|
MANNITOL 20 % INTRAVENOUS SOLUTION
|
Facility
|
OP
|
$94.92
|
|
|
Service Code
|
NDC 00338035702
|
| Hospital Charge Code |
4749
|
|
Hospital Revenue Code
|
250
|
| Min. Negotiated Rate |
$35.12 |
| Max. Negotiated Rate |
$85.43 |
| Rate for Payer: Aetna American Axle |
$61.70
|
| Rate for Payer: Aetna Commercial |
$80.68
|
| Rate for Payer: Aetna Medicare |
$47.46
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$61.70
|
| Rate for Payer: BCBS Complete |
$37.97
|
| Rate for Payer: Cash Price |
$75.94
|
| Rate for Payer: Cofinity Advantage |
$66.44
|
| Rate for Payer: Cofinity Commercial |
$81.63
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$75.94
|
| Rate for Payer: Healthscope Commercial |
$85.43
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$66.44
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$71.19
|
| Rate for Payer: MI Amish Medical Board Commercial |
$75.94
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$80.68
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$71.19
|
| Rate for Payer: PHP Commercial |
$80.68
|
| Rate for Payer: Priority Health SBD |
$59.80
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$61.70
|
| Rate for Payer: UHC Core |
$49.45
|
| Rate for Payer: UHC Exchange |
$37.30
|
| Rate for Payer: UMR Bronson Commercial |
$35.12
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$71.19
|
|
|
MANNITOL 20 % INTRAVENOUS SOLUTION
|
Facility
|
OP
|
$105.09
|
|
|
Service Code
|
NDC 990771513
|
| Hospital Charge Code |
4749
|
|
Hospital Revenue Code
|
250
|
| Min. Negotiated Rate |
$38.88 |
| Max. Negotiated Rate |
$94.58 |
| Rate for Payer: Aetna American Axle |
$68.31
|
| Rate for Payer: Aetna Commercial |
$89.33
|
| Rate for Payer: Aetna Medicare |
$52.55
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$68.31
|
| Rate for Payer: BCBS Complete |
$42.04
|
| Rate for Payer: Cash Price |
$84.07
|
| Rate for Payer: Cofinity Advantage |
$73.56
|
| Rate for Payer: Cofinity Commercial |
$90.38
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$84.07
|
| Rate for Payer: Healthscope Commercial |
$94.58
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$73.56
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$78.82
|
| Rate for Payer: MI Amish Medical Board Commercial |
$84.07
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$89.33
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$78.82
|
| Rate for Payer: PHP Commercial |
$89.33
|
| Rate for Payer: Priority Health SBD |
$66.21
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$68.31
|
| Rate for Payer: UHC Core |
$54.75
|
| Rate for Payer: UHC Exchange |
$41.30
|
| Rate for Payer: UMR Bronson Commercial |
$38.88
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$78.82
|
|
|
MANNITOL 25 % INTRAVENOUS SOLUTION
|
Facility
|
OP
|
$75.74
|
|
|
Service Code
|
HCPCS J2151
|
| Hospital Charge Code |
4750
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$0.10 |
| Max. Negotiated Rate |
$68.17 |
| Rate for Payer: Aetna American Axle |
$49.23
|
| Rate for Payer: Aetna American Axle |
$57.02
|
| Rate for Payer: Aetna Commercial |
$64.38
|
| Rate for Payer: Aetna Commercial |
$74.57
|
| Rate for Payer: Aetna Medicare |
$37.87
|
| Rate for Payer: Aetna Medicare |
$43.87
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$49.23
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$57.02
|
| Rate for Payer: BCBS Complete |
$35.09
|
| Rate for Payer: BCBS Complete |
$30.30
|
| Rate for Payer: BCBS Trust/PPO |
$0.19
|
| Rate for Payer: BCBS Trust/PPO |
$0.19
|
| Rate for Payer: BCN Commercial |
$0.19
|
| Rate for Payer: BCN Commercial |
$0.19
|
| Rate for Payer: Cash Price |
$60.59
|
| Rate for Payer: Cash Price |
$70.18
|
| Rate for Payer: Cash Price |
$60.59
|
| Rate for Payer: Cash Price |
$70.18
|
| Rate for Payer: Cofinity Advantage |
$53.02
|
| Rate for Payer: Cofinity Advantage |
$61.41
|
| Rate for Payer: Cofinity Commercial |
$65.14
|
| Rate for Payer: Cofinity Commercial |
$75.45
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$60.59
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$70.18
|
| Rate for Payer: Healthscope Commercial |
$68.17
|
| Rate for Payer: Healthscope Commercial |
$78.96
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$53.02
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$61.41
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$56.80
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$65.80
|
| Rate for Payer: MI Amish Medical Board Commercial |
$60.59
|
| Rate for Payer: MI Amish Medical Board Commercial |
$70.18
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$64.38
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$74.57
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$65.80
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$56.80
|
| Rate for Payer: PHP Commercial |
$64.38
|
| Rate for Payer: PHP Commercial |
$74.57
|
| Rate for Payer: Priority Health SBD |
$47.72
|
| Rate for Payer: Priority Health SBD |
$55.27
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$0.10
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$0.10
|
| Rate for Payer: UHC Core |
$0.10
|
| Rate for Payer: UHC Core |
$0.10
|
| Rate for Payer: UHC Exchange |
$0.10
|
| Rate for Payer: UHC Exchange |
$0.10
|
| Rate for Payer: UMR Bronson Commercial |
$28.02
|
| Rate for Payer: UMR Bronson Commercial |
$32.46
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$56.80
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$65.80
|
|
|
MANNITOL 25 % INTRAVENOUS SOLUTION
|
Facility
|
IP
|
$75.74
|
|
|
Service Code
|
HCPCS J2151
|
| Hospital Charge Code |
4750
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$33.33 |
| Max. Negotiated Rate |
$68.17 |
| Rate for Payer: Aetna American Axle |
$49.23
|
| Rate for Payer: Aetna American Axle |
$57.02
|
| Rate for Payer: Aetna Commercial |
$64.38
|
| Rate for Payer: Aetna Commercial |
$74.57
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$49.23
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$57.02
|
| Rate for Payer: Cash Price |
$60.59
|
| Rate for Payer: Cash Price |
$70.18
|
| Rate for Payer: Cofinity Advantage |
$61.41
|
| Rate for Payer: Cofinity Advantage |
$53.02
|
| Rate for Payer: Cofinity Commercial |
$75.45
|
| Rate for Payer: Cofinity Commercial |
$65.14
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$60.59
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$70.18
|
| Rate for Payer: Healthscope Commercial |
$68.17
|
| Rate for Payer: Healthscope Commercial |
$78.96
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$61.41
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$53.02
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$56.80
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$65.80
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$64.38
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$74.57
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$56.80
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$65.80
|
| Rate for Payer: PHP Commercial |
$64.38
|
| Rate for Payer: PHP Commercial |
$74.57
|
| Rate for Payer: Priority Health SBD |
$55.27
|
| Rate for Payer: Priority Health SBD |
$47.72
|
| Rate for Payer: UMR Bronson Commercial |
$33.33
|
| Rate for Payer: UMR Bronson Commercial |
$38.60
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$56.80
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$65.80
|
|
|
MARSUPIALIZATION OF BARTHOLIN'S GLAND CYST
|
Facility
|
OP
|
$10,430.93
|
|
|
Service Code
|
CPT 56440
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$1,686.93 |
| Max. Negotiated Rate |
$10,430.93 |
| Rate for Payer: Aetna Medicare |
$3,354.51
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$4,031.86
|
| Rate for Payer: Amish Plain Church Group Commercial |
$4,031.86
|
| Rate for Payer: BCBS Complete |
$1,771.44
|
| Rate for Payer: BCBS MAPPO |
$3,225.49
|
| Rate for Payer: BCBS Trust/PPO |
$3,008.87
|
| Rate for Payer: BCN Commercial |
$3,008.87
|
| Rate for Payer: BCN Medicare Advantage |
$3,225.49
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$3,225.49
|
| Rate for Payer: Mclaren Medicaid |
$3,225.49
|
| Rate for Payer: Mclaren Medicare |
$3,225.49
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$3,386.76
|
| Rate for Payer: Meridian Medicaid |
$3,386.76
|
| Rate for Payer: MI Amish Medical Board Commercial |
$3,709.31
|
| Rate for Payer: Molina Medicare/Medicaid |
$3,548.04
|
| Rate for Payer: Nomi Health Commercial |
$9,676.47
|
| Rate for Payer: PACE Medicare |
$3,064.22
|
| Rate for Payer: PACE SWMI |
$3,225.49
|
| Rate for Payer: PHP Medicare Advantage |
$3,225.49
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,686.93
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$10,430.93
|
| Rate for Payer: Priority Health Medicare |
$3,225.49
|
| Rate for Payer: Priority Health Tiered Network |
$8,344.74
|
| Rate for Payer: Railroad Medicare Medicare |
$3,225.49
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$3,225.49
|
| Rate for Payer: UHC Medicaid |
$1,686.93
|
| Rate for Payer: UHCCP Medicaid |
$1,686.93
|
| Rate for Payer: VA VA |
$3,225.49
|
|
|
MASTECTOMY FOR MALIGNANCY WITH CC/MCC
|
Facility
|
IP
|
$86,964.77
|
|
|
Service Code
|
MSDRG 582
|
| Min. Negotiated Rate |
$15,869.31 |
| Max. Negotiated Rate |
$86,964.77 |
| Rate for Payer: Aetna Medicare |
$17,372.72
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$20,880.67
|
| Rate for Payer: Amish Plain Church Group Commercial |
$20,880.67
|
| Rate for Payer: BCBS MAPPO |
$16,704.54
|
| Rate for Payer: BCBS Trust/PPO |
$86,964.77
|
| Rate for Payer: BCN Commercial |
$86,964.77
|
| Rate for Payer: BCN Medicare Advantage |
$16,704.54
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$16,704.54
|
| Rate for Payer: Mclaren Medicare |
$16,704.54
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$17,539.77
|
| Rate for Payer: MI Amish Medical Board Commercial |
$19,210.22
|
| Rate for Payer: Molina Medicare/Medicaid |
$18,374.99
|
| Rate for Payer: Nomi Health Commercial |
$24,853.14
|
| Rate for Payer: PACE Medicare |
$15,869.31
|
| Rate for Payer: PACE SWMI |
$16,704.54
|
| Rate for Payer: PHP Medicare Advantage |
$16,704.54
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$31,060.91
|
| Rate for Payer: Priority Health Medicare |
$16,704.54
|
| Rate for Payer: Priority Health Tiered Network |
$24,848.73
|
| Rate for Payer: Railroad Medicare Medicare |
$16,704.54
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$31,403.58
|
| Rate for Payer: UHC Core |
$26,273.04
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$16,704.54
|
| Rate for Payer: UHC Exchange |
$21,456.54
|
| Rate for Payer: VA VA |
$16,704.54
|
|
|
MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC
|
Facility
|
IP
|
$78,636.13
|
|
|
Service Code
|
MSDRG 583
|
| Min. Negotiated Rate |
$14,262.92 |
| Max. Negotiated Rate |
$78,636.13 |
| Rate for Payer: Aetna Medicare |
$15,614.14
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$18,767.00
|
| Rate for Payer: Amish Plain Church Group Commercial |
$18,767.00
|
| Rate for Payer: BCBS MAPPO |
$15,013.60
|
| Rate for Payer: BCBS Trust/PPO |
$78,636.13
|
| Rate for Payer: BCN Commercial |
$78,636.13
|
| Rate for Payer: BCN Medicare Advantage |
$15,013.60
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$15,013.60
|
| Rate for Payer: Mclaren Medicare |
$15,013.60
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$15,764.28
|
| Rate for Payer: MI Amish Medical Board Commercial |
$17,265.64
|
| Rate for Payer: Molina Medicare/Medicaid |
$16,514.96
|
| Rate for Payer: Nomi Health Commercial |
$22,244.76
|
| Rate for Payer: PACE Medicare |
$14,262.92
|
| Rate for Payer: PACE SWMI |
$15,013.60
|
| Rate for Payer: PHP Medicare Advantage |
$15,013.60
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$27,801.02
|
| Rate for Payer: Priority Health Medicare |
$15,013.60
|
| Rate for Payer: Priority Health Tiered Network |
$22,240.81
|
| Rate for Payer: Railroad Medicare Medicare |
$15,013.60
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$28,107.72
|
| Rate for Payer: UHC Core |
$23,515.64
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$15,013.60
|
| Rate for Payer: UHC Exchange |
$19,204.64
|
| Rate for Payer: VA VA |
$15,013.60
|
|
|
MASTECTOMY, MODIFIED RADICAL, INCLUDING AXILLARY LYMPH NODES, WITH OR WITHOUT PECTORALIS MINOR MUSCLE, BUT EXCLUDING PECTORALIS MAJOR MUSCLE
|
Facility
|
OP
|
$21,396.49
|
|
|
Service Code
|
CPT 19307
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$3,460.32 |
| Max. Negotiated Rate |
$21,396.49 |
| Rate for Payer: Aetna Medicare |
$6,880.94
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$8,270.36
|
| Rate for Payer: Amish Plain Church Group Commercial |
$8,270.36
|
| Rate for Payer: BCBS Complete |
$3,633.67
|
| Rate for Payer: BCBS MAPPO |
$6,616.29
|
| Rate for Payer: BCBS Trust/PPO |
$8,525.77
|
| Rate for Payer: BCN Commercial |
$8,525.77
|
| Rate for Payer: BCN Medicare Advantage |
$6,616.29
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$6,616.29
|
| Rate for Payer: Mclaren Medicaid |
$6,616.29
|
| Rate for Payer: Mclaren Medicare |
$6,616.29
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$6,947.10
|
| Rate for Payer: Meridian Medicaid |
$6,947.10
|
| Rate for Payer: MI Amish Medical Board Commercial |
$7,608.73
|
| Rate for Payer: Molina Medicare/Medicaid |
$7,277.92
|
| Rate for Payer: Nomi Health Commercial |
$19,848.87
|
| Rate for Payer: PACE Medicare |
$6,285.48
|
| Rate for Payer: PACE SWMI |
$6,616.29
|
| Rate for Payer: PHP Medicare Advantage |
$6,616.29
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,460.32
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$21,396.49
|
| Rate for Payer: Priority Health Medicare |
$6,616.29
|
| Rate for Payer: Priority Health Tiered Network |
$17,117.19
|
| Rate for Payer: Railroad Medicare Medicare |
$6,616.29
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$6,616.29
|
| Rate for Payer: UHC Medicaid |
$3,460.32
|
| Rate for Payer: UHCCP Medicaid |
$3,460.32
|
| Rate for Payer: VA VA |
$6,616.29
|
|
|
MASTECTOMY, PARTIAL (EG, LUMPECTOMY, TYLECTOMY, QUADRANTECTOMY, SEGMENTECTOMY);
|
Facility
|
OP
|
$12,616.62
|
|
|
Service Code
|
CPT 19301
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$2,040.41 |
| Max. Negotiated Rate |
$12,616.62 |
| Rate for Payer: Aetna Medicare |
$4,057.40
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$4,876.69
|
| Rate for Payer: Amish Plain Church Group Commercial |
$4,876.69
|
| Rate for Payer: BCBS Complete |
$2,142.62
|
| Rate for Payer: BCBS MAPPO |
$3,901.35
|
| Rate for Payer: BCBS Trust/PPO |
$4,790.60
|
| Rate for Payer: BCN Commercial |
$4,790.60
|
| Rate for Payer: BCN Medicare Advantage |
$3,901.35
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$3,901.35
|
| Rate for Payer: Mclaren Medicaid |
$3,901.35
|
| Rate for Payer: Mclaren Medicare |
$3,901.35
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$4,096.42
|
| Rate for Payer: Meridian Medicaid |
$4,096.42
|
| Rate for Payer: MI Amish Medical Board Commercial |
$4,486.55
|
| Rate for Payer: Molina Medicare/Medicaid |
$4,291.48
|
| Rate for Payer: Nomi Health Commercial |
$11,704.05
|
| Rate for Payer: PACE Medicare |
$3,706.28
|
| Rate for Payer: PACE SWMI |
$3,901.35
|
| Rate for Payer: PHP Medicare Advantage |
$3,901.35
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,040.41
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$12,616.62
|
| Rate for Payer: Priority Health Medicare |
$3,901.35
|
| Rate for Payer: Priority Health Tiered Network |
$10,093.30
|
| Rate for Payer: Railroad Medicare Medicare |
$3,901.35
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$3,901.35
|
| Rate for Payer: UHC Medicaid |
$2,040.41
|
| Rate for Payer: UHCCP Medicaid |
$2,040.41
|
| Rate for Payer: VA VA |
$3,901.35
|
|
|
MASTECTOMY, PARTIAL (EG, LUMPECTOMY, TYLECTOMY, QUADRANTECTOMY, SEGMENTECTOMY); WITH AXILLARY LYMPHADENECTOMY
|
Facility
|
OP
|
$21,396.49
|
|
|
Service Code
|
CPT 19302
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$3,460.32 |
| Max. Negotiated Rate |
$21,396.49 |
| Rate for Payer: Aetna Medicare |
$6,880.94
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$8,270.36
|
| Rate for Payer: Amish Plain Church Group Commercial |
$8,270.36
|
| Rate for Payer: BCBS Complete |
$3,633.67
|
| Rate for Payer: BCBS MAPPO |
$6,616.29
|
| Rate for Payer: BCBS Trust/PPO |
$4,248.71
|
| Rate for Payer: BCN Commercial |
$4,248.71
|
| Rate for Payer: BCN Medicare Advantage |
$6,616.29
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$6,616.29
|
| Rate for Payer: Mclaren Medicaid |
$6,616.29
|
| Rate for Payer: Mclaren Medicare |
$6,616.29
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$6,947.10
|
| Rate for Payer: Meridian Medicaid |
$6,947.10
|
| Rate for Payer: MI Amish Medical Board Commercial |
$7,608.73
|
| Rate for Payer: Molina Medicare/Medicaid |
$7,277.92
|
| Rate for Payer: Nomi Health Commercial |
$19,848.87
|
| Rate for Payer: PACE Medicare |
$6,285.48
|
| Rate for Payer: PACE SWMI |
$6,616.29
|
| Rate for Payer: PHP Medicare Advantage |
$6,616.29
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,460.32
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$21,396.49
|
| Rate for Payer: Priority Health Medicare |
$6,616.29
|
| Rate for Payer: Priority Health Tiered Network |
$17,117.19
|
| Rate for Payer: Railroad Medicare Medicare |
$6,616.29
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$6,616.29
|
| Rate for Payer: UHC Medicaid |
$3,460.32
|
| Rate for Payer: UHCCP Medicaid |
$3,460.32
|
| Rate for Payer: VA VA |
$6,616.29
|
|
|
MASTECTOMY PROCEDURES
|
Facility
|
IP
|
$18,032.63
|
|
|
Service Code
|
APR-DRG 3624
|
| Min. Negotiated Rate |
$17,173.94 |
| Max. Negotiated Rate |
$18,032.63 |
| Rate for Payer: BCBS Complete |
$18,032.63
|
| Rate for Payer: Mclaren Medicaid |
$17,173.94
|
| Rate for Payer: Meridian Medicaid |
$18,032.63
|
| Rate for Payer: Priority Health Choice Medicaid |
$17,173.94
|
| Rate for Payer: UHC Medicaid |
$17,173.94
|
| Rate for Payer: UHCCP Medicaid |
$17,173.94
|
|
|
MASTECTOMY PROCEDURES
|
Facility
|
IP
|
$11,846.21
|
|
|
Service Code
|
APR-DRG 3621
|
| Min. Negotiated Rate |
$11,282.10 |
| Max. Negotiated Rate |
$11,846.21 |
| Rate for Payer: BCBS Complete |
$11,846.21
|
| Rate for Payer: Mclaren Medicaid |
$11,282.10
|
| Rate for Payer: Meridian Medicaid |
$11,846.21
|
| Rate for Payer: Priority Health Choice Medicaid |
$11,282.10
|
| Rate for Payer: UHC Medicaid |
$11,282.10
|
| Rate for Payer: UHCCP Medicaid |
$11,282.10
|
|
|
MASTECTOMY PROCEDURES
|
Facility
|
IP
|
$17,033.24
|
|
|
Service Code
|
APR-DRG 3623
|
| Min. Negotiated Rate |
$16,222.13 |
| Max. Negotiated Rate |
$17,033.24 |
| Rate for Payer: BCBS Complete |
$17,033.24
|
| Rate for Payer: Mclaren Medicaid |
$16,222.13
|
| Rate for Payer: Meridian Medicaid |
$17,033.24
|
| Rate for Payer: Priority Health Choice Medicaid |
$16,222.13
|
| Rate for Payer: UHC Medicaid |
$16,222.13
|
| Rate for Payer: UHCCP Medicaid |
$16,222.13
|
|
|
MASTECTOMY PROCEDURES
|
Facility
|
IP
|
$15,805.04
|
|
|
Service Code
|
APR-DRG 3622
|
| Min. Negotiated Rate |
$15,052.42 |
| Max. Negotiated Rate |
$15,805.04 |
| Rate for Payer: BCBS Complete |
$15,805.04
|
| Rate for Payer: Mclaren Medicaid |
$15,052.42
|
| Rate for Payer: Meridian Medicaid |
$15,805.04
|
| Rate for Payer: Priority Health Choice Medicaid |
$15,052.42
|
| Rate for Payer: UHC Medicaid |
$15,052.42
|
| Rate for Payer: UHCCP Medicaid |
$15,052.42
|
|
|
MASTECTOMY, SIMPLE, COMPLETE
|
Facility
|
OP
|
$21,396.49
|
|
|
Service Code
|
CPT 19303
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$3,460.32 |
| Max. Negotiated Rate |
$21,396.49 |
| Rate for Payer: Aetna Medicare |
$6,880.94
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$8,270.36
|
| Rate for Payer: Amish Plain Church Group Commercial |
$8,270.36
|
| Rate for Payer: BCBS Complete |
$3,633.67
|
| Rate for Payer: BCBS MAPPO |
$6,616.29
|
| Rate for Payer: BCBS Trust/PPO |
$9,290.63
|
| Rate for Payer: BCN Commercial |
$9,290.63
|
| Rate for Payer: BCN Medicare Advantage |
$6,616.29
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$6,616.29
|
| Rate for Payer: Mclaren Medicaid |
$6,616.29
|
| Rate for Payer: Mclaren Medicare |
$6,616.29
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$6,947.10
|
| Rate for Payer: Meridian Medicaid |
$6,947.10
|
| Rate for Payer: MI Amish Medical Board Commercial |
$7,608.73
|
| Rate for Payer: Molina Medicare/Medicaid |
$7,277.92
|
| Rate for Payer: Nomi Health Commercial |
$19,848.87
|
| Rate for Payer: PACE Medicare |
$6,285.48
|
| Rate for Payer: PACE SWMI |
$6,616.29
|
| Rate for Payer: PHP Medicare Advantage |
$6,616.29
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,460.32
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$21,396.49
|
| Rate for Payer: Priority Health Medicare |
$6,616.29
|
| Rate for Payer: Priority Health Tiered Network |
$17,117.19
|
| Rate for Payer: Railroad Medicare Medicare |
$6,616.29
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$6,616.29
|
| Rate for Payer: UHC Medicaid |
$3,460.32
|
| Rate for Payer: UHCCP Medicaid |
$3,460.32
|
| Rate for Payer: VA VA |
$6,616.29
|
|
|
MASTOPEXY
|
Facility
|
OP
|
$21,396.49
|
|
|
Service Code
|
CPT 19316
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$3,460.32 |
| Max. Negotiated Rate |
$21,396.49 |
| Rate for Payer: Aetna Medicare |
$6,880.94
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$8,270.36
|
| Rate for Payer: Amish Plain Church Group Commercial |
$8,270.36
|
| Rate for Payer: BCBS Complete |
$3,633.67
|
| Rate for Payer: BCBS MAPPO |
$6,616.29
|
| Rate for Payer: BCBS Trust/PPO |
$8,045.58
|
| Rate for Payer: BCN Commercial |
$8,045.58
|
| Rate for Payer: BCN Medicare Advantage |
$6,616.29
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$6,616.29
|
| Rate for Payer: Mclaren Medicaid |
$6,616.29
|
| Rate for Payer: Mclaren Medicare |
$6,616.29
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$6,947.10
|
| Rate for Payer: Meridian Medicaid |
$6,947.10
|
| Rate for Payer: MI Amish Medical Board Commercial |
$7,608.73
|
| Rate for Payer: Molina Medicare/Medicaid |
$7,277.92
|
| Rate for Payer: Nomi Health Commercial |
$19,848.87
|
| Rate for Payer: PACE Medicare |
$6,285.48
|
| Rate for Payer: PACE SWMI |
$6,616.29
|
| Rate for Payer: PHP Medicare Advantage |
$6,616.29
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,460.32
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$21,396.49
|
| Rate for Payer: Priority Health Medicare |
$6,616.29
|
| Rate for Payer: Priority Health Tiered Network |
$17,117.19
|
| Rate for Payer: Railroad Medicare Medicare |
$6,616.29
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$6,616.29
|
| Rate for Payer: UHC Medicaid |
$3,460.32
|
| Rate for Payer: UHCCP Medicaid |
$3,460.32
|
| Rate for Payer: VA VA |
$6,616.29
|
|
|
MEASLES,MUMPS,RUBELLA VACCINE LIVE(PF)1,000-12,500TCID50/0.5 ML SUBCUT
|
Facility
|
IP
|
$308.27
|
|
|
Service Code
|
HCPCS 90707
|
| Hospital Charge Code |
10512
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$135.64 |
| Max. Negotiated Rate |
$277.44 |
| Rate for Payer: Aetna American Axle |
$200.38
|
| Rate for Payer: Aetna Commercial |
$262.03
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$200.38
|
| Rate for Payer: Cash Price |
$246.62
|
| Rate for Payer: Cofinity Advantage |
$215.79
|
| Rate for Payer: Cofinity Commercial |
$265.11
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$246.62
|
| Rate for Payer: Healthscope Commercial |
$277.44
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$215.79
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$231.20
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$262.03
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$231.20
|
| Rate for Payer: PHP Commercial |
$262.03
|
| Rate for Payer: Priority Health SBD |
$194.21
|
| Rate for Payer: UMR Bronson Commercial |
$135.64
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$231.20
|
|
|
MEASLES,MUMPS,RUBELLA VACCINE LIVE(PF)1,000-12,500TCID50/0.5 ML SUBCUT
|
Facility
|
OP
|
$308.27
|
|
|
Service Code
|
HCPCS 90707
|
| Hospital Charge Code |
10512
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$114.06 |
| Max. Negotiated Rate |
$302.98 |
| Rate for Payer: Aetna American Axle |
$200.38
|
| Rate for Payer: Aetna Commercial |
$262.03
|
| Rate for Payer: Aetna Medicare |
$154.13
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$200.38
|
| Rate for Payer: BCBS Complete |
$123.31
|
| Rate for Payer: BCBS Trust/PPO |
$302.98
|
| Rate for Payer: BCN Commercial |
$302.98
|
| Rate for Payer: Cash Price |
$246.62
|
| Rate for Payer: Cash Price |
$246.62
|
| Rate for Payer: Cofinity Advantage |
$215.79
|
| Rate for Payer: Cofinity Commercial |
$265.11
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$246.62
|
| Rate for Payer: Healthscope Commercial |
$277.44
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$215.79
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$231.20
|
| Rate for Payer: MI Amish Medical Board Commercial |
$246.62
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$262.03
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$231.20
|
| Rate for Payer: PHP Commercial |
$262.03
|
| Rate for Payer: Priority Health SBD |
$194.21
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$193.28
|
| Rate for Payer: UHC Core |
$193.28
|
| Rate for Payer: UHC Exchange |
$193.28
|
| Rate for Payer: UMR Bronson Commercial |
$114.06
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$231.20
|
|
|
MEATOTOMY, CUTTING OF MEATUS (SEPARATE PROCEDURE); EXCEPT INFANT
|
Facility
|
OP
|
$6,735.82
|
|
|
Service Code
|
CPT 53020
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$1,089.34 |
| Max. Negotiated Rate |
$6,735.82 |
| Rate for Payer: Aetna Medicare |
$2,166.18
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$2,603.59
|
| Rate for Payer: Amish Plain Church Group Commercial |
$2,603.59
|
| Rate for Payer: BCBS Complete |
$1,143.91
|
| Rate for Payer: BCBS MAPPO |
$2,082.87
|
| Rate for Payer: BCBS Trust/PPO |
$1,739.40
|
| Rate for Payer: BCN Commercial |
$1,739.40
|
| Rate for Payer: BCN Medicare Advantage |
$2,082.87
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,082.87
|
| Rate for Payer: Mclaren Medicaid |
$2,082.87
|
| Rate for Payer: Mclaren Medicare |
$2,082.87
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$2,187.01
|
| Rate for Payer: Meridian Medicaid |
$2,187.01
|
| Rate for Payer: MI Amish Medical Board Commercial |
$2,395.30
|
| Rate for Payer: Molina Medicare/Medicaid |
$2,291.16
|
| Rate for Payer: Nomi Health Commercial |
$6,248.61
|
| Rate for Payer: PACE Medicare |
$1,978.73
|
| Rate for Payer: PACE SWMI |
$2,082.87
|
| Rate for Payer: PHP Medicare Advantage |
$2,082.87
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,089.34
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$6,735.82
|
| Rate for Payer: Priority Health Medicare |
$2,082.87
|
| Rate for Payer: Priority Health Tiered Network |
$5,388.66
|
| Rate for Payer: Railroad Medicare Medicare |
$2,082.87
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$2,082.87
|
| Rate for Payer: UHC Medicaid |
$1,089.34
|
| Rate for Payer: UHCCP Medicaid |
$1,089.34
|
| Rate for Payer: VA VA |
$2,082.87
|
|
|
MECLIZINE 12.5 MG TABLET
|
Facility
|
OP
|
$187.15
|
|
|
Service Code
|
NDC 60687077565
|
| Hospital Charge Code |
12024
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$69.25 |
| Max. Negotiated Rate |
$168.44 |
| Rate for Payer: Aetna American Axle |
$121.65
|
| Rate for Payer: Aetna Commercial |
$159.08
|
| Rate for Payer: Aetna Medicare |
$93.58
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$121.65
|
| Rate for Payer: BCBS Complete |
$74.86
|
| Rate for Payer: Cash Price |
$149.72
|
| Rate for Payer: Cofinity Advantage |
$131.00
|
| Rate for Payer: Cofinity Commercial |
$160.95
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$149.72
|
| Rate for Payer: Healthscope Commercial |
$168.44
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$131.00
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$140.36
|
| Rate for Payer: MI Amish Medical Board Commercial |
$149.72
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$159.08
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$140.36
|
| Rate for Payer: PHP Commercial |
$159.08
|
| Rate for Payer: Priority Health SBD |
$117.90
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$121.65
|
| Rate for Payer: UHC Core |
$97.51
|
| Rate for Payer: UHC Exchange |
$73.55
|
| Rate for Payer: UMR Bronson Commercial |
$69.25
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$140.36
|
|
|
MECLIZINE 12.5 MG TABLET
|
Facility
|
IP
|
$187.15
|
|
|
Service Code
|
NDC 60687077565
|
| Hospital Charge Code |
12024
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$82.35 |
| Max. Negotiated Rate |
$168.44 |
| Rate for Payer: Aetna American Axle |
$121.65
|
| Rate for Payer: Aetna Commercial |
$159.08
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$121.65
|
| Rate for Payer: Cash Price |
$149.72
|
| Rate for Payer: Cofinity Advantage |
$131.00
|
| Rate for Payer: Cofinity Commercial |
$160.95
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$149.72
|
| Rate for Payer: Healthscope Commercial |
$168.44
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$131.00
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$140.36
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$159.08
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$140.36
|
| Rate for Payer: PHP Commercial |
$159.08
|
| Rate for Payer: Priority Health SBD |
$117.90
|
| Rate for Payer: UMR Bronson Commercial |
$82.35
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$140.36
|
|
|
MECLIZINE 12.5 MG TABLET
|
Facility
|
IP
|
$4.68
|
|
|
Service Code
|
NDC 51079042301
|
| Hospital Charge Code |
12024
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$2.06 |
| Max. Negotiated Rate |
$4.21 |
| Rate for Payer: Aetna American Axle |
$3.04
|
| Rate for Payer: Aetna Commercial |
$3.98
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$3.04
|
| Rate for Payer: Cash Price |
$3.74
|
| Rate for Payer: Cofinity Advantage |
$3.28
|
| Rate for Payer: Cofinity Commercial |
$4.02
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3.74
|
| Rate for Payer: Healthscope Commercial |
$4.21
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$3.28
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$3.51
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3.98
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$3.51
|
| Rate for Payer: PHP Commercial |
$3.98
|
| Rate for Payer: Priority Health SBD |
$2.95
|
| Rate for Payer: UMR Bronson Commercial |
$2.06
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$3.51
|
|
|
MECLIZINE 12.5 MG TABLET
|
Facility
|
OP
|
$366.70
|
|
|
Service Code
|
NDC 00904651661
|
| Hospital Charge Code |
12024
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$135.68 |
| Max. Negotiated Rate |
$330.03 |
| Rate for Payer: Aetna American Axle |
$238.35
|
| Rate for Payer: Aetna Commercial |
$311.69
|
| Rate for Payer: Aetna Medicare |
$183.35
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$238.35
|
| Rate for Payer: BCBS Complete |
$146.68
|
| Rate for Payer: Cash Price |
$293.36
|
| Rate for Payer: Cofinity Advantage |
$256.69
|
| Rate for Payer: Cofinity Commercial |
$315.36
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$293.36
|
| Rate for Payer: Healthscope Commercial |
$330.03
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$256.69
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$275.02
|
| Rate for Payer: MI Amish Medical Board Commercial |
$293.36
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$311.69
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$275.02
|
| Rate for Payer: PHP Commercial |
$311.69
|
| Rate for Payer: Priority Health SBD |
$231.02
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$238.35
|
| Rate for Payer: UHC Core |
$191.05
|
| Rate for Payer: UHC Exchange |
$144.11
|
| Rate for Payer: UMR Bronson Commercial |
$135.68
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$275.02
|
|
|
MECLIZINE 12.5 MG TABLET
|
Facility
|
OP
|
$4.68
|
|
|
Service Code
|
NDC 51079042301
|
| Hospital Charge Code |
12024
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$1.73 |
| Max. Negotiated Rate |
$4.21 |
| Rate for Payer: Aetna American Axle |
$3.04
|
| Rate for Payer: Aetna Commercial |
$3.98
|
| Rate for Payer: Aetna Medicare |
$2.34
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$3.04
|
| Rate for Payer: BCBS Complete |
$1.87
|
| Rate for Payer: Cash Price |
$3.74
|
| Rate for Payer: Cofinity Advantage |
$3.28
|
| Rate for Payer: Cofinity Commercial |
$4.02
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3.74
|
| Rate for Payer: Healthscope Commercial |
$4.21
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$3.28
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$3.51
|
| Rate for Payer: MI Amish Medical Board Commercial |
$3.74
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3.98
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$3.51
|
| Rate for Payer: PHP Commercial |
$3.98
|
| Rate for Payer: Priority Health SBD |
$2.95
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$3.04
|
| Rate for Payer: UHC Core |
$2.44
|
| Rate for Payer: UHC Exchange |
$1.84
|
| Rate for Payer: UMR Bronson Commercial |
$1.73
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$3.51
|
|
|
MECLIZINE 12.5 MG TABLET
|
Facility
|
OP
|
$4.12
|
|
|
Service Code
|
NDC 60687077511
|
| Hospital Charge Code |
12024
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$1.52 |
| Max. Negotiated Rate |
$3.71 |
| Rate for Payer: Aetna American Axle |
$2.68
|
| Rate for Payer: Aetna Commercial |
$3.50
|
| Rate for Payer: Aetna Medicare |
$2.06
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2.68
|
| Rate for Payer: BCBS Complete |
$1.65
|
| Rate for Payer: Cash Price |
$3.30
|
| Rate for Payer: Cofinity Advantage |
$2.88
|
| Rate for Payer: Cofinity Commercial |
$3.54
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3.30
|
| Rate for Payer: Healthscope Commercial |
$3.71
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$2.88
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$3.09
|
| Rate for Payer: MI Amish Medical Board Commercial |
$3.30
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3.50
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$3.09
|
| Rate for Payer: PHP Commercial |
$3.50
|
| Rate for Payer: Priority Health SBD |
$2.60
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2.68
|
| Rate for Payer: UHC Core |
$2.15
|
| Rate for Payer: UHC Exchange |
$1.62
|
| Rate for Payer: UMR Bronson Commercial |
$1.52
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$3.09
|
|
