|
HC PARVOVIRUS B19 COMPONENT
|
Facility
|
OP
|
$26.90
|
|
|
Service Code
|
CPT 86747
|
| Hospital Charge Code |
30200314
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$7.86 |
| Max. Negotiated Rate |
$24.21 |
| Rate for Payer: Aetna American Axle |
$17.48
|
| Rate for Payer: Aetna Commercial |
$22.86
|
| Rate for Payer: Aetna Medicare |
$15.63
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$17.48
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$18.79
|
| Rate for Payer: Amish Plain Church Group Commercial |
$18.79
|
| Rate for Payer: BCBS Complete |
$8.25
|
| Rate for Payer: BCBS MAPPO |
$15.03
|
| Rate for Payer: BCBS Trust/PPO |
$17.37
|
| Rate for Payer: BCN Commercial |
$17.37
|
| Rate for Payer: BCN Medicare Advantage |
$15.03
|
| Rate for Payer: Cash Price |
$21.52
|
| Rate for Payer: Cash Price |
$21.52
|
| Rate for Payer: Cofinity Advantage |
$18.83
|
| Rate for Payer: Cofinity Commercial |
$23.13
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$21.52
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$15.03
|
| Rate for Payer: Healthscope Commercial |
$24.21
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$18.83
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$20.18
|
| Rate for Payer: Mclaren Medicaid |
$15.03
|
| Rate for Payer: Mclaren Medicare |
$15.03
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$15.78
|
| Rate for Payer: Meridian Medicaid |
$15.78
|
| Rate for Payer: MI Amish Medical Board Commercial |
$17.28
|
| Rate for Payer: Molina Medicare/Medicaid |
$16.53
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$22.86
|
| Rate for Payer: Nomi Health Commercial |
$22.55
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$20.18
|
| Rate for Payer: PACE Medicare |
$14.28
|
| Rate for Payer: PACE SWMI |
$15.03
|
| Rate for Payer: PHP Commercial |
$22.86
|
| Rate for Payer: PHP Medicare Advantage |
$15.03
|
| Rate for Payer: Priority Health Choice Medicaid |
$7.86
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$15.03
|
| Rate for Payer: Priority Health Medicare |
$15.03
|
| Rate for Payer: Priority Health SBD |
$16.95
|
| Rate for Payer: Priority Health Tiered Network |
$12.02
|
| Rate for Payer: Railroad Medicare Medicare |
$15.03
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$22.55
|
| Rate for Payer: UHC Core |
$22.55
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$15.03
|
| Rate for Payer: UHC Exchange |
$22.55
|
| Rate for Payer: UHC Medicaid |
$7.86
|
| Rate for Payer: UHCCP Medicaid |
$7.86
|
| Rate for Payer: UMR Bronson Commercial |
$9.95
|
| Rate for Payer: VA VA |
$15.03
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$20.18
|
|
|
HC PARVOVIRUS B19 COMPONENT
|
Facility
|
IP
|
$26.90
|
|
|
Service Code
|
CPT 86747
|
| Hospital Charge Code |
30200314
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$11.84 |
| Max. Negotiated Rate |
$24.21 |
| Rate for Payer: Aetna American Axle |
$17.48
|
| Rate for Payer: Aetna Commercial |
$22.86
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$17.48
|
| Rate for Payer: Cash Price |
$21.52
|
| Rate for Payer: Cofinity Advantage |
$18.83
|
| Rate for Payer: Cofinity Commercial |
$23.13
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$21.52
|
| Rate for Payer: Healthscope Commercial |
$24.21
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$18.83
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$20.18
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$22.86
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$20.18
|
| Rate for Payer: PHP Commercial |
$22.86
|
| Rate for Payer: Priority Health SBD |
$16.95
|
| Rate for Payer: UMR Bronson Commercial |
$11.84
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$20.18
|
|
|
HC PARVOVIRUS B19 IGG
|
Facility
|
IP
|
$26.90
|
|
|
Service Code
|
CPT 86747
|
| Hospital Charge Code |
30200313
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$11.84 |
| Max. Negotiated Rate |
$24.21 |
| Rate for Payer: Aetna American Axle |
$17.48
|
| Rate for Payer: Aetna Commercial |
$22.86
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$17.48
|
| Rate for Payer: Cash Price |
$21.52
|
| Rate for Payer: Cofinity Advantage |
$18.83
|
| Rate for Payer: Cofinity Commercial |
$23.13
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$21.52
|
| Rate for Payer: Healthscope Commercial |
$24.21
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$18.83
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$20.18
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$22.86
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$20.18
|
| Rate for Payer: PHP Commercial |
$22.86
|
| Rate for Payer: Priority Health SBD |
$16.95
|
| Rate for Payer: UMR Bronson Commercial |
$11.84
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$20.18
|
|
|
HC PARVOVIRUS B19 IGG
|
Facility
|
OP
|
$26.90
|
|
|
Service Code
|
CPT 86747
|
| Hospital Charge Code |
30200313
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$7.86 |
| Max. Negotiated Rate |
$24.21 |
| Rate for Payer: Aetna American Axle |
$17.48
|
| Rate for Payer: Aetna Commercial |
$22.86
|
| Rate for Payer: Aetna Medicare |
$15.63
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$17.48
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$18.79
|
| Rate for Payer: Amish Plain Church Group Commercial |
$18.79
|
| Rate for Payer: BCBS Complete |
$8.25
|
| Rate for Payer: BCBS MAPPO |
$15.03
|
| Rate for Payer: BCBS Trust/PPO |
$17.37
|
| Rate for Payer: BCN Commercial |
$17.37
|
| Rate for Payer: BCN Medicare Advantage |
$15.03
|
| Rate for Payer: Cash Price |
$21.52
|
| Rate for Payer: Cash Price |
$21.52
|
| Rate for Payer: Cofinity Advantage |
$18.83
|
| Rate for Payer: Cofinity Commercial |
$23.13
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$21.52
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$15.03
|
| Rate for Payer: Healthscope Commercial |
$24.21
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$18.83
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$20.18
|
| Rate for Payer: Mclaren Medicaid |
$15.03
|
| Rate for Payer: Mclaren Medicare |
$15.03
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$15.78
|
| Rate for Payer: Meridian Medicaid |
$15.78
|
| Rate for Payer: MI Amish Medical Board Commercial |
$17.28
|
| Rate for Payer: Molina Medicare/Medicaid |
$16.53
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$22.86
|
| Rate for Payer: Nomi Health Commercial |
$22.55
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$20.18
|
| Rate for Payer: PACE Medicare |
$14.28
|
| Rate for Payer: PACE SWMI |
$15.03
|
| Rate for Payer: PHP Commercial |
$22.86
|
| Rate for Payer: PHP Medicare Advantage |
$15.03
|
| Rate for Payer: Priority Health Choice Medicaid |
$7.86
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$15.03
|
| Rate for Payer: Priority Health Medicare |
$15.03
|
| Rate for Payer: Priority Health SBD |
$16.95
|
| Rate for Payer: Priority Health Tiered Network |
$12.02
|
| Rate for Payer: Railroad Medicare Medicare |
$15.03
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$22.55
|
| Rate for Payer: UHC Core |
$22.55
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$15.03
|
| Rate for Payer: UHC Exchange |
$22.55
|
| Rate for Payer: UHC Medicaid |
$7.86
|
| Rate for Payer: UHCCP Medicaid |
$7.86
|
| Rate for Payer: UMR Bronson Commercial |
$9.95
|
| Rate for Payer: VA VA |
$15.03
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$20.18
|
|
|
HC PASCAL PRECISION TRANSCATH VALVE REPAIR SYS MITRAL
|
Facility
|
OP
|
$38,250.00
|
|
| Hospital Charge Code |
27800163
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$14,152.50 |
| Max. Negotiated Rate |
$34,425.00 |
| Rate for Payer: Aetna American Axle |
$24,862.50
|
| Rate for Payer: Aetna Commercial |
$32,512.50
|
| Rate for Payer: Aetna Medicare |
$19,125.00
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$24,862.50
|
| Rate for Payer: BCBS Complete |
$15,300.00
|
| Rate for Payer: Cash Price |
$30,600.00
|
| Rate for Payer: Cofinity Advantage |
$26,775.00
|
| Rate for Payer: Cofinity Commercial |
$32,895.00
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$30,600.00
|
| Rate for Payer: Healthscope Commercial |
$34,425.00
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$26,775.00
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$28,687.50
|
| Rate for Payer: MI Amish Medical Board Commercial |
$30,600.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$32,512.50
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$28,687.50
|
| Rate for Payer: PHP Commercial |
$32,512.50
|
| Rate for Payer: Priority Health SBD |
$24,097.50
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$24,862.50
|
| Rate for Payer: UHC Core |
$19,928.25
|
| Rate for Payer: UHC Exchange |
$15,032.25
|
| Rate for Payer: UMR Bronson Commercial |
$14,152.50
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$28,687.50
|
|
|
HC PASCAL PRECISION TRANSCATH VALVE REPAIR SYS MITRAL
|
Facility
|
IP
|
$38,250.00
|
|
| Hospital Charge Code |
27800163
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$16,830.00 |
| Max. Negotiated Rate |
$34,425.00 |
| Rate for Payer: Aetna American Axle |
$24,862.50
|
| Rate for Payer: Aetna Commercial |
$32,512.50
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$24,862.50
|
| Rate for Payer: Cash Price |
$30,600.00
|
| Rate for Payer: Cofinity Advantage |
$26,775.00
|
| Rate for Payer: Cofinity Commercial |
$32,895.00
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$30,600.00
|
| Rate for Payer: Healthscope Commercial |
$34,425.00
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$26,775.00
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$28,687.50
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$32,512.50
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$28,687.50
|
| Rate for Payer: PHP Commercial |
$32,512.50
|
| Rate for Payer: Priority Health SBD |
$24,097.50
|
| Rate for Payer: UMR Bronson Commercial |
$16,830.00
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$28,687.50
|
|
|
HC PASTE
|
Facility
|
OP
|
$31.71
|
|
| Hospital Charge Code |
27000131
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$11.73 |
| Max. Negotiated Rate |
$28.54 |
| Rate for Payer: Aetna American Axle |
$20.61
|
| Rate for Payer: Aetna Commercial |
$26.95
|
| Rate for Payer: Aetna Medicare |
$15.86
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$20.61
|
| Rate for Payer: BCBS Complete |
$12.68
|
| Rate for Payer: Cash Price |
$25.37
|
| Rate for Payer: Cofinity Advantage |
$22.20
|
| Rate for Payer: Cofinity Commercial |
$27.27
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$25.37
|
| Rate for Payer: Healthscope Commercial |
$28.54
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$22.20
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$23.78
|
| Rate for Payer: MI Amish Medical Board Commercial |
$25.37
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$26.95
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$23.78
|
| Rate for Payer: PHP Commercial |
$26.95
|
| Rate for Payer: Priority Health SBD |
$19.98
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$20.61
|
| Rate for Payer: UHC Core |
$16.52
|
| Rate for Payer: UHC Exchange |
$12.46
|
| Rate for Payer: UMR Bronson Commercial |
$11.73
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$23.78
|
|
|
HC PASTE
|
Facility
|
IP
|
$31.71
|
|
| Hospital Charge Code |
27000131
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$13.95 |
| Max. Negotiated Rate |
$28.54 |
| Rate for Payer: Aetna American Axle |
$20.61
|
| Rate for Payer: Aetna Commercial |
$26.95
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$20.61
|
| Rate for Payer: Cash Price |
$25.37
|
| Rate for Payer: Cofinity Advantage |
$22.20
|
| Rate for Payer: Cofinity Commercial |
$27.27
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$25.37
|
| Rate for Payer: Healthscope Commercial |
$28.54
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$22.20
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$23.78
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$26.95
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$23.78
|
| Rate for Payer: PHP Commercial |
$26.95
|
| Rate for Payer: Priority Health SBD |
$19.98
|
| Rate for Payer: UMR Bronson Commercial |
$13.95
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$23.78
|
|
|
HC PASTE NO STING
|
Facility
|
IP
|
$43.59
|
|
|
Service Code
|
HCPCS A4406
|
| Hospital Charge Code |
27000627
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$19.18 |
| Max. Negotiated Rate |
$39.23 |
| Rate for Payer: Aetna American Axle |
$28.33
|
| Rate for Payer: Aetna Commercial |
$37.05
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$28.33
|
| Rate for Payer: Cash Price |
$34.87
|
| Rate for Payer: Cofinity Advantage |
$30.51
|
| Rate for Payer: Cofinity Commercial |
$37.49
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$34.87
|
| Rate for Payer: Healthscope Commercial |
$39.23
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$30.51
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$32.69
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$37.05
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$32.69
|
| Rate for Payer: PHP Commercial |
$37.05
|
| Rate for Payer: Priority Health SBD |
$27.46
|
| Rate for Payer: UMR Bronson Commercial |
$19.18
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$32.69
|
|
|
HC PASTE NO STING
|
Facility
|
OP
|
$43.59
|
|
|
Service Code
|
HCPCS A4406
|
| Hospital Charge Code |
27000627
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$16.13 |
| Max. Negotiated Rate |
$39.23 |
| Rate for Payer: Aetna American Axle |
$28.33
|
| Rate for Payer: Aetna Commercial |
$37.05
|
| Rate for Payer: Aetna Medicare |
$21.80
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$28.33
|
| Rate for Payer: BCBS Complete |
$17.44
|
| Rate for Payer: Cash Price |
$34.87
|
| Rate for Payer: Cofinity Advantage |
$30.51
|
| Rate for Payer: Cofinity Commercial |
$37.49
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$34.87
|
| Rate for Payer: Healthscope Commercial |
$39.23
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$30.51
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$32.69
|
| Rate for Payer: MI Amish Medical Board Commercial |
$34.87
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$37.05
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$32.69
|
| Rate for Payer: PHP Commercial |
$37.05
|
| Rate for Payer: Priority Health SBD |
$27.46
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$28.33
|
| Rate for Payer: UHC Core |
$22.71
|
| Rate for Payer: UHC Exchange |
$17.13
|
| Rate for Payer: UMR Bronson Commercial |
$16.13
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$32.69
|
|
|
HC PATH CONSULT ON REFERRAL WITH SLIDE PREP
|
Facility
|
OP
|
$112.49
|
|
|
Service Code
|
CPT 88323
|
| Hospital Charge Code |
31000113
|
|
Hospital Revenue Code
|
310
|
| Min. Negotiated Rate |
$27.15 |
| Max. Negotiated Rate |
$167.92 |
| Rate for Payer: Aetna American Axle |
$73.12
|
| Rate for Payer: Aetna Commercial |
$95.62
|
| Rate for Payer: Aetna Medicare |
$54.00
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$73.12
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$64.90
|
| Rate for Payer: Amish Plain Church Group Commercial |
$64.90
|
| Rate for Payer: BCBS Complete |
$28.51
|
| Rate for Payer: BCBS MAPPO |
$51.92
|
| Rate for Payer: BCBS Trust/PPO |
$55.41
|
| Rate for Payer: BCN Commercial |
$55.41
|
| Rate for Payer: BCN Medicare Advantage |
$51.92
|
| Rate for Payer: Cash Price |
$89.99
|
| Rate for Payer: Cash Price |
$89.99
|
| Rate for Payer: Cofinity Advantage |
$78.74
|
| Rate for Payer: Cofinity Commercial |
$96.74
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$89.99
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$51.92
|
| Rate for Payer: Healthscope Commercial |
$101.24
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$78.74
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$84.37
|
| Rate for Payer: Mclaren Medicaid |
$51.92
|
| Rate for Payer: Mclaren Medicare |
$51.92
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$54.52
|
| Rate for Payer: Meridian Medicaid |
$54.52
|
| Rate for Payer: MI Amish Medical Board Commercial |
$59.71
|
| Rate for Payer: Molina Medicare/Medicaid |
$57.11
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$95.62
|
| Rate for Payer: Nomi Health Commercial |
$155.76
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$84.37
|
| Rate for Payer: PACE Medicare |
$49.32
|
| Rate for Payer: PACE SWMI |
$51.92
|
| Rate for Payer: PHP Commercial |
$95.62
|
| Rate for Payer: PHP Medicare Advantage |
$51.92
|
| Rate for Payer: Priority Health Choice Medicaid |
$27.15
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$167.92
|
| Rate for Payer: Priority Health Medicare |
$51.92
|
| Rate for Payer: Priority Health SBD |
$70.87
|
| Rate for Payer: Priority Health Tiered Network |
$134.34
|
| Rate for Payer: Railroad Medicare Medicare |
$51.92
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$80.15
|
| Rate for Payer: UHC Core |
$80.15
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$51.92
|
| Rate for Payer: UHC Exchange |
$80.15
|
| Rate for Payer: UHC Medicaid |
$27.15
|
| Rate for Payer: UHCCP Medicaid |
$27.15
|
| Rate for Payer: UMR Bronson Commercial |
$41.62
|
| Rate for Payer: VA VA |
$51.92
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$84.37
|
|
|
HC PATH CONSULT ON REFERRAL WITH SLIDE PREP
|
Facility
|
IP
|
$112.49
|
|
|
Service Code
|
CPT 88323
|
| Hospital Charge Code |
31000113
|
|
Hospital Revenue Code
|
310
|
| Min. Negotiated Rate |
$49.50 |
| Max. Negotiated Rate |
$101.24 |
| Rate for Payer: Aetna American Axle |
$73.12
|
| Rate for Payer: Aetna Commercial |
$95.62
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$73.12
|
| Rate for Payer: Cash Price |
$89.99
|
| Rate for Payer: Cofinity Advantage |
$78.74
|
| Rate for Payer: Cofinity Commercial |
$96.74
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$89.99
|
| Rate for Payer: Healthscope Commercial |
$101.24
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$78.74
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$84.37
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$95.62
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$84.37
|
| Rate for Payer: PHP Commercial |
$95.62
|
| Rate for Payer: Priority Health SBD |
$70.87
|
| Rate for Payer: UMR Bronson Commercial |
$49.50
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$84.37
|
|
|
HC PATHOLOGY III DERM
|
Facility
|
IP
|
$104.00
|
|
|
Service Code
|
CPT 88304
|
| Hospital Charge Code |
31000111
|
|
Hospital Revenue Code
|
310
|
| Min. Negotiated Rate |
$45.76 |
| Max. Negotiated Rate |
$93.60 |
| Rate for Payer: Aetna American Axle |
$67.60
|
| Rate for Payer: Aetna Commercial |
$88.40
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$67.60
|
| Rate for Payer: Cash Price |
$83.20
|
| Rate for Payer: Cofinity Advantage |
$72.80
|
| Rate for Payer: Cofinity Commercial |
$89.44
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$83.20
|
| Rate for Payer: Healthscope Commercial |
$93.60
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$72.80
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$78.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$88.40
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$78.00
|
| Rate for Payer: PHP Commercial |
$88.40
|
| Rate for Payer: Priority Health SBD |
$65.52
|
| Rate for Payer: UMR Bronson Commercial |
$45.76
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$78.00
|
|
|
HC PATHOLOGY III DERM
|
Facility
|
OP
|
$104.00
|
|
|
Service Code
|
CPT 88304
|
| Hospital Charge Code |
31000111
|
|
Hospital Revenue Code
|
310
|
| Min. Negotiated Rate |
$27.15 |
| Max. Negotiated Rate |
$167.92 |
| Rate for Payer: Aetna American Axle |
$67.60
|
| Rate for Payer: Aetna Commercial |
$88.40
|
| Rate for Payer: Aetna Medicare |
$54.00
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$67.60
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$64.90
|
| Rate for Payer: Amish Plain Church Group Commercial |
$64.90
|
| Rate for Payer: BCBS Complete |
$28.51
|
| Rate for Payer: BCBS MAPPO |
$51.92
|
| Rate for Payer: BCBS Trust/PPO |
$58.49
|
| Rate for Payer: BCN Commercial |
$58.49
|
| Rate for Payer: BCN Medicare Advantage |
$51.92
|
| Rate for Payer: Cash Price |
$83.20
|
| Rate for Payer: Cash Price |
$83.20
|
| Rate for Payer: Cofinity Advantage |
$72.80
|
| Rate for Payer: Cofinity Commercial |
$89.44
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$83.20
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$51.92
|
| Rate for Payer: Healthscope Commercial |
$93.60
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$72.80
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$78.00
|
| Rate for Payer: Mclaren Medicaid |
$51.92
|
| Rate for Payer: Mclaren Medicare |
$51.92
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$54.52
|
| Rate for Payer: Meridian Medicaid |
$54.52
|
| Rate for Payer: MI Amish Medical Board Commercial |
$59.71
|
| Rate for Payer: Molina Medicare/Medicaid |
$57.11
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$88.40
|
| Rate for Payer: Nomi Health Commercial |
$155.76
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$78.00
|
| Rate for Payer: PACE Medicare |
$49.32
|
| Rate for Payer: PACE SWMI |
$51.92
|
| Rate for Payer: PHP Commercial |
$88.40
|
| Rate for Payer: PHP Medicare Advantage |
$51.92
|
| Rate for Payer: Priority Health Choice Medicaid |
$27.15
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$167.92
|
| Rate for Payer: Priority Health Medicare |
$51.92
|
| Rate for Payer: Priority Health SBD |
$65.52
|
| Rate for Payer: Priority Health Tiered Network |
$134.34
|
| Rate for Payer: Railroad Medicare Medicare |
$51.92
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$80.15
|
| Rate for Payer: UHC Core |
$80.15
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$51.92
|
| Rate for Payer: UHC Exchange |
$80.15
|
| Rate for Payer: UHC Medicaid |
$27.15
|
| Rate for Payer: UHCCP Medicaid |
$27.15
|
| Rate for Payer: UMR Bronson Commercial |
$38.48
|
| Rate for Payer: VA VA |
$51.92
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$78.00
|
|
|
HC PATHOLOGY LEVEL I
|
Facility
|
IP
|
$45.84
|
|
|
Service Code
|
CPT 88300
|
| Hospital Charge Code |
31000045
|
|
Hospital Revenue Code
|
310
|
| Min. Negotiated Rate |
$20.17 |
| Max. Negotiated Rate |
$41.26 |
| Rate for Payer: Aetna American Axle |
$29.80
|
| Rate for Payer: Aetna Commercial |
$38.96
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$29.80
|
| Rate for Payer: Cash Price |
$36.67
|
| Rate for Payer: Cofinity Advantage |
$32.09
|
| Rate for Payer: Cofinity Commercial |
$39.42
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$36.67
|
| Rate for Payer: Healthscope Commercial |
$41.26
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$32.09
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$34.38
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$38.96
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$34.38
|
| Rate for Payer: PHP Commercial |
$38.96
|
| Rate for Payer: Priority Health SBD |
$28.88
|
| Rate for Payer: UMR Bronson Commercial |
$20.17
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$34.38
|
|
|
HC PATHOLOGY LEVEL I
|
Facility
|
OP
|
$45.84
|
|
|
Service Code
|
CPT 88300
|
| Hospital Charge Code |
31000045
|
|
Hospital Revenue Code
|
310
|
| Min. Negotiated Rate |
$15.07 |
| Max. Negotiated Rate |
$93.19 |
| Rate for Payer: Aetna American Axle |
$29.80
|
| Rate for Payer: Aetna Commercial |
$38.96
|
| Rate for Payer: Aetna Medicare |
$29.97
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$29.80
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$36.02
|
| Rate for Payer: Amish Plain Church Group Commercial |
$36.02
|
| Rate for Payer: BCBS Complete |
$15.83
|
| Rate for Payer: BCBS MAPPO |
$28.82
|
| Rate for Payer: BCBS Trust/PPO |
$22.78
|
| Rate for Payer: BCN Commercial |
$22.78
|
| Rate for Payer: BCN Medicare Advantage |
$28.82
|
| Rate for Payer: Cash Price |
$36.67
|
| Rate for Payer: Cash Price |
$36.67
|
| Rate for Payer: Cofinity Advantage |
$32.09
|
| Rate for Payer: Cofinity Commercial |
$39.42
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$36.67
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$28.82
|
| Rate for Payer: Healthscope Commercial |
$41.26
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$32.09
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$34.38
|
| Rate for Payer: Mclaren Medicaid |
$28.82
|
| Rate for Payer: Mclaren Medicare |
$28.82
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$30.26
|
| Rate for Payer: Meridian Medicaid |
$30.26
|
| Rate for Payer: MI Amish Medical Board Commercial |
$33.14
|
| Rate for Payer: Molina Medicare/Medicaid |
$31.70
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$38.96
|
| Rate for Payer: Nomi Health Commercial |
$86.46
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$34.38
|
| Rate for Payer: PACE Medicare |
$27.38
|
| Rate for Payer: PACE SWMI |
$28.82
|
| Rate for Payer: PHP Commercial |
$38.96
|
| Rate for Payer: PHP Medicare Advantage |
$28.82
|
| Rate for Payer: Priority Health Choice Medicaid |
$15.07
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$93.19
|
| Rate for Payer: Priority Health Medicare |
$28.82
|
| Rate for Payer: Priority Health SBD |
$28.88
|
| Rate for Payer: Priority Health Tiered Network |
$74.55
|
| Rate for Payer: Railroad Medicare Medicare |
$28.82
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$36.74
|
| Rate for Payer: UHC Core |
$36.74
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$28.82
|
| Rate for Payer: UHC Exchange |
$36.74
|
| Rate for Payer: UHC Medicaid |
$15.07
|
| Rate for Payer: UHCCP Medicaid |
$15.07
|
| Rate for Payer: UMR Bronson Commercial |
$16.96
|
| Rate for Payer: VA VA |
$28.82
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$34.38
|
|
|
HC PATHOLOGY LEVEL II
|
Facility
|
IP
|
$100.49
|
|
|
Service Code
|
CPT 88302
|
| Hospital Charge Code |
31000046
|
|
Hospital Revenue Code
|
310
|
| Min. Negotiated Rate |
$44.22 |
| Max. Negotiated Rate |
$90.44 |
| Rate for Payer: Aetna American Axle |
$65.32
|
| Rate for Payer: Aetna Commercial |
$85.42
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$65.32
|
| Rate for Payer: Cash Price |
$80.39
|
| Rate for Payer: Cofinity Advantage |
$70.34
|
| Rate for Payer: Cofinity Commercial |
$86.42
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$80.39
|
| Rate for Payer: Healthscope Commercial |
$90.44
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$70.34
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$75.37
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$85.42
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$75.37
|
| Rate for Payer: PHP Commercial |
$85.42
|
| Rate for Payer: Priority Health SBD |
$63.31
|
| Rate for Payer: UMR Bronson Commercial |
$44.22
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$75.37
|
|
|
HC PATHOLOGY LEVEL II
|
Facility
|
OP
|
$100.49
|
|
|
Service Code
|
CPT 88302
|
| Hospital Charge Code |
31000046
|
|
Hospital Revenue Code
|
310
|
| Min. Negotiated Rate |
$19.47 |
| Max. Negotiated Rate |
$120.34 |
| Rate for Payer: Aetna American Axle |
$65.32
|
| Rate for Payer: Aetna Commercial |
$85.42
|
| Rate for Payer: Aetna Medicare |
$38.71
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$65.32
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$46.52
|
| Rate for Payer: Amish Plain Church Group Commercial |
$46.52
|
| Rate for Payer: BCBS Complete |
$20.44
|
| Rate for Payer: BCBS MAPPO |
$37.22
|
| Rate for Payer: BCBS Trust/PPO |
$49.26
|
| Rate for Payer: BCN Commercial |
$49.26
|
| Rate for Payer: BCN Medicare Advantage |
$37.22
|
| Rate for Payer: Cash Price |
$80.39
|
| Rate for Payer: Cash Price |
$80.39
|
| Rate for Payer: Cofinity Advantage |
$70.34
|
| Rate for Payer: Cofinity Commercial |
$86.42
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$80.39
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$37.22
|
| Rate for Payer: Healthscope Commercial |
$90.44
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$70.34
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$75.37
|
| Rate for Payer: Mclaren Medicaid |
$37.22
|
| Rate for Payer: Mclaren Medicare |
$37.22
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$39.08
|
| Rate for Payer: Meridian Medicaid |
$39.08
|
| Rate for Payer: MI Amish Medical Board Commercial |
$42.80
|
| Rate for Payer: Molina Medicare/Medicaid |
$40.94
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$85.42
|
| Rate for Payer: Nomi Health Commercial |
$111.66
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$75.37
|
| Rate for Payer: PACE Medicare |
$35.36
|
| Rate for Payer: PACE SWMI |
$37.22
|
| Rate for Payer: PHP Commercial |
$85.42
|
| Rate for Payer: PHP Medicare Advantage |
$37.22
|
| Rate for Payer: Priority Health Choice Medicaid |
$19.47
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$120.34
|
| Rate for Payer: Priority Health Medicare |
$37.22
|
| Rate for Payer: Priority Health SBD |
$63.31
|
| Rate for Payer: Priority Health Tiered Network |
$96.27
|
| Rate for Payer: Railroad Medicare Medicare |
$37.22
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$58.88
|
| Rate for Payer: UHC Core |
$58.88
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$37.22
|
| Rate for Payer: UHC Exchange |
$58.88
|
| Rate for Payer: UHC Medicaid |
$19.47
|
| Rate for Payer: UHCCP Medicaid |
$19.47
|
| Rate for Payer: UMR Bronson Commercial |
$37.18
|
| Rate for Payer: VA VA |
$37.22
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$75.37
|
|
|
HC PATHOLOGY LEVEL III
|
Facility
|
OP
|
$152.29
|
|
|
Service Code
|
CPT 88304
|
| Hospital Charge Code |
31000047
|
|
Hospital Revenue Code
|
310
|
| Min. Negotiated Rate |
$27.15 |
| Max. Negotiated Rate |
$167.92 |
| Rate for Payer: Aetna American Axle |
$98.99
|
| Rate for Payer: Aetna Commercial |
$129.45
|
| Rate for Payer: Aetna Medicare |
$54.00
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$98.99
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$64.90
|
| Rate for Payer: Amish Plain Church Group Commercial |
$64.90
|
| Rate for Payer: BCBS Complete |
$28.51
|
| Rate for Payer: BCBS MAPPO |
$51.92
|
| Rate for Payer: BCBS Trust/PPO |
$58.49
|
| Rate for Payer: BCN Commercial |
$58.49
|
| Rate for Payer: BCN Medicare Advantage |
$51.92
|
| Rate for Payer: Cash Price |
$121.83
|
| Rate for Payer: Cash Price |
$121.83
|
| Rate for Payer: Cofinity Advantage |
$106.60
|
| Rate for Payer: Cofinity Commercial |
$130.97
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$121.83
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$51.92
|
| Rate for Payer: Healthscope Commercial |
$137.06
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$106.60
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$114.22
|
| Rate for Payer: Mclaren Medicaid |
$51.92
|
| Rate for Payer: Mclaren Medicare |
$51.92
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$54.52
|
| Rate for Payer: Meridian Medicaid |
$54.52
|
| Rate for Payer: MI Amish Medical Board Commercial |
$59.71
|
| Rate for Payer: Molina Medicare/Medicaid |
$57.11
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$129.45
|
| Rate for Payer: Nomi Health Commercial |
$155.76
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$114.22
|
| Rate for Payer: PACE Medicare |
$49.32
|
| Rate for Payer: PACE SWMI |
$51.92
|
| Rate for Payer: PHP Commercial |
$129.45
|
| Rate for Payer: PHP Medicare Advantage |
$51.92
|
| Rate for Payer: Priority Health Choice Medicaid |
$27.15
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$167.92
|
| Rate for Payer: Priority Health Medicare |
$51.92
|
| Rate for Payer: Priority Health SBD |
$95.94
|
| Rate for Payer: Priority Health Tiered Network |
$134.34
|
| Rate for Payer: Railroad Medicare Medicare |
$51.92
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$80.15
|
| Rate for Payer: UHC Core |
$80.15
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$51.92
|
| Rate for Payer: UHC Exchange |
$80.15
|
| Rate for Payer: UHC Medicaid |
$27.15
|
| Rate for Payer: UHCCP Medicaid |
$27.15
|
| Rate for Payer: UMR Bronson Commercial |
$56.35
|
| Rate for Payer: VA VA |
$51.92
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$114.22
|
|
|
HC PATHOLOGY LEVEL III
|
Facility
|
IP
|
$152.29
|
|
|
Service Code
|
CPT 88304
|
| Hospital Charge Code |
31000047
|
|
Hospital Revenue Code
|
310
|
| Min. Negotiated Rate |
$67.01 |
| Max. Negotiated Rate |
$137.06 |
| Rate for Payer: Aetna American Axle |
$98.99
|
| Rate for Payer: Aetna Commercial |
$129.45
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$98.99
|
| Rate for Payer: Cash Price |
$121.83
|
| Rate for Payer: Cofinity Advantage |
$106.60
|
| Rate for Payer: Cofinity Commercial |
$130.97
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$121.83
|
| Rate for Payer: Healthscope Commercial |
$137.06
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$106.60
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$114.22
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$129.45
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$114.22
|
| Rate for Payer: PHP Commercial |
$129.45
|
| Rate for Payer: Priority Health SBD |
$95.94
|
| Rate for Payer: UMR Bronson Commercial |
$67.01
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$114.22
|
|
|
HC PATHOLOGY LEVEL IV
|
Facility
|
OP
|
$213.30
|
|
|
Service Code
|
CPT 88305
|
| Hospital Charge Code |
31000048
|
|
Hospital Revenue Code
|
310
|
| Min. Negotiated Rate |
$27.15 |
| Max. Negotiated Rate |
$191.97 |
| Rate for Payer: Aetna American Axle |
$138.65
|
| Rate for Payer: Aetna Commercial |
$181.31
|
| Rate for Payer: Aetna Medicare |
$54.00
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$138.65
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$64.90
|
| Rate for Payer: Amish Plain Church Group Commercial |
$64.90
|
| Rate for Payer: BCBS Complete |
$28.51
|
| Rate for Payer: BCBS MAPPO |
$51.92
|
| Rate for Payer: BCBS Trust/PPO |
$77.11
|
| Rate for Payer: BCCCP Commercial |
$67.27
|
| Rate for Payer: BCN Commercial |
$77.11
|
| Rate for Payer: BCN Medicare Advantage |
$51.92
|
| Rate for Payer: Cash Price |
$170.64
|
| Rate for Payer: Cash Price |
$170.64
|
| Rate for Payer: Cofinity Advantage |
$149.31
|
| Rate for Payer: Cofinity Commercial |
$183.44
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$170.64
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$51.92
|
| Rate for Payer: Healthscope Commercial |
$191.97
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$149.31
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$159.97
|
| Rate for Payer: Mclaren Medicaid |
$51.92
|
| Rate for Payer: Mclaren Medicare |
$51.92
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$54.52
|
| Rate for Payer: Meridian Medicaid |
$54.52
|
| Rate for Payer: MI Amish Medical Board Commercial |
$59.71
|
| Rate for Payer: Molina Medicare/Medicaid |
$57.11
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$181.31
|
| Rate for Payer: Nomi Health Commercial |
$155.76
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$159.97
|
| Rate for Payer: PACE Medicare |
$49.32
|
| Rate for Payer: PACE SWMI |
$51.92
|
| Rate for Payer: PHP Commercial |
$181.31
|
| Rate for Payer: PHP Medicare Advantage |
$51.92
|
| Rate for Payer: Priority Health Choice Medicaid |
$27.15
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$167.92
|
| Rate for Payer: Priority Health Medicare |
$51.92
|
| Rate for Payer: Priority Health SBD |
$134.38
|
| Rate for Payer: Priority Health Tiered Network |
$134.34
|
| Rate for Payer: Railroad Medicare Medicare |
$51.92
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$80.15
|
| Rate for Payer: UHC Core |
$80.15
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$51.92
|
| Rate for Payer: UHC Exchange |
$80.15
|
| Rate for Payer: UHC Medicaid |
$27.15
|
| Rate for Payer: UHCCP Medicaid |
$27.15
|
| Rate for Payer: UMR Bronson Commercial |
$78.92
|
| Rate for Payer: VA VA |
$51.92
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$159.97
|
|
|
HC PATHOLOGY LEVEL IV
|
Facility
|
IP
|
$213.30
|
|
|
Service Code
|
CPT 88305
|
| Hospital Charge Code |
31000048
|
|
Hospital Revenue Code
|
310
|
| Min. Negotiated Rate |
$93.85 |
| Max. Negotiated Rate |
$191.97 |
| Rate for Payer: Aetna American Axle |
$138.65
|
| Rate for Payer: Aetna Commercial |
$181.31
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$138.65
|
| Rate for Payer: Cash Price |
$170.64
|
| Rate for Payer: Cofinity Advantage |
$149.31
|
| Rate for Payer: Cofinity Commercial |
$183.44
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$170.64
|
| Rate for Payer: Healthscope Commercial |
$191.97
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$149.31
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$159.97
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$181.31
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$159.97
|
| Rate for Payer: PHP Commercial |
$181.31
|
| Rate for Payer: Priority Health SBD |
$134.38
|
| Rate for Payer: UMR Bronson Commercial |
$93.85
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$159.97
|
|
|
HC PATHOLOGY LEVEL IV DERM
|
Facility
|
IP
|
$119.41
|
|
|
Service Code
|
CPT 88305
|
| Hospital Charge Code |
31000106
|
|
Hospital Revenue Code
|
310
|
| Min. Negotiated Rate |
$52.54 |
| Max. Negotiated Rate |
$107.47 |
| Rate for Payer: Aetna American Axle |
$77.62
|
| Rate for Payer: Aetna Commercial |
$101.50
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$77.62
|
| Rate for Payer: Cash Price |
$95.53
|
| Rate for Payer: Cofinity Advantage |
$83.59
|
| Rate for Payer: Cofinity Commercial |
$102.69
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$95.53
|
| Rate for Payer: Healthscope Commercial |
$107.47
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$83.59
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$89.56
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$101.50
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$89.56
|
| Rate for Payer: PHP Commercial |
$101.50
|
| Rate for Payer: Priority Health SBD |
$75.23
|
| Rate for Payer: UMR Bronson Commercial |
$52.54
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$89.56
|
|
|
HC PATHOLOGY LEVEL IV DERM
|
Facility
|
OP
|
$119.41
|
|
|
Service Code
|
CPT 88305
|
| Hospital Charge Code |
31000106
|
|
Hospital Revenue Code
|
310
|
| Min. Negotiated Rate |
$27.15 |
| Max. Negotiated Rate |
$167.92 |
| Rate for Payer: Aetna American Axle |
$77.62
|
| Rate for Payer: Aetna Commercial |
$101.50
|
| Rate for Payer: Aetna Medicare |
$54.00
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$77.62
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$64.90
|
| Rate for Payer: Amish Plain Church Group Commercial |
$64.90
|
| Rate for Payer: BCBS Complete |
$28.51
|
| Rate for Payer: BCBS MAPPO |
$51.92
|
| Rate for Payer: BCBS Trust/PPO |
$77.11
|
| Rate for Payer: BCCCP Commercial |
$67.27
|
| Rate for Payer: BCN Commercial |
$77.11
|
| Rate for Payer: BCN Medicare Advantage |
$51.92
|
| Rate for Payer: Cash Price |
$95.53
|
| Rate for Payer: Cash Price |
$95.53
|
| Rate for Payer: Cofinity Advantage |
$83.59
|
| Rate for Payer: Cofinity Commercial |
$102.69
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$95.53
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$51.92
|
| Rate for Payer: Healthscope Commercial |
$107.47
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$83.59
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$89.56
|
| Rate for Payer: Mclaren Medicaid |
$51.92
|
| Rate for Payer: Mclaren Medicare |
$51.92
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$54.52
|
| Rate for Payer: Meridian Medicaid |
$54.52
|
| Rate for Payer: MI Amish Medical Board Commercial |
$59.71
|
| Rate for Payer: Molina Medicare/Medicaid |
$57.11
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$101.50
|
| Rate for Payer: Nomi Health Commercial |
$155.76
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$89.56
|
| Rate for Payer: PACE Medicare |
$49.32
|
| Rate for Payer: PACE SWMI |
$51.92
|
| Rate for Payer: PHP Commercial |
$101.50
|
| Rate for Payer: PHP Medicare Advantage |
$51.92
|
| Rate for Payer: Priority Health Choice Medicaid |
$27.15
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$167.92
|
| Rate for Payer: Priority Health Medicare |
$51.92
|
| Rate for Payer: Priority Health SBD |
$75.23
|
| Rate for Payer: Priority Health Tiered Network |
$134.34
|
| Rate for Payer: Railroad Medicare Medicare |
$51.92
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$80.15
|
| Rate for Payer: UHC Core |
$80.15
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$51.92
|
| Rate for Payer: UHC Exchange |
$80.15
|
| Rate for Payer: UHC Medicaid |
$27.15
|
| Rate for Payer: UHCCP Medicaid |
$27.15
|
| Rate for Payer: UMR Bronson Commercial |
$44.18
|
| Rate for Payer: VA VA |
$51.92
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$89.56
|
|
|
HC PATHOLOGY LEVEL V
|
Facility
|
OP
|
$594.00
|
|
|
Service Code
|
CPT 88307
|
| Hospital Charge Code |
31000049
|
|
Hospital Revenue Code
|
310
|
| Min. Negotiated Rate |
$186.79 |
| Max. Negotiated Rate |
$1,155.01 |
| Rate for Payer: Aetna American Axle |
$386.10
|
| Rate for Payer: Aetna Commercial |
$504.90
|
| Rate for Payer: Aetna Medicare |
$371.45
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$386.10
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$446.45
|
| Rate for Payer: Amish Plain Church Group Commercial |
$446.45
|
| Rate for Payer: BCBS Complete |
$196.15
|
| Rate for Payer: BCBS MAPPO |
$357.16
|
| Rate for Payer: BCBS Trust/PPO |
$383.57
|
| Rate for Payer: BCCCP Commercial |
$267.07
|
| Rate for Payer: BCN Commercial |
$383.57
|
| Rate for Payer: BCN Medicare Advantage |
$357.16
|
| Rate for Payer: Cash Price |
$475.20
|
| Rate for Payer: Cash Price |
$475.20
|
| Rate for Payer: Cofinity Advantage |
$415.80
|
| Rate for Payer: Cofinity Commercial |
$510.84
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$475.20
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$357.16
|
| Rate for Payer: Healthscope Commercial |
$534.60
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$415.80
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$445.50
|
| Rate for Payer: Mclaren Medicaid |
$357.16
|
| Rate for Payer: Mclaren Medicare |
$357.16
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$375.02
|
| Rate for Payer: Meridian Medicaid |
$375.02
|
| Rate for Payer: MI Amish Medical Board Commercial |
$410.73
|
| Rate for Payer: Molina Medicare/Medicaid |
$392.88
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$504.90
|
| Rate for Payer: Nomi Health Commercial |
$1,071.48
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$445.50
|
| Rate for Payer: PACE Medicare |
$339.30
|
| Rate for Payer: PACE SWMI |
$357.16
|
| Rate for Payer: PHP Commercial |
$504.90
|
| Rate for Payer: PHP Medicare Advantage |
$357.16
|
| Rate for Payer: Priority Health Choice Medicaid |
$186.79
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$1,155.01
|
| Rate for Payer: Priority Health Medicare |
$357.16
|
| Rate for Payer: Priority Health SBD |
$374.22
|
| Rate for Payer: Priority Health Tiered Network |
$924.01
|
| Rate for Payer: Railroad Medicare Medicare |
$357.16
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$539.58
|
| Rate for Payer: UHC Core |
$539.58
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$357.16
|
| Rate for Payer: UHC Exchange |
$539.58
|
| Rate for Payer: UHC Medicaid |
$186.79
|
| Rate for Payer: UHCCP Medicaid |
$186.79
|
| Rate for Payer: UMR Bronson Commercial |
$219.78
|
| Rate for Payer: VA VA |
$357.16
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$445.50
|
|
