|
HC WOUND REPAIR INTERMEDIATE
|
Facility
|
OP
|
$708.47
|
|
| Hospital Charge Code |
45000075
|
|
Hospital Revenue Code
|
450
|
| Min. Negotiated Rate |
$262.13 |
| Max. Negotiated Rate |
$637.62 |
| Rate for Payer: Aetna American Axle |
$460.51
|
| Rate for Payer: Aetna Commercial |
$602.20
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$460.51
|
| Rate for Payer: BCBS Complete |
$283.39
|
| Rate for Payer: Cash Price |
$566.78
|
| Rate for Payer: Cofinity Commercial |
$495.93
|
| Rate for Payer: Cofinity Commercial |
$609.28
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$566.78
|
| Rate for Payer: Healthscope Commercial |
$637.62
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$495.93
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$531.35
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$602.20
|
| Rate for Payer: PHP Commercial |
$602.20
|
| Rate for Payer: Priority Health Cigna Priority Health |
$495.93
|
| Rate for Payer: Priority Health SBD |
$446.34
|
| Rate for Payer: UMR Bronson Commercial |
$262.13
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$531.35
|
|
|
HC WOUND REPAIR INTERMEDIATE
|
Facility
|
IP
|
$708.47
|
|
| Hospital Charge Code |
45000075
|
|
Hospital Revenue Code
|
450
|
| Min. Negotiated Rate |
$311.73 |
| Max. Negotiated Rate |
$637.62 |
| Rate for Payer: Aetna American Axle |
$460.51
|
| Rate for Payer: Aetna Commercial |
$602.20
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$460.51
|
| Rate for Payer: Cash Price |
$566.78
|
| Rate for Payer: Cofinity Commercial |
$495.93
|
| Rate for Payer: Cofinity Commercial |
$609.28
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$566.78
|
| Rate for Payer: Healthscope Commercial |
$637.62
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$495.93
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$531.35
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$602.20
|
| Rate for Payer: PHP Commercial |
$602.20
|
| Rate for Payer: Priority Health Cigna Priority Health |
$495.93
|
| Rate for Payer: Priority Health SBD |
$446.34
|
| Rate for Payer: UMR Bronson Commercial |
$311.73
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$531.35
|
|
|
HC WOUND REPAIR SIMPLE 12.6 CM OR GREATER
|
Facility
|
IP
|
$525.44
|
|
| Hospital Charge Code |
45000074
|
|
Hospital Revenue Code
|
450
|
| Min. Negotiated Rate |
$231.19 |
| Max. Negotiated Rate |
$472.90 |
| Rate for Payer: Aetna American Axle |
$341.54
|
| Rate for Payer: Aetna Commercial |
$446.62
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$341.54
|
| Rate for Payer: Cash Price |
$420.35
|
| Rate for Payer: Cofinity Commercial |
$367.81
|
| Rate for Payer: Cofinity Commercial |
$451.88
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$420.35
|
| Rate for Payer: Healthscope Commercial |
$472.90
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$367.81
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$394.08
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$446.62
|
| Rate for Payer: PHP Commercial |
$446.62
|
| Rate for Payer: Priority Health Cigna Priority Health |
$367.81
|
| Rate for Payer: Priority Health SBD |
$331.03
|
| Rate for Payer: UMR Bronson Commercial |
$231.19
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$394.08
|
|
|
HC WOUND REPAIR SIMPLE 12.6 CM OR GREATER
|
Facility
|
OP
|
$525.44
|
|
| Hospital Charge Code |
45000074
|
|
Hospital Revenue Code
|
450
|
| Min. Negotiated Rate |
$194.41 |
| Max. Negotiated Rate |
$472.90 |
| Rate for Payer: Aetna American Axle |
$341.54
|
| Rate for Payer: Aetna Commercial |
$446.62
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$341.54
|
| Rate for Payer: BCBS Complete |
$210.18
|
| Rate for Payer: Cash Price |
$420.35
|
| Rate for Payer: Cofinity Commercial |
$367.81
|
| Rate for Payer: Cofinity Commercial |
$451.88
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$420.35
|
| Rate for Payer: Healthscope Commercial |
$472.90
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$367.81
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$394.08
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$446.62
|
| Rate for Payer: PHP Commercial |
$446.62
|
| Rate for Payer: Priority Health Cigna Priority Health |
$367.81
|
| Rate for Payer: Priority Health SBD |
$331.03
|
| Rate for Payer: UMR Bronson Commercial |
$194.41
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$394.08
|
|
|
HC WOUND REPAIR SIMPLE UP TO 12.5 CM
|
Facility
|
OP
|
$413.27
|
|
| Hospital Charge Code |
45000073
|
|
Hospital Revenue Code
|
450
|
| Min. Negotiated Rate |
$152.91 |
| Max. Negotiated Rate |
$371.94 |
| Rate for Payer: Aetna American Axle |
$268.63
|
| Rate for Payer: Aetna Commercial |
$351.28
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$268.63
|
| Rate for Payer: BCBS Complete |
$165.31
|
| Rate for Payer: Cash Price |
$330.62
|
| Rate for Payer: Cofinity Commercial |
$289.29
|
| Rate for Payer: Cofinity Commercial |
$355.41
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$330.62
|
| Rate for Payer: Healthscope Commercial |
$371.94
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$289.29
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$309.95
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$351.28
|
| Rate for Payer: PHP Commercial |
$351.28
|
| Rate for Payer: Priority Health Cigna Priority Health |
$289.29
|
| Rate for Payer: Priority Health SBD |
$260.36
|
| Rate for Payer: UMR Bronson Commercial |
$152.91
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$309.95
|
|
|
HC WOUND REPAIR SIMPLE UP TO 12.5 CM
|
Facility
|
IP
|
$413.27
|
|
| Hospital Charge Code |
45000073
|
|
Hospital Revenue Code
|
450
|
| Min. Negotiated Rate |
$181.84 |
| Max. Negotiated Rate |
$371.94 |
| Rate for Payer: Aetna American Axle |
$268.63
|
| Rate for Payer: Aetna Commercial |
$351.28
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$268.63
|
| Rate for Payer: Cash Price |
$330.62
|
| Rate for Payer: Cofinity Commercial |
$289.29
|
| Rate for Payer: Cofinity Commercial |
$355.41
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$330.62
|
| Rate for Payer: Healthscope Commercial |
$371.94
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$289.29
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$309.95
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$351.28
|
| Rate for Payer: PHP Commercial |
$351.28
|
| Rate for Payer: Priority Health Cigna Priority Health |
$289.29
|
| Rate for Payer: Priority Health SBD |
$260.36
|
| Rate for Payer: UMR Bronson Commercial |
$181.84
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$309.95
|
|
|
HC WRIST-HAND ORTHOSIS
|
Facility
|
OP
|
$119.67
|
|
|
Service Code
|
HCPCS L3908
|
| Hospital Charge Code |
27400016
|
|
Hospital Revenue Code
|
274
|
| Min. Negotiated Rate |
$44.28 |
| Max. Negotiated Rate |
$242.70 |
| Rate for Payer: Aetna American Axle |
$77.79
|
| Rate for Payer: Aetna Commercial |
$101.72
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$77.79
|
| Rate for Payer: BCBS Complete |
$47.87
|
| Rate for Payer: BCBS Trust/PPO |
$242.70
|
| Rate for Payer: Cash Price |
$95.74
|
| Rate for Payer: Cash Price |
$95.74
|
| Rate for Payer: Cofinity Commercial |
$102.92
|
| Rate for Payer: Cofinity Commercial |
$83.77
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$95.74
|
| Rate for Payer: Healthscope Commercial |
$107.70
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$83.77
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$89.75
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$101.72
|
| Rate for Payer: PHP Commercial |
$101.72
|
| Rate for Payer: Priority Health Cigna Priority Health |
$83.77
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$78.51
|
| Rate for Payer: Priority Health Narrow Network |
$62.81
|
| Rate for Payer: Priority Health SBD |
$75.39
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$103.20
|
| Rate for Payer: UHC Exchange |
$86.00
|
| Rate for Payer: UMR Bronson Commercial |
$44.28
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$89.75
|
|
|
HC WRIST-HAND ORTHOSIS
|
Facility
|
IP
|
$119.67
|
|
|
Service Code
|
HCPCS L3908
|
| Hospital Charge Code |
27400016
|
|
Hospital Revenue Code
|
274
|
| Min. Negotiated Rate |
$52.65 |
| Max. Negotiated Rate |
$107.70 |
| Rate for Payer: Aetna American Axle |
$77.79
|
| Rate for Payer: Aetna Commercial |
$101.72
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$77.79
|
| Rate for Payer: Cash Price |
$95.74
|
| Rate for Payer: Cofinity Commercial |
$102.92
|
| Rate for Payer: Cofinity Commercial |
$83.77
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$95.74
|
| Rate for Payer: Healthscope Commercial |
$107.70
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$83.77
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$89.75
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$101.72
|
| Rate for Payer: PHP Commercial |
$101.72
|
| Rate for Payer: Priority Health Cigna Priority Health |
$83.77
|
| Rate for Payer: Priority Health SBD |
$75.39
|
| Rate for Payer: UMR Bronson Commercial |
$52.65
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$89.75
|
|
|
HC XENON 133 PER 10 MCI
|
Facility
|
IP
|
$245.38
|
|
|
Service Code
|
HCPCS A9558
|
| Hospital Charge Code |
34300024
|
|
Hospital Revenue Code
|
343
|
| Min. Negotiated Rate |
$107.97 |
| Max. Negotiated Rate |
$220.84 |
| Rate for Payer: Aetna American Axle |
$159.50
|
| Rate for Payer: Aetna Commercial |
$208.57
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$159.50
|
| Rate for Payer: Cash Price |
$196.30
|
| Rate for Payer: Cofinity Commercial |
$171.77
|
| Rate for Payer: Cofinity Commercial |
$211.03
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$196.30
|
| Rate for Payer: Healthscope Commercial |
$220.84
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$171.77
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$184.04
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$208.57
|
| Rate for Payer: PHP Commercial |
$208.57
|
| Rate for Payer: Priority Health Cigna Priority Health |
$171.77
|
| Rate for Payer: Priority Health SBD |
$154.59
|
| Rate for Payer: UMR Bronson Commercial |
$107.97
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$184.04
|
|
|
HC XENON 133 PER 10 MCI
|
Facility
|
OP
|
$245.38
|
|
|
Service Code
|
HCPCS A9558
|
| Hospital Charge Code |
34300024
|
|
Hospital Revenue Code
|
343
|
| Min. Negotiated Rate |
$46.72 |
| Max. Negotiated Rate |
$220.84 |
| Rate for Payer: Aetna American Axle |
$159.50
|
| Rate for Payer: Aetna Commercial |
$208.57
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$159.50
|
| Rate for Payer: BCBS Complete |
$98.15
|
| Rate for Payer: BCBS Trust/PPO |
$46.72
|
| Rate for Payer: Cash Price |
$196.30
|
| Rate for Payer: Cash Price |
$196.30
|
| Rate for Payer: Cofinity Commercial |
$211.03
|
| Rate for Payer: Cofinity Commercial |
$171.77
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$196.30
|
| Rate for Payer: Healthscope Commercial |
$220.84
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$171.77
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$184.04
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$208.57
|
| Rate for Payer: PHP Commercial |
$208.57
|
| Rate for Payer: Priority Health Cigna Priority Health |
$171.77
|
| Rate for Payer: Priority Health SBD |
$154.59
|
| Rate for Payer: UMR Bronson Commercial |
$90.79
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$184.04
|
|
|
HC XEOMIN PER 1 UNIT (INCOBOTULINUMTOXINA)
|
Facility
|
IP
|
$6.80
|
|
|
Service Code
|
HCPCS J0588
|
| Hospital Charge Code |
63600149
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$2.99 |
| Max. Negotiated Rate |
$6.12 |
| Rate for Payer: Aetna American Axle |
$4.42
|
| Rate for Payer: Aetna Commercial |
$5.78
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$4.42
|
| Rate for Payer: Cash Price |
$5.44
|
| Rate for Payer: Cofinity Commercial |
$4.76
|
| Rate for Payer: Cofinity Commercial |
$5.85
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$5.44
|
| Rate for Payer: Healthscope Commercial |
$6.12
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$4.76
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$5.10
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$5.78
|
| Rate for Payer: PHP Commercial |
$5.78
|
| Rate for Payer: Priority Health Cigna Priority Health |
$4.76
|
| Rate for Payer: Priority Health SBD |
$4.28
|
| Rate for Payer: UMR Bronson Commercial |
$2.99
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$5.10
|
|
|
HC XEOMIN PER 1 UNIT (INCOBOTULINUMTOXINA)
|
Facility
|
OP
|
$6.80
|
|
|
Service Code
|
HCPCS J0588
|
| Hospital Charge Code |
63600149
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$2.52 |
| Max. Negotiated Rate |
$16.75 |
| Rate for Payer: Aetna American Axle |
$4.42
|
| Rate for Payer: Aetna Commercial |
$5.78
|
| Rate for Payer: Aetna Medicare |
$5.39
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$4.42
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$6.48
|
| Rate for Payer: Amish Plain Church Group Commercial |
$6.48
|
| Rate for Payer: BCBS Complete |
$2.98
|
| Rate for Payer: BCBS MAPPO |
$5.19
|
| Rate for Payer: BCBS Trust/PPO |
$16.75
|
| Rate for Payer: BCN Medicare Advantage |
$5.19
|
| Rate for Payer: Cash Price |
$5.44
|
| Rate for Payer: Cash Price |
$5.44
|
| Rate for Payer: Cofinity Commercial |
$5.85
|
| Rate for Payer: Cofinity Commercial |
$4.76
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$5.44
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$5.19
|
| Rate for Payer: Healthscope Commercial |
$6.12
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$4.76
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$5.10
|
| Rate for Payer: Mclaren Medicaid |
$2.84
|
| Rate for Payer: Mclaren Medicare |
$5.19
|
| Rate for Payer: Meridian Medicaid |
$2.98
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$5.45
|
| Rate for Payer: MI Amish Medical Board Commercial |
$5.96
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$5.78
|
| Rate for Payer: PACE Medicare |
$4.93
|
| Rate for Payer: PACE SWMI |
$5.19
|
| Rate for Payer: PHP Commercial |
$5.78
|
| Rate for Payer: PHP Medicare Advantage |
$5.19
|
| Rate for Payer: Priority Health Choice Medicaid |
$2.84
|
| Rate for Payer: Priority Health Cigna Priority Health |
$4.76
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$15.24
|
| Rate for Payer: Priority Health Medicare |
$5.19
|
| Rate for Payer: Priority Health Narrow Network |
$12.19
|
| Rate for Payer: Priority Health SBD |
$4.28
|
| Rate for Payer: Railroad Medicare Medicare |
$5.19
|
| Rate for Payer: UHC Dual Complete DSNP |
$5.19
|
| Rate for Payer: UHC Medicare Advantage |
$5.34
|
| Rate for Payer: UMR Bronson Commercial |
$2.52
|
| Rate for Payer: VA VA |
$5.19
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$5.10
|
|
|
HC XPRESS-WAY CATHETER
|
Facility
|
IP
|
$1,385.01
|
|
| Hospital Charge Code |
27200226
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$609.40 |
| Max. Negotiated Rate |
$1,246.51 |
| Rate for Payer: Aetna American Axle |
$900.26
|
| Rate for Payer: Aetna Commercial |
$1,177.26
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$900.26
|
| Rate for Payer: Cash Price |
$1,108.01
|
| Rate for Payer: Cofinity Commercial |
$1,191.11
|
| Rate for Payer: Cofinity Commercial |
$969.51
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,108.01
|
| Rate for Payer: Healthscope Commercial |
$1,246.51
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$969.51
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,038.76
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,177.26
|
| Rate for Payer: PHP Commercial |
$1,177.26
|
| Rate for Payer: Priority Health Cigna Priority Health |
$969.51
|
| Rate for Payer: Priority Health SBD |
$872.56
|
| Rate for Payer: UMR Bronson Commercial |
$609.40
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,038.76
|
|
|
HC XPRESS-WAY CATHETER
|
Facility
|
OP
|
$1,385.01
|
|
| Hospital Charge Code |
27200226
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$512.45 |
| Max. Negotiated Rate |
$1,246.51 |
| Rate for Payer: Aetna American Axle |
$900.26
|
| Rate for Payer: Aetna Commercial |
$1,177.26
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$900.26
|
| Rate for Payer: BCBS Complete |
$554.00
|
| Rate for Payer: Cash Price |
$1,108.01
|
| Rate for Payer: Cofinity Commercial |
$1,191.11
|
| Rate for Payer: Cofinity Commercial |
$969.51
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,108.01
|
| Rate for Payer: Healthscope Commercial |
$1,246.51
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$969.51
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,038.76
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,177.26
|
| Rate for Payer: PHP Commercial |
$1,177.26
|
| Rate for Payer: Priority Health Cigna Priority Health |
$969.51
|
| Rate for Payer: Priority Health SBD |
$872.56
|
| Rate for Payer: UMR Bronson Commercial |
$512.45
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,038.76
|
|
|
HC XR ABDOMEN 1 VIEW
|
Facility
|
OP
|
$299.88
|
|
|
Service Code
|
CPT 74018
|
| Hospital Charge Code |
32000325
|
|
Hospital Revenue Code
|
320
|
| Min. Negotiated Rate |
$29.80 |
| Max. Negotiated Rate |
$269.89 |
| Rate for Payer: Aetna American Axle |
$194.92
|
| Rate for Payer: Aetna Commercial |
$254.90
|
| Rate for Payer: Aetna Medicare |
$84.00
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$194.92
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$100.96
|
| Rate for Payer: Amish Plain Church Group Commercial |
$100.96
|
| Rate for Payer: BCBS Complete |
$46.39
|
| Rate for Payer: BCBS MAPPO |
$80.77
|
| Rate for Payer: BCBS Trust/PPO |
$40.54
|
| Rate for Payer: BCN Medicare Advantage |
$80.77
|
| Rate for Payer: Cash Price |
$239.90
|
| Rate for Payer: Cash Price |
$239.90
|
| Rate for Payer: Cofinity Commercial |
$257.90
|
| Rate for Payer: Cofinity Commercial |
$209.92
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$239.90
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$80.77
|
| Rate for Payer: Healthscope Commercial |
$269.89
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$209.92
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$224.91
|
| Rate for Payer: Mclaren Medicaid |
$44.18
|
| Rate for Payer: Mclaren Medicare |
$80.77
|
| Rate for Payer: Meridian Medicaid |
$46.39
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$84.81
|
| Rate for Payer: MI Amish Medical Board Commercial |
$92.89
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$254.90
|
| Rate for Payer: PACE Medicare |
$76.73
|
| Rate for Payer: PACE SWMI |
$80.77
|
| Rate for Payer: PHP Commercial |
$254.90
|
| Rate for Payer: PHP Medicare Advantage |
$80.77
|
| Rate for Payer: Priority Health Choice Medicaid |
$44.18
|
| Rate for Payer: Priority Health Cigna Priority Health |
$209.92
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$254.27
|
| Rate for Payer: Priority Health Medicare |
$80.77
|
| Rate for Payer: Priority Health Narrow Network |
$203.42
|
| Rate for Payer: Priority Health SBD |
$188.92
|
| Rate for Payer: Railroad Medicare Medicare |
$80.77
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$32.78
|
| Rate for Payer: UHC Core |
$262.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$80.77
|
| Rate for Payer: UHC Exchange |
$29.80
|
| Rate for Payer: UHC Medicare Advantage |
$83.19
|
| Rate for Payer: UMR Bronson Commercial |
$110.96
|
| Rate for Payer: VA VA |
$80.77
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$224.91
|
|
|
HC XR ABDOMEN 1 VIEW
|
Facility
|
IP
|
$299.88
|
|
|
Service Code
|
CPT 74018
|
| Hospital Charge Code |
32000325
|
|
Hospital Revenue Code
|
320
|
| Min. Negotiated Rate |
$131.95 |
| Max. Negotiated Rate |
$269.89 |
| Rate for Payer: Aetna American Axle |
$194.92
|
| Rate for Payer: Aetna Commercial |
$254.90
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$194.92
|
| Rate for Payer: Cash Price |
$239.90
|
| Rate for Payer: Cofinity Commercial |
$209.92
|
| Rate for Payer: Cofinity Commercial |
$257.90
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$239.90
|
| Rate for Payer: Healthscope Commercial |
$269.89
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$209.92
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$224.91
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$254.90
|
| Rate for Payer: PHP Commercial |
$254.90
|
| Rate for Payer: Priority Health Cigna Priority Health |
$209.92
|
| Rate for Payer: Priority Health SBD |
$188.92
|
| Rate for Payer: UMR Bronson Commercial |
$131.95
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$224.91
|
|
|
HC XR ABDOMEN 2 VW
|
Facility
|
IP
|
$332.01
|
|
|
Service Code
|
CPT 74019
|
| Hospital Charge Code |
32000326
|
|
Hospital Revenue Code
|
320
|
| Min. Negotiated Rate |
$146.08 |
| Max. Negotiated Rate |
$298.81 |
| Rate for Payer: Aetna American Axle |
$215.81
|
| Rate for Payer: Aetna Commercial |
$282.21
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$215.81
|
| Rate for Payer: Cash Price |
$265.61
|
| Rate for Payer: Cofinity Commercial |
$232.41
|
| Rate for Payer: Cofinity Commercial |
$285.53
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$265.61
|
| Rate for Payer: Healthscope Commercial |
$298.81
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$232.41
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$249.01
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$282.21
|
| Rate for Payer: PHP Commercial |
$282.21
|
| Rate for Payer: Priority Health Cigna Priority Health |
$232.41
|
| Rate for Payer: Priority Health SBD |
$209.17
|
| Rate for Payer: UMR Bronson Commercial |
$146.08
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$249.01
|
|
|
HC XR ABDOMEN 2 VW
|
Facility
|
OP
|
$332.01
|
|
|
Service Code
|
CPT 74019
|
| Hospital Charge Code |
32000326
|
|
Hospital Revenue Code
|
320
|
| Min. Negotiated Rate |
$36.02 |
| Max. Negotiated Rate |
$307.65 |
| Rate for Payer: Aetna American Axle |
$215.81
|
| Rate for Payer: Aetna Commercial |
$282.21
|
| Rate for Payer: Aetna Medicare |
$101.63
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$215.81
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$122.15
|
| Rate for Payer: Amish Plain Church Group Commercial |
$122.15
|
| Rate for Payer: BCBS Complete |
$56.13
|
| Rate for Payer: BCBS MAPPO |
$97.72
|
| Rate for Payer: BCBS Trust/PPO |
$49.41
|
| Rate for Payer: BCN Medicare Advantage |
$97.72
|
| Rate for Payer: Cash Price |
$265.61
|
| Rate for Payer: Cash Price |
$265.61
|
| Rate for Payer: Cofinity Commercial |
$285.53
|
| Rate for Payer: Cofinity Commercial |
$232.41
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$265.61
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$97.72
|
| Rate for Payer: Healthscope Commercial |
$298.81
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$232.41
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$249.01
|
| Rate for Payer: Mclaren Medicaid |
$53.45
|
| Rate for Payer: Mclaren Medicare |
$97.72
|
| Rate for Payer: Meridian Medicaid |
$56.13
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$102.61
|
| Rate for Payer: MI Amish Medical Board Commercial |
$112.38
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$282.21
|
| Rate for Payer: PACE Medicare |
$92.83
|
| Rate for Payer: PACE SWMI |
$97.72
|
| Rate for Payer: PHP Commercial |
$282.21
|
| Rate for Payer: PHP Medicare Advantage |
$97.72
|
| Rate for Payer: Priority Health Choice Medicaid |
$53.45
|
| Rate for Payer: Priority Health Cigna Priority Health |
$232.41
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$307.65
|
| Rate for Payer: Priority Health Medicare |
$97.72
|
| Rate for Payer: Priority Health Narrow Network |
$246.12
|
| Rate for Payer: Priority Health SBD |
$209.17
|
| Rate for Payer: Railroad Medicare Medicare |
$97.72
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$39.62
|
| Rate for Payer: UHC Core |
$262.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$97.72
|
| Rate for Payer: UHC Exchange |
$36.02
|
| Rate for Payer: UHC Medicare Advantage |
$100.65
|
| Rate for Payer: UMR Bronson Commercial |
$122.84
|
| Rate for Payer: VA VA |
$97.72
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$249.01
|
|
|
HC XR ABDOMEN 3 OR MORE VIEWS
|
Facility
|
IP
|
$364.14
|
|
|
Service Code
|
CPT 74021
|
| Hospital Charge Code |
32000327
|
|
Hospital Revenue Code
|
320
|
| Min. Negotiated Rate |
$160.22 |
| Max. Negotiated Rate |
$327.73 |
| Rate for Payer: Aetna American Axle |
$236.69
|
| Rate for Payer: Aetna Commercial |
$309.52
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$236.69
|
| Rate for Payer: Cash Price |
$291.31
|
| Rate for Payer: Cofinity Commercial |
$254.90
|
| Rate for Payer: Cofinity Commercial |
$313.16
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$291.31
|
| Rate for Payer: Healthscope Commercial |
$327.73
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$254.90
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$273.10
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$309.52
|
| Rate for Payer: PHP Commercial |
$309.52
|
| Rate for Payer: Priority Health Cigna Priority Health |
$254.90
|
| Rate for Payer: Priority Health SBD |
$229.41
|
| Rate for Payer: UMR Bronson Commercial |
$160.22
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$273.10
|
|
|
HC XR ABDOMEN 3 OR MORE VIEWS
|
Facility
|
OP
|
$364.14
|
|
|
Service Code
|
CPT 74021
|
| Hospital Charge Code |
32000327
|
|
Hospital Revenue Code
|
320
|
| Min. Negotiated Rate |
$42.24 |
| Max. Negotiated Rate |
$327.73 |
| Rate for Payer: Aetna American Axle |
$236.69
|
| Rate for Payer: Aetna Commercial |
$309.52
|
| Rate for Payer: Aetna Medicare |
$101.63
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$236.69
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$122.15
|
| Rate for Payer: Amish Plain Church Group Commercial |
$122.15
|
| Rate for Payer: BCBS Complete |
$56.13
|
| Rate for Payer: BCBS MAPPO |
$97.72
|
| Rate for Payer: BCBS Trust/PPO |
$57.65
|
| Rate for Payer: BCN Medicare Advantage |
$97.72
|
| Rate for Payer: Cash Price |
$291.31
|
| Rate for Payer: Cash Price |
$291.31
|
| Rate for Payer: Cofinity Commercial |
$313.16
|
| Rate for Payer: Cofinity Commercial |
$254.90
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$291.31
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$97.72
|
| Rate for Payer: Healthscope Commercial |
$327.73
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$254.90
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$273.10
|
| Rate for Payer: Mclaren Medicaid |
$53.45
|
| Rate for Payer: Mclaren Medicare |
$97.72
|
| Rate for Payer: Meridian Medicaid |
$56.13
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$102.61
|
| Rate for Payer: MI Amish Medical Board Commercial |
$112.38
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$309.52
|
| Rate for Payer: PACE Medicare |
$92.83
|
| Rate for Payer: PACE SWMI |
$97.72
|
| Rate for Payer: PHP Commercial |
$309.52
|
| Rate for Payer: PHP Medicare Advantage |
$97.72
|
| Rate for Payer: Priority Health Choice Medicaid |
$53.45
|
| Rate for Payer: Priority Health Cigna Priority Health |
$254.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$307.65
|
| Rate for Payer: Priority Health Medicare |
$97.72
|
| Rate for Payer: Priority Health Narrow Network |
$246.12
|
| Rate for Payer: Priority Health SBD |
$229.41
|
| Rate for Payer: Railroad Medicare Medicare |
$97.72
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$46.46
|
| Rate for Payer: UHC Core |
$262.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$97.72
|
| Rate for Payer: UHC Exchange |
$42.24
|
| Rate for Payer: UHC Medicare Advantage |
$100.65
|
| Rate for Payer: UMR Bronson Commercial |
$134.73
|
| Rate for Payer: VA VA |
$97.72
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$273.10
|
|
|
HC XR ABDOMEN ACUTE
|
Facility
|
IP
|
$480.78
|
|
|
Service Code
|
CPT 74022
|
| Hospital Charge Code |
32000135
|
|
Hospital Revenue Code
|
320
|
| Min. Negotiated Rate |
$211.54 |
| Max. Negotiated Rate |
$432.70 |
| Rate for Payer: Aetna American Axle |
$312.51
|
| Rate for Payer: Aetna Commercial |
$408.66
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$312.51
|
| Rate for Payer: Cash Price |
$384.62
|
| Rate for Payer: Cofinity Commercial |
$413.47
|
| Rate for Payer: Cofinity Commercial |
$336.55
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$384.62
|
| Rate for Payer: Healthscope Commercial |
$432.70
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$336.55
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$360.58
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$408.66
|
| Rate for Payer: PHP Commercial |
$408.66
|
| Rate for Payer: Priority Health Cigna Priority Health |
$336.55
|
| Rate for Payer: Priority Health SBD |
$302.89
|
| Rate for Payer: UMR Bronson Commercial |
$211.54
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$360.58
|
|
|
HC XR ABDOMEN ACUTE
|
Facility
|
OP
|
$480.78
|
|
|
Service Code
|
CPT 74022
|
| Hospital Charge Code |
32000135
|
|
Hospital Revenue Code
|
320
|
| Min. Negotiated Rate |
$49.12 |
| Max. Negotiated Rate |
$432.70 |
| Rate for Payer: Aetna American Axle |
$312.51
|
| Rate for Payer: Aetna Commercial |
$408.66
|
| Rate for Payer: Aetna Medicare |
$101.63
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$312.51
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$122.15
|
| Rate for Payer: Amish Plain Church Group Commercial |
$122.15
|
| Rate for Payer: BCBS Complete |
$56.13
|
| Rate for Payer: BCBS MAPPO |
$97.72
|
| Rate for Payer: BCBS Trust/PPO |
$65.88
|
| Rate for Payer: BCN Medicare Advantage |
$97.72
|
| Rate for Payer: Cash Price |
$384.62
|
| Rate for Payer: Cash Price |
$384.62
|
| Rate for Payer: Cofinity Commercial |
$413.47
|
| Rate for Payer: Cofinity Commercial |
$336.55
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$384.62
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$97.72
|
| Rate for Payer: Healthscope Commercial |
$432.70
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$336.55
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$360.58
|
| Rate for Payer: Mclaren Medicaid |
$53.45
|
| Rate for Payer: Mclaren Medicare |
$97.72
|
| Rate for Payer: Meridian Medicaid |
$56.13
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$102.61
|
| Rate for Payer: MI Amish Medical Board Commercial |
$112.38
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$408.66
|
| Rate for Payer: PACE Medicare |
$92.83
|
| Rate for Payer: PACE SWMI |
$97.72
|
| Rate for Payer: PHP Commercial |
$408.66
|
| Rate for Payer: PHP Medicare Advantage |
$97.72
|
| Rate for Payer: Priority Health Choice Medicaid |
$53.45
|
| Rate for Payer: Priority Health Cigna Priority Health |
$336.55
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$307.65
|
| Rate for Payer: Priority Health Medicare |
$97.72
|
| Rate for Payer: Priority Health Narrow Network |
$246.12
|
| Rate for Payer: Priority Health SBD |
$302.89
|
| Rate for Payer: Railroad Medicare Medicare |
$97.72
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$54.03
|
| Rate for Payer: UHC Core |
$262.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$97.72
|
| Rate for Payer: UHC Exchange |
$49.12
|
| Rate for Payer: UHC Medicare Advantage |
$100.65
|
| Rate for Payer: UMR Bronson Commercial |
$177.89
|
| Rate for Payer: VA VA |
$97.72
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$360.58
|
|
|
HC XR AC JOINTS
|
Facility
|
IP
|
$350.37
|
|
|
Service Code
|
CPT 73050
|
| Hospital Charge Code |
32000068
|
|
Hospital Revenue Code
|
320
|
| Min. Negotiated Rate |
$154.16 |
| Max. Negotiated Rate |
$315.33 |
| Rate for Payer: Aetna American Axle |
$227.74
|
| Rate for Payer: Aetna Commercial |
$297.81
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$227.74
|
| Rate for Payer: Cash Price |
$280.30
|
| Rate for Payer: Cofinity Commercial |
$245.26
|
| Rate for Payer: Cofinity Commercial |
$301.32
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$280.30
|
| Rate for Payer: Healthscope Commercial |
$315.33
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$245.26
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$262.78
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$297.81
|
| Rate for Payer: PHP Commercial |
$297.81
|
| Rate for Payer: Priority Health Cigna Priority Health |
$245.26
|
| Rate for Payer: Priority Health SBD |
$220.73
|
| Rate for Payer: UMR Bronson Commercial |
$154.16
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$262.78
|
|
|
HC XR AC JOINTS
|
Facility
|
OP
|
$350.37
|
|
|
Service Code
|
CPT 73050
|
| Hospital Charge Code |
32000068
|
|
Hospital Revenue Code
|
320
|
| Min. Negotiated Rate |
$28.49 |
| Max. Negotiated Rate |
$315.33 |
| Rate for Payer: Aetna American Axle |
$227.74
|
| Rate for Payer: Aetna Commercial |
$297.81
|
| Rate for Payer: Aetna Medicare |
$84.00
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$227.74
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$100.96
|
| Rate for Payer: Amish Plain Church Group Commercial |
$100.96
|
| Rate for Payer: BCBS Complete |
$46.39
|
| Rate for Payer: BCBS MAPPO |
$80.77
|
| Rate for Payer: BCBS Trust/PPO |
$37.38
|
| Rate for Payer: BCN Medicare Advantage |
$80.77
|
| Rate for Payer: Cash Price |
$280.30
|
| Rate for Payer: Cash Price |
$280.30
|
| Rate for Payer: Cofinity Commercial |
$245.26
|
| Rate for Payer: Cofinity Commercial |
$301.32
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$280.30
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$80.77
|
| Rate for Payer: Healthscope Commercial |
$315.33
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$245.26
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$262.78
|
| Rate for Payer: Mclaren Medicaid |
$44.18
|
| Rate for Payer: Mclaren Medicare |
$80.77
|
| Rate for Payer: Meridian Medicaid |
$46.39
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$84.81
|
| Rate for Payer: MI Amish Medical Board Commercial |
$92.89
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$297.81
|
| Rate for Payer: PACE Medicare |
$76.73
|
| Rate for Payer: PACE SWMI |
$80.77
|
| Rate for Payer: PHP Commercial |
$297.81
|
| Rate for Payer: PHP Medicare Advantage |
$80.77
|
| Rate for Payer: Priority Health Choice Medicaid |
$44.18
|
| Rate for Payer: Priority Health Cigna Priority Health |
$245.26
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$254.27
|
| Rate for Payer: Priority Health Medicare |
$80.77
|
| Rate for Payer: Priority Health Narrow Network |
$203.42
|
| Rate for Payer: Priority Health SBD |
$220.73
|
| Rate for Payer: Railroad Medicare Medicare |
$80.77
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$31.34
|
| Rate for Payer: UHC Core |
$262.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$80.77
|
| Rate for Payer: UHC Exchange |
$28.49
|
| Rate for Payer: UHC Medicare Advantage |
$83.19
|
| Rate for Payer: UMR Bronson Commercial |
$129.64
|
| Rate for Payer: VA VA |
$80.77
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$262.78
|
|
|
HC XR ANKLE 1 VW
|
Facility
|
OP
|
$238.44
|
|
|
Service Code
|
CPT 73600
|
| Hospital Charge Code |
32000118
|
|
Hospital Revenue Code
|
320
|
| Min. Negotiated Rate |
$31.76 |
| Max. Negotiated Rate |
$262.00 |
| Rate for Payer: Aetna American Axle |
$154.99
|
| Rate for Payer: Aetna Commercial |
$202.67
|
| Rate for Payer: Aetna Medicare |
$84.00
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$154.99
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$100.96
|
| Rate for Payer: Amish Plain Church Group Commercial |
$100.96
|
| Rate for Payer: BCBS Complete |
$46.39
|
| Rate for Payer: BCBS MAPPO |
$80.77
|
| Rate for Payer: BCBS Trust/PPO |
$46.87
|
| Rate for Payer: BCN Medicare Advantage |
$80.77
|
| Rate for Payer: Cash Price |
$190.75
|
| Rate for Payer: Cash Price |
$190.75
|
| Rate for Payer: Cofinity Commercial |
$205.06
|
| Rate for Payer: Cofinity Commercial |
$166.91
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$190.75
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$80.77
|
| Rate for Payer: Healthscope Commercial |
$214.60
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$166.91
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$178.83
|
| Rate for Payer: Mclaren Medicaid |
$44.18
|
| Rate for Payer: Mclaren Medicare |
$80.77
|
| Rate for Payer: Meridian Medicaid |
$46.39
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$84.81
|
| Rate for Payer: MI Amish Medical Board Commercial |
$92.89
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$202.67
|
| Rate for Payer: PACE Medicare |
$76.73
|
| Rate for Payer: PACE SWMI |
$80.77
|
| Rate for Payer: PHP Commercial |
$202.67
|
| Rate for Payer: PHP Medicare Advantage |
$80.77
|
| Rate for Payer: Priority Health Choice Medicaid |
$44.18
|
| Rate for Payer: Priority Health Cigna Priority Health |
$166.91
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$254.27
|
| Rate for Payer: Priority Health Medicare |
$80.77
|
| Rate for Payer: Priority Health Narrow Network |
$203.42
|
| Rate for Payer: Priority Health SBD |
$150.22
|
| Rate for Payer: Railroad Medicare Medicare |
$80.77
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$34.94
|
| Rate for Payer: UHC Core |
$262.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$80.77
|
| Rate for Payer: UHC Exchange |
$31.76
|
| Rate for Payer: UHC Medicare Advantage |
$83.19
|
| Rate for Payer: UMR Bronson Commercial |
$88.22
|
| Rate for Payer: VA VA |
$80.77
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$178.83
|
|
