|
HC CHROMATIN DNP
|
Facility
|
OP
|
$35.87
|
|
|
Service Code
|
CPT 86235
|
| Hospital Charge Code |
30200432
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$9.38 |
| Max. Negotiated Rate |
$32.28 |
| Rate for Payer: Aetna Commercial |
$30.49
|
| Rate for Payer: Aetna Medicare |
$18.65
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$23.32
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$22.41
|
| Rate for Payer: Amish Plain Church Group Commercial |
$22.41
|
| Rate for Payer: BCBS Complete |
$9.85
|
| Rate for Payer: BCBS MAPPO |
$17.93
|
| Rate for Payer: BCBS Trust/PPO |
$19.12
|
| Rate for Payer: BCN Commercial |
$19.12
|
| Rate for Payer: BCN Medicare Advantage |
$17.93
|
| Rate for Payer: Cash Price |
$28.70
|
| Rate for Payer: Cash Price |
$28.70
|
| Rate for Payer: Cofinity Advantage |
$25.11
|
| Rate for Payer: Cofinity Commercial |
$30.85
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$28.70
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$17.93
|
| Rate for Payer: Healthscope Commercial |
$32.28
|
| Rate for Payer: Mclaren Medicaid |
$9.38
|
| Rate for Payer: Mclaren Medicare |
$17.93
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$18.83
|
| Rate for Payer: Meridian Medicaid |
$18.83
|
| Rate for Payer: MI Amish Medical Board Commercial |
$20.62
|
| Rate for Payer: Molina Medicare/Medicaid |
$19.72
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$30.49
|
| Rate for Payer: Nomi Health Commercial |
$26.89
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$26.90
|
| Rate for Payer: PACE Medicare |
$17.03
|
| Rate for Payer: PACE SWMI |
$17.93
|
| Rate for Payer: PHP Commercial |
$30.49
|
| Rate for Payer: PHP Medicare Advantage |
$17.93
|
| Rate for Payer: Priority Health Choice Medicaid |
$9.38
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$17.93
|
| Rate for Payer: Priority Health Medicare |
$17.93
|
| Rate for Payer: Priority Health SBD |
$22.60
|
| Rate for Payer: Priority Health Tiered Network |
$14.34
|
| Rate for Payer: Railroad Medicare Medicare |
$17.93
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$26.90
|
| Rate for Payer: UHC Core |
$26.90
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$17.93
|
| Rate for Payer: UHC Exchange |
$26.90
|
| Rate for Payer: UHC Medicaid |
$9.38
|
| Rate for Payer: UHCCP Medicaid |
$9.38
|
| Rate for Payer: VA VA |
$17.93
|
|
|
HC CHROMATIN DNP
|
Facility
|
IP
|
$35.87
|
|
|
Service Code
|
CPT 86235
|
| Hospital Charge Code |
30200432
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$22.60 |
| Max. Negotiated Rate |
$32.28 |
| Rate for Payer: Aetna Commercial |
$30.49
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$23.32
|
| Rate for Payer: Cash Price |
$28.70
|
| Rate for Payer: Cofinity Advantage |
$25.11
|
| Rate for Payer: Cofinity Commercial |
$30.85
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$28.70
|
| Rate for Payer: Healthscope Commercial |
$32.28
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$30.49
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$26.90
|
| Rate for Payer: PHP Commercial |
$30.49
|
| Rate for Payer: Priority Health SBD |
$22.60
|
|
|
HC CHROMIUM
|
Facility
|
IP
|
$63.46
|
|
|
Service Code
|
CPT 82495
|
| Hospital Charge Code |
30100165
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$39.98 |
| Max. Negotiated Rate |
$57.11 |
| Rate for Payer: Aetna Commercial |
$53.94
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$41.25
|
| Rate for Payer: Cash Price |
$50.77
|
| Rate for Payer: Cofinity Advantage |
$44.42
|
| Rate for Payer: Cofinity Commercial |
$54.58
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$50.77
|
| Rate for Payer: Healthscope Commercial |
$57.11
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$53.94
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$47.59
|
| Rate for Payer: PHP Commercial |
$53.94
|
| Rate for Payer: Priority Health SBD |
$39.98
|
|
|
HC CHROMIUM
|
Facility
|
OP
|
$63.46
|
|
|
Service Code
|
CPT 82495
|
| Hospital Charge Code |
30100165
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$10.61 |
| Max. Negotiated Rate |
$57.11 |
| Rate for Payer: Aetna Commercial |
$53.94
|
| Rate for Payer: Aetna Medicare |
$21.09
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$41.25
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$25.35
|
| Rate for Payer: Amish Plain Church Group Commercial |
$25.35
|
| Rate for Payer: BCBS Complete |
$11.14
|
| Rate for Payer: BCBS MAPPO |
$20.28
|
| Rate for Payer: BCBS Trust/PPO |
$21.62
|
| Rate for Payer: BCN Commercial |
$21.62
|
| Rate for Payer: BCN Medicare Advantage |
$20.28
|
| Rate for Payer: Cash Price |
$50.77
|
| Rate for Payer: Cash Price |
$50.77
|
| Rate for Payer: Cofinity Advantage |
$44.42
|
| Rate for Payer: Cofinity Commercial |
$54.58
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$50.77
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$20.28
|
| Rate for Payer: Healthscope Commercial |
$57.11
|
| Rate for Payer: Mclaren Medicaid |
$10.61
|
| Rate for Payer: Mclaren Medicare |
$20.28
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$21.29
|
| Rate for Payer: Meridian Medicaid |
$21.29
|
| Rate for Payer: MI Amish Medical Board Commercial |
$23.32
|
| Rate for Payer: Molina Medicare/Medicaid |
$22.31
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$53.94
|
| Rate for Payer: Nomi Health Commercial |
$30.42
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$47.59
|
| Rate for Payer: PACE Medicare |
$19.27
|
| Rate for Payer: PACE SWMI |
$20.28
|
| Rate for Payer: PHP Commercial |
$53.94
|
| Rate for Payer: PHP Medicare Advantage |
$20.28
|
| Rate for Payer: Priority Health Choice Medicaid |
$10.61
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$20.28
|
| Rate for Payer: Priority Health Medicare |
$20.28
|
| Rate for Payer: Priority Health SBD |
$39.98
|
| Rate for Payer: Priority Health Tiered Network |
$16.22
|
| Rate for Payer: Railroad Medicare Medicare |
$20.28
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$30.42
|
| Rate for Payer: UHC Core |
$30.42
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$20.28
|
| Rate for Payer: UHC Exchange |
$30.42
|
| Rate for Payer: UHC Medicaid |
$10.61
|
| Rate for Payer: UHCCP Medicaid |
$10.61
|
| Rate for Payer: VA VA |
$20.28
|
|
|
HC CHROMOGRANIN A
|
Facility
|
IP
|
$62.61
|
|
|
Service Code
|
CPT 86316
|
| Hospital Charge Code |
30200187
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$39.44 |
| Max. Negotiated Rate |
$56.35 |
| Rate for Payer: Aetna Commercial |
$53.22
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$40.70
|
| Rate for Payer: Cash Price |
$50.09
|
| Rate for Payer: Cofinity Advantage |
$43.83
|
| Rate for Payer: Cofinity Commercial |
$53.84
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$50.09
|
| Rate for Payer: Healthscope Commercial |
$56.35
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$53.22
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$46.96
|
| Rate for Payer: PHP Commercial |
$53.22
|
| Rate for Payer: Priority Health SBD |
$39.44
|
|
|
HC CHROMOGRANIN A
|
Facility
|
OP
|
$62.61
|
|
|
Service Code
|
CPT 86316
|
| Hospital Charge Code |
30200187
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$10.88 |
| Max. Negotiated Rate |
$56.35 |
| Rate for Payer: Aetna Commercial |
$53.22
|
| Rate for Payer: Aetna Medicare |
$21.64
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$40.70
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$26.01
|
| Rate for Payer: Amish Plain Church Group Commercial |
$26.01
|
| Rate for Payer: BCBS Complete |
$11.43
|
| Rate for Payer: BCBS MAPPO |
$20.81
|
| Rate for Payer: BCBS Trust/PPO |
$22.19
|
| Rate for Payer: BCN Commercial |
$22.19
|
| Rate for Payer: BCN Medicare Advantage |
$20.81
|
| Rate for Payer: Cash Price |
$50.09
|
| Rate for Payer: Cash Price |
$50.09
|
| Rate for Payer: Cofinity Advantage |
$43.83
|
| Rate for Payer: Cofinity Commercial |
$53.84
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$50.09
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$20.81
|
| Rate for Payer: Healthscope Commercial |
$56.35
|
| Rate for Payer: Mclaren Medicaid |
$10.88
|
| Rate for Payer: Mclaren Medicare |
$20.81
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$21.85
|
| Rate for Payer: Meridian Medicaid |
$21.85
|
| Rate for Payer: MI Amish Medical Board Commercial |
$23.93
|
| Rate for Payer: Molina Medicare/Medicaid |
$22.89
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$53.22
|
| Rate for Payer: Nomi Health Commercial |
$31.21
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$46.96
|
| Rate for Payer: PACE Medicare |
$19.77
|
| Rate for Payer: PACE SWMI |
$20.81
|
| Rate for Payer: PHP Commercial |
$53.22
|
| Rate for Payer: PHP Medicare Advantage |
$20.81
|
| Rate for Payer: Priority Health Choice Medicaid |
$10.88
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$20.81
|
| Rate for Payer: Priority Health Medicare |
$20.81
|
| Rate for Payer: Priority Health SBD |
$39.44
|
| Rate for Payer: Priority Health Tiered Network |
$16.65
|
| Rate for Payer: Railroad Medicare Medicare |
$20.81
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$31.22
|
| Rate for Payer: UHC Core |
$31.22
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$20.81
|
| Rate for Payer: UHC Exchange |
$31.22
|
| Rate for Payer: UHC Medicaid |
$10.88
|
| Rate for Payer: UHCCP Medicaid |
$10.88
|
| Rate for Payer: VA VA |
$20.81
|
|
|
HC CHROMOSOMAL MICROARRAY, CONGENITAL, BLOOD
|
Facility
|
OP
|
$2,496.96
|
|
|
Service Code
|
CPT 81229
|
| Hospital Charge Code |
31000150
|
|
Hospital Revenue Code
|
310
|
| Min. Negotiated Rate |
$606.68 |
| Max. Negotiated Rate |
$3,480.00 |
| Rate for Payer: Aetna Commercial |
$2,122.42
|
| Rate for Payer: Aetna Medicare |
$1,206.40
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,623.02
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,450.00
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1,450.00
|
| Rate for Payer: BCBS Complete |
$637.07
|
| Rate for Payer: BCBS MAPPO |
$1,160.00
|
| Rate for Payer: BCBS Trust/PPO |
$1,649.06
|
| Rate for Payer: BCN Commercial |
$1,649.06
|
| Rate for Payer: BCN Medicare Advantage |
$1,160.00
|
| Rate for Payer: Cash Price |
$1,997.57
|
| Rate for Payer: Cash Price |
$1,997.57
|
| Rate for Payer: Cofinity Advantage |
$1,747.87
|
| Rate for Payer: Cofinity Commercial |
$2,147.39
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,997.57
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,160.00
|
| Rate for Payer: Healthscope Commercial |
$2,247.26
|
| Rate for Payer: Mclaren Medicaid |
$606.68
|
| Rate for Payer: Mclaren Medicare |
$1,160.00
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,218.00
|
| Rate for Payer: Meridian Medicaid |
$1,218.00
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,334.00
|
| Rate for Payer: Molina Medicare/Medicaid |
$1,276.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,122.42
|
| Rate for Payer: Nomi Health Commercial |
$3,480.00
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,872.72
|
| Rate for Payer: PACE Medicare |
$1,102.00
|
| Rate for Payer: PACE SWMI |
$1,160.00
|
| Rate for Payer: PHP Commercial |
$2,122.42
|
| Rate for Payer: PHP Medicare Advantage |
$1,160.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$606.68
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$1,160.00
|
| Rate for Payer: Priority Health Medicare |
$1,160.00
|
| Rate for Payer: Priority Health SBD |
$1,573.08
|
| Rate for Payer: Priority Health Tiered Network |
$928.00
|
| Rate for Payer: Railroad Medicare Medicare |
$1,160.00
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,740.00
|
| Rate for Payer: UHC Core |
$1,740.00
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$1,160.00
|
| Rate for Payer: UHC Exchange |
$1,740.00
|
| Rate for Payer: UHC Medicaid |
$606.68
|
| Rate for Payer: UHCCP Medicaid |
$606.68
|
| Rate for Payer: VA VA |
$1,160.00
|
|
|
HC CHROMOSOMAL MICROARRAY, CONGENITAL, BLOOD
|
Facility
|
IP
|
$2,496.96
|
|
|
Service Code
|
CPT 81229
|
| Hospital Charge Code |
31000150
|
|
Hospital Revenue Code
|
310
|
| Min. Negotiated Rate |
$1,573.08 |
| Max. Negotiated Rate |
$2,247.26 |
| Rate for Payer: Aetna Commercial |
$2,122.42
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,623.02
|
| Rate for Payer: Cash Price |
$1,997.57
|
| Rate for Payer: Cofinity Advantage |
$1,747.87
|
| Rate for Payer: Cofinity Commercial |
$2,147.39
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,997.57
|
| Rate for Payer: Healthscope Commercial |
$2,247.26
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,122.42
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,872.72
|
| Rate for Payer: PHP Commercial |
$2,122.42
|
| Rate for Payer: Priority Health SBD |
$1,573.08
|
|
|
HC CHROMOSOMAL MICROARRAY, PRENATAL
|
Facility
|
OP
|
$1,979.21
|
|
|
Service Code
|
CPT 81229
|
| Hospital Charge Code |
31000141
|
|
Hospital Revenue Code
|
310
|
| Min. Negotiated Rate |
$606.68 |
| Max. Negotiated Rate |
$3,480.00 |
| Rate for Payer: Aetna Commercial |
$1,682.33
|
| Rate for Payer: Aetna Medicare |
$1,206.40
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,286.49
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,450.00
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1,450.00
|
| Rate for Payer: BCBS Complete |
$637.07
|
| Rate for Payer: BCBS MAPPO |
$1,160.00
|
| Rate for Payer: BCBS Trust/PPO |
$1,649.06
|
| Rate for Payer: BCN Commercial |
$1,649.06
|
| Rate for Payer: BCN Medicare Advantage |
$1,160.00
|
| Rate for Payer: Cash Price |
$1,583.37
|
| Rate for Payer: Cash Price |
$1,583.37
|
| Rate for Payer: Cofinity Advantage |
$1,385.45
|
| Rate for Payer: Cofinity Commercial |
$1,702.12
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,583.37
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,160.00
|
| Rate for Payer: Healthscope Commercial |
$1,781.29
|
| Rate for Payer: Mclaren Medicaid |
$606.68
|
| Rate for Payer: Mclaren Medicare |
$1,160.00
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,218.00
|
| Rate for Payer: Meridian Medicaid |
$1,218.00
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,334.00
|
| Rate for Payer: Molina Medicare/Medicaid |
$1,276.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,682.33
|
| Rate for Payer: Nomi Health Commercial |
$3,480.00
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,484.41
|
| Rate for Payer: PACE Medicare |
$1,102.00
|
| Rate for Payer: PACE SWMI |
$1,160.00
|
| Rate for Payer: PHP Commercial |
$1,682.33
|
| Rate for Payer: PHP Medicare Advantage |
$1,160.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$606.68
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$1,160.00
|
| Rate for Payer: Priority Health Medicare |
$1,160.00
|
| Rate for Payer: Priority Health SBD |
$1,246.90
|
| Rate for Payer: Priority Health Tiered Network |
$928.00
|
| Rate for Payer: Railroad Medicare Medicare |
$1,160.00
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,740.00
|
| Rate for Payer: UHC Core |
$1,740.00
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$1,160.00
|
| Rate for Payer: UHC Exchange |
$1,740.00
|
| Rate for Payer: UHC Medicaid |
$606.68
|
| Rate for Payer: UHCCP Medicaid |
$606.68
|
| Rate for Payer: VA VA |
$1,160.00
|
|
|
HC CHROMOSOMAL MICROARRAY, PRENATAL
|
Facility
|
IP
|
$1,979.21
|
|
|
Service Code
|
CPT 81229
|
| Hospital Charge Code |
31000141
|
|
Hospital Revenue Code
|
310
|
| Min. Negotiated Rate |
$1,246.90 |
| Max. Negotiated Rate |
$1,781.29 |
| Rate for Payer: Aetna Commercial |
$1,682.33
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,286.49
|
| Rate for Payer: Cash Price |
$1,583.37
|
| Rate for Payer: Cofinity Advantage |
$1,385.45
|
| Rate for Payer: Cofinity Commercial |
$1,702.12
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,583.37
|
| Rate for Payer: Healthscope Commercial |
$1,781.29
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,682.33
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,484.41
|
| Rate for Payer: PHP Commercial |
$1,682.33
|
| Rate for Payer: Priority Health SBD |
$1,246.90
|
|
|
HC CHROMOSOME ADDITIONAL KARYOTYPES
|
Facility
|
IP
|
$37.14
|
|
|
Service Code
|
CPT 88280
|
| Hospital Charge Code |
31000044
|
|
Hospital Revenue Code
|
310
|
| Min. Negotiated Rate |
$23.40 |
| Max. Negotiated Rate |
$33.43 |
| Rate for Payer: Aetna Commercial |
$31.57
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$24.14
|
| Rate for Payer: Cash Price |
$29.71
|
| Rate for Payer: Cofinity Advantage |
$26.00
|
| Rate for Payer: Cofinity Commercial |
$31.94
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$29.71
|
| Rate for Payer: Healthscope Commercial |
$33.43
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$31.57
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$27.86
|
| Rate for Payer: PHP Commercial |
$31.57
|
| Rate for Payer: Priority Health SBD |
$23.40
|
|
|
HC CHROMOSOME ADDITIONAL KARYOTYPES
|
Facility
|
OP
|
$37.14
|
|
|
Service Code
|
CPT 88280
|
| Hospital Charge Code |
31000044
|
|
Hospital Revenue Code
|
310
|
| Min. Negotiated Rate |
$17.50 |
| Max. Negotiated Rate |
$50.21 |
| Rate for Payer: Aetna Commercial |
$31.57
|
| Rate for Payer: Aetna Medicare |
$34.81
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$24.14
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$41.84
|
| Rate for Payer: Amish Plain Church Group Commercial |
$41.84
|
| Rate for Payer: BCBS Complete |
$18.38
|
| Rate for Payer: BCBS MAPPO |
$33.47
|
| Rate for Payer: BCBS Trust/PPO |
$35.68
|
| Rate for Payer: BCN Commercial |
$35.68
|
| Rate for Payer: BCN Medicare Advantage |
$33.47
|
| Rate for Payer: Cash Price |
$29.71
|
| Rate for Payer: Cash Price |
$29.71
|
| Rate for Payer: Cofinity Advantage |
$26.00
|
| Rate for Payer: Cofinity Commercial |
$31.94
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$29.71
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$33.47
|
| Rate for Payer: Healthscope Commercial |
$33.43
|
| Rate for Payer: Mclaren Medicaid |
$17.50
|
| Rate for Payer: Mclaren Medicare |
$33.47
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$35.14
|
| Rate for Payer: Meridian Medicaid |
$35.14
|
| Rate for Payer: MI Amish Medical Board Commercial |
$38.49
|
| Rate for Payer: Molina Medicare/Medicaid |
$36.82
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$31.57
|
| Rate for Payer: Nomi Health Commercial |
$50.20
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$27.86
|
| Rate for Payer: PACE Medicare |
$31.80
|
| Rate for Payer: PACE SWMI |
$33.47
|
| Rate for Payer: PHP Commercial |
$31.57
|
| Rate for Payer: PHP Medicare Advantage |
$33.47
|
| Rate for Payer: Priority Health Choice Medicaid |
$17.50
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$33.47
|
| Rate for Payer: Priority Health Medicare |
$33.47
|
| Rate for Payer: Priority Health SBD |
$23.40
|
| Rate for Payer: Priority Health Tiered Network |
$26.78
|
| Rate for Payer: Railroad Medicare Medicare |
$33.47
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$50.21
|
| Rate for Payer: UHC Core |
$50.21
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$33.47
|
| Rate for Payer: UHC Exchange |
$50.21
|
| Rate for Payer: UHC Medicaid |
$17.50
|
| Rate for Payer: UHCCP Medicaid |
$17.50
|
| Rate for Payer: VA VA |
$33.47
|
|
|
HC CHROMOSOME ANALYSIS AMNIOTIC
|
Facility
|
IP
|
$211.18
|
|
|
Service Code
|
CPT 88269
|
| Hospital Charge Code |
31000022
|
|
Hospital Revenue Code
|
310
|
| Min. Negotiated Rate |
$133.04 |
| Max. Negotiated Rate |
$190.06 |
| Rate for Payer: Aetna Commercial |
$179.50
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$137.27
|
| Rate for Payer: Cash Price |
$168.94
|
| Rate for Payer: Cofinity Advantage |
$147.83
|
| Rate for Payer: Cofinity Commercial |
$181.61
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$168.94
|
| Rate for Payer: Healthscope Commercial |
$190.06
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$179.50
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$158.38
|
| Rate for Payer: PHP Commercial |
$179.50
|
| Rate for Payer: Priority Health SBD |
$133.04
|
|
|
HC CHROMOSOME ANALYSIS AMNIOTIC
|
Facility
|
OP
|
$211.18
|
|
|
Service Code
|
CPT 88269
|
| Hospital Charge Code |
31000022
|
|
Hospital Revenue Code
|
310
|
| Min. Negotiated Rate |
$90.82 |
| Max. Negotiated Rate |
$260.49 |
| Rate for Payer: Aetna Commercial |
$179.50
|
| Rate for Payer: Aetna Medicare |
$180.61
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$137.27
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$217.07
|
| Rate for Payer: Amish Plain Church Group Commercial |
$217.07
|
| Rate for Payer: BCBS Complete |
$95.37
|
| Rate for Payer: BCBS MAPPO |
$173.66
|
| Rate for Payer: BCBS Trust/PPO |
$185.16
|
| Rate for Payer: BCN Commercial |
$185.16
|
| Rate for Payer: BCN Medicare Advantage |
$173.66
|
| Rate for Payer: Cash Price |
$168.94
|
| Rate for Payer: Cash Price |
$168.94
|
| Rate for Payer: Cofinity Advantage |
$147.83
|
| Rate for Payer: Cofinity Commercial |
$181.61
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$168.94
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$173.66
|
| Rate for Payer: Healthscope Commercial |
$190.06
|
| Rate for Payer: Mclaren Medicaid |
$90.82
|
| Rate for Payer: Mclaren Medicare |
$173.66
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$182.34
|
| Rate for Payer: Meridian Medicaid |
$182.34
|
| Rate for Payer: MI Amish Medical Board Commercial |
$199.71
|
| Rate for Payer: Molina Medicare/Medicaid |
$191.03
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$179.50
|
| Rate for Payer: Nomi Health Commercial |
$260.49
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$158.38
|
| Rate for Payer: PACE Medicare |
$164.98
|
| Rate for Payer: PACE SWMI |
$173.66
|
| Rate for Payer: PHP Commercial |
$179.50
|
| Rate for Payer: PHP Medicare Advantage |
$173.66
|
| Rate for Payer: Priority Health Choice Medicaid |
$90.82
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$173.66
|
| Rate for Payer: Priority Health Medicare |
$173.66
|
| Rate for Payer: Priority Health SBD |
$133.04
|
| Rate for Payer: Priority Health Tiered Network |
$138.93
|
| Rate for Payer: Railroad Medicare Medicare |
$173.66
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$260.49
|
| Rate for Payer: UHC Core |
$260.49
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$173.66
|
| Rate for Payer: UHC Exchange |
$260.49
|
| Rate for Payer: UHC Medicaid |
$90.82
|
| Rate for Payer: UHCCP Medicaid |
$90.82
|
| Rate for Payer: VA VA |
$173.66
|
|
|
HC CHROMOSOME ANALYSIS CHORIONIC VILLUS
|
Facility
|
OP
|
$383.09
|
|
|
Service Code
|
CPT 88267
|
| Hospital Charge Code |
31000021
|
|
Hospital Revenue Code
|
310
|
| Min. Negotiated Rate |
$98.62 |
| Max. Negotiated Rate |
$344.78 |
| Rate for Payer: Aetna Commercial |
$325.63
|
| Rate for Payer: Aetna Medicare |
$196.11
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$249.01
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$235.71
|
| Rate for Payer: Amish Plain Church Group Commercial |
$235.71
|
| Rate for Payer: BCBS Complete |
$103.56
|
| Rate for Payer: BCBS MAPPO |
$188.57
|
| Rate for Payer: BCBS Trust/PPO |
$201.06
|
| Rate for Payer: BCN Commercial |
$201.06
|
| Rate for Payer: BCN Medicare Advantage |
$188.57
|
| Rate for Payer: Cash Price |
$306.47
|
| Rate for Payer: Cash Price |
$306.47
|
| Rate for Payer: Cofinity Advantage |
$268.16
|
| Rate for Payer: Cofinity Commercial |
$329.46
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$306.47
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$188.57
|
| Rate for Payer: Healthscope Commercial |
$344.78
|
| Rate for Payer: Mclaren Medicaid |
$98.62
|
| Rate for Payer: Mclaren Medicare |
$188.57
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$198.00
|
| Rate for Payer: Meridian Medicaid |
$198.00
|
| Rate for Payer: MI Amish Medical Board Commercial |
$216.86
|
| Rate for Payer: Molina Medicare/Medicaid |
$207.43
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$325.63
|
| Rate for Payer: Nomi Health Commercial |
$282.86
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$287.32
|
| Rate for Payer: PACE Medicare |
$179.14
|
| Rate for Payer: PACE SWMI |
$188.57
|
| Rate for Payer: PHP Commercial |
$325.63
|
| Rate for Payer: PHP Medicare Advantage |
$188.57
|
| Rate for Payer: Priority Health Choice Medicaid |
$98.62
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$188.57
|
| Rate for Payer: Priority Health Medicare |
$188.57
|
| Rate for Payer: Priority Health SBD |
$241.35
|
| Rate for Payer: Priority Health Tiered Network |
$150.86
|
| Rate for Payer: Railroad Medicare Medicare |
$188.57
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$282.86
|
| Rate for Payer: UHC Core |
$282.86
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$188.57
|
| Rate for Payer: UHC Exchange |
$282.86
|
| Rate for Payer: UHC Medicaid |
$98.62
|
| Rate for Payer: UHCCP Medicaid |
$98.62
|
| Rate for Payer: VA VA |
$188.57
|
|
|
HC CHROMOSOME ANALYSIS CHORIONIC VILLUS
|
Facility
|
IP
|
$383.09
|
|
|
Service Code
|
CPT 88267
|
| Hospital Charge Code |
31000021
|
|
Hospital Revenue Code
|
310
|
| Min. Negotiated Rate |
$241.35 |
| Max. Negotiated Rate |
$344.78 |
| Rate for Payer: Aetna Commercial |
$325.63
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$249.01
|
| Rate for Payer: Cash Price |
$306.47
|
| Rate for Payer: Cofinity Advantage |
$268.16
|
| Rate for Payer: Cofinity Commercial |
$329.46
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$306.47
|
| Rate for Payer: Healthscope Commercial |
$344.78
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$325.63
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$287.32
|
| Rate for Payer: PHP Commercial |
$325.63
|
| Rate for Payer: Priority Health SBD |
$241.35
|
|
|
HC CHROMOSOME ANALYSIS CONGENITAL
|
Facility
|
IP
|
$226.04
|
|
|
Service Code
|
CPT 88230
|
| Hospital Charge Code |
31000013
|
|
Hospital Revenue Code
|
310
|
| Min. Negotiated Rate |
$142.41 |
| Max. Negotiated Rate |
$203.44 |
| Rate for Payer: Aetna Commercial |
$192.13
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$146.93
|
| Rate for Payer: Cash Price |
$180.83
|
| Rate for Payer: Cofinity Advantage |
$158.23
|
| Rate for Payer: Cofinity Commercial |
$194.39
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$180.83
|
| Rate for Payer: Healthscope Commercial |
$203.44
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$192.13
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$169.53
|
| Rate for Payer: PHP Commercial |
$192.13
|
| Rate for Payer: Priority Health SBD |
$142.41
|
|
|
HC CHROMOSOME ANALYSIS CONGENITAL
|
Facility
|
OP
|
$226.04
|
|
|
Service Code
|
CPT 88230
|
| Hospital Charge Code |
31000013
|
|
Hospital Revenue Code
|
310
|
| Min. Negotiated Rate |
$60.92 |
| Max. Negotiated Rate |
$203.44 |
| Rate for Payer: Aetna Commercial |
$192.13
|
| Rate for Payer: Aetna Medicare |
$121.15
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$146.93
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$145.61
|
| Rate for Payer: Amish Plain Church Group Commercial |
$145.61
|
| Rate for Payer: BCBS Complete |
$63.98
|
| Rate for Payer: BCBS MAPPO |
$116.49
|
| Rate for Payer: BCBS Trust/PPO |
$124.21
|
| Rate for Payer: BCN Commercial |
$124.21
|
| Rate for Payer: BCN Medicare Advantage |
$116.49
|
| Rate for Payer: Cash Price |
$180.83
|
| Rate for Payer: Cash Price |
$180.83
|
| Rate for Payer: Cofinity Advantage |
$158.23
|
| Rate for Payer: Cofinity Commercial |
$194.39
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$180.83
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$116.49
|
| Rate for Payer: Healthscope Commercial |
$203.44
|
| Rate for Payer: Mclaren Medicaid |
$60.92
|
| Rate for Payer: Mclaren Medicare |
$116.49
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$122.31
|
| Rate for Payer: Meridian Medicaid |
$122.31
|
| Rate for Payer: MI Amish Medical Board Commercial |
$133.96
|
| Rate for Payer: Molina Medicare/Medicaid |
$128.14
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$192.13
|
| Rate for Payer: Nomi Health Commercial |
$174.74
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$169.53
|
| Rate for Payer: PACE Medicare |
$110.67
|
| Rate for Payer: PACE SWMI |
$116.49
|
| Rate for Payer: PHP Commercial |
$192.13
|
| Rate for Payer: PHP Medicare Advantage |
$116.49
|
| Rate for Payer: Priority Health Choice Medicaid |
$60.92
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$116.49
|
| Rate for Payer: Priority Health Medicare |
$116.49
|
| Rate for Payer: Priority Health SBD |
$142.41
|
| Rate for Payer: Priority Health Tiered Network |
$93.19
|
| Rate for Payer: Railroad Medicare Medicare |
$116.49
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$174.74
|
| Rate for Payer: UHC Core |
$174.74
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$116.49
|
| Rate for Payer: UHC Exchange |
$174.74
|
| Rate for Payer: UHC Medicaid |
$60.92
|
| Rate for Payer: UHCCP Medicaid |
$60.92
|
| Rate for Payer: VA VA |
$116.49
|
|
|
HC CHROMOSOME ANALYSIS HEMATOLOGIAL
|
Facility
|
OP
|
$233.97
|
|
|
Service Code
|
CPT 88237
|
| Hospital Charge Code |
31000017
|
|
Hospital Revenue Code
|
310
|
| Min. Negotiated Rate |
$75.18 |
| Max. Negotiated Rate |
$215.63 |
| Rate for Payer: Aetna Commercial |
$198.87
|
| Rate for Payer: Aetna Medicare |
$149.50
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$152.08
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$179.69
|
| Rate for Payer: Amish Plain Church Group Commercial |
$179.69
|
| Rate for Payer: BCBS Complete |
$78.95
|
| Rate for Payer: BCBS MAPPO |
$143.75
|
| Rate for Payer: BCBS Trust/PPO |
$153.26
|
| Rate for Payer: BCN Commercial |
$153.26
|
| Rate for Payer: BCN Medicare Advantage |
$143.75
|
| Rate for Payer: Cash Price |
$187.18
|
| Rate for Payer: Cash Price |
$187.18
|
| Rate for Payer: Cofinity Advantage |
$163.78
|
| Rate for Payer: Cofinity Commercial |
$201.21
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$187.18
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$143.75
|
| Rate for Payer: Healthscope Commercial |
$210.57
|
| Rate for Payer: Mclaren Medicaid |
$75.18
|
| Rate for Payer: Mclaren Medicare |
$143.75
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$150.94
|
| Rate for Payer: Meridian Medicaid |
$150.94
|
| Rate for Payer: MI Amish Medical Board Commercial |
$165.31
|
| Rate for Payer: Molina Medicare/Medicaid |
$158.12
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$198.87
|
| Rate for Payer: Nomi Health Commercial |
$215.62
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$175.48
|
| Rate for Payer: PACE Medicare |
$136.56
|
| Rate for Payer: PACE SWMI |
$143.75
|
| Rate for Payer: PHP Commercial |
$198.87
|
| Rate for Payer: PHP Medicare Advantage |
$143.75
|
| Rate for Payer: Priority Health Choice Medicaid |
$75.18
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$143.75
|
| Rate for Payer: Priority Health Medicare |
$143.75
|
| Rate for Payer: Priority Health SBD |
$147.40
|
| Rate for Payer: Priority Health Tiered Network |
$115.00
|
| Rate for Payer: Railroad Medicare Medicare |
$143.75
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$215.63
|
| Rate for Payer: UHC Core |
$215.63
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$143.75
|
| Rate for Payer: UHC Exchange |
$215.63
|
| Rate for Payer: UHC Medicaid |
$75.18
|
| Rate for Payer: UHCCP Medicaid |
$75.18
|
| Rate for Payer: VA VA |
$143.75
|
|
|
HC CHROMOSOME ANALYSIS HEMATOLOGIAL
|
Facility
|
IP
|
$233.97
|
|
|
Service Code
|
CPT 88237
|
| Hospital Charge Code |
31000017
|
|
Hospital Revenue Code
|
310
|
| Min. Negotiated Rate |
$147.40 |
| Max. Negotiated Rate |
$210.57 |
| Rate for Payer: Aetna Commercial |
$198.87
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$152.08
|
| Rate for Payer: Cash Price |
$187.18
|
| Rate for Payer: Cofinity Advantage |
$163.78
|
| Rate for Payer: Cofinity Commercial |
$201.21
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$187.18
|
| Rate for Payer: Healthscope Commercial |
$210.57
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$198.87
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$175.48
|
| Rate for Payer: PHP Commercial |
$198.87
|
| Rate for Payer: Priority Health SBD |
$147.40
|
|
|
HC CHROMOSOME ANALYSIS MARROW
|
Facility
|
IP
|
$257.32
|
|
|
Service Code
|
CPT 88237
|
| Hospital Charge Code |
31000016
|
|
Hospital Revenue Code
|
310
|
| Min. Negotiated Rate |
$162.11 |
| Max. Negotiated Rate |
$231.59 |
| Rate for Payer: Aetna Commercial |
$218.72
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$167.26
|
| Rate for Payer: Cash Price |
$205.86
|
| Rate for Payer: Cofinity Advantage |
$180.12
|
| Rate for Payer: Cofinity Commercial |
$221.30
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$205.86
|
| Rate for Payer: Healthscope Commercial |
$231.59
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$218.72
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$192.99
|
| Rate for Payer: PHP Commercial |
$218.72
|
| Rate for Payer: Priority Health SBD |
$162.11
|
|
|
HC CHROMOSOME ANALYSIS MARROW
|
Facility
|
OP
|
$257.32
|
|
|
Service Code
|
CPT 88237
|
| Hospital Charge Code |
31000016
|
|
Hospital Revenue Code
|
310
|
| Min. Negotiated Rate |
$75.18 |
| Max. Negotiated Rate |
$231.59 |
| Rate for Payer: Aetna Commercial |
$218.72
|
| Rate for Payer: Aetna Medicare |
$149.50
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$167.26
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$179.69
|
| Rate for Payer: Amish Plain Church Group Commercial |
$179.69
|
| Rate for Payer: BCBS Complete |
$78.95
|
| Rate for Payer: BCBS MAPPO |
$143.75
|
| Rate for Payer: BCBS Trust/PPO |
$153.26
|
| Rate for Payer: BCN Commercial |
$153.26
|
| Rate for Payer: BCN Medicare Advantage |
$143.75
|
| Rate for Payer: Cash Price |
$205.86
|
| Rate for Payer: Cash Price |
$205.86
|
| Rate for Payer: Cofinity Advantage |
$180.12
|
| Rate for Payer: Cofinity Commercial |
$221.30
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$205.86
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$143.75
|
| Rate for Payer: Healthscope Commercial |
$231.59
|
| Rate for Payer: Mclaren Medicaid |
$75.18
|
| Rate for Payer: Mclaren Medicare |
$143.75
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$150.94
|
| Rate for Payer: Meridian Medicaid |
$150.94
|
| Rate for Payer: MI Amish Medical Board Commercial |
$165.31
|
| Rate for Payer: Molina Medicare/Medicaid |
$158.12
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$218.72
|
| Rate for Payer: Nomi Health Commercial |
$215.62
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$192.99
|
| Rate for Payer: PACE Medicare |
$136.56
|
| Rate for Payer: PACE SWMI |
$143.75
|
| Rate for Payer: PHP Commercial |
$218.72
|
| Rate for Payer: PHP Medicare Advantage |
$143.75
|
| Rate for Payer: Priority Health Choice Medicaid |
$75.18
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$143.75
|
| Rate for Payer: Priority Health Medicare |
$143.75
|
| Rate for Payer: Priority Health SBD |
$162.11
|
| Rate for Payer: Priority Health Tiered Network |
$115.00
|
| Rate for Payer: Railroad Medicare Medicare |
$143.75
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$215.63
|
| Rate for Payer: UHC Core |
$215.63
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$143.75
|
| Rate for Payer: UHC Exchange |
$215.63
|
| Rate for Payer: UHC Medicaid |
$75.18
|
| Rate for Payer: UHCCP Medicaid |
$75.18
|
| Rate for Payer: VA VA |
$143.75
|
|
|
HC CHROMOSOME CELL COUNT 15 TO 20
|
Facility
|
OP
|
$224.65
|
|
|
Service Code
|
CPT 88262
|
| Hospital Charge Code |
31000019
|
|
Hospital Revenue Code
|
310
|
| Min. Negotiated Rate |
$65.63 |
| Max. Negotiated Rate |
$202.19 |
| Rate for Payer: Aetna Commercial |
$190.95
|
| Rate for Payer: Aetna Medicare |
$130.51
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$146.02
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$156.86
|
| Rate for Payer: Amish Plain Church Group Commercial |
$156.86
|
| Rate for Payer: BCBS Complete |
$68.92
|
| Rate for Payer: BCBS MAPPO |
$125.49
|
| Rate for Payer: BCBS Trust/PPO |
$133.80
|
| Rate for Payer: BCN Commercial |
$133.80
|
| Rate for Payer: BCN Medicare Advantage |
$125.49
|
| Rate for Payer: Cash Price |
$179.72
|
| Rate for Payer: Cash Price |
$179.72
|
| Rate for Payer: Cofinity Advantage |
$157.25
|
| Rate for Payer: Cofinity Commercial |
$193.20
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$179.72
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$125.49
|
| Rate for Payer: Healthscope Commercial |
$202.19
|
| Rate for Payer: Mclaren Medicaid |
$65.63
|
| Rate for Payer: Mclaren Medicare |
$125.49
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$131.76
|
| Rate for Payer: Meridian Medicaid |
$131.76
|
| Rate for Payer: MI Amish Medical Board Commercial |
$144.31
|
| Rate for Payer: Molina Medicare/Medicaid |
$138.04
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$190.95
|
| Rate for Payer: Nomi Health Commercial |
$188.24
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$168.49
|
| Rate for Payer: PACE Medicare |
$119.22
|
| Rate for Payer: PACE SWMI |
$125.49
|
| Rate for Payer: PHP Commercial |
$190.95
|
| Rate for Payer: PHP Medicare Advantage |
$125.49
|
| Rate for Payer: Priority Health Choice Medicaid |
$65.63
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$125.49
|
| Rate for Payer: Priority Health Medicare |
$125.49
|
| Rate for Payer: Priority Health SBD |
$141.53
|
| Rate for Payer: Priority Health Tiered Network |
$100.39
|
| Rate for Payer: Railroad Medicare Medicare |
$125.49
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$188.24
|
| Rate for Payer: UHC Core |
$188.24
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$125.49
|
| Rate for Payer: UHC Exchange |
$188.24
|
| Rate for Payer: UHC Medicaid |
$65.63
|
| Rate for Payer: UHCCP Medicaid |
$65.63
|
| Rate for Payer: VA VA |
$125.49
|
|
|
HC CHROMOSOME CELL COUNT 15 TO 20
|
Facility
|
IP
|
$224.65
|
|
|
Service Code
|
CPT 88262
|
| Hospital Charge Code |
31000019
|
|
Hospital Revenue Code
|
310
|
| Min. Negotiated Rate |
$141.53 |
| Max. Negotiated Rate |
$202.19 |
| Rate for Payer: Aetna Commercial |
$190.95
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$146.02
|
| Rate for Payer: Cash Price |
$179.72
|
| Rate for Payer: Cofinity Advantage |
$157.25
|
| Rate for Payer: Cofinity Commercial |
$193.20
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$179.72
|
| Rate for Payer: Healthscope Commercial |
$202.19
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$190.95
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$168.49
|
| Rate for Payer: PHP Commercial |
$190.95
|
| Rate for Payer: Priority Health SBD |
$141.53
|
|
|
HC CHROMOSOME CULTURE
|
Facility
|
OP
|
$310.94
|
|
|
Service Code
|
CPT 88235
|
| Hospital Charge Code |
31000015
|
|
Hospital Revenue Code
|
310
|
| Min. Negotiated Rate |
$78.61 |
| Max. Negotiated Rate |
$279.85 |
| Rate for Payer: Aetna Commercial |
$264.30
|
| Rate for Payer: Aetna Medicare |
$156.31
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$202.11
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$187.88
|
| Rate for Payer: Amish Plain Church Group Commercial |
$187.88
|
| Rate for Payer: BCBS Complete |
$82.54
|
| Rate for Payer: BCBS MAPPO |
$150.30
|
| Rate for Payer: BCBS Trust/PPO |
$160.26
|
| Rate for Payer: BCN Commercial |
$160.26
|
| Rate for Payer: BCN Medicare Advantage |
$150.30
|
| Rate for Payer: Cash Price |
$248.75
|
| Rate for Payer: Cash Price |
$248.75
|
| Rate for Payer: Cofinity Advantage |
$217.66
|
| Rate for Payer: Cofinity Commercial |
$267.41
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$248.75
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$150.30
|
| Rate for Payer: Healthscope Commercial |
$279.85
|
| Rate for Payer: Mclaren Medicaid |
$78.61
|
| Rate for Payer: Mclaren Medicare |
$150.30
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$157.81
|
| Rate for Payer: Meridian Medicaid |
$157.81
|
| Rate for Payer: MI Amish Medical Board Commercial |
$172.84
|
| Rate for Payer: Molina Medicare/Medicaid |
$165.33
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$264.30
|
| Rate for Payer: Nomi Health Commercial |
$225.45
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$233.21
|
| Rate for Payer: PACE Medicare |
$142.78
|
| Rate for Payer: PACE SWMI |
$150.30
|
| Rate for Payer: PHP Commercial |
$264.30
|
| Rate for Payer: PHP Medicare Advantage |
$150.30
|
| Rate for Payer: Priority Health Choice Medicaid |
$78.61
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$150.30
|
| Rate for Payer: Priority Health Medicare |
$150.30
|
| Rate for Payer: Priority Health SBD |
$195.89
|
| Rate for Payer: Priority Health Tiered Network |
$120.24
|
| Rate for Payer: Railroad Medicare Medicare |
$150.30
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$225.45
|
| Rate for Payer: UHC Core |
$225.45
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$150.30
|
| Rate for Payer: UHC Exchange |
$225.45
|
| Rate for Payer: UHC Medicaid |
$78.61
|
| Rate for Payer: UHCCP Medicaid |
$78.61
|
| Rate for Payer: VA VA |
$150.30
|
|
