|
HC PACEMAKER SINGLE CHAMBER LVL 8
|
Facility
|
OP
|
$8,315.04
|
|
|
Service Code
|
HCPCS C1786
|
| Hospital Charge Code |
27500353
|
|
Hospital Revenue Code
|
275
|
| Min. Negotiated Rate |
$3,076.56 |
| Max. Negotiated Rate |
$7,483.54 |
| Rate for Payer: Aetna American Axle |
$5,404.78
|
| Rate for Payer: Aetna Commercial |
$7,067.78
|
| Rate for Payer: Aetna Medicare |
$4,157.52
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$5,404.78
|
| Rate for Payer: BCBS Complete |
$3,326.02
|
| Rate for Payer: Cash Price |
$6,652.03
|
| Rate for Payer: Cofinity Advantage |
$5,820.53
|
| Rate for Payer: Cofinity Commercial |
$7,150.93
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$6,652.03
|
| Rate for Payer: Healthscope Commercial |
$7,483.54
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$5,820.53
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$6,236.28
|
| Rate for Payer: MI Amish Medical Board Commercial |
$6,652.03
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$7,067.78
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$6,236.28
|
| Rate for Payer: PHP Commercial |
$7,067.78
|
| Rate for Payer: Priority Health SBD |
$5,238.48
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$5,404.78
|
| Rate for Payer: UHC Core |
$4,332.14
|
| Rate for Payer: UHC Exchange |
$3,267.81
|
| Rate for Payer: UMR Bronson Commercial |
$3,076.56
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$6,236.28
|
|
|
HC PACEMAKER TESTING CABLE
|
Facility
|
IP
|
$116.98
|
|
| Hospital Charge Code |
27200143
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$51.47 |
| Max. Negotiated Rate |
$105.28 |
| Rate for Payer: Aetna American Axle |
$76.04
|
| Rate for Payer: Aetna Commercial |
$99.43
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$76.04
|
| Rate for Payer: Cash Price |
$93.58
|
| Rate for Payer: Cofinity Advantage |
$81.89
|
| Rate for Payer: Cofinity Commercial |
$100.60
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$93.58
|
| Rate for Payer: Healthscope Commercial |
$105.28
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$81.89
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$87.73
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$99.43
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$87.73
|
| Rate for Payer: PHP Commercial |
$99.43
|
| Rate for Payer: Priority Health SBD |
$73.70
|
| Rate for Payer: UMR Bronson Commercial |
$51.47
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$87.73
|
|
|
HC PACEMAKER TESTING CABLE
|
Facility
|
OP
|
$116.98
|
|
| Hospital Charge Code |
27200143
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$43.28 |
| Max. Negotiated Rate |
$105.28 |
| Rate for Payer: Aetna American Axle |
$76.04
|
| Rate for Payer: Aetna Commercial |
$99.43
|
| Rate for Payer: Aetna Medicare |
$58.49
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$76.04
|
| Rate for Payer: BCBS Complete |
$46.79
|
| Rate for Payer: Cash Price |
$93.58
|
| Rate for Payer: Cofinity Advantage |
$81.89
|
| Rate for Payer: Cofinity Commercial |
$100.60
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$93.58
|
| Rate for Payer: Healthscope Commercial |
$105.28
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$81.89
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$87.73
|
| Rate for Payer: MI Amish Medical Board Commercial |
$93.58
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$99.43
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$87.73
|
| Rate for Payer: PHP Commercial |
$99.43
|
| Rate for Payer: Priority Health SBD |
$73.70
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$76.04
|
| Rate for Payer: UHC Core |
$60.95
|
| Rate for Payer: UHC Exchange |
$45.97
|
| Rate for Payer: UMR Bronson Commercial |
$43.28
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$87.73
|
|
|
HC PACER POCKET REVISION
|
Facility
|
IP
|
$2,893.52
|
|
|
Service Code
|
CPT 33222
|
| Hospital Charge Code |
36100067
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$1,273.15 |
| Max. Negotiated Rate |
$2,604.17 |
| Rate for Payer: Aetna American Axle |
$1,880.79
|
| Rate for Payer: Aetna Commercial |
$2,459.49
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,880.79
|
| Rate for Payer: Cash Price |
$2,314.82
|
| Rate for Payer: Cofinity Advantage |
$2,025.46
|
| Rate for Payer: Cofinity Commercial |
$2,488.43
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,314.82
|
| Rate for Payer: Healthscope Commercial |
$2,604.17
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$2,025.46
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,170.14
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,459.49
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,170.14
|
| Rate for Payer: PHP Commercial |
$2,459.49
|
| Rate for Payer: Priority Health SBD |
$1,822.92
|
| Rate for Payer: UMR Bronson Commercial |
$1,273.15
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,170.14
|
|
|
HC PACER POCKET REVISION
|
Facility
|
OP
|
$2,893.52
|
|
|
Service Code
|
CPT 33222
|
| Hospital Charge Code |
36100067
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$1,070.60 |
| Max. Negotiated Rate |
$6,648.46 |
| Rate for Payer: Aetna American Axle |
$1,880.79
|
| Rate for Payer: Aetna Commercial |
$2,459.49
|
| Rate for Payer: Aetna Medicare |
$2,138.09
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,880.79
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$2,569.82
|
| Rate for Payer: Amish Plain Church Group Commercial |
$2,569.82
|
| Rate for Payer: BCBS Complete |
$1,129.08
|
| Rate for Payer: BCBS MAPPO |
$2,055.86
|
| Rate for Payer: BCBS Trust/PPO |
$1,693.74
|
| Rate for Payer: BCN Commercial |
$1,693.74
|
| Rate for Payer: BCN Medicare Advantage |
$2,055.86
|
| Rate for Payer: Cash Price |
$2,314.82
|
| Rate for Payer: Cash Price |
$2,314.82
|
| Rate for Payer: Cash Price |
$2,314.82
|
| Rate for Payer: Cofinity Advantage |
$2,025.46
|
| Rate for Payer: Cofinity Commercial |
$2,488.43
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,314.82
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,055.86
|
| Rate for Payer: Healthscope Commercial |
$2,604.17
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$2,025.46
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,170.14
|
| Rate for Payer: Mclaren Medicaid |
$2,055.86
|
| Rate for Payer: Mclaren Medicare |
$2,055.86
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$2,158.65
|
| Rate for Payer: Meridian Medicaid |
$2,158.65
|
| Rate for Payer: MI Amish Medical Board Commercial |
$2,364.24
|
| Rate for Payer: Molina Medicare/Medicaid |
$2,261.45
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,459.49
|
| Rate for Payer: Nomi Health Commercial |
$6,167.58
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,170.14
|
| Rate for Payer: PACE Medicare |
$1,953.07
|
| Rate for Payer: PACE SWMI |
$2,055.86
|
| Rate for Payer: PHP Commercial |
$2,459.49
|
| Rate for Payer: PHP Medicare Advantage |
$2,055.86
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,075.21
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$6,648.46
|
| Rate for Payer: Priority Health Medicare |
$2,055.86
|
| Rate for Payer: Priority Health SBD |
$1,822.92
|
| Rate for Payer: Priority Health Tiered Network |
$5,318.77
|
| Rate for Payer: Railroad Medicare Medicare |
$2,055.86
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$2,055.86
|
| Rate for Payer: UHC Medicaid |
$1,075.21
|
| Rate for Payer: UHCCP Medicaid |
$1,075.21
|
| Rate for Payer: UMR Bronson Commercial |
$1,070.60
|
| Rate for Payer: VA VA |
$2,055.86
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,170.14
|
|
|
HC PACK CCS BRONSON FX XC BASE
|
Facility
|
IP
|
$780.30
|
|
| Hospital Charge Code |
27000682
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$343.33 |
| Max. Negotiated Rate |
$702.27 |
| Rate for Payer: Aetna American Axle |
$507.19
|
| Rate for Payer: Aetna Commercial |
$663.25
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$507.19
|
| Rate for Payer: Cash Price |
$624.24
|
| Rate for Payer: Cofinity Advantage |
$546.21
|
| Rate for Payer: Cofinity Commercial |
$671.06
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$624.24
|
| Rate for Payer: Healthscope Commercial |
$702.27
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$546.21
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$585.23
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$663.25
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$585.23
|
| Rate for Payer: PHP Commercial |
$663.25
|
| Rate for Payer: Priority Health SBD |
$491.59
|
| Rate for Payer: UMR Bronson Commercial |
$343.33
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$585.23
|
|
|
HC PACK CCS BRONSON FX XC BASE
|
Facility
|
OP
|
$780.30
|
|
| Hospital Charge Code |
27000682
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$288.71 |
| Max. Negotiated Rate |
$702.27 |
| Rate for Payer: Aetna American Axle |
$507.19
|
| Rate for Payer: Aetna Commercial |
$663.25
|
| Rate for Payer: Aetna Medicare |
$390.15
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$507.19
|
| Rate for Payer: BCBS Complete |
$312.12
|
| Rate for Payer: Cash Price |
$624.24
|
| Rate for Payer: Cofinity Advantage |
$546.21
|
| Rate for Payer: Cofinity Commercial |
$671.06
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$624.24
|
| Rate for Payer: Healthscope Commercial |
$702.27
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$546.21
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$585.23
|
| Rate for Payer: MI Amish Medical Board Commercial |
$624.24
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$663.25
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$585.23
|
| Rate for Payer: PHP Commercial |
$663.25
|
| Rate for Payer: Priority Health SBD |
$491.59
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$507.19
|
| Rate for Payer: UHC Core |
$406.54
|
| Rate for Payer: UHC Exchange |
$306.66
|
| Rate for Payer: UMR Bronson Commercial |
$288.71
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$585.23
|
|
|
HC PACKED CELLS DIRECT
|
Facility
|
IP
|
$841.79
|
|
|
Service Code
|
HCPCS P9016
|
| Hospital Charge Code |
39000058
|
|
Hospital Revenue Code
|
390
|
| Min. Negotiated Rate |
$370.39 |
| Max. Negotiated Rate |
$757.61 |
| Rate for Payer: Aetna American Axle |
$547.16
|
| Rate for Payer: Aetna Commercial |
$715.52
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$547.16
|
| Rate for Payer: Cash Price |
$673.43
|
| Rate for Payer: Cofinity Advantage |
$589.25
|
| Rate for Payer: Cofinity Commercial |
$723.94
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$673.43
|
| Rate for Payer: Healthscope Commercial |
$757.61
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$589.25
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$631.34
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$715.52
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$631.34
|
| Rate for Payer: PHP Commercial |
$715.52
|
| Rate for Payer: Priority Health SBD |
$530.33
|
| Rate for Payer: UMR Bronson Commercial |
$370.39
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$631.34
|
|
|
HC PACKED CELLS DIRECT
|
Facility
|
OP
|
$841.79
|
|
|
Service Code
|
HCPCS P9016
|
| Hospital Charge Code |
39000058
|
|
Hospital Revenue Code
|
390
|
| Min. Negotiated Rate |
$94.32 |
| Max. Negotiated Rate |
$757.61 |
| Rate for Payer: Aetna American Axle |
$547.16
|
| Rate for Payer: Aetna Commercial |
$715.52
|
| Rate for Payer: Aetna Medicare |
$187.55
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$547.16
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$225.43
|
| Rate for Payer: Amish Plain Church Group Commercial |
$225.43
|
| Rate for Payer: BCBS Complete |
$99.04
|
| Rate for Payer: BCBS MAPPO |
$180.34
|
| Rate for Payer: BCBS Trust/PPO |
$481.44
|
| Rate for Payer: BCN Commercial |
$481.44
|
| Rate for Payer: BCN Medicare Advantage |
$180.34
|
| Rate for Payer: Cash Price |
$673.43
|
| Rate for Payer: Cash Price |
$673.43
|
| Rate for Payer: Cofinity Advantage |
$589.25
|
| Rate for Payer: Cofinity Commercial |
$723.94
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$673.43
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$180.34
|
| Rate for Payer: Healthscope Commercial |
$757.61
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$589.25
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$631.34
|
| Rate for Payer: Mclaren Medicaid |
$180.34
|
| Rate for Payer: Mclaren Medicare |
$180.34
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$189.36
|
| Rate for Payer: Meridian Medicaid |
$189.36
|
| Rate for Payer: MI Amish Medical Board Commercial |
$207.39
|
| Rate for Payer: Molina Medicare/Medicaid |
$198.37
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$715.52
|
| Rate for Payer: Nomi Health Commercial |
$541.02
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$631.34
|
| Rate for Payer: PACE Medicare |
$171.32
|
| Rate for Payer: PACE SWMI |
$180.34
|
| Rate for Payer: PHP Commercial |
$715.52
|
| Rate for Payer: PHP Medicare Advantage |
$180.34
|
| Rate for Payer: Priority Health Choice Medicaid |
$94.32
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$583.21
|
| Rate for Payer: Priority Health Medicare |
$180.34
|
| Rate for Payer: Priority Health SBD |
$530.33
|
| Rate for Payer: Priority Health Tiered Network |
$466.57
|
| Rate for Payer: Railroad Medicare Medicare |
$180.34
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$547.16
|
| Rate for Payer: UHC Core |
$438.57
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$180.34
|
| Rate for Payer: UHC Exchange |
$330.82
|
| Rate for Payer: UHC Medicaid |
$94.32
|
| Rate for Payer: UHCCP Medicaid |
$94.32
|
| Rate for Payer: UMR Bronson Commercial |
$311.46
|
| Rate for Payer: VA VA |
$180.34
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$631.34
|
|
|
HC PACKED CELLS DIRECT LRIR
|
Facility
|
IP
|
$1,282.23
|
|
|
Service Code
|
HCPCS P9040
|
| Hospital Charge Code |
39000080
|
|
Hospital Revenue Code
|
390
|
| Min. Negotiated Rate |
$564.18 |
| Max. Negotiated Rate |
$1,154.01 |
| Rate for Payer: Aetna American Axle |
$833.45
|
| Rate for Payer: Aetna Commercial |
$1,089.90
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$833.45
|
| Rate for Payer: Cash Price |
$1,025.78
|
| Rate for Payer: Cofinity Advantage |
$897.56
|
| Rate for Payer: Cofinity Commercial |
$1,102.72
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,025.78
|
| Rate for Payer: Healthscope Commercial |
$1,154.01
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$897.56
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$961.67
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,089.90
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$961.67
|
| Rate for Payer: PHP Commercial |
$1,089.90
|
| Rate for Payer: Priority Health SBD |
$807.80
|
| Rate for Payer: UMR Bronson Commercial |
$564.18
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$961.67
|
|
|
HC PACKED CELLS DIRECT LRIR
|
Facility
|
OP
|
$1,282.23
|
|
|
Service Code
|
HCPCS P9040
|
| Hospital Charge Code |
39000080
|
|
Hospital Revenue Code
|
390
|
| Min. Negotiated Rate |
$135.38 |
| Max. Negotiated Rate |
$1,154.01 |
| Rate for Payer: Aetna American Axle |
$833.45
|
| Rate for Payer: Aetna Commercial |
$1,089.90
|
| Rate for Payer: Aetna Medicare |
$269.20
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$833.45
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$323.56
|
| Rate for Payer: Amish Plain Church Group Commercial |
$323.56
|
| Rate for Payer: BCBS Complete |
$142.16
|
| Rate for Payer: BCBS MAPPO |
$258.85
|
| Rate for Payer: BCBS Trust/PPO |
$676.67
|
| Rate for Payer: BCN Commercial |
$676.67
|
| Rate for Payer: BCN Medicare Advantage |
$258.85
|
| Rate for Payer: Cash Price |
$1,025.78
|
| Rate for Payer: Cash Price |
$1,025.78
|
| Rate for Payer: Cofinity Advantage |
$897.56
|
| Rate for Payer: Cofinity Commercial |
$1,102.72
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,025.78
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$258.85
|
| Rate for Payer: Healthscope Commercial |
$1,154.01
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$897.56
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$961.67
|
| Rate for Payer: Mclaren Medicaid |
$258.85
|
| Rate for Payer: Mclaren Medicare |
$258.85
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$271.79
|
| Rate for Payer: Meridian Medicaid |
$271.79
|
| Rate for Payer: MI Amish Medical Board Commercial |
$297.68
|
| Rate for Payer: Molina Medicare/Medicaid |
$284.74
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,089.90
|
| Rate for Payer: Nomi Health Commercial |
$776.55
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$961.67
|
| Rate for Payer: PACE Medicare |
$245.91
|
| Rate for Payer: PACE SWMI |
$258.85
|
| Rate for Payer: PHP Commercial |
$1,089.90
|
| Rate for Payer: PHP Medicare Advantage |
$258.85
|
| Rate for Payer: Priority Health Choice Medicaid |
$135.38
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$837.08
|
| Rate for Payer: Priority Health Medicare |
$258.85
|
| Rate for Payer: Priority Health SBD |
$807.80
|
| Rate for Payer: Priority Health Tiered Network |
$669.66
|
| Rate for Payer: Railroad Medicare Medicare |
$258.85
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$833.45
|
| Rate for Payer: UHC Core |
$668.04
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$258.85
|
| Rate for Payer: UHC Exchange |
$503.92
|
| Rate for Payer: UHC Medicaid |
$135.38
|
| Rate for Payer: UHCCP Medicaid |
$135.38
|
| Rate for Payer: UMR Bronson Commercial |
$474.43
|
| Rate for Payer: VA VA |
$258.85
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$961.67
|
|
|
HC PACK LEFT HEART BYPASS
|
Facility
|
IP
|
$99.88
|
|
| Hospital Charge Code |
27000654
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$43.95 |
| Max. Negotiated Rate |
$89.89 |
| Rate for Payer: Aetna American Axle |
$64.92
|
| Rate for Payer: Aetna Commercial |
$84.90
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$64.92
|
| Rate for Payer: Cash Price |
$79.90
|
| Rate for Payer: Cofinity Advantage |
$69.92
|
| Rate for Payer: Cofinity Commercial |
$85.90
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$79.90
|
| Rate for Payer: Healthscope Commercial |
$89.89
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$69.92
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$74.91
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$84.90
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$74.91
|
| Rate for Payer: PHP Commercial |
$84.90
|
| Rate for Payer: Priority Health SBD |
$62.92
|
| Rate for Payer: UMR Bronson Commercial |
$43.95
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$74.91
|
|
|
HC PACK LEFT HEART BYPASS
|
Facility
|
OP
|
$99.88
|
|
| Hospital Charge Code |
27000654
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$36.96 |
| Max. Negotiated Rate |
$89.89 |
| Rate for Payer: Aetna American Axle |
$64.92
|
| Rate for Payer: Aetna Commercial |
$84.90
|
| Rate for Payer: Aetna Medicare |
$49.94
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$64.92
|
| Rate for Payer: BCBS Complete |
$39.95
|
| Rate for Payer: Cash Price |
$79.90
|
| Rate for Payer: Cofinity Advantage |
$69.92
|
| Rate for Payer: Cofinity Commercial |
$85.90
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$79.90
|
| Rate for Payer: Healthscope Commercial |
$89.89
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$69.92
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$74.91
|
| Rate for Payer: MI Amish Medical Board Commercial |
$79.90
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$84.90
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$74.91
|
| Rate for Payer: PHP Commercial |
$84.90
|
| Rate for Payer: Priority Health SBD |
$62.92
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$64.92
|
| Rate for Payer: UHC Core |
$52.04
|
| Rate for Payer: UHC Exchange |
$39.25
|
| Rate for Payer: UMR Bronson Commercial |
$36.96
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$74.91
|
|
|
HC PACK QUEST CARDIOPLEGIA
|
Facility
|
IP
|
$702.27
|
|
| Hospital Charge Code |
27000457
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$309.00 |
| Max. Negotiated Rate |
$632.04 |
| Rate for Payer: Aetna American Axle |
$456.48
|
| Rate for Payer: Aetna Commercial |
$596.93
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$456.48
|
| Rate for Payer: Cash Price |
$561.82
|
| Rate for Payer: Cofinity Advantage |
$491.59
|
| Rate for Payer: Cofinity Commercial |
$603.95
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$561.82
|
| Rate for Payer: Healthscope Commercial |
$632.04
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$491.59
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$526.70
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$596.93
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$526.70
|
| Rate for Payer: PHP Commercial |
$596.93
|
| Rate for Payer: Priority Health SBD |
$442.43
|
| Rate for Payer: UMR Bronson Commercial |
$309.00
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$526.70
|
|
|
HC PACK QUEST CARDIOPLEGIA
|
Facility
|
OP
|
$702.27
|
|
| Hospital Charge Code |
27000457
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$259.84 |
| Max. Negotiated Rate |
$632.04 |
| Rate for Payer: Aetna American Axle |
$456.48
|
| Rate for Payer: Aetna Commercial |
$596.93
|
| Rate for Payer: Aetna Medicare |
$351.13
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$456.48
|
| Rate for Payer: BCBS Complete |
$280.91
|
| Rate for Payer: Cash Price |
$561.82
|
| Rate for Payer: Cofinity Advantage |
$491.59
|
| Rate for Payer: Cofinity Commercial |
$603.95
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$561.82
|
| Rate for Payer: Healthscope Commercial |
$632.04
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$491.59
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$526.70
|
| Rate for Payer: MI Amish Medical Board Commercial |
$561.82
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$596.93
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$526.70
|
| Rate for Payer: PHP Commercial |
$596.93
|
| Rate for Payer: Priority Health SBD |
$442.43
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$456.48
|
| Rate for Payer: UHC Core |
$365.88
|
| Rate for Payer: UHC Exchange |
$275.99
|
| Rate for Payer: UMR Bronson Commercial |
$259.84
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$526.70
|
|
|
HC PACK TABLE LINE
|
Facility
|
OP
|
$209.12
|
|
| Hospital Charge Code |
27000676
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$77.37 |
| Max. Negotiated Rate |
$188.21 |
| Rate for Payer: Aetna American Axle |
$135.93
|
| Rate for Payer: Aetna Commercial |
$177.75
|
| Rate for Payer: Aetna Medicare |
$104.56
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$135.93
|
| Rate for Payer: BCBS Complete |
$83.65
|
| Rate for Payer: Cash Price |
$167.30
|
| Rate for Payer: Cofinity Advantage |
$146.38
|
| Rate for Payer: Cofinity Commercial |
$179.84
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$167.30
|
| Rate for Payer: Healthscope Commercial |
$188.21
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$146.38
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$156.84
|
| Rate for Payer: MI Amish Medical Board Commercial |
$167.30
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$177.75
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$156.84
|
| Rate for Payer: PHP Commercial |
$177.75
|
| Rate for Payer: Priority Health SBD |
$131.75
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$135.93
|
| Rate for Payer: UHC Core |
$108.95
|
| Rate for Payer: UHC Exchange |
$82.18
|
| Rate for Payer: UMR Bronson Commercial |
$77.37
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$156.84
|
|
|
HC PACK TABLE LINE
|
Facility
|
IP
|
$209.12
|
|
| Hospital Charge Code |
27000676
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$92.01 |
| Max. Negotiated Rate |
$188.21 |
| Rate for Payer: Aetna American Axle |
$135.93
|
| Rate for Payer: Aetna Commercial |
$177.75
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$135.93
|
| Rate for Payer: Cash Price |
$167.30
|
| Rate for Payer: Cofinity Advantage |
$146.38
|
| Rate for Payer: Cofinity Commercial |
$179.84
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$167.30
|
| Rate for Payer: Healthscope Commercial |
$188.21
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$146.38
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$156.84
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$177.75
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$156.84
|
| Rate for Payer: PHP Commercial |
$177.75
|
| Rate for Payer: Priority Health SBD |
$131.75
|
| Rate for Payer: UMR Bronson Commercial |
$92.01
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$156.84
|
|
|
HC PACK W/O RESERV TERUMO
|
Facility
|
IP
|
$858.33
|
|
| Hospital Charge Code |
27000648
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$377.67 |
| Max. Negotiated Rate |
$772.50 |
| Rate for Payer: Aetna American Axle |
$557.91
|
| Rate for Payer: Aetna Commercial |
$729.58
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$557.91
|
| Rate for Payer: Cash Price |
$686.66
|
| Rate for Payer: Cofinity Advantage |
$600.83
|
| Rate for Payer: Cofinity Commercial |
$738.16
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$686.66
|
| Rate for Payer: Healthscope Commercial |
$772.50
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$600.83
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$643.75
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$729.58
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$643.75
|
| Rate for Payer: PHP Commercial |
$729.58
|
| Rate for Payer: Priority Health SBD |
$540.75
|
| Rate for Payer: UMR Bronson Commercial |
$377.67
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$643.75
|
|
|
HC PACK W/O RESERV TERUMO
|
Facility
|
OP
|
$858.33
|
|
| Hospital Charge Code |
27000648
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$317.58 |
| Max. Negotiated Rate |
$772.50 |
| Rate for Payer: Aetna American Axle |
$557.91
|
| Rate for Payer: Aetna Commercial |
$729.58
|
| Rate for Payer: Aetna Medicare |
$429.17
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$557.91
|
| Rate for Payer: BCBS Complete |
$343.33
|
| Rate for Payer: Cash Price |
$686.66
|
| Rate for Payer: Cofinity Advantage |
$600.83
|
| Rate for Payer: Cofinity Commercial |
$738.16
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$686.66
|
| Rate for Payer: Healthscope Commercial |
$772.50
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$600.83
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$643.75
|
| Rate for Payer: MI Amish Medical Board Commercial |
$686.66
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$729.58
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$643.75
|
| Rate for Payer: PHP Commercial |
$729.58
|
| Rate for Payer: Priority Health SBD |
$540.75
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$557.91
|
| Rate for Payer: UHC Core |
$447.19
|
| Rate for Payer: UHC Exchange |
$337.32
|
| Rate for Payer: UMR Bronson Commercial |
$317.58
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$643.75
|
|
|
HC PAIN CLINIC DRUG SCREEN, U
|
Facility
|
IP
|
$167.67
|
|
|
Service Code
|
CPT 80307
|
| Hospital Charge Code |
30100680
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$73.77 |
| Max. Negotiated Rate |
$150.90 |
| Rate for Payer: Aetna American Axle |
$108.99
|
| Rate for Payer: Aetna Commercial |
$142.52
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$108.99
|
| Rate for Payer: Cash Price |
$134.14
|
| Rate for Payer: Cofinity Advantage |
$117.37
|
| Rate for Payer: Cofinity Commercial |
$144.20
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$134.14
|
| Rate for Payer: Healthscope Commercial |
$150.90
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$117.37
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$125.75
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$142.52
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$125.75
|
| Rate for Payer: PHP Commercial |
$142.52
|
| Rate for Payer: Priority Health SBD |
$105.63
|
| Rate for Payer: UMR Bronson Commercial |
$73.77
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$125.75
|
|
|
HC PAIN CLINIC DRUG SCREEN, U
|
Facility
|
OP
|
$167.67
|
|
|
Service Code
|
CPT 80307
|
| Hospital Charge Code |
30100680
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$32.50 |
| Max. Negotiated Rate |
$150.90 |
| Rate for Payer: Aetna American Axle |
$108.99
|
| Rate for Payer: Aetna Commercial |
$142.52
|
| Rate for Payer: Aetna Medicare |
$64.63
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$108.99
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$77.67
|
| Rate for Payer: Amish Plain Church Group Commercial |
$77.67
|
| Rate for Payer: BCBS Complete |
$34.13
|
| Rate for Payer: BCBS MAPPO |
$62.14
|
| Rate for Payer: BCBS Trust/PPO |
$71.84
|
| Rate for Payer: BCN Commercial |
$71.84
|
| Rate for Payer: BCN Medicare Advantage |
$62.14
|
| Rate for Payer: Cash Price |
$134.14
|
| Rate for Payer: Cash Price |
$134.14
|
| Rate for Payer: Cofinity Advantage |
$117.37
|
| Rate for Payer: Cofinity Commercial |
$144.20
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$134.14
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$62.14
|
| Rate for Payer: Healthscope Commercial |
$150.90
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$117.37
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$125.75
|
| Rate for Payer: Mclaren Medicaid |
$62.14
|
| Rate for Payer: Mclaren Medicare |
$62.14
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$65.25
|
| Rate for Payer: Meridian Medicaid |
$65.25
|
| Rate for Payer: MI Amish Medical Board Commercial |
$71.46
|
| Rate for Payer: Molina Medicare/Medicaid |
$68.35
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$142.52
|
| Rate for Payer: Nomi Health Commercial |
$93.21
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$125.75
|
| Rate for Payer: PACE Medicare |
$59.03
|
| Rate for Payer: PACE SWMI |
$62.14
|
| Rate for Payer: PHP Commercial |
$142.52
|
| Rate for Payer: PHP Medicare Advantage |
$62.14
|
| Rate for Payer: Priority Health Choice Medicaid |
$32.50
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$62.14
|
| Rate for Payer: Priority Health Medicare |
$62.14
|
| Rate for Payer: Priority Health SBD |
$105.63
|
| Rate for Payer: Priority Health Tiered Network |
$49.71
|
| Rate for Payer: Railroad Medicare Medicare |
$62.14
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$93.21
|
| Rate for Payer: UHC Core |
$93.21
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$62.14
|
| Rate for Payer: UHC Exchange |
$93.21
|
| Rate for Payer: UHC Medicaid |
$32.50
|
| Rate for Payer: UHCCP Medicaid |
$32.50
|
| Rate for Payer: UMR Bronson Commercial |
$62.04
|
| Rate for Payer: VA VA |
$62.14
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$125.75
|
|
|
HC PAIN PUMP ADJUSTMENT
|
Facility
|
IP
|
$151.79
|
|
|
Service Code
|
CPT 99211
|
| Hospital Charge Code |
76100028
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$66.79 |
| Max. Negotiated Rate |
$136.61 |
| Rate for Payer: Aetna American Axle |
$98.66
|
| Rate for Payer: Aetna Commercial |
$129.02
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$98.66
|
| Rate for Payer: Cash Price |
$121.43
|
| Rate for Payer: Cofinity Advantage |
$106.25
|
| Rate for Payer: Cofinity Commercial |
$130.54
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$121.43
|
| Rate for Payer: Healthscope Commercial |
$136.61
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$106.25
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$113.84
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$129.02
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$113.84
|
| Rate for Payer: PHP Commercial |
$129.02
|
| Rate for Payer: Priority Health SBD |
$95.63
|
| Rate for Payer: UMR Bronson Commercial |
$66.79
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$113.84
|
|
|
HC PAIN PUMP ADJUSTMENT
|
Facility
|
OP
|
$151.79
|
|
|
Service Code
|
CPT 99211
|
| Hospital Charge Code |
76100028
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$21.87 |
| Max. Negotiated Rate |
$136.61 |
| Rate for Payer: Aetna American Axle |
$98.66
|
| Rate for Payer: Aetna Commercial |
$129.02
|
| Rate for Payer: Aetna Medicare |
$75.89
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$98.66
|
| Rate for Payer: BCBS Complete |
$60.72
|
| Rate for Payer: BCBS Trust/PPO |
$47.11
|
| Rate for Payer: BCCCP Commercial |
$21.87
|
| Rate for Payer: BCN Commercial |
$47.11
|
| Rate for Payer: Cash Price |
$121.43
|
| Rate for Payer: Cash Price |
$121.43
|
| Rate for Payer: Cofinity Advantage |
$106.25
|
| Rate for Payer: Cofinity Commercial |
$130.54
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$121.43
|
| Rate for Payer: Healthscope Commercial |
$136.61
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$106.25
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$113.84
|
| Rate for Payer: MI Amish Medical Board Commercial |
$121.43
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$129.02
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$113.84
|
| Rate for Payer: PHP Commercial |
$129.02
|
| Rate for Payer: Priority Health SBD |
$95.63
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$98.66
|
| Rate for Payer: UHC Core |
$79.08
|
| Rate for Payer: UHC Exchange |
$59.65
|
| Rate for Payer: UMR Bronson Commercial |
$56.16
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$113.84
|
|
|
HC PAIN PUMP SUPPLY
|
Facility
|
IP
|
$942.09
|
|
| Hospital Charge Code |
27000130
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$414.52 |
| Max. Negotiated Rate |
$847.88 |
| Rate for Payer: Aetna American Axle |
$612.36
|
| Rate for Payer: Aetna Commercial |
$800.78
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$612.36
|
| Rate for Payer: Cash Price |
$753.67
|
| Rate for Payer: Cofinity Advantage |
$659.46
|
| Rate for Payer: Cofinity Commercial |
$810.20
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$753.67
|
| Rate for Payer: Healthscope Commercial |
$847.88
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$659.46
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$706.57
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$800.78
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$706.57
|
| Rate for Payer: PHP Commercial |
$800.78
|
| Rate for Payer: Priority Health SBD |
$593.52
|
| Rate for Payer: UMR Bronson Commercial |
$414.52
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$706.57
|
|
|
HC PAIN PUMP SUPPLY
|
Facility
|
OP
|
$942.09
|
|
| Hospital Charge Code |
27000130
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$348.57 |
| Max. Negotiated Rate |
$847.88 |
| Rate for Payer: Aetna American Axle |
$612.36
|
| Rate for Payer: Aetna Commercial |
$800.78
|
| Rate for Payer: Aetna Medicare |
$471.05
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$612.36
|
| Rate for Payer: BCBS Complete |
$376.84
|
| Rate for Payer: Cash Price |
$753.67
|
| Rate for Payer: Cofinity Advantage |
$659.46
|
| Rate for Payer: Cofinity Commercial |
$810.20
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$753.67
|
| Rate for Payer: Healthscope Commercial |
$847.88
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$659.46
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$706.57
|
| Rate for Payer: MI Amish Medical Board Commercial |
$753.67
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$800.78
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$706.57
|
| Rate for Payer: PHP Commercial |
$800.78
|
| Rate for Payer: Priority Health SBD |
$593.52
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$612.36
|
| Rate for Payer: UHC Core |
$490.83
|
| Rate for Payer: UHC Exchange |
$370.24
|
| Rate for Payer: UMR Bronson Commercial |
$348.57
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$706.57
|
|
