|
HC XR BONE SURVEY (METS) LTD
|
Facility
|
IP
|
$314.28
|
|
|
Service Code
|
CPT 77074
|
| Hospital Charge Code |
32000298
|
|
Hospital Revenue Code
|
320
|
| Min. Negotiated Rate |
$138.28 |
| Max. Negotiated Rate |
$282.85 |
| Rate for Payer: Aetna American Axle |
$204.28
|
| Rate for Payer: Aetna Commercial |
$267.14
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$204.28
|
| Rate for Payer: Cash Price |
$251.42
|
| Rate for Payer: Cofinity Advantage |
$220.00
|
| Rate for Payer: Cofinity Commercial |
$270.28
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$251.42
|
| Rate for Payer: Healthscope Commercial |
$282.85
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$220.00
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$235.71
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$267.14
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$235.71
|
| Rate for Payer: PHP Commercial |
$267.14
|
| Rate for Payer: Priority Health SBD |
$198.00
|
| Rate for Payer: UMR Bronson Commercial |
$138.28
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$235.71
|
|
|
HC XR BONE SURVEY (METS) LTD
|
Facility
|
OP
|
$314.28
|
|
|
Service Code
|
CPT 77074
|
| Hospital Charge Code |
32000298
|
|
Hospital Revenue Code
|
320
|
| Min. Negotiated Rate |
$54.48 |
| Max. Negotiated Rate |
$336.87 |
| Rate for Payer: Aetna American Axle |
$204.28
|
| Rate for Payer: Aetna Commercial |
$267.14
|
| Rate for Payer: Aetna Medicare |
$108.34
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$204.28
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$130.21
|
| Rate for Payer: Amish Plain Church Group Commercial |
$130.21
|
| Rate for Payer: BCBS Complete |
$57.21
|
| Rate for Payer: BCBS MAPPO |
$104.17
|
| Rate for Payer: BCBS Trust/PPO |
$110.00
|
| Rate for Payer: BCN Commercial |
$110.00
|
| Rate for Payer: BCN Medicare Advantage |
$104.17
|
| Rate for Payer: Cash Price |
$251.42
|
| Rate for Payer: Cash Price |
$251.42
|
| Rate for Payer: Cofinity Advantage |
$220.00
|
| Rate for Payer: Cofinity Commercial |
$270.28
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$251.42
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$104.17
|
| Rate for Payer: Healthscope Commercial |
$282.85
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$220.00
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$235.71
|
| Rate for Payer: Mclaren Medicaid |
$104.17
|
| Rate for Payer: Mclaren Medicare |
$104.17
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$109.38
|
| Rate for Payer: Meridian Medicaid |
$109.38
|
| Rate for Payer: MI Amish Medical Board Commercial |
$119.80
|
| Rate for Payer: Molina Medicare/Medicaid |
$114.59
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$267.14
|
| Rate for Payer: Nomi Health Commercial |
$312.51
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$235.71
|
| Rate for Payer: PACE Medicare |
$98.96
|
| Rate for Payer: PACE SWMI |
$104.17
|
| Rate for Payer: PHP Commercial |
$267.14
|
| Rate for Payer: PHP Medicare Advantage |
$104.17
|
| Rate for Payer: Priority Health Choice Medicaid |
$54.48
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$336.87
|
| Rate for Payer: Priority Health Medicare |
$104.17
|
| Rate for Payer: Priority Health SBD |
$198.00
|
| Rate for Payer: Priority Health Tiered Network |
$269.50
|
| Rate for Payer: Railroad Medicare Medicare |
$104.17
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$204.28
|
| Rate for Payer: UHC Core |
$163.74
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$104.17
|
| Rate for Payer: UHC Exchange |
$123.51
|
| Rate for Payer: UHC Medicaid |
$54.48
|
| Rate for Payer: UHCCP Medicaid |
$54.48
|
| Rate for Payer: UMR Bronson Commercial |
$116.28
|
| Rate for Payer: VA VA |
$104.17
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$235.71
|
|
|
HC XR CHEST 2 VIEWS
|
Facility
|
IP
|
$309.76
|
|
|
Service Code
|
CPT 71046
|
| Hospital Charge Code |
32400010
|
|
Hospital Revenue Code
|
324
|
| Min. Negotiated Rate |
$136.29 |
| Max. Negotiated Rate |
$278.78 |
| Rate for Payer: Aetna American Axle |
$201.34
|
| Rate for Payer: Aetna Commercial |
$263.30
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$201.34
|
| Rate for Payer: Cash Price |
$247.81
|
| Rate for Payer: Cofinity Advantage |
$216.83
|
| Rate for Payer: Cofinity Commercial |
$266.39
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$247.81
|
| Rate for Payer: Healthscope Commercial |
$278.78
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$216.83
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$232.32
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$263.30
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$232.32
|
| Rate for Payer: PHP Commercial |
$263.30
|
| Rate for Payer: Priority Health SBD |
$195.15
|
| Rate for Payer: UMR Bronson Commercial |
$136.29
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$232.32
|
|
|
HC XR CHEST 2 VIEWS
|
Facility
|
OP
|
$309.76
|
|
|
Service Code
|
CPT 71046
|
| Hospital Charge Code |
32400010
|
|
Hospital Revenue Code
|
324
|
| Min. Negotiated Rate |
$45.35 |
| Max. Negotiated Rate |
$280.42 |
| Rate for Payer: Aetna American Axle |
$201.34
|
| Rate for Payer: Aetna Commercial |
$263.30
|
| Rate for Payer: Aetna Medicare |
$90.18
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$201.34
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$108.39
|
| Rate for Payer: Amish Plain Church Group Commercial |
$108.39
|
| Rate for Payer: BCBS Complete |
$47.62
|
| Rate for Payer: BCBS MAPPO |
$86.71
|
| Rate for Payer: BCBS Trust/PPO |
$57.46
|
| Rate for Payer: BCN Commercial |
$57.46
|
| Rate for Payer: BCN Medicare Advantage |
$86.71
|
| Rate for Payer: Cash Price |
$247.81
|
| Rate for Payer: Cash Price |
$247.81
|
| Rate for Payer: Cofinity Advantage |
$216.83
|
| Rate for Payer: Cofinity Commercial |
$266.39
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$247.81
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$86.71
|
| Rate for Payer: Healthscope Commercial |
$278.78
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$216.83
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$232.32
|
| Rate for Payer: Mclaren Medicaid |
$86.71
|
| Rate for Payer: Mclaren Medicare |
$86.71
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$91.05
|
| Rate for Payer: Meridian Medicaid |
$91.05
|
| Rate for Payer: MI Amish Medical Board Commercial |
$99.72
|
| Rate for Payer: Molina Medicare/Medicaid |
$95.38
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$263.30
|
| Rate for Payer: Nomi Health Commercial |
$260.13
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$232.32
|
| Rate for Payer: PACE Medicare |
$82.37
|
| Rate for Payer: PACE SWMI |
$86.71
|
| Rate for Payer: PHP Commercial |
$263.30
|
| Rate for Payer: PHP Medicare Advantage |
$86.71
|
| Rate for Payer: Priority Health Choice Medicaid |
$45.35
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$280.42
|
| Rate for Payer: Priority Health Medicare |
$86.71
|
| Rate for Payer: Priority Health SBD |
$195.15
|
| Rate for Payer: Priority Health Tiered Network |
$224.34
|
| Rate for Payer: Railroad Medicare Medicare |
$86.71
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$201.34
|
| Rate for Payer: UHC Core |
$161.38
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$86.71
|
| Rate for Payer: UHC Exchange |
$121.74
|
| Rate for Payer: UHC Medicaid |
$45.35
|
| Rate for Payer: UHCCP Medicaid |
$45.35
|
| Rate for Payer: UMR Bronson Commercial |
$114.61
|
| Rate for Payer: VA VA |
$86.71
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$232.32
|
|
|
HC XR CHEST 3 VIEWS
|
Facility
|
OP
|
$343.20
|
|
|
Service Code
|
CPT 71047
|
| Hospital Charge Code |
32400011
|
|
Hospital Revenue Code
|
324
|
| Min. Negotiated Rate |
$45.35 |
| Max. Negotiated Rate |
$308.88 |
| Rate for Payer: Aetna American Axle |
$223.08
|
| Rate for Payer: Aetna Commercial |
$291.72
|
| Rate for Payer: Aetna Medicare |
$90.18
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$223.08
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$108.39
|
| Rate for Payer: Amish Plain Church Group Commercial |
$108.39
|
| Rate for Payer: BCBS Complete |
$47.62
|
| Rate for Payer: BCBS MAPPO |
$86.71
|
| Rate for Payer: BCBS Trust/PPO |
$71.42
|
| Rate for Payer: BCN Commercial |
$71.42
|
| Rate for Payer: BCN Medicare Advantage |
$86.71
|
| Rate for Payer: Cash Price |
$274.56
|
| Rate for Payer: Cash Price |
$274.56
|
| Rate for Payer: Cofinity Advantage |
$240.24
|
| Rate for Payer: Cofinity Commercial |
$295.15
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$274.56
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$86.71
|
| Rate for Payer: Healthscope Commercial |
$308.88
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$240.24
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$257.40
|
| Rate for Payer: Mclaren Medicaid |
$86.71
|
| Rate for Payer: Mclaren Medicare |
$86.71
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$91.05
|
| Rate for Payer: Meridian Medicaid |
$91.05
|
| Rate for Payer: MI Amish Medical Board Commercial |
$99.72
|
| Rate for Payer: Molina Medicare/Medicaid |
$95.38
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$291.72
|
| Rate for Payer: Nomi Health Commercial |
$260.13
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$257.40
|
| Rate for Payer: PACE Medicare |
$82.37
|
| Rate for Payer: PACE SWMI |
$86.71
|
| Rate for Payer: PHP Commercial |
$291.72
|
| Rate for Payer: PHP Medicare Advantage |
$86.71
|
| Rate for Payer: Priority Health Choice Medicaid |
$45.35
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$280.42
|
| Rate for Payer: Priority Health Medicare |
$86.71
|
| Rate for Payer: Priority Health SBD |
$216.22
|
| Rate for Payer: Priority Health Tiered Network |
$224.34
|
| Rate for Payer: Railroad Medicare Medicare |
$86.71
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$223.08
|
| Rate for Payer: UHC Core |
$178.81
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$86.71
|
| Rate for Payer: UHC Exchange |
$134.88
|
| Rate for Payer: UHC Medicaid |
$45.35
|
| Rate for Payer: UHCCP Medicaid |
$45.35
|
| Rate for Payer: UMR Bronson Commercial |
$126.98
|
| Rate for Payer: VA VA |
$86.71
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$257.40
|
|
|
HC XR CHEST 3 VIEWS
|
Facility
|
IP
|
$343.20
|
|
|
Service Code
|
CPT 71047
|
| Hospital Charge Code |
32400011
|
|
Hospital Revenue Code
|
324
|
| Min. Negotiated Rate |
$151.01 |
| Max. Negotiated Rate |
$308.88 |
| Rate for Payer: Aetna American Axle |
$223.08
|
| Rate for Payer: Aetna Commercial |
$291.72
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$223.08
|
| Rate for Payer: Cash Price |
$274.56
|
| Rate for Payer: Cofinity Advantage |
$240.24
|
| Rate for Payer: Cofinity Commercial |
$295.15
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$274.56
|
| Rate for Payer: Healthscope Commercial |
$308.88
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$240.24
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$257.40
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$291.72
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$257.40
|
| Rate for Payer: PHP Commercial |
$291.72
|
| Rate for Payer: Priority Health SBD |
$216.22
|
| Rate for Payer: UMR Bronson Commercial |
$151.01
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$257.40
|
|
|
HC XR CHEST 4 OR MORE VIEWS
|
Facility
|
IP
|
$376.62
|
|
|
Service Code
|
CPT 71048
|
| Hospital Charge Code |
32400012
|
|
Hospital Revenue Code
|
324
|
| Min. Negotiated Rate |
$165.71 |
| Max. Negotiated Rate |
$338.96 |
| Rate for Payer: Aetna American Axle |
$244.80
|
| Rate for Payer: Aetna Commercial |
$320.13
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$244.80
|
| Rate for Payer: Cash Price |
$301.30
|
| Rate for Payer: Cofinity Advantage |
$263.63
|
| Rate for Payer: Cofinity Commercial |
$323.89
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$301.30
|
| Rate for Payer: Healthscope Commercial |
$338.96
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$263.63
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$282.46
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$320.13
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$282.46
|
| Rate for Payer: PHP Commercial |
$320.13
|
| Rate for Payer: Priority Health SBD |
$237.27
|
| Rate for Payer: UMR Bronson Commercial |
$165.71
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$282.46
|
|
|
HC XR CHEST 4 OR MORE VIEWS
|
Facility
|
OP
|
$376.62
|
|
|
Service Code
|
CPT 71048
|
| Hospital Charge Code |
32400012
|
|
Hospital Revenue Code
|
324
|
| Min. Negotiated Rate |
$54.48 |
| Max. Negotiated Rate |
$338.96 |
| Rate for Payer: Aetna American Axle |
$244.80
|
| Rate for Payer: Aetna Commercial |
$320.13
|
| Rate for Payer: Aetna Medicare |
$108.34
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$244.80
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$130.21
|
| Rate for Payer: Amish Plain Church Group Commercial |
$130.21
|
| Rate for Payer: BCBS Complete |
$57.21
|
| Rate for Payer: BCBS MAPPO |
$104.17
|
| Rate for Payer: BCBS Trust/PPO |
$76.34
|
| Rate for Payer: BCN Commercial |
$76.34
|
| Rate for Payer: BCN Medicare Advantage |
$104.17
|
| Rate for Payer: Cash Price |
$301.30
|
| Rate for Payer: Cash Price |
$301.30
|
| Rate for Payer: Cofinity Advantage |
$263.63
|
| Rate for Payer: Cofinity Commercial |
$323.89
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$301.30
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$104.17
|
| Rate for Payer: Healthscope Commercial |
$338.96
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$263.63
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$282.46
|
| Rate for Payer: Mclaren Medicaid |
$104.17
|
| Rate for Payer: Mclaren Medicare |
$104.17
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$109.38
|
| Rate for Payer: Meridian Medicaid |
$109.38
|
| Rate for Payer: MI Amish Medical Board Commercial |
$119.80
|
| Rate for Payer: Molina Medicare/Medicaid |
$114.59
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$320.13
|
| Rate for Payer: Nomi Health Commercial |
$312.51
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$282.46
|
| Rate for Payer: PACE Medicare |
$98.96
|
| Rate for Payer: PACE SWMI |
$104.17
|
| Rate for Payer: PHP Commercial |
$320.13
|
| Rate for Payer: PHP Medicare Advantage |
$104.17
|
| Rate for Payer: Priority Health Choice Medicaid |
$54.48
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$336.87
|
| Rate for Payer: Priority Health Medicare |
$104.17
|
| Rate for Payer: Priority Health SBD |
$237.27
|
| Rate for Payer: Priority Health Tiered Network |
$269.50
|
| Rate for Payer: Railroad Medicare Medicare |
$104.17
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$244.80
|
| Rate for Payer: UHC Core |
$196.22
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$104.17
|
| Rate for Payer: UHC Exchange |
$148.01
|
| Rate for Payer: UHC Medicaid |
$54.48
|
| Rate for Payer: UHCCP Medicaid |
$54.48
|
| Rate for Payer: UMR Bronson Commercial |
$139.35
|
| Rate for Payer: VA VA |
$104.17
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$282.46
|
|
|
HC XR CHEST ABD FOREIG BOD CHILD
|
Facility
|
IP
|
$281.49
|
|
|
Service Code
|
CPT 76010
|
| Hospital Charge Code |
32000234
|
|
Hospital Revenue Code
|
320
|
| Min. Negotiated Rate |
$123.86 |
| Max. Negotiated Rate |
$253.34 |
| Rate for Payer: Aetna American Axle |
$182.97
|
| Rate for Payer: Aetna Commercial |
$239.27
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$182.97
|
| Rate for Payer: Cash Price |
$225.19
|
| Rate for Payer: Cofinity Advantage |
$197.04
|
| Rate for Payer: Cofinity Commercial |
$242.08
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$225.19
|
| Rate for Payer: Healthscope Commercial |
$253.34
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$197.04
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$211.12
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$239.27
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$211.12
|
| Rate for Payer: PHP Commercial |
$239.27
|
| Rate for Payer: Priority Health SBD |
$177.34
|
| Rate for Payer: UMR Bronson Commercial |
$123.86
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$211.12
|
|
|
HC XR CHEST ABD FOREIG BOD CHILD
|
Facility
|
OP
|
$281.49
|
|
|
Service Code
|
CPT 76010
|
| Hospital Charge Code |
32000234
|
|
Hospital Revenue Code
|
320
|
| Min. Negotiated Rate |
$45.35 |
| Max. Negotiated Rate |
$280.42 |
| Rate for Payer: Aetna American Axle |
$182.97
|
| Rate for Payer: Aetna Commercial |
$239.27
|
| Rate for Payer: Aetna Medicare |
$90.18
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$182.97
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$108.39
|
| Rate for Payer: Amish Plain Church Group Commercial |
$108.39
|
| Rate for Payer: BCBS Complete |
$47.62
|
| Rate for Payer: BCBS MAPPO |
$86.71
|
| Rate for Payer: BCBS Trust/PPO |
$50.89
|
| Rate for Payer: BCN Commercial |
$50.89
|
| Rate for Payer: BCN Medicare Advantage |
$86.71
|
| Rate for Payer: Cash Price |
$225.19
|
| Rate for Payer: Cash Price |
$225.19
|
| Rate for Payer: Cofinity Advantage |
$197.04
|
| Rate for Payer: Cofinity Commercial |
$242.08
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$225.19
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$86.71
|
| Rate for Payer: Healthscope Commercial |
$253.34
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$197.04
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$211.12
|
| Rate for Payer: Mclaren Medicaid |
$86.71
|
| Rate for Payer: Mclaren Medicare |
$86.71
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$91.05
|
| Rate for Payer: Meridian Medicaid |
$91.05
|
| Rate for Payer: MI Amish Medical Board Commercial |
$99.72
|
| Rate for Payer: Molina Medicare/Medicaid |
$95.38
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$239.27
|
| Rate for Payer: Nomi Health Commercial |
$260.13
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$211.12
|
| Rate for Payer: PACE Medicare |
$82.37
|
| Rate for Payer: PACE SWMI |
$86.71
|
| Rate for Payer: PHP Commercial |
$239.27
|
| Rate for Payer: PHP Medicare Advantage |
$86.71
|
| Rate for Payer: Priority Health Choice Medicaid |
$45.35
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$280.42
|
| Rate for Payer: Priority Health Medicare |
$86.71
|
| Rate for Payer: Priority Health SBD |
$177.34
|
| Rate for Payer: Priority Health Tiered Network |
$224.34
|
| Rate for Payer: Railroad Medicare Medicare |
$86.71
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$182.97
|
| Rate for Payer: UHC Core |
$146.66
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$86.71
|
| Rate for Payer: UHC Exchange |
$110.63
|
| Rate for Payer: UHC Medicaid |
$45.35
|
| Rate for Payer: UHCCP Medicaid |
$45.35
|
| Rate for Payer: UMR Bronson Commercial |
$104.15
|
| Rate for Payer: VA VA |
$86.71
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$211.12
|
|
|
HC XR CHEST SINGLE VIEW
|
Facility
|
OP
|
$276.34
|
|
|
Service Code
|
CPT 71045
|
| Hospital Charge Code |
32400009
|
|
Hospital Revenue Code
|
324
|
| Min. Negotiated Rate |
$42.69 |
| Max. Negotiated Rate |
$280.42 |
| Rate for Payer: Aetna American Axle |
$179.62
|
| Rate for Payer: Aetna Commercial |
$234.89
|
| Rate for Payer: Aetna Medicare |
$90.18
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$179.62
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$108.39
|
| Rate for Payer: Amish Plain Church Group Commercial |
$108.39
|
| Rate for Payer: BCBS Complete |
$47.62
|
| Rate for Payer: BCBS MAPPO |
$86.71
|
| Rate for Payer: BCBS Trust/PPO |
$42.69
|
| Rate for Payer: BCN Commercial |
$42.69
|
| Rate for Payer: BCN Medicare Advantage |
$86.71
|
| Rate for Payer: Cash Price |
$221.07
|
| Rate for Payer: Cash Price |
$221.07
|
| Rate for Payer: Cofinity Advantage |
$193.44
|
| Rate for Payer: Cofinity Commercial |
$237.65
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$221.07
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$86.71
|
| Rate for Payer: Healthscope Commercial |
$248.71
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$193.44
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$207.25
|
| Rate for Payer: Mclaren Medicaid |
$86.71
|
| Rate for Payer: Mclaren Medicare |
$86.71
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$91.05
|
| Rate for Payer: Meridian Medicaid |
$91.05
|
| Rate for Payer: MI Amish Medical Board Commercial |
$99.72
|
| Rate for Payer: Molina Medicare/Medicaid |
$95.38
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$234.89
|
| Rate for Payer: Nomi Health Commercial |
$260.13
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$207.25
|
| Rate for Payer: PACE Medicare |
$82.37
|
| Rate for Payer: PACE SWMI |
$86.71
|
| Rate for Payer: PHP Commercial |
$234.89
|
| Rate for Payer: PHP Medicare Advantage |
$86.71
|
| Rate for Payer: Priority Health Choice Medicaid |
$45.35
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$280.42
|
| Rate for Payer: Priority Health Medicare |
$86.71
|
| Rate for Payer: Priority Health SBD |
$174.09
|
| Rate for Payer: Priority Health Tiered Network |
$224.34
|
| Rate for Payer: Railroad Medicare Medicare |
$86.71
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$179.62
|
| Rate for Payer: UHC Core |
$143.97
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$86.71
|
| Rate for Payer: UHC Exchange |
$108.60
|
| Rate for Payer: UHC Medicaid |
$45.35
|
| Rate for Payer: UHCCP Medicaid |
$45.35
|
| Rate for Payer: UMR Bronson Commercial |
$102.25
|
| Rate for Payer: VA VA |
$86.71
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$207.25
|
|
|
HC XR CHEST SINGLE VIEW
|
Facility
|
IP
|
$276.34
|
|
|
Service Code
|
CPT 71045
|
| Hospital Charge Code |
32400009
|
|
Hospital Revenue Code
|
324
|
| Min. Negotiated Rate |
$121.59 |
| Max. Negotiated Rate |
$248.71 |
| Rate for Payer: Aetna American Axle |
$179.62
|
| Rate for Payer: Aetna Commercial |
$234.89
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$179.62
|
| Rate for Payer: Cash Price |
$221.07
|
| Rate for Payer: Cofinity Advantage |
$193.44
|
| Rate for Payer: Cofinity Commercial |
$237.65
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$221.07
|
| Rate for Payer: Healthscope Commercial |
$248.71
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$193.44
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$207.25
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$234.89
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$207.25
|
| Rate for Payer: PHP Commercial |
$234.89
|
| Rate for Payer: Priority Health SBD |
$174.09
|
| Rate for Payer: UMR Bronson Commercial |
$121.59
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$207.25
|
|
|
HC XR CHOLANGIOGRAM IN OR
|
Facility
|
OP
|
$520.60
|
|
|
Service Code
|
CPT 74300
|
| Hospital Charge Code |
32000149
|
|
Hospital Revenue Code
|
320
|
| Min. Negotiated Rate |
$100.97 |
| Max. Negotiated Rate |
$468.54 |
| Rate for Payer: Aetna American Axle |
$338.39
|
| Rate for Payer: Aetna Commercial |
$442.51
|
| Rate for Payer: Aetna Medicare |
$260.30
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$338.39
|
| Rate for Payer: BCBS Complete |
$208.24
|
| Rate for Payer: BCBS Trust/PPO |
$100.97
|
| Rate for Payer: BCN Commercial |
$100.97
|
| Rate for Payer: Cash Price |
$416.48
|
| Rate for Payer: Cash Price |
$416.48
|
| Rate for Payer: Cofinity Advantage |
$364.42
|
| Rate for Payer: Cofinity Commercial |
$447.72
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$416.48
|
| Rate for Payer: Healthscope Commercial |
$468.54
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$364.42
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$390.45
|
| Rate for Payer: MI Amish Medical Board Commercial |
$416.48
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$442.51
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$390.45
|
| Rate for Payer: PHP Commercial |
$442.51
|
| Rate for Payer: Priority Health SBD |
$327.98
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$338.39
|
| Rate for Payer: UHC Core |
$271.23
|
| Rate for Payer: UHC Exchange |
$204.60
|
| Rate for Payer: UMR Bronson Commercial |
$192.62
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$390.45
|
|
|
HC XR CHOLANGIOGRAM IN OR
|
Facility
|
IP
|
$520.60
|
|
|
Service Code
|
CPT 74300
|
| Hospital Charge Code |
32000149
|
|
Hospital Revenue Code
|
320
|
| Min. Negotiated Rate |
$229.06 |
| Max. Negotiated Rate |
$468.54 |
| Rate for Payer: Aetna American Axle |
$338.39
|
| Rate for Payer: Aetna Commercial |
$442.51
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$338.39
|
| Rate for Payer: Cash Price |
$416.48
|
| Rate for Payer: Cofinity Advantage |
$364.42
|
| Rate for Payer: Cofinity Commercial |
$447.72
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$416.48
|
| Rate for Payer: Healthscope Commercial |
$468.54
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$364.42
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$390.45
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$442.51
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$390.45
|
| Rate for Payer: PHP Commercial |
$442.51
|
| Rate for Payer: Priority Health SBD |
$327.98
|
| Rate for Payer: UMR Bronson Commercial |
$229.06
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$390.45
|
|
|
HC XR CLAVICLE
|
Facility
|
IP
|
$322.82
|
|
|
Service Code
|
CPT 73000
|
| Hospital Charge Code |
32000060
|
|
Hospital Revenue Code
|
320
|
| Min. Negotiated Rate |
$142.04 |
| Max. Negotiated Rate |
$290.54 |
| Rate for Payer: Aetna American Axle |
$209.83
|
| Rate for Payer: Aetna Commercial |
$274.40
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$209.83
|
| Rate for Payer: Cash Price |
$258.26
|
| Rate for Payer: Cofinity Advantage |
$225.97
|
| Rate for Payer: Cofinity Commercial |
$277.63
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$258.26
|
| Rate for Payer: Healthscope Commercial |
$290.54
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$225.97
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$242.12
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$274.40
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$242.12
|
| Rate for Payer: PHP Commercial |
$274.40
|
| Rate for Payer: Priority Health SBD |
$203.38
|
| Rate for Payer: UMR Bronson Commercial |
$142.04
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$242.12
|
|
|
HC XR CLAVICLE
|
Facility
|
OP
|
$322.82
|
|
|
Service Code
|
CPT 73000
|
| Hospital Charge Code |
32000060
|
|
Hospital Revenue Code
|
320
|
| Min. Negotiated Rate |
$45.35 |
| Max. Negotiated Rate |
$290.54 |
| Rate for Payer: Aetna American Axle |
$209.83
|
| Rate for Payer: Aetna Commercial |
$274.40
|
| Rate for Payer: Aetna Medicare |
$90.18
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$209.83
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$108.39
|
| Rate for Payer: Amish Plain Church Group Commercial |
$108.39
|
| Rate for Payer: BCBS Complete |
$47.62
|
| Rate for Payer: BCBS MAPPO |
$86.71
|
| Rate for Payer: BCBS Trust/PPO |
$60.74
|
| Rate for Payer: BCN Commercial |
$60.74
|
| Rate for Payer: BCN Medicare Advantage |
$86.71
|
| Rate for Payer: Cash Price |
$258.26
|
| Rate for Payer: Cash Price |
$258.26
|
| Rate for Payer: Cofinity Advantage |
$225.97
|
| Rate for Payer: Cofinity Commercial |
$277.63
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$258.26
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$86.71
|
| Rate for Payer: Healthscope Commercial |
$290.54
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$225.97
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$242.12
|
| Rate for Payer: Mclaren Medicaid |
$86.71
|
| Rate for Payer: Mclaren Medicare |
$86.71
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$91.05
|
| Rate for Payer: Meridian Medicaid |
$91.05
|
| Rate for Payer: MI Amish Medical Board Commercial |
$99.72
|
| Rate for Payer: Molina Medicare/Medicaid |
$95.38
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$274.40
|
| Rate for Payer: Nomi Health Commercial |
$260.13
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$242.12
|
| Rate for Payer: PACE Medicare |
$82.37
|
| Rate for Payer: PACE SWMI |
$86.71
|
| Rate for Payer: PHP Commercial |
$274.40
|
| Rate for Payer: PHP Medicare Advantage |
$86.71
|
| Rate for Payer: Priority Health Choice Medicaid |
$45.35
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$280.42
|
| Rate for Payer: Priority Health Medicare |
$86.71
|
| Rate for Payer: Priority Health SBD |
$203.38
|
| Rate for Payer: Priority Health Tiered Network |
$224.34
|
| Rate for Payer: Railroad Medicare Medicare |
$86.71
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$209.83
|
| Rate for Payer: UHC Core |
$168.19
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$86.71
|
| Rate for Payer: UHC Exchange |
$126.87
|
| Rate for Payer: UHC Medicaid |
$45.35
|
| Rate for Payer: UHCCP Medicaid |
$45.35
|
| Rate for Payer: UMR Bronson Commercial |
$119.44
|
| Rate for Payer: VA VA |
$86.71
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$242.12
|
|
|
HC XR CLAVICLE BIL
|
Facility
|
IP
|
$347.15
|
|
|
Service Code
|
CPT 73000
|
| Hospital Charge Code |
32000061
|
|
Hospital Revenue Code
|
320
|
| Min. Negotiated Rate |
$152.75 |
| Max. Negotiated Rate |
$312.44 |
| Rate for Payer: Aetna American Axle |
$225.65
|
| Rate for Payer: Aetna Commercial |
$295.08
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$225.65
|
| Rate for Payer: Cash Price |
$277.72
|
| Rate for Payer: Cofinity Advantage |
$243.00
|
| Rate for Payer: Cofinity Commercial |
$298.55
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$277.72
|
| Rate for Payer: Healthscope Commercial |
$312.44
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$243.00
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$260.36
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$295.08
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$260.36
|
| Rate for Payer: PHP Commercial |
$295.08
|
| Rate for Payer: Priority Health SBD |
$218.70
|
| Rate for Payer: UMR Bronson Commercial |
$152.75
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$260.36
|
|
|
HC XR CLAVICLE BIL
|
Facility
|
OP
|
$347.15
|
|
|
Service Code
|
CPT 73000
|
| Hospital Charge Code |
32000061
|
|
Hospital Revenue Code
|
320
|
| Min. Negotiated Rate |
$45.35 |
| Max. Negotiated Rate |
$312.44 |
| Rate for Payer: Aetna American Axle |
$225.65
|
| Rate for Payer: Aetna Commercial |
$295.08
|
| Rate for Payer: Aetna Medicare |
$90.18
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$225.65
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$108.39
|
| Rate for Payer: Amish Plain Church Group Commercial |
$108.39
|
| Rate for Payer: BCBS Complete |
$47.62
|
| Rate for Payer: BCBS MAPPO |
$86.71
|
| Rate for Payer: BCBS Trust/PPO |
$60.74
|
| Rate for Payer: BCN Commercial |
$60.74
|
| Rate for Payer: BCN Medicare Advantage |
$86.71
|
| Rate for Payer: Cash Price |
$277.72
|
| Rate for Payer: Cash Price |
$277.72
|
| Rate for Payer: Cofinity Advantage |
$243.00
|
| Rate for Payer: Cofinity Commercial |
$298.55
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$277.72
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$86.71
|
| Rate for Payer: Healthscope Commercial |
$312.44
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$243.00
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$260.36
|
| Rate for Payer: Mclaren Medicaid |
$86.71
|
| Rate for Payer: Mclaren Medicare |
$86.71
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$91.05
|
| Rate for Payer: Meridian Medicaid |
$91.05
|
| Rate for Payer: MI Amish Medical Board Commercial |
$99.72
|
| Rate for Payer: Molina Medicare/Medicaid |
$95.38
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$295.08
|
| Rate for Payer: Nomi Health Commercial |
$260.13
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$260.36
|
| Rate for Payer: PACE Medicare |
$82.37
|
| Rate for Payer: PACE SWMI |
$86.71
|
| Rate for Payer: PHP Commercial |
$295.08
|
| Rate for Payer: PHP Medicare Advantage |
$86.71
|
| Rate for Payer: Priority Health Choice Medicaid |
$45.35
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$280.42
|
| Rate for Payer: Priority Health Medicare |
$86.71
|
| Rate for Payer: Priority Health SBD |
$218.70
|
| Rate for Payer: Priority Health Tiered Network |
$224.34
|
| Rate for Payer: Railroad Medicare Medicare |
$86.71
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$225.65
|
| Rate for Payer: UHC Core |
$180.87
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$86.71
|
| Rate for Payer: UHC Exchange |
$136.43
|
| Rate for Payer: UHC Medicaid |
$45.35
|
| Rate for Payer: UHCCP Medicaid |
$45.35
|
| Rate for Payer: UMR Bronson Commercial |
$128.45
|
| Rate for Payer: VA VA |
$86.71
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$260.36
|
|
|
HC XR COLON
|
Facility
|
IP
|
$874.59
|
|
|
Service Code
|
CPT 74270
|
| Hospital Charge Code |
32000273
|
|
Hospital Revenue Code
|
320
|
| Min. Negotiated Rate |
$384.82 |
| Max. Negotiated Rate |
$787.13 |
| Rate for Payer: Aetna American Axle |
$568.48
|
| Rate for Payer: Aetna Commercial |
$743.40
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$568.48
|
| Rate for Payer: Cash Price |
$699.67
|
| Rate for Payer: Cofinity Advantage |
$612.21
|
| Rate for Payer: Cofinity Commercial |
$752.15
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$699.67
|
| Rate for Payer: Healthscope Commercial |
$787.13
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$612.21
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$655.94
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$743.40
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$655.94
|
| Rate for Payer: PHP Commercial |
$743.40
|
| Rate for Payer: Priority Health SBD |
$550.99
|
| Rate for Payer: UMR Bronson Commercial |
$384.82
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$655.94
|
|
|
HC XR COLON
|
Facility
|
OP
|
$874.59
|
|
|
Service Code
|
CPT 74270
|
| Hospital Charge Code |
32000273
|
|
Hospital Revenue Code
|
320
|
| Min. Negotiated Rate |
$91.40 |
| Max. Negotiated Rate |
$787.13 |
| Rate for Payer: Aetna American Axle |
$568.48
|
| Rate for Payer: Aetna Commercial |
$743.40
|
| Rate for Payer: Aetna Medicare |
$181.76
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$568.48
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$218.46
|
| Rate for Payer: Amish Plain Church Group Commercial |
$218.46
|
| Rate for Payer: BCBS Complete |
$95.98
|
| Rate for Payer: BCBS MAPPO |
$174.77
|
| Rate for Payer: BCBS Trust/PPO |
$252.02
|
| Rate for Payer: BCN Commercial |
$252.02
|
| Rate for Payer: BCN Medicare Advantage |
$174.77
|
| Rate for Payer: Cash Price |
$699.67
|
| Rate for Payer: Cash Price |
$699.67
|
| Rate for Payer: Cofinity Advantage |
$612.21
|
| Rate for Payer: Cofinity Commercial |
$752.15
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$699.67
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$174.77
|
| Rate for Payer: Healthscope Commercial |
$787.13
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$612.21
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$655.94
|
| Rate for Payer: Mclaren Medicaid |
$174.77
|
| Rate for Payer: Mclaren Medicare |
$174.77
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$183.51
|
| Rate for Payer: Meridian Medicaid |
$183.51
|
| Rate for Payer: MI Amish Medical Board Commercial |
$200.99
|
| Rate for Payer: Molina Medicare/Medicaid |
$192.25
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$743.40
|
| Rate for Payer: Nomi Health Commercial |
$524.31
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$655.94
|
| Rate for Payer: PACE Medicare |
$166.03
|
| Rate for Payer: PACE SWMI |
$174.77
|
| Rate for Payer: PHP Commercial |
$743.40
|
| Rate for Payer: PHP Medicare Advantage |
$174.77
|
| Rate for Payer: Priority Health Choice Medicaid |
$91.40
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$565.19
|
| Rate for Payer: Priority Health Medicare |
$174.77
|
| Rate for Payer: Priority Health SBD |
$550.99
|
| Rate for Payer: Priority Health Tiered Network |
$452.15
|
| Rate for Payer: Railroad Medicare Medicare |
$174.77
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$568.48
|
| Rate for Payer: UHC Core |
$455.66
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$174.77
|
| Rate for Payer: UHC Exchange |
$343.71
|
| Rate for Payer: UHC Medicaid |
$91.40
|
| Rate for Payer: UHCCP Medicaid |
$91.40
|
| Rate for Payer: UMR Bronson Commercial |
$323.60
|
| Rate for Payer: VA VA |
$174.77
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$655.94
|
|
|
HC XR COLON HIGH DENSITY
|
Facility
|
IP
|
$1,249.37
|
|
|
Service Code
|
CPT 74280
|
| Hospital Charge Code |
32000146
|
|
Hospital Revenue Code
|
320
|
| Min. Negotiated Rate |
$549.72 |
| Max. Negotiated Rate |
$1,124.43 |
| Rate for Payer: Aetna American Axle |
$812.09
|
| Rate for Payer: Aetna Commercial |
$1,061.96
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$812.09
|
| Rate for Payer: Cash Price |
$999.50
|
| Rate for Payer: Cofinity Advantage |
$874.56
|
| Rate for Payer: Cofinity Commercial |
$1,074.46
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$999.50
|
| Rate for Payer: Healthscope Commercial |
$1,124.43
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$874.56
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$937.03
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,061.96
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$937.03
|
| Rate for Payer: PHP Commercial |
$1,061.96
|
| Rate for Payer: Priority Health SBD |
$787.10
|
| Rate for Payer: UMR Bronson Commercial |
$549.72
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$937.03
|
|
|
HC XR COLON HIGH DENSITY
|
Facility
|
OP
|
$1,249.37
|
|
|
Service Code
|
CPT 74280
|
| Hospital Charge Code |
32000146
|
|
Hospital Revenue Code
|
320
|
| Min. Negotiated Rate |
$91.40 |
| Max. Negotiated Rate |
$1,124.43 |
| Rate for Payer: Aetna American Axle |
$812.09
|
| Rate for Payer: Aetna Commercial |
$1,061.96
|
| Rate for Payer: Aetna Medicare |
$181.76
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$812.09
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$218.46
|
| Rate for Payer: Amish Plain Church Group Commercial |
$218.46
|
| Rate for Payer: BCBS Complete |
$95.98
|
| Rate for Payer: BCBS MAPPO |
$174.77
|
| Rate for Payer: BCBS Trust/PPO |
$384.18
|
| Rate for Payer: BCN Commercial |
$384.18
|
| Rate for Payer: BCN Medicare Advantage |
$174.77
|
| Rate for Payer: Cash Price |
$999.50
|
| Rate for Payer: Cash Price |
$999.50
|
| Rate for Payer: Cofinity Advantage |
$874.56
|
| Rate for Payer: Cofinity Commercial |
$1,074.46
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$999.50
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$174.77
|
| Rate for Payer: Healthscope Commercial |
$1,124.43
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$874.56
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$937.03
|
| Rate for Payer: Mclaren Medicaid |
$174.77
|
| Rate for Payer: Mclaren Medicare |
$174.77
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$183.51
|
| Rate for Payer: Meridian Medicaid |
$183.51
|
| Rate for Payer: MI Amish Medical Board Commercial |
$200.99
|
| Rate for Payer: Molina Medicare/Medicaid |
$192.25
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,061.96
|
| Rate for Payer: Nomi Health Commercial |
$524.31
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$937.03
|
| Rate for Payer: PACE Medicare |
$166.03
|
| Rate for Payer: PACE SWMI |
$174.77
|
| Rate for Payer: PHP Commercial |
$1,061.96
|
| Rate for Payer: PHP Medicare Advantage |
$174.77
|
| Rate for Payer: Priority Health Choice Medicaid |
$91.40
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$565.19
|
| Rate for Payer: Priority Health Medicare |
$174.77
|
| Rate for Payer: Priority Health SBD |
$787.10
|
| Rate for Payer: Priority Health Tiered Network |
$452.15
|
| Rate for Payer: Railroad Medicare Medicare |
$174.77
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$812.09
|
| Rate for Payer: UHC Core |
$650.92
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$174.77
|
| Rate for Payer: UHC Exchange |
$491.00
|
| Rate for Payer: UHC Medicaid |
$91.40
|
| Rate for Payer: UHCCP Medicaid |
$91.40
|
| Rate for Payer: UMR Bronson Commercial |
$462.27
|
| Rate for Payer: VA VA |
$174.77
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$937.03
|
|
|
HC XR COLON THERAPEUTIC FOR INTUS
|
Facility
|
OP
|
$608.92
|
|
|
Service Code
|
CPT 74283
|
| Hospital Charge Code |
32000147
|
|
Hospital Revenue Code
|
320
|
| Min. Negotiated Rate |
$91.40 |
| Max. Negotiated Rate |
$565.19 |
| Rate for Payer: Aetna American Axle |
$395.80
|
| Rate for Payer: Aetna Commercial |
$517.58
|
| Rate for Payer: Aetna Medicare |
$181.76
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$395.80
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$218.46
|
| Rate for Payer: Amish Plain Church Group Commercial |
$218.46
|
| Rate for Payer: BCBS Complete |
$95.98
|
| Rate for Payer: BCBS MAPPO |
$174.77
|
| Rate for Payer: BCBS Trust/PPO |
$393.22
|
| Rate for Payer: BCN Commercial |
$393.22
|
| Rate for Payer: BCN Medicare Advantage |
$174.77
|
| Rate for Payer: Cash Price |
$487.14
|
| Rate for Payer: Cash Price |
$487.14
|
| Rate for Payer: Cofinity Advantage |
$426.24
|
| Rate for Payer: Cofinity Commercial |
$523.67
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$487.14
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$174.77
|
| Rate for Payer: Healthscope Commercial |
$548.03
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$426.24
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$456.69
|
| Rate for Payer: Mclaren Medicaid |
$174.77
|
| Rate for Payer: Mclaren Medicare |
$174.77
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$183.51
|
| Rate for Payer: Meridian Medicaid |
$183.51
|
| Rate for Payer: MI Amish Medical Board Commercial |
$200.99
|
| Rate for Payer: Molina Medicare/Medicaid |
$192.25
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$517.58
|
| Rate for Payer: Nomi Health Commercial |
$524.31
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$456.69
|
| Rate for Payer: PACE Medicare |
$166.03
|
| Rate for Payer: PACE SWMI |
$174.77
|
| Rate for Payer: PHP Commercial |
$517.58
|
| Rate for Payer: PHP Medicare Advantage |
$174.77
|
| Rate for Payer: Priority Health Choice Medicaid |
$91.40
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$565.19
|
| Rate for Payer: Priority Health Medicare |
$174.77
|
| Rate for Payer: Priority Health SBD |
$383.62
|
| Rate for Payer: Priority Health Tiered Network |
$452.15
|
| Rate for Payer: Railroad Medicare Medicare |
$174.77
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$395.80
|
| Rate for Payer: UHC Core |
$317.25
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$174.77
|
| Rate for Payer: UHC Exchange |
$239.31
|
| Rate for Payer: UHC Medicaid |
$91.40
|
| Rate for Payer: UHCCP Medicaid |
$91.40
|
| Rate for Payer: UMR Bronson Commercial |
$225.30
|
| Rate for Payer: VA VA |
$174.77
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$456.69
|
|
|
HC XR COLON THERAPEUTIC FOR INTUS
|
Facility
|
IP
|
$608.92
|
|
|
Service Code
|
CPT 74283
|
| Hospital Charge Code |
32000147
|
|
Hospital Revenue Code
|
320
|
| Min. Negotiated Rate |
$267.92 |
| Max. Negotiated Rate |
$548.03 |
| Rate for Payer: Aetna American Axle |
$395.80
|
| Rate for Payer: Aetna Commercial |
$517.58
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$395.80
|
| Rate for Payer: Cash Price |
$487.14
|
| Rate for Payer: Cofinity Advantage |
$426.24
|
| Rate for Payer: Cofinity Commercial |
$523.67
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$487.14
|
| Rate for Payer: Healthscope Commercial |
$548.03
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$426.24
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$456.69
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$517.58
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$456.69
|
| Rate for Payer: PHP Commercial |
$517.58
|
| Rate for Payer: Priority Health SBD |
$383.62
|
| Rate for Payer: UMR Bronson Commercial |
$267.92
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$456.69
|
|
|
HC XR CYSTOGRAM MIN 3 VW
|
Facility
|
IP
|
$447.83
|
|
|
Service Code
|
CPT 74430
|
| Hospital Charge Code |
32000163
|
|
Hospital Revenue Code
|
320
|
| Min. Negotiated Rate |
$197.05 |
| Max. Negotiated Rate |
$403.05 |
| Rate for Payer: Aetna American Axle |
$291.09
|
| Rate for Payer: Aetna Commercial |
$380.66
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$291.09
|
| Rate for Payer: Cash Price |
$358.26
|
| Rate for Payer: Cofinity Advantage |
$313.48
|
| Rate for Payer: Cofinity Commercial |
$385.13
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$358.26
|
| Rate for Payer: Healthscope Commercial |
$403.05
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$313.48
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$335.87
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$380.66
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$335.87
|
| Rate for Payer: PHP Commercial |
$380.66
|
| Rate for Payer: Priority Health SBD |
$282.13
|
| Rate for Payer: UMR Bronson Commercial |
$197.05
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$335.87
|
|
