|
HC PASTE NO STING
|
Facility
|
IP
|
$43.59
|
|
|
Service Code
|
HCPCS A4406
|
| Hospital Charge Code |
27000627
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$27.46 |
| Max. Negotiated Rate |
$39.23 |
| Rate for Payer: Aetna Commercial |
$37.05
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$28.33
|
| Rate for Payer: Cash Price |
$34.87
|
| Rate for Payer: Cofinity Advantage |
$30.51
|
| Rate for Payer: Cofinity Commercial |
$37.49
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$34.87
|
| Rate for Payer: Healthscope Commercial |
$39.23
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$37.05
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$32.69
|
| Rate for Payer: PHP Commercial |
$37.05
|
| Rate for Payer: Priority Health SBD |
$27.46
|
|
|
HC PASTE NO STING
|
Facility
|
OP
|
$43.59
|
|
|
Service Code
|
HCPCS A4406
|
| Hospital Charge Code |
27000627
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$17.13 |
| Max. Negotiated Rate |
$39.23 |
| Rate for Payer: Aetna Commercial |
$37.05
|
| Rate for Payer: Aetna Medicare |
$21.80
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$28.33
|
| Rate for Payer: BCBS Complete |
$17.44
|
| Rate for Payer: Cash Price |
$34.87
|
| Rate for Payer: Cofinity Advantage |
$30.51
|
| Rate for Payer: Cofinity Commercial |
$37.49
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$34.87
|
| Rate for Payer: Healthscope Commercial |
$39.23
|
| Rate for Payer: MI Amish Medical Board Commercial |
$34.87
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$37.05
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$32.69
|
| Rate for Payer: PHP Commercial |
$37.05
|
| Rate for Payer: Priority Health SBD |
$27.46
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$28.33
|
| Rate for Payer: UHC Core |
$22.71
|
| Rate for Payer: UHC Exchange |
$17.13
|
|
|
HC PATH CONSULT ON REFERRAL WITH SLIDE PREP
|
Facility
|
IP
|
$112.49
|
|
|
Service Code
|
CPT 88323
|
| Hospital Charge Code |
31000113
|
|
Hospital Revenue Code
|
310
|
| Min. Negotiated Rate |
$70.87 |
| Max. Negotiated Rate |
$101.24 |
| Rate for Payer: Aetna Commercial |
$95.62
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$73.12
|
| Rate for Payer: Cash Price |
$89.99
|
| Rate for Payer: Cofinity Advantage |
$78.74
|
| Rate for Payer: Cofinity Commercial |
$96.74
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$89.99
|
| Rate for Payer: Healthscope Commercial |
$101.24
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$95.62
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$84.37
|
| Rate for Payer: PHP Commercial |
$95.62
|
| Rate for Payer: Priority Health SBD |
$70.87
|
|
|
HC PATH CONSULT ON REFERRAL WITH SLIDE PREP
|
Facility
|
OP
|
$112.49
|
|
|
Service Code
|
CPT 88323
|
| Hospital Charge Code |
31000113
|
|
Hospital Revenue Code
|
310
|
| Min. Negotiated Rate |
$27.15 |
| Max. Negotiated Rate |
$167.92 |
| Rate for Payer: Aetna Commercial |
$95.62
|
| Rate for Payer: Aetna Medicare |
$54.00
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$73.12
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$64.90
|
| Rate for Payer: Amish Plain Church Group Commercial |
$64.90
|
| Rate for Payer: BCBS Complete |
$28.51
|
| Rate for Payer: BCBS MAPPO |
$51.92
|
| Rate for Payer: BCBS Trust/PPO |
$51.11
|
| Rate for Payer: BCN Commercial |
$51.11
|
| Rate for Payer: BCN Medicare Advantage |
$51.92
|
| Rate for Payer: Cash Price |
$89.99
|
| Rate for Payer: Cash Price |
$89.99
|
| Rate for Payer: Cofinity Advantage |
$78.74
|
| Rate for Payer: Cofinity Commercial |
$96.74
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$89.99
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$51.92
|
| Rate for Payer: Healthscope Commercial |
$101.24
|
| Rate for Payer: Mclaren Medicaid |
$27.15
|
| Rate for Payer: Mclaren Medicare |
$51.92
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$54.52
|
| Rate for Payer: Meridian Medicaid |
$54.52
|
| Rate for Payer: MI Amish Medical Board Commercial |
$59.71
|
| Rate for Payer: Molina Medicare/Medicaid |
$57.11
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$95.62
|
| Rate for Payer: Nomi Health Commercial |
$155.76
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$84.37
|
| Rate for Payer: PACE Medicare |
$49.32
|
| Rate for Payer: PACE SWMI |
$51.92
|
| Rate for Payer: PHP Commercial |
$95.62
|
| Rate for Payer: PHP Medicare Advantage |
$51.92
|
| Rate for Payer: Priority Health Choice Medicaid |
$27.15
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$167.92
|
| Rate for Payer: Priority Health Medicare |
$51.92
|
| Rate for Payer: Priority Health SBD |
$70.87
|
| Rate for Payer: Priority Health Tiered Network |
$134.34
|
| Rate for Payer: Railroad Medicare Medicare |
$51.92
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$80.15
|
| Rate for Payer: UHC Core |
$80.15
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$51.92
|
| Rate for Payer: UHC Exchange |
$80.15
|
| Rate for Payer: UHC Medicaid |
$27.15
|
| Rate for Payer: UHCCP Medicaid |
$27.15
|
| Rate for Payer: VA VA |
$51.92
|
|
|
HC PATHOLOGY III DERM
|
Facility
|
OP
|
$104.00
|
|
|
Service Code
|
CPT 88304
|
| Hospital Charge Code |
31000111
|
|
Hospital Revenue Code
|
310
|
| Min. Negotiated Rate |
$27.15 |
| Max. Negotiated Rate |
$167.92 |
| Rate for Payer: Aetna Commercial |
$88.40
|
| Rate for Payer: Aetna Medicare |
$54.00
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$67.60
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$64.90
|
| Rate for Payer: Amish Plain Church Group Commercial |
$64.90
|
| Rate for Payer: BCBS Complete |
$28.51
|
| Rate for Payer: BCBS MAPPO |
$51.92
|
| Rate for Payer: BCBS Trust/PPO |
$53.95
|
| Rate for Payer: BCN Commercial |
$53.95
|
| Rate for Payer: BCN Medicare Advantage |
$51.92
|
| Rate for Payer: Cash Price |
$83.20
|
| Rate for Payer: Cash Price |
$83.20
|
| Rate for Payer: Cofinity Advantage |
$72.80
|
| Rate for Payer: Cofinity Commercial |
$89.44
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$83.20
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$51.92
|
| Rate for Payer: Healthscope Commercial |
$93.60
|
| Rate for Payer: Mclaren Medicaid |
$27.15
|
| Rate for Payer: Mclaren Medicare |
$51.92
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$54.52
|
| Rate for Payer: Meridian Medicaid |
$54.52
|
| Rate for Payer: MI Amish Medical Board Commercial |
$59.71
|
| Rate for Payer: Molina Medicare/Medicaid |
$57.11
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$88.40
|
| Rate for Payer: Nomi Health Commercial |
$155.76
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$78.00
|
| Rate for Payer: PACE Medicare |
$49.32
|
| Rate for Payer: PACE SWMI |
$51.92
|
| Rate for Payer: PHP Commercial |
$88.40
|
| Rate for Payer: PHP Medicare Advantage |
$51.92
|
| Rate for Payer: Priority Health Choice Medicaid |
$27.15
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$167.92
|
| Rate for Payer: Priority Health Medicare |
$51.92
|
| Rate for Payer: Priority Health SBD |
$65.52
|
| Rate for Payer: Priority Health Tiered Network |
$134.34
|
| Rate for Payer: Railroad Medicare Medicare |
$51.92
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$80.15
|
| Rate for Payer: UHC Core |
$80.15
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$51.92
|
| Rate for Payer: UHC Exchange |
$80.15
|
| Rate for Payer: UHC Medicaid |
$27.15
|
| Rate for Payer: UHCCP Medicaid |
$27.15
|
| Rate for Payer: VA VA |
$51.92
|
|
|
HC PATHOLOGY III DERM
|
Facility
|
IP
|
$104.00
|
|
|
Service Code
|
CPT 88304
|
| Hospital Charge Code |
31000111
|
|
Hospital Revenue Code
|
310
|
| Min. Negotiated Rate |
$65.52 |
| Max. Negotiated Rate |
$93.60 |
| Rate for Payer: Aetna Commercial |
$88.40
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$67.60
|
| Rate for Payer: Cash Price |
$83.20
|
| Rate for Payer: Cofinity Advantage |
$72.80
|
| Rate for Payer: Cofinity Commercial |
$89.44
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$83.20
|
| Rate for Payer: Healthscope Commercial |
$93.60
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$88.40
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$78.00
|
| Rate for Payer: PHP Commercial |
$88.40
|
| Rate for Payer: Priority Health SBD |
$65.52
|
|
|
HC PATHOLOGY LEVEL I
|
Facility
|
IP
|
$45.84
|
|
|
Service Code
|
CPT 88300
|
| Hospital Charge Code |
31000045
|
|
Hospital Revenue Code
|
310
|
| Min. Negotiated Rate |
$28.88 |
| Max. Negotiated Rate |
$41.26 |
| Rate for Payer: Aetna Commercial |
$38.96
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$29.80
|
| Rate for Payer: Cash Price |
$36.67
|
| Rate for Payer: Cofinity Advantage |
$32.09
|
| Rate for Payer: Cofinity Commercial |
$39.42
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$36.67
|
| Rate for Payer: Healthscope Commercial |
$41.26
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$38.96
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$34.38
|
| Rate for Payer: PHP Commercial |
$38.96
|
| Rate for Payer: Priority Health SBD |
$28.88
|
|
|
HC PATHOLOGY LEVEL I
|
Facility
|
OP
|
$45.84
|
|
|
Service Code
|
CPT 88300
|
| Hospital Charge Code |
31000045
|
|
Hospital Revenue Code
|
310
|
| Min. Negotiated Rate |
$15.07 |
| Max. Negotiated Rate |
$93.19 |
| Rate for Payer: Aetna Commercial |
$38.96
|
| Rate for Payer: Aetna Medicare |
$29.97
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$29.80
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$36.02
|
| Rate for Payer: Amish Plain Church Group Commercial |
$36.02
|
| Rate for Payer: BCBS Complete |
$15.83
|
| Rate for Payer: BCBS MAPPO |
$28.82
|
| Rate for Payer: BCBS Trust/PPO |
$21.01
|
| Rate for Payer: BCN Commercial |
$21.01
|
| Rate for Payer: BCN Medicare Advantage |
$28.82
|
| Rate for Payer: Cash Price |
$36.67
|
| Rate for Payer: Cash Price |
$36.67
|
| Rate for Payer: Cofinity Advantage |
$32.09
|
| Rate for Payer: Cofinity Commercial |
$39.42
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$36.67
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$28.82
|
| Rate for Payer: Healthscope Commercial |
$41.26
|
| Rate for Payer: Mclaren Medicaid |
$15.07
|
| Rate for Payer: Mclaren Medicare |
$28.82
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$30.26
|
| Rate for Payer: Meridian Medicaid |
$30.26
|
| Rate for Payer: MI Amish Medical Board Commercial |
$33.14
|
| Rate for Payer: Molina Medicare/Medicaid |
$31.70
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$38.96
|
| Rate for Payer: Nomi Health Commercial |
$86.46
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$34.38
|
| Rate for Payer: PACE Medicare |
$27.38
|
| Rate for Payer: PACE SWMI |
$28.82
|
| Rate for Payer: PHP Commercial |
$38.96
|
| Rate for Payer: PHP Medicare Advantage |
$28.82
|
| Rate for Payer: Priority Health Choice Medicaid |
$15.07
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$93.19
|
| Rate for Payer: Priority Health Medicare |
$28.82
|
| Rate for Payer: Priority Health SBD |
$28.88
|
| Rate for Payer: Priority Health Tiered Network |
$74.55
|
| Rate for Payer: Railroad Medicare Medicare |
$28.82
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$36.74
|
| Rate for Payer: UHC Core |
$36.74
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$28.82
|
| Rate for Payer: UHC Exchange |
$36.74
|
| Rate for Payer: UHC Medicaid |
$15.07
|
| Rate for Payer: UHCCP Medicaid |
$15.07
|
| Rate for Payer: VA VA |
$28.82
|
|
|
HC PATHOLOGY LEVEL II
|
Facility
|
OP
|
$100.49
|
|
|
Service Code
|
CPT 88302
|
| Hospital Charge Code |
31000046
|
|
Hospital Revenue Code
|
310
|
| Min. Negotiated Rate |
$19.47 |
| Max. Negotiated Rate |
$120.34 |
| Rate for Payer: Aetna Commercial |
$85.42
|
| Rate for Payer: Aetna Medicare |
$38.71
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$65.32
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$46.52
|
| Rate for Payer: Amish Plain Church Group Commercial |
$46.52
|
| Rate for Payer: BCBS Complete |
$20.44
|
| Rate for Payer: BCBS MAPPO |
$37.22
|
| Rate for Payer: BCBS Trust/PPO |
$45.43
|
| Rate for Payer: BCN Commercial |
$45.43
|
| Rate for Payer: BCN Medicare Advantage |
$37.22
|
| Rate for Payer: Cash Price |
$80.39
|
| Rate for Payer: Cash Price |
$80.39
|
| Rate for Payer: Cofinity Advantage |
$70.34
|
| Rate for Payer: Cofinity Commercial |
$86.42
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$80.39
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$37.22
|
| Rate for Payer: Healthscope Commercial |
$90.44
|
| Rate for Payer: Mclaren Medicaid |
$19.47
|
| Rate for Payer: Mclaren Medicare |
$37.22
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$39.08
|
| Rate for Payer: Meridian Medicaid |
$39.08
|
| Rate for Payer: MI Amish Medical Board Commercial |
$42.80
|
| Rate for Payer: Molina Medicare/Medicaid |
$40.94
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$85.42
|
| Rate for Payer: Nomi Health Commercial |
$111.66
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$75.37
|
| Rate for Payer: PACE Medicare |
$35.36
|
| Rate for Payer: PACE SWMI |
$37.22
|
| Rate for Payer: PHP Commercial |
$85.42
|
| Rate for Payer: PHP Medicare Advantage |
$37.22
|
| Rate for Payer: Priority Health Choice Medicaid |
$19.47
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$120.34
|
| Rate for Payer: Priority Health Medicare |
$37.22
|
| Rate for Payer: Priority Health SBD |
$63.31
|
| Rate for Payer: Priority Health Tiered Network |
$96.27
|
| Rate for Payer: Railroad Medicare Medicare |
$37.22
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$58.88
|
| Rate for Payer: UHC Core |
$58.88
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$37.22
|
| Rate for Payer: UHC Exchange |
$58.88
|
| Rate for Payer: UHC Medicaid |
$19.47
|
| Rate for Payer: UHCCP Medicaid |
$19.47
|
| Rate for Payer: VA VA |
$37.22
|
|
|
HC PATHOLOGY LEVEL II
|
Facility
|
IP
|
$100.49
|
|
|
Service Code
|
CPT 88302
|
| Hospital Charge Code |
31000046
|
|
Hospital Revenue Code
|
310
|
| Min. Negotiated Rate |
$63.31 |
| Max. Negotiated Rate |
$90.44 |
| Rate for Payer: Aetna Commercial |
$85.42
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$65.32
|
| Rate for Payer: Cash Price |
$80.39
|
| Rate for Payer: Cofinity Advantage |
$70.34
|
| Rate for Payer: Cofinity Commercial |
$86.42
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$80.39
|
| Rate for Payer: Healthscope Commercial |
$90.44
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$85.42
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$75.37
|
| Rate for Payer: PHP Commercial |
$85.42
|
| Rate for Payer: Priority Health SBD |
$63.31
|
|
|
HC PATHOLOGY LEVEL III
|
Facility
|
OP
|
$152.29
|
|
|
Service Code
|
CPT 88304
|
| Hospital Charge Code |
31000047
|
|
Hospital Revenue Code
|
310
|
| Min. Negotiated Rate |
$27.15 |
| Max. Negotiated Rate |
$167.92 |
| Rate for Payer: Aetna Commercial |
$129.45
|
| Rate for Payer: Aetna Medicare |
$54.00
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$98.99
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$64.90
|
| Rate for Payer: Amish Plain Church Group Commercial |
$64.90
|
| Rate for Payer: BCBS Complete |
$28.51
|
| Rate for Payer: BCBS MAPPO |
$51.92
|
| Rate for Payer: BCBS Trust/PPO |
$53.95
|
| Rate for Payer: BCN Commercial |
$53.95
|
| Rate for Payer: BCN Medicare Advantage |
$51.92
|
| Rate for Payer: Cash Price |
$121.83
|
| Rate for Payer: Cash Price |
$121.83
|
| Rate for Payer: Cofinity Advantage |
$106.60
|
| Rate for Payer: Cofinity Commercial |
$130.97
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$121.83
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$51.92
|
| Rate for Payer: Healthscope Commercial |
$137.06
|
| Rate for Payer: Mclaren Medicaid |
$27.15
|
| Rate for Payer: Mclaren Medicare |
$51.92
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$54.52
|
| Rate for Payer: Meridian Medicaid |
$54.52
|
| Rate for Payer: MI Amish Medical Board Commercial |
$59.71
|
| Rate for Payer: Molina Medicare/Medicaid |
$57.11
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$129.45
|
| Rate for Payer: Nomi Health Commercial |
$155.76
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$114.22
|
| Rate for Payer: PACE Medicare |
$49.32
|
| Rate for Payer: PACE SWMI |
$51.92
|
| Rate for Payer: PHP Commercial |
$129.45
|
| Rate for Payer: PHP Medicare Advantage |
$51.92
|
| Rate for Payer: Priority Health Choice Medicaid |
$27.15
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$167.92
|
| Rate for Payer: Priority Health Medicare |
$51.92
|
| Rate for Payer: Priority Health SBD |
$95.94
|
| Rate for Payer: Priority Health Tiered Network |
$134.34
|
| Rate for Payer: Railroad Medicare Medicare |
$51.92
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$80.15
|
| Rate for Payer: UHC Core |
$80.15
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$51.92
|
| Rate for Payer: UHC Exchange |
$80.15
|
| Rate for Payer: UHC Medicaid |
$27.15
|
| Rate for Payer: UHCCP Medicaid |
$27.15
|
| Rate for Payer: VA VA |
$51.92
|
|
|
HC PATHOLOGY LEVEL III
|
Facility
|
IP
|
$152.29
|
|
|
Service Code
|
CPT 88304
|
| Hospital Charge Code |
31000047
|
|
Hospital Revenue Code
|
310
|
| Min. Negotiated Rate |
$95.94 |
| Max. Negotiated Rate |
$137.06 |
| Rate for Payer: Aetna Commercial |
$129.45
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$98.99
|
| Rate for Payer: Cash Price |
$121.83
|
| Rate for Payer: Cofinity Advantage |
$106.60
|
| Rate for Payer: Cofinity Commercial |
$130.97
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$121.83
|
| Rate for Payer: Healthscope Commercial |
$137.06
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$129.45
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$114.22
|
| Rate for Payer: PHP Commercial |
$129.45
|
| Rate for Payer: Priority Health SBD |
$95.94
|
|
|
HC PATHOLOGY LEVEL IV
|
Facility
|
IP
|
$213.30
|
|
|
Service Code
|
CPT 88305
|
| Hospital Charge Code |
31000048
|
|
Hospital Revenue Code
|
310
|
| Min. Negotiated Rate |
$134.38 |
| Max. Negotiated Rate |
$191.97 |
| Rate for Payer: Aetna Commercial |
$181.31
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$138.65
|
| Rate for Payer: Cash Price |
$170.64
|
| Rate for Payer: Cofinity Advantage |
$149.31
|
| Rate for Payer: Cofinity Commercial |
$183.44
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$170.64
|
| Rate for Payer: Healthscope Commercial |
$191.97
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$181.31
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$159.97
|
| Rate for Payer: PHP Commercial |
$181.31
|
| Rate for Payer: Priority Health SBD |
$134.38
|
|
|
HC PATHOLOGY LEVEL IV
|
Facility
|
OP
|
$213.30
|
|
|
Service Code
|
CPT 88305
|
| Hospital Charge Code |
31000048
|
|
Hospital Revenue Code
|
310
|
| Min. Negotiated Rate |
$27.15 |
| Max. Negotiated Rate |
$191.97 |
| Rate for Payer: Aetna Commercial |
$181.31
|
| Rate for Payer: Aetna Medicare |
$54.00
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$138.65
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$64.90
|
| Rate for Payer: Amish Plain Church Group Commercial |
$64.90
|
| Rate for Payer: BCBS Complete |
$28.51
|
| Rate for Payer: BCBS MAPPO |
$51.92
|
| Rate for Payer: BCBS Trust/PPO |
$71.12
|
| Rate for Payer: BCCCP Commercial |
$67.27
|
| Rate for Payer: BCN Commercial |
$71.12
|
| Rate for Payer: BCN Medicare Advantage |
$51.92
|
| Rate for Payer: Cash Price |
$170.64
|
| Rate for Payer: Cash Price |
$170.64
|
| Rate for Payer: Cofinity Advantage |
$149.31
|
| Rate for Payer: Cofinity Commercial |
$183.44
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$170.64
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$51.92
|
| Rate for Payer: Healthscope Commercial |
$191.97
|
| Rate for Payer: Mclaren Medicaid |
$27.15
|
| Rate for Payer: Mclaren Medicare |
$51.92
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$54.52
|
| Rate for Payer: Meridian Medicaid |
$54.52
|
| Rate for Payer: MI Amish Medical Board Commercial |
$59.71
|
| Rate for Payer: Molina Medicare/Medicaid |
$57.11
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$181.31
|
| Rate for Payer: Nomi Health Commercial |
$155.76
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$159.97
|
| Rate for Payer: PACE Medicare |
$49.32
|
| Rate for Payer: PACE SWMI |
$51.92
|
| Rate for Payer: PHP Commercial |
$181.31
|
| Rate for Payer: PHP Medicare Advantage |
$51.92
|
| Rate for Payer: Priority Health Choice Medicaid |
$27.15
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$167.92
|
| Rate for Payer: Priority Health Medicare |
$51.92
|
| Rate for Payer: Priority Health SBD |
$134.38
|
| Rate for Payer: Priority Health Tiered Network |
$134.34
|
| Rate for Payer: Railroad Medicare Medicare |
$51.92
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$80.15
|
| Rate for Payer: UHC Core |
$80.15
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$51.92
|
| Rate for Payer: UHC Exchange |
$80.15
|
| Rate for Payer: UHC Medicaid |
$27.15
|
| Rate for Payer: UHCCP Medicaid |
$27.15
|
| Rate for Payer: VA VA |
$51.92
|
|
|
HC PATHOLOGY LEVEL IV DERM
|
Facility
|
IP
|
$119.41
|
|
|
Service Code
|
CPT 88305
|
| Hospital Charge Code |
31000106
|
|
Hospital Revenue Code
|
310
|
| Min. Negotiated Rate |
$75.23 |
| Max. Negotiated Rate |
$107.47 |
| Rate for Payer: Aetna Commercial |
$101.50
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$77.62
|
| Rate for Payer: Cash Price |
$95.53
|
| Rate for Payer: Cofinity Advantage |
$83.59
|
| Rate for Payer: Cofinity Commercial |
$102.69
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$95.53
|
| Rate for Payer: Healthscope Commercial |
$107.47
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$101.50
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$89.56
|
| Rate for Payer: PHP Commercial |
$101.50
|
| Rate for Payer: Priority Health SBD |
$75.23
|
|
|
HC PATHOLOGY LEVEL IV DERM
|
Facility
|
OP
|
$119.41
|
|
|
Service Code
|
CPT 88305
|
| Hospital Charge Code |
31000106
|
|
Hospital Revenue Code
|
310
|
| Min. Negotiated Rate |
$27.15 |
| Max. Negotiated Rate |
$167.92 |
| Rate for Payer: Aetna Commercial |
$101.50
|
| Rate for Payer: Aetna Medicare |
$54.00
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$77.62
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$64.90
|
| Rate for Payer: Amish Plain Church Group Commercial |
$64.90
|
| Rate for Payer: BCBS Complete |
$28.51
|
| Rate for Payer: BCBS MAPPO |
$51.92
|
| Rate for Payer: BCBS Trust/PPO |
$71.12
|
| Rate for Payer: BCCCP Commercial |
$67.27
|
| Rate for Payer: BCN Commercial |
$71.12
|
| Rate for Payer: BCN Medicare Advantage |
$51.92
|
| Rate for Payer: Cash Price |
$95.53
|
| Rate for Payer: Cash Price |
$95.53
|
| Rate for Payer: Cofinity Advantage |
$83.59
|
| Rate for Payer: Cofinity Commercial |
$102.69
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$95.53
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$51.92
|
| Rate for Payer: Healthscope Commercial |
$107.47
|
| Rate for Payer: Mclaren Medicaid |
$27.15
|
| Rate for Payer: Mclaren Medicare |
$51.92
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$54.52
|
| Rate for Payer: Meridian Medicaid |
$54.52
|
| Rate for Payer: MI Amish Medical Board Commercial |
$59.71
|
| Rate for Payer: Molina Medicare/Medicaid |
$57.11
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$101.50
|
| Rate for Payer: Nomi Health Commercial |
$155.76
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$89.56
|
| Rate for Payer: PACE Medicare |
$49.32
|
| Rate for Payer: PACE SWMI |
$51.92
|
| Rate for Payer: PHP Commercial |
$101.50
|
| Rate for Payer: PHP Medicare Advantage |
$51.92
|
| Rate for Payer: Priority Health Choice Medicaid |
$27.15
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$167.92
|
| Rate for Payer: Priority Health Medicare |
$51.92
|
| Rate for Payer: Priority Health SBD |
$75.23
|
| Rate for Payer: Priority Health Tiered Network |
$134.34
|
| Rate for Payer: Railroad Medicare Medicare |
$51.92
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$80.15
|
| Rate for Payer: UHC Core |
$80.15
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$51.92
|
| Rate for Payer: UHC Exchange |
$80.15
|
| Rate for Payer: UHC Medicaid |
$27.15
|
| Rate for Payer: UHCCP Medicaid |
$27.15
|
| Rate for Payer: VA VA |
$51.92
|
|
|
HC PATHOLOGY LEVEL V
|
Facility
|
IP
|
$594.00
|
|
|
Service Code
|
CPT 88307
|
| Hospital Charge Code |
31000049
|
|
Hospital Revenue Code
|
310
|
| Min. Negotiated Rate |
$374.22 |
| Max. Negotiated Rate |
$534.60 |
| Rate for Payer: Aetna Commercial |
$504.90
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$386.10
|
| Rate for Payer: Cash Price |
$475.20
|
| Rate for Payer: Cofinity Advantage |
$415.80
|
| Rate for Payer: Cofinity Commercial |
$510.84
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$475.20
|
| Rate for Payer: Healthscope Commercial |
$534.60
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$504.90
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$445.50
|
| Rate for Payer: PHP Commercial |
$504.90
|
| Rate for Payer: Priority Health SBD |
$374.22
|
|
|
HC PATHOLOGY LEVEL V
|
Facility
|
OP
|
$594.00
|
|
|
Service Code
|
CPT 88307
|
| Hospital Charge Code |
31000049
|
|
Hospital Revenue Code
|
310
|
| Min. Negotiated Rate |
$186.79 |
| Max. Negotiated Rate |
$1,155.01 |
| Rate for Payer: Aetna Commercial |
$504.90
|
| Rate for Payer: Aetna Medicare |
$371.45
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$386.10
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$446.45
|
| Rate for Payer: Amish Plain Church Group Commercial |
$446.45
|
| Rate for Payer: BCBS Complete |
$196.15
|
| Rate for Payer: BCBS MAPPO |
$357.16
|
| Rate for Payer: BCBS Trust/PPO |
$353.78
|
| Rate for Payer: BCCCP Commercial |
$267.07
|
| Rate for Payer: BCN Commercial |
$353.78
|
| Rate for Payer: BCN Medicare Advantage |
$357.16
|
| Rate for Payer: Cash Price |
$475.20
|
| Rate for Payer: Cash Price |
$475.20
|
| Rate for Payer: Cofinity Advantage |
$415.80
|
| Rate for Payer: Cofinity Commercial |
$510.84
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$475.20
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$357.16
|
| Rate for Payer: Healthscope Commercial |
$534.60
|
| Rate for Payer: Mclaren Medicaid |
$186.79
|
| Rate for Payer: Mclaren Medicare |
$357.16
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$375.02
|
| Rate for Payer: Meridian Medicaid |
$375.02
|
| Rate for Payer: MI Amish Medical Board Commercial |
$410.73
|
| Rate for Payer: Molina Medicare/Medicaid |
$392.88
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$504.90
|
| Rate for Payer: Nomi Health Commercial |
$1,071.48
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$445.50
|
| Rate for Payer: PACE Medicare |
$339.30
|
| Rate for Payer: PACE SWMI |
$357.16
|
| Rate for Payer: PHP Commercial |
$504.90
|
| Rate for Payer: PHP Medicare Advantage |
$357.16
|
| Rate for Payer: Priority Health Choice Medicaid |
$186.79
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$1,155.01
|
| Rate for Payer: Priority Health Medicare |
$357.16
|
| Rate for Payer: Priority Health SBD |
$374.22
|
| Rate for Payer: Priority Health Tiered Network |
$924.01
|
| Rate for Payer: Railroad Medicare Medicare |
$357.16
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$539.58
|
| Rate for Payer: UHC Core |
$539.58
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$357.16
|
| Rate for Payer: UHC Exchange |
$539.58
|
| Rate for Payer: UHC Medicaid |
$186.79
|
| Rate for Payer: UHCCP Medicaid |
$186.79
|
| Rate for Payer: VA VA |
$357.16
|
|
|
HC PATHOLOGY LEVEL VI
|
Facility
|
IP
|
$825.64
|
|
|
Service Code
|
CPT 88309
|
| Hospital Charge Code |
31000050
|
|
Hospital Revenue Code
|
310
|
| Min. Negotiated Rate |
$520.15 |
| Max. Negotiated Rate |
$743.08 |
| Rate for Payer: Aetna Commercial |
$701.79
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$536.67
|
| Rate for Payer: Cash Price |
$660.51
|
| Rate for Payer: Cofinity Advantage |
$577.95
|
| Rate for Payer: Cofinity Commercial |
$710.05
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$660.51
|
| Rate for Payer: Healthscope Commercial |
$743.08
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$701.79
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$619.23
|
| Rate for Payer: PHP Commercial |
$701.79
|
| Rate for Payer: Priority Health SBD |
$520.15
|
|
|
HC PATHOLOGY LEVEL VI
|
Facility
|
OP
|
$825.64
|
|
|
Service Code
|
CPT 88309
|
| Hospital Charge Code |
31000050
|
|
Hospital Revenue Code
|
310
|
| Min. Negotiated Rate |
$419.85 |
| Max. Negotiated Rate |
$2,596.12 |
| Rate for Payer: Aetna Commercial |
$701.79
|
| Rate for Payer: Aetna Medicare |
$834.89
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$536.67
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,003.48
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1,003.48
|
| Rate for Payer: BCBS Complete |
$440.89
|
| Rate for Payer: BCBS MAPPO |
$802.78
|
| Rate for Payer: BCBS Trust/PPO |
$491.76
|
| Rate for Payer: BCN Commercial |
$491.76
|
| Rate for Payer: BCN Medicare Advantage |
$802.78
|
| Rate for Payer: Cash Price |
$660.51
|
| Rate for Payer: Cash Price |
$660.51
|
| Rate for Payer: Cofinity Advantage |
$577.95
|
| Rate for Payer: Cofinity Commercial |
$710.05
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$660.51
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$802.78
|
| Rate for Payer: Healthscope Commercial |
$743.08
|
| Rate for Payer: Mclaren Medicaid |
$419.85
|
| Rate for Payer: Mclaren Medicare |
$802.78
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$842.92
|
| Rate for Payer: Meridian Medicaid |
$842.92
|
| Rate for Payer: MI Amish Medical Board Commercial |
$923.20
|
| Rate for Payer: Molina Medicare/Medicaid |
$883.06
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$701.79
|
| Rate for Payer: Nomi Health Commercial |
$2,408.34
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$619.23
|
| Rate for Payer: PACE Medicare |
$762.64
|
| Rate for Payer: PACE SWMI |
$802.78
|
| Rate for Payer: PHP Commercial |
$701.79
|
| Rate for Payer: PHP Medicare Advantage |
$802.78
|
| Rate for Payer: Priority Health Choice Medicaid |
$419.85
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$2,596.12
|
| Rate for Payer: Priority Health Medicare |
$802.78
|
| Rate for Payer: Priority Health SBD |
$520.15
|
| Rate for Payer: Priority Health Tiered Network |
$2,076.90
|
| Rate for Payer: Railroad Medicare Medicare |
$802.78
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,225.35
|
| Rate for Payer: UHC Core |
$1,225.35
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$802.78
|
| Rate for Payer: UHC Exchange |
$1,225.35
|
| Rate for Payer: UHC Medicaid |
$419.85
|
| Rate for Payer: UHCCP Medicaid |
$419.85
|
| Rate for Payer: VA VA |
$802.78
|
|
|
HC PATH SURGERY CYTO ADDITIONAL
|
Facility
|
OP
|
$58.36
|
|
|
Service Code
|
CPT 88334
|
| Hospital Charge Code |
30000068
|
|
Hospital Revenue Code
|
300
|
| Min. Negotiated Rate |
$23.34 |
| Max. Negotiated Rate |
$52.52 |
| Rate for Payer: Aetna Commercial |
$49.61
|
| Rate for Payer: Aetna Medicare |
$29.18
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$37.93
|
| Rate for Payer: BCBS Complete |
$23.34
|
| Rate for Payer: BCBS Trust/PPO |
$32.94
|
| Rate for Payer: BCN Commercial |
$32.94
|
| Rate for Payer: Cash Price |
$46.69
|
| Rate for Payer: Cash Price |
$46.69
|
| Rate for Payer: Cofinity Advantage |
$40.85
|
| Rate for Payer: Cofinity Commercial |
$50.19
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$46.69
|
| Rate for Payer: Healthscope Commercial |
$52.52
|
| Rate for Payer: MI Amish Medical Board Commercial |
$46.69
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$49.61
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$43.77
|
| Rate for Payer: PHP Commercial |
$49.61
|
| Rate for Payer: Priority Health SBD |
$36.77
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$28.14
|
| Rate for Payer: UHC Core |
$28.14
|
| Rate for Payer: UHC Exchange |
$28.14
|
|
|
HC PATH SURGERY CYTO ADDITIONAL
|
Facility
|
IP
|
$58.36
|
|
|
Service Code
|
CPT 88334
|
| Hospital Charge Code |
30000068
|
|
Hospital Revenue Code
|
300
|
| Min. Negotiated Rate |
$36.77 |
| Max. Negotiated Rate |
$52.52 |
| Rate for Payer: Aetna Commercial |
$49.61
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$37.93
|
| Rate for Payer: Cash Price |
$46.69
|
| Rate for Payer: Cofinity Advantage |
$40.85
|
| Rate for Payer: Cofinity Commercial |
$50.19
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$46.69
|
| Rate for Payer: Healthscope Commercial |
$52.52
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$49.61
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$43.77
|
| Rate for Payer: PHP Commercial |
$49.61
|
| Rate for Payer: Priority Health SBD |
$36.77
|
|
|
HC PATH SURGERY CYTO INITIAL SITE
|
Facility
|
OP
|
$92.32
|
|
|
Service Code
|
CPT 88333
|
| Hospital Charge Code |
30000067
|
|
Hospital Revenue Code
|
300
|
| Min. Negotiated Rate |
$53.38 |
| Max. Negotiated Rate |
$2,596.12 |
| Rate for Payer: Aetna Commercial |
$78.47
|
| Rate for Payer: Aetna Medicare |
$834.89
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$60.01
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,003.48
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1,003.48
|
| Rate for Payer: BCBS Complete |
$440.89
|
| Rate for Payer: BCBS MAPPO |
$802.78
|
| Rate for Payer: BCBS Trust/PPO |
$53.38
|
| Rate for Payer: BCN Commercial |
$53.38
|
| Rate for Payer: BCN Medicare Advantage |
$802.78
|
| Rate for Payer: Cash Price |
$73.86
|
| Rate for Payer: Cash Price |
$73.86
|
| Rate for Payer: Cofinity Advantage |
$64.62
|
| Rate for Payer: Cofinity Commercial |
$79.40
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$73.86
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$802.78
|
| Rate for Payer: Healthscope Commercial |
$83.09
|
| Rate for Payer: Mclaren Medicaid |
$419.85
|
| Rate for Payer: Mclaren Medicare |
$802.78
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$842.92
|
| Rate for Payer: Meridian Medicaid |
$842.92
|
| Rate for Payer: MI Amish Medical Board Commercial |
$923.20
|
| Rate for Payer: Molina Medicare/Medicaid |
$883.06
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$78.47
|
| Rate for Payer: Nomi Health Commercial |
$2,408.34
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$69.24
|
| Rate for Payer: PACE Medicare |
$762.64
|
| Rate for Payer: PACE SWMI |
$802.78
|
| Rate for Payer: PHP Commercial |
$78.47
|
| Rate for Payer: PHP Medicare Advantage |
$802.78
|
| Rate for Payer: Priority Health Choice Medicaid |
$419.85
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$2,596.12
|
| Rate for Payer: Priority Health Medicare |
$802.78
|
| Rate for Payer: Priority Health SBD |
$58.16
|
| Rate for Payer: Priority Health Tiered Network |
$2,076.90
|
| Rate for Payer: Railroad Medicare Medicare |
$802.78
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,225.35
|
| Rate for Payer: UHC Core |
$1,225.35
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$802.78
|
| Rate for Payer: UHC Exchange |
$1,225.35
|
| Rate for Payer: UHC Medicaid |
$419.85
|
| Rate for Payer: UHCCP Medicaid |
$419.85
|
| Rate for Payer: VA VA |
$802.78
|
|
|
HC PATH SURGERY CYTO INITIAL SITE
|
Facility
|
IP
|
$92.32
|
|
|
Service Code
|
CPT 88333
|
| Hospital Charge Code |
30000067
|
|
Hospital Revenue Code
|
300
|
| Min. Negotiated Rate |
$58.16 |
| Max. Negotiated Rate |
$83.09 |
| Rate for Payer: Aetna Commercial |
$78.47
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$60.01
|
| Rate for Payer: Cash Price |
$73.86
|
| Rate for Payer: Cofinity Advantage |
$64.62
|
| Rate for Payer: Cofinity Commercial |
$79.40
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$73.86
|
| Rate for Payer: Healthscope Commercial |
$83.09
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$78.47
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$69.24
|
| Rate for Payer: PHP Commercial |
$78.47
|
| Rate for Payer: Priority Health SBD |
$58.16
|
|
|
HC PCP SCREEN URIN
|
Facility
|
OP
|
$96.42
|
|
|
Service Code
|
CPT 80307
|
| Hospital Charge Code |
30000136
|
|
Hospital Revenue Code
|
300
|
| Min. Negotiated Rate |
$32.50 |
| Max. Negotiated Rate |
$93.21 |
| Rate for Payer: Aetna Commercial |
$81.96
|
| Rate for Payer: Aetna Medicare |
$64.63
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$62.67
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$77.67
|
| Rate for Payer: Amish Plain Church Group Commercial |
$77.67
|
| Rate for Payer: BCBS Complete |
$34.13
|
| Rate for Payer: BCBS MAPPO |
$62.14
|
| Rate for Payer: BCBS Trust/PPO |
$66.26
|
| Rate for Payer: BCN Commercial |
$66.26
|
| Rate for Payer: BCN Medicare Advantage |
$62.14
|
| Rate for Payer: Cash Price |
$77.14
|
| Rate for Payer: Cash Price |
$77.14
|
| Rate for Payer: Cofinity Advantage |
$67.49
|
| Rate for Payer: Cofinity Commercial |
$82.92
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$77.14
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$62.14
|
| Rate for Payer: Healthscope Commercial |
$86.78
|
| Rate for Payer: Mclaren Medicaid |
$32.50
|
| Rate for Payer: Mclaren Medicare |
$62.14
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$65.25
|
| Rate for Payer: Meridian Medicaid |
$65.25
|
| Rate for Payer: MI Amish Medical Board Commercial |
$71.46
|
| Rate for Payer: Molina Medicare/Medicaid |
$68.35
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$81.96
|
| Rate for Payer: Nomi Health Commercial |
$93.21
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$72.31
|
| Rate for Payer: PACE Medicare |
$59.03
|
| Rate for Payer: PACE SWMI |
$62.14
|
| Rate for Payer: PHP Commercial |
$81.96
|
| Rate for Payer: PHP Medicare Advantage |
$62.14
|
| Rate for Payer: Priority Health Choice Medicaid |
$32.50
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$62.14
|
| Rate for Payer: Priority Health Medicare |
$62.14
|
| Rate for Payer: Priority Health SBD |
$60.74
|
| Rate for Payer: Priority Health Tiered Network |
$49.71
|
| Rate for Payer: Railroad Medicare Medicare |
$62.14
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$93.21
|
| Rate for Payer: UHC Core |
$93.21
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$62.14
|
| Rate for Payer: UHC Exchange |
$93.21
|
| Rate for Payer: UHC Medicaid |
$32.50
|
| Rate for Payer: UHCCP Medicaid |
$32.50
|
| Rate for Payer: VA VA |
$62.14
|
|
