|
HC SPECTRAL DOPPLER
|
Facility
|
OP
|
$503.46
|
|
|
Service Code
|
CPT 93320
|
| Hospital Charge Code |
48000006
|
|
Hospital Revenue Code
|
480
|
| Min. Negotiated Rate |
$138.06 |
| Max. Negotiated Rate |
$453.11 |
| Rate for Payer: Aetna American Axle |
$327.25
|
| Rate for Payer: Aetna Commercial |
$427.94
|
| Rate for Payer: Aetna Medicare |
$251.73
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$327.25
|
| Rate for Payer: BCBS Complete |
$201.38
|
| Rate for Payer: BCBS Trust/PPO |
$138.06
|
| Rate for Payer: BCN Commercial |
$138.06
|
| Rate for Payer: Cash Price |
$402.77
|
| Rate for Payer: Cash Price |
$402.77
|
| Rate for Payer: Cofinity Advantage |
$352.42
|
| Rate for Payer: Cofinity Commercial |
$432.98
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$402.77
|
| Rate for Payer: Healthscope Commercial |
$453.11
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$352.42
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$377.60
|
| Rate for Payer: MI Amish Medical Board Commercial |
$402.77
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$427.94
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$377.60
|
| Rate for Payer: PHP Commercial |
$427.94
|
| Rate for Payer: Priority Health SBD |
$317.18
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$327.25
|
| Rate for Payer: UHC Core |
$262.30
|
| Rate for Payer: UHC Exchange |
$197.86
|
| Rate for Payer: UMR Bronson Commercial |
$186.28
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$377.60
|
|
|
HC SPECTRAL DOPPLER
|
Facility
|
IP
|
$503.46
|
|
|
Service Code
|
CPT 93320
|
| Hospital Charge Code |
48000006
|
|
Hospital Revenue Code
|
480
|
| Min. Negotiated Rate |
$221.52 |
| Max. Negotiated Rate |
$453.11 |
| Rate for Payer: Aetna American Axle |
$327.25
|
| Rate for Payer: Aetna Commercial |
$427.94
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$327.25
|
| Rate for Payer: Cash Price |
$402.77
|
| Rate for Payer: Cofinity Advantage |
$352.42
|
| Rate for Payer: Cofinity Commercial |
$432.98
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$402.77
|
| Rate for Payer: Healthscope Commercial |
$453.11
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$352.42
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$377.60
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$427.94
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$377.60
|
| Rate for Payer: PHP Commercial |
$427.94
|
| Rate for Payer: Priority Health SBD |
$317.18
|
| Rate for Payer: UMR Bronson Commercial |
$221.52
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$377.60
|
|
|
HC SPEC TX PROCEDURE
|
Facility
|
IP
|
$1,619.40
|
|
|
Service Code
|
CPT 77470
|
| Hospital Charge Code |
33300026
|
|
Hospital Revenue Code
|
333
|
| Min. Negotiated Rate |
$712.54 |
| Max. Negotiated Rate |
$1,457.46 |
| Rate for Payer: Aetna American Axle |
$1,052.61
|
| Rate for Payer: Aetna Commercial |
$1,376.49
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,052.61
|
| Rate for Payer: Cash Price |
$1,295.52
|
| Rate for Payer: Cofinity Advantage |
$1,133.58
|
| Rate for Payer: Cofinity Commercial |
$1,392.68
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,295.52
|
| Rate for Payer: Healthscope Commercial |
$1,457.46
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,133.58
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,214.55
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,376.49
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,214.55
|
| Rate for Payer: PHP Commercial |
$1,376.49
|
| Rate for Payer: Priority Health SBD |
$1,020.22
|
| Rate for Payer: UMR Bronson Commercial |
$712.54
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,214.55
|
|
|
HC SPEC TX PROCEDURE
|
Facility
|
OP
|
$1,619.40
|
|
|
Service Code
|
CPT 77470
|
| Hospital Charge Code |
33300026
|
|
Hospital Revenue Code
|
333
|
| Min. Negotiated Rate |
$96.04 |
| Max. Negotiated Rate |
$1,780.43 |
| Rate for Payer: Aetna American Axle |
$1,052.61
|
| Rate for Payer: Aetna Commercial |
$1,376.49
|
| Rate for Payer: Aetna Medicare |
$572.58
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,052.61
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$688.20
|
| Rate for Payer: Amish Plain Church Group Commercial |
$688.20
|
| Rate for Payer: BCBS Complete |
$302.37
|
| Rate for Payer: BCBS MAPPO |
$550.56
|
| Rate for Payer: BCBS Trust/PPO |
$96.04
|
| Rate for Payer: BCN Commercial |
$96.04
|
| Rate for Payer: BCN Medicare Advantage |
$550.56
|
| Rate for Payer: Cash Price |
$1,295.52
|
| Rate for Payer: Cash Price |
$1,295.52
|
| Rate for Payer: Cofinity Advantage |
$1,133.58
|
| Rate for Payer: Cofinity Commercial |
$1,392.68
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,295.52
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$550.56
|
| Rate for Payer: Healthscope Commercial |
$1,457.46
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,133.58
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,214.55
|
| Rate for Payer: Mclaren Medicaid |
$550.56
|
| Rate for Payer: Mclaren Medicare |
$550.56
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$578.09
|
| Rate for Payer: Meridian Medicaid |
$578.09
|
| Rate for Payer: MI Amish Medical Board Commercial |
$633.14
|
| Rate for Payer: Molina Medicare/Medicaid |
$605.62
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,376.49
|
| Rate for Payer: Nomi Health Commercial |
$1,651.68
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,214.55
|
| Rate for Payer: PACE Medicare |
$523.03
|
| Rate for Payer: PACE SWMI |
$550.56
|
| Rate for Payer: PHP Commercial |
$1,376.49
|
| Rate for Payer: PHP Medicare Advantage |
$550.56
|
| Rate for Payer: Priority Health Choice Medicaid |
$287.94
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$1,780.43
|
| Rate for Payer: Priority Health Medicare |
$550.56
|
| Rate for Payer: Priority Health SBD |
$1,020.22
|
| Rate for Payer: Priority Health Tiered Network |
$1,424.34
|
| Rate for Payer: Railroad Medicare Medicare |
$550.56
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,052.61
|
| Rate for Payer: UHC Core |
$843.71
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$550.56
|
| Rate for Payer: UHC Exchange |
$636.42
|
| Rate for Payer: UHC Medicaid |
$287.94
|
| Rate for Payer: UHCCP Medicaid |
$287.94
|
| Rate for Payer: UMR Bronson Commercial |
$599.18
|
| Rate for Payer: VA VA |
$550.56
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,214.55
|
|
|
HC SPEECH AUDIOMETRY COMPLETE
|
Facility
|
IP
|
$67.63
|
|
|
Service Code
|
CPT 92556
|
| Hospital Charge Code |
76100502
|
|
Hospital Revenue Code
|
471
|
| Min. Negotiated Rate |
$29.76 |
| Max. Negotiated Rate |
$60.87 |
| Rate for Payer: Aetna American Axle |
$43.96
|
| Rate for Payer: Aetna Commercial |
$57.49
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$43.96
|
| Rate for Payer: Cash Price |
$54.10
|
| Rate for Payer: Cofinity Advantage |
$47.34
|
| Rate for Payer: Cofinity Commercial |
$58.16
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$54.10
|
| Rate for Payer: Healthscope Commercial |
$60.87
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$47.34
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$50.72
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$57.49
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$50.72
|
| Rate for Payer: PHP Commercial |
$57.49
|
| Rate for Payer: Priority Health SBD |
$42.61
|
| Rate for Payer: UMR Bronson Commercial |
$29.76
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$50.72
|
|
|
HC SPEECH AUDIOMETRY COMPLETE
|
Facility
|
OP
|
$67.63
|
|
|
Service Code
|
CPT 92556
|
| Hospital Charge Code |
76100502
|
|
Hospital Revenue Code
|
471
|
| Min. Negotiated Rate |
$25.02 |
| Max. Negotiated Rate |
$197.23 |
| Rate for Payer: Aetna American Axle |
$43.96
|
| Rate for Payer: Aetna Commercial |
$57.49
|
| Rate for Payer: Aetna Medicare |
$61.13
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$43.96
|
| 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 |
$197.23
|
| Rate for Payer: BCN Commercial |
$197.23
|
| Rate for Payer: BCN Medicare Advantage |
$58.78
|
| Rate for Payer: Cash Price |
$54.10
|
| Rate for Payer: Cash Price |
$54.10
|
| Rate for Payer: Cofinity Advantage |
$47.34
|
| Rate for Payer: Cofinity Commercial |
$58.16
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$54.10
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$58.78
|
| Rate for Payer: Healthscope Commercial |
$60.87
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$47.34
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$50.72
|
| 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 |
$57.49
|
| Rate for Payer: Nomi Health Commercial |
$176.34
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$50.72
|
| Rate for Payer: PACE Medicare |
$55.84
|
| Rate for Payer: PACE SWMI |
$58.78
|
| Rate for Payer: PHP Commercial |
$57.49
|
| 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 |
$42.61
|
| 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) |
$43.96
|
| Rate for Payer: UHC Core |
$35.24
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$58.78
|
| Rate for Payer: UHC Exchange |
$26.58
|
| Rate for Payer: UHC Medicaid |
$30.74
|
| Rate for Payer: UHCCP Medicaid |
$30.74
|
| Rate for Payer: UMR Bronson Commercial |
$25.02
|
| Rate for Payer: VA VA |
$58.78
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$50.72
|
|
|
HC SPEECH EVAL
|
Facility
|
OP
|
$667.13
|
|
|
Service Code
|
CPT 92523
|
| Hospital Charge Code |
44400009
|
|
Hospital Revenue Code
|
444
|
| Min. Negotiated Rate |
$135.00 |
| Max. Negotiated Rate |
$600.42 |
| Rate for Payer: Aetna American Axle |
$433.63
|
| Rate for Payer: Aetna Commercial |
$567.06
|
| Rate for Payer: Aetna Medicare |
$333.56
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$433.63
|
| Rate for Payer: BCBS Complete |
$266.85
|
| Rate for Payer: BCBS Trust/PPO |
$311.68
|
| Rate for Payer: BCN Commercial |
$311.68
|
| Rate for Payer: Cash Price |
$533.70
|
| Rate for Payer: Cash Price |
$533.70
|
| Rate for Payer: Cash Price |
$533.70
|
| Rate for Payer: Cofinity Advantage |
$466.99
|
| Rate for Payer: Cofinity Commercial |
$573.73
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$533.70
|
| Rate for Payer: Healthscope Commercial |
$600.42
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$466.99
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$500.35
|
| Rate for Payer: MI Amish Medical Board Commercial |
$533.70
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$567.06
|
| Rate for Payer: Nomi Health Commercial |
$135.00
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$500.35
|
| Rate for Payer: PHP Commercial |
$567.06
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$183.04
|
| Rate for Payer: Priority Health SBD |
$420.29
|
| Rate for Payer: Priority Health Tiered Network |
$146.43
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$433.63
|
| Rate for Payer: UHC Core |
$347.57
|
| Rate for Payer: UHC Exchange |
$262.18
|
| Rate for Payer: UMR Bronson Commercial |
$246.84
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$500.35
|
|
|
HC SPEECH EVAL
|
Facility
|
IP
|
$667.13
|
|
|
Service Code
|
CPT 92523
|
| Hospital Charge Code |
44400009
|
|
Hospital Revenue Code
|
444
|
| Min. Negotiated Rate |
$293.54 |
| Max. Negotiated Rate |
$600.42 |
| Rate for Payer: Aetna American Axle |
$433.63
|
| Rate for Payer: Aetna Commercial |
$567.06
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$433.63
|
| Rate for Payer: Cash Price |
$533.70
|
| Rate for Payer: Cofinity Advantage |
$466.99
|
| Rate for Payer: Cofinity Commercial |
$573.73
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$533.70
|
| Rate for Payer: Healthscope Commercial |
$600.42
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$466.99
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$500.35
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$567.06
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$500.35
|
| Rate for Payer: PHP Commercial |
$567.06
|
| Rate for Payer: Priority Health SBD |
$420.29
|
| Rate for Payer: UMR Bronson Commercial |
$293.54
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$500.35
|
|
|
HC SPEECH FLUENCY EVAL
|
Facility
|
OP
|
$354.68
|
|
|
Service Code
|
CPT 92521
|
| Hospital Charge Code |
44400012
|
|
Hospital Revenue Code
|
444
|
| Min. Negotiated Rate |
$86.82 |
| Max. Negotiated Rate |
$319.21 |
| Rate for Payer: Aetna American Axle |
$230.54
|
| Rate for Payer: Aetna Commercial |
$301.48
|
| Rate for Payer: Aetna Medicare |
$177.34
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$230.54
|
| Rate for Payer: BCBS Complete |
$141.87
|
| Rate for Payer: BCBS Trust/PPO |
$182.23
|
| Rate for Payer: BCN Commercial |
$182.23
|
| Rate for Payer: Cash Price |
$283.74
|
| Rate for Payer: Cash Price |
$283.74
|
| Rate for Payer: Cash Price |
$283.74
|
| Rate for Payer: Cofinity Advantage |
$248.28
|
| Rate for Payer: Cofinity Commercial |
$305.02
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$283.74
|
| Rate for Payer: Healthscope Commercial |
$319.21
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$248.28
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$266.01
|
| Rate for Payer: MI Amish Medical Board Commercial |
$283.74
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$301.48
|
| Rate for Payer: Nomi Health Commercial |
$135.00
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$266.01
|
| Rate for Payer: PHP Commercial |
$301.48
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$108.53
|
| Rate for Payer: Priority Health SBD |
$223.45
|
| Rate for Payer: Priority Health Tiered Network |
$86.82
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$230.54
|
| Rate for Payer: UHC Core |
$184.79
|
| Rate for Payer: UHC Exchange |
$139.39
|
| Rate for Payer: UMR Bronson Commercial |
$131.23
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$266.01
|
|
|
HC SPEECH FLUENCY EVAL
|
Facility
|
IP
|
$354.68
|
|
|
Service Code
|
CPT 92521
|
| Hospital Charge Code |
44400012
|
|
Hospital Revenue Code
|
444
|
| Min. Negotiated Rate |
$156.06 |
| Max. Negotiated Rate |
$319.21 |
| Rate for Payer: Aetna American Axle |
$230.54
|
| Rate for Payer: Aetna Commercial |
$301.48
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$230.54
|
| Rate for Payer: Cash Price |
$283.74
|
| Rate for Payer: Cofinity Advantage |
$248.28
|
| Rate for Payer: Cofinity Commercial |
$305.02
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$283.74
|
| Rate for Payer: Healthscope Commercial |
$319.21
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$248.28
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$266.01
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$301.48
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$266.01
|
| Rate for Payer: PHP Commercial |
$301.48
|
| Rate for Payer: Priority Health SBD |
$223.45
|
| Rate for Payer: UMR Bronson Commercial |
$156.06
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$266.01
|
|
|
HC SPEECH/LANGUAGE/HEARING THERAPY
|
Facility
|
IP
|
$223.98
|
|
|
Service Code
|
CPT 92507
|
| Hospital Charge Code |
44000001
|
|
Hospital Revenue Code
|
440
|
| Min. Negotiated Rate |
$98.55 |
| Max. Negotiated Rate |
$201.58 |
| Rate for Payer: Aetna American Axle |
$145.59
|
| Rate for Payer: Aetna Commercial |
$190.38
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$145.59
|
| Rate for Payer: Cash Price |
$179.18
|
| Rate for Payer: Cofinity Advantage |
$156.79
|
| Rate for Payer: Cofinity Commercial |
$192.62
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$179.18
|
| Rate for Payer: Healthscope Commercial |
$201.58
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$156.79
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$167.99
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$190.38
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$167.99
|
| Rate for Payer: PHP Commercial |
$190.38
|
| Rate for Payer: Priority Health SBD |
$141.11
|
| Rate for Payer: UMR Bronson Commercial |
$98.55
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$167.99
|
|
|
HC SPEECH/LANGUAGE/HEARING THERAPY
|
Facility
|
OP
|
$223.98
|
|
|
Service Code
|
CPT 92507
|
| Hospital Charge Code |
44000001
|
|
Hospital Revenue Code
|
440
|
| Min. Negotiated Rate |
$66.40 |
| Max. Negotiated Rate |
$201.58 |
| Rate for Payer: Aetna American Axle |
$145.59
|
| Rate for Payer: Aetna Commercial |
$190.38
|
| Rate for Payer: Aetna Medicare |
$111.99
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$145.59
|
| Rate for Payer: BCBS Complete |
$89.59
|
| Rate for Payer: BCBS Trust/PPO |
$104.64
|
| Rate for Payer: BCN Commercial |
$104.64
|
| Rate for Payer: Cash Price |
$179.18
|
| Rate for Payer: Cash Price |
$179.18
|
| Rate for Payer: Cash Price |
$179.18
|
| Rate for Payer: Cofinity Advantage |
$156.79
|
| Rate for Payer: Cofinity Commercial |
$192.62
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$179.18
|
| Rate for Payer: Healthscope Commercial |
$201.58
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$156.79
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$167.99
|
| Rate for Payer: MI Amish Medical Board Commercial |
$179.18
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$190.38
|
| Rate for Payer: Nomi Health Commercial |
$135.00
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$167.99
|
| Rate for Payer: PHP Commercial |
$190.38
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$83.00
|
| Rate for Payer: Priority Health SBD |
$141.11
|
| Rate for Payer: Priority Health Tiered Network |
$66.40
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$145.59
|
| Rate for Payer: UHC Core |
$116.69
|
| Rate for Payer: UHC Exchange |
$88.02
|
| Rate for Payer: UMR Bronson Commercial |
$82.87
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$167.99
|
|
|
HC SPEECH SOUND PRODUCTION EVAL
|
Facility
|
IP
|
$311.47
|
|
|
Service Code
|
CPT 92522
|
| Hospital Charge Code |
44400010
|
|
Hospital Revenue Code
|
444
|
| Min. Negotiated Rate |
$137.05 |
| Max. Negotiated Rate |
$280.32 |
| Rate for Payer: Aetna American Axle |
$202.46
|
| Rate for Payer: Aetna Commercial |
$264.75
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$202.46
|
| Rate for Payer: Cash Price |
$249.18
|
| Rate for Payer: Cofinity Advantage |
$218.03
|
| Rate for Payer: Cofinity Commercial |
$267.86
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$249.18
|
| Rate for Payer: Healthscope Commercial |
$280.32
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$218.03
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$233.60
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$264.75
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$233.60
|
| Rate for Payer: PHP Commercial |
$264.75
|
| Rate for Payer: Priority Health SBD |
$196.23
|
| Rate for Payer: UMR Bronson Commercial |
$137.05
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$233.60
|
|
|
HC SPEECH SOUND PRODUCTION EVAL
|
Facility
|
OP
|
$311.47
|
|
|
Service Code
|
CPT 92522
|
| Hospital Charge Code |
44400010
|
|
Hospital Revenue Code
|
444
|
| Min. Negotiated Rate |
$70.50 |
| Max. Negotiated Rate |
$280.32 |
| Rate for Payer: Aetna American Axle |
$202.46
|
| Rate for Payer: Aetna Commercial |
$264.75
|
| Rate for Payer: Aetna Medicare |
$155.74
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$202.46
|
| Rate for Payer: BCBS Complete |
$124.59
|
| Rate for Payer: BCBS Trust/PPO |
$151.55
|
| Rate for Payer: BCN Commercial |
$151.55
|
| Rate for Payer: Cash Price |
$249.18
|
| Rate for Payer: Cash Price |
$249.18
|
| Rate for Payer: Cash Price |
$249.18
|
| Rate for Payer: Cofinity Advantage |
$218.03
|
| Rate for Payer: Cofinity Commercial |
$267.86
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$249.18
|
| Rate for Payer: Healthscope Commercial |
$280.32
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$218.03
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$233.60
|
| Rate for Payer: MI Amish Medical Board Commercial |
$249.18
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$264.75
|
| Rate for Payer: Nomi Health Commercial |
$135.00
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$233.60
|
| Rate for Payer: PHP Commercial |
$264.75
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$88.12
|
| Rate for Payer: Priority Health SBD |
$196.23
|
| Rate for Payer: Priority Health Tiered Network |
$70.50
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$202.46
|
| Rate for Payer: UHC Core |
$162.28
|
| Rate for Payer: UHC Exchange |
$122.41
|
| Rate for Payer: UMR Bronson Commercial |
$115.24
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$233.60
|
|
|
HC SPEECH THRESHOLD AUDIOMETRY
|
Facility
|
IP
|
$51.12
|
|
|
Service Code
|
CPT 92555
|
| Hospital Charge Code |
47100011
|
|
Hospital Revenue Code
|
471
|
| Min. Negotiated Rate |
$22.49 |
| Max. Negotiated Rate |
$46.01 |
| Rate for Payer: Aetna American Axle |
$33.23
|
| Rate for Payer: Aetna Commercial |
$43.45
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$33.23
|
| Rate for Payer: Cash Price |
$40.90
|
| Rate for Payer: Cofinity Advantage |
$35.78
|
| Rate for Payer: Cofinity Commercial |
$43.96
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$40.90
|
| Rate for Payer: Healthscope Commercial |
$46.01
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$35.78
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$38.34
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$43.45
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$38.34
|
| Rate for Payer: PHP Commercial |
$43.45
|
| Rate for Payer: Priority Health SBD |
$32.21
|
| Rate for Payer: UMR Bronson Commercial |
$22.49
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$38.34
|
|
|
HC SPEECH THRESHOLD AUDIOMETRY
|
Facility
|
OP
|
$51.12
|
|
|
Service Code
|
CPT 92555
|
| Hospital Charge Code |
47100011
|
|
Hospital Revenue Code
|
471
|
| Min. Negotiated Rate |
$18.91 |
| Max. Negotiated Rate |
$190.09 |
| Rate for Payer: Aetna American Axle |
$33.23
|
| Rate for Payer: Aetna Commercial |
$43.45
|
| Rate for Payer: Aetna Medicare |
$61.13
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$33.23
|
| 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 |
$126.79
|
| Rate for Payer: BCN Commercial |
$126.79
|
| Rate for Payer: BCN Medicare Advantage |
$58.78
|
| Rate for Payer: Cash Price |
$40.90
|
| Rate for Payer: Cash Price |
$40.90
|
| Rate for Payer: Cofinity Advantage |
$35.78
|
| Rate for Payer: Cofinity Commercial |
$43.96
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$40.90
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$58.78
|
| Rate for Payer: Healthscope Commercial |
$46.01
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$35.78
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$38.34
|
| 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 |
$43.45
|
| Rate for Payer: Nomi Health Commercial |
$176.34
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$38.34
|
| Rate for Payer: PACE Medicare |
$55.84
|
| Rate for Payer: PACE SWMI |
$58.78
|
| Rate for Payer: PHP Commercial |
$43.45
|
| 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 |
$32.21
|
| 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) |
$33.23
|
| Rate for Payer: UHC Core |
$26.63
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$58.78
|
| Rate for Payer: UHC Exchange |
$20.09
|
| Rate for Payer: UHC Medicaid |
$30.74
|
| Rate for Payer: UHCCP Medicaid |
$30.74
|
| Rate for Payer: UMR Bronson Commercial |
$18.91
|
| Rate for Payer: VA VA |
$58.78
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$38.34
|
|
|
HC SPEECH VIDEO FLUORO EVAL
|
Facility
|
OP
|
$404.95
|
|
|
Service Code
|
CPT 92611
|
| Hospital Charge Code |
44000004
|
|
Hospital Revenue Code
|
440
|
| Min. Negotiated Rate |
$92.00 |
| Max. Negotiated Rate |
$364.45 |
| Rate for Payer: Aetna American Axle |
$263.22
|
| Rate for Payer: Aetna Commercial |
$344.21
|
| Rate for Payer: Aetna Medicare |
$202.47
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$263.22
|
| Rate for Payer: BCBS Complete |
$161.98
|
| Rate for Payer: BCBS Trust/PPO |
$124.05
|
| Rate for Payer: BCN Commercial |
$124.05
|
| Rate for Payer: Cash Price |
$323.96
|
| Rate for Payer: Cash Price |
$323.96
|
| Rate for Payer: Cash Price |
$323.96
|
| Rate for Payer: Cofinity Advantage |
$283.46
|
| Rate for Payer: Cofinity Commercial |
$348.26
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$323.96
|
| Rate for Payer: Healthscope Commercial |
$364.45
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$283.46
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$303.71
|
| Rate for Payer: MI Amish Medical Board Commercial |
$323.96
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$344.21
|
| Rate for Payer: Nomi Health Commercial |
$135.00
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$303.71
|
| Rate for Payer: PHP Commercial |
$344.21
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$115.00
|
| Rate for Payer: Priority Health SBD |
$255.12
|
| Rate for Payer: Priority Health Tiered Network |
$92.00
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$263.22
|
| Rate for Payer: UHC Core |
$210.98
|
| Rate for Payer: UHC Exchange |
$159.15
|
| Rate for Payer: UMR Bronson Commercial |
$149.83
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$303.71
|
|
|
HC SPEECH VIDEO FLUORO EVAL
|
Facility
|
IP
|
$404.95
|
|
|
Service Code
|
CPT 92611
|
| Hospital Charge Code |
44000004
|
|
Hospital Revenue Code
|
440
|
| Min. Negotiated Rate |
$178.18 |
| Max. Negotiated Rate |
$364.45 |
| Rate for Payer: Aetna American Axle |
$263.22
|
| Rate for Payer: Aetna Commercial |
$344.21
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$263.22
|
| Rate for Payer: Cash Price |
$323.96
|
| Rate for Payer: Cofinity Advantage |
$283.46
|
| Rate for Payer: Cofinity Commercial |
$348.26
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$323.96
|
| Rate for Payer: Healthscope Commercial |
$364.45
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$283.46
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$303.71
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$344.21
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$303.71
|
| Rate for Payer: PHP Commercial |
$344.21
|
| Rate for Payer: Priority Health SBD |
$255.12
|
| Rate for Payer: UMR Bronson Commercial |
$178.18
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$303.71
|
|
|
HC SPEECH VOICE EVALUATION
|
Facility
|
IP
|
$318.60
|
|
|
Service Code
|
CPT 92524
|
| Hospital Charge Code |
44400011
|
|
Hospital Revenue Code
|
444
|
| Min. Negotiated Rate |
$140.18 |
| Max. Negotiated Rate |
$286.74 |
| Rate for Payer: Aetna American Axle |
$207.09
|
| Rate for Payer: Aetna Commercial |
$270.81
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$207.09
|
| Rate for Payer: Cash Price |
$254.88
|
| Rate for Payer: Cofinity Advantage |
$223.02
|
| Rate for Payer: Cofinity Commercial |
$274.00
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$254.88
|
| Rate for Payer: Healthscope Commercial |
$286.74
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$223.02
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$238.95
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$270.81
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$238.95
|
| Rate for Payer: PHP Commercial |
$270.81
|
| Rate for Payer: Priority Health SBD |
$200.72
|
| Rate for Payer: UMR Bronson Commercial |
$140.18
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$238.95
|
|
|
HC SPEECH VOICE EVALUATION
|
Facility
|
OP
|
$318.60
|
|
|
Service Code
|
CPT 92524
|
| Hospital Charge Code |
44400011
|
|
Hospital Revenue Code
|
444
|
| Min. Negotiated Rate |
$73.49 |
| Max. Negotiated Rate |
$286.74 |
| Rate for Payer: Aetna American Axle |
$207.09
|
| Rate for Payer: Aetna Commercial |
$270.81
|
| Rate for Payer: Aetna Medicare |
$159.30
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$207.09
|
| Rate for Payer: BCBS Complete |
$127.44
|
| Rate for Payer: BCBS Trust/PPO |
$148.85
|
| Rate for Payer: BCN Commercial |
$148.85
|
| Rate for Payer: Cash Price |
$254.88
|
| Rate for Payer: Cash Price |
$254.88
|
| Rate for Payer: Cash Price |
$254.88
|
| Rate for Payer: Cofinity Advantage |
$223.02
|
| Rate for Payer: Cofinity Commercial |
$274.00
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$254.88
|
| Rate for Payer: Healthscope Commercial |
$286.74
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$223.02
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$238.95
|
| Rate for Payer: MI Amish Medical Board Commercial |
$254.88
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$270.81
|
| Rate for Payer: Nomi Health Commercial |
$135.00
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$238.95
|
| Rate for Payer: PHP Commercial |
$270.81
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$91.86
|
| Rate for Payer: Priority Health SBD |
$200.72
|
| Rate for Payer: Priority Health Tiered Network |
$73.49
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$207.09
|
| Rate for Payer: UHC Core |
$165.99
|
| Rate for Payer: UHC Exchange |
$125.21
|
| Rate for Payer: UMR Bronson Commercial |
$117.88
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$238.95
|
|
|
HC SPIKE BLOOD ACCESS
|
Facility
|
IP
|
$16.39
|
|
| Hospital Charge Code |
27000669
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$7.21 |
| Max. Negotiated Rate |
$14.75 |
| Rate for Payer: Aetna American Axle |
$10.65
|
| Rate for Payer: Aetna Commercial |
$13.93
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$10.65
|
| Rate for Payer: Cash Price |
$13.11
|
| Rate for Payer: Cofinity Advantage |
$11.47
|
| Rate for Payer: Cofinity Commercial |
$14.10
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$13.11
|
| Rate for Payer: Healthscope Commercial |
$14.75
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$11.47
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$12.29
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$13.93
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$12.29
|
| Rate for Payer: PHP Commercial |
$13.93
|
| Rate for Payer: Priority Health SBD |
$10.33
|
| Rate for Payer: UMR Bronson Commercial |
$7.21
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$12.29
|
|
|
HC SPIKE BLOOD ACCESS
|
Facility
|
OP
|
$16.39
|
|
| Hospital Charge Code |
27000669
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$6.06 |
| Max. Negotiated Rate |
$14.75 |
| Rate for Payer: Aetna American Axle |
$10.65
|
| Rate for Payer: Aetna Commercial |
$13.93
|
| Rate for Payer: Aetna Medicare |
$8.20
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$10.65
|
| Rate for Payer: BCBS Complete |
$6.56
|
| Rate for Payer: Cash Price |
$13.11
|
| Rate for Payer: Cofinity Advantage |
$11.47
|
| Rate for Payer: Cofinity Commercial |
$14.10
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$13.11
|
| Rate for Payer: Healthscope Commercial |
$14.75
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$11.47
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$12.29
|
| Rate for Payer: MI Amish Medical Board Commercial |
$13.11
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$13.93
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$12.29
|
| Rate for Payer: PHP Commercial |
$13.93
|
| Rate for Payer: Priority Health SBD |
$10.33
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$10.65
|
| Rate for Payer: UHC Core |
$8.54
|
| Rate for Payer: UHC Exchange |
$6.44
|
| Rate for Payer: UMR Bronson Commercial |
$6.06
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$12.29
|
|
|
HC SPINAL/EPI ADDL 15 MIN
|
Facility
|
IP
|
$162.90
|
|
| Hospital Charge Code |
37000013
|
|
Hospital Revenue Code
|
370
|
| Min. Negotiated Rate |
$71.68 |
| Max. Negotiated Rate |
$146.61 |
| Rate for Payer: Aetna American Axle |
$105.89
|
| Rate for Payer: Aetna Commercial |
$138.47
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$105.89
|
| Rate for Payer: Cash Price |
$130.32
|
| Rate for Payer: Cofinity Advantage |
$114.03
|
| Rate for Payer: Cofinity Commercial |
$140.09
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$130.32
|
| Rate for Payer: Healthscope Commercial |
$146.61
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$114.03
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$122.17
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$138.47
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$122.17
|
| Rate for Payer: PHP Commercial |
$138.47
|
| Rate for Payer: Priority Health SBD |
$102.63
|
| Rate for Payer: UMR Bronson Commercial |
$71.68
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$122.17
|
|
|
HC SPINAL/EPI ADDL 15 MIN
|
Facility
|
OP
|
$162.90
|
|
| Hospital Charge Code |
37000013
|
|
Hospital Revenue Code
|
370
|
| Min. Negotiated Rate |
$60.27 |
| Max. Negotiated Rate |
$146.61 |
| Rate for Payer: Aetna American Axle |
$105.89
|
| Rate for Payer: Aetna Commercial |
$138.47
|
| Rate for Payer: Aetna Medicare |
$81.45
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$105.89
|
| Rate for Payer: BCBS Complete |
$65.16
|
| Rate for Payer: Cash Price |
$130.32
|
| Rate for Payer: Cofinity Advantage |
$114.03
|
| Rate for Payer: Cofinity Commercial |
$140.09
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$130.32
|
| Rate for Payer: Healthscope Commercial |
$146.61
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$114.03
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$122.17
|
| Rate for Payer: MI Amish Medical Board Commercial |
$130.32
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$138.47
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$122.17
|
| Rate for Payer: PHP Commercial |
$138.47
|
| Rate for Payer: Priority Health SBD |
$102.63
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$105.89
|
| Rate for Payer: UHC Core |
$84.87
|
| Rate for Payer: UHC Exchange |
$64.02
|
| Rate for Payer: UMR Bronson Commercial |
$60.27
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$122.17
|
|
|
HC SPINAL/EPI INIT 30 MIN
|
Facility
|
IP
|
$445.46
|
|
| Hospital Charge Code |
37000014
|
|
Hospital Revenue Code
|
370
|
| Min. Negotiated Rate |
$196.00 |
| Max. Negotiated Rate |
$400.91 |
| Rate for Payer: Aetna American Axle |
$289.55
|
| Rate for Payer: Aetna Commercial |
$378.64
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$289.55
|
| Rate for Payer: Cash Price |
$356.37
|
| Rate for Payer: Cofinity Advantage |
$311.82
|
| Rate for Payer: Cofinity Commercial |
$383.10
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$356.37
|
| Rate for Payer: Healthscope Commercial |
$400.91
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$311.82
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$334.10
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$378.64
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$334.10
|
| Rate for Payer: PHP Commercial |
$378.64
|
| Rate for Payer: Priority Health SBD |
$280.64
|
| Rate for Payer: UMR Bronson Commercial |
$196.00
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$334.10
|
|
