|
PR RPR 1ST INGUN HRNA FULL TERM INFT <6 MO RDC
|
Professional
|
Both
|
$1,514.00
|
|
|
Service Code
|
HCPCS 49495
|
| Min. Negotiated Rate |
$265.82 |
| Max. Negotiated Rate |
$73,285.00 |
| Rate for Payer: Aetna Commercial |
$534.66
|
| Rate for Payer: Aetna Medicare |
$414.96
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$534.66
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$574.56
|
| Rate for Payer: BCBS Complete |
$279.11
|
| Rate for Payer: BCBS MAPPO |
$399.00
|
| Rate for Payer: BCBS Trust/PPO |
$878.03
|
| Rate for Payer: BCN Commercial |
$601.07
|
| Rate for Payer: BCN Medicare Advantage |
$399.00
|
| Rate for Payer: Cash Price |
$1,211.20
|
| Rate for Payer: Cash Price |
$1,211.20
|
| Rate for Payer: Cofinity Commercial |
$574.56
|
| Rate for Payer: Cofinity Commercial |
$534.66
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$399.00
|
| Rate for Payer: Healthscope Commercial |
$738.15
|
| Rate for Payer: Healthscope Commercial |
$638.40
|
| Rate for Payer: Mclaren Medicaid |
$265.82
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$418.95
|
| Rate for Payer: Meridian Medicaid |
$279.11
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$73,285.00
|
| Rate for Payer: Nomi Health Commercial |
$478.80
|
| Rate for Payer: PACE SWMI |
$399.00
|
| Rate for Payer: PHP Medicare Advantage |
$399.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$265.82
|
| Rate for Payer: Priority Health Cigna Priority Health |
$984.10
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$738.58
|
| Rate for Payer: Priority Health Medicare |
$399.00
|
| Rate for Payer: Priority Health Narrow Network |
$738.58
|
| Rate for Payer: Priority Health SBD |
$738.58
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$480.49
|
| Rate for Payer: UHC Dual Complete DSNP |
$399.00
|
| Rate for Payer: UHC Exchange |
$480.49
|
| Rate for Payer: UHC Medicare Advantage |
$399.00
|
| Rate for Payer: UHCCP Medicaid |
$265.82
|
|
|
PR RPR 1ST INGUN HRNA PRETERM INFT INCARCERATED
|
Professional
|
Both
|
$1,899.00
|
|
|
Service Code
|
HCPCS 49492
|
| Min. Negotiated Rate |
$619.62 |
| Max. Negotiated Rate |
$172,030.00 |
| Rate for Payer: Aetna Commercial |
$1,252.71
|
| Rate for Payer: Aetna Medicare |
$972.25
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,252.71
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,346.20
|
| Rate for Payer: BCBS Complete |
$650.60
|
| Rate for Payer: BCBS MAPPO |
$934.86
|
| Rate for Payer: BCBS Trust/PPO |
$1,280.07
|
| Rate for Payer: BCN Commercial |
$1,404.95
|
| Rate for Payer: BCN Medicare Advantage |
$934.86
|
| Rate for Payer: Cash Price |
$1,519.20
|
| Rate for Payer: Cash Price |
$1,519.20
|
| Rate for Payer: Cofinity Commercial |
$1,346.20
|
| Rate for Payer: Cofinity Commercial |
$1,252.71
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$934.86
|
| Rate for Payer: Healthscope Commercial |
$1,729.49
|
| Rate for Payer: Healthscope Commercial |
$1,495.78
|
| Rate for Payer: Mclaren Medicaid |
$619.62
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$981.60
|
| Rate for Payer: Meridian Medicaid |
$650.60
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$172,030.00
|
| Rate for Payer: Nomi Health Commercial |
$1,121.83
|
| Rate for Payer: PACE SWMI |
$934.86
|
| Rate for Payer: PHP Medicare Advantage |
$934.86
|
| Rate for Payer: Priority Health Choice Medicaid |
$619.62
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,234.35
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,725.95
|
| Rate for Payer: Priority Health Medicare |
$934.86
|
| Rate for Payer: Priority Health Narrow Network |
$1,725.95
|
| Rate for Payer: Priority Health SBD |
$1,725.95
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$938.63
|
| Rate for Payer: UHC Dual Complete DSNP |
$934.86
|
| Rate for Payer: UHC Exchange |
$938.63
|
| Rate for Payer: UHC Medicare Advantage |
$934.86
|
| Rate for Payer: UHCCP Medicaid |
$619.62
|
|
|
PR RPR 1ST INGUN HRNA PRETERM INFT RDC
|
Professional
|
Both
|
$1,665.00
|
|
|
Service Code
|
HCPCS 49491
|
| Min. Negotiated Rate |
$201.81 |
| Max. Negotiated Rate |
$143,114.00 |
| Rate for Payer: Aetna Commercial |
$1,041.61
|
| Rate for Payer: Aetna Medicare |
$808.41
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,041.61
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,119.34
|
| Rate for Payer: BCBS Complete |
$542.13
|
| Rate for Payer: BCBS MAPPO |
$777.32
|
| Rate for Payer: BCBS Trust/PPO |
$201.81
|
| Rate for Payer: BCN Commercial |
$1,170.87
|
| Rate for Payer: BCN Medicare Advantage |
$777.32
|
| Rate for Payer: Cash Price |
$1,332.00
|
| Rate for Payer: Cash Price |
$1,332.00
|
| Rate for Payer: Cofinity Commercial |
$1,119.34
|
| Rate for Payer: Cofinity Commercial |
$1,041.61
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$777.32
|
| Rate for Payer: Healthscope Commercial |
$1,438.04
|
| Rate for Payer: Healthscope Commercial |
$1,243.71
|
| Rate for Payer: Mclaren Medicaid |
$516.31
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$816.19
|
| Rate for Payer: Meridian Medicaid |
$542.13
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$143,114.00
|
| Rate for Payer: Nomi Health Commercial |
$932.78
|
| Rate for Payer: PACE SWMI |
$777.32
|
| Rate for Payer: PHP Medicare Advantage |
$777.32
|
| Rate for Payer: Priority Health Choice Medicaid |
$516.31
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,082.25
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,437.79
|
| Rate for Payer: Priority Health Medicare |
$777.32
|
| Rate for Payer: Priority Health Narrow Network |
$1,437.79
|
| Rate for Payer: Priority Health SBD |
$1,437.79
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$761.17
|
| Rate for Payer: UHC Dual Complete DSNP |
$777.32
|
| Rate for Payer: UHC Exchange |
$761.17
|
| Rate for Payer: UHC Medicare Advantage |
$777.32
|
| Rate for Payer: UHCCP Medicaid |
$516.31
|
|
|
PR RPR 1 TRANSVNS ELTRD PRM PM/PACING IMPLNTBL DFB
|
Professional
|
Both
|
$1,302.00
|
|
|
Service Code
|
HCPCS 33218
|
| Min. Negotiated Rate |
$246.02 |
| Max. Negotiated Rate |
$68,740.00 |
| Rate for Payer: Aetna Commercial |
$493.28
|
| Rate for Payer: Aetna Medicare |
$382.84
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$493.28
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$530.09
|
| Rate for Payer: BCBS Complete |
$258.32
|
| Rate for Payer: BCBS MAPPO |
$368.12
|
| Rate for Payer: BCBS Trust/PPO |
$1,067.17
|
| Rate for Payer: BCN Commercial |
$565.40
|
| Rate for Payer: BCN Medicare Advantage |
$368.12
|
| Rate for Payer: Cash Price |
$1,041.60
|
| Rate for Payer: Cash Price |
$1,041.60
|
| Rate for Payer: Cofinity Commercial |
$530.09
|
| Rate for Payer: Cofinity Commercial |
$493.28
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$368.12
|
| Rate for Payer: Healthscope Commercial |
$681.02
|
| Rate for Payer: Healthscope Commercial |
$588.99
|
| Rate for Payer: Mclaren Medicaid |
$246.02
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$386.53
|
| Rate for Payer: Meridian Medicaid |
$258.32
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$68,740.00
|
| Rate for Payer: Nomi Health Commercial |
$441.74
|
| Rate for Payer: PACE SWMI |
$368.12
|
| Rate for Payer: PHP Medicare Advantage |
$368.12
|
| Rate for Payer: Priority Health Choice Medicaid |
$246.02
|
| Rate for Payer: Priority Health Cigna Priority Health |
$846.30
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$612.66
|
| Rate for Payer: Priority Health Medicare |
$368.12
|
| Rate for Payer: Priority Health Narrow Network |
$612.66
|
| Rate for Payer: Priority Health SBD |
$612.66
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$490.25
|
| Rate for Payer: UHC Dual Complete DSNP |
$368.12
|
| Rate for Payer: UHC Exchange |
$490.25
|
| Rate for Payer: UHC Medicare Advantage |
$368.12
|
| Rate for Payer: UHCCP Medicaid |
$246.02
|
|
|
PR RPR 2 TRANSVNS ELECTRODES PRM PM/IMPLANTABLE DFB
|
Professional
|
Both
|
$1,332.00
|
|
|
Service Code
|
HCPCS 33220
|
| Min. Negotiated Rate |
$240.90 |
| Max. Negotiated Rate |
$66,434.00 |
| Rate for Payer: Aetna Commercial |
$484.80
|
| Rate for Payer: Aetna Medicare |
$376.26
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$484.80
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$520.98
|
| Rate for Payer: BCBS Complete |
$252.94
|
| Rate for Payer: BCBS MAPPO |
$361.79
|
| Rate for Payer: BCBS Trust/PPO |
$1,215.62
|
| Rate for Payer: BCN Commercial |
$544.39
|
| Rate for Payer: BCN Medicare Advantage |
$361.79
|
| Rate for Payer: Cash Price |
$1,065.60
|
| Rate for Payer: Cash Price |
$1,065.60
|
| Rate for Payer: Cofinity Commercial |
$520.98
|
| Rate for Payer: Cofinity Commercial |
$484.80
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$361.79
|
| Rate for Payer: Healthscope Commercial |
$669.31
|
| Rate for Payer: Healthscope Commercial |
$578.86
|
| Rate for Payer: Mclaren Medicaid |
$240.90
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$379.88
|
| Rate for Payer: Meridian Medicaid |
$252.94
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$66,434.00
|
| Rate for Payer: Nomi Health Commercial |
$434.15
|
| Rate for Payer: PACE SWMI |
$361.79
|
| Rate for Payer: PHP Medicare Advantage |
$361.79
|
| Rate for Payer: Priority Health Choice Medicaid |
$240.90
|
| Rate for Payer: Priority Health Cigna Priority Health |
$865.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$598.84
|
| Rate for Payer: Priority Health Medicare |
$361.79
|
| Rate for Payer: Priority Health Narrow Network |
$598.84
|
| Rate for Payer: Priority Health SBD |
$598.84
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$433.56
|
| Rate for Payer: UHC Dual Complete DSNP |
$361.79
|
| Rate for Payer: UHC Exchange |
$433.56
|
| Rate for Payer: UHC Medicare Advantage |
$361.79
|
| Rate for Payer: UHCCP Medicaid |
$240.90
|
|
|
PR RPR AA HERNIA 1ST > 10 CM NCRC8/STRANGULATED
|
Professional
|
Both
|
$1,565.00
|
|
|
Service Code
|
HCPCS 49596
|
| Min. Negotiated Rate |
$657.74 |
| Max. Negotiated Rate |
$184,057.00 |
| Rate for Payer: Aetna Commercial |
$1,343.73
|
| Rate for Payer: Aetna Medicare |
$1,042.89
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,343.73
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,444.00
|
| Rate for Payer: BCBS Complete |
$690.63
|
| Rate for Payer: BCBS MAPPO |
$1,002.78
|
| Rate for Payer: BCBS Trust/PPO |
$1,865.43
|
| Rate for Payer: BCN Commercial |
$1,490.47
|
| Rate for Payer: BCN Medicare Advantage |
$1,002.78
|
| Rate for Payer: Cash Price |
$1,252.00
|
| Rate for Payer: Cash Price |
$1,252.00
|
| Rate for Payer: Cofinity Commercial |
$1,444.00
|
| Rate for Payer: Cofinity Commercial |
$1,343.73
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,002.78
|
| Rate for Payer: Healthscope Commercial |
$1,604.45
|
| Rate for Payer: Healthscope Commercial |
$1,855.14
|
| Rate for Payer: Mclaren Medicaid |
$657.74
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,052.92
|
| Rate for Payer: Meridian Medicaid |
$690.63
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$184,057.00
|
| Rate for Payer: Nomi Health Commercial |
$1,203.34
|
| Rate for Payer: PACE SWMI |
$1,002.78
|
| Rate for Payer: PHP Medicare Advantage |
$1,002.78
|
| Rate for Payer: Priority Health Choice Medicaid |
$657.74
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,017.25
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,825.58
|
| Rate for Payer: Priority Health Medicare |
$1,002.78
|
| Rate for Payer: Priority Health Narrow Network |
$1,825.58
|
| Rate for Payer: Priority Health SBD |
$1,825.58
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,002.78
|
| Rate for Payer: UHC Medicare Advantage |
$1,002.78
|
| Rate for Payer: UHCCP Medicaid |
$657.74
|
|
|
PR RPR AA HERNIA 1ST > 10 CM REDUCIBLE
|
Professional
|
Both
|
$1,586.00
|
|
|
Service Code
|
HCPCS 49595
|
| Min. Negotiated Rate |
$495.44 |
| Max. Negotiated Rate |
$138,559.00 |
| Rate for Payer: Aetna Commercial |
$1,011.07
|
| Rate for Payer: Aetna Medicare |
$784.71
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,011.07
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,086.52
|
| Rate for Payer: BCBS Complete |
$520.21
|
| Rate for Payer: BCBS MAPPO |
$754.53
|
| Rate for Payer: BCBS Trust/PPO |
$1,212.98
|
| Rate for Payer: BCN Commercial |
$1,122.50
|
| Rate for Payer: BCN Medicare Advantage |
$754.53
|
| Rate for Payer: Cash Price |
$1,268.80
|
| Rate for Payer: Cash Price |
$1,268.80
|
| Rate for Payer: Cofinity Commercial |
$1,086.52
|
| Rate for Payer: Cofinity Commercial |
$1,011.07
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$754.53
|
| Rate for Payer: Healthscope Commercial |
$1,207.25
|
| Rate for Payer: Healthscope Commercial |
$1,395.88
|
| Rate for Payer: Mclaren Medicaid |
$495.44
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$792.26
|
| Rate for Payer: Meridian Medicaid |
$520.21
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$138,559.00
|
| Rate for Payer: Nomi Health Commercial |
$905.44
|
| Rate for Payer: PACE SWMI |
$754.53
|
| Rate for Payer: PHP Medicare Advantage |
$754.53
|
| Rate for Payer: Priority Health Choice Medicaid |
$495.44
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,030.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,376.34
|
| Rate for Payer: Priority Health Medicare |
$754.53
|
| Rate for Payer: Priority Health Narrow Network |
$1,376.34
|
| Rate for Payer: Priority Health SBD |
$1,376.34
|
| Rate for Payer: UHC Dual Complete DSNP |
$754.53
|
| Rate for Payer: UHC Medicare Advantage |
$754.53
|
| Rate for Payer: UHCCP Medicaid |
$495.44
|
|
|
PR RPR AA HERNIA 1ST 3-10 CM NCRC8/STRANGULATED
|
Professional
|
Both
|
$1,855.00
|
|
|
Service Code
|
HCPCS 49594
|
| Min. Negotiated Rate |
$477.97 |
| Max. Negotiated Rate |
$134,258.00 |
| Rate for Payer: Aetna Commercial |
$976.16
|
| Rate for Payer: Aetna Medicare |
$757.62
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,049.01
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$976.16
|
| Rate for Payer: BCBS Complete |
$501.87
|
| Rate for Payer: BCBS MAPPO |
$728.48
|
| Rate for Payer: BCBS Trust/PPO |
$2,889.80
|
| Rate for Payer: BCN Commercial |
$1,087.31
|
| Rate for Payer: BCN Medicare Advantage |
$728.48
|
| Rate for Payer: Cash Price |
$1,484.00
|
| Rate for Payer: Cash Price |
$1,484.00
|
| Rate for Payer: Cofinity Commercial |
$976.16
|
| Rate for Payer: Cofinity Commercial |
$1,049.01
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$728.48
|
| Rate for Payer: Healthscope Commercial |
$1,165.57
|
| Rate for Payer: Healthscope Commercial |
$1,347.69
|
| Rate for Payer: Mclaren Medicaid |
$477.97
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$764.90
|
| Rate for Payer: Meridian Medicaid |
$501.87
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$134,258.00
|
| Rate for Payer: Nomi Health Commercial |
$874.18
|
| Rate for Payer: PACE SWMI |
$728.48
|
| Rate for Payer: PHP Medicare Advantage |
$728.48
|
| Rate for Payer: Priority Health Choice Medicaid |
$477.97
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,205.75
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,331.60
|
| Rate for Payer: Priority Health Medicare |
$728.48
|
| Rate for Payer: Priority Health Narrow Network |
$1,331.60
|
| Rate for Payer: Priority Health SBD |
$1,331.60
|
| Rate for Payer: UHC Dual Complete DSNP |
$728.48
|
| Rate for Payer: UHC Medicare Advantage |
$728.48
|
| Rate for Payer: UHCCP Medicaid |
$477.97
|
|
|
PR RPR AA HERNIA 1ST 3-10 CM NCRC8/STRANGULATED
|
Professional
|
Both
|
$1,855.00
|
|
|
Service Code
|
HCPCS 49594
|
| Hospital Charge Code |
49594
|
| Min. Negotiated Rate |
$477.97 |
| Max. Negotiated Rate |
$134,258.00 |
| Rate for Payer: Aetna Commercial |
$976.16
|
| Rate for Payer: Aetna Medicare |
$757.62
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,049.01
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$976.16
|
| Rate for Payer: BCBS Complete |
$501.87
|
| Rate for Payer: BCBS MAPPO |
$728.48
|
| Rate for Payer: BCBS Trust/PPO |
$2,889.80
|
| Rate for Payer: BCN Commercial |
$1,087.31
|
| Rate for Payer: BCN Medicare Advantage |
$728.48
|
| Rate for Payer: Cash Price |
$1,484.00
|
| Rate for Payer: Cash Price |
$1,484.00
|
| Rate for Payer: Cofinity Commercial |
$976.16
|
| Rate for Payer: Cofinity Commercial |
$1,049.01
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$728.48
|
| Rate for Payer: Healthscope Commercial |
$1,165.57
|
| Rate for Payer: Healthscope Commercial |
$1,347.69
|
| Rate for Payer: Mclaren Medicaid |
$477.97
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$764.90
|
| Rate for Payer: Meridian Medicaid |
$501.87
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$134,258.00
|
| Rate for Payer: Nomi Health Commercial |
$874.18
|
| Rate for Payer: PACE SWMI |
$728.48
|
| Rate for Payer: PHP Medicare Advantage |
$728.48
|
| Rate for Payer: Priority Health Choice Medicaid |
$477.97
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,205.75
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,331.60
|
| Rate for Payer: Priority Health Medicare |
$728.48
|
| Rate for Payer: Priority Health Narrow Network |
$1,331.60
|
| Rate for Payer: Priority Health SBD |
$1,331.60
|
| Rate for Payer: UHC Dual Complete DSNP |
$728.48
|
| Rate for Payer: UHC Medicare Advantage |
$728.48
|
| Rate for Payer: UHCCP Medicaid |
$477.97
|
|
|
PR RPR AA HERNIA 1ST 3-10 CM NCRC8/STRANGULATED
|
Facility
|
OP
|
$1,855.00
|
|
|
Service Code
|
CPT 49594
|
| Hospital Charge Code |
49594
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$807.43 |
| Max. Negotiated Rate |
$17,966.53 |
| Rate for Payer: Aetna Commercial |
$1,576.75
|
| Rate for Payer: Aetna Medicare |
$5,945.05
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,205.75
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$7,145.49
|
| Rate for Payer: Amish Plain Church Group Commercial |
$7,145.49
|
| Rate for Payer: BCBS Complete |
$3,217.18
|
| Rate for Payer: BCBS MAPPO |
$5,716.39
|
| Rate for Payer: BCBS Trust/PPO |
$2,251.78
|
| Rate for Payer: BCN Commercial |
$2,251.78
|
| Rate for Payer: BCN Medicare Advantage |
$5,716.39
|
| Rate for Payer: Cash Price |
$1,484.00
|
| Rate for Payer: Cash Price |
$1,484.00
|
| Rate for Payer: Cash Price |
$1,484.00
|
| Rate for Payer: Cofinity Commercial |
$1,595.30
|
| Rate for Payer: Cofinity Commercial |
$1,298.50
|
| Rate for Payer: Cofinity Medicare Advantage |
$1,298.50
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,484.00
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$5,716.39
|
| Rate for Payer: Healthscope Commercial |
$1,669.50
|
| Rate for Payer: Mclaren Medicaid |
$3,063.99
|
| Rate for Payer: Mclaren Medicare |
$5,716.39
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$6,002.21
|
| Rate for Payer: Meridian Medicaid |
$3,217.18
|
| Rate for Payer: MI Amish Medical Board Commercial |
$6,573.85
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,576.75
|
| Rate for Payer: Nomi Health Commercial |
$12,004.42
|
| Rate for Payer: PACE Medicare |
$5,430.57
|
| Rate for Payer: PACE SWMI |
$5,716.39
|
| Rate for Payer: PHP Commercial |
$1,576.75
|
| Rate for Payer: PHP Medicare Advantage |
$5,716.39
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,063.99
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,205.75
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$17,966.53
|
| Rate for Payer: Priority Health Medicare |
$5,716.39
|
| Rate for Payer: Priority Health Narrow Network |
$14,373.22
|
| Rate for Payer: Priority Health SBD |
$1,168.65
|
| Rate for Payer: Railroad Medicare Medicare |
$5,716.39
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$807.43
|
| Rate for Payer: UHC Core |
$7,632.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$5,716.39
|
| Rate for Payer: UHC Medicare Advantage |
$5,716.39
|
| Rate for Payer: UHCCP Medicaid |
$3,218.33
|
| Rate for Payer: VA VA |
$5,716.39
|
|
|
PR RPR AA HERNIA 1ST 3-10 CM NCRC8/STRANGULATED
|
Facility
|
IP
|
$1,855.00
|
|
|
Service Code
|
CPT 49594
|
| Hospital Charge Code |
49594
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$1,168.65 |
| Max. Negotiated Rate |
$1,669.50 |
| Rate for Payer: Aetna Commercial |
$1,576.75
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,205.75
|
| Rate for Payer: Cash Price |
$1,484.00
|
| Rate for Payer: Cofinity Commercial |
$1,298.50
|
| Rate for Payer: Cofinity Commercial |
$1,595.30
|
| Rate for Payer: Cofinity Medicare Advantage |
$1,298.50
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,484.00
|
| Rate for Payer: Healthscope Commercial |
$1,669.50
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,576.75
|
| Rate for Payer: PHP Commercial |
$1,576.75
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,205.75
|
| Rate for Payer: Priority Health SBD |
$1,168.65
|
|
|
PR RPR AA HERNIA 1ST 3-10 CM REDUCIBLE
|
Facility
|
OP
|
$1,423.00
|
|
|
Service Code
|
CPT 49593
|
| Hospital Charge Code |
49593
|
| Min. Negotiated Rate |
$619.80 |
| Max. Negotiated Rate |
$19,214.90 |
| Rate for Payer: Aetna Commercial |
$1,209.55
|
| Rate for Payer: Aetna Medicare |
$6,358.12
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$924.95
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$7,641.98
|
| Rate for Payer: Amish Plain Church Group Commercial |
$7,641.98
|
| Rate for Payer: BCBS Complete |
$3,440.72
|
| Rate for Payer: BCBS MAPPO |
$6,113.58
|
| Rate for Payer: BCBS Trust/PPO |
$1,501.36
|
| Rate for Payer: BCN Commercial |
$1,501.36
|
| Rate for Payer: BCN Medicare Advantage |
$6,113.58
|
| Rate for Payer: Cash Price |
$1,138.40
|
| Rate for Payer: Cash Price |
$1,138.40
|
| Rate for Payer: Cash Price |
$1,138.40
|
| Rate for Payer: Cofinity Commercial |
$996.10
|
| Rate for Payer: Cofinity Commercial |
$1,223.78
|
| Rate for Payer: Cofinity Medicare Advantage |
$996.10
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,138.40
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$6,113.58
|
| Rate for Payer: Healthscope Commercial |
$1,280.70
|
| Rate for Payer: Mclaren Medicaid |
$3,276.88
|
| Rate for Payer: Mclaren Medicare |
$6,113.58
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$6,419.26
|
| Rate for Payer: Meridian Medicaid |
$3,440.72
|
| Rate for Payer: MI Amish Medical Board Commercial |
$7,030.62
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,209.55
|
| Rate for Payer: Nomi Health Commercial |
$12,838.52
|
| Rate for Payer: PACE Medicare |
$5,807.90
|
| Rate for Payer: PACE SWMI |
$6,113.58
|
| Rate for Payer: PHP Commercial |
$1,209.55
|
| Rate for Payer: PHP Medicare Advantage |
$6,113.58
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,276.88
|
| Rate for Payer: Priority Health Cigna Priority Health |
$924.95
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$19,214.90
|
| Rate for Payer: Priority Health Medicare |
$6,113.58
|
| Rate for Payer: Priority Health Narrow Network |
$15,371.92
|
| Rate for Payer: Priority Health SBD |
$896.49
|
| Rate for Payer: Railroad Medicare Medicare |
$6,113.58
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$619.80
|
| Rate for Payer: UHC Core |
$5,427.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$6,113.58
|
| Rate for Payer: UHC Medicare Advantage |
$6,113.58
|
| Rate for Payer: UHCCP Medicaid |
$3,441.95
|
| Rate for Payer: VA VA |
$6,113.58
|
|
|
PR RPR AA HERNIA 1ST 3-10 CM REDUCIBLE
|
Professional
|
Both
|
$1,423.00
|
|
|
Service Code
|
HCPCS 49593
|
| Hospital Charge Code |
49593
|
| Min. Negotiated Rate |
$367.43 |
| Max. Negotiated Rate |
$103,032.00 |
| Rate for Payer: Aetna Commercial |
$749.68
|
| Rate for Payer: Aetna Medicare |
$581.84
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$749.68
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$805.62
|
| Rate for Payer: BCBS Complete |
$385.80
|
| Rate for Payer: BCBS MAPPO |
$559.46
|
| Rate for Payer: BCBS Trust/PPO |
$2,206.18
|
| Rate for Payer: BCN Commercial |
$835.15
|
| Rate for Payer: BCN Medicare Advantage |
$559.46
|
| Rate for Payer: Cash Price |
$1,138.40
|
| Rate for Payer: Cash Price |
$1,138.40
|
| Rate for Payer: Cofinity Commercial |
$805.62
|
| Rate for Payer: Cofinity Commercial |
$749.68
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$559.46
|
| Rate for Payer: Healthscope Commercial |
$1,035.00
|
| Rate for Payer: Healthscope Commercial |
$895.14
|
| Rate for Payer: Mclaren Medicaid |
$367.43
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$587.43
|
| Rate for Payer: Meridian Medicaid |
$385.80
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$103,032.00
|
| Rate for Payer: Nomi Health Commercial |
$671.35
|
| Rate for Payer: PACE SWMI |
$559.46
|
| Rate for Payer: PHP Medicare Advantage |
$559.46
|
| Rate for Payer: Priority Health Choice Medicaid |
$367.43
|
| Rate for Payer: Priority Health Cigna Priority Health |
$924.95
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,023.16
|
| Rate for Payer: Priority Health Medicare |
$559.46
|
| Rate for Payer: Priority Health Narrow Network |
$1,023.16
|
| Rate for Payer: Priority Health SBD |
$1,023.16
|
| Rate for Payer: UHC Dual Complete DSNP |
$559.46
|
| Rate for Payer: UHC Medicare Advantage |
$559.46
|
| Rate for Payer: UHCCP Medicaid |
$367.43
|
|
|
PR RPR AA HERNIA 1ST 3-10 CM REDUCIBLE
|
Facility
|
IP
|
$1,423.00
|
|
|
Service Code
|
CPT 49593
|
| Hospital Charge Code |
49593
|
| Min. Negotiated Rate |
$896.49 |
| Max. Negotiated Rate |
$1,280.70 |
| Rate for Payer: Aetna Commercial |
$1,209.55
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$924.95
|
| Rate for Payer: Cash Price |
$1,138.40
|
| Rate for Payer: Cofinity Commercial |
$1,223.78
|
| Rate for Payer: Cofinity Commercial |
$996.10
|
| Rate for Payer: Cofinity Medicare Advantage |
$996.10
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,138.40
|
| Rate for Payer: Healthscope Commercial |
$1,280.70
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,209.55
|
| Rate for Payer: PHP Commercial |
$1,209.55
|
| Rate for Payer: Priority Health Cigna Priority Health |
$924.95
|
| Rate for Payer: Priority Health SBD |
$896.49
|
|
|
PR RPR AA HERNIA 1ST 3-10 CM REDUCIBLE
|
Professional
|
Both
|
$1,423.00
|
|
|
Service Code
|
HCPCS 49593
|
| Min. Negotiated Rate |
$367.43 |
| Max. Negotiated Rate |
$103,032.00 |
| Rate for Payer: Aetna Commercial |
$749.68
|
| Rate for Payer: Aetna Medicare |
$581.84
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$749.68
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$805.62
|
| Rate for Payer: BCBS Complete |
$385.80
|
| Rate for Payer: BCBS MAPPO |
$559.46
|
| Rate for Payer: BCBS Trust/PPO |
$2,206.18
|
| Rate for Payer: BCN Commercial |
$835.15
|
| Rate for Payer: BCN Medicare Advantage |
$559.46
|
| Rate for Payer: Cash Price |
$1,138.40
|
| Rate for Payer: Cash Price |
$1,138.40
|
| Rate for Payer: Cofinity Commercial |
$805.62
|
| Rate for Payer: Cofinity Commercial |
$749.68
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$559.46
|
| Rate for Payer: Healthscope Commercial |
$1,035.00
|
| Rate for Payer: Healthscope Commercial |
$895.14
|
| Rate for Payer: Mclaren Medicaid |
$367.43
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$587.43
|
| Rate for Payer: Meridian Medicaid |
$385.80
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$103,032.00
|
| Rate for Payer: Nomi Health Commercial |
$671.35
|
| Rate for Payer: PACE SWMI |
$559.46
|
| Rate for Payer: PHP Medicare Advantage |
$559.46
|
| Rate for Payer: Priority Health Choice Medicaid |
$367.43
|
| Rate for Payer: Priority Health Cigna Priority Health |
$924.95
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,023.16
|
| Rate for Payer: Priority Health Medicare |
$559.46
|
| Rate for Payer: Priority Health Narrow Network |
$1,023.16
|
| Rate for Payer: Priority Health SBD |
$1,023.16
|
| Rate for Payer: UHC Dual Complete DSNP |
$559.46
|
| Rate for Payer: UHC Medicare Advantage |
$559.46
|
| Rate for Payer: UHCCP Medicaid |
$367.43
|
|
|
PR RPR AA HERNIA 1ST < 3 CM NCRC8/STRANGULATED
|
Professional
|
Both
|
$1,182.00
|
|
|
Service Code
|
HCPCS 49592
|
| Hospital Charge Code |
49592
|
| Min. Negotiated Rate |
$305.44 |
| Max. Negotiated Rate |
$85,538.00 |
| Rate for Payer: Aetna Commercial |
$623.06
|
| Rate for Payer: Aetna Medicare |
$483.57
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$623.06
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$669.56
|
| Rate for Payer: BCBS Complete |
$320.71
|
| Rate for Payer: BCBS MAPPO |
$464.97
|
| Rate for Payer: BCBS Trust/PPO |
$2,151.77
|
| Rate for Payer: BCN Commercial |
$693.44
|
| Rate for Payer: BCN Medicare Advantage |
$464.97
|
| Rate for Payer: Cash Price |
$945.60
|
| Rate for Payer: Cash Price |
$945.60
|
| Rate for Payer: Cofinity Commercial |
$669.56
|
| Rate for Payer: Cofinity Commercial |
$623.06
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$464.97
|
| Rate for Payer: Healthscope Commercial |
$743.95
|
| Rate for Payer: Healthscope Commercial |
$860.19
|
| Rate for Payer: Mclaren Medicaid |
$305.44
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$488.22
|
| Rate for Payer: Meridian Medicaid |
$320.71
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$85,538.00
|
| Rate for Payer: Nomi Health Commercial |
$557.96
|
| Rate for Payer: PACE SWMI |
$464.97
|
| Rate for Payer: PHP Medicare Advantage |
$464.97
|
| Rate for Payer: Priority Health Choice Medicaid |
$305.44
|
| Rate for Payer: Priority Health Cigna Priority Health |
$768.30
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$849.54
|
| Rate for Payer: Priority Health Medicare |
$464.97
|
| Rate for Payer: Priority Health Narrow Network |
$849.54
|
| Rate for Payer: Priority Health SBD |
$849.54
|
| Rate for Payer: UHC Dual Complete DSNP |
$464.97
|
| Rate for Payer: UHC Medicare Advantage |
$464.97
|
| Rate for Payer: UHCCP Medicaid |
$305.44
|
|
|
PR RPR AA HERNIA 1ST < 3 CM NCRC8/STRANGULATED
|
Facility
|
IP
|
$1,182.00
|
|
|
Service Code
|
CPT 49592
|
| Hospital Charge Code |
49592
|
| Min. Negotiated Rate |
$744.66 |
| Max. Negotiated Rate |
$1,063.80 |
| Rate for Payer: Aetna Commercial |
$1,004.70
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$768.30
|
| Rate for Payer: Cash Price |
$945.60
|
| Rate for Payer: Cofinity Commercial |
$1,016.52
|
| Rate for Payer: Cofinity Commercial |
$827.40
|
| Rate for Payer: Cofinity Medicare Advantage |
$827.40
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$945.60
|
| Rate for Payer: Healthscope Commercial |
$1,063.80
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,004.70
|
| Rate for Payer: PHP Commercial |
$1,004.70
|
| Rate for Payer: Priority Health Cigna Priority Health |
$768.30
|
| Rate for Payer: Priority Health SBD |
$744.66
|
|
|
PR RPR AA HERNIA 1ST < 3 CM NCRC8/STRANGULATED
|
Professional
|
Both
|
$1,182.00
|
|
|
Service Code
|
HCPCS 49592
|
| Min. Negotiated Rate |
$305.44 |
| Max. Negotiated Rate |
$85,538.00 |
| Rate for Payer: Aetna Commercial |
$623.06
|
| Rate for Payer: Aetna Medicare |
$483.57
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$623.06
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$669.56
|
| Rate for Payer: BCBS Complete |
$320.71
|
| Rate for Payer: BCBS MAPPO |
$464.97
|
| Rate for Payer: BCBS Trust/PPO |
$2,151.77
|
| Rate for Payer: BCN Commercial |
$693.44
|
| Rate for Payer: BCN Medicare Advantage |
$464.97
|
| Rate for Payer: Cash Price |
$945.60
|
| Rate for Payer: Cash Price |
$945.60
|
| Rate for Payer: Cofinity Commercial |
$669.56
|
| Rate for Payer: Cofinity Commercial |
$623.06
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$464.97
|
| Rate for Payer: Healthscope Commercial |
$743.95
|
| Rate for Payer: Healthscope Commercial |
$860.19
|
| Rate for Payer: Mclaren Medicaid |
$305.44
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$488.22
|
| Rate for Payer: Meridian Medicaid |
$320.71
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$85,538.00
|
| Rate for Payer: Nomi Health Commercial |
$557.96
|
| Rate for Payer: PACE SWMI |
$464.97
|
| Rate for Payer: PHP Medicare Advantage |
$464.97
|
| Rate for Payer: Priority Health Choice Medicaid |
$305.44
|
| Rate for Payer: Priority Health Cigna Priority Health |
$768.30
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$849.54
|
| Rate for Payer: Priority Health Medicare |
$464.97
|
| Rate for Payer: Priority Health Narrow Network |
$849.54
|
| Rate for Payer: Priority Health SBD |
$849.54
|
| Rate for Payer: UHC Dual Complete DSNP |
$464.97
|
| Rate for Payer: UHC Medicare Advantage |
$464.97
|
| Rate for Payer: UHCCP Medicaid |
$305.44
|
|
|
PR RPR AA HERNIA 1ST < 3 CM NCRC8/STRANGULATED
|
Facility
|
OP
|
$1,182.00
|
|
|
Service Code
|
CPT 49592
|
| Hospital Charge Code |
49592
|
| Min. Negotiated Rate |
$514.48 |
| Max. Negotiated Rate |
$17,966.53 |
| Rate for Payer: Aetna Commercial |
$1,004.70
|
| Rate for Payer: Aetna Medicare |
$5,945.05
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$768.30
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$7,145.49
|
| Rate for Payer: Amish Plain Church Group Commercial |
$7,145.49
|
| Rate for Payer: BCBS Complete |
$3,217.18
|
| Rate for Payer: BCBS MAPPO |
$5,716.39
|
| Rate for Payer: BCBS Trust/PPO |
$2,251.78
|
| Rate for Payer: BCN Commercial |
$2,251.78
|
| Rate for Payer: BCN Medicare Advantage |
$5,716.39
|
| Rate for Payer: Cash Price |
$945.60
|
| Rate for Payer: Cash Price |
$945.60
|
| Rate for Payer: Cash Price |
$945.60
|
| Rate for Payer: Cofinity Commercial |
$827.40
|
| Rate for Payer: Cofinity Commercial |
$1,016.52
|
| Rate for Payer: Cofinity Medicare Advantage |
$827.40
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$945.60
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$5,716.39
|
| Rate for Payer: Healthscope Commercial |
$1,063.80
|
| Rate for Payer: Mclaren Medicaid |
$3,063.99
|
| Rate for Payer: Mclaren Medicare |
$5,716.39
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$6,002.21
|
| Rate for Payer: Meridian Medicaid |
$3,217.18
|
| Rate for Payer: MI Amish Medical Board Commercial |
$6,573.85
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,004.70
|
| Rate for Payer: Nomi Health Commercial |
$12,004.42
|
| Rate for Payer: PACE Medicare |
$5,430.57
|
| Rate for Payer: PACE SWMI |
$5,716.39
|
| Rate for Payer: PHP Commercial |
$1,004.70
|
| Rate for Payer: PHP Medicare Advantage |
$5,716.39
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,063.99
|
| Rate for Payer: Priority Health Cigna Priority Health |
$768.30
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$17,966.53
|
| Rate for Payer: Priority Health Medicare |
$5,716.39
|
| Rate for Payer: Priority Health Narrow Network |
$14,373.22
|
| Rate for Payer: Priority Health SBD |
$744.66
|
| Rate for Payer: Railroad Medicare Medicare |
$5,716.39
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$514.48
|
| Rate for Payer: UHC Core |
$7,632.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$5,716.39
|
| Rate for Payer: UHC Medicare Advantage |
$5,716.39
|
| Rate for Payer: UHCCP Medicaid |
$3,218.33
|
| Rate for Payer: VA VA |
$5,716.39
|
|
|
PR RPR AA HERNIA 1ST < 3 CM REDUCIBLE
|
Facility
|
IP
|
$869.00
|
|
|
Service Code
|
CPT 49591
|
| Hospital Charge Code |
49591
|
| Min. Negotiated Rate |
$547.47 |
| Max. Negotiated Rate |
$782.10 |
| Rate for Payer: Aetna Commercial |
$738.65
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$564.85
|
| Rate for Payer: Cash Price |
$695.20
|
| Rate for Payer: Cofinity Commercial |
$608.30
|
| Rate for Payer: Cofinity Commercial |
$747.34
|
| Rate for Payer: Cofinity Medicare Advantage |
$608.30
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$695.20
|
| Rate for Payer: Healthscope Commercial |
$782.10
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$738.65
|
| Rate for Payer: PHP Commercial |
$738.65
|
| Rate for Payer: Priority Health Cigna Priority Health |
$564.85
|
| Rate for Payer: Priority Health SBD |
$547.47
|
|
|
PR RPR AA HERNIA 1ST < 3 CM REDUCIBLE
|
Professional
|
Both
|
$869.00
|
|
|
Service Code
|
HCPCS 49591
|
| Min. Negotiated Rate |
$219.60 |
| Max. Negotiated Rate |
$61,375.00 |
| Rate for Payer: Aetna Commercial |
$446.80
|
| Rate for Payer: Aetna Medicare |
$346.77
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$446.80
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$480.14
|
| Rate for Payer: BCBS Complete |
$230.58
|
| Rate for Payer: BCBS MAPPO |
$333.43
|
| Rate for Payer: BCBS Trust/PPO |
$1,842.18
|
| Rate for Payer: BCN Commercial |
$498.45
|
| Rate for Payer: BCN Medicare Advantage |
$333.43
|
| Rate for Payer: Cash Price |
$695.20
|
| Rate for Payer: Cash Price |
$695.20
|
| Rate for Payer: Cofinity Commercial |
$480.14
|
| Rate for Payer: Cofinity Commercial |
$446.80
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$333.43
|
| Rate for Payer: Healthscope Commercial |
$533.49
|
| Rate for Payer: Healthscope Commercial |
$616.85
|
| Rate for Payer: Mclaren Medicaid |
$219.60
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$350.10
|
| Rate for Payer: Meridian Medicaid |
$230.58
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$61,375.00
|
| Rate for Payer: Nomi Health Commercial |
$400.12
|
| Rate for Payer: PACE SWMI |
$333.43
|
| Rate for Payer: PHP Medicare Advantage |
$333.43
|
| Rate for Payer: Priority Health Choice Medicaid |
$219.60
|
| Rate for Payer: Priority Health Cigna Priority Health |
$564.85
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$611.51
|
| Rate for Payer: Priority Health Medicare |
$333.43
|
| Rate for Payer: Priority Health Narrow Network |
$611.51
|
| Rate for Payer: Priority Health SBD |
$611.51
|
| Rate for Payer: UHC Dual Complete DSNP |
$333.43
|
| Rate for Payer: UHC Medicare Advantage |
$333.43
|
| Rate for Payer: UHCCP Medicaid |
$219.60
|
|
|
PR RPR AA HERNIA 1ST < 3 CM REDUCIBLE
|
Professional
|
Both
|
$869.00
|
|
|
Service Code
|
HCPCS 49591
|
| Hospital Charge Code |
49591
|
| Min. Negotiated Rate |
$219.60 |
| Max. Negotiated Rate |
$61,375.00 |
| Rate for Payer: Aetna Commercial |
$446.80
|
| Rate for Payer: Aetna Medicare |
$346.77
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$446.80
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$480.14
|
| Rate for Payer: BCBS Complete |
$230.58
|
| Rate for Payer: BCBS MAPPO |
$333.43
|
| Rate for Payer: BCBS Trust/PPO |
$1,842.18
|
| Rate for Payer: BCN Commercial |
$498.45
|
| Rate for Payer: BCN Medicare Advantage |
$333.43
|
| Rate for Payer: Cash Price |
$695.20
|
| Rate for Payer: Cash Price |
$695.20
|
| Rate for Payer: Cofinity Commercial |
$480.14
|
| Rate for Payer: Cofinity Commercial |
$446.80
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$333.43
|
| Rate for Payer: Healthscope Commercial |
$533.49
|
| Rate for Payer: Healthscope Commercial |
$616.85
|
| Rate for Payer: Mclaren Medicaid |
$219.60
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$350.10
|
| Rate for Payer: Meridian Medicaid |
$230.58
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$61,375.00
|
| Rate for Payer: Nomi Health Commercial |
$400.12
|
| Rate for Payer: PACE SWMI |
$333.43
|
| Rate for Payer: PHP Medicare Advantage |
$333.43
|
| Rate for Payer: Priority Health Choice Medicaid |
$219.60
|
| Rate for Payer: Priority Health Cigna Priority Health |
$564.85
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$611.51
|
| Rate for Payer: Priority Health Medicare |
$333.43
|
| Rate for Payer: Priority Health Narrow Network |
$611.51
|
| Rate for Payer: Priority Health SBD |
$611.51
|
| Rate for Payer: UHC Dual Complete DSNP |
$333.43
|
| Rate for Payer: UHC Medicare Advantage |
$333.43
|
| Rate for Payer: UHCCP Medicaid |
$219.60
|
|
|
PR RPR AA HERNIA 1ST < 3 CM REDUCIBLE
|
Facility
|
OP
|
$869.00
|
|
|
Service Code
|
CPT 49591
|
| Hospital Charge Code |
49591
|
| Min. Negotiated Rate |
$369.50 |
| Max. Negotiated Rate |
$10,867.50 |
| Rate for Payer: Aetna Commercial |
$738.65
|
| Rate for Payer: Aetna Medicare |
$3,596.01
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$564.85
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$4,322.12
|
| Rate for Payer: Amish Plain Church Group Commercial |
$4,322.12
|
| Rate for Payer: BCBS Complete |
$1,945.99
|
| Rate for Payer: BCBS MAPPO |
$3,457.70
|
| Rate for Payer: BCBS Trust/PPO |
$1,501.36
|
| Rate for Payer: BCN Commercial |
$1,501.36
|
| Rate for Payer: BCN Medicare Advantage |
$3,457.70
|
| Rate for Payer: Cash Price |
$695.20
|
| Rate for Payer: Cash Price |
$695.20
|
| Rate for Payer: Cash Price |
$695.20
|
| Rate for Payer: Cofinity Commercial |
$747.34
|
| Rate for Payer: Cofinity Commercial |
$608.30
|
| Rate for Payer: Cofinity Medicare Advantage |
$608.30
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$695.20
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$3,457.70
|
| Rate for Payer: Healthscope Commercial |
$782.10
|
| Rate for Payer: Mclaren Medicaid |
$1,853.33
|
| Rate for Payer: Mclaren Medicare |
$3,457.70
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$3,630.58
|
| Rate for Payer: Meridian Medicaid |
$1,945.99
|
| Rate for Payer: MI Amish Medical Board Commercial |
$3,976.36
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$738.65
|
| Rate for Payer: Nomi Health Commercial |
$7,261.17
|
| Rate for Payer: PACE Medicare |
$3,284.82
|
| Rate for Payer: PACE SWMI |
$3,457.70
|
| Rate for Payer: PHP Commercial |
$738.65
|
| Rate for Payer: PHP Medicare Advantage |
$3,457.70
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,853.33
|
| Rate for Payer: Priority Health Cigna Priority Health |
$564.85
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$10,867.50
|
| Rate for Payer: Priority Health Medicare |
$3,457.70
|
| Rate for Payer: Priority Health Narrow Network |
$8,694.00
|
| Rate for Payer: Priority Health SBD |
$547.47
|
| Rate for Payer: Railroad Medicare Medicare |
$3,457.70
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$369.50
|
| Rate for Payer: UHC Core |
$5,427.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$3,457.70
|
| Rate for Payer: UHC Medicare Advantage |
$3,457.70
|
| Rate for Payer: UHCCP Medicaid |
$1,946.69
|
| Rate for Payer: VA VA |
$3,457.70
|
|
|
PR RPR AA HERNIA RECR > 10 CM NCRC8/STRANGULATED
|
Professional
|
Both
|
$3,161.00
|
|
|
Service Code
|
HCPCS 49618
|
| Min. Negotiated Rate |
$797.26 |
| Max. Negotiated Rate |
$223,112.00 |
| Rate for Payer: Aetna Commercial |
$1,629.15
|
| Rate for Payer: Aetna Medicare |
$1,264.41
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,629.15
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,750.72
|
| Rate for Payer: BCBS Complete |
$837.12
|
| Rate for Payer: BCBS MAPPO |
$1,215.78
|
| Rate for Payer: BCBS Trust/PPO |
$2,982.78
|
| Rate for Payer: BCN Commercial |
$1,806.16
|
| Rate for Payer: BCN Medicare Advantage |
$1,215.78
|
| Rate for Payer: Cash Price |
$2,528.80
|
| Rate for Payer: Cash Price |
$2,528.80
|
| Rate for Payer: Cofinity Commercial |
$1,750.72
|
| Rate for Payer: Cofinity Commercial |
$1,629.15
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,215.78
|
| Rate for Payer: Healthscope Commercial |
$1,945.25
|
| Rate for Payer: Healthscope Commercial |
$2,249.19
|
| Rate for Payer: Mclaren Medicaid |
$797.26
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,276.57
|
| Rate for Payer: Meridian Medicaid |
$837.12
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$223,112.00
|
| Rate for Payer: Nomi Health Commercial |
$1,458.94
|
| Rate for Payer: PACE SWMI |
$1,215.78
|
| Rate for Payer: PHP Medicare Advantage |
$1,215.78
|
| Rate for Payer: Priority Health Choice Medicaid |
$797.26
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,054.65
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,212.17
|
| Rate for Payer: Priority Health Medicare |
$1,215.78
|
| Rate for Payer: Priority Health Narrow Network |
$2,212.17
|
| Rate for Payer: Priority Health SBD |
$2,212.17
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,215.78
|
| Rate for Payer: UHC Medicare Advantage |
$1,215.78
|
| Rate for Payer: UHCCP Medicaid |
$797.26
|
|
|
PR RPR AA HERNIA RECR > 10 CM REDUCIBLE
|
Professional
|
Both
|
$1,848.00
|
|
|
Service Code
|
HCPCS 49617
|
| Min. Negotiated Rate |
$569.14 |
| Max. Negotiated Rate |
$159,095.00 |
| Rate for Payer: Aetna Commercial |
$1,161.10
|
| Rate for Payer: Aetna Medicare |
$901.15
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,161.10
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,247.75
|
| Rate for Payer: BCBS Complete |
$597.60
|
| Rate for Payer: BCBS MAPPO |
$866.49
|
| Rate for Payer: BCBS Trust/PPO |
$1,505.13
|
| Rate for Payer: BCN Commercial |
$1,289.14
|
| Rate for Payer: BCN Medicare Advantage |
$866.49
|
| Rate for Payer: Cash Price |
$1,478.40
|
| Rate for Payer: Cash Price |
$1,478.40
|
| Rate for Payer: Cofinity Commercial |
$1,247.75
|
| Rate for Payer: Cofinity Commercial |
$1,161.10
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$866.49
|
| Rate for Payer: Healthscope Commercial |
$1,386.38
|
| Rate for Payer: Healthscope Commercial |
$1,603.01
|
| Rate for Payer: Mclaren Medicaid |
$569.14
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$909.81
|
| Rate for Payer: Meridian Medicaid |
$597.60
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$159,095.00
|
| Rate for Payer: Nomi Health Commercial |
$1,039.79
|
| Rate for Payer: PACE SWMI |
$866.49
|
| Rate for Payer: PHP Medicare Advantage |
$866.49
|
| Rate for Payer: Priority Health Choice Medicaid |
$569.14
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,201.20
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,579.18
|
| Rate for Payer: Priority Health Medicare |
$866.49
|
| Rate for Payer: Priority Health Narrow Network |
$1,579.18
|
| Rate for Payer: Priority Health SBD |
$1,579.18
|
| Rate for Payer: UHC Dual Complete DSNP |
$866.49
|
| Rate for Payer: UHC Medicare Advantage |
$866.49
|
| Rate for Payer: UHCCP Medicaid |
$569.14
|
|
