|
HC ARTHROCENTESIS MAJOR JOINT BIL W US GUIDE
|
Facility
|
IP
|
$1,228.76
|
|
|
Service Code
|
CPT 20611
|
| Hospital Charge Code |
36100455
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$798.69 |
| Max. Negotiated Rate |
$1,105.88 |
| Rate for Payer: Aetna Commercial |
$1,044.45
|
| Rate for Payer: BCBS Trust/PPO |
$1,003.04
|
| Rate for Payer: BCN Commercial |
$949.59
|
| Rate for Payer: Cash Price |
$983.01
|
| Rate for Payer: Cofinity Commercial |
$1,056.73
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$983.01
|
| Rate for Payer: Healthscope Commercial |
$1,105.88
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$921.57
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,044.45
|
| Rate for Payer: Nomi Health Commercial |
$1,007.58
|
| Rate for Payer: PHP Commercial |
$1,044.45
|
| Rate for Payer: Priority Health Cigna Priority Health |
$798.69
|
| Rate for Payer: Priority Health HMO/PPO |
$1,069.02
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$823.27
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,081.31
|
| Rate for Payer: UHC Core |
$1,026.01
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$921.57
|
|
|
HC ARTHROCENTESIS MAJOR JOINT W US GUIDE
|
Facility
|
OP
|
$1,141.09
|
|
|
Service Code
|
CPT 20611
|
| Hospital Charge Code |
36100454
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$213.42 |
| Max. Negotiated Rate |
$1,026.98 |
| Rate for Payer: Aetna Commercial |
$969.93
|
| Rate for Payer: Aetna Medicare |
$296.68
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$356.59
|
| Rate for Payer: Amish Plain Church Group Commercial |
$356.59
|
| Rate for Payer: BCBS Complete |
$224.11
|
| Rate for Payer: BCBS MAPPO |
$285.27
|
| Rate for Payer: BCBS Trust/PPO |
$938.09
|
| Rate for Payer: BCN Commercial |
$887.20
|
| Rate for Payer: BCN Medicare Advantage |
$285.27
|
| Rate for Payer: Cash Price |
$912.87
|
| Rate for Payer: Cash Price |
$912.87
|
| Rate for Payer: Cofinity Commercial |
$981.34
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$912.87
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$285.27
|
| Rate for Payer: Healthscope Commercial |
$1,026.98
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$855.82
|
| Rate for Payer: Mclaren Medicaid |
$213.42
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$299.54
|
| Rate for Payer: Meridian Medicaid |
$224.11
|
| Rate for Payer: MI Amish Medical Board Commercial |
$328.06
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$969.93
|
| Rate for Payer: Nomi Health Commercial |
$935.69
|
| Rate for Payer: PACE Senior Care Partners |
$271.01
|
| Rate for Payer: PACE SWMI |
$285.27
|
| Rate for Payer: PHP Commercial |
$969.93
|
| Rate for Payer: PHP Medicare Advantage |
$285.27
|
| Rate for Payer: Priority Health Choice Medicaid |
$213.42
|
| Rate for Payer: Priority Health Cigna Priority Health |
$741.71
|
| Rate for Payer: Priority Health HMO/PPO |
$992.75
|
| Rate for Payer: Priority Health Medicare |
$288.13
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$764.53
|
| Rate for Payer: Railroad Medicare Medicare |
$285.27
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,004.16
|
| Rate for Payer: UHC Core |
$952.81
|
| Rate for Payer: UHC Dual Complete DSNP |
$285.27
|
| Rate for Payer: UHC Exchange |
$285.27
|
| Rate for Payer: UHC Medicare Advantage |
$285.27
|
| Rate for Payer: UHCCP Medicaid |
$213.42
|
| Rate for Payer: VA VA |
$285.27
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$855.82
|
|
|
HC ARTHROCENTESIS MAJOR JOINT W US GUIDE
|
Facility
|
IP
|
$1,141.09
|
|
|
Service Code
|
CPT 20611
|
| Hospital Charge Code |
36100454
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$741.71 |
| Max. Negotiated Rate |
$1,026.98 |
| Rate for Payer: Aetna Commercial |
$969.93
|
| Rate for Payer: BCBS Trust/PPO |
$931.47
|
| Rate for Payer: BCN Commercial |
$881.83
|
| Rate for Payer: Cash Price |
$912.87
|
| Rate for Payer: Cofinity Commercial |
$981.34
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$912.87
|
| Rate for Payer: Healthscope Commercial |
$1,026.98
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$855.82
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$969.93
|
| Rate for Payer: Nomi Health Commercial |
$935.69
|
| Rate for Payer: PHP Commercial |
$969.93
|
| Rate for Payer: Priority Health Cigna Priority Health |
$741.71
|
| Rate for Payer: Priority Health HMO/PPO |
$992.75
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$764.53
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,004.16
|
| Rate for Payer: UHC Core |
$952.81
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$855.82
|
|
|
HC ARTHROCENTESIS SMALL JOINT
|
Facility
|
OP
|
$326.54
|
|
|
Service Code
|
CPT 20600
|
| Hospital Charge Code |
36100022
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$77.55 |
| Max. Negotiated Rate |
$293.89 |
| Rate for Payer: Aetna Commercial |
$277.56
|
| Rate for Payer: Aetna Medicare |
$84.90
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$102.04
|
| Rate for Payer: Amish Plain Church Group Commercial |
$102.04
|
| Rate for Payer: BCBS Complete |
$224.11
|
| Rate for Payer: BCBS MAPPO |
$81.64
|
| Rate for Payer: BCBS Trust/PPO |
$268.45
|
| Rate for Payer: BCN Commercial |
$253.88
|
| Rate for Payer: BCN Medicare Advantage |
$81.64
|
| Rate for Payer: Cash Price |
$261.23
|
| Rate for Payer: Cash Price |
$261.23
|
| Rate for Payer: Cofinity Commercial |
$280.82
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$261.23
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$81.64
|
| Rate for Payer: Healthscope Commercial |
$293.89
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$244.91
|
| Rate for Payer: Mclaren Medicaid |
$213.42
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$85.72
|
| Rate for Payer: Meridian Medicaid |
$224.11
|
| Rate for Payer: MI Amish Medical Board Commercial |
$93.88
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$277.56
|
| Rate for Payer: Nomi Health Commercial |
$267.76
|
| Rate for Payer: PACE Senior Care Partners |
$77.55
|
| Rate for Payer: PACE SWMI |
$81.64
|
| Rate for Payer: PHP Commercial |
$277.56
|
| Rate for Payer: PHP Medicare Advantage |
$81.64
|
| Rate for Payer: Priority Health Choice Medicaid |
$213.42
|
| Rate for Payer: Priority Health Cigna Priority Health |
$212.25
|
| Rate for Payer: Priority Health HMO/PPO |
$284.09
|
| Rate for Payer: Priority Health Medicare |
$82.45
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$218.78
|
| Rate for Payer: Railroad Medicare Medicare |
$81.64
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$287.36
|
| Rate for Payer: UHC Core |
$272.66
|
| Rate for Payer: UHC Dual Complete DSNP |
$81.64
|
| Rate for Payer: UHC Exchange |
$81.64
|
| Rate for Payer: UHC Medicare Advantage |
$81.64
|
| Rate for Payer: UHCCP Medicaid |
$213.42
|
| Rate for Payer: VA VA |
$81.64
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$244.91
|
|
|
HC ARTHROCENTESIS SMALL JOINT
|
Facility
|
IP
|
$326.54
|
|
|
Service Code
|
CPT 20600
|
| Hospital Charge Code |
36100022
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$212.25 |
| Max. Negotiated Rate |
$293.89 |
| Rate for Payer: Aetna Commercial |
$277.56
|
| Rate for Payer: BCBS Trust/PPO |
$266.55
|
| Rate for Payer: BCN Commercial |
$252.35
|
| Rate for Payer: Cash Price |
$261.23
|
| Rate for Payer: Cofinity Commercial |
$280.82
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$261.23
|
| Rate for Payer: Healthscope Commercial |
$293.89
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$244.91
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$277.56
|
| Rate for Payer: Nomi Health Commercial |
$267.76
|
| Rate for Payer: PHP Commercial |
$277.56
|
| Rate for Payer: Priority Health Cigna Priority Health |
$212.25
|
| Rate for Payer: Priority Health HMO/PPO |
$284.09
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$218.78
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$287.36
|
| Rate for Payer: UHC Core |
$272.66
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$244.91
|
|
|
HC ARTHROCENTESIS SMALL JOINT BIL W US GUIDE
|
Facility
|
OP
|
$1,182.42
|
|
|
Service Code
|
CPT 20604
|
| Hospital Charge Code |
36100459
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$213.42 |
| Max. Negotiated Rate |
$1,064.18 |
| Rate for Payer: Aetna Commercial |
$1,005.06
|
| Rate for Payer: Aetna Medicare |
$307.43
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$369.51
|
| Rate for Payer: Amish Plain Church Group Commercial |
$369.51
|
| Rate for Payer: BCBS Complete |
$224.11
|
| Rate for Payer: BCBS MAPPO |
$295.61
|
| Rate for Payer: BCBS Trust/PPO |
$972.07
|
| Rate for Payer: BCN Commercial |
$919.33
|
| Rate for Payer: BCN Medicare Advantage |
$295.61
|
| Rate for Payer: Cash Price |
$945.94
|
| Rate for Payer: Cash Price |
$945.94
|
| Rate for Payer: Cofinity Commercial |
$1,016.88
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$945.94
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$295.61
|
| Rate for Payer: Healthscope Commercial |
$1,064.18
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$886.82
|
| Rate for Payer: Mclaren Medicaid |
$213.42
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$310.39
|
| Rate for Payer: Meridian Medicaid |
$224.11
|
| Rate for Payer: MI Amish Medical Board Commercial |
$339.95
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,005.06
|
| Rate for Payer: Nomi Health Commercial |
$969.58
|
| Rate for Payer: PACE Senior Care Partners |
$280.82
|
| Rate for Payer: PACE SWMI |
$295.61
|
| Rate for Payer: PHP Commercial |
$1,005.06
|
| Rate for Payer: PHP Medicare Advantage |
$295.61
|
| Rate for Payer: Priority Health Choice Medicaid |
$213.42
|
| Rate for Payer: Priority Health Cigna Priority Health |
$768.57
|
| Rate for Payer: Priority Health HMO/PPO |
$1,028.71
|
| Rate for Payer: Priority Health Medicare |
$298.56
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$792.22
|
| Rate for Payer: Railroad Medicare Medicare |
$295.61
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,040.53
|
| Rate for Payer: UHC Core |
$987.32
|
| Rate for Payer: UHC Dual Complete DSNP |
$295.61
|
| Rate for Payer: UHC Exchange |
$295.61
|
| Rate for Payer: UHC Medicare Advantage |
$295.61
|
| Rate for Payer: UHCCP Medicaid |
$213.42
|
| Rate for Payer: VA VA |
$295.61
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$886.82
|
|
|
HC ARTHROCENTESIS SMALL JOINT BIL W US GUIDE
|
Facility
|
IP
|
$1,182.42
|
|
|
Service Code
|
CPT 20604
|
| Hospital Charge Code |
36100459
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$768.57 |
| Max. Negotiated Rate |
$1,064.18 |
| Rate for Payer: Aetna Commercial |
$1,005.06
|
| Rate for Payer: BCBS Trust/PPO |
$965.21
|
| Rate for Payer: BCN Commercial |
$913.77
|
| Rate for Payer: Cash Price |
$945.94
|
| Rate for Payer: Cofinity Commercial |
$1,016.88
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$945.94
|
| Rate for Payer: Healthscope Commercial |
$1,064.18
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$886.82
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,005.06
|
| Rate for Payer: Nomi Health Commercial |
$969.58
|
| Rate for Payer: PHP Commercial |
$1,005.06
|
| Rate for Payer: Priority Health Cigna Priority Health |
$768.57
|
| Rate for Payer: Priority Health HMO/PPO |
$1,028.71
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$792.22
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,040.53
|
| Rate for Payer: UHC Core |
$987.32
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$886.82
|
|
|
HC ARTHROCENTESIS SMALL JOINT W US GUIDE
|
Facility
|
IP
|
$1,004.56
|
|
|
Service Code
|
CPT 20604
|
| Hospital Charge Code |
36100458
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$652.96 |
| Max. Negotiated Rate |
$904.10 |
| Rate for Payer: Aetna Commercial |
$853.88
|
| Rate for Payer: BCBS Trust/PPO |
$820.02
|
| Rate for Payer: BCN Commercial |
$776.32
|
| Rate for Payer: Cash Price |
$803.65
|
| Rate for Payer: Cofinity Commercial |
$863.92
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$803.65
|
| Rate for Payer: Healthscope Commercial |
$904.10
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$753.42
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$853.88
|
| Rate for Payer: Nomi Health Commercial |
$823.74
|
| Rate for Payer: PHP Commercial |
$853.88
|
| Rate for Payer: Priority Health Cigna Priority Health |
$652.96
|
| Rate for Payer: Priority Health HMO/PPO |
$873.97
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$673.06
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$884.01
|
| Rate for Payer: UHC Core |
$838.81
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$753.42
|
|
|
HC ARTHROCENTESIS SMALL JOINT W US GUIDE
|
Facility
|
OP
|
$1,004.56
|
|
|
Service Code
|
CPT 20604
|
| Hospital Charge Code |
36100458
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$213.42 |
| Max. Negotiated Rate |
$904.10 |
| Rate for Payer: Aetna Commercial |
$853.88
|
| Rate for Payer: Aetna Medicare |
$261.19
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$313.93
|
| Rate for Payer: Amish Plain Church Group Commercial |
$313.93
|
| Rate for Payer: BCBS Complete |
$224.11
|
| Rate for Payer: BCBS MAPPO |
$251.14
|
| Rate for Payer: BCBS Trust/PPO |
$825.85
|
| Rate for Payer: BCN Commercial |
$781.05
|
| Rate for Payer: BCN Medicare Advantage |
$251.14
|
| Rate for Payer: Cash Price |
$803.65
|
| Rate for Payer: Cash Price |
$803.65
|
| Rate for Payer: Cofinity Commercial |
$863.92
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$803.65
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$251.14
|
| Rate for Payer: Healthscope Commercial |
$904.10
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$753.42
|
| Rate for Payer: Mclaren Medicaid |
$213.42
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$263.70
|
| Rate for Payer: Meridian Medicaid |
$224.11
|
| Rate for Payer: MI Amish Medical Board Commercial |
$288.81
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$853.88
|
| Rate for Payer: Nomi Health Commercial |
$823.74
|
| Rate for Payer: PACE Senior Care Partners |
$238.58
|
| Rate for Payer: PACE SWMI |
$251.14
|
| Rate for Payer: PHP Commercial |
$853.88
|
| Rate for Payer: PHP Medicare Advantage |
$251.14
|
| Rate for Payer: Priority Health Choice Medicaid |
$213.42
|
| Rate for Payer: Priority Health Cigna Priority Health |
$652.96
|
| Rate for Payer: Priority Health HMO/PPO |
$873.97
|
| Rate for Payer: Priority Health Medicare |
$253.65
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$673.06
|
| Rate for Payer: Railroad Medicare Medicare |
$251.14
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$884.01
|
| Rate for Payer: UHC Core |
$838.81
|
| Rate for Payer: UHC Dual Complete DSNP |
$251.14
|
| Rate for Payer: UHC Exchange |
$251.14
|
| Rate for Payer: UHC Medicare Advantage |
$251.14
|
| Rate for Payer: UHCCP Medicaid |
$213.42
|
| Rate for Payer: VA VA |
$251.14
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$753.42
|
|
|
HC ARTHROGRAM SACROILIAC
|
Facility
|
IP
|
$937.71
|
|
|
Service Code
|
CPT 27096
|
| Hospital Charge Code |
36100585
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$609.51 |
| Max. Negotiated Rate |
$843.94 |
| Rate for Payer: Aetna Commercial |
$797.05
|
| Rate for Payer: BCBS Trust/PPO |
$765.45
|
| Rate for Payer: BCN Commercial |
$724.66
|
| Rate for Payer: Cash Price |
$750.17
|
| Rate for Payer: Cofinity Commercial |
$806.43
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$750.17
|
| Rate for Payer: Healthscope Commercial |
$843.94
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$703.28
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$797.05
|
| Rate for Payer: Nomi Health Commercial |
$768.92
|
| Rate for Payer: PHP Commercial |
$797.05
|
| Rate for Payer: Priority Health Cigna Priority Health |
$609.51
|
| Rate for Payer: Priority Health HMO/PPO |
$815.81
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$628.27
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$825.18
|
| Rate for Payer: UHC Core |
$782.99
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$703.28
|
|
|
HC ARTHROGRAM SACROILIAC
|
Facility
|
OP
|
$937.71
|
|
|
Service Code
|
CPT 27096
|
| Hospital Charge Code |
36100585
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$222.71 |
| Max. Negotiated Rate |
$843.94 |
| Rate for Payer: Aetna Commercial |
$797.05
|
| Rate for Payer: Aetna Medicare |
$243.80
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$293.03
|
| Rate for Payer: Amish Plain Church Group Commercial |
$293.03
|
| Rate for Payer: BCBS Complete |
$375.08
|
| Rate for Payer: BCBS MAPPO |
$234.43
|
| Rate for Payer: BCBS Trust/PPO |
$770.89
|
| Rate for Payer: BCN Commercial |
$729.07
|
| Rate for Payer: BCN Medicare Advantage |
$234.43
|
| Rate for Payer: Cash Price |
$750.17
|
| Rate for Payer: Cofinity Commercial |
$806.43
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$750.17
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$234.43
|
| Rate for Payer: Healthscope Commercial |
$843.94
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$703.28
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$246.15
|
| Rate for Payer: MI Amish Medical Board Commercial |
$269.59
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$797.05
|
| Rate for Payer: Nomi Health Commercial |
$768.92
|
| Rate for Payer: PACE Senior Care Partners |
$222.71
|
| Rate for Payer: PACE SWMI |
$234.43
|
| Rate for Payer: PHP Commercial |
$797.05
|
| Rate for Payer: PHP Medicare Advantage |
$234.43
|
| Rate for Payer: Priority Health Cigna Priority Health |
$609.51
|
| Rate for Payer: Priority Health HMO/PPO |
$815.81
|
| Rate for Payer: Priority Health Medicare |
$236.77
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$628.27
|
| Rate for Payer: Railroad Medicare Medicare |
$234.43
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$825.18
|
| Rate for Payer: UHC Core |
$782.99
|
| Rate for Payer: UHC Dual Complete DSNP |
$234.43
|
| Rate for Payer: UHC Exchange |
$234.43
|
| Rate for Payer: UHC Medicare Advantage |
$234.43
|
| Rate for Payer: VA VA |
$234.43
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$703.28
|
|
|
HC ARTHROGRAM SACROILIAC BIL
|
Facility
|
IP
|
$1,068.81
|
|
|
Service Code
|
CPT 27096
|
| Hospital Charge Code |
36100586
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$694.73 |
| Max. Negotiated Rate |
$961.93 |
| Rate for Payer: Aetna Commercial |
$908.49
|
| Rate for Payer: BCBS Trust/PPO |
$872.47
|
| Rate for Payer: BCN Commercial |
$825.98
|
| Rate for Payer: Cash Price |
$855.05
|
| Rate for Payer: Cofinity Commercial |
$919.18
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$855.05
|
| Rate for Payer: Healthscope Commercial |
$961.93
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$801.61
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$908.49
|
| Rate for Payer: Nomi Health Commercial |
$876.42
|
| Rate for Payer: PHP Commercial |
$908.49
|
| Rate for Payer: Priority Health Cigna Priority Health |
$694.73
|
| Rate for Payer: Priority Health HMO/PPO |
$929.86
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$716.10
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$940.55
|
| Rate for Payer: UHC Core |
$892.46
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$801.61
|
|
|
HC ARTHROGRAM SACROILIAC BIL
|
Facility
|
OP
|
$1,068.81
|
|
|
Service Code
|
CPT 27096
|
| Hospital Charge Code |
36100586
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$253.84 |
| Max. Negotiated Rate |
$961.93 |
| Rate for Payer: Aetna Commercial |
$908.49
|
| Rate for Payer: Aetna Medicare |
$277.89
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$334.00
|
| Rate for Payer: Amish Plain Church Group Commercial |
$334.00
|
| Rate for Payer: BCBS Complete |
$427.52
|
| Rate for Payer: BCBS MAPPO |
$267.20
|
| Rate for Payer: BCBS Trust/PPO |
$878.67
|
| Rate for Payer: BCN Commercial |
$831.00
|
| Rate for Payer: BCN Medicare Advantage |
$267.20
|
| Rate for Payer: Cash Price |
$855.05
|
| Rate for Payer: Cofinity Commercial |
$919.18
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$855.05
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$267.20
|
| Rate for Payer: Healthscope Commercial |
$961.93
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$801.61
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$280.56
|
| Rate for Payer: MI Amish Medical Board Commercial |
$307.28
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$908.49
|
| Rate for Payer: Nomi Health Commercial |
$876.42
|
| Rate for Payer: PACE Senior Care Partners |
$253.84
|
| Rate for Payer: PACE SWMI |
$267.20
|
| Rate for Payer: PHP Commercial |
$908.49
|
| Rate for Payer: PHP Medicare Advantage |
$267.20
|
| Rate for Payer: Priority Health Cigna Priority Health |
$694.73
|
| Rate for Payer: Priority Health HMO/PPO |
$929.86
|
| Rate for Payer: Priority Health Medicare |
$269.87
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$716.10
|
| Rate for Payer: Railroad Medicare Medicare |
$267.20
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$940.55
|
| Rate for Payer: UHC Core |
$892.46
|
| Rate for Payer: UHC Dual Complete DSNP |
$267.20
|
| Rate for Payer: UHC Exchange |
$267.20
|
| Rate for Payer: UHC Medicare Advantage |
$267.20
|
| Rate for Payer: VA VA |
$267.20
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$801.61
|
|
|
HC ARTHROTOMY W/EXP, DRAIN, REMOVAL FB METACARPOPHALANGEAL JT EACH
|
Facility
|
OP
|
$1,816.86
|
|
|
Service Code
|
CPT 26075
|
| Hospital Charge Code |
76100135
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$431.50 |
| Max. Negotiated Rate |
$2,463.31 |
| Rate for Payer: Aetna Commercial |
$1,544.33
|
| Rate for Payer: Aetna Medicare |
$472.38
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$567.77
|
| Rate for Payer: Amish Plain Church Group Commercial |
$567.77
|
| Rate for Payer: BCBS Complete |
$2,463.31
|
| Rate for Payer: BCBS MAPPO |
$454.21
|
| Rate for Payer: BCBS Trust/PPO |
$1,493.64
|
| Rate for Payer: BCN Commercial |
$1,412.61
|
| Rate for Payer: BCN Medicare Advantage |
$454.21
|
| Rate for Payer: Cash Price |
$1,453.49
|
| Rate for Payer: Cash Price |
$1,453.49
|
| Rate for Payer: Cofinity Commercial |
$1,562.50
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,453.49
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$454.21
|
| Rate for Payer: Healthscope Commercial |
$1,635.17
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,362.64
|
| Rate for Payer: Mclaren Medicaid |
$2,345.85
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$476.93
|
| Rate for Payer: Meridian Medicaid |
$2,463.31
|
| Rate for Payer: MI Amish Medical Board Commercial |
$522.35
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,544.33
|
| Rate for Payer: Nomi Health Commercial |
$1,489.83
|
| Rate for Payer: PACE Senior Care Partners |
$431.50
|
| Rate for Payer: PACE SWMI |
$454.21
|
| Rate for Payer: PHP Commercial |
$1,544.33
|
| Rate for Payer: PHP Medicare Advantage |
$454.21
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,345.85
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,180.96
|
| Rate for Payer: Priority Health HMO/PPO |
$1,580.67
|
| Rate for Payer: Priority Health Medicare |
$458.76
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,217.30
|
| Rate for Payer: Railroad Medicare Medicare |
$454.21
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,598.84
|
| Rate for Payer: UHC Core |
$1,517.08
|
| Rate for Payer: UHC Dual Complete DSNP |
$454.21
|
| Rate for Payer: UHC Exchange |
$454.21
|
| Rate for Payer: UHC Medicare Advantage |
$454.21
|
| Rate for Payer: UHCCP Medicaid |
$2,345.85
|
| Rate for Payer: VA VA |
$454.21
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,362.64
|
|
|
HC ARTHROTOMY W/EXP, DRAIN, REMOVAL FB METACARPOPHALANGEAL JT EACH
|
Facility
|
IP
|
$1,816.86
|
|
|
Service Code
|
CPT 26075
|
| Hospital Charge Code |
76100135
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$1,180.96 |
| Max. Negotiated Rate |
$1,635.17 |
| Rate for Payer: Aetna Commercial |
$1,544.33
|
| Rate for Payer: BCBS Trust/PPO |
$1,483.10
|
| Rate for Payer: BCN Commercial |
$1,404.07
|
| Rate for Payer: Cash Price |
$1,453.49
|
| Rate for Payer: Cofinity Commercial |
$1,562.50
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,453.49
|
| Rate for Payer: Healthscope Commercial |
$1,635.17
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,362.64
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,544.33
|
| Rate for Payer: Nomi Health Commercial |
$1,489.83
|
| Rate for Payer: PHP Commercial |
$1,544.33
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,180.96
|
| Rate for Payer: Priority Health HMO/PPO |
$1,580.67
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,217.30
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,598.84
|
| Rate for Payer: UHC Core |
$1,517.08
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,362.64
|
|
|
HC ARTHRT EXPL DRAIN RMV FOREIGN BODY FINGER JT
|
Facility
|
OP
|
$4,096.99
|
|
|
Service Code
|
CPT 26080
|
| Hospital Charge Code |
76100373
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$973.04 |
| Max. Negotiated Rate |
$3,687.29 |
| Rate for Payer: Aetna Commercial |
$3,482.44
|
| Rate for Payer: Aetna Medicare |
$1,065.22
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,280.31
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1,280.31
|
| Rate for Payer: BCBS Complete |
$1,215.03
|
| Rate for Payer: BCBS MAPPO |
$1,024.25
|
| Rate for Payer: BCBS Trust/PPO |
$3,368.14
|
| Rate for Payer: BCN Commercial |
$3,185.41
|
| Rate for Payer: BCN Medicare Advantage |
$1,024.25
|
| Rate for Payer: Cash Price |
$3,277.59
|
| Rate for Payer: Cash Price |
$3,277.59
|
| Rate for Payer: Cofinity Commercial |
$3,523.41
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,277.59
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,024.25
|
| Rate for Payer: Healthscope Commercial |
$3,687.29
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$3,072.74
|
| Rate for Payer: Mclaren Medicaid |
$1,157.10
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,075.46
|
| Rate for Payer: Meridian Medicaid |
$1,215.03
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,177.88
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,482.44
|
| Rate for Payer: Nomi Health Commercial |
$3,359.53
|
| Rate for Payer: PACE Senior Care Partners |
$973.04
|
| Rate for Payer: PACE SWMI |
$1,024.25
|
| Rate for Payer: PHP Commercial |
$3,482.44
|
| Rate for Payer: PHP Medicare Advantage |
$1,024.25
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,157.10
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,663.04
|
| Rate for Payer: Priority Health HMO/PPO |
$3,564.38
|
| Rate for Payer: Priority Health Medicare |
$1,034.49
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,744.98
|
| Rate for Payer: Railroad Medicare Medicare |
$1,024.25
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$3,605.35
|
| Rate for Payer: UHC Core |
$3,420.99
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,024.25
|
| Rate for Payer: UHC Exchange |
$1,024.25
|
| Rate for Payer: UHC Medicare Advantage |
$1,024.25
|
| Rate for Payer: UHCCP Medicaid |
$1,157.10
|
| Rate for Payer: VA VA |
$1,024.25
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$3,072.74
|
|
|
HC ARTHRT EXPL DRAIN RMV FOREIGN BODY FINGER JT
|
Facility
|
IP
|
$4,096.99
|
|
|
Service Code
|
CPT 26080
|
| Hospital Charge Code |
76100373
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$2,663.04 |
| Max. Negotiated Rate |
$3,687.29 |
| Rate for Payer: Aetna Commercial |
$3,482.44
|
| Rate for Payer: BCBS Trust/PPO |
$3,344.37
|
| Rate for Payer: BCN Commercial |
$3,166.15
|
| Rate for Payer: Cash Price |
$3,277.59
|
| Rate for Payer: Cofinity Commercial |
$3,523.41
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,277.59
|
| Rate for Payer: Healthscope Commercial |
$3,687.29
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$3,072.74
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,482.44
|
| Rate for Payer: Nomi Health Commercial |
$3,359.53
|
| Rate for Payer: PHP Commercial |
$3,482.44
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,663.04
|
| Rate for Payer: Priority Health HMO/PPO |
$3,564.38
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,744.98
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$3,605.35
|
| Rate for Payer: UHC Core |
$3,420.99
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$3,072.74
|
|
|
HC ART IMG UNILAT LOWER EXTREMITY
|
Facility
|
IP
|
$922.21
|
|
|
Service Code
|
CPT 93926
|
| Hospital Charge Code |
92100012
|
|
Hospital Revenue Code
|
921
|
| Min. Negotiated Rate |
$599.44 |
| Max. Negotiated Rate |
$829.99 |
| Rate for Payer: Aetna Commercial |
$783.88
|
| Rate for Payer: BCBS Trust/PPO |
$752.80
|
| Rate for Payer: BCN Commercial |
$712.68
|
| Rate for Payer: Cash Price |
$737.77
|
| Rate for Payer: Cofinity Commercial |
$793.10
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$737.77
|
| Rate for Payer: Healthscope Commercial |
$829.99
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$691.66
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$783.88
|
| Rate for Payer: Nomi Health Commercial |
$756.21
|
| Rate for Payer: PHP Commercial |
$783.88
|
| Rate for Payer: Priority Health Cigna Priority Health |
$599.44
|
| Rate for Payer: Priority Health HMO/PPO |
$802.32
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$617.88
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$811.54
|
| Rate for Payer: UHC Core |
$770.05
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$691.66
|
|
|
HC ART IMG UNILAT LOWER EXTREMITY
|
Facility
|
OP
|
$922.21
|
|
|
Service Code
|
CPT 93926
|
| Hospital Charge Code |
92100012
|
|
Hospital Revenue Code
|
921
|
| Min. Negotiated Rate |
$76.88 |
| Max. Negotiated Rate |
$829.99 |
| Rate for Payer: Aetna Commercial |
$783.88
|
| Rate for Payer: Aetna Medicare |
$239.77
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$288.19
|
| Rate for Payer: Amish Plain Church Group Commercial |
$288.19
|
| Rate for Payer: BCBS Complete |
$80.73
|
| Rate for Payer: BCBS MAPPO |
$230.55
|
| Rate for Payer: BCBS Trust/PPO |
$758.15
|
| Rate for Payer: BCN Commercial |
$717.02
|
| Rate for Payer: BCN Medicare Advantage |
$230.55
|
| Rate for Payer: Cash Price |
$737.77
|
| Rate for Payer: Cash Price |
$737.77
|
| Rate for Payer: Cofinity Commercial |
$793.10
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$737.77
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$230.55
|
| Rate for Payer: Healthscope Commercial |
$829.99
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$691.66
|
| Rate for Payer: Mclaren Medicaid |
$76.88
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$242.08
|
| Rate for Payer: Meridian Medicaid |
$80.73
|
| Rate for Payer: MI Amish Medical Board Commercial |
$265.14
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$783.88
|
| Rate for Payer: Nomi Health Commercial |
$756.21
|
| Rate for Payer: PACE Senior Care Partners |
$219.02
|
| Rate for Payer: PACE SWMI |
$230.55
|
| Rate for Payer: PHP Commercial |
$783.88
|
| Rate for Payer: PHP Medicare Advantage |
$230.55
|
| Rate for Payer: Priority Health Choice Medicaid |
$76.88
|
| Rate for Payer: Priority Health Cigna Priority Health |
$599.44
|
| Rate for Payer: Priority Health HMO/PPO |
$802.32
|
| Rate for Payer: Priority Health Medicare |
$232.86
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$617.88
|
| Rate for Payer: Railroad Medicare Medicare |
$230.55
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$811.54
|
| Rate for Payer: UHC Core |
$770.05
|
| Rate for Payer: UHC Dual Complete DSNP |
$230.55
|
| Rate for Payer: UHC Exchange |
$230.55
|
| Rate for Payer: UHC Medicare Advantage |
$230.55
|
| Rate for Payer: UHCCP Medicaid |
$76.88
|
| Rate for Payer: VA VA |
$230.55
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$691.66
|
|
|
HC ART IMG UNILAT UPPER EXTREM
|
Facility
|
OP
|
$756.35
|
|
|
Service Code
|
CPT 93931
|
| Hospital Charge Code |
92100009
|
|
Hospital Revenue Code
|
921
|
| Min. Negotiated Rate |
$76.88 |
| Max. Negotiated Rate |
$680.72 |
| Rate for Payer: Aetna Commercial |
$642.90
|
| Rate for Payer: Aetna Medicare |
$196.65
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$236.36
|
| Rate for Payer: Amish Plain Church Group Commercial |
$236.36
|
| Rate for Payer: BCBS Complete |
$80.73
|
| Rate for Payer: BCBS MAPPO |
$189.09
|
| Rate for Payer: BCBS Trust/PPO |
$621.80
|
| Rate for Payer: BCN Commercial |
$588.06
|
| Rate for Payer: BCN Medicare Advantage |
$189.09
|
| Rate for Payer: Cash Price |
$605.08
|
| Rate for Payer: Cash Price |
$605.08
|
| Rate for Payer: Cofinity Commercial |
$650.46
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$605.08
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$189.09
|
| Rate for Payer: Healthscope Commercial |
$680.72
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$567.26
|
| Rate for Payer: Mclaren Medicaid |
$76.88
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$198.54
|
| Rate for Payer: Meridian Medicaid |
$80.73
|
| Rate for Payer: MI Amish Medical Board Commercial |
$217.45
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$642.90
|
| Rate for Payer: Nomi Health Commercial |
$620.21
|
| Rate for Payer: PACE Senior Care Partners |
$179.63
|
| Rate for Payer: PACE SWMI |
$189.09
|
| Rate for Payer: PHP Commercial |
$642.90
|
| Rate for Payer: PHP Medicare Advantage |
$189.09
|
| Rate for Payer: Priority Health Choice Medicaid |
$76.88
|
| Rate for Payer: Priority Health Cigna Priority Health |
$491.63
|
| Rate for Payer: Priority Health HMO/PPO |
$658.02
|
| Rate for Payer: Priority Health Medicare |
$190.98
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$506.75
|
| Rate for Payer: Railroad Medicare Medicare |
$189.09
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$665.59
|
| Rate for Payer: UHC Core |
$631.55
|
| Rate for Payer: UHC Dual Complete DSNP |
$189.09
|
| Rate for Payer: UHC Exchange |
$189.09
|
| Rate for Payer: UHC Medicare Advantage |
$189.09
|
| Rate for Payer: UHCCP Medicaid |
$76.88
|
| Rate for Payer: VA VA |
$189.09
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$567.26
|
|
|
HC ART IMG UNILAT UPPER EXTREM
|
Facility
|
IP
|
$756.35
|
|
|
Service Code
|
CPT 93931
|
| Hospital Charge Code |
92100009
|
|
Hospital Revenue Code
|
921
|
| Min. Negotiated Rate |
$491.63 |
| Max. Negotiated Rate |
$680.72 |
| Rate for Payer: Aetna Commercial |
$642.90
|
| Rate for Payer: BCBS Trust/PPO |
$617.41
|
| Rate for Payer: BCN Commercial |
$584.51
|
| Rate for Payer: Cash Price |
$605.08
|
| Rate for Payer: Cofinity Commercial |
$650.46
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$605.08
|
| Rate for Payer: Healthscope Commercial |
$680.72
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$567.26
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$642.90
|
| Rate for Payer: Nomi Health Commercial |
$620.21
|
| Rate for Payer: PHP Commercial |
$642.90
|
| Rate for Payer: Priority Health Cigna Priority Health |
$491.63
|
| Rate for Payer: Priority Health HMO/PPO |
$658.02
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$506.75
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$665.59
|
| Rate for Payer: UHC Core |
$631.55
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$567.26
|
|
|
HC ART&VEN TRANSCATH THROMBOLYSIS
|
Facility
|
OP
|
$4,644.53
|
|
|
Service Code
|
CPT 37213
|
| Hospital Charge Code |
36100373
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$1,103.08 |
| Max. Negotiated Rate |
$4,180.08 |
| Rate for Payer: Aetna Commercial |
$3,947.85
|
| Rate for Payer: Aetna Medicare |
$1,207.58
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,451.42
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1,451.42
|
| Rate for Payer: BCBS Complete |
$2,389.58
|
| Rate for Payer: BCBS MAPPO |
$1,161.13
|
| Rate for Payer: BCBS Trust/PPO |
$3,818.27
|
| Rate for Payer: BCN Commercial |
$3,611.12
|
| Rate for Payer: BCN Medicare Advantage |
$1,161.13
|
| Rate for Payer: Cash Price |
$3,715.62
|
| Rate for Payer: Cash Price |
$3,715.62
|
| Rate for Payer: Cofinity Commercial |
$3,994.30
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,715.62
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,161.13
|
| Rate for Payer: Healthscope Commercial |
$4,180.08
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$3,483.40
|
| Rate for Payer: Mclaren Medicaid |
$2,275.64
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,219.19
|
| Rate for Payer: Meridian Medicaid |
$2,389.58
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,335.30
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,947.85
|
| Rate for Payer: Nomi Health Commercial |
$3,808.51
|
| Rate for Payer: PACE Senior Care Partners |
$1,103.08
|
| Rate for Payer: PACE SWMI |
$1,161.13
|
| Rate for Payer: PHP Commercial |
$3,947.85
|
| Rate for Payer: PHP Medicare Advantage |
$1,161.13
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,275.64
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3,018.94
|
| Rate for Payer: Priority Health HMO/PPO |
$4,040.74
|
| Rate for Payer: Priority Health Medicare |
$1,172.74
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$3,111.84
|
| Rate for Payer: Railroad Medicare Medicare |
$1,161.13
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$4,087.19
|
| Rate for Payer: UHC Core |
$3,878.18
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,161.13
|
| Rate for Payer: UHC Exchange |
$1,161.13
|
| Rate for Payer: UHC Medicare Advantage |
$1,161.13
|
| Rate for Payer: UHCCP Medicaid |
$2,275.64
|
| Rate for Payer: VA VA |
$1,161.13
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$3,483.40
|
|
|
HC ART&VEN TRANSCATH THROMBOLYSIS
|
Facility
|
IP
|
$4,644.53
|
|
|
Service Code
|
CPT 37213
|
| Hospital Charge Code |
36100373
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$3,018.94 |
| Max. Negotiated Rate |
$4,180.08 |
| Rate for Payer: Aetna Commercial |
$3,947.85
|
| Rate for Payer: BCBS Trust/PPO |
$3,791.33
|
| Rate for Payer: BCN Commercial |
$3,589.29
|
| Rate for Payer: Cash Price |
$3,715.62
|
| Rate for Payer: Cofinity Commercial |
$3,994.30
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,715.62
|
| Rate for Payer: Healthscope Commercial |
$4,180.08
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$3,483.40
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,947.85
|
| Rate for Payer: Nomi Health Commercial |
$3,808.51
|
| Rate for Payer: PHP Commercial |
$3,947.85
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3,018.94
|
| Rate for Payer: Priority Health HMO/PPO |
$4,040.74
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$3,111.84
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$4,087.19
|
| Rate for Payer: UHC Core |
$3,878.18
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$3,483.40
|
|
|
HC ASMT VERTEBRAL FX VIA DXA
|
Facility
|
IP
|
$195.66
|
|
|
Service Code
|
CPT 77086
|
| Hospital Charge Code |
32000302
|
|
Hospital Revenue Code
|
320
|
| Min. Negotiated Rate |
$127.18 |
| Max. Negotiated Rate |
$176.09 |
| Rate for Payer: Aetna Commercial |
$166.31
|
| Rate for Payer: BCBS Trust/PPO |
$159.72
|
| Rate for Payer: BCN Commercial |
$151.21
|
| Rate for Payer: Cash Price |
$156.53
|
| Rate for Payer: Cofinity Commercial |
$168.27
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$156.53
|
| Rate for Payer: Healthscope Commercial |
$176.09
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$146.75
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$166.31
|
| Rate for Payer: Nomi Health Commercial |
$160.44
|
| Rate for Payer: PHP Commercial |
$166.31
|
| Rate for Payer: Priority Health Cigna Priority Health |
$127.18
|
| Rate for Payer: Priority Health HMO/PPO |
$170.22
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$131.09
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$172.18
|
| Rate for Payer: UHC Core |
$163.38
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$146.75
|
|
|
HC ASMT VERTEBRAL FX VIA DXA
|
Facility
|
OP
|
$195.66
|
|
|
Service Code
|
CPT 77086
|
| Hospital Charge Code |
32000302
|
|
Hospital Revenue Code
|
320
|
| Min. Negotiated Rate |
$46.47 |
| Max. Negotiated Rate |
$176.09 |
| Rate for Payer: Aetna Commercial |
$166.31
|
| Rate for Payer: Aetna Medicare |
$50.87
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$61.14
|
| Rate for Payer: Amish Plain Church Group Commercial |
$61.14
|
| Rate for Payer: BCBS Complete |
$66.85
|
| Rate for Payer: BCBS MAPPO |
$48.91
|
| Rate for Payer: BCBS Trust/PPO |
$160.85
|
| Rate for Payer: BCN Commercial |
$152.13
|
| Rate for Payer: BCN Medicare Advantage |
$48.91
|
| Rate for Payer: Cash Price |
$156.53
|
| Rate for Payer: Cash Price |
$156.53
|
| Rate for Payer: Cofinity Commercial |
$168.27
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$156.53
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$48.91
|
| Rate for Payer: Healthscope Commercial |
$176.09
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$146.75
|
| Rate for Payer: Mclaren Medicaid |
$63.66
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$51.36
|
| Rate for Payer: Meridian Medicaid |
$66.85
|
| Rate for Payer: MI Amish Medical Board Commercial |
$56.25
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$166.31
|
| Rate for Payer: Nomi Health Commercial |
$160.44
|
| Rate for Payer: PACE Senior Care Partners |
$46.47
|
| Rate for Payer: PACE SWMI |
$48.91
|
| Rate for Payer: PHP Commercial |
$166.31
|
| Rate for Payer: PHP Medicare Advantage |
$48.91
|
| Rate for Payer: Priority Health Choice Medicaid |
$63.66
|
| Rate for Payer: Priority Health Cigna Priority Health |
$127.18
|
| Rate for Payer: Priority Health HMO/PPO |
$170.22
|
| Rate for Payer: Priority Health Medicare |
$49.40
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$131.09
|
| Rate for Payer: Railroad Medicare Medicare |
$48.91
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$172.18
|
| Rate for Payer: UHC Core |
$163.38
|
| Rate for Payer: UHC Dual Complete DSNP |
$48.91
|
| Rate for Payer: UHC Exchange |
$48.91
|
| Rate for Payer: UHC Medicare Advantage |
$48.91
|
| Rate for Payer: UHCCP Medicaid |
$63.66
|
| Rate for Payer: VA VA |
$48.91
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$146.75
|
|
