|
HC PLACE SOFT TISSUE LOCALIZATION DEVICE EA ADDL LESION
|
Facility
|
OP
|
$442.62
|
|
|
Service Code
|
CPT 10036
|
| Hospital Charge Code |
36100487
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$163.77 |
| Max. Negotiated Rate |
$2,013.33 |
| Rate for Payer: Aetna American Axle |
$287.70
|
| Rate for Payer: Aetna Commercial |
$376.23
|
| Rate for Payer: Aetna Medicare |
$221.31
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$287.70
|
| Rate for Payer: BCBS Complete |
$177.05
|
| Rate for Payer: BCBS Trust/PPO |
$2,013.33
|
| Rate for Payer: BCCCP Commercial |
$276.28
|
| Rate for Payer: BCN Commercial |
$2,013.33
|
| Rate for Payer: Cash Price |
$354.10
|
| Rate for Payer: Cash Price |
$354.10
|
| Rate for Payer: Cash Price |
$354.10
|
| Rate for Payer: Cofinity Advantage |
$309.83
|
| Rate for Payer: Cofinity Commercial |
$380.65
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$354.10
|
| Rate for Payer: Healthscope Commercial |
$398.36
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$309.83
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$331.96
|
| Rate for Payer: MI Amish Medical Board Commercial |
$354.10
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$376.23
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$331.96
|
| Rate for Payer: PHP Commercial |
$376.23
|
| Rate for Payer: Priority Health SBD |
$278.85
|
| Rate for Payer: UMR Bronson Commercial |
$163.77
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$331.96
|
|
|
HC PLACE STENT BILE DUCT EA STENT THROUGH EXISTING ACCESS
|
Facility
|
IP
|
$6,955.38
|
|
|
Service Code
|
CPT 47538
|
| Hospital Charge Code |
36100495
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$3,060.37 |
| Max. Negotiated Rate |
$6,259.84 |
| Rate for Payer: Aetna American Axle |
$4,521.00
|
| Rate for Payer: Aetna Commercial |
$5,912.07
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$4,521.00
|
| Rate for Payer: Cash Price |
$5,564.30
|
| Rate for Payer: Cofinity Advantage |
$4,868.77
|
| Rate for Payer: Cofinity Commercial |
$5,981.63
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$5,564.30
|
| Rate for Payer: Healthscope Commercial |
$6,259.84
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$4,868.77
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$5,216.53
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$5,912.07
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$5,216.53
|
| Rate for Payer: PHP Commercial |
$5,912.07
|
| Rate for Payer: Priority Health SBD |
$4,381.89
|
| Rate for Payer: UMR Bronson Commercial |
$3,060.37
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$5,216.53
|
|
|
HC PLACE STENT BILE DUCT EA STENT THROUGH EXISTING ACCESS
|
Facility
|
OP
|
$6,955.38
|
|
|
Service Code
|
CPT 47538
|
| Hospital Charge Code |
36100495
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$2,573.49 |
| Max. Negotiated Rate |
$19,480.40 |
| Rate for Payer: Aetna American Axle |
$4,521.00
|
| Rate for Payer: Aetna Commercial |
$5,912.07
|
| Rate for Payer: Aetna Medicare |
$6,264.74
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$4,521.00
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$7,529.74
|
| Rate for Payer: Amish Plain Church Group Commercial |
$7,529.74
|
| Rate for Payer: BCBS Complete |
$3,308.27
|
| Rate for Payer: BCBS MAPPO |
$6,023.79
|
| Rate for Payer: BCBS Trust/PPO |
$4,955.41
|
| Rate for Payer: BCN Commercial |
$4,955.41
|
| Rate for Payer: BCN Medicare Advantage |
$6,023.79
|
| Rate for Payer: Cash Price |
$5,564.30
|
| Rate for Payer: Cash Price |
$5,564.30
|
| Rate for Payer: Cash Price |
$5,564.30
|
| Rate for Payer: Cofinity Advantage |
$4,868.77
|
| Rate for Payer: Cofinity Commercial |
$5,981.63
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$5,564.30
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$6,023.79
|
| Rate for Payer: Healthscope Commercial |
$6,259.84
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$4,868.77
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$5,216.53
|
| Rate for Payer: Mclaren Medicaid |
$6,023.79
|
| Rate for Payer: Mclaren Medicare |
$6,023.79
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$6,324.98
|
| Rate for Payer: Meridian Medicaid |
$6,324.98
|
| Rate for Payer: MI Amish Medical Board Commercial |
$6,927.36
|
| Rate for Payer: Molina Medicare/Medicaid |
$6,626.17
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$5,912.07
|
| Rate for Payer: Nomi Health Commercial |
$18,071.37
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$5,216.53
|
| Rate for Payer: PACE Medicare |
$5,722.60
|
| Rate for Payer: PACE SWMI |
$6,023.79
|
| Rate for Payer: PHP Commercial |
$5,912.07
|
| Rate for Payer: PHP Medicare Advantage |
$6,023.79
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,150.44
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$19,480.40
|
| Rate for Payer: Priority Health Medicare |
$6,023.79
|
| Rate for Payer: Priority Health SBD |
$4,381.89
|
| Rate for Payer: Priority Health Tiered Network |
$15,584.32
|
| Rate for Payer: Railroad Medicare Medicare |
$6,023.79
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$6,023.79
|
| Rate for Payer: UHC Medicaid |
$3,150.44
|
| Rate for Payer: UHCCP Medicaid |
$3,150.44
|
| Rate for Payer: UMR Bronson Commercial |
$2,573.49
|
| Rate for Payer: VA VA |
$6,023.79
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$5,216.53
|
|
|
HCPLACE STENT BILE DUCT EA STENT THROUGH NEW ACCESS
|
Facility
|
IP
|
$6,756.65
|
|
|
Service Code
|
CPT 47539
|
| Hospital Charge Code |
36100496
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$2,972.93 |
| Max. Negotiated Rate |
$6,080.98 |
| Rate for Payer: Aetna American Axle |
$4,391.82
|
| Rate for Payer: Aetna Commercial |
$5,743.15
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$4,391.82
|
| Rate for Payer: Cash Price |
$5,405.32
|
| Rate for Payer: Cofinity Advantage |
$4,729.65
|
| Rate for Payer: Cofinity Commercial |
$5,810.72
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$5,405.32
|
| Rate for Payer: Healthscope Commercial |
$6,080.98
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$4,729.65
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$5,067.49
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$5,743.15
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$5,067.49
|
| Rate for Payer: PHP Commercial |
$5,743.15
|
| Rate for Payer: Priority Health SBD |
$4,256.69
|
| Rate for Payer: UMR Bronson Commercial |
$2,972.93
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$5,067.49
|
|
|
HCPLACE STENT BILE DUCT EA STENT THROUGH NEW ACCESS
|
Facility
|
OP
|
$6,756.65
|
|
|
Service Code
|
CPT 47539
|
| Hospital Charge Code |
36100496
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$2,499.96 |
| Max. Negotiated Rate |
$19,480.40 |
| Rate for Payer: Aetna American Axle |
$4,391.82
|
| Rate for Payer: Aetna Commercial |
$5,743.15
|
| Rate for Payer: Aetna Medicare |
$6,264.74
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$4,391.82
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$7,529.74
|
| Rate for Payer: Amish Plain Church Group Commercial |
$7,529.74
|
| Rate for Payer: BCBS Complete |
$3,308.27
|
| Rate for Payer: BCBS MAPPO |
$6,023.79
|
| Rate for Payer: BCBS Trust/PPO |
$4,955.41
|
| Rate for Payer: BCN Commercial |
$4,955.41
|
| Rate for Payer: BCN Medicare Advantage |
$6,023.79
|
| Rate for Payer: Cash Price |
$5,405.32
|
| Rate for Payer: Cash Price |
$5,405.32
|
| Rate for Payer: Cash Price |
$5,405.32
|
| Rate for Payer: Cofinity Advantage |
$4,729.65
|
| Rate for Payer: Cofinity Commercial |
$5,810.72
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$5,405.32
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$6,023.79
|
| Rate for Payer: Healthscope Commercial |
$6,080.98
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$4,729.65
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$5,067.49
|
| Rate for Payer: Mclaren Medicaid |
$6,023.79
|
| Rate for Payer: Mclaren Medicare |
$6,023.79
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$6,324.98
|
| Rate for Payer: Meridian Medicaid |
$6,324.98
|
| Rate for Payer: MI Amish Medical Board Commercial |
$6,927.36
|
| Rate for Payer: Molina Medicare/Medicaid |
$6,626.17
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$5,743.15
|
| Rate for Payer: Nomi Health Commercial |
$18,071.37
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$5,067.49
|
| Rate for Payer: PACE Medicare |
$5,722.60
|
| Rate for Payer: PACE SWMI |
$6,023.79
|
| Rate for Payer: PHP Commercial |
$5,743.15
|
| Rate for Payer: PHP Medicare Advantage |
$6,023.79
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,150.44
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$19,480.40
|
| Rate for Payer: Priority Health Medicare |
$6,023.79
|
| Rate for Payer: Priority Health SBD |
$4,256.69
|
| Rate for Payer: Priority Health Tiered Network |
$15,584.32
|
| Rate for Payer: Railroad Medicare Medicare |
$6,023.79
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$6,023.79
|
| Rate for Payer: UHC Medicaid |
$3,150.44
|
| Rate for Payer: UHCCP Medicaid |
$3,150.44
|
| Rate for Payer: UMR Bronson Commercial |
$2,499.96
|
| Rate for Payer: VA VA |
$6,023.79
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$5,067.49
|
|
|
HC PLACE STENT BILE DUCT EA STENT THRU NEW ACCESS W PLACE OF SE BILIARY CATH
|
Facility
|
IP
|
$6,756.65
|
|
|
Service Code
|
CPT 47540
|
| Hospital Charge Code |
36100497
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$2,972.93 |
| Max. Negotiated Rate |
$6,080.98 |
| Rate for Payer: Aetna American Axle |
$4,391.82
|
| Rate for Payer: Aetna Commercial |
$5,743.15
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$4,391.82
|
| Rate for Payer: Cash Price |
$5,405.32
|
| Rate for Payer: Cofinity Advantage |
$4,729.65
|
| Rate for Payer: Cofinity Commercial |
$5,810.72
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$5,405.32
|
| Rate for Payer: Healthscope Commercial |
$6,080.98
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$4,729.65
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$5,067.49
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$5,743.15
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$5,067.49
|
| Rate for Payer: PHP Commercial |
$5,743.15
|
| Rate for Payer: Priority Health SBD |
$4,256.69
|
| Rate for Payer: UMR Bronson Commercial |
$2,972.93
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$5,067.49
|
|
|
HC PLACE STENT BILE DUCT EA STENT THRU NEW ACCESS W PLACE OF SE BILIARY CATH
|
Facility
|
OP
|
$6,756.65
|
|
|
Service Code
|
CPT 47540
|
| Hospital Charge Code |
36100497
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$2,499.96 |
| Max. Negotiated Rate |
$19,480.40 |
| Rate for Payer: Aetna American Axle |
$4,391.82
|
| Rate for Payer: Aetna Commercial |
$5,743.15
|
| Rate for Payer: Aetna Medicare |
$6,264.74
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$4,391.82
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$7,529.74
|
| Rate for Payer: Amish Plain Church Group Commercial |
$7,529.74
|
| Rate for Payer: BCBS Complete |
$3,308.27
|
| Rate for Payer: BCBS MAPPO |
$6,023.79
|
| Rate for Payer: BCBS Trust/PPO |
$4,955.41
|
| Rate for Payer: BCN Commercial |
$4,955.41
|
| Rate for Payer: BCN Medicare Advantage |
$6,023.79
|
| Rate for Payer: Cash Price |
$5,405.32
|
| Rate for Payer: Cash Price |
$5,405.32
|
| Rate for Payer: Cash Price |
$5,405.32
|
| Rate for Payer: Cofinity Advantage |
$4,729.65
|
| Rate for Payer: Cofinity Commercial |
$5,810.72
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$5,405.32
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$6,023.79
|
| Rate for Payer: Healthscope Commercial |
$6,080.98
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$4,729.65
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$5,067.49
|
| Rate for Payer: Mclaren Medicaid |
$6,023.79
|
| Rate for Payer: Mclaren Medicare |
$6,023.79
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$6,324.98
|
| Rate for Payer: Meridian Medicaid |
$6,324.98
|
| Rate for Payer: MI Amish Medical Board Commercial |
$6,927.36
|
| Rate for Payer: Molina Medicare/Medicaid |
$6,626.17
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$5,743.15
|
| Rate for Payer: Nomi Health Commercial |
$18,071.37
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$5,067.49
|
| Rate for Payer: PACE Medicare |
$5,722.60
|
| Rate for Payer: PACE SWMI |
$6,023.79
|
| Rate for Payer: PHP Commercial |
$5,743.15
|
| Rate for Payer: PHP Medicare Advantage |
$6,023.79
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,150.44
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$19,480.40
|
| Rate for Payer: Priority Health Medicare |
$6,023.79
|
| Rate for Payer: Priority Health SBD |
$4,256.69
|
| Rate for Payer: Priority Health Tiered Network |
$15,584.32
|
| Rate for Payer: Railroad Medicare Medicare |
$6,023.79
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$6,023.79
|
| Rate for Payer: UHC Medicaid |
$3,150.44
|
| Rate for Payer: UHCCP Medicaid |
$3,150.44
|
| Rate for Payer: UMR Bronson Commercial |
$2,499.96
|
| Rate for Payer: VA VA |
$6,023.79
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$5,067.49
|
|
|
HC PLACE STENT CENTRAL DIALYSIS W IMAGING
|
Facility
|
IP
|
$208.50
|
|
|
Service Code
|
CPT 36908
|
| Hospital Charge Code |
36100532
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$91.74 |
| Max. Negotiated Rate |
$187.65 |
| Rate for Payer: Aetna American Axle |
$135.53
|
| Rate for Payer: Aetna Commercial |
$177.22
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$135.53
|
| Rate for Payer: Cash Price |
$166.80
|
| Rate for Payer: Cofinity Advantage |
$145.95
|
| Rate for Payer: Cofinity Commercial |
$179.31
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$166.80
|
| Rate for Payer: Healthscope Commercial |
$187.65
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$145.95
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$156.38
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$177.22
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$156.38
|
| Rate for Payer: PHP Commercial |
$177.22
|
| Rate for Payer: Priority Health SBD |
$131.35
|
| Rate for Payer: UMR Bronson Commercial |
$91.74
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$156.38
|
|
|
HC PLACE STENT CENTRAL DIALYSIS W IMAGING
|
Facility
|
OP
|
$208.50
|
|
|
Service Code
|
CPT 36908
|
| Hospital Charge Code |
36100532
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$77.14 |
| Max. Negotiated Rate |
$11,576.19 |
| Rate for Payer: Aetna American Axle |
$135.53
|
| Rate for Payer: Aetna Commercial |
$177.22
|
| Rate for Payer: Aetna Medicare |
$104.25
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$135.53
|
| Rate for Payer: BCBS Complete |
$83.40
|
| Rate for Payer: BCBS Trust/PPO |
$11,576.19
|
| Rate for Payer: BCN Commercial |
$11,576.19
|
| Rate for Payer: Cash Price |
$166.80
|
| Rate for Payer: Cash Price |
$166.80
|
| Rate for Payer: Cash Price |
$166.80
|
| Rate for Payer: Cofinity Advantage |
$145.95
|
| Rate for Payer: Cofinity Commercial |
$179.31
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$166.80
|
| Rate for Payer: Healthscope Commercial |
$187.65
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$145.95
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$156.38
|
| Rate for Payer: MI Amish Medical Board Commercial |
$166.80
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$177.22
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$156.38
|
| Rate for Payer: PHP Commercial |
$177.22
|
| Rate for Payer: Priority Health SBD |
$131.35
|
| Rate for Payer: UMR Bronson Commercial |
$77.14
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$156.38
|
|
|
HC PLACE STENT INTRATHORACIC COMMON CAROTID OR INNOMINATE ARTERY
|
Facility
|
OP
|
$9,259.56
|
|
|
Service Code
|
CPT 37218
|
| Hospital Charge Code |
36100517
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$3,426.04 |
| Max. Negotiated Rate |
$8,333.60 |
| Rate for Payer: Aetna American Axle |
$6,018.71
|
| Rate for Payer: Aetna Commercial |
$7,870.63
|
| Rate for Payer: Aetna Medicare |
$4,629.78
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$6,018.71
|
| Rate for Payer: BCBS Complete |
$3,703.82
|
| Rate for Payer: BCBS Trust/PPO |
$3,632.82
|
| Rate for Payer: BCN Commercial |
$3,632.82
|
| Rate for Payer: Cash Price |
$7,407.65
|
| Rate for Payer: Cash Price |
$7,407.65
|
| Rate for Payer: Cash Price |
$7,407.65
|
| Rate for Payer: Cofinity Advantage |
$6,481.69
|
| Rate for Payer: Cofinity Commercial |
$7,963.22
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$7,407.65
|
| Rate for Payer: Healthscope Commercial |
$8,333.60
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$6,481.69
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$6,944.67
|
| Rate for Payer: MI Amish Medical Board Commercial |
$7,407.65
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$7,870.63
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$6,944.67
|
| Rate for Payer: PHP Commercial |
$7,870.63
|
| Rate for Payer: Priority Health SBD |
$5,833.52
|
| Rate for Payer: UMR Bronson Commercial |
$3,426.04
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$6,944.67
|
|
|
HC PLACE STENT INTRATHORACIC COMMON CAROTID OR INNOMINATE ARTERY
|
Facility
|
IP
|
$9,259.56
|
|
|
Service Code
|
CPT 37218
|
| Hospital Charge Code |
36100517
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$4,074.21 |
| Max. Negotiated Rate |
$8,333.60 |
| Rate for Payer: Aetna American Axle |
$6,018.71
|
| Rate for Payer: Aetna Commercial |
$7,870.63
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$6,018.71
|
| Rate for Payer: Cash Price |
$7,407.65
|
| Rate for Payer: Cofinity Advantage |
$6,481.69
|
| Rate for Payer: Cofinity Commercial |
$7,963.22
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$7,407.65
|
| Rate for Payer: Healthscope Commercial |
$8,333.60
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$6,481.69
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$6,944.67
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$7,870.63
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$6,944.67
|
| Rate for Payer: PHP Commercial |
$7,870.63
|
| Rate for Payer: Priority Health SBD |
$5,833.52
|
| Rate for Payer: UMR Bronson Commercial |
$4,074.21
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$6,944.67
|
|
|
HC PLACE URETERAL STENT NEW ACCESS WO NEPHROSTOMY CATH
|
Facility
|
IP
|
$337.83
|
|
|
Service Code
|
CPT 50694
|
| Hospital Charge Code |
36100509
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$148.65 |
| Max. Negotiated Rate |
$304.05 |
| Rate for Payer: Aetna American Axle |
$219.59
|
| Rate for Payer: Aetna Commercial |
$287.16
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$219.59
|
| Rate for Payer: Cash Price |
$270.26
|
| Rate for Payer: Cofinity Advantage |
$236.48
|
| Rate for Payer: Cofinity Commercial |
$290.53
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$270.26
|
| Rate for Payer: Healthscope Commercial |
$304.05
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$236.48
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$253.37
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$287.16
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$253.37
|
| Rate for Payer: PHP Commercial |
$287.16
|
| Rate for Payer: Priority Health SBD |
$212.83
|
| Rate for Payer: UMR Bronson Commercial |
$148.65
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$253.37
|
|
|
HC PLACE URETERAL STENT NEW ACCESS WO NEPHROSTOMY CATH
|
Facility
|
OP
|
$337.83
|
|
|
Service Code
|
CPT 50694
|
| Hospital Charge Code |
36100509
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$125.00 |
| Max. Negotiated Rate |
$11,358.48 |
| Rate for Payer: Aetna American Axle |
$219.59
|
| Rate for Payer: Aetna Commercial |
$287.16
|
| Rate for Payer: Aetna Medicare |
$3,652.80
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$219.59
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$4,390.39
|
| Rate for Payer: Amish Plain Church Group Commercial |
$4,390.39
|
| Rate for Payer: BCBS Complete |
$1,928.96
|
| Rate for Payer: BCBS MAPPO |
$3,512.31
|
| Rate for Payer: BCBS Trust/PPO |
$2,684.88
|
| Rate for Payer: BCN Commercial |
$2,684.88
|
| Rate for Payer: BCN Medicare Advantage |
$3,512.31
|
| Rate for Payer: Cash Price |
$270.26
|
| Rate for Payer: Cash Price |
$270.26
|
| Rate for Payer: Cash Price |
$270.26
|
| Rate for Payer: Cofinity Advantage |
$236.48
|
| Rate for Payer: Cofinity Commercial |
$290.53
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$270.26
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$3,512.31
|
| Rate for Payer: Healthscope Commercial |
$304.05
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$236.48
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$253.37
|
| Rate for Payer: Mclaren Medicaid |
$3,512.31
|
| Rate for Payer: Mclaren Medicare |
$3,512.31
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$3,687.93
|
| Rate for Payer: Meridian Medicaid |
$3,687.93
|
| Rate for Payer: MI Amish Medical Board Commercial |
$4,039.16
|
| Rate for Payer: Molina Medicare/Medicaid |
$3,863.54
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$287.16
|
| Rate for Payer: Nomi Health Commercial |
$10,536.93
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$253.37
|
| Rate for Payer: PACE Medicare |
$3,336.69
|
| Rate for Payer: PACE SWMI |
$3,512.31
|
| Rate for Payer: PHP Commercial |
$287.16
|
| Rate for Payer: PHP Medicare Advantage |
$3,512.31
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,836.94
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$11,358.48
|
| Rate for Payer: Priority Health Medicare |
$3,512.31
|
| Rate for Payer: Priority Health SBD |
$212.83
|
| Rate for Payer: Priority Health Tiered Network |
$9,086.78
|
| Rate for Payer: Railroad Medicare Medicare |
$3,512.31
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$3,512.31
|
| Rate for Payer: UHC Medicaid |
$1,836.94
|
| Rate for Payer: UHCCP Medicaid |
$1,836.94
|
| Rate for Payer: UMR Bronson Commercial |
$125.00
|
| Rate for Payer: VA VA |
$3,512.31
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$253.37
|
|
|
HC PLACE URETERAL STENT NEW ACCESS W SEPARATE NEPHROSTOMY CATH
|
Facility
|
OP
|
$3,716.17
|
|
|
Service Code
|
CPT 50695
|
| Hospital Charge Code |
36100510
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$1,374.98 |
| Max. Negotiated Rate |
$11,358.48 |
| Rate for Payer: Aetna American Axle |
$2,415.51
|
| Rate for Payer: Aetna Commercial |
$3,158.74
|
| Rate for Payer: Aetna Medicare |
$3,652.80
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,415.51
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$4,390.39
|
| Rate for Payer: Amish Plain Church Group Commercial |
$4,390.39
|
| Rate for Payer: BCBS Complete |
$1,928.96
|
| Rate for Payer: BCBS MAPPO |
$3,512.31
|
| Rate for Payer: BCBS Trust/PPO |
$2,684.88
|
| Rate for Payer: BCN Commercial |
$2,684.88
|
| Rate for Payer: BCN Medicare Advantage |
$3,512.31
|
| Rate for Payer: Cash Price |
$2,972.94
|
| Rate for Payer: Cash Price |
$2,972.94
|
| Rate for Payer: Cash Price |
$2,972.94
|
| Rate for Payer: Cofinity Advantage |
$2,601.32
|
| Rate for Payer: Cofinity Commercial |
$3,195.91
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,972.94
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$3,512.31
|
| Rate for Payer: Healthscope Commercial |
$3,344.55
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$2,601.32
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,787.13
|
| Rate for Payer: Mclaren Medicaid |
$3,512.31
|
| Rate for Payer: Mclaren Medicare |
$3,512.31
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$3,687.93
|
| Rate for Payer: Meridian Medicaid |
$3,687.93
|
| Rate for Payer: MI Amish Medical Board Commercial |
$4,039.16
|
| Rate for Payer: Molina Medicare/Medicaid |
$3,863.54
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,158.74
|
| Rate for Payer: Nomi Health Commercial |
$10,536.93
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,787.13
|
| Rate for Payer: PACE Medicare |
$3,336.69
|
| Rate for Payer: PACE SWMI |
$3,512.31
|
| Rate for Payer: PHP Commercial |
$3,158.74
|
| Rate for Payer: PHP Medicare Advantage |
$3,512.31
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,836.94
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$11,358.48
|
| Rate for Payer: Priority Health Medicare |
$3,512.31
|
| Rate for Payer: Priority Health SBD |
$2,341.19
|
| Rate for Payer: Priority Health Tiered Network |
$9,086.78
|
| Rate for Payer: Railroad Medicare Medicare |
$3,512.31
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$3,512.31
|
| Rate for Payer: UHC Medicaid |
$1,836.94
|
| Rate for Payer: UHCCP Medicaid |
$1,836.94
|
| Rate for Payer: UMR Bronson Commercial |
$1,374.98
|
| Rate for Payer: VA VA |
$3,512.31
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,787.13
|
|
|
HC PLACE URETERAL STENT NEW ACCESS W SEPARATE NEPHROSTOMY CATH
|
Facility
|
IP
|
$3,716.17
|
|
|
Service Code
|
CPT 50695
|
| Hospital Charge Code |
36100510
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$1,635.11 |
| Max. Negotiated Rate |
$3,344.55 |
| Rate for Payer: Aetna American Axle |
$2,415.51
|
| Rate for Payer: Aetna Commercial |
$3,158.74
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,415.51
|
| Rate for Payer: Cash Price |
$2,972.94
|
| Rate for Payer: Cofinity Advantage |
$2,601.32
|
| Rate for Payer: Cofinity Commercial |
$3,195.91
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,972.94
|
| Rate for Payer: Healthscope Commercial |
$3,344.55
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$2,601.32
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,787.13
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,158.74
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,787.13
|
| Rate for Payer: PHP Commercial |
$3,158.74
|
| Rate for Payer: Priority Health SBD |
$2,341.19
|
| Rate for Payer: UMR Bronson Commercial |
$1,635.11
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,787.13
|
|
|
HC PLACE URETERAL STENT PRE EXISTING NEPHROSTOMY TRACT
|
Facility
|
OP
|
$3,825.47
|
|
|
Service Code
|
CPT 50693
|
| Hospital Charge Code |
36100508
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$1,415.42 |
| Max. Negotiated Rate |
$11,358.48 |
| Rate for Payer: Aetna American Axle |
$2,486.56
|
| Rate for Payer: Aetna Commercial |
$3,251.65
|
| Rate for Payer: Aetna Medicare |
$3,652.80
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,486.56
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$4,390.39
|
| Rate for Payer: Amish Plain Church Group Commercial |
$4,390.39
|
| Rate for Payer: BCBS Complete |
$1,928.96
|
| Rate for Payer: BCBS MAPPO |
$3,512.31
|
| Rate for Payer: BCBS Trust/PPO |
$2,684.88
|
| Rate for Payer: BCN Commercial |
$2,684.88
|
| Rate for Payer: BCN Medicare Advantage |
$3,512.31
|
| Rate for Payer: Cash Price |
$3,060.38
|
| Rate for Payer: Cash Price |
$3,060.38
|
| Rate for Payer: Cash Price |
$3,060.38
|
| Rate for Payer: Cofinity Advantage |
$2,677.83
|
| Rate for Payer: Cofinity Commercial |
$3,289.90
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,060.38
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$3,512.31
|
| Rate for Payer: Healthscope Commercial |
$3,442.92
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$2,677.83
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,869.10
|
| Rate for Payer: Mclaren Medicaid |
$3,512.31
|
| Rate for Payer: Mclaren Medicare |
$3,512.31
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$3,687.93
|
| Rate for Payer: Meridian Medicaid |
$3,687.93
|
| Rate for Payer: MI Amish Medical Board Commercial |
$4,039.16
|
| Rate for Payer: Molina Medicare/Medicaid |
$3,863.54
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,251.65
|
| Rate for Payer: Nomi Health Commercial |
$10,536.93
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,869.10
|
| Rate for Payer: PACE Medicare |
$3,336.69
|
| Rate for Payer: PACE SWMI |
$3,512.31
|
| Rate for Payer: PHP Commercial |
$3,251.65
|
| Rate for Payer: PHP Medicare Advantage |
$3,512.31
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,836.94
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$11,358.48
|
| Rate for Payer: Priority Health Medicare |
$3,512.31
|
| Rate for Payer: Priority Health SBD |
$2,410.05
|
| Rate for Payer: Priority Health Tiered Network |
$9,086.78
|
| Rate for Payer: Railroad Medicare Medicare |
$3,512.31
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$3,512.31
|
| Rate for Payer: UHC Medicaid |
$1,836.94
|
| Rate for Payer: UHCCP Medicaid |
$1,836.94
|
| Rate for Payer: UMR Bronson Commercial |
$1,415.42
|
| Rate for Payer: VA VA |
$3,512.31
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,869.10
|
|
|
HC PLACE URETERAL STENT PRE EXISTING NEPHROSTOMY TRACT
|
Facility
|
IP
|
$3,825.47
|
|
|
Service Code
|
CPT 50693
|
| Hospital Charge Code |
36100508
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$1,683.21 |
| Max. Negotiated Rate |
$3,442.92 |
| Rate for Payer: UMR Bronson Commercial |
$1,683.21
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,869.10
|
| Rate for Payer: Aetna American Axle |
$2,486.56
|
| Rate for Payer: Aetna Commercial |
$3,251.65
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,486.56
|
| Rate for Payer: Cash Price |
$3,060.38
|
| Rate for Payer: Cofinity Advantage |
$2,677.83
|
| Rate for Payer: Cofinity Commercial |
$3,289.90
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,060.38
|
| Rate for Payer: Healthscope Commercial |
$3,442.92
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$2,677.83
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,869.10
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,251.65
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,869.10
|
| Rate for Payer: PHP Commercial |
$3,251.65
|
| Rate for Payer: Priority Health SBD |
$2,410.05
|
|
|
HC PLASMA CELL PCPD FISH.
|
Facility
|
OP
|
$273.63
|
|
|
Service Code
|
CPT 88271
|
| Hospital Charge Code |
31100044
|
|
Hospital Revenue Code
|
311
|
| Min. Negotiated Rate |
$11.20 |
| Max. Negotiated Rate |
$246.27 |
| Rate for Payer: Aetna American Axle |
$177.86
|
| Rate for Payer: Aetna Commercial |
$232.59
|
| Rate for Payer: Aetna Medicare |
$22.28
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$177.86
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$26.77
|
| Rate for Payer: Amish Plain Church Group Commercial |
$26.77
|
| Rate for Payer: BCBS Complete |
$11.76
|
| Rate for Payer: BCBS MAPPO |
$21.42
|
| Rate for Payer: BCBS Trust/PPO |
$24.77
|
| Rate for Payer: BCN Commercial |
$24.77
|
| Rate for Payer: BCN Medicare Advantage |
$21.42
|
| Rate for Payer: Cash Price |
$218.90
|
| Rate for Payer: Cash Price |
$218.90
|
| Rate for Payer: Cofinity Advantage |
$191.54
|
| Rate for Payer: Cofinity Commercial |
$235.32
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$218.90
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$21.42
|
| Rate for Payer: Healthscope Commercial |
$246.27
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$191.54
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$205.22
|
| Rate for Payer: Mclaren Medicaid |
$21.42
|
| Rate for Payer: Mclaren Medicare |
$21.42
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$22.49
|
| Rate for Payer: Meridian Medicaid |
$22.49
|
| Rate for Payer: MI Amish Medical Board Commercial |
$24.63
|
| Rate for Payer: Molina Medicare/Medicaid |
$23.56
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$232.59
|
| Rate for Payer: Nomi Health Commercial |
$32.13
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$205.22
|
| Rate for Payer: PACE Medicare |
$20.35
|
| Rate for Payer: PACE SWMI |
$21.42
|
| Rate for Payer: PHP Commercial |
$232.59
|
| Rate for Payer: PHP Medicare Advantage |
$21.42
|
| Rate for Payer: Priority Health Choice Medicaid |
$11.20
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$21.42
|
| Rate for Payer: Priority Health Medicare |
$21.42
|
| Rate for Payer: Priority Health SBD |
$172.39
|
| Rate for Payer: Priority Health Tiered Network |
$17.14
|
| Rate for Payer: Railroad Medicare Medicare |
$21.42
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$32.13
|
| Rate for Payer: UHC Core |
$32.13
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$21.42
|
| Rate for Payer: UHC Exchange |
$32.13
|
| Rate for Payer: UHC Medicaid |
$11.20
|
| Rate for Payer: UHCCP Medicaid |
$11.20
|
| Rate for Payer: UMR Bronson Commercial |
$101.24
|
| Rate for Payer: VA VA |
$21.42
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$205.22
|
|
|
HC PLASMA CELL PCPD FISH.
|
Facility
|
IP
|
$273.63
|
|
|
Service Code
|
CPT 88271
|
| Hospital Charge Code |
31100044
|
|
Hospital Revenue Code
|
311
|
| Min. Negotiated Rate |
$120.40 |
| Max. Negotiated Rate |
$246.27 |
| Rate for Payer: Aetna American Axle |
$177.86
|
| Rate for Payer: Aetna Commercial |
$232.59
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$177.86
|
| Rate for Payer: Cash Price |
$218.90
|
| Rate for Payer: Cofinity Advantage |
$191.54
|
| Rate for Payer: Cofinity Commercial |
$235.32
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$218.90
|
| Rate for Payer: Healthscope Commercial |
$246.27
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$191.54
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$205.22
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$232.59
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$205.22
|
| Rate for Payer: PHP Commercial |
$232.59
|
| Rate for Payer: Priority Health SBD |
$172.39
|
| Rate for Payer: UMR Bronson Commercial |
$120.40
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$205.22
|
|
|
HC PLASMA CELL PROLIFERATION, MARROW CMPT 1
|
Facility
|
IP
|
$161.53
|
|
|
Service Code
|
CPT 88184
|
| Hospital Charge Code |
31000139
|
|
Hospital Revenue Code
|
310
|
| Min. Negotiated Rate |
$71.07 |
| Max. Negotiated Rate |
$145.38 |
| Rate for Payer: Aetna American Axle |
$104.99
|
| Rate for Payer: Aetna Commercial |
$137.30
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$104.99
|
| Rate for Payer: Cash Price |
$129.22
|
| Rate for Payer: Cofinity Advantage |
$113.07
|
| Rate for Payer: Cofinity Commercial |
$138.92
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$129.22
|
| Rate for Payer: Healthscope Commercial |
$145.38
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$113.07
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$121.15
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$137.30
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$121.15
|
| Rate for Payer: PHP Commercial |
$137.30
|
| Rate for Payer: Priority Health SBD |
$101.76
|
| Rate for Payer: UMR Bronson Commercial |
$71.07
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$121.15
|
|
|
HC PLASMA CELL PROLIFERATION, MARROW CMPT 1
|
Facility
|
OP
|
$161.53
|
|
|
Service Code
|
CPT 88184
|
| Hospital Charge Code |
31000139
|
|
Hospital Revenue Code
|
310
|
| Min. Negotiated Rate |
$59.77 |
| Max. Negotiated Rate |
$1,155.01 |
| Rate for Payer: Aetna American Axle |
$104.99
|
| Rate for Payer: Aetna Commercial |
$137.30
|
| Rate for Payer: Aetna Medicare |
$371.45
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$104.99
|
| 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 |
$144.07
|
| Rate for Payer: BCN Commercial |
$144.07
|
| Rate for Payer: BCN Medicare Advantage |
$357.16
|
| Rate for Payer: Cash Price |
$129.22
|
| Rate for Payer: Cash Price |
$129.22
|
| Rate for Payer: Cofinity Advantage |
$113.07
|
| Rate for Payer: Cofinity Commercial |
$138.92
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$129.22
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$357.16
|
| Rate for Payer: Healthscope Commercial |
$145.38
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$113.07
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$121.15
|
| 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 |
$137.30
|
| Rate for Payer: Nomi Health Commercial |
$1,071.48
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$121.15
|
| Rate for Payer: PACE Medicare |
$339.30
|
| Rate for Payer: PACE SWMI |
$357.16
|
| Rate for Payer: PHP Commercial |
$137.30
|
| 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 |
$101.76
|
| 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 |
$59.77
|
| Rate for Payer: VA VA |
$357.16
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$121.15
|
|
|
HC PLASMA CELL PROLIFERATION, MARROW CMPT 2
|
Facility
|
OP
|
$53.28
|
|
|
Service Code
|
CPT 88185
|
| Hospital Charge Code |
31000140
|
|
Hospital Revenue Code
|
310
|
| Min. Negotiated Rate |
$19.71 |
| Max. Negotiated Rate |
$47.95 |
| Rate for Payer: Aetna American Axle |
$34.63
|
| Rate for Payer: Aetna Commercial |
$45.29
|
| Rate for Payer: Aetna Medicare |
$26.64
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$34.63
|
| Rate for Payer: BCBS Complete |
$21.31
|
| Rate for Payer: BCBS Trust/PPO |
$41.88
|
| Rate for Payer: BCN Commercial |
$41.88
|
| Rate for Payer: Cash Price |
$42.62
|
| Rate for Payer: Cash Price |
$42.62
|
| Rate for Payer: Cofinity Advantage |
$37.30
|
| Rate for Payer: Cofinity Commercial |
$45.82
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$42.62
|
| Rate for Payer: Healthscope Commercial |
$47.95
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$37.30
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$39.96
|
| Rate for Payer: MI Amish Medical Board Commercial |
$42.62
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$45.29
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$39.96
|
| Rate for Payer: PHP Commercial |
$45.29
|
| Rate for Payer: Priority Health SBD |
$33.57
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$33.00
|
| Rate for Payer: UHC Core |
$33.00
|
| Rate for Payer: UHC Exchange |
$33.00
|
| Rate for Payer: UMR Bronson Commercial |
$19.71
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$39.96
|
|
|
HC PLASMA CELL PROLIFERATION, MARROW CMPT 2
|
Facility
|
IP
|
$53.28
|
|
|
Service Code
|
CPT 88185
|
| Hospital Charge Code |
31000140
|
|
Hospital Revenue Code
|
310
|
| Min. Negotiated Rate |
$23.44 |
| Max. Negotiated Rate |
$47.95 |
| Rate for Payer: Aetna American Axle |
$34.63
|
| Rate for Payer: Aetna Commercial |
$45.29
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$34.63
|
| Rate for Payer: Cash Price |
$42.62
|
| Rate for Payer: Cofinity Advantage |
$37.30
|
| Rate for Payer: Cofinity Commercial |
$45.82
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$42.62
|
| Rate for Payer: Healthscope Commercial |
$47.95
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$37.30
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$39.96
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$45.29
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$39.96
|
| Rate for Payer: PHP Commercial |
$45.29
|
| Rate for Payer: Priority Health SBD |
$33.57
|
| Rate for Payer: UMR Bronson Commercial |
$23.44
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$39.96
|
|
|
HC PLASMA CELL PROLIF MARROW
|
Facility
|
OP
|
$117.88
|
|
|
Service Code
|
CPT 88182
|
| Hospital Charge Code |
31100042
|
|
Hospital Revenue Code
|
311
|
| Min. Negotiated Rate |
$27.15 |
| Max. Negotiated Rate |
$228.41 |
| Rate for Payer: Aetna American Axle |
$76.62
|
| Rate for Payer: Aetna Commercial |
$100.20
|
| Rate for Payer: Aetna Medicare |
$54.00
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$76.62
|
| 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 |
$228.41
|
| Rate for Payer: BCN Commercial |
$228.41
|
| Rate for Payer: BCN Medicare Advantage |
$51.92
|
| Rate for Payer: Cash Price |
$94.30
|
| Rate for Payer: Cash Price |
$94.30
|
| Rate for Payer: Cofinity Advantage |
$82.52
|
| Rate for Payer: Cofinity Commercial |
$101.38
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$94.30
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$51.92
|
| Rate for Payer: Healthscope Commercial |
$106.09
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$82.52
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$88.41
|
| 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 |
$100.20
|
| Rate for Payer: Nomi Health Commercial |
$155.76
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$88.41
|
| Rate for Payer: PACE Medicare |
$49.32
|
| Rate for Payer: PACE SWMI |
$51.92
|
| Rate for Payer: PHP Commercial |
$100.20
|
| 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 |
$74.26
|
| 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 |
$43.62
|
| Rate for Payer: VA VA |
$51.92
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$88.41
|
|
|
HC PLASMA CELL PROLIF MARROW
|
Facility
|
IP
|
$117.88
|
|
|
Service Code
|
CPT 88182
|
| Hospital Charge Code |
31100042
|
|
Hospital Revenue Code
|
311
|
| Min. Negotiated Rate |
$51.87 |
| Max. Negotiated Rate |
$106.09 |
| Rate for Payer: Aetna American Axle |
$76.62
|
| Rate for Payer: Aetna Commercial |
$100.20
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$76.62
|
| Rate for Payer: Cash Price |
$94.30
|
| Rate for Payer: Cofinity Advantage |
$82.52
|
| Rate for Payer: Cofinity Commercial |
$101.38
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$94.30
|
| Rate for Payer: Healthscope Commercial |
$106.09
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$82.52
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$88.41
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$100.20
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$88.41
|
| Rate for Payer: PHP Commercial |
$100.20
|
| Rate for Payer: Priority Health SBD |
$74.26
|
| Rate for Payer: UMR Bronson Commercial |
$51.87
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$88.41
|
|
