|
HC BIOPSY FLOOR MOUTH
|
Facility
|
OP
|
$4,100.00
|
|
|
Service Code
|
CPT 41108
|
| Hospital Charge Code |
76100464
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$973.75 |
| Max. Negotiated Rate |
$3,690.00 |
| Rate for Payer: Aetna Commercial |
$3,485.00
|
| Rate for Payer: Aetna Medicare |
$1,066.00
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,281.25
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1,281.25
|
| Rate for Payer: BCBS Complete |
$1,116.73
|
| Rate for Payer: BCBS MAPPO |
$1,025.00
|
| Rate for Payer: BCBS Trust/PPO |
$3,187.75
|
| Rate for Payer: BCN Commercial |
$3,187.75
|
| Rate for Payer: BCN Medicare Advantage |
$1,025.00
|
| Rate for Payer: Cash Price |
$3,280.00
|
| Rate for Payer: Cash Price |
$3,280.00
|
| Rate for Payer: Cofinity Commercial |
$3,526.00
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,280.00
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,025.00
|
| Rate for Payer: Healthscope Commercial |
$3,690.00
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$3,075.00
|
| Rate for Payer: Mclaren Medicaid |
$1,063.55
|
| Rate for Payer: Meridian Medicaid |
$1,116.73
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,076.25
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,178.75
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$3,485.00
|
| Rate for Payer: PACE Senior Care Partners |
$973.75
|
| Rate for Payer: PACE SWMI |
$1,025.00
|
| Rate for Payer: PHP Commercial |
$3,485.00
|
| Rate for Payer: PHP Medicare Advantage |
$1,025.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,063.55
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,870.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$3,567.00
|
| Rate for Payer: Priority Health Medicare |
$1,025.00
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,500.59
|
| Rate for Payer: Railroad Medicare Medicare |
$1,025.00
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$3,608.00
|
| Rate for Payer: UHC Core |
$3,423.50
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,025.00
|
| Rate for Payer: UHC Medicare Advantage |
$1,055.75
|
| Rate for Payer: VA VA |
$1,025.00
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$3,075.00
|
|
|
HC BIOPSY FLOOR MOUTH
|
Facility
|
IP
|
$4,100.00
|
|
|
Service Code
|
CPT 41108
|
| Hospital Charge Code |
76100464
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$2,500.59 |
| Max. Negotiated Rate |
$3,690.00 |
| Rate for Payer: Aetna Commercial |
$3,485.00
|
| Rate for Payer: BCBS Trust/PPO |
$3,168.48
|
| Rate for Payer: BCN Commercial |
$3,168.48
|
| Rate for Payer: Cash Price |
$3,280.00
|
| Rate for Payer: Cofinity Commercial |
$3,526.00
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,280.00
|
| Rate for Payer: Healthscope Commercial |
$3,690.00
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$3,075.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$3,485.00
|
| Rate for Payer: PHP Commercial |
$3,485.00
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,870.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$3,567.00
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,500.59
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$3,608.00
|
| Rate for Payer: UHC Core |
$3,423.50
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$3,075.00
|
|
|
HC BIOPSY INTRANASAL
|
Facility
|
OP
|
$3,950.00
|
|
|
Service Code
|
CPT 30100
|
| Hospital Charge Code |
76100448
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$938.12 |
| Max. Negotiated Rate |
$3,555.00 |
| Rate for Payer: Aetna Commercial |
$3,357.50
|
| Rate for Payer: Aetna Medicare |
$1,027.00
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,234.38
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1,234.38
|
| Rate for Payer: BCBS Complete |
$1,050.44
|
| Rate for Payer: BCBS MAPPO |
$987.50
|
| Rate for Payer: BCBS Trust/PPO |
$3,071.12
|
| Rate for Payer: BCN Commercial |
$3,071.12
|
| Rate for Payer: BCN Medicare Advantage |
$987.50
|
| Rate for Payer: Cash Price |
$3,160.00
|
| Rate for Payer: Cash Price |
$3,160.00
|
| Rate for Payer: Cofinity Commercial |
$3,397.00
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,160.00
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$987.50
|
| Rate for Payer: Healthscope Commercial |
$3,555.00
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,962.50
|
| Rate for Payer: Mclaren Medicaid |
$1,000.42
|
| Rate for Payer: Meridian Medicaid |
$1,050.44
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,036.88
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,135.62
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$3,357.50
|
| Rate for Payer: PACE Senior Care Partners |
$938.12
|
| Rate for Payer: PACE SWMI |
$987.50
|
| Rate for Payer: PHP Commercial |
$3,357.50
|
| Rate for Payer: PHP Medicare Advantage |
$987.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,000.42
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,765.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$3,436.50
|
| Rate for Payer: Priority Health Medicare |
$987.50
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,409.10
|
| Rate for Payer: Railroad Medicare Medicare |
$987.50
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$3,476.00
|
| Rate for Payer: UHC Core |
$3,298.25
|
| Rate for Payer: UHC Dual Complete DSNP |
$987.50
|
| Rate for Payer: UHC Medicare Advantage |
$1,017.12
|
| Rate for Payer: VA VA |
$987.50
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,962.50
|
|
|
HC BIOPSY INTRANASAL
|
Facility
|
IP
|
$3,950.00
|
|
|
Service Code
|
CPT 30100
|
| Hospital Charge Code |
76100448
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$2,409.10 |
| Max. Negotiated Rate |
$3,555.00 |
| Rate for Payer: Aetna Commercial |
$3,357.50
|
| Rate for Payer: BCBS Trust/PPO |
$3,052.56
|
| Rate for Payer: BCN Commercial |
$3,052.56
|
| Rate for Payer: Cash Price |
$3,160.00
|
| Rate for Payer: Cofinity Commercial |
$3,397.00
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,160.00
|
| Rate for Payer: Healthscope Commercial |
$3,555.00
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,962.50
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$3,357.50
|
| Rate for Payer: PHP Commercial |
$3,357.50
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,765.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$3,436.50
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,409.10
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$3,476.00
|
| Rate for Payer: UHC Core |
$3,298.25
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,962.50
|
|
|
HC BIOPSY LIVER
|
Facility
|
IP
|
$1,619.89
|
|
|
Service Code
|
CPT 47000
|
| Hospital Charge Code |
36100197
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$987.97 |
| Max. Negotiated Rate |
$1,457.90 |
| Rate for Payer: Aetna Commercial |
$1,376.91
|
| Rate for Payer: BCBS Trust/PPO |
$1,251.85
|
| Rate for Payer: BCN Commercial |
$1,251.85
|
| Rate for Payer: Cash Price |
$1,295.91
|
| Rate for Payer: Cofinity Commercial |
$1,393.11
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,295.91
|
| Rate for Payer: Healthscope Commercial |
$1,457.90
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,214.92
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,376.91
|
| Rate for Payer: PHP Commercial |
$1,376.91
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,133.92
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,409.30
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$987.97
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,425.50
|
| Rate for Payer: UHC Core |
$1,352.61
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,214.92
|
|
|
HC BIOPSY LIVER
|
Facility
|
OP
|
$1,619.89
|
|
|
Service Code
|
CPT 47000
|
| Hospital Charge Code |
36100197
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$384.72 |
| Max. Negotiated Rate |
$1,457.90 |
| Rate for Payer: Aetna Commercial |
$1,376.91
|
| Rate for Payer: Aetna Medicare |
$421.17
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$506.22
|
| Rate for Payer: Amish Plain Church Group Commercial |
$506.22
|
| Rate for Payer: BCBS Complete |
$1,116.73
|
| Rate for Payer: BCBS MAPPO |
$404.97
|
| Rate for Payer: BCBS Trust/PPO |
$1,259.46
|
| Rate for Payer: BCN Commercial |
$1,259.46
|
| Rate for Payer: BCN Medicare Advantage |
$404.97
|
| Rate for Payer: Cash Price |
$1,295.91
|
| Rate for Payer: Cash Price |
$1,295.91
|
| Rate for Payer: Cofinity Commercial |
$1,393.11
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,295.91
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$404.97
|
| Rate for Payer: Healthscope Commercial |
$1,457.90
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,214.92
|
| Rate for Payer: Mclaren Medicaid |
$1,063.55
|
| Rate for Payer: Meridian Medicaid |
$1,116.73
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$425.22
|
| Rate for Payer: MI Amish Medical Board Commercial |
$465.72
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,376.91
|
| Rate for Payer: PACE Senior Care Partners |
$384.72
|
| Rate for Payer: PACE SWMI |
$404.97
|
| Rate for Payer: PHP Commercial |
$1,376.91
|
| Rate for Payer: PHP Medicare Advantage |
$404.97
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,063.55
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,133.92
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,409.30
|
| Rate for Payer: Priority Health Medicare |
$404.97
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$987.97
|
| Rate for Payer: Railroad Medicare Medicare |
$404.97
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,425.50
|
| Rate for Payer: UHC Core |
$1,352.61
|
| Rate for Payer: UHC Dual Complete DSNP |
$404.97
|
| Rate for Payer: UHC Medicare Advantage |
$417.12
|
| Rate for Payer: VA VA |
$404.97
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,214.92
|
|
|
HC BIOPSY LYMPH NODE
|
Facility
|
OP
|
$1,845.23
|
|
|
Service Code
|
CPT 38505
|
| Hospital Charge Code |
36100186
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$182.50 |
| Max. Negotiated Rate |
$1,660.71 |
| Rate for Payer: Aetna Commercial |
$1,568.45
|
| Rate for Payer: Aetna Medicare |
$479.76
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$576.63
|
| Rate for Payer: Amish Plain Church Group Commercial |
$576.63
|
| Rate for Payer: BCBS Complete |
$1,116.73
|
| Rate for Payer: BCBS MAPPO |
$461.31
|
| Rate for Payer: BCBS Trust/PPO |
$1,434.67
|
| Rate for Payer: BCCCP Commercial |
$182.50
|
| Rate for Payer: BCN Commercial |
$1,434.67
|
| Rate for Payer: BCN Medicare Advantage |
$461.31
|
| Rate for Payer: Cash Price |
$1,476.18
|
| Rate for Payer: Cash Price |
$1,476.18
|
| Rate for Payer: Cofinity Commercial |
$1,586.90
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,476.18
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$461.31
|
| Rate for Payer: Healthscope Commercial |
$1,660.71
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,383.92
|
| Rate for Payer: Mclaren Medicaid |
$1,063.55
|
| Rate for Payer: Meridian Medicaid |
$1,116.73
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$484.37
|
| Rate for Payer: MI Amish Medical Board Commercial |
$530.50
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,568.45
|
| Rate for Payer: PACE Senior Care Partners |
$438.24
|
| Rate for Payer: PACE SWMI |
$461.31
|
| Rate for Payer: PHP Commercial |
$1,568.45
|
| Rate for Payer: PHP Medicare Advantage |
$461.31
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,063.55
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,291.66
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,605.35
|
| Rate for Payer: Priority Health Medicare |
$461.31
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,125.41
|
| Rate for Payer: Railroad Medicare Medicare |
$461.31
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,623.80
|
| Rate for Payer: UHC Core |
$1,540.77
|
| Rate for Payer: UHC Dual Complete DSNP |
$461.31
|
| Rate for Payer: UHC Medicare Advantage |
$475.15
|
| Rate for Payer: VA VA |
$461.31
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,383.92
|
|
|
HC BIOPSY LYMPH NODE
|
Facility
|
IP
|
$1,845.23
|
|
|
Service Code
|
CPT 38505
|
| Hospital Charge Code |
36100186
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$1,125.41 |
| Max. Negotiated Rate |
$1,660.71 |
| Rate for Payer: Aetna Commercial |
$1,568.45
|
| Rate for Payer: BCBS Trust/PPO |
$1,425.99
|
| Rate for Payer: BCN Commercial |
$1,425.99
|
| Rate for Payer: Cash Price |
$1,476.18
|
| Rate for Payer: Cofinity Commercial |
$1,586.90
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,476.18
|
| Rate for Payer: Healthscope Commercial |
$1,660.71
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,383.92
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,568.45
|
| Rate for Payer: PHP Commercial |
$1,568.45
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,291.66
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,605.35
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,125.41
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,623.80
|
| Rate for Payer: UHC Core |
$1,540.77
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,383.92
|
|
|
HC BIOPSY MUSCLE
|
Facility
|
OP
|
$1,887.46
|
|
|
Service Code
|
CPT 20206
|
| Hospital Charge Code |
36100017
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$448.27 |
| Max. Negotiated Rate |
$1,698.71 |
| Rate for Payer: Aetna Commercial |
$1,604.34
|
| Rate for Payer: Aetna Medicare |
$490.74
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$589.83
|
| Rate for Payer: Amish Plain Church Group Commercial |
$589.83
|
| Rate for Payer: BCBS Complete |
$1,116.73
|
| Rate for Payer: BCBS MAPPO |
$471.86
|
| Rate for Payer: BCBS Trust/PPO |
$1,467.50
|
| Rate for Payer: BCN Commercial |
$1,467.50
|
| Rate for Payer: BCN Medicare Advantage |
$471.86
|
| Rate for Payer: Cash Price |
$1,509.97
|
| Rate for Payer: Cash Price |
$1,509.97
|
| Rate for Payer: Cofinity Commercial |
$1,623.22
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,509.97
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$471.86
|
| Rate for Payer: Healthscope Commercial |
$1,698.71
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,415.60
|
| Rate for Payer: Mclaren Medicaid |
$1,063.55
|
| Rate for Payer: Meridian Medicaid |
$1,116.73
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$495.46
|
| Rate for Payer: MI Amish Medical Board Commercial |
$542.64
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,604.34
|
| Rate for Payer: PACE Senior Care Partners |
$448.27
|
| Rate for Payer: PACE SWMI |
$471.86
|
| Rate for Payer: PHP Commercial |
$1,604.34
|
| Rate for Payer: PHP Medicare Advantage |
$471.86
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,063.55
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,321.22
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,642.09
|
| Rate for Payer: Priority Health Medicare |
$471.86
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,151.16
|
| Rate for Payer: Railroad Medicare Medicare |
$471.86
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,660.96
|
| Rate for Payer: UHC Core |
$1,576.03
|
| Rate for Payer: UHC Dual Complete DSNP |
$471.86
|
| Rate for Payer: UHC Medicare Advantage |
$486.02
|
| Rate for Payer: VA VA |
$471.86
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,415.60
|
|
|
HC BIOPSY MUSCLE
|
Facility
|
IP
|
$1,887.46
|
|
|
Service Code
|
CPT 20206
|
| Hospital Charge Code |
36100017
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$1,151.16 |
| Max. Negotiated Rate |
$1,698.71 |
| Rate for Payer: Aetna Commercial |
$1,604.34
|
| Rate for Payer: BCBS Trust/PPO |
$1,458.63
|
| Rate for Payer: BCN Commercial |
$1,458.63
|
| Rate for Payer: Cash Price |
$1,509.97
|
| Rate for Payer: Cofinity Commercial |
$1,623.22
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,509.97
|
| Rate for Payer: Healthscope Commercial |
$1,698.71
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,415.60
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,604.34
|
| Rate for Payer: PHP Commercial |
$1,604.34
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,321.22
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,642.09
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,151.16
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,660.96
|
| Rate for Payer: UHC Core |
$1,576.03
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,415.60
|
|
|
HC BIOPSY MUSCLE TISSUE SUPERFICIAL
|
Facility
|
IP
|
$2,158.09
|
|
|
Service Code
|
CPT 20200
|
| Hospital Charge Code |
36100447
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$1,316.22 |
| Max. Negotiated Rate |
$1,942.28 |
| Rate for Payer: Aetna Commercial |
$1,834.38
|
| Rate for Payer: BCBS Trust/PPO |
$1,667.77
|
| Rate for Payer: BCN Commercial |
$1,667.77
|
| Rate for Payer: Cash Price |
$1,726.47
|
| Rate for Payer: Cofinity Commercial |
$1,855.96
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,726.47
|
| Rate for Payer: Healthscope Commercial |
$1,942.28
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,618.57
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,834.38
|
| Rate for Payer: PHP Commercial |
$1,834.38
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,510.66
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,877.54
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,316.22
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,899.12
|
| Rate for Payer: UHC Core |
$1,802.01
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,618.57
|
|
|
HC BIOPSY MUSCLE TISSUE SUPERFICIAL
|
Facility
|
OP
|
$2,158.09
|
|
|
Service Code
|
CPT 20200
|
| Hospital Charge Code |
36100447
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$512.55 |
| Max. Negotiated Rate |
$1,942.28 |
| Rate for Payer: Aetna Commercial |
$1,834.38
|
| Rate for Payer: Aetna Medicare |
$561.10
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$674.40
|
| Rate for Payer: Amish Plain Church Group Commercial |
$674.40
|
| Rate for Payer: BCBS Complete |
$1,116.73
|
| Rate for Payer: BCBS MAPPO |
$539.52
|
| Rate for Payer: BCBS Trust/PPO |
$1,677.91
|
| Rate for Payer: BCN Commercial |
$1,677.91
|
| Rate for Payer: BCN Medicare Advantage |
$539.52
|
| Rate for Payer: Cash Price |
$1,726.47
|
| Rate for Payer: Cash Price |
$1,726.47
|
| Rate for Payer: Cofinity Commercial |
$1,855.96
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,726.47
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$539.52
|
| Rate for Payer: Healthscope Commercial |
$1,942.28
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,618.57
|
| Rate for Payer: Mclaren Medicaid |
$1,063.55
|
| Rate for Payer: Meridian Medicaid |
$1,116.73
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$566.50
|
| Rate for Payer: MI Amish Medical Board Commercial |
$620.45
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,834.38
|
| Rate for Payer: PACE Senior Care Partners |
$512.55
|
| Rate for Payer: PACE SWMI |
$539.52
|
| Rate for Payer: PHP Commercial |
$1,834.38
|
| Rate for Payer: PHP Medicare Advantage |
$539.52
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,063.55
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,510.66
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,877.54
|
| Rate for Payer: Priority Health Medicare |
$539.52
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,316.22
|
| Rate for Payer: Railroad Medicare Medicare |
$539.52
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,899.12
|
| Rate for Payer: UHC Core |
$1,802.01
|
| Rate for Payer: UHC Dual Complete DSNP |
$539.52
|
| Rate for Payer: UHC Medicare Advantage |
$555.71
|
| Rate for Payer: VA VA |
$539.52
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,618.57
|
|
|
HC BIOPSY OF LIP
|
Facility
|
IP
|
$650.00
|
|
|
Service Code
|
CPT 40490
|
| Hospital Charge Code |
76100456
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$396.44 |
| Max. Negotiated Rate |
$585.00 |
| Rate for Payer: Aetna Commercial |
$552.50
|
| Rate for Payer: BCBS Trust/PPO |
$502.32
|
| Rate for Payer: BCN Commercial |
$502.32
|
| Rate for Payer: Cash Price |
$520.00
|
| Rate for Payer: Cofinity Commercial |
$559.00
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$520.00
|
| Rate for Payer: Healthscope Commercial |
$585.00
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$487.50
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$552.50
|
| Rate for Payer: PHP Commercial |
$552.50
|
| Rate for Payer: Priority Health Cigna Priority Health |
$455.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$565.50
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$396.44
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$572.00
|
| Rate for Payer: UHC Core |
$542.75
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$487.50
|
|
|
HC BIOPSY OF LIP
|
Facility
|
OP
|
$650.00
|
|
|
Service Code
|
CPT 40490
|
| Hospital Charge Code |
76100456
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$154.38 |
| Max. Negotiated Rate |
$585.00 |
| Rate for Payer: Aetna Commercial |
$552.50
|
| Rate for Payer: Aetna Medicare |
$169.00
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$203.12
|
| Rate for Payer: Amish Plain Church Group Commercial |
$203.12
|
| Rate for Payer: BCBS Complete |
$168.25
|
| Rate for Payer: BCBS MAPPO |
$162.50
|
| Rate for Payer: BCBS Trust/PPO |
$505.38
|
| Rate for Payer: BCN Commercial |
$505.38
|
| Rate for Payer: BCN Medicare Advantage |
$162.50
|
| Rate for Payer: Cash Price |
$520.00
|
| Rate for Payer: Cash Price |
$520.00
|
| Rate for Payer: Cofinity Commercial |
$559.00
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$520.00
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$162.50
|
| Rate for Payer: Healthscope Commercial |
$585.00
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$487.50
|
| Rate for Payer: Mclaren Medicaid |
$160.23
|
| Rate for Payer: Meridian Medicaid |
$168.25
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$170.62
|
| Rate for Payer: MI Amish Medical Board Commercial |
$186.88
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$552.50
|
| Rate for Payer: PACE Senior Care Partners |
$154.38
|
| Rate for Payer: PACE SWMI |
$162.50
|
| Rate for Payer: PHP Commercial |
$552.50
|
| Rate for Payer: PHP Medicare Advantage |
$162.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$160.23
|
| Rate for Payer: Priority Health Cigna Priority Health |
$455.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$565.50
|
| Rate for Payer: Priority Health Medicare |
$162.50
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$396.44
|
| Rate for Payer: Railroad Medicare Medicare |
$162.50
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$572.00
|
| Rate for Payer: UHC Core |
$542.75
|
| Rate for Payer: UHC Dual Complete DSNP |
$162.50
|
| Rate for Payer: UHC Medicare Advantage |
$167.38
|
| Rate for Payer: VA VA |
$162.50
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$487.50
|
|
|
HC BIOPSY OF PROSTATE,INCISIONAL
|
Facility
|
IP
|
$9,288.24
|
|
| Hospital Charge Code |
76100359
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$5,664.90 |
| Max. Negotiated Rate |
$8,359.42 |
| Rate for Payer: Aetna Commercial |
$7,895.00
|
| Rate for Payer: BCBS Trust/PPO |
$7,177.95
|
| Rate for Payer: BCN Commercial |
$7,177.95
|
| Rate for Payer: Cash Price |
$7,430.59
|
| Rate for Payer: Cofinity Commercial |
$7,987.89
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$7,430.59
|
| Rate for Payer: Healthscope Commercial |
$8,359.42
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$6,966.18
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$7,895.00
|
| Rate for Payer: PHP Commercial |
$7,895.00
|
| Rate for Payer: Priority Health Cigna Priority Health |
$6,501.77
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$8,080.77
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$5,664.90
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$8,173.65
|
| Rate for Payer: UHC Core |
$7,755.68
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$6,966.18
|
|
|
HC BIOPSY OF PROSTATE,INCISIONAL
|
Facility
|
OP
|
$9,288.24
|
|
| Hospital Charge Code |
76100359
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$2,205.96 |
| Max. Negotiated Rate |
$8,359.42 |
| Rate for Payer: Aetna Commercial |
$7,895.00
|
| Rate for Payer: Aetna Medicare |
$2,414.94
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$2,902.58
|
| Rate for Payer: Amish Plain Church Group Commercial |
$2,902.58
|
| Rate for Payer: BCBS Complete |
$3,715.30
|
| Rate for Payer: BCBS MAPPO |
$2,322.06
|
| Rate for Payer: BCBS Trust/PPO |
$7,221.61
|
| Rate for Payer: BCN Commercial |
$7,221.61
|
| Rate for Payer: BCN Medicare Advantage |
$2,322.06
|
| Rate for Payer: Cash Price |
$7,430.59
|
| Rate for Payer: Cofinity Commercial |
$7,987.89
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$7,430.59
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,322.06
|
| Rate for Payer: Healthscope Commercial |
$8,359.42
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$6,966.18
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$2,438.16
|
| Rate for Payer: MI Amish Medical Board Commercial |
$2,670.37
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$7,895.00
|
| Rate for Payer: PACE Senior Care Partners |
$2,205.96
|
| Rate for Payer: PACE SWMI |
$2,322.06
|
| Rate for Payer: PHP Commercial |
$7,895.00
|
| Rate for Payer: PHP Medicare Advantage |
$2,322.06
|
| Rate for Payer: Priority Health Cigna Priority Health |
$6,501.77
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$8,080.77
|
| Rate for Payer: Priority Health Medicare |
$2,322.06
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$5,664.90
|
| Rate for Payer: Railroad Medicare Medicare |
$2,322.06
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$8,173.65
|
| Rate for Payer: UHC Core |
$7,755.68
|
| Rate for Payer: UHC Dual Complete DSNP |
$2,322.06
|
| Rate for Payer: UHC Medicare Advantage |
$2,391.72
|
| Rate for Payer: VA VA |
$2,322.06
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$6,966.18
|
|
|
HC BIOPSY OF VAGINA, SIMPLE
|
Facility
|
IP
|
$853.74
|
|
|
Service Code
|
CPT 57100
|
| Hospital Charge Code |
76100222
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$520.70 |
| Max. Negotiated Rate |
$768.37 |
| Rate for Payer: Aetna Commercial |
$725.68
|
| Rate for Payer: BCBS Trust/PPO |
$659.77
|
| Rate for Payer: BCN Commercial |
$659.77
|
| Rate for Payer: Cash Price |
$682.99
|
| Rate for Payer: Cofinity Commercial |
$734.22
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$682.99
|
| Rate for Payer: Healthscope Commercial |
$768.37
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$640.30
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$725.68
|
| Rate for Payer: PHP Commercial |
$725.68
|
| Rate for Payer: Priority Health Cigna Priority Health |
$597.62
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$742.75
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$520.70
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$751.29
|
| Rate for Payer: UHC Core |
$712.87
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$640.30
|
|
|
HC BIOPSY OF VAGINA, SIMPLE
|
Facility
|
OP
|
$853.74
|
|
|
Service Code
|
CPT 57100
|
| Hospital Charge Code |
76100222
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$202.76 |
| Max. Negotiated Rate |
$768.37 |
| Rate for Payer: Aetna Commercial |
$725.68
|
| Rate for Payer: Aetna Medicare |
$221.97
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$266.79
|
| Rate for Payer: Amish Plain Church Group Commercial |
$266.79
|
| Rate for Payer: BCBS Complete |
$553.73
|
| Rate for Payer: BCBS MAPPO |
$213.44
|
| Rate for Payer: BCBS Trust/PPO |
$663.78
|
| Rate for Payer: BCN Commercial |
$663.78
|
| Rate for Payer: BCN Medicare Advantage |
$213.44
|
| Rate for Payer: Cash Price |
$682.99
|
| Rate for Payer: Cash Price |
$682.99
|
| Rate for Payer: Cofinity Commercial |
$734.22
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$682.99
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$213.44
|
| Rate for Payer: Healthscope Commercial |
$768.37
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$640.30
|
| Rate for Payer: Mclaren Medicaid |
$527.36
|
| Rate for Payer: Meridian Medicaid |
$553.73
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$224.11
|
| Rate for Payer: MI Amish Medical Board Commercial |
$245.45
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$725.68
|
| Rate for Payer: PACE Senior Care Partners |
$202.76
|
| Rate for Payer: PACE SWMI |
$213.44
|
| Rate for Payer: PHP Commercial |
$725.68
|
| Rate for Payer: PHP Medicare Advantage |
$213.44
|
| Rate for Payer: Priority Health Choice Medicaid |
$527.36
|
| Rate for Payer: Priority Health Cigna Priority Health |
$597.62
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$742.75
|
| Rate for Payer: Priority Health Medicare |
$213.44
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$520.70
|
| Rate for Payer: Railroad Medicare Medicare |
$213.44
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$751.29
|
| Rate for Payer: UHC Core |
$712.87
|
| Rate for Payer: UHC Dual Complete DSNP |
$213.44
|
| Rate for Payer: UHC Medicare Advantage |
$219.84
|
| Rate for Payer: VA VA |
$213.44
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$640.30
|
|
|
HC BIOPSY OROPHARYNX
|
Facility
|
OP
|
$3,937.00
|
|
|
Service Code
|
CPT 42800
|
| Hospital Charge Code |
76100475
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$935.04 |
| Max. Negotiated Rate |
$3,543.30 |
| Rate for Payer: Aetna Commercial |
$3,346.45
|
| Rate for Payer: Aetna Medicare |
$1,023.62
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,230.31
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1,230.31
|
| Rate for Payer: BCBS Complete |
$1,050.44
|
| Rate for Payer: BCBS MAPPO |
$984.25
|
| Rate for Payer: BCBS Trust/PPO |
$3,061.02
|
| Rate for Payer: BCN Commercial |
$3,061.02
|
| Rate for Payer: BCN Medicare Advantage |
$984.25
|
| Rate for Payer: Cash Price |
$3,149.60
|
| Rate for Payer: Cash Price |
$3,149.60
|
| Rate for Payer: Cofinity Commercial |
$3,385.82
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,149.60
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$984.25
|
| Rate for Payer: Healthscope Commercial |
$3,543.30
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,952.75
|
| Rate for Payer: Mclaren Medicaid |
$1,000.42
|
| Rate for Payer: Meridian Medicaid |
$1,050.44
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,033.46
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,131.89
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$3,346.45
|
| Rate for Payer: PACE Senior Care Partners |
$935.04
|
| Rate for Payer: PACE SWMI |
$984.25
|
| Rate for Payer: PHP Commercial |
$3,346.45
|
| Rate for Payer: PHP Medicare Advantage |
$984.25
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,000.42
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,755.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$3,425.19
|
| Rate for Payer: Priority Health Medicare |
$984.25
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,401.18
|
| Rate for Payer: Railroad Medicare Medicare |
$984.25
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$3,464.56
|
| Rate for Payer: UHC Core |
$3,287.40
|
| Rate for Payer: UHC Dual Complete DSNP |
$984.25
|
| Rate for Payer: UHC Medicare Advantage |
$1,013.78
|
| Rate for Payer: VA VA |
$984.25
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,952.75
|
|
|
HC BIOPSY OROPHARYNX
|
Facility
|
IP
|
$3,937.00
|
|
|
Service Code
|
CPT 42800
|
| Hospital Charge Code |
76100475
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$2,401.18 |
| Max. Negotiated Rate |
$3,543.30 |
| Rate for Payer: Aetna Commercial |
$3,346.45
|
| Rate for Payer: BCBS Trust/PPO |
$3,042.51
|
| Rate for Payer: BCN Commercial |
$3,042.51
|
| Rate for Payer: Cash Price |
$3,149.60
|
| Rate for Payer: Cofinity Commercial |
$3,385.82
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,149.60
|
| Rate for Payer: Healthscope Commercial |
$3,543.30
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,952.75
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$3,346.45
|
| Rate for Payer: PHP Commercial |
$3,346.45
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,755.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$3,425.19
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,401.18
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$3,464.56
|
| Rate for Payer: UHC Core |
$3,287.40
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,952.75
|
|
|
HC BIOPSY PALATE UVULA
|
Facility
|
IP
|
$3,950.00
|
|
|
Service Code
|
CPT 42100
|
| Hospital Charge Code |
76100466
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$2,409.10 |
| Max. Negotiated Rate |
$3,555.00 |
| Rate for Payer: Aetna Commercial |
$3,357.50
|
| Rate for Payer: BCBS Trust/PPO |
$3,052.56
|
| Rate for Payer: BCN Commercial |
$3,052.56
|
| Rate for Payer: Cash Price |
$3,160.00
|
| Rate for Payer: Cofinity Commercial |
$3,397.00
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,160.00
|
| Rate for Payer: Healthscope Commercial |
$3,555.00
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,962.50
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$3,357.50
|
| Rate for Payer: PHP Commercial |
$3,357.50
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,765.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$3,436.50
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,409.10
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$3,476.00
|
| Rate for Payer: UHC Core |
$3,298.25
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,962.50
|
|
|
HC BIOPSY PALATE UVULA
|
Facility
|
OP
|
$3,950.00
|
|
|
Service Code
|
CPT 42100
|
| Hospital Charge Code |
76100466
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$938.12 |
| Max. Negotiated Rate |
$3,555.00 |
| Rate for Payer: Aetna Commercial |
$3,357.50
|
| Rate for Payer: Aetna Medicare |
$1,027.00
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,234.38
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1,234.38
|
| Rate for Payer: BCBS Complete |
$1,050.44
|
| Rate for Payer: BCBS MAPPO |
$987.50
|
| Rate for Payer: BCBS Trust/PPO |
$3,071.12
|
| Rate for Payer: BCN Commercial |
$3,071.12
|
| Rate for Payer: BCN Medicare Advantage |
$987.50
|
| Rate for Payer: Cash Price |
$3,160.00
|
| Rate for Payer: Cash Price |
$3,160.00
|
| Rate for Payer: Cofinity Commercial |
$3,397.00
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,160.00
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$987.50
|
| Rate for Payer: Healthscope Commercial |
$3,555.00
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,962.50
|
| Rate for Payer: Mclaren Medicaid |
$1,000.42
|
| Rate for Payer: Meridian Medicaid |
$1,050.44
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,036.88
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,135.62
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$3,357.50
|
| Rate for Payer: PACE Senior Care Partners |
$938.12
|
| Rate for Payer: PACE SWMI |
$987.50
|
| Rate for Payer: PHP Commercial |
$3,357.50
|
| Rate for Payer: PHP Medicare Advantage |
$987.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,000.42
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,765.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$3,436.50
|
| Rate for Payer: Priority Health Medicare |
$987.50
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,409.10
|
| Rate for Payer: Railroad Medicare Medicare |
$987.50
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$3,476.00
|
| Rate for Payer: UHC Core |
$3,298.25
|
| Rate for Payer: UHC Dual Complete DSNP |
$987.50
|
| Rate for Payer: UHC Medicare Advantage |
$1,017.12
|
| Rate for Payer: VA VA |
$987.50
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,962.50
|
|
|
HC BIOPSY PANCREAS
|
Facility
|
IP
|
$1,043.87
|
|
|
Service Code
|
CPT 48102
|
| Hospital Charge Code |
36100211
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$636.66 |
| Max. Negotiated Rate |
$939.48 |
| Rate for Payer: Aetna Commercial |
$887.29
|
| Rate for Payer: BCBS Trust/PPO |
$806.70
|
| Rate for Payer: BCN Commercial |
$806.70
|
| Rate for Payer: Cash Price |
$835.10
|
| Rate for Payer: Cofinity Commercial |
$897.73
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$835.10
|
| Rate for Payer: Healthscope Commercial |
$939.48
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$782.90
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$887.29
|
| Rate for Payer: PHP Commercial |
$887.29
|
| Rate for Payer: Priority Health Cigna Priority Health |
$730.71
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$908.17
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$636.66
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$918.61
|
| Rate for Payer: UHC Core |
$871.63
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$782.90
|
|
|
HC BIOPSY PANCREAS
|
Facility
|
OP
|
$1,043.87
|
|
|
Service Code
|
CPT 48102
|
| Hospital Charge Code |
36100211
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$247.92 |
| Max. Negotiated Rate |
$1,116.73 |
| Rate for Payer: Aetna Commercial |
$887.29
|
| Rate for Payer: Aetna Medicare |
$271.41
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$326.21
|
| Rate for Payer: Amish Plain Church Group Commercial |
$326.21
|
| Rate for Payer: BCBS Complete |
$1,116.73
|
| Rate for Payer: BCBS MAPPO |
$260.97
|
| Rate for Payer: BCBS Trust/PPO |
$811.61
|
| Rate for Payer: BCN Commercial |
$811.61
|
| Rate for Payer: BCN Medicare Advantage |
$260.97
|
| Rate for Payer: Cash Price |
$835.10
|
| Rate for Payer: Cash Price |
$835.10
|
| Rate for Payer: Cofinity Commercial |
$897.73
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$835.10
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$260.97
|
| Rate for Payer: Healthscope Commercial |
$939.48
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$782.90
|
| Rate for Payer: Mclaren Medicaid |
$1,063.55
|
| Rate for Payer: Meridian Medicaid |
$1,116.73
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$274.02
|
| Rate for Payer: MI Amish Medical Board Commercial |
$300.11
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$887.29
|
| Rate for Payer: PACE Senior Care Partners |
$247.92
|
| Rate for Payer: PACE SWMI |
$260.97
|
| Rate for Payer: PHP Commercial |
$887.29
|
| Rate for Payer: PHP Medicare Advantage |
$260.97
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,063.55
|
| Rate for Payer: Priority Health Cigna Priority Health |
$730.71
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$908.17
|
| Rate for Payer: Priority Health Medicare |
$260.97
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$636.66
|
| Rate for Payer: Railroad Medicare Medicare |
$260.97
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$918.61
|
| Rate for Payer: UHC Core |
$871.63
|
| Rate for Payer: UHC Dual Complete DSNP |
$260.97
|
| Rate for Payer: UHC Medicare Advantage |
$268.80
|
| Rate for Payer: VA VA |
$260.97
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$782.90
|
|
|
HC BIOPSY PENIS DEEP STRUCTURES
|
Facility
|
OP
|
$7,162.95
|
|
|
Service Code
|
CPT 54105
|
| Hospital Charge Code |
76100348
|
|
Hospital Revenue Code
|
760
|
| Min. Negotiated Rate |
$1,701.20 |
| Max. Negotiated Rate |
$6,446.66 |
| Rate for Payer: Aetna Commercial |
$6,088.51
|
| Rate for Payer: Aetna Medicare |
$1,862.37
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$2,238.42
|
| Rate for Payer: Amish Plain Church Group Commercial |
$2,238.42
|
| Rate for Payer: BCBS Complete |
$1,957.20
|
| Rate for Payer: BCBS MAPPO |
$1,790.74
|
| Rate for Payer: BCBS Trust/PPO |
$5,569.19
|
| Rate for Payer: BCN Commercial |
$5,569.19
|
| Rate for Payer: BCN Medicare Advantage |
$1,790.74
|
| Rate for Payer: Cash Price |
$5,730.36
|
| Rate for Payer: Cash Price |
$5,730.36
|
| Rate for Payer: Cofinity Commercial |
$6,160.14
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$5,730.36
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,790.74
|
| Rate for Payer: Healthscope Commercial |
$6,446.66
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$5,372.21
|
| Rate for Payer: Mclaren Medicaid |
$1,864.00
|
| Rate for Payer: Meridian Medicaid |
$1,957.20
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,880.27
|
| Rate for Payer: MI Amish Medical Board Commercial |
$2,059.35
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$6,088.51
|
| Rate for Payer: PACE Senior Care Partners |
$1,701.20
|
| Rate for Payer: PACE SWMI |
$1,790.74
|
| Rate for Payer: PHP Commercial |
$6,088.51
|
| Rate for Payer: PHP Medicare Advantage |
$1,790.74
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,864.00
|
| Rate for Payer: Priority Health Cigna Priority Health |
$5,014.06
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$6,231.77
|
| Rate for Payer: Priority Health Medicare |
$1,790.74
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$4,368.68
|
| Rate for Payer: Railroad Medicare Medicare |
$1,790.74
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$6,303.40
|
| Rate for Payer: UHC Core |
$5,981.06
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,790.74
|
| Rate for Payer: UHC Medicare Advantage |
$1,844.46
|
| Rate for Payer: VA VA |
$1,790.74
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$5,372.21
|
|
