|
HC BIOPSY EXTERNAL EAR
|
Facility
|
OP
|
$398.50
|
|
|
Service Code
|
CPT 69100
|
| Hospital Charge Code |
36100522
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$70.26 |
| Max. Negotiated Rate |
$358.65 |
| Rate for Payer: Aetna Commercial |
$338.73
|
| Rate for Payer: Aetna Medicare |
$103.61
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$124.53
|
| Rate for Payer: Amish Plain Church Group Commercial |
$124.53
|
| Rate for Payer: BCBS Complete |
$73.76
|
| Rate for Payer: BCBS MAPPO |
$99.62
|
| Rate for Payer: BCBS Trust/PPO |
$327.61
|
| Rate for Payer: BCN Commercial |
$327.61
|
| Rate for Payer: BCN Medicare Advantage |
$99.62
|
| Rate for Payer: Cash Price |
$318.80
|
| Rate for Payer: Cofinity Commercial |
$342.71
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$318.80
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$99.62
|
| Rate for Payer: Healthscope Commercial |
$358.65
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$298.88
|
| Rate for Payer: Mclaren Medicaid |
$70.26
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$104.61
|
| Rate for Payer: Meridian Medicaid |
$73.76
|
| Rate for Payer: MI Amish Medical Board Commercial |
$114.57
|
| Rate for Payer: Molina Medicare/Medicaid |
$109.59
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$338.73
|
| Rate for Payer: Nomi Health Commercial |
$326.77
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$298.88
|
| Rate for Payer: PACE Senior Care Partners |
$94.64
|
| Rate for Payer: PACE SWMI |
$99.62
|
| Rate for Payer: PHP Commercial |
$338.73
|
| Rate for Payer: PHP Medicare Advantage |
$99.62
|
| Rate for Payer: Priority Health Choice Medicaid |
$70.26
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$346.69
|
| Rate for Payer: Priority Health Medicare |
$100.62
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$277.36
|
| Rate for Payer: Railroad Medicare Medicare |
$99.62
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$350.68
|
| Rate for Payer: UHC Core |
$332.75
|
| Rate for Payer: UHC Exchange |
$99.62
|
| Rate for Payer: UHC Medicaid |
$70.26
|
| Rate for Payer: UHC Medicare Advantage |
$99.62
|
| Rate for Payer: UHCCP Medicaid |
$70.26
|
| Rate for Payer: VA VA |
$99.62
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$298.88
|
|
|
HC BIOPSY EXTERNAL EAR
|
Facility
|
IP
|
$398.50
|
|
|
Service Code
|
CPT 69100
|
| Hospital Charge Code |
36100522
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$277.36 |
| Max. Negotiated Rate |
$358.65 |
| Rate for Payer: Aetna Commercial |
$338.73
|
| Rate for Payer: BCBS Trust/PPO |
$329.12
|
| Rate for Payer: BCN Commercial |
$329.12
|
| Rate for Payer: Cash Price |
$318.80
|
| Rate for Payer: Cofinity Commercial |
$342.71
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$318.80
|
| Rate for Payer: Healthscope Commercial |
$358.65
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$298.88
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$338.73
|
| Rate for Payer: Nomi Health Commercial |
$326.77
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$298.88
|
| Rate for Payer: PHP Commercial |
$338.73
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$346.69
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$277.36
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$350.68
|
| Rate for Payer: UHC Core |
$332.75
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$298.88
|
|
|
HC BIOPSY FLOOR MOUTH
|
Facility
|
IP
|
$4,265.64
|
|
|
Service Code
|
CPT 41108
|
| Hospital Charge Code |
76100464
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$2,968.89 |
| Max. Negotiated Rate |
$3,839.08 |
| Rate for Payer: Aetna Commercial |
$3,625.79
|
| Rate for Payer: BCBS Trust/PPO |
$3,522.99
|
| Rate for Payer: BCN Commercial |
$3,522.99
|
| Rate for Payer: Cash Price |
$3,412.51
|
| Rate for Payer: Cofinity Commercial |
$3,668.45
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,412.51
|
| Rate for Payer: Healthscope Commercial |
$3,839.08
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$3,199.23
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,625.79
|
| Rate for Payer: Nomi Health Commercial |
$3,497.82
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$3,199.23
|
| Rate for Payer: PHP Commercial |
$3,625.79
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$3,711.11
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,968.89
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$3,753.76
|
| Rate for Payer: UHC Core |
$3,561.81
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$3,199.23
|
|
|
HC BIOPSY FLOOR MOUTH
|
Facility
|
OP
|
$4,265.64
|
|
|
Service Code
|
CPT 41108
|
| Hospital Charge Code |
76100464
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$752.03 |
| Max. Negotiated Rate |
$3,839.08 |
| Rate for Payer: Aetna Commercial |
$3,625.79
|
| Rate for Payer: Aetna Medicare |
$1,109.07
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,333.01
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1,333.01
|
| Rate for Payer: BCBS Complete |
$789.57
|
| Rate for Payer: BCBS MAPPO |
$1,066.41
|
| Rate for Payer: BCBS Trust/PPO |
$3,506.78
|
| Rate for Payer: BCN Commercial |
$3,506.78
|
| Rate for Payer: BCN Medicare Advantage |
$1,066.41
|
| Rate for Payer: Cash Price |
$3,412.51
|
| Rate for Payer: Cofinity Commercial |
$3,668.45
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,412.51
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,066.41
|
| Rate for Payer: Healthscope Commercial |
$3,839.08
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$3,199.23
|
| Rate for Payer: Mclaren Medicaid |
$752.03
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,119.73
|
| Rate for Payer: Meridian Medicaid |
$789.57
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,226.37
|
| Rate for Payer: Molina Medicare/Medicaid |
$1,173.05
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,625.79
|
| Rate for Payer: Nomi Health Commercial |
$3,497.82
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$3,199.23
|
| Rate for Payer: PACE Senior Care Partners |
$1,013.09
|
| Rate for Payer: PACE SWMI |
$1,066.41
|
| Rate for Payer: PHP Commercial |
$3,625.79
|
| Rate for Payer: PHP Medicare Advantage |
$1,066.41
|
| Rate for Payer: Priority Health Choice Medicaid |
$752.03
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$3,711.11
|
| Rate for Payer: Priority Health Medicare |
$1,077.07
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,968.89
|
| Rate for Payer: Railroad Medicare Medicare |
$1,066.41
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$3,753.76
|
| Rate for Payer: UHC Core |
$3,561.81
|
| Rate for Payer: UHC Exchange |
$1,066.41
|
| Rate for Payer: UHC Medicaid |
$752.03
|
| Rate for Payer: UHC Medicare Advantage |
$1,066.41
|
| Rate for Payer: UHCCP Medicaid |
$752.03
|
| Rate for Payer: VA VA |
$1,066.41
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$3,199.23
|
|
|
HC BIOPSY INTRANASAL
|
Facility
|
OP
|
$4,109.58
|
|
|
Service Code
|
CPT 30100
|
| Hospital Charge Code |
76100448
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$724.52 |
| Max. Negotiated Rate |
$3,698.62 |
| Rate for Payer: Aetna Commercial |
$3,493.14
|
| Rate for Payer: Aetna Medicare |
$1,068.49
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,284.24
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1,284.24
|
| Rate for Payer: BCBS Complete |
$760.68
|
| Rate for Payer: BCBS MAPPO |
$1,027.39
|
| Rate for Payer: BCBS Trust/PPO |
$3,378.49
|
| Rate for Payer: BCN Commercial |
$3,378.49
|
| Rate for Payer: BCN Medicare Advantage |
$1,027.39
|
| Rate for Payer: Cash Price |
$3,287.66
|
| Rate for Payer: Cofinity Commercial |
$3,534.24
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,287.66
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,027.39
|
| Rate for Payer: Healthscope Commercial |
$3,698.62
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$3,082.18
|
| Rate for Payer: Mclaren Medicaid |
$724.52
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,078.76
|
| Rate for Payer: Meridian Medicaid |
$760.68
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,181.50
|
| Rate for Payer: Molina Medicare/Medicaid |
$1,130.13
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,493.14
|
| Rate for Payer: Nomi Health Commercial |
$3,369.86
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$3,082.18
|
| Rate for Payer: PACE Senior Care Partners |
$976.03
|
| Rate for Payer: PACE SWMI |
$1,027.39
|
| Rate for Payer: PHP Commercial |
$3,493.14
|
| Rate for Payer: PHP Medicare Advantage |
$1,027.39
|
| Rate for Payer: Priority Health Choice Medicaid |
$724.52
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$3,575.33
|
| Rate for Payer: Priority Health Medicare |
$1,037.67
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,860.27
|
| Rate for Payer: Railroad Medicare Medicare |
$1,027.39
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$3,616.43
|
| Rate for Payer: UHC Core |
$3,431.50
|
| Rate for Payer: UHC Exchange |
$1,027.39
|
| Rate for Payer: UHC Medicaid |
$724.52
|
| Rate for Payer: UHC Medicare Advantage |
$1,027.39
|
| Rate for Payer: UHCCP Medicaid |
$724.52
|
| Rate for Payer: VA VA |
$1,027.39
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$3,082.18
|
|
|
HC BIOPSY INTRANASAL
|
Facility
|
IP
|
$4,109.58
|
|
|
Service Code
|
CPT 30100
|
| Hospital Charge Code |
76100448
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$2,860.27 |
| Max. Negotiated Rate |
$3,698.62 |
| Rate for Payer: Aetna Commercial |
$3,493.14
|
| Rate for Payer: BCBS Trust/PPO |
$3,394.10
|
| Rate for Payer: BCN Commercial |
$3,394.10
|
| Rate for Payer: Cash Price |
$3,287.66
|
| Rate for Payer: Cofinity Commercial |
$3,534.24
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,287.66
|
| Rate for Payer: Healthscope Commercial |
$3,698.62
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$3,082.18
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,493.14
|
| Rate for Payer: Nomi Health Commercial |
$3,369.86
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$3,082.18
|
| Rate for Payer: PHP Commercial |
$3,493.14
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$3,575.33
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,860.27
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$3,616.43
|
| Rate for Payer: UHC Core |
$3,431.50
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$3,082.18
|
|
|
HC BIOPSY LIVER
|
Facility
|
OP
|
$1,734.90
|
|
|
Service Code
|
CPT 47000
|
| Hospital Charge Code |
36100197
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$305.86 |
| Max. Negotiated Rate |
$1,561.41 |
| Rate for Payer: Aetna Commercial |
$1,474.66
|
| Rate for Payer: Aetna Medicare |
$451.07
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$542.16
|
| Rate for Payer: Amish Plain Church Group Commercial |
$542.16
|
| Rate for Payer: BCBS Complete |
$321.13
|
| Rate for Payer: BCBS MAPPO |
$433.73
|
| Rate for Payer: BCBS Trust/PPO |
$1,426.26
|
| Rate for Payer: BCN Commercial |
$1,426.26
|
| Rate for Payer: BCN Medicare Advantage |
$433.73
|
| Rate for Payer: Cash Price |
$1,387.92
|
| Rate for Payer: Cofinity Commercial |
$1,492.01
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,387.92
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$433.73
|
| Rate for Payer: Healthscope Commercial |
$1,561.41
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,301.17
|
| Rate for Payer: Mclaren Medicaid |
$305.86
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$455.41
|
| Rate for Payer: Meridian Medicaid |
$321.13
|
| Rate for Payer: MI Amish Medical Board Commercial |
$498.78
|
| Rate for Payer: Molina Medicare/Medicaid |
$477.10
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,474.66
|
| Rate for Payer: Nomi Health Commercial |
$1,422.62
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,301.17
|
| Rate for Payer: PACE Senior Care Partners |
$412.04
|
| Rate for Payer: PACE SWMI |
$433.73
|
| Rate for Payer: PHP Commercial |
$1,474.66
|
| Rate for Payer: PHP Medicare Advantage |
$433.73
|
| Rate for Payer: Priority Health Choice Medicaid |
$305.86
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$1,509.36
|
| Rate for Payer: Priority Health Medicare |
$438.06
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,207.49
|
| Rate for Payer: Railroad Medicare Medicare |
$433.73
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,526.71
|
| Rate for Payer: UHC Core |
$1,448.64
|
| Rate for Payer: UHC Exchange |
$433.73
|
| Rate for Payer: UHC Medicaid |
$305.86
|
| Rate for Payer: UHC Medicare Advantage |
$433.73
|
| Rate for Payer: UHCCP Medicaid |
$305.86
|
| Rate for Payer: VA VA |
$433.73
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,301.17
|
|
|
HC BIOPSY LIVER
|
Facility
|
IP
|
$1,734.90
|
|
|
Service Code
|
CPT 47000
|
| Hospital Charge Code |
36100197
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$1,207.49 |
| Max. Negotiated Rate |
$1,561.41 |
| Rate for Payer: Aetna Commercial |
$1,474.66
|
| Rate for Payer: BCBS Trust/PPO |
$1,432.85
|
| Rate for Payer: BCN Commercial |
$1,432.85
|
| Rate for Payer: Cash Price |
$1,387.92
|
| Rate for Payer: Cofinity Commercial |
$1,492.01
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,387.92
|
| Rate for Payer: Healthscope Commercial |
$1,561.41
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,301.17
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,474.66
|
| Rate for Payer: Nomi Health Commercial |
$1,422.62
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,301.17
|
| Rate for Payer: PHP Commercial |
$1,474.66
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$1,509.36
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,207.49
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,526.71
|
| Rate for Payer: UHC Core |
$1,448.64
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,301.17
|
|
|
HC BIOPSY LYMPH NODE
|
Facility
|
IP
|
$1,919.77
|
|
|
Service Code
|
CPT 38505
|
| Hospital Charge Code |
36100186
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$1,336.16 |
| Max. Negotiated Rate |
$1,727.79 |
| Rate for Payer: Aetna Commercial |
$1,631.80
|
| Rate for Payer: BCBS Trust/PPO |
$1,585.54
|
| Rate for Payer: BCN Commercial |
$1,585.54
|
| Rate for Payer: Cash Price |
$1,535.82
|
| Rate for Payer: Cofinity Commercial |
$1,651.00
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,535.82
|
| Rate for Payer: Healthscope Commercial |
$1,727.79
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,439.83
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,631.80
|
| Rate for Payer: Nomi Health Commercial |
$1,574.21
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,439.83
|
| Rate for Payer: PHP Commercial |
$1,631.80
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$1,670.20
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,336.16
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,689.40
|
| Rate for Payer: UHC Core |
$1,603.01
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,439.83
|
|
|
HC BIOPSY LYMPH NODE
|
Facility
|
OP
|
$1,919.77
|
|
|
Service Code
|
CPT 38505
|
| Hospital Charge Code |
36100186
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$162.67 |
| Max. Negotiated Rate |
$1,727.79 |
| Rate for Payer: Aetna Commercial |
$1,631.80
|
| Rate for Payer: Aetna Medicare |
$499.14
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$599.93
|
| Rate for Payer: Amish Plain Church Group Commercial |
$599.93
|
| Rate for Payer: BCBS Complete |
$355.35
|
| Rate for Payer: BCBS MAPPO |
$479.94
|
| Rate for Payer: BCBS Trust/PPO |
$1,578.24
|
| Rate for Payer: BCCCP Commercial |
$162.67
|
| Rate for Payer: BCN Commercial |
$1,578.24
|
| Rate for Payer: BCN Medicare Advantage |
$479.94
|
| Rate for Payer: Cash Price |
$1,535.82
|
| Rate for Payer: Cash Price |
$1,535.82
|
| Rate for Payer: Cofinity Commercial |
$1,651.00
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,535.82
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$479.94
|
| Rate for Payer: Healthscope Commercial |
$1,727.79
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,439.83
|
| Rate for Payer: Mclaren Medicaid |
$338.46
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$503.94
|
| Rate for Payer: Meridian Medicaid |
$355.35
|
| Rate for Payer: MI Amish Medical Board Commercial |
$551.93
|
| Rate for Payer: Molina Medicare/Medicaid |
$527.94
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,631.80
|
| Rate for Payer: Nomi Health Commercial |
$1,574.21
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,439.83
|
| Rate for Payer: PACE Senior Care Partners |
$455.95
|
| Rate for Payer: PACE SWMI |
$479.94
|
| Rate for Payer: PHP Commercial |
$1,631.80
|
| Rate for Payer: PHP Medicare Advantage |
$479.94
|
| Rate for Payer: Priority Health Choice Medicaid |
$338.46
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$1,670.20
|
| Rate for Payer: Priority Health Medicare |
$484.74
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,336.16
|
| Rate for Payer: Railroad Medicare Medicare |
$479.94
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,689.40
|
| Rate for Payer: UHC Core |
$1,603.01
|
| Rate for Payer: UHC Exchange |
$479.94
|
| Rate for Payer: UHC Medicaid |
$338.46
|
| Rate for Payer: UHC Medicare Advantage |
$479.94
|
| Rate for Payer: UHCCP Medicaid |
$338.46
|
| Rate for Payer: VA VA |
$479.94
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,439.83
|
|
|
HC BIOPSY MUSCLE
|
Facility
|
IP
|
$1,963.71
|
|
|
Service Code
|
CPT 20206
|
| Hospital Charge Code |
36100017
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$1,366.74 |
| Max. Negotiated Rate |
$1,767.34 |
| Rate for Payer: Aetna Commercial |
$1,669.15
|
| Rate for Payer: BCBS Trust/PPO |
$1,621.83
|
| Rate for Payer: BCN Commercial |
$1,621.83
|
| Rate for Payer: Cash Price |
$1,570.97
|
| Rate for Payer: Cofinity Commercial |
$1,688.79
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,570.97
|
| Rate for Payer: Healthscope Commercial |
$1,767.34
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,472.78
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,669.15
|
| Rate for Payer: Nomi Health Commercial |
$1,610.24
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,472.78
|
| Rate for Payer: PHP Commercial |
$1,669.15
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$1,708.43
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,366.74
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,728.06
|
| Rate for Payer: UHC Core |
$1,639.70
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,472.78
|
|
|
HC BIOPSY MUSCLE
|
Facility
|
OP
|
$1,963.71
|
|
|
Service Code
|
CPT 20206
|
| Hospital Charge Code |
36100017
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$346.20 |
| Max. Negotiated Rate |
$1,767.34 |
| Rate for Payer: Aetna Commercial |
$1,669.15
|
| Rate for Payer: Aetna Medicare |
$510.56
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$613.66
|
| Rate for Payer: Amish Plain Church Group Commercial |
$613.66
|
| Rate for Payer: BCBS Complete |
$363.48
|
| Rate for Payer: BCBS MAPPO |
$490.93
|
| Rate for Payer: BCBS Trust/PPO |
$1,614.37
|
| Rate for Payer: BCN Commercial |
$1,614.37
|
| Rate for Payer: BCN Medicare Advantage |
$490.93
|
| Rate for Payer: Cash Price |
$1,570.97
|
| Rate for Payer: Cofinity Commercial |
$1,688.79
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,570.97
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$490.93
|
| Rate for Payer: Healthscope Commercial |
$1,767.34
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,472.78
|
| Rate for Payer: Mclaren Medicaid |
$346.20
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$515.47
|
| Rate for Payer: Meridian Medicaid |
$363.48
|
| Rate for Payer: MI Amish Medical Board Commercial |
$564.57
|
| Rate for Payer: Molina Medicare/Medicaid |
$540.02
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,669.15
|
| Rate for Payer: Nomi Health Commercial |
$1,610.24
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,472.78
|
| Rate for Payer: PACE Senior Care Partners |
$466.38
|
| Rate for Payer: PACE SWMI |
$490.93
|
| Rate for Payer: PHP Commercial |
$1,669.15
|
| Rate for Payer: PHP Medicare Advantage |
$490.93
|
| Rate for Payer: Priority Health Choice Medicaid |
$346.20
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$1,708.43
|
| Rate for Payer: Priority Health Medicare |
$495.84
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,366.74
|
| Rate for Payer: Railroad Medicare Medicare |
$490.93
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,728.06
|
| Rate for Payer: UHC Core |
$1,639.70
|
| Rate for Payer: UHC Exchange |
$490.93
|
| Rate for Payer: UHC Medicaid |
$346.20
|
| Rate for Payer: UHC Medicare Advantage |
$490.93
|
| Rate for Payer: UHCCP Medicaid |
$346.20
|
| Rate for Payer: VA VA |
$490.93
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,472.78
|
|
|
HC BIOPSY MUSCLE TISSUE SUPERFICIAL
|
Facility
|
IP
|
$2,245.28
|
|
|
Service Code
|
CPT 20200
|
| Hospital Charge Code |
36100447
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$1,562.71 |
| Max. Negotiated Rate |
$2,020.75 |
| Rate for Payer: Aetna Commercial |
$1,908.49
|
| Rate for Payer: BCBS Trust/PPO |
$1,854.38
|
| Rate for Payer: BCN Commercial |
$1,854.38
|
| Rate for Payer: Cash Price |
$1,796.22
|
| Rate for Payer: Cofinity Commercial |
$1,930.94
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,796.22
|
| Rate for Payer: Healthscope Commercial |
$2,020.75
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,683.96
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,908.49
|
| Rate for Payer: Nomi Health Commercial |
$1,841.13
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,683.96
|
| Rate for Payer: PHP Commercial |
$1,908.49
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$1,953.39
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,562.71
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,975.85
|
| Rate for Payer: UHC Core |
$1,874.81
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,683.96
|
|
|
HC BIOPSY MUSCLE TISSUE SUPERFICIAL
|
Facility
|
OP
|
$2,245.28
|
|
|
Service Code
|
CPT 20200
|
| Hospital Charge Code |
36100447
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$395.84 |
| Max. Negotiated Rate |
$2,020.75 |
| Rate for Payer: Aetna Commercial |
$1,908.49
|
| Rate for Payer: Aetna Medicare |
$583.77
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$701.65
|
| Rate for Payer: Amish Plain Church Group Commercial |
$701.65
|
| Rate for Payer: BCBS Complete |
$415.60
|
| Rate for Payer: BCBS MAPPO |
$561.32
|
| Rate for Payer: BCBS Trust/PPO |
$1,845.84
|
| Rate for Payer: BCN Commercial |
$1,845.84
|
| Rate for Payer: BCN Medicare Advantage |
$561.32
|
| Rate for Payer: Cash Price |
$1,796.22
|
| Rate for Payer: Cofinity Commercial |
$1,930.94
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,796.22
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$561.32
|
| Rate for Payer: Healthscope Commercial |
$2,020.75
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,683.96
|
| Rate for Payer: Mclaren Medicaid |
$395.84
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$589.39
|
| Rate for Payer: Meridian Medicaid |
$415.60
|
| Rate for Payer: MI Amish Medical Board Commercial |
$645.52
|
| Rate for Payer: Molina Medicare/Medicaid |
$617.45
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,908.49
|
| Rate for Payer: Nomi Health Commercial |
$1,841.13
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,683.96
|
| Rate for Payer: PACE Senior Care Partners |
$533.25
|
| Rate for Payer: PACE SWMI |
$561.32
|
| Rate for Payer: PHP Commercial |
$1,908.49
|
| Rate for Payer: PHP Medicare Advantage |
$561.32
|
| Rate for Payer: Priority Health Choice Medicaid |
$395.84
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$1,953.39
|
| Rate for Payer: Priority Health Medicare |
$566.93
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,562.71
|
| Rate for Payer: Railroad Medicare Medicare |
$561.32
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,975.85
|
| Rate for Payer: UHC Core |
$1,874.81
|
| Rate for Payer: UHC Exchange |
$561.32
|
| Rate for Payer: UHC Medicaid |
$395.84
|
| Rate for Payer: UHC Medicare Advantage |
$561.32
|
| Rate for Payer: UHCCP Medicaid |
$395.84
|
| Rate for Payer: VA VA |
$561.32
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,683.96
|
|
|
HC BIOPSY OF LIP
|
Facility
|
IP
|
$676.26
|
|
|
Service Code
|
CPT 40490
|
| Hospital Charge Code |
76100456
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$470.68 |
| Max. Negotiated Rate |
$608.63 |
| Rate for Payer: Aetna Commercial |
$574.82
|
| Rate for Payer: BCBS Trust/PPO |
$558.52
|
| Rate for Payer: BCN Commercial |
$558.52
|
| Rate for Payer: Cash Price |
$541.01
|
| Rate for Payer: Cofinity Commercial |
$581.58
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$541.01
|
| Rate for Payer: Healthscope Commercial |
$608.63
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$507.19
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$574.82
|
| Rate for Payer: Nomi Health Commercial |
$554.53
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$507.19
|
| Rate for Payer: PHP Commercial |
$574.82
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$588.35
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$470.68
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$595.11
|
| Rate for Payer: UHC Core |
$564.68
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$507.19
|
|
|
HC BIOPSY OF LIP
|
Facility
|
OP
|
$676.26
|
|
|
Service Code
|
CPT 40490
|
| Hospital Charge Code |
76100456
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$119.22 |
| Max. Negotiated Rate |
$608.63 |
| Rate for Payer: Aetna Commercial |
$574.82
|
| Rate for Payer: Aetna Medicare |
$175.83
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$211.33
|
| Rate for Payer: Amish Plain Church Group Commercial |
$211.33
|
| Rate for Payer: BCBS Complete |
$125.18
|
| Rate for Payer: BCBS MAPPO |
$169.06
|
| Rate for Payer: BCBS Trust/PPO |
$555.95
|
| Rate for Payer: BCN Commercial |
$555.95
|
| Rate for Payer: BCN Medicare Advantage |
$169.06
|
| Rate for Payer: Cash Price |
$541.01
|
| Rate for Payer: Cofinity Commercial |
$581.58
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$541.01
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$169.06
|
| Rate for Payer: Healthscope Commercial |
$608.63
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$507.19
|
| Rate for Payer: Mclaren Medicaid |
$119.22
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$177.52
|
| Rate for Payer: Meridian Medicaid |
$125.18
|
| Rate for Payer: MI Amish Medical Board Commercial |
$194.42
|
| Rate for Payer: Molina Medicare/Medicaid |
$185.97
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$574.82
|
| Rate for Payer: Nomi Health Commercial |
$554.53
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$507.19
|
| Rate for Payer: PACE Senior Care Partners |
$160.61
|
| Rate for Payer: PACE SWMI |
$169.06
|
| Rate for Payer: PHP Commercial |
$574.82
|
| Rate for Payer: PHP Medicare Advantage |
$169.06
|
| Rate for Payer: Priority Health Choice Medicaid |
$119.22
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$588.35
|
| Rate for Payer: Priority Health Medicare |
$170.76
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$470.68
|
| Rate for Payer: Railroad Medicare Medicare |
$169.06
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$595.11
|
| Rate for Payer: UHC Core |
$564.68
|
| Rate for Payer: UHC Exchange |
$169.06
|
| Rate for Payer: UHC Medicaid |
$119.22
|
| Rate for Payer: UHC Medicare Advantage |
$169.06
|
| Rate for Payer: UHCCP Medicaid |
$119.22
|
| Rate for Payer: VA VA |
$169.06
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$507.19
|
|
|
HC BIOPSY OF PROSTATE NONIMAGE-GUIDED
|
Facility
|
IP
|
$9,663.48
|
|
|
Service Code
|
CPT 55705
|
| Hospital Charge Code |
76100359
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$6,725.78 |
| Max. Negotiated Rate |
$8,697.13 |
| Rate for Payer: Aetna Commercial |
$8,213.96
|
| Rate for Payer: BCBS Trust/PPO |
$7,981.07
|
| Rate for Payer: BCN Commercial |
$7,981.07
|
| Rate for Payer: Cash Price |
$7,730.78
|
| Rate for Payer: Cofinity Commercial |
$8,310.59
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$7,730.78
|
| Rate for Payer: Healthscope Commercial |
$8,697.13
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$7,247.61
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$8,213.96
|
| Rate for Payer: Nomi Health Commercial |
$7,924.05
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$7,247.61
|
| Rate for Payer: PHP Commercial |
$8,213.96
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$8,407.23
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$6,725.78
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$8,503.86
|
| Rate for Payer: UHC Core |
$8,069.01
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$7,247.61
|
|
|
HC BIOPSY OF PROSTATE NONIMAGE-GUIDED
|
Facility
|
OP
|
$9,663.48
|
|
|
Service Code
|
CPT 55705
|
| Hospital Charge Code |
76100359
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$1,703.67 |
| Max. Negotiated Rate |
$8,697.13 |
| Rate for Payer: Aetna Commercial |
$8,213.96
|
| Rate for Payer: Aetna Medicare |
$2,512.50
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$3,019.84
|
| Rate for Payer: Amish Plain Church Group Commercial |
$3,019.84
|
| Rate for Payer: BCBS Complete |
$1,788.71
|
| Rate for Payer: BCBS MAPPO |
$2,415.87
|
| Rate for Payer: BCBS Trust/PPO |
$7,944.35
|
| Rate for Payer: BCN Commercial |
$7,944.35
|
| Rate for Payer: BCN Medicare Advantage |
$2,415.87
|
| Rate for Payer: Cash Price |
$7,730.78
|
| Rate for Payer: Cofinity Commercial |
$8,310.59
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$7,730.78
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,415.87
|
| Rate for Payer: Healthscope Commercial |
$8,697.13
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$7,247.61
|
| Rate for Payer: Mclaren Medicaid |
$1,703.67
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$2,536.66
|
| Rate for Payer: Meridian Medicaid |
$1,788.71
|
| Rate for Payer: MI Amish Medical Board Commercial |
$2,778.25
|
| Rate for Payer: Molina Medicare/Medicaid |
$2,657.46
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$8,213.96
|
| Rate for Payer: Nomi Health Commercial |
$7,924.05
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$7,247.61
|
| Rate for Payer: PACE Senior Care Partners |
$2,295.08
|
| Rate for Payer: PACE SWMI |
$2,415.87
|
| Rate for Payer: PHP Commercial |
$8,213.96
|
| Rate for Payer: PHP Medicare Advantage |
$2,415.87
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,703.67
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$8,407.23
|
| Rate for Payer: Priority Health Medicare |
$2,440.03
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$6,725.78
|
| Rate for Payer: Railroad Medicare Medicare |
$2,415.87
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$8,503.86
|
| Rate for Payer: UHC Core |
$8,069.01
|
| Rate for Payer: UHC Exchange |
$2,415.87
|
| Rate for Payer: UHC Medicaid |
$1,703.67
|
| Rate for Payer: UHC Medicare Advantage |
$2,415.87
|
| Rate for Payer: UHCCP Medicaid |
$1,703.67
|
| Rate for Payer: VA VA |
$2,415.87
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$7,247.61
|
|
|
HC BIOPSY OF VAGINA, SIMPLE
|
Facility
|
OP
|
$888.23
|
|
|
Service Code
|
CPT 57100
|
| Hospital Charge Code |
76100222
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$156.59 |
| Max. Negotiated Rate |
$799.41 |
| Rate for Payer: Aetna Commercial |
$755.00
|
| Rate for Payer: Aetna Medicare |
$230.94
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$277.57
|
| Rate for Payer: Amish Plain Church Group Commercial |
$277.57
|
| Rate for Payer: BCBS Complete |
$164.41
|
| Rate for Payer: BCBS MAPPO |
$222.06
|
| Rate for Payer: BCBS Trust/PPO |
$730.21
|
| Rate for Payer: BCN Commercial |
$730.21
|
| Rate for Payer: BCN Medicare Advantage |
$222.06
|
| Rate for Payer: Cash Price |
$710.58
|
| Rate for Payer: Cofinity Commercial |
$763.88
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$710.58
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$222.06
|
| Rate for Payer: Healthscope Commercial |
$799.41
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$666.17
|
| Rate for Payer: Mclaren Medicaid |
$156.59
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$233.16
|
| Rate for Payer: Meridian Medicaid |
$164.41
|
| Rate for Payer: MI Amish Medical Board Commercial |
$255.37
|
| Rate for Payer: Molina Medicare/Medicaid |
$244.26
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$755.00
|
| Rate for Payer: Nomi Health Commercial |
$728.35
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$666.17
|
| Rate for Payer: PACE Senior Care Partners |
$210.95
|
| Rate for Payer: PACE SWMI |
$222.06
|
| Rate for Payer: PHP Commercial |
$755.00
|
| Rate for Payer: PHP Medicare Advantage |
$222.06
|
| Rate for Payer: Priority Health Choice Medicaid |
$156.59
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$772.76
|
| Rate for Payer: Priority Health Medicare |
$224.28
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$618.21
|
| Rate for Payer: Railroad Medicare Medicare |
$222.06
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$781.64
|
| Rate for Payer: UHC Core |
$741.67
|
| Rate for Payer: UHC Exchange |
$222.06
|
| Rate for Payer: UHC Medicaid |
$156.59
|
| Rate for Payer: UHC Medicare Advantage |
$222.06
|
| Rate for Payer: UHCCP Medicaid |
$156.59
|
| Rate for Payer: VA VA |
$222.06
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$666.17
|
|
|
HC BIOPSY OF VAGINA, SIMPLE
|
Facility
|
IP
|
$888.23
|
|
|
Service Code
|
CPT 57100
|
| Hospital Charge Code |
76100222
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$618.21 |
| Max. Negotiated Rate |
$799.41 |
| Rate for Payer: Aetna Commercial |
$755.00
|
| Rate for Payer: BCBS Trust/PPO |
$733.59
|
| Rate for Payer: BCN Commercial |
$733.59
|
| Rate for Payer: Cash Price |
$710.58
|
| Rate for Payer: Cofinity Commercial |
$763.88
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$710.58
|
| Rate for Payer: Healthscope Commercial |
$799.41
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$666.17
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$755.00
|
| Rate for Payer: Nomi Health Commercial |
$728.35
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$666.17
|
| Rate for Payer: PHP Commercial |
$755.00
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$772.76
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$618.21
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$781.64
|
| Rate for Payer: UHC Core |
$741.67
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$666.17
|
|
|
HC BIOPSY OROPHARYNX
|
Facility
|
IP
|
$4,096.05
|
|
|
Service Code
|
CPT 42800
|
| Hospital Charge Code |
76100475
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$2,850.85 |
| Max. Negotiated Rate |
$3,686.45 |
| Rate for Payer: Aetna Commercial |
$3,481.64
|
| Rate for Payer: BCBS Trust/PPO |
$3,382.93
|
| Rate for Payer: BCN Commercial |
$3,382.93
|
| Rate for Payer: Cash Price |
$3,276.84
|
| Rate for Payer: Cofinity Commercial |
$3,522.60
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,276.84
|
| Rate for Payer: Healthscope Commercial |
$3,686.45
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$3,072.04
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,481.64
|
| Rate for Payer: Nomi Health Commercial |
$3,358.76
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$3,072.04
|
| Rate for Payer: PHP Commercial |
$3,481.64
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$3,563.56
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,850.85
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$3,604.52
|
| Rate for Payer: UHC Core |
$3,420.20
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$3,072.04
|
|
|
HC BIOPSY OROPHARYNX
|
Facility
|
OP
|
$4,096.05
|
|
|
Service Code
|
CPT 42800
|
| Hospital Charge Code |
76100475
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$722.13 |
| Max. Negotiated Rate |
$3,686.45 |
| Rate for Payer: Aetna Commercial |
$3,481.64
|
| Rate for Payer: Aetna Medicare |
$1,064.97
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,280.02
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1,280.02
|
| Rate for Payer: BCBS Complete |
$758.18
|
| Rate for Payer: BCBS MAPPO |
$1,024.01
|
| Rate for Payer: BCBS Trust/PPO |
$3,367.36
|
| Rate for Payer: BCN Commercial |
$3,367.36
|
| Rate for Payer: BCN Medicare Advantage |
$1,024.01
|
| Rate for Payer: Cash Price |
$3,276.84
|
| Rate for Payer: Cofinity Commercial |
$3,522.60
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,276.84
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,024.01
|
| Rate for Payer: Healthscope Commercial |
$3,686.45
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$3,072.04
|
| Rate for Payer: Mclaren Medicaid |
$722.13
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,075.21
|
| Rate for Payer: Meridian Medicaid |
$758.18
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,177.61
|
| Rate for Payer: Molina Medicare/Medicaid |
$1,126.41
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,481.64
|
| Rate for Payer: Nomi Health Commercial |
$3,358.76
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$3,072.04
|
| Rate for Payer: PACE Senior Care Partners |
$972.81
|
| Rate for Payer: PACE SWMI |
$1,024.01
|
| Rate for Payer: PHP Commercial |
$3,481.64
|
| Rate for Payer: PHP Medicare Advantage |
$1,024.01
|
| Rate for Payer: Priority Health Choice Medicaid |
$722.13
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$3,563.56
|
| Rate for Payer: Priority Health Medicare |
$1,034.25
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,850.85
|
| Rate for Payer: Railroad Medicare Medicare |
$1,024.01
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$3,604.52
|
| Rate for Payer: UHC Core |
$3,420.20
|
| Rate for Payer: UHC Exchange |
$1,024.01
|
| Rate for Payer: UHC Medicaid |
$722.13
|
| Rate for Payer: UHC Medicare Advantage |
$1,024.01
|
| Rate for Payer: UHCCP Medicaid |
$722.13
|
| Rate for Payer: VA VA |
$1,024.01
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$3,072.04
|
|
|
HC BIOPSY PALATE UVULA
|
Facility
|
IP
|
$4,109.58
|
|
|
Service Code
|
CPT 42100
|
| Hospital Charge Code |
76100466
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$2,860.27 |
| Max. Negotiated Rate |
$3,698.62 |
| Rate for Payer: Aetna Commercial |
$3,493.14
|
| Rate for Payer: BCBS Trust/PPO |
$3,394.10
|
| Rate for Payer: BCN Commercial |
$3,394.10
|
| Rate for Payer: Cash Price |
$3,287.66
|
| Rate for Payer: Cofinity Commercial |
$3,534.24
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,287.66
|
| Rate for Payer: Healthscope Commercial |
$3,698.62
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$3,082.18
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,493.14
|
| Rate for Payer: Nomi Health Commercial |
$3,369.86
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$3,082.18
|
| Rate for Payer: PHP Commercial |
$3,493.14
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$3,575.33
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,860.27
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$3,616.43
|
| Rate for Payer: UHC Core |
$3,431.50
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$3,082.18
|
|
|
HC BIOPSY PALATE UVULA
|
Facility
|
OP
|
$4,109.58
|
|
|
Service Code
|
CPT 42100
|
| Hospital Charge Code |
76100466
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$724.52 |
| Max. Negotiated Rate |
$3,698.62 |
| Rate for Payer: Aetna Commercial |
$3,493.14
|
| Rate for Payer: Aetna Medicare |
$1,068.49
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,284.24
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1,284.24
|
| Rate for Payer: BCBS Complete |
$760.68
|
| Rate for Payer: BCBS MAPPO |
$1,027.39
|
| Rate for Payer: BCBS Trust/PPO |
$3,378.49
|
| Rate for Payer: BCN Commercial |
$3,378.49
|
| Rate for Payer: BCN Medicare Advantage |
$1,027.39
|
| Rate for Payer: Cash Price |
$3,287.66
|
| Rate for Payer: Cofinity Commercial |
$3,534.24
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,287.66
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,027.39
|
| Rate for Payer: Healthscope Commercial |
$3,698.62
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$3,082.18
|
| Rate for Payer: Mclaren Medicaid |
$724.52
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,078.76
|
| Rate for Payer: Meridian Medicaid |
$760.68
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,181.50
|
| Rate for Payer: Molina Medicare/Medicaid |
$1,130.13
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,493.14
|
| Rate for Payer: Nomi Health Commercial |
$3,369.86
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$3,082.18
|
| Rate for Payer: PACE Senior Care Partners |
$976.03
|
| Rate for Payer: PACE SWMI |
$1,027.39
|
| Rate for Payer: PHP Commercial |
$3,493.14
|
| Rate for Payer: PHP Medicare Advantage |
$1,027.39
|
| Rate for Payer: Priority Health Choice Medicaid |
$724.52
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$3,575.33
|
| Rate for Payer: Priority Health Medicare |
$1,037.67
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,860.27
|
| Rate for Payer: Railroad Medicare Medicare |
$1,027.39
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$3,616.43
|
| Rate for Payer: UHC Core |
$3,431.50
|
| Rate for Payer: UHC Exchange |
$1,027.39
|
| Rate for Payer: UHC Medicaid |
$724.52
|
| Rate for Payer: UHC Medicare Advantage |
$1,027.39
|
| Rate for Payer: UHCCP Medicaid |
$724.52
|
| Rate for Payer: VA VA |
$1,027.39
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$3,082.18
|
|
|
HC BIOPSY PANCREAS
|
Facility
|
OP
|
$1,086.05
|
|
|
Service Code
|
CPT 48102
|
| Hospital Charge Code |
36100211
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$191.47 |
| Max. Negotiated Rate |
$977.45 |
| Rate for Payer: Aetna Commercial |
$923.14
|
| Rate for Payer: Aetna Medicare |
$282.37
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$339.39
|
| Rate for Payer: Amish Plain Church Group Commercial |
$339.39
|
| Rate for Payer: BCBS Complete |
$201.03
|
| Rate for Payer: BCBS MAPPO |
$271.51
|
| Rate for Payer: BCBS Trust/PPO |
$892.84
|
| Rate for Payer: BCN Commercial |
$892.84
|
| Rate for Payer: BCN Medicare Advantage |
$271.51
|
| Rate for Payer: Cash Price |
$868.84
|
| Rate for Payer: Cofinity Commercial |
$934.00
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$868.84
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$271.51
|
| Rate for Payer: Healthscope Commercial |
$977.45
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$814.54
|
| Rate for Payer: Mclaren Medicaid |
$191.47
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$285.09
|
| Rate for Payer: Meridian Medicaid |
$201.03
|
| Rate for Payer: MI Amish Medical Board Commercial |
$312.24
|
| Rate for Payer: Molina Medicare/Medicaid |
$298.66
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$923.14
|
| Rate for Payer: Nomi Health Commercial |
$890.56
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$814.54
|
| Rate for Payer: PACE Senior Care Partners |
$257.94
|
| Rate for Payer: PACE SWMI |
$271.51
|
| Rate for Payer: PHP Commercial |
$923.14
|
| Rate for Payer: PHP Medicare Advantage |
$271.51
|
| Rate for Payer: Priority Health Choice Medicaid |
$191.47
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$944.86
|
| Rate for Payer: Priority Health Medicare |
$274.23
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$755.89
|
| Rate for Payer: Railroad Medicare Medicare |
$271.51
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$955.72
|
| Rate for Payer: UHC Core |
$906.85
|
| Rate for Payer: UHC Exchange |
$271.51
|
| Rate for Payer: UHC Medicaid |
$191.47
|
| Rate for Payer: UHC Medicare Advantage |
$271.51
|
| Rate for Payer: UHCCP Medicaid |
$191.47
|
| Rate for Payer: VA VA |
$271.51
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$814.54
|
|
