|
HC BIOPSY EXTERNAL EAR
|
Facility
|
OP
|
$390.69
|
|
|
Service Code
|
CPT 69100
|
| Hospital Charge Code |
36100522
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$92.79 |
| Max. Negotiated Rate |
$351.62 |
| Rate for Payer: Aetna Commercial |
$332.09
|
| Rate for Payer: Aetna Medicare |
$101.58
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$122.09
|
| Rate for Payer: Amish Plain Church Group Commercial |
$122.09
|
| Rate for Payer: BCBS Complete |
$172.73
|
| Rate for Payer: BCBS MAPPO |
$97.67
|
| Rate for Payer: BCBS Trust/PPO |
$321.19
|
| Rate for Payer: BCN Commercial |
$303.76
|
| Rate for Payer: BCN Medicare Advantage |
$97.67
|
| Rate for Payer: Cash Price |
$312.55
|
| Rate for Payer: Cash Price |
$312.55
|
| Rate for Payer: Cofinity Commercial |
$335.99
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$312.55
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$97.67
|
| Rate for Payer: Healthscope Commercial |
$351.62
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$293.02
|
| Rate for Payer: Mclaren Medicaid |
$164.50
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$102.56
|
| Rate for Payer: Meridian Medicaid |
$172.73
|
| Rate for Payer: MI Amish Medical Board Commercial |
$112.32
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$332.09
|
| Rate for Payer: Nomi Health Commercial |
$320.37
|
| Rate for Payer: PACE Senior Care Partners |
$92.79
|
| Rate for Payer: PACE SWMI |
$97.67
|
| Rate for Payer: PHP Commercial |
$332.09
|
| Rate for Payer: PHP Medicare Advantage |
$97.67
|
| Rate for Payer: Priority Health Choice Medicaid |
$164.50
|
| Rate for Payer: Priority Health Cigna Priority Health |
$253.95
|
| Rate for Payer: Priority Health HMO/PPO |
$339.90
|
| Rate for Payer: Priority Health Medicare |
$98.65
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$261.76
|
| Rate for Payer: Railroad Medicare Medicare |
$97.67
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$343.81
|
| Rate for Payer: UHC Core |
$326.23
|
| Rate for Payer: UHC Dual Complete DSNP |
$97.67
|
| Rate for Payer: UHC Exchange |
$97.67
|
| Rate for Payer: UHC Medicare Advantage |
$97.67
|
| Rate for Payer: UHCCP Medicaid |
$164.50
|
| Rate for Payer: VA VA |
$97.67
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$293.02
|
|
|
HC BIOPSY EXTERNAL EAR
|
Facility
|
IP
|
$390.69
|
|
|
Service Code
|
CPT 69100
|
| Hospital Charge Code |
36100522
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$253.95 |
| Max. Negotiated Rate |
$351.62 |
| Rate for Payer: Aetna Commercial |
$332.09
|
| Rate for Payer: BCBS Trust/PPO |
$318.92
|
| Rate for Payer: BCN Commercial |
$301.93
|
| Rate for Payer: Cash Price |
$312.55
|
| Rate for Payer: Cofinity Commercial |
$335.99
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$312.55
|
| Rate for Payer: Healthscope Commercial |
$351.62
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$293.02
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$332.09
|
| Rate for Payer: Nomi Health Commercial |
$320.37
|
| Rate for Payer: PHP Commercial |
$332.09
|
| Rate for Payer: Priority Health Cigna Priority Health |
$253.95
|
| Rate for Payer: Priority Health HMO/PPO |
$339.90
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$261.76
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$343.81
|
| Rate for Payer: UHC Core |
$326.23
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$293.02
|
|
|
HC BIOPSY FLOOR MOUTH
|
Facility
|
OP
|
$4,182.00
|
|
|
Service Code
|
CPT 41108
|
| Hospital Charge Code |
76100464
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$993.22 |
| Max. Negotiated Rate |
$3,763.80 |
| Rate for Payer: Aetna Commercial |
$3,554.70
|
| Rate for Payer: Aetna Medicare |
$1,087.32
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,306.88
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1,306.88
|
| Rate for Payer: BCBS Complete |
$1,205.21
|
| Rate for Payer: BCBS MAPPO |
$1,045.50
|
| Rate for Payer: BCBS Trust/PPO |
$3,438.02
|
| Rate for Payer: BCN Commercial |
$3,251.50
|
| Rate for Payer: BCN Medicare Advantage |
$1,045.50
|
| Rate for Payer: Cash Price |
$3,345.60
|
| Rate for Payer: Cash Price |
$3,345.60
|
| Rate for Payer: Cofinity Commercial |
$3,596.52
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,345.60
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,045.50
|
| Rate for Payer: Healthscope Commercial |
$3,763.80
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$3,136.50
|
| Rate for Payer: Mclaren Medicaid |
$1,147.75
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,097.78
|
| Rate for Payer: Meridian Medicaid |
$1,205.21
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,202.32
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,554.70
|
| Rate for Payer: Nomi Health Commercial |
$3,429.24
|
| Rate for Payer: PACE Senior Care Partners |
$993.22
|
| Rate for Payer: PACE SWMI |
$1,045.50
|
| Rate for Payer: PHP Commercial |
$3,554.70
|
| Rate for Payer: PHP Medicare Advantage |
$1,045.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,147.75
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,718.30
|
| Rate for Payer: Priority Health HMO/PPO |
$3,638.34
|
| Rate for Payer: Priority Health Medicare |
$1,055.96
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,801.94
|
| Rate for Payer: Railroad Medicare Medicare |
$1,045.50
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$3,680.16
|
| Rate for Payer: UHC Core |
$3,491.97
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,045.50
|
| Rate for Payer: UHC Exchange |
$1,045.50
|
| Rate for Payer: UHC Medicare Advantage |
$1,045.50
|
| Rate for Payer: UHCCP Medicaid |
$1,147.75
|
| Rate for Payer: VA VA |
$1,045.50
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$3,136.50
|
|
|
HC BIOPSY FLOOR MOUTH
|
Facility
|
IP
|
$4,182.00
|
|
|
Service Code
|
CPT 41108
|
| Hospital Charge Code |
76100464
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$2,718.30 |
| Max. Negotiated Rate |
$3,763.80 |
| Rate for Payer: Aetna Commercial |
$3,554.70
|
| Rate for Payer: BCBS Trust/PPO |
$3,413.77
|
| Rate for Payer: BCN Commercial |
$3,231.85
|
| Rate for Payer: Cash Price |
$3,345.60
|
| Rate for Payer: Cofinity Commercial |
$3,596.52
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,345.60
|
| Rate for Payer: Healthscope Commercial |
$3,763.80
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$3,136.50
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,554.70
|
| Rate for Payer: Nomi Health Commercial |
$3,429.24
|
| Rate for Payer: PHP Commercial |
$3,554.70
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,718.30
|
| Rate for Payer: Priority Health HMO/PPO |
$3,638.34
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,801.94
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$3,680.16
|
| Rate for Payer: UHC Core |
$3,491.97
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$3,136.50
|
|
|
HC BIOPSY INTRANASAL
|
Facility
|
IP
|
$4,029.00
|
|
|
Service Code
|
CPT 30100
|
| Hospital Charge Code |
76100448
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$2,618.85 |
| Max. Negotiated Rate |
$3,626.10 |
| Rate for Payer: Aetna Commercial |
$3,424.65
|
| Rate for Payer: BCBS Trust/PPO |
$3,288.87
|
| Rate for Payer: BCN Commercial |
$3,113.61
|
| Rate for Payer: Cash Price |
$3,223.20
|
| Rate for Payer: Cofinity Commercial |
$3,464.94
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,223.20
|
| Rate for Payer: Healthscope Commercial |
$3,626.10
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$3,021.75
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,424.65
|
| Rate for Payer: Nomi Health Commercial |
$3,303.78
|
| Rate for Payer: PHP Commercial |
$3,424.65
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,618.85
|
| Rate for Payer: Priority Health HMO/PPO |
$3,505.23
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,699.43
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$3,545.52
|
| Rate for Payer: UHC Core |
$3,364.22
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$3,021.75
|
|
|
HC BIOPSY INTRANASAL
|
Facility
|
OP
|
$4,029.00
|
|
|
Service Code
|
CPT 30100
|
| Hospital Charge Code |
76100448
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$956.89 |
| Max. Negotiated Rate |
$3,626.10 |
| Rate for Payer: Aetna Commercial |
$3,424.65
|
| Rate for Payer: Aetna Medicare |
$1,047.54
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,259.06
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1,259.06
|
| Rate for Payer: BCBS Complete |
$1,101.85
|
| Rate for Payer: BCBS MAPPO |
$1,007.25
|
| Rate for Payer: BCBS Trust/PPO |
$3,312.24
|
| Rate for Payer: BCN Commercial |
$3,132.55
|
| Rate for Payer: BCN Medicare Advantage |
$1,007.25
|
| Rate for Payer: Cash Price |
$3,223.20
|
| Rate for Payer: Cash Price |
$3,223.20
|
| Rate for Payer: Cofinity Commercial |
$3,464.94
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,223.20
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,007.25
|
| Rate for Payer: Healthscope Commercial |
$3,626.10
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$3,021.75
|
| Rate for Payer: Mclaren Medicaid |
$1,049.31
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,057.61
|
| Rate for Payer: Meridian Medicaid |
$1,101.85
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,158.34
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,424.65
|
| Rate for Payer: Nomi Health Commercial |
$3,303.78
|
| Rate for Payer: PACE Senior Care Partners |
$956.89
|
| Rate for Payer: PACE SWMI |
$1,007.25
|
| Rate for Payer: PHP Commercial |
$3,424.65
|
| Rate for Payer: PHP Medicare Advantage |
$1,007.25
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,049.31
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,618.85
|
| Rate for Payer: Priority Health HMO/PPO |
$3,505.23
|
| Rate for Payer: Priority Health Medicare |
$1,017.32
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,699.43
|
| Rate for Payer: Railroad Medicare Medicare |
$1,007.25
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$3,545.52
|
| Rate for Payer: UHC Core |
$3,364.22
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,007.25
|
| Rate for Payer: UHC Exchange |
$1,007.25
|
| Rate for Payer: UHC Medicare Advantage |
$1,007.25
|
| Rate for Payer: UHCCP Medicaid |
$1,049.31
|
| Rate for Payer: VA VA |
$1,007.25
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$3,021.75
|
|
|
HC BIOPSY LIVER
|
Facility
|
OP
|
$1,652.29
|
|
|
Service Code
|
CPT 47000
|
| Hospital Charge Code |
36100197
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$392.42 |
| Max. Negotiated Rate |
$1,487.06 |
| Rate for Payer: Aetna Commercial |
$1,404.45
|
| Rate for Payer: Aetna Medicare |
$429.60
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$516.34
|
| Rate for Payer: Amish Plain Church Group Commercial |
$516.34
|
| Rate for Payer: BCBS Complete |
$1,205.21
|
| Rate for Payer: BCBS MAPPO |
$413.07
|
| Rate for Payer: BCBS Trust/PPO |
$1,358.35
|
| Rate for Payer: BCN Commercial |
$1,284.66
|
| Rate for Payer: BCN Medicare Advantage |
$413.07
|
| Rate for Payer: Cash Price |
$1,321.83
|
| Rate for Payer: Cash Price |
$1,321.83
|
| Rate for Payer: Cofinity Commercial |
$1,420.97
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,321.83
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$413.07
|
| Rate for Payer: Healthscope Commercial |
$1,487.06
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,239.22
|
| Rate for Payer: Mclaren Medicaid |
$1,147.75
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$433.73
|
| Rate for Payer: Meridian Medicaid |
$1,205.21
|
| Rate for Payer: MI Amish Medical Board Commercial |
$475.03
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,404.45
|
| Rate for Payer: Nomi Health Commercial |
$1,354.88
|
| Rate for Payer: PACE Senior Care Partners |
$392.42
|
| Rate for Payer: PACE SWMI |
$413.07
|
| Rate for Payer: PHP Commercial |
$1,404.45
|
| Rate for Payer: PHP Medicare Advantage |
$413.07
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,147.75
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,073.99
|
| Rate for Payer: Priority Health HMO/PPO |
$1,437.49
|
| Rate for Payer: Priority Health Medicare |
$417.20
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,107.03
|
| Rate for Payer: Railroad Medicare Medicare |
$413.07
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,454.02
|
| Rate for Payer: UHC Core |
$1,379.66
|
| Rate for Payer: UHC Dual Complete DSNP |
$413.07
|
| Rate for Payer: UHC Exchange |
$413.07
|
| Rate for Payer: UHC Medicare Advantage |
$413.07
|
| Rate for Payer: UHCCP Medicaid |
$1,147.75
|
| Rate for Payer: VA VA |
$413.07
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,239.22
|
|
|
HC BIOPSY LIVER
|
Facility
|
IP
|
$1,652.29
|
|
|
Service Code
|
CPT 47000
|
| Hospital Charge Code |
36100197
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$1,073.99 |
| Max. Negotiated Rate |
$1,487.06 |
| Rate for Payer: Aetna Commercial |
$1,404.45
|
| Rate for Payer: BCBS Trust/PPO |
$1,348.76
|
| Rate for Payer: BCN Commercial |
$1,276.89
|
| Rate for Payer: Cash Price |
$1,321.83
|
| Rate for Payer: Cofinity Commercial |
$1,420.97
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,321.83
|
| Rate for Payer: Healthscope Commercial |
$1,487.06
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,239.22
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,404.45
|
| Rate for Payer: Nomi Health Commercial |
$1,354.88
|
| Rate for Payer: PHP Commercial |
$1,404.45
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,073.99
|
| Rate for Payer: Priority Health HMO/PPO |
$1,437.49
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,107.03
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,454.02
|
| Rate for Payer: UHC Core |
$1,379.66
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,239.22
|
|
|
HC BIOPSY LYMPH NODE
|
Facility
|
OP
|
$1,882.13
|
|
|
Service Code
|
CPT 38505
|
| Hospital Charge Code |
36100186
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$162.67 |
| Max. Negotiated Rate |
$1,693.92 |
| Rate for Payer: Aetna Commercial |
$1,599.81
|
| Rate for Payer: Aetna Medicare |
$489.35
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$588.17
|
| Rate for Payer: Amish Plain Church Group Commercial |
$588.17
|
| Rate for Payer: BCBS Complete |
$1,205.21
|
| Rate for Payer: BCBS MAPPO |
$470.53
|
| Rate for Payer: BCBS Trust/PPO |
$1,547.30
|
| Rate for Payer: BCCCP Commercial |
$162.67
|
| Rate for Payer: BCN Commercial |
$1,463.36
|
| Rate for Payer: BCN Medicare Advantage |
$470.53
|
| Rate for Payer: Cash Price |
$1,505.70
|
| Rate for Payer: Cash Price |
$1,505.70
|
| Rate for Payer: Cofinity Commercial |
$1,618.63
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,505.70
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$470.53
|
| Rate for Payer: Healthscope Commercial |
$1,693.92
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,411.60
|
| Rate for Payer: Mclaren Medicaid |
$1,147.75
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$494.06
|
| Rate for Payer: Meridian Medicaid |
$1,205.21
|
| Rate for Payer: MI Amish Medical Board Commercial |
$541.11
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,599.81
|
| Rate for Payer: Nomi Health Commercial |
$1,543.35
|
| Rate for Payer: PACE Senior Care Partners |
$447.01
|
| Rate for Payer: PACE SWMI |
$470.53
|
| Rate for Payer: PHP Commercial |
$1,599.81
|
| Rate for Payer: PHP Medicare Advantage |
$470.53
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,147.75
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,223.38
|
| Rate for Payer: Priority Health HMO/PPO |
$1,637.45
|
| Rate for Payer: Priority Health Medicare |
$475.24
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,261.03
|
| Rate for Payer: Railroad Medicare Medicare |
$470.53
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,656.27
|
| Rate for Payer: UHC Core |
$1,571.58
|
| Rate for Payer: UHC Dual Complete DSNP |
$470.53
|
| Rate for Payer: UHC Exchange |
$470.53
|
| Rate for Payer: UHC Medicare Advantage |
$470.53
|
| Rate for Payer: UHCCP Medicaid |
$1,147.75
|
| Rate for Payer: VA VA |
$470.53
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,411.60
|
|
|
HC BIOPSY LYMPH NODE
|
Facility
|
IP
|
$1,882.13
|
|
|
Service Code
|
CPT 38505
|
| Hospital Charge Code |
36100186
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$1,223.38 |
| Max. Negotiated Rate |
$1,693.92 |
| Rate for Payer: Aetna Commercial |
$1,599.81
|
| Rate for Payer: BCBS Trust/PPO |
$1,536.38
|
| Rate for Payer: BCN Commercial |
$1,454.51
|
| Rate for Payer: Cash Price |
$1,505.70
|
| Rate for Payer: Cofinity Commercial |
$1,618.63
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,505.70
|
| Rate for Payer: Healthscope Commercial |
$1,693.92
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,411.60
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,599.81
|
| Rate for Payer: Nomi Health Commercial |
$1,543.35
|
| Rate for Payer: PHP Commercial |
$1,599.81
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,223.38
|
| Rate for Payer: Priority Health HMO/PPO |
$1,637.45
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,261.03
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,656.27
|
| Rate for Payer: UHC Core |
$1,571.58
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,411.60
|
|
|
HC BIOPSY MUSCLE
|
Facility
|
OP
|
$1,925.21
|
|
|
Service Code
|
CPT 20206
|
| Hospital Charge Code |
36100017
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$457.24 |
| Max. Negotiated Rate |
$1,732.69 |
| Rate for Payer: Aetna Commercial |
$1,636.43
|
| Rate for Payer: Aetna Medicare |
$500.55
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$601.63
|
| Rate for Payer: Amish Plain Church Group Commercial |
$601.63
|
| Rate for Payer: BCBS Complete |
$1,205.21
|
| Rate for Payer: BCBS MAPPO |
$481.30
|
| Rate for Payer: BCBS Trust/PPO |
$1,582.72
|
| Rate for Payer: BCN Commercial |
$1,496.85
|
| Rate for Payer: BCN Medicare Advantage |
$481.30
|
| Rate for Payer: Cash Price |
$1,540.17
|
| Rate for Payer: Cash Price |
$1,540.17
|
| Rate for Payer: Cofinity Commercial |
$1,655.68
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,540.17
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$481.30
|
| Rate for Payer: Healthscope Commercial |
$1,732.69
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,443.91
|
| Rate for Payer: Mclaren Medicaid |
$1,147.75
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$505.37
|
| Rate for Payer: Meridian Medicaid |
$1,205.21
|
| Rate for Payer: MI Amish Medical Board Commercial |
$553.50
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,636.43
|
| Rate for Payer: Nomi Health Commercial |
$1,578.67
|
| Rate for Payer: PACE Senior Care Partners |
$457.24
|
| Rate for Payer: PACE SWMI |
$481.30
|
| Rate for Payer: PHP Commercial |
$1,636.43
|
| Rate for Payer: PHP Medicare Advantage |
$481.30
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,147.75
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,251.39
|
| Rate for Payer: Priority Health HMO/PPO |
$1,674.93
|
| Rate for Payer: Priority Health Medicare |
$486.12
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,289.89
|
| Rate for Payer: Railroad Medicare Medicare |
$481.30
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,694.18
|
| Rate for Payer: UHC Core |
$1,607.55
|
| Rate for Payer: UHC Dual Complete DSNP |
$481.30
|
| Rate for Payer: UHC Exchange |
$481.30
|
| Rate for Payer: UHC Medicare Advantage |
$481.30
|
| Rate for Payer: UHCCP Medicaid |
$1,147.75
|
| Rate for Payer: VA VA |
$481.30
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,443.91
|
|
|
HC BIOPSY MUSCLE
|
Facility
|
IP
|
$1,925.21
|
|
|
Service Code
|
CPT 20206
|
| Hospital Charge Code |
36100017
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$1,251.39 |
| Max. Negotiated Rate |
$1,732.69 |
| Rate for Payer: Aetna Commercial |
$1,636.43
|
| Rate for Payer: BCBS Trust/PPO |
$1,571.55
|
| Rate for Payer: BCN Commercial |
$1,487.80
|
| Rate for Payer: Cash Price |
$1,540.17
|
| Rate for Payer: Cofinity Commercial |
$1,655.68
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,540.17
|
| Rate for Payer: Healthscope Commercial |
$1,732.69
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,443.91
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,636.43
|
| Rate for Payer: Nomi Health Commercial |
$1,578.67
|
| Rate for Payer: PHP Commercial |
$1,636.43
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,251.39
|
| Rate for Payer: Priority Health HMO/PPO |
$1,674.93
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,289.89
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,694.18
|
| Rate for Payer: UHC Core |
$1,607.55
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,443.91
|
|
|
HC BIOPSY MUSCLE TISSUE SUPERFICIAL
|
Facility
|
IP
|
$2,201.25
|
|
|
Service Code
|
CPT 20200
|
| Hospital Charge Code |
36100447
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$1,430.81 |
| Max. Negotiated Rate |
$1,981.12 |
| Rate for Payer: Aetna Commercial |
$1,871.06
|
| Rate for Payer: BCBS Trust/PPO |
$1,796.88
|
| Rate for Payer: BCN Commercial |
$1,701.13
|
| Rate for Payer: Cash Price |
$1,761.00
|
| Rate for Payer: Cofinity Commercial |
$1,893.08
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,761.00
|
| Rate for Payer: Healthscope Commercial |
$1,981.12
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,650.94
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,871.06
|
| Rate for Payer: Nomi Health Commercial |
$1,805.02
|
| Rate for Payer: PHP Commercial |
$1,871.06
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,430.81
|
| Rate for Payer: Priority Health HMO/PPO |
$1,915.09
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,474.84
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,937.10
|
| Rate for Payer: UHC Core |
$1,838.04
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,650.94
|
|
|
HC BIOPSY MUSCLE TISSUE SUPERFICIAL
|
Facility
|
OP
|
$2,201.25
|
|
|
Service Code
|
CPT 20200
|
| Hospital Charge Code |
36100447
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$522.80 |
| Max. Negotiated Rate |
$1,981.12 |
| Rate for Payer: Aetna Commercial |
$1,871.06
|
| Rate for Payer: Aetna Medicare |
$572.32
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$687.89
|
| Rate for Payer: Amish Plain Church Group Commercial |
$687.89
|
| Rate for Payer: BCBS Complete |
$1,205.21
|
| Rate for Payer: BCBS MAPPO |
$550.31
|
| Rate for Payer: BCBS Trust/PPO |
$1,809.65
|
| Rate for Payer: BCN Commercial |
$1,711.47
|
| Rate for Payer: BCN Medicare Advantage |
$550.31
|
| Rate for Payer: Cash Price |
$1,761.00
|
| Rate for Payer: Cash Price |
$1,761.00
|
| Rate for Payer: Cofinity Commercial |
$1,893.08
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,761.00
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$550.31
|
| Rate for Payer: Healthscope Commercial |
$1,981.12
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,650.94
|
| Rate for Payer: Mclaren Medicaid |
$1,147.75
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$577.83
|
| Rate for Payer: Meridian Medicaid |
$1,205.21
|
| Rate for Payer: MI Amish Medical Board Commercial |
$632.86
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,871.06
|
| Rate for Payer: Nomi Health Commercial |
$1,805.02
|
| Rate for Payer: PACE Senior Care Partners |
$522.80
|
| Rate for Payer: PACE SWMI |
$550.31
|
| Rate for Payer: PHP Commercial |
$1,871.06
|
| Rate for Payer: PHP Medicare Advantage |
$550.31
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,147.75
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,430.81
|
| Rate for Payer: Priority Health HMO/PPO |
$1,915.09
|
| Rate for Payer: Priority Health Medicare |
$555.82
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,474.84
|
| Rate for Payer: Railroad Medicare Medicare |
$550.31
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,937.10
|
| Rate for Payer: UHC Core |
$1,838.04
|
| Rate for Payer: UHC Dual Complete DSNP |
$550.31
|
| Rate for Payer: UHC Exchange |
$550.31
|
| Rate for Payer: UHC Medicare Advantage |
$550.31
|
| Rate for Payer: UHCCP Medicaid |
$1,147.75
|
| Rate for Payer: VA VA |
$550.31
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,650.94
|
|
|
HC BIOPSY OF LIP
|
Facility
|
OP
|
$663.00
|
|
|
Service Code
|
CPT 40490
|
| Hospital Charge Code |
76100456
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$157.46 |
| Max. Negotiated Rate |
$596.70 |
| Rate for Payer: Aetna Commercial |
$563.55
|
| Rate for Payer: Aetna Medicare |
$172.38
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$207.19
|
| Rate for Payer: Amish Plain Church Group Commercial |
$207.19
|
| Rate for Payer: BCBS Complete |
$172.73
|
| Rate for Payer: BCBS MAPPO |
$165.75
|
| Rate for Payer: BCBS Trust/PPO |
$545.05
|
| Rate for Payer: BCN Commercial |
$515.48
|
| Rate for Payer: BCN Medicare Advantage |
$165.75
|
| Rate for Payer: Cash Price |
$530.40
|
| Rate for Payer: Cash Price |
$530.40
|
| Rate for Payer: Cofinity Commercial |
$570.18
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$530.40
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$165.75
|
| Rate for Payer: Healthscope Commercial |
$596.70
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$497.25
|
| Rate for Payer: Mclaren Medicaid |
$164.50
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$174.04
|
| Rate for Payer: Meridian Medicaid |
$172.73
|
| Rate for Payer: MI Amish Medical Board Commercial |
$190.61
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$563.55
|
| Rate for Payer: Nomi Health Commercial |
$543.66
|
| Rate for Payer: PACE Senior Care Partners |
$157.46
|
| Rate for Payer: PACE SWMI |
$165.75
|
| Rate for Payer: PHP Commercial |
$563.55
|
| Rate for Payer: PHP Medicare Advantage |
$165.75
|
| Rate for Payer: Priority Health Choice Medicaid |
$164.50
|
| Rate for Payer: Priority Health Cigna Priority Health |
$430.95
|
| Rate for Payer: Priority Health HMO/PPO |
$576.81
|
| Rate for Payer: Priority Health Medicare |
$167.41
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$444.21
|
| Rate for Payer: Railroad Medicare Medicare |
$165.75
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$583.44
|
| Rate for Payer: UHC Core |
$553.60
|
| Rate for Payer: UHC Dual Complete DSNP |
$165.75
|
| Rate for Payer: UHC Exchange |
$165.75
|
| Rate for Payer: UHC Medicare Advantage |
$165.75
|
| Rate for Payer: UHCCP Medicaid |
$164.50
|
| Rate for Payer: VA VA |
$165.75
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$497.25
|
|
|
HC BIOPSY OF LIP
|
Facility
|
IP
|
$663.00
|
|
|
Service Code
|
CPT 40490
|
| Hospital Charge Code |
76100456
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$430.95 |
| Max. Negotiated Rate |
$596.70 |
| Rate for Payer: Aetna Commercial |
$563.55
|
| Rate for Payer: BCBS Trust/PPO |
$541.21
|
| Rate for Payer: BCN Commercial |
$512.37
|
| Rate for Payer: Cash Price |
$530.40
|
| Rate for Payer: Cofinity Commercial |
$570.18
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$530.40
|
| Rate for Payer: Healthscope Commercial |
$596.70
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$497.25
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$563.55
|
| Rate for Payer: Nomi Health Commercial |
$543.66
|
| Rate for Payer: PHP Commercial |
$563.55
|
| Rate for Payer: Priority Health Cigna Priority Health |
$430.95
|
| Rate for Payer: Priority Health HMO/PPO |
$576.81
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$444.21
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$583.44
|
| Rate for Payer: UHC Core |
$553.60
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$497.25
|
|
|
HC BIOPSY OF PROSTATE,INCISIONAL
|
Facility
|
IP
|
$9,474.00
|
|
|
Service Code
|
CPT 55705
|
| Hospital Charge Code |
76100359
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$6,158.10 |
| Max. Negotiated Rate |
$8,526.60 |
| Rate for Payer: Aetna Commercial |
$8,052.90
|
| Rate for Payer: BCBS Trust/PPO |
$7,733.63
|
| Rate for Payer: BCN Commercial |
$7,321.51
|
| Rate for Payer: Cash Price |
$7,579.20
|
| Rate for Payer: Cofinity Commercial |
$8,147.64
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$7,579.20
|
| Rate for Payer: Healthscope Commercial |
$8,526.60
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$7,105.50
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$8,052.90
|
| Rate for Payer: Nomi Health Commercial |
$7,768.68
|
| Rate for Payer: PHP Commercial |
$8,052.90
|
| Rate for Payer: Priority Health Cigna Priority Health |
$6,158.10
|
| Rate for Payer: Priority Health HMO/PPO |
$8,242.38
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$6,347.58
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$8,337.12
|
| Rate for Payer: UHC Core |
$7,910.79
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$7,105.50
|
|
|
HC BIOPSY OF PROSTATE,INCISIONAL
|
Facility
|
OP
|
$9,474.00
|
|
|
Service Code
|
CPT 55705
|
| Hospital Charge Code |
76100359
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$2,250.08 |
| Max. Negotiated Rate |
$8,526.60 |
| Rate for Payer: Aetna Commercial |
$8,052.90
|
| Rate for Payer: Aetna Medicare |
$2,463.24
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$2,960.62
|
| Rate for Payer: Amish Plain Church Group Commercial |
$2,960.62
|
| Rate for Payer: BCBS Complete |
$2,565.51
|
| Rate for Payer: BCBS MAPPO |
$2,368.50
|
| Rate for Payer: BCBS Trust/PPO |
$7,788.58
|
| Rate for Payer: BCN Commercial |
$7,366.04
|
| Rate for Payer: BCN Medicare Advantage |
$2,368.50
|
| Rate for Payer: Cash Price |
$7,579.20
|
| Rate for Payer: Cash Price |
$7,579.20
|
| Rate for Payer: Cofinity Commercial |
$8,147.64
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$7,579.20
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,368.50
|
| Rate for Payer: Healthscope Commercial |
$8,526.60
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$7,105.50
|
| Rate for Payer: Mclaren Medicaid |
$2,443.18
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$2,486.92
|
| Rate for Payer: Meridian Medicaid |
$2,565.51
|
| Rate for Payer: MI Amish Medical Board Commercial |
$2,723.78
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$8,052.90
|
| Rate for Payer: Nomi Health Commercial |
$7,768.68
|
| Rate for Payer: PACE Senior Care Partners |
$2,250.08
|
| Rate for Payer: PACE SWMI |
$2,368.50
|
| Rate for Payer: PHP Commercial |
$8,052.90
|
| Rate for Payer: PHP Medicare Advantage |
$2,368.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,443.18
|
| Rate for Payer: Priority Health Cigna Priority Health |
$6,158.10
|
| Rate for Payer: Priority Health HMO/PPO |
$8,242.38
|
| Rate for Payer: Priority Health Medicare |
$2,392.18
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$6,347.58
|
| Rate for Payer: Railroad Medicare Medicare |
$2,368.50
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$8,337.12
|
| Rate for Payer: UHC Core |
$7,910.79
|
| Rate for Payer: UHC Dual Complete DSNP |
$2,368.50
|
| Rate for Payer: UHC Exchange |
$2,368.50
|
| Rate for Payer: UHC Medicare Advantage |
$2,368.50
|
| Rate for Payer: UHCCP Medicaid |
$2,443.18
|
| Rate for Payer: VA VA |
$2,368.50
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$7,105.50
|
|
|
HC BIOPSY OF VAGINA, SIMPLE
|
Facility
|
OP
|
$870.81
|
|
|
Service Code
|
CPT 57100
|
| Hospital Charge Code |
76100222
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$206.82 |
| Max. Negotiated Rate |
$783.73 |
| Rate for Payer: Aetna Commercial |
$740.19
|
| Rate for Payer: Aetna Medicare |
$226.41
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$272.13
|
| Rate for Payer: Amish Plain Church Group Commercial |
$272.13
|
| Rate for Payer: BCBS Complete |
$647.70
|
| Rate for Payer: BCBS MAPPO |
$217.70
|
| Rate for Payer: BCBS Trust/PPO |
$715.89
|
| Rate for Payer: BCN Commercial |
$677.05
|
| Rate for Payer: BCN Medicare Advantage |
$217.70
|
| Rate for Payer: Cash Price |
$696.65
|
| Rate for Payer: Cash Price |
$696.65
|
| Rate for Payer: Cofinity Commercial |
$748.90
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$696.65
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$217.70
|
| Rate for Payer: Healthscope Commercial |
$783.73
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$653.11
|
| Rate for Payer: Mclaren Medicaid |
$616.81
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$228.59
|
| Rate for Payer: Meridian Medicaid |
$647.70
|
| Rate for Payer: MI Amish Medical Board Commercial |
$250.36
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$740.19
|
| Rate for Payer: Nomi Health Commercial |
$714.06
|
| Rate for Payer: PACE Senior Care Partners |
$206.82
|
| Rate for Payer: PACE SWMI |
$217.70
|
| Rate for Payer: PHP Commercial |
$740.19
|
| Rate for Payer: PHP Medicare Advantage |
$217.70
|
| Rate for Payer: Priority Health Choice Medicaid |
$616.81
|
| Rate for Payer: Priority Health Cigna Priority Health |
$566.03
|
| Rate for Payer: Priority Health HMO/PPO |
$757.60
|
| Rate for Payer: Priority Health Medicare |
$219.88
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$583.44
|
| Rate for Payer: Railroad Medicare Medicare |
$217.70
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$766.31
|
| Rate for Payer: UHC Core |
$727.13
|
| Rate for Payer: UHC Dual Complete DSNP |
$217.70
|
| Rate for Payer: UHC Exchange |
$217.70
|
| Rate for Payer: UHC Medicare Advantage |
$217.70
|
| Rate for Payer: UHCCP Medicaid |
$616.81
|
| Rate for Payer: VA VA |
$217.70
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$653.11
|
|
|
HC BIOPSY OF VAGINA, SIMPLE
|
Facility
|
IP
|
$870.81
|
|
|
Service Code
|
CPT 57100
|
| Hospital Charge Code |
76100222
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$566.03 |
| Max. Negotiated Rate |
$783.73 |
| Rate for Payer: Aetna Commercial |
$740.19
|
| Rate for Payer: BCBS Trust/PPO |
$710.84
|
| Rate for Payer: BCN Commercial |
$672.96
|
| Rate for Payer: Cash Price |
$696.65
|
| Rate for Payer: Cofinity Commercial |
$748.90
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$696.65
|
| Rate for Payer: Healthscope Commercial |
$783.73
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$653.11
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$740.19
|
| Rate for Payer: Nomi Health Commercial |
$714.06
|
| Rate for Payer: PHP Commercial |
$740.19
|
| Rate for Payer: Priority Health Cigna Priority Health |
$566.03
|
| Rate for Payer: Priority Health HMO/PPO |
$757.60
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$583.44
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$766.31
|
| Rate for Payer: UHC Core |
$727.13
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$653.11
|
|
|
HC BIOPSY OROPHARYNX
|
Facility
|
IP
|
$4,015.74
|
|
|
Service Code
|
CPT 42800
|
| Hospital Charge Code |
76100475
|
|
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 OROPHARYNX
|
Facility
|
OP
|
$4,015.74
|
|
|
Service Code
|
CPT 42800
|
| Hospital Charge Code |
76100475
|
|
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
|
|
|
HC BIOPSY PALATE UVULA
|
Facility
|
OP
|
$4,029.00
|
|
|
Service Code
|
CPT 42100
|
| Hospital Charge Code |
76100466
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$956.89 |
| Max. Negotiated Rate |
$3,626.10 |
| Rate for Payer: Aetna Commercial |
$3,424.65
|
| Rate for Payer: Aetna Medicare |
$1,047.54
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,259.06
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1,259.06
|
| Rate for Payer: BCBS Complete |
$1,101.85
|
| Rate for Payer: BCBS MAPPO |
$1,007.25
|
| Rate for Payer: BCBS Trust/PPO |
$3,312.24
|
| Rate for Payer: BCN Commercial |
$3,132.55
|
| Rate for Payer: BCN Medicare Advantage |
$1,007.25
|
| Rate for Payer: Cash Price |
$3,223.20
|
| Rate for Payer: Cash Price |
$3,223.20
|
| Rate for Payer: Cofinity Commercial |
$3,464.94
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,223.20
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,007.25
|
| Rate for Payer: Healthscope Commercial |
$3,626.10
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$3,021.75
|
| Rate for Payer: Mclaren Medicaid |
$1,049.31
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,057.61
|
| Rate for Payer: Meridian Medicaid |
$1,101.85
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,158.34
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,424.65
|
| Rate for Payer: Nomi Health Commercial |
$3,303.78
|
| Rate for Payer: PACE Senior Care Partners |
$956.89
|
| Rate for Payer: PACE SWMI |
$1,007.25
|
| Rate for Payer: PHP Commercial |
$3,424.65
|
| Rate for Payer: PHP Medicare Advantage |
$1,007.25
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,049.31
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,618.85
|
| Rate for Payer: Priority Health HMO/PPO |
$3,505.23
|
| Rate for Payer: Priority Health Medicare |
$1,017.32
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,699.43
|
| Rate for Payer: Railroad Medicare Medicare |
$1,007.25
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$3,545.52
|
| Rate for Payer: UHC Core |
$3,364.22
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,007.25
|
| Rate for Payer: UHC Exchange |
$1,007.25
|
| Rate for Payer: UHC Medicare Advantage |
$1,007.25
|
| Rate for Payer: UHCCP Medicaid |
$1,049.31
|
| Rate for Payer: VA VA |
$1,007.25
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$3,021.75
|
|
|
HC BIOPSY PALATE UVULA
|
Facility
|
IP
|
$4,029.00
|
|
|
Service Code
|
CPT 42100
|
| Hospital Charge Code |
76100466
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$2,618.85 |
| Max. Negotiated Rate |
$3,626.10 |
| Rate for Payer: Aetna Commercial |
$3,424.65
|
| Rate for Payer: BCBS Trust/PPO |
$3,288.87
|
| Rate for Payer: BCN Commercial |
$3,113.61
|
| Rate for Payer: Cash Price |
$3,223.20
|
| Rate for Payer: Cofinity Commercial |
$3,464.94
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,223.20
|
| Rate for Payer: Healthscope Commercial |
$3,626.10
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$3,021.75
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,424.65
|
| Rate for Payer: Nomi Health Commercial |
$3,303.78
|
| Rate for Payer: PHP Commercial |
$3,424.65
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,618.85
|
| Rate for Payer: Priority Health HMO/PPO |
$3,505.23
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,699.43
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$3,545.52
|
| Rate for Payer: UHC Core |
$3,364.22
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$3,021.75
|
|
|
HC BIOPSY PANCREAS
|
Facility
|
OP
|
$1,064.75
|
|
|
Service Code
|
CPT 48102
|
| Hospital Charge Code |
36100211
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$252.88 |
| Max. Negotiated Rate |
$1,205.21 |
| Rate for Payer: Aetna Commercial |
$905.04
|
| Rate for Payer: Aetna Medicare |
$276.84
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$332.73
|
| Rate for Payer: Amish Plain Church Group Commercial |
$332.73
|
| Rate for Payer: BCBS Complete |
$1,205.21
|
| Rate for Payer: BCBS MAPPO |
$266.19
|
| Rate for Payer: BCBS Trust/PPO |
$875.33
|
| Rate for Payer: BCN Commercial |
$827.84
|
| Rate for Payer: BCN Medicare Advantage |
$266.19
|
| Rate for Payer: Cash Price |
$851.80
|
| Rate for Payer: Cash Price |
$851.80
|
| Rate for Payer: Cofinity Commercial |
$915.68
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$851.80
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$266.19
|
| Rate for Payer: Healthscope Commercial |
$958.28
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$798.56
|
| Rate for Payer: Mclaren Medicaid |
$1,147.75
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$279.50
|
| Rate for Payer: Meridian Medicaid |
$1,205.21
|
| Rate for Payer: MI Amish Medical Board Commercial |
$306.12
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$905.04
|
| Rate for Payer: Nomi Health Commercial |
$873.10
|
| Rate for Payer: PACE Senior Care Partners |
$252.88
|
| Rate for Payer: PACE SWMI |
$266.19
|
| Rate for Payer: PHP Commercial |
$905.04
|
| Rate for Payer: PHP Medicare Advantage |
$266.19
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,147.75
|
| Rate for Payer: Priority Health Cigna Priority Health |
$692.09
|
| Rate for Payer: Priority Health HMO/PPO |
$926.33
|
| Rate for Payer: Priority Health Medicare |
$268.85
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$713.38
|
| Rate for Payer: Railroad Medicare Medicare |
$266.19
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$936.98
|
| Rate for Payer: UHC Core |
$889.07
|
| Rate for Payer: UHC Dual Complete DSNP |
$266.19
|
| Rate for Payer: UHC Exchange |
$266.19
|
| Rate for Payer: UHC Medicare Advantage |
$266.19
|
| Rate for Payer: UHCCP Medicaid |
$1,147.75
|
| Rate for Payer: VA VA |
$266.19
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$798.56
|
|
