|
PR I&D DEEP ABSC BURSA/HEMATOMA THIGH/KNEE REGION
|
Professional
|
Both
|
$1,665.00
|
|
|
Service Code
|
HCPCS 27301
|
| Min. Negotiated Rate |
$332.71 |
| Max. Negotiated Rate |
$90,099.00 |
| Rate for Payer: Aetna Commercial |
$659.17
|
| Rate for Payer: Aetna Medicare |
$511.60
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$659.17
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$708.36
|
| Rate for Payer: BCBS Complete |
$349.35
|
| Rate for Payer: BCBS MAPPO |
$491.92
|
| Rate for Payer: BCBS Trust/PPO |
$3,899.38
|
| Rate for Payer: BCN Commercial |
$993.00
|
| Rate for Payer: BCN Medicare Advantage |
$491.92
|
| Rate for Payer: Cash Price |
$1,332.00
|
| Rate for Payer: Cash Price |
$1,332.00
|
| Rate for Payer: Cofinity Commercial |
$708.36
|
| Rate for Payer: Cofinity Commercial |
$659.17
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$491.92
|
| Rate for Payer: Healthscope Commercial |
$910.05
|
| Rate for Payer: Healthscope Commercial |
$787.07
|
| Rate for Payer: Mclaren Medicaid |
$332.71
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$516.52
|
| Rate for Payer: Meridian Medicaid |
$349.35
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$90,099.00
|
| Rate for Payer: Nomi Health Commercial |
$590.30
|
| Rate for Payer: PACE SWMI |
$491.92
|
| Rate for Payer: PHP Medicare Advantage |
$491.92
|
| Rate for Payer: Priority Health Choice Medicaid |
$332.71
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,082.25
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$788.22
|
| Rate for Payer: Priority Health Medicare |
$491.92
|
| Rate for Payer: Priority Health Narrow Network |
$788.22
|
| Rate for Payer: Priority Health SBD |
$788.22
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$902.24
|
| Rate for Payer: UHC Dual Complete DSNP |
$491.92
|
| Rate for Payer: UHC Exchange |
$902.24
|
| Rate for Payer: UHC Medicare Advantage |
$491.92
|
| Rate for Payer: UHCCP Medicaid |
$332.71
|
|
|
PR I&D DEEP ABSC BURSA/HEMATOMA THIGH/KNEE REGION
|
Facility
|
OP
|
$1,665.00
|
|
|
Service Code
|
CPT 27301
|
| Hospital Charge Code |
27301
|
| Min. Negotiated Rate |
$543.69 |
| Max. Negotiated Rate |
$8,813.49 |
| Rate for Payer: Aetna Commercial |
$1,415.25
|
| Rate for Payer: Aetna Medicare |
$2,916.35
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,082.25
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$3,505.22
|
| Rate for Payer: Amish Plain Church Group Commercial |
$3,505.22
|
| Rate for Payer: BCBS Complete |
$1,578.19
|
| Rate for Payer: BCBS MAPPO |
$2,804.18
|
| Rate for Payer: BCBS Trust/PPO |
$922.00
|
| Rate for Payer: BCN Commercial |
$922.00
|
| Rate for Payer: BCN Medicare Advantage |
$2,804.18
|
| Rate for Payer: Cash Price |
$1,332.00
|
| Rate for Payer: Cash Price |
$1,332.00
|
| Rate for Payer: Cash Price |
$1,332.00
|
| Rate for Payer: Cofinity Commercial |
$1,431.90
|
| Rate for Payer: Cofinity Commercial |
$1,165.50
|
| Rate for Payer: Cofinity Medicare Advantage |
$1,165.50
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,332.00
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,804.18
|
| Rate for Payer: Healthscope Commercial |
$1,498.50
|
| Rate for Payer: Mclaren Medicaid |
$1,503.04
|
| Rate for Payer: Mclaren Medicare |
$2,804.18
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$2,944.39
|
| Rate for Payer: Meridian Medicaid |
$1,578.19
|
| Rate for Payer: MI Amish Medical Board Commercial |
$3,224.81
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,415.25
|
| Rate for Payer: Nomi Health Commercial |
$5,888.78
|
| Rate for Payer: PACE Medicare |
$2,663.97
|
| Rate for Payer: PACE SWMI |
$2,804.18
|
| Rate for Payer: PHP Commercial |
$1,415.25
|
| Rate for Payer: PHP Medicare Advantage |
$2,804.18
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,503.04
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,082.25
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$8,813.49
|
| Rate for Payer: Priority Health Medicare |
$2,804.18
|
| Rate for Payer: Priority Health Narrow Network |
$7,050.79
|
| Rate for Payer: Priority Health SBD |
$1,048.95
|
| Rate for Payer: Railroad Medicare Medicare |
$2,804.18
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$543.69
|
| Rate for Payer: UHC Core |
$4,155.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$2,804.18
|
| Rate for Payer: UHC Medicare Advantage |
$2,804.18
|
| Rate for Payer: UHCCP Medicaid |
$1,578.75
|
| Rate for Payer: VA VA |
$2,804.18
|
|
|
PR I&D DEEP ABSC BURSA/HEMATOMA THIGH/KNEE REGION
|
Professional
|
Both
|
$1,665.00
|
|
|
Service Code
|
HCPCS 27301
|
| Hospital Charge Code |
27301
|
| Min. Negotiated Rate |
$332.71 |
| Max. Negotiated Rate |
$90,099.00 |
| Rate for Payer: Aetna Commercial |
$659.17
|
| Rate for Payer: Aetna Medicare |
$511.60
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$659.17
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$708.36
|
| Rate for Payer: BCBS Complete |
$349.35
|
| Rate for Payer: BCBS MAPPO |
$491.92
|
| Rate for Payer: BCBS Trust/PPO |
$3,899.38
|
| Rate for Payer: BCN Commercial |
$993.00
|
| Rate for Payer: BCN Medicare Advantage |
$491.92
|
| Rate for Payer: Cash Price |
$1,332.00
|
| Rate for Payer: Cash Price |
$1,332.00
|
| Rate for Payer: Cofinity Commercial |
$708.36
|
| Rate for Payer: Cofinity Commercial |
$659.17
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$491.92
|
| Rate for Payer: Healthscope Commercial |
$910.05
|
| Rate for Payer: Healthscope Commercial |
$787.07
|
| Rate for Payer: Mclaren Medicaid |
$332.71
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$516.52
|
| Rate for Payer: Meridian Medicaid |
$349.35
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$90,099.00
|
| Rate for Payer: Nomi Health Commercial |
$590.30
|
| Rate for Payer: PACE SWMI |
$491.92
|
| Rate for Payer: PHP Medicare Advantage |
$491.92
|
| Rate for Payer: Priority Health Choice Medicaid |
$332.71
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,082.25
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$788.22
|
| Rate for Payer: Priority Health Medicare |
$491.92
|
| Rate for Payer: Priority Health Narrow Network |
$788.22
|
| Rate for Payer: Priority Health SBD |
$788.22
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$902.24
|
| Rate for Payer: UHC Dual Complete DSNP |
$491.92
|
| Rate for Payer: UHC Exchange |
$902.24
|
| Rate for Payer: UHC Medicare Advantage |
$491.92
|
| Rate for Payer: UHCCP Medicaid |
$332.71
|
|
|
PR I&D DEEP ABSC BURSA/HEMATOMA THIGH/KNEE REGION
|
Facility
|
IP
|
$1,665.00
|
|
|
Service Code
|
CPT 27301
|
| Hospital Charge Code |
27301
|
| Min. Negotiated Rate |
$1,048.95 |
| Max. Negotiated Rate |
$1,498.50 |
| Rate for Payer: Aetna Commercial |
$1,415.25
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,082.25
|
| Rate for Payer: Cash Price |
$1,332.00
|
| Rate for Payer: Cofinity Commercial |
$1,165.50
|
| Rate for Payer: Cofinity Commercial |
$1,431.90
|
| Rate for Payer: Cofinity Medicare Advantage |
$1,165.50
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,332.00
|
| Rate for Payer: Healthscope Commercial |
$1,498.50
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,415.25
|
| Rate for Payer: PHP Commercial |
$1,415.25
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,082.25
|
| Rate for Payer: Priority Health SBD |
$1,048.95
|
|
|
PR I&D DEEP ABSCESS PST SPINE CRV THRC/CERVICOTHR
|
Professional
|
Both
|
$2,460.00
|
|
|
Service Code
|
HCPCS 22010
|
| Min. Negotiated Rate |
$233.52 |
| Max. Negotiated Rate |
$172,703.00 |
| Rate for Payer: Aetna Commercial |
$1,273.05
|
| Rate for Payer: Aetna Medicare |
$988.04
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,273.05
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,368.06
|
| Rate for Payer: BCBS Complete |
$667.60
|
| Rate for Payer: BCBS MAPPO |
$950.04
|
| Rate for Payer: BCBS Trust/PPO |
$233.52
|
| Rate for Payer: BCN Commercial |
$1,424.01
|
| Rate for Payer: BCN Medicare Advantage |
$950.04
|
| Rate for Payer: Cash Price |
$1,968.00
|
| Rate for Payer: Cash Price |
$1,968.00
|
| Rate for Payer: Cofinity Commercial |
$1,368.06
|
| Rate for Payer: Cofinity Commercial |
$1,273.05
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$950.04
|
| Rate for Payer: Healthscope Commercial |
$1,757.57
|
| Rate for Payer: Healthscope Commercial |
$1,520.06
|
| Rate for Payer: Mclaren Medicaid |
$635.81
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$997.54
|
| Rate for Payer: Meridian Medicaid |
$667.60
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$172,703.00
|
| Rate for Payer: Nomi Health Commercial |
$1,140.05
|
| Rate for Payer: PACE SWMI |
$950.04
|
| Rate for Payer: PHP Medicare Advantage |
$950.04
|
| Rate for Payer: Priority Health Choice Medicaid |
$635.81
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,599.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,503.69
|
| Rate for Payer: Priority Health Medicare |
$950.04
|
| Rate for Payer: Priority Health Narrow Network |
$1,503.69
|
| Rate for Payer: Priority Health SBD |
$1,503.69
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$879.04
|
| Rate for Payer: UHC Dual Complete DSNP |
$950.04
|
| Rate for Payer: UHC Exchange |
$879.04
|
| Rate for Payer: UHC Medicare Advantage |
$950.04
|
| Rate for Payer: UHCCP Medicaid |
$635.81
|
|
|
PR I&D DEEP ABSCESS PST SPINE LUMBAR SAC/LUMBOSAC
|
Professional
|
Both
|
$1,725.00
|
|
|
Service Code
|
HCPCS 22015
|
| Min. Negotiated Rate |
$233.52 |
| Max. Negotiated Rate |
$169,603.00 |
| Rate for Payer: Aetna Commercial |
$1,237.24
|
| Rate for Payer: Aetna Medicare |
$960.24
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,237.24
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,329.57
|
| Rate for Payer: BCBS Complete |
$650.37
|
| Rate for Payer: BCBS MAPPO |
$923.31
|
| Rate for Payer: BCBS Trust/PPO |
$233.52
|
| Rate for Payer: BCN Commercial |
$1,399.57
|
| Rate for Payer: BCN Medicare Advantage |
$923.31
|
| Rate for Payer: Cash Price |
$1,380.00
|
| Rate for Payer: Cash Price |
$1,380.00
|
| Rate for Payer: Cofinity Commercial |
$1,329.57
|
| Rate for Payer: Cofinity Commercial |
$1,237.24
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$923.31
|
| Rate for Payer: Healthscope Commercial |
$1,708.12
|
| Rate for Payer: Healthscope Commercial |
$1,477.30
|
| Rate for Payer: Mclaren Medicaid |
$619.40
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$969.48
|
| Rate for Payer: Meridian Medicaid |
$650.37
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$169,603.00
|
| Rate for Payer: Nomi Health Commercial |
$1,107.97
|
| Rate for Payer: PACE SWMI |
$923.31
|
| Rate for Payer: PHP Medicare Advantage |
$923.31
|
| Rate for Payer: Priority Health Choice Medicaid |
$619.40
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,121.25
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,467.05
|
| Rate for Payer: Priority Health Medicare |
$923.31
|
| Rate for Payer: Priority Health Narrow Network |
$1,467.05
|
| Rate for Payer: Priority Health SBD |
$1,467.05
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$871.18
|
| Rate for Payer: UHC Dual Complete DSNP |
$923.31
|
| Rate for Payer: UHC Exchange |
$871.18
|
| Rate for Payer: UHC Medicare Advantage |
$923.31
|
| Rate for Payer: UHCCP Medicaid |
$619.40
|
|
|
PR I&D DEEP ABSC/HMTMA SOFT TISSUE NECK/THORAX
|
Professional
|
Both
|
$1,168.00
|
|
|
Service Code
|
HCPCS 21501
|
| Min. Negotiated Rate |
$35.00 |
| Max. Negotiated Rate |
$59,024.00 |
| Rate for Payer: Aetna Commercial |
$433.74
|
| Rate for Payer: Aetna Medicare |
$336.64
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$433.74
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$466.11
|
| Rate for Payer: BCBS Complete |
$231.70
|
| Rate for Payer: BCBS MAPPO |
$323.69
|
| Rate for Payer: BCBS Trust/PPO |
$35.00
|
| Rate for Payer: BCN Commercial |
$718.85
|
| Rate for Payer: BCN Medicare Advantage |
$323.69
|
| Rate for Payer: Cash Price |
$934.40
|
| Rate for Payer: Cash Price |
$934.40
|
| Rate for Payer: Cofinity Commercial |
$466.11
|
| Rate for Payer: Cofinity Commercial |
$433.74
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$323.69
|
| Rate for Payer: Healthscope Commercial |
$598.83
|
| Rate for Payer: Healthscope Commercial |
$517.90
|
| Rate for Payer: Mclaren Medicaid |
$220.67
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$339.87
|
| Rate for Payer: Meridian Medicaid |
$231.70
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$59,024.00
|
| Rate for Payer: Nomi Health Commercial |
$388.43
|
| Rate for Payer: PACE SWMI |
$323.69
|
| Rate for Payer: PHP Medicare Advantage |
$323.69
|
| Rate for Payer: Priority Health Choice Medicaid |
$220.67
|
| Rate for Payer: Priority Health Cigna Priority Health |
$759.20
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$521.59
|
| Rate for Payer: Priority Health Medicare |
$323.69
|
| Rate for Payer: Priority Health Narrow Network |
$521.59
|
| Rate for Payer: Priority Health SBD |
$521.59
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$390.21
|
| Rate for Payer: UHC Dual Complete DSNP |
$323.69
|
| Rate for Payer: UHC Exchange |
$390.21
|
| Rate for Payer: UHC Medicare Advantage |
$323.69
|
| Rate for Payer: UHCCP Medicaid |
$220.67
|
|
|
PR I&D DP ABSC/HMTMA SFT TIS NCK/THRX PRTL RIB OSTC
|
Professional
|
Both
|
$957.00
|
|
|
Service Code
|
HCPCS 21502
|
| Min. Negotiated Rate |
$328.23 |
| Max. Negotiated Rate |
$90,383.00 |
| Rate for Payer: Aetna Commercial |
$658.85
|
| Rate for Payer: Aetna Medicare |
$511.35
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$658.85
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$708.02
|
| Rate for Payer: BCBS Complete |
$344.64
|
| Rate for Payer: BCBS MAPPO |
$491.68
|
| Rate for Payer: BCBS Trust/PPO |
$483.43
|
| Rate for Payer: BCN Commercial |
$742.79
|
| Rate for Payer: BCN Medicare Advantage |
$491.68
|
| Rate for Payer: Cash Price |
$765.60
|
| Rate for Payer: Cash Price |
$765.60
|
| Rate for Payer: Cofinity Commercial |
$708.02
|
| Rate for Payer: Cofinity Commercial |
$658.85
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$491.68
|
| Rate for Payer: Healthscope Commercial |
$909.61
|
| Rate for Payer: Healthscope Commercial |
$786.69
|
| Rate for Payer: Mclaren Medicaid |
$328.23
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$516.26
|
| Rate for Payer: Meridian Medicaid |
$344.64
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$90,383.00
|
| Rate for Payer: Nomi Health Commercial |
$590.02
|
| Rate for Payer: PACE SWMI |
$491.68
|
| Rate for Payer: PHP Medicare Advantage |
$491.68
|
| Rate for Payer: Priority Health Choice Medicaid |
$328.23
|
| Rate for Payer: Priority Health Cigna Priority Health |
$622.05
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$779.06
|
| Rate for Payer: Priority Health Medicare |
$491.68
|
| Rate for Payer: Priority Health Narrow Network |
$779.06
|
| Rate for Payer: Priority Health SBD |
$779.06
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$648.03
|
| Rate for Payer: UHC Dual Complete DSNP |
$491.68
|
| Rate for Payer: UHC Exchange |
$648.03
|
| Rate for Payer: UHC Medicare Advantage |
$491.68
|
| Rate for Payer: UHCCP Medicaid |
$328.23
|
|
|
PR I&D DP SUPRALEVATOR PELVIRCT/RETRORCT ABSC
|
Professional
|
Both
|
$1,637.00
|
|
|
Service Code
|
HCPCS 45020
|
| Min. Negotiated Rate |
$351.04 |
| Max. Negotiated Rate |
$102,073.00 |
| Rate for Payer: Aetna Commercial |
$740.02
|
| Rate for Payer: Aetna Medicare |
$574.34
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$740.02
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$795.24
|
| Rate for Payer: BCBS Complete |
$389.82
|
| Rate for Payer: BCBS MAPPO |
$552.25
|
| Rate for Payer: BCBS Trust/PPO |
$489.21
|
| Rate for Payer: BCN Commercial |
$841.99
|
| Rate for Payer: BCN Medicare Advantage |
$552.25
|
| Rate for Payer: Cash Price |
$1,309.60
|
| Rate for Payer: Cash Price |
$1,309.60
|
| Rate for Payer: Cofinity Commercial |
$795.24
|
| Rate for Payer: Cofinity Commercial |
$740.02
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$552.25
|
| Rate for Payer: Healthscope Commercial |
$883.60
|
| Rate for Payer: Healthscope Commercial |
$1,021.66
|
| Rate for Payer: Mclaren Medicaid |
$371.26
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$579.86
|
| Rate for Payer: Meridian Medicaid |
$389.82
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$102,073.00
|
| Rate for Payer: Nomi Health Commercial |
$662.70
|
| Rate for Payer: PACE SWMI |
$552.25
|
| Rate for Payer: PHP Medicare Advantage |
$552.25
|
| Rate for Payer: Priority Health Choice Medicaid |
$371.26
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,064.05
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,021.96
|
| Rate for Payer: Priority Health Medicare |
$552.25
|
| Rate for Payer: Priority Health Narrow Network |
$1,021.96
|
| Rate for Payer: Priority Health SBD |
$1,021.96
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$351.04
|
| Rate for Payer: UHC Dual Complete DSNP |
$552.25
|
| Rate for Payer: UHC Exchange |
$351.04
|
| Rate for Payer: UHC Medicare Advantage |
$552.25
|
| Rate for Payer: UHCCP Medicaid |
$371.26
|
|
|
PR I&D EPIDIDYMIS TSTIS&/SCROTAL SPACE
|
Professional
|
Both
|
$405.00
|
|
|
Service Code
|
HCPCS 54700
|
| Min. Negotiated Rate |
$138.02 |
| Max. Negotiated Rate |
$37,334.00 |
| Rate for Payer: Aetna Commercial |
$274.82
|
| Rate for Payer: Aetna Medicare |
$213.29
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$274.82
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$295.33
|
| Rate for Payer: BCBS Complete |
$144.92
|
| Rate for Payer: BCBS MAPPO |
$205.09
|
| Rate for Payer: BCBS Trust/PPO |
$2,037.12
|
| Rate for Payer: BCN Commercial |
$307.87
|
| Rate for Payer: BCN Medicare Advantage |
$205.09
|
| Rate for Payer: Cash Price |
$324.00
|
| Rate for Payer: Cash Price |
$324.00
|
| Rate for Payer: Cofinity Commercial |
$295.33
|
| Rate for Payer: Cofinity Commercial |
$274.82
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$205.09
|
| Rate for Payer: Healthscope Commercial |
$379.42
|
| Rate for Payer: Healthscope Commercial |
$328.14
|
| Rate for Payer: Mclaren Medicaid |
$138.02
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$215.34
|
| Rate for Payer: Meridian Medicaid |
$144.92
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$37,334.00
|
| Rate for Payer: Nomi Health Commercial |
$246.11
|
| Rate for Payer: PACE SWMI |
$205.09
|
| Rate for Payer: PHP Medicare Advantage |
$205.09
|
| Rate for Payer: Priority Health Choice Medicaid |
$138.02
|
| Rate for Payer: Priority Health Cigna Priority Health |
$263.25
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$341.39
|
| Rate for Payer: Priority Health Medicare |
$205.09
|
| Rate for Payer: Priority Health Narrow Network |
$341.39
|
| Rate for Payer: Priority Health SBD |
$341.39
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$427.07
|
| Rate for Payer: UHC Dual Complete DSNP |
$205.09
|
| Rate for Payer: UHC Exchange |
$427.07
|
| Rate for Payer: UHC Medicare Advantage |
$205.09
|
| Rate for Payer: UHCCP Medicaid |
$138.02
|
|
|
PR I&D FOREARM&/WRIST DEEP ABSCESS/HEMATOMA
|
Professional
|
Both
|
$931.00
|
|
|
Service Code
|
HCPCS 25028
|
| Min. Negotiated Rate |
$209.74 |
| Max. Negotiated Rate |
$120,686.00 |
| Rate for Payer: Aetna Commercial |
$853.47
|
| Rate for Payer: Aetna Medicare |
$662.40
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$853.47
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$917.16
|
| Rate for Payer: BCBS Complete |
$464.74
|
| Rate for Payer: BCBS MAPPO |
$636.92
|
| Rate for Payer: BCBS Trust/PPO |
$209.74
|
| Rate for Payer: BCN Commercial |
$1,026.22
|
| Rate for Payer: BCN Medicare Advantage |
$636.92
|
| Rate for Payer: Cash Price |
$744.80
|
| Rate for Payer: Cash Price |
$744.80
|
| Rate for Payer: Cofinity Commercial |
$917.16
|
| Rate for Payer: Cofinity Commercial |
$853.47
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$636.92
|
| Rate for Payer: Healthscope Commercial |
$1,178.30
|
| Rate for Payer: Healthscope Commercial |
$1,019.07
|
| Rate for Payer: Mclaren Medicaid |
$442.61
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$668.77
|
| Rate for Payer: Meridian Medicaid |
$464.74
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$120,686.00
|
| Rate for Payer: Nomi Health Commercial |
$764.30
|
| Rate for Payer: PACE SWMI |
$636.92
|
| Rate for Payer: PHP Medicare Advantage |
$636.92
|
| Rate for Payer: Priority Health Choice Medicaid |
$442.61
|
| Rate for Payer: Priority Health Cigna Priority Health |
$605.15
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,068.61
|
| Rate for Payer: Priority Health Medicare |
$636.92
|
| Rate for Payer: Priority Health Narrow Network |
$1,068.61
|
| Rate for Payer: Priority Health SBD |
$1,068.61
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$613.43
|
| Rate for Payer: UHC Dual Complete DSNP |
$636.92
|
| Rate for Payer: UHC Exchange |
$613.43
|
| Rate for Payer: UHC Medicare Advantage |
$636.92
|
| Rate for Payer: UHCCP Medicaid |
$442.61
|
|
|
PR I&D HEMATOMA SEROMA/FLUID COLLECTION
|
Facility
|
IP
|
$269.00
|
|
|
Service Code
|
CPT 10140
|
| Hospital Charge Code |
10140
|
|
Hospital Revenue Code
|
521
|
| Min. Negotiated Rate |
$169.47 |
| Max. Negotiated Rate |
$242.10 |
| Rate for Payer: Aetna Commercial |
$228.65
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$174.85
|
| Rate for Payer: Cash Price |
$215.20
|
| Rate for Payer: Cofinity Commercial |
$188.30
|
| Rate for Payer: Cofinity Commercial |
$231.34
|
| Rate for Payer: Cofinity Medicare Advantage |
$188.30
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$215.20
|
| Rate for Payer: Healthscope Commercial |
$242.10
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$228.65
|
| Rate for Payer: PHP Commercial |
$228.65
|
| Rate for Payer: Priority Health Cigna Priority Health |
$174.85
|
| Rate for Payer: Priority Health SBD |
$169.47
|
|
|
PR I&D HEMATOMA SEROMA/FLUID COLLECTION
|
Facility
|
OP
|
$269.00
|
|
|
Service Code
|
CPT 10140
|
| Hospital Charge Code |
10140
|
|
Hospital Revenue Code
|
521
|
| Min. Negotiated Rate |
$124.19 |
| Max. Negotiated Rate |
$4,989.41 |
| Rate for Payer: Aetna Commercial |
$228.65
|
| Rate for Payer: Aetna Medicare |
$1,650.98
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$174.85
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,984.35
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1,984.35
|
| Rate for Payer: BCBS Complete |
$893.43
|
| Rate for Payer: BCBS MAPPO |
$1,587.48
|
| Rate for Payer: BCBS Trust/PPO |
$965.26
|
| Rate for Payer: BCN Commercial |
$965.26
|
| Rate for Payer: BCN Medicare Advantage |
$1,587.48
|
| Rate for Payer: Cash Price |
$215.20
|
| Rate for Payer: Cash Price |
$215.20
|
| Rate for Payer: Cash Price |
$215.20
|
| Rate for Payer: Cofinity Commercial |
$231.34
|
| Rate for Payer: Cofinity Commercial |
$188.30
|
| Rate for Payer: Cofinity Medicare Advantage |
$188.30
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$215.20
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,587.48
|
| Rate for Payer: Healthscope Commercial |
$242.10
|
| Rate for Payer: Mclaren Medicaid |
$850.89
|
| Rate for Payer: Mclaren Medicare |
$1,587.48
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,666.85
|
| Rate for Payer: Meridian Medicaid |
$893.43
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,825.60
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$228.65
|
| Rate for Payer: Nomi Health Commercial |
$3,333.71
|
| Rate for Payer: PACE Medicare |
$1,508.11
|
| Rate for Payer: PACE SWMI |
$1,587.48
|
| Rate for Payer: PHP Commercial |
$228.65
|
| Rate for Payer: PHP Medicare Advantage |
$1,587.48
|
| Rate for Payer: Priority Health Choice Medicaid |
$850.89
|
| Rate for Payer: Priority Health Cigna Priority Health |
$174.85
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$4,989.41
|
| Rate for Payer: Priority Health Medicare |
$1,587.48
|
| Rate for Payer: Priority Health Narrow Network |
$3,991.53
|
| Rate for Payer: Priority Health SBD |
$169.47
|
| Rate for Payer: Railroad Medicare Medicare |
$1,587.48
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$124.19
|
| Rate for Payer: UHC Core |
$3,138.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,587.48
|
| Rate for Payer: UHC Medicare Advantage |
$1,587.48
|
| Rate for Payer: UHCCP Medicaid |
$893.75
|
| Rate for Payer: VA VA |
$1,587.48
|
|
|
PR I&D HEMATOMA SEROMA/FLUID COLLECTION
|
Professional
|
Both
|
$269.00
|
|
|
Service Code
|
HCPCS 10140
|
| Hospital Charge Code |
10140
|
| Min. Negotiated Rate |
$12.91 |
| Max. Negotiated Rate |
$20,563.00 |
| Rate for Payer: Aetna Commercial |
$150.63
|
| Rate for Payer: Aetna Medicare |
$116.91
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$150.63
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$161.87
|
| Rate for Payer: BCBS Complete |
$80.51
|
| Rate for Payer: BCBS MAPPO |
$112.41
|
| Rate for Payer: BCBS Trust/PPO |
$12.91
|
| Rate for Payer: BCN Commercial |
$199.08
|
| Rate for Payer: BCN Medicare Advantage |
$112.41
|
| Rate for Payer: Cash Price |
$215.20
|
| Rate for Payer: Cash Price |
$215.20
|
| Rate for Payer: Cofinity Commercial |
$161.87
|
| Rate for Payer: Cofinity Commercial |
$150.63
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$112.41
|
| Rate for Payer: Healthscope Commercial |
$207.96
|
| Rate for Payer: Healthscope Commercial |
$179.86
|
| Rate for Payer: Mclaren Medicaid |
$76.68
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$118.03
|
| Rate for Payer: Meridian Medicaid |
$80.51
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$20,563.00
|
| Rate for Payer: Nomi Health Commercial |
$134.89
|
| Rate for Payer: PACE SWMI |
$112.41
|
| Rate for Payer: PHP Medicare Advantage |
$112.41
|
| Rate for Payer: Priority Health Choice Medicaid |
$76.68
|
| Rate for Payer: Priority Health Cigna Priority Health |
$174.85
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$161.20
|
| Rate for Payer: Priority Health Medicare |
$112.41
|
| Rate for Payer: Priority Health Narrow Network |
$161.20
|
| Rate for Payer: Priority Health SBD |
$161.20
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$127.44
|
| Rate for Payer: UHC Dual Complete DSNP |
$112.41
|
| Rate for Payer: UHC Exchange |
$127.44
|
| Rate for Payer: UHC Medicare Advantage |
$112.41
|
| Rate for Payer: UHCCP Medicaid |
$76.68
|
|
|
PR I&D HEMATOMA SEROMA/FLUID COLLECTION
|
Professional
|
Both
|
$269.00
|
|
|
Service Code
|
HCPCS 10140
|
| Min. Negotiated Rate |
$12.91 |
| Max. Negotiated Rate |
$20,563.00 |
| Rate for Payer: Aetna Commercial |
$150.63
|
| Rate for Payer: Aetna Medicare |
$116.91
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$150.63
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$161.87
|
| Rate for Payer: BCBS Complete |
$80.51
|
| Rate for Payer: BCBS MAPPO |
$112.41
|
| Rate for Payer: BCBS Trust/PPO |
$12.91
|
| Rate for Payer: BCN Commercial |
$199.08
|
| Rate for Payer: BCN Medicare Advantage |
$112.41
|
| Rate for Payer: Cash Price |
$215.20
|
| Rate for Payer: Cash Price |
$215.20
|
| Rate for Payer: Cofinity Commercial |
$161.87
|
| Rate for Payer: Cofinity Commercial |
$150.63
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$112.41
|
| Rate for Payer: Healthscope Commercial |
$207.96
|
| Rate for Payer: Healthscope Commercial |
$179.86
|
| Rate for Payer: Mclaren Medicaid |
$76.68
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$118.03
|
| Rate for Payer: Meridian Medicaid |
$80.51
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$20,563.00
|
| Rate for Payer: Nomi Health Commercial |
$134.89
|
| Rate for Payer: PACE SWMI |
$112.41
|
| Rate for Payer: PHP Medicare Advantage |
$112.41
|
| Rate for Payer: Priority Health Choice Medicaid |
$76.68
|
| Rate for Payer: Priority Health Cigna Priority Health |
$174.85
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$161.20
|
| Rate for Payer: Priority Health Medicare |
$112.41
|
| Rate for Payer: Priority Health Narrow Network |
$161.20
|
| Rate for Payer: Priority Health SBD |
$161.20
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$127.44
|
| Rate for Payer: UHC Dual Complete DSNP |
$112.41
|
| Rate for Payer: UHC Exchange |
$127.44
|
| Rate for Payer: UHC Medicare Advantage |
$112.41
|
| Rate for Payer: UHCCP Medicaid |
$76.68
|
|
|
PR I&D INTRAMURAL IM/ABSC TRANSANAL ANES
|
Professional
|
Both
|
$736.00
|
|
|
Service Code
|
HCPCS 46045
|
| Min. Negotiated Rate |
$285.42 |
| Max. Negotiated Rate |
$77,562.00 |
| Rate for Payer: Aetna Commercial |
$564.94
|
| Rate for Payer: Aetna Medicare |
$438.46
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$564.94
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$607.10
|
| Rate for Payer: BCBS Complete |
$299.69
|
| Rate for Payer: BCBS MAPPO |
$421.60
|
| Rate for Payer: BCBS Trust/PPO |
$2,294.94
|
| Rate for Payer: BCN Commercial |
$644.08
|
| Rate for Payer: BCN Medicare Advantage |
$421.60
|
| Rate for Payer: Cash Price |
$588.80
|
| Rate for Payer: Cash Price |
$588.80
|
| Rate for Payer: Cofinity Commercial |
$607.10
|
| Rate for Payer: Cofinity Commercial |
$564.94
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$421.60
|
| Rate for Payer: Healthscope Commercial |
$779.96
|
| Rate for Payer: Healthscope Commercial |
$674.56
|
| Rate for Payer: Mclaren Medicaid |
$285.42
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$442.68
|
| Rate for Payer: Meridian Medicaid |
$299.69
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$77,562.00
|
| Rate for Payer: Nomi Health Commercial |
$505.92
|
| Rate for Payer: PACE SWMI |
$421.60
|
| Rate for Payer: PHP Medicare Advantage |
$421.60
|
| Rate for Payer: Priority Health Choice Medicaid |
$285.42
|
| Rate for Payer: Priority Health Cigna Priority Health |
$478.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$794.07
|
| Rate for Payer: Priority Health Medicare |
$421.60
|
| Rate for Payer: Priority Health Narrow Network |
$794.07
|
| Rate for Payer: Priority Health SBD |
$794.07
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$310.39
|
| Rate for Payer: UHC Dual Complete DSNP |
$421.60
|
| Rate for Payer: UHC Exchange |
$310.39
|
| Rate for Payer: UHC Medicare Advantage |
$421.60
|
| Rate for Payer: UHCCP Medicaid |
$285.42
|
|
|
PR I&D INTRAMURAL IM/ABSC TRANSANAL ANES
|
Professional
|
Both
|
$736.00
|
|
|
Service Code
|
HCPCS 46045
|
| Hospital Charge Code |
46045
|
| Min. Negotiated Rate |
$285.42 |
| Max. Negotiated Rate |
$77,562.00 |
| Rate for Payer: Aetna Commercial |
$564.94
|
| Rate for Payer: Aetna Medicare |
$438.46
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$564.94
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$607.10
|
| Rate for Payer: BCBS Complete |
$299.69
|
| Rate for Payer: BCBS MAPPO |
$421.60
|
| Rate for Payer: BCBS Trust/PPO |
$2,294.94
|
| Rate for Payer: BCN Commercial |
$644.08
|
| Rate for Payer: BCN Medicare Advantage |
$421.60
|
| Rate for Payer: Cash Price |
$588.80
|
| Rate for Payer: Cash Price |
$588.80
|
| Rate for Payer: Cofinity Commercial |
$607.10
|
| Rate for Payer: Cofinity Commercial |
$564.94
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$421.60
|
| Rate for Payer: Healthscope Commercial |
$779.96
|
| Rate for Payer: Healthscope Commercial |
$674.56
|
| Rate for Payer: Mclaren Medicaid |
$285.42
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$442.68
|
| Rate for Payer: Meridian Medicaid |
$299.69
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$77,562.00
|
| Rate for Payer: Nomi Health Commercial |
$505.92
|
| Rate for Payer: PACE SWMI |
$421.60
|
| Rate for Payer: PHP Medicare Advantage |
$421.60
|
| Rate for Payer: Priority Health Choice Medicaid |
$285.42
|
| Rate for Payer: Priority Health Cigna Priority Health |
$478.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$794.07
|
| Rate for Payer: Priority Health Medicare |
$421.60
|
| Rate for Payer: Priority Health Narrow Network |
$794.07
|
| Rate for Payer: Priority Health SBD |
$794.07
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$310.39
|
| Rate for Payer: UHC Dual Complete DSNP |
$421.60
|
| Rate for Payer: UHC Exchange |
$310.39
|
| Rate for Payer: UHC Medicare Advantage |
$421.60
|
| Rate for Payer: UHCCP Medicaid |
$285.42
|
|
|
PR I&D INTRAMURAL IM/ABSC TRANSANAL ANES
|
Facility
|
IP
|
$736.00
|
|
|
Service Code
|
CPT 46045
|
| Hospital Charge Code |
46045
|
| Min. Negotiated Rate |
$463.68 |
| Max. Negotiated Rate |
$662.40 |
| Rate for Payer: Aetna Commercial |
$625.60
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$478.40
|
| Rate for Payer: Cash Price |
$588.80
|
| Rate for Payer: Cofinity Commercial |
$515.20
|
| Rate for Payer: Cofinity Commercial |
$632.96
|
| Rate for Payer: Cofinity Medicare Advantage |
$515.20
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$588.80
|
| Rate for Payer: Healthscope Commercial |
$662.40
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$625.60
|
| Rate for Payer: PHP Commercial |
$625.60
|
| Rate for Payer: Priority Health Cigna Priority Health |
$478.40
|
| Rate for Payer: Priority Health SBD |
$463.68
|
|
|
PR I&D INTRAMURAL IM/ABSC TRANSANAL ANES
|
Facility
|
OP
|
$736.00
|
|
|
Service Code
|
CPT 46045
|
| Hospital Charge Code |
46045
|
| Min. Negotiated Rate |
$463.68 |
| Max. Negotiated Rate |
$8,445.02 |
| Rate for Payer: Aetna Commercial |
$625.60
|
| Rate for Payer: Aetna Medicare |
$2,794.42
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$478.40
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$3,358.68
|
| Rate for Payer: Amish Plain Church Group Commercial |
$3,358.68
|
| Rate for Payer: BCBS Complete |
$1,512.21
|
| Rate for Payer: BCBS MAPPO |
$2,686.94
|
| Rate for Payer: BCBS Trust/PPO |
$995.84
|
| Rate for Payer: BCN Commercial |
$995.84
|
| Rate for Payer: BCN Medicare Advantage |
$2,686.94
|
| Rate for Payer: Cash Price |
$588.80
|
| Rate for Payer: Cash Price |
$588.80
|
| Rate for Payer: Cash Price |
$588.80
|
| Rate for Payer: Cofinity Commercial |
$632.96
|
| Rate for Payer: Cofinity Commercial |
$515.20
|
| Rate for Payer: Cofinity Medicare Advantage |
$515.20
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$588.80
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,686.94
|
| Rate for Payer: Healthscope Commercial |
$662.40
|
| Rate for Payer: Mclaren Medicaid |
$1,440.20
|
| Rate for Payer: Mclaren Medicare |
$2,686.94
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$2,821.29
|
| Rate for Payer: Meridian Medicaid |
$1,512.21
|
| Rate for Payer: MI Amish Medical Board Commercial |
$3,089.98
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$625.60
|
| Rate for Payer: Nomi Health Commercial |
$5,642.57
|
| Rate for Payer: PACE Medicare |
$2,552.59
|
| Rate for Payer: PACE SWMI |
$2,686.94
|
| Rate for Payer: PHP Commercial |
$625.60
|
| Rate for Payer: PHP Medicare Advantage |
$2,686.94
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,440.20
|
| Rate for Payer: Priority Health Cigna Priority Health |
$478.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$8,445.02
|
| Rate for Payer: Priority Health Medicare |
$2,686.94
|
| Rate for Payer: Priority Health Narrow Network |
$6,756.02
|
| Rate for Payer: Priority Health SBD |
$463.68
|
| Rate for Payer: Railroad Medicare Medicare |
$2,686.94
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$466.88
|
| Rate for Payer: UHC Core |
$4,155.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$2,686.94
|
| Rate for Payer: UHC Medicare Advantage |
$2,686.94
|
| Rate for Payer: UHCCP Medicaid |
$1,512.75
|
| Rate for Payer: VA VA |
$2,686.94
|
|
|
PR I&D ISCHIORCT/INTRAMURAL ABSC W/WO SETON
|
Professional
|
Both
|
$2,127.00
|
|
|
Service Code
|
HCPCS 46060
|
| Min. Negotiated Rate |
$316.73 |
| Max. Negotiated Rate |
$85,988.00 |
| Rate for Payer: Aetna Commercial |
$624.80
|
| Rate for Payer: Aetna Medicare |
$484.92
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$624.80
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$671.43
|
| Rate for Payer: BCBS Complete |
$332.57
|
| Rate for Payer: BCBS MAPPO |
$466.27
|
| Rate for Payer: BCBS Trust/PPO |
$1,438.03
|
| Rate for Payer: BCN Commercial |
$715.42
|
| Rate for Payer: BCN Medicare Advantage |
$466.27
|
| Rate for Payer: Cash Price |
$1,701.60
|
| Rate for Payer: Cash Price |
$1,701.60
|
| Rate for Payer: Cofinity Commercial |
$671.43
|
| Rate for Payer: Cofinity Commercial |
$624.80
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$466.27
|
| Rate for Payer: Healthscope Commercial |
$862.60
|
| Rate for Payer: Healthscope Commercial |
$746.03
|
| Rate for Payer: Mclaren Medicaid |
$316.73
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$489.58
|
| Rate for Payer: Meridian Medicaid |
$332.57
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$85,988.00
|
| Rate for Payer: Nomi Health Commercial |
$559.52
|
| Rate for Payer: PACE SWMI |
$466.27
|
| Rate for Payer: PHP Medicare Advantage |
$466.27
|
| Rate for Payer: Priority Health Choice Medicaid |
$316.73
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,382.55
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$878.18
|
| Rate for Payer: Priority Health Medicare |
$466.27
|
| Rate for Payer: Priority Health Narrow Network |
$878.18
|
| Rate for Payer: Priority Health SBD |
$878.18
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$421.76
|
| Rate for Payer: UHC Dual Complete DSNP |
$466.27
|
| Rate for Payer: UHC Exchange |
$421.76
|
| Rate for Payer: UHC Medicare Advantage |
$466.27
|
| Rate for Payer: UHCCP Medicaid |
$316.73
|
|
|
PR I&D ISCHIORECTAL&/PERIRECTAL ABSCESS SPX
|
Facility
|
IP
|
$924.00
|
|
|
Service Code
|
CPT 46040
|
| Hospital Charge Code |
46040
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$582.12 |
| Max. Negotiated Rate |
$831.60 |
| Rate for Payer: Aetna Commercial |
$785.40
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$600.60
|
| Rate for Payer: Cash Price |
$739.20
|
| Rate for Payer: Cofinity Commercial |
$646.80
|
| Rate for Payer: Cofinity Commercial |
$794.64
|
| Rate for Payer: Cofinity Medicare Advantage |
$646.80
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$739.20
|
| Rate for Payer: Healthscope Commercial |
$831.60
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$785.40
|
| Rate for Payer: PHP Commercial |
$785.40
|
| Rate for Payer: Priority Health Cigna Priority Health |
$600.60
|
| Rate for Payer: Priority Health SBD |
$582.12
|
|
|
PR I&D ISCHIORECTAL&/PERIRECTAL ABSCESS SPX
|
Professional
|
Both
|
$924.00
|
|
|
Service Code
|
HCPCS 46040
|
| Min. Negotiated Rate |
$278.18 |
| Max. Negotiated Rate |
$75,069.00 |
| Rate for Payer: Aetna Commercial |
$549.47
|
| Rate for Payer: Aetna Medicare |
$426.45
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$549.47
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$590.47
|
| Rate for Payer: BCBS Complete |
$292.09
|
| Rate for Payer: BCBS MAPPO |
$410.05
|
| Rate for Payer: BCBS Trust/PPO |
$1,260.52
|
| Rate for Payer: BCN Commercial |
$816.58
|
| Rate for Payer: BCN Medicare Advantage |
$410.05
|
| Rate for Payer: Cash Price |
$739.20
|
| Rate for Payer: Cash Price |
$739.20
|
| Rate for Payer: Cofinity Commercial |
$590.47
|
| Rate for Payer: Cofinity Commercial |
$549.47
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$410.05
|
| Rate for Payer: Healthscope Commercial |
$758.59
|
| Rate for Payer: Healthscope Commercial |
$656.08
|
| Rate for Payer: Mclaren Medicaid |
$278.18
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$430.55
|
| Rate for Payer: Meridian Medicaid |
$292.09
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$75,069.00
|
| Rate for Payer: Nomi Health Commercial |
$492.06
|
| Rate for Payer: PACE SWMI |
$410.05
|
| Rate for Payer: PHP Medicare Advantage |
$410.05
|
| Rate for Payer: Priority Health Choice Medicaid |
$278.18
|
| Rate for Payer: Priority Health Cigna Priority Health |
$600.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$769.61
|
| Rate for Payer: Priority Health Medicare |
$410.05
|
| Rate for Payer: Priority Health Narrow Network |
$769.61
|
| Rate for Payer: Priority Health SBD |
$769.61
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$441.17
|
| Rate for Payer: UHC Dual Complete DSNP |
$410.05
|
| Rate for Payer: UHC Exchange |
$441.17
|
| Rate for Payer: UHC Medicare Advantage |
$410.05
|
| Rate for Payer: UHCCP Medicaid |
$278.18
|
|
|
PR I&D ISCHIORECTAL&/PERIRECTAL ABSCESS SPX
|
Professional
|
Both
|
$924.00
|
|
|
Service Code
|
HCPCS 46040
|
| Hospital Charge Code |
46040
|
| Min. Negotiated Rate |
$278.18 |
| Max. Negotiated Rate |
$75,069.00 |
| Rate for Payer: Aetna Commercial |
$549.47
|
| Rate for Payer: Aetna Medicare |
$426.45
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$549.47
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$590.47
|
| Rate for Payer: BCBS Complete |
$292.09
|
| Rate for Payer: BCBS MAPPO |
$410.05
|
| Rate for Payer: BCBS Trust/PPO |
$1,260.52
|
| Rate for Payer: BCN Commercial |
$816.58
|
| Rate for Payer: BCN Medicare Advantage |
$410.05
|
| Rate for Payer: Cash Price |
$739.20
|
| Rate for Payer: Cash Price |
$739.20
|
| Rate for Payer: Cofinity Commercial |
$590.47
|
| Rate for Payer: Cofinity Commercial |
$549.47
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$410.05
|
| Rate for Payer: Healthscope Commercial |
$758.59
|
| Rate for Payer: Healthscope Commercial |
$656.08
|
| Rate for Payer: Mclaren Medicaid |
$278.18
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$430.55
|
| Rate for Payer: Meridian Medicaid |
$292.09
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$75,069.00
|
| Rate for Payer: Nomi Health Commercial |
$492.06
|
| Rate for Payer: PACE SWMI |
$410.05
|
| Rate for Payer: PHP Medicare Advantage |
$410.05
|
| Rate for Payer: Priority Health Choice Medicaid |
$278.18
|
| Rate for Payer: Priority Health Cigna Priority Health |
$600.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$769.61
|
| Rate for Payer: Priority Health Medicare |
$410.05
|
| Rate for Payer: Priority Health Narrow Network |
$769.61
|
| Rate for Payer: Priority Health SBD |
$769.61
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$441.17
|
| Rate for Payer: UHC Dual Complete DSNP |
$410.05
|
| Rate for Payer: UHC Exchange |
$441.17
|
| Rate for Payer: UHC Medicare Advantage |
$410.05
|
| Rate for Payer: UHCCP Medicaid |
$278.18
|
|
|
PR I&D ISCHIORECTAL&/PERIRECTAL ABSCESS SPX
|
Facility
|
OP
|
$924.00
|
|
|
Service Code
|
CPT 46040
|
| Hospital Charge Code |
46040
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$451.54 |
| Max. Negotiated Rate |
$3,630.90 |
| Rate for Payer: Aetna Commercial |
$785.40
|
| Rate for Payer: Aetna Medicare |
$1,201.45
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$600.60
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,444.05
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1,444.05
|
| Rate for Payer: BCBS Complete |
$650.17
|
| Rate for Payer: BCBS MAPPO |
$1,155.24
|
| Rate for Payer: BCBS Trust/PPO |
$1,196.59
|
| Rate for Payer: BCN Commercial |
$1,196.59
|
| Rate for Payer: BCN Medicare Advantage |
$1,155.24
|
| Rate for Payer: Cash Price |
$739.20
|
| Rate for Payer: Cash Price |
$739.20
|
| Rate for Payer: Cash Price |
$739.20
|
| Rate for Payer: Cofinity Commercial |
$794.64
|
| Rate for Payer: Cofinity Commercial |
$646.80
|
| Rate for Payer: Cofinity Medicare Advantage |
$646.80
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$739.20
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,155.24
|
| Rate for Payer: Healthscope Commercial |
$831.60
|
| Rate for Payer: Mclaren Medicaid |
$619.21
|
| Rate for Payer: Mclaren Medicare |
$1,155.24
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,213.00
|
| Rate for Payer: Meridian Medicaid |
$650.17
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,328.53
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$785.40
|
| Rate for Payer: Nomi Health Commercial |
$2,426.00
|
| Rate for Payer: PACE Medicare |
$1,097.48
|
| Rate for Payer: PACE SWMI |
$1,155.24
|
| Rate for Payer: PHP Commercial |
$785.40
|
| Rate for Payer: PHP Medicare Advantage |
$1,155.24
|
| Rate for Payer: Priority Health Choice Medicaid |
$619.21
|
| Rate for Payer: Priority Health Cigna Priority Health |
$600.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$3,630.90
|
| Rate for Payer: Priority Health Medicare |
$1,155.24
|
| Rate for Payer: Priority Health Narrow Network |
$2,904.72
|
| Rate for Payer: Priority Health SBD |
$582.12
|
| Rate for Payer: Railroad Medicare Medicare |
$1,155.24
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$451.54
|
| Rate for Payer: UHC Core |
$3,138.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,155.24
|
| Rate for Payer: UHC Medicare Advantage |
$1,155.24
|
| Rate for Payer: UHCCP Medicaid |
$650.40
|
| Rate for Payer: VA VA |
$1,155.24
|
|
|
PR I&D OF BARTHOLINS GLAND ABSCESS
|
Professional
|
Both
|
$386.00
|
|
|
Service Code
|
HCPCS 56420
|
| Min. Negotiated Rate |
$70.72 |
| Max. Negotiated Rate |
$19,649.00 |
| Rate for Payer: Aetna Commercial |
$139.37
|
| Rate for Payer: Aetna Medicare |
$108.17
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$139.37
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$149.77
|
| Rate for Payer: BCBS Complete |
$74.26
|
| Rate for Payer: BCBS MAPPO |
$104.01
|
| Rate for Payer: BCBS Trust/PPO |
$244.07
|
| Rate for Payer: BCN Commercial |
$275.12
|
| Rate for Payer: BCN Medicare Advantage |
$104.01
|
| Rate for Payer: Cash Price |
$308.80
|
| Rate for Payer: Cash Price |
$308.80
|
| Rate for Payer: Cofinity Commercial |
$149.77
|
| Rate for Payer: Cofinity Commercial |
$139.37
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$104.01
|
| Rate for Payer: Healthscope Commercial |
$192.42
|
| Rate for Payer: Healthscope Commercial |
$166.42
|
| Rate for Payer: Mclaren Medicaid |
$70.72
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$109.21
|
| Rate for Payer: Meridian Medicaid |
$74.26
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$19,649.00
|
| Rate for Payer: Nomi Health Commercial |
$124.81
|
| Rate for Payer: PACE SWMI |
$104.01
|
| Rate for Payer: PHP Medicare Advantage |
$104.01
|
| Rate for Payer: Priority Health Choice Medicaid |
$70.72
|
| Rate for Payer: Priority Health Cigna Priority Health |
$250.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$166.17
|
| Rate for Payer: Priority Health Medicare |
$104.01
|
| Rate for Payer: Priority Health Narrow Network |
$166.17
|
| Rate for Payer: Priority Health SBD |
$166.17
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$189.76
|
| Rate for Payer: UHC Dual Complete DSNP |
$104.01
|
| Rate for Payer: UHC Exchange |
$189.76
|
| Rate for Payer: UHC Medicare Advantage |
$104.01
|
| Rate for Payer: UHCCP Medicaid |
$70.72
|
|
