|
HC VMA AND HVA 4 HOUR RANDOM URINE
|
Facility
|
OP
|
$91.56
|
|
|
Service Code
|
CPT 84585
|
| Hospital Charge Code |
30100455
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$8.11 |
| Max. Negotiated Rate |
$82.40 |
| Rate for Payer: Aetna American Axle |
$59.51
|
| Rate for Payer: Aetna Commercial |
$77.83
|
| Rate for Payer: Aetna Medicare |
$16.12
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$59.51
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$19.38
|
| Rate for Payer: Amish Plain Church Group Commercial |
$19.38
|
| Rate for Payer: BCBS Complete |
$8.51
|
| Rate for Payer: BCBS MAPPO |
$15.50
|
| Rate for Payer: BCBS Trust/PPO |
$17.93
|
| Rate for Payer: BCN Commercial |
$17.93
|
| Rate for Payer: BCN Medicare Advantage |
$15.50
|
| Rate for Payer: Cash Price |
$73.25
|
| Rate for Payer: Cash Price |
$73.25
|
| Rate for Payer: Cofinity Advantage |
$64.09
|
| Rate for Payer: Cofinity Commercial |
$78.74
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$73.25
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$15.50
|
| Rate for Payer: Healthscope Commercial |
$82.40
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$64.09
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$68.67
|
| Rate for Payer: Mclaren Medicaid |
$15.50
|
| Rate for Payer: Mclaren Medicare |
$15.50
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$16.27
|
| Rate for Payer: Meridian Medicaid |
$16.27
|
| Rate for Payer: MI Amish Medical Board Commercial |
$17.82
|
| Rate for Payer: Molina Medicare/Medicaid |
$17.05
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$77.83
|
| Rate for Payer: Nomi Health Commercial |
$23.25
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$68.67
|
| Rate for Payer: PACE Medicare |
$14.72
|
| Rate for Payer: PACE SWMI |
$15.50
|
| Rate for Payer: PHP Commercial |
$77.83
|
| Rate for Payer: PHP Medicare Advantage |
$15.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$8.11
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$15.50
|
| Rate for Payer: Priority Health Medicare |
$15.50
|
| Rate for Payer: Priority Health SBD |
$57.68
|
| Rate for Payer: Priority Health Tiered Network |
$12.40
|
| Rate for Payer: Railroad Medicare Medicare |
$15.50
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$23.25
|
| Rate for Payer: UHC Core |
$23.25
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$15.50
|
| Rate for Payer: UHC Exchange |
$23.25
|
| Rate for Payer: UHC Medicaid |
$8.11
|
| Rate for Payer: UHCCP Medicaid |
$8.11
|
| Rate for Payer: UMR Bronson Commercial |
$33.88
|
| Rate for Payer: VA VA |
$15.50
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$68.67
|
|
|
HC VMA AND HVA 4 HOUR RANDOM URINE
|
Facility
|
IP
|
$91.56
|
|
|
Service Code
|
CPT 84585
|
| Hospital Charge Code |
30100455
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$40.29 |
| Max. Negotiated Rate |
$82.40 |
| Rate for Payer: Aetna American Axle |
$59.51
|
| Rate for Payer: Aetna Commercial |
$77.83
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$59.51
|
| Rate for Payer: Cash Price |
$73.25
|
| Rate for Payer: Cofinity Advantage |
$64.09
|
| Rate for Payer: Cofinity Commercial |
$78.74
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$73.25
|
| Rate for Payer: Healthscope Commercial |
$82.40
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$64.09
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$68.67
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$77.83
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$68.67
|
| Rate for Payer: PHP Commercial |
$77.83
|
| Rate for Payer: Priority Health SBD |
$57.68
|
| Rate for Payer: UMR Bronson Commercial |
$40.29
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$68.67
|
|
|
HC VMA AND HVA 4 HR RANDOM URINE CMPT
|
Facility
|
IP
|
$52.00
|
|
|
Service Code
|
CPT 83150
|
| Hospital Charge Code |
30100217
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$22.88 |
| Max. Negotiated Rate |
$46.80 |
| Rate for Payer: Aetna American Axle |
$33.80
|
| Rate for Payer: Aetna Commercial |
$44.20
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$33.80
|
| Rate for Payer: Cash Price |
$41.60
|
| Rate for Payer: Cofinity Advantage |
$36.40
|
| Rate for Payer: Cofinity Commercial |
$44.72
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$41.60
|
| Rate for Payer: Healthscope Commercial |
$46.80
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$36.40
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$39.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$44.20
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$39.00
|
| Rate for Payer: PHP Commercial |
$44.20
|
| Rate for Payer: Priority Health SBD |
$32.76
|
| Rate for Payer: UMR Bronson Commercial |
$22.88
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$39.00
|
|
|
HC VMA AND HVA 4 HR RANDOM URINE CMPT
|
Facility
|
OP
|
$52.00
|
|
|
Service Code
|
CPT 83150
|
| Hospital Charge Code |
30100217
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$11.72 |
| Max. Negotiated Rate |
$46.80 |
| Rate for Payer: Aetna American Axle |
$33.80
|
| Rate for Payer: Aetna Commercial |
$44.20
|
| Rate for Payer: Aetna Medicare |
$23.31
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$33.80
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$28.01
|
| Rate for Payer: Amish Plain Church Group Commercial |
$28.01
|
| Rate for Payer: BCBS Complete |
$12.31
|
| Rate for Payer: BCBS MAPPO |
$22.41
|
| Rate for Payer: BCBS Trust/PPO |
$25.91
|
| Rate for Payer: BCN Commercial |
$25.91
|
| Rate for Payer: BCN Medicare Advantage |
$22.41
|
| Rate for Payer: Cash Price |
$41.60
|
| Rate for Payer: Cash Price |
$41.60
|
| Rate for Payer: Cofinity Advantage |
$36.40
|
| Rate for Payer: Cofinity Commercial |
$44.72
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$41.60
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$22.41
|
| Rate for Payer: Healthscope Commercial |
$46.80
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$36.40
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$39.00
|
| Rate for Payer: Mclaren Medicaid |
$22.41
|
| Rate for Payer: Mclaren Medicare |
$22.41
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$23.53
|
| Rate for Payer: Meridian Medicaid |
$23.53
|
| Rate for Payer: MI Amish Medical Board Commercial |
$25.77
|
| Rate for Payer: Molina Medicare/Medicaid |
$24.65
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$44.20
|
| Rate for Payer: Nomi Health Commercial |
$33.62
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$39.00
|
| Rate for Payer: PACE Medicare |
$21.29
|
| Rate for Payer: PACE SWMI |
$22.41
|
| Rate for Payer: PHP Commercial |
$44.20
|
| Rate for Payer: PHP Medicare Advantage |
$22.41
|
| Rate for Payer: Priority Health Choice Medicaid |
$11.72
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$22.41
|
| Rate for Payer: Priority Health Medicare |
$22.41
|
| Rate for Payer: Priority Health SBD |
$32.76
|
| Rate for Payer: Priority Health Tiered Network |
$17.93
|
| Rate for Payer: Railroad Medicare Medicare |
$22.41
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$33.62
|
| Rate for Payer: UHC Core |
$33.62
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$22.41
|
| Rate for Payer: UHC Exchange |
$33.62
|
| Rate for Payer: UHC Medicaid |
$11.72
|
| Rate for Payer: UHCCP Medicaid |
$11.72
|
| Rate for Payer: UMR Bronson Commercial |
$19.24
|
| Rate for Payer: VA VA |
$22.41
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$39.00
|
|
|
HC VMA RANDOM URINE
|
Facility
|
OP
|
$48.90
|
|
|
Service Code
|
CPT 84585
|
| Hospital Charge Code |
30100454
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$8.11 |
| Max. Negotiated Rate |
$44.01 |
| Rate for Payer: Aetna American Axle |
$31.79
|
| Rate for Payer: Aetna Commercial |
$41.56
|
| Rate for Payer: Aetna Medicare |
$16.12
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$31.79
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$19.38
|
| Rate for Payer: Amish Plain Church Group Commercial |
$19.38
|
| Rate for Payer: BCBS Complete |
$8.51
|
| Rate for Payer: BCBS MAPPO |
$15.50
|
| Rate for Payer: BCBS Trust/PPO |
$17.93
|
| Rate for Payer: BCN Commercial |
$17.93
|
| Rate for Payer: BCN Medicare Advantage |
$15.50
|
| Rate for Payer: Cash Price |
$39.12
|
| Rate for Payer: Cash Price |
$39.12
|
| Rate for Payer: Cofinity Advantage |
$34.23
|
| Rate for Payer: Cofinity Commercial |
$42.05
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$39.12
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$15.50
|
| Rate for Payer: Healthscope Commercial |
$44.01
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$34.23
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$36.67
|
| Rate for Payer: Mclaren Medicaid |
$15.50
|
| Rate for Payer: Mclaren Medicare |
$15.50
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$16.27
|
| Rate for Payer: Meridian Medicaid |
$16.27
|
| Rate for Payer: MI Amish Medical Board Commercial |
$17.82
|
| Rate for Payer: Molina Medicare/Medicaid |
$17.05
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$41.56
|
| Rate for Payer: Nomi Health Commercial |
$23.25
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$36.67
|
| Rate for Payer: PACE Medicare |
$14.72
|
| Rate for Payer: PACE SWMI |
$15.50
|
| Rate for Payer: PHP Commercial |
$41.56
|
| Rate for Payer: PHP Medicare Advantage |
$15.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$8.11
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$15.50
|
| Rate for Payer: Priority Health Medicare |
$15.50
|
| Rate for Payer: Priority Health SBD |
$30.81
|
| Rate for Payer: Priority Health Tiered Network |
$12.40
|
| Rate for Payer: Railroad Medicare Medicare |
$15.50
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$23.25
|
| Rate for Payer: UHC Core |
$23.25
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$15.50
|
| Rate for Payer: UHC Exchange |
$23.25
|
| Rate for Payer: UHC Medicaid |
$8.11
|
| Rate for Payer: UHCCP Medicaid |
$8.11
|
| Rate for Payer: UMR Bronson Commercial |
$18.09
|
| Rate for Payer: VA VA |
$15.50
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$36.67
|
|
|
HC VMA RANDOM URINE
|
Facility
|
IP
|
$48.90
|
|
|
Service Code
|
CPT 84585
|
| Hospital Charge Code |
30100454
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$21.52 |
| Max. Negotiated Rate |
$44.01 |
| Rate for Payer: Aetna American Axle |
$31.79
|
| Rate for Payer: Aetna Commercial |
$41.56
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$31.79
|
| Rate for Payer: Cash Price |
$39.12
|
| Rate for Payer: Cofinity Advantage |
$34.23
|
| Rate for Payer: Cofinity Commercial |
$42.05
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$39.12
|
| Rate for Payer: Healthscope Commercial |
$44.01
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$34.23
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$36.67
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$41.56
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$36.67
|
| Rate for Payer: PHP Commercial |
$41.56
|
| Rate for Payer: Priority Health SBD |
$30.81
|
| Rate for Payer: UMR Bronson Commercial |
$21.52
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$36.67
|
|
|
HC VMA URINE
|
Facility
|
IP
|
$48.90
|
|
|
Service Code
|
CPT 84585
|
| Hospital Charge Code |
30100488
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$21.52 |
| Max. Negotiated Rate |
$44.01 |
| Rate for Payer: Aetna American Axle |
$31.79
|
| Rate for Payer: Aetna Commercial |
$41.56
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$31.79
|
| Rate for Payer: Cash Price |
$39.12
|
| Rate for Payer: Cofinity Advantage |
$34.23
|
| Rate for Payer: Cofinity Commercial |
$42.05
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$39.12
|
| Rate for Payer: Healthscope Commercial |
$44.01
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$34.23
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$36.67
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$41.56
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$36.67
|
| Rate for Payer: PHP Commercial |
$41.56
|
| Rate for Payer: Priority Health SBD |
$30.81
|
| Rate for Payer: UMR Bronson Commercial |
$21.52
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$36.67
|
|
|
HC VMA URINE
|
Facility
|
OP
|
$48.90
|
|
|
Service Code
|
CPT 84585
|
| Hospital Charge Code |
30100488
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$8.11 |
| Max. Negotiated Rate |
$44.01 |
| Rate for Payer: Aetna American Axle |
$31.79
|
| Rate for Payer: Aetna Commercial |
$41.56
|
| Rate for Payer: Aetna Medicare |
$16.12
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$31.79
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$19.38
|
| Rate for Payer: Amish Plain Church Group Commercial |
$19.38
|
| Rate for Payer: BCBS Complete |
$8.51
|
| Rate for Payer: BCBS MAPPO |
$15.50
|
| Rate for Payer: BCBS Trust/PPO |
$17.93
|
| Rate for Payer: BCN Commercial |
$17.93
|
| Rate for Payer: BCN Medicare Advantage |
$15.50
|
| Rate for Payer: Cash Price |
$39.12
|
| Rate for Payer: Cash Price |
$39.12
|
| Rate for Payer: Cofinity Advantage |
$34.23
|
| Rate for Payer: Cofinity Commercial |
$42.05
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$39.12
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$15.50
|
| Rate for Payer: Healthscope Commercial |
$44.01
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$34.23
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$36.67
|
| Rate for Payer: Mclaren Medicaid |
$15.50
|
| Rate for Payer: Mclaren Medicare |
$15.50
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$16.27
|
| Rate for Payer: Meridian Medicaid |
$16.27
|
| Rate for Payer: MI Amish Medical Board Commercial |
$17.82
|
| Rate for Payer: Molina Medicare/Medicaid |
$17.05
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$41.56
|
| Rate for Payer: Nomi Health Commercial |
$23.25
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$36.67
|
| Rate for Payer: PACE Medicare |
$14.72
|
| Rate for Payer: PACE SWMI |
$15.50
|
| Rate for Payer: PHP Commercial |
$41.56
|
| Rate for Payer: PHP Medicare Advantage |
$15.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$8.11
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$15.50
|
| Rate for Payer: Priority Health Medicare |
$15.50
|
| Rate for Payer: Priority Health SBD |
$30.81
|
| Rate for Payer: Priority Health Tiered Network |
$12.40
|
| Rate for Payer: Railroad Medicare Medicare |
$15.50
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$23.25
|
| Rate for Payer: UHC Core |
$23.25
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$15.50
|
| Rate for Payer: UHC Exchange |
$23.25
|
| Rate for Payer: UHC Medicaid |
$8.11
|
| Rate for Payer: UHCCP Medicaid |
$8.11
|
| Rate for Payer: UMR Bronson Commercial |
$18.09
|
| Rate for Payer: VA VA |
$15.50
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$36.67
|
|
|
HC VNUS ABLATION FIRST VEIN
|
Facility
|
IP
|
$5,229.68
|
|
|
Service Code
|
CPT 36475
|
| Hospital Charge Code |
36100435
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$2,301.06 |
| Max. Negotiated Rate |
$4,706.71 |
| Rate for Payer: Aetna American Axle |
$3,399.29
|
| Rate for Payer: Aetna Commercial |
$4,445.23
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$3,399.29
|
| Rate for Payer: Cash Price |
$4,183.74
|
| Rate for Payer: Cofinity Advantage |
$3,660.78
|
| Rate for Payer: Cofinity Commercial |
$4,497.52
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$4,183.74
|
| Rate for Payer: Healthscope Commercial |
$4,706.71
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$3,660.78
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$3,922.26
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$4,445.23
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$3,922.26
|
| Rate for Payer: PHP Commercial |
$4,445.23
|
| Rate for Payer: Priority Health SBD |
$3,294.70
|
| Rate for Payer: UMR Bronson Commercial |
$2,301.06
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$3,922.26
|
|
|
HC VNUS ABLATION FIRST VEIN
|
Facility
|
OP
|
$5,229.68
|
|
|
Service Code
|
CPT 36475
|
| Hospital Charge Code |
36100435
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$1,645.43 |
| Max. Negotiated Rate |
$10,174.29 |
| Rate for Payer: Aetna American Axle |
$3,399.29
|
| Rate for Payer: Aetna Commercial |
$4,445.23
|
| Rate for Payer: Aetna Medicare |
$3,271.98
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$3,399.29
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$3,932.66
|
| Rate for Payer: Amish Plain Church Group Commercial |
$3,932.66
|
| Rate for Payer: BCBS Complete |
$1,727.85
|
| Rate for Payer: BCBS MAPPO |
$3,146.13
|
| Rate for Payer: BCBS Trust/PPO |
$3,312.53
|
| Rate for Payer: BCN Commercial |
$3,312.53
|
| Rate for Payer: BCN Medicare Advantage |
$3,146.13
|
| Rate for Payer: Cash Price |
$4,183.74
|
| Rate for Payer: Cash Price |
$4,183.74
|
| Rate for Payer: Cash Price |
$4,183.74
|
| Rate for Payer: Cofinity Advantage |
$3,660.78
|
| Rate for Payer: Cofinity Commercial |
$4,497.52
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$4,183.74
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$3,146.13
|
| Rate for Payer: Healthscope Commercial |
$4,706.71
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$3,660.78
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$3,922.26
|
| Rate for Payer: Mclaren Medicaid |
$3,146.13
|
| Rate for Payer: Mclaren Medicare |
$3,146.13
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$3,303.44
|
| Rate for Payer: Meridian Medicaid |
$3,303.44
|
| Rate for Payer: MI Amish Medical Board Commercial |
$3,618.05
|
| Rate for Payer: Molina Medicare/Medicaid |
$3,460.74
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$4,445.23
|
| Rate for Payer: Nomi Health Commercial |
$9,438.39
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$3,922.26
|
| Rate for Payer: PACE Medicare |
$2,988.82
|
| Rate for Payer: PACE SWMI |
$3,146.13
|
| Rate for Payer: PHP Commercial |
$4,445.23
|
| Rate for Payer: PHP Medicare Advantage |
$3,146.13
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,645.43
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$10,174.29
|
| Rate for Payer: Priority Health Medicare |
$3,146.13
|
| Rate for Payer: Priority Health SBD |
$3,294.70
|
| Rate for Payer: Priority Health Tiered Network |
$8,139.43
|
| Rate for Payer: Railroad Medicare Medicare |
$3,146.13
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$3,399.29
|
| Rate for Payer: UHC Core |
$2,724.66
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$3,146.13
|
| Rate for Payer: UHC Exchange |
$2,055.26
|
| Rate for Payer: UHC Medicaid |
$1,645.43
|
| Rate for Payer: UHCCP Medicaid |
$1,645.43
|
| Rate for Payer: UMR Bronson Commercial |
$1,934.98
|
| Rate for Payer: VA VA |
$3,146.13
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$3,922.26
|
|
|
HC VNUS ABLATION SUBSEQ VEINS
|
Facility
|
OP
|
$2,555.24
|
|
|
Service Code
|
CPT 36476
|
| Hospital Charge Code |
36100436
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$945.44 |
| Max. Negotiated Rate |
$2,299.72 |
| Rate for Payer: Aetna American Axle |
$1,660.91
|
| Rate for Payer: Aetna Commercial |
$2,171.95
|
| Rate for Payer: Aetna Medicare |
$1,277.62
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,660.91
|
| Rate for Payer: BCBS Complete |
$1,022.10
|
| Rate for Payer: BCBS Trust/PPO |
$1,280.65
|
| Rate for Payer: BCN Commercial |
$1,280.65
|
| Rate for Payer: Cash Price |
$2,044.19
|
| Rate for Payer: Cash Price |
$2,044.19
|
| Rate for Payer: Cash Price |
$2,044.19
|
| Rate for Payer: Cofinity Advantage |
$1,788.67
|
| Rate for Payer: Cofinity Commercial |
$2,197.51
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,044.19
|
| Rate for Payer: Healthscope Commercial |
$2,299.72
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,788.67
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,916.43
|
| Rate for Payer: MI Amish Medical Board Commercial |
$2,044.19
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,171.95
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,916.43
|
| Rate for Payer: PHP Commercial |
$2,171.95
|
| Rate for Payer: Priority Health SBD |
$1,609.80
|
| Rate for Payer: UMR Bronson Commercial |
$945.44
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,916.43
|
|
|
HC VNUS ABLATION SUBSEQ VEINS
|
Facility
|
IP
|
$2,555.24
|
|
|
Service Code
|
CPT 36476
|
| Hospital Charge Code |
36100436
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$1,124.31 |
| Max. Negotiated Rate |
$2,299.72 |
| Rate for Payer: Aetna American Axle |
$1,660.91
|
| Rate for Payer: Aetna Commercial |
$2,171.95
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,660.91
|
| Rate for Payer: Cash Price |
$2,044.19
|
| Rate for Payer: Cofinity Advantage |
$1,788.67
|
| Rate for Payer: Cofinity Commercial |
$2,197.51
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,044.19
|
| Rate for Payer: Healthscope Commercial |
$2,299.72
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,788.67
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,916.43
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,171.95
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,916.43
|
| Rate for Payer: PHP Commercial |
$2,171.95
|
| Rate for Payer: Priority Health SBD |
$1,609.80
|
| Rate for Payer: UMR Bronson Commercial |
$1,124.31
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,916.43
|
|
|
HC VOIDING PRESS STUDY INTRA-ABDOMINAL VOID
|
Facility
|
IP
|
$267.46
|
|
|
Service Code
|
CPT 51797
|
| Hospital Charge Code |
76100193
|
|
Hospital Revenue Code
|
920
|
| Min. Negotiated Rate |
$117.68 |
| Max. Negotiated Rate |
$240.71 |
| Rate for Payer: Aetna American Axle |
$173.85
|
| Rate for Payer: Aetna Commercial |
$227.34
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$173.85
|
| Rate for Payer: Cash Price |
$213.97
|
| Rate for Payer: Cofinity Advantage |
$187.22
|
| Rate for Payer: Cofinity Commercial |
$230.02
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$213.97
|
| Rate for Payer: Healthscope Commercial |
$240.71
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$187.22
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$200.59
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$227.34
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$200.59
|
| Rate for Payer: PHP Commercial |
$227.34
|
| Rate for Payer: Priority Health SBD |
$168.50
|
| Rate for Payer: UMR Bronson Commercial |
$117.68
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$200.59
|
|
|
HC VOIDING PRESS STUDY INTRA-ABDOMINAL VOID
|
Facility
|
OP
|
$267.46
|
|
|
Service Code
|
CPT 51797
|
| Hospital Charge Code |
76100193
|
|
Hospital Revenue Code
|
920
|
| Min. Negotiated Rate |
$98.96 |
| Max. Negotiated Rate |
$1,043.12 |
| Rate for Payer: Aetna American Axle |
$173.85
|
| Rate for Payer: Aetna Commercial |
$227.34
|
| Rate for Payer: Aetna Medicare |
$133.73
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$173.85
|
| Rate for Payer: BCBS Complete |
$106.98
|
| Rate for Payer: BCBS Trust/PPO |
$1,043.12
|
| Rate for Payer: BCN Commercial |
$1,043.12
|
| Rate for Payer: Cash Price |
$213.97
|
| Rate for Payer: Cash Price |
$213.97
|
| Rate for Payer: Cash Price |
$213.97
|
| Rate for Payer: Cofinity Advantage |
$187.22
|
| Rate for Payer: Cofinity Commercial |
$230.02
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$213.97
|
| Rate for Payer: Healthscope Commercial |
$240.71
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$187.22
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$200.59
|
| Rate for Payer: MI Amish Medical Board Commercial |
$213.97
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$227.34
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$200.59
|
| Rate for Payer: PHP Commercial |
$227.34
|
| Rate for Payer: Priority Health SBD |
$168.50
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$173.85
|
| Rate for Payer: UHC Core |
$139.35
|
| Rate for Payer: UHC Exchange |
$105.11
|
| Rate for Payer: UMR Bronson Commercial |
$98.96
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$200.59
|
|
|
HC VOLARA SUPPLY
|
Facility
|
OP
|
$284.58
|
|
| Hospital Charge Code |
27000712
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$105.29 |
| Max. Negotiated Rate |
$256.12 |
| Rate for Payer: Aetna American Axle |
$184.98
|
| Rate for Payer: Aetna Commercial |
$241.89
|
| Rate for Payer: Aetna Medicare |
$142.29
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$184.98
|
| Rate for Payer: BCBS Complete |
$113.83
|
| Rate for Payer: Cash Price |
$227.66
|
| Rate for Payer: Cofinity Advantage |
$199.21
|
| Rate for Payer: Cofinity Commercial |
$244.74
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$227.66
|
| Rate for Payer: Healthscope Commercial |
$256.12
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$199.21
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$213.44
|
| Rate for Payer: MI Amish Medical Board Commercial |
$227.66
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$241.89
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$213.44
|
| Rate for Payer: PHP Commercial |
$241.89
|
| Rate for Payer: Priority Health SBD |
$179.29
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$184.98
|
| Rate for Payer: UHC Core |
$148.27
|
| Rate for Payer: UHC Exchange |
$111.84
|
| Rate for Payer: UMR Bronson Commercial |
$105.29
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$213.44
|
|
|
HC VOLARA SUPPLY
|
Facility
|
IP
|
$284.58
|
|
| Hospital Charge Code |
27000712
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$125.22 |
| Max. Negotiated Rate |
$256.12 |
| Rate for Payer: Aetna American Axle |
$184.98
|
| Rate for Payer: Aetna Commercial |
$241.89
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$184.98
|
| Rate for Payer: Cash Price |
$227.66
|
| Rate for Payer: Cofinity Advantage |
$199.21
|
| Rate for Payer: Cofinity Commercial |
$244.74
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$227.66
|
| Rate for Payer: Healthscope Commercial |
$256.12
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$199.21
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$213.44
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$241.89
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$213.44
|
| Rate for Payer: PHP Commercial |
$241.89
|
| Rate for Payer: Priority Health SBD |
$179.29
|
| Rate for Payer: UMR Bronson Commercial |
$125.22
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$213.44
|
|
|
HC VOLUME MEASUREMENT
|
Facility
|
IP
|
$20.06
|
|
|
Service Code
|
CPT 81050
|
| Hospital Charge Code |
30700006
|
|
Hospital Revenue Code
|
307
|
| Min. Negotiated Rate |
$8.83 |
| Max. Negotiated Rate |
$18.05 |
| Rate for Payer: Aetna American Axle |
$13.04
|
| Rate for Payer: Aetna Commercial |
$17.05
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$13.04
|
| Rate for Payer: Cash Price |
$16.05
|
| Rate for Payer: Cofinity Advantage |
$14.04
|
| Rate for Payer: Cofinity Commercial |
$17.25
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$16.05
|
| Rate for Payer: Healthscope Commercial |
$18.05
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$14.04
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$15.04
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$17.05
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$15.04
|
| Rate for Payer: PHP Commercial |
$17.05
|
| Rate for Payer: Priority Health SBD |
$12.64
|
| Rate for Payer: UMR Bronson Commercial |
$8.83
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$15.04
|
|
|
HC VOLUME MEASUREMENT
|
Facility
|
OP
|
$20.06
|
|
|
Service Code
|
CPT 81050
|
| Hospital Charge Code |
30700006
|
|
Hospital Revenue Code
|
307
|
| Min. Negotiated Rate |
$1.90 |
| Max. Negotiated Rate |
$18.05 |
| Rate for Payer: Aetna American Axle |
$13.04
|
| Rate for Payer: Aetna Commercial |
$17.05
|
| Rate for Payer: Aetna Medicare |
$3.79
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$13.04
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$4.55
|
| Rate for Payer: Amish Plain Church Group Commercial |
$4.55
|
| Rate for Payer: BCBS Complete |
$2.00
|
| Rate for Payer: BCBS MAPPO |
$3.64
|
| Rate for Payer: BCBS Trust/PPO |
$4.21
|
| Rate for Payer: BCN Commercial |
$4.21
|
| Rate for Payer: BCN Medicare Advantage |
$3.64
|
| Rate for Payer: Cash Price |
$16.05
|
| Rate for Payer: Cash Price |
$16.05
|
| Rate for Payer: Cofinity Advantage |
$14.04
|
| Rate for Payer: Cofinity Commercial |
$17.25
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$16.05
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$3.64
|
| Rate for Payer: Healthscope Commercial |
$18.05
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$14.04
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$15.04
|
| Rate for Payer: Mclaren Medicaid |
$3.64
|
| Rate for Payer: Mclaren Medicare |
$3.64
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$3.82
|
| Rate for Payer: Meridian Medicaid |
$3.82
|
| Rate for Payer: MI Amish Medical Board Commercial |
$4.19
|
| Rate for Payer: Molina Medicare/Medicaid |
$4.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$17.05
|
| Rate for Payer: Nomi Health Commercial |
$5.46
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$15.04
|
| Rate for Payer: PACE Medicare |
$3.46
|
| Rate for Payer: PACE SWMI |
$3.64
|
| Rate for Payer: PHP Commercial |
$17.05
|
| Rate for Payer: PHP Medicare Advantage |
$3.64
|
| Rate for Payer: Priority Health Choice Medicaid |
$1.90
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$3.64
|
| Rate for Payer: Priority Health Medicare |
$3.64
|
| Rate for Payer: Priority Health SBD |
$12.64
|
| Rate for Payer: Priority Health Tiered Network |
$2.91
|
| Rate for Payer: Railroad Medicare Medicare |
$3.64
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$5.46
|
| Rate for Payer: UHC Core |
$5.46
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$3.64
|
| Rate for Payer: UHC Exchange |
$5.46
|
| Rate for Payer: UHC Medicaid |
$1.90
|
| Rate for Payer: UHCCP Medicaid |
$1.90
|
| Rate for Payer: UMR Bronson Commercial |
$7.42
|
| Rate for Payer: VA VA |
$3.64
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$15.04
|
|
|
HC VON WILLEBRAND ANTIGEN
|
Facility
|
OP
|
$68.98
|
|
|
Service Code
|
CPT 85246
|
| Hospital Charge Code |
30500025
|
|
Hospital Revenue Code
|
305
|
| Min. Negotiated Rate |
$12.00 |
| Max. Negotiated Rate |
$62.08 |
| Rate for Payer: Aetna American Axle |
$44.84
|
| Rate for Payer: Aetna Commercial |
$58.63
|
| Rate for Payer: Aetna Medicare |
$23.86
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$44.84
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$28.68
|
| Rate for Payer: Amish Plain Church Group Commercial |
$28.68
|
| Rate for Payer: BCBS Complete |
$12.60
|
| Rate for Payer: BCBS MAPPO |
$22.94
|
| Rate for Payer: BCBS Trust/PPO |
$26.53
|
| Rate for Payer: BCN Commercial |
$26.53
|
| Rate for Payer: BCN Medicare Advantage |
$22.94
|
| Rate for Payer: Cash Price |
$55.18
|
| Rate for Payer: Cash Price |
$55.18
|
| Rate for Payer: Cofinity Advantage |
$48.29
|
| Rate for Payer: Cofinity Commercial |
$59.32
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$55.18
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$22.94
|
| Rate for Payer: Healthscope Commercial |
$62.08
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$48.29
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$51.73
|
| Rate for Payer: Mclaren Medicaid |
$22.94
|
| Rate for Payer: Mclaren Medicare |
$22.94
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$24.09
|
| Rate for Payer: Meridian Medicaid |
$24.09
|
| Rate for Payer: MI Amish Medical Board Commercial |
$26.38
|
| Rate for Payer: Molina Medicare/Medicaid |
$25.23
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$58.63
|
| Rate for Payer: Nomi Health Commercial |
$34.41
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$51.73
|
| Rate for Payer: PACE Medicare |
$21.79
|
| Rate for Payer: PACE SWMI |
$22.94
|
| Rate for Payer: PHP Commercial |
$58.63
|
| Rate for Payer: PHP Medicare Advantage |
$22.94
|
| Rate for Payer: Priority Health Choice Medicaid |
$12.00
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$22.94
|
| Rate for Payer: Priority Health Medicare |
$22.94
|
| Rate for Payer: Priority Health SBD |
$43.46
|
| Rate for Payer: Priority Health Tiered Network |
$18.35
|
| Rate for Payer: Railroad Medicare Medicare |
$22.94
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$34.41
|
| Rate for Payer: UHC Core |
$34.41
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$22.94
|
| Rate for Payer: UHC Exchange |
$34.41
|
| Rate for Payer: UHC Medicaid |
$12.00
|
| Rate for Payer: UHCCP Medicaid |
$12.00
|
| Rate for Payer: UMR Bronson Commercial |
$25.52
|
| Rate for Payer: VA VA |
$22.94
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$51.73
|
|
|
HC VON WILLEBRAND ANTIGEN
|
Facility
|
IP
|
$68.98
|
|
|
Service Code
|
CPT 85246
|
| Hospital Charge Code |
30500025
|
|
Hospital Revenue Code
|
305
|
| Min. Negotiated Rate |
$30.35 |
| Max. Negotiated Rate |
$62.08 |
| Rate for Payer: Aetna American Axle |
$44.84
|
| Rate for Payer: Aetna Commercial |
$58.63
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$44.84
|
| Rate for Payer: Cash Price |
$55.18
|
| Rate for Payer: Cofinity Advantage |
$48.29
|
| Rate for Payer: Cofinity Commercial |
$59.32
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$55.18
|
| Rate for Payer: Healthscope Commercial |
$62.08
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$48.29
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$51.73
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$58.63
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$51.73
|
| Rate for Payer: PHP Commercial |
$58.63
|
| Rate for Payer: Priority Health SBD |
$43.46
|
| Rate for Payer: UMR Bronson Commercial |
$30.35
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$51.73
|
|
|
HC VON WILLEBRAND FACTOR ACTIVITY
|
Facility
|
OP
|
$210.12
|
|
|
Service Code
|
CPT 85397
|
| Hospital Charge Code |
30000059
|
|
Hospital Revenue Code
|
300
|
| Min. Negotiated Rate |
$16.14 |
| Max. Negotiated Rate |
$189.11 |
| Rate for Payer: Aetna American Axle |
$136.58
|
| Rate for Payer: Aetna Commercial |
$178.60
|
| Rate for Payer: Aetna Medicare |
$32.09
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$136.58
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$38.58
|
| Rate for Payer: Amish Plain Church Group Commercial |
$38.58
|
| Rate for Payer: BCBS Complete |
$16.95
|
| Rate for Payer: BCBS MAPPO |
$30.86
|
| Rate for Payer: BCBS Trust/PPO |
$35.68
|
| Rate for Payer: BCN Commercial |
$35.68
|
| Rate for Payer: BCN Medicare Advantage |
$30.86
|
| Rate for Payer: Cash Price |
$168.10
|
| Rate for Payer: Cash Price |
$168.10
|
| Rate for Payer: Cofinity Advantage |
$147.08
|
| Rate for Payer: Cofinity Commercial |
$180.70
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$168.10
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$30.86
|
| Rate for Payer: Healthscope Commercial |
$189.11
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$147.08
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$157.59
|
| Rate for Payer: Mclaren Medicaid |
$30.86
|
| Rate for Payer: Mclaren Medicare |
$30.86
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$32.40
|
| Rate for Payer: Meridian Medicaid |
$32.40
|
| Rate for Payer: MI Amish Medical Board Commercial |
$35.49
|
| Rate for Payer: Molina Medicare/Medicaid |
$33.95
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$178.60
|
| Rate for Payer: Nomi Health Commercial |
$46.29
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$157.59
|
| Rate for Payer: PACE Medicare |
$29.32
|
| Rate for Payer: PACE SWMI |
$30.86
|
| Rate for Payer: PHP Commercial |
$178.60
|
| Rate for Payer: PHP Medicare Advantage |
$30.86
|
| Rate for Payer: Priority Health Choice Medicaid |
$16.14
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$30.86
|
| Rate for Payer: Priority Health Medicare |
$30.86
|
| Rate for Payer: Priority Health SBD |
$132.38
|
| Rate for Payer: Priority Health Tiered Network |
$24.69
|
| Rate for Payer: Railroad Medicare Medicare |
$30.86
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$46.29
|
| Rate for Payer: UHC Core |
$46.29
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$30.86
|
| Rate for Payer: UHC Exchange |
$46.29
|
| Rate for Payer: UHC Medicaid |
$16.14
|
| Rate for Payer: UHCCP Medicaid |
$16.14
|
| Rate for Payer: UMR Bronson Commercial |
$77.74
|
| Rate for Payer: VA VA |
$30.86
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$157.59
|
|
|
HC VON WILLEBRAND FACTOR ACTIVITY
|
Facility
|
IP
|
$210.12
|
|
|
Service Code
|
CPT 85397
|
| Hospital Charge Code |
30000059
|
|
Hospital Revenue Code
|
300
|
| Min. Negotiated Rate |
$92.45 |
| Max. Negotiated Rate |
$189.11 |
| Rate for Payer: Aetna American Axle |
$136.58
|
| Rate for Payer: Aetna Commercial |
$178.60
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$136.58
|
| Rate for Payer: Cash Price |
$168.10
|
| Rate for Payer: Cofinity Advantage |
$147.08
|
| Rate for Payer: Cofinity Commercial |
$180.70
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$168.10
|
| Rate for Payer: Healthscope Commercial |
$189.11
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$147.08
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$157.59
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$178.60
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$157.59
|
| Rate for Payer: PHP Commercial |
$178.60
|
| Rate for Payer: Priority Health SBD |
$132.38
|
| Rate for Payer: UMR Bronson Commercial |
$92.45
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$157.59
|
|
|
HC VON WILLEBRAND MULTIMETRIC ANALYSIS
|
Facility
|
OP
|
$97.80
|
|
|
Service Code
|
CPT 85247
|
| Hospital Charge Code |
30500028
|
|
Hospital Revenue Code
|
305
|
| Min. Negotiated Rate |
$12.00 |
| Max. Negotiated Rate |
$88.02 |
| Rate for Payer: Aetna American Axle |
$63.57
|
| Rate for Payer: Aetna Commercial |
$83.13
|
| Rate for Payer: Aetna Medicare |
$23.86
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$63.57
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$28.68
|
| Rate for Payer: Amish Plain Church Group Commercial |
$28.68
|
| Rate for Payer: BCBS Complete |
$12.60
|
| Rate for Payer: BCBS MAPPO |
$22.94
|
| Rate for Payer: BCBS Trust/PPO |
$26.53
|
| Rate for Payer: BCN Commercial |
$26.53
|
| Rate for Payer: BCN Medicare Advantage |
$22.94
|
| Rate for Payer: Cash Price |
$78.24
|
| Rate for Payer: Cash Price |
$78.24
|
| Rate for Payer: Cofinity Advantage |
$68.46
|
| Rate for Payer: Cofinity Commercial |
$84.11
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$78.24
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$22.94
|
| Rate for Payer: Healthscope Commercial |
$88.02
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$68.46
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$73.35
|
| Rate for Payer: Mclaren Medicaid |
$22.94
|
| Rate for Payer: Mclaren Medicare |
$22.94
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$24.09
|
| Rate for Payer: Meridian Medicaid |
$24.09
|
| Rate for Payer: MI Amish Medical Board Commercial |
$26.38
|
| Rate for Payer: Molina Medicare/Medicaid |
$25.23
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$83.13
|
| Rate for Payer: Nomi Health Commercial |
$34.41
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$73.35
|
| Rate for Payer: PACE Medicare |
$21.79
|
| Rate for Payer: PACE SWMI |
$22.94
|
| Rate for Payer: PHP Commercial |
$83.13
|
| Rate for Payer: PHP Medicare Advantage |
$22.94
|
| Rate for Payer: Priority Health Choice Medicaid |
$12.00
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$22.94
|
| Rate for Payer: Priority Health Medicare |
$22.94
|
| Rate for Payer: Priority Health SBD |
$61.61
|
| Rate for Payer: Priority Health Tiered Network |
$18.35
|
| Rate for Payer: Railroad Medicare Medicare |
$22.94
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$34.41
|
| Rate for Payer: UHC Core |
$34.41
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$22.94
|
| Rate for Payer: UHC Exchange |
$34.41
|
| Rate for Payer: UHC Medicaid |
$12.00
|
| Rate for Payer: UHCCP Medicaid |
$12.00
|
| Rate for Payer: UMR Bronson Commercial |
$36.19
|
| Rate for Payer: VA VA |
$22.94
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$73.35
|
|
|
HC VON WILLEBRAND MULTIMETRIC ANALYSIS
|
Facility
|
IP
|
$97.80
|
|
|
Service Code
|
CPT 85247
|
| Hospital Charge Code |
30500028
|
|
Hospital Revenue Code
|
305
|
| Min. Negotiated Rate |
$43.03 |
| Max. Negotiated Rate |
$88.02 |
| Rate for Payer: Aetna American Axle |
$63.57
|
| Rate for Payer: Aetna Commercial |
$83.13
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$63.57
|
| Rate for Payer: Cash Price |
$78.24
|
| Rate for Payer: Cofinity Advantage |
$68.46
|
| Rate for Payer: Cofinity Commercial |
$84.11
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$78.24
|
| Rate for Payer: Healthscope Commercial |
$88.02
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$68.46
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$73.35
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$83.13
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$73.35
|
| Rate for Payer: PHP Commercial |
$83.13
|
| Rate for Payer: Priority Health SBD |
$61.61
|
| Rate for Payer: UMR Bronson Commercial |
$43.03
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$73.35
|
|
|
HC VON WILLEBRAND PANEL
|
Facility
|
OP
|
$131.59
|
|
|
Service Code
|
CPT 85397
|
| Hospital Charge Code |
31000001
|
|
Hospital Revenue Code
|
305
|
| Min. Negotiated Rate |
$16.14 |
| Max. Negotiated Rate |
$118.43 |
| Rate for Payer: Aetna American Axle |
$85.53
|
| Rate for Payer: Aetna Commercial |
$111.85
|
| Rate for Payer: Aetna Medicare |
$32.09
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$85.53
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$38.58
|
| Rate for Payer: Amish Plain Church Group Commercial |
$38.58
|
| Rate for Payer: BCBS Complete |
$16.95
|
| Rate for Payer: BCBS MAPPO |
$30.86
|
| Rate for Payer: BCBS Trust/PPO |
$35.68
|
| Rate for Payer: BCN Commercial |
$35.68
|
| Rate for Payer: BCN Medicare Advantage |
$30.86
|
| Rate for Payer: Cash Price |
$105.27
|
| Rate for Payer: Cash Price |
$105.27
|
| Rate for Payer: Cofinity Advantage |
$92.11
|
| Rate for Payer: Cofinity Commercial |
$113.17
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$105.27
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$30.86
|
| Rate for Payer: Healthscope Commercial |
$118.43
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$92.11
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$98.69
|
| Rate for Payer: Mclaren Medicaid |
$30.86
|
| Rate for Payer: Mclaren Medicare |
$30.86
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$32.40
|
| Rate for Payer: Meridian Medicaid |
$32.40
|
| Rate for Payer: MI Amish Medical Board Commercial |
$35.49
|
| Rate for Payer: Molina Medicare/Medicaid |
$33.95
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$111.85
|
| Rate for Payer: Nomi Health Commercial |
$46.29
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$98.69
|
| Rate for Payer: PACE Medicare |
$29.32
|
| Rate for Payer: PACE SWMI |
$30.86
|
| Rate for Payer: PHP Commercial |
$111.85
|
| Rate for Payer: PHP Medicare Advantage |
$30.86
|
| Rate for Payer: Priority Health Choice Medicaid |
$16.14
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$30.86
|
| Rate for Payer: Priority Health Medicare |
$30.86
|
| Rate for Payer: Priority Health SBD |
$82.90
|
| Rate for Payer: Priority Health Tiered Network |
$24.69
|
| Rate for Payer: Railroad Medicare Medicare |
$30.86
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$46.29
|
| Rate for Payer: UHC Core |
$46.29
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$30.86
|
| Rate for Payer: UHC Exchange |
$46.29
|
| Rate for Payer: UHC Medicaid |
$16.14
|
| Rate for Payer: UHCCP Medicaid |
$16.14
|
| Rate for Payer: UMR Bronson Commercial |
$48.69
|
| Rate for Payer: VA VA |
$30.86
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$98.69
|
|
