|
HC RECOVERY 2 ADD'L 15 MIN
|
Facility
|
OP
|
$187.51
|
|
| Hospital Charge Code |
71000022
|
|
Hospital Revenue Code
|
710
|
| Min. Negotiated Rate |
$69.38 |
| Max. Negotiated Rate |
$168.76 |
| Rate for Payer: Aetna American Axle |
$121.88
|
| Rate for Payer: Aetna Commercial |
$159.38
|
| Rate for Payer: Aetna Medicare |
$93.75
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$121.88
|
| Rate for Payer: BCBS Complete |
$75.00
|
| Rate for Payer: Cash Price |
$150.01
|
| Rate for Payer: Cofinity Advantage |
$131.26
|
| Rate for Payer: Cofinity Commercial |
$161.26
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$150.01
|
| Rate for Payer: Healthscope Commercial |
$168.76
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$131.26
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$140.63
|
| Rate for Payer: MI Amish Medical Board Commercial |
$150.01
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$159.38
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$140.63
|
| Rate for Payer: PHP Commercial |
$159.38
|
| Rate for Payer: Priority Health SBD |
$118.13
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$121.88
|
| Rate for Payer: UHC Core |
$97.69
|
| Rate for Payer: UHC Exchange |
$73.69
|
| Rate for Payer: UMR Bronson Commercial |
$69.38
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$140.63
|
|
|
HC RECOVERY 2 ADD'L 15 MIN
|
Facility
|
IP
|
$187.51
|
|
| Hospital Charge Code |
71000022
|
|
Hospital Revenue Code
|
710
|
| Min. Negotiated Rate |
$82.50 |
| Max. Negotiated Rate |
$168.76 |
| Rate for Payer: Aetna American Axle |
$121.88
|
| Rate for Payer: Aetna Commercial |
$159.38
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$121.88
|
| Rate for Payer: Cash Price |
$150.01
|
| Rate for Payer: Cofinity Advantage |
$131.26
|
| Rate for Payer: Cofinity Commercial |
$161.26
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$150.01
|
| Rate for Payer: Healthscope Commercial |
$168.76
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$131.26
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$140.63
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$159.38
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$140.63
|
| Rate for Payer: PHP Commercial |
$159.38
|
| Rate for Payer: Priority Health SBD |
$118.13
|
| Rate for Payer: UMR Bronson Commercial |
$82.50
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$140.63
|
|
|
HC RECOVERY 2 BASE CHARGE
|
Facility
|
IP
|
$98.94
|
|
| Hospital Charge Code |
71000035
|
|
Hospital Revenue Code
|
710
|
| Min. Negotiated Rate |
$43.53 |
| Max. Negotiated Rate |
$89.05 |
| Rate for Payer: Aetna American Axle |
$64.31
|
| Rate for Payer: Aetna Commercial |
$84.10
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$64.31
|
| Rate for Payer: Cash Price |
$79.15
|
| Rate for Payer: Cofinity Advantage |
$69.26
|
| Rate for Payer: Cofinity Commercial |
$85.09
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$79.15
|
| Rate for Payer: Healthscope Commercial |
$89.05
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$69.26
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$74.20
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$84.10
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$74.20
|
| Rate for Payer: PHP Commercial |
$84.10
|
| Rate for Payer: Priority Health SBD |
$62.33
|
| Rate for Payer: UMR Bronson Commercial |
$43.53
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$74.20
|
|
|
HC RECOVERY 2 BASE CHARGE
|
Facility
|
OP
|
$98.94
|
|
| Hospital Charge Code |
71000035
|
|
Hospital Revenue Code
|
710
|
| Min. Negotiated Rate |
$36.61 |
| Max. Negotiated Rate |
$89.05 |
| Rate for Payer: Aetna American Axle |
$64.31
|
| Rate for Payer: Aetna Commercial |
$84.10
|
| Rate for Payer: Aetna Medicare |
$49.47
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$64.31
|
| Rate for Payer: BCBS Complete |
$39.58
|
| Rate for Payer: Cash Price |
$79.15
|
| Rate for Payer: Cofinity Advantage |
$69.26
|
| Rate for Payer: Cofinity Commercial |
$85.09
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$79.15
|
| Rate for Payer: Healthscope Commercial |
$89.05
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$69.26
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$74.20
|
| Rate for Payer: MI Amish Medical Board Commercial |
$79.15
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$84.10
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$74.20
|
| Rate for Payer: PHP Commercial |
$84.10
|
| Rate for Payer: Priority Health SBD |
$62.33
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$64.31
|
| Rate for Payer: UHC Core |
$51.55
|
| Rate for Payer: UHC Exchange |
$38.88
|
| Rate for Payer: UMR Bronson Commercial |
$36.61
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$74.20
|
|
|
HC RECOVERY 2 EA MIN
|
Facility
|
OP
|
$12.24
|
|
| Hospital Charge Code |
71000036
|
|
Hospital Revenue Code
|
710
|
| Min. Negotiated Rate |
$4.53 |
| Max. Negotiated Rate |
$11.02 |
| Rate for Payer: Aetna American Axle |
$7.96
|
| Rate for Payer: Aetna Commercial |
$10.40
|
| Rate for Payer: Aetna Medicare |
$6.12
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$7.96
|
| Rate for Payer: BCBS Complete |
$4.90
|
| Rate for Payer: Cash Price |
$9.79
|
| Rate for Payer: Cofinity Advantage |
$8.57
|
| Rate for Payer: Cofinity Commercial |
$10.53
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$9.79
|
| Rate for Payer: Healthscope Commercial |
$11.02
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$8.57
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$9.18
|
| Rate for Payer: MI Amish Medical Board Commercial |
$9.79
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$10.40
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$9.18
|
| Rate for Payer: PHP Commercial |
$10.40
|
| Rate for Payer: Priority Health SBD |
$7.71
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$7.96
|
| Rate for Payer: UHC Core |
$6.38
|
| Rate for Payer: UHC Exchange |
$4.81
|
| Rate for Payer: UMR Bronson Commercial |
$4.53
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$9.18
|
|
|
HC RECOVERY 2 EA MIN
|
Facility
|
IP
|
$12.24
|
|
| Hospital Charge Code |
71000036
|
|
Hospital Revenue Code
|
710
|
| Min. Negotiated Rate |
$5.39 |
| Max. Negotiated Rate |
$11.02 |
| Rate for Payer: Aetna American Axle |
$7.96
|
| Rate for Payer: Aetna Commercial |
$10.40
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$7.96
|
| Rate for Payer: Cash Price |
$9.79
|
| Rate for Payer: Cofinity Advantage |
$8.57
|
| Rate for Payer: Cofinity Commercial |
$10.53
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$9.79
|
| Rate for Payer: Healthscope Commercial |
$11.02
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$8.57
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$9.18
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$10.40
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$9.18
|
| Rate for Payer: PHP Commercial |
$10.40
|
| Rate for Payer: Priority Health SBD |
$7.71
|
| Rate for Payer: UMR Bronson Commercial |
$5.39
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$9.18
|
|
|
HC RECOVERY 2 INIT 30 MIN
|
Facility
|
OP
|
$338.20
|
|
| Hospital Charge Code |
71000023
|
|
Hospital Revenue Code
|
710
|
| Min. Negotiated Rate |
$125.13 |
| Max. Negotiated Rate |
$304.38 |
| Rate for Payer: Aetna American Axle |
$219.83
|
| Rate for Payer: Aetna Commercial |
$287.47
|
| Rate for Payer: Aetna Medicare |
$169.10
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$219.83
|
| Rate for Payer: BCBS Complete |
$135.28
|
| Rate for Payer: Cash Price |
$270.56
|
| Rate for Payer: Cofinity Advantage |
$236.74
|
| Rate for Payer: Cofinity Commercial |
$290.85
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$270.56
|
| Rate for Payer: Healthscope Commercial |
$304.38
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$236.74
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$253.65
|
| Rate for Payer: MI Amish Medical Board Commercial |
$270.56
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$287.47
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$253.65
|
| Rate for Payer: PHP Commercial |
$287.47
|
| Rate for Payer: Priority Health SBD |
$213.07
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$219.83
|
| Rate for Payer: UHC Core |
$176.20
|
| Rate for Payer: UHC Exchange |
$132.91
|
| Rate for Payer: UMR Bronson Commercial |
$125.13
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$253.65
|
|
|
HC RECOVERY 2 INIT 30 MIN
|
Facility
|
IP
|
$338.20
|
|
| Hospital Charge Code |
71000023
|
|
Hospital Revenue Code
|
710
|
| Min. Negotiated Rate |
$148.81 |
| Max. Negotiated Rate |
$304.38 |
| Rate for Payer: Aetna American Axle |
$219.83
|
| Rate for Payer: Aetna Commercial |
$287.47
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$219.83
|
| Rate for Payer: Cash Price |
$270.56
|
| Rate for Payer: Cofinity Advantage |
$236.74
|
| Rate for Payer: Cofinity Commercial |
$290.85
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$270.56
|
| Rate for Payer: Healthscope Commercial |
$304.38
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$236.74
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$253.65
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$287.47
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$253.65
|
| Rate for Payer: PHP Commercial |
$287.47
|
| Rate for Payer: Priority Health SBD |
$213.07
|
| Rate for Payer: UMR Bronson Commercial |
$148.81
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$253.65
|
|
|
HC RECOVERY 3 ADD'L 15 MIN
|
Facility
|
IP
|
$104.21
|
|
| Hospital Charge Code |
71000024
|
|
Hospital Revenue Code
|
710
|
| Min. Negotiated Rate |
$45.85 |
| Max. Negotiated Rate |
$93.79 |
| Rate for Payer: Aetna American Axle |
$67.74
|
| Rate for Payer: Aetna Commercial |
$88.58
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$67.74
|
| Rate for Payer: Cash Price |
$83.37
|
| Rate for Payer: Cofinity Advantage |
$72.95
|
| Rate for Payer: Cofinity Commercial |
$89.62
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$83.37
|
| Rate for Payer: Healthscope Commercial |
$93.79
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$72.95
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$78.16
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$88.58
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$78.16
|
| Rate for Payer: PHP Commercial |
$88.58
|
| Rate for Payer: Priority Health SBD |
$65.65
|
| Rate for Payer: UMR Bronson Commercial |
$45.85
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$78.16
|
|
|
HC RECOVERY 3 ADD'L 15 MIN
|
Facility
|
OP
|
$104.21
|
|
| Hospital Charge Code |
71000024
|
|
Hospital Revenue Code
|
710
|
| Min. Negotiated Rate |
$38.56 |
| Max. Negotiated Rate |
$93.79 |
| Rate for Payer: Aetna American Axle |
$67.74
|
| Rate for Payer: Aetna Commercial |
$88.58
|
| Rate for Payer: Aetna Medicare |
$52.10
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$67.74
|
| Rate for Payer: BCBS Complete |
$41.68
|
| Rate for Payer: Cash Price |
$83.37
|
| Rate for Payer: Cofinity Advantage |
$72.95
|
| Rate for Payer: Cofinity Commercial |
$89.62
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$83.37
|
| Rate for Payer: Healthscope Commercial |
$93.79
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$72.95
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$78.16
|
| Rate for Payer: MI Amish Medical Board Commercial |
$83.37
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$88.58
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$78.16
|
| Rate for Payer: PHP Commercial |
$88.58
|
| Rate for Payer: Priority Health SBD |
$65.65
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$67.74
|
| Rate for Payer: UHC Core |
$54.29
|
| Rate for Payer: UHC Exchange |
$40.95
|
| Rate for Payer: UMR Bronson Commercial |
$38.56
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$78.16
|
|
|
HC RECOVERY 3 BASE CHARGE
|
Facility
|
IP
|
$63.00
|
|
| Hospital Charge Code |
71000040
|
|
Hospital Revenue Code
|
710
|
| Min. Negotiated Rate |
$27.72 |
| Max. Negotiated Rate |
$56.70 |
| Rate for Payer: Aetna American Axle |
$40.95
|
| Rate for Payer: Aetna Commercial |
$53.55
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$40.95
|
| Rate for Payer: Cash Price |
$50.40
|
| Rate for Payer: Cofinity Advantage |
$44.10
|
| Rate for Payer: Cofinity Commercial |
$54.18
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$50.40
|
| Rate for Payer: Healthscope Commercial |
$56.70
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$44.10
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$47.25
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$53.55
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$47.25
|
| Rate for Payer: PHP Commercial |
$53.55
|
| Rate for Payer: Priority Health SBD |
$39.69
|
| Rate for Payer: UMR Bronson Commercial |
$27.72
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$47.25
|
|
|
HC RECOVERY 3 BASE CHARGE
|
Facility
|
OP
|
$63.00
|
|
| Hospital Charge Code |
71000040
|
|
Hospital Revenue Code
|
710
|
| Min. Negotiated Rate |
$23.31 |
| Max. Negotiated Rate |
$56.70 |
| Rate for Payer: Aetna American Axle |
$40.95
|
| Rate for Payer: Aetna Commercial |
$53.55
|
| Rate for Payer: Aetna Medicare |
$31.50
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$40.95
|
| Rate for Payer: BCBS Complete |
$25.20
|
| Rate for Payer: Cash Price |
$50.40
|
| Rate for Payer: Cofinity Advantage |
$44.10
|
| Rate for Payer: Cofinity Commercial |
$54.18
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$50.40
|
| Rate for Payer: Healthscope Commercial |
$56.70
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$44.10
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$47.25
|
| Rate for Payer: MI Amish Medical Board Commercial |
$50.40
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$53.55
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$47.25
|
| Rate for Payer: PHP Commercial |
$53.55
|
| Rate for Payer: Priority Health SBD |
$39.69
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$40.95
|
| Rate for Payer: UHC Core |
$32.82
|
| Rate for Payer: UHC Exchange |
$24.76
|
| Rate for Payer: UMR Bronson Commercial |
$23.31
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$47.25
|
|
|
HC RECOVERY 3 EA MIN
|
Facility
|
OP
|
$9.18
|
|
| Hospital Charge Code |
71000037
|
|
Hospital Revenue Code
|
710
|
| Min. Negotiated Rate |
$3.40 |
| Max. Negotiated Rate |
$8.26 |
| Rate for Payer: Aetna American Axle |
$5.97
|
| Rate for Payer: Aetna Commercial |
$7.80
|
| Rate for Payer: Aetna Medicare |
$4.59
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$5.97
|
| Rate for Payer: BCBS Complete |
$3.67
|
| Rate for Payer: Cash Price |
$7.34
|
| Rate for Payer: Cofinity Advantage |
$6.43
|
| Rate for Payer: Cofinity Commercial |
$7.89
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$7.34
|
| Rate for Payer: Healthscope Commercial |
$8.26
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$6.43
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$6.88
|
| Rate for Payer: MI Amish Medical Board Commercial |
$7.34
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$7.80
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$6.88
|
| Rate for Payer: PHP Commercial |
$7.80
|
| Rate for Payer: Priority Health SBD |
$5.78
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$5.97
|
| Rate for Payer: UHC Core |
$4.78
|
| Rate for Payer: UHC Exchange |
$3.61
|
| Rate for Payer: UMR Bronson Commercial |
$3.40
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$6.88
|
|
|
HC RECOVERY 3 EA MIN
|
Facility
|
IP
|
$9.18
|
|
| Hospital Charge Code |
71000037
|
|
Hospital Revenue Code
|
710
|
| Min. Negotiated Rate |
$4.04 |
| Max. Negotiated Rate |
$8.26 |
| Rate for Payer: Aetna American Axle |
$5.97
|
| Rate for Payer: Aetna Commercial |
$7.80
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$5.97
|
| Rate for Payer: Cash Price |
$7.34
|
| Rate for Payer: Cofinity Advantage |
$6.43
|
| Rate for Payer: Cofinity Commercial |
$7.89
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$7.34
|
| Rate for Payer: Healthscope Commercial |
$8.26
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$6.43
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$6.88
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$7.80
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$6.88
|
| Rate for Payer: PHP Commercial |
$7.80
|
| Rate for Payer: Priority Health SBD |
$5.78
|
| Rate for Payer: UMR Bronson Commercial |
$4.04
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$6.88
|
|
|
HC RECOVERY 3 INIT 30 MIN
|
Facility
|
OP
|
$210.56
|
|
| Hospital Charge Code |
71000025
|
|
Hospital Revenue Code
|
710
|
| Min. Negotiated Rate |
$77.91 |
| Max. Negotiated Rate |
$189.50 |
| Rate for Payer: Aetna American Axle |
$136.86
|
| Rate for Payer: Aetna Commercial |
$178.98
|
| Rate for Payer: Aetna Medicare |
$105.28
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$136.86
|
| Rate for Payer: BCBS Complete |
$84.22
|
| Rate for Payer: Cash Price |
$168.45
|
| Rate for Payer: Cofinity Advantage |
$147.39
|
| Rate for Payer: Cofinity Commercial |
$181.08
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$168.45
|
| Rate for Payer: Healthscope Commercial |
$189.50
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$147.39
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$157.92
|
| Rate for Payer: MI Amish Medical Board Commercial |
$168.45
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$178.98
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$157.92
|
| Rate for Payer: PHP Commercial |
$178.98
|
| Rate for Payer: Priority Health SBD |
$132.65
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$136.86
|
| Rate for Payer: UHC Core |
$109.70
|
| Rate for Payer: UHC Exchange |
$82.75
|
| Rate for Payer: UMR Bronson Commercial |
$77.91
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$157.92
|
|
|
HC RECOVERY 3 INIT 30 MIN
|
Facility
|
IP
|
$210.56
|
|
| Hospital Charge Code |
71000025
|
|
Hospital Revenue Code
|
710
|
| Min. Negotiated Rate |
$92.65 |
| Max. Negotiated Rate |
$189.50 |
| Rate for Payer: Aetna American Axle |
$136.86
|
| Rate for Payer: Aetna Commercial |
$178.98
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$136.86
|
| Rate for Payer: Cash Price |
$168.45
|
| Rate for Payer: Cofinity Advantage |
$147.39
|
| Rate for Payer: Cofinity Commercial |
$181.08
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$168.45
|
| Rate for Payer: Healthscope Commercial |
$189.50
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$147.39
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$157.92
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$178.98
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$157.92
|
| Rate for Payer: PHP Commercial |
$178.98
|
| Rate for Payer: Priority Health SBD |
$132.65
|
| Rate for Payer: UMR Bronson Commercial |
$92.65
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$157.92
|
|
|
HC RED CEDAR IGE
|
Facility
|
OP
|
$25.90
|
|
|
Service Code
|
CPT 86003
|
| Hospital Charge Code |
30200099
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$2.73 |
| Max. Negotiated Rate |
$23.31 |
| Rate for Payer: Aetna American Axle |
$16.84
|
| Rate for Payer: Aetna Commercial |
$22.02
|
| Rate for Payer: Aetna Medicare |
$5.43
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$16.84
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$6.53
|
| Rate for Payer: Amish Plain Church Group Commercial |
$6.53
|
| Rate for Payer: BCBS Complete |
$2.87
|
| Rate for Payer: BCBS MAPPO |
$5.22
|
| Rate for Payer: BCBS Trust/PPO |
$6.04
|
| Rate for Payer: BCN Commercial |
$6.04
|
| Rate for Payer: BCN Medicare Advantage |
$5.22
|
| Rate for Payer: Cash Price |
$20.72
|
| Rate for Payer: Cash Price |
$20.72
|
| Rate for Payer: Cofinity Advantage |
$18.13
|
| Rate for Payer: Cofinity Commercial |
$22.27
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$20.72
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$5.22
|
| Rate for Payer: Healthscope Commercial |
$23.31
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$18.13
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$19.43
|
| Rate for Payer: Mclaren Medicaid |
$5.22
|
| Rate for Payer: Mclaren Medicare |
$5.22
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$5.48
|
| Rate for Payer: Meridian Medicaid |
$5.48
|
| Rate for Payer: MI Amish Medical Board Commercial |
$6.00
|
| Rate for Payer: Molina Medicare/Medicaid |
$5.74
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$22.02
|
| Rate for Payer: Nomi Health Commercial |
$7.83
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$19.43
|
| Rate for Payer: PACE Medicare |
$4.96
|
| Rate for Payer: PACE SWMI |
$5.22
|
| Rate for Payer: PHP Commercial |
$22.02
|
| Rate for Payer: PHP Medicare Advantage |
$5.22
|
| Rate for Payer: Priority Health Choice Medicaid |
$2.73
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$5.22
|
| Rate for Payer: Priority Health Medicare |
$5.22
|
| Rate for Payer: Priority Health SBD |
$16.32
|
| Rate for Payer: Priority Health Tiered Network |
$4.18
|
| Rate for Payer: Railroad Medicare Medicare |
$5.22
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$7.83
|
| Rate for Payer: UHC Core |
$7.83
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$5.22
|
| Rate for Payer: UHC Exchange |
$7.83
|
| Rate for Payer: UHC Medicaid |
$2.73
|
| Rate for Payer: UHCCP Medicaid |
$2.73
|
| Rate for Payer: UMR Bronson Commercial |
$9.58
|
| Rate for Payer: VA VA |
$5.22
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$19.43
|
|
|
HC RED CEDAR IGE
|
Facility
|
IP
|
$25.90
|
|
|
Service Code
|
CPT 86003
|
| Hospital Charge Code |
30200099
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$11.40 |
| Max. Negotiated Rate |
$23.31 |
| Rate for Payer: Aetna American Axle |
$16.84
|
| Rate for Payer: Aetna Commercial |
$22.02
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$16.84
|
| Rate for Payer: Cash Price |
$20.72
|
| Rate for Payer: Cofinity Advantage |
$18.13
|
| Rate for Payer: Cofinity Commercial |
$22.27
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$20.72
|
| Rate for Payer: Healthscope Commercial |
$23.31
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$18.13
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$19.43
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$22.02
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$19.43
|
| Rate for Payer: PHP Commercial |
$22.02
|
| Rate for Payer: Priority Health SBD |
$16.32
|
| Rate for Payer: UMR Bronson Commercial |
$11.40
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$19.43
|
|
|
HC RED CELL GENO MI BLD
|
Facility
|
IP
|
$331.53
|
|
|
Service Code
|
CPT 81403
|
| Hospital Charge Code |
31000135
|
|
Hospital Revenue Code
|
310
|
| Min. Negotiated Rate |
$145.87 |
| Max. Negotiated Rate |
$298.38 |
| Rate for Payer: Aetna American Axle |
$215.49
|
| Rate for Payer: Aetna Commercial |
$281.80
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$215.49
|
| Rate for Payer: Cash Price |
$265.22
|
| Rate for Payer: Cofinity Advantage |
$232.07
|
| Rate for Payer: Cofinity Commercial |
$285.12
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$265.22
|
| Rate for Payer: Healthscope Commercial |
$298.38
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$232.07
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$248.65
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$281.80
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$248.65
|
| Rate for Payer: PHP Commercial |
$281.80
|
| Rate for Payer: Priority Health SBD |
$208.86
|
| Rate for Payer: UMR Bronson Commercial |
$145.87
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$248.65
|
|
|
HC RED CELL GENO MI BLD
|
Facility
|
OP
|
$331.53
|
|
|
Service Code
|
CPT 81403
|
| Hospital Charge Code |
31000135
|
|
Hospital Revenue Code
|
310
|
| Min. Negotiated Rate |
$96.86 |
| Max. Negotiated Rate |
$555.60 |
| Rate for Payer: Aetna American Axle |
$215.49
|
| Rate for Payer: Aetna Commercial |
$281.80
|
| Rate for Payer: Aetna Medicare |
$192.61
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$215.49
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$231.50
|
| Rate for Payer: Amish Plain Church Group Commercial |
$231.50
|
| Rate for Payer: BCBS Complete |
$101.71
|
| Rate for Payer: BCBS MAPPO |
$185.20
|
| Rate for Payer: BCBS Trust/PPO |
$214.09
|
| Rate for Payer: BCN Commercial |
$214.09
|
| Rate for Payer: BCN Medicare Advantage |
$185.20
|
| Rate for Payer: Cash Price |
$265.22
|
| Rate for Payer: Cash Price |
$265.22
|
| Rate for Payer: Cofinity Advantage |
$232.07
|
| Rate for Payer: Cofinity Commercial |
$285.12
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$265.22
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$185.20
|
| Rate for Payer: Healthscope Commercial |
$298.38
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$232.07
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$248.65
|
| Rate for Payer: Mclaren Medicaid |
$185.20
|
| Rate for Payer: Mclaren Medicare |
$185.20
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$194.46
|
| Rate for Payer: Meridian Medicaid |
$194.46
|
| Rate for Payer: MI Amish Medical Board Commercial |
$212.98
|
| Rate for Payer: Molina Medicare/Medicaid |
$203.72
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$281.80
|
| Rate for Payer: Nomi Health Commercial |
$555.60
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$248.65
|
| Rate for Payer: PACE Medicare |
$175.94
|
| Rate for Payer: PACE SWMI |
$185.20
|
| Rate for Payer: PHP Commercial |
$281.80
|
| Rate for Payer: PHP Medicare Advantage |
$185.20
|
| Rate for Payer: Priority Health Choice Medicaid |
$96.86
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$185.20
|
| Rate for Payer: Priority Health Medicare |
$185.20
|
| Rate for Payer: Priority Health SBD |
$208.86
|
| Rate for Payer: Priority Health Tiered Network |
$148.16
|
| Rate for Payer: Railroad Medicare Medicare |
$185.20
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$277.80
|
| Rate for Payer: UHC Core |
$277.80
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$185.20
|
| Rate for Payer: UHC Exchange |
$277.80
|
| Rate for Payer: UHC Medicaid |
$96.86
|
| Rate for Payer: UHCCP Medicaid |
$96.86
|
| Rate for Payer: UMR Bronson Commercial |
$122.67
|
| Rate for Payer: VA VA |
$185.20
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$248.65
|
|
|
HC RED CELL GENO MI BLD CMPT
|
Facility
|
IP
|
$238.68
|
|
|
Service Code
|
CPT 81479
|
| Hospital Charge Code |
31000136
|
|
Hospital Revenue Code
|
310
|
| Min. Negotiated Rate |
$105.02 |
| Max. Negotiated Rate |
$214.81 |
| Rate for Payer: Aetna American Axle |
$155.14
|
| Rate for Payer: Aetna Commercial |
$202.88
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$155.14
|
| Rate for Payer: Cash Price |
$190.94
|
| Rate for Payer: Cofinity Advantage |
$167.08
|
| Rate for Payer: Cofinity Commercial |
$205.26
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$190.94
|
| Rate for Payer: Healthscope Commercial |
$214.81
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$167.08
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$179.01
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$202.88
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$179.01
|
| Rate for Payer: PHP Commercial |
$202.88
|
| Rate for Payer: Priority Health SBD |
$150.37
|
| Rate for Payer: UMR Bronson Commercial |
$105.02
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$179.01
|
|
|
HC RED CELL GENO MI BLD CMPT
|
Facility
|
OP
|
$238.68
|
|
|
Service Code
|
CPT 81479
|
| Hospital Charge Code |
31000136
|
|
Hospital Revenue Code
|
310
|
| Min. Negotiated Rate |
$88.31 |
| Max. Negotiated Rate |
$214.81 |
| Rate for Payer: Aetna American Axle |
$155.14
|
| Rate for Payer: Aetna Commercial |
$202.88
|
| Rate for Payer: Aetna Medicare |
$119.34
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$155.14
|
| Rate for Payer: BCBS Complete |
$95.47
|
| Rate for Payer: BCBS Trust/PPO |
$154.13
|
| Rate for Payer: BCN Commercial |
$154.13
|
| Rate for Payer: Cash Price |
$190.94
|
| Rate for Payer: Cash Price |
$190.94
|
| Rate for Payer: Cofinity Advantage |
$167.08
|
| Rate for Payer: Cofinity Commercial |
$205.26
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$190.94
|
| Rate for Payer: Healthscope Commercial |
$214.81
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$167.08
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$179.01
|
| Rate for Payer: MI Amish Medical Board Commercial |
$190.94
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$202.88
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$179.01
|
| Rate for Payer: PHP Commercial |
$202.88
|
| Rate for Payer: Priority Health SBD |
$150.37
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$119.34
|
| Rate for Payer: UHC Core |
$119.34
|
| Rate for Payer: UHC Exchange |
$119.34
|
| Rate for Payer: UMR Bronson Commercial |
$88.31
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$179.01
|
|
|
HC RED CELLS, DIRECTED, LEUKO RED
|
Facility
|
IP
|
$1,128.42
|
|
|
Service Code
|
HCPCS P9016
|
| Hospital Charge Code |
39000061
|
|
Hospital Revenue Code
|
390
|
| Min. Negotiated Rate |
$496.50 |
| Max. Negotiated Rate |
$1,015.58 |
| Rate for Payer: Aetna American Axle |
$733.47
|
| Rate for Payer: Aetna Commercial |
$959.16
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$733.47
|
| Rate for Payer: Cash Price |
$902.74
|
| Rate for Payer: Cofinity Advantage |
$789.89
|
| Rate for Payer: Cofinity Commercial |
$970.44
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$902.74
|
| Rate for Payer: Healthscope Commercial |
$1,015.58
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$789.89
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$846.32
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$959.16
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$846.32
|
| Rate for Payer: PHP Commercial |
$959.16
|
| Rate for Payer: Priority Health SBD |
$710.90
|
| Rate for Payer: UMR Bronson Commercial |
$496.50
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$846.32
|
|
|
HC RED CELLS, DIRECTED, LEUKO RED
|
Facility
|
OP
|
$1,128.42
|
|
|
Service Code
|
HCPCS P9016
|
| Hospital Charge Code |
39000061
|
|
Hospital Revenue Code
|
390
|
| Min. Negotiated Rate |
$94.32 |
| Max. Negotiated Rate |
$1,015.58 |
| Rate for Payer: Aetna American Axle |
$733.47
|
| Rate for Payer: Aetna Commercial |
$959.16
|
| Rate for Payer: Aetna Medicare |
$187.55
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$733.47
|
| 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 |
$902.74
|
| Rate for Payer: Cash Price |
$902.74
|
| Rate for Payer: Cofinity Advantage |
$789.89
|
| Rate for Payer: Cofinity Commercial |
$970.44
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$902.74
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$180.34
|
| Rate for Payer: Healthscope Commercial |
$1,015.58
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$789.89
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$846.32
|
| 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 |
$959.16
|
| Rate for Payer: Nomi Health Commercial |
$541.02
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$846.32
|
| Rate for Payer: PACE Medicare |
$171.32
|
| Rate for Payer: PACE SWMI |
$180.34
|
| Rate for Payer: PHP Commercial |
$959.16
|
| 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 |
$710.90
|
| 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) |
$733.47
|
| Rate for Payer: UHC Core |
$587.91
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$180.34
|
| Rate for Payer: UHC Exchange |
$443.47
|
| Rate for Payer: UHC Medicaid |
$94.32
|
| Rate for Payer: UHCCP Medicaid |
$94.32
|
| Rate for Payer: UMR Bronson Commercial |
$417.52
|
| Rate for Payer: VA VA |
$180.34
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$846.32
|
|
|
HC REDTOP BENT GRASS IGE
|
Facility
|
IP
|
$25.90
|
|
|
Service Code
|
CPT 86003
|
| Hospital Charge Code |
30200057
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$11.40 |
| Max. Negotiated Rate |
$23.31 |
| Rate for Payer: Aetna American Axle |
$16.84
|
| Rate for Payer: Aetna Commercial |
$22.02
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$16.84
|
| Rate for Payer: Cash Price |
$20.72
|
| Rate for Payer: Cofinity Advantage |
$18.13
|
| Rate for Payer: Cofinity Commercial |
$22.27
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$20.72
|
| Rate for Payer: Healthscope Commercial |
$23.31
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$18.13
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$19.43
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$22.02
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$19.43
|
| Rate for Payer: PHP Commercial |
$22.02
|
| Rate for Payer: Priority Health SBD |
$16.32
|
| Rate for Payer: UMR Bronson Commercial |
$11.40
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$19.43
|
|
