|
HC PLACE STENT BILE DUCT EA STENT THROUGH EXISTING ACCESS
|
Facility
|
OP
|
$6,624.17
|
|
|
Service Code
|
CPT 47538
|
| Hospital Charge Code |
36100495
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$2,450.94 |
| Max. Negotiated Rate |
$16,017.15 |
| Rate for Payer: Aetna American Axle |
$4,305.71
|
| Rate for Payer: Aetna Commercial |
$5,630.54
|
| Rate for Payer: Aetna Medicare |
$5,917.74
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$4,305.71
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$7,112.66
|
| Rate for Payer: Amish Plain Church Group Commercial |
$7,112.66
|
| Rate for Payer: BCBS Complete |
$3,202.41
|
| Rate for Payer: BCBS MAPPO |
$5,690.13
|
| Rate for Payer: BCN Medicare Advantage |
$5,690.13
|
| Rate for Payer: Cash Price |
$5,299.34
|
| Rate for Payer: Cash Price |
$5,299.34
|
| Rate for Payer: Cofinity Commercial |
$5,696.79
|
| Rate for Payer: Cofinity Commercial |
$4,636.92
|
| Rate for Payer: Cofinity Medicare Advantage |
$4,636.92
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$5,299.34
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$5,690.13
|
| Rate for Payer: Healthscope Commercial |
$5,961.75
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$4,636.92
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$4,968.13
|
| Rate for Payer: Mclaren Medicaid |
$3,049.91
|
| Rate for Payer: Mclaren Medicare |
$5,690.13
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$5,974.64
|
| Rate for Payer: Meridian Medicaid |
$3,202.41
|
| Rate for Payer: MI Amish Medical Board Commercial |
$6,543.65
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$5,630.54
|
| Rate for Payer: PACE Medicare |
$5,405.62
|
| Rate for Payer: PACE SWMI |
$5,690.13
|
| Rate for Payer: PHP Commercial |
$5,630.54
|
| Rate for Payer: PHP Medicare Advantage |
$5,690.13
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,049.91
|
| Rate for Payer: Priority Health Cigna Priority Health |
$4,305.71
|
| Rate for Payer: Priority Health Medicare |
$5,690.13
|
| Rate for Payer: Priority Health SBD |
$4,173.23
|
| Rate for Payer: Railroad Medicare Medicare |
$5,690.13
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$16,017.15
|
| Rate for Payer: UHC Dual Complete DSNP |
$5,690.13
|
| Rate for Payer: UHC Exchange |
$10,874.41
|
| Rate for Payer: UHC Medicare Advantage |
$5,690.13
|
| Rate for Payer: UHCCP Medicaid |
$3,049.91
|
| Rate for Payer: UMR Bronson Commercial |
$2,450.94
|
| Rate for Payer: VA VA |
$5,690.13
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$4,968.13
|
|
|
HC PLACE STENT BILE DUCT EA STENT THROUGH EXISTING ACCESS
|
Facility
|
IP
|
$6,624.17
|
|
|
Service Code
|
CPT 47538
|
| Hospital Charge Code |
36100495
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$2,914.63 |
| Max. Negotiated Rate |
$5,961.75 |
| Rate for Payer: Aetna American Axle |
$4,305.71
|
| Rate for Payer: Aetna Commercial |
$5,630.54
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$4,305.71
|
| Rate for Payer: Cash Price |
$5,299.34
|
| Rate for Payer: Cofinity Commercial |
$4,636.92
|
| Rate for Payer: Cofinity Commercial |
$5,696.79
|
| Rate for Payer: Cofinity Medicare Advantage |
$4,636.92
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$5,299.34
|
| Rate for Payer: Healthscope Commercial |
$5,961.75
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$4,636.92
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$4,968.13
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$5,630.54
|
| Rate for Payer: PHP Commercial |
$5,630.54
|
| Rate for Payer: Priority Health Cigna Priority Health |
$4,305.71
|
| Rate for Payer: Priority Health SBD |
$4,173.23
|
| Rate for Payer: UMR Bronson Commercial |
$2,914.63
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$4,968.13
|
|
|
HCPLACE STENT BILE DUCT EA STENT THROUGH NEW ACCESS
|
Facility
|
IP
|
$6,624.17
|
|
|
Service Code
|
CPT 47539
|
| Hospital Charge Code |
36100496
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$2,914.63 |
| Max. Negotiated Rate |
$5,961.75 |
| Rate for Payer: Aetna American Axle |
$4,305.71
|
| Rate for Payer: Aetna Commercial |
$5,630.54
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$4,305.71
|
| Rate for Payer: Cash Price |
$5,299.34
|
| Rate for Payer: Cofinity Commercial |
$4,636.92
|
| Rate for Payer: Cofinity Commercial |
$5,696.79
|
| Rate for Payer: Cofinity Medicare Advantage |
$4,636.92
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$5,299.34
|
| Rate for Payer: Healthscope Commercial |
$5,961.75
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$4,636.92
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$4,968.13
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$5,630.54
|
| Rate for Payer: PHP Commercial |
$5,630.54
|
| Rate for Payer: Priority Health Cigna Priority Health |
$4,305.71
|
| Rate for Payer: Priority Health SBD |
$4,173.23
|
| Rate for Payer: UMR Bronson Commercial |
$2,914.63
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$4,968.13
|
|
|
HCPLACE STENT BILE DUCT EA STENT THROUGH NEW ACCESS
|
Facility
|
OP
|
$6,624.17
|
|
|
Service Code
|
CPT 47539
|
| Hospital Charge Code |
36100496
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$2,450.94 |
| Max. Negotiated Rate |
$16,017.15 |
| Rate for Payer: Aetna American Axle |
$4,305.71
|
| Rate for Payer: Aetna Commercial |
$5,630.54
|
| Rate for Payer: Aetna Medicare |
$5,917.74
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$4,305.71
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$7,112.66
|
| Rate for Payer: Amish Plain Church Group Commercial |
$7,112.66
|
| Rate for Payer: BCBS Complete |
$3,202.41
|
| Rate for Payer: BCBS MAPPO |
$5,690.13
|
| Rate for Payer: BCN Medicare Advantage |
$5,690.13
|
| Rate for Payer: Cash Price |
$5,299.34
|
| Rate for Payer: Cash Price |
$5,299.34
|
| Rate for Payer: Cofinity Commercial |
$5,696.79
|
| Rate for Payer: Cofinity Commercial |
$4,636.92
|
| Rate for Payer: Cofinity Medicare Advantage |
$4,636.92
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$5,299.34
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$5,690.13
|
| Rate for Payer: Healthscope Commercial |
$5,961.75
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$4,636.92
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$4,968.13
|
| Rate for Payer: Mclaren Medicaid |
$3,049.91
|
| Rate for Payer: Mclaren Medicare |
$5,690.13
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$5,974.64
|
| Rate for Payer: Meridian Medicaid |
$3,202.41
|
| Rate for Payer: MI Amish Medical Board Commercial |
$6,543.65
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$5,630.54
|
| Rate for Payer: PACE Medicare |
$5,405.62
|
| Rate for Payer: PACE SWMI |
$5,690.13
|
| Rate for Payer: PHP Commercial |
$5,630.54
|
| Rate for Payer: PHP Medicare Advantage |
$5,690.13
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,049.91
|
| Rate for Payer: Priority Health Cigna Priority Health |
$4,305.71
|
| Rate for Payer: Priority Health Medicare |
$5,690.13
|
| Rate for Payer: Priority Health SBD |
$4,173.23
|
| Rate for Payer: Railroad Medicare Medicare |
$5,690.13
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$16,017.15
|
| Rate for Payer: UHC Dual Complete DSNP |
$5,690.13
|
| Rate for Payer: UHC Exchange |
$10,874.41
|
| Rate for Payer: UHC Medicare Advantage |
$5,690.13
|
| Rate for Payer: UHCCP Medicaid |
$3,049.91
|
| Rate for Payer: UMR Bronson Commercial |
$2,450.94
|
| Rate for Payer: VA VA |
$5,690.13
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$4,968.13
|
|
|
HC PLACE STENT BILE DUCT EA STENT THRU NEW ACCESS W PLACE OF SE BILIARY CATH
|
Facility
|
IP
|
$6,624.17
|
|
|
Service Code
|
CPT 47540
|
| Hospital Charge Code |
36100497
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$2,914.63 |
| Max. Negotiated Rate |
$5,961.75 |
| Rate for Payer: Aetna American Axle |
$4,305.71
|
| Rate for Payer: Aetna Commercial |
$5,630.54
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$4,305.71
|
| Rate for Payer: Cash Price |
$5,299.34
|
| Rate for Payer: Cofinity Commercial |
$4,636.92
|
| Rate for Payer: Cofinity Commercial |
$5,696.79
|
| Rate for Payer: Cofinity Medicare Advantage |
$4,636.92
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$5,299.34
|
| Rate for Payer: Healthscope Commercial |
$5,961.75
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$4,636.92
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$4,968.13
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$5,630.54
|
| Rate for Payer: PHP Commercial |
$5,630.54
|
| Rate for Payer: Priority Health Cigna Priority Health |
$4,305.71
|
| Rate for Payer: Priority Health SBD |
$4,173.23
|
| Rate for Payer: UMR Bronson Commercial |
$2,914.63
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$4,968.13
|
|
|
HC PLACE STENT BILE DUCT EA STENT THRU NEW ACCESS W PLACE OF SE BILIARY CATH
|
Facility
|
OP
|
$6,624.17
|
|
|
Service Code
|
CPT 47540
|
| Hospital Charge Code |
36100497
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$2,450.94 |
| Max. Negotiated Rate |
$16,017.15 |
| Rate for Payer: Aetna American Axle |
$4,305.71
|
| Rate for Payer: Aetna Commercial |
$5,630.54
|
| Rate for Payer: Aetna Medicare |
$5,917.74
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$4,305.71
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$7,112.66
|
| Rate for Payer: Amish Plain Church Group Commercial |
$7,112.66
|
| Rate for Payer: BCBS Complete |
$3,202.41
|
| Rate for Payer: BCBS MAPPO |
$5,690.13
|
| Rate for Payer: BCN Medicare Advantage |
$5,690.13
|
| Rate for Payer: Cash Price |
$5,299.34
|
| Rate for Payer: Cash Price |
$5,299.34
|
| Rate for Payer: Cofinity Commercial |
$5,696.79
|
| Rate for Payer: Cofinity Commercial |
$4,636.92
|
| Rate for Payer: Cofinity Medicare Advantage |
$4,636.92
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$5,299.34
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$5,690.13
|
| Rate for Payer: Healthscope Commercial |
$5,961.75
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$4,636.92
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$4,968.13
|
| Rate for Payer: Mclaren Medicaid |
$3,049.91
|
| Rate for Payer: Mclaren Medicare |
$5,690.13
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$5,974.64
|
| Rate for Payer: Meridian Medicaid |
$3,202.41
|
| Rate for Payer: MI Amish Medical Board Commercial |
$6,543.65
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$5,630.54
|
| Rate for Payer: PACE Medicare |
$5,405.62
|
| Rate for Payer: PACE SWMI |
$5,690.13
|
| Rate for Payer: PHP Commercial |
$5,630.54
|
| Rate for Payer: PHP Medicare Advantage |
$5,690.13
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,049.91
|
| Rate for Payer: Priority Health Cigna Priority Health |
$4,305.71
|
| Rate for Payer: Priority Health Medicare |
$5,690.13
|
| Rate for Payer: Priority Health SBD |
$4,173.23
|
| Rate for Payer: Railroad Medicare Medicare |
$5,690.13
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$16,017.15
|
| Rate for Payer: UHC Dual Complete DSNP |
$5,690.13
|
| Rate for Payer: UHC Exchange |
$10,874.41
|
| Rate for Payer: UHC Medicare Advantage |
$5,690.13
|
| Rate for Payer: UHCCP Medicaid |
$3,049.91
|
| Rate for Payer: UMR Bronson Commercial |
$2,450.94
|
| Rate for Payer: VA VA |
$5,690.13
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$4,968.13
|
|
|
HC PLACE STENT CENTRAL DIALYSIS W IMAGING
|
Facility
|
IP
|
$204.41
|
|
|
Service Code
|
CPT 36908
|
| Hospital Charge Code |
36100532
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$89.94 |
| Max. Negotiated Rate |
$183.97 |
| Rate for Payer: Aetna American Axle |
$132.87
|
| Rate for Payer: Aetna Commercial |
$173.75
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$132.87
|
| Rate for Payer: Cash Price |
$163.53
|
| Rate for Payer: Cofinity Commercial |
$143.09
|
| Rate for Payer: Cofinity Commercial |
$175.79
|
| Rate for Payer: Cofinity Medicare Advantage |
$143.09
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$163.53
|
| Rate for Payer: Healthscope Commercial |
$183.97
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$143.09
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$153.31
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$173.75
|
| Rate for Payer: PHP Commercial |
$173.75
|
| Rate for Payer: Priority Health Cigna Priority Health |
$132.87
|
| Rate for Payer: Priority Health SBD |
$128.78
|
| Rate for Payer: UMR Bronson Commercial |
$89.94
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$153.31
|
|
|
HC PLACE STENT CENTRAL DIALYSIS W IMAGING
|
Facility
|
OP
|
$204.41
|
|
|
Service Code
|
CPT 36908
|
| Hospital Charge Code |
36100532
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$75.63 |
| Max. Negotiated Rate |
$183.97 |
| Rate for Payer: Aetna American Axle |
$132.87
|
| Rate for Payer: Aetna Commercial |
$173.75
|
| Rate for Payer: Aetna Medicare |
$102.20
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$132.87
|
| Rate for Payer: BCBS Complete |
$81.76
|
| Rate for Payer: Cash Price |
$163.53
|
| Rate for Payer: Cofinity Commercial |
$143.09
|
| Rate for Payer: Cofinity Commercial |
$175.79
|
| Rate for Payer: Cofinity Medicare Advantage |
$143.09
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$163.53
|
| Rate for Payer: Healthscope Commercial |
$183.97
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$143.09
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$153.31
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$173.75
|
| Rate for Payer: PHP Commercial |
$173.75
|
| Rate for Payer: Priority Health Cigna Priority Health |
$132.87
|
| Rate for Payer: Priority Health SBD |
$128.78
|
| Rate for Payer: UMR Bronson Commercial |
$75.63
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$153.31
|
|
|
HC PLACE STENT INTRATHORACIC COMMON CAROTID OR INNOMINATE ARTERY
|
Facility
|
IP
|
$9,078.00
|
|
|
Service Code
|
CPT 37218
|
| Hospital Charge Code |
36100517
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$3,994.32 |
| Max. Negotiated Rate |
$8,170.20 |
| Rate for Payer: Aetna American Axle |
$5,900.70
|
| Rate for Payer: Aetna Commercial |
$7,716.30
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$5,900.70
|
| Rate for Payer: Cash Price |
$7,262.40
|
| Rate for Payer: Cofinity Commercial |
$6,354.60
|
| Rate for Payer: Cofinity Commercial |
$7,807.08
|
| Rate for Payer: Cofinity Medicare Advantage |
$6,354.60
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$7,262.40
|
| Rate for Payer: Healthscope Commercial |
$8,170.20
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$6,354.60
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$6,808.50
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$7,716.30
|
| Rate for Payer: PHP Commercial |
$7,716.30
|
| Rate for Payer: Priority Health Cigna Priority Health |
$5,900.70
|
| Rate for Payer: Priority Health SBD |
$5,719.14
|
| Rate for Payer: UMR Bronson Commercial |
$3,994.32
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$6,808.50
|
|
|
HC PLACE STENT INTRATHORACIC COMMON CAROTID OR INNOMINATE ARTERY
|
Facility
|
OP
|
$9,078.00
|
|
|
Service Code
|
CPT 37218
|
| Hospital Charge Code |
36100517
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$3,358.86 |
| Max. Negotiated Rate |
$8,170.20 |
| Rate for Payer: Aetna American Axle |
$5,900.70
|
| Rate for Payer: Aetna Commercial |
$7,716.30
|
| Rate for Payer: Aetna Medicare |
$4,539.00
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$5,900.70
|
| Rate for Payer: BCBS Complete |
$3,631.20
|
| Rate for Payer: Cash Price |
$7,262.40
|
| Rate for Payer: Cofinity Commercial |
$6,354.60
|
| Rate for Payer: Cofinity Commercial |
$7,807.08
|
| Rate for Payer: Cofinity Medicare Advantage |
$6,354.60
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$7,262.40
|
| Rate for Payer: Healthscope Commercial |
$8,170.20
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$6,354.60
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$6,808.50
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$7,716.30
|
| Rate for Payer: PHP Commercial |
$7,716.30
|
| Rate for Payer: Priority Health Cigna Priority Health |
$5,900.70
|
| Rate for Payer: Priority Health SBD |
$5,719.14
|
| Rate for Payer: UMR Bronson Commercial |
$3,358.86
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$6,808.50
|
|
|
HC PLACE URETERAL STENT NEW ACCESS WO NEPHROSTOMY CATH
|
Facility
|
IP
|
$331.21
|
|
|
Service Code
|
CPT 50694
|
| Hospital Charge Code |
36100509
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$145.73 |
| Max. Negotiated Rate |
$298.09 |
| Rate for Payer: Aetna American Axle |
$215.29
|
| Rate for Payer: Aetna Commercial |
$281.53
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$215.29
|
| Rate for Payer: Cash Price |
$264.97
|
| Rate for Payer: Cofinity Commercial |
$231.85
|
| Rate for Payer: Cofinity Commercial |
$284.84
|
| Rate for Payer: Cofinity Medicare Advantage |
$231.85
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$264.97
|
| Rate for Payer: Healthscope Commercial |
$298.09
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$231.85
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$248.41
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$281.53
|
| Rate for Payer: PHP Commercial |
$281.53
|
| Rate for Payer: Priority Health Cigna Priority Health |
$215.29
|
| Rate for Payer: Priority Health SBD |
$208.66
|
| Rate for Payer: UMR Bronson Commercial |
$145.73
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$248.41
|
|
|
HC PLACE URETERAL STENT NEW ACCESS WO NEPHROSTOMY CATH
|
Facility
|
OP
|
$331.21
|
|
|
Service Code
|
CPT 50694
|
| Hospital Charge Code |
36100509
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$122.55 |
| Max. Negotiated Rate |
$9,468.51 |
| Rate for Payer: Aetna American Axle |
$215.29
|
| Rate for Payer: Aetna Commercial |
$281.53
|
| Rate for Payer: Aetna Medicare |
$3,498.26
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$215.29
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$4,204.64
|
| Rate for Payer: Amish Plain Church Group Commercial |
$4,204.64
|
| Rate for Payer: BCBS Complete |
$1,893.10
|
| Rate for Payer: BCBS MAPPO |
$3,363.71
|
| Rate for Payer: BCN Medicare Advantage |
$3,363.71
|
| Rate for Payer: Cash Price |
$264.97
|
| Rate for Payer: Cash Price |
$264.97
|
| Rate for Payer: Cofinity Commercial |
$284.84
|
| Rate for Payer: Cofinity Commercial |
$231.85
|
| Rate for Payer: Cofinity Medicare Advantage |
$231.85
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$264.97
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$3,363.71
|
| Rate for Payer: Healthscope Commercial |
$298.09
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$231.85
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$248.41
|
| Rate for Payer: Mclaren Medicaid |
$1,802.95
|
| Rate for Payer: Mclaren Medicare |
$3,363.71
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$3,531.90
|
| Rate for Payer: Meridian Medicaid |
$1,893.10
|
| Rate for Payer: MI Amish Medical Board Commercial |
$3,868.27
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$281.53
|
| Rate for Payer: PACE Medicare |
$3,195.52
|
| Rate for Payer: PACE SWMI |
$3,363.71
|
| Rate for Payer: PHP Commercial |
$281.53
|
| Rate for Payer: PHP Medicare Advantage |
$3,363.71
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,802.95
|
| Rate for Payer: Priority Health Cigna Priority Health |
$215.29
|
| Rate for Payer: Priority Health Medicare |
$3,363.71
|
| Rate for Payer: Priority Health SBD |
$208.66
|
| Rate for Payer: Railroad Medicare Medicare |
$3,363.71
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$9,468.51
|
| Rate for Payer: UHC Dual Complete DSNP |
$3,363.71
|
| Rate for Payer: UHC Exchange |
$6,428.39
|
| Rate for Payer: UHC Medicare Advantage |
$3,363.71
|
| Rate for Payer: UHCCP Medicaid |
$1,802.95
|
| Rate for Payer: UMR Bronson Commercial |
$122.55
|
| Rate for Payer: VA VA |
$3,363.71
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$248.41
|
|
|
HC PLACE URETERAL STENT NEW ACCESS W SEPARATE NEPHROSTOMY CATH
|
Facility
|
IP
|
$3,643.30
|
|
|
Service Code
|
CPT 50695
|
| Hospital Charge Code |
36100510
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$1,603.05 |
| Max. Negotiated Rate |
$3,278.97 |
| Rate for Payer: Aetna American Axle |
$2,368.14
|
| Rate for Payer: Aetna Commercial |
$3,096.80
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,368.14
|
| Rate for Payer: Cash Price |
$2,914.64
|
| Rate for Payer: Cofinity Commercial |
$2,550.31
|
| Rate for Payer: Cofinity Commercial |
$3,133.24
|
| Rate for Payer: Cofinity Medicare Advantage |
$2,550.31
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,914.64
|
| Rate for Payer: Healthscope Commercial |
$3,278.97
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$2,550.31
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,732.47
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,096.80
|
| Rate for Payer: PHP Commercial |
$3,096.80
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,368.14
|
| Rate for Payer: Priority Health SBD |
$2,295.28
|
| Rate for Payer: UMR Bronson Commercial |
$1,603.05
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,732.47
|
|
|
HC PLACE URETERAL STENT NEW ACCESS W SEPARATE NEPHROSTOMY CATH
|
Facility
|
OP
|
$3,643.30
|
|
|
Service Code
|
CPT 50695
|
| Hospital Charge Code |
36100510
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$1,348.02 |
| Max. Negotiated Rate |
$9,468.51 |
| Rate for Payer: Aetna American Axle |
$2,368.14
|
| Rate for Payer: Aetna Commercial |
$3,096.80
|
| Rate for Payer: Aetna Medicare |
$3,498.26
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,368.14
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$4,204.64
|
| Rate for Payer: Amish Plain Church Group Commercial |
$4,204.64
|
| Rate for Payer: BCBS Complete |
$1,893.10
|
| Rate for Payer: BCBS MAPPO |
$3,363.71
|
| Rate for Payer: BCN Medicare Advantage |
$3,363.71
|
| Rate for Payer: Cash Price |
$2,914.64
|
| Rate for Payer: Cash Price |
$2,914.64
|
| Rate for Payer: Cofinity Commercial |
$3,133.24
|
| Rate for Payer: Cofinity Commercial |
$2,550.31
|
| Rate for Payer: Cofinity Medicare Advantage |
$2,550.31
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,914.64
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$3,363.71
|
| Rate for Payer: Healthscope Commercial |
$3,278.97
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$2,550.31
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,732.47
|
| Rate for Payer: Mclaren Medicaid |
$1,802.95
|
| Rate for Payer: Mclaren Medicare |
$3,363.71
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$3,531.90
|
| Rate for Payer: Meridian Medicaid |
$1,893.10
|
| Rate for Payer: MI Amish Medical Board Commercial |
$3,868.27
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,096.80
|
| Rate for Payer: PACE Medicare |
$3,195.52
|
| Rate for Payer: PACE SWMI |
$3,363.71
|
| Rate for Payer: PHP Commercial |
$3,096.80
|
| Rate for Payer: PHP Medicare Advantage |
$3,363.71
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,802.95
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,368.14
|
| Rate for Payer: Priority Health Medicare |
$3,363.71
|
| Rate for Payer: Priority Health SBD |
$2,295.28
|
| Rate for Payer: Railroad Medicare Medicare |
$3,363.71
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$9,468.51
|
| Rate for Payer: UHC Dual Complete DSNP |
$3,363.71
|
| Rate for Payer: UHC Exchange |
$6,428.39
|
| Rate for Payer: UHC Medicare Advantage |
$3,363.71
|
| Rate for Payer: UHCCP Medicaid |
$1,802.95
|
| Rate for Payer: UMR Bronson Commercial |
$1,348.02
|
| Rate for Payer: VA VA |
$3,363.71
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,732.47
|
|
|
HC PLACE URETERAL STENT PRE EXISTING NEPHROSTOMY TRACT
|
Facility
|
IP
|
$3,643.30
|
|
|
Service Code
|
CPT 50693
|
| Hospital Charge Code |
36100508
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$1,603.05 |
| Max. Negotiated Rate |
$3,278.97 |
| Rate for Payer: Aetna American Axle |
$2,368.14
|
| Rate for Payer: Aetna Commercial |
$3,096.80
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,368.14
|
| Rate for Payer: Cash Price |
$2,914.64
|
| Rate for Payer: Cofinity Commercial |
$2,550.31
|
| Rate for Payer: Cofinity Commercial |
$3,133.24
|
| Rate for Payer: Cofinity Medicare Advantage |
$2,550.31
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,914.64
|
| Rate for Payer: Healthscope Commercial |
$3,278.97
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$2,550.31
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,732.47
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,096.80
|
| Rate for Payer: PHP Commercial |
$3,096.80
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,368.14
|
| Rate for Payer: Priority Health SBD |
$2,295.28
|
| Rate for Payer: UMR Bronson Commercial |
$1,603.05
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,732.47
|
|
|
HC PLACE URETERAL STENT PRE EXISTING NEPHROSTOMY TRACT
|
Facility
|
OP
|
$3,643.30
|
|
|
Service Code
|
CPT 50693
|
| Hospital Charge Code |
36100508
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$1,348.02 |
| Max. Negotiated Rate |
$9,468.51 |
| Rate for Payer: Aetna American Axle |
$2,368.14
|
| Rate for Payer: Aetna Commercial |
$3,096.80
|
| Rate for Payer: Aetna Medicare |
$3,498.26
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,368.14
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$4,204.64
|
| Rate for Payer: Amish Plain Church Group Commercial |
$4,204.64
|
| Rate for Payer: BCBS Complete |
$1,893.10
|
| Rate for Payer: BCBS MAPPO |
$3,363.71
|
| Rate for Payer: BCN Medicare Advantage |
$3,363.71
|
| Rate for Payer: Cash Price |
$2,914.64
|
| Rate for Payer: Cash Price |
$2,914.64
|
| Rate for Payer: Cofinity Commercial |
$3,133.24
|
| Rate for Payer: Cofinity Commercial |
$2,550.31
|
| Rate for Payer: Cofinity Medicare Advantage |
$2,550.31
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,914.64
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$3,363.71
|
| Rate for Payer: Healthscope Commercial |
$3,278.97
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$2,550.31
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,732.47
|
| Rate for Payer: Mclaren Medicaid |
$1,802.95
|
| Rate for Payer: Mclaren Medicare |
$3,363.71
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$3,531.90
|
| Rate for Payer: Meridian Medicaid |
$1,893.10
|
| Rate for Payer: MI Amish Medical Board Commercial |
$3,868.27
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,096.80
|
| Rate for Payer: PACE Medicare |
$3,195.52
|
| Rate for Payer: PACE SWMI |
$3,363.71
|
| Rate for Payer: PHP Commercial |
$3,096.80
|
| Rate for Payer: PHP Medicare Advantage |
$3,363.71
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,802.95
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,368.14
|
| Rate for Payer: Priority Health Medicare |
$3,363.71
|
| Rate for Payer: Priority Health SBD |
$2,295.28
|
| Rate for Payer: Railroad Medicare Medicare |
$3,363.71
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$9,468.51
|
| Rate for Payer: UHC Dual Complete DSNP |
$3,363.71
|
| Rate for Payer: UHC Exchange |
$6,428.39
|
| Rate for Payer: UHC Medicare Advantage |
$3,363.71
|
| Rate for Payer: UHCCP Medicaid |
$1,802.95
|
| Rate for Payer: UMR Bronson Commercial |
$1,348.02
|
| Rate for Payer: VA VA |
$3,363.71
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,732.47
|
|
|
HC PLASMA CELL PCPD FISH.
|
Facility
|
OP
|
$268.26
|
|
|
Service Code
|
CPT 88271
|
| Hospital Charge Code |
31100044
|
|
Hospital Revenue Code
|
311
|
| Min. Negotiated Rate |
$11.48 |
| Max. Negotiated Rate |
$241.43 |
| Rate for Payer: Aetna American Axle |
$174.37
|
| Rate for Payer: Aetna Commercial |
$228.02
|
| Rate for Payer: Aetna Medicare |
$22.28
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$174.37
|
| 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 |
$12.06
|
| Rate for Payer: BCBS MAPPO |
$21.42
|
| Rate for Payer: BCN Medicare Advantage |
$21.42
|
| Rate for Payer: Cash Price |
$214.61
|
| Rate for Payer: Cash Price |
$214.61
|
| Rate for Payer: Cofinity Commercial |
$230.70
|
| Rate for Payer: Cofinity Commercial |
$187.78
|
| Rate for Payer: Cofinity Medicare Advantage |
$187.78
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$214.61
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$21.42
|
| Rate for Payer: Healthscope Commercial |
$241.43
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$187.78
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$201.19
|
| Rate for Payer: Mclaren Medicaid |
$11.48
|
| 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 |
$12.06
|
| Rate for Payer: MI Amish Medical Board Commercial |
$24.63
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$228.02
|
| Rate for Payer: PACE Medicare |
$20.35
|
| Rate for Payer: PACE SWMI |
$21.42
|
| Rate for Payer: PHP Commercial |
$228.02
|
| Rate for Payer: PHP Medicare Advantage |
$21.42
|
| Rate for Payer: Priority Health Choice Medicaid |
$11.48
|
| Rate for Payer: Priority Health Cigna Priority Health |
$174.37
|
| Rate for Payer: Priority Health Medicare |
$21.42
|
| Rate for Payer: Priority Health SBD |
$169.00
|
| Rate for Payer: Railroad Medicare Medicare |
$21.42
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$60.30
|
| Rate for Payer: UHC Dual Complete DSNP |
$21.42
|
| Rate for Payer: UHC Exchange |
$40.94
|
| Rate for Payer: UHC Medicare Advantage |
$21.42
|
| Rate for Payer: UHCCP Medicaid |
$11.48
|
| Rate for Payer: UMR Bronson Commercial |
$99.26
|
| Rate for Payer: VA VA |
$21.42
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$201.19
|
|
|
HC PLASMA CELL PCPD FISH.
|
Facility
|
IP
|
$268.26
|
|
|
Service Code
|
CPT 88271
|
| Hospital Charge Code |
31100044
|
|
Hospital Revenue Code
|
311
|
| Min. Negotiated Rate |
$118.03 |
| Max. Negotiated Rate |
$241.43 |
| Rate for Payer: Aetna American Axle |
$174.37
|
| Rate for Payer: Aetna Commercial |
$228.02
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$174.37
|
| Rate for Payer: Cash Price |
$214.61
|
| Rate for Payer: Cofinity Commercial |
$187.78
|
| Rate for Payer: Cofinity Commercial |
$230.70
|
| Rate for Payer: Cofinity Medicare Advantage |
$187.78
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$214.61
|
| Rate for Payer: Healthscope Commercial |
$241.43
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$187.78
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$201.19
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$228.02
|
| Rate for Payer: PHP Commercial |
$228.02
|
| Rate for Payer: Priority Health Cigna Priority Health |
$174.37
|
| Rate for Payer: Priority Health SBD |
$169.00
|
| Rate for Payer: UMR Bronson Commercial |
$118.03
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$201.19
|
|
|
HC PLASMA CELL PROLIFERATION, MARROW CMPT 1
|
Facility
|
OP
|
$158.36
|
|
|
Service Code
|
CPT 88184
|
| Hospital Charge Code |
31000139
|
|
Hospital Revenue Code
|
310
|
| Min. Negotiated Rate |
$58.59 |
| Max. Negotiated Rate |
$987.55 |
| Rate for Payer: Aetna American Axle |
$102.93
|
| Rate for Payer: Aetna Commercial |
$134.61
|
| Rate for Payer: Aetna Medicare |
$364.86
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$102.93
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$438.54
|
| Rate for Payer: Amish Plain Church Group Commercial |
$438.54
|
| Rate for Payer: BCBS Complete |
$197.45
|
| Rate for Payer: BCBS MAPPO |
$350.83
|
| Rate for Payer: BCN Medicare Advantage |
$350.83
|
| Rate for Payer: Cash Price |
$126.69
|
| Rate for Payer: Cash Price |
$126.69
|
| Rate for Payer: Cofinity Commercial |
$136.19
|
| Rate for Payer: Cofinity Commercial |
$110.85
|
| Rate for Payer: Cofinity Medicare Advantage |
$110.85
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$126.69
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$350.83
|
| Rate for Payer: Healthscope Commercial |
$142.52
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$110.85
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$118.77
|
| Rate for Payer: Mclaren Medicaid |
$188.04
|
| Rate for Payer: Mclaren Medicare |
$350.83
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$368.37
|
| Rate for Payer: Meridian Medicaid |
$197.45
|
| Rate for Payer: MI Amish Medical Board Commercial |
$403.45
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$134.61
|
| Rate for Payer: PACE Medicare |
$333.29
|
| Rate for Payer: PACE SWMI |
$350.83
|
| Rate for Payer: PHP Commercial |
$134.61
|
| Rate for Payer: PHP Medicare Advantage |
$350.83
|
| Rate for Payer: Priority Health Choice Medicaid |
$188.04
|
| Rate for Payer: Priority Health Cigna Priority Health |
$102.93
|
| Rate for Payer: Priority Health Medicare |
$350.83
|
| Rate for Payer: Priority Health SBD |
$99.77
|
| Rate for Payer: Railroad Medicare Medicare |
$350.83
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$987.55
|
| Rate for Payer: UHC Dual Complete DSNP |
$350.83
|
| Rate for Payer: UHC Exchange |
$670.47
|
| Rate for Payer: UHC Medicare Advantage |
$350.83
|
| Rate for Payer: UHCCP Medicaid |
$188.04
|
| Rate for Payer: UMR Bronson Commercial |
$58.59
|
| Rate for Payer: VA VA |
$350.83
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$118.77
|
|
|
HC PLASMA CELL PROLIFERATION, MARROW CMPT 1
|
Facility
|
IP
|
$158.36
|
|
|
Service Code
|
CPT 88184
|
| Hospital Charge Code |
31000139
|
|
Hospital Revenue Code
|
310
|
| Min. Negotiated Rate |
$69.68 |
| Max. Negotiated Rate |
$142.52 |
| Rate for Payer: Aetna American Axle |
$102.93
|
| Rate for Payer: Aetna Commercial |
$134.61
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$102.93
|
| Rate for Payer: Cash Price |
$126.69
|
| Rate for Payer: Cofinity Commercial |
$110.85
|
| Rate for Payer: Cofinity Commercial |
$136.19
|
| Rate for Payer: Cofinity Medicare Advantage |
$110.85
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$126.69
|
| Rate for Payer: Healthscope Commercial |
$142.52
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$110.85
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$118.77
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$134.61
|
| Rate for Payer: PHP Commercial |
$134.61
|
| Rate for Payer: Priority Health Cigna Priority Health |
$102.93
|
| Rate for Payer: Priority Health SBD |
$99.77
|
| Rate for Payer: UMR Bronson Commercial |
$69.68
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$118.77
|
|
|
HC PLASMA CELL PROLIFERATION, MARROW CMPT 2
|
Facility
|
OP
|
$52.24
|
|
|
Service Code
|
CPT 88185
|
| Hospital Charge Code |
31000140
|
|
Hospital Revenue Code
|
310
|
| Min. Negotiated Rate |
$19.33 |
| Max. Negotiated Rate |
$47.02 |
| Rate for Payer: Aetna American Axle |
$33.96
|
| Rate for Payer: Aetna Commercial |
$44.40
|
| Rate for Payer: Aetna Medicare |
$26.12
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$33.96
|
| Rate for Payer: BCBS Complete |
$20.90
|
| Rate for Payer: Cash Price |
$41.79
|
| Rate for Payer: Cofinity Commercial |
$36.57
|
| Rate for Payer: Cofinity Commercial |
$44.93
|
| Rate for Payer: Cofinity Medicare Advantage |
$36.57
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$41.79
|
| Rate for Payer: Healthscope Commercial |
$47.02
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$36.57
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$39.18
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$44.40
|
| Rate for Payer: PHP Commercial |
$44.40
|
| Rate for Payer: Priority Health Cigna Priority Health |
$33.96
|
| Rate for Payer: Priority Health SBD |
$32.91
|
| Rate for Payer: UMR Bronson Commercial |
$19.33
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$39.18
|
|
|
HC PLASMA CELL PROLIFERATION, MARROW CMPT 2
|
Facility
|
IP
|
$52.24
|
|
|
Service Code
|
CPT 88185
|
| Hospital Charge Code |
31000140
|
|
Hospital Revenue Code
|
310
|
| Min. Negotiated Rate |
$22.99 |
| Max. Negotiated Rate |
$47.02 |
| Rate for Payer: Aetna American Axle |
$33.96
|
| Rate for Payer: Aetna Commercial |
$44.40
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$33.96
|
| Rate for Payer: Cash Price |
$41.79
|
| Rate for Payer: Cofinity Commercial |
$36.57
|
| Rate for Payer: Cofinity Commercial |
$44.93
|
| Rate for Payer: Cofinity Medicare Advantage |
$36.57
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$41.79
|
| Rate for Payer: Healthscope Commercial |
$47.02
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$36.57
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$39.18
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$44.40
|
| Rate for Payer: PHP Commercial |
$44.40
|
| Rate for Payer: Priority Health Cigna Priority Health |
$33.96
|
| Rate for Payer: Priority Health SBD |
$32.91
|
| Rate for Payer: UMR Bronson Commercial |
$22.99
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$39.18
|
|
|
HC PLASMA CELL PROLIF MARROW
|
Facility
|
IP
|
$115.57
|
|
|
Service Code
|
CPT 88182
|
| Hospital Charge Code |
31100042
|
|
Hospital Revenue Code
|
311
|
| Min. Negotiated Rate |
$50.85 |
| Max. Negotiated Rate |
$104.01 |
| Rate for Payer: Aetna American Axle |
$75.12
|
| Rate for Payer: Aetna Commercial |
$98.23
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$75.12
|
| Rate for Payer: Cash Price |
$92.46
|
| Rate for Payer: Cofinity Commercial |
$80.90
|
| Rate for Payer: Cofinity Commercial |
$99.39
|
| Rate for Payer: Cofinity Medicare Advantage |
$80.90
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$92.46
|
| Rate for Payer: Healthscope Commercial |
$104.01
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$80.90
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$86.68
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$98.23
|
| Rate for Payer: PHP Commercial |
$98.23
|
| Rate for Payer: Priority Health Cigna Priority Health |
$75.12
|
| Rate for Payer: Priority Health SBD |
$72.81
|
| Rate for Payer: UMR Bronson Commercial |
$50.85
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$86.68
|
|
|
HC PLASMA CELL PROLIF MARROW
|
Facility
|
OP
|
$115.57
|
|
|
Service Code
|
CPT 88182
|
| Hospital Charge Code |
31100042
|
|
Hospital Revenue Code
|
311
|
| Min. Negotiated Rate |
$27.93 |
| Max. Negotiated Rate |
$146.68 |
| Rate for Payer: Aetna American Axle |
$75.12
|
| Rate for Payer: Aetna Commercial |
$98.23
|
| Rate for Payer: Aetna Medicare |
$54.19
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$75.12
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$65.14
|
| Rate for Payer: Amish Plain Church Group Commercial |
$65.14
|
| Rate for Payer: BCBS Complete |
$29.33
|
| Rate for Payer: BCBS MAPPO |
$52.11
|
| Rate for Payer: BCN Medicare Advantage |
$52.11
|
| Rate for Payer: Cash Price |
$92.46
|
| Rate for Payer: Cash Price |
$92.46
|
| Rate for Payer: Cofinity Commercial |
$99.39
|
| Rate for Payer: Cofinity Commercial |
$80.90
|
| Rate for Payer: Cofinity Medicare Advantage |
$80.90
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$92.46
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$52.11
|
| Rate for Payer: Healthscope Commercial |
$104.01
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$80.90
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$86.68
|
| Rate for Payer: Mclaren Medicaid |
$27.93
|
| Rate for Payer: Mclaren Medicare |
$52.11
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$54.72
|
| Rate for Payer: Meridian Medicaid |
$29.33
|
| Rate for Payer: MI Amish Medical Board Commercial |
$59.93
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$98.23
|
| Rate for Payer: PACE Medicare |
$49.50
|
| Rate for Payer: PACE SWMI |
$52.11
|
| Rate for Payer: PHP Commercial |
$98.23
|
| Rate for Payer: PHP Medicare Advantage |
$52.11
|
| Rate for Payer: Priority Health Choice Medicaid |
$27.93
|
| Rate for Payer: Priority Health Cigna Priority Health |
$75.12
|
| Rate for Payer: Priority Health Medicare |
$52.11
|
| Rate for Payer: Priority Health SBD |
$72.81
|
| Rate for Payer: Railroad Medicare Medicare |
$52.11
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$146.68
|
| Rate for Payer: UHC Dual Complete DSNP |
$52.11
|
| Rate for Payer: UHC Exchange |
$99.59
|
| Rate for Payer: UHC Medicare Advantage |
$52.11
|
| Rate for Payer: UHCCP Medicaid |
$27.93
|
| Rate for Payer: UMR Bronson Commercial |
$42.76
|
| Rate for Payer: VA VA |
$52.11
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$86.68
|
|
|
HC PLASMA CRYO REDUCED
|
Facility
|
IP
|
$160.12
|
|
|
Service Code
|
HCPCS P9044
|
| Hospital Charge Code |
39000063
|
|
Hospital Revenue Code
|
390
|
| Min. Negotiated Rate |
$70.45 |
| Max. Negotiated Rate |
$144.11 |
| Rate for Payer: Aetna American Axle |
$104.08
|
| Rate for Payer: Aetna Commercial |
$136.10
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$104.08
|
| Rate for Payer: Cash Price |
$128.10
|
| Rate for Payer: Cofinity Commercial |
$112.08
|
| Rate for Payer: Cofinity Commercial |
$137.70
|
| Rate for Payer: Cofinity Medicare Advantage |
$112.08
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$128.10
|
| Rate for Payer: Healthscope Commercial |
$144.11
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$112.08
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$120.09
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$136.10
|
| Rate for Payer: PHP Commercial |
$136.10
|
| Rate for Payer: Priority Health Cigna Priority Health |
$104.08
|
| Rate for Payer: Priority Health SBD |
$100.88
|
| Rate for Payer: UMR Bronson Commercial |
$70.45
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$120.09
|
|
