|
HC ART FLOW UPPER LIMITED
|
Facility
|
IP
|
$806.28
|
|
|
Service Code
|
CPT 93922
|
| Hospital Charge Code |
92100031
|
|
Hospital Revenue Code
|
921
|
| Min. Negotiated Rate |
$561.17 |
| Max. Negotiated Rate |
$725.65 |
| Rate for Payer: Aetna Commercial |
$685.34
|
| Rate for Payer: BCBS Trust/PPO |
$665.91
|
| Rate for Payer: BCN Commercial |
$665.91
|
| Rate for Payer: Cash Price |
$645.02
|
| Rate for Payer: Cofinity Commercial |
$693.40
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$645.02
|
| Rate for Payer: Healthscope Commercial |
$725.65
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$604.71
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$685.34
|
| Rate for Payer: Nomi Health Commercial |
$661.15
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$604.71
|
| Rate for Payer: PHP Commercial |
$685.34
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$701.46
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$561.17
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$709.53
|
| Rate for Payer: UHC Core |
$673.24
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$604.71
|
|
|
HC ARTHROCENTESIS
|
Facility
|
OP
|
$385.45
|
|
| Hospital Charge Code |
45000030
|
|
Hospital Revenue Code
|
450
|
| Min. Negotiated Rate |
$67.95 |
| Max. Negotiated Rate |
$346.90 |
| Rate for Payer: Aetna Commercial |
$327.63
|
| Rate for Payer: Aetna Medicare |
$100.22
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$120.45
|
| Rate for Payer: Amish Plain Church Group Commercial |
$120.45
|
| Rate for Payer: BCBS Complete |
$71.35
|
| Rate for Payer: BCBS MAPPO |
$96.36
|
| Rate for Payer: BCBS Trust/PPO |
$316.88
|
| Rate for Payer: BCN Commercial |
$316.88
|
| Rate for Payer: BCN Medicare Advantage |
$96.36
|
| Rate for Payer: Cash Price |
$308.36
|
| Rate for Payer: Cash Price |
$308.36
|
| Rate for Payer: Cofinity Commercial |
$331.49
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$308.36
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$96.36
|
| Rate for Payer: Healthscope Commercial |
$346.90
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$289.09
|
| Rate for Payer: Mclaren Medicaid |
$67.95
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$101.18
|
| Rate for Payer: Meridian Medicaid |
$71.35
|
| Rate for Payer: MI Amish Medical Board Commercial |
$110.82
|
| Rate for Payer: Molina Medicare/Medicaid |
$106.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$327.63
|
| Rate for Payer: Nomi Health Commercial |
$316.07
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$289.09
|
| Rate for Payer: PACE Senior Care Partners |
$91.54
|
| Rate for Payer: PACE SWMI |
$96.36
|
| Rate for Payer: PHP Commercial |
$327.63
|
| Rate for Payer: PHP Medicare Advantage |
$96.36
|
| Rate for Payer: Priority Health Choice Medicaid |
$67.95
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$335.34
|
| Rate for Payer: Priority Health Medicare |
$97.33
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$268.27
|
| Rate for Payer: Railroad Medicare Medicare |
$96.36
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$339.20
|
| Rate for Payer: UHC Core |
$321.85
|
| Rate for Payer: UHC Exchange |
$96.36
|
| Rate for Payer: UHC Medicaid |
$67.95
|
| Rate for Payer: UHC Medicare Advantage |
$96.36
|
| Rate for Payer: UHCCP Medicaid |
$125.00
|
| Rate for Payer: VA VA |
$96.36
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$289.09
|
|
|
HC ARTHROCENTESIS
|
Facility
|
IP
|
$385.45
|
|
| Hospital Charge Code |
45000030
|
|
Hospital Revenue Code
|
450
|
| Min. Negotiated Rate |
$268.27 |
| Max. Negotiated Rate |
$346.90 |
| Rate for Payer: Aetna Commercial |
$327.63
|
| Rate for Payer: BCBS Trust/PPO |
$318.34
|
| Rate for Payer: BCN Commercial |
$318.34
|
| Rate for Payer: Cash Price |
$308.36
|
| Rate for Payer: Cofinity Commercial |
$331.49
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$308.36
|
| Rate for Payer: Healthscope Commercial |
$346.90
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$289.09
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$327.63
|
| Rate for Payer: Nomi Health Commercial |
$316.07
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$289.09
|
| Rate for Payer: PHP Commercial |
$327.63
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$335.34
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$268.27
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$339.20
|
| Rate for Payer: UHC Core |
$321.85
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$289.09
|
|
|
HC ARTHROCENTESIS INTERMED JT
|
Facility
|
IP
|
$347.15
|
|
|
Service Code
|
CPT 20605
|
| Hospital Charge Code |
36100024
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$241.62 |
| Max. Negotiated Rate |
$312.44 |
| Rate for Payer: Aetna Commercial |
$295.08
|
| Rate for Payer: BCBS Trust/PPO |
$286.71
|
| Rate for Payer: BCN Commercial |
$286.71
|
| Rate for Payer: Cash Price |
$277.72
|
| Rate for Payer: Cofinity Commercial |
$298.55
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$277.72
|
| Rate for Payer: Healthscope Commercial |
$312.44
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$260.36
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$295.08
|
| Rate for Payer: Nomi Health Commercial |
$284.66
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$260.36
|
| Rate for Payer: PHP Commercial |
$295.08
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$302.02
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$241.62
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$305.49
|
| Rate for Payer: UHC Core |
$289.87
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$260.36
|
|
|
HC ARTHROCENTESIS INTERMED JT
|
Facility
|
OP
|
$347.15
|
|
|
Service Code
|
CPT 20605
|
| Hospital Charge Code |
36100024
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$61.20 |
| Max. Negotiated Rate |
$312.44 |
| Rate for Payer: Aetna Commercial |
$295.08
|
| Rate for Payer: Aetna Medicare |
$90.26
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$108.48
|
| Rate for Payer: Amish Plain Church Group Commercial |
$108.48
|
| Rate for Payer: BCBS Complete |
$64.26
|
| Rate for Payer: BCBS MAPPO |
$86.79
|
| Rate for Payer: BCBS Trust/PPO |
$285.39
|
| Rate for Payer: BCN Commercial |
$285.39
|
| Rate for Payer: BCN Medicare Advantage |
$86.79
|
| Rate for Payer: Cash Price |
$277.72
|
| Rate for Payer: Cofinity Commercial |
$298.55
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$277.72
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$86.79
|
| Rate for Payer: Healthscope Commercial |
$312.44
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$260.36
|
| Rate for Payer: Mclaren Medicaid |
$61.20
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$91.13
|
| Rate for Payer: Meridian Medicaid |
$64.26
|
| Rate for Payer: MI Amish Medical Board Commercial |
$99.81
|
| Rate for Payer: Molina Medicare/Medicaid |
$95.47
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$295.08
|
| Rate for Payer: Nomi Health Commercial |
$284.66
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$260.36
|
| Rate for Payer: PACE Senior Care Partners |
$82.45
|
| Rate for Payer: PACE SWMI |
$86.79
|
| Rate for Payer: PHP Commercial |
$295.08
|
| Rate for Payer: PHP Medicare Advantage |
$86.79
|
| Rate for Payer: Priority Health Choice Medicaid |
$61.20
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$302.02
|
| Rate for Payer: Priority Health Medicare |
$87.66
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$241.62
|
| Rate for Payer: Railroad Medicare Medicare |
$86.79
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$305.49
|
| Rate for Payer: UHC Core |
$289.87
|
| Rate for Payer: UHC Exchange |
$86.79
|
| Rate for Payer: UHC Medicaid |
$61.20
|
| Rate for Payer: UHC Medicare Advantage |
$86.79
|
| Rate for Payer: UHCCP Medicaid |
$61.20
|
| Rate for Payer: VA VA |
$86.79
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$260.36
|
|
|
HC ARTHROCENTESIS INTERMED JT BIL
|
Facility
|
OP
|
$446.38
|
|
|
Service Code
|
CPT 20605
|
| Hospital Charge Code |
36100025
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$78.70 |
| Max. Negotiated Rate |
$401.74 |
| Rate for Payer: Aetna Commercial |
$379.42
|
| Rate for Payer: Aetna Medicare |
$116.06
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$139.49
|
| Rate for Payer: Amish Plain Church Group Commercial |
$139.49
|
| Rate for Payer: BCBS Complete |
$82.62
|
| Rate for Payer: BCBS MAPPO |
$111.59
|
| Rate for Payer: BCBS Trust/PPO |
$366.97
|
| Rate for Payer: BCN Commercial |
$366.97
|
| Rate for Payer: BCN Medicare Advantage |
$111.59
|
| Rate for Payer: Cash Price |
$357.10
|
| Rate for Payer: Cofinity Commercial |
$383.89
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$357.10
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$111.59
|
| Rate for Payer: Healthscope Commercial |
$401.74
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$334.79
|
| Rate for Payer: Mclaren Medicaid |
$78.70
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$117.17
|
| Rate for Payer: Meridian Medicaid |
$82.62
|
| Rate for Payer: MI Amish Medical Board Commercial |
$128.33
|
| Rate for Payer: Molina Medicare/Medicaid |
$122.75
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$379.42
|
| Rate for Payer: Nomi Health Commercial |
$366.03
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$334.79
|
| Rate for Payer: PACE Senior Care Partners |
$106.02
|
| Rate for Payer: PACE SWMI |
$111.59
|
| Rate for Payer: PHP Commercial |
$379.42
|
| Rate for Payer: PHP Medicare Advantage |
$111.59
|
| Rate for Payer: Priority Health Choice Medicaid |
$78.70
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$388.35
|
| Rate for Payer: Priority Health Medicare |
$112.71
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$310.68
|
| Rate for Payer: Railroad Medicare Medicare |
$111.59
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$392.81
|
| Rate for Payer: UHC Core |
$372.73
|
| Rate for Payer: UHC Exchange |
$111.59
|
| Rate for Payer: UHC Medicaid |
$78.70
|
| Rate for Payer: UHC Medicare Advantage |
$111.59
|
| Rate for Payer: UHCCP Medicaid |
$78.70
|
| Rate for Payer: VA VA |
$111.59
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$334.79
|
|
|
HC ARTHROCENTESIS INTERMED JT BIL
|
Facility
|
IP
|
$446.38
|
|
|
Service Code
|
CPT 20605
|
| Hospital Charge Code |
36100025
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$310.68 |
| Max. Negotiated Rate |
$401.74 |
| Rate for Payer: Aetna Commercial |
$379.42
|
| Rate for Payer: BCBS Trust/PPO |
$368.67
|
| Rate for Payer: BCN Commercial |
$368.67
|
| Rate for Payer: Cash Price |
$357.10
|
| Rate for Payer: Cofinity Commercial |
$383.89
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$357.10
|
| Rate for Payer: Healthscope Commercial |
$401.74
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$334.79
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$379.42
|
| Rate for Payer: Nomi Health Commercial |
$366.03
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$334.79
|
| Rate for Payer: PHP Commercial |
$379.42
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$388.35
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$310.68
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$392.81
|
| Rate for Payer: UHC Core |
$372.73
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$334.79
|
|
|
HC ARTHROCENTESIS INTERMED JT BIL W US GUIDE
|
Facility
|
OP
|
$1,492.44
|
|
|
Service Code
|
CPT 20606
|
| Hospital Charge Code |
36100457
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$263.12 |
| Max. Negotiated Rate |
$1,343.20 |
| Rate for Payer: Aetna Commercial |
$1,268.57
|
| Rate for Payer: Aetna Medicare |
$388.03
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$466.39
|
| Rate for Payer: Amish Plain Church Group Commercial |
$466.39
|
| Rate for Payer: BCBS Complete |
$276.25
|
| Rate for Payer: BCBS MAPPO |
$373.11
|
| Rate for Payer: BCBS Trust/PPO |
$1,226.93
|
| Rate for Payer: BCN Commercial |
$1,226.93
|
| Rate for Payer: BCN Medicare Advantage |
$373.11
|
| Rate for Payer: Cash Price |
$1,193.95
|
| Rate for Payer: Cofinity Commercial |
$1,283.50
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,193.95
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$373.11
|
| Rate for Payer: Healthscope Commercial |
$1,343.20
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,119.33
|
| Rate for Payer: Mclaren Medicaid |
$263.12
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$391.77
|
| Rate for Payer: Meridian Medicaid |
$276.25
|
| Rate for Payer: MI Amish Medical Board Commercial |
$429.08
|
| Rate for Payer: Molina Medicare/Medicaid |
$410.42
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,268.57
|
| Rate for Payer: Nomi Health Commercial |
$1,223.80
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,119.33
|
| Rate for Payer: PACE Senior Care Partners |
$354.45
|
| Rate for Payer: PACE SWMI |
$373.11
|
| Rate for Payer: PHP Commercial |
$1,268.57
|
| Rate for Payer: PHP Medicare Advantage |
$373.11
|
| Rate for Payer: Priority Health Choice Medicaid |
$263.12
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$1,298.42
|
| Rate for Payer: Priority Health Medicare |
$376.84
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,038.74
|
| Rate for Payer: Railroad Medicare Medicare |
$373.11
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,313.35
|
| Rate for Payer: UHC Core |
$1,246.19
|
| Rate for Payer: UHC Exchange |
$373.11
|
| Rate for Payer: UHC Medicaid |
$263.12
|
| Rate for Payer: UHC Medicare Advantage |
$373.11
|
| Rate for Payer: UHCCP Medicaid |
$263.12
|
| Rate for Payer: VA VA |
$373.11
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,119.33
|
|
|
HC ARTHROCENTESIS INTERMED JT BIL W US GUIDE
|
Facility
|
IP
|
$1,492.44
|
|
|
Service Code
|
CPT 20606
|
| Hospital Charge Code |
36100457
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$1,038.74 |
| Max. Negotiated Rate |
$1,343.20 |
| Rate for Payer: Aetna Commercial |
$1,268.57
|
| Rate for Payer: BCBS Trust/PPO |
$1,232.61
|
| Rate for Payer: BCN Commercial |
$1,232.61
|
| Rate for Payer: Cash Price |
$1,193.95
|
| Rate for Payer: Cofinity Commercial |
$1,283.50
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,193.95
|
| Rate for Payer: Healthscope Commercial |
$1,343.20
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,119.33
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,268.57
|
| Rate for Payer: Nomi Health Commercial |
$1,223.80
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,119.33
|
| Rate for Payer: PHP Commercial |
$1,268.57
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$1,298.42
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,038.74
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,313.35
|
| Rate for Payer: UHC Core |
$1,246.19
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,119.33
|
|
|
HC ARTHROCENTESIS INTERMED JT W US GUIDE
|
Facility
|
OP
|
$1,106.41
|
|
|
Service Code
|
CPT 20606
|
| Hospital Charge Code |
36100456
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$195.06 |
| Max. Negotiated Rate |
$995.77 |
| Rate for Payer: Aetna Commercial |
$940.45
|
| Rate for Payer: Aetna Medicare |
$287.67
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$345.75
|
| Rate for Payer: Amish Plain Church Group Commercial |
$345.75
|
| Rate for Payer: BCBS Complete |
$204.80
|
| Rate for Payer: BCBS MAPPO |
$276.60
|
| Rate for Payer: BCBS Trust/PPO |
$909.58
|
| Rate for Payer: BCN Commercial |
$909.58
|
| Rate for Payer: BCN Medicare Advantage |
$276.60
|
| Rate for Payer: Cash Price |
$885.13
|
| Rate for Payer: Cofinity Commercial |
$951.51
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$885.13
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$276.60
|
| Rate for Payer: Healthscope Commercial |
$995.77
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$829.81
|
| Rate for Payer: Mclaren Medicaid |
$195.06
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$290.43
|
| Rate for Payer: Meridian Medicaid |
$204.80
|
| Rate for Payer: MI Amish Medical Board Commercial |
$318.09
|
| Rate for Payer: Molina Medicare/Medicaid |
$304.26
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$940.45
|
| Rate for Payer: Nomi Health Commercial |
$907.26
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$829.81
|
| Rate for Payer: PACE Senior Care Partners |
$262.77
|
| Rate for Payer: PACE SWMI |
$276.60
|
| Rate for Payer: PHP Commercial |
$940.45
|
| Rate for Payer: PHP Medicare Advantage |
$276.60
|
| Rate for Payer: Priority Health Choice Medicaid |
$195.06
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$962.58
|
| Rate for Payer: Priority Health Medicare |
$279.37
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$770.06
|
| Rate for Payer: Railroad Medicare Medicare |
$276.60
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$973.64
|
| Rate for Payer: UHC Core |
$923.85
|
| Rate for Payer: UHC Exchange |
$276.60
|
| Rate for Payer: UHC Medicaid |
$195.06
|
| Rate for Payer: UHC Medicare Advantage |
$276.60
|
| Rate for Payer: UHCCP Medicaid |
$195.06
|
| Rate for Payer: VA VA |
$276.60
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$829.81
|
|
|
HC ARTHROCENTESIS INTERMED JT W US GUIDE
|
Facility
|
IP
|
$1,106.41
|
|
|
Service Code
|
CPT 20606
|
| Hospital Charge Code |
36100456
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$770.06 |
| Max. Negotiated Rate |
$995.77 |
| Rate for Payer: Aetna Commercial |
$940.45
|
| Rate for Payer: BCBS Trust/PPO |
$913.78
|
| Rate for Payer: BCN Commercial |
$913.78
|
| Rate for Payer: Cash Price |
$885.13
|
| Rate for Payer: Cofinity Commercial |
$951.51
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$885.13
|
| Rate for Payer: Healthscope Commercial |
$995.77
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$829.81
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$940.45
|
| Rate for Payer: Nomi Health Commercial |
$907.26
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$829.81
|
| Rate for Payer: PHP Commercial |
$940.45
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$962.58
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$770.06
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$973.64
|
| Rate for Payer: UHC Core |
$923.85
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$829.81
|
|
|
HC ARTHROCENTESIS MAJOR JOINT
|
Facility
|
IP
|
$335.76
|
|
|
Service Code
|
CPT 20610
|
| Hospital Charge Code |
36100026
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$233.69 |
| Max. Negotiated Rate |
$302.18 |
| Rate for Payer: Aetna Commercial |
$285.40
|
| Rate for Payer: BCBS Trust/PPO |
$277.30
|
| Rate for Payer: BCN Commercial |
$277.30
|
| Rate for Payer: Cash Price |
$268.61
|
| Rate for Payer: Cofinity Commercial |
$288.75
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$268.61
|
| Rate for Payer: Healthscope Commercial |
$302.18
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$251.82
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$285.40
|
| Rate for Payer: Nomi Health Commercial |
$275.32
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$251.82
|
| Rate for Payer: PHP Commercial |
$285.40
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$292.11
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$233.69
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$295.47
|
| Rate for Payer: UHC Core |
$280.36
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$251.82
|
|
|
HC ARTHROCENTESIS MAJOR JOINT
|
Facility
|
OP
|
$335.76
|
|
|
Service Code
|
CPT 20610
|
| Hospital Charge Code |
36100026
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$59.19 |
| Max. Negotiated Rate |
$302.18 |
| Rate for Payer: Aetna Commercial |
$285.40
|
| Rate for Payer: Aetna Medicare |
$87.30
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$104.92
|
| Rate for Payer: Amish Plain Church Group Commercial |
$104.92
|
| Rate for Payer: BCBS Complete |
$62.15
|
| Rate for Payer: BCBS MAPPO |
$83.94
|
| Rate for Payer: BCBS Trust/PPO |
$276.03
|
| Rate for Payer: BCN Commercial |
$276.03
|
| Rate for Payer: BCN Medicare Advantage |
$83.94
|
| Rate for Payer: Cash Price |
$268.61
|
| Rate for Payer: Cofinity Commercial |
$288.75
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$268.61
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$83.94
|
| Rate for Payer: Healthscope Commercial |
$302.18
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$251.82
|
| Rate for Payer: Mclaren Medicaid |
$59.19
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$88.14
|
| Rate for Payer: Meridian Medicaid |
$62.15
|
| Rate for Payer: MI Amish Medical Board Commercial |
$96.53
|
| Rate for Payer: Molina Medicare/Medicaid |
$92.33
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$285.40
|
| Rate for Payer: Nomi Health Commercial |
$275.32
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$251.82
|
| Rate for Payer: PACE Senior Care Partners |
$79.74
|
| Rate for Payer: PACE SWMI |
$83.94
|
| Rate for Payer: PHP Commercial |
$285.40
|
| Rate for Payer: PHP Medicare Advantage |
$83.94
|
| Rate for Payer: Priority Health Choice Medicaid |
$59.19
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$292.11
|
| Rate for Payer: Priority Health Medicare |
$84.78
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$233.69
|
| Rate for Payer: Railroad Medicare Medicare |
$83.94
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$295.47
|
| Rate for Payer: UHC Core |
$280.36
|
| Rate for Payer: UHC Exchange |
$83.94
|
| Rate for Payer: UHC Medicaid |
$59.19
|
| Rate for Payer: UHC Medicare Advantage |
$83.94
|
| Rate for Payer: UHCCP Medicaid |
$59.19
|
| Rate for Payer: VA VA |
$83.94
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$251.82
|
|
|
HC ARTHROCENTESIS MAJOR JOINT BIL
|
Facility
|
IP
|
$429.70
|
|
|
Service Code
|
CPT 20610
|
| Hospital Charge Code |
36100027
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$299.07 |
| Max. Negotiated Rate |
$386.73 |
| Rate for Payer: Aetna Commercial |
$365.25
|
| Rate for Payer: BCBS Trust/PPO |
$354.89
|
| Rate for Payer: BCN Commercial |
$354.89
|
| Rate for Payer: Cash Price |
$343.76
|
| Rate for Payer: Cofinity Commercial |
$369.54
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$343.76
|
| Rate for Payer: Healthscope Commercial |
$386.73
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$322.27
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$365.25
|
| Rate for Payer: Nomi Health Commercial |
$352.35
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$322.27
|
| Rate for Payer: PHP Commercial |
$365.25
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$373.84
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$299.07
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$378.14
|
| Rate for Payer: UHC Core |
$358.80
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$322.27
|
|
|
HC ARTHROCENTESIS MAJOR JOINT BIL
|
Facility
|
OP
|
$429.70
|
|
|
Service Code
|
CPT 20610
|
| Hospital Charge Code |
36100027
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$75.76 |
| Max. Negotiated Rate |
$386.73 |
| Rate for Payer: Aetna Commercial |
$365.25
|
| Rate for Payer: Aetna Medicare |
$111.72
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$134.28
|
| Rate for Payer: Amish Plain Church Group Commercial |
$134.28
|
| Rate for Payer: BCBS Complete |
$79.54
|
| Rate for Payer: BCBS MAPPO |
$107.42
|
| Rate for Payer: BCBS Trust/PPO |
$353.26
|
| Rate for Payer: BCN Commercial |
$353.26
|
| Rate for Payer: BCN Medicare Advantage |
$107.42
|
| Rate for Payer: Cash Price |
$343.76
|
| Rate for Payer: Cofinity Commercial |
$369.54
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$343.76
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$107.42
|
| Rate for Payer: Healthscope Commercial |
$386.73
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$322.27
|
| Rate for Payer: Mclaren Medicaid |
$75.76
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$112.80
|
| Rate for Payer: Meridian Medicaid |
$79.54
|
| Rate for Payer: MI Amish Medical Board Commercial |
$123.54
|
| Rate for Payer: Molina Medicare/Medicaid |
$118.17
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$365.25
|
| Rate for Payer: Nomi Health Commercial |
$352.35
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$322.27
|
| Rate for Payer: PACE Senior Care Partners |
$102.05
|
| Rate for Payer: PACE SWMI |
$107.42
|
| Rate for Payer: PHP Commercial |
$365.25
|
| Rate for Payer: PHP Medicare Advantage |
$107.42
|
| Rate for Payer: Priority Health Choice Medicaid |
$75.76
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$373.84
|
| Rate for Payer: Priority Health Medicare |
$108.50
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$299.07
|
| Rate for Payer: Railroad Medicare Medicare |
$107.42
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$378.14
|
| Rate for Payer: UHC Core |
$358.80
|
| Rate for Payer: UHC Exchange |
$107.42
|
| Rate for Payer: UHC Medicaid |
$75.76
|
| Rate for Payer: UHC Medicare Advantage |
$107.42
|
| Rate for Payer: UHCCP Medicaid |
$75.76
|
| Rate for Payer: VA VA |
$107.42
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$322.27
|
|
|
HC ARTHROCENTESIS MAJOR JOINT BIL W US GUIDE
|
Facility
|
OP
|
$1,253.34
|
|
|
Service Code
|
CPT 20611
|
| Hospital Charge Code |
36100455
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$220.96 |
| Max. Negotiated Rate |
$1,128.01 |
| Rate for Payer: Aetna Commercial |
$1,065.34
|
| Rate for Payer: Aetna Medicare |
$325.87
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$391.67
|
| Rate for Payer: Amish Plain Church Group Commercial |
$391.67
|
| Rate for Payer: BCBS Complete |
$231.99
|
| Rate for Payer: BCBS MAPPO |
$313.33
|
| Rate for Payer: BCBS Trust/PPO |
$1,030.37
|
| Rate for Payer: BCN Commercial |
$1,030.37
|
| Rate for Payer: BCN Medicare Advantage |
$313.33
|
| Rate for Payer: Cash Price |
$1,002.67
|
| Rate for Payer: Cofinity Commercial |
$1,077.87
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,002.67
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$313.33
|
| Rate for Payer: Healthscope Commercial |
$1,128.01
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$940.00
|
| Rate for Payer: Mclaren Medicaid |
$220.96
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$329.00
|
| Rate for Payer: Meridian Medicaid |
$231.99
|
| Rate for Payer: MI Amish Medical Board Commercial |
$360.34
|
| Rate for Payer: Molina Medicare/Medicaid |
$344.67
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,065.34
|
| Rate for Payer: Nomi Health Commercial |
$1,027.74
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$940.00
|
| Rate for Payer: PACE Senior Care Partners |
$297.67
|
| Rate for Payer: PACE SWMI |
$313.33
|
| Rate for Payer: PHP Commercial |
$1,065.34
|
| Rate for Payer: PHP Medicare Advantage |
$313.33
|
| Rate for Payer: Priority Health Choice Medicaid |
$220.96
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$1,090.41
|
| Rate for Payer: Priority Health Medicare |
$316.47
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$872.32
|
| Rate for Payer: Railroad Medicare Medicare |
$313.33
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,102.94
|
| Rate for Payer: UHC Core |
$1,046.54
|
| Rate for Payer: UHC Exchange |
$313.33
|
| Rate for Payer: UHC Medicaid |
$220.96
|
| Rate for Payer: UHC Medicare Advantage |
$313.33
|
| Rate for Payer: UHCCP Medicaid |
$220.96
|
| Rate for Payer: VA VA |
$313.33
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$940.00
|
|
|
HC ARTHROCENTESIS MAJOR JOINT BIL W US GUIDE
|
Facility
|
IP
|
$1,253.34
|
|
|
Service Code
|
CPT 20611
|
| Hospital Charge Code |
36100455
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$872.32 |
| Max. Negotiated Rate |
$1,128.01 |
| Rate for Payer: Aetna Commercial |
$1,065.34
|
| Rate for Payer: BCBS Trust/PPO |
$1,035.13
|
| Rate for Payer: BCN Commercial |
$1,035.13
|
| Rate for Payer: Cash Price |
$1,002.67
|
| Rate for Payer: Cofinity Commercial |
$1,077.87
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,002.67
|
| Rate for Payer: Healthscope Commercial |
$1,128.01
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$940.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,065.34
|
| Rate for Payer: Nomi Health Commercial |
$1,027.74
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$940.00
|
| Rate for Payer: PHP Commercial |
$1,065.34
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$1,090.41
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$872.32
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,102.94
|
| Rate for Payer: UHC Core |
$1,046.54
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$940.00
|
|
|
HC ARTHROCENTESIS MAJOR JOINT W US GUIDE
|
Facility
|
IP
|
$1,163.91
|
|
|
Service Code
|
CPT 20611
|
| Hospital Charge Code |
36100454
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$810.08 |
| Max. Negotiated Rate |
$1,047.52 |
| Rate for Payer: Aetna Commercial |
$989.32
|
| Rate for Payer: BCBS Trust/PPO |
$961.27
|
| Rate for Payer: BCN Commercial |
$961.27
|
| Rate for Payer: Cash Price |
$931.13
|
| Rate for Payer: Cofinity Commercial |
$1,000.96
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$931.13
|
| Rate for Payer: Healthscope Commercial |
$1,047.52
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$872.93
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$989.32
|
| Rate for Payer: Nomi Health Commercial |
$954.41
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$872.93
|
| Rate for Payer: PHP Commercial |
$989.32
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$1,012.60
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$810.08
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,024.24
|
| Rate for Payer: UHC Core |
$971.86
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$872.93
|
|
|
HC ARTHROCENTESIS MAJOR JOINT W US GUIDE
|
Facility
|
OP
|
$1,163.91
|
|
|
Service Code
|
CPT 20611
|
| Hospital Charge Code |
36100454
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$205.20 |
| Max. Negotiated Rate |
$1,047.52 |
| Rate for Payer: Aetna Commercial |
$989.32
|
| Rate for Payer: Aetna Medicare |
$302.62
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$363.72
|
| Rate for Payer: Amish Plain Church Group Commercial |
$363.72
|
| Rate for Payer: BCBS Complete |
$215.44
|
| Rate for Payer: BCBS MAPPO |
$290.98
|
| Rate for Payer: BCBS Trust/PPO |
$956.85
|
| Rate for Payer: BCN Commercial |
$956.85
|
| Rate for Payer: BCN Medicare Advantage |
$290.98
|
| Rate for Payer: Cash Price |
$931.13
|
| Rate for Payer: Cofinity Commercial |
$1,000.96
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$931.13
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$290.98
|
| Rate for Payer: Healthscope Commercial |
$1,047.52
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$872.93
|
| Rate for Payer: Mclaren Medicaid |
$205.20
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$305.53
|
| Rate for Payer: Meridian Medicaid |
$215.44
|
| Rate for Payer: MI Amish Medical Board Commercial |
$334.62
|
| Rate for Payer: Molina Medicare/Medicaid |
$320.08
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$989.32
|
| Rate for Payer: Nomi Health Commercial |
$954.41
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$872.93
|
| Rate for Payer: PACE Senior Care Partners |
$276.43
|
| Rate for Payer: PACE SWMI |
$290.98
|
| Rate for Payer: PHP Commercial |
$989.32
|
| Rate for Payer: PHP Medicare Advantage |
$290.98
|
| Rate for Payer: Priority Health Choice Medicaid |
$205.20
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$1,012.60
|
| Rate for Payer: Priority Health Medicare |
$293.89
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$810.08
|
| Rate for Payer: Railroad Medicare Medicare |
$290.98
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,024.24
|
| Rate for Payer: UHC Core |
$971.86
|
| Rate for Payer: UHC Exchange |
$290.98
|
| Rate for Payer: UHC Medicaid |
$205.20
|
| Rate for Payer: UHC Medicare Advantage |
$290.98
|
| Rate for Payer: UHCCP Medicaid |
$205.20
|
| Rate for Payer: VA VA |
$290.98
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$872.93
|
|
|
HC ARTHROCENTESIS SMALL JOINT
|
Facility
|
IP
|
$333.07
|
|
|
Service Code
|
CPT 20600
|
| Hospital Charge Code |
36100022
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$231.82 |
| Max. Negotiated Rate |
$299.76 |
| Rate for Payer: Aetna Commercial |
$283.11
|
| Rate for Payer: BCBS Trust/PPO |
$275.08
|
| Rate for Payer: BCN Commercial |
$275.08
|
| Rate for Payer: Cash Price |
$266.46
|
| Rate for Payer: Cofinity Commercial |
$286.44
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$266.46
|
| Rate for Payer: Healthscope Commercial |
$299.76
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$249.80
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$283.11
|
| Rate for Payer: Nomi Health Commercial |
$273.12
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$249.80
|
| Rate for Payer: PHP Commercial |
$283.11
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$289.77
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$231.82
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$293.10
|
| Rate for Payer: UHC Core |
$278.11
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$249.80
|
|
|
HC ARTHROCENTESIS SMALL JOINT
|
Facility
|
OP
|
$333.07
|
|
|
Service Code
|
CPT 20600
|
| Hospital Charge Code |
36100022
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$58.72 |
| Max. Negotiated Rate |
$299.76 |
| Rate for Payer: Aetna Commercial |
$283.11
|
| Rate for Payer: Aetna Medicare |
$86.60
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$104.08
|
| Rate for Payer: Amish Plain Church Group Commercial |
$104.08
|
| Rate for Payer: BCBS Complete |
$61.65
|
| Rate for Payer: BCBS MAPPO |
$83.27
|
| Rate for Payer: BCBS Trust/PPO |
$273.82
|
| Rate for Payer: BCN Commercial |
$273.82
|
| Rate for Payer: BCN Medicare Advantage |
$83.27
|
| Rate for Payer: Cash Price |
$266.46
|
| Rate for Payer: Cofinity Commercial |
$286.44
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$266.46
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$83.27
|
| Rate for Payer: Healthscope Commercial |
$299.76
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$249.80
|
| Rate for Payer: Mclaren Medicaid |
$58.72
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$87.43
|
| Rate for Payer: Meridian Medicaid |
$61.65
|
| Rate for Payer: MI Amish Medical Board Commercial |
$95.76
|
| Rate for Payer: Molina Medicare/Medicaid |
$91.59
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$283.11
|
| Rate for Payer: Nomi Health Commercial |
$273.12
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$249.80
|
| Rate for Payer: PACE Senior Care Partners |
$79.10
|
| Rate for Payer: PACE SWMI |
$83.27
|
| Rate for Payer: PHP Commercial |
$283.11
|
| Rate for Payer: PHP Medicare Advantage |
$83.27
|
| Rate for Payer: Priority Health Choice Medicaid |
$58.72
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$289.77
|
| Rate for Payer: Priority Health Medicare |
$84.10
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$231.82
|
| Rate for Payer: Railroad Medicare Medicare |
$83.27
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$293.10
|
| Rate for Payer: UHC Core |
$278.11
|
| Rate for Payer: UHC Exchange |
$83.27
|
| Rate for Payer: UHC Medicaid |
$58.72
|
| Rate for Payer: UHC Medicare Advantage |
$83.27
|
| Rate for Payer: UHCCP Medicaid |
$58.72
|
| Rate for Payer: VA VA |
$83.27
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$249.80
|
|
|
HC ARTHROCENTESIS SMALL JOINT BIL W US GUIDE
|
Facility
|
IP
|
$1,206.07
|
|
|
Service Code
|
CPT 20604
|
| Hospital Charge Code |
36100459
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$839.42 |
| Max. Negotiated Rate |
$1,085.46 |
| Rate for Payer: Aetna Commercial |
$1,025.16
|
| Rate for Payer: BCBS Trust/PPO |
$996.09
|
| Rate for Payer: BCN Commercial |
$996.09
|
| Rate for Payer: Cash Price |
$964.86
|
| Rate for Payer: Cofinity Commercial |
$1,037.22
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$964.86
|
| Rate for Payer: Healthscope Commercial |
$1,085.46
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$904.55
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,025.16
|
| Rate for Payer: Nomi Health Commercial |
$988.98
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$904.55
|
| Rate for Payer: PHP Commercial |
$1,025.16
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$1,049.28
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$839.42
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,061.34
|
| Rate for Payer: UHC Core |
$1,007.07
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$904.55
|
|
|
HC ARTHROCENTESIS SMALL JOINT BIL W US GUIDE
|
Facility
|
OP
|
$1,206.07
|
|
|
Service Code
|
CPT 20604
|
| Hospital Charge Code |
36100459
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$212.63 |
| Max. Negotiated Rate |
$1,085.46 |
| Rate for Payer: Aetna Commercial |
$1,025.16
|
| Rate for Payer: Aetna Medicare |
$313.58
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$376.90
|
| Rate for Payer: Amish Plain Church Group Commercial |
$376.90
|
| Rate for Payer: BCBS Complete |
$223.24
|
| Rate for Payer: BCBS MAPPO |
$301.52
|
| Rate for Payer: BCBS Trust/PPO |
$991.51
|
| Rate for Payer: BCN Commercial |
$991.51
|
| Rate for Payer: BCN Medicare Advantage |
$301.52
|
| Rate for Payer: Cash Price |
$964.86
|
| Rate for Payer: Cofinity Commercial |
$1,037.22
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$964.86
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$301.52
|
| Rate for Payer: Healthscope Commercial |
$1,085.46
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$904.55
|
| Rate for Payer: Mclaren Medicaid |
$212.63
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$316.59
|
| Rate for Payer: Meridian Medicaid |
$223.24
|
| Rate for Payer: MI Amish Medical Board Commercial |
$346.75
|
| Rate for Payer: Molina Medicare/Medicaid |
$331.67
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,025.16
|
| Rate for Payer: Nomi Health Commercial |
$988.98
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$904.55
|
| Rate for Payer: PACE Senior Care Partners |
$286.44
|
| Rate for Payer: PACE SWMI |
$301.52
|
| Rate for Payer: PHP Commercial |
$1,025.16
|
| Rate for Payer: PHP Medicare Advantage |
$301.52
|
| Rate for Payer: Priority Health Choice Medicaid |
$212.63
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$1,049.28
|
| Rate for Payer: Priority Health Medicare |
$304.53
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$839.42
|
| Rate for Payer: Railroad Medicare Medicare |
$301.52
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,061.34
|
| Rate for Payer: UHC Core |
$1,007.07
|
| Rate for Payer: UHC Exchange |
$301.52
|
| Rate for Payer: UHC Medicaid |
$212.63
|
| Rate for Payer: UHC Medicare Advantage |
$301.52
|
| Rate for Payer: UHCCP Medicaid |
$212.63
|
| Rate for Payer: VA VA |
$301.52
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$904.55
|
|
|
HC ARTHROCENTESIS SMALL JOINT W US GUIDE
|
Facility
|
IP
|
$1,024.65
|
|
|
Service Code
|
CPT 20604
|
| Hospital Charge Code |
36100458
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$713.16 |
| Max. Negotiated Rate |
$922.18 |
| Rate for Payer: Aetna Commercial |
$870.95
|
| Rate for Payer: BCBS Trust/PPO |
$846.26
|
| Rate for Payer: BCN Commercial |
$846.26
|
| Rate for Payer: Cash Price |
$819.72
|
| Rate for Payer: Cofinity Commercial |
$881.20
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$819.72
|
| Rate for Payer: Healthscope Commercial |
$922.18
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$768.49
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$870.95
|
| Rate for Payer: Nomi Health Commercial |
$840.21
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$768.49
|
| Rate for Payer: PHP Commercial |
$870.95
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$891.45
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$713.16
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$901.69
|
| Rate for Payer: UHC Core |
$855.58
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$768.49
|
|
|
HC ARTHROCENTESIS SMALL JOINT W US GUIDE
|
Facility
|
OP
|
$1,024.65
|
|
|
Service Code
|
CPT 20604
|
| Hospital Charge Code |
36100458
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$180.65 |
| Max. Negotiated Rate |
$922.18 |
| Rate for Payer: Aetna Commercial |
$870.95
|
| Rate for Payer: Aetna Medicare |
$266.41
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$320.20
|
| Rate for Payer: Amish Plain Church Group Commercial |
$320.20
|
| Rate for Payer: BCBS Complete |
$189.66
|
| Rate for Payer: BCBS MAPPO |
$256.16
|
| Rate for Payer: BCBS Trust/PPO |
$842.36
|
| Rate for Payer: BCN Commercial |
$842.36
|
| Rate for Payer: BCN Medicare Advantage |
$256.16
|
| Rate for Payer: Cash Price |
$819.72
|
| Rate for Payer: Cofinity Commercial |
$881.20
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$819.72
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$256.16
|
| Rate for Payer: Healthscope Commercial |
$922.18
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$768.49
|
| Rate for Payer: Mclaren Medicaid |
$180.65
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$268.97
|
| Rate for Payer: Meridian Medicaid |
$189.66
|
| Rate for Payer: MI Amish Medical Board Commercial |
$294.59
|
| Rate for Payer: Molina Medicare/Medicaid |
$281.78
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$870.95
|
| Rate for Payer: Nomi Health Commercial |
$840.21
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$768.49
|
| Rate for Payer: PACE Senior Care Partners |
$243.35
|
| Rate for Payer: PACE SWMI |
$256.16
|
| Rate for Payer: PHP Commercial |
$870.95
|
| Rate for Payer: PHP Medicare Advantage |
$256.16
|
| Rate for Payer: Priority Health Choice Medicaid |
$180.65
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$891.45
|
| Rate for Payer: Priority Health Medicare |
$258.72
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$713.16
|
| Rate for Payer: Railroad Medicare Medicare |
$256.16
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$901.69
|
| Rate for Payer: UHC Core |
$855.58
|
| Rate for Payer: UHC Exchange |
$256.16
|
| Rate for Payer: UHC Medicaid |
$180.65
|
| Rate for Payer: UHC Medicare Advantage |
$256.16
|
| Rate for Payer: UHCCP Medicaid |
$180.65
|
| Rate for Payer: VA VA |
$256.16
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$768.49
|
|
