|
HC SUCTION A&A LINE
|
Facility
|
IP
|
$32.77
|
|
| Hospital Charge Code |
27000110
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$14.42 |
| Max. Negotiated Rate |
$29.49 |
| Rate for Payer: Aetna American Axle |
$21.30
|
| Rate for Payer: Aetna Commercial |
$27.85
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$21.30
|
| Rate for Payer: Cash Price |
$26.22
|
| Rate for Payer: Cofinity Advantage |
$22.94
|
| Rate for Payer: Cofinity Commercial |
$28.18
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$26.22
|
| Rate for Payer: Healthscope Commercial |
$29.49
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$22.94
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$24.58
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$27.85
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$24.58
|
| Rate for Payer: PHP Commercial |
$27.85
|
| Rate for Payer: Priority Health SBD |
$20.65
|
| Rate for Payer: UMR Bronson Commercial |
$14.42
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$24.58
|
|
|
HC SUMP VENTRICULAR LIVANOVA
|
Facility
|
IP
|
$45.26
|
|
| Hospital Charge Code |
27000659
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$19.91 |
| Max. Negotiated Rate |
$40.73 |
| Rate for Payer: Aetna American Axle |
$29.42
|
| Rate for Payer: Aetna Commercial |
$38.47
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$29.42
|
| Rate for Payer: Cash Price |
$36.21
|
| Rate for Payer: Cofinity Advantage |
$31.68
|
| Rate for Payer: Cofinity Commercial |
$38.92
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$36.21
|
| Rate for Payer: Healthscope Commercial |
$40.73
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$31.68
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$33.95
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$38.47
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$33.95
|
| Rate for Payer: PHP Commercial |
$38.47
|
| Rate for Payer: Priority Health SBD |
$28.51
|
| Rate for Payer: UMR Bronson Commercial |
$19.91
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$33.95
|
|
|
HC SUMP VENTRICULAR LIVANOVA
|
Facility
|
OP
|
$45.26
|
|
| Hospital Charge Code |
27000659
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$16.75 |
| Max. Negotiated Rate |
$40.73 |
| Rate for Payer: Aetna American Axle |
$29.42
|
| Rate for Payer: Aetna Commercial |
$38.47
|
| Rate for Payer: Aetna Medicare |
$22.63
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$29.42
|
| Rate for Payer: BCBS Complete |
$18.10
|
| Rate for Payer: Cash Price |
$36.21
|
| Rate for Payer: Cofinity Advantage |
$31.68
|
| Rate for Payer: Cofinity Commercial |
$38.92
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$36.21
|
| Rate for Payer: Healthscope Commercial |
$40.73
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$31.68
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$33.95
|
| Rate for Payer: MI Amish Medical Board Commercial |
$36.21
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$38.47
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$33.95
|
| Rate for Payer: PHP Commercial |
$38.47
|
| Rate for Payer: Priority Health SBD |
$28.51
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$29.42
|
| Rate for Payer: UHC Core |
$23.58
|
| Rate for Payer: UHC Exchange |
$17.79
|
| Rate for Payer: UMR Bronson Commercial |
$16.75
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$33.95
|
|
|
HC SUMP VENTRICULAR MEDTRONIC
|
Facility
|
OP
|
$43.70
|
|
| Hospital Charge Code |
27000122
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$16.17 |
| Max. Negotiated Rate |
$39.33 |
| Rate for Payer: Aetna American Axle |
$28.41
|
| Rate for Payer: Aetna Commercial |
$37.15
|
| Rate for Payer: Aetna Medicare |
$21.85
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$28.41
|
| Rate for Payer: BCBS Complete |
$17.48
|
| Rate for Payer: Cash Price |
$34.96
|
| Rate for Payer: Cofinity Advantage |
$30.59
|
| Rate for Payer: Cofinity Commercial |
$37.58
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$34.96
|
| Rate for Payer: Healthscope Commercial |
$39.33
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$30.59
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$32.77
|
| Rate for Payer: MI Amish Medical Board Commercial |
$34.96
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$37.15
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$32.77
|
| Rate for Payer: PHP Commercial |
$37.15
|
| Rate for Payer: Priority Health SBD |
$27.53
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$28.41
|
| Rate for Payer: UHC Core |
$22.77
|
| Rate for Payer: UHC Exchange |
$17.17
|
| Rate for Payer: UMR Bronson Commercial |
$16.17
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$32.77
|
|
|
HC SUMP VENTRICULAR MEDTRONIC
|
Facility
|
IP
|
$43.70
|
|
| Hospital Charge Code |
27000122
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$19.23 |
| Max. Negotiated Rate |
$39.33 |
| Rate for Payer: Aetna American Axle |
$28.41
|
| Rate for Payer: Aetna Commercial |
$37.15
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$28.41
|
| Rate for Payer: Cash Price |
$34.96
|
| Rate for Payer: Cofinity Advantage |
$30.59
|
| Rate for Payer: Cofinity Commercial |
$37.58
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$34.96
|
| Rate for Payer: Healthscope Commercial |
$39.33
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$30.59
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$32.77
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$37.15
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$32.77
|
| Rate for Payer: PHP Commercial |
$37.15
|
| Rate for Payer: Priority Health SBD |
$27.53
|
| Rate for Payer: UMR Bronson Commercial |
$19.23
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$32.77
|
|
|
HC SUPERVISION & HANDLING
|
Facility
|
OP
|
$160.24
|
|
|
Service Code
|
CPT 77790
|
| Hospital Charge Code |
33300029
|
|
Hospital Revenue Code
|
333
|
| Min. Negotiated Rate |
$46.79 |
| Max. Negotiated Rate |
$144.22 |
| Rate for Payer: Aetna American Axle |
$104.16
|
| Rate for Payer: Aetna Commercial |
$136.20
|
| Rate for Payer: Aetna Medicare |
$80.12
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$104.16
|
| Rate for Payer: BCBS Complete |
$64.10
|
| Rate for Payer: BCBS Trust/PPO |
$46.79
|
| Rate for Payer: BCN Commercial |
$46.79
|
| Rate for Payer: Cash Price |
$128.19
|
| Rate for Payer: Cash Price |
$128.19
|
| Rate for Payer: Cofinity Advantage |
$112.17
|
| Rate for Payer: Cofinity Commercial |
$137.81
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$128.19
|
| Rate for Payer: Healthscope Commercial |
$144.22
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$112.17
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$120.18
|
| Rate for Payer: MI Amish Medical Board Commercial |
$128.19
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$136.20
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$120.18
|
| Rate for Payer: PHP Commercial |
$136.20
|
| Rate for Payer: Priority Health SBD |
$100.95
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$104.16
|
| Rate for Payer: UHC Core |
$83.49
|
| Rate for Payer: UHC Exchange |
$62.97
|
| Rate for Payer: UMR Bronson Commercial |
$59.29
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$120.18
|
|
|
HC SUPERVISION & HANDLING
|
Facility
|
IP
|
$160.24
|
|
|
Service Code
|
CPT 77790
|
| Hospital Charge Code |
33300029
|
|
Hospital Revenue Code
|
333
|
| Min. Negotiated Rate |
$70.51 |
| Max. Negotiated Rate |
$144.22 |
| Rate for Payer: Aetna American Axle |
$104.16
|
| Rate for Payer: Aetna Commercial |
$136.20
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$104.16
|
| Rate for Payer: Cash Price |
$128.19
|
| Rate for Payer: Cofinity Advantage |
$112.17
|
| Rate for Payer: Cofinity Commercial |
$137.81
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$128.19
|
| Rate for Payer: Healthscope Commercial |
$144.22
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$112.17
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$120.18
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$136.20
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$120.18
|
| Rate for Payer: PHP Commercial |
$136.20
|
| Rate for Payer: Priority Health SBD |
$100.95
|
| Rate for Payer: UMR Bronson Commercial |
$70.51
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$120.18
|
|
|
HC SUPPLEMENTAL NEWBORN SCRN
|
Facility
|
OP
|
$88.43
|
|
|
Service Code
|
CPT 83789
|
| Hospital Charge Code |
30100686
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$12.61 |
| Max. Negotiated Rate |
$79.59 |
| Rate for Payer: Aetna American Axle |
$57.48
|
| Rate for Payer: Aetna Commercial |
$75.17
|
| Rate for Payer: Aetna Medicare |
$25.07
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$57.48
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$30.14
|
| Rate for Payer: Amish Plain Church Group Commercial |
$30.14
|
| Rate for Payer: BCBS Complete |
$13.24
|
| Rate for Payer: BCBS MAPPO |
$24.11
|
| Rate for Payer: BCBS Trust/PPO |
$27.87
|
| Rate for Payer: BCN Commercial |
$27.87
|
| Rate for Payer: BCN Medicare Advantage |
$24.11
|
| Rate for Payer: Cash Price |
$70.74
|
| Rate for Payer: Cash Price |
$70.74
|
| Rate for Payer: Cofinity Advantage |
$61.90
|
| Rate for Payer: Cofinity Commercial |
$76.05
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$70.74
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$24.11
|
| Rate for Payer: Healthscope Commercial |
$79.59
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$61.90
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$66.32
|
| Rate for Payer: Mclaren Medicaid |
$24.11
|
| Rate for Payer: Mclaren Medicare |
$24.11
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$25.32
|
| Rate for Payer: Meridian Medicaid |
$25.32
|
| Rate for Payer: MI Amish Medical Board Commercial |
$27.73
|
| Rate for Payer: Molina Medicare/Medicaid |
$26.52
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$75.17
|
| Rate for Payer: Nomi Health Commercial |
$36.16
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$66.32
|
| Rate for Payer: PACE Medicare |
$22.90
|
| Rate for Payer: PACE SWMI |
$24.11
|
| Rate for Payer: PHP Commercial |
$75.17
|
| Rate for Payer: PHP Medicare Advantage |
$24.11
|
| Rate for Payer: Priority Health Choice Medicaid |
$12.61
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$24.11
|
| Rate for Payer: Priority Health Medicare |
$24.11
|
| Rate for Payer: Priority Health SBD |
$55.71
|
| Rate for Payer: Priority Health Tiered Network |
$19.29
|
| Rate for Payer: Railroad Medicare Medicare |
$24.11
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$36.17
|
| Rate for Payer: UHC Core |
$36.17
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$24.11
|
| Rate for Payer: UHC Exchange |
$36.17
|
| Rate for Payer: UHC Medicaid |
$12.61
|
| Rate for Payer: UHCCP Medicaid |
$12.61
|
| Rate for Payer: UMR Bronson Commercial |
$32.72
|
| Rate for Payer: VA VA |
$24.11
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$66.32
|
|
|
HC SUPPLEMENTAL NEWBORN SCRN
|
Facility
|
IP
|
$88.43
|
|
|
Service Code
|
CPT 83789
|
| Hospital Charge Code |
30100686
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$38.91 |
| Max. Negotiated Rate |
$79.59 |
| Rate for Payer: Aetna American Axle |
$57.48
|
| Rate for Payer: Aetna Commercial |
$75.17
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$57.48
|
| Rate for Payer: Cash Price |
$70.74
|
| Rate for Payer: Cofinity Advantage |
$61.90
|
| Rate for Payer: Cofinity Commercial |
$76.05
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$70.74
|
| Rate for Payer: Healthscope Commercial |
$79.59
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$61.90
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$66.32
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$75.17
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$66.32
|
| Rate for Payer: PHP Commercial |
$75.17
|
| Rate for Payer: Priority Health SBD |
$55.71
|
| Rate for Payer: UMR Bronson Commercial |
$38.91
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$66.32
|
|
|
HC SUPRAPUBIC CATHETER
|
Facility
|
OP
|
$121.35
|
|
|
Service Code
|
HCPCS C2627
|
| Hospital Charge Code |
27200072
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$44.90 |
| Max. Negotiated Rate |
$109.22 |
| Rate for Payer: Aetna American Axle |
$78.88
|
| Rate for Payer: Aetna Commercial |
$103.15
|
| Rate for Payer: Aetna Medicare |
$60.67
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$78.88
|
| Rate for Payer: BCBS Complete |
$48.54
|
| Rate for Payer: Cash Price |
$97.08
|
| Rate for Payer: Cofinity Advantage |
$84.94
|
| Rate for Payer: Cofinity Commercial |
$104.36
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$97.08
|
| Rate for Payer: Healthscope Commercial |
$109.22
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$84.94
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$91.01
|
| Rate for Payer: MI Amish Medical Board Commercial |
$97.08
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$103.15
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$91.01
|
| Rate for Payer: PHP Commercial |
$103.15
|
| Rate for Payer: Priority Health SBD |
$76.45
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$78.88
|
| Rate for Payer: UHC Core |
$63.22
|
| Rate for Payer: UHC Exchange |
$47.69
|
| Rate for Payer: UMR Bronson Commercial |
$44.90
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$91.01
|
|
|
HC SUPRAPUBIC CATHETER
|
Facility
|
IP
|
$121.35
|
|
|
Service Code
|
HCPCS C2627
|
| Hospital Charge Code |
27200072
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$53.39 |
| Max. Negotiated Rate |
$109.22 |
| Rate for Payer: Aetna American Axle |
$78.88
|
| Rate for Payer: Aetna Commercial |
$103.15
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$78.88
|
| Rate for Payer: Cash Price |
$97.08
|
| Rate for Payer: Cofinity Advantage |
$84.94
|
| Rate for Payer: Cofinity Commercial |
$104.36
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$97.08
|
| Rate for Payer: Healthscope Commercial |
$109.22
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$84.94
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$91.01
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$103.15
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$91.01
|
| Rate for Payer: PHP Commercial |
$103.15
|
| Rate for Payer: Priority Health SBD |
$76.45
|
| Rate for Payer: UMR Bronson Commercial |
$53.39
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$91.01
|
|
|
HC SURGERY FROZEN EA ADDL
|
Facility
|
OP
|
$76.19
|
|
|
Service Code
|
CPT 88332
|
| Hospital Charge Code |
31000057
|
|
Hospital Revenue Code
|
310
|
| Min. Negotiated Rate |
$28.19 |
| Max. Negotiated Rate |
$68.57 |
| Rate for Payer: Aetna American Axle |
$49.52
|
| Rate for Payer: Aetna Commercial |
$64.76
|
| Rate for Payer: Aetna Medicare |
$38.09
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$49.52
|
| Rate for Payer: BCBS Complete |
$30.48
|
| Rate for Payer: BCBS Trust/PPO |
$46.18
|
| Rate for Payer: BCCCP Commercial |
$51.41
|
| Rate for Payer: BCN Commercial |
$46.18
|
| Rate for Payer: Cash Price |
$60.95
|
| Rate for Payer: Cash Price |
$60.95
|
| Rate for Payer: Cofinity Advantage |
$53.33
|
| Rate for Payer: Cofinity Commercial |
$65.52
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$60.95
|
| Rate for Payer: Healthscope Commercial |
$68.57
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$53.33
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$57.14
|
| Rate for Payer: MI Amish Medical Board Commercial |
$60.95
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$64.76
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$57.14
|
| Rate for Payer: PHP Commercial |
$64.76
|
| Rate for Payer: Priority Health SBD |
$48.00
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$36.39
|
| Rate for Payer: UHC Core |
$36.39
|
| Rate for Payer: UHC Exchange |
$36.39
|
| Rate for Payer: UMR Bronson Commercial |
$28.19
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$57.14
|
|
|
HC SURGERY FROZEN EA ADDL
|
Facility
|
IP
|
$76.19
|
|
|
Service Code
|
CPT 88332
|
| Hospital Charge Code |
31000057
|
|
Hospital Revenue Code
|
310
|
| Min. Negotiated Rate |
$33.52 |
| Max. Negotiated Rate |
$68.57 |
| Rate for Payer: Aetna American Axle |
$49.52
|
| Rate for Payer: Aetna Commercial |
$64.76
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$49.52
|
| Rate for Payer: Cash Price |
$60.95
|
| Rate for Payer: Cofinity Advantage |
$53.33
|
| Rate for Payer: Cofinity Commercial |
$65.52
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$60.95
|
| Rate for Payer: Healthscope Commercial |
$68.57
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$53.33
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$57.14
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$64.76
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$57.14
|
| Rate for Payer: PHP Commercial |
$64.76
|
| Rate for Payer: Priority Health SBD |
$48.00
|
| Rate for Payer: UMR Bronson Commercial |
$33.52
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$57.14
|
|
|
HC SURGICAL HAND
|
Facility
|
IP
|
$718.51
|
|
| Hospital Charge Code |
45000053
|
|
Hospital Revenue Code
|
450
|
| Min. Negotiated Rate |
$316.14 |
| Max. Negotiated Rate |
$646.66 |
| Rate for Payer: Aetna American Axle |
$467.03
|
| Rate for Payer: Aetna Commercial |
$610.73
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$467.03
|
| Rate for Payer: Cash Price |
$574.81
|
| Rate for Payer: Cofinity Advantage |
$502.96
|
| Rate for Payer: Cofinity Commercial |
$617.92
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$574.81
|
| Rate for Payer: Healthscope Commercial |
$646.66
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$502.96
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$538.88
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$610.73
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$538.88
|
| Rate for Payer: PHP Commercial |
$610.73
|
| Rate for Payer: Priority Health SBD |
$452.66
|
| Rate for Payer: UMR Bronson Commercial |
$316.14
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$538.88
|
|
|
HC SURGICAL HAND
|
Facility
|
OP
|
$718.51
|
|
| Hospital Charge Code |
45000053
|
|
Hospital Revenue Code
|
450
|
| Min. Negotiated Rate |
$125.00 |
| Max. Negotiated Rate |
$646.66 |
| Rate for Payer: Aetna American Axle |
$467.03
|
| Rate for Payer: Aetna Commercial |
$610.73
|
| Rate for Payer: Aetna Medicare |
$359.25
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$467.03
|
| Rate for Payer: BCBS Complete |
$287.40
|
| Rate for Payer: Cash Price |
$574.81
|
| Rate for Payer: Cash Price |
$574.81
|
| Rate for Payer: Cofinity Advantage |
$502.96
|
| Rate for Payer: Cofinity Commercial |
$617.92
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$574.81
|
| Rate for Payer: Healthscope Commercial |
$646.66
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$502.96
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$538.88
|
| Rate for Payer: MI Amish Medical Board Commercial |
$574.81
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$610.73
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$538.88
|
| Rate for Payer: PHP Commercial |
$610.73
|
| Rate for Payer: Priority Health SBD |
$452.66
|
| Rate for Payer: UHCCP Medicaid |
$125.00
|
| Rate for Payer: UMR Bronson Commercial |
$265.85
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$538.88
|
|
|
HC SURG SUPPLY MISC
|
Facility
|
IP
|
$88.16
|
|
|
Service Code
|
HCPCS A4649
|
| Hospital Charge Code |
62300132
|
|
Hospital Revenue Code
|
623
|
| Min. Negotiated Rate |
$38.79 |
| Max. Negotiated Rate |
$79.34 |
| Rate for Payer: Aetna American Axle |
$57.30
|
| Rate for Payer: Aetna Commercial |
$74.94
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$57.30
|
| Rate for Payer: Cash Price |
$70.53
|
| Rate for Payer: Cofinity Advantage |
$61.71
|
| Rate for Payer: Cofinity Commercial |
$75.82
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$70.53
|
| Rate for Payer: Healthscope Commercial |
$79.34
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$61.71
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$66.12
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$74.94
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$66.12
|
| Rate for Payer: PHP Commercial |
$74.94
|
| Rate for Payer: Priority Health SBD |
$55.54
|
| Rate for Payer: UMR Bronson Commercial |
$38.79
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$66.12
|
|
|
HC SURG SUPPLY MISC
|
Facility
|
OP
|
$88.16
|
|
|
Service Code
|
HCPCS A4649
|
| Hospital Charge Code |
62300132
|
|
Hospital Revenue Code
|
623
|
| Min. Negotiated Rate |
$32.62 |
| Max. Negotiated Rate |
$358.78 |
| Rate for Payer: Aetna American Axle |
$57.30
|
| Rate for Payer: Aetna Commercial |
$74.94
|
| Rate for Payer: Aetna Medicare |
$44.08
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$57.30
|
| Rate for Payer: BCBS Complete |
$35.26
|
| Rate for Payer: BCBS Trust/PPO |
$358.78
|
| Rate for Payer: BCN Commercial |
$358.78
|
| Rate for Payer: Cash Price |
$70.53
|
| Rate for Payer: Cash Price |
$70.53
|
| Rate for Payer: Cofinity Advantage |
$61.71
|
| Rate for Payer: Cofinity Commercial |
$75.82
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$70.53
|
| Rate for Payer: Healthscope Commercial |
$79.34
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$61.71
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$66.12
|
| Rate for Payer: MI Amish Medical Board Commercial |
$70.53
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$74.94
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$66.12
|
| Rate for Payer: PHP Commercial |
$74.94
|
| Rate for Payer: Priority Health SBD |
$55.54
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$57.30
|
| Rate for Payer: UHC Core |
$45.93
|
| Rate for Payer: UHC Exchange |
$34.65
|
| Rate for Payer: UMR Bronson Commercial |
$32.62
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$66.12
|
|
|
HC SUSCEPTIBILITY DISK
|
Facility
|
OP
|
$59.82
|
|
|
Service Code
|
CPT 87184
|
| Hospital Charge Code |
30600098
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$3.91 |
| Max. Negotiated Rate |
$53.84 |
| Rate for Payer: Aetna American Axle |
$38.88
|
| Rate for Payer: Aetna Commercial |
$50.85
|
| Rate for Payer: Aetna Medicare |
$7.78
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$38.88
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$9.35
|
| Rate for Payer: Amish Plain Church Group Commercial |
$9.35
|
| Rate for Payer: BCBS Complete |
$4.11
|
| Rate for Payer: BCBS MAPPO |
$7.48
|
| Rate for Payer: BCBS Trust/PPO |
$8.65
|
| Rate for Payer: BCN Commercial |
$8.65
|
| Rate for Payer: BCN Medicare Advantage |
$7.48
|
| Rate for Payer: Cash Price |
$47.86
|
| Rate for Payer: Cash Price |
$47.86
|
| Rate for Payer: Cofinity Advantage |
$41.87
|
| Rate for Payer: Cofinity Commercial |
$51.45
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$47.86
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$7.48
|
| Rate for Payer: Healthscope Commercial |
$53.84
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$41.87
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$44.87
|
| Rate for Payer: Mclaren Medicaid |
$7.48
|
| Rate for Payer: Mclaren Medicare |
$7.48
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$7.85
|
| Rate for Payer: Meridian Medicaid |
$7.85
|
| Rate for Payer: MI Amish Medical Board Commercial |
$8.60
|
| Rate for Payer: Molina Medicare/Medicaid |
$8.23
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$50.85
|
| Rate for Payer: Nomi Health Commercial |
$11.22
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$44.87
|
| Rate for Payer: PACE Medicare |
$7.11
|
| Rate for Payer: PACE SWMI |
$7.48
|
| Rate for Payer: PHP Commercial |
$50.85
|
| Rate for Payer: PHP Medicare Advantage |
$7.48
|
| Rate for Payer: Priority Health Choice Medicaid |
$3.91
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$7.48
|
| Rate for Payer: Priority Health Medicare |
$7.48
|
| Rate for Payer: Priority Health SBD |
$37.69
|
| Rate for Payer: Priority Health Tiered Network |
$5.98
|
| Rate for Payer: Railroad Medicare Medicare |
$7.48
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$11.22
|
| Rate for Payer: UHC Core |
$11.22
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$7.48
|
| Rate for Payer: UHC Exchange |
$11.22
|
| Rate for Payer: UHC Medicaid |
$3.91
|
| Rate for Payer: UHCCP Medicaid |
$3.91
|
| Rate for Payer: UMR Bronson Commercial |
$22.13
|
| Rate for Payer: VA VA |
$7.48
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$44.87
|
|
|
HC SUSCEPTIBILITY DISK
|
Facility
|
IP
|
$59.82
|
|
|
Service Code
|
CPT 87184
|
| Hospital Charge Code |
30600098
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$26.32 |
| Max. Negotiated Rate |
$53.84 |
| Rate for Payer: Aetna American Axle |
$38.88
|
| Rate for Payer: Aetna Commercial |
$50.85
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$38.88
|
| Rate for Payer: Cash Price |
$47.86
|
| Rate for Payer: Cofinity Advantage |
$41.87
|
| Rate for Payer: Cofinity Commercial |
$51.45
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$47.86
|
| Rate for Payer: Healthscope Commercial |
$53.84
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$41.87
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$44.87
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$50.85
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$44.87
|
| Rate for Payer: PHP Commercial |
$50.85
|
| Rate for Payer: Priority Health SBD |
$37.69
|
| Rate for Payer: UMR Bronson Commercial |
$26.32
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$44.87
|
|
|
HC SUSCEPTIBILITY E TEST
|
Facility
|
IP
|
$33.43
|
|
|
Service Code
|
CPT 87181
|
| Hospital Charge Code |
30600097
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$14.71 |
| Max. Negotiated Rate |
$30.09 |
| Rate for Payer: Aetna American Axle |
$21.73
|
| Rate for Payer: Aetna Commercial |
$28.42
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$21.73
|
| Rate for Payer: Cash Price |
$26.74
|
| Rate for Payer: Cofinity Advantage |
$23.40
|
| Rate for Payer: Cofinity Commercial |
$28.75
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$26.74
|
| Rate for Payer: Healthscope Commercial |
$30.09
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$23.40
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$25.07
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$28.42
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$25.07
|
| Rate for Payer: PHP Commercial |
$28.42
|
| Rate for Payer: Priority Health SBD |
$21.06
|
| Rate for Payer: UMR Bronson Commercial |
$14.71
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$25.07
|
|
|
HC SUSCEPTIBILITY E TEST
|
Facility
|
OP
|
$33.43
|
|
|
Service Code
|
CPT 87181
|
| Hospital Charge Code |
30600097
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$2.48 |
| Max. Negotiated Rate |
$30.09 |
| Rate for Payer: Aetna American Axle |
$21.73
|
| Rate for Payer: Aetna Commercial |
$28.42
|
| Rate for Payer: Aetna Medicare |
$4.94
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$21.73
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$5.94
|
| Rate for Payer: Amish Plain Church Group Commercial |
$5.94
|
| Rate for Payer: BCBS Complete |
$2.61
|
| Rate for Payer: BCBS MAPPO |
$4.75
|
| Rate for Payer: BCBS Trust/PPO |
$5.49
|
| Rate for Payer: BCN Commercial |
$5.49
|
| Rate for Payer: BCN Medicare Advantage |
$4.75
|
| Rate for Payer: Cash Price |
$26.74
|
| Rate for Payer: Cash Price |
$26.74
|
| Rate for Payer: Cofinity Advantage |
$23.40
|
| Rate for Payer: Cofinity Commercial |
$28.75
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$26.74
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$4.75
|
| Rate for Payer: Healthscope Commercial |
$30.09
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$23.40
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$25.07
|
| Rate for Payer: Mclaren Medicaid |
$4.75
|
| Rate for Payer: Mclaren Medicare |
$4.75
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$4.99
|
| Rate for Payer: Meridian Medicaid |
$4.99
|
| Rate for Payer: MI Amish Medical Board Commercial |
$5.46
|
| Rate for Payer: Molina Medicare/Medicaid |
$5.22
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$28.42
|
| Rate for Payer: Nomi Health Commercial |
$7.12
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$25.07
|
| Rate for Payer: PACE Medicare |
$4.51
|
| Rate for Payer: PACE SWMI |
$4.75
|
| Rate for Payer: PHP Commercial |
$28.42
|
| Rate for Payer: PHP Medicare Advantage |
$4.75
|
| Rate for Payer: Priority Health Choice Medicaid |
$2.48
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$4.75
|
| Rate for Payer: Priority Health Medicare |
$4.75
|
| Rate for Payer: Priority Health SBD |
$21.06
|
| Rate for Payer: Priority Health Tiered Network |
$3.80
|
| Rate for Payer: Railroad Medicare Medicare |
$4.75
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$7.13
|
| Rate for Payer: UHC Core |
$7.13
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$4.75
|
| Rate for Payer: UHC Exchange |
$7.13
|
| Rate for Payer: UHC Medicaid |
$2.48
|
| Rate for Payer: UHCCP Medicaid |
$2.48
|
| Rate for Payer: UMR Bronson Commercial |
$12.37
|
| Rate for Payer: VA VA |
$4.75
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$25.07
|
|
|
HC SUSCEPTIBILITY, MIC
|
Facility
|
OP
|
$82.19
|
|
|
Service Code
|
CPT 87186
|
| Hospital Charge Code |
30600100
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$4.52 |
| Max. Negotiated Rate |
$73.97 |
| Rate for Payer: Aetna American Axle |
$53.42
|
| Rate for Payer: Aetna Commercial |
$69.86
|
| Rate for Payer: Aetna Medicare |
$9.00
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$53.42
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$10.81
|
| Rate for Payer: Amish Plain Church Group Commercial |
$10.81
|
| Rate for Payer: BCBS Complete |
$4.75
|
| Rate for Payer: BCBS MAPPO |
$8.65
|
| Rate for Payer: BCBS Trust/PPO |
$10.00
|
| Rate for Payer: BCN Commercial |
$10.00
|
| Rate for Payer: BCN Medicare Advantage |
$8.65
|
| Rate for Payer: Cash Price |
$65.75
|
| Rate for Payer: Cash Price |
$65.75
|
| Rate for Payer: Cofinity Advantage |
$57.53
|
| Rate for Payer: Cofinity Commercial |
$70.68
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$65.75
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$8.65
|
| Rate for Payer: Healthscope Commercial |
$73.97
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$57.53
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$61.64
|
| Rate for Payer: Mclaren Medicaid |
$8.65
|
| Rate for Payer: Mclaren Medicare |
$8.65
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$9.08
|
| Rate for Payer: Meridian Medicaid |
$9.08
|
| Rate for Payer: MI Amish Medical Board Commercial |
$9.95
|
| Rate for Payer: Molina Medicare/Medicaid |
$9.52
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$69.86
|
| Rate for Payer: Nomi Health Commercial |
$12.97
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$61.64
|
| Rate for Payer: PACE Medicare |
$8.22
|
| Rate for Payer: PACE SWMI |
$8.65
|
| Rate for Payer: PHP Commercial |
$69.86
|
| Rate for Payer: PHP Medicare Advantage |
$8.65
|
| Rate for Payer: Priority Health Choice Medicaid |
$4.52
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$8.65
|
| Rate for Payer: Priority Health Medicare |
$8.65
|
| Rate for Payer: Priority Health SBD |
$51.78
|
| Rate for Payer: Priority Health Tiered Network |
$6.92
|
| Rate for Payer: Railroad Medicare Medicare |
$8.65
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$12.98
|
| Rate for Payer: UHC Core |
$12.98
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$8.65
|
| Rate for Payer: UHC Exchange |
$12.98
|
| Rate for Payer: UHC Medicaid |
$4.52
|
| Rate for Payer: UHCCP Medicaid |
$4.52
|
| Rate for Payer: UMR Bronson Commercial |
$30.41
|
| Rate for Payer: VA VA |
$8.65
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$61.64
|
|
|
HC SUSCEPTIBILITY, MIC
|
Facility
|
IP
|
$82.19
|
|
|
Service Code
|
CPT 87186
|
| Hospital Charge Code |
30600100
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$36.16 |
| Max. Negotiated Rate |
$73.97 |
| Rate for Payer: Aetna American Axle |
$53.42
|
| Rate for Payer: Aetna Commercial |
$69.86
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$53.42
|
| Rate for Payer: Cash Price |
$65.75
|
| Rate for Payer: Cofinity Advantage |
$57.53
|
| Rate for Payer: Cofinity Commercial |
$70.68
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$65.75
|
| Rate for Payer: Healthscope Commercial |
$73.97
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$57.53
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$61.64
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$69.86
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$61.64
|
| Rate for Payer: PHP Commercial |
$69.86
|
| Rate for Payer: Priority Health SBD |
$51.78
|
| Rate for Payer: UMR Bronson Commercial |
$36.16
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$61.64
|
|
|
HC SWALLOW EVALUATION
|
Facility
|
IP
|
$340.02
|
|
|
Service Code
|
CPT 92610
|
| Hospital Charge Code |
44400004
|
|
Hospital Revenue Code
|
444
|
| Min. Negotiated Rate |
$149.61 |
| Max. Negotiated Rate |
$306.02 |
| Rate for Payer: Aetna American Axle |
$221.01
|
| Rate for Payer: Aetna Commercial |
$289.02
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$221.01
|
| Rate for Payer: Cash Price |
$272.02
|
| Rate for Payer: Cofinity Advantage |
$238.01
|
| Rate for Payer: Cofinity Commercial |
$292.42
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$272.02
|
| Rate for Payer: Healthscope Commercial |
$306.02
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$238.01
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$255.01
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$289.02
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$255.01
|
| Rate for Payer: PHP Commercial |
$289.02
|
| Rate for Payer: Priority Health SBD |
$214.21
|
| Rate for Payer: UMR Bronson Commercial |
$149.61
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$255.01
|
|
|
HC SWALLOW EVALUATION
|
Facility
|
OP
|
$340.02
|
|
|
Service Code
|
CPT 92610
|
| Hospital Charge Code |
44400004
|
|
Hospital Revenue Code
|
444
|
| Min. Negotiated Rate |
$84.00 |
| Max. Negotiated Rate |
$306.02 |
| Rate for Payer: Aetna American Axle |
$221.01
|
| Rate for Payer: Aetna Commercial |
$289.02
|
| Rate for Payer: Aetna Medicare |
$170.01
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$221.01
|
| Rate for Payer: BCBS Complete |
$136.01
|
| Rate for Payer: BCBS Trust/PPO |
$116.37
|
| Rate for Payer: BCN Commercial |
$116.37
|
| Rate for Payer: Cash Price |
$272.02
|
| Rate for Payer: Cash Price |
$272.02
|
| Rate for Payer: Cash Price |
$272.02
|
| Rate for Payer: Cofinity Advantage |
$238.01
|
| Rate for Payer: Cofinity Commercial |
$292.42
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$272.02
|
| Rate for Payer: Healthscope Commercial |
$306.02
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$238.01
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$255.01
|
| Rate for Payer: MI Amish Medical Board Commercial |
$272.02
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$289.02
|
| Rate for Payer: Nomi Health Commercial |
$135.00
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$255.01
|
| Rate for Payer: PHP Commercial |
$289.02
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$105.00
|
| Rate for Payer: Priority Health SBD |
$214.21
|
| Rate for Payer: Priority Health Tiered Network |
$84.00
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$221.01
|
| Rate for Payer: UHC Core |
$177.15
|
| Rate for Payer: UHC Exchange |
$133.63
|
| Rate for Payer: UMR Bronson Commercial |
$125.81
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$255.01
|
|
