|
HC ASPERGILLUS ANTIBODIES
|
Facility
|
OP
|
$47.76
|
|
|
Service Code
|
CPT 86606
|
| Hospital Charge Code |
30200221
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$8.42 |
| Max. Negotiated Rate |
$42.98 |
| Rate for Payer: Aetna Commercial |
$40.60
|
| Rate for Payer: Aetna Medicare |
$12.42
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$14.93
|
| Rate for Payer: Amish Plain Church Group Commercial |
$14.93
|
| Rate for Payer: BCBS Complete |
$8.84
|
| Rate for Payer: BCBS MAPPO |
$11.94
|
| Rate for Payer: BCBS Trust/PPO |
$39.26
|
| Rate for Payer: BCN Commercial |
$39.26
|
| Rate for Payer: BCN Medicare Advantage |
$11.94
|
| Rate for Payer: Cash Price |
$38.21
|
| Rate for Payer: Cofinity Commercial |
$41.07
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$38.21
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$11.94
|
| Rate for Payer: Healthscope Commercial |
$42.98
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$35.82
|
| Rate for Payer: Mclaren Medicaid |
$8.42
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$12.54
|
| Rate for Payer: Meridian Medicaid |
$8.84
|
| Rate for Payer: MI Amish Medical Board Commercial |
$13.73
|
| Rate for Payer: Molina Medicare/Medicaid |
$13.13
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$40.60
|
| Rate for Payer: Nomi Health Commercial |
$39.16
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$35.82
|
| Rate for Payer: PACE Senior Care Partners |
$11.34
|
| Rate for Payer: PACE SWMI |
$11.94
|
| Rate for Payer: PHP Commercial |
$40.60
|
| Rate for Payer: PHP Medicare Advantage |
$11.94
|
| Rate for Payer: Priority Health Choice Medicaid |
$8.42
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$41.55
|
| Rate for Payer: Priority Health Medicare |
$12.06
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$33.24
|
| Rate for Payer: Railroad Medicare Medicare |
$11.94
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$42.03
|
| Rate for Payer: UHC Core |
$39.88
|
| Rate for Payer: UHC Exchange |
$11.94
|
| Rate for Payer: UHC Medicaid |
$8.42
|
| Rate for Payer: UHC Medicare Advantage |
$11.94
|
| Rate for Payer: UHCCP Medicaid |
$8.42
|
| Rate for Payer: VA VA |
$11.94
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$35.82
|
|
|
HC ASPERGILLUS ANTIBODIES CMPT
|
Facility
|
IP
|
$41.39
|
|
|
Service Code
|
CPT 86606
|
| Hospital Charge Code |
30200222
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$28.81 |
| Max. Negotiated Rate |
$37.25 |
| Rate for Payer: Aetna Commercial |
$35.18
|
| Rate for Payer: BCBS Trust/PPO |
$34.18
|
| Rate for Payer: BCN Commercial |
$34.18
|
| Rate for Payer: Cash Price |
$33.11
|
| Rate for Payer: Cofinity Commercial |
$35.60
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$33.11
|
| Rate for Payer: Healthscope Commercial |
$37.25
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$31.04
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$35.18
|
| Rate for Payer: Nomi Health Commercial |
$33.94
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$31.04
|
| Rate for Payer: PHP Commercial |
$35.18
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$36.01
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$28.81
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$36.42
|
| Rate for Payer: UHC Core |
$34.56
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$31.04
|
|
|
HC ASPERGILLUS ANTIBODIES CMPT
|
Facility
|
OP
|
$41.39
|
|
|
Service Code
|
CPT 86606
|
| Hospital Charge Code |
30200222
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$7.30 |
| Max. Negotiated Rate |
$37.25 |
| Rate for Payer: Aetna Commercial |
$35.18
|
| Rate for Payer: Aetna Medicare |
$10.76
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$12.93
|
| Rate for Payer: Amish Plain Church Group Commercial |
$12.93
|
| Rate for Payer: BCBS Complete |
$7.66
|
| Rate for Payer: BCBS MAPPO |
$10.35
|
| Rate for Payer: BCBS Trust/PPO |
$34.03
|
| Rate for Payer: BCN Commercial |
$34.03
|
| Rate for Payer: BCN Medicare Advantage |
$10.35
|
| Rate for Payer: Cash Price |
$33.11
|
| Rate for Payer: Cofinity Commercial |
$35.60
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$33.11
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$10.35
|
| Rate for Payer: Healthscope Commercial |
$37.25
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$31.04
|
| Rate for Payer: Mclaren Medicaid |
$7.30
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$10.86
|
| Rate for Payer: Meridian Medicaid |
$7.66
|
| Rate for Payer: MI Amish Medical Board Commercial |
$11.90
|
| Rate for Payer: Molina Medicare/Medicaid |
$11.38
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$35.18
|
| Rate for Payer: Nomi Health Commercial |
$33.94
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$31.04
|
| Rate for Payer: PACE Senior Care Partners |
$9.83
|
| Rate for Payer: PACE SWMI |
$10.35
|
| Rate for Payer: PHP Commercial |
$35.18
|
| Rate for Payer: PHP Medicare Advantage |
$10.35
|
| Rate for Payer: Priority Health Choice Medicaid |
$7.30
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$36.01
|
| Rate for Payer: Priority Health Medicare |
$10.45
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$28.81
|
| Rate for Payer: Railroad Medicare Medicare |
$10.35
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$36.42
|
| Rate for Payer: UHC Core |
$34.56
|
| Rate for Payer: UHC Exchange |
$10.35
|
| Rate for Payer: UHC Medicaid |
$7.30
|
| Rate for Payer: UHC Medicare Advantage |
$10.35
|
| Rate for Payer: UHCCP Medicaid |
$7.30
|
| Rate for Payer: VA VA |
$10.35
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$31.04
|
|
|
HC ASPERGILLUS ANTIGEN
|
Facility
|
IP
|
$85.31
|
|
|
Service Code
|
CPT 87305
|
| Hospital Charge Code |
30600135
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$59.38 |
| Max. Negotiated Rate |
$76.78 |
| Rate for Payer: Aetna Commercial |
$72.51
|
| Rate for Payer: BCBS Trust/PPO |
$70.46
|
| Rate for Payer: BCN Commercial |
$70.46
|
| Rate for Payer: Cash Price |
$68.25
|
| Rate for Payer: Cofinity Commercial |
$73.37
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$68.25
|
| Rate for Payer: Healthscope Commercial |
$76.78
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$63.98
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$72.51
|
| Rate for Payer: Nomi Health Commercial |
$69.95
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$63.98
|
| Rate for Payer: PHP Commercial |
$72.51
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$74.22
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$59.38
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$75.07
|
| Rate for Payer: UHC Core |
$71.23
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$63.98
|
|
|
HC ASPERGILLUS ANTIGEN
|
Facility
|
OP
|
$85.31
|
|
|
Service Code
|
CPT 87305
|
| Hospital Charge Code |
30600135
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$15.04 |
| Max. Negotiated Rate |
$76.78 |
| Rate for Payer: Aetna Commercial |
$72.51
|
| Rate for Payer: Aetna Medicare |
$22.18
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$26.66
|
| Rate for Payer: Amish Plain Church Group Commercial |
$26.66
|
| Rate for Payer: BCBS Complete |
$15.79
|
| Rate for Payer: BCBS MAPPO |
$21.33
|
| Rate for Payer: BCBS Trust/PPO |
$70.13
|
| Rate for Payer: BCN Commercial |
$70.13
|
| Rate for Payer: BCN Medicare Advantage |
$21.33
|
| Rate for Payer: Cash Price |
$68.25
|
| Rate for Payer: Cofinity Commercial |
$73.37
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$68.25
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$21.33
|
| Rate for Payer: Healthscope Commercial |
$76.78
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$63.98
|
| Rate for Payer: Mclaren Medicaid |
$15.04
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$22.39
|
| Rate for Payer: Meridian Medicaid |
$15.79
|
| Rate for Payer: MI Amish Medical Board Commercial |
$24.53
|
| Rate for Payer: Molina Medicare/Medicaid |
$23.46
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$72.51
|
| Rate for Payer: Nomi Health Commercial |
$69.95
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$63.98
|
| Rate for Payer: PACE Senior Care Partners |
$20.26
|
| Rate for Payer: PACE SWMI |
$21.33
|
| Rate for Payer: PHP Commercial |
$72.51
|
| Rate for Payer: PHP Medicare Advantage |
$21.33
|
| Rate for Payer: Priority Health Choice Medicaid |
$15.04
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$74.22
|
| Rate for Payer: Priority Health Medicare |
$21.54
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$59.38
|
| Rate for Payer: Railroad Medicare Medicare |
$21.33
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$75.07
|
| Rate for Payer: UHC Core |
$71.23
|
| Rate for Payer: UHC Exchange |
$21.33
|
| Rate for Payer: UHC Medicaid |
$15.04
|
| Rate for Payer: UHC Medicare Advantage |
$21.33
|
| Rate for Payer: UHCCP Medicaid |
$15.04
|
| Rate for Payer: VA VA |
$21.33
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$63.98
|
|
|
HC ASPERGILLUS ANTIGEN, BAL
|
Facility
|
IP
|
$92.60
|
|
|
Service Code
|
CPT 87305
|
| Hospital Charge Code |
30600290
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$64.45 |
| Max. Negotiated Rate |
$83.34 |
| Rate for Payer: Aetna Commercial |
$78.71
|
| Rate for Payer: BCBS Trust/PPO |
$76.48
|
| Rate for Payer: BCN Commercial |
$76.48
|
| Rate for Payer: Cash Price |
$74.08
|
| Rate for Payer: Cofinity Commercial |
$79.64
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$74.08
|
| Rate for Payer: Healthscope Commercial |
$83.34
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$69.45
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$78.71
|
| Rate for Payer: Nomi Health Commercial |
$75.93
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$69.45
|
| Rate for Payer: PHP Commercial |
$78.71
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$80.56
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$64.45
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$81.49
|
| Rate for Payer: UHC Core |
$77.32
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$69.45
|
|
|
HC ASPERGILLUS ANTIGEN, BAL
|
Facility
|
OP
|
$92.60
|
|
|
Service Code
|
CPT 87305
|
| Hospital Charge Code |
30600290
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$16.33 |
| Max. Negotiated Rate |
$83.34 |
| Rate for Payer: Aetna Commercial |
$78.71
|
| Rate for Payer: Aetna Medicare |
$24.08
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$28.94
|
| Rate for Payer: Amish Plain Church Group Commercial |
$28.94
|
| Rate for Payer: BCBS Complete |
$17.14
|
| Rate for Payer: BCBS MAPPO |
$23.15
|
| Rate for Payer: BCBS Trust/PPO |
$76.13
|
| Rate for Payer: BCN Commercial |
$76.13
|
| Rate for Payer: BCN Medicare Advantage |
$23.15
|
| Rate for Payer: Cash Price |
$74.08
|
| Rate for Payer: Cofinity Commercial |
$79.64
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$74.08
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$23.15
|
| Rate for Payer: Healthscope Commercial |
$83.34
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$69.45
|
| Rate for Payer: Mclaren Medicaid |
$16.33
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$24.31
|
| Rate for Payer: Meridian Medicaid |
$17.14
|
| Rate for Payer: MI Amish Medical Board Commercial |
$26.62
|
| Rate for Payer: Molina Medicare/Medicaid |
$25.46
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$78.71
|
| Rate for Payer: Nomi Health Commercial |
$75.93
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$69.45
|
| Rate for Payer: PACE Senior Care Partners |
$21.99
|
| Rate for Payer: PACE SWMI |
$23.15
|
| Rate for Payer: PHP Commercial |
$78.71
|
| Rate for Payer: PHP Medicare Advantage |
$23.15
|
| Rate for Payer: Priority Health Choice Medicaid |
$16.33
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$80.56
|
| Rate for Payer: Priority Health Medicare |
$23.38
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$64.45
|
| Rate for Payer: Railroad Medicare Medicare |
$23.15
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$81.49
|
| Rate for Payer: UHC Core |
$77.32
|
| Rate for Payer: UHC Exchange |
$23.15
|
| Rate for Payer: UHC Medicaid |
$16.33
|
| Rate for Payer: UHC Medicare Advantage |
$23.15
|
| Rate for Payer: UHCCP Medicaid |
$16.33
|
| Rate for Payer: VA VA |
$23.15
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$69.45
|
|
|
HC ASPERGILLUS FUMIGATUS IGG AB
|
Facility
|
OP
|
$59.30
|
|
|
Service Code
|
CPT 86001
|
| Hospital Charge Code |
30200224
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$10.45 |
| Max. Negotiated Rate |
$53.37 |
| Rate for Payer: Aetna Commercial |
$50.41
|
| Rate for Payer: Aetna Medicare |
$15.42
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$18.53
|
| Rate for Payer: Amish Plain Church Group Commercial |
$18.53
|
| Rate for Payer: BCBS Complete |
$10.98
|
| Rate for Payer: BCBS MAPPO |
$14.82
|
| Rate for Payer: BCBS Trust/PPO |
$48.75
|
| Rate for Payer: BCN Commercial |
$48.75
|
| Rate for Payer: BCN Medicare Advantage |
$14.82
|
| Rate for Payer: Cash Price |
$47.44
|
| Rate for Payer: Cofinity Commercial |
$51.00
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$47.44
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$14.82
|
| Rate for Payer: Healthscope Commercial |
$53.37
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$44.48
|
| Rate for Payer: Mclaren Medicaid |
$10.45
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$15.57
|
| Rate for Payer: Meridian Medicaid |
$10.98
|
| Rate for Payer: MI Amish Medical Board Commercial |
$17.05
|
| Rate for Payer: Molina Medicare/Medicaid |
$16.31
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$50.41
|
| Rate for Payer: Nomi Health Commercial |
$48.63
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$44.48
|
| Rate for Payer: PACE Senior Care Partners |
$14.08
|
| Rate for Payer: PACE SWMI |
$14.82
|
| Rate for Payer: PHP Commercial |
$50.41
|
| Rate for Payer: PHP Medicare Advantage |
$14.82
|
| Rate for Payer: Priority Health Choice Medicaid |
$10.45
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$51.59
|
| Rate for Payer: Priority Health Medicare |
$14.97
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$41.27
|
| Rate for Payer: Railroad Medicare Medicare |
$14.82
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$52.18
|
| Rate for Payer: UHC Core |
$49.52
|
| Rate for Payer: UHC Exchange |
$14.82
|
| Rate for Payer: UHC Medicaid |
$10.45
|
| Rate for Payer: UHC Medicare Advantage |
$14.82
|
| Rate for Payer: UHCCP Medicaid |
$10.45
|
| Rate for Payer: VA VA |
$14.82
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$44.48
|
|
|
HC ASPERGILLUS FUMIGATUS IGG AB
|
Facility
|
IP
|
$59.30
|
|
|
Service Code
|
CPT 86001
|
| Hospital Charge Code |
30200224
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$41.27 |
| Max. Negotiated Rate |
$53.37 |
| Rate for Payer: Aetna Commercial |
$50.41
|
| Rate for Payer: BCBS Trust/PPO |
$48.98
|
| Rate for Payer: BCN Commercial |
$48.98
|
| Rate for Payer: Cash Price |
$47.44
|
| Rate for Payer: Cofinity Commercial |
$51.00
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$47.44
|
| Rate for Payer: Healthscope Commercial |
$53.37
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$44.48
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$50.41
|
| Rate for Payer: Nomi Health Commercial |
$48.63
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$44.48
|
| Rate for Payer: PHP Commercial |
$50.41
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$51.59
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$41.27
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$52.18
|
| Rate for Payer: UHC Core |
$49.52
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$44.48
|
|
|
HC ASP INTERVERTEBRAL DISC
|
Facility
|
IP
|
$885.66
|
|
|
Service Code
|
CPT 62267
|
| Hospital Charge Code |
36100297
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$616.42 |
| Max. Negotiated Rate |
$797.09 |
| Rate for Payer: Aetna Commercial |
$752.81
|
| Rate for Payer: BCBS Trust/PPO |
$731.47
|
| Rate for Payer: BCN Commercial |
$731.47
|
| Rate for Payer: Cash Price |
$708.53
|
| Rate for Payer: Cofinity Commercial |
$761.67
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$708.53
|
| Rate for Payer: Healthscope Commercial |
$797.09
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$664.25
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$752.81
|
| Rate for Payer: Nomi Health Commercial |
$726.24
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$664.25
|
| Rate for Payer: PHP Commercial |
$752.81
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$770.52
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$616.42
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$779.38
|
| Rate for Payer: UHC Core |
$739.53
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$664.25
|
|
|
HC ASP INTERVERTEBRAL DISC
|
Facility
|
OP
|
$885.66
|
|
|
Service Code
|
CPT 62267
|
| Hospital Charge Code |
36100297
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$156.14 |
| Max. Negotiated Rate |
$797.09 |
| Rate for Payer: Aetna Commercial |
$752.81
|
| Rate for Payer: Aetna Medicare |
$230.27
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$276.77
|
| Rate for Payer: Amish Plain Church Group Commercial |
$276.77
|
| Rate for Payer: BCBS Complete |
$163.94
|
| Rate for Payer: BCBS MAPPO |
$221.41
|
| Rate for Payer: BCBS Trust/PPO |
$728.10
|
| Rate for Payer: BCN Commercial |
$728.10
|
| Rate for Payer: BCN Medicare Advantage |
$221.41
|
| Rate for Payer: Cash Price |
$708.53
|
| Rate for Payer: Cofinity Commercial |
$761.67
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$708.53
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$221.41
|
| Rate for Payer: Healthscope Commercial |
$797.09
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$664.25
|
| Rate for Payer: Mclaren Medicaid |
$156.14
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$232.49
|
| Rate for Payer: Meridian Medicaid |
$163.94
|
| Rate for Payer: MI Amish Medical Board Commercial |
$254.63
|
| Rate for Payer: Molina Medicare/Medicaid |
$243.56
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$752.81
|
| Rate for Payer: Nomi Health Commercial |
$726.24
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$664.25
|
| Rate for Payer: PACE Senior Care Partners |
$210.34
|
| Rate for Payer: PACE SWMI |
$221.41
|
| Rate for Payer: PHP Commercial |
$752.81
|
| Rate for Payer: PHP Medicare Advantage |
$221.41
|
| Rate for Payer: Priority Health Choice Medicaid |
$156.14
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$770.52
|
| Rate for Payer: Priority Health Medicare |
$223.63
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$616.42
|
| Rate for Payer: Railroad Medicare Medicare |
$221.41
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$779.38
|
| Rate for Payer: UHC Core |
$739.53
|
| Rate for Payer: UHC Exchange |
$221.41
|
| Rate for Payer: UHC Medicaid |
$156.14
|
| Rate for Payer: UHC Medicare Advantage |
$221.41
|
| Rate for Payer: UHCCP Medicaid |
$156.14
|
| Rate for Payer: VA VA |
$221.41
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$664.25
|
|
|
HC ASPIRATE/INJ GANGLION CYST
|
Facility
|
IP
|
$393.93
|
|
|
Service Code
|
CPT 20612
|
| Hospital Charge Code |
76100209
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$274.18 |
| Max. Negotiated Rate |
$354.54 |
| Rate for Payer: Aetna Commercial |
$334.84
|
| Rate for Payer: BCBS Trust/PPO |
$325.35
|
| Rate for Payer: BCN Commercial |
$325.35
|
| Rate for Payer: Cash Price |
$315.14
|
| Rate for Payer: Cofinity Commercial |
$338.78
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$315.14
|
| Rate for Payer: Healthscope Commercial |
$354.54
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$295.45
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$334.84
|
| Rate for Payer: Nomi Health Commercial |
$323.02
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$295.45
|
| Rate for Payer: PHP Commercial |
$334.84
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$342.72
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$274.18
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$346.66
|
| Rate for Payer: UHC Core |
$328.93
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$295.45
|
|
|
HC ASPIRATE/INJ GANGLION CYST
|
Facility
|
OP
|
$393.93
|
|
|
Service Code
|
CPT 20612
|
| Hospital Charge Code |
76100209
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$69.45 |
| Max. Negotiated Rate |
$354.54 |
| Rate for Payer: Aetna Commercial |
$334.84
|
| Rate for Payer: Aetna Medicare |
$102.42
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$123.10
|
| Rate for Payer: Amish Plain Church Group Commercial |
$123.10
|
| Rate for Payer: BCBS Complete |
$72.92
|
| Rate for Payer: BCBS MAPPO |
$98.48
|
| Rate for Payer: BCBS Trust/PPO |
$323.85
|
| Rate for Payer: BCN Commercial |
$323.85
|
| Rate for Payer: BCN Medicare Advantage |
$98.48
|
| Rate for Payer: Cash Price |
$315.14
|
| Rate for Payer: Cofinity Commercial |
$338.78
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$315.14
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$98.48
|
| Rate for Payer: Healthscope Commercial |
$354.54
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$295.45
|
| Rate for Payer: Mclaren Medicaid |
$69.45
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$103.41
|
| Rate for Payer: Meridian Medicaid |
$72.92
|
| Rate for Payer: MI Amish Medical Board Commercial |
$113.25
|
| Rate for Payer: Molina Medicare/Medicaid |
$108.33
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$334.84
|
| Rate for Payer: Nomi Health Commercial |
$323.02
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$295.45
|
| Rate for Payer: PACE Senior Care Partners |
$93.56
|
| Rate for Payer: PACE SWMI |
$98.48
|
| Rate for Payer: PHP Commercial |
$334.84
|
| Rate for Payer: PHP Medicare Advantage |
$98.48
|
| Rate for Payer: Priority Health Choice Medicaid |
$69.45
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$342.72
|
| Rate for Payer: Priority Health Medicare |
$99.47
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$274.18
|
| Rate for Payer: Railroad Medicare Medicare |
$98.48
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$346.66
|
| Rate for Payer: UHC Core |
$328.93
|
| Rate for Payer: UHC Exchange |
$98.48
|
| Rate for Payer: UHC Medicaid |
$69.45
|
| Rate for Payer: UHC Medicare Advantage |
$98.48
|
| Rate for Payer: UHCCP Medicaid |
$69.45
|
| Rate for Payer: VA VA |
$98.48
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$295.45
|
|
|
HC ASPIRATION BLADDER WITH CATHETHER
|
Facility
|
IP
|
$3,190.79
|
|
|
Service Code
|
CPT 51102
|
| Hospital Charge Code |
36100250
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$2,220.79 |
| Max. Negotiated Rate |
$2,871.71 |
| Rate for Payer: Aetna Commercial |
$2,712.17
|
| Rate for Payer: BCBS Trust/PPO |
$2,635.27
|
| Rate for Payer: BCN Commercial |
$2,635.27
|
| Rate for Payer: Cash Price |
$2,552.63
|
| Rate for Payer: Cofinity Commercial |
$2,744.08
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,552.63
|
| Rate for Payer: Healthscope Commercial |
$2,871.71
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,393.09
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,712.17
|
| Rate for Payer: Nomi Health Commercial |
$2,616.45
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,393.09
|
| Rate for Payer: PHP Commercial |
$2,712.17
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$2,775.99
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,220.79
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,807.90
|
| Rate for Payer: UHC Core |
$2,664.31
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,393.09
|
|
|
HC ASPIRATION BLADDER WITH CATHETHER
|
Facility
|
OP
|
$3,190.79
|
|
|
Service Code
|
CPT 51102
|
| Hospital Charge Code |
36100250
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$562.54 |
| Max. Negotiated Rate |
$2,871.71 |
| Rate for Payer: Aetna Commercial |
$2,712.17
|
| Rate for Payer: Aetna Medicare |
$829.61
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$997.12
|
| Rate for Payer: Amish Plain Church Group Commercial |
$997.12
|
| Rate for Payer: BCBS Complete |
$590.62
|
| Rate for Payer: BCBS MAPPO |
$797.70
|
| Rate for Payer: BCBS Trust/PPO |
$2,623.15
|
| Rate for Payer: BCN Commercial |
$2,623.15
|
| Rate for Payer: BCN Medicare Advantage |
$797.70
|
| Rate for Payer: Cash Price |
$2,552.63
|
| Rate for Payer: Cofinity Commercial |
$2,744.08
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,552.63
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$797.70
|
| Rate for Payer: Healthscope Commercial |
$2,871.71
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,393.09
|
| Rate for Payer: Mclaren Medicaid |
$562.54
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$837.58
|
| Rate for Payer: Meridian Medicaid |
$590.62
|
| Rate for Payer: MI Amish Medical Board Commercial |
$917.35
|
| Rate for Payer: Molina Medicare/Medicaid |
$877.47
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,712.17
|
| Rate for Payer: Nomi Health Commercial |
$2,616.45
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,393.09
|
| Rate for Payer: PACE Senior Care Partners |
$757.81
|
| Rate for Payer: PACE SWMI |
$797.70
|
| Rate for Payer: PHP Commercial |
$2,712.17
|
| Rate for Payer: PHP Medicare Advantage |
$797.70
|
| Rate for Payer: Priority Health Choice Medicaid |
$562.54
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$2,775.99
|
| Rate for Payer: Priority Health Medicare |
$805.67
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,220.79
|
| Rate for Payer: Railroad Medicare Medicare |
$797.70
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,807.90
|
| Rate for Payer: UHC Core |
$2,664.31
|
| Rate for Payer: UHC Exchange |
$797.70
|
| Rate for Payer: UHC Medicaid |
$562.54
|
| Rate for Payer: UHC Medicare Advantage |
$797.70
|
| Rate for Payer: UHCCP Medicaid |
$562.54
|
| Rate for Payer: VA VA |
$797.70
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,393.09
|
|
|
HC ASPIRATION CYST OVARIAN ABDOMINAL APPROACH UNI OR BIL
|
Facility
|
IP
|
$4,421.07
|
|
|
Service Code
|
CPT 58805
|
| Hospital Charge Code |
36100258
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$3,077.06 |
| Max. Negotiated Rate |
$3,978.96 |
| Rate for Payer: Aetna Commercial |
$3,757.91
|
| Rate for Payer: BCBS Trust/PPO |
$3,651.36
|
| Rate for Payer: BCN Commercial |
$3,651.36
|
| Rate for Payer: Cash Price |
$3,536.86
|
| Rate for Payer: Cofinity Commercial |
$3,802.12
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,536.86
|
| Rate for Payer: Healthscope Commercial |
$3,978.96
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$3,315.80
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,757.91
|
| Rate for Payer: Nomi Health Commercial |
$3,625.28
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$3,315.80
|
| Rate for Payer: PHP Commercial |
$3,757.91
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$3,846.33
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$3,077.06
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$3,890.54
|
| Rate for Payer: UHC Core |
$3,691.59
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$3,315.80
|
|
|
HC ASPIRATION CYST OVARIAN ABDOMINAL APPROACH UNI OR BIL
|
Facility
|
OP
|
$4,421.07
|
|
|
Service Code
|
CPT 58805
|
| Hospital Charge Code |
36100258
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$779.43 |
| Max. Negotiated Rate |
$3,978.96 |
| Rate for Payer: Aetna Commercial |
$3,757.91
|
| Rate for Payer: Aetna Medicare |
$1,149.48
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,381.58
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1,381.58
|
| Rate for Payer: BCBS Complete |
$818.34
|
| Rate for Payer: BCBS MAPPO |
$1,105.27
|
| Rate for Payer: BCBS Trust/PPO |
$3,634.56
|
| Rate for Payer: BCN Commercial |
$3,634.56
|
| Rate for Payer: BCN Medicare Advantage |
$1,105.27
|
| Rate for Payer: Cash Price |
$3,536.86
|
| Rate for Payer: Cofinity Commercial |
$3,802.12
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,536.86
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,105.27
|
| Rate for Payer: Healthscope Commercial |
$3,978.96
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$3,315.80
|
| Rate for Payer: Mclaren Medicaid |
$779.43
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,160.53
|
| Rate for Payer: Meridian Medicaid |
$818.34
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,271.06
|
| Rate for Payer: Molina Medicare/Medicaid |
$1,215.79
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,757.91
|
| Rate for Payer: Nomi Health Commercial |
$3,625.28
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$3,315.80
|
| Rate for Payer: PACE Senior Care Partners |
$1,050.00
|
| Rate for Payer: PACE SWMI |
$1,105.27
|
| Rate for Payer: PHP Commercial |
$3,757.91
|
| Rate for Payer: PHP Medicare Advantage |
$1,105.27
|
| Rate for Payer: Priority Health Choice Medicaid |
$779.43
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$3,846.33
|
| Rate for Payer: Priority Health Medicare |
$1,116.32
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$3,077.06
|
| Rate for Payer: Railroad Medicare Medicare |
$1,105.27
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$3,890.54
|
| Rate for Payer: UHC Core |
$3,691.59
|
| Rate for Payer: UHC Exchange |
$1,105.27
|
| Rate for Payer: UHC Medicaid |
$779.43
|
| Rate for Payer: UHC Medicare Advantage |
$1,105.27
|
| Rate for Payer: UHCCP Medicaid |
$779.43
|
| Rate for Payer: VA VA |
$1,105.27
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$3,315.80
|
|
|
HC ASPIRATION CYST OVARIAN VAGINAL APPROACH UNI OR BIL
|
Facility
|
OP
|
$2,595.19
|
|
|
Service Code
|
CPT 58800
|
| Hospital Charge Code |
36100257
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$457.53 |
| Max. Negotiated Rate |
$2,335.67 |
| Rate for Payer: Aetna Commercial |
$2,205.91
|
| Rate for Payer: Aetna Medicare |
$674.75
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$811.00
|
| Rate for Payer: Amish Plain Church Group Commercial |
$811.00
|
| Rate for Payer: BCBS Complete |
$480.37
|
| Rate for Payer: BCBS MAPPO |
$648.80
|
| Rate for Payer: BCBS Trust/PPO |
$2,133.51
|
| Rate for Payer: BCN Commercial |
$2,133.51
|
| Rate for Payer: BCN Medicare Advantage |
$648.80
|
| Rate for Payer: Cash Price |
$2,076.15
|
| Rate for Payer: Cofinity Commercial |
$2,231.86
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,076.15
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$648.80
|
| Rate for Payer: Healthscope Commercial |
$2,335.67
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,946.39
|
| Rate for Payer: Mclaren Medicaid |
$457.53
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$681.24
|
| Rate for Payer: Meridian Medicaid |
$480.37
|
| Rate for Payer: MI Amish Medical Board Commercial |
$746.12
|
| Rate for Payer: Molina Medicare/Medicaid |
$713.68
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,205.91
|
| Rate for Payer: Nomi Health Commercial |
$2,128.06
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,946.39
|
| Rate for Payer: PACE Senior Care Partners |
$616.36
|
| Rate for Payer: PACE SWMI |
$648.80
|
| Rate for Payer: PHP Commercial |
$2,205.91
|
| Rate for Payer: PHP Medicare Advantage |
$648.80
|
| Rate for Payer: Priority Health Choice Medicaid |
$457.53
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$2,257.82
|
| Rate for Payer: Priority Health Medicare |
$655.29
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,806.25
|
| Rate for Payer: Railroad Medicare Medicare |
$648.80
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,283.77
|
| Rate for Payer: UHC Core |
$2,166.98
|
| Rate for Payer: UHC Exchange |
$648.80
|
| Rate for Payer: UHC Medicaid |
$457.53
|
| Rate for Payer: UHC Medicare Advantage |
$648.80
|
| Rate for Payer: UHCCP Medicaid |
$457.53
|
| Rate for Payer: VA VA |
$648.80
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,946.39
|
|
|
HC ASPIRATION CYST OVARIAN VAGINAL APPROACH UNI OR BIL
|
Facility
|
IP
|
$2,595.19
|
|
|
Service Code
|
CPT 58800
|
| Hospital Charge Code |
36100257
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$1,806.25 |
| Max. Negotiated Rate |
$2,335.67 |
| Rate for Payer: Aetna Commercial |
$2,205.91
|
| Rate for Payer: BCBS Trust/PPO |
$2,143.37
|
| Rate for Payer: BCN Commercial |
$2,143.37
|
| Rate for Payer: Cash Price |
$2,076.15
|
| Rate for Payer: Cofinity Commercial |
$2,231.86
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,076.15
|
| Rate for Payer: Healthscope Commercial |
$2,335.67
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,946.39
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,205.91
|
| Rate for Payer: Nomi Health Commercial |
$2,128.06
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,946.39
|
| Rate for Payer: PHP Commercial |
$2,205.91
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$2,257.82
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,806.25
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,283.77
|
| Rate for Payer: UHC Core |
$2,166.98
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,946.39
|
|
|
HC ASPIRATION DISK
|
Facility
|
IP
|
$4,706.49
|
|
|
Service Code
|
CPT 62287
|
| Hospital Charge Code |
32000003
|
|
Hospital Revenue Code
|
320
|
| Min. Negotiated Rate |
$3,275.72 |
| Max. Negotiated Rate |
$4,235.84 |
| Rate for Payer: Aetna Commercial |
$4,000.52
|
| Rate for Payer: BCBS Trust/PPO |
$3,887.09
|
| Rate for Payer: BCN Commercial |
$3,887.09
|
| Rate for Payer: Cash Price |
$3,765.19
|
| Rate for Payer: Cofinity Commercial |
$4,047.58
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,765.19
|
| Rate for Payer: Healthscope Commercial |
$4,235.84
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$3,529.87
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$4,000.52
|
| Rate for Payer: Nomi Health Commercial |
$3,859.32
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$3,529.87
|
| Rate for Payer: PHP Commercial |
$4,000.52
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$4,094.65
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$3,275.72
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$4,141.71
|
| Rate for Payer: UHC Core |
$3,929.92
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$3,529.87
|
|
|
HC ASPIRATION DISK
|
Facility
|
OP
|
$4,706.49
|
|
|
Service Code
|
CPT 62287
|
| Hospital Charge Code |
32000003
|
|
Hospital Revenue Code
|
320
|
| Min. Negotiated Rate |
$829.75 |
| Max. Negotiated Rate |
$4,235.84 |
| Rate for Payer: Aetna Commercial |
$4,000.52
|
| Rate for Payer: Aetna Medicare |
$1,223.69
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,470.78
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1,470.78
|
| Rate for Payer: BCBS Complete |
$871.17
|
| Rate for Payer: BCBS MAPPO |
$1,176.62
|
| Rate for Payer: BCBS Trust/PPO |
$3,869.21
|
| Rate for Payer: BCN Commercial |
$3,869.21
|
| Rate for Payer: BCN Medicare Advantage |
$1,176.62
|
| Rate for Payer: Cash Price |
$3,765.19
|
| Rate for Payer: Cofinity Commercial |
$4,047.58
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,765.19
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,176.62
|
| Rate for Payer: Healthscope Commercial |
$4,235.84
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$3,529.87
|
| Rate for Payer: Mclaren Medicaid |
$829.75
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,235.45
|
| Rate for Payer: Meridian Medicaid |
$871.17
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,353.12
|
| Rate for Payer: Molina Medicare/Medicaid |
$1,294.28
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$4,000.52
|
| Rate for Payer: Nomi Health Commercial |
$3,859.32
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$3,529.87
|
| Rate for Payer: PACE Senior Care Partners |
$1,117.79
|
| Rate for Payer: PACE SWMI |
$1,176.62
|
| Rate for Payer: PHP Commercial |
$4,000.52
|
| Rate for Payer: PHP Medicare Advantage |
$1,176.62
|
| Rate for Payer: Priority Health Choice Medicaid |
$829.75
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$4,094.65
|
| Rate for Payer: Priority Health Medicare |
$1,188.39
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$3,275.72
|
| Rate for Payer: Railroad Medicare Medicare |
$1,176.62
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$4,141.71
|
| Rate for Payer: UHC Core |
$3,929.92
|
| Rate for Payer: UHC Exchange |
$1,176.62
|
| Rate for Payer: UHC Medicaid |
$829.75
|
| Rate for Payer: UHC Medicare Advantage |
$1,176.62
|
| Rate for Payer: UHCCP Medicaid |
$829.75
|
| Rate for Payer: VA VA |
$1,176.62
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$3,529.87
|
|
|
HC ASPIRATION SIMPLE
|
Facility
|
IP
|
$422.82
|
|
| Hospital Charge Code |
45000031
|
|
Hospital Revenue Code
|
450
|
| Min. Negotiated Rate |
$294.28 |
| Max. Negotiated Rate |
$380.54 |
| Rate for Payer: Aetna Commercial |
$359.40
|
| Rate for Payer: BCBS Trust/PPO |
$349.21
|
| Rate for Payer: BCN Commercial |
$349.21
|
| Rate for Payer: Cash Price |
$338.26
|
| Rate for Payer: Cofinity Commercial |
$363.63
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$338.26
|
| Rate for Payer: Healthscope Commercial |
$380.54
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$317.12
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$359.40
|
| Rate for Payer: Nomi Health Commercial |
$346.71
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$317.12
|
| Rate for Payer: PHP Commercial |
$359.40
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$367.85
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$294.28
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$372.08
|
| Rate for Payer: UHC Core |
$353.05
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$317.12
|
|
|
HC ASPIRATION SIMPLE
|
Facility
|
OP
|
$422.82
|
|
| Hospital Charge Code |
45000031
|
|
Hospital Revenue Code
|
450
|
| Min. Negotiated Rate |
$74.54 |
| Max. Negotiated Rate |
$380.54 |
| Rate for Payer: Aetna Commercial |
$359.40
|
| Rate for Payer: Aetna Medicare |
$109.93
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$132.13
|
| Rate for Payer: Amish Plain Church Group Commercial |
$132.13
|
| Rate for Payer: BCBS Complete |
$78.26
|
| Rate for Payer: BCBS MAPPO |
$105.70
|
| Rate for Payer: BCBS Trust/PPO |
$347.60
|
| Rate for Payer: BCN Commercial |
$347.60
|
| Rate for Payer: BCN Medicare Advantage |
$105.70
|
| Rate for Payer: Cash Price |
$338.26
|
| Rate for Payer: Cash Price |
$338.26
|
| Rate for Payer: Cofinity Commercial |
$363.63
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$338.26
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$105.70
|
| Rate for Payer: Healthscope Commercial |
$380.54
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$317.12
|
| Rate for Payer: Mclaren Medicaid |
$74.54
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$110.99
|
| Rate for Payer: Meridian Medicaid |
$78.26
|
| Rate for Payer: MI Amish Medical Board Commercial |
$121.56
|
| Rate for Payer: Molina Medicare/Medicaid |
$116.28
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$359.40
|
| Rate for Payer: Nomi Health Commercial |
$346.71
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$317.12
|
| Rate for Payer: PACE Senior Care Partners |
$100.42
|
| Rate for Payer: PACE SWMI |
$105.70
|
| Rate for Payer: PHP Commercial |
$359.40
|
| Rate for Payer: PHP Medicare Advantage |
$105.70
|
| Rate for Payer: Priority Health Choice Medicaid |
$74.54
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$367.85
|
| Rate for Payer: Priority Health Medicare |
$106.76
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$294.28
|
| Rate for Payer: Railroad Medicare Medicare |
$105.70
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$372.08
|
| Rate for Payer: UHC Core |
$353.05
|
| Rate for Payer: UHC Exchange |
$105.70
|
| Rate for Payer: UHC Medicaid |
$74.54
|
| Rate for Payer: UHC Medicare Advantage |
$105.70
|
| Rate for Payer: UHCCP Medicaid |
$125.00
|
| Rate for Payer: VA VA |
$105.70
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$317.12
|
|
|
HC ASPIRATION THYROID CYST
|
Facility
|
IP
|
$503.73
|
|
|
Service Code
|
CPT 60300
|
| Hospital Charge Code |
36100266
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$350.60 |
| Max. Negotiated Rate |
$453.36 |
| Rate for Payer: Aetna Commercial |
$428.17
|
| Rate for Payer: BCBS Trust/PPO |
$416.03
|
| Rate for Payer: BCN Commercial |
$416.03
|
| Rate for Payer: Cash Price |
$402.98
|
| Rate for Payer: Cofinity Commercial |
$433.21
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$402.98
|
| Rate for Payer: Healthscope Commercial |
$453.36
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$377.80
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$428.17
|
| Rate for Payer: Nomi Health Commercial |
$413.06
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$377.80
|
| Rate for Payer: PHP Commercial |
$428.17
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$438.25
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$350.60
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$443.28
|
| Rate for Payer: UHC Core |
$420.61
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$377.80
|
|
|
HC ASPIRATION THYROID CYST
|
Facility
|
OP
|
$503.73
|
|
|
Service Code
|
CPT 60300
|
| Hospital Charge Code |
36100266
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$88.81 |
| Max. Negotiated Rate |
$453.36 |
| Rate for Payer: Aetna Commercial |
$428.17
|
| Rate for Payer: Aetna Medicare |
$130.97
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$157.42
|
| Rate for Payer: Amish Plain Church Group Commercial |
$157.42
|
| Rate for Payer: BCBS Complete |
$93.24
|
| Rate for Payer: BCBS MAPPO |
$125.93
|
| Rate for Payer: BCBS Trust/PPO |
$414.12
|
| Rate for Payer: BCN Commercial |
$414.12
|
| Rate for Payer: BCN Medicare Advantage |
$125.93
|
| Rate for Payer: Cash Price |
$402.98
|
| Rate for Payer: Cofinity Commercial |
$433.21
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$402.98
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$125.93
|
| Rate for Payer: Healthscope Commercial |
$453.36
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$377.80
|
| Rate for Payer: Mclaren Medicaid |
$88.81
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$132.23
|
| Rate for Payer: Meridian Medicaid |
$93.24
|
| Rate for Payer: MI Amish Medical Board Commercial |
$144.82
|
| Rate for Payer: Molina Medicare/Medicaid |
$138.53
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$428.17
|
| Rate for Payer: Nomi Health Commercial |
$413.06
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$377.80
|
| Rate for Payer: PACE Senior Care Partners |
$119.64
|
| Rate for Payer: PACE SWMI |
$125.93
|
| Rate for Payer: PHP Commercial |
$428.17
|
| Rate for Payer: PHP Medicare Advantage |
$125.93
|
| Rate for Payer: Priority Health Choice Medicaid |
$88.81
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$438.25
|
| Rate for Payer: Priority Health Medicare |
$127.19
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$350.60
|
| Rate for Payer: Railroad Medicare Medicare |
$125.93
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$443.28
|
| Rate for Payer: UHC Core |
$420.61
|
| Rate for Payer: UHC Exchange |
$125.93
|
| Rate for Payer: UHC Medicaid |
$88.81
|
| Rate for Payer: UHC Medicare Advantage |
$125.93
|
| Rate for Payer: UHCCP Medicaid |
$88.81
|
| Rate for Payer: VA VA |
$125.93
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$377.80
|
|
