|
HC BIOPSY SOFT TISSUE NECK THORAX
|
Facility
|
IP
|
$1,698.82
|
|
|
Service Code
|
CPT 21550
|
| Hospital Charge Code |
36100028
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$1,070.26 |
| Max. Negotiated Rate |
$1,528.94 |
| Rate for Payer: Aetna Commercial |
$1,444.00
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,104.23
|
| Rate for Payer: Cash Price |
$1,359.06
|
| Rate for Payer: Cofinity Advantage |
$1,189.17
|
| Rate for Payer: Cofinity Commercial |
$1,460.99
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,359.06
|
| Rate for Payer: Healthscope Commercial |
$1,528.94
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,444.00
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,274.12
|
| Rate for Payer: PHP Commercial |
$1,444.00
|
| Rate for Payer: Priority Health SBD |
$1,070.26
|
|
|
HC BIOPSY TESTIS INCISIONAL SEPARATE PROCEDURE
|
Facility
|
OP
|
$9,311.58
|
|
|
Service Code
|
CPT 54505
|
| Hospital Charge Code |
76100387
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$1,352.02 |
| Max. Negotiated Rate |
$11,358.48 |
| Rate for Payer: Aetna Commercial |
$7,914.84
|
| Rate for Payer: Aetna Medicare |
$3,652.80
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$6,052.53
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$4,390.39
|
| Rate for Payer: Amish Plain Church Group Commercial |
$4,390.39
|
| Rate for Payer: BCBS Complete |
$1,928.96
|
| Rate for Payer: BCBS MAPPO |
$3,512.31
|
| Rate for Payer: BCBS Trust/PPO |
$1,352.02
|
| Rate for Payer: BCN Commercial |
$1,352.02
|
| Rate for Payer: BCN Medicare Advantage |
$3,512.31
|
| Rate for Payer: Cash Price |
$7,449.26
|
| Rate for Payer: Cash Price |
$7,449.26
|
| Rate for Payer: Cash Price |
$7,449.26
|
| Rate for Payer: Cofinity Advantage |
$6,518.11
|
| Rate for Payer: Cofinity Commercial |
$8,007.96
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$7,449.26
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$3,512.31
|
| Rate for Payer: Healthscope Commercial |
$8,380.42
|
| Rate for Payer: Mclaren Medicaid |
$1,836.94
|
| Rate for Payer: Mclaren Medicare |
$3,512.31
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$3,687.93
|
| Rate for Payer: Meridian Medicaid |
$3,687.93
|
| Rate for Payer: MI Amish Medical Board Commercial |
$4,039.16
|
| Rate for Payer: Molina Medicare/Medicaid |
$3,863.54
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$7,914.84
|
| Rate for Payer: Nomi Health Commercial |
$10,536.93
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$6,983.69
|
| Rate for Payer: PACE Medicare |
$3,336.69
|
| Rate for Payer: PACE SWMI |
$3,512.31
|
| Rate for Payer: PHP Commercial |
$7,914.84
|
| Rate for Payer: PHP Medicare Advantage |
$3,512.31
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,836.94
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$11,358.48
|
| Rate for Payer: Priority Health Medicare |
$3,512.31
|
| Rate for Payer: Priority Health SBD |
$5,866.30
|
| Rate for Payer: Priority Health Tiered Network |
$9,086.78
|
| Rate for Payer: Railroad Medicare Medicare |
$3,512.31
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$6,052.53
|
| Rate for Payer: UHC Core |
$4,851.33
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$3,512.31
|
| Rate for Payer: UHC Exchange |
$3,659.45
|
| Rate for Payer: UHC Medicaid |
$1,836.94
|
| Rate for Payer: UHCCP Medicaid |
$1,836.94
|
| Rate for Payer: VA VA |
$3,512.31
|
|
|
HC BIOPSY TESTIS INCISIONAL SEPARATE PROCEDURE
|
Facility
|
IP
|
$9,311.58
|
|
|
Service Code
|
CPT 54505
|
| Hospital Charge Code |
76100387
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$5,866.30 |
| Max. Negotiated Rate |
$8,380.42 |
| Rate for Payer: Aetna Commercial |
$7,914.84
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$6,052.53
|
| Rate for Payer: Cash Price |
$7,449.26
|
| Rate for Payer: Cofinity Advantage |
$6,518.11
|
| Rate for Payer: Cofinity Commercial |
$8,007.96
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$7,449.26
|
| Rate for Payer: Healthscope Commercial |
$8,380.42
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$7,914.84
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$6,983.69
|
| Rate for Payer: PHP Commercial |
$7,914.84
|
| Rate for Payer: Priority Health SBD |
$5,866.30
|
|
|
HC BIOPSY TESTIS INCISIONAL SEPARATE PROCEDURE BIL
|
Facility
|
OP
|
$9,336.55
|
|
|
Service Code
|
CPT 54505
|
| Hospital Charge Code |
76100392
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$1,352.02 |
| Max. Negotiated Rate |
$11,358.48 |
| Rate for Payer: Aetna Commercial |
$7,936.07
|
| Rate for Payer: Aetna Medicare |
$3,652.80
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$6,068.76
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$4,390.39
|
| Rate for Payer: Amish Plain Church Group Commercial |
$4,390.39
|
| Rate for Payer: BCBS Complete |
$1,928.96
|
| Rate for Payer: BCBS MAPPO |
$3,512.31
|
| Rate for Payer: BCBS Trust/PPO |
$1,352.02
|
| Rate for Payer: BCN Commercial |
$1,352.02
|
| Rate for Payer: BCN Medicare Advantage |
$3,512.31
|
| Rate for Payer: Cash Price |
$7,469.24
|
| Rate for Payer: Cash Price |
$7,469.24
|
| Rate for Payer: Cash Price |
$7,469.24
|
| Rate for Payer: Cofinity Advantage |
$6,535.59
|
| Rate for Payer: Cofinity Commercial |
$8,029.43
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$7,469.24
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$3,512.31
|
| Rate for Payer: Healthscope Commercial |
$8,402.90
|
| Rate for Payer: Mclaren Medicaid |
$1,836.94
|
| Rate for Payer: Mclaren Medicare |
$3,512.31
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$3,687.93
|
| Rate for Payer: Meridian Medicaid |
$3,687.93
|
| Rate for Payer: MI Amish Medical Board Commercial |
$4,039.16
|
| Rate for Payer: Molina Medicare/Medicaid |
$3,863.54
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$7,936.07
|
| Rate for Payer: Nomi Health Commercial |
$10,536.93
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$7,002.41
|
| Rate for Payer: PACE Medicare |
$3,336.69
|
| Rate for Payer: PACE SWMI |
$3,512.31
|
| Rate for Payer: PHP Commercial |
$7,936.07
|
| Rate for Payer: PHP Medicare Advantage |
$3,512.31
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,836.94
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$11,358.48
|
| Rate for Payer: Priority Health Medicare |
$3,512.31
|
| Rate for Payer: Priority Health SBD |
$5,882.03
|
| Rate for Payer: Priority Health Tiered Network |
$9,086.78
|
| Rate for Payer: Railroad Medicare Medicare |
$3,512.31
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$6,068.76
|
| Rate for Payer: UHC Core |
$4,864.34
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$3,512.31
|
| Rate for Payer: UHC Exchange |
$3,669.26
|
| Rate for Payer: UHC Medicaid |
$1,836.94
|
| Rate for Payer: UHCCP Medicaid |
$1,836.94
|
| Rate for Payer: VA VA |
$3,512.31
|
|
|
HC BIOPSY TESTIS INCISIONAL SEPARATE PROCEDURE BIL
|
Facility
|
IP
|
$9,336.55
|
|
|
Service Code
|
CPT 54505
|
| Hospital Charge Code |
76100392
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$5,882.03 |
| Max. Negotiated Rate |
$8,402.90 |
| Rate for Payer: Aetna Commercial |
$7,936.07
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$6,068.76
|
| Rate for Payer: Cash Price |
$7,469.24
|
| Rate for Payer: Cofinity Advantage |
$6,535.59
|
| Rate for Payer: Cofinity Commercial |
$8,029.43
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$7,469.24
|
| Rate for Payer: Healthscope Commercial |
$8,402.90
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$7,936.07
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$7,002.41
|
| Rate for Payer: PHP Commercial |
$7,936.07
|
| Rate for Payer: Priority Health SBD |
$5,882.03
|
|
|
HC BIOPSY THYROID
|
Facility
|
IP
|
$411.75
|
|
|
Service Code
|
CPT 60100
|
| Hospital Charge Code |
36100265
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$259.40 |
| Max. Negotiated Rate |
$370.57 |
| Rate for Payer: Aetna Commercial |
$349.99
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$267.64
|
| Rate for Payer: Cash Price |
$329.40
|
| Rate for Payer: Cofinity Advantage |
$288.23
|
| Rate for Payer: Cofinity Commercial |
$354.11
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$329.40
|
| Rate for Payer: Healthscope Commercial |
$370.57
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$349.99
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$308.81
|
| Rate for Payer: PHP Commercial |
$349.99
|
| Rate for Payer: Priority Health SBD |
$259.40
|
|
|
HC BIOPSY THYROID
|
Facility
|
OP
|
$411.75
|
|
|
Service Code
|
CPT 60100
|
| Hospital Charge Code |
36100265
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$259.40 |
| Max. Negotiated Rate |
$2,281.79 |
| Rate for Payer: Aetna Commercial |
$349.99
|
| Rate for Payer: Aetna Medicare |
$733.81
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$267.64
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$881.99
|
| Rate for Payer: Amish Plain Church Group Commercial |
$881.99
|
| Rate for Payer: BCBS Complete |
$387.51
|
| Rate for Payer: BCBS MAPPO |
$705.59
|
| Rate for Payer: BCBS Trust/PPO |
$535.08
|
| Rate for Payer: BCN Commercial |
$535.08
|
| Rate for Payer: BCN Medicare Advantage |
$705.59
|
| Rate for Payer: Cash Price |
$329.40
|
| Rate for Payer: Cash Price |
$329.40
|
| Rate for Payer: Cash Price |
$329.40
|
| Rate for Payer: Cofinity Advantage |
$288.23
|
| Rate for Payer: Cofinity Commercial |
$354.11
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$329.40
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$705.59
|
| Rate for Payer: Healthscope Commercial |
$370.57
|
| Rate for Payer: Mclaren Medicaid |
$369.02
|
| Rate for Payer: Mclaren Medicare |
$705.59
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$740.87
|
| Rate for Payer: Meridian Medicaid |
$740.87
|
| Rate for Payer: MI Amish Medical Board Commercial |
$811.43
|
| Rate for Payer: Molina Medicare/Medicaid |
$776.15
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$349.99
|
| Rate for Payer: Nomi Health Commercial |
$2,116.77
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$308.81
|
| Rate for Payer: PACE Medicare |
$670.31
|
| Rate for Payer: PACE SWMI |
$705.59
|
| Rate for Payer: PHP Commercial |
$349.99
|
| Rate for Payer: PHP Medicare Advantage |
$705.59
|
| Rate for Payer: Priority Health Choice Medicaid |
$369.02
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$2,281.79
|
| Rate for Payer: Priority Health Medicare |
$705.59
|
| Rate for Payer: Priority Health SBD |
$259.40
|
| Rate for Payer: Priority Health Tiered Network |
$1,825.43
|
| Rate for Payer: Railroad Medicare Medicare |
$705.59
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$705.59
|
| Rate for Payer: UHC Medicaid |
$369.02
|
| Rate for Payer: UHCCP Medicaid |
$369.02
|
| Rate for Payer: VA VA |
$705.59
|
|
|
HC BIOPSY TONGUE ANTERIOR TWO-THIRDS
|
Facility
|
IP
|
$1,404.54
|
|
|
Service Code
|
CPT 41100
|
| Hospital Charge Code |
76100462
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$884.86 |
| Max. Negotiated Rate |
$1,264.09 |
| Rate for Payer: Aetna Commercial |
$1,193.86
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$912.95
|
| Rate for Payer: Cash Price |
$1,123.63
|
| Rate for Payer: Cofinity Advantage |
$983.18
|
| Rate for Payer: Cofinity Commercial |
$1,207.90
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,123.63
|
| Rate for Payer: Healthscope Commercial |
$1,264.09
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,193.86
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,053.40
|
| Rate for Payer: PHP Commercial |
$1,193.86
|
| Rate for Payer: Priority Health SBD |
$884.86
|
|
|
HC BIOPSY TONGUE ANTERIOR TWO-THIRDS
|
Facility
|
OP
|
$1,404.54
|
|
|
Service Code
|
CPT 41100
|
| Hospital Charge Code |
76100462
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$281.05 |
| Max. Negotiated Rate |
$1,737.88 |
| Rate for Payer: Aetna Commercial |
$1,193.86
|
| Rate for Payer: Aetna Medicare |
$558.89
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$912.95
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$671.74
|
| Rate for Payer: Amish Plain Church Group Commercial |
$671.74
|
| Rate for Payer: BCBS Complete |
$295.13
|
| Rate for Payer: BCBS MAPPO |
$537.39
|
| Rate for Payer: BCBS Trust/PPO |
$376.65
|
| Rate for Payer: BCN Commercial |
$376.65
|
| Rate for Payer: BCN Medicare Advantage |
$537.39
|
| Rate for Payer: Cash Price |
$1,123.63
|
| Rate for Payer: Cash Price |
$1,123.63
|
| Rate for Payer: Cash Price |
$1,123.63
|
| Rate for Payer: Cofinity Advantage |
$983.18
|
| Rate for Payer: Cofinity Commercial |
$1,207.90
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,123.63
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$537.39
|
| Rate for Payer: Healthscope Commercial |
$1,264.09
|
| Rate for Payer: Mclaren Medicaid |
$281.05
|
| Rate for Payer: Mclaren Medicare |
$537.39
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$564.26
|
| Rate for Payer: Meridian Medicaid |
$564.26
|
| Rate for Payer: MI Amish Medical Board Commercial |
$618.00
|
| Rate for Payer: Molina Medicare/Medicaid |
$591.13
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,193.86
|
| Rate for Payer: Nomi Health Commercial |
$1,612.17
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,053.40
|
| Rate for Payer: PACE Medicare |
$510.52
|
| Rate for Payer: PACE SWMI |
$537.39
|
| Rate for Payer: PHP Commercial |
$1,193.86
|
| Rate for Payer: PHP Medicare Advantage |
$537.39
|
| Rate for Payer: Priority Health Choice Medicaid |
$281.05
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$1,737.88
|
| Rate for Payer: Priority Health Medicare |
$537.39
|
| Rate for Payer: Priority Health SBD |
$884.86
|
| Rate for Payer: Priority Health Tiered Network |
$1,390.30
|
| Rate for Payer: Railroad Medicare Medicare |
$537.39
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$912.95
|
| Rate for Payer: UHC Core |
$731.77
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$537.39
|
| Rate for Payer: UHC Exchange |
$551.98
|
| Rate for Payer: UHC Medicaid |
$281.05
|
| Rate for Payer: UHCCP Medicaid |
$281.05
|
| Rate for Payer: VA VA |
$537.39
|
|
|
HC BIOPSY TONGUE POSTERIOR ONE-THIRD
|
Facility
|
OP
|
$8,219.16
|
|
|
Service Code
|
CPT 41105
|
| Hospital Charge Code |
76100463
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$113.10 |
| Max. Negotiated Rate |
$10,683.35 |
| Rate for Payer: Aetna Commercial |
$6,986.29
|
| Rate for Payer: Aetna Medicare |
$3,435.68
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$5,342.45
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$4,129.43
|
| Rate for Payer: Amish Plain Church Group Commercial |
$4,129.43
|
| Rate for Payer: BCBS Complete |
$1,814.30
|
| Rate for Payer: BCBS MAPPO |
$3,303.54
|
| Rate for Payer: BCBS Trust/PPO |
$113.10
|
| Rate for Payer: BCN Commercial |
$113.10
|
| Rate for Payer: BCN Medicare Advantage |
$3,303.54
|
| Rate for Payer: Cash Price |
$6,575.33
|
| Rate for Payer: Cash Price |
$6,575.33
|
| Rate for Payer: Cash Price |
$6,575.33
|
| Rate for Payer: Cofinity Advantage |
$5,753.41
|
| Rate for Payer: Cofinity Commercial |
$7,068.48
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$6,575.33
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$3,303.54
|
| Rate for Payer: Healthscope Commercial |
$7,397.24
|
| Rate for Payer: Mclaren Medicaid |
$1,727.75
|
| Rate for Payer: Mclaren Medicare |
$3,303.54
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$3,468.72
|
| Rate for Payer: Meridian Medicaid |
$3,468.72
|
| Rate for Payer: MI Amish Medical Board Commercial |
$3,799.07
|
| Rate for Payer: Molina Medicare/Medicaid |
$3,633.89
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$6,986.29
|
| Rate for Payer: Nomi Health Commercial |
$9,910.62
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$6,164.37
|
| Rate for Payer: PACE Medicare |
$3,138.36
|
| Rate for Payer: PACE SWMI |
$3,303.54
|
| Rate for Payer: PHP Commercial |
$6,986.29
|
| Rate for Payer: PHP Medicare Advantage |
$3,303.54
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,727.75
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$10,683.35
|
| Rate for Payer: Priority Health Medicare |
$3,303.54
|
| Rate for Payer: Priority Health SBD |
$5,178.07
|
| Rate for Payer: Priority Health Tiered Network |
$8,546.68
|
| Rate for Payer: Railroad Medicare Medicare |
$3,303.54
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$5,342.45
|
| Rate for Payer: UHC Core |
$4,282.18
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$3,303.54
|
| Rate for Payer: UHC Exchange |
$3,230.13
|
| Rate for Payer: UHC Medicaid |
$1,727.75
|
| Rate for Payer: UHCCP Medicaid |
$1,727.75
|
| Rate for Payer: VA VA |
$3,303.54
|
|
|
HC BIOPSY TONGUE POSTERIOR ONE-THIRD
|
Facility
|
IP
|
$8,219.16
|
|
|
Service Code
|
CPT 41105
|
| Hospital Charge Code |
76100463
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$5,178.07 |
| Max. Negotiated Rate |
$7,397.24 |
| Rate for Payer: Aetna Commercial |
$6,986.29
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$5,342.45
|
| Rate for Payer: Cash Price |
$6,575.33
|
| Rate for Payer: Cofinity Advantage |
$5,753.41
|
| Rate for Payer: Cofinity Commercial |
$7,068.48
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$6,575.33
|
| Rate for Payer: Healthscope Commercial |
$7,397.24
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$6,986.29
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$6,164.37
|
| Rate for Payer: PHP Commercial |
$6,986.29
|
| Rate for Payer: Priority Health SBD |
$5,178.07
|
|
|
HC BIOPSY TRANSCATHETER
|
Facility
|
IP
|
$1,711.42
|
|
|
Service Code
|
CPT 37200
|
| Hospital Charge Code |
36100154
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$1,078.19 |
| Max. Negotiated Rate |
$1,540.28 |
| Rate for Payer: Aetna Commercial |
$1,454.71
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,112.42
|
| Rate for Payer: Cash Price |
$1,369.14
|
| Rate for Payer: Cofinity Advantage |
$1,197.99
|
| Rate for Payer: Cofinity Commercial |
$1,471.82
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,369.14
|
| Rate for Payer: Healthscope Commercial |
$1,540.28
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,454.71
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,283.57
|
| Rate for Payer: PHP Commercial |
$1,454.71
|
| Rate for Payer: Priority Health SBD |
$1,078.19
|
|
|
HC BIOPSY TRANSCATHETER
|
Facility
|
OP
|
$1,711.42
|
|
|
Service Code
|
CPT 37200
|
| Hospital Charge Code |
36100154
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$1,078.19 |
| Max. Negotiated Rate |
$17,930.33 |
| Rate for Payer: Aetna Commercial |
$1,454.71
|
| Rate for Payer: Aetna Medicare |
$5,766.26
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,112.42
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$6,930.60
|
| Rate for Payer: Amish Plain Church Group Commercial |
$6,930.60
|
| Rate for Payer: BCBS Complete |
$3,045.03
|
| Rate for Payer: BCBS MAPPO |
$5,544.48
|
| Rate for Payer: BCBS Trust/PPO |
$2,023.77
|
| Rate for Payer: BCN Commercial |
$2,023.77
|
| Rate for Payer: BCN Medicare Advantage |
$5,544.48
|
| Rate for Payer: Cash Price |
$1,369.14
|
| Rate for Payer: Cash Price |
$1,369.14
|
| Rate for Payer: Cash Price |
$1,369.14
|
| Rate for Payer: Cofinity Advantage |
$1,197.99
|
| Rate for Payer: Cofinity Commercial |
$1,471.82
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,369.14
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$5,544.48
|
| Rate for Payer: Healthscope Commercial |
$1,540.28
|
| Rate for Payer: Mclaren Medicaid |
$2,899.76
|
| Rate for Payer: Mclaren Medicare |
$5,544.48
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$5,821.70
|
| Rate for Payer: Meridian Medicaid |
$5,821.70
|
| Rate for Payer: MI Amish Medical Board Commercial |
$6,376.15
|
| Rate for Payer: Molina Medicare/Medicaid |
$6,098.93
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,454.71
|
| Rate for Payer: Nomi Health Commercial |
$16,633.44
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,283.57
|
| Rate for Payer: PACE Medicare |
$5,267.26
|
| Rate for Payer: PACE SWMI |
$5,544.48
|
| Rate for Payer: PHP Commercial |
$1,454.71
|
| Rate for Payer: PHP Medicare Advantage |
$5,544.48
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,899.76
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$17,930.33
|
| Rate for Payer: Priority Health Medicare |
$5,544.48
|
| Rate for Payer: Priority Health SBD |
$1,078.19
|
| Rate for Payer: Priority Health Tiered Network |
$14,344.26
|
| Rate for Payer: Railroad Medicare Medicare |
$5,544.48
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$5,544.48
|
| Rate for Payer: UHC Medicaid |
$2,899.76
|
| Rate for Payer: UHCCP Medicaid |
$2,899.76
|
| Rate for Payer: VA VA |
$5,544.48
|
|
|
HC BIOPSY VESTIBULE MOUTH
|
Facility
|
OP
|
$1,404.54
|
|
|
Service Code
|
CPT 40808
|
| Hospital Charge Code |
76100460
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$236.50 |
| Max. Negotiated Rate |
$1,737.88 |
| Rate for Payer: Aetna Commercial |
$1,193.86
|
| Rate for Payer: Aetna Medicare |
$558.89
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$912.95
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$671.74
|
| Rate for Payer: Amish Plain Church Group Commercial |
$671.74
|
| Rate for Payer: BCBS Complete |
$295.13
|
| Rate for Payer: BCBS MAPPO |
$537.39
|
| Rate for Payer: BCBS Trust/PPO |
$236.50
|
| Rate for Payer: BCN Commercial |
$236.50
|
| Rate for Payer: BCN Medicare Advantage |
$537.39
|
| Rate for Payer: Cash Price |
$1,123.63
|
| Rate for Payer: Cash Price |
$1,123.63
|
| Rate for Payer: Cash Price |
$1,123.63
|
| Rate for Payer: Cofinity Advantage |
$983.18
|
| Rate for Payer: Cofinity Commercial |
$1,207.90
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,123.63
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$537.39
|
| Rate for Payer: Healthscope Commercial |
$1,264.09
|
| Rate for Payer: Mclaren Medicaid |
$281.05
|
| Rate for Payer: Mclaren Medicare |
$537.39
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$564.26
|
| Rate for Payer: Meridian Medicaid |
$564.26
|
| Rate for Payer: MI Amish Medical Board Commercial |
$618.00
|
| Rate for Payer: Molina Medicare/Medicaid |
$591.13
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,193.86
|
| Rate for Payer: Nomi Health Commercial |
$1,612.17
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,053.40
|
| Rate for Payer: PACE Medicare |
$510.52
|
| Rate for Payer: PACE SWMI |
$537.39
|
| Rate for Payer: PHP Commercial |
$1,193.86
|
| Rate for Payer: PHP Medicare Advantage |
$537.39
|
| Rate for Payer: Priority Health Choice Medicaid |
$281.05
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$1,737.88
|
| Rate for Payer: Priority Health Medicare |
$537.39
|
| Rate for Payer: Priority Health SBD |
$884.86
|
| Rate for Payer: Priority Health Tiered Network |
$1,390.30
|
| Rate for Payer: Railroad Medicare Medicare |
$537.39
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$912.95
|
| Rate for Payer: UHC Core |
$731.77
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$537.39
|
| Rate for Payer: UHC Exchange |
$551.98
|
| Rate for Payer: UHC Medicaid |
$281.05
|
| Rate for Payer: UHCCP Medicaid |
$281.05
|
| Rate for Payer: VA VA |
$537.39
|
|
|
HC BIOPSY VESTIBULE MOUTH
|
Facility
|
IP
|
$1,404.54
|
|
|
Service Code
|
CPT 40808
|
| Hospital Charge Code |
76100460
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$884.86 |
| Max. Negotiated Rate |
$1,264.09 |
| Rate for Payer: Aetna Commercial |
$1,193.86
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$912.95
|
| Rate for Payer: Cash Price |
$1,123.63
|
| Rate for Payer: Cofinity Advantage |
$983.18
|
| Rate for Payer: Cofinity Commercial |
$1,207.90
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,123.63
|
| Rate for Payer: Healthscope Commercial |
$1,264.09
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,193.86
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,053.40
|
| Rate for Payer: PHP Commercial |
$1,193.86
|
| Rate for Payer: Priority Health SBD |
$884.86
|
|
|
HC BIOPSY VULVA PERINEUM ONE LESN
|
Facility
|
IP
|
$888.30
|
|
|
Service Code
|
CPT 56605
|
| Hospital Charge Code |
76100201
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$559.63 |
| Max. Negotiated Rate |
$799.47 |
| Rate for Payer: Aetna Commercial |
$755.05
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$577.39
|
| Rate for Payer: Cash Price |
$710.64
|
| Rate for Payer: Cofinity Advantage |
$621.81
|
| Rate for Payer: Cofinity Commercial |
$763.94
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$710.64
|
| Rate for Payer: Healthscope Commercial |
$799.47
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$755.05
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$666.23
|
| Rate for Payer: PHP Commercial |
$755.05
|
| Rate for Payer: Priority Health SBD |
$559.63
|
|
|
HC BIOPSY VULVA PERINEUM ONE LESN
|
Facility
|
OP
|
$888.30
|
|
|
Service Code
|
CPT 56605
|
| Hospital Charge Code |
76100201
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$349.10 |
| Max. Negotiated Rate |
$2,967.88 |
| Rate for Payer: Aetna Commercial |
$755.05
|
| Rate for Payer: Aetna Medicare |
$954.45
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$577.39
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,147.17
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1,147.17
|
| Rate for Payer: BCBS Complete |
$504.02
|
| Rate for Payer: BCBS MAPPO |
$917.74
|
| Rate for Payer: BCBS Trust/PPO |
$580.01
|
| Rate for Payer: BCN Commercial |
$580.01
|
| Rate for Payer: BCN Medicare Advantage |
$917.74
|
| Rate for Payer: Cash Price |
$710.64
|
| Rate for Payer: Cash Price |
$710.64
|
| Rate for Payer: Cash Price |
$710.64
|
| Rate for Payer: Cofinity Advantage |
$621.81
|
| Rate for Payer: Cofinity Commercial |
$763.94
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$710.64
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$917.74
|
| Rate for Payer: Healthscope Commercial |
$799.47
|
| Rate for Payer: Mclaren Medicaid |
$479.98
|
| Rate for Payer: Mclaren Medicare |
$917.74
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$963.63
|
| Rate for Payer: Meridian Medicaid |
$963.63
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,055.40
|
| Rate for Payer: Molina Medicare/Medicaid |
$1,009.51
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$755.05
|
| Rate for Payer: Nomi Health Commercial |
$2,753.22
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$666.23
|
| Rate for Payer: PACE Medicare |
$871.85
|
| Rate for Payer: PACE SWMI |
$917.74
|
| Rate for Payer: PHP Commercial |
$755.05
|
| Rate for Payer: PHP Medicare Advantage |
$917.74
|
| Rate for Payer: Priority Health Choice Medicaid |
$479.98
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$2,967.88
|
| Rate for Payer: Priority Health Medicare |
$917.74
|
| Rate for Payer: Priority Health SBD |
$559.63
|
| Rate for Payer: Priority Health Tiered Network |
$2,374.30
|
| Rate for Payer: Railroad Medicare Medicare |
$917.74
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$577.39
|
| Rate for Payer: UHC Core |
$462.80
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$917.74
|
| Rate for Payer: UHC Exchange |
$349.10
|
| Rate for Payer: UHC Medicaid |
$479.98
|
| Rate for Payer: UHCCP Medicaid |
$479.98
|
| Rate for Payer: VA VA |
$917.74
|
|
|
HC BIOTINIDASE
|
Facility
|
IP
|
$69.71
|
|
|
Service Code
|
CPT 82261
|
| Hospital Charge Code |
30100119
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$43.92 |
| Max. Negotiated Rate |
$62.74 |
| Rate for Payer: Aetna Commercial |
$59.25
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$45.31
|
| Rate for Payer: Cash Price |
$55.77
|
| Rate for Payer: Cofinity Advantage |
$48.80
|
| Rate for Payer: Cofinity Commercial |
$59.95
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$55.77
|
| Rate for Payer: Healthscope Commercial |
$62.74
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$59.25
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$52.28
|
| Rate for Payer: PHP Commercial |
$59.25
|
| Rate for Payer: Priority Health SBD |
$43.92
|
|
|
HC BIOTINIDASE
|
Facility
|
OP
|
$69.71
|
|
|
Service Code
|
CPT 82261
|
| Hospital Charge Code |
30100119
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$8.82 |
| Max. Negotiated Rate |
$62.74 |
| Rate for Payer: Aetna Commercial |
$59.25
|
| Rate for Payer: Aetna Medicare |
$17.54
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$45.31
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$21.09
|
| Rate for Payer: Amish Plain Church Group Commercial |
$21.09
|
| Rate for Payer: BCBS Complete |
$9.27
|
| Rate for Payer: BCBS MAPPO |
$16.87
|
| Rate for Payer: BCBS Trust/PPO |
$17.98
|
| Rate for Payer: BCN Commercial |
$17.98
|
| Rate for Payer: BCN Medicare Advantage |
$16.87
|
| Rate for Payer: Cash Price |
$55.77
|
| Rate for Payer: Cash Price |
$55.77
|
| Rate for Payer: Cofinity Advantage |
$48.80
|
| Rate for Payer: Cofinity Commercial |
$59.95
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$55.77
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$16.87
|
| Rate for Payer: Healthscope Commercial |
$62.74
|
| Rate for Payer: Mclaren Medicaid |
$8.82
|
| Rate for Payer: Mclaren Medicare |
$16.87
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$17.71
|
| Rate for Payer: Meridian Medicaid |
$17.71
|
| Rate for Payer: MI Amish Medical Board Commercial |
$19.40
|
| Rate for Payer: Molina Medicare/Medicaid |
$18.56
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$59.25
|
| Rate for Payer: Nomi Health Commercial |
$25.30
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$52.28
|
| Rate for Payer: PACE Medicare |
$16.03
|
| Rate for Payer: PACE SWMI |
$16.87
|
| Rate for Payer: PHP Commercial |
$59.25
|
| Rate for Payer: PHP Medicare Advantage |
$16.87
|
| Rate for Payer: Priority Health Choice Medicaid |
$8.82
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$16.87
|
| Rate for Payer: Priority Health Medicare |
$16.87
|
| Rate for Payer: Priority Health SBD |
$43.92
|
| Rate for Payer: Priority Health Tiered Network |
$13.50
|
| Rate for Payer: Railroad Medicare Medicare |
$16.87
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$25.31
|
| Rate for Payer: UHC Core |
$25.31
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$16.87
|
| Rate for Payer: UHC Exchange |
$25.31
|
| Rate for Payer: UHC Medicaid |
$8.82
|
| Rate for Payer: UHCCP Medicaid |
$8.82
|
| Rate for Payer: VA VA |
$16.87
|
|
|
HC BIOTRONIK DUAL PACEMAKER
|
Facility
|
OP
|
$9,824.34
|
|
|
Service Code
|
HCPCS C1785
|
| Hospital Charge Code |
27500002
|
|
Hospital Revenue Code
|
275
|
| Min. Negotiated Rate |
$3,860.97 |
| Max. Negotiated Rate |
$8,841.91 |
| Rate for Payer: Aetna Commercial |
$8,350.69
|
| Rate for Payer: Aetna Medicare |
$4,912.17
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$6,385.82
|
| Rate for Payer: BCBS Complete |
$3,929.74
|
| Rate for Payer: Cash Price |
$7,859.47
|
| Rate for Payer: Cofinity Advantage |
$6,877.04
|
| Rate for Payer: Cofinity Commercial |
$8,448.93
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$7,859.47
|
| Rate for Payer: Healthscope Commercial |
$8,841.91
|
| Rate for Payer: MI Amish Medical Board Commercial |
$7,859.47
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$8,350.69
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$7,368.26
|
| Rate for Payer: PHP Commercial |
$8,350.69
|
| Rate for Payer: Priority Health SBD |
$6,189.33
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$6,385.82
|
| Rate for Payer: UHC Core |
$5,118.48
|
| Rate for Payer: UHC Exchange |
$3,860.97
|
|
|
HC BIOTRONIK DUAL PACEMAKER
|
Facility
|
IP
|
$9,824.34
|
|
|
Service Code
|
HCPCS C1785
|
| Hospital Charge Code |
27500002
|
|
Hospital Revenue Code
|
275
|
| Min. Negotiated Rate |
$6,189.33 |
| Max. Negotiated Rate |
$8,841.91 |
| Rate for Payer: Aetna Commercial |
$8,350.69
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$6,385.82
|
| Rate for Payer: Cash Price |
$7,859.47
|
| Rate for Payer: Cofinity Advantage |
$6,877.04
|
| Rate for Payer: Cofinity Commercial |
$8,448.93
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$7,859.47
|
| Rate for Payer: Healthscope Commercial |
$8,841.91
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$8,350.69
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$7,368.26
|
| Rate for Payer: PHP Commercial |
$8,350.69
|
| Rate for Payer: Priority Health SBD |
$6,189.33
|
|
|
HC BIPAL BIOPSY FORCEPS
|
Facility
|
OP
|
$1,792.06
|
|
| Hospital Charge Code |
27200113
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$704.28 |
| Max. Negotiated Rate |
$1,612.85 |
| Rate for Payer: Aetna Commercial |
$1,523.25
|
| Rate for Payer: Aetna Medicare |
$896.03
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,164.84
|
| Rate for Payer: BCBS Complete |
$716.82
|
| Rate for Payer: Cash Price |
$1,433.65
|
| Rate for Payer: Cofinity Advantage |
$1,254.44
|
| Rate for Payer: Cofinity Commercial |
$1,541.17
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,433.65
|
| Rate for Payer: Healthscope Commercial |
$1,612.85
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,433.65
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,523.25
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,344.05
|
| Rate for Payer: PHP Commercial |
$1,523.25
|
| Rate for Payer: Priority Health SBD |
$1,129.00
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,164.84
|
| Rate for Payer: UHC Core |
$933.66
|
| Rate for Payer: UHC Exchange |
$704.28
|
|
|
HC BIPAL BIOPSY FORCEPS
|
Facility
|
IP
|
$1,792.06
|
|
| Hospital Charge Code |
27200113
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$1,129.00 |
| Max. Negotiated Rate |
$1,612.85 |
| Rate for Payer: Aetna Commercial |
$1,523.25
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,164.84
|
| Rate for Payer: Cash Price |
$1,433.65
|
| Rate for Payer: Cofinity Advantage |
$1,254.44
|
| Rate for Payer: Cofinity Commercial |
$1,541.17
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,433.65
|
| Rate for Payer: Healthscope Commercial |
$1,612.85
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,523.25
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,344.05
|
| Rate for Payer: PHP Commercial |
$1,523.25
|
| Rate for Payer: Priority Health SBD |
$1,129.00
|
|
|
HC BIPAP / CPAP PER DAY
|
Facility
|
IP
|
$892.61
|
|
|
Service Code
|
CPT 94660
|
| Hospital Charge Code |
41000008
|
|
Hospital Revenue Code
|
410
|
| Min. Negotiated Rate |
$562.34 |
| Max. Negotiated Rate |
$803.35 |
| Rate for Payer: Aetna Commercial |
$758.72
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$580.20
|
| Rate for Payer: Cash Price |
$714.09
|
| Rate for Payer: Cofinity Advantage |
$624.83
|
| Rate for Payer: Cofinity Commercial |
$767.64
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$714.09
|
| Rate for Payer: Healthscope Commercial |
$803.35
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$758.72
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$669.46
|
| Rate for Payer: PHP Commercial |
$758.72
|
| Rate for Payer: Priority Health SBD |
$562.34
|
|
|
HC BIPAP / CPAP PER DAY
|
Facility
|
OP
|
$892.61
|
|
|
Service Code
|
CPT 94660
|
| Hospital Charge Code |
41000008
|
|
Hospital Revenue Code
|
410
|
| Min. Negotiated Rate |
$114.11 |
| Max. Negotiated Rate |
$803.35 |
| Rate for Payer: Aetna Commercial |
$758.72
|
| Rate for Payer: Aetna Medicare |
$226.92
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$580.20
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$272.74
|
| Rate for Payer: Amish Plain Church Group Commercial |
$272.74
|
| Rate for Payer: BCBS Complete |
$119.83
|
| Rate for Payer: BCBS MAPPO |
$218.19
|
| Rate for Payer: BCBS Trust/PPO |
$170.26
|
| Rate for Payer: BCN Commercial |
$170.26
|
| Rate for Payer: BCN Medicare Advantage |
$218.19
|
| Rate for Payer: Cash Price |
$714.09
|
| Rate for Payer: Cash Price |
$714.09
|
| Rate for Payer: Cofinity Advantage |
$624.83
|
| Rate for Payer: Cofinity Commercial |
$767.64
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$714.09
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$218.19
|
| Rate for Payer: Healthscope Commercial |
$803.35
|
| Rate for Payer: Mclaren Medicaid |
$114.11
|
| Rate for Payer: Mclaren Medicare |
$218.19
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$229.10
|
| Rate for Payer: Meridian Medicaid |
$229.10
|
| Rate for Payer: MI Amish Medical Board Commercial |
$250.92
|
| Rate for Payer: Molina Medicare/Medicaid |
$240.01
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$758.72
|
| Rate for Payer: Nomi Health Commercial |
$654.57
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$669.46
|
| Rate for Payer: PACE Medicare |
$207.28
|
| Rate for Payer: PACE SWMI |
$218.19
|
| Rate for Payer: PHP Commercial |
$758.72
|
| Rate for Payer: PHP Medicare Advantage |
$218.19
|
| Rate for Payer: Priority Health Choice Medicaid |
$114.11
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$705.61
|
| Rate for Payer: Priority Health Medicare |
$218.19
|
| Rate for Payer: Priority Health SBD |
$562.34
|
| Rate for Payer: Priority Health Tiered Network |
$564.49
|
| Rate for Payer: Railroad Medicare Medicare |
$218.19
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$580.20
|
| Rate for Payer: UHC Core |
$465.05
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$218.19
|
| Rate for Payer: UHC Exchange |
$350.80
|
| Rate for Payer: UHC Medicaid |
$114.11
|
| Rate for Payer: UHCCP Medicaid |
$114.11
|
| Rate for Payer: VA VA |
$218.19
|
|
