
| Rate for Payer: Amish Plain Church Group Commercial |
$4,129.43
|
| Rate for Payer: Amish Plain Church Group Commercial |
$4,129.43
|
| Rate for Payer: BCBS Complete |
$1,814.30
|
| Rate for Payer: BCBS Complete |
$1,814.30
|
| Rate for Payer: BCBS MAPPO |
$3,303.54
|
| Rate for Payer: BCBS MAPPO |
$3,303.54
|
| Rate for Payer: BCBS Trust/PPO |
$3,315.17
|
| Rate for Payer: BCBS Trust/PPO |
$3,315.17
|
| Rate for Payer: BCN Commercial |
$3,315.17
|
| Rate for Payer: BCN Commercial |
$3,315.17
|
| Rate for Payer: BCN Medicare Advantage |
$3,303.54
|
| Rate for Payer: BCN Medicare Advantage |
$3,303.54
|
| Rate for Payer: Cash Price |
$7,360.32
|
| Rate for Payer: Cash Price |
$11,040.48
|
| Rate for Payer: Cash Price |
$7,360.32
|
| Rate for Payer: Cash Price |
$11,040.48
|
| Rate for Payer: Cash Price |
$11,040.48
|
| Rate for Payer: Cash Price |
$7,360.32
|
| Rate for Payer: Cofinity Advantage |
$9,660.42
|
| Rate for Payer: Cofinity Advantage |
$6,440.28
|
| Rate for Payer: Cofinity Commercial |
$7,912.34
|
| Rate for Payer: Cofinity Commercial |
$11,868.52
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$7,360.32
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$11,040.48
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$3,303.54
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$3,303.54
|
| Rate for Payer: Healthscope Commercial |
$8,280.36
|
| Rate for Payer: Healthscope Commercial |
$12,420.54
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$6,440.28
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$9,660.42
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$10,350.45
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$6,900.30
|
| Rate for Payer: Mclaren Medicaid |
$3,303.54
|
| Rate for Payer: Mclaren Medicaid |
$3,303.54
|
| Rate for Payer: Mclaren Medicare |
$3,303.54
|
| Rate for Payer: Mclaren Medicare |
$3,303.54
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$3,468.72
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$3,468.72
|
| Rate for Payer: Meridian Medicaid |
$3,468.72
|
| Rate for Payer: Meridian Medicaid |
$3,468.72
|
| Rate for Payer: MI Amish Medical Board Commercial |
$3,799.07
|
| Rate for Payer: MI Amish Medical Board Commercial |
$3,799.07
|
| Rate for Payer: Molina Medicare/Medicaid |
$3,633.89
|
| Rate for Payer: Molina Medicare/Medicaid |
$3,633.89
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$11,730.51
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$7,820.34
|
| Rate for Payer: Nomi Health Commercial |
$9,910.62
|
| Rate for Payer: Nomi Health Commercial |
$9,910.62
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$6,900.30
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$10,350.45
|
| Rate for Payer: PACE Medicare |
$3,138.36
|
| Rate for Payer: PACE Medicare |
$3,138.36
|
| Rate for Payer: PACE SWMI |
$3,303.54
|
| Rate for Payer: PACE SWMI |
$3,303.54
|
| Rate for Payer: PHP Commercial |
$7,820.34
|
| Rate for Payer: PHP Commercial |
$11,730.51
|
| Rate for Payer: PHP Medicare Advantage |
$3,303.54
|
| Rate for Payer: PHP Medicare Advantage |
$3,303.54
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,727.75
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,727.75
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$10,683.35
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$10,683.35
|
| Rate for Payer: Priority Health Medicare |
$3,303.54
|
| Rate for Payer: Priority Health Medicare |
$3,303.54
|
| Rate for Payer: Priority Health SBD |
$5,796.25
|
| Rate for Payer: Priority Health SBD |
$8,694.38
|
| Rate for Payer: Priority Health Tiered Network |
$8,546.68
|
| Rate for Payer: Priority Health Tiered Network |
$8,546.68
|
| Rate for Payer: Railroad Medicare Medicare |
$3,303.54
|
| Rate for Payer: Railroad Medicare Medicare |
$3,303.54
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$5,980.26
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$8,970.39
|
| Rate for Payer: UHC Core |
$4,793.41
|
| Rate for Payer: UHC Core |
$7,190.11
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$3,303.54
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$3,303.54
|
| Rate for Payer: UHC Exchange |
$3,615.76
|
| Rate for Payer: UHC Exchange |
$5,423.64
|
| Rate for Payer: UHC Medicaid |
$1,727.75
|
| Rate for Payer: UHC Medicaid |
$1,727.75
|
| Rate for Payer: UHCCP Medicaid |
$1,727.75
|
| Rate for Payer: UHCCP Medicaid |
$1,727.75
|
| Rate for Payer: UMR Bronson Commercial |
$5,106.22
|
| Rate for Payer: UMR Bronson Commercial |
$3,404.15
|
| Rate for Payer: VA VA |
$3,303.54
|
| Rate for Payer: VA VA |
$3,303.54
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$6,900.30
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$10,350.45
|
|
|
HC MYRINGOTOMY ASPIR&EUSTACHIAN TUBE NFLTJ
|
Facility
|
OP
|
$640.89
|
|
|
Service Code
|
CPT 69420
|
| Hospital Charge Code |
76100484
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$123.43 |
| Max. Negotiated Rate |
$763.21 |
| Rate for Payer: Aetna American Axle |
$416.58
|
| Rate for Payer: Aetna American Axle |
$624.86
|
| Rate for Payer: Aetna Commercial |
$544.76
|
| Rate for Payer: Aetna Commercial |
$817.13
|
| Rate for Payer: Aetna Medicare |
$245.44
|
| Rate for Payer: Aetna Medicare |
$245.44
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$416.58
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$624.86
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$295.00
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$295.00
|
| Rate for Payer: Amish Plain Church Group Commercial |
$295.00
|
| Rate for Payer: Amish Plain Church Group Commercial |
$295.00
|
| Rate for Payer: BCBS Complete |
$129.61
|
| Rate for Payer: BCBS Complete |
$129.61
|
| Rate for Payer: BCBS MAPPO |
$236.00
|
| Rate for Payer: BCBS MAPPO |
$236.00
|
| Rate for Payer: BCBS Trust/PPO |
$153.07
|
| Rate for Payer: BCBS Trust/PPO |
$153.07
|
| Rate for Payer: BCN Commercial |
$153.07
|
| Rate for Payer: BCN Commercial |
$153.07
|
| Rate for Payer: BCN Medicare Advantage |
$236.00
|
| Rate for Payer: BCN Medicare Advantage |
$236.00
|
| Rate for Payer: Cash Price |
$769.06
|
| Rate for Payer: Cash Price |
$512.71
|
| Rate for Payer: Cash Price |
$769.06
|
| Rate for Payer: Cash Price |
$512.71
|
| Rate for Payer: Cash Price |
$512.71
|
| Rate for Payer: Cash Price |
$769.06
|
| Rate for Payer: Cofinity Advantage |
$448.62
|
| Rate for Payer: Cofinity Advantage |
$672.93
|
| Rate for Payer: Cofinity Commercial |
$826.74
|
| Rate for Payer: Cofinity Commercial |
$551.17
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$769.06
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$512.71
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$236.00
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$236.00
|
| Rate for Payer: Healthscope Commercial |
$865.20
|
| Rate for Payer: Healthscope Commercial |
$576.80
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$672.93
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$448.62
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$480.67
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$721.00
|
| Rate for Payer: Mclaren Medicaid |
$236.00
|
| Rate for Payer: Mclaren Medicaid |
$236.00
|
| Rate for Payer: Mclaren Medicare |
$236.00
|
| Rate for Payer: Mclaren Medicare |
$236.00
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$247.80
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$247.80
|
| Rate for Payer: Meridian Medicaid |
$247.80
|
| Rate for Payer: Meridian Medicaid |
$247.80
|
| Rate for Payer: MI Amish Medical Board Commercial |
$271.40
|
| Rate for Payer: MI Amish Medical Board Commercial |
$271.40
|
| Rate for Payer: Molina Medicare/Medicaid |
$259.60
|
| Rate for Payer: Molina Medicare/Medicaid |
$259.60
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$544.76
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$817.13
|
| Rate for Payer: Nomi Health Commercial |
$708.00
|
| Rate for Payer: Nomi Health Commercial |
$708.00
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$721.00
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$480.67
|
| Rate for Payer: PACE Medicare |
$224.20
|
| Rate for Payer: PACE Medicare |
$224.20
|
| Rate for Payer: PACE SWMI |
$236.00
|
| Rate for Payer: PACE SWMI |
$236.00
|
| Rate for Payer: PHP Commercial |
$817.13
|
| Rate for Payer: PHP Commercial |
$544.76
|
| Rate for Payer: PHP Medicare Advantage |
$236.00
|
| Rate for Payer: PHP Medicare Advantage |
$236.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$123.43
|
| Rate for Payer: Priority Health Choice Medicaid |
$123.43
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$763.21
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$763.21
|
| Rate for Payer: Priority Health Medicare |
$236.00
|
| Rate for Payer: Priority Health Medicare |
$236.00
|
| Rate for Payer: Priority Health SBD |
$605.64
|
| Rate for Payer: Priority Health SBD |
$403.76
|
| Rate for Payer: Priority Health Tiered Network |
$610.57
|
| Rate for Payer: Priority Health Tiered Network |
$610.57
|
| Rate for Payer: Railroad Medicare Medicare |
$236.00
|
| Rate for Payer: Railroad Medicare Medicare |
$236.00
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$624.86
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$416.58
|
| Rate for Payer: UHC Core |
$500.85
|
| Rate for Payer: UHC Core |
$333.90
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$236.00
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$236.00
|
| Rate for Payer: UHC Exchange |
$377.80
|
| Rate for Payer: UHC Exchange |
$251.87
|
| Rate for Payer: UHC Medicaid |
$123.43
|
| Rate for Payer: UHC Medicaid |
$123.43
|
| Rate for Payer: UHCCP Medicaid |
$123.43
|
| Rate for Payer: UHCCP Medicaid |
$123.43
|
| Rate for Payer: UMR Bronson Commercial |
$237.13
|
| Rate for Payer: UMR Bronson Commercial |
$355.69
|
| Rate for Payer: VA VA |
$236.00
|
| Rate for Payer: VA VA |
$236.00
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$721.00
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$480.67
|
|
|
HC MYRINGOTOMY ASPIR&EUSTACHIAN TUBE NFLTJ
|
Facility
|
IP
|
$640.89
|
|
|
Service Code
|
CPT 69420
|
| Hospital Charge Code |
76100484
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$281.99 |
| Max. Negotiated Rate |
$576.80 |
| Rate for Payer: Aetna American Axle |
$416.58
|
| Rate for Payer: Aetna American Axle |
$624.86
|
| Rate for Payer: Aetna Commercial |
$544.76
|
| Rate for Payer: Aetna Commercial |
$817.13
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$416.58
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$624.86
|
| Rate for Payer: Cash Price |
$512.71
|
| Rate for Payer: Cash Price |
$769.06
|
| Rate for Payer: Cofinity Advantage |
$672.93
|
| Rate for Payer: Cofinity Advantage |
$448.62
|
| Rate for Payer: Cofinity Commercial |
$826.74
|
| Rate for Payer: Cofinity Commercial |
$551.17
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$512.71
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$769.06
|
| Rate for Payer: Healthscope Commercial |
$576.80
|
| Rate for Payer: Healthscope Commercial |
$865.20
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$672.93
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$448.62
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$480.67
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$721.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$544.76
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$817.13
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$480.67
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$721.00
|
| Rate for Payer: PHP Commercial |
$544.76
|
| Rate for Payer: PHP Commercial |
$817.13
|
| Rate for Payer: Priority Health SBD |
$605.64
|
| Rate for Payer: Priority Health SBD |
$403.76
|
| Rate for Payer: UMR Bronson Commercial |
$281.99
|
| Rate for Payer: UMR Bronson Commercial |
$422.99
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$480.67
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$721.00
|
|
|
HC NAIL BED REPAIR
|
Facility
|
OP
|
$772.78
|
|
|
Service Code
|
CPT 11760
|
| Hospital Charge Code |
45000077
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$285.93 |
| Max. Negotiated Rate |
$2,381.49 |
| Rate for Payer: Aetna American Axle |
$502.31
|
| Rate for Payer: Aetna Commercial |
$656.86
|
| Rate for Payer: Aetna Medicare |
$765.87
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$502.31
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$920.51
|
| Rate for Payer: Amish Plain Church Group Commercial |
$920.51
|
| Rate for Payer: BCBS Complete |
$404.44
|
| Rate for Payer: BCBS MAPPO |
$736.41
|
| Rate for Payer: BCBS Trust/PPO |
$475.16
|
| Rate for Payer: BCN Commercial |
$475.16
|
| Rate for Payer: BCN Medicare Advantage |
$736.41
|
| Rate for Payer: Cash Price |
$618.22
|
| Rate for Payer: Cash Price |
$618.22
|
| Rate for Payer: Cash Price |
$618.22
|
| Rate for Payer: Cofinity Advantage |
$540.95
|
| Rate for Payer: Cofinity Commercial |
$664.59
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$618.22
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$736.41
|
| Rate for Payer: Healthscope Commercial |
$695.50
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$540.95
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$579.59
|
| Rate for Payer: Mclaren Medicaid |
$736.41
|
| Rate for Payer: Mclaren Medicare |
$736.41
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$773.23
|
| Rate for Payer: Meridian Medicaid |
$773.23
|
| Rate for Payer: MI Amish Medical Board Commercial |
$846.87
|
| Rate for Payer: Molina Medicare/Medicaid |
$810.05
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$656.86
|
| Rate for Payer: Nomi Health Commercial |
$2,209.23
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$579.59
|
| Rate for Payer: PACE Medicare |
$699.59
|
| Rate for Payer: PACE SWMI |
$736.41
|
| Rate for Payer: PHP Commercial |
$656.86
|
| Rate for Payer: PHP Medicare Advantage |
$736.41
|
| Rate for Payer: Priority Health Choice Medicaid |
$385.14
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$2,381.49
|
| Rate for Payer: Priority Health Medicare |
$736.41
|
| Rate for Payer: Priority Health SBD |
$486.85
|
| Rate for Payer: Priority Health Tiered Network |
$1,905.19
|
| Rate for Payer: Railroad Medicare Medicare |
$736.41
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$502.31
|
| Rate for Payer: UHC Core |
$402.62
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$736.41
|
| Rate for Payer: UHC Exchange |
$303.70
|
| Rate for Payer: UHC Medicaid |
$385.14
|
| Rate for Payer: UHCCP Medicaid |
$385.14
|
| Rate for Payer: UMR Bronson Commercial |
$285.93
|
| Rate for Payer: VA VA |
$736.41
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$579.59
|
|
|
HC NAIL BED REPAIR
|
Facility
|
IP
|
$772.78
|
|
|
Service Code
|
CPT 11760
|
| Hospital Charge Code |
45000077
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$340.02 |
| Max. Negotiated Rate |
$695.50 |
| Rate for Payer: Aetna American Axle |
$502.31
|
| Rate for Payer: Aetna Commercial |
$656.86
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$502.31
|
| Rate for Payer: Cash Price |
$618.22
|
| Rate for Payer: Cofinity Advantage |
$540.95
|
| Rate for Payer: Cofinity Commercial |
$664.59
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$618.22
|
| Rate for Payer: Healthscope Commercial |
$695.50
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$540.95
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$579.59
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$656.86
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$579.59
|
| Rate for Payer: PHP Commercial |
$656.86
|
| Rate for Payer: Priority Health SBD |
$486.85
|
| Rate for Payer: UMR Bronson Commercial |
$340.02
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$579.59
|
|
|
HC NAIL PROCEDURE
|
Facility
|
IP
|
$277.25
|
|
| Hospital Charge Code |
45000047
|
|
Hospital Revenue Code
|
450
|
| Min. Negotiated Rate |
$121.99 |
| Max. Negotiated Rate |
$249.53 |
| Rate for Payer: Aetna American Axle |
$180.21
|
| Rate for Payer: Aetna Commercial |
$235.66
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$180.21
|
| Rate for Payer: Cash Price |
$221.80
|
| Rate for Payer: Cofinity Advantage |
$194.07
|
| Rate for Payer: Cofinity Commercial |
$238.44
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$221.80
|
| Rate for Payer: Healthscope Commercial |
$249.53
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$194.07
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$207.94
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$235.66
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$207.94
|
| Rate for Payer: PHP Commercial |
$235.66
|
| Rate for Payer: Priority Health SBD |
$174.67
|
| Rate for Payer: UMR Bronson Commercial |
$121.99
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$207.94
|
|
|
HC NAIL PROCEDURE
|
Facility
|
OP
|
$277.25
|
|
| Hospital Charge Code |
45000047
|
|
Hospital Revenue Code
|
450
|
| Min. Negotiated Rate |
$102.58 |
| Max. Negotiated Rate |
$249.53 |
| Rate for Payer: Aetna American Axle |
$180.21
|
| Rate for Payer: Aetna Commercial |
$235.66
|
| Rate for Payer: Aetna Medicare |
$138.62
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$180.21
|
| Rate for Payer: BCBS Complete |
$110.90
|
| Rate for Payer: Cash Price |
$221.80
|
| Rate for Payer: Cash Price |
$221.80
|
| Rate for Payer: Cofinity Advantage |
$194.07
|
| Rate for Payer: Cofinity Commercial |
$238.44
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$221.80
|
| Rate for Payer: Healthscope Commercial |
$249.53
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$194.07
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$207.94
|
| Rate for Payer: MI Amish Medical Board Commercial |
$221.80
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$235.66
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$207.94
|
| Rate for Payer: PHP Commercial |
$235.66
|
| Rate for Payer: Priority Health SBD |
$174.67
|
| Rate for Payer: UHCCP Medicaid |
$125.00
|
| Rate for Payer: UMR Bronson Commercial |
$102.58
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$207.94
|
|
|
HC NA PHOSPHATE PER MCI
|
Facility
|
OP
|
$334.65
|
|
|
Service Code
|
HCPCS A9563
|
| Hospital Charge Code |
34400004
|
|
Hospital Revenue Code
|
344
|
| Min. Negotiated Rate |
$123.82 |
| Max. Negotiated Rate |
$877.56 |
| Rate for Payer: Aetna American Axle |
$217.52
|
| Rate for Payer: Aetna Commercial |
$284.45
|
| Rate for Payer: Aetna Medicare |
$289.37
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$217.52
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$347.80
|
| Rate for Payer: Amish Plain Church Group Commercial |
$347.80
|
| Rate for Payer: BCBS Complete |
$152.81
|
| Rate for Payer: BCBS MAPPO |
$278.24
|
| Rate for Payer: BCBS Trust/PPO |
$276.08
|
| Rate for Payer: BCN Commercial |
$276.08
|
| Rate for Payer: BCN Medicare Advantage |
$278.24
|
| Rate for Payer: Cash Price |
$267.72
|
| Rate for Payer: Cash Price |
$267.72
|
| Rate for Payer: Cofinity Advantage |
$234.25
|
| Rate for Payer: Cofinity Commercial |
$287.80
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$267.72
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$278.24
|
| Rate for Payer: Healthscope Commercial |
$301.19
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$234.25
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$250.99
|
| Rate for Payer: Mclaren Medicaid |
$278.24
|
| Rate for Payer: Mclaren Medicare |
$278.24
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$292.15
|
| Rate for Payer: Meridian Medicaid |
$292.15
|
| Rate for Payer: MI Amish Medical Board Commercial |
$319.98
|
| Rate for Payer: Molina Medicare/Medicaid |
$306.06
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$284.45
|
| Rate for Payer: Nomi Health Commercial |
$834.72
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$250.99
|
| Rate for Payer: PACE Medicare |
$264.33
|
| Rate for Payer: PACE SWMI |
$278.24
|
| Rate for Payer: PHP Commercial |
$284.45
|
| Rate for Payer: PHP Medicare Advantage |
$278.24
|
| Rate for Payer: Priority Health Choice Medicaid |
$145.52
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$877.56
|
| Rate for Payer: Priority Health Medicare |
$278.24
|
| Rate for Payer: Priority Health SBD |
$210.83
|
| Rate for Payer: Priority Health Tiered Network |
$702.05
|
| Rate for Payer: Railroad Medicare Medicare |
$278.24
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$459.10
|
| Rate for Payer: UHC Core |
$459.10
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$278.24
|
| Rate for Payer: UHC Exchange |
$459.10
|
| Rate for Payer: UHC Medicaid |
$145.52
|
| Rate for Payer: UHCCP Medicaid |
$145.52
|
| Rate for Payer: UMR Bronson Commercial |
$123.82
|
| Rate for Payer: VA VA |
$278.24
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$250.99
|
|
|
HC NA PHOSPHATE PER MCI
|
Facility
|
IP
|
$334.65
|
|
|
Service Code
|
HCPCS A9563
|
| Hospital Charge Code |
34400004
|
|
Hospital Revenue Code
|
344
|
| Min. Negotiated Rate |
$147.25 |
| Max. Negotiated Rate |
$301.19 |
| Rate for Payer: Aetna American Axle |
$217.52
|
| Rate for Payer: Aetna Commercial |
$284.45
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$217.52
|
| Rate for Payer: Cash Price |
$267.72
|
| Rate for Payer: Cofinity Advantage |
$234.25
|
| Rate for Payer: Cofinity Commercial |
$287.80
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$267.72
|
| Rate for Payer: Healthscope Commercial |
$301.19
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$234.25
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$250.99
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$284.45
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$250.99
|
| Rate for Payer: PHP Commercial |
$284.45
|
| Rate for Payer: Priority Health SBD |
$210.83
|
| Rate for Payer: UMR Bronson Commercial |
$147.25
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$250.99
|
|
|
HC NASAL BONES COMP MIN 3 VW
|
Facility
|
IP
|
$202.79
|
|
|
Service Code
|
CPT 70160
|
| Hospital Charge Code |
32000011
|
|
Hospital Revenue Code
|
320
|
| Min. Negotiated Rate |
$89.23 |
| Max. Negotiated Rate |
$182.51 |
| Rate for Payer: Aetna American Axle |
$131.81
|
| Rate for Payer: Aetna Commercial |
$172.37
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$131.81
|
| Rate for Payer: Cash Price |
$162.23
|
| Rate for Payer: Cofinity Advantage |
$141.95
|
| Rate for Payer: Cofinity Commercial |
$174.40
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$162.23
|
| Rate for Payer: Healthscope Commercial |
$182.51
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$141.95
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$152.09
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$172.37
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$152.09
|
| Rate for Payer: PHP Commercial |
$172.37
|
| Rate for Payer: Priority Health SBD |
$127.76
|
| Rate for Payer: UMR Bronson Commercial |
$89.23
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$152.09
|
|
|
HC NASAL BONES COMP MIN 3 VW
|
Facility
|
OP
|
$202.79
|
|
|
Service Code
|
CPT 70160
|
| Hospital Charge Code |
32000011
|
|
Hospital Revenue Code
|
320
|
| Min. Negotiated Rate |
$45.35 |
| Max. Negotiated Rate |
$280.42 |
| Rate for Payer: Aetna American Axle |
$131.81
|
| Rate for Payer: Aetna Commercial |
$172.37
|
| Rate for Payer: Aetna Medicare |
$90.18
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$131.81
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$108.39
|
| Rate for Payer: Amish Plain Church Group Commercial |
$108.39
|
| Rate for Payer: BCBS Complete |
$47.62
|
| Rate for Payer: BCBS MAPPO |
$86.71
|
| Rate for Payer: BCBS Trust/PPO |
$72.24
|
| Rate for Payer: BCN Commercial |
$72.24
|
| Rate for Payer: BCN Medicare Advantage |
$86.71
|
| Rate for Payer: Cash Price |
$162.23
|
| Rate for Payer: Cash Price |
$162.23
|
| Rate for Payer: Cofinity Advantage |
$141.95
|
| Rate for Payer: Cofinity Commercial |
$174.40
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$162.23
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$86.71
|
| Rate for Payer: Healthscope Commercial |
$182.51
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$141.95
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$152.09
|
| Rate for Payer: Mclaren Medicaid |
$86.71
|
| Rate for Payer: Mclaren Medicare |
$86.71
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$91.05
|
| Rate for Payer: Meridian Medicaid |
$91.05
|
| Rate for Payer: MI Amish Medical Board Commercial |
$99.72
|
| Rate for Payer: Molina Medicare/Medicaid |
$95.38
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$172.37
|
| Rate for Payer: Nomi Health Commercial |
$260.13
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$152.09
|
| Rate for Payer: PACE Medicare |
$82.37
|
| Rate for Payer: PACE SWMI |
$86.71
|
| Rate for Payer: PHP Commercial |
$172.37
|
| Rate for Payer: PHP Medicare Advantage |
$86.71
|
| Rate for Payer: Priority Health Choice Medicaid |
$45.35
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$280.42
|
| Rate for Payer: Priority Health Medicare |
$86.71
|
| Rate for Payer: Priority Health SBD |
$127.76
|
| Rate for Payer: Priority Health Tiered Network |
$224.34
|
| Rate for Payer: Railroad Medicare Medicare |
$86.71
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$131.81
|
| Rate for Payer: UHC Core |
$105.65
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$86.71
|
| Rate for Payer: UHC Exchange |
$79.70
|
| Rate for Payer: UHC Medicaid |
$45.35
|
| Rate for Payer: UHCCP Medicaid |
$45.35
|
| Rate for Payer: UMR Bronson Commercial |
$75.03
|
| Rate for Payer: VA VA |
$86.71
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$152.09
|
|
|
HC NASAL ENDOSCOPY DX
|
Facility
|
OP
|
$261.02
|
|
|
Service Code
|
CPT 31231
|
| Hospital Charge Code |
76100183
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$96.58 |
| Max. Negotiated Rate |
$643.18 |
| Rate for Payer: Aetna American Axle |
$169.66
|
| Rate for Payer: Aetna Commercial |
$221.87
|
| Rate for Payer: Aetna Medicare |
$206.85
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$169.66
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$248.61
|
| Rate for Payer: Amish Plain Church Group Commercial |
$248.61
|
| Rate for Payer: BCBS Complete |
$109.23
|
| Rate for Payer: BCBS MAPPO |
$198.89
|
| Rate for Payer: BCBS Trust/PPO |
$120.51
|
| Rate for Payer: BCN Commercial |
$120.51
|
| Rate for Payer: BCN Medicare Advantage |
$198.89
|
| Rate for Payer: Cash Price |
$208.82
|
| Rate for Payer: Cash Price |
$208.82
|
| Rate for Payer: Cash Price |
$208.82
|
| Rate for Payer: Cofinity Advantage |
$182.71
|
| Rate for Payer: Cofinity Commercial |
$224.48
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$208.82
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$198.89
|
| Rate for Payer: Healthscope Commercial |
$234.92
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$182.71
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$195.76
|
| Rate for Payer: Mclaren Medicaid |
$198.89
|
| Rate for Payer: Mclaren Medicare |
$198.89
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$208.83
|
| Rate for Payer: Meridian Medicaid |
$208.83
|
| Rate for Payer: MI Amish Medical Board Commercial |
$228.72
|
| Rate for Payer: Molina Medicare/Medicaid |
$218.78
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$221.87
|
| Rate for Payer: Nomi Health Commercial |
$596.67
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$195.76
|
| Rate for Payer: PACE Medicare |
$188.95
|
| Rate for Payer: PACE SWMI |
$198.89
|
| Rate for Payer: PHP Commercial |
$221.87
|
| Rate for Payer: PHP Medicare Advantage |
$198.89
|
| Rate for Payer: Priority Health Choice Medicaid |
$104.02
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$643.18
|
| Rate for Payer: Priority Health Medicare |
$198.89
|
| Rate for Payer: Priority Health SBD |
$164.44
|
| Rate for Payer: Priority Health Tiered Network |
$514.54
|
| Rate for Payer: Railroad Medicare Medicare |
$198.89
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$169.66
|
| Rate for Payer: UHC Core |
$135.99
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$198.89
|
| Rate for Payer: UHC Exchange |
$102.58
|
| Rate for Payer: UHC Medicaid |
$104.02
|
| Rate for Payer: UHCCP Medicaid |
$104.02
|
| Rate for Payer: UMR Bronson Commercial |
$96.58
|
| Rate for Payer: VA VA |
$198.89
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$195.76
|
|
|
HC NASAL ENDOSCOPY DX
|
Facility
|
IP
|
$261.02
|
|
|
Service Code
|
CPT 31231
|
| Hospital Charge Code |
76100183
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$114.85 |
| Max. Negotiated Rate |
$234.92 |
| Rate for Payer: Aetna American Axle |
$169.66
|
| Rate for Payer: Aetna Commercial |
$221.87
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$169.66
|
| Rate for Payer: Cash Price |
$208.82
|
| Rate for Payer: Cofinity Advantage |
$182.71
|
| Rate for Payer: Cofinity Commercial |
$224.48
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$208.82
|
| Rate for Payer: Healthscope Commercial |
$234.92
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$182.71
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$195.76
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$221.87
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$195.76
|
| Rate for Payer: PHP Commercial |
$221.87
|
| Rate for Payer: Priority Health SBD |
$164.44
|
| Rate for Payer: UMR Bronson Commercial |
$114.85
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$195.76
|
|
|
HC NASAL/SINUS ENDSC SURG W/BX POLYPEC/DBRD SPX
|
Facility
|
IP
|
$4,525.74
|
|
|
Service Code
|
CPT 31237
|
| Hospital Charge Code |
76100454
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$1,991.33 |
| Max. Negotiated Rate |
$4,073.17 |
| Rate for Payer: Aetna American Axle |
$2,941.73
|
| Rate for Payer: Aetna Commercial |
$3,846.88
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,941.73
|
| Rate for Payer: Cash Price |
$3,620.59
|
| Rate for Payer: Cofinity Advantage |
$3,168.02
|
| Rate for Payer: Cofinity Commercial |
$3,892.14
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,620.59
|
| Rate for Payer: Healthscope Commercial |
$4,073.17
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$3,168.02
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$3,394.30
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,846.88
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$3,394.30
|
| Rate for Payer: PHP Commercial |
$3,846.88
|
| Rate for Payer: Priority Health SBD |
$2,851.22
|
| Rate for Payer: UMR Bronson Commercial |
$1,991.33
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$3,394.30
|
|
|
HC NASAL/SINUS ENDSC SURG W/BX POLYPEC/DBRD SPX
|
Facility
|
OP
|
$4,525.74
|
|
|
Service Code
|
CPT 31237
|
| Hospital Charge Code |
76100454
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$927.54 |
| Max. Negotiated Rate |
$5,735.32 |
| Rate for Payer: Aetna American Axle |
$2,941.73
|
| Rate for Payer: Aetna Commercial |
$3,846.88
|
| Rate for Payer: Aetna Medicare |
$1,844.44
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,941.73
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$2,216.88
|
| Rate for Payer: Amish Plain Church Group Commercial |
$2,216.88
|
| Rate for Payer: BCBS Complete |
$974.01
|
| Rate for Payer: BCBS MAPPO |
$1,773.50
|
| Rate for Payer: BCBS Trust/PPO |
$1,646.01
|
| Rate for Payer: BCN Commercial |
$1,646.01
|
| Rate for Payer: BCN Medicare Advantage |
$1,773.50
|
| Rate for Payer: Cash Price |
$3,620.59
|
| Rate for Payer: Cash Price |
$3,620.59
|
| Rate for Payer: Cash Price |
$3,620.59
|
| Rate for Payer: Cofinity Advantage |
$3,168.02
|
| Rate for Payer: Cofinity Commercial |
$3,892.14
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,620.59
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,773.50
|
| Rate for Payer: Healthscope Commercial |
$4,073.17
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$3,168.02
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$3,394.30
|
| Rate for Payer: Mclaren Medicaid |
$1,773.50
|
| Rate for Payer: Mclaren Medicare |
$1,773.50
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,862.17
|
| Rate for Payer: Meridian Medicaid |
$1,862.17
|
| Rate for Payer: MI Amish Medical Board Commercial |
$2,039.53
|
| Rate for Payer: Molina Medicare/Medicaid |
$1,950.85
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,846.88
|
| Rate for Payer: Nomi Health Commercial |
$5,320.50
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$3,394.30
|
| Rate for Payer: PACE Medicare |
$1,684.83
|
| Rate for Payer: PACE SWMI |
$1,773.50
|
| Rate for Payer: PHP Commercial |
$3,846.88
|
| Rate for Payer: PHP Medicare Advantage |
$1,773.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$927.54
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$5,735.32
|
| Rate for Payer: Priority Health Medicare |
$1,773.50
|
| Rate for Payer: Priority Health SBD |
$2,851.22
|
| Rate for Payer: Priority Health Tiered Network |
$4,588.26
|
| Rate for Payer: Railroad Medicare Medicare |
$1,773.50
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,941.73
|
| Rate for Payer: UHC Core |
$2,357.91
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$1,773.50
|
| Rate for Payer: UHC Exchange |
$1,778.62
|
| Rate for Payer: UHC Medicaid |
$927.54
|
| Rate for Payer: UHCCP Medicaid |
$927.54
|
| Rate for Payer: UMR Bronson Commercial |
$1,674.52
|
| Rate for Payer: VA VA |
$1,773.50
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$3,394.30
|
|
|
HC NASAL/SINUS ENDSC SURG W/CONTROL NASAL HEMRR
|
Facility
|
OP
|
$4,078.98
|
|
|
Service Code
|
CPT 31238
|
| Hospital Charge Code |
76100533
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$927.54 |
| Max. Negotiated Rate |
$5,735.32 |
| Rate for Payer: Aetna American Axle |
$2,651.34
|
| Rate for Payer: Aetna Commercial |
$3,467.13
|
| Rate for Payer: Aetna Medicare |
$1,844.44
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,651.34
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$2,216.88
|
| Rate for Payer: Amish Plain Church Group Commercial |
$2,216.88
|
| Rate for Payer: BCBS Complete |
$974.01
|
| Rate for Payer: BCBS MAPPO |
$1,773.50
|
| Rate for Payer: BCBS Trust/PPO |
$2,453.25
|
| Rate for Payer: BCN Commercial |
$2,453.25
|
| Rate for Payer: BCN Medicare Advantage |
$1,773.50
|
| Rate for Payer: Cash Price |
$3,263.18
|
| Rate for Payer: Cash Price |
$3,263.18
|
| Rate for Payer: Cash Price |
$3,263.18
|
| Rate for Payer: Cofinity Advantage |
$2,855.29
|
| Rate for Payer: Cofinity Commercial |
$3,507.92
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,263.18
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,773.50
|
| Rate for Payer: Healthscope Commercial |
$3,671.08
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$2,855.29
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$3,059.24
|
| Rate for Payer: Mclaren Medicaid |
$1,773.50
|
| Rate for Payer: Mclaren Medicare |
$1,773.50
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,862.17
|
| Rate for Payer: Meridian Medicaid |
$1,862.17
|
| Rate for Payer: MI Amish Medical Board Commercial |
$2,039.53
|
| Rate for Payer: Molina Medicare/Medicaid |
$1,950.85
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,467.13
|
| Rate for Payer: Nomi Health Commercial |
$5,320.50
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$3,059.24
|
| Rate for Payer: PACE Medicare |
$1,684.83
|
| Rate for Payer: PACE SWMI |
$1,773.50
|
| Rate for Payer: PHP Commercial |
$3,467.13
|
| Rate for Payer: PHP Medicare Advantage |
$1,773.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$927.54
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$5,735.32
|
| Rate for Payer: Priority Health Medicare |
$1,773.50
|
| Rate for Payer: Priority Health SBD |
$2,569.76
|
| Rate for Payer: Priority Health Tiered Network |
$4,588.26
|
| Rate for Payer: Railroad Medicare Medicare |
$1,773.50
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,651.34
|
| Rate for Payer: UHC Core |
$2,125.15
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$1,773.50
|
| Rate for Payer: UHC Exchange |
$1,603.04
|
| Rate for Payer: UHC Medicaid |
$927.54
|
| Rate for Payer: UHCCP Medicaid |
$927.54
|
| Rate for Payer: UMR Bronson Commercial |
$1,509.22
|
| Rate for Payer: VA VA |
$1,773.50
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$3,059.24
|
|
|
HC NASAL/SINUS ENDSC SURG W/CONTROL NASAL HEMRR
|
Facility
|
IP
|
$4,078.98
|
|
|
Service Code
|
CPT 31238
|
| Hospital Charge Code |
76100533
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$1,794.75 |
| Max. Negotiated Rate |
$3,671.08 |
| Rate for Payer: Aetna American Axle |
$2,651.34
|
| Rate for Payer: Aetna Commercial |
$3,467.13
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,651.34
|
| Rate for Payer: Cash Price |
$3,263.18
|
| Rate for Payer: Cofinity Advantage |
$2,855.29
|
| Rate for Payer: Cofinity Commercial |
$3,507.92
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,263.18
|
| Rate for Payer: Healthscope Commercial |
$3,671.08
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$2,855.29
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$3,059.24
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,467.13
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$3,059.24
|
| Rate for Payer: PHP Commercial |
$3,467.13
|
| Rate for Payer: Priority Health SBD |
$2,569.76
|
| Rate for Payer: UMR Bronson Commercial |
$1,794.75
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$3,059.24
|
|
|
HC NASOPHARYNGOSCOPY
|
Facility
|
OP
|
$261.02
|
|
|
Service Code
|
CPT 92511
|
| Hospital Charge Code |
76100177
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$96.58 |
| Max. Negotiated Rate |
$643.18 |
| Rate for Payer: Aetna American Axle |
$169.66
|
| Rate for Payer: Aetna Commercial |
$221.87
|
| Rate for Payer: Aetna Medicare |
$206.85
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$169.66
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$248.61
|
| Rate for Payer: Amish Plain Church Group Commercial |
$248.61
|
| Rate for Payer: BCBS Complete |
$109.23
|
| Rate for Payer: BCBS MAPPO |
$198.89
|
| Rate for Payer: BCBS Trust/PPO |
$159.92
|
| Rate for Payer: BCN Commercial |
$159.92
|
| Rate for Payer: BCN Medicare Advantage |
$198.89
|
| Rate for Payer: Cash Price |
$208.82
|
| Rate for Payer: Cash Price |
$208.82
|
| Rate for Payer: Cash Price |
$208.82
|
| Rate for Payer: Cofinity Advantage |
$182.71
|
| Rate for Payer: Cofinity Commercial |
$224.48
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$208.82
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$198.89
|
| Rate for Payer: Healthscope Commercial |
$234.92
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$182.71
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$195.76
|
| Rate for Payer: Mclaren Medicaid |
$198.89
|
| Rate for Payer: Mclaren Medicare |
$198.89
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$208.83
|
| Rate for Payer: Meridian Medicaid |
$208.83
|
| Rate for Payer: MI Amish Medical Board Commercial |
$228.72
|
| Rate for Payer: Molina Medicare/Medicaid |
$218.78
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$221.87
|
| Rate for Payer: Nomi Health Commercial |
$596.67
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$195.76
|
| Rate for Payer: PACE Medicare |
$188.95
|
| Rate for Payer: PACE SWMI |
$198.89
|
| Rate for Payer: PHP Commercial |
$221.87
|
| Rate for Payer: PHP Medicare Advantage |
$198.89
|
| Rate for Payer: Priority Health Choice Medicaid |
$104.02
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$643.18
|
| Rate for Payer: Priority Health Medicare |
$198.89
|
| Rate for Payer: Priority Health SBD |
$164.44
|
| Rate for Payer: Priority Health Tiered Network |
$514.54
|
| Rate for Payer: Railroad Medicare Medicare |
$198.89
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$169.66
|
| Rate for Payer: UHC Core |
$135.99
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$198.89
|
| Rate for Payer: UHC Exchange |
$102.58
|
| Rate for Payer: UHC Medicaid |
$104.02
|
| Rate for Payer: UHCCP Medicaid |
$104.02
|
| Rate for Payer: UMR Bronson Commercial |
$96.58
|
| Rate for Payer: VA VA |
$198.89
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$195.76
|
|
|
HC NASOPHARYNGOSCOPY
|
Facility
|
IP
|
$261.02
|
|
|
Service Code
|
CPT 92511
|
| Hospital Charge Code |
76100177
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$114.85 |
| Max. Negotiated Rate |
$234.92 |
| Rate for Payer: Aetna American Axle |
$169.66
|
| Rate for Payer: Aetna Commercial |
$221.87
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$169.66
|
| Rate for Payer: Cash Price |
$208.82
|
| Rate for Payer: Cofinity Advantage |
$182.71
|
| Rate for Payer: Cofinity Commercial |
$224.48
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$208.82
|
| Rate for Payer: Healthscope Commercial |
$234.92
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$182.71
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$195.76
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$221.87
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$195.76
|
| Rate for Payer: PHP Commercial |
$221.87
|
| Rate for Payer: Priority Health SBD |
$164.44
|
| Rate for Payer: UMR Bronson Commercial |
$114.85
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$195.76
|
|
|
HC NASOPHARYNGOSCOPY DILAT EUSTACHIAN TUBE BI
|
Facility
|
IP
|
$16,728.00
|
|
|
Service Code
|
CPT 69706
|
| Hospital Charge Code |
76100518
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$7,360.32 |
| Max. Negotiated Rate |
$15,055.20 |
| Rate for Payer: Aetna American Axle |
$10,873.20
|
| Rate for Payer: Aetna Commercial |
$14,218.80
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$10,873.20
|
| Rate for Payer: Cash Price |
$13,382.40
|
| Rate for Payer: Cofinity Advantage |
$11,709.60
|
| Rate for Payer: Cofinity Commercial |
$14,386.08
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$13,382.40
|
| Rate for Payer: Healthscope Commercial |
$15,055.20
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$11,709.60
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$12,546.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$14,218.80
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$12,546.00
|
| Rate for Payer: PHP Commercial |
$14,218.80
|
| Rate for Payer: Priority Health SBD |
$10,538.64
|
| Rate for Payer: UMR Bronson Commercial |
$7,360.32
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$12,546.00
|
|
|
HC NASOPHARYNGOSCOPY DILAT EUSTACHIAN TUBE BI
|
Facility
|
OP
|
$16,728.00
|
|
|
Service Code
|
CPT 69706
|
| Hospital Charge Code |
76100518
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$3,084.94 |
| Max. Negotiated Rate |
$19,075.37 |
| Rate for Payer: Aetna American Axle |
$10,873.20
|
| Rate for Payer: Aetna Commercial |
$14,218.80
|
| Rate for Payer: Aetna Medicare |
$6,134.48
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$10,873.20
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$7,373.18
|
| Rate for Payer: Amish Plain Church Group Commercial |
$7,373.18
|
| Rate for Payer: BCBS Complete |
$3,239.48
|
| Rate for Payer: BCBS MAPPO |
$5,898.54
|
| Rate for Payer: BCBS Trust/PPO |
$5,385.62
|
| Rate for Payer: BCN Commercial |
$5,385.62
|
| Rate for Payer: BCN Medicare Advantage |
$5,898.54
|
| Rate for Payer: Cash Price |
$13,382.40
|
| Rate for Payer: Cash Price |
$13,382.40
|
| Rate for Payer: Cash Price |
$13,382.40
|
| Rate for Payer: Cofinity Advantage |
$11,709.60
|
| Rate for Payer: Cofinity Commercial |
$14,386.08
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$13,382.40
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$5,898.54
|
| Rate for Payer: Healthscope Commercial |
$15,055.20
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$11,709.60
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$12,546.00
|
| Rate for Payer: Mclaren Medicaid |
$5,898.54
|
| Rate for Payer: Mclaren Medicare |
$5,898.54
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$6,193.47
|
| Rate for Payer: Meridian Medicaid |
$6,193.47
|
| Rate for Payer: MI Amish Medical Board Commercial |
$6,783.32
|
| Rate for Payer: Molina Medicare/Medicaid |
$6,488.39
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$14,218.80
|
| Rate for Payer: Nomi Health Commercial |
$17,695.62
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$12,546.00
|
| Rate for Payer: PACE Medicare |
$5,603.61
|
| Rate for Payer: PACE SWMI |
$5,898.54
|
| Rate for Payer: PHP Commercial |
$14,218.80
|
| Rate for Payer: PHP Medicare Advantage |
$5,898.54
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,084.94
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$19,075.37
|
| Rate for Payer: Priority Health Medicare |
$5,898.54
|
| Rate for Payer: Priority Health SBD |
$10,538.64
|
| Rate for Payer: Priority Health Tiered Network |
$15,260.30
|
| Rate for Payer: Railroad Medicare Medicare |
$5,898.54
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$10,873.20
|
| Rate for Payer: UHC Core |
$8,715.29
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$5,898.54
|
| Rate for Payer: UHC Exchange |
$6,574.10
|
| Rate for Payer: UHC Medicaid |
$3,084.94
|
| Rate for Payer: UHCCP Medicaid |
$3,084.94
|
| Rate for Payer: UMR Bronson Commercial |
$6,189.36
|
| Rate for Payer: VA VA |
$5,898.54
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$12,546.00
|
|
|
HC NASOPHARYNGOSCOPY DILAT EUSTACHIAN TUBE UNI
|
Facility
|
IP
|
$16,728.00
|
|
|
Service Code
|
CPT 69705
|
| Hospital Charge Code |
76100519
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$7,360.32 |
| Max. Negotiated Rate |
$15,055.20 |
| Rate for Payer: Aetna American Axle |
$10,873.20
|
| Rate for Payer: Aetna Commercial |
$14,218.80
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$10,873.20
|
| Rate for Payer: Cash Price |
$13,382.40
|
| Rate for Payer: Cofinity Advantage |
$11,709.60
|
| Rate for Payer: Cofinity Commercial |
$14,386.08
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$13,382.40
|
| Rate for Payer: Healthscope Commercial |
$15,055.20
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$11,709.60
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$12,546.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$14,218.80
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$12,546.00
|
| Rate for Payer: PHP Commercial |
$14,218.80
|
| Rate for Payer: Priority Health SBD |
$10,538.64
|
| Rate for Payer: UMR Bronson Commercial |
$7,360.32
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$12,546.00
|
|
