|
PR LAPAROSCOPIC APPENDECTOMY
|
Professional
|
Both
|
$2,015.00
|
|
|
Service Code
|
HCPCS 44970
|
| Hospital Charge Code |
44970
|
| Min. Negotiated Rate |
$389.58 |
| Max. Negotiated Rate |
$107,791.00 |
| Rate for Payer: Aetna Commercial |
$784.90
|
| Rate for Payer: Aetna Medicare |
$609.18
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$784.90
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$843.48
|
| Rate for Payer: BCBS Complete |
$409.06
|
| Rate for Payer: BCBS MAPPO |
$585.75
|
| Rate for Payer: BCBS Trust/PPO |
$2,450.78
|
| Rate for Payer: BCN Commercial |
$882.55
|
| Rate for Payer: BCN Medicare Advantage |
$585.75
|
| Rate for Payer: Cash Price |
$1,612.00
|
| Rate for Payer: Cash Price |
$1,612.00
|
| Rate for Payer: Cofinity Commercial |
$843.48
|
| Rate for Payer: Cofinity Commercial |
$784.90
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$585.75
|
| Rate for Payer: Healthscope Commercial |
$937.20
|
| Rate for Payer: Healthscope Commercial |
$1,083.64
|
| Rate for Payer: Mclaren Medicaid |
$389.58
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$615.04
|
| Rate for Payer: Meridian Medicaid |
$409.06
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$107,791.00
|
| Rate for Payer: Nomi Health Commercial |
$702.90
|
| Rate for Payer: PACE SWMI |
$585.75
|
| Rate for Payer: PHP Medicare Advantage |
$585.75
|
| Rate for Payer: Priority Health Choice Medicaid |
$389.58
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,309.75
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,084.61
|
| Rate for Payer: Priority Health Medicare |
$585.75
|
| Rate for Payer: Priority Health Narrow Network |
$1,084.61
|
| Rate for Payer: Priority Health SBD |
$1,084.61
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$674.39
|
| Rate for Payer: UHC Dual Complete DSNP |
$585.75
|
| Rate for Payer: UHC Exchange |
$674.39
|
| Rate for Payer: UHC Medicare Advantage |
$585.75
|
| Rate for Payer: UHCCP Medicaid |
$389.58
|
|
|
PR LAPAROSCOPIC APPENDECTOMY
|
Facility
|
OP
|
$2,015.00
|
|
|
Service Code
|
CPT 44970
|
| Hospital Charge Code |
44970
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$648.91 |
| Max. Negotiated Rate |
$17,966.53 |
| Rate for Payer: Aetna Commercial |
$1,712.75
|
| Rate for Payer: Aetna Medicare |
$5,945.05
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,309.75
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$7,145.49
|
| Rate for Payer: Amish Plain Church Group Commercial |
$7,145.49
|
| Rate for Payer: BCBS Complete |
$3,217.18
|
| Rate for Payer: BCBS MAPPO |
$5,716.39
|
| Rate for Payer: BCBS Trust/PPO |
$2,900.71
|
| Rate for Payer: BCN Commercial |
$2,900.71
|
| Rate for Payer: BCN Medicare Advantage |
$5,716.39
|
| Rate for Payer: Cash Price |
$1,612.00
|
| Rate for Payer: Cash Price |
$1,612.00
|
| Rate for Payer: Cash Price |
$1,612.00
|
| Rate for Payer: Cofinity Commercial |
$1,732.90
|
| Rate for Payer: Cofinity Commercial |
$1,410.50
|
| Rate for Payer: Cofinity Medicare Advantage |
$1,410.50
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,612.00
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$5,716.39
|
| Rate for Payer: Healthscope Commercial |
$1,813.50
|
| Rate for Payer: Mclaren Medicaid |
$3,063.99
|
| Rate for Payer: Mclaren Medicare |
$5,716.39
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$6,002.21
|
| Rate for Payer: Meridian Medicaid |
$3,217.18
|
| Rate for Payer: MI Amish Medical Board Commercial |
$6,573.85
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,712.75
|
| Rate for Payer: Nomi Health Commercial |
$12,004.42
|
| Rate for Payer: PACE Medicare |
$5,430.57
|
| Rate for Payer: PACE SWMI |
$5,716.39
|
| Rate for Payer: PHP Commercial |
$1,712.75
|
| Rate for Payer: PHP Medicare Advantage |
$5,716.39
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,063.99
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,309.75
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$17,966.53
|
| Rate for Payer: Priority Health Medicare |
$5,716.39
|
| Rate for Payer: Priority Health Narrow Network |
$14,373.22
|
| Rate for Payer: Priority Health SBD |
$1,269.45
|
| Rate for Payer: Railroad Medicare Medicare |
$5,716.39
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$648.91
|
| Rate for Payer: UHC Core |
$7,632.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$5,716.39
|
| Rate for Payer: UHC Medicare Advantage |
$5,716.39
|
| Rate for Payer: UHCCP Medicaid |
$3,218.33
|
| Rate for Payer: VA VA |
$5,716.39
|
|
|
PR LAPAROSCOPIC APPENDECTOMY
|
Professional
|
Both
|
$2,015.00
|
|
|
Service Code
|
HCPCS 44970
|
| Min. Negotiated Rate |
$389.58 |
| Max. Negotiated Rate |
$107,791.00 |
| Rate for Payer: Aetna Commercial |
$784.90
|
| Rate for Payer: Aetna Medicare |
$609.18
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$784.90
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$843.48
|
| Rate for Payer: BCBS Complete |
$409.06
|
| Rate for Payer: BCBS MAPPO |
$585.75
|
| Rate for Payer: BCBS Trust/PPO |
$2,450.78
|
| Rate for Payer: BCN Commercial |
$882.55
|
| Rate for Payer: BCN Medicare Advantage |
$585.75
|
| Rate for Payer: Cash Price |
$1,612.00
|
| Rate for Payer: Cash Price |
$1,612.00
|
| Rate for Payer: Cofinity Commercial |
$843.48
|
| Rate for Payer: Cofinity Commercial |
$784.90
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$585.75
|
| Rate for Payer: Healthscope Commercial |
$937.20
|
| Rate for Payer: Healthscope Commercial |
$1,083.64
|
| Rate for Payer: Mclaren Medicaid |
$389.58
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$615.04
|
| Rate for Payer: Meridian Medicaid |
$409.06
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$107,791.00
|
| Rate for Payer: Nomi Health Commercial |
$702.90
|
| Rate for Payer: PACE SWMI |
$585.75
|
| Rate for Payer: PHP Medicare Advantage |
$585.75
|
| Rate for Payer: Priority Health Choice Medicaid |
$389.58
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,309.75
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,084.61
|
| Rate for Payer: Priority Health Medicare |
$585.75
|
| Rate for Payer: Priority Health Narrow Network |
$1,084.61
|
| Rate for Payer: Priority Health SBD |
$1,084.61
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$674.39
|
| Rate for Payer: UHC Dual Complete DSNP |
$585.75
|
| Rate for Payer: UHC Exchange |
$674.39
|
| Rate for Payer: UHC Medicare Advantage |
$585.75
|
| Rate for Payer: UHCCP Medicaid |
$389.58
|
|
|
PR LAPAROSCOPIC APPENDECTOMY
|
Facility
|
IP
|
$2,015.00
|
|
|
Service Code
|
CPT 44970
|
| Hospital Charge Code |
44970
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$1,269.45 |
| Max. Negotiated Rate |
$1,813.50 |
| Rate for Payer: Aetna Commercial |
$1,712.75
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,309.75
|
| Rate for Payer: Cash Price |
$1,612.00
|
| Rate for Payer: Cofinity Commercial |
$1,410.50
|
| Rate for Payer: Cofinity Commercial |
$1,732.90
|
| Rate for Payer: Cofinity Medicare Advantage |
$1,410.50
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,612.00
|
| Rate for Payer: Healthscope Commercial |
$1,813.50
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,712.75
|
| Rate for Payer: PHP Commercial |
$1,712.75
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,309.75
|
| Rate for Payer: Priority Health SBD |
$1,269.45
|
|
|
PR LAPAROSCOPIC SURGICAL SPLENECTOMY
|
Professional
|
Both
|
$4,026.00
|
|
|
Service Code
|
HCPCS 38120
|
| Min. Negotiated Rate |
$410.49 |
| Max. Negotiated Rate |
$189,171.00 |
| Rate for Payer: Aetna Commercial |
$1,378.75
|
| Rate for Payer: Aetna Medicare |
$1,070.08
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,378.75
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,481.64
|
| Rate for Payer: BCBS Complete |
$716.35
|
| Rate for Payer: BCBS MAPPO |
$1,028.92
|
| Rate for Payer: BCBS Trust/PPO |
$410.49
|
| Rate for Payer: BCN Commercial |
$1,545.19
|
| Rate for Payer: BCN Medicare Advantage |
$1,028.92
|
| Rate for Payer: Cash Price |
$3,220.80
|
| Rate for Payer: Cash Price |
$3,220.80
|
| Rate for Payer: Cofinity Commercial |
$1,481.64
|
| Rate for Payer: Cofinity Commercial |
$1,378.75
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,028.92
|
| Rate for Payer: Healthscope Commercial |
$1,903.50
|
| Rate for Payer: Healthscope Commercial |
$1,646.27
|
| Rate for Payer: Mclaren Medicaid |
$682.24
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,080.37
|
| Rate for Payer: Meridian Medicaid |
$716.35
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$189,171.00
|
| Rate for Payer: Nomi Health Commercial |
$1,234.70
|
| Rate for Payer: PACE SWMI |
$1,028.92
|
| Rate for Payer: PHP Medicare Advantage |
$1,028.92
|
| Rate for Payer: Priority Health Choice Medicaid |
$682.24
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,616.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,119.74
|
| Rate for Payer: Priority Health Medicare |
$1,028.92
|
| Rate for Payer: Priority Health Narrow Network |
$2,119.74
|
| Rate for Payer: Priority Health SBD |
$2,119.74
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,124.42
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,028.92
|
| Rate for Payer: UHC Exchange |
$1,124.42
|
| Rate for Payer: UHC Medicare Advantage |
$1,028.92
|
| Rate for Payer: UHCCP Medicaid |
$682.24
|
|
|
PR LAPAROSCOPY ADRENALECTOMY PRTL/COMPL TABDL
|
Professional
|
Both
|
$2,215.00
|
|
|
Service Code
|
HCPCS 60650
|
| Min. Negotiated Rate |
$533.05 |
| Max. Negotiated Rate |
$212,247.00 |
| Rate for Payer: Aetna Commercial |
$1,550.67
|
| Rate for Payer: Aetna Medicare |
$1,203.51
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,550.67
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,666.40
|
| Rate for Payer: BCBS Complete |
$804.25
|
| Rate for Payer: BCBS MAPPO |
$1,157.22
|
| Rate for Payer: BCBS Trust/PPO |
$533.05
|
| Rate for Payer: BCN Commercial |
$1,729.43
|
| Rate for Payer: BCN Medicare Advantage |
$1,157.22
|
| Rate for Payer: Cash Price |
$1,772.00
|
| Rate for Payer: Cash Price |
$1,772.00
|
| Rate for Payer: Cofinity Commercial |
$1,666.40
|
| Rate for Payer: Cofinity Commercial |
$1,550.67
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,157.22
|
| Rate for Payer: Healthscope Commercial |
$2,140.86
|
| Rate for Payer: Healthscope Commercial |
$1,851.55
|
| Rate for Payer: Mclaren Medicaid |
$765.95
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,215.08
|
| Rate for Payer: Meridian Medicaid |
$804.25
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$212,247.00
|
| Rate for Payer: Nomi Health Commercial |
$1,388.66
|
| Rate for Payer: PACE SWMI |
$1,157.22
|
| Rate for Payer: PHP Medicare Advantage |
$1,157.22
|
| Rate for Payer: Priority Health Choice Medicaid |
$765.95
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,439.75
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,921.36
|
| Rate for Payer: Priority Health Medicare |
$1,157.22
|
| Rate for Payer: Priority Health Narrow Network |
$1,921.36
|
| Rate for Payer: Priority Health SBD |
$1,921.36
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,294.95
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,157.22
|
| Rate for Payer: UHC Exchange |
$1,294.95
|
| Rate for Payer: UHC Medicare Advantage |
$1,157.22
|
| Rate for Payer: UHCCP Medicaid |
$765.95
|
|
|
PR LAPAROSCOPY COLECTOMY PARTIAL W/ANASTOMOSIS
|
Professional
|
Both
|
$3,626.00
|
|
|
Service Code
|
HCPCS 44204
|
| Min. Negotiated Rate |
$979.80 |
| Max. Negotiated Rate |
$273,492.00 |
| Rate for Payer: Aetna Commercial |
$1,982.46
|
| Rate for Payer: Aetna Medicare |
$1,538.63
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,982.46
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,130.41
|
| Rate for Payer: BCBS Complete |
$1,028.79
|
| Rate for Payer: BCBS MAPPO |
$1,479.45
|
| Rate for Payer: BCBS Trust/PPO |
$1,744.45
|
| Rate for Payer: BCN Commercial |
$2,229.34
|
| Rate for Payer: BCN Medicare Advantage |
$1,479.45
|
| Rate for Payer: Cash Price |
$2,900.80
|
| Rate for Payer: Cash Price |
$2,900.80
|
| Rate for Payer: Cofinity Commercial |
$2,130.41
|
| Rate for Payer: Cofinity Commercial |
$1,982.46
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,479.45
|
| Rate for Payer: Healthscope Commercial |
$2,736.98
|
| Rate for Payer: Healthscope Commercial |
$2,367.12
|
| Rate for Payer: Mclaren Medicaid |
$979.80
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,553.42
|
| Rate for Payer: Meridian Medicaid |
$1,028.79
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$273,492.00
|
| Rate for Payer: Nomi Health Commercial |
$1,775.34
|
| Rate for Payer: PACE SWMI |
$1,479.45
|
| Rate for Payer: PHP Medicare Advantage |
$1,479.45
|
| Rate for Payer: Priority Health Choice Medicaid |
$979.80
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,356.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,732.40
|
| Rate for Payer: Priority Health Medicare |
$1,479.45
|
| Rate for Payer: Priority Health Narrow Network |
$2,732.40
|
| Rate for Payer: Priority Health SBD |
$2,732.40
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,604.01
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,479.45
|
| Rate for Payer: UHC Exchange |
$1,604.01
|
| Rate for Payer: UHC Medicare Advantage |
$1,479.45
|
| Rate for Payer: UHCCP Medicaid |
$979.80
|
|
|
PR LAPAROSCOPY COLPOPEXY SUSPENSION VAGINAL APEX
|
Professional
|
Both
|
$2,025.00
|
|
|
Service Code
|
HCPCS 57425
|
| Min. Negotiated Rate |
$540.98 |
| Max. Negotiated Rate |
$173,576.00 |
| Rate for Payer: Aetna Commercial |
$1,250.66
|
| Rate for Payer: Aetna Medicare |
$970.66
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,250.66
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,344.00
|
| Rate for Payer: BCBS Complete |
$654.18
|
| Rate for Payer: BCBS MAPPO |
$933.33
|
| Rate for Payer: BCBS Trust/PPO |
$540.98
|
| Rate for Payer: BCN Commercial |
$1,422.05
|
| Rate for Payer: BCN Medicare Advantage |
$933.33
|
| Rate for Payer: Cash Price |
$1,620.00
|
| Rate for Payer: Cash Price |
$1,620.00
|
| Rate for Payer: Cofinity Commercial |
$1,344.00
|
| Rate for Payer: Cofinity Commercial |
$1,250.66
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$933.33
|
| Rate for Payer: Healthscope Commercial |
$1,726.66
|
| Rate for Payer: Healthscope Commercial |
$1,493.33
|
| Rate for Payer: Mclaren Medicaid |
$623.03
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$980.00
|
| Rate for Payer: Meridian Medicaid |
$654.18
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$173,576.00
|
| Rate for Payer: Nomi Health Commercial |
$1,120.00
|
| Rate for Payer: PACE SWMI |
$933.33
|
| Rate for Payer: PHP Medicare Advantage |
$933.33
|
| Rate for Payer: Priority Health Choice Medicaid |
$623.03
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,316.25
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,451.43
|
| Rate for Payer: Priority Health Medicare |
$933.33
|
| Rate for Payer: Priority Health Narrow Network |
$1,451.43
|
| Rate for Payer: Priority Health SBD |
$1,451.43
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,060.29
|
| Rate for Payer: UHC Dual Complete DSNP |
$933.33
|
| Rate for Payer: UHC Exchange |
$1,060.29
|
| Rate for Payer: UHC Medicare Advantage |
$933.33
|
| Rate for Payer: UHCCP Medicaid |
$623.03
|
|
|
PR LAPAROSCOPY ENTEROLYSIS SEPARATE PROCEDURE
|
Professional
|
Both
|
$2,325.00
|
|
|
Service Code
|
HCPCS 44180
|
| Min. Negotiated Rate |
$592.14 |
| Max. Negotiated Rate |
$164,554.00 |
| Rate for Payer: Aetna Commercial |
$1,198.76
|
| Rate for Payer: Aetna Medicare |
$930.38
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,198.76
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,288.22
|
| Rate for Payer: BCBS Complete |
$621.75
|
| Rate for Payer: BCBS MAPPO |
$894.60
|
| Rate for Payer: BCBS Trust/PPO |
$952.00
|
| Rate for Payer: BCN Commercial |
$1,341.91
|
| Rate for Payer: BCN Medicare Advantage |
$894.60
|
| Rate for Payer: Cash Price |
$1,860.00
|
| Rate for Payer: Cash Price |
$1,860.00
|
| Rate for Payer: Cofinity Commercial |
$1,288.22
|
| Rate for Payer: Cofinity Commercial |
$1,198.76
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$894.60
|
| Rate for Payer: Healthscope Commercial |
$1,655.01
|
| Rate for Payer: Healthscope Commercial |
$1,431.36
|
| Rate for Payer: Mclaren Medicaid |
$592.14
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$939.33
|
| Rate for Payer: Meridian Medicaid |
$621.75
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$164,554.00
|
| Rate for Payer: Nomi Health Commercial |
$1,073.52
|
| Rate for Payer: PACE SWMI |
$894.60
|
| Rate for Payer: PHP Medicare Advantage |
$894.60
|
| Rate for Payer: Priority Health Choice Medicaid |
$592.14
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,511.25
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,647.79
|
| Rate for Payer: Priority Health Medicare |
$894.60
|
| Rate for Payer: Priority Health Narrow Network |
$1,647.79
|
| Rate for Payer: Priority Health SBD |
$1,647.79
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$923.32
|
| Rate for Payer: UHC Dual Complete DSNP |
$894.60
|
| Rate for Payer: UHC Exchange |
$923.32
|
| Rate for Payer: UHC Medicare Advantage |
$894.60
|
| Rate for Payer: UHCCP Medicaid |
$592.14
|
|
|
PR LAPAROSCOPY ENTEROLYSIS SEPARATE PROCEDURE
|
Professional
|
Both
|
$2,325.00
|
|
|
Service Code
|
HCPCS 44180
|
| Hospital Charge Code |
44180
|
| Min. Negotiated Rate |
$592.14 |
| Max. Negotiated Rate |
$164,554.00 |
| Rate for Payer: Aetna Commercial |
$1,198.76
|
| Rate for Payer: Aetna Medicare |
$930.38
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,198.76
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,288.22
|
| Rate for Payer: BCBS Complete |
$621.75
|
| Rate for Payer: BCBS MAPPO |
$894.60
|
| Rate for Payer: BCBS Trust/PPO |
$952.00
|
| Rate for Payer: BCN Commercial |
$1,341.91
|
| Rate for Payer: BCN Medicare Advantage |
$894.60
|
| Rate for Payer: Cash Price |
$1,860.00
|
| Rate for Payer: Cash Price |
$1,860.00
|
| Rate for Payer: Cofinity Commercial |
$1,288.22
|
| Rate for Payer: Cofinity Commercial |
$1,198.76
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$894.60
|
| Rate for Payer: Healthscope Commercial |
$1,655.01
|
| Rate for Payer: Healthscope Commercial |
$1,431.36
|
| Rate for Payer: Mclaren Medicaid |
$592.14
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$939.33
|
| Rate for Payer: Meridian Medicaid |
$621.75
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$164,554.00
|
| Rate for Payer: Nomi Health Commercial |
$1,073.52
|
| Rate for Payer: PACE SWMI |
$894.60
|
| Rate for Payer: PHP Medicare Advantage |
$894.60
|
| Rate for Payer: Priority Health Choice Medicaid |
$592.14
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,511.25
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,647.79
|
| Rate for Payer: Priority Health Medicare |
$894.60
|
| Rate for Payer: Priority Health Narrow Network |
$1,647.79
|
| Rate for Payer: Priority Health SBD |
$1,647.79
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$923.32
|
| Rate for Payer: UHC Dual Complete DSNP |
$894.60
|
| Rate for Payer: UHC Exchange |
$923.32
|
| Rate for Payer: UHC Medicare Advantage |
$894.60
|
| Rate for Payer: UHCCP Medicaid |
$592.14
|
|
|
PR LAPAROSCOPY ENTEROLYSIS SEPARATE PROCEDURE
|
Facility
|
IP
|
$2,325.00
|
|
|
Service Code
|
CPT 44180
|
| Hospital Charge Code |
44180
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$1,464.75 |
| Max. Negotiated Rate |
$2,092.50 |
| Rate for Payer: Aetna Commercial |
$1,976.25
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,511.25
|
| Rate for Payer: Cash Price |
$1,860.00
|
| Rate for Payer: Cofinity Commercial |
$1,627.50
|
| Rate for Payer: Cofinity Commercial |
$1,999.50
|
| Rate for Payer: Cofinity Medicare Advantage |
$1,627.50
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,860.00
|
| Rate for Payer: Healthscope Commercial |
$2,092.50
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,976.25
|
| Rate for Payer: PHP Commercial |
$1,976.25
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,511.25
|
| Rate for Payer: Priority Health SBD |
$1,464.75
|
|
|
PR LAPAROSCOPY ENTEROLYSIS SEPARATE PROCEDURE
|
Facility
|
OP
|
$2,325.00
|
|
|
Service Code
|
CPT 44180
|
| Hospital Charge Code |
44180
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$990.54 |
| Max. Negotiated Rate |
$17,966.53 |
| Rate for Payer: Aetna Commercial |
$1,976.25
|
| Rate for Payer: Aetna Medicare |
$5,945.05
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,511.25
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$7,145.49
|
| Rate for Payer: Amish Plain Church Group Commercial |
$7,145.49
|
| Rate for Payer: BCBS Complete |
$3,217.18
|
| Rate for Payer: BCBS MAPPO |
$5,716.39
|
| Rate for Payer: BCBS Trust/PPO |
$2,734.82
|
| Rate for Payer: BCN Commercial |
$2,734.82
|
| Rate for Payer: BCN Medicare Advantage |
$5,716.39
|
| Rate for Payer: Cash Price |
$1,860.00
|
| Rate for Payer: Cash Price |
$1,860.00
|
| Rate for Payer: Cash Price |
$1,860.00
|
| Rate for Payer: Cofinity Commercial |
$1,999.50
|
| Rate for Payer: Cofinity Commercial |
$1,627.50
|
| Rate for Payer: Cofinity Medicare Advantage |
$1,627.50
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,860.00
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$5,716.39
|
| Rate for Payer: Healthscope Commercial |
$2,092.50
|
| Rate for Payer: Mclaren Medicaid |
$3,063.99
|
| Rate for Payer: Mclaren Medicare |
$5,716.39
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$6,002.21
|
| Rate for Payer: Meridian Medicaid |
$3,217.18
|
| Rate for Payer: MI Amish Medical Board Commercial |
$6,573.85
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,976.25
|
| Rate for Payer: Nomi Health Commercial |
$12,004.42
|
| Rate for Payer: PACE Medicare |
$5,430.57
|
| Rate for Payer: PACE SWMI |
$5,716.39
|
| Rate for Payer: PHP Commercial |
$1,976.25
|
| Rate for Payer: PHP Medicare Advantage |
$5,716.39
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,063.99
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,511.25
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$17,966.53
|
| Rate for Payer: Priority Health Medicare |
$5,716.39
|
| Rate for Payer: Priority Health Narrow Network |
$14,373.22
|
| Rate for Payer: Priority Health SBD |
$1,464.75
|
| Rate for Payer: Railroad Medicare Medicare |
$5,716.39
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$990.54
|
| Rate for Payer: UHC Core |
$7,632.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$5,716.39
|
| Rate for Payer: UHC Medicare Advantage |
$5,716.39
|
| Rate for Payer: UHCCP Medicaid |
$3,218.33
|
| Rate for Payer: VA VA |
$5,716.39
|
|
|
PR LAPAROSCOPY FULGURATION OVIDUCTS
|
Professional
|
Both
|
$1,480.00
|
|
|
Service Code
|
HCPCS 58670
|
| Min. Negotiated Rate |
$238.99 |
| Max. Negotiated Rate |
$66,310.00 |
| Rate for Payer: Aetna Commercial |
$477.20
|
| Rate for Payer: Aetna Medicare |
$370.36
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$477.20
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$512.81
|
| Rate for Payer: BCBS Complete |
$250.94
|
| Rate for Payer: BCBS MAPPO |
$356.12
|
| Rate for Payer: BCBS Trust/PPO |
$373.07
|
| Rate for Payer: BCN Commercial |
$546.34
|
| Rate for Payer: BCN Medicare Advantage |
$356.12
|
| Rate for Payer: Cash Price |
$1,184.00
|
| Rate for Payer: Cash Price |
$1,184.00
|
| Rate for Payer: Cofinity Commercial |
$512.81
|
| Rate for Payer: Cofinity Commercial |
$477.20
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$356.12
|
| Rate for Payer: Healthscope Commercial |
$658.82
|
| Rate for Payer: Healthscope Commercial |
$569.79
|
| Rate for Payer: Mclaren Medicaid |
$238.99
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$373.93
|
| Rate for Payer: Meridian Medicaid |
$250.94
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$66,310.00
|
| Rate for Payer: Nomi Health Commercial |
$427.34
|
| Rate for Payer: PACE SWMI |
$356.12
|
| Rate for Payer: PHP Medicare Advantage |
$356.12
|
| Rate for Payer: Priority Health Choice Medicaid |
$238.99
|
| Rate for Payer: Priority Health Cigna Priority Health |
$962.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$558.05
|
| Rate for Payer: Priority Health Medicare |
$356.12
|
| Rate for Payer: Priority Health Narrow Network |
$558.05
|
| Rate for Payer: Priority Health SBD |
$558.05
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$414.75
|
| Rate for Payer: UHC Dual Complete DSNP |
$356.12
|
| Rate for Payer: UHC Exchange |
$414.75
|
| Rate for Payer: UHC Medicare Advantage |
$356.12
|
| Rate for Payer: UHCCP Medicaid |
$238.99
|
|
|
PR LAPAROSCOPY NEPHRECTOMY W/PARTIAL URETERECT
|
Professional
|
Both
|
$3,008.00
|
|
|
Service Code
|
HCPCS 50546
|
| Min. Negotiated Rate |
$267.32 |
| Max. Negotiated Rate |
$211,685.00 |
| Rate for Payer: Aetna Commercial |
$1,540.29
|
| Rate for Payer: Aetna Medicare |
$1,195.45
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,540.29
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,655.24
|
| Rate for Payer: BCBS Complete |
$806.03
|
| Rate for Payer: BCBS MAPPO |
$1,149.47
|
| Rate for Payer: BCBS Trust/PPO |
$267.32
|
| Rate for Payer: BCN Commercial |
$1,731.88
|
| Rate for Payer: BCN Medicare Advantage |
$1,149.47
|
| Rate for Payer: Cash Price |
$2,406.40
|
| Rate for Payer: Cash Price |
$2,406.40
|
| Rate for Payer: Cofinity Commercial |
$1,655.24
|
| Rate for Payer: Cofinity Commercial |
$1,540.29
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,149.47
|
| Rate for Payer: Healthscope Commercial |
$2,126.52
|
| Rate for Payer: Healthscope Commercial |
$1,839.15
|
| Rate for Payer: Mclaren Medicaid |
$767.65
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,206.94
|
| Rate for Payer: Meridian Medicaid |
$806.03
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$211,685.00
|
| Rate for Payer: Nomi Health Commercial |
$1,379.36
|
| Rate for Payer: PACE SWMI |
$1,149.47
|
| Rate for Payer: PHP Medicare Advantage |
$1,149.47
|
| Rate for Payer: Priority Health Choice Medicaid |
$767.65
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,955.20
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,907.25
|
| Rate for Payer: Priority Health Medicare |
$1,149.47
|
| Rate for Payer: Priority Health Narrow Network |
$1,907.25
|
| Rate for Payer: Priority Health SBD |
$1,907.25
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,270.29
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,149.47
|
| Rate for Payer: UHC Exchange |
$1,270.29
|
| Rate for Payer: UHC Medicare Advantage |
$1,149.47
|
| Rate for Payer: UHCCP Medicaid |
$767.65
|
|
|
PR LAPAROSCOPY NEPHRECTOMY W/TOTAL URETERECTOMY
|
Professional
|
Both
|
$2,592.00
|
|
|
Service Code
|
HCPCS 50548
|
| Min. Negotiated Rate |
$852.85 |
| Max. Negotiated Rate |
$235,786.00 |
| Rate for Payer: Aetna Commercial |
$1,714.20
|
| Rate for Payer: Aetna Medicare |
$1,330.42
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,714.20
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,842.12
|
| Rate for Payer: BCBS Complete |
$895.49
|
| Rate for Payer: BCBS MAPPO |
$1,279.25
|
| Rate for Payer: BCBS Trust/PPO |
$2,995.46
|
| Rate for Payer: BCN Commercial |
$1,925.39
|
| Rate for Payer: BCN Medicare Advantage |
$1,279.25
|
| Rate for Payer: Cash Price |
$2,073.60
|
| Rate for Payer: Cash Price |
$2,073.60
|
| Rate for Payer: Cofinity Commercial |
$1,842.12
|
| Rate for Payer: Cofinity Commercial |
$1,714.20
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,279.25
|
| Rate for Payer: Healthscope Commercial |
$2,366.61
|
| Rate for Payer: Healthscope Commercial |
$2,046.80
|
| Rate for Payer: Mclaren Medicaid |
$852.85
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,343.21
|
| Rate for Payer: Meridian Medicaid |
$895.49
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$235,786.00
|
| Rate for Payer: Nomi Health Commercial |
$1,535.10
|
| Rate for Payer: PACE SWMI |
$1,279.25
|
| Rate for Payer: PHP Medicare Advantage |
$1,279.25
|
| Rate for Payer: Priority Health Choice Medicaid |
$852.85
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,684.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,120.82
|
| Rate for Payer: Priority Health Medicare |
$1,279.25
|
| Rate for Payer: Priority Health Narrow Network |
$2,120.82
|
| Rate for Payer: Priority Health SBD |
$2,120.82
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,492.40
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,279.25
|
| Rate for Payer: UHC Exchange |
$1,492.40
|
| Rate for Payer: UHC Medicare Advantage |
$1,279.25
|
| Rate for Payer: UHCCP Medicaid |
$852.85
|
|
|
PR LAPAROSCOPY ORCHIOPEXY INTRA-ABDOMINAL TESTIS
|
Professional
|
Both
|
$2,294.00
|
|
|
Service Code
|
HCPCS 54692
|
| Min. Negotiated Rate |
$483.51 |
| Max. Negotiated Rate |
$132,905.00 |
| Rate for Payer: Aetna Commercial |
$968.31
|
| Rate for Payer: Aetna Medicare |
$751.52
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,040.57
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$968.31
|
| Rate for Payer: BCBS Complete |
$507.69
|
| Rate for Payer: BCBS MAPPO |
$722.62
|
| Rate for Payer: BCBS Trust/PPO |
$1,686.86
|
| Rate for Payer: BCN Commercial |
$1,088.77
|
| Rate for Payer: BCN Medicare Advantage |
$722.62
|
| Rate for Payer: Cash Price |
$1,835.20
|
| Rate for Payer: Cash Price |
$1,835.20
|
| Rate for Payer: Cofinity Commercial |
$968.31
|
| Rate for Payer: Cofinity Commercial |
$1,040.57
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$722.62
|
| Rate for Payer: Healthscope Commercial |
$1,336.85
|
| Rate for Payer: Healthscope Commercial |
$1,156.19
|
| Rate for Payer: Mclaren Medicaid |
$483.51
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$758.75
|
| Rate for Payer: Meridian Medicaid |
$507.69
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$132,905.00
|
| Rate for Payer: Nomi Health Commercial |
$867.14
|
| Rate for Payer: PACE SWMI |
$722.62
|
| Rate for Payer: PHP Medicare Advantage |
$722.62
|
| Rate for Payer: Priority Health Choice Medicaid |
$483.51
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,491.10
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,200.48
|
| Rate for Payer: Priority Health Medicare |
$722.62
|
| Rate for Payer: Priority Health Narrow Network |
$1,200.48
|
| Rate for Payer: Priority Health SBD |
$1,200.48
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$818.11
|
| Rate for Payer: UHC Dual Complete DSNP |
$722.62
|
| Rate for Payer: UHC Exchange |
$818.11
|
| Rate for Payer: UHC Medicare Advantage |
$722.62
|
| Rate for Payer: UHCCP Medicaid |
$483.51
|
|
|
PR LAPAROSCOPY PROCTOPEXY PROLAPSE
|
Professional
|
Both
|
$3,345.00
|
|
|
Service Code
|
HCPCS 45400
|
| Min. Negotiated Rate |
$721.86 |
| Max. Negotiated Rate |
$200,353.00 |
| Rate for Payer: Aetna Commercial |
$1,449.88
|
| Rate for Payer: Aetna Medicare |
$1,125.28
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,449.88
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,558.08
|
| Rate for Payer: BCBS Complete |
$757.95
|
| Rate for Payer: BCBS MAPPO |
$1,082.00
|
| Rate for Payer: BCBS Trust/PPO |
$2,758.78
|
| Rate for Payer: BCN Commercial |
$1,640.98
|
| Rate for Payer: BCN Medicare Advantage |
$1,082.00
|
| Rate for Payer: Cash Price |
$2,676.00
|
| Rate for Payer: Cash Price |
$2,676.00
|
| Rate for Payer: Cofinity Commercial |
$1,558.08
|
| Rate for Payer: Cofinity Commercial |
$1,449.88
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,082.00
|
| Rate for Payer: Healthscope Commercial |
$2,001.70
|
| Rate for Payer: Healthscope Commercial |
$1,731.20
|
| Rate for Payer: Mclaren Medicaid |
$721.86
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,136.10
|
| Rate for Payer: Meridian Medicaid |
$757.95
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$200,353.00
|
| Rate for Payer: Nomi Health Commercial |
$1,298.40
|
| Rate for Payer: PACE SWMI |
$1,082.00
|
| Rate for Payer: PHP Medicare Advantage |
$1,082.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$721.86
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,174.25
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,014.70
|
| Rate for Payer: Priority Health Medicare |
$1,082.00
|
| Rate for Payer: Priority Health Narrow Network |
$2,014.70
|
| Rate for Payer: Priority Health SBD |
$2,014.70
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,139.11
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,082.00
|
| Rate for Payer: UHC Exchange |
$1,139.11
|
| Rate for Payer: UHC Medicare Advantage |
$1,082.00
|
| Rate for Payer: UHCCP Medicaid |
$721.86
|
|
|
PR LAPAROSCOPY PROCTOPEXY PROLAPSE SIGMOID RESCJ
|
Professional
|
Both
|
$4,663.00
|
|
|
Service Code
|
HCPCS 45402
|
| Min. Negotiated Rate |
$964.68 |
| Max. Negotiated Rate |
$269,123.00 |
| Rate for Payer: Aetna Commercial |
$1,945.13
|
| Rate for Payer: Aetna Medicare |
$1,509.65
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,945.13
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,090.29
|
| Rate for Payer: BCBS Complete |
$1,012.91
|
| Rate for Payer: BCBS MAPPO |
$1,451.59
|
| Rate for Payer: BCBS Trust/PPO |
$2,142.26
|
| Rate for Payer: BCN Commercial |
$2,197.59
|
| Rate for Payer: BCN Medicare Advantage |
$1,451.59
|
| Rate for Payer: Cash Price |
$3,730.40
|
| Rate for Payer: Cash Price |
$3,730.40
|
| Rate for Payer: Cofinity Commercial |
$2,090.29
|
| Rate for Payer: Cofinity Commercial |
$1,945.13
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,451.59
|
| Rate for Payer: Healthscope Commercial |
$2,685.44
|
| Rate for Payer: Healthscope Commercial |
$2,322.54
|
| Rate for Payer: Mclaren Medicaid |
$964.68
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,524.17
|
| Rate for Payer: Meridian Medicaid |
$1,012.91
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$269,123.00
|
| Rate for Payer: Nomi Health Commercial |
$1,741.91
|
| Rate for Payer: PACE SWMI |
$1,451.59
|
| Rate for Payer: PHP Medicare Advantage |
$1,451.59
|
| Rate for Payer: Priority Health Choice Medicaid |
$964.68
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3,030.95
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,693.62
|
| Rate for Payer: Priority Health Medicare |
$1,451.59
|
| Rate for Payer: Priority Health Narrow Network |
$2,693.62
|
| Rate for Payer: Priority Health SBD |
$2,693.62
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,547.59
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,451.59
|
| Rate for Payer: UHC Exchange |
$1,547.59
|
| Rate for Payer: UHC Medicare Advantage |
$1,451.59
|
| Rate for Payer: UHCCP Medicaid |
$964.68
|
|
|
PR LAPAROSCOPY RADICAL NEPHRECTOMY
|
Professional
|
Both
|
$4,089.00
|
|
|
Service Code
|
HCPCS 50545
|
| Min. Negotiated Rate |
$24.83 |
| Max. Negotiated Rate |
$234,427.00 |
| Rate for Payer: Aetna Commercial |
$1,705.19
|
| Rate for Payer: Aetna Medicare |
$1,323.43
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,705.19
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,832.44
|
| Rate for Payer: BCBS Complete |
$891.25
|
| Rate for Payer: BCBS MAPPO |
$1,272.53
|
| Rate for Payer: BCBS Trust/PPO |
$24.83
|
| Rate for Payer: BCN Commercial |
$1,915.13
|
| Rate for Payer: BCN Medicare Advantage |
$1,272.53
|
| Rate for Payer: Cash Price |
$3,271.20
|
| Rate for Payer: Cash Price |
$3,271.20
|
| Rate for Payer: Cofinity Commercial |
$1,832.44
|
| Rate for Payer: Cofinity Commercial |
$1,705.19
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,272.53
|
| Rate for Payer: Healthscope Commercial |
$2,354.18
|
| Rate for Payer: Healthscope Commercial |
$2,036.05
|
| Rate for Payer: Mclaren Medicaid |
$848.81
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,336.16
|
| Rate for Payer: Meridian Medicaid |
$891.25
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$234,427.00
|
| Rate for Payer: Nomi Health Commercial |
$1,527.04
|
| Rate for Payer: PACE SWMI |
$1,272.53
|
| Rate for Payer: PHP Medicare Advantage |
$1,272.53
|
| Rate for Payer: Priority Health Choice Medicaid |
$848.81
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,657.85
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,109.63
|
| Rate for Payer: Priority Health Medicare |
$1,272.53
|
| Rate for Payer: Priority Health Narrow Network |
$2,109.63
|
| Rate for Payer: Priority Health SBD |
$2,109.63
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,476.60
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,272.53
|
| Rate for Payer: UHC Exchange |
$1,476.60
|
| Rate for Payer: UHC Medicare Advantage |
$1,272.53
|
| Rate for Payer: UHCCP Medicaid |
$848.81
|
|
|
PR LAPAROSCOPY SALPINGOSTOMY
|
Professional
|
Both
|
$3,117.00
|
|
|
Service Code
|
HCPCS 58673
|
| Min. Negotiated Rate |
$94.66 |
| Max. Negotiated Rate |
$142,153.00 |
| Rate for Payer: Aetna Commercial |
$1,021.70
|
| Rate for Payer: Aetna Medicare |
$792.96
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,021.70
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,097.94
|
| Rate for Payer: BCBS Complete |
$532.96
|
| Rate for Payer: BCBS MAPPO |
$762.46
|
| Rate for Payer: BCBS Trust/PPO |
$94.66
|
| Rate for Payer: BCN Commercial |
$1,162.57
|
| Rate for Payer: BCN Medicare Advantage |
$762.46
|
| Rate for Payer: Cash Price |
$2,493.60
|
| Rate for Payer: Cash Price |
$2,493.60
|
| Rate for Payer: Cofinity Commercial |
$1,097.94
|
| Rate for Payer: Cofinity Commercial |
$1,021.70
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$762.46
|
| Rate for Payer: Healthscope Commercial |
$1,410.55
|
| Rate for Payer: Healthscope Commercial |
$1,219.94
|
| Rate for Payer: Mclaren Medicaid |
$507.58
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$800.58
|
| Rate for Payer: Meridian Medicaid |
$532.96
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$142,153.00
|
| Rate for Payer: Nomi Health Commercial |
$914.95
|
| Rate for Payer: PACE SWMI |
$762.46
|
| Rate for Payer: PHP Medicare Advantage |
$762.46
|
| Rate for Payer: Priority Health Choice Medicaid |
$507.58
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,026.05
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,184.06
|
| Rate for Payer: Priority Health Medicare |
$762.46
|
| Rate for Payer: Priority Health Narrow Network |
$1,184.06
|
| Rate for Payer: Priority Health SBD |
$1,184.06
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$944.76
|
| Rate for Payer: UHC Dual Complete DSNP |
$762.46
|
| Rate for Payer: UHC Exchange |
$944.76
|
| Rate for Payer: UHC Medicare Advantage |
$762.46
|
| Rate for Payer: UHCCP Medicaid |
$507.58
|
|
|
PR LAPAROSCOPY SLING OPERATION STRESS INCONT
|
Professional
|
Both
|
$1,724.00
|
|
|
Service Code
|
HCPCS 51992
|
| Min. Negotiated Rate |
$534.42 |
| Max. Negotiated Rate |
$148,016.00 |
| Rate for Payer: Aetna Commercial |
$1,074.32
|
| Rate for Payer: Aetna Medicare |
$833.80
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,074.32
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,154.49
|
| Rate for Payer: BCBS Complete |
$561.14
|
| Rate for Payer: BCBS MAPPO |
$801.73
|
| Rate for Payer: BCBS Trust/PPO |
$1,505.66
|
| Rate for Payer: BCN Commercial |
$1,210.95
|
| Rate for Payer: BCN Medicare Advantage |
$801.73
|
| Rate for Payer: Cash Price |
$1,379.20
|
| Rate for Payer: Cash Price |
$1,379.20
|
| Rate for Payer: Cofinity Commercial |
$1,154.49
|
| Rate for Payer: Cofinity Commercial |
$1,074.32
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$801.73
|
| Rate for Payer: Healthscope Commercial |
$1,483.20
|
| Rate for Payer: Healthscope Commercial |
$1,282.77
|
| Rate for Payer: Mclaren Medicaid |
$534.42
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$841.82
|
| Rate for Payer: Meridian Medicaid |
$561.14
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$148,016.00
|
| Rate for Payer: Nomi Health Commercial |
$962.08
|
| Rate for Payer: PACE SWMI |
$801.73
|
| Rate for Payer: PHP Medicare Advantage |
$801.73
|
| Rate for Payer: Priority Health Choice Medicaid |
$534.42
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,120.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,334.69
|
| Rate for Payer: Priority Health Medicare |
$801.73
|
| Rate for Payer: Priority Health Narrow Network |
$1,334.69
|
| Rate for Payer: Priority Health SBD |
$1,334.69
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$884.55
|
| Rate for Payer: UHC Dual Complete DSNP |
$801.73
|
| Rate for Payer: UHC Exchange |
$884.55
|
| Rate for Payer: UHC Medicare Advantage |
$801.73
|
| Rate for Payer: UHCCP Medicaid |
$534.42
|
|
|
PR LAPAROSCOPY SMALL INTESTINE RESCJ & ANASTOMOSIS
|
Professional
|
Both
|
$1,066.00
|
|
|
Service Code
|
HCPCS 44203
|
| Min. Negotiated Rate |
$152.30 |
| Max. Negotiated Rate |
$43,265.00 |
| Rate for Payer: Aetna Commercial |
$311.15
|
| Rate for Payer: Aetna Medicare |
$241.49
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$311.15
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$334.37
|
| Rate for Payer: BCBS Complete |
$159.92
|
| Rate for Payer: BCBS MAPPO |
$232.20
|
| Rate for Payer: BCBS Trust/PPO |
$1,325.50
|
| Rate for Payer: BCN Commercial |
$349.89
|
| Rate for Payer: BCN Medicare Advantage |
$232.20
|
| Rate for Payer: Cash Price |
$852.80
|
| Rate for Payer: Cash Price |
$852.80
|
| Rate for Payer: Cofinity Commercial |
$334.37
|
| Rate for Payer: Cofinity Commercial |
$311.15
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$232.20
|
| Rate for Payer: Healthscope Commercial |
$429.57
|
| Rate for Payer: Healthscope Commercial |
$371.52
|
| Rate for Payer: Mclaren Medicaid |
$152.30
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$243.81
|
| Rate for Payer: Meridian Medicaid |
$159.92
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$43,265.00
|
| Rate for Payer: Nomi Health Commercial |
$278.64
|
| Rate for Payer: PACE SWMI |
$232.20
|
| Rate for Payer: PHP Medicare Advantage |
$232.20
|
| Rate for Payer: Priority Health Choice Medicaid |
$152.30
|
| Rate for Payer: Priority Health Cigna Priority Health |
$692.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$424.78
|
| Rate for Payer: Priority Health Medicare |
$232.20
|
| Rate for Payer: Priority Health Narrow Network |
$424.78
|
| Rate for Payer: Priority Health SBD |
$424.78
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$276.60
|
| Rate for Payer: UHC Dual Complete DSNP |
$232.20
|
| Rate for Payer: UHC Exchange |
$276.60
|
| Rate for Payer: UHC Medicare Advantage |
$232.20
|
| Rate for Payer: UHCCP Medicaid |
$152.30
|
|
|
PR LAPAROSCOPY SUPRACERVICAL HYSTERECTOMY 250 GM/<
|
Professional
|
Both
|
$2,025.00
|
|
|
Service Code
|
HCPCS 58541
|
| Min. Negotiated Rate |
$187.02 |
| Max. Negotiated Rate |
$130,315.00 |
| Rate for Payer: Aetna Commercial |
$939.22
|
| Rate for Payer: Aetna Medicare |
$728.95
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,009.31
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$939.22
|
| Rate for Payer: BCBS Complete |
$492.70
|
| Rate for Payer: BCBS MAPPO |
$700.91
|
| Rate for Payer: BCBS Trust/PPO |
$187.02
|
| Rate for Payer: BCN Commercial |
$1,070.70
|
| Rate for Payer: BCN Medicare Advantage |
$700.91
|
| Rate for Payer: Cash Price |
$1,620.00
|
| Rate for Payer: Cash Price |
$1,620.00
|
| Rate for Payer: Cofinity Commercial |
$939.22
|
| Rate for Payer: Cofinity Commercial |
$1,009.31
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$700.91
|
| Rate for Payer: Healthscope Commercial |
$1,296.68
|
| Rate for Payer: Healthscope Commercial |
$1,121.46
|
| Rate for Payer: Mclaren Medicaid |
$469.24
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$735.96
|
| Rate for Payer: Meridian Medicaid |
$492.70
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$130,315.00
|
| Rate for Payer: Nomi Health Commercial |
$841.09
|
| Rate for Payer: PACE SWMI |
$700.91
|
| Rate for Payer: PHP Medicare Advantage |
$700.91
|
| Rate for Payer: Priority Health Choice Medicaid |
$469.24
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,316.25
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,093.29
|
| Rate for Payer: Priority Health Medicare |
$700.91
|
| Rate for Payer: Priority Health Narrow Network |
$1,093.29
|
| Rate for Payer: Priority Health SBD |
$1,093.29
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,039.89
|
| Rate for Payer: UHC Dual Complete DSNP |
$700.91
|
| Rate for Payer: UHC Exchange |
$1,039.89
|
| Rate for Payer: UHC Medicare Advantage |
$700.91
|
| Rate for Payer: UHCCP Medicaid |
$469.24
|
|
|
PR LAPAROSCOPY SURG ABLATION RENAL CYSTS
|
Professional
|
Both
|
$1,762.00
|
|
|
Service Code
|
HCPCS 50541
|
| Min. Negotiated Rate |
$585.11 |
| Max. Negotiated Rate |
$161,327.00 |
| Rate for Payer: Aetna Commercial |
$1,173.59
|
| Rate for Payer: Aetna Medicare |
$910.84
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,173.59
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,261.17
|
| Rate for Payer: BCBS Complete |
$614.37
|
| Rate for Payer: BCBS MAPPO |
$875.81
|
| Rate for Payer: BCBS Trust/PPO |
$2,280.67
|
| Rate for Payer: BCN Commercial |
$1,319.92
|
| Rate for Payer: BCN Medicare Advantage |
$875.81
|
| Rate for Payer: Cash Price |
$1,409.60
|
| Rate for Payer: Cash Price |
$1,409.60
|
| Rate for Payer: Cofinity Commercial |
$1,261.17
|
| Rate for Payer: Cofinity Commercial |
$1,173.59
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$875.81
|
| Rate for Payer: Healthscope Commercial |
$1,620.25
|
| Rate for Payer: Healthscope Commercial |
$1,401.30
|
| Rate for Payer: Mclaren Medicaid |
$585.11
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$919.60
|
| Rate for Payer: Meridian Medicaid |
$614.37
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$161,327.00
|
| Rate for Payer: Nomi Health Commercial |
$1,050.97
|
| Rate for Payer: PACE SWMI |
$875.81
|
| Rate for Payer: PHP Medicare Advantage |
$875.81
|
| Rate for Payer: Priority Health Choice Medicaid |
$585.11
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,145.30
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,453.47
|
| Rate for Payer: Priority Health Medicare |
$875.81
|
| Rate for Payer: Priority Health Narrow Network |
$1,453.47
|
| Rate for Payer: Priority Health SBD |
$1,453.47
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$964.61
|
| Rate for Payer: UHC Dual Complete DSNP |
$875.81
|
| Rate for Payer: UHC Exchange |
$964.61
|
| Rate for Payer: UHC Medicare Advantage |
$875.81
|
| Rate for Payer: UHCCP Medicaid |
$585.11
|
|
|
PR LAPAROSCOPY SURG CHOLECYSTECTOMY
|
Professional
|
Both
|
$3,011.00
|
|
|
Service Code
|
HCPCS 47562
|
| Hospital Charge Code |
47562
|
| Min. Negotiated Rate |
$427.28 |
| Max. Negotiated Rate |
$118,064.00 |
| Rate for Payer: Aetna Commercial |
$862.25
|
| Rate for Payer: Aetna Medicare |
$669.21
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$862.25
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$926.60
|
| Rate for Payer: BCBS Complete |
$448.64
|
| Rate for Payer: BCBS MAPPO |
$643.47
|
| Rate for Payer: BCBS Trust/PPO |
$481.23
|
| Rate for Payer: BCN Commercial |
$965.63
|
| Rate for Payer: BCN Medicare Advantage |
$643.47
|
| Rate for Payer: Cash Price |
$2,408.80
|
| Rate for Payer: Cash Price |
$2,408.80
|
| Rate for Payer: Cofinity Commercial |
$926.60
|
| Rate for Payer: Cofinity Commercial |
$862.25
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$643.47
|
| Rate for Payer: Healthscope Commercial |
$1,190.42
|
| Rate for Payer: Healthscope Commercial |
$1,029.55
|
| Rate for Payer: Mclaren Medicaid |
$427.28
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$675.64
|
| Rate for Payer: Meridian Medicaid |
$448.64
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$118,064.00
|
| Rate for Payer: Nomi Health Commercial |
$772.16
|
| Rate for Payer: PACE SWMI |
$643.47
|
| Rate for Payer: PHP Medicare Advantage |
$643.47
|
| Rate for Payer: Priority Health Choice Medicaid |
$427.28
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,957.15
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,188.42
|
| Rate for Payer: Priority Health Medicare |
$643.47
|
| Rate for Payer: Priority Health Narrow Network |
$1,188.42
|
| Rate for Payer: Priority Health SBD |
$1,188.42
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$890.68
|
| Rate for Payer: UHC Dual Complete DSNP |
$643.47
|
| Rate for Payer: UHC Exchange |
$890.68
|
| Rate for Payer: UHC Medicare Advantage |
$643.47
|
| Rate for Payer: UHCCP Medicaid |
$427.28
|
|
