|
HEPATITIS B VIRUS VACCINE RECOMB (PF) 10 MCG/ML INTRAMUSCULAR SUSP
|
Facility
|
IP
|
$158.26
|
|
|
Service Code
|
HCPCS 90746
|
| Hospital Charge Code |
118174
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$69.63 |
| Max. Negotiated Rate |
$142.43 |
| Rate for Payer: Aetna American Axle |
$102.87
|
| Rate for Payer: Aetna American Axle |
$120.65
|
| Rate for Payer: Aetna Commercial |
$134.52
|
| Rate for Payer: Aetna Commercial |
$157.77
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$102.87
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$120.65
|
| Rate for Payer: Cash Price |
$126.61
|
| Rate for Payer: Cash Price |
$148.49
|
| Rate for Payer: Cofinity Advantage |
$129.93
|
| Rate for Payer: Cofinity Advantage |
$110.78
|
| Rate for Payer: Cofinity Commercial |
$159.62
|
| Rate for Payer: Cofinity Commercial |
$136.10
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$126.61
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$148.49
|
| Rate for Payer: Healthscope Commercial |
$142.43
|
| Rate for Payer: Healthscope Commercial |
$167.05
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$129.93
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$110.78
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$118.69
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$139.21
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$134.52
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$157.77
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$118.69
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$139.21
|
| Rate for Payer: PHP Commercial |
$134.52
|
| Rate for Payer: PHP Commercial |
$157.77
|
| Rate for Payer: Priority Health SBD |
$116.93
|
| Rate for Payer: Priority Health SBD |
$99.70
|
| Rate for Payer: UMR Bronson Commercial |
$69.63
|
| Rate for Payer: UMR Bronson Commercial |
$81.67
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$118.69
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$139.21
|
|
|
HEPATITIS B VIRUS VACCINE RECOMB (PF) 10 MCG/ML INTRAMUSCULAR SUSP
|
Facility
|
OP
|
$185.61
|
|
|
Service Code
|
HCPCS 90746
|
| Hospital Charge Code |
118174
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$60.12 |
| Max. Negotiated Rate |
$229.82 |
| Rate for Payer: Aetna American Axle |
$120.65
|
| Rate for Payer: Aetna American Axle |
$102.87
|
| Rate for Payer: Aetna Commercial |
$157.77
|
| Rate for Payer: Aetna Commercial |
$134.52
|
| Rate for Payer: Aetna Medicare |
$92.81
|
| Rate for Payer: Aetna Medicare |
$79.13
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$102.87
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$120.65
|
| Rate for Payer: BCBS Complete |
$74.24
|
| Rate for Payer: BCBS Complete |
$63.30
|
| Rate for Payer: BCBS Trust/PPO |
$229.82
|
| Rate for Payer: BCBS Trust/PPO |
$229.82
|
| Rate for Payer: BCN Commercial |
$229.82
|
| Rate for Payer: BCN Commercial |
$229.82
|
| Rate for Payer: Cash Price |
$148.49
|
| Rate for Payer: Cash Price |
$126.61
|
| Rate for Payer: Cash Price |
$126.61
|
| Rate for Payer: Cash Price |
$148.49
|
| Rate for Payer: Cofinity Advantage |
$129.93
|
| Rate for Payer: Cofinity Advantage |
$110.78
|
| Rate for Payer: Cofinity Commercial |
$136.10
|
| Rate for Payer: Cofinity Commercial |
$159.62
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$148.49
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$126.61
|
| Rate for Payer: Healthscope Commercial |
$142.43
|
| Rate for Payer: Healthscope Commercial |
$167.05
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$110.78
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$129.93
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$118.69
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$139.21
|
| Rate for Payer: MI Amish Medical Board Commercial |
$148.49
|
| Rate for Payer: MI Amish Medical Board Commercial |
$126.61
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$157.77
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$134.52
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$139.21
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$118.69
|
| Rate for Payer: PHP Commercial |
$134.52
|
| Rate for Payer: PHP Commercial |
$157.77
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$75.15
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$75.15
|
| Rate for Payer: Priority Health SBD |
$116.93
|
| Rate for Payer: Priority Health SBD |
$99.70
|
| Rate for Payer: Priority Health Tiered Network |
$60.12
|
| Rate for Payer: Priority Health Tiered Network |
$60.12
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$124.00
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$124.00
|
| Rate for Payer: UHC Core |
$124.00
|
| Rate for Payer: UHC Core |
$124.00
|
| Rate for Payer: UHC Exchange |
$124.00
|
| Rate for Payer: UHC Exchange |
$124.00
|
| Rate for Payer: UMR Bronson Commercial |
$58.56
|
| Rate for Payer: UMR Bronson Commercial |
$68.68
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$118.69
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$139.21
|
|
|
HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC
|
Facility
|
IP
|
$44,086.31
|
|
|
Service Code
|
MSDRG 421
|
| Min. Negotiated Rate |
$14,367.00 |
| Max. Negotiated Rate |
$44,086.31 |
| Rate for Payer: Aetna Medicare |
$15,728.09
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$18,903.95
|
| Rate for Payer: Amish Plain Church Group Commercial |
$18,903.95
|
| Rate for Payer: BCBS MAPPO |
$15,123.16
|
| Rate for Payer: BCBS Trust/PPO |
$44,086.31
|
| Rate for Payer: BCN Commercial |
$44,086.31
|
| Rate for Payer: BCN Medicare Advantage |
$15,123.16
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$15,123.16
|
| Rate for Payer: Mclaren Medicare |
$15,123.16
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$15,879.32
|
| Rate for Payer: MI Amish Medical Board Commercial |
$17,391.63
|
| Rate for Payer: Molina Medicare/Medicaid |
$16,635.48
|
| Rate for Payer: Nomi Health Commercial |
$22,413.75
|
| Rate for Payer: PACE Medicare |
$14,367.00
|
| Rate for Payer: PACE SWMI |
$15,123.16
|
| Rate for Payer: PHP Medicare Advantage |
$15,123.16
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$28,012.22
|
| Rate for Payer: Priority Health Medicare |
$15,123.16
|
| Rate for Payer: Priority Health Tiered Network |
$22,409.77
|
| Rate for Payer: Railroad Medicare Medicare |
$15,123.16
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$28,321.25
|
| Rate for Payer: UHC Core |
$23,694.29
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$15,123.16
|
| Rate for Payer: UHC Exchange |
$19,350.54
|
| Rate for Payer: VA VA |
$15,123.16
|
|
|
HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC
|
Facility
|
IP
|
$91,878.50
|
|
|
Service Code
|
MSDRG 420
|
| Min. Negotiated Rate |
$27,631.22 |
| Max. Negotiated Rate |
$91,878.50 |
| Rate for Payer: Aetna Medicare |
$30,248.91
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$36,356.86
|
| Rate for Payer: Amish Plain Church Group Commercial |
$36,356.86
|
| Rate for Payer: BCBS MAPPO |
$29,085.49
|
| Rate for Payer: BCBS Trust/PPO |
$91,878.50
|
| Rate for Payer: BCN Commercial |
$91,878.50
|
| Rate for Payer: BCN Medicare Advantage |
$29,085.49
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$29,085.49
|
| Rate for Payer: Mclaren Medicare |
$29,085.49
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$30,539.76
|
| Rate for Payer: MI Amish Medical Board Commercial |
$33,448.31
|
| Rate for Payer: Molina Medicare/Medicaid |
$31,994.04
|
| Rate for Payer: Nomi Health Commercial |
$43,951.59
|
| Rate for Payer: PACE Medicare |
$27,631.22
|
| Rate for Payer: PACE SWMI |
$29,085.49
|
| Rate for Payer: PHP Medicare Advantage |
$29,085.49
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$54,929.74
|
| Rate for Payer: Priority Health Medicare |
$29,085.49
|
| Rate for Payer: Priority Health Tiered Network |
$43,943.79
|
| Rate for Payer: Railroad Medicare Medicare |
$29,085.49
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$55,535.73
|
| Rate for Payer: UHC Core |
$46,462.62
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$29,085.49
|
| Rate for Payer: UHC Exchange |
$37,944.87
|
| Rate for Payer: VA VA |
$29,085.49
|
|
|
HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$36,386.30
|
|
|
Service Code
|
MSDRG 422
|
| Min. Negotiated Rate |
$11,681.74 |
| Max. Negotiated Rate |
$36,386.30 |
| Rate for Payer: Aetna Medicare |
$12,788.43
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$15,370.71
|
| Rate for Payer: Amish Plain Church Group Commercial |
$15,370.71
|
| Rate for Payer: BCBS MAPPO |
$12,296.57
|
| Rate for Payer: BCBS Trust/PPO |
$36,386.30
|
| Rate for Payer: BCN Commercial |
$36,386.30
|
| Rate for Payer: BCN Medicare Advantage |
$12,296.57
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$12,296.57
|
| Rate for Payer: Mclaren Medicare |
$12,296.57
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$12,911.40
|
| Rate for Payer: MI Amish Medical Board Commercial |
$14,141.06
|
| Rate for Payer: Molina Medicare/Medicaid |
$13,526.23
|
| Rate for Payer: Nomi Health Commercial |
$18,053.55
|
| Rate for Payer: PACE Medicare |
$11,681.74
|
| Rate for Payer: PACE SWMI |
$12,296.57
|
| Rate for Payer: PHP Medicare Advantage |
$12,296.57
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$22,562.93
|
| Rate for Payer: Priority Health Medicare |
$12,296.57
|
| Rate for Payer: Priority Health Tiered Network |
$18,050.35
|
| Rate for Payer: Railroad Medicare Medicare |
$12,296.57
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$22,811.85
|
| Rate for Payer: UHC Core |
$19,084.98
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$12,296.57
|
| Rate for Payer: UHC Exchange |
$15,586.23
|
| Rate for Payer: VA VA |
$12,296.57
|
|
|
HEP B-DP(A)T-POLIO VACC (PF) 10 MCG-25LF-25 MCG-10LF/0.5 ML IM SYRINGE
|
Facility
|
IP
|
$333.15
|
|
|
Service Code
|
HCPCS 90723
|
| Hospital Charge Code |
34550
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$146.59 |
| Max. Negotiated Rate |
$299.83 |
| Rate for Payer: Aetna American Axle |
$216.55
|
| Rate for Payer: Aetna Commercial |
$283.18
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$216.55
|
| Rate for Payer: Cash Price |
$266.52
|
| Rate for Payer: Cofinity Advantage |
$233.21
|
| Rate for Payer: Cofinity Commercial |
$286.51
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$266.52
|
| Rate for Payer: Healthscope Commercial |
$299.83
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$233.21
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$249.86
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$283.18
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$249.86
|
| Rate for Payer: PHP Commercial |
$283.18
|
| Rate for Payer: Priority Health SBD |
$209.88
|
| Rate for Payer: UMR Bronson Commercial |
$146.59
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$249.86
|
|
|
HEP B-DP(A)T-POLIO VACC (PF) 10 MCG-25LF-25 MCG-10LF/0.5 ML IM SYRINGE
|
Facility
|
OP
|
$333.15
|
|
|
Service Code
|
HCPCS 90723
|
| Hospital Charge Code |
34550
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$93.93 |
| Max. Negotiated Rate |
$329.78 |
| Rate for Payer: Aetna American Axle |
$216.55
|
| Rate for Payer: Aetna Commercial |
$283.18
|
| Rate for Payer: Aetna Medicare |
$166.57
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$216.55
|
| Rate for Payer: BCBS Complete |
$133.26
|
| Rate for Payer: BCBS Trust/PPO |
$329.78
|
| Rate for Payer: BCN Commercial |
$329.78
|
| Rate for Payer: Cash Price |
$266.52
|
| Rate for Payer: Cash Price |
$266.52
|
| Rate for Payer: Cofinity Advantage |
$233.21
|
| Rate for Payer: Cofinity Commercial |
$286.51
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$266.52
|
| Rate for Payer: Healthscope Commercial |
$299.83
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$233.21
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$249.86
|
| Rate for Payer: MI Amish Medical Board Commercial |
$266.52
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$283.18
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$249.86
|
| Rate for Payer: PHP Commercial |
$283.18
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$117.41
|
| Rate for Payer: Priority Health SBD |
$209.88
|
| Rate for Payer: Priority Health Tiered Network |
$93.93
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$218.96
|
| Rate for Payer: UHC Core |
$218.96
|
| Rate for Payer: UHC Exchange |
$218.96
|
| Rate for Payer: UMR Bronson Commercial |
$123.27
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$249.86
|
|
|
HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC
|
Facility
|
IP
|
$35,892.18
|
|
|
Service Code
|
MSDRG 354
|
| Min. Negotiated Rate |
$13,929.25 |
| Max. Negotiated Rate |
$35,892.18 |
| Rate for Payer: Aetna Medicare |
$15,248.86
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$18,327.96
|
| Rate for Payer: Amish Plain Church Group Commercial |
$18,327.96
|
| Rate for Payer: BCBS MAPPO |
$14,662.37
|
| Rate for Payer: BCBS Trust/PPO |
$35,892.18
|
| Rate for Payer: BCN Commercial |
$35,892.18
|
| Rate for Payer: BCN Medicare Advantage |
$14,662.37
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$14,662.37
|
| Rate for Payer: Mclaren Medicare |
$14,662.37
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$15,395.49
|
| Rate for Payer: MI Amish Medical Board Commercial |
$16,861.73
|
| Rate for Payer: Molina Medicare/Medicaid |
$16,128.61
|
| Rate for Payer: Nomi Health Commercial |
$21,702.96
|
| Rate for Payer: PACE Medicare |
$13,929.25
|
| Rate for Payer: PACE SWMI |
$14,662.37
|
| Rate for Payer: PHP Medicare Advantage |
$14,662.37
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$27,123.89
|
| Rate for Payer: Priority Health Medicare |
$14,662.37
|
| Rate for Payer: Priority Health Tiered Network |
$21,699.11
|
| Rate for Payer: Railroad Medicare Medicare |
$14,662.37
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$27,423.12
|
| Rate for Payer: UHC Core |
$22,942.89
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$14,662.37
|
| Rate for Payer: UHC Exchange |
$18,736.89
|
| Rate for Payer: VA VA |
$14,662.37
|
|
|
HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC
|
Facility
|
IP
|
$69,072.21
|
|
|
Service Code
|
MSDRG 353
|
| Min. Negotiated Rate |
$23,618.42 |
| Max. Negotiated Rate |
$69,072.21 |
| Rate for Payer: Aetna Medicare |
$25,855.95
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$31,076.86
|
| Rate for Payer: Amish Plain Church Group Commercial |
$31,076.86
|
| Rate for Payer: BCBS MAPPO |
$24,861.49
|
| Rate for Payer: BCBS Trust/PPO |
$69,072.21
|
| Rate for Payer: BCN Commercial |
$69,072.21
|
| Rate for Payer: BCN Medicare Advantage |
$24,861.49
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$24,861.49
|
| Rate for Payer: Mclaren Medicare |
$24,861.49
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$26,104.56
|
| Rate for Payer: MI Amish Medical Board Commercial |
$28,590.71
|
| Rate for Payer: Molina Medicare/Medicaid |
$27,347.64
|
| Rate for Payer: Nomi Health Commercial |
$37,435.80
|
| Rate for Payer: PACE Medicare |
$23,618.42
|
| Rate for Payer: PACE SWMI |
$24,861.49
|
| Rate for Payer: PHP Medicare Advantage |
$24,861.49
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$46,786.45
|
| Rate for Payer: Priority Health Medicare |
$24,861.49
|
| Rate for Payer: Priority Health Tiered Network |
$37,429.15
|
| Rate for Payer: Railroad Medicare Medicare |
$24,861.49
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$47,302.60
|
| Rate for Payer: UHC Core |
$39,574.57
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$24,861.49
|
| Rate for Payer: UHC Exchange |
$32,319.57
|
| Rate for Payer: VA VA |
$24,861.49
|
|
|
HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC
|
Facility
|
IP
|
$30,303.16
|
|
|
Service Code
|
MSDRG 355
|
| Min. Negotiated Rate |
$11,248.74 |
| Max. Negotiated Rate |
$30,303.16 |
| Rate for Payer: Aetna Medicare |
$12,314.41
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$14,800.98
|
| Rate for Payer: Amish Plain Church Group Commercial |
$14,800.98
|
| Rate for Payer: BCBS MAPPO |
$11,840.78
|
| Rate for Payer: BCBS Trust/PPO |
$30,303.16
|
| Rate for Payer: BCN Commercial |
$30,303.16
|
| Rate for Payer: BCN Medicare Advantage |
$11,840.78
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$11,840.78
|
| Rate for Payer: Mclaren Medicare |
$11,840.78
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$12,432.82
|
| Rate for Payer: MI Amish Medical Board Commercial |
$13,616.90
|
| Rate for Payer: Molina Medicare/Medicaid |
$13,024.86
|
| Rate for Payer: Nomi Health Commercial |
$17,350.50
|
| Rate for Payer: PACE Medicare |
$11,248.74
|
| Rate for Payer: PACE SWMI |
$11,840.78
|
| Rate for Payer: PHP Medicare Advantage |
$11,840.78
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$21,684.28
|
| Rate for Payer: Priority Health Medicare |
$11,840.78
|
| Rate for Payer: Priority Health Tiered Network |
$17,347.42
|
| Rate for Payer: Railroad Medicare Medicare |
$11,840.78
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$21,923.50
|
| Rate for Payer: UHC Core |
$18,341.76
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$11,840.78
|
| Rate for Payer: UHC Exchange |
$14,979.26
|
| Rate for Payer: VA VA |
$11,840.78
|
|
|
HERNIA PROCEDURES EXCEPT INGUINAL, FEMORAL AND UMBILICAL
|
Facility
|
IP
|
$11,541.13
|
|
|
Service Code
|
APR-DRG 2272
|
| Min. Negotiated Rate |
$10,991.55 |
| Max. Negotiated Rate |
$11,541.13 |
| Rate for Payer: BCBS Complete |
$11,541.13
|
| Rate for Payer: Mclaren Medicaid |
$10,991.55
|
| Rate for Payer: Meridian Medicaid |
$11,541.13
|
| Rate for Payer: Priority Health Choice Medicaid |
$10,991.55
|
| Rate for Payer: UHC Medicaid |
$10,991.55
|
| Rate for Payer: UHCCP Medicaid |
$10,991.55
|
|
|
HERNIA PROCEDURES EXCEPT INGUINAL, FEMORAL AND UMBILICAL
|
Facility
|
IP
|
$13,251.77
|
|
|
Service Code
|
APR-DRG 2273
|
| Min. Negotiated Rate |
$12,620.74 |
| Max. Negotiated Rate |
$13,251.77 |
| Rate for Payer: BCBS Complete |
$13,251.77
|
| Rate for Payer: Mclaren Medicaid |
$12,620.74
|
| Rate for Payer: Meridian Medicaid |
$13,251.77
|
| Rate for Payer: Priority Health Choice Medicaid |
$12,620.74
|
| Rate for Payer: UHC Medicaid |
$12,620.74
|
| Rate for Payer: UHCCP Medicaid |
$12,620.74
|
|
|
HERNIA PROCEDURES EXCEPT INGUINAL, FEMORAL AND UMBILICAL
|
Facility
|
IP
|
$9,357.72
|
|
|
Service Code
|
APR-DRG 2271
|
| Min. Negotiated Rate |
$8,912.11 |
| Max. Negotiated Rate |
$9,357.72 |
| Rate for Payer: BCBS Complete |
$9,357.72
|
| Rate for Payer: Mclaren Medicaid |
$8,912.11
|
| Rate for Payer: Meridian Medicaid |
$9,357.72
|
| Rate for Payer: Priority Health Choice Medicaid |
$8,912.11
|
| Rate for Payer: UHC Medicaid |
$8,912.11
|
| Rate for Payer: UHCCP Medicaid |
$8,912.11
|
|
|
HERNIA PROCEDURES EXCEPT INGUINAL, FEMORAL AND UMBILICAL
|
Facility
|
IP
|
$21,725.72
|
|
|
Service Code
|
APR-DRG 2274
|
| Min. Negotiated Rate |
$20,691.16 |
| Max. Negotiated Rate |
$21,725.72 |
| Rate for Payer: BCBS Complete |
$21,725.72
|
| Rate for Payer: Mclaren Medicaid |
$20,691.16
|
| Rate for Payer: Meridian Medicaid |
$21,725.72
|
| Rate for Payer: Priority Health Choice Medicaid |
$20,691.16
|
| Rate for Payer: UHC Medicaid |
$20,691.16
|
| Rate for Payer: UHCCP Medicaid |
$20,691.16
|
|
|
HH CATHETER LEG STRAP BARD
|
Facility
|
OP
|
$12.47
|
|
|
Service Code
|
HCPCS A4334
|
| Hospital Charge Code |
27000598
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$4.61 |
| Max. Negotiated Rate |
$11.22 |
| Rate for Payer: Aetna American Axle |
$8.11
|
| Rate for Payer: Aetna Commercial |
$10.60
|
| Rate for Payer: Aetna Medicare |
$6.24
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$8.11
|
| Rate for Payer: BCBS Complete |
$4.99
|
| Rate for Payer: Cash Price |
$9.98
|
| Rate for Payer: Cofinity Advantage |
$8.73
|
| Rate for Payer: Cofinity Commercial |
$10.72
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$9.98
|
| Rate for Payer: Healthscope Commercial |
$11.22
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$8.73
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$9.35
|
| Rate for Payer: MI Amish Medical Board Commercial |
$9.98
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$10.60
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$9.35
|
| Rate for Payer: PHP Commercial |
$10.60
|
| Rate for Payer: Priority Health SBD |
$7.86
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$8.11
|
| Rate for Payer: UHC Core |
$6.50
|
| Rate for Payer: UHC Exchange |
$4.90
|
| Rate for Payer: UMR Bronson Commercial |
$4.61
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$9.35
|
|
|
HH CATHETER LEG STRAP BARD
|
Facility
|
IP
|
$12.47
|
|
|
Service Code
|
HCPCS A4334
|
| Hospital Charge Code |
27000598
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$5.49 |
| Max. Negotiated Rate |
$11.22 |
| Rate for Payer: Aetna American Axle |
$8.11
|
| Rate for Payer: Aetna Commercial |
$10.60
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$8.11
|
| Rate for Payer: Cash Price |
$9.98
|
| Rate for Payer: Cofinity Advantage |
$8.73
|
| Rate for Payer: Cofinity Commercial |
$10.72
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$9.98
|
| Rate for Payer: Healthscope Commercial |
$11.22
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$8.73
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$9.35
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$10.60
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$9.35
|
| Rate for Payer: PHP Commercial |
$10.60
|
| Rate for Payer: Priority Health SBD |
$7.86
|
| Rate for Payer: UMR Bronson Commercial |
$5.49
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$9.35
|
|
|
HH DRSG MEPILEX AG FOAM 4X4 EA
|
Facility
|
OP
|
$27.70
|
|
|
Service Code
|
HCPCS A6209
|
| Hospital Charge Code |
62300044
|
|
Hospital Revenue Code
|
623
|
| Min. Negotiated Rate |
$10.25 |
| Max. Negotiated Rate |
$27.62 |
| Rate for Payer: Aetna American Axle |
$18.00
|
| Rate for Payer: Aetna Commercial |
$23.55
|
| Rate for Payer: Aetna Medicare |
$13.85
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$18.00
|
| Rate for Payer: BCBS Complete |
$11.08
|
| Rate for Payer: BCBS Trust/PPO |
$27.62
|
| Rate for Payer: BCN Commercial |
$27.62
|
| Rate for Payer: Cash Price |
$22.16
|
| Rate for Payer: Cash Price |
$22.16
|
| Rate for Payer: Cofinity Advantage |
$19.39
|
| Rate for Payer: Cofinity Commercial |
$23.82
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$22.16
|
| Rate for Payer: Healthscope Commercial |
$24.93
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$19.39
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$20.77
|
| Rate for Payer: MI Amish Medical Board Commercial |
$22.16
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$23.55
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$20.77
|
| Rate for Payer: PHP Commercial |
$23.55
|
| Rate for Payer: Priority Health SBD |
$17.45
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$18.00
|
| Rate for Payer: UHC Core |
$14.43
|
| Rate for Payer: UHC Exchange |
$10.89
|
| Rate for Payer: UMR Bronson Commercial |
$10.25
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$20.77
|
|
|
HH DRSG MEPILEX AG FOAM 4X4 EA
|
Facility
|
IP
|
$27.70
|
|
|
Service Code
|
HCPCS A6209
|
| Hospital Charge Code |
62300044
|
|
Hospital Revenue Code
|
623
|
| Min. Negotiated Rate |
$12.19 |
| Max. Negotiated Rate |
$24.93 |
| Rate for Payer: Aetna American Axle |
$18.00
|
| Rate for Payer: Aetna Commercial |
$23.55
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$18.00
|
| Rate for Payer: Cash Price |
$22.16
|
| Rate for Payer: Cofinity Advantage |
$19.39
|
| Rate for Payer: Cofinity Commercial |
$23.82
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$22.16
|
| Rate for Payer: Healthscope Commercial |
$24.93
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$19.39
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$20.77
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$23.55
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$20.77
|
| Rate for Payer: PHP Commercial |
$23.55
|
| Rate for Payer: Priority Health SBD |
$17.45
|
| Rate for Payer: UMR Bronson Commercial |
$12.19
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$20.77
|
|
|
HH DRSG MEPILEX BORDER 4X4 EA
|
Facility
|
IP
|
$9.98
|
|
|
Service Code
|
HCPCS A6212
|
| Hospital Charge Code |
62300017
|
|
Hospital Revenue Code
|
623
|
| Min. Negotiated Rate |
$4.39 |
| Max. Negotiated Rate |
$8.98 |
| Rate for Payer: Aetna American Axle |
$6.49
|
| Rate for Payer: Aetna Commercial |
$8.48
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$6.49
|
| Rate for Payer: Cash Price |
$7.98
|
| Rate for Payer: Cofinity Advantage |
$6.99
|
| Rate for Payer: Cofinity Commercial |
$8.58
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$7.98
|
| Rate for Payer: Healthscope Commercial |
$8.98
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$6.99
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$7.49
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$8.48
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$7.49
|
| Rate for Payer: PHP Commercial |
$8.48
|
| Rate for Payer: Priority Health SBD |
$6.29
|
| Rate for Payer: UMR Bronson Commercial |
$4.39
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$7.49
|
|
|
HH DRSG MEPILEX BORDER 4X4 EA
|
Facility
|
OP
|
$9.98
|
|
|
Service Code
|
HCPCS A6212
|
| Hospital Charge Code |
62300017
|
|
Hospital Revenue Code
|
623
|
| Min. Negotiated Rate |
$3.69 |
| Max. Negotiated Rate |
$35.90 |
| Rate for Payer: Aetna American Axle |
$6.49
|
| Rate for Payer: Aetna Commercial |
$8.48
|
| Rate for Payer: Aetna Medicare |
$4.99
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$6.49
|
| Rate for Payer: BCBS Complete |
$3.99
|
| Rate for Payer: BCBS Trust/PPO |
$35.90
|
| Rate for Payer: BCN Commercial |
$35.90
|
| Rate for Payer: Cash Price |
$7.98
|
| Rate for Payer: Cash Price |
$7.98
|
| Rate for Payer: Cofinity Advantage |
$6.99
|
| Rate for Payer: Cofinity Commercial |
$8.58
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$7.98
|
| Rate for Payer: Healthscope Commercial |
$8.98
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$6.99
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$7.49
|
| Rate for Payer: MI Amish Medical Board Commercial |
$7.98
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$8.48
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$7.49
|
| Rate for Payer: PHP Commercial |
$8.48
|
| Rate for Payer: Priority Health SBD |
$6.29
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$6.49
|
| Rate for Payer: UHC Core |
$5.20
|
| Rate for Payer: UHC Exchange |
$3.92
|
| Rate for Payer: UMR Bronson Commercial |
$3.69
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$7.49
|
|
|
HH DRSG MEPILEX BORDER 6X6 EA
|
Facility
|
IP
|
$22.31
|
|
|
Service Code
|
HCPCS A6212
|
| Hospital Charge Code |
62300067
|
|
Hospital Revenue Code
|
623
|
| Min. Negotiated Rate |
$9.82 |
| Max. Negotiated Rate |
$20.08 |
| Rate for Payer: Aetna American Axle |
$14.50
|
| Rate for Payer: Aetna Commercial |
$18.96
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$14.50
|
| Rate for Payer: Cash Price |
$17.85
|
| Rate for Payer: Cofinity Advantage |
$15.62
|
| Rate for Payer: Cofinity Commercial |
$19.19
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$17.85
|
| Rate for Payer: Healthscope Commercial |
$20.08
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$15.62
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$16.73
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$18.96
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$16.73
|
| Rate for Payer: PHP Commercial |
$18.96
|
| Rate for Payer: Priority Health SBD |
$14.06
|
| Rate for Payer: UMR Bronson Commercial |
$9.82
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$16.73
|
|
|
HH DRSG MEPILEX BORDER 6X6 EA
|
Facility
|
OP
|
$22.31
|
|
|
Service Code
|
HCPCS A6212
|
| Hospital Charge Code |
62300067
|
|
Hospital Revenue Code
|
623
|
| Min. Negotiated Rate |
$8.25 |
| Max. Negotiated Rate |
$35.90 |
| Rate for Payer: Aetna American Axle |
$14.50
|
| Rate for Payer: Aetna Commercial |
$18.96
|
| Rate for Payer: Aetna Medicare |
$11.15
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$14.50
|
| Rate for Payer: BCBS Complete |
$8.92
|
| Rate for Payer: BCBS Trust/PPO |
$35.90
|
| Rate for Payer: BCN Commercial |
$35.90
|
| Rate for Payer: Cash Price |
$17.85
|
| Rate for Payer: Cash Price |
$17.85
|
| Rate for Payer: Cofinity Advantage |
$15.62
|
| Rate for Payer: Cofinity Commercial |
$19.19
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$17.85
|
| Rate for Payer: Healthscope Commercial |
$20.08
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$15.62
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$16.73
|
| Rate for Payer: MI Amish Medical Board Commercial |
$17.85
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$18.96
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$16.73
|
| Rate for Payer: PHP Commercial |
$18.96
|
| Rate for Payer: Priority Health SBD |
$14.06
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$14.50
|
| Rate for Payer: UHC Core |
$11.62
|
| Rate for Payer: UHC Exchange |
$8.77
|
| Rate for Payer: UMR Bronson Commercial |
$8.25
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$16.73
|
|
|
HH DRSG MEPILEX BORDER 6X8 EA
|
Facility
|
IP
|
$22.92
|
|
|
Service Code
|
HCPCS A6213
|
| Hospital Charge Code |
62300053
|
|
Hospital Revenue Code
|
623
|
| Min. Negotiated Rate |
$10.08 |
| Max. Negotiated Rate |
$20.63 |
| Rate for Payer: Aetna American Axle |
$14.90
|
| Rate for Payer: Aetna Commercial |
$19.48
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$14.90
|
| Rate for Payer: Cash Price |
$18.34
|
| Rate for Payer: Cofinity Advantage |
$16.04
|
| Rate for Payer: Cofinity Commercial |
$19.71
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$18.34
|
| Rate for Payer: Healthscope Commercial |
$20.63
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$16.04
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$17.19
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$19.48
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$17.19
|
| Rate for Payer: PHP Commercial |
$19.48
|
| Rate for Payer: Priority Health SBD |
$14.44
|
| Rate for Payer: UMR Bronson Commercial |
$10.08
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$17.19
|
|
|
HH DRSG MEPILEX BORDER 6X8 EA
|
Facility
|
OP
|
$22.92
|
|
|
Service Code
|
HCPCS A6213
|
| Hospital Charge Code |
62300053
|
|
Hospital Revenue Code
|
623
|
| Min. Negotiated Rate |
$8.48 |
| Max. Negotiated Rate |
$47.62 |
| Rate for Payer: Aetna American Axle |
$14.90
|
| Rate for Payer: Aetna Commercial |
$19.48
|
| Rate for Payer: Aetna Medicare |
$11.46
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$14.90
|
| Rate for Payer: BCBS Complete |
$9.17
|
| Rate for Payer: BCBS Trust/PPO |
$47.62
|
| Rate for Payer: BCN Commercial |
$47.62
|
| Rate for Payer: Cash Price |
$18.34
|
| Rate for Payer: Cash Price |
$18.34
|
| Rate for Payer: Cofinity Advantage |
$16.04
|
| Rate for Payer: Cofinity Commercial |
$19.71
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$18.34
|
| Rate for Payer: Healthscope Commercial |
$20.63
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$16.04
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$17.19
|
| Rate for Payer: MI Amish Medical Board Commercial |
$18.34
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$19.48
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$17.19
|
| Rate for Payer: PHP Commercial |
$19.48
|
| Rate for Payer: Priority Health SBD |
$14.44
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$14.90
|
| Rate for Payer: UHC Core |
$11.94
|
| Rate for Payer: UHC Exchange |
$9.01
|
| Rate for Payer: UMR Bronson Commercial |
$8.48
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$17.19
|
|
|
HH HC NEGATIVE PRESSURE WOUND THERAPY DISPOSAL < 50SQ CM
|
Facility
|
OP
|
$964.48
|
|
|
Service Code
|
CPT 97607
|
| Hospital Charge Code |
76100035
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$211.84 |
| Max. Negotiated Rate |
$1,309.90 |
| Rate for Payer: Aetna American Axle |
$626.91
|
| Rate for Payer: Aetna Commercial |
$819.81
|
| Rate for Payer: Aetna Medicare |
$421.25
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$626.91
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$506.31
|
| Rate for Payer: Amish Plain Church Group Commercial |
$506.31
|
| Rate for Payer: BCBS Complete |
$222.45
|
| Rate for Payer: BCBS MAPPO |
$405.05
|
| Rate for Payer: BCBS Trust/PPO |
$720.95
|
| Rate for Payer: BCN Commercial |
$720.95
|
| Rate for Payer: BCN Medicare Advantage |
$405.05
|
| Rate for Payer: Cash Price |
$771.58
|
| Rate for Payer: Cash Price |
$771.58
|
| Rate for Payer: Cash Price |
$771.58
|
| Rate for Payer: Cofinity Advantage |
$675.14
|
| Rate for Payer: Cofinity Commercial |
$829.45
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$771.58
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$405.05
|
| Rate for Payer: Healthscope Commercial |
$868.03
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$675.14
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$723.36
|
| Rate for Payer: Mclaren Medicaid |
$405.05
|
| Rate for Payer: Mclaren Medicare |
$405.05
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$425.30
|
| Rate for Payer: Meridian Medicaid |
$425.30
|
| Rate for Payer: MI Amish Medical Board Commercial |
$465.81
|
| Rate for Payer: Molina Medicare/Medicaid |
$445.56
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$819.81
|
| Rate for Payer: Nomi Health Commercial |
$1,215.15
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$723.36
|
| Rate for Payer: PACE Medicare |
$384.80
|
| Rate for Payer: PACE SWMI |
$405.05
|
| Rate for Payer: PHP Commercial |
$819.81
|
| Rate for Payer: PHP Medicare Advantage |
$405.05
|
| Rate for Payer: Priority Health Choice Medicaid |
$211.84
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$1,309.90
|
| Rate for Payer: Priority Health Medicare |
$405.05
|
| Rate for Payer: Priority Health SBD |
$607.62
|
| Rate for Payer: Priority Health Tiered Network |
$1,047.92
|
| Rate for Payer: Railroad Medicare Medicare |
$405.05
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$626.91
|
| Rate for Payer: UHC Core |
$502.49
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$405.05
|
| Rate for Payer: UHC Exchange |
$379.04
|
| Rate for Payer: UHC Medicaid |
$211.84
|
| Rate for Payer: UHCCP Medicaid |
$211.84
|
| Rate for Payer: UMR Bronson Commercial |
$356.86
|
| Rate for Payer: VA VA |
$405.05
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$723.36
|
|
