|
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 |
$1,230.09
|
| 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 |
$1,171.43
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$442.71
|
| Rate for Payer: Meridian Medicaid |
$1,230.09
|
| 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 |
$1,171.43
|
| 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 |
$1,171.43
|
| 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
|
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 |
$1,579.15
|
| 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 |
$1,579.15
|
|
|
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 |
$1,230.09
|
| 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 |
$1,579.15
|
| Rate for Payer: Mclaren Medicaid |
$1,171.43
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$552.70
|
| Rate for Payer: Meridian Medicaid |
$1,230.09
|
| 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 |
$1,171.43
|
| 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 |
$1,171.43
|
| Rate for Payer: VA VA |
$526.38
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,579.15
|
|
|
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 |
$2,172.87
|
| 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 |
$2,069.26
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$949.95
|
| Rate for Payer: Meridian Medicaid |
$2,172.87
|
| 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 |
$2,069.26
|
| 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 |
$2,069.26
|
| Rate for Payer: VA VA |
$904.72
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,714.15
|
|
|
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; 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 |
$2,172.87
|
| 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 |
$2,069.26
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$823.41
|
| Rate for Payer: Meridian Medicaid |
$2,172.87
|
| 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 |
$2,069.26
|
| 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 |
$2,069.26
|
| 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 |
$1,230.09
|
| 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 |
$1,171.43
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$572.10
|
| Rate for Payer: Meridian Medicaid |
$1,230.09
|
| 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 |
$1,171.43
|
| 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 |
$1,171.43
|
| 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 |
$507.19
|
| 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 |
$507.19
|
|
|
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 |
$661.07 |
| 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 |
$661.07
|
| 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 |
$507.19
|
| Rate for Payer: Mclaren Medicaid |
$629.55
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$177.52
|
| Rate for Payer: Meridian Medicaid |
$661.07
|
| 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 |
$629.55
|
| 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 |
$629.55
|
| Rate for Payer: VA VA |
$169.06
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$507.19
|
|
|
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 |
$1,124.59
|
| Rate for Payer: BCBS MAPPO |
$1,003.93
|
| Rate for Payer: BCBS Trust/PPO |
$3,301.34
|
| Rate for Payer: BCN Commercial |
$3,122.24
|
| Rate for Payer: BCN Medicare Advantage |
$1,003.93
|
| 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 |
$1,003.93
|
| Rate for Payer: Healthscope Commercial |
$3,614.17
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$3,011.80
|
| Rate for Payer: Mclaren Medicaid |
$1,070.97
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,054.13
|
| Rate for Payer: Meridian Medicaid |
$1,124.59
|
| 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 |
$1,003.93
|
| Rate for Payer: PHP Commercial |
$3,413.38
|
| Rate for Payer: PHP Medicare Advantage |
$1,003.93
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,070.97
|
| 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 |
$1,003.93
|
| 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 |
$1,003.93
|
| Rate for Payer: UHC Exchange |
$1,003.93
|
| Rate for Payer: UHC Medicare Advantage |
$1,003.93
|
| Rate for Payer: UHCCP Medicaid |
$1,070.97
|
| Rate for Payer: VA VA |
$1,003.93
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$3,011.80
|
|
|
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 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 |
$176.30
|
| 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 |
$167.90
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$102.56
|
| Rate for Payer: Meridian Medicaid |
$176.30
|
| 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 |
$167.90
|
| 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 |
$167.90
|
| 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
|
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 FLOOR MOUTH
|
Facility
|
OP
|
$4,182.00
|
|
|
Service Code
|
CPT 41108
|
| Hospital Charge Code |
76100464
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$993.23 |
| 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 |
$1,230.09
|
| Rate for Payer: BCBS MAPPO |
$1,045.50
|
| Rate for Payer: BCBS Trust/PPO |
$3,438.02
|
| Rate for Payer: BCN Commercial |
$3,251.51
|
| 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 |
$1,171.43
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,097.78
|
| Rate for Payer: Meridian Medicaid |
$1,230.09
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,202.33
|
| 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 |
$993.23
|
| 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 |
$1,171.43
|
| 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 |
$1,055.95
|
| 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 |
$1,171.43
|
| Rate for Payer: VA VA |
$1,045.50
|
| 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 |
$1,124.59
|
| 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 |
$1,070.97
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,057.61
|
| Rate for Payer: Meridian Medicaid |
$1,124.59
|
| 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 |
$1,070.97
|
| 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 |
$1,070.97
|
| 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 |
$1,230.09
|
| 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 |
$1,171.43
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$433.73
|
| Rate for Payer: Meridian Medicaid |
$1,230.09
|
| 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 |
$1,171.43
|
| 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 |
$1,171.43
|
| 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
|
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
|
|
