|
HC BILL ONLY URINE DRUG SCR8 MAN
|
Facility
|
OP
|
$45.78
|
|
|
Service Code
|
CPT 80305
|
| Hospital Charge Code |
30000135
|
|
Hospital Revenue Code
|
300
|
| Min. Negotiated Rate |
$9.11 |
| Max. Negotiated Rate |
$41.20 |
| Rate for Payer: Aetna Commercial |
$38.91
|
| Rate for Payer: Aetna Medicare |
$11.90
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$14.31
|
| Rate for Payer: Amish Plain Church Group Commercial |
$14.31
|
| Rate for Payer: BCBS Complete |
$9.57
|
| Rate for Payer: BCBS MAPPO |
$11.44
|
| Rate for Payer: BCBS Trust/PPO |
$37.64
|
| Rate for Payer: BCN Commercial |
$35.59
|
| Rate for Payer: BCN Medicare Advantage |
$11.44
|
| Rate for Payer: Cash Price |
$36.62
|
| Rate for Payer: Cash Price |
$36.62
|
| Rate for Payer: Cofinity Commercial |
$39.37
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$36.62
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$11.44
|
| Rate for Payer: Healthscope Commercial |
$41.20
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$34.34
|
| Rate for Payer: Mclaren Medicaid |
$9.11
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$12.02
|
| Rate for Payer: Meridian Medicaid |
$9.57
|
| Rate for Payer: MI Amish Medical Board Commercial |
$13.16
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$38.91
|
| Rate for Payer: Nomi Health Commercial |
$37.54
|
| Rate for Payer: PACE Senior Care Partners |
$10.87
|
| Rate for Payer: PACE SWMI |
$11.44
|
| Rate for Payer: PHP Commercial |
$38.91
|
| Rate for Payer: PHP Medicare Advantage |
$11.44
|
| Rate for Payer: Priority Health Choice Medicaid |
$9.11
|
| Rate for Payer: Priority Health Cigna Priority Health |
$29.76
|
| Rate for Payer: Priority Health HMO/PPO |
$39.83
|
| Rate for Payer: Priority Health Medicare |
$11.56
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$30.67
|
| Rate for Payer: Railroad Medicare Medicare |
$11.44
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$40.29
|
| Rate for Payer: UHC Core |
$38.23
|
| Rate for Payer: UHC Dual Complete DSNP |
$11.44
|
| Rate for Payer: UHC Exchange |
$11.44
|
| Rate for Payer: UHC Medicare Advantage |
$11.44
|
| Rate for Payer: UHCCP Medicaid |
$9.11
|
| Rate for Payer: VA VA |
$11.44
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$34.34
|
|
|
HC BILL ONLY URINE DRUG SCR AUTO
|
Facility
|
OP
|
$101.95
|
|
|
Service Code
|
CPT 80307
|
| Hospital Charge Code |
30000142
|
|
Hospital Revenue Code
|
300
|
| Min. Negotiated Rate |
$24.21 |
| Max. Negotiated Rate |
$91.76 |
| Rate for Payer: Aetna Commercial |
$86.66
|
| Rate for Payer: Aetna Medicare |
$26.51
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$31.86
|
| Rate for Payer: Amish Plain Church Group Commercial |
$31.86
|
| Rate for Payer: BCBS Complete |
$47.18
|
| Rate for Payer: BCBS MAPPO |
$25.49
|
| Rate for Payer: BCBS Trust/PPO |
$83.81
|
| Rate for Payer: BCN Commercial |
$79.27
|
| Rate for Payer: BCN Medicare Advantage |
$25.49
|
| Rate for Payer: Cash Price |
$81.56
|
| Rate for Payer: Cash Price |
$81.56
|
| Rate for Payer: Cofinity Commercial |
$87.68
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$81.56
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$25.49
|
| Rate for Payer: Healthscope Commercial |
$91.76
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$76.46
|
| Rate for Payer: Mclaren Medicaid |
$44.93
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$26.76
|
| Rate for Payer: Meridian Medicaid |
$47.18
|
| Rate for Payer: MI Amish Medical Board Commercial |
$29.31
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$86.66
|
| Rate for Payer: Nomi Health Commercial |
$83.60
|
| Rate for Payer: PACE Senior Care Partners |
$24.21
|
| Rate for Payer: PACE SWMI |
$25.49
|
| Rate for Payer: PHP Commercial |
$86.66
|
| Rate for Payer: PHP Medicare Advantage |
$25.49
|
| Rate for Payer: Priority Health Choice Medicaid |
$44.93
|
| Rate for Payer: Priority Health Cigna Priority Health |
$66.27
|
| Rate for Payer: Priority Health HMO/PPO |
$88.70
|
| Rate for Payer: Priority Health Medicare |
$25.74
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$68.31
|
| Rate for Payer: Railroad Medicare Medicare |
$25.49
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$89.72
|
| Rate for Payer: UHC Core |
$85.13
|
| Rate for Payer: UHC Dual Complete DSNP |
$25.49
|
| Rate for Payer: UHC Exchange |
$25.49
|
| Rate for Payer: UHC Medicare Advantage |
$25.49
|
| Rate for Payer: UHCCP Medicaid |
$44.93
|
| Rate for Payer: VA VA |
$25.49
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$76.46
|
|
|
HC BILL ONLY URINE DRUG SCR AUTO
|
Facility
|
IP
|
$101.95
|
|
|
Service Code
|
CPT 80307
|
| Hospital Charge Code |
30000142
|
|
Hospital Revenue Code
|
300
|
| Min. Negotiated Rate |
$66.27 |
| Max. Negotiated Rate |
$91.76 |
| Rate for Payer: Aetna Commercial |
$86.66
|
| Rate for Payer: BCBS Trust/PPO |
$83.22
|
| Rate for Payer: BCN Commercial |
$78.79
|
| Rate for Payer: Cash Price |
$81.56
|
| Rate for Payer: Cofinity Commercial |
$87.68
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$81.56
|
| Rate for Payer: Healthscope Commercial |
$91.76
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$76.46
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$86.66
|
| Rate for Payer: Nomi Health Commercial |
$83.60
|
| Rate for Payer: PHP Commercial |
$86.66
|
| Rate for Payer: Priority Health Cigna Priority Health |
$66.27
|
| Rate for Payer: Priority Health HMO/PPO |
$88.70
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$68.31
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$89.72
|
| Rate for Payer: UHC Core |
$85.13
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$76.46
|
|
|
HC BILL ONLY URINE DRUG SCR MAN
|
Facility
|
IP
|
$45.78
|
|
|
Service Code
|
CPT 80305
|
| Hospital Charge Code |
30000143
|
|
Hospital Revenue Code
|
300
|
| Min. Negotiated Rate |
$29.76 |
| Max. Negotiated Rate |
$41.20 |
| Rate for Payer: Aetna Commercial |
$38.91
|
| Rate for Payer: BCBS Trust/PPO |
$37.37
|
| Rate for Payer: BCN Commercial |
$35.38
|
| Rate for Payer: Cash Price |
$36.62
|
| Rate for Payer: Cofinity Commercial |
$39.37
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$36.62
|
| Rate for Payer: Healthscope Commercial |
$41.20
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$34.34
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$38.91
|
| Rate for Payer: Nomi Health Commercial |
$37.54
|
| Rate for Payer: PHP Commercial |
$38.91
|
| Rate for Payer: Priority Health Cigna Priority Health |
$29.76
|
| Rate for Payer: Priority Health HMO/PPO |
$39.83
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$30.67
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$40.29
|
| Rate for Payer: UHC Core |
$38.23
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$34.34
|
|
|
HC BILL ONLY URINE DRUG SCR MAN
|
Facility
|
OP
|
$45.78
|
|
|
Service Code
|
CPT 80305
|
| Hospital Charge Code |
30000143
|
|
Hospital Revenue Code
|
300
|
| Min. Negotiated Rate |
$9.11 |
| Max. Negotiated Rate |
$41.20 |
| Rate for Payer: Aetna Commercial |
$38.91
|
| Rate for Payer: Aetna Medicare |
$11.90
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$14.31
|
| Rate for Payer: Amish Plain Church Group Commercial |
$14.31
|
| Rate for Payer: BCBS Complete |
$9.57
|
| Rate for Payer: BCBS MAPPO |
$11.44
|
| Rate for Payer: BCBS Trust/PPO |
$37.64
|
| Rate for Payer: BCN Commercial |
$35.59
|
| Rate for Payer: BCN Medicare Advantage |
$11.44
|
| Rate for Payer: Cash Price |
$36.62
|
| Rate for Payer: Cash Price |
$36.62
|
| Rate for Payer: Cofinity Commercial |
$39.37
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$36.62
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$11.44
|
| Rate for Payer: Healthscope Commercial |
$41.20
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$34.34
|
| Rate for Payer: Mclaren Medicaid |
$9.11
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$12.02
|
| Rate for Payer: Meridian Medicaid |
$9.57
|
| Rate for Payer: MI Amish Medical Board Commercial |
$13.16
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$38.91
|
| Rate for Payer: Nomi Health Commercial |
$37.54
|
| Rate for Payer: PACE Senior Care Partners |
$10.87
|
| Rate for Payer: PACE SWMI |
$11.44
|
| Rate for Payer: PHP Commercial |
$38.91
|
| Rate for Payer: PHP Medicare Advantage |
$11.44
|
| Rate for Payer: Priority Health Choice Medicaid |
$9.11
|
| Rate for Payer: Priority Health Cigna Priority Health |
$29.76
|
| Rate for Payer: Priority Health HMO/PPO |
$39.83
|
| Rate for Payer: Priority Health Medicare |
$11.56
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$30.67
|
| Rate for Payer: Railroad Medicare Medicare |
$11.44
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$40.29
|
| Rate for Payer: UHC Core |
$38.23
|
| Rate for Payer: UHC Dual Complete DSNP |
$11.44
|
| Rate for Payer: UHC Exchange |
$11.44
|
| Rate for Payer: UHC Medicare Advantage |
$11.44
|
| Rate for Payer: UHCCP Medicaid |
$9.11
|
| Rate for Payer: VA VA |
$11.44
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$34.34
|
|
|
HC BINOCULAR MICROSCOPY SEPARATE DX PROCEDURE
|
Facility
|
OP
|
$163.20
|
|
|
Service Code
|
CPT 92504
|
| Hospital Charge Code |
47000003
|
|
Hospital Revenue Code
|
470
|
| Min. Negotiated Rate |
$38.76 |
| Max. Negotiated Rate |
$146.88 |
| Rate for Payer: Aetna Commercial |
$138.72
|
| Rate for Payer: Aetna Medicare |
$42.43
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$51.00
|
| Rate for Payer: Amish Plain Church Group Commercial |
$51.00
|
| Rate for Payer: BCBS Complete |
$65.28
|
| Rate for Payer: BCBS MAPPO |
$40.80
|
| Rate for Payer: BCBS Trust/PPO |
$134.17
|
| Rate for Payer: BCN Commercial |
$126.89
|
| Rate for Payer: BCN Medicare Advantage |
$40.80
|
| Rate for Payer: Cash Price |
$130.56
|
| Rate for Payer: Cofinity Commercial |
$140.35
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$130.56
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$40.80
|
| Rate for Payer: Healthscope Commercial |
$146.88
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$122.40
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$42.84
|
| Rate for Payer: MI Amish Medical Board Commercial |
$46.92
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$138.72
|
| Rate for Payer: Nomi Health Commercial |
$133.82
|
| Rate for Payer: PACE Senior Care Partners |
$38.76
|
| Rate for Payer: PACE SWMI |
$40.80
|
| Rate for Payer: PHP Commercial |
$138.72
|
| Rate for Payer: PHP Medicare Advantage |
$40.80
|
| Rate for Payer: Priority Health Cigna Priority Health |
$106.08
|
| Rate for Payer: Priority Health HMO/PPO |
$141.98
|
| Rate for Payer: Priority Health Medicare |
$41.21
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$109.34
|
| Rate for Payer: Railroad Medicare Medicare |
$40.80
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$143.62
|
| Rate for Payer: UHC Core |
$136.27
|
| Rate for Payer: UHC Dual Complete DSNP |
$40.80
|
| Rate for Payer: UHC Exchange |
$40.80
|
| Rate for Payer: UHC Medicare Advantage |
$40.80
|
| Rate for Payer: VA VA |
$40.80
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$122.40
|
|
|
HC BINOCULAR MICROSCOPY SEPARATE DX PROCEDURE
|
Facility
|
IP
|
$163.20
|
|
|
Service Code
|
CPT 92504
|
| Hospital Charge Code |
47000003
|
|
Hospital Revenue Code
|
470
|
| Min. Negotiated Rate |
$106.08 |
| Max. Negotiated Rate |
$146.88 |
| Rate for Payer: Aetna Commercial |
$138.72
|
| Rate for Payer: BCBS Trust/PPO |
$133.22
|
| Rate for Payer: BCN Commercial |
$126.12
|
| Rate for Payer: Cash Price |
$130.56
|
| Rate for Payer: Cofinity Commercial |
$140.35
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$130.56
|
| Rate for Payer: Healthscope Commercial |
$146.88
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$122.40
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$138.72
|
| Rate for Payer: Nomi Health Commercial |
$133.82
|
| Rate for Payer: PHP Commercial |
$138.72
|
| Rate for Payer: Priority Health Cigna Priority Health |
$106.08
|
| Rate for Payer: Priority Health HMO/PPO |
$141.98
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$109.34
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$143.62
|
| Rate for Payer: UHC Core |
$136.27
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$122.40
|
|
|
HC BIOELECT IMPEDANCE ANALYSIS (BIA) WHOLE BODY
|
Facility
|
OP
|
$32.25
|
|
|
Service Code
|
CPT 0358T
|
| Hospital Charge Code |
92000032
|
|
Hospital Revenue Code
|
920
|
| Min. Negotiated Rate |
$7.66 |
| Max. Negotiated Rate |
$29.02 |
| Rate for Payer: Aetna Commercial |
$27.41
|
| Rate for Payer: Aetna Medicare |
$8.38
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$10.08
|
| Rate for Payer: Amish Plain Church Group Commercial |
$10.08
|
| Rate for Payer: BCBS Complete |
$18.21
|
| Rate for Payer: BCBS MAPPO |
$8.06
|
| Rate for Payer: BCBS Trust/PPO |
$26.51
|
| Rate for Payer: BCN Commercial |
$25.07
|
| Rate for Payer: BCN Medicare Advantage |
$8.06
|
| Rate for Payer: Cash Price |
$25.80
|
| Rate for Payer: Cash Price |
$25.80
|
| Rate for Payer: Cofinity Commercial |
$27.74
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$25.80
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$8.06
|
| Rate for Payer: Healthscope Commercial |
$29.02
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$24.19
|
| Rate for Payer: Mclaren Medicaid |
$17.34
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$8.47
|
| Rate for Payer: Meridian Medicaid |
$18.21
|
| Rate for Payer: MI Amish Medical Board Commercial |
$9.27
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$27.41
|
| Rate for Payer: Nomi Health Commercial |
$26.44
|
| Rate for Payer: PACE Senior Care Partners |
$7.66
|
| Rate for Payer: PACE SWMI |
$8.06
|
| Rate for Payer: PHP Commercial |
$27.41
|
| Rate for Payer: PHP Medicare Advantage |
$8.06
|
| Rate for Payer: Priority Health Choice Medicaid |
$17.34
|
| Rate for Payer: Priority Health Cigna Priority Health |
$20.96
|
| Rate for Payer: Priority Health HMO/PPO |
$28.06
|
| Rate for Payer: Priority Health Medicare |
$8.14
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$21.61
|
| Rate for Payer: Railroad Medicare Medicare |
$8.06
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$28.38
|
| Rate for Payer: UHC Core |
$26.93
|
| Rate for Payer: UHC Dual Complete DSNP |
$8.06
|
| Rate for Payer: UHC Exchange |
$8.06
|
| Rate for Payer: UHC Medicare Advantage |
$8.06
|
| Rate for Payer: UHCCP Medicaid |
$17.34
|
| Rate for Payer: VA VA |
$8.06
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$24.19
|
|
|
HC BIOELECT IMPEDANCE ANALYSIS (BIA) WHOLE BODY
|
Facility
|
IP
|
$32.25
|
|
|
Service Code
|
CPT 0358T
|
| Hospital Charge Code |
92000032
|
|
Hospital Revenue Code
|
920
|
| Min. Negotiated Rate |
$20.96 |
| Max. Negotiated Rate |
$29.02 |
| Rate for Payer: Aetna Commercial |
$27.41
|
| Rate for Payer: BCBS Trust/PPO |
$26.33
|
| Rate for Payer: BCN Commercial |
$24.92
|
| Rate for Payer: Cash Price |
$25.80
|
| Rate for Payer: Cofinity Commercial |
$27.74
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$25.80
|
| Rate for Payer: Healthscope Commercial |
$29.02
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$24.19
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$27.41
|
| Rate for Payer: Nomi Health Commercial |
$26.44
|
| Rate for Payer: PHP Commercial |
$27.41
|
| Rate for Payer: Priority Health Cigna Priority Health |
$20.96
|
| Rate for Payer: Priority Health HMO/PPO |
$28.06
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$21.61
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$28.38
|
| Rate for Payer: UHC Core |
$26.93
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$24.19
|
|
|
HC BIOPSY ABDOMEN OR RETROPERITONEAL
|
Facility
|
IP
|
$1,686.53
|
|
|
Service Code
|
CPT 49180
|
| Hospital Charge Code |
36100218
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$1,096.24 |
| Max. Negotiated Rate |
$1,517.88 |
| Rate for Payer: Aetna Commercial |
$1,433.55
|
| Rate for Payer: BCBS Trust/PPO |
$1,376.71
|
| Rate for Payer: BCN Commercial |
$1,303.35
|
| Rate for Payer: Cash Price |
$1,349.22
|
| Rate for Payer: Cofinity Commercial |
$1,450.42
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,349.22
|
| Rate for Payer: Healthscope Commercial |
$1,517.88
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,264.90
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,433.55
|
| Rate for Payer: Nomi Health Commercial |
$1,382.95
|
| Rate for Payer: PHP Commercial |
$1,433.55
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,096.24
|
| Rate for Payer: Priority Health HMO/PPO |
$1,467.28
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,129.98
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,484.15
|
| Rate for Payer: UHC Core |
$1,408.25
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,264.90
|
|
|
HC BIOPSY ABDOMEN OR RETROPERITONEAL
|
Facility
|
OP
|
$1,686.53
|
|
|
Service Code
|
CPT 49180
|
| Hospital Charge Code |
36100218
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$400.55 |
| Max. Negotiated Rate |
$1,517.88 |
| Rate for Payer: Aetna Commercial |
$1,433.55
|
| Rate for Payer: Aetna Medicare |
$438.50
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$527.04
|
| Rate for Payer: Amish Plain Church Group Commercial |
$527.04
|
| Rate for Payer: BCBS Complete |
$1,205.21
|
| Rate for Payer: BCBS MAPPO |
$421.63
|
| Rate for Payer: BCBS Trust/PPO |
$1,386.50
|
| Rate for Payer: BCN Commercial |
$1,311.28
|
| Rate for Payer: BCN Medicare Advantage |
$421.63
|
| Rate for Payer: Cash Price |
$1,349.22
|
| Rate for Payer: Cash Price |
$1,349.22
|
| Rate for Payer: Cofinity Commercial |
$1,450.42
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,349.22
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$421.63
|
| Rate for Payer: Healthscope Commercial |
$1,517.88
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,264.90
|
| Rate for Payer: Mclaren Medicaid |
$1,147.75
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$442.71
|
| Rate for Payer: Meridian Medicaid |
$1,205.21
|
| Rate for Payer: MI Amish Medical Board Commercial |
$484.88
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,433.55
|
| Rate for Payer: Nomi Health Commercial |
$1,382.95
|
| Rate for Payer: PACE Senior Care Partners |
$400.55
|
| Rate for Payer: PACE SWMI |
$421.63
|
| Rate for Payer: PHP Commercial |
$1,433.55
|
| Rate for Payer: PHP Medicare Advantage |
$421.63
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,147.75
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,096.24
|
| Rate for Payer: Priority Health HMO/PPO |
$1,467.28
|
| Rate for Payer: Priority Health Medicare |
$425.85
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,129.98
|
| Rate for Payer: Railroad Medicare Medicare |
$421.63
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,484.15
|
| Rate for Payer: UHC Core |
$1,408.25
|
| Rate for Payer: UHC Dual Complete DSNP |
$421.63
|
| Rate for Payer: UHC Exchange |
$421.63
|
| Rate for Payer: UHC Medicare Advantage |
$421.63
|
| Rate for Payer: UHCCP Medicaid |
$1,147.75
|
| Rate for Payer: VA VA |
$421.63
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,264.90
|
|
|
HC BIOPSY ACCESSION & GROSS
|
Facility
|
OP
|
$8.16
|
|
| Hospital Charge Code |
31000069
|
|
Hospital Revenue Code
|
310
|
| Min. Negotiated Rate |
$1.94 |
| Max. Negotiated Rate |
$7.34 |
| Rate for Payer: Aetna Commercial |
$6.94
|
| Rate for Payer: Aetna Medicare |
$2.12
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$2.55
|
| Rate for Payer: Amish Plain Church Group Commercial |
$2.55
|
| Rate for Payer: BCBS Complete |
$3.26
|
| Rate for Payer: BCBS MAPPO |
$2.04
|
| Rate for Payer: BCBS Trust/PPO |
$6.71
|
| Rate for Payer: BCN Commercial |
$6.34
|
| Rate for Payer: BCN Medicare Advantage |
$2.04
|
| Rate for Payer: Cash Price |
$6.53
|
| Rate for Payer: Cofinity Commercial |
$7.02
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$6.53
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2.04
|
| Rate for Payer: Healthscope Commercial |
$7.34
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$6.12
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$2.14
|
| Rate for Payer: MI Amish Medical Board Commercial |
$2.35
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$6.94
|
| Rate for Payer: Nomi Health Commercial |
$6.69
|
| Rate for Payer: PACE Senior Care Partners |
$1.94
|
| Rate for Payer: PACE SWMI |
$2.04
|
| Rate for Payer: PHP Commercial |
$6.94
|
| Rate for Payer: PHP Medicare Advantage |
$2.04
|
| Rate for Payer: Priority Health Cigna Priority Health |
$5.30
|
| Rate for Payer: Priority Health HMO/PPO |
$7.10
|
| Rate for Payer: Priority Health Medicare |
$2.06
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$5.47
|
| Rate for Payer: Railroad Medicare Medicare |
$2.04
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$7.18
|
| Rate for Payer: UHC Core |
$6.81
|
| Rate for Payer: UHC Dual Complete DSNP |
$2.04
|
| Rate for Payer: UHC Exchange |
$2.04
|
| Rate for Payer: UHC Medicare Advantage |
$2.04
|
| Rate for Payer: VA VA |
$2.04
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$6.12
|
|
|
HC BIOPSY ACCESSION & GROSS
|
Facility
|
IP
|
$8.16
|
|
| Hospital Charge Code |
31000069
|
|
Hospital Revenue Code
|
310
|
| Min. Negotiated Rate |
$5.30 |
| Max. Negotiated Rate |
$7.34 |
| Rate for Payer: Aetna Commercial |
$6.94
|
| Rate for Payer: BCBS Trust/PPO |
$6.66
|
| Rate for Payer: BCN Commercial |
$6.31
|
| Rate for Payer: Cash Price |
$6.53
|
| Rate for Payer: Cofinity Commercial |
$7.02
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$6.53
|
| Rate for Payer: Healthscope Commercial |
$7.34
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$6.12
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$6.94
|
| Rate for Payer: Nomi Health Commercial |
$6.69
|
| Rate for Payer: PHP Commercial |
$6.94
|
| Rate for Payer: Priority Health Cigna Priority Health |
$5.30
|
| Rate for Payer: Priority Health HMO/PPO |
$7.10
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$5.47
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$7.18
|
| Rate for Payer: UHC Core |
$6.81
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$6.12
|
|
|
HC BIOPSY BONE DEEP
|
Facility
|
OP
|
$2,105.54
|
|
|
Service Code
|
CPT 20225
|
| Hospital Charge Code |
36100019
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$500.07 |
| Max. Negotiated Rate |
$1,894.99 |
| Rate for Payer: Aetna Commercial |
$1,789.71
|
| Rate for Payer: Aetna Medicare |
$547.44
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$657.98
|
| Rate for Payer: Amish Plain Church Group Commercial |
$657.98
|
| Rate for Payer: BCBS Complete |
$1,205.21
|
| Rate for Payer: BCBS MAPPO |
$526.38
|
| Rate for Payer: BCBS Trust/PPO |
$1,730.96
|
| Rate for Payer: BCN Commercial |
$1,637.06
|
| Rate for Payer: BCN Medicare Advantage |
$526.38
|
| Rate for Payer: Cash Price |
$1,684.43
|
| Rate for Payer: Cash Price |
$1,684.43
|
| Rate for Payer: Cofinity Commercial |
$1,810.76
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,684.43
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$526.38
|
| Rate for Payer: Healthscope Commercial |
$1,894.99
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,579.16
|
| Rate for Payer: Mclaren Medicaid |
$1,147.75
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$552.70
|
| Rate for Payer: Meridian Medicaid |
$1,205.21
|
| Rate for Payer: MI Amish Medical Board Commercial |
$605.34
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,789.71
|
| Rate for Payer: Nomi Health Commercial |
$1,726.54
|
| Rate for Payer: PACE Senior Care Partners |
$500.07
|
| Rate for Payer: PACE SWMI |
$526.38
|
| Rate for Payer: PHP Commercial |
$1,789.71
|
| Rate for Payer: PHP Medicare Advantage |
$526.38
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,147.75
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,368.60
|
| Rate for Payer: Priority Health HMO/PPO |
$1,831.82
|
| Rate for Payer: Priority Health Medicare |
$531.65
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,410.71
|
| Rate for Payer: Railroad Medicare Medicare |
$526.38
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,852.88
|
| Rate for Payer: UHC Core |
$1,758.13
|
| Rate for Payer: UHC Dual Complete DSNP |
$526.38
|
| Rate for Payer: UHC Exchange |
$526.38
|
| Rate for Payer: UHC Medicare Advantage |
$526.38
|
| Rate for Payer: UHCCP Medicaid |
$1,147.75
|
| Rate for Payer: VA VA |
$526.38
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,579.16
|
|
|
HC BIOPSY BONE DEEP
|
Facility
|
IP
|
$2,105.54
|
|
|
Service Code
|
CPT 20225
|
| Hospital Charge Code |
36100019
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$1,368.60 |
| Max. Negotiated Rate |
$1,894.99 |
| Rate for Payer: Aetna Commercial |
$1,789.71
|
| Rate for Payer: BCBS Trust/PPO |
$1,718.75
|
| Rate for Payer: BCN Commercial |
$1,627.16
|
| Rate for Payer: Cash Price |
$1,684.43
|
| Rate for Payer: Cofinity Commercial |
$1,810.76
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,684.43
|
| Rate for Payer: Healthscope Commercial |
$1,894.99
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,579.16
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,789.71
|
| Rate for Payer: Nomi Health Commercial |
$1,726.54
|
| Rate for Payer: PHP Commercial |
$1,789.71
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,368.60
|
| Rate for Payer: Priority Health HMO/PPO |
$1,831.82
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,410.71
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,852.88
|
| Rate for Payer: UHC Core |
$1,758.13
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,579.16
|
|
|
HC BIOPSY, BONE, OPEN, DEEP
|
Facility
|
IP
|
$3,618.87
|
|
|
Service Code
|
CPT 20245
|
| Hospital Charge Code |
76100271
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$2,352.27 |
| Max. Negotiated Rate |
$3,256.98 |
| Rate for Payer: Aetna Commercial |
$3,076.04
|
| Rate for Payer: BCBS Trust/PPO |
$2,954.08
|
| Rate for Payer: BCN Commercial |
$2,796.66
|
| Rate for Payer: Cash Price |
$2,895.10
|
| Rate for Payer: Cofinity Commercial |
$3,112.23
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,895.10
|
| Rate for Payer: Healthscope Commercial |
$3,256.98
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,714.15
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,076.04
|
| Rate for Payer: Nomi Health Commercial |
$2,967.47
|
| Rate for Payer: PHP Commercial |
$3,076.04
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,352.27
|
| Rate for Payer: Priority Health HMO/PPO |
$3,148.42
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,424.64
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$3,184.61
|
| Rate for Payer: UHC Core |
$3,021.76
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,714.15
|
|
|
HC BIOPSY, BONE, OPEN, DEEP
|
Facility
|
OP
|
$3,618.87
|
|
|
Service Code
|
CPT 20245
|
| Hospital Charge Code |
76100271
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$859.48 |
| Max. Negotiated Rate |
$3,256.98 |
| Rate for Payer: Aetna Commercial |
$3,076.04
|
| Rate for Payer: Aetna Medicare |
$940.91
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,130.90
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1,130.90
|
| Rate for Payer: BCBS Complete |
$2,128.93
|
| Rate for Payer: BCBS MAPPO |
$904.72
|
| Rate for Payer: BCBS Trust/PPO |
$2,975.07
|
| Rate for Payer: BCN Commercial |
$2,813.67
|
| Rate for Payer: BCN Medicare Advantage |
$904.72
|
| Rate for Payer: Cash Price |
$2,895.10
|
| Rate for Payer: Cash Price |
$2,895.10
|
| Rate for Payer: Cofinity Commercial |
$3,112.23
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,895.10
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$904.72
|
| Rate for Payer: Healthscope Commercial |
$3,256.98
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,714.15
|
| Rate for Payer: Mclaren Medicaid |
$2,027.42
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$949.95
|
| Rate for Payer: Meridian Medicaid |
$2,128.93
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,040.43
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,076.04
|
| Rate for Payer: Nomi Health Commercial |
$2,967.47
|
| Rate for Payer: PACE Senior Care Partners |
$859.48
|
| Rate for Payer: PACE SWMI |
$904.72
|
| Rate for Payer: PHP Commercial |
$3,076.04
|
| Rate for Payer: PHP Medicare Advantage |
$904.72
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,027.42
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,352.27
|
| Rate for Payer: Priority Health HMO/PPO |
$3,148.42
|
| Rate for Payer: Priority Health Medicare |
$913.76
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,424.64
|
| Rate for Payer: Railroad Medicare Medicare |
$904.72
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$3,184.61
|
| Rate for Payer: UHC Core |
$3,021.76
|
| Rate for Payer: UHC Dual Complete DSNP |
$904.72
|
| Rate for Payer: UHC Exchange |
$904.72
|
| Rate for Payer: UHC Medicare Advantage |
$904.72
|
| Rate for Payer: UHCCP Medicaid |
$2,027.42
|
| Rate for Payer: VA VA |
$904.72
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,714.15
|
|
|
HC BIOPSY BONE OPEN; SUPERFICIAL
|
Facility
|
OP
|
$3,136.81
|
|
|
Service Code
|
CPT 20240
|
| Hospital Charge Code |
76100290
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$744.99 |
| Max. Negotiated Rate |
$2,823.13 |
| Rate for Payer: Aetna Commercial |
$2,666.29
|
| Rate for Payer: Aetna Medicare |
$815.57
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$980.25
|
| Rate for Payer: Amish Plain Church Group Commercial |
$980.25
|
| Rate for Payer: BCBS Complete |
$2,128.93
|
| Rate for Payer: BCBS MAPPO |
$784.20
|
| Rate for Payer: BCBS Trust/PPO |
$2,578.77
|
| Rate for Payer: BCN Commercial |
$2,438.87
|
| Rate for Payer: BCN Medicare Advantage |
$784.20
|
| Rate for Payer: Cash Price |
$2,509.45
|
| Rate for Payer: Cash Price |
$2,509.45
|
| Rate for Payer: Cofinity Commercial |
$2,697.66
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,509.45
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$784.20
|
| Rate for Payer: Healthscope Commercial |
$2,823.13
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,352.61
|
| Rate for Payer: Mclaren Medicaid |
$2,027.42
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$823.41
|
| Rate for Payer: Meridian Medicaid |
$2,128.93
|
| Rate for Payer: MI Amish Medical Board Commercial |
$901.83
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,666.29
|
| Rate for Payer: Nomi Health Commercial |
$2,572.18
|
| Rate for Payer: PACE Senior Care Partners |
$744.99
|
| Rate for Payer: PACE SWMI |
$784.20
|
| Rate for Payer: PHP Commercial |
$2,666.29
|
| Rate for Payer: PHP Medicare Advantage |
$784.20
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,027.42
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,038.93
|
| Rate for Payer: Priority Health HMO/PPO |
$2,729.02
|
| Rate for Payer: Priority Health Medicare |
$792.04
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,101.66
|
| Rate for Payer: Railroad Medicare Medicare |
$784.20
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,760.39
|
| Rate for Payer: UHC Core |
$2,619.24
|
| Rate for Payer: UHC Dual Complete DSNP |
$784.20
|
| Rate for Payer: UHC Exchange |
$784.20
|
| Rate for Payer: UHC Medicare Advantage |
$784.20
|
| Rate for Payer: UHCCP Medicaid |
$2,027.42
|
| Rate for Payer: VA VA |
$784.20
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,352.61
|
|
|
HC BIOPSY BONE OPEN; SUPERFICIAL
|
Facility
|
IP
|
$3,136.81
|
|
|
Service Code
|
CPT 20240
|
| Hospital Charge Code |
76100290
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$2,038.93 |
| Max. Negotiated Rate |
$2,823.13 |
| Rate for Payer: Aetna Commercial |
$2,666.29
|
| Rate for Payer: BCBS Trust/PPO |
$2,560.58
|
| Rate for Payer: BCN Commercial |
$2,424.13
|
| Rate for Payer: Cash Price |
$2,509.45
|
| Rate for Payer: Cofinity Commercial |
$2,697.66
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,509.45
|
| Rate for Payer: Healthscope Commercial |
$2,823.13
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,352.61
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,666.29
|
| Rate for Payer: Nomi Health Commercial |
$2,572.18
|
| Rate for Payer: PHP Commercial |
$2,666.29
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,038.93
|
| Rate for Payer: Priority Health HMO/PPO |
$2,729.02
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,101.66
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,760.39
|
| Rate for Payer: UHC Core |
$2,619.24
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,352.61
|
|
|
HC BIOPSY BONE SUPERFICIAL
|
Facility
|
OP
|
$2,179.43
|
|
|
Service Code
|
CPT 20220
|
| Hospital Charge Code |
36100018
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$517.61 |
| Max. Negotiated Rate |
$1,961.49 |
| Rate for Payer: Aetna Commercial |
$1,852.52
|
| Rate for Payer: Aetna Medicare |
$566.65
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$681.07
|
| Rate for Payer: Amish Plain Church Group Commercial |
$681.07
|
| Rate for Payer: BCBS Complete |
$1,205.21
|
| Rate for Payer: BCBS MAPPO |
$544.86
|
| Rate for Payer: BCBS Trust/PPO |
$1,791.71
|
| Rate for Payer: BCN Commercial |
$1,694.51
|
| Rate for Payer: BCN Medicare Advantage |
$544.86
|
| Rate for Payer: Cash Price |
$1,743.54
|
| Rate for Payer: Cash Price |
$1,743.54
|
| Rate for Payer: Cofinity Commercial |
$1,874.31
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,743.54
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$544.86
|
| Rate for Payer: Healthscope Commercial |
$1,961.49
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,634.57
|
| Rate for Payer: Mclaren Medicaid |
$1,147.75
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$572.10
|
| Rate for Payer: Meridian Medicaid |
$1,205.21
|
| Rate for Payer: MI Amish Medical Board Commercial |
$626.59
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,852.52
|
| Rate for Payer: Nomi Health Commercial |
$1,787.13
|
| Rate for Payer: PACE Senior Care Partners |
$517.61
|
| Rate for Payer: PACE SWMI |
$544.86
|
| Rate for Payer: PHP Commercial |
$1,852.52
|
| Rate for Payer: PHP Medicare Advantage |
$544.86
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,147.75
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,416.63
|
| Rate for Payer: Priority Health HMO/PPO |
$1,896.10
|
| Rate for Payer: Priority Health Medicare |
$550.31
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,460.22
|
| Rate for Payer: Railroad Medicare Medicare |
$544.86
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,917.90
|
| Rate for Payer: UHC Core |
$1,819.82
|
| Rate for Payer: UHC Dual Complete DSNP |
$544.86
|
| Rate for Payer: UHC Exchange |
$544.86
|
| Rate for Payer: UHC Medicare Advantage |
$544.86
|
| Rate for Payer: UHCCP Medicaid |
$1,147.75
|
| Rate for Payer: VA VA |
$544.86
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,634.57
|
|
|
HC BIOPSY BONE SUPERFICIAL
|
Facility
|
IP
|
$2,179.43
|
|
|
Service Code
|
CPT 20220
|
| Hospital Charge Code |
36100018
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$1,416.63 |
| Max. Negotiated Rate |
$1,961.49 |
| Rate for Payer: Aetna Commercial |
$1,852.52
|
| Rate for Payer: BCBS Trust/PPO |
$1,779.07
|
| Rate for Payer: BCN Commercial |
$1,684.26
|
| Rate for Payer: Cash Price |
$1,743.54
|
| Rate for Payer: Cofinity Commercial |
$1,874.31
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,743.54
|
| Rate for Payer: Healthscope Commercial |
$1,961.49
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,634.57
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,852.52
|
| Rate for Payer: Nomi Health Commercial |
$1,787.13
|
| Rate for Payer: PHP Commercial |
$1,852.52
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,416.63
|
| Rate for Payer: Priority Health HMO/PPO |
$1,896.10
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,460.22
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,917.90
|
| Rate for Payer: UHC Core |
$1,819.82
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,634.57
|
|
|
HC BIOPSY CERVIX
|
Facility
|
IP
|
$676.26
|
|
|
Service Code
|
CPT 57500
|
| Hospital Charge Code |
76100070
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$439.57 |
| Max. Negotiated Rate |
$608.63 |
| Rate for Payer: Aetna Commercial |
$574.82
|
| Rate for Payer: BCBS Trust/PPO |
$552.03
|
| Rate for Payer: BCN Commercial |
$522.61
|
| 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 |
$507.20
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$574.82
|
| Rate for Payer: Nomi Health Commercial |
$554.53
|
| Rate for Payer: PHP Commercial |
$574.82
|
| Rate for Payer: Priority Health Cigna Priority Health |
$439.57
|
| Rate for Payer: Priority Health HMO/PPO |
$588.35
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$453.09
|
| 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 |
$507.20
|
|
|
HC BIOPSY CERVIX
|
Facility
|
OP
|
$676.26
|
|
|
Service Code
|
CPT 57500
|
| Hospital Charge Code |
76100070
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$160.61 |
| Max. Negotiated Rate |
$647.70 |
| 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 |
$647.70
|
| Rate for Payer: BCBS MAPPO |
$169.06
|
| Rate for Payer: BCBS Trust/PPO |
$555.95
|
| Rate for Payer: BCN Commercial |
$525.79
|
| Rate for Payer: BCN Medicare Advantage |
$169.06
|
| Rate for Payer: Cash Price |
$541.01
|
| 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 |
$507.20
|
| Rate for Payer: Mclaren Medicaid |
$616.81
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$177.52
|
| Rate for Payer: Meridian Medicaid |
$647.70
|
| Rate for Payer: MI Amish Medical Board Commercial |
$194.42
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$574.82
|
| Rate for Payer: Nomi Health Commercial |
$554.53
|
| 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 |
$616.81
|
| Rate for Payer: Priority Health Cigna Priority Health |
$439.57
|
| Rate for Payer: Priority Health HMO/PPO |
$588.35
|
| Rate for Payer: Priority Health Medicare |
$170.76
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$453.09
|
| 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 Dual Complete DSNP |
$169.06
|
| Rate for Payer: UHC Exchange |
$169.06
|
| Rate for Payer: UHC Medicare Advantage |
$169.06
|
| Rate for Payer: UHCCP Medicaid |
$616.81
|
| Rate for Payer: VA VA |
$169.06
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$507.20
|
|
|
HC BIOPSY EXTERNAL AUDITORY CANAL
|
Facility
|
IP
|
$4,015.74
|
|
|
Service Code
|
CPT 69105
|
| Hospital Charge Code |
76100480
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$2,610.23 |
| Max. Negotiated Rate |
$3,614.17 |
| Rate for Payer: Aetna Commercial |
$3,413.38
|
| Rate for Payer: BCBS Trust/PPO |
$3,278.05
|
| Rate for Payer: BCN Commercial |
$3,103.36
|
| Rate for Payer: Cash Price |
$3,212.59
|
| Rate for Payer: Cofinity Commercial |
$3,453.54
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,212.59
|
| Rate for Payer: Healthscope Commercial |
$3,614.17
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$3,011.80
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,413.38
|
| Rate for Payer: Nomi Health Commercial |
$3,292.91
|
| Rate for Payer: PHP Commercial |
$3,413.38
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,610.23
|
| Rate for Payer: Priority Health HMO/PPO |
$3,493.69
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,690.55
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$3,533.85
|
| Rate for Payer: UHC Core |
$3,353.14
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$3,011.80
|
|
|
HC BIOPSY EXTERNAL AUDITORY CANAL
|
Facility
|
OP
|
$4,015.74
|
|
|
Service Code
|
CPT 69105
|
| Hospital Charge Code |
76100480
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$953.74 |
| Max. Negotiated Rate |
$3,614.17 |
| Rate for Payer: Aetna Commercial |
$3,413.38
|
| Rate for Payer: Aetna Medicare |
$1,044.09
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,254.92
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1,254.92
|
| Rate for Payer: BCBS Complete |
$1,101.85
|
| Rate for Payer: BCBS MAPPO |
$1,003.94
|
| Rate for Payer: BCBS Trust/PPO |
$3,301.34
|
| Rate for Payer: BCN Commercial |
$3,122.24
|
| Rate for Payer: BCN Medicare Advantage |
$1,003.94
|
| Rate for Payer: Cash Price |
$3,212.59
|
| Rate for Payer: Cash Price |
$3,212.59
|
| Rate for Payer: Cofinity Commercial |
$3,453.54
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,212.59
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,003.94
|
| Rate for Payer: Healthscope Commercial |
$3,614.17
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$3,011.80
|
| Rate for Payer: Mclaren Medicaid |
$1,049.31
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,054.13
|
| Rate for Payer: Meridian Medicaid |
$1,101.85
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,154.53
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,413.38
|
| Rate for Payer: Nomi Health Commercial |
$3,292.91
|
| Rate for Payer: PACE Senior Care Partners |
$953.74
|
| Rate for Payer: PACE SWMI |
$1,003.94
|
| Rate for Payer: PHP Commercial |
$3,413.38
|
| Rate for Payer: PHP Medicare Advantage |
$1,003.94
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,049.31
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,610.23
|
| Rate for Payer: Priority Health HMO/PPO |
$3,493.69
|
| Rate for Payer: Priority Health Medicare |
$1,013.97
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,690.55
|
| Rate for Payer: Railroad Medicare Medicare |
$1,003.94
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$3,533.85
|
| Rate for Payer: UHC Core |
$3,353.14
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,003.94
|
| Rate for Payer: UHC Exchange |
$1,003.94
|
| Rate for Payer: UHC Medicare Advantage |
$1,003.94
|
| Rate for Payer: UHCCP Medicaid |
$1,049.31
|
| Rate for Payer: VA VA |
$1,003.94
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$3,011.80
|
|
