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Critical Access HospitalVoluntary Non-Profit - Private

Spectrum Health Kelsey Hospital

Corewell Health · Lakeview, MI

418 Washington St, Lakeview, MI 48850(989) 352-7211

43

Beds

$11.3M

Net patient revenue a year

18

In-network payers

About this hospital

Spectrum Health Kelsey Hospital is a 43-bed voluntary non-profit - private hospital in Lakeview, MI, affiliated with Corewell Health. Below you'll find publicly disclosed negotiated rates and facility details, including 18 in-network payers and 142 disclosed rate categories.

CCN
231317
NPI
1538102173
Health system
Corewell Health
Medicare contractor
Jurisdiction 8, WPS Government Health Administrators (08001)

Negotiated Rates

The data below comes from CMS-mandated price transparency data. Learn more.

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PayerCategoryCode Type & GroupContract Typevs. State Average

Aetna

Outpatient

CPT Anesthesia

Range: 00100 - 01999

Percentage of Bill Charged

-

Aetna

Outpatient

CPT Category III Codes

Range: 0042T - 0810T

Negotiated

Very Low

Aetna

Outpatient

CPT Category III Codes

Range: 0042T - 0810T

Percentage of Bill Charged

-

Aetna

Outpatient

CPT Evaluation and Management

Range: 99091 - 99499

Negotiated

Very Low

Aetna

Outpatient

CPT Evaluation and Management

Range: 99091 - 99499

Percentage of Bill Charged

-

Aetna

Outpatient

CPT Medicine Services and Procedures

Range: 90281 - 99607

Negotiated

Very Low

Aetna

Outpatient

CPT Medicine Services and Procedures

Range: 90281 - 99607

Percentage of Bill Charged

-

Aetna

Outpatient

CPT Multianalyte Assay

Range: 0002M - 0018M

Negotiated

Very Low

Aetna

Outpatient

CPT Pathology and Laboratory Procedures

Range: 80047 - 89398

Negotiated

Very Low

Aetna

Outpatient

CPT Pathology and Laboratory Procedures

Range: 80047 - 89398

Percentage of Bill Charged

-

Rates shown are negotiated amounts between this hospital and insurance providers. Actual patient costs depend on your insurance plan and coverage details.

...

Insurance Accepted

Acceptance varies by plan and service. Confirm coverage with your insurer or the hospital's billing department.

Medicare
Aetna
BCBS
Cigna
United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health)
Aspirus Health PlanBanner HealthCenteneEMI HealthHealth AllianceHealth Alliance HAP

More about this hospital

Tax IDs and NPIs insurers list

The employer identification numbers (EINs) health plans and networks list for Spectrum Health Kelsey Hospital in the in-network rate files they publish, with the organization NPIs billed under each.

Tax ID (EIN)Plans and networks listing itOrganization NPIs
38-1297435Spectrum Health Kelsey36Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Ambetter, Aspirus Health Plan and 31 more1538102173 Spectrum Health Kelsey1619162617 Spectrum Health Kelsey1730466822 Spectrum Health Kelseyand 4 more

Source: PayerPrice analysis of insurers' Transparency in Coverage in-network files. An EIN can cover several hospitals and clinics in a health system, and insurers sometimes list other organizations' NPIs under it.

Location

418 Washington St, Lakeview, MI 48850

(989) 352-7211

Get directions

Frequently asked questions

About Spectrum Health Kelsey Hospital's rates and hospital price transparency.

How many employees does Spectrum Health Kelsey Hospital have?

Spectrum Health Kelsey Hospital reported 48 full-time-equivalent employees on payroll from Jan 1, 2023 to Oct 6, 2023.

How much revenue does Spectrum Health Kelsey Hospital make?

Spectrum Health Kelsey Hospital reported $11.3M in net patient revenue on $23M of gross charges for Jan 1, 2023 to Oct 6, 2023, an operating margin of -19.5%, and net income of -$2.3M.

How much charity and uncompensated care does Spectrum Health Kelsey Hospital provide?

Spectrum Health Kelsey Hospital reported $2.5M of unreimbursed and uncompensated care for Jan 1, 2023 to Oct 6, 2023, including $152,952 of charity care at cost.

What is Spectrum Health Kelsey Hospital's tax ID (EIN)?

Insurers' price transparency files list Spectrum Health Kelsey Hospital under employer identification number 38-1297435 (Spectrum Health Kelsey). 36 health plans and networks list 38-1297435 for it.

Does Spectrum Health Kelsey Hospital participate in the 340B drug pricing program?

HRSA's 340B database lists Spectrum Health Kelsey Hospital (340B ID CAH231317-00) as no longer participating since 2020.

What services does Spectrum Health Kelsey Hospital offer?

CMS lists 14 services at Spectrum Health Kelsey Hospital, including CARF Inpatient Rehabilitation (Commission On Accreditation Of Rehabilitation Facilities Inpatient Rehabilitation), Clinical Laboratory, CT Scan, Diagnostic Radiology, Dietary Care, Emergency Department.

How many beds does Spectrum Health Kelsey Hospital have?

Spectrum Health Kelsey Hospital has 43 beds, including its psychiatric, rehabilitation and other subprovider units, in its latest Medicare cost report. Facility type: Critical Access Hospital.

Where is Spectrum Health Kelsey Hospital and what is its phone number?

Spectrum Health Kelsey Hospital is located at 418 Washington St, Lakeview, MI 48850. Its main phone number is (989) 352-7211.

What is Spectrum Health Kelsey Hospital's CCN (Medicare provider number)?

Spectrum Health Kelsey Hospital's CMS Certification Number (CCN), also called its Medicare provider number, is 231317.

What is Spectrum Health Kelsey Hospital's NPI number?

The National Provider Identifier (NPI) on file for Spectrum Health Kelsey Hospital is 1538102173.

For hospital finance and compliance teams

Running price transparency at a hospital like this one?

The data on this page comes from the files hospitals and payers publish. We help hospitals publish theirs correctly, and take a fresh look at their chargemaster.

Compliance MRF

Publish a CMS-compliant machine-readable file

We turn your chargemaster and payer contracts into the CMS template file, then keep it current as rates change.

CMS v3 example: standard_charge_information[0]
{
  "description": "MRI of brain (no contrast)",
  "code_information": [
    { "code": "611", "type": "RC" },
    { "code": "70551", "type": "CPT" }
  ],
  "standard_charges": [{
    "setting": "outpatient",
    "minimum": 250,
    "maximum": 400,
    "gross_charge": 1200,
    "discounted_cash": 1080,
    "payers_information": [
      {
        "payer_name": "Platform Health Insurance",
        "plan_name": "PPO",
        "methodology": "fee schedule",
        "standard_charge_dollar": 400
      },
      {
        "payer_name": "Region Health Insurance",
        "plan_name": "HMO",
        "methodology": "fee schedule",
        "standard_charge_dollar": 250
      }
    ]
  }]
}
  • CMS template layout, in JSON or CSV
  • Gross, discounted cash, payer-specific and de-identified min / max charges
  • cms-hpt.txt file and homepage footer link
  • Refreshed when your contracts change
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Chargemaster analysis

Get your chargemaster right for billing and payer contracts

Your chargemaster sets the gross charge on every claim, and many payer contracts base payment on it through percent-of-charge, lesser-of and stop-loss terms. We audit it line by line and show how your charges and negotiated rates compare with peer hospitals before your next negotiation.

What a review covers

CodingPricingPayer contractsCompliance
  • CPT, HCPCS, revenue code and modifier errors flagged line by line
  • Missing, duplicate and outdated charge lines identified
  • Charges set below payer allowables caught before lesser-of clauses cut payment
  • Revenue impact of charge changes modeled across percent-of-charge and stop-loss terms
  • Your negotiated rates benchmarked against peer hospitals for the same payers
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