|
HC BIOPSY SOFT TISSUE NECK THORAX
|
Facility
|
OP
|
$1,698.82
|
|
|
Service Code
|
CPT 21550
|
| Hospital Charge Code |
36100028
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$299.50 |
| Max. Negotiated Rate |
$1,528.94 |
| Rate for Payer: Aetna Commercial |
$1,444.00
|
| Rate for Payer: Aetna Medicare |
$441.69
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$530.88
|
| Rate for Payer: Amish Plain Church Group Commercial |
$530.88
|
| Rate for Payer: BCBS Complete |
$314.45
|
| Rate for Payer: BCBS MAPPO |
$424.70
|
| Rate for Payer: BCBS Trust/PPO |
$1,396.60
|
| Rate for Payer: BCN Commercial |
$1,396.60
|
| Rate for Payer: BCN Medicare Advantage |
$424.70
|
| Rate for Payer: Cash Price |
$1,359.06
|
| Rate for Payer: Cofinity Commercial |
$1,460.99
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,359.06
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$424.70
|
| Rate for Payer: Healthscope Commercial |
$1,528.94
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,274.12
|
| Rate for Payer: Mclaren Medicaid |
$299.50
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$445.94
|
| Rate for Payer: Meridian Medicaid |
$314.45
|
| Rate for Payer: MI Amish Medical Board Commercial |
$488.41
|
| Rate for Payer: Molina Medicare/Medicaid |
$467.18
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,444.00
|
| Rate for Payer: Nomi Health Commercial |
$1,393.03
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,274.12
|
| Rate for Payer: PACE Senior Care Partners |
$403.47
|
| Rate for Payer: PACE SWMI |
$424.70
|
| Rate for Payer: PHP Commercial |
$1,444.00
|
| Rate for Payer: PHP Medicare Advantage |
$424.70
|
| Rate for Payer: Priority Health Choice Medicaid |
$299.50
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$1,477.97
|
| Rate for Payer: Priority Health Medicare |
$428.95
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,182.38
|
| Rate for Payer: Railroad Medicare Medicare |
$424.70
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,494.96
|
| Rate for Payer: UHC Core |
$1,418.51
|
| Rate for Payer: UHC Exchange |
$424.70
|
| Rate for Payer: UHC Medicaid |
$299.50
|
| Rate for Payer: UHC Medicare Advantage |
$424.70
|
| Rate for Payer: UHCCP Medicaid |
$299.50
|
| Rate for Payer: VA VA |
$424.70
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,274.12
|
|
|
HC BIOPSY SOFT TISSUE NECK THORAX
|
Facility
|
IP
|
$1,698.82
|
|
|
Service Code
|
CPT 21550
|
| Hospital Charge Code |
36100028
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$1,182.38 |
| Max. Negotiated Rate |
$1,528.94 |
| Rate for Payer: Aetna Commercial |
$1,444.00
|
| Rate for Payer: BCBS Trust/PPO |
$1,403.06
|
| Rate for Payer: BCN Commercial |
$1,403.06
|
| Rate for Payer: Cash Price |
$1,359.06
|
| Rate for Payer: Cofinity Commercial |
$1,460.99
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,359.06
|
| Rate for Payer: Healthscope Commercial |
$1,528.94
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,274.12
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,444.00
|
| Rate for Payer: Nomi Health Commercial |
$1,393.03
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,274.12
|
| Rate for Payer: PHP Commercial |
$1,444.00
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$1,477.97
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,182.38
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,494.96
|
| Rate for Payer: UHC Core |
$1,418.51
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,274.12
|
|
|
HC BIOPSY TESTIS INCISIONAL SEPARATE PROCEDURE
|
Facility
|
OP
|
$9,311.58
|
|
|
Service Code
|
CPT 54505
|
| Hospital Charge Code |
76100387
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$1,641.63 |
| Max. Negotiated Rate |
$8,380.42 |
| Rate for Payer: Aetna Commercial |
$7,914.84
|
| Rate for Payer: Aetna Medicare |
$2,421.01
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$2,909.87
|
| Rate for Payer: Amish Plain Church Group Commercial |
$2,909.87
|
| Rate for Payer: BCBS Complete |
$1,723.57
|
| Rate for Payer: BCBS MAPPO |
$2,327.89
|
| Rate for Payer: BCBS Trust/PPO |
$7,655.05
|
| Rate for Payer: BCN Commercial |
$7,655.05
|
| Rate for Payer: BCN Medicare Advantage |
$2,327.89
|
| Rate for Payer: Cash Price |
$7,449.26
|
| Rate for Payer: Cofinity Commercial |
$8,007.96
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$7,449.26
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,327.89
|
| Rate for Payer: Healthscope Commercial |
$8,380.42
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$6,983.69
|
| Rate for Payer: Mclaren Medicaid |
$1,641.63
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$2,444.29
|
| Rate for Payer: Meridian Medicaid |
$1,723.57
|
| Rate for Payer: MI Amish Medical Board Commercial |
$2,677.08
|
| Rate for Payer: Molina Medicare/Medicaid |
$2,560.68
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$7,914.84
|
| Rate for Payer: Nomi Health Commercial |
$7,635.50
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$6,983.69
|
| Rate for Payer: PACE Senior Care Partners |
$2,211.50
|
| Rate for Payer: PACE SWMI |
$2,327.89
|
| Rate for Payer: PHP Commercial |
$7,914.84
|
| Rate for Payer: PHP Medicare Advantage |
$2,327.89
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,641.63
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$8,101.07
|
| Rate for Payer: Priority Health Medicare |
$2,351.17
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$6,480.86
|
| Rate for Payer: Railroad Medicare Medicare |
$2,327.89
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$8,194.19
|
| Rate for Payer: UHC Core |
$7,775.17
|
| Rate for Payer: UHC Exchange |
$2,327.89
|
| Rate for Payer: UHC Medicaid |
$1,641.63
|
| Rate for Payer: UHC Medicare Advantage |
$2,327.89
|
| Rate for Payer: UHCCP Medicaid |
$1,641.63
|
| Rate for Payer: VA VA |
$2,327.89
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$6,983.69
|
|
|
HC BIOPSY TESTIS INCISIONAL SEPARATE PROCEDURE
|
Facility
|
IP
|
$9,311.58
|
|
|
Service Code
|
CPT 54505
|
| Hospital Charge Code |
76100387
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$6,480.86 |
| Max. Negotiated Rate |
$8,380.42 |
| Rate for Payer: Aetna Commercial |
$7,914.84
|
| Rate for Payer: BCBS Trust/PPO |
$7,690.43
|
| Rate for Payer: BCN Commercial |
$7,690.43
|
| Rate for Payer: Cash Price |
$7,449.26
|
| Rate for Payer: Cofinity Commercial |
$8,007.96
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$7,449.26
|
| Rate for Payer: Healthscope Commercial |
$8,380.42
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$6,983.69
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$7,914.84
|
| Rate for Payer: Nomi Health Commercial |
$7,635.50
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$6,983.69
|
| Rate for Payer: PHP Commercial |
$7,914.84
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$8,101.07
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$6,480.86
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$8,194.19
|
| Rate for Payer: UHC Core |
$7,775.17
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$6,983.69
|
|
|
HC BIOPSY TESTIS INCISIONAL SEPARATE PROCEDURE BIL
|
Facility
|
IP
|
$9,336.55
|
|
|
Service Code
|
CPT 54505
|
| Hospital Charge Code |
76100392
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$6,498.24 |
| Max. Negotiated Rate |
$8,402.90 |
| Rate for Payer: Aetna Commercial |
$7,936.07
|
| Rate for Payer: BCBS Trust/PPO |
$7,711.06
|
| Rate for Payer: BCN Commercial |
$7,711.06
|
| Rate for Payer: Cash Price |
$7,469.24
|
| Rate for Payer: Cofinity Commercial |
$8,029.43
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$7,469.24
|
| Rate for Payer: Healthscope Commercial |
$8,402.90
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$7,002.41
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$7,936.07
|
| Rate for Payer: Nomi Health Commercial |
$7,655.97
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$7,002.41
|
| Rate for Payer: PHP Commercial |
$7,936.07
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$8,122.80
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$6,498.24
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$8,216.16
|
| Rate for Payer: UHC Core |
$7,796.02
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$7,002.41
|
|
|
HC BIOPSY TESTIS INCISIONAL SEPARATE PROCEDURE BIL
|
Facility
|
OP
|
$9,336.55
|
|
|
Service Code
|
CPT 54505
|
| Hospital Charge Code |
76100392
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$1,646.03 |
| Max. Negotiated Rate |
$8,402.90 |
| Rate for Payer: Aetna Commercial |
$7,936.07
|
| Rate for Payer: Aetna Medicare |
$2,427.50
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$2,917.67
|
| Rate for Payer: Amish Plain Church Group Commercial |
$2,917.67
|
| Rate for Payer: BCBS Complete |
$1,728.20
|
| Rate for Payer: BCBS MAPPO |
$2,334.14
|
| Rate for Payer: BCBS Trust/PPO |
$7,675.58
|
| Rate for Payer: BCN Commercial |
$7,675.58
|
| Rate for Payer: BCN Medicare Advantage |
$2,334.14
|
| Rate for Payer: Cash Price |
$7,469.24
|
| Rate for Payer: Cofinity Commercial |
$8,029.43
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$7,469.24
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,334.14
|
| Rate for Payer: Healthscope Commercial |
$8,402.90
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$7,002.41
|
| Rate for Payer: Mclaren Medicaid |
$1,646.03
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$2,450.84
|
| Rate for Payer: Meridian Medicaid |
$1,728.20
|
| Rate for Payer: MI Amish Medical Board Commercial |
$2,684.26
|
| Rate for Payer: Molina Medicare/Medicaid |
$2,567.55
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$7,936.07
|
| Rate for Payer: Nomi Health Commercial |
$7,655.97
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$7,002.41
|
| Rate for Payer: PACE Senior Care Partners |
$2,217.43
|
| Rate for Payer: PACE SWMI |
$2,334.14
|
| Rate for Payer: PHP Commercial |
$7,936.07
|
| Rate for Payer: PHP Medicare Advantage |
$2,334.14
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,646.03
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$8,122.80
|
| Rate for Payer: Priority Health Medicare |
$2,357.48
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$6,498.24
|
| Rate for Payer: Railroad Medicare Medicare |
$2,334.14
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$8,216.16
|
| Rate for Payer: UHC Core |
$7,796.02
|
| Rate for Payer: UHC Exchange |
$2,334.14
|
| Rate for Payer: UHC Medicaid |
$1,646.03
|
| Rate for Payer: UHC Medicare Advantage |
$2,334.14
|
| Rate for Payer: UHCCP Medicaid |
$1,646.03
|
| Rate for Payer: VA VA |
$2,334.14
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$7,002.41
|
|
|
HC BIOPSY THYROID
|
Facility
|
IP
|
$411.75
|
|
|
Service Code
|
CPT 60100
|
| Hospital Charge Code |
36100265
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$286.58 |
| Max. Negotiated Rate |
$370.57 |
| Rate for Payer: Aetna Commercial |
$349.99
|
| Rate for Payer: BCBS Trust/PPO |
$340.06
|
| Rate for Payer: BCN Commercial |
$340.06
|
| Rate for Payer: Cash Price |
$329.40
|
| Rate for Payer: Cofinity Commercial |
$354.11
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$329.40
|
| Rate for Payer: Healthscope Commercial |
$370.57
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$308.81
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$349.99
|
| Rate for Payer: Nomi Health Commercial |
$337.63
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$308.81
|
| Rate for Payer: PHP Commercial |
$349.99
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$358.22
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$286.58
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$362.34
|
| Rate for Payer: UHC Core |
$343.81
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$308.81
|
|
|
HC BIOPSY THYROID
|
Facility
|
OP
|
$411.75
|
|
|
Service Code
|
CPT 60100
|
| Hospital Charge Code |
36100265
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$72.59 |
| Max. Negotiated Rate |
$370.57 |
| Rate for Payer: Aetna Commercial |
$349.99
|
| Rate for Payer: Aetna Medicare |
$107.06
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$128.67
|
| Rate for Payer: Amish Plain Church Group Commercial |
$128.67
|
| Rate for Payer: BCBS Complete |
$76.21
|
| Rate for Payer: BCBS MAPPO |
$102.94
|
| Rate for Payer: BCBS Trust/PPO |
$338.50
|
| Rate for Payer: BCN Commercial |
$338.50
|
| Rate for Payer: BCN Medicare Advantage |
$102.94
|
| Rate for Payer: Cash Price |
$329.40
|
| Rate for Payer: Cofinity Commercial |
$354.11
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$329.40
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$102.94
|
| Rate for Payer: Healthscope Commercial |
$370.57
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$308.81
|
| Rate for Payer: Mclaren Medicaid |
$72.59
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$108.08
|
| Rate for Payer: Meridian Medicaid |
$76.21
|
| Rate for Payer: MI Amish Medical Board Commercial |
$118.38
|
| Rate for Payer: Molina Medicare/Medicaid |
$113.23
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$349.99
|
| Rate for Payer: Nomi Health Commercial |
$337.63
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$308.81
|
| Rate for Payer: PACE Senior Care Partners |
$97.79
|
| Rate for Payer: PACE SWMI |
$102.94
|
| Rate for Payer: PHP Commercial |
$349.99
|
| Rate for Payer: PHP Medicare Advantage |
$102.94
|
| Rate for Payer: Priority Health Choice Medicaid |
$72.59
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$358.22
|
| Rate for Payer: Priority Health Medicare |
$103.97
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$286.58
|
| Rate for Payer: Railroad Medicare Medicare |
$102.94
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$362.34
|
| Rate for Payer: UHC Core |
$343.81
|
| Rate for Payer: UHC Exchange |
$102.94
|
| Rate for Payer: UHC Medicaid |
$72.59
|
| Rate for Payer: UHC Medicare Advantage |
$102.94
|
| Rate for Payer: UHCCP Medicaid |
$72.59
|
| Rate for Payer: VA VA |
$102.94
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$308.81
|
|
|
HC BIOPSY TONGUE ANTERIOR TWO-THIRDS
|
Facility
|
OP
|
$1,404.54
|
|
|
Service Code
|
CPT 41100
|
| Hospital Charge Code |
76100462
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$247.62 |
| Max. Negotiated Rate |
$1,264.09 |
| Rate for Payer: Aetna Commercial |
$1,193.86
|
| Rate for Payer: Aetna Medicare |
$365.18
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$438.92
|
| Rate for Payer: Amish Plain Church Group Commercial |
$438.92
|
| Rate for Payer: BCBS Complete |
$259.98
|
| Rate for Payer: BCBS MAPPO |
$351.13
|
| Rate for Payer: BCBS Trust/PPO |
$1,154.67
|
| Rate for Payer: BCN Commercial |
$1,154.67
|
| Rate for Payer: BCN Medicare Advantage |
$351.13
|
| Rate for Payer: Cash Price |
$1,123.63
|
| Rate for Payer: Cofinity Commercial |
$1,207.90
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,123.63
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$351.13
|
| Rate for Payer: Healthscope Commercial |
$1,264.09
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,053.40
|
| Rate for Payer: Mclaren Medicaid |
$247.62
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$368.69
|
| Rate for Payer: Meridian Medicaid |
$259.98
|
| Rate for Payer: MI Amish Medical Board Commercial |
$403.81
|
| Rate for Payer: Molina Medicare/Medicaid |
$386.25
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,193.86
|
| Rate for Payer: Nomi Health Commercial |
$1,151.72
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,053.40
|
| Rate for Payer: PACE Senior Care Partners |
$333.58
|
| Rate for Payer: PACE SWMI |
$351.13
|
| Rate for Payer: PHP Commercial |
$1,193.86
|
| Rate for Payer: PHP Medicare Advantage |
$351.13
|
| Rate for Payer: Priority Health Choice Medicaid |
$247.62
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$1,221.95
|
| Rate for Payer: Priority Health Medicare |
$354.65
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$977.56
|
| Rate for Payer: Railroad Medicare Medicare |
$351.13
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,236.00
|
| Rate for Payer: UHC Core |
$1,172.79
|
| Rate for Payer: UHC Exchange |
$351.13
|
| Rate for Payer: UHC Medicaid |
$247.62
|
| Rate for Payer: UHC Medicare Advantage |
$351.13
|
| Rate for Payer: UHCCP Medicaid |
$247.62
|
| Rate for Payer: VA VA |
$351.13
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,053.40
|
|
|
HC BIOPSY TONGUE ANTERIOR TWO-THIRDS
|
Facility
|
IP
|
$1,404.54
|
|
|
Service Code
|
CPT 41100
|
| Hospital Charge Code |
76100462
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$977.56 |
| Max. Negotiated Rate |
$1,264.09 |
| Rate for Payer: Aetna Commercial |
$1,193.86
|
| Rate for Payer: BCBS Trust/PPO |
$1,160.01
|
| Rate for Payer: BCN Commercial |
$1,160.01
|
| Rate for Payer: Cash Price |
$1,123.63
|
| Rate for Payer: Cofinity Commercial |
$1,207.90
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,123.63
|
| Rate for Payer: Healthscope Commercial |
$1,264.09
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,053.40
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,193.86
|
| Rate for Payer: Nomi Health Commercial |
$1,151.72
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,053.40
|
| Rate for Payer: PHP Commercial |
$1,193.86
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$1,221.95
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$977.56
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,236.00
|
| Rate for Payer: UHC Core |
$1,172.79
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,053.40
|
|
|
HC BIOPSY TONGUE POSTERIOR ONE-THIRD
|
Facility
|
IP
|
$8,219.16
|
|
|
Service Code
|
CPT 41105
|
| Hospital Charge Code |
76100463
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$5,720.54 |
| Max. Negotiated Rate |
$7,397.24 |
| Rate for Payer: Aetna Commercial |
$6,986.29
|
| Rate for Payer: BCBS Trust/PPO |
$6,788.20
|
| Rate for Payer: BCN Commercial |
$6,788.20
|
| Rate for Payer: Cash Price |
$6,575.33
|
| Rate for Payer: Cofinity Commercial |
$7,068.48
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$6,575.33
|
| Rate for Payer: Healthscope Commercial |
$7,397.24
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$6,164.37
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$6,986.29
|
| Rate for Payer: Nomi Health Commercial |
$6,739.71
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$6,164.37
|
| Rate for Payer: PHP Commercial |
$6,986.29
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$7,150.67
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$5,720.54
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$7,232.86
|
| Rate for Payer: UHC Core |
$6,863.00
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$6,164.37
|
|
|
HC BIOPSY TONGUE POSTERIOR ONE-THIRD
|
Facility
|
OP
|
$8,219.16
|
|
|
Service Code
|
CPT 41105
|
| Hospital Charge Code |
76100463
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$1,449.04 |
| Max. Negotiated Rate |
$7,397.24 |
| Rate for Payer: Aetna Commercial |
$6,986.29
|
| Rate for Payer: Aetna Medicare |
$2,136.98
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$2,568.49
|
| Rate for Payer: Amish Plain Church Group Commercial |
$2,568.49
|
| Rate for Payer: BCBS Complete |
$1,521.37
|
| Rate for Payer: BCBS MAPPO |
$2,054.79
|
| Rate for Payer: BCBS Trust/PPO |
$6,756.97
|
| Rate for Payer: BCN Commercial |
$6,756.97
|
| Rate for Payer: BCN Medicare Advantage |
$2,054.79
|
| Rate for Payer: Cash Price |
$6,575.33
|
| Rate for Payer: Cofinity Commercial |
$7,068.48
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$6,575.33
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,054.79
|
| Rate for Payer: Healthscope Commercial |
$7,397.24
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$6,164.37
|
| Rate for Payer: Mclaren Medicaid |
$1,449.04
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$2,157.53
|
| Rate for Payer: Meridian Medicaid |
$1,521.37
|
| Rate for Payer: MI Amish Medical Board Commercial |
$2,363.01
|
| Rate for Payer: Molina Medicare/Medicaid |
$2,260.27
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$6,986.29
|
| Rate for Payer: Nomi Health Commercial |
$6,739.71
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$6,164.37
|
| Rate for Payer: PACE Senior Care Partners |
$1,952.05
|
| Rate for Payer: PACE SWMI |
$2,054.79
|
| Rate for Payer: PHP Commercial |
$6,986.29
|
| Rate for Payer: PHP Medicare Advantage |
$2,054.79
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,449.04
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$7,150.67
|
| Rate for Payer: Priority Health Medicare |
$2,075.34
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$5,720.54
|
| Rate for Payer: Railroad Medicare Medicare |
$2,054.79
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$7,232.86
|
| Rate for Payer: UHC Core |
$6,863.00
|
| Rate for Payer: UHC Exchange |
$2,054.79
|
| Rate for Payer: UHC Medicaid |
$1,449.04
|
| Rate for Payer: UHC Medicare Advantage |
$2,054.79
|
| Rate for Payer: UHCCP Medicaid |
$1,449.04
|
| Rate for Payer: VA VA |
$2,054.79
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$6,164.37
|
|
|
HC BIOPSY TRANSCATHETER
|
Facility
|
OP
|
$1,711.42
|
|
|
Service Code
|
CPT 37200
|
| Hospital Charge Code |
36100154
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$301.72 |
| Max. Negotiated Rate |
$1,540.28 |
| Rate for Payer: Aetna Commercial |
$1,454.71
|
| Rate for Payer: Aetna Medicare |
$444.97
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$534.82
|
| Rate for Payer: Amish Plain Church Group Commercial |
$534.82
|
| Rate for Payer: BCBS Complete |
$316.78
|
| Rate for Payer: BCBS MAPPO |
$427.86
|
| Rate for Payer: BCBS Trust/PPO |
$1,406.96
|
| Rate for Payer: BCN Commercial |
$1,406.96
|
| Rate for Payer: BCN Medicare Advantage |
$427.86
|
| Rate for Payer: Cash Price |
$1,369.14
|
| Rate for Payer: Cofinity Commercial |
$1,471.82
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,369.14
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$427.86
|
| Rate for Payer: Healthscope Commercial |
$1,540.28
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,283.57
|
| Rate for Payer: Mclaren Medicaid |
$301.72
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$449.25
|
| Rate for Payer: Meridian Medicaid |
$316.78
|
| Rate for Payer: MI Amish Medical Board Commercial |
$492.03
|
| Rate for Payer: Molina Medicare/Medicaid |
$470.64
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,454.71
|
| Rate for Payer: Nomi Health Commercial |
$1,403.36
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,283.57
|
| Rate for Payer: PACE Senior Care Partners |
$406.46
|
| Rate for Payer: PACE SWMI |
$427.86
|
| Rate for Payer: PHP Commercial |
$1,454.71
|
| Rate for Payer: PHP Medicare Advantage |
$427.86
|
| Rate for Payer: Priority Health Choice Medicaid |
$301.72
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$1,488.94
|
| Rate for Payer: Priority Health Medicare |
$432.13
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,191.15
|
| Rate for Payer: Railroad Medicare Medicare |
$427.86
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,506.05
|
| Rate for Payer: UHC Core |
$1,429.04
|
| Rate for Payer: UHC Exchange |
$427.86
|
| Rate for Payer: UHC Medicaid |
$301.72
|
| Rate for Payer: UHC Medicare Advantage |
$427.86
|
| Rate for Payer: UHCCP Medicaid |
$301.72
|
| Rate for Payer: VA VA |
$427.86
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,283.57
|
|
|
HC BIOPSY TRANSCATHETER
|
Facility
|
IP
|
$1,711.42
|
|
|
Service Code
|
CPT 37200
|
| Hospital Charge Code |
36100154
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$1,191.15 |
| Max. Negotiated Rate |
$1,540.28 |
| Rate for Payer: Aetna Commercial |
$1,454.71
|
| Rate for Payer: BCBS Trust/PPO |
$1,413.46
|
| Rate for Payer: BCN Commercial |
$1,413.46
|
| Rate for Payer: Cash Price |
$1,369.14
|
| Rate for Payer: Cofinity Commercial |
$1,471.82
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,369.14
|
| Rate for Payer: Healthscope Commercial |
$1,540.28
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,283.57
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,454.71
|
| Rate for Payer: Nomi Health Commercial |
$1,403.36
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,283.57
|
| Rate for Payer: PHP Commercial |
$1,454.71
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$1,488.94
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,191.15
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,506.05
|
| Rate for Payer: UHC Core |
$1,429.04
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,283.57
|
|
|
HC BIOPSY VESTIBULE MOUTH
|
Facility
|
IP
|
$1,404.54
|
|
|
Service Code
|
CPT 40808
|
| Hospital Charge Code |
76100460
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$977.56 |
| Max. Negotiated Rate |
$1,264.09 |
| Rate for Payer: Aetna Commercial |
$1,193.86
|
| Rate for Payer: BCBS Trust/PPO |
$1,160.01
|
| Rate for Payer: BCN Commercial |
$1,160.01
|
| Rate for Payer: Cash Price |
$1,123.63
|
| Rate for Payer: Cofinity Commercial |
$1,207.90
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,123.63
|
| Rate for Payer: Healthscope Commercial |
$1,264.09
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,053.40
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,193.86
|
| Rate for Payer: Nomi Health Commercial |
$1,151.72
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,053.40
|
| Rate for Payer: PHP Commercial |
$1,193.86
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$1,221.95
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$977.56
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,236.00
|
| Rate for Payer: UHC Core |
$1,172.79
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,053.40
|
|
|
HC BIOPSY VESTIBULE MOUTH
|
Facility
|
OP
|
$1,404.54
|
|
|
Service Code
|
CPT 40808
|
| Hospital Charge Code |
76100460
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$247.62 |
| Max. Negotiated Rate |
$1,264.09 |
| Rate for Payer: Aetna Commercial |
$1,193.86
|
| Rate for Payer: Aetna Medicare |
$365.18
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$438.92
|
| Rate for Payer: Amish Plain Church Group Commercial |
$438.92
|
| Rate for Payer: BCBS Complete |
$259.98
|
| Rate for Payer: BCBS MAPPO |
$351.13
|
| Rate for Payer: BCBS Trust/PPO |
$1,154.67
|
| Rate for Payer: BCN Commercial |
$1,154.67
|
| Rate for Payer: BCN Medicare Advantage |
$351.13
|
| Rate for Payer: Cash Price |
$1,123.63
|
| Rate for Payer: Cofinity Commercial |
$1,207.90
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,123.63
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$351.13
|
| Rate for Payer: Healthscope Commercial |
$1,264.09
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,053.40
|
| Rate for Payer: Mclaren Medicaid |
$247.62
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$368.69
|
| Rate for Payer: Meridian Medicaid |
$259.98
|
| Rate for Payer: MI Amish Medical Board Commercial |
$403.81
|
| Rate for Payer: Molina Medicare/Medicaid |
$386.25
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,193.86
|
| Rate for Payer: Nomi Health Commercial |
$1,151.72
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,053.40
|
| Rate for Payer: PACE Senior Care Partners |
$333.58
|
| Rate for Payer: PACE SWMI |
$351.13
|
| Rate for Payer: PHP Commercial |
$1,193.86
|
| Rate for Payer: PHP Medicare Advantage |
$351.13
|
| Rate for Payer: Priority Health Choice Medicaid |
$247.62
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$1,221.95
|
| Rate for Payer: Priority Health Medicare |
$354.65
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$977.56
|
| Rate for Payer: Railroad Medicare Medicare |
$351.13
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,236.00
|
| Rate for Payer: UHC Core |
$1,172.79
|
| Rate for Payer: UHC Exchange |
$351.13
|
| Rate for Payer: UHC Medicaid |
$247.62
|
| Rate for Payer: UHC Medicare Advantage |
$351.13
|
| Rate for Payer: UHCCP Medicaid |
$247.62
|
| Rate for Payer: VA VA |
$351.13
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,053.40
|
|
|
HC BIOPSY VULVA PERINEUM ONE LESN
|
Facility
|
IP
|
$888.30
|
|
|
Service Code
|
CPT 56605
|
| Hospital Charge Code |
76100201
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$618.26 |
| Max. Negotiated Rate |
$799.47 |
| Rate for Payer: Aetna Commercial |
$755.05
|
| Rate for Payer: BCBS Trust/PPO |
$733.65
|
| Rate for Payer: BCN Commercial |
$733.65
|
| Rate for Payer: Cash Price |
$710.64
|
| Rate for Payer: Cofinity Commercial |
$763.94
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$710.64
|
| Rate for Payer: Healthscope Commercial |
$799.47
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$666.23
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$755.05
|
| Rate for Payer: Nomi Health Commercial |
$728.41
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$666.23
|
| Rate for Payer: PHP Commercial |
$755.05
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$772.82
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$618.26
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$781.70
|
| Rate for Payer: UHC Core |
$741.73
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$666.23
|
|
|
HC BIOPSY VULVA PERINEUM ONE LESN
|
Facility
|
OP
|
$888.30
|
|
|
Service Code
|
CPT 56605
|
| Hospital Charge Code |
76100201
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$156.61 |
| Max. Negotiated Rate |
$799.47 |
| Rate for Payer: Aetna Commercial |
$755.05
|
| Rate for Payer: Aetna Medicare |
$230.96
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$277.59
|
| Rate for Payer: Amish Plain Church Group Commercial |
$277.59
|
| Rate for Payer: BCBS Complete |
$164.42
|
| Rate for Payer: BCBS MAPPO |
$222.07
|
| Rate for Payer: BCBS Trust/PPO |
$730.27
|
| Rate for Payer: BCN Commercial |
$730.27
|
| Rate for Payer: BCN Medicare Advantage |
$222.07
|
| Rate for Payer: Cash Price |
$710.64
|
| Rate for Payer: Cofinity Commercial |
$763.94
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$710.64
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$222.07
|
| Rate for Payer: Healthscope Commercial |
$799.47
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$666.23
|
| Rate for Payer: Mclaren Medicaid |
$156.61
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$233.18
|
| Rate for Payer: Meridian Medicaid |
$164.42
|
| Rate for Payer: MI Amish Medical Board Commercial |
$255.39
|
| Rate for Payer: Molina Medicare/Medicaid |
$244.28
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$755.05
|
| Rate for Payer: Nomi Health Commercial |
$728.41
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$666.23
|
| Rate for Payer: PACE Senior Care Partners |
$210.97
|
| Rate for Payer: PACE SWMI |
$222.07
|
| Rate for Payer: PHP Commercial |
$755.05
|
| Rate for Payer: PHP Medicare Advantage |
$222.07
|
| Rate for Payer: Priority Health Choice Medicaid |
$156.61
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$772.82
|
| Rate for Payer: Priority Health Medicare |
$224.30
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$618.26
|
| Rate for Payer: Railroad Medicare Medicare |
$222.07
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$781.70
|
| Rate for Payer: UHC Core |
$741.73
|
| Rate for Payer: UHC Exchange |
$222.07
|
| Rate for Payer: UHC Medicaid |
$156.61
|
| Rate for Payer: UHC Medicare Advantage |
$222.07
|
| Rate for Payer: UHCCP Medicaid |
$156.61
|
| Rate for Payer: VA VA |
$222.07
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$666.23
|
|
|
HC BIOTINIDASE
|
Facility
|
IP
|
$69.71
|
|
|
Service Code
|
CPT 82261
|
| Hospital Charge Code |
30100119
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$48.52 |
| Max. Negotiated Rate |
$62.74 |
| Rate for Payer: Aetna Commercial |
$59.25
|
| Rate for Payer: BCBS Trust/PPO |
$57.57
|
| Rate for Payer: BCN Commercial |
$57.57
|
| Rate for Payer: Cash Price |
$55.77
|
| Rate for Payer: Cofinity Commercial |
$59.95
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$55.77
|
| Rate for Payer: Healthscope Commercial |
$62.74
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$52.28
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$59.25
|
| Rate for Payer: Nomi Health Commercial |
$57.16
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$52.28
|
| Rate for Payer: PHP Commercial |
$59.25
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$60.65
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$48.52
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$61.34
|
| Rate for Payer: UHC Core |
$58.21
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$52.28
|
|
|
HC BIOTINIDASE
|
Facility
|
OP
|
$69.71
|
|
|
Service Code
|
CPT 82261
|
| Hospital Charge Code |
30100119
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$12.29 |
| Max. Negotiated Rate |
$62.74 |
| Rate for Payer: Aetna Commercial |
$59.25
|
| Rate for Payer: Aetna Medicare |
$18.12
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$21.78
|
| Rate for Payer: Amish Plain Church Group Commercial |
$21.78
|
| Rate for Payer: BCBS Complete |
$12.90
|
| Rate for Payer: BCBS MAPPO |
$17.43
|
| Rate for Payer: BCBS Trust/PPO |
$57.31
|
| Rate for Payer: BCN Commercial |
$57.31
|
| Rate for Payer: BCN Medicare Advantage |
$17.43
|
| Rate for Payer: Cash Price |
$55.77
|
| Rate for Payer: Cofinity Commercial |
$59.95
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$55.77
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$17.43
|
| Rate for Payer: Healthscope Commercial |
$62.74
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$52.28
|
| Rate for Payer: Mclaren Medicaid |
$12.29
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$18.30
|
| Rate for Payer: Meridian Medicaid |
$12.90
|
| Rate for Payer: MI Amish Medical Board Commercial |
$20.04
|
| Rate for Payer: Molina Medicare/Medicaid |
$19.17
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$59.25
|
| Rate for Payer: Nomi Health Commercial |
$57.16
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$52.28
|
| Rate for Payer: PACE Senior Care Partners |
$16.56
|
| Rate for Payer: PACE SWMI |
$17.43
|
| Rate for Payer: PHP Commercial |
$59.25
|
| Rate for Payer: PHP Medicare Advantage |
$17.43
|
| Rate for Payer: Priority Health Choice Medicaid |
$12.29
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$60.65
|
| Rate for Payer: Priority Health Medicare |
$17.60
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$48.52
|
| Rate for Payer: Railroad Medicare Medicare |
$17.43
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$61.34
|
| Rate for Payer: UHC Core |
$58.21
|
| Rate for Payer: UHC Exchange |
$17.43
|
| Rate for Payer: UHC Medicaid |
$12.29
|
| Rate for Payer: UHC Medicare Advantage |
$17.43
|
| Rate for Payer: UHCCP Medicaid |
$12.29
|
| Rate for Payer: VA VA |
$17.43
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$52.28
|
|
|
HC BIOTRONIK DUAL PACEMAKER
|
Facility
|
OP
|
$9,824.34
|
|
|
Service Code
|
HCPCS C1785
|
| Hospital Charge Code |
27500002
|
|
Hospital Revenue Code
|
275
|
| Min. Negotiated Rate |
$1,732.03 |
| Max. Negotiated Rate |
$8,841.91 |
| Rate for Payer: Aetna Commercial |
$8,350.69
|
| Rate for Payer: Aetna Medicare |
$2,554.33
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$3,070.11
|
| Rate for Payer: Amish Plain Church Group Commercial |
$3,070.11
|
| Rate for Payer: BCBS Complete |
$1,818.49
|
| Rate for Payer: BCBS MAPPO |
$2,456.09
|
| Rate for Payer: BCBS Trust/PPO |
$8,076.59
|
| Rate for Payer: BCN Commercial |
$8,076.59
|
| Rate for Payer: BCN Medicare Advantage |
$2,456.09
|
| Rate for Payer: Cash Price |
$7,859.47
|
| Rate for Payer: Cofinity Commercial |
$8,448.93
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$7,859.47
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,456.09
|
| Rate for Payer: Healthscope Commercial |
$8,841.91
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$7,368.26
|
| Rate for Payer: Mclaren Medicaid |
$1,732.03
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$2,578.89
|
| Rate for Payer: Meridian Medicaid |
$1,818.49
|
| Rate for Payer: MI Amish Medical Board Commercial |
$2,824.50
|
| Rate for Payer: Molina Medicare/Medicaid |
$2,701.69
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$8,350.69
|
| Rate for Payer: Nomi Health Commercial |
$8,055.96
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$7,368.26
|
| Rate for Payer: PACE Senior Care Partners |
$2,333.28
|
| Rate for Payer: PACE SWMI |
$2,456.09
|
| Rate for Payer: PHP Commercial |
$8,350.69
|
| Rate for Payer: PHP Medicare Advantage |
$2,456.09
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,732.03
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$8,547.18
|
| Rate for Payer: Priority Health Medicare |
$2,480.65
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$6,837.74
|
| Rate for Payer: Railroad Medicare Medicare |
$2,456.09
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$8,645.42
|
| Rate for Payer: UHC Core |
$8,203.32
|
| Rate for Payer: UHC Exchange |
$2,456.09
|
| Rate for Payer: UHC Medicaid |
$1,732.03
|
| Rate for Payer: UHC Medicare Advantage |
$2,456.09
|
| Rate for Payer: UHCCP Medicaid |
$1,732.03
|
| Rate for Payer: VA VA |
$2,456.09
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$7,368.26
|
|
|
HC BIOTRONIK DUAL PACEMAKER
|
Facility
|
IP
|
$9,824.34
|
|
|
Service Code
|
HCPCS C1785
|
| Hospital Charge Code |
27500002
|
|
Hospital Revenue Code
|
275
|
| Min. Negotiated Rate |
$6,837.74 |
| Max. Negotiated Rate |
$8,841.91 |
| Rate for Payer: Aetna Commercial |
$8,350.69
|
| Rate for Payer: BCBS Trust/PPO |
$8,113.92
|
| Rate for Payer: BCN Commercial |
$8,113.92
|
| Rate for Payer: Cash Price |
$7,859.47
|
| Rate for Payer: Cofinity Commercial |
$8,448.93
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$7,859.47
|
| Rate for Payer: Healthscope Commercial |
$8,841.91
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$7,368.26
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$8,350.69
|
| Rate for Payer: Nomi Health Commercial |
$8,055.96
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$7,368.26
|
| Rate for Payer: PHP Commercial |
$8,350.69
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$8,547.18
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$6,837.74
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$8,645.42
|
| Rate for Payer: UHC Core |
$8,203.32
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$7,368.26
|
|
|
HC BIPAL BIOPSY FORCEPS
|
Facility
|
OP
|
$1,792.06
|
|
| Hospital Charge Code |
27200113
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$315.94 |
| Max. Negotiated Rate |
$1,612.85 |
| Rate for Payer: Aetna Commercial |
$1,523.25
|
| Rate for Payer: Aetna Medicare |
$465.94
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$560.02
|
| Rate for Payer: Amish Plain Church Group Commercial |
$560.02
|
| Rate for Payer: BCBS Complete |
$331.71
|
| Rate for Payer: BCBS MAPPO |
$448.01
|
| Rate for Payer: BCBS Trust/PPO |
$1,473.25
|
| Rate for Payer: BCN Commercial |
$1,473.25
|
| Rate for Payer: BCN Medicare Advantage |
$448.01
|
| Rate for Payer: Cash Price |
$1,433.65
|
| Rate for Payer: Cofinity Commercial |
$1,541.17
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,433.65
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$448.01
|
| Rate for Payer: Healthscope Commercial |
$1,612.85
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,344.05
|
| Rate for Payer: Mclaren Medicaid |
$315.94
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$470.42
|
| Rate for Payer: Meridian Medicaid |
$331.71
|
| Rate for Payer: MI Amish Medical Board Commercial |
$515.22
|
| Rate for Payer: Molina Medicare/Medicaid |
$492.82
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,523.25
|
| Rate for Payer: Nomi Health Commercial |
$1,469.49
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,344.05
|
| Rate for Payer: PACE Senior Care Partners |
$425.61
|
| Rate for Payer: PACE SWMI |
$448.01
|
| Rate for Payer: PHP Commercial |
$1,523.25
|
| Rate for Payer: PHP Medicare Advantage |
$448.01
|
| Rate for Payer: Priority Health Choice Medicaid |
$315.94
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$1,559.09
|
| Rate for Payer: Priority Health Medicare |
$452.50
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,247.27
|
| Rate for Payer: Railroad Medicare Medicare |
$448.01
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,577.01
|
| Rate for Payer: UHC Core |
$1,496.37
|
| Rate for Payer: UHC Exchange |
$448.01
|
| Rate for Payer: UHC Medicaid |
$315.94
|
| Rate for Payer: UHC Medicare Advantage |
$448.01
|
| Rate for Payer: UHCCP Medicaid |
$315.94
|
| Rate for Payer: VA VA |
$448.01
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,344.05
|
|
|
HC BIPAL BIOPSY FORCEPS
|
Facility
|
IP
|
$1,792.06
|
|
| Hospital Charge Code |
27200113
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$1,247.27 |
| Max. Negotiated Rate |
$1,612.85 |
| Rate for Payer: Aetna Commercial |
$1,523.25
|
| Rate for Payer: BCBS Trust/PPO |
$1,480.06
|
| Rate for Payer: BCN Commercial |
$1,480.06
|
| Rate for Payer: Cash Price |
$1,433.65
|
| Rate for Payer: Cofinity Commercial |
$1,541.17
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,433.65
|
| Rate for Payer: Healthscope Commercial |
$1,612.85
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,344.05
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,523.25
|
| Rate for Payer: Nomi Health Commercial |
$1,469.49
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,344.05
|
| Rate for Payer: PHP Commercial |
$1,523.25
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$1,559.09
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,247.27
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,577.01
|
| Rate for Payer: UHC Core |
$1,496.37
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,344.05
|
|
|
HC BIPAP / CPAP PER DAY
|
Facility
|
IP
|
$892.61
|
|
|
Service Code
|
CPT 94660
|
| Hospital Charge Code |
41000008
|
|
Hospital Revenue Code
|
410
|
| Min. Negotiated Rate |
$621.26 |
| Max. Negotiated Rate |
$803.35 |
| Rate for Payer: Aetna Commercial |
$758.72
|
| Rate for Payer: BCBS Trust/PPO |
$737.21
|
| Rate for Payer: BCN Commercial |
$737.21
|
| Rate for Payer: Cash Price |
$714.09
|
| Rate for Payer: Cofinity Commercial |
$767.64
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$714.09
|
| Rate for Payer: Healthscope Commercial |
$803.35
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$669.46
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$758.72
|
| Rate for Payer: Nomi Health Commercial |
$731.94
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$669.46
|
| Rate for Payer: PHP Commercial |
$758.72
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$776.57
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$621.26
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$785.50
|
| Rate for Payer: UHC Core |
$745.33
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$669.46
|
|
