|
HC SICKLE CELL CMS F/U
|
Facility
|
OP
|
$125.00
|
|
|
Service Code
|
CPT 99213
|
| Hospital Charge Code |
51500011
|
|
Hospital Revenue Code
|
515
|
| Min. Negotiated Rate |
$46.25 |
| Max. Negotiated Rate |
$114.04 |
| Rate for Payer: Aetna American Axle |
$81.25
|
| Rate for Payer: Aetna Commercial |
$106.25
|
| Rate for Payer: Aetna Medicare |
$62.50
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$81.25
|
| Rate for Payer: BCBS Complete |
$50.00
|
| Rate for Payer: BCBS Trust/PPO |
$114.04
|
| Rate for Payer: BCCCP Commercial |
$87.68
|
| Rate for Payer: BCN Commercial |
$114.04
|
| Rate for Payer: Cash Price |
$100.00
|
| Rate for Payer: Cash Price |
$100.00
|
| Rate for Payer: Cofinity Advantage |
$87.50
|
| Rate for Payer: Cofinity Commercial |
$107.50
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$100.00
|
| Rate for Payer: Healthscope Commercial |
$112.50
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$87.50
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$93.75
|
| Rate for Payer: MI Amish Medical Board Commercial |
$100.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$106.25
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$93.75
|
| Rate for Payer: PHP Commercial |
$106.25
|
| Rate for Payer: Priority Health SBD |
$78.75
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$81.25
|
| Rate for Payer: UHC Core |
$65.12
|
| Rate for Payer: UHC Exchange |
$49.12
|
| Rate for Payer: UMR Bronson Commercial |
$46.25
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$93.75
|
|
|
HC SICKLE CELL CMS INITIAL COMP
|
Facility
|
OP
|
$450.00
|
|
|
Service Code
|
CPT 99215
|
| Hospital Charge Code |
51500009
|
|
Hospital Revenue Code
|
515
|
| Min. Negotiated Rate |
$166.50 |
| Max. Negotiated Rate |
$405.00 |
| Rate for Payer: Aetna American Axle |
$292.50
|
| Rate for Payer: Aetna Commercial |
$382.50
|
| Rate for Payer: Aetna Medicare |
$225.00
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$292.50
|
| Rate for Payer: BCBS Complete |
$180.00
|
| Rate for Payer: BCBS Trust/PPO |
$200.88
|
| Rate for Payer: BCN Commercial |
$200.88
|
| Rate for Payer: Cash Price |
$360.00
|
| Rate for Payer: Cash Price |
$360.00
|
| Rate for Payer: Cofinity Advantage |
$315.00
|
| Rate for Payer: Cofinity Commercial |
$387.00
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$360.00
|
| Rate for Payer: Healthscope Commercial |
$405.00
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$315.00
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$337.50
|
| Rate for Payer: MI Amish Medical Board Commercial |
$360.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$382.50
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$337.50
|
| Rate for Payer: PHP Commercial |
$382.50
|
| Rate for Payer: Priority Health SBD |
$283.50
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$292.50
|
| Rate for Payer: UHC Core |
$234.45
|
| Rate for Payer: UHC Exchange |
$176.85
|
| Rate for Payer: UMR Bronson Commercial |
$166.50
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$337.50
|
|
|
HC SICKLE CELL CMS INITIAL COMP
|
Facility
|
IP
|
$450.00
|
|
|
Service Code
|
CPT 99215
|
| Hospital Charge Code |
51500009
|
|
Hospital Revenue Code
|
515
|
| Min. Negotiated Rate |
$198.00 |
| Max. Negotiated Rate |
$405.00 |
| Rate for Payer: Aetna American Axle |
$292.50
|
| Rate for Payer: Aetna Commercial |
$382.50
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$292.50
|
| Rate for Payer: Cash Price |
$360.00
|
| Rate for Payer: Cofinity Advantage |
$315.00
|
| Rate for Payer: Cofinity Commercial |
$387.00
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$360.00
|
| Rate for Payer: Healthscope Commercial |
$405.00
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$315.00
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$337.50
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$382.50
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$337.50
|
| Rate for Payer: PHP Commercial |
$382.50
|
| Rate for Payer: Priority Health SBD |
$283.50
|
| Rate for Payer: UMR Bronson Commercial |
$198.00
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$337.50
|
|
|
HC SICKLE CELL CMS SUPP/SERV
|
Facility
|
IP
|
$75.00
|
|
|
Service Code
|
CPT 99211
|
| Hospital Charge Code |
51500012
|
|
Hospital Revenue Code
|
515
|
| Min. Negotiated Rate |
$33.00 |
| Max. Negotiated Rate |
$67.50 |
| Rate for Payer: Aetna American Axle |
$48.75
|
| Rate for Payer: Aetna Commercial |
$63.75
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$48.75
|
| Rate for Payer: Cash Price |
$60.00
|
| Rate for Payer: Cofinity Advantage |
$52.50
|
| Rate for Payer: Cofinity Commercial |
$64.50
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$60.00
|
| Rate for Payer: Healthscope Commercial |
$67.50
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$52.50
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$56.25
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$63.75
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$56.25
|
| Rate for Payer: PHP Commercial |
$63.75
|
| Rate for Payer: Priority Health SBD |
$47.25
|
| Rate for Payer: UMR Bronson Commercial |
$33.00
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$56.25
|
|
|
HC SICKLE CELL CMS SUPP/SERV
|
Facility
|
OP
|
$75.00
|
|
|
Service Code
|
CPT 99211
|
| Hospital Charge Code |
51500012
|
|
Hospital Revenue Code
|
515
|
| Min. Negotiated Rate |
$21.87 |
| Max. Negotiated Rate |
$67.50 |
| Rate for Payer: Aetna American Axle |
$48.75
|
| Rate for Payer: Aetna Commercial |
$63.75
|
| Rate for Payer: Aetna Medicare |
$37.50
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$48.75
|
| Rate for Payer: BCBS Complete |
$30.00
|
| Rate for Payer: BCBS Trust/PPO |
$47.11
|
| Rate for Payer: BCCCP Commercial |
$21.87
|
| Rate for Payer: BCN Commercial |
$47.11
|
| Rate for Payer: Cash Price |
$60.00
|
| Rate for Payer: Cash Price |
$60.00
|
| Rate for Payer: Cofinity Advantage |
$52.50
|
| Rate for Payer: Cofinity Commercial |
$64.50
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$60.00
|
| Rate for Payer: Healthscope Commercial |
$67.50
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$52.50
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$56.25
|
| Rate for Payer: MI Amish Medical Board Commercial |
$60.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$63.75
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$56.25
|
| Rate for Payer: PHP Commercial |
$63.75
|
| Rate for Payer: Priority Health SBD |
$47.25
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$48.75
|
| Rate for Payer: UHC Core |
$39.08
|
| Rate for Payer: UHC Exchange |
$29.48
|
| Rate for Payer: UMR Bronson Commercial |
$27.75
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$56.25
|
|
|
HC SICKLE CELLS CMS COMP
|
Facility
|
OP
|
$300.00
|
|
|
Service Code
|
CPT 99215
|
| Hospital Charge Code |
51500010
|
|
Hospital Revenue Code
|
515
|
| Min. Negotiated Rate |
$111.00 |
| Max. Negotiated Rate |
$270.00 |
| Rate for Payer: Aetna American Axle |
$195.00
|
| Rate for Payer: Aetna Commercial |
$255.00
|
| Rate for Payer: Aetna Medicare |
$150.00
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$195.00
|
| Rate for Payer: BCBS Complete |
$120.00
|
| Rate for Payer: BCBS Trust/PPO |
$200.88
|
| Rate for Payer: BCN Commercial |
$200.88
|
| Rate for Payer: Cash Price |
$240.00
|
| Rate for Payer: Cash Price |
$240.00
|
| Rate for Payer: Cofinity Advantage |
$210.00
|
| Rate for Payer: Cofinity Commercial |
$258.00
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$240.00
|
| Rate for Payer: Healthscope Commercial |
$270.00
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$210.00
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$225.00
|
| Rate for Payer: MI Amish Medical Board Commercial |
$240.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$255.00
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$225.00
|
| Rate for Payer: PHP Commercial |
$255.00
|
| Rate for Payer: Priority Health SBD |
$189.00
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$195.00
|
| Rate for Payer: UHC Core |
$156.30
|
| Rate for Payer: UHC Exchange |
$117.90
|
| Rate for Payer: UMR Bronson Commercial |
$111.00
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$225.00
|
|
|
HC SICKLE CELLS CMS COMP
|
Facility
|
IP
|
$300.00
|
|
|
Service Code
|
CPT 99215
|
| Hospital Charge Code |
51500010
|
|
Hospital Revenue Code
|
515
|
| Min. Negotiated Rate |
$132.00 |
| Max. Negotiated Rate |
$270.00 |
| Rate for Payer: Aetna American Axle |
$195.00
|
| Rate for Payer: Aetna Commercial |
$255.00
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$195.00
|
| Rate for Payer: Cash Price |
$240.00
|
| Rate for Payer: Cofinity Advantage |
$210.00
|
| Rate for Payer: Cofinity Commercial |
$258.00
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$240.00
|
| Rate for Payer: Healthscope Commercial |
$270.00
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$210.00
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$225.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$255.00
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$225.00
|
| Rate for Payer: PHP Commercial |
$255.00
|
| Rate for Payer: Priority Health SBD |
$189.00
|
| Rate for Payer: UMR Bronson Commercial |
$132.00
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$225.00
|
|
|
HC SICKLE CELL TEST
|
Facility
|
IP
|
$31.94
|
|
|
Service Code
|
CPT 85660
|
| Hospital Charge Code |
30500061
|
|
Hospital Revenue Code
|
305
|
| Min. Negotiated Rate |
$14.05 |
| Max. Negotiated Rate |
$28.75 |
| Rate for Payer: Aetna American Axle |
$20.76
|
| Rate for Payer: Aetna Commercial |
$27.15
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$20.76
|
| Rate for Payer: Cash Price |
$25.55
|
| Rate for Payer: Cofinity Advantage |
$22.36
|
| Rate for Payer: Cofinity Commercial |
$27.47
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$25.55
|
| Rate for Payer: Healthscope Commercial |
$28.75
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$22.36
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$23.95
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$27.15
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$23.95
|
| Rate for Payer: PHP Commercial |
$27.15
|
| Rate for Payer: Priority Health SBD |
$20.12
|
| Rate for Payer: UMR Bronson Commercial |
$14.05
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$23.95
|
|
|
HC SICKLE CELL TEST
|
Facility
|
OP
|
$31.94
|
|
|
Service Code
|
CPT 85660
|
| Hospital Charge Code |
30500061
|
|
Hospital Revenue Code
|
305
|
| Min. Negotiated Rate |
$2.88 |
| Max. Negotiated Rate |
$28.75 |
| Rate for Payer: Aetna American Axle |
$20.76
|
| Rate for Payer: Aetna Commercial |
$27.15
|
| Rate for Payer: Aetna Medicare |
$5.73
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$20.76
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$6.89
|
| Rate for Payer: Amish Plain Church Group Commercial |
$6.89
|
| Rate for Payer: BCBS Complete |
$3.03
|
| Rate for Payer: BCBS MAPPO |
$5.51
|
| Rate for Payer: BCBS Trust/PPO |
$6.37
|
| Rate for Payer: BCN Commercial |
$6.37
|
| Rate for Payer: BCN Medicare Advantage |
$5.51
|
| Rate for Payer: Cash Price |
$25.55
|
| Rate for Payer: Cash Price |
$25.55
|
| Rate for Payer: Cofinity Advantage |
$22.36
|
| Rate for Payer: Cofinity Commercial |
$27.47
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$25.55
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$5.51
|
| Rate for Payer: Healthscope Commercial |
$28.75
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$22.36
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$23.95
|
| Rate for Payer: Mclaren Medicaid |
$5.51
|
| Rate for Payer: Mclaren Medicare |
$5.51
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$5.79
|
| Rate for Payer: Meridian Medicaid |
$5.79
|
| Rate for Payer: MI Amish Medical Board Commercial |
$6.34
|
| Rate for Payer: Molina Medicare/Medicaid |
$6.06
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$27.15
|
| Rate for Payer: Nomi Health Commercial |
$8.27
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$23.95
|
| Rate for Payer: PACE Medicare |
$5.23
|
| Rate for Payer: PACE SWMI |
$5.51
|
| Rate for Payer: PHP Commercial |
$27.15
|
| Rate for Payer: PHP Medicare Advantage |
$5.51
|
| Rate for Payer: Priority Health Choice Medicaid |
$2.88
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$5.51
|
| Rate for Payer: Priority Health Medicare |
$5.51
|
| Rate for Payer: Priority Health SBD |
$20.12
|
| Rate for Payer: Priority Health Tiered Network |
$4.41
|
| Rate for Payer: Railroad Medicare Medicare |
$5.51
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$8.27
|
| Rate for Payer: UHC Core |
$8.27
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$5.51
|
| Rate for Payer: UHC Exchange |
$8.27
|
| Rate for Payer: UHC Medicaid |
$2.88
|
| Rate for Payer: UHCCP Medicaid |
$2.88
|
| Rate for Payer: UMR Bronson Commercial |
$11.82
|
| Rate for Payer: VA VA |
$5.51
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$23.95
|
|
|
HC SIGMOIDOSCOPY FLX DX W/COLL SPEC BR/WA
|
Facility
|
OP
|
$1,185.73
|
|
|
Service Code
|
CPT 45330
|
| Hospital Charge Code |
76100186
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$438.72 |
| Max. Negotiated Rate |
$2,996.60 |
| Rate for Payer: Aetna American Axle |
$770.72
|
| Rate for Payer: Aetna Commercial |
$1,007.87
|
| Rate for Payer: Aetna Medicare |
$963.67
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$770.72
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,158.26
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1,158.26
|
| Rate for Payer: BCBS Complete |
$508.89
|
| Rate for Payer: BCBS MAPPO |
$926.61
|
| Rate for Payer: BCBS Trust/PPO |
$1,126.06
|
| Rate for Payer: BCN Commercial |
$1,126.06
|
| Rate for Payer: BCN Medicare Advantage |
$926.61
|
| Rate for Payer: Cash Price |
$948.58
|
| Rate for Payer: Cash Price |
$948.58
|
| Rate for Payer: Cash Price |
$948.58
|
| Rate for Payer: Cofinity Advantage |
$830.01
|
| Rate for Payer: Cofinity Commercial |
$1,019.73
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$948.58
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$926.61
|
| Rate for Payer: Healthscope Commercial |
$1,067.16
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$830.01
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$889.30
|
| Rate for Payer: Mclaren Medicaid |
$926.61
|
| Rate for Payer: Mclaren Medicare |
$926.61
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$972.94
|
| Rate for Payer: Meridian Medicaid |
$972.94
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,065.60
|
| Rate for Payer: Molina Medicare/Medicaid |
$1,019.27
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,007.87
|
| Rate for Payer: Nomi Health Commercial |
$2,779.83
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$889.30
|
| Rate for Payer: PACE Medicare |
$880.28
|
| Rate for Payer: PACE SWMI |
$926.61
|
| Rate for Payer: PHP Commercial |
$1,007.87
|
| Rate for Payer: PHP Medicare Advantage |
$926.61
|
| Rate for Payer: Priority Health Choice Medicaid |
$484.62
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$2,996.60
|
| Rate for Payer: Priority Health Medicare |
$926.61
|
| Rate for Payer: Priority Health SBD |
$747.01
|
| Rate for Payer: Priority Health Tiered Network |
$2,397.28
|
| Rate for Payer: Railroad Medicare Medicare |
$926.61
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$770.72
|
| Rate for Payer: UHC Core |
$617.77
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$926.61
|
| Rate for Payer: UHC Exchange |
$465.99
|
| Rate for Payer: UHC Medicaid |
$484.62
|
| Rate for Payer: UHCCP Medicaid |
$484.62
|
| Rate for Payer: UMR Bronson Commercial |
$438.72
|
| Rate for Payer: VA VA |
$926.61
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$889.30
|
|
|
HC SIGMOIDOSCOPY FLX DX W/COLL SPEC BR/WA
|
Facility
|
IP
|
$1,185.73
|
|
|
Service Code
|
CPT 45330
|
| Hospital Charge Code |
76100186
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$521.72 |
| Max. Negotiated Rate |
$1,067.16 |
| Rate for Payer: Aetna American Axle |
$770.72
|
| Rate for Payer: Aetna Commercial |
$1,007.87
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$770.72
|
| Rate for Payer: Cash Price |
$948.58
|
| Rate for Payer: Cofinity Advantage |
$830.01
|
| Rate for Payer: Cofinity Commercial |
$1,019.73
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$948.58
|
| Rate for Payer: Healthscope Commercial |
$1,067.16
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$830.01
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$889.30
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,007.87
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$889.30
|
| Rate for Payer: PHP Commercial |
$1,007.87
|
| Rate for Payer: Priority Health SBD |
$747.01
|
| Rate for Payer: UMR Bronson Commercial |
$521.72
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$889.30
|
|
|
HC SIGMOIDOSCOPY W EUS EXAM
|
Facility
|
OP
|
$2,673.54
|
|
| Hospital Charge Code |
36000082
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$989.21 |
| Max. Negotiated Rate |
$2,406.19 |
| Rate for Payer: Aetna American Axle |
$1,737.80
|
| Rate for Payer: Aetna Commercial |
$2,272.51
|
| Rate for Payer: Aetna Medicare |
$1,336.77
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,737.80
|
| Rate for Payer: BCBS Complete |
$1,069.42
|
| Rate for Payer: Cash Price |
$2,138.83
|
| Rate for Payer: Cofinity Advantage |
$1,871.48
|
| Rate for Payer: Cofinity Commercial |
$2,299.24
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,138.83
|
| Rate for Payer: Healthscope Commercial |
$2,406.19
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,871.48
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,005.15
|
| Rate for Payer: MI Amish Medical Board Commercial |
$2,138.83
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,272.51
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,005.15
|
| Rate for Payer: PHP Commercial |
$2,272.51
|
| Rate for Payer: Priority Health SBD |
$1,684.33
|
| Rate for Payer: UMR Bronson Commercial |
$989.21
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,005.15
|
|
|
HC SIGMOIDOSCOPY W EUS EXAM
|
Facility
|
IP
|
$2,673.54
|
|
| Hospital Charge Code |
36000082
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$1,176.36 |
| Max. Negotiated Rate |
$2,406.19 |
| Rate for Payer: Aetna American Axle |
$1,737.80
|
| Rate for Payer: Aetna Commercial |
$2,272.51
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,737.80
|
| Rate for Payer: Cash Price |
$2,138.83
|
| Rate for Payer: Cofinity Advantage |
$1,871.48
|
| Rate for Payer: Cofinity Commercial |
$2,299.24
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,138.83
|
| Rate for Payer: Healthscope Commercial |
$2,406.19
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,871.48
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,005.15
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,272.51
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,005.15
|
| Rate for Payer: PHP Commercial |
$2,272.51
|
| Rate for Payer: Priority Health SBD |
$1,684.33
|
| Rate for Payer: UMR Bronson Commercial |
$1,176.36
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,005.15
|
|
|
HC SIGMOIDOSCOPY WITH BIOPSY
|
Facility
|
OP
|
$1,290.13
|
|
|
Service Code
|
CPT 45331
|
| Hospital Charge Code |
36000111
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$477.35 |
| Max. Negotiated Rate |
$2,996.60 |
| Rate for Payer: Aetna American Axle |
$838.58
|
| Rate for Payer: Aetna Commercial |
$1,096.61
|
| Rate for Payer: Aetna Medicare |
$963.67
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$838.58
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,158.26
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1,158.26
|
| Rate for Payer: BCBS Complete |
$508.89
|
| Rate for Payer: BCBS MAPPO |
$926.61
|
| Rate for Payer: BCBS Trust/PPO |
$1,406.30
|
| Rate for Payer: BCN Commercial |
$1,406.30
|
| Rate for Payer: BCN Medicare Advantage |
$926.61
|
| Rate for Payer: Cash Price |
$1,032.10
|
| Rate for Payer: Cash Price |
$1,032.10
|
| Rate for Payer: Cash Price |
$1,032.10
|
| Rate for Payer: Cofinity Advantage |
$903.09
|
| Rate for Payer: Cofinity Commercial |
$1,109.51
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,032.10
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$926.61
|
| Rate for Payer: Healthscope Commercial |
$1,161.12
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$903.09
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$967.60
|
| Rate for Payer: Mclaren Medicaid |
$926.61
|
| Rate for Payer: Mclaren Medicare |
$926.61
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$972.94
|
| Rate for Payer: Meridian Medicaid |
$972.94
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,065.60
|
| Rate for Payer: Molina Medicare/Medicaid |
$1,019.27
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,096.61
|
| Rate for Payer: Nomi Health Commercial |
$2,779.83
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$967.60
|
| Rate for Payer: PACE Medicare |
$880.28
|
| Rate for Payer: PACE SWMI |
$926.61
|
| Rate for Payer: PHP Commercial |
$1,096.61
|
| Rate for Payer: PHP Medicare Advantage |
$926.61
|
| Rate for Payer: Priority Health Choice Medicaid |
$484.62
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$2,996.60
|
| Rate for Payer: Priority Health Medicare |
$926.61
|
| Rate for Payer: Priority Health SBD |
$812.78
|
| Rate for Payer: Priority Health Tiered Network |
$2,397.28
|
| Rate for Payer: Railroad Medicare Medicare |
$926.61
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$838.58
|
| Rate for Payer: UHC Core |
$672.16
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$926.61
|
| Rate for Payer: UHC Exchange |
$507.02
|
| Rate for Payer: UHC Medicaid |
$484.62
|
| Rate for Payer: UHCCP Medicaid |
$484.62
|
| Rate for Payer: UMR Bronson Commercial |
$477.35
|
| Rate for Payer: VA VA |
$926.61
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$967.60
|
|
|
HC SIGMOIDOSCOPY WITH BIOPSY
|
Facility
|
IP
|
$1,290.13
|
|
|
Service Code
|
CPT 45331
|
| Hospital Charge Code |
36000111
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$567.66 |
| Max. Negotiated Rate |
$1,161.12 |
| Rate for Payer: Aetna American Axle |
$838.58
|
| Rate for Payer: Aetna Commercial |
$1,096.61
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$838.58
|
| Rate for Payer: Cash Price |
$1,032.10
|
| Rate for Payer: Cofinity Advantage |
$903.09
|
| Rate for Payer: Cofinity Commercial |
$1,109.51
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,032.10
|
| Rate for Payer: Healthscope Commercial |
$1,161.12
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$903.09
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$967.60
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,096.61
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$967.60
|
| Rate for Payer: PHP Commercial |
$1,096.61
|
| Rate for Payer: Priority Health SBD |
$812.78
|
| Rate for Payer: UMR Bronson Commercial |
$567.66
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$967.60
|
|
|
HC SIGNAL AVERAGE EKG
|
Facility
|
IP
|
$257.93
|
|
|
Service Code
|
CPT 93278
|
| Hospital Charge Code |
73100004
|
|
Hospital Revenue Code
|
731
|
| Min. Negotiated Rate |
$113.49 |
| Max. Negotiated Rate |
$232.14 |
| Rate for Payer: Aetna American Axle |
$167.65
|
| Rate for Payer: Aetna Commercial |
$219.24
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$167.65
|
| Rate for Payer: Cash Price |
$206.34
|
| Rate for Payer: Cofinity Advantage |
$180.55
|
| Rate for Payer: Cofinity Commercial |
$221.82
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$206.34
|
| Rate for Payer: Healthscope Commercial |
$232.14
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$180.55
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$193.45
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$219.24
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$193.45
|
| Rate for Payer: PHP Commercial |
$219.24
|
| Rate for Payer: Priority Health SBD |
$162.50
|
| Rate for Payer: UMR Bronson Commercial |
$113.49
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$193.45
|
|
|
HC SIGNAL AVERAGE EKG
|
Facility
|
OP
|
$257.93
|
|
|
Service Code
|
CPT 93278
|
| Hospital Charge Code |
73100004
|
|
Hospital Revenue Code
|
731
|
| Min. Negotiated Rate |
$30.74 |
| Max. Negotiated Rate |
$232.14 |
| Rate for Payer: Aetna American Axle |
$167.65
|
| Rate for Payer: Aetna Commercial |
$219.24
|
| Rate for Payer: Aetna Medicare |
$61.13
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$167.65
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$73.47
|
| Rate for Payer: Amish Plain Church Group Commercial |
$73.47
|
| Rate for Payer: BCBS Complete |
$32.28
|
| Rate for Payer: BCBS MAPPO |
$58.78
|
| Rate for Payer: BCBS Trust/PPO |
$81.71
|
| Rate for Payer: BCN Commercial |
$81.71
|
| Rate for Payer: BCN Medicare Advantage |
$58.78
|
| Rate for Payer: Cash Price |
$206.34
|
| Rate for Payer: Cash Price |
$206.34
|
| Rate for Payer: Cofinity Advantage |
$180.55
|
| Rate for Payer: Cofinity Commercial |
$221.82
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$206.34
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$58.78
|
| Rate for Payer: Healthscope Commercial |
$232.14
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$180.55
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$193.45
|
| Rate for Payer: Mclaren Medicaid |
$58.78
|
| Rate for Payer: Mclaren Medicare |
$58.78
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$61.72
|
| Rate for Payer: Meridian Medicaid |
$61.72
|
| Rate for Payer: MI Amish Medical Board Commercial |
$67.60
|
| Rate for Payer: Molina Medicare/Medicaid |
$64.66
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$219.24
|
| Rate for Payer: Nomi Health Commercial |
$176.34
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$193.45
|
| Rate for Payer: PACE Medicare |
$55.84
|
| Rate for Payer: PACE SWMI |
$58.78
|
| Rate for Payer: PHP Commercial |
$219.24
|
| Rate for Payer: PHP Medicare Advantage |
$58.78
|
| Rate for Payer: Priority Health Choice Medicaid |
$30.74
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$190.09
|
| Rate for Payer: Priority Health Medicare |
$58.78
|
| Rate for Payer: Priority Health SBD |
$162.50
|
| Rate for Payer: Priority Health Tiered Network |
$152.07
|
| Rate for Payer: Railroad Medicare Medicare |
$58.78
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$167.65
|
| Rate for Payer: UHC Core |
$134.38
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$58.78
|
| Rate for Payer: UHC Exchange |
$101.37
|
| Rate for Payer: UHC Medicaid |
$30.74
|
| Rate for Payer: UHCCP Medicaid |
$30.74
|
| Rate for Payer: UMR Bronson Commercial |
$95.43
|
| Rate for Payer: VA VA |
$58.78
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$193.45
|
|
|
HC SILICA CLOTTING TIME ASSAY
|
Facility
|
IP
|
$26.53
|
|
|
Service Code
|
CPT 85730
|
| Hospital Charge Code |
30500099
|
|
Hospital Revenue Code
|
305
|
| Min. Negotiated Rate |
$11.67 |
| Max. Negotiated Rate |
$23.88 |
| Rate for Payer: Aetna American Axle |
$17.24
|
| Rate for Payer: Aetna Commercial |
$22.55
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$17.24
|
| Rate for Payer: Cash Price |
$21.22
|
| Rate for Payer: Cofinity Advantage |
$18.57
|
| Rate for Payer: Cofinity Commercial |
$22.82
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$21.22
|
| Rate for Payer: Healthscope Commercial |
$23.88
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$18.57
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$19.90
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$22.55
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$19.90
|
| Rate for Payer: PHP Commercial |
$22.55
|
| Rate for Payer: Priority Health SBD |
$16.71
|
| Rate for Payer: UMR Bronson Commercial |
$11.67
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$19.90
|
|
|
HC SILICA CLOTTING TIME ASSAY
|
Facility
|
OP
|
$26.53
|
|
|
Service Code
|
CPT 85730
|
| Hospital Charge Code |
30500099
|
|
Hospital Revenue Code
|
305
|
| Min. Negotiated Rate |
$3.14 |
| Max. Negotiated Rate |
$23.88 |
| Rate for Payer: Aetna American Axle |
$17.24
|
| Rate for Payer: Aetna Commercial |
$22.55
|
| Rate for Payer: Aetna Medicare |
$6.25
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$17.24
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$7.51
|
| Rate for Payer: Amish Plain Church Group Commercial |
$7.51
|
| Rate for Payer: BCBS Complete |
$3.30
|
| Rate for Payer: BCBS MAPPO |
$6.01
|
| Rate for Payer: BCBS Trust/PPO |
$6.95
|
| Rate for Payer: BCN Commercial |
$6.95
|
| Rate for Payer: BCN Medicare Advantage |
$6.01
|
| Rate for Payer: Cash Price |
$21.22
|
| Rate for Payer: Cash Price |
$21.22
|
| Rate for Payer: Cofinity Advantage |
$18.57
|
| Rate for Payer: Cofinity Commercial |
$22.82
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$21.22
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$6.01
|
| Rate for Payer: Healthscope Commercial |
$23.88
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$18.57
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$19.90
|
| Rate for Payer: Mclaren Medicaid |
$6.01
|
| Rate for Payer: Mclaren Medicare |
$6.01
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$6.31
|
| Rate for Payer: Meridian Medicaid |
$6.31
|
| Rate for Payer: MI Amish Medical Board Commercial |
$6.91
|
| Rate for Payer: Molina Medicare/Medicaid |
$6.61
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$22.55
|
| Rate for Payer: Nomi Health Commercial |
$9.02
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$19.90
|
| Rate for Payer: PACE Medicare |
$5.71
|
| Rate for Payer: PACE SWMI |
$6.01
|
| Rate for Payer: PHP Commercial |
$22.55
|
| Rate for Payer: PHP Medicare Advantage |
$6.01
|
| Rate for Payer: Priority Health Choice Medicaid |
$3.14
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$6.01
|
| Rate for Payer: Priority Health Medicare |
$6.01
|
| Rate for Payer: Priority Health SBD |
$16.71
|
| Rate for Payer: Priority Health Tiered Network |
$4.81
|
| Rate for Payer: Railroad Medicare Medicare |
$6.01
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$9.02
|
| Rate for Payer: UHC Core |
$9.02
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$6.01
|
| Rate for Payer: UHC Exchange |
$9.02
|
| Rate for Payer: UHC Medicaid |
$3.14
|
| Rate for Payer: UHCCP Medicaid |
$3.14
|
| Rate for Payer: UMR Bronson Commercial |
$9.82
|
| Rate for Payer: VA VA |
$6.01
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$19.90
|
|
|
HC SILVADENE 400 GM
|
Facility
|
OP
|
$258.59
|
|
| Hospital Charge Code |
27100016
|
|
Hospital Revenue Code
|
271
|
| Min. Negotiated Rate |
$95.68 |
| Max. Negotiated Rate |
$232.73 |
| Rate for Payer: Aetna American Axle |
$168.08
|
| Rate for Payer: Aetna Commercial |
$219.80
|
| Rate for Payer: Aetna Medicare |
$129.29
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$168.08
|
| Rate for Payer: BCBS Complete |
$103.44
|
| Rate for Payer: Cash Price |
$206.87
|
| Rate for Payer: Cofinity Advantage |
$181.01
|
| Rate for Payer: Cofinity Commercial |
$222.39
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$206.87
|
| Rate for Payer: Healthscope Commercial |
$232.73
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$181.01
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$193.94
|
| Rate for Payer: MI Amish Medical Board Commercial |
$206.87
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$219.80
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$193.94
|
| Rate for Payer: PHP Commercial |
$219.80
|
| Rate for Payer: Priority Health SBD |
$162.91
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$168.08
|
| Rate for Payer: UHC Core |
$134.73
|
| Rate for Payer: UHC Exchange |
$101.63
|
| Rate for Payer: UMR Bronson Commercial |
$95.68
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$193.94
|
|
|
HC SILVADENE 400 GM
|
Facility
|
IP
|
$258.59
|
|
| Hospital Charge Code |
27100016
|
|
Hospital Revenue Code
|
271
|
| Min. Negotiated Rate |
$113.78 |
| Max. Negotiated Rate |
$232.73 |
| Rate for Payer: Aetna American Axle |
$168.08
|
| Rate for Payer: Aetna Commercial |
$219.80
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$168.08
|
| Rate for Payer: Cash Price |
$206.87
|
| Rate for Payer: Cofinity Advantage |
$181.01
|
| Rate for Payer: Cofinity Commercial |
$222.39
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$206.87
|
| Rate for Payer: Healthscope Commercial |
$232.73
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$181.01
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$193.94
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$219.80
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$193.94
|
| Rate for Payer: PHP Commercial |
$219.80
|
| Rate for Payer: Priority Health SBD |
$162.91
|
| Rate for Payer: UMR Bronson Commercial |
$113.78
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$193.94
|
|
|
HC SILVADENE 85 GM
|
Facility
|
OP
|
$106.71
|
|
| Hospital Charge Code |
27100017
|
|
Hospital Revenue Code
|
271
|
| Min. Negotiated Rate |
$39.48 |
| Max. Negotiated Rate |
$96.04 |
| Rate for Payer: Aetna American Axle |
$69.36
|
| Rate for Payer: Aetna Commercial |
$90.70
|
| Rate for Payer: Aetna Medicare |
$53.35
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$69.36
|
| Rate for Payer: BCBS Complete |
$42.68
|
| Rate for Payer: Cash Price |
$85.37
|
| Rate for Payer: Cofinity Advantage |
$74.70
|
| Rate for Payer: Cofinity Commercial |
$91.77
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$85.37
|
| Rate for Payer: Healthscope Commercial |
$96.04
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$74.70
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$80.03
|
| Rate for Payer: MI Amish Medical Board Commercial |
$85.37
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$90.70
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$80.03
|
| Rate for Payer: PHP Commercial |
$90.70
|
| Rate for Payer: Priority Health SBD |
$67.23
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$69.36
|
| Rate for Payer: UHC Core |
$55.60
|
| Rate for Payer: UHC Exchange |
$41.94
|
| Rate for Payer: UMR Bronson Commercial |
$39.48
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$80.03
|
|
|
HC SILVADENE 85 GM
|
Facility
|
IP
|
$106.71
|
|
| Hospital Charge Code |
27100017
|
|
Hospital Revenue Code
|
271
|
| Min. Negotiated Rate |
$46.95 |
| Max. Negotiated Rate |
$96.04 |
| Rate for Payer: Aetna American Axle |
$69.36
|
| Rate for Payer: Aetna Commercial |
$90.70
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$69.36
|
| Rate for Payer: Cash Price |
$85.37
|
| Rate for Payer: Cofinity Advantage |
$74.70
|
| Rate for Payer: Cofinity Commercial |
$91.77
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$85.37
|
| Rate for Payer: Healthscope Commercial |
$96.04
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$74.70
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$80.03
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$90.70
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$80.03
|
| Rate for Payer: PHP Commercial |
$90.70
|
| Rate for Payer: Priority Health SBD |
$67.23
|
| Rate for Payer: UMR Bronson Commercial |
$46.95
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$80.03
|
|
|
HC SILVER 4X4
|
Facility
|
OP
|
$66.72
|
|
| Hospital Charge Code |
27000146
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$24.69 |
| Max. Negotiated Rate |
$60.05 |
| Rate for Payer: Aetna American Axle |
$43.37
|
| Rate for Payer: Aetna Commercial |
$56.71
|
| Rate for Payer: Aetna Medicare |
$33.36
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$43.37
|
| Rate for Payer: BCBS Complete |
$26.69
|
| Rate for Payer: Cash Price |
$53.38
|
| Rate for Payer: Cofinity Advantage |
$46.70
|
| Rate for Payer: Cofinity Commercial |
$57.38
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$53.38
|
| Rate for Payer: Healthscope Commercial |
$60.05
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$46.70
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$50.04
|
| Rate for Payer: MI Amish Medical Board Commercial |
$53.38
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$56.71
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$50.04
|
| Rate for Payer: PHP Commercial |
$56.71
|
| Rate for Payer: Priority Health SBD |
$42.03
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$43.37
|
| Rate for Payer: UHC Core |
$34.76
|
| Rate for Payer: UHC Exchange |
$26.22
|
| Rate for Payer: UMR Bronson Commercial |
$24.69
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$50.04
|
|
|
HC SILVER 4X4
|
Facility
|
IP
|
$66.72
|
|
| Hospital Charge Code |
27000146
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$29.36 |
| Max. Negotiated Rate |
$60.05 |
| Rate for Payer: Aetna American Axle |
$43.37
|
| Rate for Payer: Aetna Commercial |
$56.71
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$43.37
|
| Rate for Payer: Cash Price |
$53.38
|
| Rate for Payer: Cofinity Advantage |
$46.70
|
| Rate for Payer: Cofinity Commercial |
$57.38
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$53.38
|
| Rate for Payer: Healthscope Commercial |
$60.05
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$46.70
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$50.04
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$56.71
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$50.04
|
| Rate for Payer: PHP Commercial |
$56.71
|
| Rate for Payer: Priority Health SBD |
$42.03
|
| Rate for Payer: UMR Bronson Commercial |
$29.36
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$50.04
|
|
