|
HC ST JUDE ICD DUAL
|
Facility
|
OP
|
$21,648.64
|
|
|
Service Code
|
HCPCS C1721
|
| Hospital Charge Code |
27800027
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$8,010.00 |
| Max. Negotiated Rate |
$19,483.78 |
| Rate for Payer: Aetna American Axle |
$14,071.62
|
| Rate for Payer: Aetna Commercial |
$18,401.34
|
| Rate for Payer: Aetna Medicare |
$10,824.32
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$14,071.62
|
| Rate for Payer: BCBS Complete |
$8,659.46
|
| Rate for Payer: Cash Price |
$17,318.91
|
| Rate for Payer: Cofinity Advantage |
$15,154.05
|
| Rate for Payer: Cofinity Commercial |
$18,617.83
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$17,318.91
|
| Rate for Payer: Healthscope Commercial |
$19,483.78
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$15,154.05
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$16,236.48
|
| Rate for Payer: MI Amish Medical Board Commercial |
$17,318.91
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$18,401.34
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$16,236.48
|
| Rate for Payer: PHP Commercial |
$18,401.34
|
| Rate for Payer: Priority Health SBD |
$13,638.64
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$14,071.62
|
| Rate for Payer: UHC Core |
$11,278.94
|
| Rate for Payer: UHC Exchange |
$8,507.92
|
| Rate for Payer: UMR Bronson Commercial |
$8,010.00
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$16,236.48
|
|
|
HC ST JUDE ICD DUAL
|
Facility
|
IP
|
$21,648.64
|
|
|
Service Code
|
HCPCS C1721
|
| Hospital Charge Code |
27800027
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$9,525.40 |
| Max. Negotiated Rate |
$19,483.78 |
| Rate for Payer: Aetna American Axle |
$14,071.62
|
| Rate for Payer: Aetna Commercial |
$18,401.34
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$14,071.62
|
| Rate for Payer: Cash Price |
$17,318.91
|
| Rate for Payer: Cofinity Advantage |
$15,154.05
|
| Rate for Payer: Cofinity Commercial |
$18,617.83
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$17,318.91
|
| Rate for Payer: Healthscope Commercial |
$19,483.78
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$15,154.05
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$16,236.48
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$18,401.34
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$16,236.48
|
| Rate for Payer: PHP Commercial |
$18,401.34
|
| Rate for Payer: Priority Health SBD |
$13,638.64
|
| Rate for Payer: UMR Bronson Commercial |
$9,525.40
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$16,236.48
|
|
|
HC ST JUDE ICD SINGLE
|
Facility
|
OP
|
$14,347.53
|
|
|
Service Code
|
HCPCS C1722
|
| Hospital Charge Code |
27800028
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$5,308.59 |
| Max. Negotiated Rate |
$12,912.78 |
| Rate for Payer: Aetna American Axle |
$9,325.89
|
| Rate for Payer: Aetna Commercial |
$12,195.40
|
| Rate for Payer: Aetna Medicare |
$7,173.77
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$9,325.89
|
| Rate for Payer: BCBS Complete |
$5,739.01
|
| Rate for Payer: Cash Price |
$11,478.02
|
| Rate for Payer: Cofinity Advantage |
$10,043.27
|
| Rate for Payer: Cofinity Commercial |
$12,338.88
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$11,478.02
|
| Rate for Payer: Healthscope Commercial |
$12,912.78
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$10,043.27
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$10,760.65
|
| Rate for Payer: MI Amish Medical Board Commercial |
$11,478.02
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$12,195.40
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$10,760.65
|
| Rate for Payer: PHP Commercial |
$12,195.40
|
| Rate for Payer: Priority Health SBD |
$9,038.94
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$9,325.89
|
| Rate for Payer: UHC Core |
$7,475.06
|
| Rate for Payer: UHC Exchange |
$5,638.58
|
| Rate for Payer: UMR Bronson Commercial |
$5,308.59
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$10,760.65
|
|
|
HC ST JUDE ICD SINGLE
|
Facility
|
IP
|
$14,347.53
|
|
|
Service Code
|
HCPCS C1722
|
| Hospital Charge Code |
27800028
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$6,312.91 |
| Max. Negotiated Rate |
$12,912.78 |
| Rate for Payer: Aetna American Axle |
$9,325.89
|
| Rate for Payer: Aetna Commercial |
$12,195.40
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$9,325.89
|
| Rate for Payer: Cash Price |
$11,478.02
|
| Rate for Payer: Cofinity Advantage |
$10,043.27
|
| Rate for Payer: Cofinity Commercial |
$12,338.88
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$11,478.02
|
| Rate for Payer: Healthscope Commercial |
$12,912.78
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$10,043.27
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$10,760.65
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$12,195.40
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$10,760.65
|
| Rate for Payer: PHP Commercial |
$12,195.40
|
| Rate for Payer: Priority Health SBD |
$9,038.94
|
| Rate for Payer: UMR Bronson Commercial |
$6,312.91
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$10,760.65
|
|
|
HC ST JUDE SINGLE PACEMAKER
|
Facility
|
IP
|
$7,322.34
|
|
|
Service Code
|
HCPCS C1786
|
| Hospital Charge Code |
27500011
|
|
Hospital Revenue Code
|
275
|
| Min. Negotiated Rate |
$3,221.83 |
| Max. Negotiated Rate |
$6,590.11 |
| Rate for Payer: Aetna American Axle |
$4,759.52
|
| Rate for Payer: Aetna Commercial |
$6,223.99
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$4,759.52
|
| Rate for Payer: Cash Price |
$5,857.87
|
| Rate for Payer: Cofinity Advantage |
$5,125.64
|
| Rate for Payer: Cofinity Commercial |
$6,297.21
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$5,857.87
|
| Rate for Payer: Healthscope Commercial |
$6,590.11
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$5,125.64
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$5,491.76
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$6,223.99
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$5,491.76
|
| Rate for Payer: PHP Commercial |
$6,223.99
|
| Rate for Payer: Priority Health SBD |
$4,613.07
|
| Rate for Payer: UMR Bronson Commercial |
$3,221.83
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$5,491.76
|
|
|
HC ST JUDE SINGLE PACEMAKER
|
Facility
|
OP
|
$7,322.34
|
|
|
Service Code
|
HCPCS C1786
|
| Hospital Charge Code |
27500011
|
|
Hospital Revenue Code
|
275
|
| Min. Negotiated Rate |
$2,709.27 |
| Max. Negotiated Rate |
$6,590.11 |
| Rate for Payer: Aetna American Axle |
$4,759.52
|
| Rate for Payer: Aetna Commercial |
$6,223.99
|
| Rate for Payer: Aetna Medicare |
$3,661.17
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$4,759.52
|
| Rate for Payer: BCBS Complete |
$2,928.94
|
| Rate for Payer: Cash Price |
$5,857.87
|
| Rate for Payer: Cofinity Advantage |
$5,125.64
|
| Rate for Payer: Cofinity Commercial |
$6,297.21
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$5,857.87
|
| Rate for Payer: Healthscope Commercial |
$6,590.11
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$5,125.64
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$5,491.76
|
| Rate for Payer: MI Amish Medical Board Commercial |
$5,857.87
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$6,223.99
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$5,491.76
|
| Rate for Payer: PHP Commercial |
$6,223.99
|
| Rate for Payer: Priority Health SBD |
$4,613.07
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$4,759.52
|
| Rate for Payer: UHC Core |
$3,814.94
|
| Rate for Payer: UHC Exchange |
$2,877.68
|
| Rate for Payer: UMR Bronson Commercial |
$2,709.27
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$5,491.76
|
|
|
HC ST JUDE TACHY (ICD) LEAD
|
Facility
|
IP
|
$8,328.01
|
|
|
Service Code
|
HCPCS C1895
|
| Hospital Charge Code |
27800029
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$3,664.32 |
| Max. Negotiated Rate |
$7,495.21 |
| Rate for Payer: Aetna American Axle |
$5,413.21
|
| Rate for Payer: Aetna Commercial |
$7,078.81
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$5,413.21
|
| Rate for Payer: Cash Price |
$6,662.41
|
| Rate for Payer: Cofinity Advantage |
$5,829.61
|
| Rate for Payer: Cofinity Commercial |
$7,162.09
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$6,662.41
|
| Rate for Payer: Healthscope Commercial |
$7,495.21
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$5,829.61
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$6,246.01
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$7,078.81
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$6,246.01
|
| Rate for Payer: PHP Commercial |
$7,078.81
|
| Rate for Payer: Priority Health SBD |
$5,246.65
|
| Rate for Payer: UMR Bronson Commercial |
$3,664.32
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$6,246.01
|
|
|
HC ST JUDE TACHY (ICD) LEAD
|
Facility
|
OP
|
$8,328.01
|
|
|
Service Code
|
HCPCS C1895
|
| Hospital Charge Code |
27800029
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$3,081.36 |
| Max. Negotiated Rate |
$7,495.21 |
| Rate for Payer: Aetna American Axle |
$5,413.21
|
| Rate for Payer: Aetna Commercial |
$7,078.81
|
| Rate for Payer: Aetna Medicare |
$4,164.01
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$5,413.21
|
| Rate for Payer: BCBS Complete |
$3,331.20
|
| Rate for Payer: Cash Price |
$6,662.41
|
| Rate for Payer: Cofinity Advantage |
$5,829.61
|
| Rate for Payer: Cofinity Commercial |
$7,162.09
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$6,662.41
|
| Rate for Payer: Healthscope Commercial |
$7,495.21
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$5,829.61
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$6,246.01
|
| Rate for Payer: MI Amish Medical Board Commercial |
$6,662.41
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$7,078.81
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$6,246.01
|
| Rate for Payer: PHP Commercial |
$7,078.81
|
| Rate for Payer: Priority Health SBD |
$5,246.65
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$5,413.21
|
| Rate for Payer: UHC Core |
$4,338.89
|
| Rate for Payer: UHC Exchange |
$3,272.91
|
| Rate for Payer: UMR Bronson Commercial |
$3,081.36
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$6,246.01
|
|
|
HC STOOL CULTURE
|
Facility
|
OP
|
$40.75
|
|
|
Service Code
|
CPT 87045
|
| Hospital Charge Code |
30600073
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$4.94 |
| Max. Negotiated Rate |
$36.67 |
| Rate for Payer: Aetna American Axle |
$26.49
|
| Rate for Payer: Aetna Commercial |
$34.64
|
| Rate for Payer: Aetna Medicare |
$9.82
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$26.49
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$11.80
|
| Rate for Payer: Amish Plain Church Group Commercial |
$11.80
|
| Rate for Payer: BCBS Complete |
$5.18
|
| Rate for Payer: BCBS MAPPO |
$9.44
|
| Rate for Payer: BCBS Trust/PPO |
$10.91
|
| Rate for Payer: BCN Commercial |
$10.91
|
| Rate for Payer: BCN Medicare Advantage |
$9.44
|
| Rate for Payer: Cash Price |
$32.60
|
| Rate for Payer: Cash Price |
$32.60
|
| Rate for Payer: Cofinity Advantage |
$28.52
|
| Rate for Payer: Cofinity Commercial |
$35.05
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$32.60
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$9.44
|
| Rate for Payer: Healthscope Commercial |
$36.67
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$28.52
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$30.56
|
| Rate for Payer: Mclaren Medicaid |
$9.44
|
| Rate for Payer: Mclaren Medicare |
$9.44
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$9.91
|
| Rate for Payer: Meridian Medicaid |
$9.91
|
| Rate for Payer: MI Amish Medical Board Commercial |
$10.86
|
| Rate for Payer: Molina Medicare/Medicaid |
$10.38
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$34.64
|
| Rate for Payer: Nomi Health Commercial |
$14.16
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$30.56
|
| Rate for Payer: PACE Medicare |
$8.97
|
| Rate for Payer: PACE SWMI |
$9.44
|
| Rate for Payer: PHP Commercial |
$34.64
|
| Rate for Payer: PHP Medicare Advantage |
$9.44
|
| Rate for Payer: Priority Health Choice Medicaid |
$4.94
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$9.44
|
| Rate for Payer: Priority Health Medicare |
$9.44
|
| Rate for Payer: Priority Health SBD |
$25.67
|
| Rate for Payer: Priority Health Tiered Network |
$7.55
|
| Rate for Payer: Railroad Medicare Medicare |
$9.44
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$14.16
|
| Rate for Payer: UHC Core |
$14.16
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$9.44
|
| Rate for Payer: UHC Exchange |
$14.16
|
| Rate for Payer: UHC Medicaid |
$4.94
|
| Rate for Payer: UHCCP Medicaid |
$4.94
|
| Rate for Payer: UMR Bronson Commercial |
$15.08
|
| Rate for Payer: VA VA |
$9.44
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$30.56
|
|
|
HC STOOL CULTURE
|
Facility
|
IP
|
$40.75
|
|
|
Service Code
|
CPT 87045
|
| Hospital Charge Code |
30600073
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$17.93 |
| Max. Negotiated Rate |
$36.67 |
| Rate for Payer: Aetna American Axle |
$26.49
|
| Rate for Payer: Aetna Commercial |
$34.64
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$26.49
|
| Rate for Payer: Cash Price |
$32.60
|
| Rate for Payer: Cofinity Advantage |
$28.52
|
| Rate for Payer: Cofinity Commercial |
$35.05
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$32.60
|
| Rate for Payer: Healthscope Commercial |
$36.67
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$28.52
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$30.56
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$34.64
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$30.56
|
| Rate for Payer: PHP Commercial |
$34.64
|
| Rate for Payer: Priority Health SBD |
$25.67
|
| Rate for Payer: UMR Bronson Commercial |
$17.93
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$30.56
|
|
|
HC STOOL CULTURE CMPT
|
Facility
|
OP
|
$40.75
|
|
|
Service Code
|
CPT 87046
|
| Hospital Charge Code |
30600074
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$4.94 |
| Max. Negotiated Rate |
$36.67 |
| Rate for Payer: Aetna American Axle |
$26.49
|
| Rate for Payer: Aetna Commercial |
$34.64
|
| Rate for Payer: Aetna Medicare |
$9.82
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$26.49
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$11.80
|
| Rate for Payer: Amish Plain Church Group Commercial |
$11.80
|
| Rate for Payer: BCBS Complete |
$5.18
|
| Rate for Payer: BCBS MAPPO |
$9.44
|
| Rate for Payer: BCBS Trust/PPO |
$10.91
|
| Rate for Payer: BCN Commercial |
$10.91
|
| Rate for Payer: BCN Medicare Advantage |
$9.44
|
| Rate for Payer: Cash Price |
$32.60
|
| Rate for Payer: Cash Price |
$32.60
|
| Rate for Payer: Cofinity Advantage |
$28.52
|
| Rate for Payer: Cofinity Commercial |
$35.05
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$32.60
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$9.44
|
| Rate for Payer: Healthscope Commercial |
$36.67
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$28.52
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$30.56
|
| Rate for Payer: Mclaren Medicaid |
$9.44
|
| Rate for Payer: Mclaren Medicare |
$9.44
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$9.91
|
| Rate for Payer: Meridian Medicaid |
$9.91
|
| Rate for Payer: MI Amish Medical Board Commercial |
$10.86
|
| Rate for Payer: Molina Medicare/Medicaid |
$10.38
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$34.64
|
| Rate for Payer: Nomi Health Commercial |
$14.16
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$30.56
|
| Rate for Payer: PACE Medicare |
$8.97
|
| Rate for Payer: PACE SWMI |
$9.44
|
| Rate for Payer: PHP Commercial |
$34.64
|
| Rate for Payer: PHP Medicare Advantage |
$9.44
|
| Rate for Payer: Priority Health Choice Medicaid |
$4.94
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$9.44
|
| Rate for Payer: Priority Health Medicare |
$9.44
|
| Rate for Payer: Priority Health SBD |
$25.67
|
| Rate for Payer: Priority Health Tiered Network |
$7.55
|
| Rate for Payer: Railroad Medicare Medicare |
$9.44
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$14.16
|
| Rate for Payer: UHC Core |
$14.16
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$9.44
|
| Rate for Payer: UHC Exchange |
$14.16
|
| Rate for Payer: UHC Medicaid |
$4.94
|
| Rate for Payer: UHCCP Medicaid |
$4.94
|
| Rate for Payer: UMR Bronson Commercial |
$15.08
|
| Rate for Payer: VA VA |
$9.44
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$30.56
|
|
|
HC STOOL CULTURE CMPT
|
Facility
|
IP
|
$40.75
|
|
|
Service Code
|
CPT 87046
|
| Hospital Charge Code |
30600074
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$17.93 |
| Max. Negotiated Rate |
$36.67 |
| Rate for Payer: Aetna American Axle |
$26.49
|
| Rate for Payer: Aetna Commercial |
$34.64
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$26.49
|
| Rate for Payer: Cash Price |
$32.60
|
| Rate for Payer: Cofinity Advantage |
$28.52
|
| Rate for Payer: Cofinity Commercial |
$35.05
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$32.60
|
| Rate for Payer: Healthscope Commercial |
$36.67
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$28.52
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$30.56
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$34.64
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$30.56
|
| Rate for Payer: PHP Commercial |
$34.64
|
| Rate for Payer: Priority Health SBD |
$25.67
|
| Rate for Payer: UMR Bronson Commercial |
$17.93
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$30.56
|
|
|
HC STOOL CULTURE CMPT2
|
Facility
|
OP
|
$13.59
|
|
|
Service Code
|
CPT 87015
|
| Hospital Charge Code |
30600069
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$3.49 |
| Max. Negotiated Rate |
$12.23 |
| Rate for Payer: Aetna American Axle |
$8.83
|
| Rate for Payer: Aetna Commercial |
$11.55
|
| Rate for Payer: Aetna Medicare |
$6.95
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$8.83
|
| 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 |
$10.87
|
| Rate for Payer: Cash Price |
$10.87
|
| Rate for Payer: Cofinity Advantage |
$9.51
|
| Rate for Payer: Cofinity Commercial |
$11.69
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$10.87
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$6.68
|
| Rate for Payer: Healthscope Commercial |
$12.23
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$9.51
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$10.19
|
| 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 |
$11.55
|
| Rate for Payer: Nomi Health Commercial |
$10.02
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$10.19
|
| Rate for Payer: PACE Medicare |
$6.35
|
| Rate for Payer: PACE SWMI |
$6.68
|
| Rate for Payer: PHP Commercial |
$11.55
|
| 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 |
$8.56
|
| 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 |
$5.03
|
| Rate for Payer: VA VA |
$6.68
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$10.19
|
|
|
HC STOOL CULTURE CMPT2
|
Facility
|
IP
|
$13.59
|
|
|
Service Code
|
CPT 87015
|
| Hospital Charge Code |
30600069
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$5.98 |
| Max. Negotiated Rate |
$12.23 |
| Rate for Payer: Aetna American Axle |
$8.83
|
| Rate for Payer: Aetna Commercial |
$11.55
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$8.83
|
| Rate for Payer: Cash Price |
$10.87
|
| Rate for Payer: Cofinity Advantage |
$9.51
|
| Rate for Payer: Cofinity Commercial |
$11.69
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$10.87
|
| Rate for Payer: Healthscope Commercial |
$12.23
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$9.51
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$10.19
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$11.55
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$10.19
|
| Rate for Payer: PHP Commercial |
$11.55
|
| Rate for Payer: Priority Health SBD |
$8.56
|
| Rate for Payer: UMR Bronson Commercial |
$5.98
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$10.19
|
|
|
HC STOOL CULTURE CMPT 3
|
Facility
|
IP
|
$43.40
|
|
|
Service Code
|
CPT 87899
|
| Hospital Charge Code |
30600177
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$19.10 |
| Max. Negotiated Rate |
$39.06 |
| Rate for Payer: Aetna American Axle |
$28.21
|
| Rate for Payer: Aetna Commercial |
$36.89
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$28.21
|
| Rate for Payer: Cash Price |
$34.72
|
| Rate for Payer: Cofinity Advantage |
$30.38
|
| Rate for Payer: Cofinity Commercial |
$37.32
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$34.72
|
| Rate for Payer: Healthscope Commercial |
$39.06
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$30.38
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$32.55
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$36.89
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$32.55
|
| Rate for Payer: PHP Commercial |
$36.89
|
| Rate for Payer: Priority Health SBD |
$27.34
|
| Rate for Payer: UMR Bronson Commercial |
$19.10
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$32.55
|
|
|
HC STOOL CULTURE CMPT 3
|
Facility
|
OP
|
$43.40
|
|
|
Service Code
|
CPT 87899
|
| Hospital Charge Code |
30600177
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$8.40 |
| Max. Negotiated Rate |
$39.06 |
| Rate for Payer: Aetna American Axle |
$28.21
|
| Rate for Payer: Aetna Commercial |
$36.89
|
| Rate for Payer: Aetna Medicare |
$16.71
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$28.21
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$20.09
|
| Rate for Payer: Amish Plain Church Group Commercial |
$20.09
|
| Rate for Payer: BCBS Complete |
$8.83
|
| Rate for Payer: BCBS MAPPO |
$16.07
|
| Rate for Payer: BCBS Trust/PPO |
$18.57
|
| Rate for Payer: BCN Commercial |
$18.57
|
| Rate for Payer: BCN Medicare Advantage |
$16.07
|
| Rate for Payer: Cash Price |
$34.72
|
| Rate for Payer: Cash Price |
$34.72
|
| Rate for Payer: Cofinity Advantage |
$30.38
|
| Rate for Payer: Cofinity Commercial |
$37.32
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$34.72
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$16.07
|
| Rate for Payer: Healthscope Commercial |
$39.06
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$30.38
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$32.55
|
| Rate for Payer: Mclaren Medicaid |
$16.07
|
| Rate for Payer: Mclaren Medicare |
$16.07
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$16.87
|
| Rate for Payer: Meridian Medicaid |
$16.87
|
| Rate for Payer: MI Amish Medical Board Commercial |
$18.48
|
| Rate for Payer: Molina Medicare/Medicaid |
$17.68
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$36.89
|
| Rate for Payer: Nomi Health Commercial |
$24.11
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$32.55
|
| Rate for Payer: PACE Medicare |
$15.27
|
| Rate for Payer: PACE SWMI |
$16.07
|
| Rate for Payer: PHP Commercial |
$36.89
|
| Rate for Payer: PHP Medicare Advantage |
$16.07
|
| Rate for Payer: Priority Health Choice Medicaid |
$8.40
|
| Rate for Payer: Priority Health Medicare |
$16.07
|
| Rate for Payer: Priority Health SBD |
$27.34
|
| Rate for Payer: Railroad Medicare Medicare |
$16.07
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$24.11
|
| Rate for Payer: UHC Core |
$24.11
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$16.07
|
| Rate for Payer: UHC Exchange |
$24.11
|
| Rate for Payer: UHC Medicaid |
$8.40
|
| Rate for Payer: UHCCP Medicaid |
$8.40
|
| Rate for Payer: UMR Bronson Commercial |
$16.06
|
| Rate for Payer: VA VA |
$16.07
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$32.55
|
|
|
HC STRAPPING ANKLE AND OR FOOT
|
Facility
|
IP
|
$137.21
|
|
|
Service Code
|
CPT 29540
|
| Hospital Charge Code |
42000005
|
|
Hospital Revenue Code
|
420
|
| Min. Negotiated Rate |
$60.37 |
| Max. Negotiated Rate |
$123.49 |
| Rate for Payer: Aetna American Axle |
$89.19
|
| Rate for Payer: Aetna Commercial |
$116.63
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$89.19
|
| Rate for Payer: Cash Price |
$109.77
|
| Rate for Payer: Cofinity Advantage |
$96.05
|
| Rate for Payer: Cofinity Commercial |
$118.00
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$109.77
|
| Rate for Payer: Healthscope Commercial |
$123.49
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$96.05
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$102.91
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$116.63
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$102.91
|
| Rate for Payer: PHP Commercial |
$116.63
|
| Rate for Payer: Priority Health SBD |
$86.44
|
| Rate for Payer: UMR Bronson Commercial |
$60.37
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$102.91
|
|
|
HC STRAPPING ANKLE AND OR FOOT
|
Facility
|
OP
|
$137.21
|
|
|
Service Code
|
CPT 29540
|
| Hospital Charge Code |
42000005
|
|
Hospital Revenue Code
|
420
|
| Min. Negotiated Rate |
$50.77 |
| Max. Negotiated Rate |
$523.62 |
| Rate for Payer: Aetna American Axle |
$89.19
|
| Rate for Payer: Aetna Commercial |
$116.63
|
| Rate for Payer: Aetna Medicare |
$168.40
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$89.19
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$202.40
|
| Rate for Payer: Amish Plain Church Group Commercial |
$202.40
|
| Rate for Payer: BCBS Complete |
$88.93
|
| Rate for Payer: BCBS MAPPO |
$161.92
|
| Rate for Payer: BCBS Trust/PPO |
$197.50
|
| Rate for Payer: BCN Commercial |
$197.50
|
| Rate for Payer: BCN Medicare Advantage |
$161.92
|
| Rate for Payer: Cash Price |
$109.77
|
| Rate for Payer: Cash Price |
$109.77
|
| Rate for Payer: Cash Price |
$109.77
|
| Rate for Payer: Cash Price |
$109.77
|
| Rate for Payer: Cofinity Advantage |
$96.05
|
| Rate for Payer: Cofinity Commercial |
$118.00
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$109.77
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$161.92
|
| Rate for Payer: Healthscope Commercial |
$123.49
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$96.05
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$102.91
|
| Rate for Payer: Mclaren Medicaid |
$161.92
|
| Rate for Payer: Mclaren Medicare |
$161.92
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$170.02
|
| Rate for Payer: Meridian Medicaid |
$170.02
|
| Rate for Payer: MI Amish Medical Board Commercial |
$186.21
|
| Rate for Payer: Molina Medicare/Medicaid |
$178.11
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$116.63
|
| Rate for Payer: Nomi Health Commercial |
$135.00
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$102.91
|
| Rate for Payer: PACE Medicare |
$153.82
|
| Rate for Payer: PACE SWMI |
$161.92
|
| Rate for Payer: PHP Commercial |
$116.63
|
| Rate for Payer: PHP Medicare Advantage |
$161.92
|
| Rate for Payer: Priority Health Choice Medicaid |
$84.68
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$523.62
|
| Rate for Payer: Priority Health Medicare |
$161.92
|
| Rate for Payer: Priority Health SBD |
$86.44
|
| Rate for Payer: Priority Health Tiered Network |
$418.90
|
| Rate for Payer: Railroad Medicare Medicare |
$161.92
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$89.19
|
| Rate for Payer: UHC Core |
$71.49
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$161.92
|
| Rate for Payer: UHC Exchange |
$53.92
|
| Rate for Payer: UHC Medicaid |
$84.68
|
| Rate for Payer: UHCCP Medicaid |
$84.68
|
| Rate for Payer: UMR Bronson Commercial |
$50.77
|
| Rate for Payer: VA VA |
$161.92
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$102.91
|
|
|
HC STRAPPING CASTING UNLISTED
|
Facility
|
OP
|
$236.86
|
|
|
Service Code
|
CPT 29799
|
| Hospital Charge Code |
42000053
|
|
Hospital Revenue Code
|
420
|
| Min. Negotiated Rate |
$84.68 |
| Max. Negotiated Rate |
$523.62 |
| Rate for Payer: Aetna American Axle |
$153.96
|
| Rate for Payer: Aetna Commercial |
$201.33
|
| Rate for Payer: Aetna Medicare |
$168.40
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$153.96
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$202.40
|
| Rate for Payer: Amish Plain Church Group Commercial |
$202.40
|
| Rate for Payer: BCBS Complete |
$88.93
|
| Rate for Payer: BCBS MAPPO |
$161.92
|
| Rate for Payer: BCBS Trust/PPO |
$141.23
|
| Rate for Payer: BCN Commercial |
$141.23
|
| Rate for Payer: BCN Medicare Advantage |
$161.92
|
| Rate for Payer: Cash Price |
$189.49
|
| Rate for Payer: Cash Price |
$189.49
|
| Rate for Payer: Cash Price |
$189.49
|
| Rate for Payer: Cash Price |
$189.49
|
| Rate for Payer: Cofinity Advantage |
$165.80
|
| Rate for Payer: Cofinity Commercial |
$203.70
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$189.49
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$161.92
|
| Rate for Payer: Healthscope Commercial |
$213.17
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$165.80
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$177.65
|
| Rate for Payer: Mclaren Medicaid |
$161.92
|
| Rate for Payer: Mclaren Medicare |
$161.92
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$170.02
|
| Rate for Payer: Meridian Medicaid |
$170.02
|
| Rate for Payer: MI Amish Medical Board Commercial |
$186.21
|
| Rate for Payer: Molina Medicare/Medicaid |
$178.11
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$201.33
|
| Rate for Payer: Nomi Health Commercial |
$135.00
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$177.65
|
| Rate for Payer: PACE Medicare |
$153.82
|
| Rate for Payer: PACE SWMI |
$161.92
|
| Rate for Payer: PHP Commercial |
$201.33
|
| Rate for Payer: PHP Medicare Advantage |
$161.92
|
| Rate for Payer: Priority Health Choice Medicaid |
$84.68
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$523.62
|
| Rate for Payer: Priority Health Medicare |
$161.92
|
| Rate for Payer: Priority Health SBD |
$149.22
|
| Rate for Payer: Priority Health Tiered Network |
$418.90
|
| Rate for Payer: Railroad Medicare Medicare |
$161.92
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$153.96
|
| Rate for Payer: UHC Core |
$123.40
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$161.92
|
| Rate for Payer: UHC Exchange |
$93.09
|
| Rate for Payer: UHC Medicaid |
$84.68
|
| Rate for Payer: UHCCP Medicaid |
$84.68
|
| Rate for Payer: UMR Bronson Commercial |
$87.64
|
| Rate for Payer: VA VA |
$161.92
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$177.65
|
|
|
HC STRAPPING CASTING UNLISTED
|
Facility
|
IP
|
$236.86
|
|
|
Service Code
|
CPT 29799
|
| Hospital Charge Code |
42000053
|
|
Hospital Revenue Code
|
420
|
| Min. Negotiated Rate |
$104.22 |
| Max. Negotiated Rate |
$213.17 |
| Rate for Payer: Aetna American Axle |
$153.96
|
| Rate for Payer: Aetna Commercial |
$201.33
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$153.96
|
| Rate for Payer: Cash Price |
$189.49
|
| Rate for Payer: Cofinity Advantage |
$165.80
|
| Rate for Payer: Cofinity Commercial |
$203.70
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$189.49
|
| Rate for Payer: Healthscope Commercial |
$213.17
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$165.80
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$177.65
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$201.33
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$177.65
|
| Rate for Payer: PHP Commercial |
$201.33
|
| Rate for Payer: Priority Health SBD |
$149.22
|
| Rate for Payer: UMR Bronson Commercial |
$104.22
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$177.65
|
|
|
HC STRAPPING CHEST KINESIOTAPING
|
Facility
|
OP
|
$124.10
|
|
|
Service Code
|
CPT 29200
|
| Hospital Charge Code |
42000052
|
|
Hospital Revenue Code
|
420
|
| Min. Negotiated Rate |
$25.26 |
| Max. Negotiated Rate |
$523.62 |
| Rate for Payer: Aetna American Axle |
$80.67
|
| Rate for Payer: Aetna Commercial |
$105.48
|
| Rate for Payer: Aetna Medicare |
$168.40
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$80.67
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$202.40
|
| Rate for Payer: Amish Plain Church Group Commercial |
$202.40
|
| Rate for Payer: BCBS Complete |
$88.93
|
| Rate for Payer: BCBS MAPPO |
$161.92
|
| Rate for Payer: BCBS Trust/PPO |
$25.26
|
| Rate for Payer: BCN Commercial |
$25.26
|
| Rate for Payer: BCN Medicare Advantage |
$161.92
|
| Rate for Payer: Cash Price |
$99.28
|
| Rate for Payer: Cash Price |
$99.28
|
| Rate for Payer: Cash Price |
$99.28
|
| Rate for Payer: Cash Price |
$99.28
|
| Rate for Payer: Cofinity Advantage |
$86.87
|
| Rate for Payer: Cofinity Commercial |
$106.73
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$99.28
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$161.92
|
| Rate for Payer: Healthscope Commercial |
$111.69
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$86.87
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$93.08
|
| Rate for Payer: Mclaren Medicaid |
$161.92
|
| Rate for Payer: Mclaren Medicare |
$161.92
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$170.02
|
| Rate for Payer: Meridian Medicaid |
$170.02
|
| Rate for Payer: MI Amish Medical Board Commercial |
$186.21
|
| Rate for Payer: Molina Medicare/Medicaid |
$178.11
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$105.48
|
| Rate for Payer: Nomi Health Commercial |
$135.00
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$93.08
|
| Rate for Payer: PACE Medicare |
$153.82
|
| Rate for Payer: PACE SWMI |
$161.92
|
| Rate for Payer: PHP Commercial |
$105.48
|
| Rate for Payer: PHP Medicare Advantage |
$161.92
|
| Rate for Payer: Priority Health Choice Medicaid |
$84.68
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$523.62
|
| Rate for Payer: Priority Health Medicare |
$161.92
|
| Rate for Payer: Priority Health SBD |
$78.18
|
| Rate for Payer: Priority Health Tiered Network |
$418.90
|
| Rate for Payer: Railroad Medicare Medicare |
$161.92
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$80.67
|
| Rate for Payer: UHC Core |
$64.66
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$161.92
|
| Rate for Payer: UHC Exchange |
$48.77
|
| Rate for Payer: UHC Medicaid |
$84.68
|
| Rate for Payer: UHCCP Medicaid |
$84.68
|
| Rate for Payer: UMR Bronson Commercial |
$45.92
|
| Rate for Payer: VA VA |
$161.92
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$93.08
|
|
|
HC STRAPPING CHEST KINESIOTAPING
|
Facility
|
IP
|
$124.10
|
|
|
Service Code
|
CPT 29200
|
| Hospital Charge Code |
42000052
|
|
Hospital Revenue Code
|
420
|
| Min. Negotiated Rate |
$54.60 |
| Max. Negotiated Rate |
$111.69 |
| Rate for Payer: Aetna American Axle |
$80.67
|
| Rate for Payer: Aetna Commercial |
$105.48
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$80.67
|
| Rate for Payer: Cash Price |
$99.28
|
| Rate for Payer: Cofinity Advantage |
$86.87
|
| Rate for Payer: Cofinity Commercial |
$106.73
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$99.28
|
| Rate for Payer: Healthscope Commercial |
$111.69
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$86.87
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$93.08
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$105.48
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$93.08
|
| Rate for Payer: PHP Commercial |
$105.48
|
| Rate for Payer: Priority Health SBD |
$78.18
|
| Rate for Payer: UMR Bronson Commercial |
$54.60
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$93.08
|
|
|
HC STRAPPING ELBOW OR WRIST
|
Facility
|
OP
|
$100.82
|
|
|
Service Code
|
CPT 29260
|
| Hospital Charge Code |
42000002
|
|
Hospital Revenue Code
|
420
|
| Min. Negotiated Rate |
$30.74 |
| Max. Negotiated Rate |
$190.09 |
| Rate for Payer: Aetna American Axle |
$65.53
|
| Rate for Payer: Aetna Commercial |
$85.70
|
| Rate for Payer: Aetna Medicare |
$61.13
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$65.53
|
| 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 |
$61.61
|
| Rate for Payer: BCN Commercial |
$61.61
|
| Rate for Payer: BCN Medicare Advantage |
$58.78
|
| Rate for Payer: Cash Price |
$80.66
|
| Rate for Payer: Cash Price |
$80.66
|
| Rate for Payer: Cash Price |
$80.66
|
| Rate for Payer: Cash Price |
$80.66
|
| Rate for Payer: Cofinity Advantage |
$70.57
|
| Rate for Payer: Cofinity Commercial |
$86.71
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$80.66
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$58.78
|
| Rate for Payer: Healthscope Commercial |
$90.74
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$70.57
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$75.61
|
| 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 |
$85.70
|
| Rate for Payer: Nomi Health Commercial |
$135.00
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$75.61
|
| Rate for Payer: PACE Medicare |
$55.84
|
| Rate for Payer: PACE SWMI |
$58.78
|
| Rate for Payer: PHP Commercial |
$85.70
|
| 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 |
$63.52
|
| 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) |
$65.53
|
| Rate for Payer: UHC Core |
$52.53
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$58.78
|
| Rate for Payer: UHC Exchange |
$39.62
|
| Rate for Payer: UHC Medicaid |
$30.74
|
| Rate for Payer: UHCCP Medicaid |
$30.74
|
| Rate for Payer: UMR Bronson Commercial |
$37.30
|
| Rate for Payer: VA VA |
$58.78
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$75.61
|
|
|
HC STRAPPING ELBOW OR WRIST
|
Facility
|
IP
|
$100.82
|
|
|
Service Code
|
CPT 29260
|
| Hospital Charge Code |
42000002
|
|
Hospital Revenue Code
|
420
|
| Min. Negotiated Rate |
$44.36 |
| Max. Negotiated Rate |
$90.74 |
| Rate for Payer: Aetna American Axle |
$65.53
|
| Rate for Payer: Aetna Commercial |
$85.70
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$65.53
|
| Rate for Payer: Cash Price |
$80.66
|
| Rate for Payer: Cofinity Advantage |
$70.57
|
| Rate for Payer: Cofinity Commercial |
$86.71
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$80.66
|
| Rate for Payer: Healthscope Commercial |
$90.74
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$70.57
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$75.61
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$85.70
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$75.61
|
| Rate for Payer: PHP Commercial |
$85.70
|
| Rate for Payer: Priority Health SBD |
$63.52
|
| Rate for Payer: UMR Bronson Commercial |
$44.36
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$75.61
|
|
|
HC STRAPPING HAND OR FINGER
|
Facility
|
OP
|
$113.27
|
|
|
Service Code
|
CPT 29280
|
| Hospital Charge Code |
43000006
|
|
Hospital Revenue Code
|
430
|
| Min. Negotiated Rate |
$30.74 |
| Max. Negotiated Rate |
$190.09 |
| Rate for Payer: Aetna American Axle |
$73.63
|
| Rate for Payer: Aetna Commercial |
$96.28
|
| Rate for Payer: Aetna Medicare |
$61.13
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$73.63
|
| 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 |
$32.02
|
| Rate for Payer: BCN Commercial |
$32.02
|
| Rate for Payer: BCN Medicare Advantage |
$58.78
|
| Rate for Payer: Cash Price |
$90.62
|
| Rate for Payer: Cash Price |
$90.62
|
| Rate for Payer: Cash Price |
$90.62
|
| Rate for Payer: Cash Price |
$90.62
|
| Rate for Payer: Cofinity Advantage |
$79.29
|
| Rate for Payer: Cofinity Commercial |
$97.41
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$90.62
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$58.78
|
| Rate for Payer: Healthscope Commercial |
$101.94
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$79.29
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$84.95
|
| 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 |
$96.28
|
| Rate for Payer: Nomi Health Commercial |
$135.00
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$84.95
|
| Rate for Payer: PACE Medicare |
$55.84
|
| Rate for Payer: PACE SWMI |
$58.78
|
| Rate for Payer: PHP Commercial |
$96.28
|
| 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 |
$71.36
|
| 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) |
$73.63
|
| Rate for Payer: UHC Core |
$59.01
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$58.78
|
| Rate for Payer: UHC Exchange |
$44.52
|
| Rate for Payer: UHC Medicaid |
$30.74
|
| Rate for Payer: UHCCP Medicaid |
$30.74
|
| Rate for Payer: UMR Bronson Commercial |
$41.91
|
| Rate for Payer: VA VA |
$58.78
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$84.95
|
|
