|
HC XR BONE SURVEY ADULT COMP
|
Facility
|
OP
|
$600.55
|
|
|
Service Code
|
CPT 77075
|
| Hospital Charge Code |
32000257
|
|
Hospital Revenue Code
|
320
|
| Min. Negotiated Rate |
$53.45 |
| Max. Negotiated Rate |
$540.50 |
| Rate for Payer: Aetna American Axle |
$390.36
|
| Rate for Payer: Aetna Commercial |
$510.47
|
| Rate for Payer: Aetna Medicare |
$101.63
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$390.36
|
| 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 |
$139.99
|
| Rate for Payer: BCN Medicare Advantage |
$97.72
|
| Rate for Payer: Cash Price |
$480.44
|
| Rate for Payer: Cash Price |
$480.44
|
| Rate for Payer: Cofinity Commercial |
$420.38
|
| Rate for Payer: Cofinity Commercial |
$516.47
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$480.44
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$97.72
|
| Rate for Payer: Healthscope Commercial |
$540.50
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$420.38
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$450.41
|
| 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 |
$510.47
|
| Rate for Payer: PACE Medicare |
$92.83
|
| Rate for Payer: PACE SWMI |
$97.72
|
| Rate for Payer: PHP Commercial |
$510.47
|
| 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 |
$420.38
|
| 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 |
$378.35
|
| Rate for Payer: Railroad Medicare Medicare |
$97.72
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$107.70
|
| Rate for Payer: UHC Core |
$262.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$97.72
|
| Rate for Payer: UHC Exchange |
$97.91
|
| Rate for Payer: UHC Medicare Advantage |
$100.65
|
| Rate for Payer: UMR Bronson Commercial |
$222.20
|
| Rate for Payer: VA VA |
$97.72
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$450.41
|
|
|
HC XR BONE SURVEY ADULT COMP
|
Facility
|
IP
|
$600.55
|
|
|
Service Code
|
CPT 77075
|
| Hospital Charge Code |
32000257
|
|
Hospital Revenue Code
|
320
|
| Min. Negotiated Rate |
$264.24 |
| Max. Negotiated Rate |
$540.50 |
| Rate for Payer: Aetna American Axle |
$390.36
|
| Rate for Payer: Aetna Commercial |
$510.47
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$390.36
|
| Rate for Payer: Cash Price |
$480.44
|
| Rate for Payer: Cofinity Commercial |
$420.38
|
| Rate for Payer: Cofinity Commercial |
$516.47
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$480.44
|
| Rate for Payer: Healthscope Commercial |
$540.50
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$420.38
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$450.41
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$510.47
|
| Rate for Payer: PHP Commercial |
$510.47
|
| Rate for Payer: Priority Health Cigna Priority Health |
$420.38
|
| Rate for Payer: Priority Health SBD |
$378.35
|
| Rate for Payer: UMR Bronson Commercial |
$264.24
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$450.41
|
|
|
HC XR BONE SURVEY INFANT
|
Facility
|
OP
|
$380.35
|
|
|
Service Code
|
CPT 77076
|
| Hospital Charge Code |
32000258
|
|
Hospital Revenue Code
|
320
|
| Min. Negotiated Rate |
$53.45 |
| Max. Negotiated Rate |
$342.32 |
| Rate for Payer: Aetna American Axle |
$247.23
|
| Rate for Payer: Aetna Commercial |
$323.30
|
| Rate for Payer: Aetna Medicare |
$101.63
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$247.23
|
| 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 |
$141.27
|
| Rate for Payer: BCN Medicare Advantage |
$97.72
|
| Rate for Payer: Cash Price |
$304.28
|
| Rate for Payer: Cash Price |
$304.28
|
| Rate for Payer: Cofinity Commercial |
$266.24
|
| Rate for Payer: Cofinity Commercial |
$327.10
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$304.28
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$97.72
|
| Rate for Payer: Healthscope Commercial |
$342.32
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$266.24
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$285.26
|
| 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 |
$323.30
|
| Rate for Payer: PACE Medicare |
$92.83
|
| Rate for Payer: PACE SWMI |
$97.72
|
| Rate for Payer: PHP Commercial |
$323.30
|
| 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 |
$266.24
|
| 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 |
$239.62
|
| Rate for Payer: Railroad Medicare Medicare |
$97.72
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$115.98
|
| Rate for Payer: UHC Core |
$262.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$97.72
|
| Rate for Payer: UHC Exchange |
$105.44
|
| Rate for Payer: UHC Medicare Advantage |
$100.65
|
| Rate for Payer: UMR Bronson Commercial |
$140.73
|
| Rate for Payer: VA VA |
$97.72
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$285.26
|
|
|
HC XR BONE SURVEY INFANT
|
Facility
|
IP
|
$380.35
|
|
|
Service Code
|
CPT 77076
|
| Hospital Charge Code |
32000258
|
|
Hospital Revenue Code
|
320
|
| Min. Negotiated Rate |
$167.35 |
| Max. Negotiated Rate |
$342.32 |
| Rate for Payer: Aetna American Axle |
$247.23
|
| Rate for Payer: Aetna Commercial |
$323.30
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$247.23
|
| Rate for Payer: Cash Price |
$304.28
|
| Rate for Payer: Cofinity Commercial |
$266.24
|
| Rate for Payer: Cofinity Commercial |
$327.10
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$304.28
|
| Rate for Payer: Healthscope Commercial |
$342.32
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$266.24
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$285.26
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$323.30
|
| Rate for Payer: PHP Commercial |
$323.30
|
| Rate for Payer: Priority Health Cigna Priority Health |
$266.24
|
| Rate for Payer: Priority Health SBD |
$239.62
|
| Rate for Payer: UMR Bronson Commercial |
$167.35
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$285.26
|
|
|
HC XR BONE SURVEY (METS) LTD
|
Facility
|
IP
|
$302.08
|
|
|
Service Code
|
CPT 77074
|
| Hospital Charge Code |
32000298
|
|
Hospital Revenue Code
|
320
|
| Min. Negotiated Rate |
$132.92 |
| Max. Negotiated Rate |
$271.87 |
| Rate for Payer: Aetna American Axle |
$196.35
|
| Rate for Payer: Aetna Commercial |
$256.77
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$196.35
|
| Rate for Payer: Cash Price |
$241.66
|
| Rate for Payer: Cofinity Commercial |
$211.46
|
| Rate for Payer: Cofinity Commercial |
$259.79
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$241.66
|
| Rate for Payer: Healthscope Commercial |
$271.87
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$211.46
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$226.56
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$256.77
|
| Rate for Payer: PHP Commercial |
$256.77
|
| Rate for Payer: Priority Health Cigna Priority Health |
$211.46
|
| Rate for Payer: Priority Health SBD |
$190.31
|
| Rate for Payer: UMR Bronson Commercial |
$132.92
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$226.56
|
|
|
HC XR BONE SURVEY (METS) LTD
|
Facility
|
OP
|
$302.08
|
|
|
Service Code
|
CPT 77074
|
| Hospital Charge Code |
32000298
|
|
Hospital Revenue Code
|
320
|
| Min. Negotiated Rate |
$53.45 |
| Max. Negotiated Rate |
$307.65 |
| Rate for Payer: Aetna American Axle |
$196.35
|
| Rate for Payer: Aetna Commercial |
$256.77
|
| Rate for Payer: Aetna Medicare |
$101.63
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$196.35
|
| 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 |
$84.25
|
| Rate for Payer: BCN Medicare Advantage |
$97.72
|
| Rate for Payer: Cash Price |
$241.66
|
| Rate for Payer: Cash Price |
$241.66
|
| Rate for Payer: Cofinity Commercial |
$211.46
|
| Rate for Payer: Cofinity Commercial |
$259.79
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$241.66
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$97.72
|
| Rate for Payer: Healthscope Commercial |
$271.87
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$211.46
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$226.56
|
| 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 |
$256.77
|
| Rate for Payer: PACE Medicare |
$92.83
|
| Rate for Payer: PACE SWMI |
$97.72
|
| Rate for Payer: PHP Commercial |
$256.77
|
| 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 |
$211.46
|
| 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 |
$190.31
|
| Rate for Payer: Railroad Medicare Medicare |
$97.72
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$70.60
|
| Rate for Payer: UHC Core |
$262.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$97.72
|
| Rate for Payer: UHC Exchange |
$64.18
|
| Rate for Payer: UHC Medicare Advantage |
$100.65
|
| Rate for Payer: UMR Bronson Commercial |
$111.77
|
| Rate for Payer: VA VA |
$97.72
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$226.56
|
|
|
HC XR CHEST 2 VIEWS
|
Facility
|
OP
|
$297.74
|
|
|
Service Code
|
CPT 71046
|
| Hospital Charge Code |
32400010
|
|
Hospital Revenue Code
|
324
|
| Min. Negotiated Rate |
$33.07 |
| Max. Negotiated Rate |
$267.97 |
| Rate for Payer: Aetna American Axle |
$193.53
|
| Rate for Payer: Aetna Commercial |
$253.08
|
| Rate for Payer: Aetna Medicare |
$84.00
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$193.53
|
| 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 |
$44.34
|
| Rate for Payer: BCN Medicare Advantage |
$80.77
|
| Rate for Payer: Cash Price |
$238.19
|
| Rate for Payer: Cash Price |
$238.19
|
| Rate for Payer: Cofinity Commercial |
$208.42
|
| Rate for Payer: Cofinity Commercial |
$256.06
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$238.19
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$80.77
|
| Rate for Payer: Healthscope Commercial |
$267.97
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$208.42
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$223.30
|
| 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 |
$253.08
|
| Rate for Payer: PACE Medicare |
$76.73
|
| Rate for Payer: PACE SWMI |
$80.77
|
| Rate for Payer: PHP Commercial |
$253.08
|
| 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 |
$208.42
|
| 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 |
$187.58
|
| Rate for Payer: Railroad Medicare Medicare |
$80.77
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$36.38
|
| Rate for Payer: UHC Core |
$262.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$80.77
|
| Rate for Payer: UHC Exchange |
$33.07
|
| Rate for Payer: UHC Medicare Advantage |
$83.19
|
| Rate for Payer: UMR Bronson Commercial |
$110.16
|
| Rate for Payer: VA VA |
$80.77
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$223.30
|
|
|
HC XR CHEST 2 VIEWS
|
Facility
|
IP
|
$297.74
|
|
|
Service Code
|
CPT 71046
|
| Hospital Charge Code |
32400010
|
|
Hospital Revenue Code
|
324
|
| Min. Negotiated Rate |
$131.01 |
| Max. Negotiated Rate |
$267.97 |
| Rate for Payer: Aetna American Axle |
$193.53
|
| Rate for Payer: Aetna Commercial |
$253.08
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$193.53
|
| Rate for Payer: Cash Price |
$238.19
|
| Rate for Payer: Cofinity Commercial |
$208.42
|
| Rate for Payer: Cofinity Commercial |
$256.06
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$238.19
|
| Rate for Payer: Healthscope Commercial |
$267.97
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$208.42
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$223.30
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$253.08
|
| Rate for Payer: PHP Commercial |
$253.08
|
| Rate for Payer: Priority Health Cigna Priority Health |
$208.42
|
| Rate for Payer: Priority Health SBD |
$187.58
|
| Rate for Payer: UMR Bronson Commercial |
$131.01
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$223.30
|
|
|
HC XR CHEST 3 VIEWS
|
Facility
|
IP
|
$329.87
|
|
|
Service Code
|
CPT 71047
|
| Hospital Charge Code |
32400011
|
|
Hospital Revenue Code
|
324
|
| Min. Negotiated Rate |
$145.14 |
| Max. Negotiated Rate |
$296.88 |
| Rate for Payer: Aetna American Axle |
$214.42
|
| Rate for Payer: Aetna Commercial |
$280.39
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$214.42
|
| Rate for Payer: Cash Price |
$263.90
|
| Rate for Payer: Cofinity Commercial |
$230.91
|
| Rate for Payer: Cofinity Commercial |
$283.69
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$263.90
|
| Rate for Payer: Healthscope Commercial |
$296.88
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$230.91
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$247.40
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$280.39
|
| Rate for Payer: PHP Commercial |
$280.39
|
| Rate for Payer: Priority Health Cigna Priority Health |
$230.91
|
| Rate for Payer: Priority Health SBD |
$207.82
|
| Rate for Payer: UMR Bronson Commercial |
$145.14
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$247.40
|
|
|
HC XR CHEST 3 VIEWS
|
Facility
|
OP
|
$329.87
|
|
|
Service Code
|
CPT 71047
|
| Hospital Charge Code |
32400011
|
|
Hospital Revenue Code
|
324
|
| Min. Negotiated Rate |
$41.59 |
| Max. Negotiated Rate |
$296.88 |
| Rate for Payer: Aetna American Axle |
$214.42
|
| Rate for Payer: Aetna Commercial |
$280.39
|
| Rate for Payer: Aetna Medicare |
$84.00
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$214.42
|
| 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 |
$55.75
|
| Rate for Payer: BCN Medicare Advantage |
$80.77
|
| Rate for Payer: Cash Price |
$263.90
|
| Rate for Payer: Cash Price |
$263.90
|
| Rate for Payer: Cofinity Commercial |
$230.91
|
| Rate for Payer: Cofinity Commercial |
$283.69
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$263.90
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$80.77
|
| Rate for Payer: Healthscope Commercial |
$296.88
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$230.91
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$247.40
|
| 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 |
$280.39
|
| Rate for Payer: PACE Medicare |
$76.73
|
| Rate for Payer: PACE SWMI |
$80.77
|
| Rate for Payer: PHP Commercial |
$280.39
|
| 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 |
$230.91
|
| 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 |
$207.82
|
| Rate for Payer: Railroad Medicare Medicare |
$80.77
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$45.75
|
| Rate for Payer: UHC Core |
$262.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$80.77
|
| Rate for Payer: UHC Exchange |
$41.59
|
| Rate for Payer: UHC Medicare Advantage |
$83.19
|
| Rate for Payer: UMR Bronson Commercial |
$122.05
|
| Rate for Payer: VA VA |
$80.77
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$247.40
|
|
|
HC XR CHEST 4 OR MORE VIEWS
|
Facility
|
OP
|
$362.00
|
|
|
Service Code
|
CPT 71048
|
| Hospital Charge Code |
32400012
|
|
Hospital Revenue Code
|
324
|
| Min. Negotiated Rate |
$44.86 |
| Max. Negotiated Rate |
$325.80 |
| Rate for Payer: Aetna American Axle |
$235.30
|
| Rate for Payer: Aetna Commercial |
$307.70
|
| Rate for Payer: Aetna Medicare |
$101.63
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$235.30
|
| 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 |
$60.18
|
| Rate for Payer: BCN Medicare Advantage |
$97.72
|
| Rate for Payer: Cash Price |
$289.60
|
| Rate for Payer: Cash Price |
$289.60
|
| Rate for Payer: Cofinity Commercial |
$311.32
|
| Rate for Payer: Cofinity Commercial |
$253.40
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$289.60
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$97.72
|
| Rate for Payer: Healthscope Commercial |
$325.80
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$253.40
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$271.50
|
| 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 |
$307.70
|
| Rate for Payer: PACE Medicare |
$92.83
|
| Rate for Payer: PACE SWMI |
$97.72
|
| Rate for Payer: PHP Commercial |
$307.70
|
| 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 |
$253.40
|
| 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 |
$228.06
|
| Rate for Payer: Railroad Medicare Medicare |
$97.72
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$49.35
|
| Rate for Payer: UHC Core |
$262.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$97.72
|
| Rate for Payer: UHC Exchange |
$44.86
|
| Rate for Payer: UHC Medicare Advantage |
$100.65
|
| Rate for Payer: UMR Bronson Commercial |
$133.94
|
| Rate for Payer: VA VA |
$97.72
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$271.50
|
|
|
HC XR CHEST 4 OR MORE VIEWS
|
Facility
|
IP
|
$362.00
|
|
|
Service Code
|
CPT 71048
|
| Hospital Charge Code |
32400012
|
|
Hospital Revenue Code
|
324
|
| Min. Negotiated Rate |
$159.28 |
| Max. Negotiated Rate |
$325.80 |
| Rate for Payer: Aetna American Axle |
$235.30
|
| Rate for Payer: Aetna Commercial |
$307.70
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$235.30
|
| Rate for Payer: Cash Price |
$289.60
|
| Rate for Payer: Cofinity Commercial |
$253.40
|
| Rate for Payer: Cofinity Commercial |
$311.32
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$289.60
|
| Rate for Payer: Healthscope Commercial |
$325.80
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$253.40
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$271.50
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$307.70
|
| Rate for Payer: PHP Commercial |
$307.70
|
| Rate for Payer: Priority Health Cigna Priority Health |
$253.40
|
| Rate for Payer: Priority Health SBD |
$228.06
|
| Rate for Payer: UMR Bronson Commercial |
$159.28
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$271.50
|
|
|
HC XR CHEST ABD FOREIG BOD CHILD
|
Facility
|
IP
|
$270.56
|
|
|
Service Code
|
CPT 76010
|
| Hospital Charge Code |
32000234
|
|
Hospital Revenue Code
|
320
|
| Min. Negotiated Rate |
$119.05 |
| Max. Negotiated Rate |
$243.50 |
| Rate for Payer: Aetna American Axle |
$175.86
|
| Rate for Payer: Aetna Commercial |
$229.98
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$175.86
|
| Rate for Payer: Cash Price |
$216.45
|
| Rate for Payer: Cofinity Commercial |
$232.68
|
| Rate for Payer: Cofinity Commercial |
$189.39
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$216.45
|
| Rate for Payer: Healthscope Commercial |
$243.50
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$189.39
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$202.92
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$229.98
|
| Rate for Payer: PHP Commercial |
$229.98
|
| Rate for Payer: Priority Health Cigna Priority Health |
$189.39
|
| Rate for Payer: Priority Health SBD |
$170.45
|
| Rate for Payer: UMR Bronson Commercial |
$119.05
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$202.92
|
|
|
HC XR CHEST ABD FOREIG BOD CHILD
|
Facility
|
OP
|
$270.56
|
|
|
Service Code
|
CPT 76010
|
| Hospital Charge Code |
32000234
|
|
Hospital Revenue Code
|
320
|
| Min. Negotiated Rate |
$28.81 |
| Max. Negotiated Rate |
$262.00 |
| Rate for Payer: Aetna American Axle |
$175.86
|
| Rate for Payer: Aetna Commercial |
$229.98
|
| Rate for Payer: Aetna Medicare |
$84.00
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$175.86
|
| 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 |
$216.45
|
| Rate for Payer: Cash Price |
$216.45
|
| Rate for Payer: Cofinity Commercial |
$232.68
|
| Rate for Payer: Cofinity Commercial |
$189.39
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$216.45
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$80.77
|
| Rate for Payer: Healthscope Commercial |
$243.50
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$189.39
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$202.92
|
| 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 |
$229.98
|
| Rate for Payer: PACE Medicare |
$76.73
|
| Rate for Payer: PACE SWMI |
$80.77
|
| Rate for Payer: PHP Commercial |
$229.98
|
| 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 |
$189.39
|
| 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 |
$170.45
|
| Rate for Payer: Railroad Medicare Medicare |
$80.77
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$31.69
|
| Rate for Payer: UHC Core |
$262.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$80.77
|
| Rate for Payer: UHC Exchange |
$28.81
|
| Rate for Payer: UHC Medicare Advantage |
$83.19
|
| Rate for Payer: UMR Bronson Commercial |
$100.11
|
| Rate for Payer: VA VA |
$80.77
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$202.92
|
|
|
HC XR CHEST SINGLE VIEW
|
Facility
|
IP
|
$265.61
|
|
|
Service Code
|
CPT 71045
|
| Hospital Charge Code |
32400009
|
|
Hospital Revenue Code
|
324
|
| Min. Negotiated Rate |
$116.87 |
| Max. Negotiated Rate |
$239.05 |
| Rate for Payer: Aetna American Axle |
$172.65
|
| Rate for Payer: Aetna Commercial |
$225.77
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$172.65
|
| Rate for Payer: Cash Price |
$212.49
|
| Rate for Payer: Cofinity Commercial |
$185.93
|
| Rate for Payer: Cofinity Commercial |
$228.42
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$212.49
|
| Rate for Payer: Healthscope Commercial |
$239.05
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$185.93
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$199.21
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$225.77
|
| Rate for Payer: PHP Commercial |
$225.77
|
| Rate for Payer: Priority Health Cigna Priority Health |
$185.93
|
| Rate for Payer: Priority Health SBD |
$167.33
|
| Rate for Payer: UMR Bronson Commercial |
$116.87
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$199.21
|
|
|
HC XR CHEST SINGLE VIEW
|
Facility
|
OP
|
$265.61
|
|
|
Service Code
|
CPT 71045
|
| Hospital Charge Code |
32400009
|
|
Hospital Revenue Code
|
324
|
| Min. Negotiated Rate |
$25.21 |
| Max. Negotiated Rate |
$262.00 |
| Rate for Payer: Aetna American Axle |
$172.65
|
| Rate for Payer: Aetna Commercial |
$225.77
|
| Rate for Payer: Aetna Medicare |
$84.00
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$172.65
|
| 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 |
$32.94
|
| Rate for Payer: BCN Medicare Advantage |
$80.77
|
| Rate for Payer: Cash Price |
$212.49
|
| Rate for Payer: Cash Price |
$212.49
|
| Rate for Payer: Cofinity Commercial |
$185.93
|
| Rate for Payer: Cofinity Commercial |
$228.42
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$212.49
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$80.77
|
| Rate for Payer: Healthscope Commercial |
$239.05
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$185.93
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$199.21
|
| 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 |
$225.77
|
| Rate for Payer: PACE Medicare |
$76.73
|
| Rate for Payer: PACE SWMI |
$80.77
|
| Rate for Payer: PHP Commercial |
$225.77
|
| 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 |
$185.93
|
| 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 |
$167.33
|
| Rate for Payer: Railroad Medicare Medicare |
$80.77
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$27.73
|
| Rate for Payer: UHC Core |
$262.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$80.77
|
| Rate for Payer: UHC Exchange |
$25.21
|
| Rate for Payer: UHC Medicare Advantage |
$83.19
|
| Rate for Payer: UMR Bronson Commercial |
$98.28
|
| Rate for Payer: VA VA |
$80.77
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$199.21
|
|
|
HC XR CHOLANGIOGRAM IN OR
|
Facility
|
IP
|
$500.38
|
|
|
Service Code
|
CPT 74300
|
| Hospital Charge Code |
32000149
|
|
Hospital Revenue Code
|
320
|
| Min. Negotiated Rate |
$220.17 |
| Max. Negotiated Rate |
$450.34 |
| Rate for Payer: Aetna American Axle |
$325.25
|
| Rate for Payer: Aetna Commercial |
$425.32
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$325.25
|
| Rate for Payer: Cash Price |
$400.30
|
| Rate for Payer: Cofinity Commercial |
$350.27
|
| Rate for Payer: Cofinity Commercial |
$430.33
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$400.30
|
| Rate for Payer: Healthscope Commercial |
$450.34
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$350.27
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$375.28
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$425.32
|
| Rate for Payer: PHP Commercial |
$425.32
|
| Rate for Payer: Priority Health Cigna Priority Health |
$350.27
|
| Rate for Payer: Priority Health SBD |
$315.24
|
| Rate for Payer: UMR Bronson Commercial |
$220.17
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$375.28
|
|
|
HC XR CHOLANGIOGRAM IN OR
|
Facility
|
OP
|
$500.38
|
|
|
Service Code
|
CPT 74300
|
| Hospital Charge Code |
32000149
|
|
Hospital Revenue Code
|
320
|
| Min. Negotiated Rate |
$77.92 |
| Max. Negotiated Rate |
$450.34 |
| Rate for Payer: Aetna American Axle |
$325.25
|
| Rate for Payer: Aetna Commercial |
$425.32
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$325.25
|
| Rate for Payer: BCBS Complete |
$200.15
|
| Rate for Payer: BCBS Trust/PPO |
$77.92
|
| Rate for Payer: Cash Price |
$400.30
|
| Rate for Payer: Cash Price |
$400.30
|
| Rate for Payer: Cofinity Commercial |
$350.27
|
| Rate for Payer: Cofinity Commercial |
$430.33
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$400.30
|
| Rate for Payer: Healthscope Commercial |
$450.34
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$350.27
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$375.28
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$425.32
|
| Rate for Payer: PHP Commercial |
$425.32
|
| Rate for Payer: Priority Health Cigna Priority Health |
$350.27
|
| Rate for Payer: Priority Health SBD |
$315.24
|
| Rate for Payer: UHC Core |
$262.00
|
| Rate for Payer: UMR Bronson Commercial |
$185.14
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$375.28
|
|
|
HC XR CLAVICLE
|
Facility
|
OP
|
$310.28
|
|
|
Service Code
|
CPT 73000
|
| Hospital Charge Code |
32000060
|
|
Hospital Revenue Code
|
320
|
| Min. Negotiated Rate |
$32.09 |
| Max. Negotiated Rate |
$279.25 |
| Rate for Payer: Aetna American Axle |
$201.68
|
| Rate for Payer: Aetna Commercial |
$263.74
|
| Rate for Payer: Aetna Medicare |
$84.00
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$201.68
|
| 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 |
$46.25
|
| Rate for Payer: BCN Medicare Advantage |
$80.77
|
| Rate for Payer: Cash Price |
$248.22
|
| Rate for Payer: Cash Price |
$248.22
|
| Rate for Payer: Cofinity Commercial |
$266.84
|
| Rate for Payer: Cofinity Commercial |
$217.20
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$248.22
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$80.77
|
| Rate for Payer: Healthscope Commercial |
$279.25
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$217.20
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$232.71
|
| 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 |
$263.74
|
| Rate for Payer: PACE Medicare |
$76.73
|
| Rate for Payer: PACE SWMI |
$80.77
|
| Rate for Payer: PHP Commercial |
$263.74
|
| 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 |
$217.20
|
| 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 |
$195.48
|
| Rate for Payer: Railroad Medicare Medicare |
$80.77
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$35.30
|
| Rate for Payer: UHC Core |
$262.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$80.77
|
| Rate for Payer: UHC Exchange |
$32.09
|
| Rate for Payer: UHC Medicare Advantage |
$83.19
|
| Rate for Payer: UMR Bronson Commercial |
$114.80
|
| Rate for Payer: VA VA |
$80.77
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$232.71
|
|
|
HC XR CLAVICLE
|
Facility
|
IP
|
$310.28
|
|
|
Service Code
|
CPT 73000
|
| Hospital Charge Code |
32000060
|
|
Hospital Revenue Code
|
320
|
| Min. Negotiated Rate |
$136.52 |
| Max. Negotiated Rate |
$279.25 |
| Rate for Payer: Aetna American Axle |
$201.68
|
| Rate for Payer: Aetna Commercial |
$263.74
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$201.68
|
| Rate for Payer: Cash Price |
$248.22
|
| Rate for Payer: Cofinity Commercial |
$217.20
|
| Rate for Payer: Cofinity Commercial |
$266.84
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$248.22
|
| Rate for Payer: Healthscope Commercial |
$279.25
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$217.20
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$232.71
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$263.74
|
| Rate for Payer: PHP Commercial |
$263.74
|
| Rate for Payer: Priority Health Cigna Priority Health |
$217.20
|
| Rate for Payer: Priority Health SBD |
$195.48
|
| Rate for Payer: UMR Bronson Commercial |
$136.52
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$232.71
|
|
|
HC XR CLAVICLE BIL
|
Facility
|
IP
|
$333.67
|
|
|
Service Code
|
CPT 73000
|
| Hospital Charge Code |
32000061
|
|
Hospital Revenue Code
|
320
|
| Min. Negotiated Rate |
$146.81 |
| Max. Negotiated Rate |
$300.30 |
| Rate for Payer: Aetna American Axle |
$216.89
|
| Rate for Payer: Aetna Commercial |
$283.62
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$216.89
|
| Rate for Payer: Cash Price |
$266.94
|
| Rate for Payer: Cofinity Commercial |
$233.57
|
| Rate for Payer: Cofinity Commercial |
$286.96
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$266.94
|
| Rate for Payer: Healthscope Commercial |
$300.30
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$233.57
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$250.25
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$283.62
|
| Rate for Payer: PHP Commercial |
$283.62
|
| Rate for Payer: Priority Health Cigna Priority Health |
$233.57
|
| Rate for Payer: Priority Health SBD |
$210.21
|
| Rate for Payer: UMR Bronson Commercial |
$146.81
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$250.25
|
|
|
HC XR CLAVICLE BIL
|
Facility
|
OP
|
$333.67
|
|
|
Service Code
|
CPT 73000
|
| Hospital Charge Code |
32000061
|
|
Hospital Revenue Code
|
320
|
| Min. Negotiated Rate |
$32.09 |
| Max. Negotiated Rate |
$300.30 |
| Rate for Payer: Aetna American Axle |
$216.89
|
| Rate for Payer: Aetna Commercial |
$283.62
|
| Rate for Payer: Aetna Medicare |
$84.00
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$216.89
|
| 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 |
$46.25
|
| Rate for Payer: BCN Medicare Advantage |
$80.77
|
| Rate for Payer: Cash Price |
$266.94
|
| Rate for Payer: Cash Price |
$266.94
|
| Rate for Payer: Cofinity Commercial |
$233.57
|
| Rate for Payer: Cofinity Commercial |
$286.96
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$266.94
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$80.77
|
| Rate for Payer: Healthscope Commercial |
$300.30
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$233.57
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$250.25
|
| 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 |
$283.62
|
| Rate for Payer: PACE Medicare |
$76.73
|
| Rate for Payer: PACE SWMI |
$80.77
|
| Rate for Payer: PHP Commercial |
$283.62
|
| 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 |
$233.57
|
| 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 |
$210.21
|
| Rate for Payer: Railroad Medicare Medicare |
$80.77
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$35.30
|
| Rate for Payer: UHC Core |
$262.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$80.77
|
| Rate for Payer: UHC Exchange |
$32.09
|
| Rate for Payer: UHC Medicare Advantage |
$83.19
|
| Rate for Payer: UMR Bronson Commercial |
$123.46
|
| Rate for Payer: VA VA |
$80.77
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$250.25
|
|
|
HC XR COLON
|
Facility
|
IP
|
$840.63
|
|
|
Service Code
|
CPT 74270
|
| Hospital Charge Code |
32000273
|
|
Hospital Revenue Code
|
320
|
| Min. Negotiated Rate |
$369.88 |
| Max. Negotiated Rate |
$756.57 |
| Rate for Payer: Aetna American Axle |
$546.41
|
| Rate for Payer: Aetna Commercial |
$714.54
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$546.41
|
| Rate for Payer: Cash Price |
$672.50
|
| Rate for Payer: Cofinity Commercial |
$588.44
|
| Rate for Payer: Cofinity Commercial |
$722.94
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$672.50
|
| Rate for Payer: Healthscope Commercial |
$756.57
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$588.44
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$630.47
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$714.54
|
| Rate for Payer: PHP Commercial |
$714.54
|
| Rate for Payer: Priority Health Cigna Priority Health |
$588.44
|
| Rate for Payer: Priority Health SBD |
$529.60
|
| Rate for Payer: UMR Bronson Commercial |
$369.88
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$630.47
|
|
|
HC XR COLON
|
Facility
|
OP
|
$840.63
|
|
|
Service Code
|
CPT 74270
|
| Hospital Charge Code |
32000273
|
|
Hospital Revenue Code
|
320
|
| Min. Negotiated Rate |
$89.34 |
| Max. Negotiated Rate |
$756.57 |
| Rate for Payer: Aetna American Axle |
$546.41
|
| Rate for Payer: Aetna Commercial |
$714.54
|
| Rate for Payer: Aetna Medicare |
$169.85
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$546.41
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$204.15
|
| Rate for Payer: Amish Plain Church Group Commercial |
$204.15
|
| Rate for Payer: BCBS Complete |
$93.81
|
| Rate for Payer: BCBS MAPPO |
$163.32
|
| Rate for Payer: BCBS Trust/PPO |
$203.34
|
| Rate for Payer: BCN Medicare Advantage |
$163.32
|
| Rate for Payer: Cash Price |
$672.50
|
| Rate for Payer: Cash Price |
$672.50
|
| Rate for Payer: Cofinity Commercial |
$722.94
|
| Rate for Payer: Cofinity Commercial |
$588.44
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$672.50
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$163.32
|
| Rate for Payer: Healthscope Commercial |
$756.57
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$588.44
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$630.47
|
| Rate for Payer: Mclaren Medicaid |
$89.34
|
| Rate for Payer: Mclaren Medicare |
$163.32
|
| Rate for Payer: Meridian Medicaid |
$93.81
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$171.49
|
| Rate for Payer: MI Amish Medical Board Commercial |
$187.82
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$714.54
|
| Rate for Payer: PACE Medicare |
$155.15
|
| Rate for Payer: PACE SWMI |
$163.32
|
| Rate for Payer: PHP Commercial |
$714.54
|
| Rate for Payer: PHP Medicare Advantage |
$163.32
|
| Rate for Payer: Priority Health Choice Medicaid |
$89.34
|
| Rate for Payer: Priority Health Cigna Priority Health |
$588.44
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$514.13
|
| Rate for Payer: Priority Health Medicare |
$163.32
|
| Rate for Payer: Priority Health Narrow Network |
$411.30
|
| Rate for Payer: Priority Health SBD |
$529.60
|
| Rate for Payer: Railroad Medicare Medicare |
$163.32
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$165.68
|
| Rate for Payer: UHC Core |
$262.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$163.32
|
| Rate for Payer: UHC Exchange |
$150.62
|
| Rate for Payer: UHC Medicare Advantage |
$168.22
|
| Rate for Payer: UMR Bronson Commercial |
$311.03
|
| Rate for Payer: VA VA |
$163.32
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$630.47
|
|
|
HC XR COLON HIGH DENSITY
|
Facility
|
OP
|
$1,200.85
|
|
|
Service Code
|
CPT 74280
|
| Hospital Charge Code |
32000146
|
|
Hospital Revenue Code
|
320
|
| Min. Negotiated Rate |
$89.34 |
| Max. Negotiated Rate |
$1,080.76 |
| Rate for Payer: Aetna American Axle |
$780.55
|
| Rate for Payer: Aetna Commercial |
$1,020.72
|
| Rate for Payer: Aetna Medicare |
$169.85
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$780.55
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$204.15
|
| Rate for Payer: Amish Plain Church Group Commercial |
$204.15
|
| Rate for Payer: BCBS Complete |
$93.81
|
| Rate for Payer: BCBS MAPPO |
$163.32
|
| Rate for Payer: BCBS Trust/PPO |
$313.58
|
| Rate for Payer: BCN Medicare Advantage |
$163.32
|
| Rate for Payer: Cash Price |
$960.68
|
| Rate for Payer: Cash Price |
$960.68
|
| Rate for Payer: Cofinity Commercial |
$1,032.73
|
| Rate for Payer: Cofinity Commercial |
$840.60
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$960.68
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$163.32
|
| Rate for Payer: Healthscope Commercial |
$1,080.76
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$840.60
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$900.64
|
| Rate for Payer: Mclaren Medicaid |
$89.34
|
| Rate for Payer: Mclaren Medicare |
$163.32
|
| Rate for Payer: Meridian Medicaid |
$93.81
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$171.49
|
| Rate for Payer: MI Amish Medical Board Commercial |
$187.82
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,020.72
|
| Rate for Payer: PACE Medicare |
$155.15
|
| Rate for Payer: PACE SWMI |
$163.32
|
| Rate for Payer: PHP Commercial |
$1,020.72
|
| Rate for Payer: PHP Medicare Advantage |
$163.32
|
| Rate for Payer: Priority Health Choice Medicaid |
$89.34
|
| Rate for Payer: Priority Health Cigna Priority Health |
$840.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$514.13
|
| Rate for Payer: Priority Health Medicare |
$163.32
|
| Rate for Payer: Priority Health Narrow Network |
$411.30
|
| Rate for Payer: Priority Health SBD |
$756.54
|
| Rate for Payer: Railroad Medicare Medicare |
$163.32
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$237.36
|
| Rate for Payer: UHC Core |
$262.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$163.32
|
| Rate for Payer: UHC Exchange |
$215.78
|
| Rate for Payer: UHC Medicare Advantage |
$168.22
|
| Rate for Payer: UMR Bronson Commercial |
$444.31
|
| Rate for Payer: VA VA |
$163.32
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$900.64
|
|
