|
HC SP AORTAGRAM ABDOMEN W RUNOFF
|
Facility
|
IP
|
$3,266.13
|
|
|
Service Code
|
CPT 75630
|
| Hospital Charge Code |
32000177
|
|
Hospital Revenue Code
|
320
|
| Min. Negotiated Rate |
$1,437.10 |
| Max. Negotiated Rate |
$2,939.52 |
| Rate for Payer: Aetna American Axle |
$2,122.98
|
| Rate for Payer: Aetna Commercial |
$2,776.21
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,122.98
|
| Rate for Payer: Cash Price |
$2,612.90
|
| Rate for Payer: Cofinity Commercial |
$2,286.29
|
| Rate for Payer: Cofinity Commercial |
$2,808.87
|
| Rate for Payer: Cofinity Medicare Advantage |
$2,286.29
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,612.90
|
| Rate for Payer: Healthscope Commercial |
$2,939.52
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$2,286.29
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,449.60
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,776.21
|
| Rate for Payer: PHP Commercial |
$2,776.21
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,122.98
|
| Rate for Payer: Priority Health SBD |
$2,057.66
|
| Rate for Payer: UMR Bronson Commercial |
$1,437.10
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,449.60
|
|
|
HC SPECIAL DOSIMETRY
|
Facility
|
IP
|
$153.98
|
|
|
Service Code
|
CPT 77331
|
| Hospital Charge Code |
33300013
|
|
Hospital Revenue Code
|
333
|
| Min. Negotiated Rate |
$67.75 |
| Max. Negotiated Rate |
$138.58 |
| Rate for Payer: Aetna American Axle |
$100.09
|
| Rate for Payer: Aetna Commercial |
$130.88
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$100.09
|
| Rate for Payer: Cash Price |
$123.18
|
| Rate for Payer: Cofinity Commercial |
$107.79
|
| Rate for Payer: Cofinity Commercial |
$132.42
|
| Rate for Payer: Cofinity Medicare Advantage |
$107.79
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$123.18
|
| Rate for Payer: Healthscope Commercial |
$138.58
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$107.79
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$115.48
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$130.88
|
| Rate for Payer: PHP Commercial |
$130.88
|
| Rate for Payer: Priority Health Cigna Priority Health |
$100.09
|
| Rate for Payer: Priority Health SBD |
$97.01
|
| Rate for Payer: UMR Bronson Commercial |
$67.75
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$115.48
|
|
|
HC SPECIAL DOSIMETRY
|
Facility
|
OP
|
$153.98
|
|
|
Service Code
|
CPT 77331
|
| Hospital Charge Code |
33300013
|
|
Hospital Revenue Code
|
333
|
| Min. Negotiated Rate |
$56.97 |
| Max. Negotiated Rate |
$979.00 |
| Rate for Payer: Aetna American Axle |
$100.09
|
| Rate for Payer: Aetna Commercial |
$130.88
|
| Rate for Payer: Aetna Medicare |
$134.67
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$100.09
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$161.86
|
| Rate for Payer: Amish Plain Church Group Commercial |
$161.86
|
| Rate for Payer: BCBS Complete |
$72.88
|
| Rate for Payer: BCBS MAPPO |
$129.49
|
| Rate for Payer: BCN Medicare Advantage |
$129.49
|
| Rate for Payer: Cash Price |
$123.18
|
| Rate for Payer: Cash Price |
$123.18
|
| Rate for Payer: Cash Price |
$123.18
|
| Rate for Payer: Cofinity Commercial |
$107.79
|
| Rate for Payer: Cofinity Commercial |
$132.42
|
| Rate for Payer: Cofinity Medicare Advantage |
$107.79
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$123.18
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$129.49
|
| Rate for Payer: Healthscope Commercial |
$138.58
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$107.79
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$115.48
|
| Rate for Payer: Mclaren Medicaid |
$69.41
|
| Rate for Payer: Mclaren Medicare |
$129.49
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$135.96
|
| Rate for Payer: Meridian Medicaid |
$72.88
|
| Rate for Payer: MI Amish Medical Board Commercial |
$148.91
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$130.88
|
| Rate for Payer: PACE Medicare |
$123.02
|
| Rate for Payer: PACE SWMI |
$129.49
|
| Rate for Payer: PHP Commercial |
$130.88
|
| Rate for Payer: PHP Medicare Advantage |
$129.49
|
| Rate for Payer: Priority Health Choice Medicaid |
$69.41
|
| Rate for Payer: Priority Health Cigna Priority Health |
$100.09
|
| Rate for Payer: Priority Health Medicare |
$129.49
|
| Rate for Payer: Priority Health SBD |
$97.01
|
| Rate for Payer: Railroad Medicare Medicare |
$129.49
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$364.50
|
| Rate for Payer: UHC Core |
$979.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$129.49
|
| Rate for Payer: UHC Exchange |
$247.47
|
| Rate for Payer: UHC Medicare Advantage |
$129.49
|
| Rate for Payer: UHCCP Medicaid |
$69.41
|
| Rate for Payer: UMR Bronson Commercial |
$56.97
|
| Rate for Payer: VA VA |
$129.49
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$115.48
|
|
|
HC SPECIAL STAINS
|
Facility
|
IP
|
$225.55
|
|
|
Service Code
|
CPT 88312
|
| Hospital Charge Code |
31000053
|
|
Hospital Revenue Code
|
310
|
| Min. Negotiated Rate |
$99.24 |
| Max. Negotiated Rate |
$203.00 |
| Rate for Payer: Aetna American Axle |
$146.61
|
| Rate for Payer: Aetna Commercial |
$191.72
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$146.61
|
| Rate for Payer: Cash Price |
$180.44
|
| Rate for Payer: Cofinity Commercial |
$157.88
|
| Rate for Payer: Cofinity Commercial |
$193.97
|
| Rate for Payer: Cofinity Medicare Advantage |
$157.88
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$180.44
|
| Rate for Payer: Healthscope Commercial |
$203.00
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$157.88
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$169.16
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$191.72
|
| Rate for Payer: PHP Commercial |
$191.72
|
| Rate for Payer: Priority Health Cigna Priority Health |
$146.61
|
| Rate for Payer: Priority Health SBD |
$142.10
|
| Rate for Payer: UMR Bronson Commercial |
$99.24
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$169.16
|
|
|
HC SPECIAL STAINS
|
Facility
|
OP
|
$225.55
|
|
|
Service Code
|
CPT 88312
|
| Hospital Charge Code |
31000053
|
|
Hospital Revenue Code
|
310
|
| Min. Negotiated Rate |
$27.93 |
| Max. Negotiated Rate |
$203.00 |
| Rate for Payer: Aetna American Axle |
$146.61
|
| Rate for Payer: Aetna Commercial |
$191.72
|
| Rate for Payer: Aetna Medicare |
$54.19
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$146.61
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$65.14
|
| Rate for Payer: Amish Plain Church Group Commercial |
$65.14
|
| Rate for Payer: BCBS Complete |
$29.33
|
| Rate for Payer: BCBS MAPPO |
$52.11
|
| Rate for Payer: BCN Medicare Advantage |
$52.11
|
| Rate for Payer: Cash Price |
$180.44
|
| Rate for Payer: Cash Price |
$180.44
|
| Rate for Payer: Cofinity Commercial |
$193.97
|
| Rate for Payer: Cofinity Commercial |
$157.88
|
| Rate for Payer: Cofinity Medicare Advantage |
$157.88
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$180.44
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$52.11
|
| Rate for Payer: Healthscope Commercial |
$203.00
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$157.88
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$169.16
|
| Rate for Payer: Mclaren Medicaid |
$27.93
|
| Rate for Payer: Mclaren Medicare |
$52.11
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$54.72
|
| Rate for Payer: Meridian Medicaid |
$29.33
|
| Rate for Payer: MI Amish Medical Board Commercial |
$59.93
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$191.72
|
| Rate for Payer: PACE Medicare |
$49.50
|
| Rate for Payer: PACE SWMI |
$52.11
|
| Rate for Payer: PHP Commercial |
$191.72
|
| Rate for Payer: PHP Medicare Advantage |
$52.11
|
| Rate for Payer: Priority Health Choice Medicaid |
$27.93
|
| Rate for Payer: Priority Health Cigna Priority Health |
$146.61
|
| Rate for Payer: Priority Health Medicare |
$52.11
|
| Rate for Payer: Priority Health SBD |
$142.10
|
| Rate for Payer: Railroad Medicare Medicare |
$52.11
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$146.68
|
| Rate for Payer: UHC Dual Complete DSNP |
$52.11
|
| Rate for Payer: UHC Exchange |
$99.59
|
| Rate for Payer: UHC Medicare Advantage |
$52.11
|
| Rate for Payer: UHCCP Medicaid |
$27.93
|
| Rate for Payer: UMR Bronson Commercial |
$83.45
|
| Rate for Payer: VA VA |
$52.11
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$169.16
|
|
|
HC SPECIAL STAINS II
|
Facility
|
IP
|
$186.45
|
|
|
Service Code
|
CPT 88313
|
| Hospital Charge Code |
31000054
|
|
Hospital Revenue Code
|
310
|
| Min. Negotiated Rate |
$82.04 |
| Max. Negotiated Rate |
$167.81 |
| Rate for Payer: Aetna American Axle |
$121.19
|
| Rate for Payer: Aetna Commercial |
$158.48
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$121.19
|
| Rate for Payer: Cash Price |
$149.16
|
| Rate for Payer: Cofinity Commercial |
$130.51
|
| Rate for Payer: Cofinity Commercial |
$160.35
|
| Rate for Payer: Cofinity Medicare Advantage |
$130.51
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$149.16
|
| Rate for Payer: Healthscope Commercial |
$167.81
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$130.51
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$139.84
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$158.48
|
| Rate for Payer: PHP Commercial |
$158.48
|
| Rate for Payer: Priority Health Cigna Priority Health |
$121.19
|
| Rate for Payer: Priority Health SBD |
$117.46
|
| Rate for Payer: UMR Bronson Commercial |
$82.04
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$139.84
|
|
|
HC SPECIAL STAINS II
|
Facility
|
OP
|
$186.45
|
|
|
Service Code
|
CPT 88313
|
| Hospital Charge Code |
31000054
|
|
Hospital Revenue Code
|
310
|
| Min. Negotiated Rate |
$67.38 |
| Max. Negotiated Rate |
$353.86 |
| Rate for Payer: Aetna American Axle |
$121.19
|
| Rate for Payer: Aetna Commercial |
$158.48
|
| Rate for Payer: Aetna Medicare |
$130.74
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$121.19
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$157.14
|
| Rate for Payer: Amish Plain Church Group Commercial |
$157.14
|
| Rate for Payer: BCBS Complete |
$70.75
|
| Rate for Payer: BCBS MAPPO |
$125.71
|
| Rate for Payer: BCN Medicare Advantage |
$125.71
|
| Rate for Payer: Cash Price |
$149.16
|
| Rate for Payer: Cash Price |
$149.16
|
| Rate for Payer: Cofinity Commercial |
$160.35
|
| Rate for Payer: Cofinity Commercial |
$130.51
|
| Rate for Payer: Cofinity Medicare Advantage |
$130.51
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$149.16
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$125.71
|
| Rate for Payer: Healthscope Commercial |
$167.81
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$130.51
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$139.84
|
| Rate for Payer: Mclaren Medicaid |
$67.38
|
| Rate for Payer: Mclaren Medicare |
$125.71
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$132.00
|
| Rate for Payer: Meridian Medicaid |
$70.75
|
| Rate for Payer: MI Amish Medical Board Commercial |
$144.57
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$158.48
|
| Rate for Payer: PACE Medicare |
$119.42
|
| Rate for Payer: PACE SWMI |
$125.71
|
| Rate for Payer: PHP Commercial |
$158.48
|
| Rate for Payer: PHP Medicare Advantage |
$125.71
|
| Rate for Payer: Priority Health Choice Medicaid |
$67.38
|
| Rate for Payer: Priority Health Cigna Priority Health |
$121.19
|
| Rate for Payer: Priority Health Medicare |
$125.71
|
| Rate for Payer: Priority Health SBD |
$117.46
|
| Rate for Payer: Railroad Medicare Medicare |
$125.71
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$353.86
|
| Rate for Payer: UHC Dual Complete DSNP |
$125.71
|
| Rate for Payer: UHC Exchange |
$240.24
|
| Rate for Payer: UHC Medicare Advantage |
$125.71
|
| Rate for Payer: UHCCP Medicaid |
$67.38
|
| Rate for Payer: UMR Bronson Commercial |
$68.99
|
| Rate for Payer: VA VA |
$125.71
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$139.84
|
|
|
HC SPECIFIC GRAVITY FLUID NOT URINE
|
Facility
|
IP
|
$12.34
|
|
|
Service Code
|
CPT 84315
|
| Hospital Charge Code |
30100426
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$5.43 |
| Max. Negotiated Rate |
$11.11 |
| Rate for Payer: Aetna American Axle |
$8.02
|
| Rate for Payer: Aetna Commercial |
$10.49
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$8.02
|
| Rate for Payer: Cash Price |
$9.87
|
| Rate for Payer: Cofinity Commercial |
$10.61
|
| Rate for Payer: Cofinity Commercial |
$8.64
|
| Rate for Payer: Cofinity Medicare Advantage |
$8.64
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$9.87
|
| Rate for Payer: Healthscope Commercial |
$11.11
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$8.64
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$9.26
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$10.49
|
| Rate for Payer: PHP Commercial |
$10.49
|
| Rate for Payer: Priority Health Cigna Priority Health |
$8.02
|
| Rate for Payer: Priority Health SBD |
$7.77
|
| Rate for Payer: UMR Bronson Commercial |
$5.43
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$9.26
|
|
|
HC SPECIFIC GRAVITY FLUID NOT URINE
|
Facility
|
OP
|
$12.34
|
|
|
Service Code
|
CPT 84315
|
| Hospital Charge Code |
30100426
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$1.76 |
| Max. Negotiated Rate |
$11.11 |
| Rate for Payer: Aetna American Axle |
$8.02
|
| Rate for Payer: Aetna Commercial |
$10.49
|
| Rate for Payer: Aetna Medicare |
$3.41
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$8.02
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$4.10
|
| Rate for Payer: Amish Plain Church Group Commercial |
$4.10
|
| Rate for Payer: BCBS Complete |
$1.85
|
| Rate for Payer: BCBS MAPPO |
$3.28
|
| Rate for Payer: BCN Medicare Advantage |
$3.28
|
| Rate for Payer: Cash Price |
$9.87
|
| Rate for Payer: Cash Price |
$9.87
|
| Rate for Payer: Cofinity Commercial |
$8.64
|
| Rate for Payer: Cofinity Commercial |
$10.61
|
| Rate for Payer: Cofinity Medicare Advantage |
$8.64
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$9.87
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$3.28
|
| Rate for Payer: Healthscope Commercial |
$11.11
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$8.64
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$9.26
|
| Rate for Payer: Mclaren Medicaid |
$1.76
|
| Rate for Payer: Mclaren Medicare |
$3.28
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$3.44
|
| Rate for Payer: Meridian Medicaid |
$1.85
|
| Rate for Payer: MI Amish Medical Board Commercial |
$3.77
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$10.49
|
| Rate for Payer: PACE Medicare |
$3.12
|
| Rate for Payer: PACE SWMI |
$3.28
|
| Rate for Payer: PHP Commercial |
$10.49
|
| Rate for Payer: PHP Medicare Advantage |
$3.28
|
| Rate for Payer: Priority Health Choice Medicaid |
$1.76
|
| Rate for Payer: Priority Health Cigna Priority Health |
$8.02
|
| Rate for Payer: Priority Health Medicare |
$3.28
|
| Rate for Payer: Priority Health SBD |
$7.77
|
| Rate for Payer: Railroad Medicare Medicare |
$3.28
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$9.23
|
| Rate for Payer: UHC Dual Complete DSNP |
$3.28
|
| Rate for Payer: UHC Exchange |
$6.27
|
| Rate for Payer: UHC Medicare Advantage |
$3.28
|
| Rate for Payer: UHCCP Medicaid |
$1.76
|
| Rate for Payer: UMR Bronson Commercial |
$4.57
|
| Rate for Payer: VA VA |
$3.28
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$9.26
|
|
|
HC SPECIMEN CONCENTRATION FOR INFECTIOUS AGENTS
|
Facility
|
IP
|
$44.06
|
|
|
Service Code
|
CPT 87015
|
| Hospital Charge Code |
30600068
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$19.39 |
| Max. Negotiated Rate |
$39.65 |
| Rate for Payer: Aetna American Axle |
$28.64
|
| Rate for Payer: Aetna Commercial |
$37.45
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$28.64
|
| Rate for Payer: Cash Price |
$35.25
|
| Rate for Payer: Cofinity Commercial |
$30.84
|
| Rate for Payer: Cofinity Commercial |
$37.89
|
| Rate for Payer: Cofinity Medicare Advantage |
$30.84
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$35.25
|
| Rate for Payer: Healthscope Commercial |
$39.65
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$30.84
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$33.05
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$37.45
|
| Rate for Payer: PHP Commercial |
$37.45
|
| Rate for Payer: Priority Health Cigna Priority Health |
$28.64
|
| Rate for Payer: Priority Health SBD |
$27.76
|
| Rate for Payer: UMR Bronson Commercial |
$19.39
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$33.05
|
|
|
HC SPECIMEN CONCENTRATION FOR INFECTIOUS AGENTS
|
Facility
|
OP
|
$44.06
|
|
|
Service Code
|
CPT 87015
|
| Hospital Charge Code |
30600068
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$3.58 |
| Max. Negotiated Rate |
$39.65 |
| Rate for Payer: Aetna American Axle |
$28.64
|
| Rate for Payer: Aetna Commercial |
$37.45
|
| Rate for Payer: Aetna Medicare |
$6.95
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$28.64
|
| 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 |
$3.76
|
| Rate for Payer: BCBS MAPPO |
$6.68
|
| Rate for Payer: BCN Medicare Advantage |
$6.68
|
| Rate for Payer: Cash Price |
$35.25
|
| Rate for Payer: Cash Price |
$35.25
|
| Rate for Payer: Cofinity Commercial |
$37.89
|
| Rate for Payer: Cofinity Commercial |
$30.84
|
| Rate for Payer: Cofinity Medicare Advantage |
$30.84
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$35.25
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$6.68
|
| Rate for Payer: Healthscope Commercial |
$39.65
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$30.84
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$33.05
|
| Rate for Payer: Mclaren Medicaid |
$3.58
|
| 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 |
$3.76
|
| Rate for Payer: MI Amish Medical Board Commercial |
$7.68
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$37.45
|
| Rate for Payer: PACE Medicare |
$6.35
|
| Rate for Payer: PACE SWMI |
$6.68
|
| Rate for Payer: PHP Commercial |
$37.45
|
| Rate for Payer: PHP Medicare Advantage |
$6.68
|
| Rate for Payer: Priority Health Choice Medicaid |
$3.58
|
| Rate for Payer: Priority Health Cigna Priority Health |
$28.64
|
| Rate for Payer: Priority Health Medicare |
$6.68
|
| Rate for Payer: Priority Health SBD |
$27.76
|
| Rate for Payer: Railroad Medicare Medicare |
$6.68
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$18.80
|
| Rate for Payer: UHC Dual Complete DSNP |
$6.68
|
| Rate for Payer: UHC Exchange |
$12.77
|
| Rate for Payer: UHC Medicare Advantage |
$6.68
|
| Rate for Payer: UHCCP Medicaid |
$3.58
|
| Rate for Payer: UMR Bronson Commercial |
$16.30
|
| Rate for Payer: VA VA |
$6.68
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$33.05
|
|
|
HC SPEC PHYSICS CONSULT
|
Facility
|
IP
|
$556.61
|
|
|
Service Code
|
CPT 77370
|
| Hospital Charge Code |
33300017
|
|
Hospital Revenue Code
|
333
|
| Min. Negotiated Rate |
$244.91 |
| Max. Negotiated Rate |
$500.95 |
| Rate for Payer: Aetna American Axle |
$361.80
|
| Rate for Payer: Aetna Commercial |
$473.12
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$361.80
|
| Rate for Payer: Cash Price |
$445.29
|
| Rate for Payer: Cofinity Commercial |
$389.63
|
| Rate for Payer: Cofinity Commercial |
$478.68
|
| Rate for Payer: Cofinity Medicare Advantage |
$389.63
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$445.29
|
| Rate for Payer: Healthscope Commercial |
$500.95
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$389.63
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$417.46
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$473.12
|
| Rate for Payer: PHP Commercial |
$473.12
|
| Rate for Payer: Priority Health Cigna Priority Health |
$361.80
|
| Rate for Payer: Priority Health SBD |
$350.66
|
| Rate for Payer: UMR Bronson Commercial |
$244.91
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$417.46
|
|
|
HC SPEC PHYSICS CONSULT
|
Facility
|
OP
|
$556.61
|
|
|
Service Code
|
CPT 77370
|
| Hospital Charge Code |
33300017
|
|
Hospital Revenue Code
|
333
|
| Min. Negotiated Rate |
$69.41 |
| Max. Negotiated Rate |
$979.00 |
| Rate for Payer: Aetna American Axle |
$361.80
|
| Rate for Payer: Aetna Commercial |
$473.12
|
| Rate for Payer: Aetna Medicare |
$134.67
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$361.80
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$161.86
|
| Rate for Payer: Amish Plain Church Group Commercial |
$161.86
|
| Rate for Payer: BCBS Complete |
$72.88
|
| Rate for Payer: BCBS MAPPO |
$129.49
|
| Rate for Payer: BCN Medicare Advantage |
$129.49
|
| Rate for Payer: Cash Price |
$445.29
|
| Rate for Payer: Cash Price |
$445.29
|
| Rate for Payer: Cash Price |
$445.29
|
| Rate for Payer: Cofinity Commercial |
$389.63
|
| Rate for Payer: Cofinity Commercial |
$478.68
|
| Rate for Payer: Cofinity Medicare Advantage |
$389.63
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$445.29
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$129.49
|
| Rate for Payer: Healthscope Commercial |
$500.95
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$389.63
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$417.46
|
| Rate for Payer: Mclaren Medicaid |
$69.41
|
| Rate for Payer: Mclaren Medicare |
$129.49
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$135.96
|
| Rate for Payer: Meridian Medicaid |
$72.88
|
| Rate for Payer: MI Amish Medical Board Commercial |
$148.91
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$473.12
|
| Rate for Payer: PACE Medicare |
$123.02
|
| Rate for Payer: PACE SWMI |
$129.49
|
| Rate for Payer: PHP Commercial |
$473.12
|
| Rate for Payer: PHP Medicare Advantage |
$129.49
|
| Rate for Payer: Priority Health Choice Medicaid |
$69.41
|
| Rate for Payer: Priority Health Cigna Priority Health |
$361.80
|
| Rate for Payer: Priority Health Medicare |
$129.49
|
| Rate for Payer: Priority Health SBD |
$350.66
|
| Rate for Payer: Railroad Medicare Medicare |
$129.49
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$364.50
|
| Rate for Payer: UHC Core |
$979.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$129.49
|
| Rate for Payer: UHC Exchange |
$247.47
|
| Rate for Payer: UHC Medicare Advantage |
$129.49
|
| Rate for Payer: UHCCP Medicaid |
$69.41
|
| Rate for Payer: UMR Bronson Commercial |
$205.95
|
| Rate for Payer: VA VA |
$129.49
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$417.46
|
|
|
HC SPECTRAL DOPPLER
|
Facility
|
IP
|
$493.59
|
|
|
Service Code
|
CPT 93320
|
| Hospital Charge Code |
48000006
|
|
Hospital Revenue Code
|
480
|
| Min. Negotiated Rate |
$217.18 |
| Max. Negotiated Rate |
$444.23 |
| Rate for Payer: Aetna American Axle |
$320.83
|
| Rate for Payer: Aetna Commercial |
$419.55
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$320.83
|
| Rate for Payer: Cash Price |
$394.87
|
| Rate for Payer: Cofinity Commercial |
$345.51
|
| Rate for Payer: Cofinity Commercial |
$424.49
|
| Rate for Payer: Cofinity Medicare Advantage |
$345.51
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$394.87
|
| Rate for Payer: Healthscope Commercial |
$444.23
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$345.51
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$370.19
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$419.55
|
| Rate for Payer: PHP Commercial |
$419.55
|
| Rate for Payer: Priority Health Cigna Priority Health |
$320.83
|
| Rate for Payer: Priority Health SBD |
$310.96
|
| Rate for Payer: UMR Bronson Commercial |
$217.18
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$370.19
|
|
|
HC SPECTRAL DOPPLER
|
Facility
|
OP
|
$493.59
|
|
|
Service Code
|
CPT 93320
|
| Hospital Charge Code |
48000006
|
|
Hospital Revenue Code
|
480
|
| Min. Negotiated Rate |
$182.63 |
| Max. Negotiated Rate |
$816.00 |
| Rate for Payer: Aetna American Axle |
$320.83
|
| Rate for Payer: Aetna Commercial |
$419.55
|
| Rate for Payer: Aetna Medicare |
$246.79
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$320.83
|
| Rate for Payer: BCBS Complete |
$197.44
|
| Rate for Payer: Cash Price |
$394.87
|
| Rate for Payer: Cash Price |
$394.87
|
| Rate for Payer: Cofinity Commercial |
$424.49
|
| Rate for Payer: Cofinity Commercial |
$345.51
|
| Rate for Payer: Cofinity Medicare Advantage |
$345.51
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$394.87
|
| Rate for Payer: Healthscope Commercial |
$444.23
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$345.51
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$370.19
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$419.55
|
| Rate for Payer: PHP Commercial |
$419.55
|
| Rate for Payer: Priority Health Cigna Priority Health |
$320.83
|
| Rate for Payer: Priority Health SBD |
$310.96
|
| Rate for Payer: UHC Core |
$816.00
|
| Rate for Payer: UMR Bronson Commercial |
$182.63
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$370.19
|
|
|
HC SPEC TX PROCEDURE
|
Facility
|
IP
|
$1,587.65
|
|
|
Service Code
|
CPT 77470
|
| Hospital Charge Code |
33300026
|
|
Hospital Revenue Code
|
333
|
| Min. Negotiated Rate |
$698.57 |
| Max. Negotiated Rate |
$1,428.88 |
| Rate for Payer: Aetna American Axle |
$1,031.97
|
| Rate for Payer: Aetna Commercial |
$1,349.50
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,031.97
|
| Rate for Payer: Cash Price |
$1,270.12
|
| Rate for Payer: Cofinity Commercial |
$1,111.36
|
| Rate for Payer: Cofinity Commercial |
$1,365.38
|
| Rate for Payer: Cofinity Medicare Advantage |
$1,111.36
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,270.12
|
| Rate for Payer: Healthscope Commercial |
$1,428.88
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,111.36
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,190.74
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,349.50
|
| Rate for Payer: PHP Commercial |
$1,349.50
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,031.97
|
| Rate for Payer: Priority Health SBD |
$1,000.22
|
| Rate for Payer: UMR Bronson Commercial |
$698.57
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,190.74
|
|
|
HC SPEC TX PROCEDURE
|
Facility
|
OP
|
$1,587.65
|
|
|
Service Code
|
CPT 77470
|
| Hospital Charge Code |
33300026
|
|
Hospital Revenue Code
|
333
|
| Min. Negotiated Rate |
$302.40 |
| Max. Negotiated Rate |
$1,588.08 |
| Rate for Payer: Aetna American Axle |
$1,031.97
|
| Rate for Payer: Aetna Commercial |
$1,349.50
|
| Rate for Payer: Aetna Medicare |
$586.74
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,031.97
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$705.21
|
| Rate for Payer: Amish Plain Church Group Commercial |
$705.21
|
| Rate for Payer: BCBS Complete |
$317.51
|
| Rate for Payer: BCBS MAPPO |
$564.17
|
| Rate for Payer: BCN Medicare Advantage |
$564.17
|
| Rate for Payer: Cash Price |
$1,270.12
|
| Rate for Payer: Cash Price |
$1,270.12
|
| Rate for Payer: Cash Price |
$1,270.12
|
| Rate for Payer: Cofinity Commercial |
$1,111.36
|
| Rate for Payer: Cofinity Commercial |
$1,365.38
|
| Rate for Payer: Cofinity Medicare Advantage |
$1,111.36
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,270.12
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$564.17
|
| Rate for Payer: Healthscope Commercial |
$1,428.88
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,111.36
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,190.74
|
| Rate for Payer: Mclaren Medicaid |
$302.40
|
| Rate for Payer: Mclaren Medicare |
$564.17
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$592.38
|
| Rate for Payer: Meridian Medicaid |
$317.51
|
| Rate for Payer: MI Amish Medical Board Commercial |
$648.80
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,349.50
|
| Rate for Payer: PACE Medicare |
$535.96
|
| Rate for Payer: PACE SWMI |
$564.17
|
| Rate for Payer: PHP Commercial |
$1,349.50
|
| Rate for Payer: PHP Medicare Advantage |
$564.17
|
| Rate for Payer: Priority Health Choice Medicaid |
$302.40
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,031.97
|
| Rate for Payer: Priority Health Medicare |
$564.17
|
| Rate for Payer: Priority Health SBD |
$1,000.22
|
| Rate for Payer: Railroad Medicare Medicare |
$564.17
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,588.08
|
| Rate for Payer: UHC Core |
$979.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$564.17
|
| Rate for Payer: UHC Exchange |
$1,078.19
|
| Rate for Payer: UHC Medicare Advantage |
$564.17
|
| Rate for Payer: UHCCP Medicaid |
$302.40
|
| Rate for Payer: UMR Bronson Commercial |
$587.43
|
| Rate for Payer: VA VA |
$564.17
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,190.74
|
|
|
HC SPEECH AUDIOMETRY COMPLETE
|
Facility
|
IP
|
$66.30
|
|
|
Service Code
|
CPT 92556
|
| Hospital Charge Code |
76100502
|
|
Hospital Revenue Code
|
471
|
| Min. Negotiated Rate |
$29.17 |
| Max. Negotiated Rate |
$59.67 |
| Rate for Payer: Aetna American Axle |
$43.09
|
| Rate for Payer: Aetna Commercial |
$56.35
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$43.09
|
| Rate for Payer: Cash Price |
$53.04
|
| Rate for Payer: Cofinity Commercial |
$46.41
|
| Rate for Payer: Cofinity Commercial |
$57.02
|
| Rate for Payer: Cofinity Medicare Advantage |
$46.41
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$53.04
|
| Rate for Payer: Healthscope Commercial |
$59.67
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$46.41
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$49.73
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$56.35
|
| Rate for Payer: PHP Commercial |
$56.35
|
| Rate for Payer: Priority Health Cigna Priority Health |
$43.09
|
| Rate for Payer: Priority Health SBD |
$41.77
|
| Rate for Payer: UMR Bronson Commercial |
$29.17
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$49.73
|
|
|
HC SPEECH AUDIOMETRY COMPLETE
|
Facility
|
OP
|
$66.30
|
|
|
Service Code
|
CPT 92556
|
| Hospital Charge Code |
76100502
|
|
Hospital Revenue Code
|
471
|
| Min. Negotiated Rate |
$24.53 |
| Max. Negotiated Rate |
$294.00 |
| Rate for Payer: Aetna American Axle |
$43.09
|
| Rate for Payer: Aetna Commercial |
$56.35
|
| Rate for Payer: Aetna Medicare |
$60.25
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$43.09
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$72.41
|
| Rate for Payer: Amish Plain Church Group Commercial |
$72.41
|
| Rate for Payer: BCBS Complete |
$32.60
|
| Rate for Payer: BCBS MAPPO |
$57.93
|
| Rate for Payer: BCN Medicare Advantage |
$57.93
|
| Rate for Payer: Cash Price |
$53.04
|
| Rate for Payer: Cash Price |
$53.04
|
| Rate for Payer: Cash Price |
$53.04
|
| Rate for Payer: Cofinity Commercial |
$46.41
|
| Rate for Payer: Cofinity Commercial |
$57.02
|
| Rate for Payer: Cofinity Medicare Advantage |
$46.41
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$53.04
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$57.93
|
| Rate for Payer: Healthscope Commercial |
$59.67
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$46.41
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$49.73
|
| Rate for Payer: Mclaren Medicaid |
$31.05
|
| Rate for Payer: Mclaren Medicare |
$57.93
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$60.83
|
| Rate for Payer: Meridian Medicaid |
$32.60
|
| Rate for Payer: MI Amish Medical Board Commercial |
$66.62
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$56.35
|
| Rate for Payer: PACE Medicare |
$55.03
|
| Rate for Payer: PACE SWMI |
$57.93
|
| Rate for Payer: PHP Commercial |
$56.35
|
| Rate for Payer: PHP Medicare Advantage |
$57.93
|
| Rate for Payer: Priority Health Choice Medicaid |
$31.05
|
| Rate for Payer: Priority Health Cigna Priority Health |
$43.09
|
| Rate for Payer: Priority Health Medicare |
$57.93
|
| Rate for Payer: Priority Health SBD |
$41.77
|
| Rate for Payer: Railroad Medicare Medicare |
$57.93
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$163.07
|
| Rate for Payer: UHC Core |
$294.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$57.93
|
| Rate for Payer: UHC Exchange |
$110.71
|
| Rate for Payer: UHC Medicare Advantage |
$57.93
|
| Rate for Payer: UHCCP Medicaid |
$31.05
|
| Rate for Payer: UMR Bronson Commercial |
$24.53
|
| Rate for Payer: VA VA |
$57.93
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$49.73
|
|
|
HC SPEECH EVAL
|
Facility
|
OP
|
$599.67
|
|
|
Service Code
|
CPT 92523
|
| Hospital Charge Code |
44400009
|
|
Hospital Revenue Code
|
444
|
| Min. Negotiated Rate |
$135.00 |
| Max. Negotiated Rate |
$539.70 |
| Rate for Payer: Aetna American Axle |
$389.79
|
| Rate for Payer: Aetna Commercial |
$509.72
|
| Rate for Payer: Aetna Medicare |
$299.83
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$389.79
|
| Rate for Payer: BCBS Complete |
$239.87
|
| Rate for Payer: Cash Price |
$479.74
|
| Rate for Payer: Cash Price |
$479.74
|
| Rate for Payer: Cofinity Commercial |
$515.72
|
| Rate for Payer: Cofinity Commercial |
$419.77
|
| Rate for Payer: Cofinity Medicare Advantage |
$419.77
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$479.74
|
| Rate for Payer: Healthscope Commercial |
$539.70
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$419.77
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$449.75
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$509.72
|
| Rate for Payer: Nomi Health Commercial |
$135.00
|
| Rate for Payer: PHP Commercial |
$509.72
|
| Rate for Payer: Priority Health Cigna Priority Health |
$389.79
|
| Rate for Payer: Priority Health SBD |
$377.79
|
| Rate for Payer: UHC Core |
$294.00
|
| Rate for Payer: UMR Bronson Commercial |
$221.88
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$449.75
|
|
|
HC SPEECH EVAL
|
Facility
|
IP
|
$599.67
|
|
|
Service Code
|
CPT 92523
|
| Hospital Charge Code |
44400009
|
|
Hospital Revenue Code
|
444
|
| Min. Negotiated Rate |
$263.85 |
| Max. Negotiated Rate |
$539.70 |
| Rate for Payer: Aetna American Axle |
$389.79
|
| Rate for Payer: Aetna Commercial |
$509.72
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$389.79
|
| Rate for Payer: Cash Price |
$479.74
|
| Rate for Payer: Cofinity Commercial |
$419.77
|
| Rate for Payer: Cofinity Commercial |
$515.72
|
| Rate for Payer: Cofinity Medicare Advantage |
$419.77
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$479.74
|
| Rate for Payer: Healthscope Commercial |
$539.70
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$419.77
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$449.75
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$509.72
|
| Rate for Payer: PHP Commercial |
$509.72
|
| Rate for Payer: Priority Health Cigna Priority Health |
$389.79
|
| Rate for Payer: Priority Health SBD |
$377.79
|
| Rate for Payer: UMR Bronson Commercial |
$263.85
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$449.75
|
|
|
HC SPEECH FLUENCY EVAL
|
Facility
|
IP
|
$295.57
|
|
|
Service Code
|
CPT 92521
|
| Hospital Charge Code |
44400012
|
|
Hospital Revenue Code
|
444
|
| Min. Negotiated Rate |
$130.05 |
| Max. Negotiated Rate |
$266.01 |
| Rate for Payer: Aetna American Axle |
$192.12
|
| Rate for Payer: Aetna Commercial |
$251.23
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$192.12
|
| Rate for Payer: Cash Price |
$236.46
|
| Rate for Payer: Cofinity Commercial |
$206.90
|
| Rate for Payer: Cofinity Commercial |
$254.19
|
| Rate for Payer: Cofinity Medicare Advantage |
$206.90
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$236.46
|
| Rate for Payer: Healthscope Commercial |
$266.01
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$206.90
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$221.68
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$251.23
|
| Rate for Payer: PHP Commercial |
$251.23
|
| Rate for Payer: Priority Health Cigna Priority Health |
$192.12
|
| Rate for Payer: Priority Health SBD |
$186.21
|
| Rate for Payer: UMR Bronson Commercial |
$130.05
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$221.68
|
|
|
HC SPEECH FLUENCY EVAL
|
Facility
|
OP
|
$295.57
|
|
|
Service Code
|
CPT 92521
|
| Hospital Charge Code |
44400012
|
|
Hospital Revenue Code
|
444
|
| Min. Negotiated Rate |
$109.36 |
| Max. Negotiated Rate |
$294.00 |
| Rate for Payer: Aetna American Axle |
$192.12
|
| Rate for Payer: Aetna Commercial |
$251.23
|
| Rate for Payer: Aetna Medicare |
$147.78
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$192.12
|
| Rate for Payer: BCBS Complete |
$118.23
|
| Rate for Payer: Cash Price |
$236.46
|
| Rate for Payer: Cash Price |
$236.46
|
| Rate for Payer: Cofinity Commercial |
$254.19
|
| Rate for Payer: Cofinity Commercial |
$206.90
|
| Rate for Payer: Cofinity Medicare Advantage |
$206.90
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$236.46
|
| Rate for Payer: Healthscope Commercial |
$266.01
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$206.90
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$221.68
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$251.23
|
| Rate for Payer: Nomi Health Commercial |
$135.00
|
| Rate for Payer: PHP Commercial |
$251.23
|
| Rate for Payer: Priority Health Cigna Priority Health |
$192.12
|
| Rate for Payer: Priority Health SBD |
$186.21
|
| Rate for Payer: UHC Core |
$294.00
|
| Rate for Payer: UMR Bronson Commercial |
$109.36
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$221.68
|
|
|
HC SPEECH/LANGUAGE/HEARING THERAPY
|
Facility
|
OP
|
$216.40
|
|
|
Service Code
|
CPT 92507
|
| Hospital Charge Code |
44000001
|
|
Hospital Revenue Code
|
440
|
| Min. Negotiated Rate |
$80.07 |
| Max. Negotiated Rate |
$294.00 |
| Rate for Payer: Aetna American Axle |
$140.66
|
| Rate for Payer: Aetna Commercial |
$183.94
|
| Rate for Payer: Aetna Medicare |
$108.20
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$140.66
|
| Rate for Payer: BCBS Complete |
$86.56
|
| Rate for Payer: Cash Price |
$173.12
|
| Rate for Payer: Cash Price |
$173.12
|
| Rate for Payer: Cofinity Commercial |
$186.10
|
| Rate for Payer: Cofinity Commercial |
$151.48
|
| Rate for Payer: Cofinity Medicare Advantage |
$151.48
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$173.12
|
| Rate for Payer: Healthscope Commercial |
$194.76
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$151.48
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$162.30
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$183.94
|
| Rate for Payer: Nomi Health Commercial |
$135.00
|
| Rate for Payer: PHP Commercial |
$183.94
|
| Rate for Payer: Priority Health Cigna Priority Health |
$140.66
|
| Rate for Payer: Priority Health SBD |
$136.33
|
| Rate for Payer: UHC Core |
$294.00
|
| Rate for Payer: UMR Bronson Commercial |
$80.07
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$162.30
|
|
|
HC SPEECH/LANGUAGE/HEARING THERAPY
|
Facility
|
IP
|
$216.40
|
|
|
Service Code
|
CPT 92507
|
| Hospital Charge Code |
44000001
|
|
Hospital Revenue Code
|
440
|
| Min. Negotiated Rate |
$95.22 |
| Max. Negotiated Rate |
$194.76 |
| Rate for Payer: Aetna American Axle |
$140.66
|
| Rate for Payer: Aetna Commercial |
$183.94
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$140.66
|
| Rate for Payer: Cash Price |
$173.12
|
| Rate for Payer: Cofinity Commercial |
$151.48
|
| Rate for Payer: Cofinity Commercial |
$186.10
|
| Rate for Payer: Cofinity Medicare Advantage |
$151.48
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$173.12
|
| Rate for Payer: Healthscope Commercial |
$194.76
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$151.48
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$162.30
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$183.94
|
| Rate for Payer: PHP Commercial |
$183.94
|
| Rate for Payer: Priority Health Cigna Priority Health |
$140.66
|
| Rate for Payer: Priority Health SBD |
$136.33
|
| Rate for Payer: UMR Bronson Commercial |
$95.22
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$162.30
|
|
