|
HC SOLUBLE TRANSFERRIN RECEPTOR
|
Facility
|
IP
|
$65.47
|
|
|
Service Code
|
CPT 84238
|
| Hospital Charge Code |
30100631
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$28.81 |
| Max. Negotiated Rate |
$58.92 |
| Rate for Payer: Aetna American Axle |
$42.56
|
| Rate for Payer: Aetna Commercial |
$55.65
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$42.56
|
| Rate for Payer: Cash Price |
$52.38
|
| Rate for Payer: Cofinity Advantage |
$45.83
|
| Rate for Payer: Cofinity Commercial |
$56.30
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$52.38
|
| Rate for Payer: Healthscope Commercial |
$58.92
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$45.83
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$49.10
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$55.65
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$49.10
|
| Rate for Payer: PHP Commercial |
$55.65
|
| Rate for Payer: Priority Health SBD |
$41.25
|
| Rate for Payer: UMR Bronson Commercial |
$28.81
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$49.10
|
|
|
HC SOMATOMEDIN
|
Facility
|
OP
|
$56.24
|
|
|
Service Code
|
CPT 84305
|
| Hospital Charge Code |
30100425
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$11.12 |
| Max. Negotiated Rate |
$50.62 |
| Rate for Payer: Aetna American Axle |
$36.56
|
| Rate for Payer: Aetna Commercial |
$47.80
|
| Rate for Payer: Aetna Medicare |
$22.11
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$36.56
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$26.57
|
| Rate for Payer: Amish Plain Church Group Commercial |
$26.57
|
| Rate for Payer: BCBS Complete |
$11.68
|
| Rate for Payer: BCBS MAPPO |
$21.26
|
| Rate for Payer: BCBS Trust/PPO |
$24.58
|
| Rate for Payer: BCN Commercial |
$24.58
|
| Rate for Payer: BCN Medicare Advantage |
$21.26
|
| Rate for Payer: Cash Price |
$44.99
|
| Rate for Payer: Cash Price |
$44.99
|
| Rate for Payer: Cofinity Advantage |
$39.37
|
| Rate for Payer: Cofinity Commercial |
$48.37
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$44.99
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$21.26
|
| Rate for Payer: Healthscope Commercial |
$50.62
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$39.37
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$42.18
|
| Rate for Payer: Mclaren Medicaid |
$21.26
|
| Rate for Payer: Mclaren Medicare |
$21.26
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$22.32
|
| Rate for Payer: Meridian Medicaid |
$22.32
|
| Rate for Payer: MI Amish Medical Board Commercial |
$24.45
|
| Rate for Payer: Molina Medicare/Medicaid |
$23.39
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$47.80
|
| Rate for Payer: Nomi Health Commercial |
$31.89
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$42.18
|
| Rate for Payer: PACE Medicare |
$20.20
|
| Rate for Payer: PACE SWMI |
$21.26
|
| Rate for Payer: PHP Commercial |
$47.80
|
| Rate for Payer: PHP Medicare Advantage |
$21.26
|
| Rate for Payer: Priority Health Choice Medicaid |
$11.12
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$21.26
|
| Rate for Payer: Priority Health Medicare |
$21.26
|
| Rate for Payer: Priority Health SBD |
$35.43
|
| Rate for Payer: Priority Health Tiered Network |
$17.01
|
| Rate for Payer: Railroad Medicare Medicare |
$21.26
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$31.89
|
| Rate for Payer: UHC Core |
$31.89
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$21.26
|
| Rate for Payer: UHC Exchange |
$31.89
|
| Rate for Payer: UHC Medicaid |
$11.12
|
| Rate for Payer: UHCCP Medicaid |
$11.12
|
| Rate for Payer: UMR Bronson Commercial |
$20.81
|
| Rate for Payer: VA VA |
$21.26
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$42.18
|
|
|
HC SOMATOMEDIN
|
Facility
|
IP
|
$56.24
|
|
|
Service Code
|
CPT 84305
|
| Hospital Charge Code |
30100425
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$24.75 |
| Max. Negotiated Rate |
$50.62 |
| Rate for Payer: Aetna American Axle |
$36.56
|
| Rate for Payer: Aetna Commercial |
$47.80
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$36.56
|
| Rate for Payer: Cash Price |
$44.99
|
| Rate for Payer: Cofinity Advantage |
$39.37
|
| Rate for Payer: Cofinity Commercial |
$48.37
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$44.99
|
| Rate for Payer: Healthscope Commercial |
$50.62
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$39.37
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$42.18
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$47.80
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$42.18
|
| Rate for Payer: PHP Commercial |
$47.80
|
| Rate for Payer: Priority Health SBD |
$35.43
|
| Rate for Payer: UMR Bronson Commercial |
$24.75
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$42.18
|
|
|
HC SOYBEAN IGE
|
Facility
|
IP
|
$25.90
|
|
|
Service Code
|
CPT 86003
|
| Hospital Charge Code |
30200062
|
|
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 SOYBEAN IGE
|
Facility
|
OP
|
$25.90
|
|
|
Service Code
|
CPT 86003
|
| Hospital Charge Code |
30200062
|
|
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 SPACEOAR HYDROGEL
|
Facility
|
OP
|
$6,169.57
|
|
|
Service Code
|
HCPCS C1889
|
| Hospital Charge Code |
27800131
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$0.03 |
| Max. Negotiated Rate |
$5,552.61 |
| Rate for Payer: Aetna American Axle |
$4,010.22
|
| Rate for Payer: Aetna Commercial |
$5,244.13
|
| Rate for Payer: Aetna Medicare |
$3,084.78
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$4,010.22
|
| Rate for Payer: BCBS Complete |
$2,467.83
|
| Rate for Payer: BCBS Trust/PPO |
$0.03
|
| Rate for Payer: BCN Commercial |
$0.03
|
| Rate for Payer: Cash Price |
$4,935.66
|
| Rate for Payer: Cash Price |
$4,935.66
|
| Rate for Payer: Cofinity Advantage |
$4,318.70
|
| Rate for Payer: Cofinity Commercial |
$5,305.83
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$4,935.66
|
| Rate for Payer: Healthscope Commercial |
$5,552.61
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$4,318.70
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$4,627.18
|
| Rate for Payer: MI Amish Medical Board Commercial |
$4,935.66
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$5,244.13
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$4,627.18
|
| Rate for Payer: PHP Commercial |
$5,244.13
|
| Rate for Payer: Priority Health SBD |
$3,886.83
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$4,010.22
|
| Rate for Payer: UHC Core |
$3,214.35
|
| Rate for Payer: UHC Exchange |
$2,424.64
|
| Rate for Payer: UMR Bronson Commercial |
$2,282.74
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$4,627.18
|
|
|
HC SPACEOAR HYDROGEL
|
Facility
|
IP
|
$6,169.57
|
|
|
Service Code
|
HCPCS C1889
|
| Hospital Charge Code |
27800131
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$2,714.61 |
| Max. Negotiated Rate |
$5,552.61 |
| Rate for Payer: Aetna American Axle |
$4,010.22
|
| Rate for Payer: Aetna Commercial |
$5,244.13
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$4,010.22
|
| Rate for Payer: Cash Price |
$4,935.66
|
| Rate for Payer: Cofinity Advantage |
$4,318.70
|
| Rate for Payer: Cofinity Commercial |
$5,305.83
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$4,935.66
|
| Rate for Payer: Healthscope Commercial |
$5,552.61
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$4,318.70
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$4,627.18
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$5,244.13
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$4,627.18
|
| Rate for Payer: PHP Commercial |
$5,244.13
|
| Rate for Payer: Priority Health SBD |
$3,886.83
|
| Rate for Payer: UMR Bronson Commercial |
$2,714.61
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$4,627.18
|
|
|
HC SP ANGIOGRAPHY RENAL BIL
|
Facility
|
OP
|
$3,926.47
|
|
|
Service Code
|
CPT 36252
|
| Hospital Charge Code |
36100348
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$1,452.79 |
| Max. Negotiated Rate |
$10,174.29 |
| Rate for Payer: Aetna American Axle |
$2,552.21
|
| Rate for Payer: Aetna Commercial |
$3,337.50
|
| Rate for Payer: Aetna Medicare |
$3,271.98
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,552.21
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$3,932.66
|
| Rate for Payer: Amish Plain Church Group Commercial |
$3,932.66
|
| Rate for Payer: BCBS Complete |
$1,727.85
|
| Rate for Payer: BCBS MAPPO |
$3,146.13
|
| Rate for Payer: BCBS Trust/PPO |
$2,663.55
|
| Rate for Payer: BCN Commercial |
$2,663.55
|
| Rate for Payer: BCN Medicare Advantage |
$3,146.13
|
| Rate for Payer: Cash Price |
$3,141.18
|
| Rate for Payer: Cash Price |
$3,141.18
|
| Rate for Payer: Cash Price |
$3,141.18
|
| Rate for Payer: Cofinity Advantage |
$2,748.53
|
| Rate for Payer: Cofinity Commercial |
$3,376.76
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,141.18
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$3,146.13
|
| Rate for Payer: Healthscope Commercial |
$3,533.82
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$2,748.53
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,944.85
|
| Rate for Payer: Mclaren Medicaid |
$3,146.13
|
| Rate for Payer: Mclaren Medicare |
$3,146.13
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$3,303.44
|
| Rate for Payer: Meridian Medicaid |
$3,303.44
|
| Rate for Payer: MI Amish Medical Board Commercial |
$3,618.05
|
| Rate for Payer: Molina Medicare/Medicaid |
$3,460.74
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,337.50
|
| Rate for Payer: Nomi Health Commercial |
$9,438.39
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,944.85
|
| Rate for Payer: PACE Medicare |
$2,988.82
|
| Rate for Payer: PACE SWMI |
$3,146.13
|
| Rate for Payer: PHP Commercial |
$3,337.50
|
| Rate for Payer: PHP Medicare Advantage |
$3,146.13
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,645.43
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$10,174.29
|
| Rate for Payer: Priority Health Medicare |
$3,146.13
|
| Rate for Payer: Priority Health SBD |
$2,473.68
|
| Rate for Payer: Priority Health Tiered Network |
$8,139.43
|
| Rate for Payer: Railroad Medicare Medicare |
$3,146.13
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$3,146.13
|
| Rate for Payer: UHC Medicaid |
$1,645.43
|
| Rate for Payer: UHCCP Medicaid |
$1,645.43
|
| Rate for Payer: UMR Bronson Commercial |
$1,452.79
|
| Rate for Payer: VA VA |
$3,146.13
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,944.85
|
|
|
HC SP ANGIOGRAPHY RENAL BIL
|
Facility
|
IP
|
$3,926.47
|
|
|
Service Code
|
CPT 36252
|
| Hospital Charge Code |
36100348
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$1,727.65 |
| Max. Negotiated Rate |
$3,533.82 |
| Rate for Payer: Aetna American Axle |
$2,552.21
|
| Rate for Payer: Aetna Commercial |
$3,337.50
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,552.21
|
| Rate for Payer: Cash Price |
$3,141.18
|
| Rate for Payer: Cofinity Advantage |
$2,748.53
|
| Rate for Payer: Cofinity Commercial |
$3,376.76
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,141.18
|
| Rate for Payer: Healthscope Commercial |
$3,533.82
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$2,748.53
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,944.85
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,337.50
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,944.85
|
| Rate for Payer: PHP Commercial |
$3,337.50
|
| Rate for Payer: Priority Health SBD |
$2,473.68
|
| Rate for Payer: UMR Bronson Commercial |
$1,727.65
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,944.85
|
|
|
HC SP ANGIOGRAPHY RENAL UNI
|
Facility
|
OP
|
$4,061.71
|
|
|
Service Code
|
CPT 36251
|
| Hospital Charge Code |
36100347
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$1,502.83 |
| Max. Negotiated Rate |
$10,174.29 |
| Rate for Payer: Aetna American Axle |
$2,640.11
|
| Rate for Payer: Aetna Commercial |
$3,452.45
|
| Rate for Payer: Aetna Medicare |
$3,271.98
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,640.11
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$3,932.66
|
| Rate for Payer: Amish Plain Church Group Commercial |
$3,932.66
|
| Rate for Payer: BCBS Complete |
$1,727.85
|
| Rate for Payer: BCBS MAPPO |
$3,146.13
|
| Rate for Payer: BCBS Trust/PPO |
$2,663.55
|
| Rate for Payer: BCN Commercial |
$2,663.55
|
| Rate for Payer: BCN Medicare Advantage |
$3,146.13
|
| Rate for Payer: Cash Price |
$3,249.37
|
| Rate for Payer: Cash Price |
$3,249.37
|
| Rate for Payer: Cash Price |
$3,249.37
|
| Rate for Payer: Cofinity Advantage |
$2,843.20
|
| Rate for Payer: Cofinity Commercial |
$3,493.07
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,249.37
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$3,146.13
|
| Rate for Payer: Healthscope Commercial |
$3,655.54
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$2,843.20
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$3,046.28
|
| Rate for Payer: Mclaren Medicaid |
$3,146.13
|
| Rate for Payer: Mclaren Medicare |
$3,146.13
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$3,303.44
|
| Rate for Payer: Meridian Medicaid |
$3,303.44
|
| Rate for Payer: MI Amish Medical Board Commercial |
$3,618.05
|
| Rate for Payer: Molina Medicare/Medicaid |
$3,460.74
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,452.45
|
| Rate for Payer: Nomi Health Commercial |
$9,438.39
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$3,046.28
|
| Rate for Payer: PACE Medicare |
$2,988.82
|
| Rate for Payer: PACE SWMI |
$3,146.13
|
| Rate for Payer: PHP Commercial |
$3,452.45
|
| Rate for Payer: PHP Medicare Advantage |
$3,146.13
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,645.43
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$10,174.29
|
| Rate for Payer: Priority Health Medicare |
$3,146.13
|
| Rate for Payer: Priority Health SBD |
$2,558.88
|
| Rate for Payer: Priority Health Tiered Network |
$8,139.43
|
| Rate for Payer: Railroad Medicare Medicare |
$3,146.13
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$3,146.13
|
| Rate for Payer: UHC Medicaid |
$1,645.43
|
| Rate for Payer: UHCCP Medicaid |
$1,645.43
|
| Rate for Payer: UMR Bronson Commercial |
$1,502.83
|
| Rate for Payer: VA VA |
$3,146.13
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$3,046.28
|
|
|
HC SP ANGIOGRAPHY RENAL UNI
|
Facility
|
IP
|
$4,061.71
|
|
|
Service Code
|
CPT 36251
|
| Hospital Charge Code |
36100347
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$1,787.15 |
| Max. Negotiated Rate |
$3,655.54 |
| Rate for Payer: Aetna American Axle |
$2,640.11
|
| Rate for Payer: Aetna Commercial |
$3,452.45
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,640.11
|
| Rate for Payer: Cash Price |
$3,249.37
|
| Rate for Payer: Cofinity Advantage |
$2,843.20
|
| Rate for Payer: Cofinity Commercial |
$3,493.07
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,249.37
|
| Rate for Payer: Healthscope Commercial |
$3,655.54
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$2,843.20
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$3,046.28
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,452.45
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$3,046.28
|
| Rate for Payer: PHP Commercial |
$3,452.45
|
| Rate for Payer: Priority Health SBD |
$2,558.88
|
| Rate for Payer: UMR Bronson Commercial |
$1,787.15
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$3,046.28
|
|
|
HC SP AORTAGRAM ABDOMEN W RUNOFF
|
Facility
|
OP
|
$3,331.45
|
|
|
Service Code
|
CPT 75630
|
| Hospital Charge Code |
32000177
|
|
Hospital Revenue Code
|
320
|
| Min. Negotiated Rate |
$156.80 |
| Max. Negotiated Rate |
$10,174.29 |
| Rate for Payer: Aetna American Axle |
$2,165.44
|
| Rate for Payer: Aetna Commercial |
$2,831.73
|
| Rate for Payer: Aetna Medicare |
$3,271.98
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,165.44
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$3,932.66
|
| Rate for Payer: Amish Plain Church Group Commercial |
$3,932.66
|
| Rate for Payer: BCBS Complete |
$1,727.85
|
| Rate for Payer: BCBS MAPPO |
$3,146.13
|
| Rate for Payer: BCBS Trust/PPO |
$156.80
|
| Rate for Payer: BCN Commercial |
$156.80
|
| Rate for Payer: BCN Medicare Advantage |
$3,146.13
|
| Rate for Payer: Cash Price |
$2,665.16
|
| Rate for Payer: Cash Price |
$2,665.16
|
| Rate for Payer: Cofinity Advantage |
$2,332.01
|
| Rate for Payer: Cofinity Commercial |
$2,865.05
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,665.16
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$3,146.13
|
| Rate for Payer: Healthscope Commercial |
$2,998.30
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$2,332.01
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,498.59
|
| Rate for Payer: Mclaren Medicaid |
$3,146.13
|
| Rate for Payer: Mclaren Medicare |
$3,146.13
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$3,303.44
|
| Rate for Payer: Meridian Medicaid |
$3,303.44
|
| Rate for Payer: MI Amish Medical Board Commercial |
$3,618.05
|
| Rate for Payer: Molina Medicare/Medicaid |
$3,460.74
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,831.73
|
| Rate for Payer: Nomi Health Commercial |
$9,438.39
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,498.59
|
| Rate for Payer: PACE Medicare |
$2,988.82
|
| Rate for Payer: PACE SWMI |
$3,146.13
|
| Rate for Payer: PHP Commercial |
$2,831.73
|
| Rate for Payer: PHP Medicare Advantage |
$3,146.13
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,645.43
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$10,174.29
|
| Rate for Payer: Priority Health Medicare |
$3,146.13
|
| Rate for Payer: Priority Health SBD |
$2,098.81
|
| Rate for Payer: Priority Health Tiered Network |
$8,139.43
|
| Rate for Payer: Railroad Medicare Medicare |
$3,146.13
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,165.44
|
| Rate for Payer: UHC Core |
$1,735.69
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$3,146.13
|
| Rate for Payer: UHC Exchange |
$1,309.26
|
| Rate for Payer: UHC Medicaid |
$1,645.43
|
| Rate for Payer: UHCCP Medicaid |
$1,645.43
|
| Rate for Payer: UMR Bronson Commercial |
$1,232.64
|
| Rate for Payer: VA VA |
$3,146.13
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,498.59
|
|
|
HC SP AORTAGRAM ABDOMEN W RUNOFF
|
Facility
|
IP
|
$3,331.45
|
|
|
Service Code
|
CPT 75630
|
| Hospital Charge Code |
32000177
|
|
Hospital Revenue Code
|
320
|
| Min. Negotiated Rate |
$1,465.84 |
| Max. Negotiated Rate |
$2,998.30 |
| Rate for Payer: Aetna American Axle |
$2,165.44
|
| Rate for Payer: Aetna Commercial |
$2,831.73
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,165.44
|
| Rate for Payer: Cash Price |
$2,665.16
|
| Rate for Payer: Cofinity Advantage |
$2,332.01
|
| Rate for Payer: Cofinity Commercial |
$2,865.05
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,665.16
|
| Rate for Payer: Healthscope Commercial |
$2,998.30
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$2,332.01
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,498.59
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,831.73
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,498.59
|
| Rate for Payer: PHP Commercial |
$2,831.73
|
| Rate for Payer: Priority Health SBD |
$2,098.81
|
| Rate for Payer: UMR Bronson Commercial |
$1,465.84
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,498.59
|
|
|
HC SPECIAL DOSIMETRY
|
Facility
|
IP
|
$157.06
|
|
|
Service Code
|
CPT 77331
|
| Hospital Charge Code |
33300013
|
|
Hospital Revenue Code
|
333
|
| Min. Negotiated Rate |
$69.11 |
| Max. Negotiated Rate |
$141.35 |
| Rate for Payer: Aetna American Axle |
$102.09
|
| Rate for Payer: Aetna Commercial |
$133.50
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$102.09
|
| Rate for Payer: Cash Price |
$125.65
|
| Rate for Payer: Cofinity Advantage |
$109.94
|
| Rate for Payer: Cofinity Commercial |
$135.07
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$125.65
|
| Rate for Payer: Healthscope Commercial |
$141.35
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$109.94
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$117.80
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$133.50
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$117.80
|
| Rate for Payer: PHP Commercial |
$133.50
|
| Rate for Payer: Priority Health SBD |
$98.95
|
| Rate for Payer: UMR Bronson Commercial |
$69.11
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$117.80
|
|
|
HC SPECIAL DOSIMETRY
|
Facility
|
OP
|
$157.06
|
|
|
Service Code
|
CPT 77331
|
| Hospital Charge Code |
33300013
|
|
Hospital Revenue Code
|
333
|
| Min. Negotiated Rate |
$47.61 |
| Max. Negotiated Rate |
$433.11 |
| Rate for Payer: Aetna American Axle |
$102.09
|
| Rate for Payer: Aetna Commercial |
$133.50
|
| Rate for Payer: Aetna Medicare |
$139.29
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$102.09
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$167.41
|
| Rate for Payer: Amish Plain Church Group Commercial |
$167.41
|
| Rate for Payer: BCBS Complete |
$73.55
|
| Rate for Payer: BCBS MAPPO |
$133.93
|
| Rate for Payer: BCBS Trust/PPO |
$47.61
|
| Rate for Payer: BCN Commercial |
$47.61
|
| Rate for Payer: BCN Medicare Advantage |
$133.93
|
| Rate for Payer: Cash Price |
$125.65
|
| Rate for Payer: Cash Price |
$125.65
|
| Rate for Payer: Cofinity Advantage |
$109.94
|
| Rate for Payer: Cofinity Commercial |
$135.07
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$125.65
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$133.93
|
| Rate for Payer: Healthscope Commercial |
$141.35
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$109.94
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$117.80
|
| Rate for Payer: Mclaren Medicaid |
$133.93
|
| Rate for Payer: Mclaren Medicare |
$133.93
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$140.63
|
| Rate for Payer: Meridian Medicaid |
$140.63
|
| Rate for Payer: MI Amish Medical Board Commercial |
$154.02
|
| Rate for Payer: Molina Medicare/Medicaid |
$147.32
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$133.50
|
| Rate for Payer: Nomi Health Commercial |
$401.79
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$117.80
|
| Rate for Payer: PACE Medicare |
$127.23
|
| Rate for Payer: PACE SWMI |
$133.93
|
| Rate for Payer: PHP Commercial |
$133.50
|
| Rate for Payer: PHP Medicare Advantage |
$133.93
|
| Rate for Payer: Priority Health Choice Medicaid |
$70.05
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$433.11
|
| Rate for Payer: Priority Health Medicare |
$133.93
|
| Rate for Payer: Priority Health SBD |
$98.95
|
| Rate for Payer: Priority Health Tiered Network |
$346.49
|
| Rate for Payer: Railroad Medicare Medicare |
$133.93
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$102.09
|
| Rate for Payer: UHC Core |
$81.83
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$133.93
|
| Rate for Payer: UHC Exchange |
$61.72
|
| Rate for Payer: UHC Medicaid |
$70.05
|
| Rate for Payer: UHCCP Medicaid |
$70.05
|
| Rate for Payer: UMR Bronson Commercial |
$58.11
|
| Rate for Payer: VA VA |
$133.93
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$117.80
|
|
|
HC SPECIAL STAINS
|
Facility
|
OP
|
$245.98
|
|
|
Service Code
|
CPT 88312
|
| Hospital Charge Code |
31000053
|
|
Hospital Revenue Code
|
310
|
| Min. Negotiated Rate |
$27.15 |
| Max. Negotiated Rate |
$221.38 |
| Rate for Payer: Aetna American Axle |
$159.89
|
| Rate for Payer: Aetna Commercial |
$209.08
|
| Rate for Payer: Aetna Medicare |
$54.00
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$159.89
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$64.90
|
| Rate for Payer: Amish Plain Church Group Commercial |
$64.90
|
| Rate for Payer: BCBS Complete |
$28.51
|
| Rate for Payer: BCBS MAPPO |
$51.92
|
| Rate for Payer: BCBS Trust/PPO |
$158.85
|
| Rate for Payer: BCN Commercial |
$158.85
|
| Rate for Payer: BCN Medicare Advantage |
$51.92
|
| Rate for Payer: Cash Price |
$196.78
|
| Rate for Payer: Cash Price |
$196.78
|
| Rate for Payer: Cofinity Advantage |
$172.19
|
| Rate for Payer: Cofinity Commercial |
$211.54
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$196.78
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$51.92
|
| Rate for Payer: Healthscope Commercial |
$221.38
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$172.19
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$184.49
|
| Rate for Payer: Mclaren Medicaid |
$51.92
|
| Rate for Payer: Mclaren Medicare |
$51.92
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$54.52
|
| Rate for Payer: Meridian Medicaid |
$54.52
|
| Rate for Payer: MI Amish Medical Board Commercial |
$59.71
|
| Rate for Payer: Molina Medicare/Medicaid |
$57.11
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$209.08
|
| Rate for Payer: Nomi Health Commercial |
$155.76
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$184.49
|
| Rate for Payer: PACE Medicare |
$49.32
|
| Rate for Payer: PACE SWMI |
$51.92
|
| Rate for Payer: PHP Commercial |
$209.08
|
| Rate for Payer: PHP Medicare Advantage |
$51.92
|
| Rate for Payer: Priority Health Choice Medicaid |
$27.15
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$167.92
|
| Rate for Payer: Priority Health Medicare |
$51.92
|
| Rate for Payer: Priority Health SBD |
$154.97
|
| Rate for Payer: Priority Health Tiered Network |
$134.34
|
| Rate for Payer: Railroad Medicare Medicare |
$51.92
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$80.15
|
| Rate for Payer: UHC Core |
$80.15
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$51.92
|
| Rate for Payer: UHC Exchange |
$80.15
|
| Rate for Payer: UHC Medicaid |
$27.15
|
| Rate for Payer: UHCCP Medicaid |
$27.15
|
| Rate for Payer: UMR Bronson Commercial |
$91.01
|
| Rate for Payer: VA VA |
$51.92
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$184.49
|
|
|
HC SPECIAL STAINS
|
Facility
|
IP
|
$245.98
|
|
|
Service Code
|
CPT 88312
|
| Hospital Charge Code |
31000053
|
|
Hospital Revenue Code
|
310
|
| Min. Negotiated Rate |
$108.23 |
| Max. Negotiated Rate |
$221.38 |
| Rate for Payer: Aetna American Axle |
$159.89
|
| Rate for Payer: Aetna Commercial |
$209.08
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$159.89
|
| Rate for Payer: Cash Price |
$196.78
|
| Rate for Payer: Cofinity Advantage |
$172.19
|
| Rate for Payer: Cofinity Commercial |
$211.54
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$196.78
|
| Rate for Payer: Healthscope Commercial |
$221.38
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$172.19
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$184.49
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$209.08
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$184.49
|
| Rate for Payer: PHP Commercial |
$209.08
|
| Rate for Payer: Priority Health SBD |
$154.97
|
| Rate for Payer: UMR Bronson Commercial |
$108.23
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$184.49
|
|
|
HC SPECIAL STAINS II
|
Facility
|
OP
|
$201.18
|
|
|
Service Code
|
CPT 88313
|
| Hospital Charge Code |
31000054
|
|
Hospital Revenue Code
|
310
|
| Min. Negotiated Rate |
$69.33 |
| Max. Negotiated Rate |
$428.73 |
| Rate for Payer: Aetna American Axle |
$130.77
|
| Rate for Payer: Aetna Commercial |
$171.00
|
| Rate for Payer: Aetna Medicare |
$137.87
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$130.77
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$165.71
|
| Rate for Payer: Amish Plain Church Group Commercial |
$165.71
|
| Rate for Payer: BCBS Complete |
$72.81
|
| Rate for Payer: BCBS MAPPO |
$132.57
|
| Rate for Payer: BCBS Trust/PPO |
$129.92
|
| Rate for Payer: BCN Commercial |
$129.92
|
| Rate for Payer: BCN Medicare Advantage |
$132.57
|
| Rate for Payer: Cash Price |
$160.94
|
| Rate for Payer: Cash Price |
$160.94
|
| Rate for Payer: Cofinity Advantage |
$140.83
|
| Rate for Payer: Cofinity Commercial |
$173.01
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$160.94
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$132.57
|
| Rate for Payer: Healthscope Commercial |
$181.06
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$140.83
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$150.88
|
| Rate for Payer: Mclaren Medicaid |
$132.57
|
| Rate for Payer: Mclaren Medicare |
$132.57
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$139.20
|
| Rate for Payer: Meridian Medicaid |
$139.20
|
| Rate for Payer: MI Amish Medical Board Commercial |
$152.46
|
| Rate for Payer: Molina Medicare/Medicaid |
$145.83
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$171.00
|
| Rate for Payer: Nomi Health Commercial |
$397.71
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$150.88
|
| Rate for Payer: PACE Medicare |
$125.94
|
| Rate for Payer: PACE SWMI |
$132.57
|
| Rate for Payer: PHP Commercial |
$171.00
|
| Rate for Payer: PHP Medicare Advantage |
$132.57
|
| Rate for Payer: Priority Health Choice Medicaid |
$69.33
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$428.73
|
| Rate for Payer: Priority Health Medicare |
$132.57
|
| Rate for Payer: Priority Health SBD |
$126.74
|
| Rate for Payer: Priority Health Tiered Network |
$342.98
|
| Rate for Payer: Railroad Medicare Medicare |
$132.57
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$193.35
|
| Rate for Payer: UHC Core |
$193.35
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$132.57
|
| Rate for Payer: UHC Exchange |
$193.35
|
| Rate for Payer: UHC Medicaid |
$69.33
|
| Rate for Payer: UHCCP Medicaid |
$69.33
|
| Rate for Payer: UMR Bronson Commercial |
$74.44
|
| Rate for Payer: VA VA |
$132.57
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$150.88
|
|
|
HC SPECIAL STAINS II
|
Facility
|
IP
|
$201.18
|
|
|
Service Code
|
CPT 88313
|
| Hospital Charge Code |
31000054
|
|
Hospital Revenue Code
|
310
|
| Min. Negotiated Rate |
$88.52 |
| Max. Negotiated Rate |
$181.06 |
| Rate for Payer: Aetna American Axle |
$130.77
|
| Rate for Payer: Aetna Commercial |
$171.00
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$130.77
|
| Rate for Payer: Cash Price |
$160.94
|
| Rate for Payer: Cofinity Advantage |
$140.83
|
| Rate for Payer: Cofinity Commercial |
$173.01
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$160.94
|
| Rate for Payer: Healthscope Commercial |
$181.06
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$140.83
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$150.88
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$171.00
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$150.88
|
| Rate for Payer: PHP Commercial |
$171.00
|
| Rate for Payer: Priority Health SBD |
$126.74
|
| Rate for Payer: UMR Bronson Commercial |
$88.52
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$150.88
|
|
|
HC SPECIFIC GRAVITY FLUID NOT URINE
|
Facility
|
IP
|
$12.59
|
|
|
Service Code
|
CPT 84315
|
| Hospital Charge Code |
30100426
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$5.54 |
| Max. Negotiated Rate |
$11.33 |
| Rate for Payer: Aetna American Axle |
$8.18
|
| Rate for Payer: Aetna Commercial |
$10.70
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$8.18
|
| Rate for Payer: Cash Price |
$10.07
|
| Rate for Payer: Cofinity Advantage |
$8.81
|
| Rate for Payer: Cofinity Commercial |
$10.83
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$10.07
|
| Rate for Payer: Healthscope Commercial |
$11.33
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$8.81
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$9.44
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$10.70
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$9.44
|
| Rate for Payer: PHP Commercial |
$10.70
|
| Rate for Payer: Priority Health SBD |
$7.93
|
| Rate for Payer: UMR Bronson Commercial |
$5.54
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$9.44
|
|
|
HC SPECIFIC GRAVITY FLUID NOT URINE
|
Facility
|
OP
|
$12.59
|
|
|
Service Code
|
CPT 84315
|
| Hospital Charge Code |
30100426
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$1.72 |
| Max. Negotiated Rate |
$11.33 |
| Rate for Payer: Aetna American Axle |
$8.18
|
| Rate for Payer: Aetna Commercial |
$10.70
|
| Rate for Payer: Aetna Medicare |
$3.41
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$8.18
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$4.10
|
| Rate for Payer: Amish Plain Church Group Commercial |
$4.10
|
| Rate for Payer: BCBS Complete |
$1.80
|
| Rate for Payer: BCBS MAPPO |
$3.28
|
| Rate for Payer: BCBS Trust/PPO |
$3.79
|
| Rate for Payer: BCN Commercial |
$3.79
|
| Rate for Payer: BCN Medicare Advantage |
$3.28
|
| Rate for Payer: Cash Price |
$10.07
|
| Rate for Payer: Cash Price |
$10.07
|
| Rate for Payer: Cofinity Advantage |
$8.81
|
| Rate for Payer: Cofinity Commercial |
$10.83
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$10.07
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$3.28
|
| Rate for Payer: Healthscope Commercial |
$11.33
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$8.81
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$9.44
|
| Rate for Payer: Mclaren Medicaid |
$3.28
|
| Rate for Payer: Mclaren Medicare |
$3.28
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$3.44
|
| Rate for Payer: Meridian Medicaid |
$3.44
|
| Rate for Payer: MI Amish Medical Board Commercial |
$3.77
|
| Rate for Payer: Molina Medicare/Medicaid |
$3.61
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$10.70
|
| Rate for Payer: Nomi Health Commercial |
$4.92
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$9.44
|
| Rate for Payer: PACE Medicare |
$3.12
|
| Rate for Payer: PACE SWMI |
$3.28
|
| Rate for Payer: PHP Commercial |
$10.70
|
| Rate for Payer: PHP Medicare Advantage |
$3.28
|
| Rate for Payer: Priority Health Choice Medicaid |
$1.72
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$3.28
|
| Rate for Payer: Priority Health Medicare |
$3.28
|
| Rate for Payer: Priority Health SBD |
$7.93
|
| Rate for Payer: Priority Health Tiered Network |
$2.62
|
| Rate for Payer: Railroad Medicare Medicare |
$3.28
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$4.92
|
| Rate for Payer: UHC Core |
$4.92
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$3.28
|
| Rate for Payer: UHC Exchange |
$4.92
|
| Rate for Payer: UHC Medicaid |
$1.72
|
| Rate for Payer: UHCCP Medicaid |
$1.72
|
| Rate for Payer: UMR Bronson Commercial |
$4.66
|
| Rate for Payer: VA VA |
$3.28
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$9.44
|
|
|
HC SPECIMEN CONCENTRATION FOR INFECTIOUS AGENTS
|
Facility
|
OP
|
$44.94
|
|
|
Service Code
|
CPT 87015
|
| Hospital Charge Code |
30600068
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$3.49 |
| Max. Negotiated Rate |
$40.45 |
| Rate for Payer: Aetna American Axle |
$29.21
|
| Rate for Payer: Aetna Commercial |
$38.20
|
| Rate for Payer: Aetna Medicare |
$6.95
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$29.21
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$8.35
|
| Rate for Payer: Amish Plain Church Group Commercial |
$8.35
|
| Rate for Payer: BCBS Complete |
$3.67
|
| Rate for Payer: BCBS MAPPO |
$6.68
|
| Rate for Payer: BCBS Trust/PPO |
$7.72
|
| Rate for Payer: BCN Commercial |
$7.72
|
| Rate for Payer: BCN Medicare Advantage |
$6.68
|
| Rate for Payer: Cash Price |
$35.95
|
| Rate for Payer: Cash Price |
$35.95
|
| Rate for Payer: Cofinity Advantage |
$31.46
|
| Rate for Payer: Cofinity Commercial |
$38.65
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$35.95
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$6.68
|
| Rate for Payer: Healthscope Commercial |
$40.45
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$31.46
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$33.70
|
| Rate for Payer: Mclaren Medicaid |
$6.68
|
| Rate for Payer: Mclaren Medicare |
$6.68
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$7.01
|
| Rate for Payer: Meridian Medicaid |
$7.01
|
| Rate for Payer: MI Amish Medical Board Commercial |
$7.68
|
| Rate for Payer: Molina Medicare/Medicaid |
$7.35
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$38.20
|
| Rate for Payer: Nomi Health Commercial |
$10.02
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$33.70
|
| Rate for Payer: PACE Medicare |
$6.35
|
| Rate for Payer: PACE SWMI |
$6.68
|
| Rate for Payer: PHP Commercial |
$38.20
|
| Rate for Payer: PHP Medicare Advantage |
$6.68
|
| Rate for Payer: Priority Health Choice Medicaid |
$3.49
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$6.68
|
| Rate for Payer: Priority Health Medicare |
$6.68
|
| Rate for Payer: Priority Health SBD |
$28.31
|
| Rate for Payer: Priority Health Tiered Network |
$5.34
|
| Rate for Payer: Railroad Medicare Medicare |
$6.68
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$10.02
|
| Rate for Payer: UHC Core |
$10.02
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$6.68
|
| Rate for Payer: UHC Exchange |
$10.02
|
| Rate for Payer: UHC Medicaid |
$3.49
|
| Rate for Payer: UHCCP Medicaid |
$3.49
|
| Rate for Payer: UMR Bronson Commercial |
$16.63
|
| Rate for Payer: VA VA |
$6.68
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$33.70
|
|
|
HC SPECIMEN CONCENTRATION FOR INFECTIOUS AGENTS
|
Facility
|
IP
|
$44.94
|
|
|
Service Code
|
CPT 87015
|
| Hospital Charge Code |
30600068
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$19.77 |
| Max. Negotiated Rate |
$40.45 |
| Rate for Payer: Aetna American Axle |
$29.21
|
| Rate for Payer: Aetna Commercial |
$38.20
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$29.21
|
| Rate for Payer: Cash Price |
$35.95
|
| Rate for Payer: Cofinity Advantage |
$31.46
|
| Rate for Payer: Cofinity Commercial |
$38.65
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$35.95
|
| Rate for Payer: Healthscope Commercial |
$40.45
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$31.46
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$33.70
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$38.20
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$33.70
|
| Rate for Payer: PHP Commercial |
$38.20
|
| Rate for Payer: Priority Health SBD |
$28.31
|
| Rate for Payer: UMR Bronson Commercial |
$19.77
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$33.70
|
|
|
HC SPEC PHYSICS CONSULT
|
Facility
|
IP
|
$567.74
|
|
|
Service Code
|
CPT 77370
|
| Hospital Charge Code |
33300017
|
|
Hospital Revenue Code
|
333
|
| Min. Negotiated Rate |
$249.81 |
| Max. Negotiated Rate |
$510.97 |
| Rate for Payer: Aetna American Axle |
$369.03
|
| Rate for Payer: Aetna Commercial |
$482.58
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$369.03
|
| Rate for Payer: Cash Price |
$454.19
|
| Rate for Payer: Cofinity Advantage |
$397.42
|
| Rate for Payer: Cofinity Commercial |
$488.26
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$454.19
|
| Rate for Payer: Healthscope Commercial |
$510.97
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$397.42
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$425.81
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$482.58
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$425.81
|
| Rate for Payer: PHP Commercial |
$482.58
|
| Rate for Payer: Priority Health SBD |
$357.68
|
| Rate for Payer: UMR Bronson Commercial |
$249.81
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$425.81
|
|
|
HC SPEC PHYSICS CONSULT
|
Facility
|
OP
|
$567.74
|
|
|
Service Code
|
CPT 77370
|
| Hospital Charge Code |
33300017
|
|
Hospital Revenue Code
|
333
|
| Min. Negotiated Rate |
$70.05 |
| Max. Negotiated Rate |
$510.97 |
| Rate for Payer: Aetna American Axle |
$369.03
|
| Rate for Payer: Aetna Commercial |
$482.58
|
| Rate for Payer: Aetna Medicare |
$139.29
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$369.03
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$167.41
|
| Rate for Payer: Amish Plain Church Group Commercial |
$167.41
|
| Rate for Payer: BCBS Complete |
$73.55
|
| Rate for Payer: BCBS MAPPO |
$133.93
|
| Rate for Payer: BCBS Trust/PPO |
$369.40
|
| Rate for Payer: BCN Commercial |
$369.40
|
| Rate for Payer: BCN Medicare Advantage |
$133.93
|
| Rate for Payer: Cash Price |
$454.19
|
| Rate for Payer: Cash Price |
$454.19
|
| Rate for Payer: Cofinity Advantage |
$397.42
|
| Rate for Payer: Cofinity Commercial |
$488.26
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$454.19
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$133.93
|
| Rate for Payer: Healthscope Commercial |
$510.97
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$397.42
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$425.81
|
| Rate for Payer: Mclaren Medicaid |
$133.93
|
| Rate for Payer: Mclaren Medicare |
$133.93
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$140.63
|
| Rate for Payer: Meridian Medicaid |
$140.63
|
| Rate for Payer: MI Amish Medical Board Commercial |
$154.02
|
| Rate for Payer: Molina Medicare/Medicaid |
$147.32
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$482.58
|
| Rate for Payer: Nomi Health Commercial |
$401.79
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$425.81
|
| Rate for Payer: PACE Medicare |
$127.23
|
| Rate for Payer: PACE SWMI |
$133.93
|
| Rate for Payer: PHP Commercial |
$482.58
|
| Rate for Payer: PHP Medicare Advantage |
$133.93
|
| Rate for Payer: Priority Health Choice Medicaid |
$70.05
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$433.11
|
| Rate for Payer: Priority Health Medicare |
$133.93
|
| Rate for Payer: Priority Health SBD |
$357.68
|
| Rate for Payer: Priority Health Tiered Network |
$346.49
|
| Rate for Payer: Railroad Medicare Medicare |
$133.93
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$369.03
|
| Rate for Payer: UHC Core |
$295.79
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$133.93
|
| Rate for Payer: UHC Exchange |
$223.12
|
| Rate for Payer: UHC Medicaid |
$70.05
|
| Rate for Payer: UHCCP Medicaid |
$70.05
|
| Rate for Payer: UMR Bronson Commercial |
$210.06
|
| Rate for Payer: VA VA |
$133.93
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$425.81
|
|
