|
HC STENT PLACE OTHER THAN LOWER EXTREM CERV CAROTID INTRACRAN
|
Facility
|
IP
|
$16,403.51
|
|
|
Service Code
|
CPT 37236
|
| Hospital Charge Code |
36100424
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$7,217.54 |
| Max. Negotiated Rate |
$14,763.16 |
| Rate for Payer: Aetna American Axle |
$10,662.28
|
| Rate for Payer: Aetna Commercial |
$13,942.98
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$10,662.28
|
| Rate for Payer: Cash Price |
$13,122.81
|
| Rate for Payer: Cofinity Commercial |
$11,482.46
|
| Rate for Payer: Cofinity Commercial |
$14,107.02
|
| Rate for Payer: Cofinity Medicare Advantage |
$11,482.46
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$13,122.81
|
| Rate for Payer: Healthscope Commercial |
$14,763.16
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$11,482.46
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$12,302.63
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$13,942.98
|
| Rate for Payer: PHP Commercial |
$13,942.98
|
| Rate for Payer: Priority Health Cigna Priority Health |
$10,662.28
|
| Rate for Payer: Priority Health SBD |
$10,334.21
|
| Rate for Payer: UMR Bronson Commercial |
$7,217.54
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$12,302.63
|
|
|
HC STENT PLACE VENOUS
|
Facility
|
IP
|
$18,746.85
|
|
|
Service Code
|
CPT 37238
|
| Hospital Charge Code |
36100426
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$8,248.61 |
| Max. Negotiated Rate |
$16,872.16 |
| Rate for Payer: Aetna American Axle |
$12,185.45
|
| Rate for Payer: Aetna Commercial |
$15,934.82
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$12,185.45
|
| Rate for Payer: Cash Price |
$14,997.48
|
| Rate for Payer: Cofinity Commercial |
$13,122.80
|
| Rate for Payer: Cofinity Commercial |
$16,122.29
|
| Rate for Payer: Cofinity Medicare Advantage |
$13,122.80
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$14,997.48
|
| Rate for Payer: Healthscope Commercial |
$16,872.16
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$13,122.80
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$14,060.14
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$15,934.82
|
| Rate for Payer: PHP Commercial |
$15,934.82
|
| Rate for Payer: Priority Health Cigna Priority Health |
$12,185.45
|
| Rate for Payer: Priority Health SBD |
$11,810.52
|
| Rate for Payer: UMR Bronson Commercial |
$8,248.61
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$14,060.14
|
|
|
HC STENT PLACE VENOUS
|
Facility
|
OP
|
$18,746.85
|
|
|
Service Code
|
CPT 37238
|
| Hospital Charge Code |
36100426
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$294.58 |
| Max. Negotiated Rate |
$34,922.52 |
| Rate for Payer: Aetna American Axle |
$12,185.45
|
| Rate for Payer: Aetna Commercial |
$15,934.82
|
| Rate for Payer: Aetna Medicare |
$11,555.71
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$12,185.45
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$13,889.08
|
| Rate for Payer: Amish Plain Church Group Commercial |
$13,889.08
|
| Rate for Payer: BCBS Complete |
$6,253.42
|
| Rate for Payer: BCBS MAPPO |
$11,111.26
|
| Rate for Payer: BCBS Trust/PPO |
$15,257.90
|
| Rate for Payer: BCN Commercial |
$15,257.90
|
| Rate for Payer: BCN Medicare Advantage |
$11,111.26
|
| Rate for Payer: Cash Price |
$14,997.48
|
| Rate for Payer: Cash Price |
$14,997.48
|
| Rate for Payer: Cash Price |
$14,997.48
|
| Rate for Payer: Cofinity Commercial |
$16,122.29
|
| Rate for Payer: Cofinity Commercial |
$13,122.80
|
| Rate for Payer: Cofinity Medicare Advantage |
$13,122.80
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$14,997.48
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$11,111.26
|
| Rate for Payer: Healthscope Commercial |
$16,872.16
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$13,122.80
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$14,060.14
|
| Rate for Payer: Mclaren Medicaid |
$5,955.64
|
| Rate for Payer: Mclaren Medicare |
$11,111.26
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$11,666.82
|
| Rate for Payer: Meridian Medicaid |
$6,253.42
|
| Rate for Payer: MI Amish Medical Board Commercial |
$12,777.95
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$15,934.82
|
| Rate for Payer: Nomi Health Commercial |
$23,333.65
|
| Rate for Payer: PACE Medicare |
$10,555.70
|
| Rate for Payer: PACE SWMI |
$11,111.26
|
| Rate for Payer: PHP Commercial |
$15,934.82
|
| Rate for Payer: PHP Medicare Advantage |
$11,111.26
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,955.64
|
| Rate for Payer: Priority Health Cigna Priority Health |
$12,185.45
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$34,922.52
|
| Rate for Payer: Priority Health Medicare |
$11,111.26
|
| Rate for Payer: Priority Health Narrow Network |
$27,938.02
|
| Rate for Payer: Priority Health SBD |
$11,810.52
|
| Rate for Payer: Railroad Medicare Medicare |
$11,111.26
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$324.04
|
| Rate for Payer: UHC Core |
$13,752.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$11,111.26
|
| Rate for Payer: UHC Exchange |
$294.58
|
| Rate for Payer: UHC Medicare Advantage |
$11,111.26
|
| Rate for Payer: UHCCP Medicaid |
$5,955.64
|
| Rate for Payer: UMR Bronson Commercial |
$6,936.33
|
| Rate for Payer: VA VA |
$11,111.26
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$14,060.14
|
|
|
HC STENT PLACE VENOUS EA ADDL VEIN
|
Facility
|
OP
|
$10,616.58
|
|
|
Service Code
|
CPT 37239
|
| Hospital Charge Code |
36100427
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$144.37 |
| Max. Negotiated Rate |
$9,554.92 |
| Rate for Payer: Aetna American Axle |
$6,900.78
|
| Rate for Payer: Aetna Commercial |
$9,024.09
|
| Rate for Payer: Aetna Medicare |
$5,308.29
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$6,900.78
|
| Rate for Payer: BCBS Complete |
$4,246.63
|
| Rate for Payer: BCBS Trust/PPO |
$7,165.15
|
| Rate for Payer: BCN Commercial |
$7,165.15
|
| Rate for Payer: Cash Price |
$8,493.26
|
| Rate for Payer: Cash Price |
$8,493.26
|
| Rate for Payer: Cash Price |
$8,493.26
|
| Rate for Payer: Cofinity Commercial |
$9,130.26
|
| Rate for Payer: Cofinity Commercial |
$7,431.61
|
| Rate for Payer: Cofinity Medicare Advantage |
$7,431.61
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$8,493.26
|
| Rate for Payer: Healthscope Commercial |
$9,554.92
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$7,431.61
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$7,962.44
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$9,024.09
|
| Rate for Payer: PHP Commercial |
$9,024.09
|
| Rate for Payer: Priority Health Cigna Priority Health |
$6,900.78
|
| Rate for Payer: Priority Health SBD |
$6,688.45
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$158.81
|
| Rate for Payer: UHC Core |
$8,596.00
|
| Rate for Payer: UHC Exchange |
$144.37
|
| Rate for Payer: UMR Bronson Commercial |
$3,928.13
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$7,962.44
|
|
|
HC STENT PLACE VENOUS EA ADDL VEIN
|
Facility
|
IP
|
$10,616.58
|
|
|
Service Code
|
CPT 37239
|
| Hospital Charge Code |
36100427
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$4,671.30 |
| Max. Negotiated Rate |
$9,554.92 |
| Rate for Payer: Aetna American Axle |
$6,900.78
|
| Rate for Payer: Aetna Commercial |
$9,024.09
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$6,900.78
|
| Rate for Payer: Cash Price |
$8,493.26
|
| Rate for Payer: Cofinity Commercial |
$7,431.61
|
| Rate for Payer: Cofinity Commercial |
$9,130.26
|
| Rate for Payer: Cofinity Medicare Advantage |
$7,431.61
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$8,493.26
|
| Rate for Payer: Healthscope Commercial |
$9,554.92
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$7,431.61
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$7,962.44
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$9,024.09
|
| Rate for Payer: PHP Commercial |
$9,024.09
|
| Rate for Payer: Priority Health Cigna Priority Health |
$6,900.78
|
| Rate for Payer: Priority Health SBD |
$6,688.45
|
| Rate for Payer: UMR Bronson Commercial |
$4,671.30
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$7,962.44
|
|
|
HC STENT TRASCATH VEIN EACH ADDL
|
Facility
|
IP
|
$6,855.32
|
|
|
Service Code
|
CPT 37239
|
| Hospital Charge Code |
36100441
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$3,016.34 |
| Max. Negotiated Rate |
$6,169.79 |
| Rate for Payer: Aetna American Axle |
$4,455.96
|
| Rate for Payer: Aetna Commercial |
$5,827.02
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$4,455.96
|
| Rate for Payer: Cash Price |
$5,484.26
|
| Rate for Payer: Cofinity Commercial |
$4,798.72
|
| Rate for Payer: Cofinity Commercial |
$5,895.58
|
| Rate for Payer: Cofinity Medicare Advantage |
$4,798.72
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$5,484.26
|
| Rate for Payer: Healthscope Commercial |
$6,169.79
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$4,798.72
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$5,141.49
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$5,827.02
|
| Rate for Payer: PHP Commercial |
$5,827.02
|
| Rate for Payer: Priority Health Cigna Priority Health |
$4,455.96
|
| Rate for Payer: Priority Health SBD |
$4,318.85
|
| Rate for Payer: UMR Bronson Commercial |
$3,016.34
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$5,141.49
|
|
|
HC STENT TRASCATH VEIN EACH ADDL
|
Facility
|
OP
|
$6,855.32
|
|
|
Service Code
|
CPT 37239
|
| Hospital Charge Code |
36100441
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$144.37 |
| Max. Negotiated Rate |
$8,596.00 |
| Rate for Payer: Aetna American Axle |
$4,455.96
|
| Rate for Payer: Aetna Commercial |
$5,827.02
|
| Rate for Payer: Aetna Medicare |
$3,427.66
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$4,455.96
|
| Rate for Payer: BCBS Complete |
$2,742.13
|
| Rate for Payer: BCBS Trust/PPO |
$7,165.15
|
| Rate for Payer: BCN Commercial |
$7,165.15
|
| Rate for Payer: Cash Price |
$5,484.26
|
| Rate for Payer: Cash Price |
$5,484.26
|
| Rate for Payer: Cash Price |
$5,484.26
|
| Rate for Payer: Cofinity Commercial |
$5,895.58
|
| Rate for Payer: Cofinity Commercial |
$4,798.72
|
| Rate for Payer: Cofinity Medicare Advantage |
$4,798.72
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$5,484.26
|
| Rate for Payer: Healthscope Commercial |
$6,169.79
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$4,798.72
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$5,141.49
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$5,827.02
|
| Rate for Payer: PHP Commercial |
$5,827.02
|
| Rate for Payer: Priority Health Cigna Priority Health |
$4,455.96
|
| Rate for Payer: Priority Health SBD |
$4,318.85
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$158.81
|
| Rate for Payer: UHC Core |
$8,596.00
|
| Rate for Payer: UHC Exchange |
$144.37
|
| Rate for Payer: UMR Bronson Commercial |
$2,536.47
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$5,141.49
|
|
|
HC STENT VESSEL/BRANCH
|
Facility
|
OP
|
$24,667.58
|
|
|
Service Code
|
CPT 92928
|
| Hospital Charge Code |
48100073
|
|
Hospital Revenue Code
|
481
|
| Min. Negotiated Rate |
$565.99 |
| Max. Negotiated Rate |
$34,922.52 |
| Rate for Payer: Aetna American Axle |
$16,033.93
|
| Rate for Payer: Aetna Commercial |
$20,967.44
|
| Rate for Payer: Aetna Medicare |
$11,555.71
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$16,033.93
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$13,889.08
|
| Rate for Payer: Amish Plain Church Group Commercial |
$13,889.08
|
| Rate for Payer: BCBS Complete |
$6,253.42
|
| Rate for Payer: BCBS MAPPO |
$11,111.26
|
| Rate for Payer: BCBS Trust/PPO |
$11,544.83
|
| Rate for Payer: BCN Commercial |
$11,544.83
|
| Rate for Payer: BCN Medicare Advantage |
$11,111.26
|
| Rate for Payer: Cash Price |
$19,734.06
|
| Rate for Payer: Cash Price |
$19,734.06
|
| Rate for Payer: Cash Price |
$19,734.06
|
| Rate for Payer: Cofinity Commercial |
$21,214.12
|
| Rate for Payer: Cofinity Commercial |
$17,267.31
|
| Rate for Payer: Cofinity Medicare Advantage |
$17,267.31
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$19,734.06
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$11,111.26
|
| Rate for Payer: Healthscope Commercial |
$22,200.82
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$17,267.31
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$18,500.68
|
| Rate for Payer: Mclaren Medicaid |
$5,955.64
|
| Rate for Payer: Mclaren Medicare |
$11,111.26
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$11,666.82
|
| Rate for Payer: Meridian Medicaid |
$6,253.42
|
| Rate for Payer: MI Amish Medical Board Commercial |
$12,777.95
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$20,967.44
|
| Rate for Payer: Nomi Health Commercial |
$23,333.65
|
| Rate for Payer: PACE Medicare |
$10,555.70
|
| Rate for Payer: PACE SWMI |
$11,111.26
|
| Rate for Payer: PHP Commercial |
$20,967.44
|
| Rate for Payer: PHP Medicare Advantage |
$11,111.26
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,955.64
|
| Rate for Payer: Priority Health Cigna Priority Health |
$16,033.93
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$34,922.52
|
| Rate for Payer: Priority Health Medicare |
$11,111.26
|
| Rate for Payer: Priority Health Narrow Network |
$27,938.02
|
| Rate for Payer: Priority Health SBD |
$15,540.58
|
| Rate for Payer: Railroad Medicare Medicare |
$11,111.26
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$622.59
|
| Rate for Payer: UHC Core |
$8,596.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$11,111.26
|
| Rate for Payer: UHC Exchange |
$565.99
|
| Rate for Payer: UHC Medicare Advantage |
$11,111.26
|
| Rate for Payer: UHCCP Medicaid |
$5,955.64
|
| Rate for Payer: UMR Bronson Commercial |
$9,127.00
|
| Rate for Payer: VA VA |
$11,111.26
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$18,500.68
|
|
|
HC STENT VESSEL/BRANCH
|
Facility
|
IP
|
$24,667.58
|
|
|
Service Code
|
CPT 92928
|
| Hospital Charge Code |
48100073
|
|
Hospital Revenue Code
|
481
|
| Min. Negotiated Rate |
$10,853.74 |
| Max. Negotiated Rate |
$22,200.82 |
| Rate for Payer: Aetna American Axle |
$16,033.93
|
| Rate for Payer: Aetna Commercial |
$20,967.44
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$16,033.93
|
| Rate for Payer: Cash Price |
$19,734.06
|
| Rate for Payer: Cofinity Commercial |
$17,267.31
|
| Rate for Payer: Cofinity Commercial |
$21,214.12
|
| Rate for Payer: Cofinity Medicare Advantage |
$17,267.31
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$19,734.06
|
| Rate for Payer: Healthscope Commercial |
$22,200.82
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$17,267.31
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$18,500.68
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$20,967.44
|
| Rate for Payer: PHP Commercial |
$20,967.44
|
| Rate for Payer: Priority Health Cigna Priority Health |
$16,033.93
|
| Rate for Payer: Priority Health SBD |
$15,540.58
|
| Rate for Payer: UMR Bronson Commercial |
$10,853.74
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$18,500.68
|
|
|
HC ST JUDE CRT ICD
|
Facility
|
IP
|
$28,090.80
|
|
|
Service Code
|
HCPCS C1882
|
| Hospital Charge Code |
27500009
|
|
Hospital Revenue Code
|
275
|
| Min. Negotiated Rate |
$12,359.95 |
| Max. Negotiated Rate |
$25,281.72 |
| Rate for Payer: UMR Bronson Commercial |
$12,359.95
|
| Rate for Payer: Aetna American Axle |
$18,259.02
|
| Rate for Payer: Aetna Commercial |
$23,877.18
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$18,259.02
|
| Rate for Payer: Cash Price |
$22,472.64
|
| Rate for Payer: Cofinity Commercial |
$19,663.56
|
| Rate for Payer: Cofinity Commercial |
$24,158.09
|
| Rate for Payer: Cofinity Medicare Advantage |
$19,663.56
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$22,472.64
|
| Rate for Payer: Healthscope Commercial |
$25,281.72
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$19,663.56
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$21,068.10
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$23,877.18
|
| Rate for Payer: PHP Commercial |
$23,877.18
|
| Rate for Payer: Priority Health Cigna Priority Health |
$18,259.02
|
| Rate for Payer: Priority Health SBD |
$17,697.20
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$21,068.10
|
|
|
HC ST JUDE CRT ICD
|
Facility
|
OP
|
$28,090.80
|
|
|
Service Code
|
HCPCS C1882
|
| Hospital Charge Code |
27500009
|
|
Hospital Revenue Code
|
275
|
| Min. Negotiated Rate |
$0.03 |
| Max. Negotiated Rate |
$25,281.72 |
| Rate for Payer: Aetna American Axle |
$18,259.02
|
| Rate for Payer: Aetna Commercial |
$23,877.18
|
| Rate for Payer: Aetna Medicare |
$14,045.40
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$18,259.02
|
| Rate for Payer: BCBS Complete |
$11,236.32
|
| Rate for Payer: BCBS Trust/PPO |
$0.03
|
| Rate for Payer: BCN Commercial |
$0.03
|
| Rate for Payer: Cash Price |
$22,472.64
|
| Rate for Payer: Cash Price |
$22,472.64
|
| Rate for Payer: Cofinity Commercial |
$19,663.56
|
| Rate for Payer: Cofinity Commercial |
$24,158.09
|
| Rate for Payer: Cofinity Medicare Advantage |
$19,663.56
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$22,472.64
|
| Rate for Payer: Healthscope Commercial |
$25,281.72
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$19,663.56
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$21,068.10
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$23,877.18
|
| Rate for Payer: PHP Commercial |
$23,877.18
|
| Rate for Payer: Priority Health Cigna Priority Health |
$18,259.02
|
| Rate for Payer: Priority Health SBD |
$17,697.20
|
| Rate for Payer: UMR Bronson Commercial |
$10,393.60
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$21,068.10
|
|
|
HC ST JUDE CRT LEAD
|
Facility
|
IP
|
$5,826.24
|
|
|
Service Code
|
HCPCS C1900
|
| Hospital Charge Code |
27800026
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$2,563.55 |
| Max. Negotiated Rate |
$5,243.62 |
| Rate for Payer: Aetna American Axle |
$3,787.06
|
| Rate for Payer: Aetna Commercial |
$4,952.30
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$3,787.06
|
| Rate for Payer: Cash Price |
$4,660.99
|
| Rate for Payer: Cofinity Commercial |
$4,078.37
|
| Rate for Payer: Cofinity Commercial |
$5,010.57
|
| Rate for Payer: Cofinity Medicare Advantage |
$4,078.37
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$4,660.99
|
| Rate for Payer: Healthscope Commercial |
$5,243.62
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$4,078.37
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$4,369.68
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$4,952.30
|
| Rate for Payer: PHP Commercial |
$4,952.30
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3,787.06
|
| Rate for Payer: Priority Health SBD |
$3,670.53
|
| Rate for Payer: UMR Bronson Commercial |
$2,563.55
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$4,369.68
|
|
|
HC ST JUDE CRT LEAD
|
Facility
|
OP
|
$5,826.24
|
|
|
Service Code
|
HCPCS C1900
|
| Hospital Charge Code |
27800026
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$0.03 |
| Max. Negotiated Rate |
$5,243.62 |
| Rate for Payer: Aetna American Axle |
$3,787.06
|
| Rate for Payer: Aetna Commercial |
$4,952.30
|
| Rate for Payer: Aetna Medicare |
$2,913.12
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$3,787.06
|
| Rate for Payer: BCBS Complete |
$2,330.50
|
| Rate for Payer: BCBS Trust/PPO |
$0.03
|
| Rate for Payer: BCN Commercial |
$0.03
|
| Rate for Payer: Cash Price |
$4,660.99
|
| Rate for Payer: Cash Price |
$4,660.99
|
| Rate for Payer: Cofinity Commercial |
$4,078.37
|
| Rate for Payer: Cofinity Commercial |
$5,010.57
|
| Rate for Payer: Cofinity Medicare Advantage |
$4,078.37
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$4,660.99
|
| Rate for Payer: Healthscope Commercial |
$5,243.62
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$4,078.37
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$4,369.68
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$4,952.30
|
| Rate for Payer: PHP Commercial |
$4,952.30
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3,787.06
|
| Rate for Payer: Priority Health SBD |
$3,670.53
|
| Rate for Payer: UMR Bronson Commercial |
$2,155.71
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$4,369.68
|
|
|
HC ST JUDE DUAL PACEMAKER
|
Facility
|
IP
|
$9,363.60
|
|
|
Service Code
|
HCPCS C1785
|
| Hospital Charge Code |
27500010
|
|
Hospital Revenue Code
|
275
|
| Min. Negotiated Rate |
$4,119.98 |
| Max. Negotiated Rate |
$8,427.24 |
| Rate for Payer: Aetna American Axle |
$6,086.34
|
| Rate for Payer: Aetna Commercial |
$7,959.06
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$6,086.34
|
| Rate for Payer: Cash Price |
$7,490.88
|
| Rate for Payer: Cofinity Commercial |
$6,554.52
|
| Rate for Payer: Cofinity Commercial |
$8,052.70
|
| Rate for Payer: Cofinity Medicare Advantage |
$6,554.52
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$7,490.88
|
| Rate for Payer: Healthscope Commercial |
$8,427.24
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$6,554.52
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$7,022.70
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$7,959.06
|
| Rate for Payer: PHP Commercial |
$7,959.06
|
| Rate for Payer: Priority Health Cigna Priority Health |
$6,086.34
|
| Rate for Payer: Priority Health SBD |
$5,899.07
|
| Rate for Payer: UMR Bronson Commercial |
$4,119.98
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$7,022.70
|
|
|
HC ST JUDE DUAL PACEMAKER
|
Facility
|
OP
|
$9,363.60
|
|
|
Service Code
|
HCPCS C1785
|
| Hospital Charge Code |
27500010
|
|
Hospital Revenue Code
|
275
|
| Min. Negotiated Rate |
$3,464.53 |
| Max. Negotiated Rate |
$8,427.24 |
| Rate for Payer: Aetna American Axle |
$6,086.34
|
| Rate for Payer: Aetna Commercial |
$7,959.06
|
| Rate for Payer: Aetna Medicare |
$4,681.80
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$6,086.34
|
| Rate for Payer: BCBS Complete |
$3,745.44
|
| Rate for Payer: Cash Price |
$7,490.88
|
| Rate for Payer: Cofinity Commercial |
$6,554.52
|
| Rate for Payer: Cofinity Commercial |
$8,052.70
|
| Rate for Payer: Cofinity Medicare Advantage |
$6,554.52
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$7,490.88
|
| Rate for Payer: Healthscope Commercial |
$8,427.24
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$6,554.52
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$7,022.70
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$7,959.06
|
| Rate for Payer: PHP Commercial |
$7,959.06
|
| Rate for Payer: Priority Health Cigna Priority Health |
$6,086.34
|
| Rate for Payer: Priority Health SBD |
$5,899.07
|
| Rate for Payer: UMR Bronson Commercial |
$3,464.53
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$7,022.70
|
|
|
HC ST JUDE ICD DUAL
|
Facility
|
IP
|
$21,224.16
|
|
|
Service Code
|
HCPCS C1721
|
| Hospital Charge Code |
27800027
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$9,338.63 |
| Max. Negotiated Rate |
$19,101.74 |
| Rate for Payer: Aetna American Axle |
$13,795.70
|
| Rate for Payer: Aetna Commercial |
$18,040.54
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$13,795.70
|
| Rate for Payer: Cash Price |
$16,979.33
|
| Rate for Payer: Cofinity Commercial |
$14,856.91
|
| Rate for Payer: Cofinity Commercial |
$18,252.78
|
| Rate for Payer: Cofinity Medicare Advantage |
$14,856.91
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$16,979.33
|
| Rate for Payer: Healthscope Commercial |
$19,101.74
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$14,856.91
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$15,918.12
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$18,040.54
|
| Rate for Payer: PHP Commercial |
$18,040.54
|
| Rate for Payer: Priority Health Cigna Priority Health |
$13,795.70
|
| Rate for Payer: Priority Health SBD |
$13,371.22
|
| Rate for Payer: UMR Bronson Commercial |
$9,338.63
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$15,918.12
|
|
|
HC ST JUDE ICD DUAL
|
Facility
|
OP
|
$21,224.16
|
|
|
Service Code
|
HCPCS C1721
|
| Hospital Charge Code |
27800027
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$7,852.94 |
| Max. Negotiated Rate |
$19,101.74 |
| Rate for Payer: Aetna American Axle |
$13,795.70
|
| Rate for Payer: Aetna Commercial |
$18,040.54
|
| Rate for Payer: Aetna Medicare |
$10,612.08
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$13,795.70
|
| Rate for Payer: BCBS Complete |
$8,489.66
|
| Rate for Payer: Cash Price |
$16,979.33
|
| Rate for Payer: Cofinity Commercial |
$14,856.91
|
| Rate for Payer: Cofinity Commercial |
$18,252.78
|
| Rate for Payer: Cofinity Medicare Advantage |
$14,856.91
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$16,979.33
|
| Rate for Payer: Healthscope Commercial |
$19,101.74
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$14,856.91
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$15,918.12
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$18,040.54
|
| Rate for Payer: PHP Commercial |
$18,040.54
|
| Rate for Payer: Priority Health Cigna Priority Health |
$13,795.70
|
| Rate for Payer: Priority Health SBD |
$13,371.22
|
| Rate for Payer: UMR Bronson Commercial |
$7,852.94
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$15,918.12
|
|
|
HC ST JUDE ICD SINGLE
|
Facility
|
IP
|
$14,066.21
|
|
|
Service Code
|
HCPCS C1722
|
| Hospital Charge Code |
27800028
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$6,189.13 |
| Max. Negotiated Rate |
$12,659.59 |
| Rate for Payer: Healthscope Commercial |
$12,659.59
|
| Rate for Payer: Aetna American Axle |
$9,143.04
|
| Rate for Payer: Aetna Commercial |
$11,956.28
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$9,143.04
|
| Rate for Payer: Cash Price |
$11,252.97
|
| Rate for Payer: Cofinity Commercial |
$12,096.94
|
| Rate for Payer: Cofinity Commercial |
$9,846.35
|
| Rate for Payer: Cofinity Medicare Advantage |
$9,846.35
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$11,252.97
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$9,846.35
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$10,549.66
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$11,956.28
|
| Rate for Payer: PHP Commercial |
$11,956.28
|
| Rate for Payer: Priority Health Cigna Priority Health |
$9,143.04
|
| Rate for Payer: Priority Health SBD |
$8,861.71
|
| Rate for Payer: UMR Bronson Commercial |
$6,189.13
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$10,549.66
|
|
|
HC ST JUDE ICD SINGLE
|
Facility
|
OP
|
$14,066.21
|
|
|
Service Code
|
HCPCS C1722
|
| Hospital Charge Code |
27800028
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$5,204.50 |
| Max. Negotiated Rate |
$12,659.59 |
| Rate for Payer: Aetna American Axle |
$9,143.04
|
| Rate for Payer: Aetna Commercial |
$11,956.28
|
| Rate for Payer: Aetna Medicare |
$7,033.10
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$9,143.04
|
| Rate for Payer: BCBS Complete |
$5,626.48
|
| Rate for Payer: Cash Price |
$11,252.97
|
| Rate for Payer: Cofinity Commercial |
$12,096.94
|
| Rate for Payer: Cofinity Commercial |
$9,846.35
|
| Rate for Payer: Cofinity Medicare Advantage |
$9,846.35
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$11,252.97
|
| Rate for Payer: Healthscope Commercial |
$12,659.59
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$9,846.35
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$10,549.66
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$11,956.28
|
| Rate for Payer: PHP Commercial |
$11,956.28
|
| Rate for Payer: Priority Health Cigna Priority Health |
$9,143.04
|
| Rate for Payer: Priority Health SBD |
$8,861.71
|
| Rate for Payer: UMR Bronson Commercial |
$5,204.50
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$10,549.66
|
|
|
HC ST JUDE SINGLE PACEMAKER
|
Facility
|
IP
|
$7,178.76
|
|
|
Service Code
|
HCPCS C1786
|
| Hospital Charge Code |
27500011
|
|
Hospital Revenue Code
|
275
|
| Min. Negotiated Rate |
$3,158.65 |
| Max. Negotiated Rate |
$6,460.88 |
| Rate for Payer: Aetna American Axle |
$4,666.19
|
| Rate for Payer: Aetna Commercial |
$6,101.95
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$4,666.19
|
| Rate for Payer: Cash Price |
$5,743.01
|
| Rate for Payer: Cofinity Commercial |
$5,025.13
|
| Rate for Payer: Cofinity Commercial |
$6,173.73
|
| Rate for Payer: Cofinity Medicare Advantage |
$5,025.13
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$5,743.01
|
| Rate for Payer: Healthscope Commercial |
$6,460.88
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$5,025.13
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$5,384.07
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$6,101.95
|
| Rate for Payer: PHP Commercial |
$6,101.95
|
| Rate for Payer: Priority Health Cigna Priority Health |
$4,666.19
|
| Rate for Payer: Priority Health SBD |
$4,522.62
|
| Rate for Payer: UMR Bronson Commercial |
$3,158.65
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$5,384.07
|
|
|
HC ST JUDE SINGLE PACEMAKER
|
Facility
|
OP
|
$7,178.76
|
|
|
Service Code
|
HCPCS C1786
|
| Hospital Charge Code |
27500011
|
|
Hospital Revenue Code
|
275
|
| Min. Negotiated Rate |
$2,656.14 |
| Max. Negotiated Rate |
$6,460.88 |
| Rate for Payer: Cofinity Commercial |
$5,025.13
|
| Rate for Payer: Cofinity Commercial |
$6,173.73
|
| Rate for Payer: Cofinity Medicare Advantage |
$5,025.13
|
| Rate for Payer: Aetna American Axle |
$4,666.19
|
| Rate for Payer: Aetna Commercial |
$6,101.95
|
| Rate for Payer: Aetna Medicare |
$3,589.38
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$4,666.19
|
| Rate for Payer: BCBS Complete |
$2,871.50
|
| Rate for Payer: Cash Price |
$5,743.01
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$5,743.01
|
| Rate for Payer: Healthscope Commercial |
$6,460.88
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$5,025.13
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$5,384.07
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$6,101.95
|
| Rate for Payer: PHP Commercial |
$6,101.95
|
| Rate for Payer: Priority Health Cigna Priority Health |
$4,666.19
|
| Rate for Payer: Priority Health SBD |
$4,522.62
|
| Rate for Payer: UMR Bronson Commercial |
$2,656.14
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$5,384.07
|
|
|
HC ST JUDE TACHY (ICD) LEAD
|
Facility
|
IP
|
$8,164.72
|
|
|
Service Code
|
HCPCS C1895
|
| Hospital Charge Code |
27800029
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$3,592.48 |
| Max. Negotiated Rate |
$7,348.25 |
| Rate for Payer: Aetna American Axle |
$5,307.07
|
| Rate for Payer: Aetna Commercial |
$6,940.01
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$5,307.07
|
| Rate for Payer: Cash Price |
$6,531.78
|
| Rate for Payer: Cofinity Commercial |
$5,715.30
|
| Rate for Payer: Cofinity Commercial |
$7,021.66
|
| Rate for Payer: Cofinity Medicare Advantage |
$5,715.30
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$6,531.78
|
| Rate for Payer: Healthscope Commercial |
$7,348.25
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$5,715.30
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$6,123.54
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$6,940.01
|
| Rate for Payer: PHP Commercial |
$6,940.01
|
| Rate for Payer: Priority Health Cigna Priority Health |
$5,307.07
|
| Rate for Payer: Priority Health SBD |
$5,143.77
|
| Rate for Payer: UMR Bronson Commercial |
$3,592.48
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$6,123.54
|
|
|
HC ST JUDE TACHY (ICD) LEAD
|
Facility
|
OP
|
$8,164.72
|
|
|
Service Code
|
HCPCS C1895
|
| Hospital Charge Code |
27800029
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$3,020.95 |
| Max. Negotiated Rate |
$7,348.25 |
| Rate for Payer: Aetna American Axle |
$5,307.07
|
| Rate for Payer: Aetna Commercial |
$6,940.01
|
| Rate for Payer: Aetna Medicare |
$4,082.36
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$5,307.07
|
| Rate for Payer: BCBS Complete |
$3,265.89
|
| Rate for Payer: Cash Price |
$6,531.78
|
| Rate for Payer: Cofinity Commercial |
$5,715.30
|
| Rate for Payer: Cofinity Commercial |
$7,021.66
|
| Rate for Payer: Cofinity Medicare Advantage |
$5,715.30
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$6,531.78
|
| Rate for Payer: Healthscope Commercial |
$7,348.25
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$5,715.30
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$6,123.54
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$6,940.01
|
| Rate for Payer: PHP Commercial |
$6,940.01
|
| Rate for Payer: Priority Health Cigna Priority Health |
$5,307.07
|
| Rate for Payer: Priority Health SBD |
$5,143.77
|
| Rate for Payer: UMR Bronson Commercial |
$3,020.95
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$6,123.54
|
|
|
HC STOOL CULTURE
|
Facility
|
IP
|
$39.95
|
|
|
Service Code
|
CPT 87045
|
| Hospital Charge Code |
30600073
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$17.58 |
| Max. Negotiated Rate |
$35.96 |
| Rate for Payer: Aetna American Axle |
$25.97
|
| Rate for Payer: Aetna Commercial |
$33.96
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$25.97
|
| Rate for Payer: Cash Price |
$31.96
|
| Rate for Payer: Cofinity Commercial |
$27.96
|
| Rate for Payer: Cofinity Commercial |
$34.36
|
| Rate for Payer: Cofinity Medicare Advantage |
$27.96
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$31.96
|
| Rate for Payer: Healthscope Commercial |
$35.96
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$27.96
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$29.96
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$33.96
|
| Rate for Payer: PHP Commercial |
$33.96
|
| Rate for Payer: Priority Health Cigna Priority Health |
$25.97
|
| Rate for Payer: Priority Health SBD |
$25.17
|
| Rate for Payer: UMR Bronson Commercial |
$17.58
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$29.96
|
|
|
HC STOOL CULTURE
|
Facility
|
OP
|
$39.95
|
|
|
Service Code
|
CPT 87045
|
| Hospital Charge Code |
30600073
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$5.06 |
| Max. Negotiated Rate |
$35.96 |
| Rate for Payer: UHC All Payor (Choice/PPO) |
$11.33
|
| Rate for Payer: Aetna American Axle |
$25.97
|
| Rate for Payer: Aetna Commercial |
$33.96
|
| Rate for Payer: Aetna Medicare |
$9.82
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$25.97
|
| 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 |
$5.31
|
| Rate for Payer: BCBS MAPPO |
$9.44
|
| Rate for Payer: BCBS Trust/PPO |
$9.09
|
| Rate for Payer: BCN Commercial |
$9.09
|
| Rate for Payer: BCN Medicare Advantage |
$9.44
|
| Rate for Payer: Cash Price |
$31.96
|
| Rate for Payer: Cash Price |
$31.96
|
| Rate for Payer: Cofinity Commercial |
$34.36
|
| Rate for Payer: Cofinity Commercial |
$27.96
|
| Rate for Payer: Cofinity Medicare Advantage |
$27.96
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$31.96
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$9.44
|
| Rate for Payer: Healthscope Commercial |
$35.96
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$27.96
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$29.96
|
| Rate for Payer: Mclaren Medicaid |
$5.06
|
| 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 |
$5.31
|
| Rate for Payer: MI Amish Medical Board Commercial |
$10.86
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$33.96
|
| Rate for Payer: Nomi Health Commercial |
$14.16
|
| Rate for Payer: PACE Medicare |
$8.97
|
| Rate for Payer: PACE SWMI |
$9.44
|
| Rate for Payer: PHP Commercial |
$33.96
|
| Rate for Payer: PHP Medicare Advantage |
$9.44
|
| Rate for Payer: Priority Health Choice Medicaid |
$5.06
|
| Rate for Payer: Priority Health Cigna Priority Health |
$25.97
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$9.71
|
| Rate for Payer: Priority Health Medicare |
$9.44
|
| Rate for Payer: Priority Health Narrow Network |
$7.77
|
| Rate for Payer: Priority Health SBD |
$25.17
|
| Rate for Payer: Railroad Medicare Medicare |
$9.44
|
| Rate for Payer: UHC Dual Complete DSNP |
$9.44
|
| Rate for Payer: UHC Exchange |
$9.44
|
| Rate for Payer: UHC Medicare Advantage |
$9.44
|
| Rate for Payer: UHCCP Medicaid |
$5.06
|
| Rate for Payer: UMR Bronson Commercial |
$14.78
|
| Rate for Payer: VA VA |
$9.44
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$29.96
|
|
