|
HC RAPID INFLUENZA A & B SCREEN
|
Facility
|
IP
|
$79.49
|
|
|
Service Code
|
CPT 87804
|
| Hospital Charge Code |
30600174
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$34.98 |
| Max. Negotiated Rate |
$71.54 |
| Rate for Payer: Aetna American Axle |
$51.67
|
| Rate for Payer: Aetna Commercial |
$67.57
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$51.67
|
| Rate for Payer: Cash Price |
$63.59
|
| Rate for Payer: Cofinity Advantage |
$55.64
|
| Rate for Payer: Cofinity Commercial |
$68.36
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$63.59
|
| Rate for Payer: Healthscope Commercial |
$71.54
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$55.64
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$59.62
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$67.57
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$59.62
|
| Rate for Payer: PHP Commercial |
$67.57
|
| Rate for Payer: Priority Health SBD |
$50.08
|
| Rate for Payer: UMR Bronson Commercial |
$34.98
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$59.62
|
|
|
HC RAPID INFUSER
|
Facility
|
IP
|
$1,461.10
|
|
| Hospital Charge Code |
27000294
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$642.88 |
| Max. Negotiated Rate |
$1,314.99 |
| Rate for Payer: Aetna American Axle |
$949.72
|
| Rate for Payer: Aetna Commercial |
$1,241.93
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$949.72
|
| Rate for Payer: Cash Price |
$1,168.88
|
| Rate for Payer: Cofinity Advantage |
$1,022.77
|
| Rate for Payer: Cofinity Commercial |
$1,256.55
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,168.88
|
| Rate for Payer: Healthscope Commercial |
$1,314.99
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,022.77
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,095.83
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,241.93
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,095.83
|
| Rate for Payer: PHP Commercial |
$1,241.93
|
| Rate for Payer: Priority Health SBD |
$920.49
|
| Rate for Payer: UMR Bronson Commercial |
$642.88
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,095.83
|
|
|
HC RAPID INFUSER
|
Facility
|
OP
|
$1,461.10
|
|
| Hospital Charge Code |
27000294
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$540.61 |
| Max. Negotiated Rate |
$1,314.99 |
| Rate for Payer: Aetna American Axle |
$949.72
|
| Rate for Payer: Aetna Commercial |
$1,241.93
|
| Rate for Payer: Aetna Medicare |
$730.55
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$949.72
|
| Rate for Payer: BCBS Complete |
$584.44
|
| Rate for Payer: Cash Price |
$1,168.88
|
| Rate for Payer: Cofinity Advantage |
$1,022.77
|
| Rate for Payer: Cofinity Commercial |
$1,256.55
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,168.88
|
| Rate for Payer: Healthscope Commercial |
$1,314.99
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,022.77
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,095.83
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,168.88
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,241.93
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,095.83
|
| Rate for Payer: PHP Commercial |
$1,241.93
|
| Rate for Payer: Priority Health SBD |
$920.49
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$949.72
|
| Rate for Payer: UHC Core |
$761.23
|
| Rate for Payer: UHC Exchange |
$574.21
|
| Rate for Payer: UMR Bronson Commercial |
$540.61
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,095.83
|
|
|
HC RAPID MALARIA ASSAY
|
Facility
|
IP
|
$53.06
|
|
|
Service Code
|
CPT 87899
|
| Hospital Charge Code |
30600298
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$23.35 |
| Max. Negotiated Rate |
$47.75 |
| Rate for Payer: Aetna American Axle |
$34.49
|
| Rate for Payer: Aetna Commercial |
$45.10
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$34.49
|
| Rate for Payer: Cash Price |
$42.45
|
| Rate for Payer: Cofinity Advantage |
$37.14
|
| Rate for Payer: Cofinity Commercial |
$45.63
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$42.45
|
| Rate for Payer: Healthscope Commercial |
$47.75
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$37.14
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$39.80
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$45.10
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$39.80
|
| Rate for Payer: PHP Commercial |
$45.10
|
| Rate for Payer: Priority Health SBD |
$33.43
|
| Rate for Payer: UMR Bronson Commercial |
$23.35
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$39.80
|
|
|
HC RAPID MALARIA ASSAY
|
Facility
|
OP
|
$53.06
|
|
|
Service Code
|
CPT 87899
|
| Hospital Charge Code |
30600298
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$8.40 |
| Max. Negotiated Rate |
$47.75 |
| Rate for Payer: Aetna American Axle |
$34.49
|
| Rate for Payer: Aetna Commercial |
$45.10
|
| Rate for Payer: Aetna Medicare |
$16.71
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$34.49
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$20.09
|
| Rate for Payer: Amish Plain Church Group Commercial |
$20.09
|
| Rate for Payer: BCBS Complete |
$8.83
|
| Rate for Payer: BCBS MAPPO |
$16.07
|
| Rate for Payer: BCBS Trust/PPO |
$18.57
|
| Rate for Payer: BCN Commercial |
$18.57
|
| Rate for Payer: BCN Medicare Advantage |
$16.07
|
| Rate for Payer: Cash Price |
$42.45
|
| Rate for Payer: Cash Price |
$42.45
|
| Rate for Payer: Cofinity Advantage |
$37.14
|
| Rate for Payer: Cofinity Commercial |
$45.63
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$42.45
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$16.07
|
| Rate for Payer: Healthscope Commercial |
$47.75
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$37.14
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$39.80
|
| Rate for Payer: Mclaren Medicaid |
$16.07
|
| Rate for Payer: Mclaren Medicare |
$16.07
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$16.87
|
| Rate for Payer: Meridian Medicaid |
$16.87
|
| Rate for Payer: MI Amish Medical Board Commercial |
$18.48
|
| Rate for Payer: Molina Medicare/Medicaid |
$17.68
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$45.10
|
| Rate for Payer: Nomi Health Commercial |
$24.11
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$39.80
|
| Rate for Payer: PACE Medicare |
$15.27
|
| Rate for Payer: PACE SWMI |
$16.07
|
| Rate for Payer: PHP Commercial |
$45.10
|
| Rate for Payer: PHP Medicare Advantage |
$16.07
|
| Rate for Payer: Priority Health Choice Medicaid |
$8.40
|
| Rate for Payer: Priority Health Medicare |
$16.07
|
| Rate for Payer: Priority Health SBD |
$33.43
|
| Rate for Payer: Railroad Medicare Medicare |
$16.07
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$24.11
|
| Rate for Payer: UHC Core |
$24.11
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$16.07
|
| Rate for Payer: UHC Exchange |
$24.11
|
| Rate for Payer: UHC Medicaid |
$8.40
|
| Rate for Payer: UHCCP Medicaid |
$8.40
|
| Rate for Payer: UMR Bronson Commercial |
$19.63
|
| Rate for Payer: VA VA |
$16.07
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$39.80
|
|
|
HC RAPID STREP SCREEN.
|
Facility
|
OP
|
$62.93
|
|
|
Service Code
|
CPT 87880
|
| Hospital Charge Code |
30600176
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$8.65 |
| Max. Negotiated Rate |
$56.64 |
| Rate for Payer: Aetna American Axle |
$40.90
|
| Rate for Payer: Aetna Commercial |
$53.49
|
| Rate for Payer: Aetna Medicare |
$17.19
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$40.90
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$20.66
|
| Rate for Payer: Amish Plain Church Group Commercial |
$20.66
|
| Rate for Payer: BCBS Complete |
$9.08
|
| Rate for Payer: BCBS MAPPO |
$16.53
|
| Rate for Payer: BCBS Trust/PPO |
$19.11
|
| Rate for Payer: BCN Commercial |
$19.11
|
| Rate for Payer: BCN Medicare Advantage |
$16.53
|
| Rate for Payer: Cash Price |
$50.34
|
| Rate for Payer: Cash Price |
$50.34
|
| Rate for Payer: Cofinity Advantage |
$44.05
|
| Rate for Payer: Cofinity Commercial |
$54.12
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$50.34
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$16.53
|
| Rate for Payer: Healthscope Commercial |
$56.64
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$44.05
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$47.20
|
| Rate for Payer: Mclaren Medicaid |
$16.53
|
| Rate for Payer: Mclaren Medicare |
$16.53
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$17.36
|
| Rate for Payer: Meridian Medicaid |
$17.36
|
| Rate for Payer: MI Amish Medical Board Commercial |
$19.01
|
| Rate for Payer: Molina Medicare/Medicaid |
$18.18
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$53.49
|
| Rate for Payer: Nomi Health Commercial |
$24.80
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$47.20
|
| Rate for Payer: PACE Medicare |
$15.70
|
| Rate for Payer: PACE SWMI |
$16.53
|
| Rate for Payer: PHP Commercial |
$53.49
|
| Rate for Payer: PHP Medicare Advantage |
$16.53
|
| Rate for Payer: Priority Health Choice Medicaid |
$8.65
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$16.53
|
| Rate for Payer: Priority Health Medicare |
$16.53
|
| Rate for Payer: Priority Health SBD |
$39.65
|
| Rate for Payer: Priority Health Tiered Network |
$13.22
|
| Rate for Payer: Railroad Medicare Medicare |
$16.53
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$24.80
|
| Rate for Payer: UHC Core |
$24.80
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$16.53
|
| Rate for Payer: UHC Exchange |
$24.80
|
| Rate for Payer: UHC Medicaid |
$8.65
|
| Rate for Payer: UHCCP Medicaid |
$8.65
|
| Rate for Payer: UMR Bronson Commercial |
$23.28
|
| Rate for Payer: VA VA |
$16.53
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$47.20
|
|
|
HC RAPID STREP SCREEN.
|
Facility
|
IP
|
$62.93
|
|
|
Service Code
|
CPT 87880
|
| Hospital Charge Code |
30600176
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$27.69 |
| Max. Negotiated Rate |
$56.64 |
| Rate for Payer: Aetna American Axle |
$40.90
|
| Rate for Payer: Aetna Commercial |
$53.49
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$40.90
|
| Rate for Payer: Cash Price |
$50.34
|
| Rate for Payer: Cofinity Advantage |
$44.05
|
| Rate for Payer: Cofinity Commercial |
$54.12
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$50.34
|
| Rate for Payer: Healthscope Commercial |
$56.64
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$44.05
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$47.20
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$53.49
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$47.20
|
| Rate for Payer: PHP Commercial |
$53.49
|
| Rate for Payer: Priority Health SBD |
$39.65
|
| Rate for Payer: UMR Bronson Commercial |
$27.69
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$47.20
|
|
|
HC RAVAS CTO/DES
|
Facility
|
OP
|
$30,266.82
|
|
|
Service Code
|
CPT C9607
|
| Hospital Charge Code |
48100088
|
|
Hospital Revenue Code
|
481
|
| Min. Negotiated Rate |
$9,552.97 |
| Max. Negotiated Rate |
$59,069.70 |
| Rate for Payer: Aetna American Axle |
$19,673.43
|
| Rate for Payer: Aetna Commercial |
$25,726.80
|
| Rate for Payer: Aetna Medicare |
$18,996.35
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$19,673.43
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$22,832.15
|
| Rate for Payer: Amish Plain Church Group Commercial |
$22,832.15
|
| Rate for Payer: BCBS Complete |
$10,031.53
|
| Rate for Payer: BCBS MAPPO |
$18,265.72
|
| Rate for Payer: BCBS Trust/PPO |
$16,679.35
|
| Rate for Payer: BCN Commercial |
$16,679.35
|
| Rate for Payer: BCN Medicare Advantage |
$18,265.72
|
| Rate for Payer: Cash Price |
$24,213.46
|
| Rate for Payer: Cash Price |
$24,213.46
|
| Rate for Payer: Cash Price |
$24,213.46
|
| Rate for Payer: Cofinity Advantage |
$21,186.77
|
| Rate for Payer: Cofinity Commercial |
$26,029.47
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$24,213.46
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$18,265.72
|
| Rate for Payer: Healthscope Commercial |
$27,240.14
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$21,186.77
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$22,700.12
|
| Rate for Payer: Mclaren Medicaid |
$18,265.72
|
| Rate for Payer: Mclaren Medicare |
$18,265.72
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$19,179.01
|
| Rate for Payer: Meridian Medicaid |
$19,179.01
|
| Rate for Payer: MI Amish Medical Board Commercial |
$21,005.58
|
| Rate for Payer: Molina Medicare/Medicaid |
$20,092.29
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$25,726.80
|
| Rate for Payer: Nomi Health Commercial |
$54,797.16
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$22,700.12
|
| Rate for Payer: PACE Medicare |
$17,352.43
|
| Rate for Payer: PACE SWMI |
$18,265.72
|
| Rate for Payer: PHP Commercial |
$25,726.80
|
| Rate for Payer: PHP Medicare Advantage |
$18,265.72
|
| Rate for Payer: Priority Health Choice Medicaid |
$9,552.97
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$59,069.70
|
| Rate for Payer: Priority Health Medicare |
$18,265.72
|
| Rate for Payer: Priority Health SBD |
$19,068.10
|
| Rate for Payer: Priority Health Tiered Network |
$47,255.76
|
| Rate for Payer: Railroad Medicare Medicare |
$18,265.72
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$18,265.72
|
| Rate for Payer: UHC Medicaid |
$9,552.97
|
| Rate for Payer: UHCCP Medicaid |
$9,552.97
|
| Rate for Payer: UMR Bronson Commercial |
$11,198.72
|
| Rate for Payer: VA VA |
$18,265.72
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$22,700.12
|
|
|
HC RAVAS CTO/DES
|
Facility
|
IP
|
$30,266.82
|
|
|
Service Code
|
CPT C9607
|
| Hospital Charge Code |
48100088
|
|
Hospital Revenue Code
|
481
|
| Min. Negotiated Rate |
$13,317.40 |
| Max. Negotiated Rate |
$27,240.14 |
| Rate for Payer: Aetna American Axle |
$19,673.43
|
| Rate for Payer: Aetna Commercial |
$25,726.80
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$19,673.43
|
| Rate for Payer: Cash Price |
$24,213.46
|
| Rate for Payer: Cofinity Advantage |
$21,186.77
|
| Rate for Payer: Cofinity Commercial |
$26,029.47
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$24,213.46
|
| Rate for Payer: Healthscope Commercial |
$27,240.14
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$21,186.77
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$22,700.12
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$25,726.80
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$22,700.12
|
| Rate for Payer: PHP Commercial |
$25,726.80
|
| Rate for Payer: Priority Health SBD |
$19,068.10
|
| Rate for Payer: UMR Bronson Commercial |
$13,317.40
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$22,700.12
|
|
|
HC RAVAS CTO/STENT
|
Facility
|
OP
|
$30,266.82
|
|
|
Service Code
|
CPT 92943
|
| Hospital Charge Code |
48100087
|
|
Hospital Revenue Code
|
481
|
| Min. Negotiated Rate |
$6,015.90 |
| Max. Negotiated Rate |
$37,198.61 |
| Rate for Payer: Aetna American Axle |
$19,673.43
|
| Rate for Payer: Aetna Commercial |
$25,726.80
|
| Rate for Payer: Aetna Medicare |
$11,962.79
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$19,673.43
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$14,378.35
|
| Rate for Payer: Amish Plain Church Group Commercial |
$14,378.35
|
| Rate for Payer: BCBS Complete |
$6,317.27
|
| Rate for Payer: BCBS MAPPO |
$11,502.68
|
| Rate for Payer: BCBS Trust/PPO |
$10,509.43
|
| Rate for Payer: BCN Commercial |
$10,509.43
|
| Rate for Payer: BCN Medicare Advantage |
$11,502.68
|
| Rate for Payer: Cash Price |
$24,213.46
|
| Rate for Payer: Cash Price |
$24,213.46
|
| Rate for Payer: Cash Price |
$24,213.46
|
| Rate for Payer: Cofinity Advantage |
$21,186.77
|
| Rate for Payer: Cofinity Commercial |
$26,029.47
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$24,213.46
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$11,502.68
|
| Rate for Payer: Healthscope Commercial |
$27,240.14
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$21,186.77
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$22,700.12
|
| Rate for Payer: Mclaren Medicaid |
$11,502.68
|
| Rate for Payer: Mclaren Medicare |
$11,502.68
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$12,077.81
|
| Rate for Payer: Meridian Medicaid |
$12,077.81
|
| Rate for Payer: MI Amish Medical Board Commercial |
$13,228.08
|
| Rate for Payer: Molina Medicare/Medicaid |
$12,652.95
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$25,726.80
|
| Rate for Payer: Nomi Health Commercial |
$34,508.04
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$22,700.12
|
| Rate for Payer: PACE Medicare |
$10,927.55
|
| Rate for Payer: PACE SWMI |
$11,502.68
|
| Rate for Payer: PHP Commercial |
$25,726.80
|
| Rate for Payer: PHP Medicare Advantage |
$11,502.68
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,015.90
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$37,198.61
|
| Rate for Payer: Priority Health Medicare |
$11,502.68
|
| Rate for Payer: Priority Health SBD |
$19,068.10
|
| Rate for Payer: Priority Health Tiered Network |
$29,758.89
|
| Rate for Payer: Railroad Medicare Medicare |
$11,502.68
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$11,502.68
|
| Rate for Payer: UHC Medicaid |
$6,015.90
|
| Rate for Payer: UHCCP Medicaid |
$6,015.90
|
| Rate for Payer: UMR Bronson Commercial |
$11,198.72
|
| Rate for Payer: VA VA |
$11,502.68
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$22,700.12
|
|
|
HC RAVAS CTO/STENT
|
Facility
|
IP
|
$30,266.82
|
|
|
Service Code
|
CPT 92943
|
| Hospital Charge Code |
48100087
|
|
Hospital Revenue Code
|
481
|
| Min. Negotiated Rate |
$13,317.40 |
| Max. Negotiated Rate |
$27,240.14 |
| Rate for Payer: Aetna American Axle |
$19,673.43
|
| Rate for Payer: Aetna Commercial |
$25,726.80
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$19,673.43
|
| Rate for Payer: Cash Price |
$24,213.46
|
| Rate for Payer: Cofinity Advantage |
$21,186.77
|
| Rate for Payer: Cofinity Commercial |
$26,029.47
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$24,213.46
|
| Rate for Payer: Healthscope Commercial |
$27,240.14
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$21,186.77
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$22,700.12
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$25,726.80
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$22,700.12
|
| Rate for Payer: PHP Commercial |
$25,726.80
|
| Rate for Payer: Priority Health SBD |
$19,068.10
|
| Rate for Payer: UMR Bronson Commercial |
$13,317.40
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$22,700.12
|
|
|
HC RBC LEUKO REDUCED
|
Facility
|
OP
|
$740.11
|
|
|
Service Code
|
HCPCS P9016
|
| Hospital Charge Code |
39000059
|
|
Hospital Revenue Code
|
390
|
| Min. Negotiated Rate |
$94.32 |
| Max. Negotiated Rate |
$666.10 |
| Rate for Payer: Aetna American Axle |
$481.07
|
| Rate for Payer: Aetna Commercial |
$629.09
|
| Rate for Payer: Aetna Medicare |
$187.55
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$481.07
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$225.43
|
| Rate for Payer: Amish Plain Church Group Commercial |
$225.43
|
| Rate for Payer: BCBS Complete |
$99.04
|
| Rate for Payer: BCBS MAPPO |
$180.34
|
| Rate for Payer: BCBS Trust/PPO |
$481.44
|
| Rate for Payer: BCN Commercial |
$481.44
|
| Rate for Payer: BCN Medicare Advantage |
$180.34
|
| Rate for Payer: Cash Price |
$592.09
|
| Rate for Payer: Cash Price |
$592.09
|
| Rate for Payer: Cofinity Advantage |
$518.08
|
| Rate for Payer: Cofinity Commercial |
$636.49
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$592.09
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$180.34
|
| Rate for Payer: Healthscope Commercial |
$666.10
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$518.08
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$555.08
|
| Rate for Payer: Mclaren Medicaid |
$180.34
|
| Rate for Payer: Mclaren Medicare |
$180.34
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$189.36
|
| Rate for Payer: Meridian Medicaid |
$189.36
|
| Rate for Payer: MI Amish Medical Board Commercial |
$207.39
|
| Rate for Payer: Molina Medicare/Medicaid |
$198.37
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$629.09
|
| Rate for Payer: Nomi Health Commercial |
$541.02
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$555.08
|
| Rate for Payer: PACE Medicare |
$171.32
|
| Rate for Payer: PACE SWMI |
$180.34
|
| Rate for Payer: PHP Commercial |
$629.09
|
| Rate for Payer: PHP Medicare Advantage |
$180.34
|
| Rate for Payer: Priority Health Choice Medicaid |
$94.32
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$583.21
|
| Rate for Payer: Priority Health Medicare |
$180.34
|
| Rate for Payer: Priority Health SBD |
$466.27
|
| Rate for Payer: Priority Health Tiered Network |
$466.57
|
| Rate for Payer: Railroad Medicare Medicare |
$180.34
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$481.07
|
| Rate for Payer: UHC Core |
$385.60
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$180.34
|
| Rate for Payer: UHC Exchange |
$290.86
|
| Rate for Payer: UHC Medicaid |
$94.32
|
| Rate for Payer: UHCCP Medicaid |
$94.32
|
| Rate for Payer: UMR Bronson Commercial |
$273.84
|
| Rate for Payer: VA VA |
$180.34
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$555.08
|
|
|
HC RBC LEUKO REDUCED
|
Facility
|
IP
|
$740.11
|
|
|
Service Code
|
HCPCS P9016
|
| Hospital Charge Code |
39000059
|
|
Hospital Revenue Code
|
390
|
| Min. Negotiated Rate |
$325.65 |
| Max. Negotiated Rate |
$666.10 |
| Rate for Payer: Aetna American Axle |
$481.07
|
| Rate for Payer: Aetna Commercial |
$629.09
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$481.07
|
| Rate for Payer: Cash Price |
$592.09
|
| Rate for Payer: Cofinity Advantage |
$518.08
|
| Rate for Payer: Cofinity Commercial |
$636.49
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$592.09
|
| Rate for Payer: Healthscope Commercial |
$666.10
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$518.08
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$555.08
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$629.09
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$555.08
|
| Rate for Payer: PHP Commercial |
$629.09
|
| Rate for Payer: Priority Health SBD |
$466.27
|
| Rate for Payer: UMR Bronson Commercial |
$325.65
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$555.08
|
|
|
HC RBC LEUKO REDUCED IRRAD
|
Facility
|
OP
|
$1,282.23
|
|
|
Service Code
|
HCPCS P9040
|
| Hospital Charge Code |
39000072
|
|
Hospital Revenue Code
|
390
|
| Min. Negotiated Rate |
$135.38 |
| Max. Negotiated Rate |
$1,154.01 |
| Rate for Payer: Aetna American Axle |
$833.45
|
| Rate for Payer: Aetna Commercial |
$1,089.90
|
| Rate for Payer: Aetna Medicare |
$269.20
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$833.45
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$323.56
|
| Rate for Payer: Amish Plain Church Group Commercial |
$323.56
|
| Rate for Payer: BCBS Complete |
$142.16
|
| Rate for Payer: BCBS MAPPO |
$258.85
|
| Rate for Payer: BCBS Trust/PPO |
$676.67
|
| Rate for Payer: BCN Commercial |
$676.67
|
| Rate for Payer: BCN Medicare Advantage |
$258.85
|
| Rate for Payer: Cash Price |
$1,025.78
|
| Rate for Payer: Cash Price |
$1,025.78
|
| Rate for Payer: Cofinity Advantage |
$897.56
|
| Rate for Payer: Cofinity Commercial |
$1,102.72
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,025.78
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$258.85
|
| Rate for Payer: Healthscope Commercial |
$1,154.01
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$897.56
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$961.67
|
| Rate for Payer: Mclaren Medicaid |
$258.85
|
| Rate for Payer: Mclaren Medicare |
$258.85
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$271.79
|
| Rate for Payer: Meridian Medicaid |
$271.79
|
| Rate for Payer: MI Amish Medical Board Commercial |
$297.68
|
| Rate for Payer: Molina Medicare/Medicaid |
$284.74
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,089.90
|
| Rate for Payer: Nomi Health Commercial |
$776.55
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$961.67
|
| Rate for Payer: PACE Medicare |
$245.91
|
| Rate for Payer: PACE SWMI |
$258.85
|
| Rate for Payer: PHP Commercial |
$1,089.90
|
| Rate for Payer: PHP Medicare Advantage |
$258.85
|
| Rate for Payer: Priority Health Choice Medicaid |
$135.38
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$837.08
|
| Rate for Payer: Priority Health Medicare |
$258.85
|
| Rate for Payer: Priority Health SBD |
$807.80
|
| Rate for Payer: Priority Health Tiered Network |
$669.66
|
| Rate for Payer: Railroad Medicare Medicare |
$258.85
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$833.45
|
| Rate for Payer: UHC Core |
$668.04
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$258.85
|
| Rate for Payer: UHC Exchange |
$503.92
|
| Rate for Payer: UHC Medicaid |
$135.38
|
| Rate for Payer: UHCCP Medicaid |
$135.38
|
| Rate for Payer: UMR Bronson Commercial |
$474.43
|
| Rate for Payer: VA VA |
$258.85
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$961.67
|
|
|
HC RBC LEUKO REDUCED IRRAD
|
Facility
|
IP
|
$1,282.23
|
|
|
Service Code
|
HCPCS P9040
|
| Hospital Charge Code |
39000072
|
|
Hospital Revenue Code
|
390
|
| Min. Negotiated Rate |
$564.18 |
| Max. Negotiated Rate |
$1,154.01 |
| Rate for Payer: Aetna American Axle |
$833.45
|
| Rate for Payer: Aetna Commercial |
$1,089.90
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$833.45
|
| Rate for Payer: Cash Price |
$1,025.78
|
| Rate for Payer: Cofinity Advantage |
$897.56
|
| Rate for Payer: Cofinity Commercial |
$1,102.72
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,025.78
|
| Rate for Payer: Healthscope Commercial |
$1,154.01
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$897.56
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$961.67
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,089.90
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$961.67
|
| Rate for Payer: PHP Commercial |
$1,089.90
|
| Rate for Payer: Priority Health SBD |
$807.80
|
| Rate for Payer: UMR Bronson Commercial |
$564.18
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$961.67
|
|
|
HC RECEPTOR ASSAY OTHER ENDOCRINE
|
Facility
|
OP
|
$208.05
|
|
|
Service Code
|
CPT 84235
|
| Hospital Charge Code |
30100418
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$37.25 |
| Max. Negotiated Rate |
$187.25 |
| Rate for Payer: Aetna American Axle |
$135.23
|
| Rate for Payer: Aetna Commercial |
$176.84
|
| Rate for Payer: Aetna Medicare |
$74.08
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$135.23
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$89.04
|
| Rate for Payer: Amish Plain Church Group Commercial |
$89.04
|
| Rate for Payer: BCBS Complete |
$39.12
|
| Rate for Payer: BCBS MAPPO |
$71.23
|
| Rate for Payer: BCBS Trust/PPO |
$82.34
|
| Rate for Payer: BCN Commercial |
$82.34
|
| Rate for Payer: BCN Medicare Advantage |
$71.23
|
| Rate for Payer: Cash Price |
$166.44
|
| Rate for Payer: Cash Price |
$166.44
|
| Rate for Payer: Cofinity Advantage |
$145.63
|
| Rate for Payer: Cofinity Commercial |
$178.92
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$166.44
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$71.23
|
| Rate for Payer: Healthscope Commercial |
$187.25
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$145.63
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$156.04
|
| Rate for Payer: Mclaren Medicaid |
$71.23
|
| Rate for Payer: Mclaren Medicare |
$71.23
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$74.79
|
| Rate for Payer: Meridian Medicaid |
$74.79
|
| Rate for Payer: MI Amish Medical Board Commercial |
$81.91
|
| Rate for Payer: Molina Medicare/Medicaid |
$78.35
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$176.84
|
| Rate for Payer: Nomi Health Commercial |
$106.84
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$156.04
|
| Rate for Payer: PACE Medicare |
$67.67
|
| Rate for Payer: PACE SWMI |
$71.23
|
| Rate for Payer: PHP Commercial |
$176.84
|
| Rate for Payer: PHP Medicare Advantage |
$71.23
|
| Rate for Payer: Priority Health Choice Medicaid |
$37.25
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$71.23
|
| Rate for Payer: Priority Health Medicare |
$71.23
|
| Rate for Payer: Priority Health SBD |
$131.07
|
| Rate for Payer: Priority Health Tiered Network |
$56.98
|
| Rate for Payer: Railroad Medicare Medicare |
$71.23
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$106.85
|
| Rate for Payer: UHC Core |
$106.85
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$71.23
|
| Rate for Payer: UHC Exchange |
$106.85
|
| Rate for Payer: UHC Medicaid |
$37.25
|
| Rate for Payer: UHCCP Medicaid |
$37.25
|
| Rate for Payer: UMR Bronson Commercial |
$76.98
|
| Rate for Payer: VA VA |
$71.23
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$156.04
|
|
|
HC RECEPTOR ASSAY OTHER ENDOCRINE
|
Facility
|
IP
|
$208.05
|
|
|
Service Code
|
CPT 84235
|
| Hospital Charge Code |
30100418
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$91.54 |
| Max. Negotiated Rate |
$187.25 |
| Rate for Payer: Aetna American Axle |
$135.23
|
| Rate for Payer: Aetna Commercial |
$176.84
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$135.23
|
| Rate for Payer: Cash Price |
$166.44
|
| Rate for Payer: Cofinity Advantage |
$145.63
|
| Rate for Payer: Cofinity Commercial |
$178.92
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$166.44
|
| Rate for Payer: Healthscope Commercial |
$187.25
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$145.63
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$156.04
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$176.84
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$156.04
|
| Rate for Payer: PHP Commercial |
$176.84
|
| Rate for Payer: Priority Health SBD |
$131.07
|
| Rate for Payer: UMR Bronson Commercial |
$91.54
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$156.04
|
|
|
HC RECOVERY 1 ADD'L 15 MIN
|
Facility
|
IP
|
$160.15
|
|
| Hospital Charge Code |
71000020
|
|
Hospital Revenue Code
|
710
|
| Min. Negotiated Rate |
$70.47 |
| Max. Negotiated Rate |
$144.13 |
| Rate for Payer: Aetna American Axle |
$104.10
|
| Rate for Payer: Aetna Commercial |
$136.13
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$104.10
|
| Rate for Payer: Cash Price |
$128.12
|
| Rate for Payer: Cofinity Advantage |
$112.11
|
| Rate for Payer: Cofinity Commercial |
$137.73
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$128.12
|
| Rate for Payer: Healthscope Commercial |
$144.13
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$112.11
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$120.11
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$136.13
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$120.11
|
| Rate for Payer: PHP Commercial |
$136.13
|
| Rate for Payer: Priority Health SBD |
$100.89
|
| Rate for Payer: UMR Bronson Commercial |
$70.47
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$120.11
|
|
|
HC RECOVERY 1 ADD'L 15 MIN
|
Facility
|
OP
|
$160.15
|
|
| Hospital Charge Code |
71000020
|
|
Hospital Revenue Code
|
710
|
| Min. Negotiated Rate |
$59.26 |
| Max. Negotiated Rate |
$144.13 |
| Rate for Payer: Aetna American Axle |
$104.10
|
| Rate for Payer: Aetna Commercial |
$136.13
|
| Rate for Payer: Aetna Medicare |
$80.08
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$104.10
|
| Rate for Payer: BCBS Complete |
$64.06
|
| Rate for Payer: Cash Price |
$128.12
|
| Rate for Payer: Cofinity Advantage |
$112.11
|
| Rate for Payer: Cofinity Commercial |
$137.73
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$128.12
|
| Rate for Payer: Healthscope Commercial |
$144.13
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$112.11
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$120.11
|
| Rate for Payer: MI Amish Medical Board Commercial |
$128.12
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$136.13
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$120.11
|
| Rate for Payer: PHP Commercial |
$136.13
|
| Rate for Payer: Priority Health SBD |
$100.89
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$104.10
|
| Rate for Payer: UHC Core |
$83.44
|
| Rate for Payer: UHC Exchange |
$62.94
|
| Rate for Payer: UMR Bronson Commercial |
$59.26
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$120.11
|
|
|
HC RECOVERY 1 BASE CHARGE
|
Facility
|
IP
|
$118.32
|
|
| Hospital Charge Code |
71000039
|
|
Hospital Revenue Code
|
710
|
| Min. Negotiated Rate |
$52.06 |
| Max. Negotiated Rate |
$106.49 |
| Rate for Payer: Aetna American Axle |
$76.91
|
| Rate for Payer: Aetna Commercial |
$100.57
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$76.91
|
| Rate for Payer: Cash Price |
$94.66
|
| Rate for Payer: Cofinity Advantage |
$82.82
|
| Rate for Payer: Cofinity Commercial |
$101.76
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$94.66
|
| Rate for Payer: Healthscope Commercial |
$106.49
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$82.82
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$88.74
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$100.57
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$88.74
|
| Rate for Payer: PHP Commercial |
$100.57
|
| Rate for Payer: Priority Health SBD |
$74.54
|
| Rate for Payer: UMR Bronson Commercial |
$52.06
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$88.74
|
|
|
HC RECOVERY 1 BASE CHARGE
|
Facility
|
OP
|
$118.32
|
|
| Hospital Charge Code |
71000039
|
|
Hospital Revenue Code
|
710
|
| Min. Negotiated Rate |
$43.78 |
| Max. Negotiated Rate |
$106.49 |
| Rate for Payer: Aetna American Axle |
$76.91
|
| Rate for Payer: Aetna Commercial |
$100.57
|
| Rate for Payer: Aetna Medicare |
$59.16
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$76.91
|
| Rate for Payer: BCBS Complete |
$47.33
|
| Rate for Payer: Cash Price |
$94.66
|
| Rate for Payer: Cofinity Advantage |
$82.82
|
| Rate for Payer: Cofinity Commercial |
$101.76
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$94.66
|
| Rate for Payer: Healthscope Commercial |
$106.49
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$82.82
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$88.74
|
| Rate for Payer: MI Amish Medical Board Commercial |
$94.66
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$100.57
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$88.74
|
| Rate for Payer: PHP Commercial |
$100.57
|
| Rate for Payer: Priority Health SBD |
$74.54
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$76.91
|
| Rate for Payer: UHC Core |
$61.64
|
| Rate for Payer: UHC Exchange |
$46.50
|
| Rate for Payer: UMR Bronson Commercial |
$43.78
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$88.74
|
|
|
HC RECOVERY 1 EA MIN
|
Facility
|
OP
|
$15.30
|
|
| Hospital Charge Code |
71000034
|
|
Hospital Revenue Code
|
710
|
| Min. Negotiated Rate |
$5.66 |
| Max. Negotiated Rate |
$13.77 |
| Rate for Payer: Aetna American Axle |
$9.95
|
| Rate for Payer: Aetna Commercial |
$13.01
|
| Rate for Payer: Aetna Medicare |
$7.65
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$9.95
|
| Rate for Payer: BCBS Complete |
$6.12
|
| Rate for Payer: Cash Price |
$12.24
|
| Rate for Payer: Cofinity Advantage |
$10.71
|
| Rate for Payer: Cofinity Commercial |
$13.16
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$12.24
|
| Rate for Payer: Healthscope Commercial |
$13.77
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$10.71
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$11.47
|
| Rate for Payer: MI Amish Medical Board Commercial |
$12.24
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$13.01
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$11.47
|
| Rate for Payer: PHP Commercial |
$13.01
|
| Rate for Payer: Priority Health SBD |
$9.64
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$9.95
|
| Rate for Payer: UHC Core |
$7.97
|
| Rate for Payer: UHC Exchange |
$6.01
|
| Rate for Payer: UMR Bronson Commercial |
$5.66
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$11.47
|
|
|
HC RECOVERY 1 EA MIN
|
Facility
|
IP
|
$15.30
|
|
| Hospital Charge Code |
71000034
|
|
Hospital Revenue Code
|
710
|
| Min. Negotiated Rate |
$6.73 |
| Max. Negotiated Rate |
$13.77 |
| Rate for Payer: Aetna American Axle |
$9.95
|
| Rate for Payer: Aetna Commercial |
$13.01
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$9.95
|
| Rate for Payer: Cash Price |
$12.24
|
| Rate for Payer: Cofinity Advantage |
$10.71
|
| Rate for Payer: Cofinity Commercial |
$13.16
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$12.24
|
| Rate for Payer: Healthscope Commercial |
$13.77
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$10.71
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$11.47
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$13.01
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$11.47
|
| Rate for Payer: PHP Commercial |
$13.01
|
| Rate for Payer: Priority Health SBD |
$9.64
|
| Rate for Payer: UMR Bronson Commercial |
$6.73
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$11.47
|
|
|
HC RECOVERY 1 INIT 30 MIN
|
Facility
|
OP
|
$378.09
|
|
| Hospital Charge Code |
71000021
|
|
Hospital Revenue Code
|
710
|
| Min. Negotiated Rate |
$139.89 |
| Max. Negotiated Rate |
$340.28 |
| Rate for Payer: Aetna American Axle |
$245.76
|
| Rate for Payer: Aetna Commercial |
$321.38
|
| Rate for Payer: Aetna Medicare |
$189.04
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$245.76
|
| Rate for Payer: BCBS Complete |
$151.24
|
| Rate for Payer: Cash Price |
$302.47
|
| Rate for Payer: Cofinity Advantage |
$264.66
|
| Rate for Payer: Cofinity Commercial |
$325.16
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$302.47
|
| Rate for Payer: Healthscope Commercial |
$340.28
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$264.66
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$283.57
|
| Rate for Payer: MI Amish Medical Board Commercial |
$302.47
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$321.38
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$283.57
|
| Rate for Payer: PHP Commercial |
$321.38
|
| Rate for Payer: Priority Health SBD |
$238.20
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$245.76
|
| Rate for Payer: UHC Core |
$196.98
|
| Rate for Payer: UHC Exchange |
$148.59
|
| Rate for Payer: UMR Bronson Commercial |
$139.89
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$283.57
|
|
|
HC RECOVERY 1 INIT 30 MIN
|
Facility
|
IP
|
$378.09
|
|
| Hospital Charge Code |
71000021
|
|
Hospital Revenue Code
|
710
|
| Min. Negotiated Rate |
$166.36 |
| Max. Negotiated Rate |
$340.28 |
| Rate for Payer: Aetna American Axle |
$245.76
|
| Rate for Payer: Aetna Commercial |
$321.38
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$245.76
|
| Rate for Payer: Cash Price |
$302.47
|
| Rate for Payer: Cofinity Advantage |
$264.66
|
| Rate for Payer: Cofinity Commercial |
$325.16
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$302.47
|
| Rate for Payer: Healthscope Commercial |
$340.28
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$264.66
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$283.57
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$321.38
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$283.57
|
| Rate for Payer: PHP Commercial |
$321.38
|
| Rate for Payer: Priority Health SBD |
$238.20
|
| Rate for Payer: UMR Bronson Commercial |
$166.36
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$283.57
|
|
