|
HC ARTHROCENTESIS
|
Facility
|
IP
|
$385.45
|
|
| Hospital Charge Code |
45000030
|
|
Hospital Revenue Code
|
450
|
| Min. Negotiated Rate |
$242.83 |
| Max. Negotiated Rate |
$346.90 |
| Rate for Payer: Aetna Commercial |
$327.63
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$250.54
|
| Rate for Payer: Cash Price |
$308.36
|
| Rate for Payer: Cofinity Advantage |
$269.81
|
| Rate for Payer: Cofinity Commercial |
$331.49
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$308.36
|
| Rate for Payer: Healthscope Commercial |
$346.90
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$327.63
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$289.09
|
| Rate for Payer: PHP Commercial |
$327.63
|
| Rate for Payer: Priority Health SBD |
$242.83
|
|
|
HC ARTHROCENTESIS
|
Facility
|
OP
|
$385.45
|
|
| Hospital Charge Code |
45000030
|
|
Hospital Revenue Code
|
450
|
| Min. Negotiated Rate |
$144.00 |
| Max. Negotiated Rate |
$346.90 |
| Rate for Payer: Aetna Commercial |
$327.63
|
| Rate for Payer: Aetna Medicare |
$192.72
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$250.54
|
| Rate for Payer: BCBS Complete |
$154.18
|
| Rate for Payer: Cash Price |
$308.36
|
| Rate for Payer: Cash Price |
$308.36
|
| Rate for Payer: Cofinity Advantage |
$269.81
|
| Rate for Payer: Cofinity Commercial |
$331.49
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$308.36
|
| Rate for Payer: Healthscope Commercial |
$346.90
|
| Rate for Payer: MI Amish Medical Board Commercial |
$308.36
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$327.63
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$289.09
|
| Rate for Payer: PHP Commercial |
$327.63
|
| Rate for Payer: Priority Health SBD |
$242.83
|
| Rate for Payer: UHCCP Medicaid |
$144.00
|
|
|
HC ARTHROCENTESIS INTERMED JT
|
Facility
|
IP
|
$347.15
|
|
|
Service Code
|
CPT 20605
|
| Hospital Charge Code |
36100024
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$218.70 |
| Max. Negotiated Rate |
$312.44 |
| Rate for Payer: Aetna Commercial |
$295.08
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$225.65
|
| Rate for Payer: Cash Price |
$277.72
|
| Rate for Payer: Cofinity Advantage |
$243.00
|
| Rate for Payer: Cofinity Commercial |
$298.55
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$277.72
|
| Rate for Payer: Healthscope Commercial |
$312.44
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$295.08
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$260.36
|
| Rate for Payer: PHP Commercial |
$295.08
|
| Rate for Payer: Priority Health SBD |
$218.70
|
|
|
HC ARTHROCENTESIS INTERMED JT
|
Facility
|
OP
|
$347.15
|
|
|
Service Code
|
CPT 20605
|
| Hospital Charge Code |
36100024
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$136.43 |
| Max. Negotiated Rate |
$989.08 |
| Rate for Payer: Aetna Commercial |
$295.08
|
| Rate for Payer: Aetna Medicare |
$318.08
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$225.65
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$382.31
|
| Rate for Payer: Amish Plain Church Group Commercial |
$382.31
|
| Rate for Payer: BCBS Complete |
$167.97
|
| Rate for Payer: BCBS MAPPO |
$305.85
|
| Rate for Payer: BCBS Trust/PPO |
$224.17
|
| Rate for Payer: BCN Commercial |
$224.17
|
| Rate for Payer: BCN Medicare Advantage |
$305.85
|
| Rate for Payer: Cash Price |
$277.72
|
| Rate for Payer: Cash Price |
$277.72
|
| Rate for Payer: Cash Price |
$277.72
|
| Rate for Payer: Cofinity Advantage |
$243.00
|
| Rate for Payer: Cofinity Commercial |
$298.55
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$277.72
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$305.85
|
| Rate for Payer: Healthscope Commercial |
$312.44
|
| Rate for Payer: Mclaren Medicaid |
$159.96
|
| Rate for Payer: Mclaren Medicare |
$305.85
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$321.14
|
| Rate for Payer: Meridian Medicaid |
$321.14
|
| Rate for Payer: MI Amish Medical Board Commercial |
$351.73
|
| Rate for Payer: Molina Medicare/Medicaid |
$336.44
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$295.08
|
| Rate for Payer: Nomi Health Commercial |
$917.55
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$260.36
|
| Rate for Payer: PACE Medicare |
$290.56
|
| Rate for Payer: PACE SWMI |
$305.85
|
| Rate for Payer: PHP Commercial |
$295.08
|
| Rate for Payer: PHP Medicare Advantage |
$305.85
|
| Rate for Payer: Priority Health Choice Medicaid |
$159.96
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$989.08
|
| Rate for Payer: Priority Health Medicare |
$305.85
|
| Rate for Payer: Priority Health SBD |
$218.70
|
| Rate for Payer: Priority Health Tiered Network |
$791.26
|
| Rate for Payer: Railroad Medicare Medicare |
$305.85
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$225.65
|
| Rate for Payer: UHC Core |
$180.87
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$305.85
|
| Rate for Payer: UHC Exchange |
$136.43
|
| Rate for Payer: UHC Medicaid |
$159.96
|
| Rate for Payer: UHCCP Medicaid |
$159.96
|
| Rate for Payer: VA VA |
$305.85
|
|
|
HC ARTHROCENTESIS INTERMED JT BIL
|
Facility
|
OP
|
$446.38
|
|
|
Service Code
|
CPT 20605
|
| Hospital Charge Code |
36100025
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$159.96 |
| Max. Negotiated Rate |
$989.08 |
| Rate for Payer: Aetna Commercial |
$379.42
|
| Rate for Payer: Aetna Medicare |
$318.08
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$290.15
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$382.31
|
| Rate for Payer: Amish Plain Church Group Commercial |
$382.31
|
| Rate for Payer: BCBS Complete |
$167.97
|
| Rate for Payer: BCBS MAPPO |
$305.85
|
| Rate for Payer: BCBS Trust/PPO |
$224.17
|
| Rate for Payer: BCN Commercial |
$224.17
|
| Rate for Payer: BCN Medicare Advantage |
$305.85
|
| Rate for Payer: Cash Price |
$357.10
|
| Rate for Payer: Cash Price |
$357.10
|
| Rate for Payer: Cash Price |
$357.10
|
| Rate for Payer: Cofinity Advantage |
$312.47
|
| Rate for Payer: Cofinity Commercial |
$383.89
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$357.10
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$305.85
|
| Rate for Payer: Healthscope Commercial |
$401.74
|
| Rate for Payer: Mclaren Medicaid |
$159.96
|
| Rate for Payer: Mclaren Medicare |
$305.85
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$321.14
|
| Rate for Payer: Meridian Medicaid |
$321.14
|
| Rate for Payer: MI Amish Medical Board Commercial |
$351.73
|
| Rate for Payer: Molina Medicare/Medicaid |
$336.44
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$379.42
|
| Rate for Payer: Nomi Health Commercial |
$917.55
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$334.79
|
| Rate for Payer: PACE Medicare |
$290.56
|
| Rate for Payer: PACE SWMI |
$305.85
|
| Rate for Payer: PHP Commercial |
$379.42
|
| Rate for Payer: PHP Medicare Advantage |
$305.85
|
| Rate for Payer: Priority Health Choice Medicaid |
$159.96
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$989.08
|
| Rate for Payer: Priority Health Medicare |
$305.85
|
| Rate for Payer: Priority Health SBD |
$281.22
|
| Rate for Payer: Priority Health Tiered Network |
$791.26
|
| Rate for Payer: Railroad Medicare Medicare |
$305.85
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$290.15
|
| Rate for Payer: UHC Core |
$232.56
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$305.85
|
| Rate for Payer: UHC Exchange |
$175.43
|
| Rate for Payer: UHC Medicaid |
$159.96
|
| Rate for Payer: UHCCP Medicaid |
$159.96
|
| Rate for Payer: VA VA |
$305.85
|
|
|
HC ARTHROCENTESIS INTERMED JT BIL
|
Facility
|
IP
|
$446.38
|
|
|
Service Code
|
CPT 20605
|
| Hospital Charge Code |
36100025
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$281.22 |
| Max. Negotiated Rate |
$401.74 |
| Rate for Payer: Aetna Commercial |
$379.42
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$290.15
|
| Rate for Payer: Cash Price |
$357.10
|
| Rate for Payer: Cofinity Advantage |
$312.47
|
| Rate for Payer: Cofinity Commercial |
$383.89
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$357.10
|
| Rate for Payer: Healthscope Commercial |
$401.74
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$379.42
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$334.79
|
| Rate for Payer: PHP Commercial |
$379.42
|
| Rate for Payer: Priority Health SBD |
$281.22
|
|
|
HC ARTHROCENTESIS INTERMED JT BIL W US GUIDE
|
Facility
|
OP
|
$1,492.44
|
|
|
Service Code
|
CPT 20606
|
| Hospital Charge Code |
36100457
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$367.85 |
| Max. Negotiated Rate |
$2,274.56 |
| Rate for Payer: Aetna Commercial |
$1,268.57
|
| Rate for Payer: Aetna Medicare |
$731.47
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$970.09
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$879.17
|
| Rate for Payer: Amish Plain Church Group Commercial |
$879.17
|
| Rate for Payer: BCBS Complete |
$386.27
|
| Rate for Payer: BCBS MAPPO |
$703.34
|
| Rate for Payer: BCBS Trust/PPO |
$531.26
|
| Rate for Payer: BCN Commercial |
$531.26
|
| Rate for Payer: BCN Medicare Advantage |
$703.34
|
| Rate for Payer: Cash Price |
$1,193.95
|
| Rate for Payer: Cash Price |
$1,193.95
|
| Rate for Payer: Cash Price |
$1,193.95
|
| Rate for Payer: Cofinity Advantage |
$1,044.71
|
| Rate for Payer: Cofinity Commercial |
$1,283.50
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,193.95
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$703.34
|
| Rate for Payer: Healthscope Commercial |
$1,343.20
|
| Rate for Payer: Mclaren Medicaid |
$367.85
|
| Rate for Payer: Mclaren Medicare |
$703.34
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$738.51
|
| Rate for Payer: Meridian Medicaid |
$738.51
|
| Rate for Payer: MI Amish Medical Board Commercial |
$808.84
|
| Rate for Payer: Molina Medicare/Medicaid |
$773.67
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,268.57
|
| Rate for Payer: Nomi Health Commercial |
$2,110.02
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,119.33
|
| Rate for Payer: PACE Medicare |
$668.17
|
| Rate for Payer: PACE SWMI |
$703.34
|
| Rate for Payer: PHP Commercial |
$1,268.57
|
| Rate for Payer: PHP Medicare Advantage |
$703.34
|
| Rate for Payer: Priority Health Choice Medicaid |
$367.85
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$2,274.56
|
| Rate for Payer: Priority Health Medicare |
$703.34
|
| Rate for Payer: Priority Health SBD |
$940.24
|
| Rate for Payer: Priority Health Tiered Network |
$1,819.65
|
| Rate for Payer: Railroad Medicare Medicare |
$703.34
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$970.09
|
| Rate for Payer: UHC Core |
$777.56
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$703.34
|
| Rate for Payer: UHC Exchange |
$586.53
|
| Rate for Payer: UHC Medicaid |
$367.85
|
| Rate for Payer: UHCCP Medicaid |
$367.85
|
| Rate for Payer: VA VA |
$703.34
|
|
|
HC ARTHROCENTESIS INTERMED JT BIL W US GUIDE
|
Facility
|
IP
|
$1,492.44
|
|
|
Service Code
|
CPT 20606
|
| Hospital Charge Code |
36100457
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$940.24 |
| Max. Negotiated Rate |
$1,343.20 |
| Rate for Payer: Aetna Commercial |
$1,268.57
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$970.09
|
| Rate for Payer: Cash Price |
$1,193.95
|
| Rate for Payer: Cofinity Advantage |
$1,044.71
|
| Rate for Payer: Cofinity Commercial |
$1,283.50
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,193.95
|
| Rate for Payer: Healthscope Commercial |
$1,343.20
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,268.57
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,119.33
|
| Rate for Payer: PHP Commercial |
$1,268.57
|
| Rate for Payer: Priority Health SBD |
$940.24
|
|
|
HC ARTHROCENTESIS INTERMED JT W US GUIDE
|
Facility
|
IP
|
$1,106.41
|
|
|
Service Code
|
CPT 20606
|
| Hospital Charge Code |
36100456
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$697.04 |
| Max. Negotiated Rate |
$995.77 |
| Rate for Payer: Aetna Commercial |
$940.45
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$719.17
|
| Rate for Payer: Cash Price |
$885.13
|
| Rate for Payer: Cofinity Advantage |
$774.49
|
| Rate for Payer: Cofinity Commercial |
$951.51
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$885.13
|
| Rate for Payer: Healthscope Commercial |
$995.77
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$940.45
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$829.81
|
| Rate for Payer: PHP Commercial |
$940.45
|
| Rate for Payer: Priority Health SBD |
$697.04
|
|
|
HC ARTHROCENTESIS INTERMED JT W US GUIDE
|
Facility
|
OP
|
$1,106.41
|
|
|
Service Code
|
CPT 20606
|
| Hospital Charge Code |
36100456
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$367.85 |
| Max. Negotiated Rate |
$2,274.56 |
| Rate for Payer: Aetna Commercial |
$940.45
|
| Rate for Payer: Aetna Medicare |
$731.47
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$719.17
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$879.17
|
| Rate for Payer: Amish Plain Church Group Commercial |
$879.17
|
| Rate for Payer: BCBS Complete |
$386.27
|
| Rate for Payer: BCBS MAPPO |
$703.34
|
| Rate for Payer: BCBS Trust/PPO |
$531.26
|
| Rate for Payer: BCN Commercial |
$531.26
|
| Rate for Payer: BCN Medicare Advantage |
$703.34
|
| Rate for Payer: Cash Price |
$885.13
|
| Rate for Payer: Cash Price |
$885.13
|
| Rate for Payer: Cash Price |
$885.13
|
| Rate for Payer: Cofinity Advantage |
$774.49
|
| Rate for Payer: Cofinity Commercial |
$951.51
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$885.13
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$703.34
|
| Rate for Payer: Healthscope Commercial |
$995.77
|
| Rate for Payer: Mclaren Medicaid |
$367.85
|
| Rate for Payer: Mclaren Medicare |
$703.34
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$738.51
|
| Rate for Payer: Meridian Medicaid |
$738.51
|
| Rate for Payer: MI Amish Medical Board Commercial |
$808.84
|
| Rate for Payer: Molina Medicare/Medicaid |
$773.67
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$940.45
|
| Rate for Payer: Nomi Health Commercial |
$2,110.02
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$829.81
|
| Rate for Payer: PACE Medicare |
$668.17
|
| Rate for Payer: PACE SWMI |
$703.34
|
| Rate for Payer: PHP Commercial |
$940.45
|
| Rate for Payer: PHP Medicare Advantage |
$703.34
|
| Rate for Payer: Priority Health Choice Medicaid |
$367.85
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$2,274.56
|
| Rate for Payer: Priority Health Medicare |
$703.34
|
| Rate for Payer: Priority Health SBD |
$697.04
|
| Rate for Payer: Priority Health Tiered Network |
$1,819.65
|
| Rate for Payer: Railroad Medicare Medicare |
$703.34
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$719.17
|
| Rate for Payer: UHC Core |
$576.44
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$703.34
|
| Rate for Payer: UHC Exchange |
$434.82
|
| Rate for Payer: UHC Medicaid |
$367.85
|
| Rate for Payer: UHCCP Medicaid |
$367.85
|
| Rate for Payer: VA VA |
$703.34
|
|
|
HC ARTHROCENTESIS MAJOR JOINT
|
Facility
|
OP
|
$335.76
|
|
|
Service Code
|
CPT 20610
|
| Hospital Charge Code |
36100026
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$131.95 |
| Max. Negotiated Rate |
$989.08 |
| Rate for Payer: Aetna Commercial |
$285.40
|
| Rate for Payer: Aetna Medicare |
$318.08
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$218.24
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$382.31
|
| Rate for Payer: Amish Plain Church Group Commercial |
$382.31
|
| Rate for Payer: BCBS Complete |
$167.97
|
| Rate for Payer: BCBS MAPPO |
$305.85
|
| Rate for Payer: BCBS Trust/PPO |
$224.17
|
| Rate for Payer: BCN Commercial |
$224.17
|
| Rate for Payer: BCN Medicare Advantage |
$305.85
|
| Rate for Payer: Cash Price |
$268.61
|
| Rate for Payer: Cash Price |
$268.61
|
| Rate for Payer: Cash Price |
$268.61
|
| Rate for Payer: Cofinity Advantage |
$235.03
|
| Rate for Payer: Cofinity Commercial |
$288.75
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$268.61
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$305.85
|
| Rate for Payer: Healthscope Commercial |
$302.18
|
| Rate for Payer: Mclaren Medicaid |
$159.96
|
| Rate for Payer: Mclaren Medicare |
$305.85
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$321.14
|
| Rate for Payer: Meridian Medicaid |
$321.14
|
| Rate for Payer: MI Amish Medical Board Commercial |
$351.73
|
| Rate for Payer: Molina Medicare/Medicaid |
$336.44
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$285.40
|
| Rate for Payer: Nomi Health Commercial |
$917.55
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$251.82
|
| Rate for Payer: PACE Medicare |
$290.56
|
| Rate for Payer: PACE SWMI |
$305.85
|
| Rate for Payer: PHP Commercial |
$285.40
|
| Rate for Payer: PHP Medicare Advantage |
$305.85
|
| Rate for Payer: Priority Health Choice Medicaid |
$159.96
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$989.08
|
| Rate for Payer: Priority Health Medicare |
$305.85
|
| Rate for Payer: Priority Health SBD |
$211.53
|
| Rate for Payer: Priority Health Tiered Network |
$791.26
|
| Rate for Payer: Railroad Medicare Medicare |
$305.85
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$218.24
|
| Rate for Payer: UHC Core |
$174.93
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$305.85
|
| Rate for Payer: UHC Exchange |
$131.95
|
| Rate for Payer: UHC Medicaid |
$159.96
|
| Rate for Payer: UHCCP Medicaid |
$159.96
|
| Rate for Payer: VA VA |
$305.85
|
|
|
HC ARTHROCENTESIS MAJOR JOINT
|
Facility
|
IP
|
$335.76
|
|
|
Service Code
|
CPT 20610
|
| Hospital Charge Code |
36100026
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$211.53 |
| Max. Negotiated Rate |
$302.18 |
| Rate for Payer: Aetna Commercial |
$285.40
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$218.24
|
| Rate for Payer: Cash Price |
$268.61
|
| Rate for Payer: Cofinity Advantage |
$235.03
|
| Rate for Payer: Cofinity Commercial |
$288.75
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$268.61
|
| Rate for Payer: Healthscope Commercial |
$302.18
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$285.40
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$251.82
|
| Rate for Payer: PHP Commercial |
$285.40
|
| Rate for Payer: Priority Health SBD |
$211.53
|
|
|
HC ARTHROCENTESIS MAJOR JOINT BIL
|
Facility
|
OP
|
$429.70
|
|
|
Service Code
|
CPT 20610
|
| Hospital Charge Code |
36100027
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$159.96 |
| Max. Negotiated Rate |
$989.08 |
| Rate for Payer: Aetna Commercial |
$365.25
|
| Rate for Payer: Aetna Medicare |
$318.08
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$279.31
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$382.31
|
| Rate for Payer: Amish Plain Church Group Commercial |
$382.31
|
| Rate for Payer: BCBS Complete |
$167.97
|
| Rate for Payer: BCBS MAPPO |
$305.85
|
| Rate for Payer: BCBS Trust/PPO |
$224.17
|
| Rate for Payer: BCN Commercial |
$224.17
|
| Rate for Payer: BCN Medicare Advantage |
$305.85
|
| Rate for Payer: Cash Price |
$343.76
|
| Rate for Payer: Cash Price |
$343.76
|
| Rate for Payer: Cash Price |
$343.76
|
| Rate for Payer: Cofinity Advantage |
$300.79
|
| Rate for Payer: Cofinity Commercial |
$369.54
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$343.76
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$305.85
|
| Rate for Payer: Healthscope Commercial |
$386.73
|
| Rate for Payer: Mclaren Medicaid |
$159.96
|
| Rate for Payer: Mclaren Medicare |
$305.85
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$321.14
|
| Rate for Payer: Meridian Medicaid |
$321.14
|
| Rate for Payer: MI Amish Medical Board Commercial |
$351.73
|
| Rate for Payer: Molina Medicare/Medicaid |
$336.44
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$365.25
|
| Rate for Payer: Nomi Health Commercial |
$917.55
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$322.27
|
| Rate for Payer: PACE Medicare |
$290.56
|
| Rate for Payer: PACE SWMI |
$305.85
|
| Rate for Payer: PHP Commercial |
$365.25
|
| Rate for Payer: PHP Medicare Advantage |
$305.85
|
| Rate for Payer: Priority Health Choice Medicaid |
$159.96
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$989.08
|
| Rate for Payer: Priority Health Medicare |
$305.85
|
| Rate for Payer: Priority Health SBD |
$270.71
|
| Rate for Payer: Priority Health Tiered Network |
$791.26
|
| Rate for Payer: Railroad Medicare Medicare |
$305.85
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$279.31
|
| Rate for Payer: UHC Core |
$223.87
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$305.85
|
| Rate for Payer: UHC Exchange |
$168.87
|
| Rate for Payer: UHC Medicaid |
$159.96
|
| Rate for Payer: UHCCP Medicaid |
$159.96
|
| Rate for Payer: VA VA |
$305.85
|
|
|
HC ARTHROCENTESIS MAJOR JOINT BIL
|
Facility
|
IP
|
$429.70
|
|
|
Service Code
|
CPT 20610
|
| Hospital Charge Code |
36100027
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$270.71 |
| Max. Negotiated Rate |
$386.73 |
| Rate for Payer: Aetna Commercial |
$365.25
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$279.31
|
| Rate for Payer: Cash Price |
$343.76
|
| Rate for Payer: Cofinity Advantage |
$300.79
|
| Rate for Payer: Cofinity Commercial |
$369.54
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$343.76
|
| Rate for Payer: Healthscope Commercial |
$386.73
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$365.25
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$322.27
|
| Rate for Payer: PHP Commercial |
$365.25
|
| Rate for Payer: Priority Health SBD |
$270.71
|
|
|
HC ARTHROCENTESIS MAJOR JOINT BIL W US GUIDE
|
Facility
|
IP
|
$1,253.34
|
|
|
Service Code
|
CPT 20611
|
| Hospital Charge Code |
36100455
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$789.60 |
| Max. Negotiated Rate |
$1,128.01 |
| Rate for Payer: Aetna Commercial |
$1,065.34
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$814.67
|
| Rate for Payer: Cash Price |
$1,002.67
|
| Rate for Payer: Cofinity Advantage |
$877.34
|
| Rate for Payer: Cofinity Commercial |
$1,077.87
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,002.67
|
| Rate for Payer: Healthscope Commercial |
$1,128.01
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,065.34
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$940.00
|
| Rate for Payer: PHP Commercial |
$1,065.34
|
| Rate for Payer: Priority Health SBD |
$789.60
|
|
|
HC ARTHROCENTESIS MAJOR JOINT BIL W US GUIDE
|
Facility
|
OP
|
$1,253.34
|
|
|
Service Code
|
CPT 20611
|
| Hospital Charge Code |
36100455
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$159.96 |
| Max. Negotiated Rate |
$1,128.01 |
| Rate for Payer: Aetna Commercial |
$1,065.34
|
| Rate for Payer: Aetna Medicare |
$318.08
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$814.67
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$382.31
|
| Rate for Payer: Amish Plain Church Group Commercial |
$382.31
|
| Rate for Payer: BCBS Complete |
$167.97
|
| Rate for Payer: BCBS MAPPO |
$305.85
|
| Rate for Payer: BCBS Trust/PPO |
$224.17
|
| Rate for Payer: BCN Commercial |
$224.17
|
| Rate for Payer: BCN Medicare Advantage |
$305.85
|
| Rate for Payer: Cash Price |
$1,002.67
|
| Rate for Payer: Cash Price |
$1,002.67
|
| Rate for Payer: Cash Price |
$1,002.67
|
| Rate for Payer: Cofinity Advantage |
$877.34
|
| Rate for Payer: Cofinity Commercial |
$1,077.87
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,002.67
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$305.85
|
| Rate for Payer: Healthscope Commercial |
$1,128.01
|
| Rate for Payer: Mclaren Medicaid |
$159.96
|
| Rate for Payer: Mclaren Medicare |
$305.85
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$321.14
|
| Rate for Payer: Meridian Medicaid |
$321.14
|
| Rate for Payer: MI Amish Medical Board Commercial |
$351.73
|
| Rate for Payer: Molina Medicare/Medicaid |
$336.44
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,065.34
|
| Rate for Payer: Nomi Health Commercial |
$917.55
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$940.00
|
| Rate for Payer: PACE Medicare |
$290.56
|
| Rate for Payer: PACE SWMI |
$305.85
|
| Rate for Payer: PHP Commercial |
$1,065.34
|
| Rate for Payer: PHP Medicare Advantage |
$305.85
|
| Rate for Payer: Priority Health Choice Medicaid |
$159.96
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$989.08
|
| Rate for Payer: Priority Health Medicare |
$305.85
|
| Rate for Payer: Priority Health SBD |
$789.60
|
| Rate for Payer: Priority Health Tiered Network |
$791.26
|
| Rate for Payer: Railroad Medicare Medicare |
$305.85
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$814.67
|
| Rate for Payer: UHC Core |
$652.99
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$305.85
|
| Rate for Payer: UHC Exchange |
$492.56
|
| Rate for Payer: UHC Medicaid |
$159.96
|
| Rate for Payer: UHCCP Medicaid |
$159.96
|
| Rate for Payer: VA VA |
$305.85
|
|
|
HC ARTHROCENTESIS MAJOR JOINT W US GUIDE
|
Facility
|
OP
|
$1,163.91
|
|
|
Service Code
|
CPT 20611
|
| Hospital Charge Code |
36100454
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$159.96 |
| Max. Negotiated Rate |
$1,047.52 |
| Rate for Payer: Aetna Commercial |
$989.32
|
| Rate for Payer: Aetna Medicare |
$318.08
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$756.54
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$382.31
|
| Rate for Payer: Amish Plain Church Group Commercial |
$382.31
|
| Rate for Payer: BCBS Complete |
$167.97
|
| Rate for Payer: BCBS MAPPO |
$305.85
|
| Rate for Payer: BCBS Trust/PPO |
$224.17
|
| Rate for Payer: BCN Commercial |
$224.17
|
| Rate for Payer: BCN Medicare Advantage |
$305.85
|
| Rate for Payer: Cash Price |
$931.13
|
| Rate for Payer: Cash Price |
$931.13
|
| Rate for Payer: Cash Price |
$931.13
|
| Rate for Payer: Cofinity Advantage |
$814.74
|
| Rate for Payer: Cofinity Commercial |
$1,000.96
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$931.13
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$305.85
|
| Rate for Payer: Healthscope Commercial |
$1,047.52
|
| Rate for Payer: Mclaren Medicaid |
$159.96
|
| Rate for Payer: Mclaren Medicare |
$305.85
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$321.14
|
| Rate for Payer: Meridian Medicaid |
$321.14
|
| Rate for Payer: MI Amish Medical Board Commercial |
$351.73
|
| Rate for Payer: Molina Medicare/Medicaid |
$336.44
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$989.32
|
| Rate for Payer: Nomi Health Commercial |
$917.55
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$872.93
|
| Rate for Payer: PACE Medicare |
$290.56
|
| Rate for Payer: PACE SWMI |
$305.85
|
| Rate for Payer: PHP Commercial |
$989.32
|
| Rate for Payer: PHP Medicare Advantage |
$305.85
|
| Rate for Payer: Priority Health Choice Medicaid |
$159.96
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$989.08
|
| Rate for Payer: Priority Health Medicare |
$305.85
|
| Rate for Payer: Priority Health SBD |
$733.26
|
| Rate for Payer: Priority Health Tiered Network |
$791.26
|
| Rate for Payer: Railroad Medicare Medicare |
$305.85
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$756.54
|
| Rate for Payer: UHC Core |
$606.40
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$305.85
|
| Rate for Payer: UHC Exchange |
$457.42
|
| Rate for Payer: UHC Medicaid |
$159.96
|
| Rate for Payer: UHCCP Medicaid |
$159.96
|
| Rate for Payer: VA VA |
$305.85
|
|
|
HC ARTHROCENTESIS MAJOR JOINT W US GUIDE
|
Facility
|
IP
|
$1,163.91
|
|
|
Service Code
|
CPT 20611
|
| Hospital Charge Code |
36100454
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$733.26 |
| Max. Negotiated Rate |
$1,047.52 |
| Rate for Payer: Aetna Commercial |
$989.32
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$756.54
|
| Rate for Payer: Cash Price |
$931.13
|
| Rate for Payer: Cofinity Advantage |
$814.74
|
| Rate for Payer: Cofinity Commercial |
$1,000.96
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$931.13
|
| Rate for Payer: Healthscope Commercial |
$1,047.52
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$989.32
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$872.93
|
| Rate for Payer: PHP Commercial |
$989.32
|
| Rate for Payer: Priority Health SBD |
$733.26
|
|
|
HC ARTHROCENTESIS SMALL JOINT
|
Facility
|
OP
|
$333.07
|
|
|
Service Code
|
CPT 20600
|
| Hospital Charge Code |
36100022
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$130.90 |
| Max. Negotiated Rate |
$989.08 |
| Rate for Payer: Aetna Commercial |
$283.11
|
| Rate for Payer: Aetna Medicare |
$318.08
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$216.50
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$382.31
|
| Rate for Payer: Amish Plain Church Group Commercial |
$382.31
|
| Rate for Payer: BCBS Complete |
$167.97
|
| Rate for Payer: BCBS MAPPO |
$305.85
|
| Rate for Payer: BCBS Trust/PPO |
$224.17
|
| Rate for Payer: BCN Commercial |
$224.17
|
| Rate for Payer: BCN Medicare Advantage |
$305.85
|
| Rate for Payer: Cash Price |
$266.46
|
| Rate for Payer: Cash Price |
$266.46
|
| Rate for Payer: Cash Price |
$266.46
|
| Rate for Payer: Cofinity Advantage |
$233.15
|
| Rate for Payer: Cofinity Commercial |
$286.44
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$266.46
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$305.85
|
| Rate for Payer: Healthscope Commercial |
$299.76
|
| Rate for Payer: Mclaren Medicaid |
$159.96
|
| Rate for Payer: Mclaren Medicare |
$305.85
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$321.14
|
| Rate for Payer: Meridian Medicaid |
$321.14
|
| Rate for Payer: MI Amish Medical Board Commercial |
$351.73
|
| Rate for Payer: Molina Medicare/Medicaid |
$336.44
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$283.11
|
| Rate for Payer: Nomi Health Commercial |
$917.55
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$249.80
|
| Rate for Payer: PACE Medicare |
$290.56
|
| Rate for Payer: PACE SWMI |
$305.85
|
| Rate for Payer: PHP Commercial |
$283.11
|
| Rate for Payer: PHP Medicare Advantage |
$305.85
|
| Rate for Payer: Priority Health Choice Medicaid |
$159.96
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$989.08
|
| Rate for Payer: Priority Health Medicare |
$305.85
|
| Rate for Payer: Priority Health SBD |
$209.83
|
| Rate for Payer: Priority Health Tiered Network |
$791.26
|
| Rate for Payer: Railroad Medicare Medicare |
$305.85
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$216.50
|
| Rate for Payer: UHC Core |
$173.53
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$305.85
|
| Rate for Payer: UHC Exchange |
$130.90
|
| Rate for Payer: UHC Medicaid |
$159.96
|
| Rate for Payer: UHCCP Medicaid |
$159.96
|
| Rate for Payer: VA VA |
$305.85
|
|
|
HC ARTHROCENTESIS SMALL JOINT
|
Facility
|
IP
|
$333.07
|
|
|
Service Code
|
CPT 20600
|
| Hospital Charge Code |
36100022
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$209.83 |
| Max. Negotiated Rate |
$299.76 |
| Rate for Payer: Aetna Commercial |
$283.11
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$216.50
|
| Rate for Payer: Cash Price |
$266.46
|
| Rate for Payer: Cofinity Advantage |
$233.15
|
| Rate for Payer: Cofinity Commercial |
$286.44
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$266.46
|
| Rate for Payer: Healthscope Commercial |
$299.76
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$283.11
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$249.80
|
| Rate for Payer: PHP Commercial |
$283.11
|
| Rate for Payer: Priority Health SBD |
$209.83
|
|
|
HC ARTHROCENTESIS SMALL JOINT BIL W US GUIDE
|
Facility
|
OP
|
$1,206.07
|
|
|
Service Code
|
CPT 20604
|
| Hospital Charge Code |
36100459
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$159.96 |
| Max. Negotiated Rate |
$1,085.46 |
| Rate for Payer: Aetna Commercial |
$1,025.16
|
| Rate for Payer: Aetna Medicare |
$318.08
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$783.95
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$382.31
|
| Rate for Payer: Amish Plain Church Group Commercial |
$382.31
|
| Rate for Payer: BCBS Complete |
$167.97
|
| Rate for Payer: BCBS MAPPO |
$305.85
|
| Rate for Payer: BCBS Trust/PPO |
$224.17
|
| Rate for Payer: BCN Commercial |
$224.17
|
| Rate for Payer: BCN Medicare Advantage |
$305.85
|
| Rate for Payer: Cash Price |
$964.86
|
| Rate for Payer: Cash Price |
$964.86
|
| Rate for Payer: Cash Price |
$964.86
|
| Rate for Payer: Cofinity Advantage |
$844.25
|
| Rate for Payer: Cofinity Commercial |
$1,037.22
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$964.86
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$305.85
|
| Rate for Payer: Healthscope Commercial |
$1,085.46
|
| Rate for Payer: Mclaren Medicaid |
$159.96
|
| Rate for Payer: Mclaren Medicare |
$305.85
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$321.14
|
| Rate for Payer: Meridian Medicaid |
$321.14
|
| Rate for Payer: MI Amish Medical Board Commercial |
$351.73
|
| Rate for Payer: Molina Medicare/Medicaid |
$336.44
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,025.16
|
| Rate for Payer: Nomi Health Commercial |
$917.55
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$904.55
|
| Rate for Payer: PACE Medicare |
$290.56
|
| Rate for Payer: PACE SWMI |
$305.85
|
| Rate for Payer: PHP Commercial |
$1,025.16
|
| Rate for Payer: PHP Medicare Advantage |
$305.85
|
| Rate for Payer: Priority Health Choice Medicaid |
$159.96
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$989.08
|
| Rate for Payer: Priority Health Medicare |
$305.85
|
| Rate for Payer: Priority Health SBD |
$759.82
|
| Rate for Payer: Priority Health Tiered Network |
$791.26
|
| Rate for Payer: Railroad Medicare Medicare |
$305.85
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$783.95
|
| Rate for Payer: UHC Core |
$628.36
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$305.85
|
| Rate for Payer: UHC Exchange |
$473.99
|
| Rate for Payer: UHC Medicaid |
$159.96
|
| Rate for Payer: UHCCP Medicaid |
$159.96
|
| Rate for Payer: VA VA |
$305.85
|
|
|
HC ARTHROCENTESIS SMALL JOINT BIL W US GUIDE
|
Facility
|
IP
|
$1,206.07
|
|
|
Service Code
|
CPT 20604
|
| Hospital Charge Code |
36100459
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$759.82 |
| Max. Negotiated Rate |
$1,085.46 |
| Rate for Payer: Aetna Commercial |
$1,025.16
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$783.95
|
| Rate for Payer: Cash Price |
$964.86
|
| Rate for Payer: Cofinity Advantage |
$844.25
|
| Rate for Payer: Cofinity Commercial |
$1,037.22
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$964.86
|
| Rate for Payer: Healthscope Commercial |
$1,085.46
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,025.16
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$904.55
|
| Rate for Payer: PHP Commercial |
$1,025.16
|
| Rate for Payer: Priority Health SBD |
$759.82
|
|
|
HC ARTHROCENTESIS SMALL JOINT W US GUIDE
|
Facility
|
OP
|
$1,024.65
|
|
|
Service Code
|
CPT 20604
|
| Hospital Charge Code |
36100458
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$159.96 |
| Max. Negotiated Rate |
$989.08 |
| Rate for Payer: Aetna Commercial |
$870.95
|
| Rate for Payer: Aetna Medicare |
$318.08
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$666.02
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$382.31
|
| Rate for Payer: Amish Plain Church Group Commercial |
$382.31
|
| Rate for Payer: BCBS Complete |
$167.97
|
| Rate for Payer: BCBS MAPPO |
$305.85
|
| Rate for Payer: BCBS Trust/PPO |
$224.17
|
| Rate for Payer: BCN Commercial |
$224.17
|
| Rate for Payer: BCN Medicare Advantage |
$305.85
|
| Rate for Payer: Cash Price |
$819.72
|
| Rate for Payer: Cash Price |
$819.72
|
| Rate for Payer: Cash Price |
$819.72
|
| Rate for Payer: Cofinity Advantage |
$717.25
|
| Rate for Payer: Cofinity Commercial |
$881.20
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$819.72
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$305.85
|
| Rate for Payer: Healthscope Commercial |
$922.18
|
| Rate for Payer: Mclaren Medicaid |
$159.96
|
| Rate for Payer: Mclaren Medicare |
$305.85
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$321.14
|
| Rate for Payer: Meridian Medicaid |
$321.14
|
| Rate for Payer: MI Amish Medical Board Commercial |
$351.73
|
| Rate for Payer: Molina Medicare/Medicaid |
$336.44
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$870.95
|
| Rate for Payer: Nomi Health Commercial |
$917.55
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$768.49
|
| Rate for Payer: PACE Medicare |
$290.56
|
| Rate for Payer: PACE SWMI |
$305.85
|
| Rate for Payer: PHP Commercial |
$870.95
|
| Rate for Payer: PHP Medicare Advantage |
$305.85
|
| Rate for Payer: Priority Health Choice Medicaid |
$159.96
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$989.08
|
| Rate for Payer: Priority Health Medicare |
$305.85
|
| Rate for Payer: Priority Health SBD |
$645.53
|
| Rate for Payer: Priority Health Tiered Network |
$791.26
|
| Rate for Payer: Railroad Medicare Medicare |
$305.85
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$666.02
|
| Rate for Payer: UHC Core |
$533.84
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$305.85
|
| Rate for Payer: UHC Exchange |
$402.69
|
| Rate for Payer: UHC Medicaid |
$159.96
|
| Rate for Payer: UHCCP Medicaid |
$159.96
|
| Rate for Payer: VA VA |
$305.85
|
|
|
HC ARTHROCENTESIS SMALL JOINT W US GUIDE
|
Facility
|
IP
|
$1,024.65
|
|
|
Service Code
|
CPT 20604
|
| Hospital Charge Code |
36100458
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$645.53 |
| Max. Negotiated Rate |
$922.18 |
| Rate for Payer: Aetna Commercial |
$870.95
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$666.02
|
| Rate for Payer: Cash Price |
$819.72
|
| Rate for Payer: Cofinity Advantage |
$717.25
|
| Rate for Payer: Cofinity Commercial |
$881.20
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$819.72
|
| Rate for Payer: Healthscope Commercial |
$922.18
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$870.95
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$768.49
|
| Rate for Payer: PHP Commercial |
$870.95
|
| Rate for Payer: Priority Health SBD |
$645.53
|
|
|
HC ARTHROGRAM SACROILIAC
|
Facility
|
OP
|
$956.46
|
|
|
Service Code
|
CPT 27096
|
| Hospital Charge Code |
36100585
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$258.82 |
| Max. Negotiated Rate |
$860.81 |
| Rate for Payer: Aetna Commercial |
$812.99
|
| Rate for Payer: Aetna Medicare |
$478.23
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$621.70
|
| Rate for Payer: BCBS Complete |
$382.58
|
| Rate for Payer: BCBS Trust/PPO |
$565.76
|
| Rate for Payer: BCN Commercial |
$565.76
|
| Rate for Payer: Cash Price |
$765.17
|
| Rate for Payer: Cash Price |
$765.17
|
| Rate for Payer: Cash Price |
$765.17
|
| Rate for Payer: Cofinity Advantage |
$669.52
|
| Rate for Payer: Cofinity Commercial |
$822.56
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$765.17
|
| Rate for Payer: Healthscope Commercial |
$860.81
|
| Rate for Payer: MI Amish Medical Board Commercial |
$765.17
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$812.99
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$717.35
|
| Rate for Payer: PHP Commercial |
$812.99
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$323.52
|
| Rate for Payer: Priority Health SBD |
$602.57
|
| Rate for Payer: Priority Health Tiered Network |
$258.82
|
|
