|
HC OSMOLALITY URINE
|
Facility
|
OP
|
$54.94
|
|
|
Service Code
|
CPT 83935
|
| Hospital Charge Code |
30100379
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$3.57 |
| Max. Negotiated Rate |
$49.45 |
| Rate for Payer: Aetna American Axle |
$35.71
|
| Rate for Payer: Aetna Commercial |
$46.70
|
| Rate for Payer: Aetna Medicare |
$7.09
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$35.71
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$8.53
|
| Rate for Payer: Amish Plain Church Group Commercial |
$8.53
|
| Rate for Payer: BCBS Complete |
$3.75
|
| Rate for Payer: BCBS MAPPO |
$6.82
|
| Rate for Payer: BCBS Trust/PPO |
$7.89
|
| Rate for Payer: BCN Commercial |
$7.89
|
| Rate for Payer: BCN Medicare Advantage |
$6.82
|
| Rate for Payer: Cash Price |
$43.95
|
| Rate for Payer: Cash Price |
$43.95
|
| Rate for Payer: Cofinity Advantage |
$38.46
|
| Rate for Payer: Cofinity Commercial |
$47.25
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$43.95
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$6.82
|
| Rate for Payer: Healthscope Commercial |
$49.45
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$38.46
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$41.20
|
| Rate for Payer: Mclaren Medicaid |
$6.82
|
| Rate for Payer: Mclaren Medicare |
$6.82
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$7.16
|
| Rate for Payer: Meridian Medicaid |
$7.16
|
| Rate for Payer: MI Amish Medical Board Commercial |
$7.84
|
| Rate for Payer: Molina Medicare/Medicaid |
$7.50
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$46.70
|
| Rate for Payer: Nomi Health Commercial |
$10.23
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$41.20
|
| Rate for Payer: PACE Medicare |
$6.48
|
| Rate for Payer: PACE SWMI |
$6.82
|
| Rate for Payer: PHP Commercial |
$46.70
|
| Rate for Payer: PHP Medicare Advantage |
$6.82
|
| Rate for Payer: Priority Health Choice Medicaid |
$3.57
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$6.82
|
| Rate for Payer: Priority Health Medicare |
$6.82
|
| Rate for Payer: Priority Health SBD |
$34.61
|
| Rate for Payer: Priority Health Tiered Network |
$5.46
|
| Rate for Payer: Railroad Medicare Medicare |
$6.82
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$10.23
|
| Rate for Payer: UHC Core |
$10.23
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$6.82
|
| Rate for Payer: UHC Exchange |
$10.23
|
| Rate for Payer: UHC Medicaid |
$3.57
|
| Rate for Payer: UHCCP Medicaid |
$3.57
|
| Rate for Payer: UMR Bronson Commercial |
$20.33
|
| Rate for Payer: VA VA |
$6.82
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$41.20
|
|
|
HC OSMOTIC FRAGILITY RBC
|
Facility
|
IP
|
$134.05
|
|
|
Service Code
|
CPT 85557
|
| Hospital Charge Code |
30500052
|
|
Hospital Revenue Code
|
305
|
| Min. Negotiated Rate |
$58.98 |
| Max. Negotiated Rate |
$120.64 |
| Rate for Payer: Aetna American Axle |
$87.13
|
| Rate for Payer: Aetna Commercial |
$113.94
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$87.13
|
| Rate for Payer: Cash Price |
$107.24
|
| Rate for Payer: Cofinity Advantage |
$93.83
|
| Rate for Payer: Cofinity Commercial |
$115.28
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$107.24
|
| Rate for Payer: Healthscope Commercial |
$120.64
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$93.83
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$100.54
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$113.94
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$100.54
|
| Rate for Payer: PHP Commercial |
$113.94
|
| Rate for Payer: Priority Health SBD |
$84.45
|
| Rate for Payer: UMR Bronson Commercial |
$58.98
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$100.54
|
|
|
HC OSMOTIC FRAGILITY RBC
|
Facility
|
OP
|
$134.05
|
|
|
Service Code
|
CPT 85557
|
| Hospital Charge Code |
30500052
|
|
Hospital Revenue Code
|
305
|
| Min. Negotiated Rate |
$6.99 |
| Max. Negotiated Rate |
$120.64 |
| Rate for Payer: Aetna American Axle |
$87.13
|
| Rate for Payer: Aetna Commercial |
$113.94
|
| Rate for Payer: Aetna Medicare |
$13.89
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$87.13
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$16.70
|
| Rate for Payer: Amish Plain Church Group Commercial |
$16.70
|
| Rate for Payer: BCBS Complete |
$7.34
|
| Rate for Payer: BCBS MAPPO |
$13.36
|
| Rate for Payer: BCBS Trust/PPO |
$15.44
|
| Rate for Payer: BCN Commercial |
$15.44
|
| Rate for Payer: BCN Medicare Advantage |
$13.36
|
| Rate for Payer: Cash Price |
$107.24
|
| Rate for Payer: Cash Price |
$107.24
|
| Rate for Payer: Cofinity Advantage |
$93.83
|
| Rate for Payer: Cofinity Commercial |
$115.28
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$107.24
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$13.36
|
| Rate for Payer: Healthscope Commercial |
$120.64
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$93.83
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$100.54
|
| Rate for Payer: Mclaren Medicaid |
$13.36
|
| Rate for Payer: Mclaren Medicare |
$13.36
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$14.03
|
| Rate for Payer: Meridian Medicaid |
$14.03
|
| Rate for Payer: MI Amish Medical Board Commercial |
$15.36
|
| Rate for Payer: Molina Medicare/Medicaid |
$14.70
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$113.94
|
| Rate for Payer: Nomi Health Commercial |
$20.04
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$100.54
|
| Rate for Payer: PACE Medicare |
$12.69
|
| Rate for Payer: PACE SWMI |
$13.36
|
| Rate for Payer: PHP Commercial |
$113.94
|
| Rate for Payer: PHP Medicare Advantage |
$13.36
|
| Rate for Payer: Priority Health Choice Medicaid |
$6.99
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$13.36
|
| Rate for Payer: Priority Health Medicare |
$13.36
|
| Rate for Payer: Priority Health SBD |
$84.45
|
| Rate for Payer: Priority Health Tiered Network |
$10.69
|
| Rate for Payer: Railroad Medicare Medicare |
$13.36
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$20.04
|
| Rate for Payer: UHC Core |
$20.04
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$13.36
|
| Rate for Payer: UHC Exchange |
$20.04
|
| Rate for Payer: UHC Medicaid |
$6.99
|
| Rate for Payer: UHCCP Medicaid |
$6.99
|
| Rate for Payer: UMR Bronson Commercial |
$49.60
|
| Rate for Payer: VA VA |
$13.36
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$100.54
|
|
|
HC OSTECTOMY COMPLETE 1ST METATARSAL HEAD
|
Facility
|
IP
|
$8,531.28
|
|
|
Service Code
|
CPT 28111
|
| Hospital Charge Code |
76100365
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$3,753.76 |
| Max. Negotiated Rate |
$7,678.15 |
| Rate for Payer: Aetna American Axle |
$5,545.33
|
| Rate for Payer: Aetna Commercial |
$7,251.59
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$5,545.33
|
| Rate for Payer: Cash Price |
$6,825.02
|
| Rate for Payer: Cofinity Advantage |
$5,971.90
|
| Rate for Payer: Cofinity Commercial |
$7,336.90
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$6,825.02
|
| Rate for Payer: Healthscope Commercial |
$7,678.15
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$5,971.90
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$6,398.46
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$7,251.59
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$6,398.46
|
| Rate for Payer: PHP Commercial |
$7,251.59
|
| Rate for Payer: Priority Health SBD |
$5,374.71
|
| Rate for Payer: UMR Bronson Commercial |
$3,753.76
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$6,398.46
|
|
|
HC OSTECTOMY COMPLETE 1ST METATARSAL HEAD
|
Facility
|
OP
|
$8,531.28
|
|
|
Service Code
|
CPT 28111
|
| Hospital Charge Code |
76100365
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$1,705.10 |
| Max. Negotiated Rate |
$10,543.31 |
| Rate for Payer: Aetna American Axle |
$5,545.33
|
| Rate for Payer: Aetna Commercial |
$7,251.59
|
| Rate for Payer: Aetna Medicare |
$3,390.64
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$5,545.33
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$4,075.29
|
| Rate for Payer: Amish Plain Church Group Commercial |
$4,075.29
|
| Rate for Payer: BCBS Complete |
$1,790.52
|
| Rate for Payer: BCBS MAPPO |
$3,260.23
|
| Rate for Payer: BCBS Trust/PPO |
$2,293.43
|
| Rate for Payer: BCN Commercial |
$2,293.43
|
| Rate for Payer: BCN Medicare Advantage |
$3,260.23
|
| Rate for Payer: Cash Price |
$6,825.02
|
| Rate for Payer: Cash Price |
$6,825.02
|
| Rate for Payer: Cash Price |
$6,825.02
|
| Rate for Payer: Cofinity Advantage |
$5,971.90
|
| Rate for Payer: Cofinity Commercial |
$7,336.90
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$6,825.02
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$3,260.23
|
| Rate for Payer: Healthscope Commercial |
$7,678.15
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$5,971.90
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$6,398.46
|
| Rate for Payer: Mclaren Medicaid |
$3,260.23
|
| Rate for Payer: Mclaren Medicare |
$3,260.23
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$3,423.24
|
| Rate for Payer: Meridian Medicaid |
$3,423.24
|
| Rate for Payer: MI Amish Medical Board Commercial |
$3,749.26
|
| Rate for Payer: Molina Medicare/Medicaid |
$3,586.25
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$7,251.59
|
| Rate for Payer: Nomi Health Commercial |
$9,780.69
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$6,398.46
|
| Rate for Payer: PACE Medicare |
$3,097.22
|
| Rate for Payer: PACE SWMI |
$3,260.23
|
| Rate for Payer: PHP Commercial |
$7,251.59
|
| Rate for Payer: PHP Medicare Advantage |
$3,260.23
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,705.10
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$10,543.31
|
| Rate for Payer: Priority Health Medicare |
$3,260.23
|
| Rate for Payer: Priority Health SBD |
$5,374.71
|
| Rate for Payer: Priority Health Tiered Network |
$8,434.65
|
| Rate for Payer: Railroad Medicare Medicare |
$3,260.23
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$5,545.33
|
| Rate for Payer: UHC Core |
$4,444.80
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$3,260.23
|
| Rate for Payer: UHC Exchange |
$3,352.79
|
| Rate for Payer: UHC Medicaid |
$1,705.10
|
| Rate for Payer: UHCCP Medicaid |
$1,705.10
|
| Rate for Payer: UMR Bronson Commercial |
$3,156.57
|
| Rate for Payer: VA VA |
$3,260.23
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$6,398.46
|
|
|
HC OSTECTOMY COMPLETE 2,3 OR 4TH METATARSAL HEAD
|
Facility
|
IP
|
$8,531.28
|
|
|
Service Code
|
CPT 28112
|
| Hospital Charge Code |
76100366
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$3,753.76 |
| Max. Negotiated Rate |
$7,678.15 |
| Rate for Payer: Aetna American Axle |
$5,545.33
|
| Rate for Payer: Aetna Commercial |
$7,251.59
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$5,545.33
|
| Rate for Payer: Cash Price |
$6,825.02
|
| Rate for Payer: Cofinity Advantage |
$5,971.90
|
| Rate for Payer: Cofinity Commercial |
$7,336.90
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$6,825.02
|
| Rate for Payer: Healthscope Commercial |
$7,678.15
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$5,971.90
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$6,398.46
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$7,251.59
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$6,398.46
|
| Rate for Payer: PHP Commercial |
$7,251.59
|
| Rate for Payer: Priority Health SBD |
$5,374.71
|
| Rate for Payer: UMR Bronson Commercial |
$3,753.76
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$6,398.46
|
|
|
HC OSTECTOMY COMPLETE 2,3 OR 4TH METATARSAL HEAD
|
Facility
|
OP
|
$8,531.28
|
|
|
Service Code
|
CPT 28112
|
| Hospital Charge Code |
76100366
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$1,705.10 |
| Max. Negotiated Rate |
$10,543.31 |
| Rate for Payer: Aetna American Axle |
$5,545.33
|
| Rate for Payer: Aetna Commercial |
$7,251.59
|
| Rate for Payer: Aetna Medicare |
$3,390.64
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$5,545.33
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$4,075.29
|
| Rate for Payer: Amish Plain Church Group Commercial |
$4,075.29
|
| Rate for Payer: BCBS Complete |
$1,790.52
|
| Rate for Payer: BCBS MAPPO |
$3,260.23
|
| Rate for Payer: BCBS Trust/PPO |
$2,293.43
|
| Rate for Payer: BCN Commercial |
$2,293.43
|
| Rate for Payer: BCN Medicare Advantage |
$3,260.23
|
| Rate for Payer: Cash Price |
$6,825.02
|
| Rate for Payer: Cash Price |
$6,825.02
|
| Rate for Payer: Cash Price |
$6,825.02
|
| Rate for Payer: Cofinity Advantage |
$5,971.90
|
| Rate for Payer: Cofinity Commercial |
$7,336.90
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$6,825.02
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$3,260.23
|
| Rate for Payer: Healthscope Commercial |
$7,678.15
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$5,971.90
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$6,398.46
|
| Rate for Payer: Mclaren Medicaid |
$3,260.23
|
| Rate for Payer: Mclaren Medicare |
$3,260.23
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$3,423.24
|
| Rate for Payer: Meridian Medicaid |
$3,423.24
|
| Rate for Payer: MI Amish Medical Board Commercial |
$3,749.26
|
| Rate for Payer: Molina Medicare/Medicaid |
$3,586.25
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$7,251.59
|
| Rate for Payer: Nomi Health Commercial |
$9,780.69
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$6,398.46
|
| Rate for Payer: PACE Medicare |
$3,097.22
|
| Rate for Payer: PACE SWMI |
$3,260.23
|
| Rate for Payer: PHP Commercial |
$7,251.59
|
| Rate for Payer: PHP Medicare Advantage |
$3,260.23
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,705.10
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$10,543.31
|
| Rate for Payer: Priority Health Medicare |
$3,260.23
|
| Rate for Payer: Priority Health SBD |
$5,374.71
|
| Rate for Payer: Priority Health Tiered Network |
$8,434.65
|
| Rate for Payer: Railroad Medicare Medicare |
$3,260.23
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$5,545.33
|
| Rate for Payer: UHC Core |
$4,444.80
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$3,260.23
|
| Rate for Payer: UHC Exchange |
$3,352.79
|
| Rate for Payer: UHC Medicaid |
$1,705.10
|
| Rate for Payer: UHCCP Medicaid |
$1,705.10
|
| Rate for Payer: UMR Bronson Commercial |
$3,156.57
|
| Rate for Payer: VA VA |
$3,260.23
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$6,398.46
|
|
|
HC OSTECTOMY COMPLETE 5TH METATARSAL HEAD
|
Facility
|
OP
|
$8,531.28
|
|
|
Service Code
|
CPT 28113
|
| Hospital Charge Code |
76100367
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$1,705.10 |
| Max. Negotiated Rate |
$10,543.31 |
| Rate for Payer: Aetna American Axle |
$5,545.33
|
| Rate for Payer: Aetna Commercial |
$7,251.59
|
| Rate for Payer: Aetna Medicare |
$3,390.64
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$5,545.33
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$4,075.29
|
| Rate for Payer: Amish Plain Church Group Commercial |
$4,075.29
|
| Rate for Payer: BCBS Complete |
$1,790.52
|
| Rate for Payer: BCBS MAPPO |
$3,260.23
|
| Rate for Payer: BCBS Trust/PPO |
$2,293.43
|
| Rate for Payer: BCN Commercial |
$2,293.43
|
| Rate for Payer: BCN Medicare Advantage |
$3,260.23
|
| Rate for Payer: Cash Price |
$6,825.02
|
| Rate for Payer: Cash Price |
$6,825.02
|
| Rate for Payer: Cash Price |
$6,825.02
|
| Rate for Payer: Cofinity Advantage |
$5,971.90
|
| Rate for Payer: Cofinity Commercial |
$7,336.90
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$6,825.02
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$3,260.23
|
| Rate for Payer: Healthscope Commercial |
$7,678.15
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$5,971.90
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$6,398.46
|
| Rate for Payer: Mclaren Medicaid |
$3,260.23
|
| Rate for Payer: Mclaren Medicare |
$3,260.23
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$3,423.24
|
| Rate for Payer: Meridian Medicaid |
$3,423.24
|
| Rate for Payer: MI Amish Medical Board Commercial |
$3,749.26
|
| Rate for Payer: Molina Medicare/Medicaid |
$3,586.25
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$7,251.59
|
| Rate for Payer: Nomi Health Commercial |
$9,780.69
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$6,398.46
|
| Rate for Payer: PACE Medicare |
$3,097.22
|
| Rate for Payer: PACE SWMI |
$3,260.23
|
| Rate for Payer: PHP Commercial |
$7,251.59
|
| Rate for Payer: PHP Medicare Advantage |
$3,260.23
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,705.10
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$10,543.31
|
| Rate for Payer: Priority Health Medicare |
$3,260.23
|
| Rate for Payer: Priority Health SBD |
$5,374.71
|
| Rate for Payer: Priority Health Tiered Network |
$8,434.65
|
| Rate for Payer: Railroad Medicare Medicare |
$3,260.23
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$5,545.33
|
| Rate for Payer: UHC Core |
$4,444.80
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$3,260.23
|
| Rate for Payer: UHC Exchange |
$3,352.79
|
| Rate for Payer: UHC Medicaid |
$1,705.10
|
| Rate for Payer: UHCCP Medicaid |
$1,705.10
|
| Rate for Payer: UMR Bronson Commercial |
$3,156.57
|
| Rate for Payer: VA VA |
$3,260.23
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$6,398.46
|
|
|
HC OSTECTOMY COMPLETE 5TH METATARSAL HEAD
|
Facility
|
IP
|
$8,531.28
|
|
|
Service Code
|
CPT 28113
|
| Hospital Charge Code |
76100367
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$3,753.76 |
| Max. Negotiated Rate |
$7,678.15 |
| Rate for Payer: Aetna American Axle |
$5,545.33
|
| Rate for Payer: Aetna Commercial |
$7,251.59
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$5,545.33
|
| Rate for Payer: Cash Price |
$6,825.02
|
| Rate for Payer: Cofinity Advantage |
$5,971.90
|
| Rate for Payer: Cofinity Commercial |
$7,336.90
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$6,825.02
|
| Rate for Payer: Healthscope Commercial |
$7,678.15
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$5,971.90
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$6,398.46
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$7,251.59
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$6,398.46
|
| Rate for Payer: PHP Commercial |
$7,251.59
|
| Rate for Payer: Priority Health SBD |
$5,374.71
|
| Rate for Payer: UMR Bronson Commercial |
$3,753.76
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$6,398.46
|
|
|
HC OSTEOCALCIN
|
Facility
|
OP
|
$105.06
|
|
|
Service Code
|
CPT 83937
|
| Hospital Charge Code |
30100380
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$15.61 |
| Max. Negotiated Rate |
$94.55 |
| Rate for Payer: Aetna American Axle |
$68.29
|
| Rate for Payer: Aetna Commercial |
$89.30
|
| Rate for Payer: Aetna Medicare |
$31.04
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$68.29
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$37.31
|
| Rate for Payer: Amish Plain Church Group Commercial |
$37.31
|
| Rate for Payer: BCBS Complete |
$16.39
|
| Rate for Payer: BCBS MAPPO |
$29.85
|
| Rate for Payer: BCBS Trust/PPO |
$34.51
|
| Rate for Payer: BCN Commercial |
$34.51
|
| Rate for Payer: BCN Medicare Advantage |
$29.85
|
| Rate for Payer: Cash Price |
$84.05
|
| Rate for Payer: Cash Price |
$84.05
|
| Rate for Payer: Cofinity Advantage |
$73.54
|
| Rate for Payer: Cofinity Commercial |
$90.35
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$84.05
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$29.85
|
| Rate for Payer: Healthscope Commercial |
$94.55
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$73.54
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$78.80
|
| Rate for Payer: Mclaren Medicaid |
$29.85
|
| Rate for Payer: Mclaren Medicare |
$29.85
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$31.34
|
| Rate for Payer: Meridian Medicaid |
$31.34
|
| Rate for Payer: MI Amish Medical Board Commercial |
$34.33
|
| Rate for Payer: Molina Medicare/Medicaid |
$32.84
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$89.30
|
| Rate for Payer: Nomi Health Commercial |
$44.77
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$78.80
|
| Rate for Payer: PACE Medicare |
$28.36
|
| Rate for Payer: PACE SWMI |
$29.85
|
| Rate for Payer: PHP Commercial |
$89.30
|
| Rate for Payer: PHP Medicare Advantage |
$29.85
|
| Rate for Payer: Priority Health Choice Medicaid |
$15.61
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$29.85
|
| Rate for Payer: Priority Health Medicare |
$29.85
|
| Rate for Payer: Priority Health SBD |
$66.19
|
| Rate for Payer: Priority Health Tiered Network |
$23.88
|
| Rate for Payer: Railroad Medicare Medicare |
$29.85
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$44.78
|
| Rate for Payer: UHC Core |
$44.78
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$29.85
|
| Rate for Payer: UHC Exchange |
$44.78
|
| Rate for Payer: UHC Medicaid |
$15.61
|
| Rate for Payer: UHCCP Medicaid |
$15.61
|
| Rate for Payer: UMR Bronson Commercial |
$38.87
|
| Rate for Payer: VA VA |
$29.85
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$78.80
|
|
|
HC OSTEOCALCIN
|
Facility
|
IP
|
$105.06
|
|
|
Service Code
|
CPT 83937
|
| Hospital Charge Code |
30100380
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$46.23 |
| Max. Negotiated Rate |
$94.55 |
| Rate for Payer: Aetna American Axle |
$68.29
|
| Rate for Payer: Aetna Commercial |
$89.30
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$68.29
|
| Rate for Payer: Cash Price |
$84.05
|
| Rate for Payer: Cofinity Advantage |
$73.54
|
| Rate for Payer: Cofinity Commercial |
$90.35
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$84.05
|
| Rate for Payer: Healthscope Commercial |
$94.55
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$73.54
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$78.80
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$89.30
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$78.80
|
| Rate for Payer: PHP Commercial |
$89.30
|
| Rate for Payer: Priority Health SBD |
$66.19
|
| Rate for Payer: UMR Bronson Commercial |
$46.23
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$78.80
|
|
|
HC OSTEOPATHIC MANIPULATION 1-2 BODY REGIONS
|
Facility
|
IP
|
$37.82
|
|
|
Service Code
|
CPT 98925
|
| Hospital Charge Code |
53000001
|
|
Hospital Revenue Code
|
530
|
| Min. Negotiated Rate |
$16.64 |
| Max. Negotiated Rate |
$34.04 |
| Rate for Payer: Aetna American Axle |
$24.58
|
| Rate for Payer: Aetna Commercial |
$32.15
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$24.58
|
| Rate for Payer: Cash Price |
$30.26
|
| Rate for Payer: Cofinity Advantage |
$26.47
|
| Rate for Payer: Cofinity Commercial |
$32.53
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$30.26
|
| Rate for Payer: Healthscope Commercial |
$34.04
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$26.47
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$28.36
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$32.15
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$28.36
|
| Rate for Payer: PHP Commercial |
$32.15
|
| Rate for Payer: Priority Health SBD |
$23.83
|
| Rate for Payer: UMR Bronson Commercial |
$16.64
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$28.36
|
|
|
HC OSTEOPATHIC MANIPULATION 1-2 BODY REGIONS
|
Facility
|
OP
|
$37.82
|
|
|
Service Code
|
CPT 98925
|
| Hospital Charge Code |
53000001
|
|
Hospital Revenue Code
|
530
|
| Min. Negotiated Rate |
$11.25 |
| Max. Negotiated Rate |
$69.57 |
| Rate for Payer: Aetna American Axle |
$24.58
|
| Rate for Payer: Aetna Commercial |
$32.15
|
| Rate for Payer: Aetna Medicare |
$22.37
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$24.58
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$26.89
|
| Rate for Payer: Amish Plain Church Group Commercial |
$26.89
|
| Rate for Payer: BCBS Complete |
$11.81
|
| Rate for Payer: BCBS MAPPO |
$21.51
|
| Rate for Payer: BCBS Trust/PPO |
$42.51
|
| Rate for Payer: BCN Commercial |
$42.51
|
| Rate for Payer: BCN Medicare Advantage |
$21.51
|
| Rate for Payer: Cash Price |
$30.26
|
| Rate for Payer: Cash Price |
$30.26
|
| Rate for Payer: Cofinity Advantage |
$26.47
|
| Rate for Payer: Cofinity Commercial |
$32.53
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$30.26
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$21.51
|
| Rate for Payer: Healthscope Commercial |
$34.04
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$26.47
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$28.36
|
| Rate for Payer: Mclaren Medicaid |
$21.51
|
| Rate for Payer: Mclaren Medicare |
$21.51
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$22.59
|
| Rate for Payer: Meridian Medicaid |
$22.59
|
| Rate for Payer: MI Amish Medical Board Commercial |
$24.74
|
| Rate for Payer: Molina Medicare/Medicaid |
$23.66
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$32.15
|
| Rate for Payer: Nomi Health Commercial |
$64.53
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$28.36
|
| Rate for Payer: PACE Medicare |
$20.43
|
| Rate for Payer: PACE SWMI |
$21.51
|
| Rate for Payer: PHP Commercial |
$32.15
|
| Rate for Payer: PHP Medicare Advantage |
$21.51
|
| Rate for Payer: Priority Health Choice Medicaid |
$11.25
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$69.57
|
| Rate for Payer: Priority Health Medicare |
$21.51
|
| Rate for Payer: Priority Health SBD |
$23.83
|
| Rate for Payer: Priority Health Tiered Network |
$55.66
|
| Rate for Payer: Railroad Medicare Medicare |
$21.51
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$24.58
|
| Rate for Payer: UHC Core |
$19.70
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$21.51
|
| Rate for Payer: UHC Exchange |
$14.86
|
| Rate for Payer: UHC Medicaid |
$11.25
|
| Rate for Payer: UHCCP Medicaid |
$11.25
|
| Rate for Payer: UMR Bronson Commercial |
$13.99
|
| Rate for Payer: VA VA |
$21.51
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$28.36
|
|
|
HC OSTEOPATHIC MANIPULATION 3-4 BODY REGIONS
|
Facility
|
IP
|
$32.15
|
|
|
Service Code
|
CPT 98926
|
| Hospital Charge Code |
53000002
|
|
Hospital Revenue Code
|
530
|
| Min. Negotiated Rate |
$14.15 |
| Max. Negotiated Rate |
$28.93 |
| Rate for Payer: Aetna American Axle |
$20.90
|
| Rate for Payer: Aetna Commercial |
$27.33
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$20.90
|
| Rate for Payer: Cash Price |
$25.72
|
| Rate for Payer: Cofinity Advantage |
$22.50
|
| Rate for Payer: Cofinity Commercial |
$27.65
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$25.72
|
| Rate for Payer: Healthscope Commercial |
$28.93
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$22.50
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$24.11
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$27.33
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$24.11
|
| Rate for Payer: PHP Commercial |
$27.33
|
| Rate for Payer: Priority Health SBD |
$20.25
|
| Rate for Payer: UMR Bronson Commercial |
$14.15
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$24.11
|
|
|
HC OSTEOPATHIC MANIPULATION 3-4 BODY REGIONS
|
Facility
|
OP
|
$32.15
|
|
|
Service Code
|
CPT 98926
|
| Hospital Charge Code |
53000002
|
|
Hospital Revenue Code
|
530
|
| Min. Negotiated Rate |
$11.25 |
| Max. Negotiated Rate |
$69.57 |
| Rate for Payer: Aetna American Axle |
$20.90
|
| Rate for Payer: Aetna Commercial |
$27.33
|
| Rate for Payer: Aetna Medicare |
$22.37
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$20.90
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$26.89
|
| Rate for Payer: Amish Plain Church Group Commercial |
$26.89
|
| Rate for Payer: BCBS Complete |
$11.81
|
| Rate for Payer: BCBS MAPPO |
$21.51
|
| Rate for Payer: BCBS Trust/PPO |
$57.61
|
| Rate for Payer: BCN Commercial |
$57.61
|
| Rate for Payer: BCN Medicare Advantage |
$21.51
|
| Rate for Payer: Cash Price |
$25.72
|
| Rate for Payer: Cash Price |
$25.72
|
| Rate for Payer: Cofinity Advantage |
$22.50
|
| Rate for Payer: Cofinity Commercial |
$27.65
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$25.72
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$21.51
|
| Rate for Payer: Healthscope Commercial |
$28.93
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$22.50
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$24.11
|
| Rate for Payer: Mclaren Medicaid |
$21.51
|
| Rate for Payer: Mclaren Medicare |
$21.51
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$22.59
|
| Rate for Payer: Meridian Medicaid |
$22.59
|
| Rate for Payer: MI Amish Medical Board Commercial |
$24.74
|
| Rate for Payer: Molina Medicare/Medicaid |
$23.66
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$27.33
|
| Rate for Payer: Nomi Health Commercial |
$64.53
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$24.11
|
| Rate for Payer: PACE Medicare |
$20.43
|
| Rate for Payer: PACE SWMI |
$21.51
|
| Rate for Payer: PHP Commercial |
$27.33
|
| Rate for Payer: PHP Medicare Advantage |
$21.51
|
| Rate for Payer: Priority Health Choice Medicaid |
$11.25
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$69.57
|
| Rate for Payer: Priority Health Medicare |
$21.51
|
| Rate for Payer: Priority Health SBD |
$20.25
|
| Rate for Payer: Priority Health Tiered Network |
$55.66
|
| Rate for Payer: Railroad Medicare Medicare |
$21.51
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$20.90
|
| Rate for Payer: UHC Core |
$16.75
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$21.51
|
| Rate for Payer: UHC Exchange |
$12.63
|
| Rate for Payer: UHC Medicaid |
$11.25
|
| Rate for Payer: UHCCP Medicaid |
$11.25
|
| Rate for Payer: UMR Bronson Commercial |
$11.90
|
| Rate for Payer: VA VA |
$21.51
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$24.11
|
|
|
HC OSTEOPATHIC MANIPULATION 5-6 BODY REGIONS
|
Facility
|
IP
|
$60.61
|
|
|
Service Code
|
CPT 98927
|
| Hospital Charge Code |
53000003
|
|
Hospital Revenue Code
|
530
|
| Min. Negotiated Rate |
$26.67 |
| Max. Negotiated Rate |
$54.55 |
| Rate for Payer: Aetna American Axle |
$39.40
|
| Rate for Payer: Aetna Commercial |
$51.52
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$39.40
|
| Rate for Payer: Cash Price |
$48.49
|
| Rate for Payer: Cofinity Advantage |
$42.43
|
| Rate for Payer: Cofinity Commercial |
$52.12
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$48.49
|
| Rate for Payer: Healthscope Commercial |
$54.55
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$42.43
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$45.46
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$51.52
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$45.46
|
| Rate for Payer: PHP Commercial |
$51.52
|
| Rate for Payer: Priority Health SBD |
$38.18
|
| Rate for Payer: UMR Bronson Commercial |
$26.67
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$45.46
|
|
|
HC OSTEOPATHIC MANIPULATION 5-6 BODY REGIONS
|
Facility
|
OP
|
$60.61
|
|
|
Service Code
|
CPT 98927
|
| Hospital Charge Code |
53000003
|
|
Hospital Revenue Code
|
530
|
| Min. Negotiated Rate |
$11.25 |
| Max. Negotiated Rate |
$71.77 |
| Rate for Payer: Aetna American Axle |
$39.40
|
| Rate for Payer: Aetna Commercial |
$51.52
|
| Rate for Payer: Aetna Medicare |
$22.37
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$39.40
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$26.89
|
| Rate for Payer: Amish Plain Church Group Commercial |
$26.89
|
| Rate for Payer: BCBS Complete |
$11.81
|
| Rate for Payer: BCBS MAPPO |
$21.51
|
| Rate for Payer: BCBS Trust/PPO |
$71.77
|
| Rate for Payer: BCN Commercial |
$71.77
|
| Rate for Payer: BCN Medicare Advantage |
$21.51
|
| Rate for Payer: Cash Price |
$48.49
|
| Rate for Payer: Cash Price |
$48.49
|
| Rate for Payer: Cofinity Advantage |
$42.43
|
| Rate for Payer: Cofinity Commercial |
$52.12
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$48.49
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$21.51
|
| Rate for Payer: Healthscope Commercial |
$54.55
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$42.43
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$45.46
|
| Rate for Payer: Mclaren Medicaid |
$21.51
|
| Rate for Payer: Mclaren Medicare |
$21.51
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$22.59
|
| Rate for Payer: Meridian Medicaid |
$22.59
|
| Rate for Payer: MI Amish Medical Board Commercial |
$24.74
|
| Rate for Payer: Molina Medicare/Medicaid |
$23.66
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$51.52
|
| Rate for Payer: Nomi Health Commercial |
$64.53
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$45.46
|
| Rate for Payer: PACE Medicare |
$20.43
|
| Rate for Payer: PACE SWMI |
$21.51
|
| Rate for Payer: PHP Commercial |
$51.52
|
| Rate for Payer: PHP Medicare Advantage |
$21.51
|
| Rate for Payer: Priority Health Choice Medicaid |
$11.25
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$69.57
|
| Rate for Payer: Priority Health Medicare |
$21.51
|
| Rate for Payer: Priority Health SBD |
$38.18
|
| Rate for Payer: Priority Health Tiered Network |
$55.66
|
| Rate for Payer: Railroad Medicare Medicare |
$21.51
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$39.40
|
| Rate for Payer: UHC Core |
$31.58
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$21.51
|
| Rate for Payer: UHC Exchange |
$23.82
|
| Rate for Payer: UHC Medicaid |
$11.25
|
| Rate for Payer: UHCCP Medicaid |
$11.25
|
| Rate for Payer: UMR Bronson Commercial |
$22.43
|
| Rate for Payer: VA VA |
$21.51
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$45.46
|
|
|
HC OSTEOPATHIC MANIPULATION 7-8 BODY REGIONS
|
Facility
|
OP
|
$72.88
|
|
|
Service Code
|
CPT 98928
|
| Hospital Charge Code |
53000004
|
|
Hospital Revenue Code
|
530
|
| Min. Negotiated Rate |
$11.25 |
| Max. Negotiated Rate |
$83.12 |
| Rate for Payer: Aetna American Axle |
$47.37
|
| Rate for Payer: Aetna Commercial |
$61.95
|
| Rate for Payer: Aetna Medicare |
$22.37
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$47.37
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$26.89
|
| Rate for Payer: Amish Plain Church Group Commercial |
$26.89
|
| Rate for Payer: BCBS Complete |
$11.81
|
| Rate for Payer: BCBS MAPPO |
$21.51
|
| Rate for Payer: BCBS Trust/PPO |
$83.12
|
| Rate for Payer: BCN Commercial |
$83.12
|
| Rate for Payer: BCN Medicare Advantage |
$21.51
|
| Rate for Payer: Cash Price |
$58.30
|
| Rate for Payer: Cash Price |
$58.30
|
| Rate for Payer: Cofinity Advantage |
$51.02
|
| Rate for Payer: Cofinity Commercial |
$62.68
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$58.30
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$21.51
|
| Rate for Payer: Healthscope Commercial |
$65.59
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$51.02
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$54.66
|
| Rate for Payer: Mclaren Medicaid |
$21.51
|
| Rate for Payer: Mclaren Medicare |
$21.51
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$22.59
|
| Rate for Payer: Meridian Medicaid |
$22.59
|
| Rate for Payer: MI Amish Medical Board Commercial |
$24.74
|
| Rate for Payer: Molina Medicare/Medicaid |
$23.66
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$61.95
|
| Rate for Payer: Nomi Health Commercial |
$64.53
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$54.66
|
| Rate for Payer: PACE Medicare |
$20.43
|
| Rate for Payer: PACE SWMI |
$21.51
|
| Rate for Payer: PHP Commercial |
$61.95
|
| Rate for Payer: PHP Medicare Advantage |
$21.51
|
| Rate for Payer: Priority Health Choice Medicaid |
$11.25
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$69.57
|
| Rate for Payer: Priority Health Medicare |
$21.51
|
| Rate for Payer: Priority Health SBD |
$45.91
|
| Rate for Payer: Priority Health Tiered Network |
$55.66
|
| Rate for Payer: Railroad Medicare Medicare |
$21.51
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$47.37
|
| Rate for Payer: UHC Core |
$37.97
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$21.51
|
| Rate for Payer: UHC Exchange |
$28.64
|
| Rate for Payer: UHC Medicaid |
$11.25
|
| Rate for Payer: UHCCP Medicaid |
$11.25
|
| Rate for Payer: UMR Bronson Commercial |
$26.97
|
| Rate for Payer: VA VA |
$21.51
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$54.66
|
|
|
HC OSTEOPATHIC MANIPULATION 7-8 BODY REGIONS
|
Facility
|
IP
|
$72.88
|
|
|
Service Code
|
CPT 98928
|
| Hospital Charge Code |
53000004
|
|
Hospital Revenue Code
|
530
|
| Min. Negotiated Rate |
$32.07 |
| Max. Negotiated Rate |
$65.59 |
| Rate for Payer: Aetna American Axle |
$47.37
|
| Rate for Payer: Aetna Commercial |
$61.95
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$47.37
|
| Rate for Payer: Cash Price |
$58.30
|
| Rate for Payer: Cofinity Advantage |
$51.02
|
| Rate for Payer: Cofinity Commercial |
$62.68
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$58.30
|
| Rate for Payer: Healthscope Commercial |
$65.59
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$51.02
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$54.66
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$61.95
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$54.66
|
| Rate for Payer: PHP Commercial |
$61.95
|
| Rate for Payer: Priority Health SBD |
$45.91
|
| Rate for Payer: UMR Bronson Commercial |
$32.07
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$54.66
|
|
|
HC OSTEOPATHIC MANIPULATION 9-10 BODY REGIONS
|
Facility
|
OP
|
$66.92
|
|
|
Service Code
|
CPT 98929
|
| Hospital Charge Code |
53000005
|
|
Hospital Revenue Code
|
530
|
| Min. Negotiated Rate |
$11.25 |
| Max. Negotiated Rate |
$94.44 |
| Rate for Payer: Aetna American Axle |
$43.50
|
| Rate for Payer: Aetna Commercial |
$56.88
|
| Rate for Payer: Aetna Medicare |
$22.37
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$43.50
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$26.89
|
| Rate for Payer: Amish Plain Church Group Commercial |
$26.89
|
| Rate for Payer: BCBS Complete |
$11.81
|
| Rate for Payer: BCBS MAPPO |
$21.51
|
| Rate for Payer: BCBS Trust/PPO |
$94.44
|
| Rate for Payer: BCN Commercial |
$94.44
|
| Rate for Payer: BCN Medicare Advantage |
$21.51
|
| Rate for Payer: Cash Price |
$53.54
|
| Rate for Payer: Cash Price |
$53.54
|
| Rate for Payer: Cofinity Advantage |
$46.84
|
| Rate for Payer: Cofinity Commercial |
$57.55
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$53.54
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$21.51
|
| Rate for Payer: Healthscope Commercial |
$60.23
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$46.84
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$50.19
|
| Rate for Payer: Mclaren Medicaid |
$21.51
|
| Rate for Payer: Mclaren Medicare |
$21.51
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$22.59
|
| Rate for Payer: Meridian Medicaid |
$22.59
|
| Rate for Payer: MI Amish Medical Board Commercial |
$24.74
|
| Rate for Payer: Molina Medicare/Medicaid |
$23.66
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$56.88
|
| Rate for Payer: Nomi Health Commercial |
$64.53
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$50.19
|
| Rate for Payer: PACE Medicare |
$20.43
|
| Rate for Payer: PACE SWMI |
$21.51
|
| Rate for Payer: PHP Commercial |
$56.88
|
| Rate for Payer: PHP Medicare Advantage |
$21.51
|
| Rate for Payer: Priority Health Choice Medicaid |
$11.25
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$69.57
|
| Rate for Payer: Priority Health Medicare |
$21.51
|
| Rate for Payer: Priority Health SBD |
$42.16
|
| Rate for Payer: Priority Health Tiered Network |
$55.66
|
| Rate for Payer: Railroad Medicare Medicare |
$21.51
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$43.50
|
| Rate for Payer: UHC Core |
$34.87
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$21.51
|
| Rate for Payer: UHC Exchange |
$26.30
|
| Rate for Payer: UHC Medicaid |
$11.25
|
| Rate for Payer: UHCCP Medicaid |
$11.25
|
| Rate for Payer: UMR Bronson Commercial |
$24.76
|
| Rate for Payer: VA VA |
$21.51
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$50.19
|
|
|
HC OSTEOPATHIC MANIPULATION 9-10 BODY REGIONS
|
Facility
|
IP
|
$66.92
|
|
|
Service Code
|
CPT 98929
|
| Hospital Charge Code |
53000005
|
|
Hospital Revenue Code
|
530
|
| Min. Negotiated Rate |
$29.44 |
| Max. Negotiated Rate |
$60.23 |
| Rate for Payer: Aetna American Axle |
$43.50
|
| Rate for Payer: Aetna Commercial |
$56.88
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$43.50
|
| Rate for Payer: Cash Price |
$53.54
|
| Rate for Payer: Cofinity Advantage |
$46.84
|
| Rate for Payer: Cofinity Commercial |
$57.55
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$53.54
|
| Rate for Payer: Healthscope Commercial |
$60.23
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$46.84
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$50.19
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$56.88
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$50.19
|
| Rate for Payer: PHP Commercial |
$56.88
|
| Rate for Payer: Priority Health SBD |
$42.16
|
| Rate for Payer: UMR Bronson Commercial |
$29.44
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$50.19
|
|
|
HC OSTIAL PRO SYSTEM
|
Facility
|
OP
|
$2,028.41
|
|
|
Service Code
|
HCPCS C1769
|
| Hospital Charge Code |
27200059
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$750.51 |
| Max. Negotiated Rate |
$1,825.57 |
| Rate for Payer: Aetna American Axle |
$1,318.47
|
| Rate for Payer: Aetna Commercial |
$1,724.15
|
| Rate for Payer: Aetna Medicare |
$1,014.21
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,318.47
|
| Rate for Payer: BCBS Complete |
$811.36
|
| Rate for Payer: Cash Price |
$1,622.73
|
| Rate for Payer: Cofinity Advantage |
$1,419.89
|
| Rate for Payer: Cofinity Commercial |
$1,744.43
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,622.73
|
| Rate for Payer: Healthscope Commercial |
$1,825.57
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,419.89
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,521.31
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,622.73
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,724.15
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,521.31
|
| Rate for Payer: PHP Commercial |
$1,724.15
|
| Rate for Payer: Priority Health SBD |
$1,277.90
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,318.47
|
| Rate for Payer: UHC Core |
$1,056.80
|
| Rate for Payer: UHC Exchange |
$797.17
|
| Rate for Payer: UMR Bronson Commercial |
$750.51
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,521.31
|
|
|
HC OSTIAL PRO SYSTEM
|
Facility
|
IP
|
$2,028.41
|
|
|
Service Code
|
HCPCS C1769
|
| Hospital Charge Code |
27200059
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$892.50 |
| Max. Negotiated Rate |
$1,825.57 |
| Rate for Payer: Aetna American Axle |
$1,318.47
|
| Rate for Payer: Aetna Commercial |
$1,724.15
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,318.47
|
| Rate for Payer: Cash Price |
$1,622.73
|
| Rate for Payer: Cofinity Advantage |
$1,419.89
|
| Rate for Payer: Cofinity Commercial |
$1,744.43
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,622.73
|
| Rate for Payer: Healthscope Commercial |
$1,825.57
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,419.89
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,521.31
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,724.15
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,521.31
|
| Rate for Payer: PHP Commercial |
$1,724.15
|
| Rate for Payer: Priority Health SBD |
$1,277.90
|
| Rate for Payer: UMR Bronson Commercial |
$892.50
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,521.31
|
|
|
HC OSTO-ZYME
|
Facility
|
IP
|
$43.96
|
|
| Hospital Charge Code |
27000129
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$19.34 |
| Max. Negotiated Rate |
$39.56 |
| Rate for Payer: Aetna American Axle |
$28.57
|
| Rate for Payer: Aetna Commercial |
$37.37
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$28.57
|
| Rate for Payer: Cash Price |
$35.17
|
| Rate for Payer: Cofinity Advantage |
$30.77
|
| Rate for Payer: Cofinity Commercial |
$37.81
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$35.17
|
| Rate for Payer: Healthscope Commercial |
$39.56
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$30.77
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$32.97
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$37.37
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$32.97
|
| Rate for Payer: PHP Commercial |
$37.37
|
| Rate for Payer: Priority Health SBD |
$27.69
|
| Rate for Payer: UMR Bronson Commercial |
$19.34
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$32.97
|
|
|
HC OSTO-ZYME
|
Facility
|
OP
|
$43.96
|
|
| Hospital Charge Code |
27000129
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$16.27 |
| Max. Negotiated Rate |
$39.56 |
| Rate for Payer: Aetna American Axle |
$28.57
|
| Rate for Payer: Aetna Commercial |
$37.37
|
| Rate for Payer: Aetna Medicare |
$21.98
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$28.57
|
| Rate for Payer: BCBS Complete |
$17.58
|
| Rate for Payer: Cash Price |
$35.17
|
| Rate for Payer: Cofinity Advantage |
$30.77
|
| Rate for Payer: Cofinity Commercial |
$37.81
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$35.17
|
| Rate for Payer: Healthscope Commercial |
$39.56
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$30.77
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$32.97
|
| Rate for Payer: MI Amish Medical Board Commercial |
$35.17
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$37.37
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$32.97
|
| Rate for Payer: PHP Commercial |
$37.37
|
| Rate for Payer: Priority Health SBD |
$27.69
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$28.57
|
| Rate for Payer: UHC Core |
$22.90
|
| Rate for Payer: UHC Exchange |
$17.28
|
| Rate for Payer: UMR Bronson Commercial |
$16.27
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$32.97
|
|
