|
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
|
|
|
HC BIOPSY PENIS SEPARATE PROCEDURE
|
Facility
|
IP
|
$4,200.00
|
|
|
Service Code
|
CPT 54100
|
| Hospital Charge Code |
76100388
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$2,561.58 |
| Max. Negotiated Rate |
$3,780.00 |
| Rate for Payer: Aetna Commercial |
$3,570.00
|
| Rate for Payer: BCBS Trust/PPO |
$3,245.76
|
| Rate for Payer: BCN Commercial |
$3,245.76
|
| Rate for Payer: Cash Price |
$3,360.00
|
| Rate for Payer: Cofinity Commercial |
$3,612.00
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,360.00
|
| Rate for Payer: Healthscope Commercial |
$3,780.00
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$3,150.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$3,570.00
|
| Rate for Payer: PHP Commercial |
$3,570.00
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,940.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$3,654.00
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,561.58
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$3,696.00
|
| Rate for Payer: UHC Core |
$3,507.00
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$3,150.00
|
|
|
HC BIOPSY PENIS SEPARATE PROCEDURE
|
Facility
|
OP
|
$4,200.00
|
|
|
Service Code
|
CPT 54100
|
| Hospital Charge Code |
76100388
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$997.50 |
| Max. Negotiated Rate |
$3,780.00 |
| Rate for Payer: Aetna Commercial |
$3,570.00
|
| Rate for Payer: Aetna Medicare |
$1,092.00
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,312.50
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1,312.50
|
| Rate for Payer: BCBS Complete |
$1,116.73
|
| Rate for Payer: BCBS MAPPO |
$1,050.00
|
| Rate for Payer: BCBS Trust/PPO |
$3,265.50
|
| Rate for Payer: BCN Commercial |
$3,265.50
|
| Rate for Payer: BCN Medicare Advantage |
$1,050.00
|
| Rate for Payer: Cash Price |
$3,360.00
|
| Rate for Payer: Cash Price |
$3,360.00
|
| Rate for Payer: Cofinity Commercial |
$3,612.00
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,360.00
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,050.00
|
| Rate for Payer: Healthscope Commercial |
$3,780.00
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$3,150.00
|
| Rate for Payer: Mclaren Medicaid |
$1,063.55
|
| Rate for Payer: Meridian Medicaid |
$1,116.73
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,102.50
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,207.50
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$3,570.00
|
| Rate for Payer: PACE Senior Care Partners |
$997.50
|
| Rate for Payer: PACE SWMI |
$1,050.00
|
| Rate for Payer: PHP Commercial |
$3,570.00
|
| Rate for Payer: PHP Medicare Advantage |
$1,050.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,063.55
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,940.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$3,654.00
|
| Rate for Payer: Priority Health Medicare |
$1,050.00
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,561.58
|
| Rate for Payer: Railroad Medicare Medicare |
$1,050.00
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$3,696.00
|
| Rate for Payer: UHC Core |
$3,507.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,050.00
|
| Rate for Payer: UHC Medicare Advantage |
$1,081.50
|
| Rate for Payer: VA VA |
$1,050.00
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$3,150.00
|
|
|
HC BIOPSY PLEURA
|
Facility
|
OP
|
$907.70
|
|
|
Service Code
|
CPT 32400
|
| Hospital Charge Code |
36100048
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$215.58 |
| Max. Negotiated Rate |
$1,116.73 |
| Rate for Payer: Aetna Commercial |
$771.54
|
| Rate for Payer: Aetna Medicare |
$236.00
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$283.66
|
| Rate for Payer: Amish Plain Church Group Commercial |
$283.66
|
| Rate for Payer: BCBS Complete |
$1,116.73
|
| Rate for Payer: BCBS MAPPO |
$226.92
|
| Rate for Payer: BCBS Trust/PPO |
$705.74
|
| Rate for Payer: BCN Commercial |
$705.74
|
| Rate for Payer: BCN Medicare Advantage |
$226.92
|
| Rate for Payer: Cash Price |
$726.16
|
| Rate for Payer: Cash Price |
$726.16
|
| Rate for Payer: Cofinity Commercial |
$780.62
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$726.16
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$226.92
|
| Rate for Payer: Healthscope Commercial |
$816.93
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$680.78
|
| Rate for Payer: Mclaren Medicaid |
$1,063.55
|
| Rate for Payer: Meridian Medicaid |
$1,116.73
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$238.27
|
| Rate for Payer: MI Amish Medical Board Commercial |
$260.96
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$771.54
|
| Rate for Payer: PACE Senior Care Partners |
$215.58
|
| Rate for Payer: PACE SWMI |
$226.92
|
| Rate for Payer: PHP Commercial |
$771.54
|
| Rate for Payer: PHP Medicare Advantage |
$226.92
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,063.55
|
| Rate for Payer: Priority Health Cigna Priority Health |
$635.39
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$789.70
|
| Rate for Payer: Priority Health Medicare |
$226.92
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$553.61
|
| Rate for Payer: Railroad Medicare Medicare |
$226.92
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$798.78
|
| Rate for Payer: UHC Core |
$757.93
|
| Rate for Payer: UHC Dual Complete DSNP |
$226.92
|
| Rate for Payer: UHC Medicare Advantage |
$233.73
|
| Rate for Payer: VA VA |
$226.92
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$680.78
|
|
|
HC BIOPSY PLEURA
|
Facility
|
IP
|
$907.70
|
|
|
Service Code
|
CPT 32400
|
| Hospital Charge Code |
36100048
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$553.61 |
| Max. Negotiated Rate |
$816.93 |
| Rate for Payer: Aetna Commercial |
$771.54
|
| Rate for Payer: BCBS Trust/PPO |
$701.47
|
| Rate for Payer: BCN Commercial |
$701.47
|
| Rate for Payer: Cash Price |
$726.16
|
| Rate for Payer: Cofinity Commercial |
$780.62
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$726.16
|
| Rate for Payer: Healthscope Commercial |
$816.93
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$680.78
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$771.54
|
| Rate for Payer: PHP Commercial |
$771.54
|
| Rate for Payer: Priority Health Cigna Priority Health |
$635.39
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$789.70
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$553.61
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$798.78
|
| Rate for Payer: UHC Core |
$757.93
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$680.78
|
|
|
HC BIOPSY PROSTATE
|
Facility
|
OP
|
$1,976.45
|
|
|
Service Code
|
CPT 55700
|
| Hospital Charge Code |
36100255
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$469.41 |
| Max. Negotiated Rate |
$1,778.80 |
| Rate for Payer: Aetna Commercial |
$1,679.98
|
| Rate for Payer: Aetna Medicare |
$513.88
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$617.64
|
| Rate for Payer: Amish Plain Church Group Commercial |
$617.64
|
| Rate for Payer: BCBS Complete |
$1,402.94
|
| Rate for Payer: BCBS MAPPO |
$494.11
|
| Rate for Payer: BCBS Trust/PPO |
$1,536.69
|
| Rate for Payer: BCN Commercial |
$1,536.69
|
| Rate for Payer: BCN Medicare Advantage |
$494.11
|
| Rate for Payer: Cash Price |
$1,581.16
|
| Rate for Payer: Cash Price |
$1,581.16
|
| Rate for Payer: Cofinity Commercial |
$1,699.75
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,581.16
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$494.11
|
| Rate for Payer: Healthscope Commercial |
$1,778.80
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,482.34
|
| Rate for Payer: Mclaren Medicaid |
$1,336.13
|
| Rate for Payer: Meridian Medicaid |
$1,402.94
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$518.82
|
| Rate for Payer: MI Amish Medical Board Commercial |
$568.23
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,679.98
|
| Rate for Payer: PACE Senior Care Partners |
$469.41
|
| Rate for Payer: PACE SWMI |
$494.11
|
| Rate for Payer: PHP Commercial |
$1,679.98
|
| Rate for Payer: PHP Medicare Advantage |
$494.11
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,336.13
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,383.52
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,719.51
|
| Rate for Payer: Priority Health Medicare |
$494.11
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,205.44
|
| Rate for Payer: Railroad Medicare Medicare |
$494.11
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,739.28
|
| Rate for Payer: UHC Core |
$1,650.34
|
| Rate for Payer: UHC Dual Complete DSNP |
$494.11
|
| Rate for Payer: UHC Medicare Advantage |
$508.94
|
| Rate for Payer: VA VA |
$494.11
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,482.34
|
|
|
HC BIOPSY PROSTATE
|
Facility
|
IP
|
$1,976.45
|
|
|
Service Code
|
CPT 55700
|
| Hospital Charge Code |
36100255
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$1,205.44 |
| Max. Negotiated Rate |
$1,778.80 |
| Rate for Payer: Aetna Commercial |
$1,679.98
|
| Rate for Payer: BCBS Trust/PPO |
$1,527.40
|
| Rate for Payer: BCN Commercial |
$1,527.40
|
| Rate for Payer: Cash Price |
$1,581.16
|
| Rate for Payer: Cofinity Commercial |
$1,699.75
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,581.16
|
| Rate for Payer: Healthscope Commercial |
$1,778.80
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,482.34
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,679.98
|
| Rate for Payer: PHP Commercial |
$1,679.98
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,383.52
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,719.51
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,205.44
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,739.28
|
| Rate for Payer: UHC Core |
$1,650.34
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,482.34
|
|
|
HC BIOPSY RENAL
|
Facility
|
OP
|
$1,653.46
|
|
|
Service Code
|
CPT 50200
|
| Hospital Charge Code |
36100235
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$392.70 |
| Max. Negotiated Rate |
$1,488.11 |
| Rate for Payer: Aetna Commercial |
$1,405.44
|
| Rate for Payer: Aetna Medicare |
$429.90
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$516.71
|
| Rate for Payer: Amish Plain Church Group Commercial |
$516.71
|
| Rate for Payer: BCBS Complete |
$1,116.73
|
| Rate for Payer: BCBS MAPPO |
$413.36
|
| Rate for Payer: BCBS Trust/PPO |
$1,285.57
|
| Rate for Payer: BCN Commercial |
$1,285.57
|
| Rate for Payer: BCN Medicare Advantage |
$413.36
|
| Rate for Payer: Cash Price |
$1,322.77
|
| Rate for Payer: Cash Price |
$1,322.77
|
| Rate for Payer: Cofinity Commercial |
$1,421.98
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,322.77
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$413.36
|
| Rate for Payer: Healthscope Commercial |
$1,488.11
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,240.10
|
| Rate for Payer: Mclaren Medicaid |
$1,063.55
|
| Rate for Payer: Meridian Medicaid |
$1,116.73
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$434.03
|
| Rate for Payer: MI Amish Medical Board Commercial |
$475.37
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,405.44
|
| Rate for Payer: PACE Senior Care Partners |
$392.70
|
| Rate for Payer: PACE SWMI |
$413.36
|
| Rate for Payer: PHP Commercial |
$1,405.44
|
| Rate for Payer: PHP Medicare Advantage |
$413.36
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,063.55
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,157.42
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,438.51
|
| Rate for Payer: Priority Health Medicare |
$413.36
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,008.45
|
| Rate for Payer: Railroad Medicare Medicare |
$413.36
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,455.04
|
| Rate for Payer: UHC Core |
$1,380.64
|
| Rate for Payer: UHC Dual Complete DSNP |
$413.36
|
| Rate for Payer: UHC Medicare Advantage |
$425.77
|
| Rate for Payer: VA VA |
$413.36
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,240.10
|
|
|
HC BIOPSY RENAL
|
Facility
|
IP
|
$1,653.46
|
|
|
Service Code
|
CPT 50200
|
| Hospital Charge Code |
36100235
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$1,008.45 |
| Max. Negotiated Rate |
$1,488.11 |
| Rate for Payer: Aetna Commercial |
$1,405.44
|
| Rate for Payer: BCBS Trust/PPO |
$1,277.79
|
| Rate for Payer: BCN Commercial |
$1,277.79
|
| Rate for Payer: Cash Price |
$1,322.77
|
| Rate for Payer: Cofinity Commercial |
$1,421.98
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,322.77
|
| Rate for Payer: Healthscope Commercial |
$1,488.11
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,240.10
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,405.44
|
| Rate for Payer: PHP Commercial |
$1,405.44
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,157.42
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,438.51
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,008.45
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,455.04
|
| Rate for Payer: UHC Core |
$1,380.64
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,240.10
|
|
|
HC BIOPSY SALIVARY GLAND
|
Facility
|
OP
|
$898.05
|
|
|
Service Code
|
CPT 42400
|
| Hospital Charge Code |
36100189
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$213.29 |
| Max. Negotiated Rate |
$808.24 |
| Rate for Payer: Aetna Commercial |
$763.34
|
| Rate for Payer: Aetna Medicare |
$233.49
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$280.64
|
| Rate for Payer: Amish Plain Church Group Commercial |
$280.64
|
| Rate for Payer: BCBS Complete |
$484.61
|
| Rate for Payer: BCBS MAPPO |
$224.51
|
| Rate for Payer: BCBS Trust/PPO |
$698.23
|
| Rate for Payer: BCN Commercial |
$698.23
|
| Rate for Payer: BCN Medicare Advantage |
$224.51
|
| Rate for Payer: Cash Price |
$718.44
|
| Rate for Payer: Cash Price |
$718.44
|
| Rate for Payer: Cofinity Commercial |
$772.32
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$718.44
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$224.51
|
| Rate for Payer: Healthscope Commercial |
$808.24
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$673.54
|
| Rate for Payer: Mclaren Medicaid |
$461.54
|
| Rate for Payer: Meridian Medicaid |
$484.61
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$235.74
|
| Rate for Payer: MI Amish Medical Board Commercial |
$258.19
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$763.34
|
| Rate for Payer: PACE Senior Care Partners |
$213.29
|
| Rate for Payer: PACE SWMI |
$224.51
|
| Rate for Payer: PHP Commercial |
$763.34
|
| Rate for Payer: PHP Medicare Advantage |
$224.51
|
| Rate for Payer: Priority Health Choice Medicaid |
$461.54
|
| Rate for Payer: Priority Health Cigna Priority Health |
$628.64
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$781.30
|
| Rate for Payer: Priority Health Medicare |
$224.51
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$547.72
|
| Rate for Payer: Railroad Medicare Medicare |
$224.51
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$790.28
|
| Rate for Payer: UHC Core |
$749.87
|
| Rate for Payer: UHC Dual Complete DSNP |
$224.51
|
| Rate for Payer: UHC Medicare Advantage |
$231.25
|
| Rate for Payer: VA VA |
$224.51
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$673.54
|
|
|
HC BIOPSY SALIVARY GLAND
|
Facility
|
IP
|
$898.05
|
|
|
Service Code
|
CPT 42400
|
| Hospital Charge Code |
36100189
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$547.72 |
| Max. Negotiated Rate |
$808.24 |
| Rate for Payer: Aetna Commercial |
$763.34
|
| Rate for Payer: BCBS Trust/PPO |
$694.01
|
| Rate for Payer: BCN Commercial |
$694.01
|
| Rate for Payer: Cash Price |
$718.44
|
| Rate for Payer: Cofinity Commercial |
$772.32
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$718.44
|
| Rate for Payer: Healthscope Commercial |
$808.24
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$673.54
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$763.34
|
| Rate for Payer: PHP Commercial |
$763.34
|
| Rate for Payer: Priority Health Cigna Priority Health |
$628.64
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$781.30
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$547.72
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$790.28
|
| Rate for Payer: UHC Core |
$749.87
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$673.54
|
|
|
HC BIOPSY SALIVARY GLAND INCISIONAL
|
Facility
|
IP
|
$4,000.00
|
|
|
Service Code
|
CPT 42405
|
| Hospital Charge Code |
76100471
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$2,439.60 |
| Max. Negotiated Rate |
$3,600.00 |
| Rate for Payer: Aetna Commercial |
$3,400.00
|
| Rate for Payer: BCBS Trust/PPO |
$3,091.20
|
| Rate for Payer: BCN Commercial |
$3,091.20
|
| Rate for Payer: Cash Price |
$3,200.00
|
| Rate for Payer: Cofinity Commercial |
$3,440.00
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,200.00
|
| Rate for Payer: Healthscope Commercial |
$3,600.00
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$3,000.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$3,400.00
|
| Rate for Payer: PHP Commercial |
$3,400.00
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,800.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$3,480.00
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,439.60
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$3,520.00
|
| Rate for Payer: UHC Core |
$3,340.00
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$3,000.00
|
|
|
HC BIOPSY SALIVARY GLAND INCISIONAL
|
Facility
|
OP
|
$4,000.00
|
|
|
Service Code
|
CPT 42405
|
| Hospital Charge Code |
76100471
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$950.00 |
| Max. Negotiated Rate |
$3,600.00 |
| Rate for Payer: Aetna Commercial |
$3,400.00
|
| Rate for Payer: Aetna Medicare |
$1,040.00
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,250.00
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1,250.00
|
| Rate for Payer: BCBS Complete |
$1,050.44
|
| Rate for Payer: BCBS MAPPO |
$1,000.00
|
| Rate for Payer: BCBS Trust/PPO |
$3,110.00
|
| Rate for Payer: BCN Commercial |
$3,110.00
|
| Rate for Payer: BCN Medicare Advantage |
$1,000.00
|
| Rate for Payer: Cash Price |
$3,200.00
|
| Rate for Payer: Cash Price |
$3,200.00
|
| Rate for Payer: Cofinity Commercial |
$3,440.00
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,200.00
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,000.00
|
| Rate for Payer: Healthscope Commercial |
$3,600.00
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$3,000.00
|
| Rate for Payer: Mclaren Medicaid |
$1,000.42
|
| Rate for Payer: Meridian Medicaid |
$1,050.44
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,050.00
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,150.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$3,400.00
|
| Rate for Payer: PACE Senior Care Partners |
$950.00
|
| Rate for Payer: PACE SWMI |
$1,000.00
|
| Rate for Payer: PHP Commercial |
$3,400.00
|
| Rate for Payer: PHP Medicare Advantage |
$1,000.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,000.42
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,800.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$3,480.00
|
| Rate for Payer: Priority Health Medicare |
$1,000.00
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,439.60
|
| Rate for Payer: Railroad Medicare Medicare |
$1,000.00
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$3,520.00
|
| Rate for Payer: UHC Core |
$3,340.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,000.00
|
| Rate for Payer: UHC Medicare Advantage |
$1,030.00
|
| Rate for Payer: VA VA |
$1,000.00
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$3,000.00
|
|
|
HC BIOPSY SOFT TISSUE FLANK DEEP
|
Facility
|
IP
|
$2,473.30
|
|
|
Service Code
|
CPT 21925
|
| Hospital Charge Code |
36100029
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$1,508.47 |
| Max. Negotiated Rate |
$2,225.97 |
| Rate for Payer: Aetna Commercial |
$2,102.30
|
| Rate for Payer: BCBS Trust/PPO |
$1,911.37
|
| Rate for Payer: BCN Commercial |
$1,911.37
|
| Rate for Payer: Cash Price |
$1,978.64
|
| Rate for Payer: Cofinity Commercial |
$2,127.04
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,978.64
|
| Rate for Payer: Healthscope Commercial |
$2,225.97
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,854.98
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$2,102.30
|
| Rate for Payer: PHP Commercial |
$2,102.30
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,731.31
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,151.77
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,508.47
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,176.50
|
| Rate for Payer: UHC Core |
$2,065.21
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,854.98
|
|
|
HC BIOPSY SOFT TISSUE FLANK DEEP
|
Facility
|
OP
|
$2,473.30
|
|
|
Service Code
|
CPT 21925
|
| Hospital Charge Code |
36100029
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$587.41 |
| Max. Negotiated Rate |
$2,225.97 |
| Rate for Payer: Aetna Commercial |
$2,102.30
|
| Rate for Payer: Aetna Medicare |
$643.06
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$772.91
|
| Rate for Payer: Amish Plain Church Group Commercial |
$772.91
|
| Rate for Payer: BCBS Complete |
$1,116.73
|
| Rate for Payer: BCBS MAPPO |
$618.32
|
| Rate for Payer: BCBS Trust/PPO |
$1,922.99
|
| Rate for Payer: BCN Commercial |
$1,922.99
|
| Rate for Payer: BCN Medicare Advantage |
$618.32
|
| Rate for Payer: Cash Price |
$1,978.64
|
| Rate for Payer: Cash Price |
$1,978.64
|
| Rate for Payer: Cofinity Commercial |
$2,127.04
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,978.64
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$618.32
|
| Rate for Payer: Healthscope Commercial |
$2,225.97
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,854.98
|
| Rate for Payer: Mclaren Medicaid |
$1,063.55
|
| Rate for Payer: Meridian Medicaid |
$1,116.73
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$649.24
|
| Rate for Payer: MI Amish Medical Board Commercial |
$711.07
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$2,102.30
|
| Rate for Payer: PACE Senior Care Partners |
$587.41
|
| Rate for Payer: PACE SWMI |
$618.32
|
| Rate for Payer: PHP Commercial |
$2,102.30
|
| Rate for Payer: PHP Medicare Advantage |
$618.32
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,063.55
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,731.31
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,151.77
|
| Rate for Payer: Priority Health Medicare |
$618.32
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,508.47
|
| Rate for Payer: Railroad Medicare Medicare |
$618.32
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,176.50
|
| Rate for Payer: UHC Core |
$2,065.21
|
| Rate for Payer: UHC Dual Complete DSNP |
$618.32
|
| Rate for Payer: UHC Medicare Advantage |
$636.87
|
| Rate for Payer: VA VA |
$618.32
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,854.98
|
|
|
HC BIOPSY SOFT TISSUE NECK THORAX
|
Facility
|
OP
|
$1,632.85
|
|
|
Service Code
|
CPT 21550
|
| Hospital Charge Code |
36100028
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$387.80 |
| Max. Negotiated Rate |
$1,469.56 |
| Rate for Payer: Aetna Commercial |
$1,387.92
|
| Rate for Payer: Aetna Medicare |
$424.54
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$510.27
|
| Rate for Payer: Amish Plain Church Group Commercial |
$510.27
|
| Rate for Payer: BCBS Complete |
$1,116.73
|
| Rate for Payer: BCBS MAPPO |
$408.21
|
| Rate for Payer: BCBS Trust/PPO |
$1,269.54
|
| Rate for Payer: BCN Commercial |
$1,269.54
|
| Rate for Payer: BCN Medicare Advantage |
$408.21
|
| Rate for Payer: Cash Price |
$1,306.28
|
| Rate for Payer: Cash Price |
$1,306.28
|
| Rate for Payer: Cofinity Commercial |
$1,404.25
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,306.28
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$408.21
|
| Rate for Payer: Healthscope Commercial |
$1,469.56
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,224.64
|
| Rate for Payer: Mclaren Medicaid |
$1,063.55
|
| Rate for Payer: Meridian Medicaid |
$1,116.73
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$428.62
|
| Rate for Payer: MI Amish Medical Board Commercial |
$469.44
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,387.92
|
| Rate for Payer: PACE Senior Care Partners |
$387.80
|
| Rate for Payer: PACE SWMI |
$408.21
|
| Rate for Payer: PHP Commercial |
$1,387.92
|
| Rate for Payer: PHP Medicare Advantage |
$408.21
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,063.55
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,143.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,420.58
|
| Rate for Payer: Priority Health Medicare |
$408.21
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$995.88
|
| Rate for Payer: Railroad Medicare Medicare |
$408.21
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,436.91
|
| Rate for Payer: UHC Core |
$1,363.43
|
| Rate for Payer: UHC Dual Complete DSNP |
$408.21
|
| Rate for Payer: UHC Medicare Advantage |
$420.46
|
| Rate for Payer: VA VA |
$408.21
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,224.64
|
|
|
HC BIOPSY SOFT TISSUE NECK THORAX
|
Facility
|
IP
|
$1,632.85
|
|
|
Service Code
|
CPT 21550
|
| Hospital Charge Code |
36100028
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$995.88 |
| Max. Negotiated Rate |
$1,469.56 |
| Rate for Payer: Aetna Commercial |
$1,387.92
|
| Rate for Payer: BCBS Trust/PPO |
$1,261.87
|
| Rate for Payer: BCN Commercial |
$1,261.87
|
| Rate for Payer: Cash Price |
$1,306.28
|
| Rate for Payer: Cofinity Commercial |
$1,404.25
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,306.28
|
| Rate for Payer: Healthscope Commercial |
$1,469.56
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,224.64
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,387.92
|
| Rate for Payer: PHP Commercial |
$1,387.92
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,143.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,420.58
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$995.88
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,436.91
|
| Rate for Payer: UHC Core |
$1,363.43
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,224.64
|
|
|
HC BIOPSY TESTIS INCISIONAL SEPARATE PROCEDURE
|
Facility
|
IP
|
$8,950.00
|
|
|
Service Code
|
CPT 54505
|
| Hospital Charge Code |
76100387
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$5,458.60 |
| Max. Negotiated Rate |
$8,055.00 |
| Rate for Payer: Aetna Commercial |
$7,607.50
|
| Rate for Payer: BCBS Trust/PPO |
$6,916.56
|
| Rate for Payer: BCN Commercial |
$6,916.56
|
| Rate for Payer: Cash Price |
$7,160.00
|
| Rate for Payer: Cofinity Commercial |
$7,697.00
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$7,160.00
|
| Rate for Payer: Healthscope Commercial |
$8,055.00
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$6,712.50
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$7,607.50
|
| Rate for Payer: PHP Commercial |
$7,607.50
|
| Rate for Payer: Priority Health Cigna Priority Health |
$6,265.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$7,786.50
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$5,458.60
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$7,876.00
|
| Rate for Payer: UHC Core |
$7,473.25
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$6,712.50
|
|
|
HC BIOPSY TESTIS INCISIONAL SEPARATE PROCEDURE
|
Facility
|
OP
|
$8,950.00
|
|
|
Service Code
|
CPT 54505
|
| Hospital Charge Code |
76100387
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$2,125.62 |
| Max. Negotiated Rate |
$8,055.00 |
| Rate for Payer: Aetna Commercial |
$7,607.50
|
| Rate for Payer: Aetna Medicare |
$2,327.00
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$2,796.88
|
| Rate for Payer: Amish Plain Church Group Commercial |
$2,796.88
|
| Rate for Payer: BCBS Complete |
$2,401.24
|
| Rate for Payer: BCBS MAPPO |
$2,237.50
|
| Rate for Payer: BCBS Trust/PPO |
$6,958.62
|
| Rate for Payer: BCN Commercial |
$6,958.62
|
| Rate for Payer: BCN Medicare Advantage |
$2,237.50
|
| Rate for Payer: Cash Price |
$7,160.00
|
| Rate for Payer: Cash Price |
$7,160.00
|
| Rate for Payer: Cofinity Commercial |
$7,697.00
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$7,160.00
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,237.50
|
| Rate for Payer: Healthscope Commercial |
$8,055.00
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$6,712.50
|
| Rate for Payer: Mclaren Medicaid |
$2,286.89
|
| Rate for Payer: Meridian Medicaid |
$2,401.24
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$2,349.38
|
| Rate for Payer: MI Amish Medical Board Commercial |
$2,573.12
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$7,607.50
|
| Rate for Payer: PACE Senior Care Partners |
$2,125.62
|
| Rate for Payer: PACE SWMI |
$2,237.50
|
| Rate for Payer: PHP Commercial |
$7,607.50
|
| Rate for Payer: PHP Medicare Advantage |
$2,237.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,286.89
|
| Rate for Payer: Priority Health Cigna Priority Health |
$6,265.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$7,786.50
|
| Rate for Payer: Priority Health Medicare |
$2,237.50
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$5,458.60
|
| Rate for Payer: Railroad Medicare Medicare |
$2,237.50
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$7,876.00
|
| Rate for Payer: UHC Core |
$7,473.25
|
| Rate for Payer: UHC Dual Complete DSNP |
$2,237.50
|
| Rate for Payer: UHC Medicare Advantage |
$2,304.62
|
| Rate for Payer: VA VA |
$2,237.50
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$6,712.50
|
|
|
HC BIOPSY TESTIS INCISIONAL SEPARATE PROCEDURE BIL
|
Facility
|
OP
|
$8,974.00
|
|
|
Service Code
|
CPT 54505
|
| Hospital Charge Code |
76100392
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$2,131.32 |
| Max. Negotiated Rate |
$8,076.60 |
| Rate for Payer: Aetna Commercial |
$7,627.90
|
| Rate for Payer: Aetna Medicare |
$2,333.24
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$2,804.38
|
| Rate for Payer: Amish Plain Church Group Commercial |
$2,804.38
|
| Rate for Payer: BCBS Complete |
$2,401.24
|
| Rate for Payer: BCBS MAPPO |
$2,243.50
|
| Rate for Payer: BCBS Trust/PPO |
$6,977.28
|
| Rate for Payer: BCN Commercial |
$6,977.28
|
| Rate for Payer: BCN Medicare Advantage |
$2,243.50
|
| Rate for Payer: Cash Price |
$7,179.20
|
| Rate for Payer: Cash Price |
$7,179.20
|
| Rate for Payer: Cofinity Commercial |
$7,717.64
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$7,179.20
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,243.50
|
| Rate for Payer: Healthscope Commercial |
$8,076.60
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$6,730.50
|
| Rate for Payer: Mclaren Medicaid |
$2,286.89
|
| Rate for Payer: Meridian Medicaid |
$2,401.24
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$2,355.68
|
| Rate for Payer: MI Amish Medical Board Commercial |
$2,580.02
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$7,627.90
|
| Rate for Payer: PACE Senior Care Partners |
$2,131.32
|
| Rate for Payer: PACE SWMI |
$2,243.50
|
| Rate for Payer: PHP Commercial |
$7,627.90
|
| Rate for Payer: PHP Medicare Advantage |
$2,243.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,286.89
|
| Rate for Payer: Priority Health Cigna Priority Health |
$6,281.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$7,807.38
|
| Rate for Payer: Priority Health Medicare |
$2,243.50
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$5,473.24
|
| Rate for Payer: Railroad Medicare Medicare |
$2,243.50
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$7,897.12
|
| Rate for Payer: UHC Core |
$7,493.29
|
| Rate for Payer: UHC Dual Complete DSNP |
$2,243.50
|
| Rate for Payer: UHC Medicare Advantage |
$2,310.80
|
| Rate for Payer: VA VA |
$2,243.50
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$6,730.50
|
|
|
HC BIOPSY TESTIS INCISIONAL SEPARATE PROCEDURE BIL
|
Facility
|
IP
|
$8,974.00
|
|
|
Service Code
|
CPT 54505
|
| Hospital Charge Code |
76100392
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$5,473.24 |
| Max. Negotiated Rate |
$8,076.60 |
| Rate for Payer: Aetna Commercial |
$7,627.90
|
| Rate for Payer: BCBS Trust/PPO |
$6,935.11
|
| Rate for Payer: BCN Commercial |
$6,935.11
|
| Rate for Payer: Cash Price |
$7,179.20
|
| Rate for Payer: Cofinity Commercial |
$7,717.64
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$7,179.20
|
| Rate for Payer: Healthscope Commercial |
$8,076.60
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$6,730.50
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$7,627.90
|
| Rate for Payer: PHP Commercial |
$7,627.90
|
| Rate for Payer: Priority Health Cigna Priority Health |
$6,281.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$7,807.38
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$5,473.24
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$7,897.12
|
| Rate for Payer: UHC Core |
$7,493.29
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$6,730.50
|
|
|
HC BIOPSY THYROID
|
Facility
|
IP
|
$395.76
|
|
|
Service Code
|
CPT 60100
|
| Hospital Charge Code |
36100265
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$241.37 |
| Max. Negotiated Rate |
$356.18 |
| Rate for Payer: Aetna Commercial |
$336.40
|
| Rate for Payer: BCBS Trust/PPO |
$305.84
|
| Rate for Payer: BCN Commercial |
$305.84
|
| Rate for Payer: Cash Price |
$316.61
|
| Rate for Payer: Cofinity Commercial |
$340.35
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$316.61
|
| Rate for Payer: Healthscope Commercial |
$356.18
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$296.82
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$336.40
|
| Rate for Payer: PHP Commercial |
$336.40
|
| Rate for Payer: Priority Health Cigna Priority Health |
$277.03
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$344.31
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$241.37
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$348.27
|
| Rate for Payer: UHC Core |
$330.46
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$296.82
|
|
|
HC BIOPSY THYROID
|
Facility
|
OP
|
$395.76
|
|
|
Service Code
|
CPT 60100
|
| Hospital Charge Code |
36100265
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$93.99 |
| Max. Negotiated Rate |
$484.61 |
| Rate for Payer: Aetna Commercial |
$336.40
|
| Rate for Payer: Aetna Medicare |
$102.90
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$123.68
|
| Rate for Payer: Amish Plain Church Group Commercial |
$123.68
|
| Rate for Payer: BCBS Complete |
$484.61
|
| Rate for Payer: BCBS MAPPO |
$98.94
|
| Rate for Payer: BCBS Trust/PPO |
$307.70
|
| Rate for Payer: BCN Commercial |
$307.70
|
| Rate for Payer: BCN Medicare Advantage |
$98.94
|
| Rate for Payer: Cash Price |
$316.61
|
| Rate for Payer: Cash Price |
$316.61
|
| Rate for Payer: Cofinity Commercial |
$340.35
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$316.61
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$98.94
|
| Rate for Payer: Healthscope Commercial |
$356.18
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$296.82
|
| Rate for Payer: Mclaren Medicaid |
$461.54
|
| Rate for Payer: Meridian Medicaid |
$484.61
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$103.89
|
| Rate for Payer: MI Amish Medical Board Commercial |
$113.78
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$336.40
|
| Rate for Payer: PACE Senior Care Partners |
$93.99
|
| Rate for Payer: PACE SWMI |
$98.94
|
| Rate for Payer: PHP Commercial |
$336.40
|
| Rate for Payer: PHP Medicare Advantage |
$98.94
|
| Rate for Payer: Priority Health Choice Medicaid |
$461.54
|
| Rate for Payer: Priority Health Cigna Priority Health |
$277.03
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$344.31
|
| Rate for Payer: Priority Health Medicare |
$98.94
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$241.37
|
| Rate for Payer: Railroad Medicare Medicare |
$98.94
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$348.27
|
| Rate for Payer: UHC Core |
$330.46
|
| Rate for Payer: UHC Dual Complete DSNP |
$98.94
|
| Rate for Payer: UHC Medicare Advantage |
$101.91
|
| Rate for Payer: VA VA |
$98.94
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$296.82
|
|
|
HC BIOPSY TONGUE ANTERIOR TWO-THIRDS
|
Facility
|
OP
|
$1,350.00
|
|
|
Service Code
|
CPT 41100
|
| Hospital Charge Code |
76100462
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$320.62 |
| Max. Negotiated Rate |
$1,215.00 |
| Rate for Payer: Aetna Commercial |
$1,147.50
|
| Rate for Payer: Aetna Medicare |
$351.00
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$421.88
|
| Rate for Payer: Amish Plain Church Group Commercial |
$421.88
|
| Rate for Payer: BCBS Complete |
$378.97
|
| Rate for Payer: BCBS MAPPO |
$337.50
|
| Rate for Payer: BCBS Trust/PPO |
$1,049.62
|
| Rate for Payer: BCN Commercial |
$1,049.62
|
| Rate for Payer: BCN Medicare Advantage |
$337.50
|
| Rate for Payer: Cash Price |
$1,080.00
|
| Rate for Payer: Cash Price |
$1,080.00
|
| Rate for Payer: Cofinity Commercial |
$1,161.00
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,080.00
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$337.50
|
| Rate for Payer: Healthscope Commercial |
$1,215.00
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,012.50
|
| Rate for Payer: Mclaren Medicaid |
$360.93
|
| Rate for Payer: Meridian Medicaid |
$378.97
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$354.38
|
| Rate for Payer: MI Amish Medical Board Commercial |
$388.12
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,147.50
|
| Rate for Payer: PACE Senior Care Partners |
$320.62
|
| Rate for Payer: PACE SWMI |
$337.50
|
| Rate for Payer: PHP Commercial |
$1,147.50
|
| Rate for Payer: PHP Medicare Advantage |
$337.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$360.93
|
| Rate for Payer: Priority Health Cigna Priority Health |
$945.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,174.50
|
| Rate for Payer: Priority Health Medicare |
$337.50
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$823.36
|
| Rate for Payer: Railroad Medicare Medicare |
$337.50
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,188.00
|
| Rate for Payer: UHC Core |
$1,127.25
|
| Rate for Payer: UHC Dual Complete DSNP |
$337.50
|
| Rate for Payer: UHC Medicare Advantage |
$347.62
|
| Rate for Payer: VA VA |
$337.50
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,012.50
|
|
|
HC BIOPSY TONGUE ANTERIOR TWO-THIRDS
|
Facility
|
IP
|
$1,350.00
|
|
|
Service Code
|
CPT 41100
|
| Hospital Charge Code |
76100462
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$823.36 |
| Max. Negotiated Rate |
$1,215.00 |
| Rate for Payer: Aetna Commercial |
$1,147.50
|
| Rate for Payer: BCBS Trust/PPO |
$1,043.28
|
| Rate for Payer: BCN Commercial |
$1,043.28
|
| Rate for Payer: Cash Price |
$1,080.00
|
| Rate for Payer: Cofinity Commercial |
$1,161.00
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,080.00
|
| Rate for Payer: Healthscope Commercial |
$1,215.00
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,012.50
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,147.50
|
| Rate for Payer: PHP Commercial |
$1,147.50
|
| Rate for Payer: Priority Health Cigna Priority Health |
$945.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,174.50
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$823.36
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,188.00
|
| Rate for Payer: UHC Core |
$1,127.25
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,012.50
|
|
