|
HC BIOPSY RENAL
|
Facility
|
OP
|
$1,736.13
|
|
|
Service Code
|
CPT 50200
|
| Hospital Charge Code |
36100235
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$412.33 |
| Max. Negotiated Rate |
$1,562.52 |
| Rate for Payer: Aetna Commercial |
$1,475.71
|
| Rate for Payer: Aetna Medicare |
$451.39
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$542.54
|
| Rate for Payer: Amish Plain Church Group Commercial |
$542.54
|
| Rate for Payer: BCBS Complete |
$1,230.09
|
| Rate for Payer: BCBS MAPPO |
$434.03
|
| Rate for Payer: BCBS Trust/PPO |
$1,427.27
|
| Rate for Payer: BCN Commercial |
$1,349.84
|
| Rate for Payer: BCN Medicare Advantage |
$434.03
|
| Rate for Payer: Cash Price |
$1,388.90
|
| Rate for Payer: Cash Price |
$1,388.90
|
| Rate for Payer: Cofinity Commercial |
$1,493.07
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,388.90
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$434.03
|
| Rate for Payer: Healthscope Commercial |
$1,562.52
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,302.10
|
| Rate for Payer: Mclaren Medicaid |
$1,171.43
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$455.73
|
| Rate for Payer: Meridian Medicaid |
$1,230.09
|
| Rate for Payer: MI Amish Medical Board Commercial |
$499.14
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,475.71
|
| Rate for Payer: Nomi Health Commercial |
$1,423.63
|
| Rate for Payer: PACE Senior Care Partners |
$412.33
|
| Rate for Payer: PACE SWMI |
$434.03
|
| Rate for Payer: PHP Commercial |
$1,475.71
|
| Rate for Payer: PHP Medicare Advantage |
$434.03
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,171.43
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,128.48
|
| Rate for Payer: Priority Health HMO/PPO |
$1,510.43
|
| Rate for Payer: Priority Health Medicare |
$438.37
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,163.21
|
| Rate for Payer: Railroad Medicare Medicare |
$434.03
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,527.79
|
| Rate for Payer: UHC Core |
$1,449.67
|
| Rate for Payer: UHC Dual Complete DSNP |
$434.03
|
| Rate for Payer: UHC Exchange |
$434.03
|
| Rate for Payer: UHC Medicare Advantage |
$434.03
|
| Rate for Payer: UHCCP Medicaid |
$1,171.43
|
| Rate for Payer: VA VA |
$434.03
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,302.10
|
|
|
HC BIOPSY RENAL
|
Facility
|
IP
|
$1,736.13
|
|
|
Service Code
|
CPT 50200
|
| Hospital Charge Code |
36100235
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$1,128.48 |
| Max. Negotiated Rate |
$1,562.52 |
| Rate for Payer: Aetna Commercial |
$1,475.71
|
| Rate for Payer: BCBS Trust/PPO |
$1,417.20
|
| Rate for Payer: BCN Commercial |
$1,341.68
|
| Rate for Payer: Cash Price |
$1,388.90
|
| Rate for Payer: Cofinity Commercial |
$1,493.07
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,388.90
|
| Rate for Payer: Healthscope Commercial |
$1,562.52
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,302.10
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,475.71
|
| Rate for Payer: Nomi Health Commercial |
$1,423.63
|
| Rate for Payer: PHP Commercial |
$1,475.71
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,128.48
|
| Rate for Payer: Priority Health HMO/PPO |
$1,510.43
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,163.21
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,527.79
|
| Rate for Payer: UHC Core |
$1,449.67
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,302.10
|
|
|
HC BIOPSY SALIVARY GLAND
|
Facility
|
OP
|
$916.01
|
|
|
Service Code
|
CPT 42400
|
| Hospital Charge Code |
36100189
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$217.55 |
| Max. Negotiated Rate |
$824.41 |
| Rate for Payer: Aetna Commercial |
$778.61
|
| Rate for Payer: Aetna Medicare |
$238.16
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$286.25
|
| Rate for Payer: Amish Plain Church Group Commercial |
$286.25
|
| Rate for Payer: BCBS Complete |
$534.17
|
| Rate for Payer: BCBS MAPPO |
$229.00
|
| Rate for Payer: BCBS Trust/PPO |
$753.05
|
| Rate for Payer: BCN Commercial |
$712.20
|
| Rate for Payer: BCN Medicare Advantage |
$229.00
|
| Rate for Payer: Cash Price |
$732.81
|
| Rate for Payer: Cash Price |
$732.81
|
| Rate for Payer: Cofinity Commercial |
$787.77
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$732.81
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$229.00
|
| Rate for Payer: Healthscope Commercial |
$824.41
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$687.01
|
| Rate for Payer: Mclaren Medicaid |
$508.70
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$240.45
|
| Rate for Payer: Meridian Medicaid |
$534.17
|
| Rate for Payer: MI Amish Medical Board Commercial |
$263.35
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$778.61
|
| Rate for Payer: Nomi Health Commercial |
$751.13
|
| Rate for Payer: PACE Senior Care Partners |
$217.55
|
| Rate for Payer: PACE SWMI |
$229.00
|
| Rate for Payer: PHP Commercial |
$778.61
|
| Rate for Payer: PHP Medicare Advantage |
$229.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$508.70
|
| Rate for Payer: Priority Health Cigna Priority Health |
$595.41
|
| Rate for Payer: Priority Health HMO/PPO |
$796.93
|
| Rate for Payer: Priority Health Medicare |
$231.29
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$613.73
|
| Rate for Payer: Railroad Medicare Medicare |
$229.00
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$806.09
|
| Rate for Payer: UHC Core |
$764.87
|
| Rate for Payer: UHC Dual Complete DSNP |
$229.00
|
| Rate for Payer: UHC Exchange |
$229.00
|
| Rate for Payer: UHC Medicare Advantage |
$229.00
|
| Rate for Payer: UHCCP Medicaid |
$508.70
|
| Rate for Payer: VA VA |
$229.00
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$687.01
|
|
|
HC BIOPSY SALIVARY GLAND
|
Facility
|
IP
|
$916.01
|
|
|
Service Code
|
CPT 42400
|
| Hospital Charge Code |
36100189
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$595.41 |
| Max. Negotiated Rate |
$824.41 |
| Rate for Payer: Aetna Commercial |
$778.61
|
| Rate for Payer: BCBS Trust/PPO |
$747.74
|
| Rate for Payer: BCN Commercial |
$707.89
|
| Rate for Payer: Cash Price |
$732.81
|
| Rate for Payer: Cofinity Commercial |
$787.77
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$732.81
|
| Rate for Payer: Healthscope Commercial |
$824.41
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$687.01
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$778.61
|
| Rate for Payer: Nomi Health Commercial |
$751.13
|
| Rate for Payer: PHP Commercial |
$778.61
|
| Rate for Payer: Priority Health Cigna Priority Health |
$595.41
|
| Rate for Payer: Priority Health HMO/PPO |
$796.93
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$613.73
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$806.09
|
| Rate for Payer: UHC Core |
$764.87
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$687.01
|
|
|
HC BIOPSY SALIVARY GLAND INCISIONAL
|
Facility
|
OP
|
$4,080.00
|
|
|
Service Code
|
CPT 42405
|
| Hospital Charge Code |
76100471
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$969.00 |
| Max. Negotiated Rate |
$3,672.00 |
| Rate for Payer: Aetna Commercial |
$3,468.00
|
| Rate for Payer: Aetna Medicare |
$1,060.80
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,275.00
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1,275.00
|
| Rate for Payer: BCBS Complete |
$1,124.59
|
| Rate for Payer: BCBS MAPPO |
$1,020.00
|
| Rate for Payer: BCBS Trust/PPO |
$3,354.17
|
| Rate for Payer: BCN Commercial |
$3,172.20
|
| Rate for Payer: BCN Medicare Advantage |
$1,020.00
|
| Rate for Payer: Cash Price |
$3,264.00
|
| Rate for Payer: Cash Price |
$3,264.00
|
| Rate for Payer: Cofinity Commercial |
$3,508.80
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,264.00
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,020.00
|
| Rate for Payer: Healthscope Commercial |
$3,672.00
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$3,060.00
|
| Rate for Payer: Mclaren Medicaid |
$1,070.97
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,071.00
|
| Rate for Payer: Meridian Medicaid |
$1,124.59
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,173.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,468.00
|
| Rate for Payer: Nomi Health Commercial |
$3,345.60
|
| Rate for Payer: PACE Senior Care Partners |
$969.00
|
| Rate for Payer: PACE SWMI |
$1,020.00
|
| Rate for Payer: PHP Commercial |
$3,468.00
|
| Rate for Payer: PHP Medicare Advantage |
$1,020.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,070.97
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,652.00
|
| Rate for Payer: Priority Health HMO/PPO |
$3,549.60
|
| Rate for Payer: Priority Health Medicare |
$1,030.20
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,733.60
|
| Rate for Payer: Railroad Medicare Medicare |
$1,020.00
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$3,590.40
|
| Rate for Payer: UHC Core |
$3,406.80
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,020.00
|
| Rate for Payer: UHC Exchange |
$1,020.00
|
| Rate for Payer: UHC Medicare Advantage |
$1,020.00
|
| Rate for Payer: UHCCP Medicaid |
$1,070.97
|
| Rate for Payer: VA VA |
$1,020.00
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$3,060.00
|
|
|
HC BIOPSY SALIVARY GLAND INCISIONAL
|
Facility
|
IP
|
$4,080.00
|
|
|
Service Code
|
CPT 42405
|
| Hospital Charge Code |
76100471
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$2,652.00 |
| Max. Negotiated Rate |
$3,672.00 |
| Rate for Payer: Aetna Commercial |
$3,468.00
|
| Rate for Payer: BCBS Trust/PPO |
$3,330.50
|
| Rate for Payer: BCN Commercial |
$3,153.02
|
| Rate for Payer: Cash Price |
$3,264.00
|
| Rate for Payer: Cofinity Commercial |
$3,508.80
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,264.00
|
| Rate for Payer: Healthscope Commercial |
$3,672.00
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$3,060.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,468.00
|
| Rate for Payer: Nomi Health Commercial |
$3,345.60
|
| Rate for Payer: PHP Commercial |
$3,468.00
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,652.00
|
| Rate for Payer: Priority Health HMO/PPO |
$3,549.60
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,733.60
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$3,590.40
|
| Rate for Payer: UHC Core |
$3,406.80
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$3,060.00
|
|
|
HC BIOPSY SOFT TISSUE FLANK DEEP
|
Facility
|
IP
|
$2,522.77
|
|
|
Service Code
|
CPT 21925
|
| Hospital Charge Code |
36100029
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$1,639.80 |
| Max. Negotiated Rate |
$2,270.49 |
| Rate for Payer: Aetna Commercial |
$2,144.35
|
| Rate for Payer: BCBS Trust/PPO |
$2,059.34
|
| Rate for Payer: BCN Commercial |
$1,949.60
|
| Rate for Payer: Cash Price |
$2,018.22
|
| Rate for Payer: Cofinity Commercial |
$2,169.58
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,018.22
|
| Rate for Payer: Healthscope Commercial |
$2,270.49
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,892.08
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,144.35
|
| Rate for Payer: Nomi Health Commercial |
$2,068.67
|
| Rate for Payer: PHP Commercial |
$2,144.35
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,639.80
|
| Rate for Payer: Priority Health HMO/PPO |
$2,194.81
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,690.26
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,220.04
|
| Rate for Payer: UHC Core |
$2,106.51
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,892.08
|
|
|
HC BIOPSY SOFT TISSUE FLANK DEEP
|
Facility
|
OP
|
$2,522.77
|
|
|
Service Code
|
CPT 21925
|
| Hospital Charge Code |
36100029
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$599.16 |
| Max. Negotiated Rate |
$2,270.49 |
| Rate for Payer: Aetna Commercial |
$2,144.35
|
| Rate for Payer: Aetna Medicare |
$655.92
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$788.37
|
| Rate for Payer: Amish Plain Church Group Commercial |
$788.37
|
| Rate for Payer: BCBS Complete |
$1,230.09
|
| Rate for Payer: BCBS MAPPO |
$630.69
|
| Rate for Payer: BCBS Trust/PPO |
$2,073.97
|
| Rate for Payer: BCN Commercial |
$1,961.45
|
| Rate for Payer: BCN Medicare Advantage |
$630.69
|
| Rate for Payer: Cash Price |
$2,018.22
|
| Rate for Payer: Cash Price |
$2,018.22
|
| Rate for Payer: Cofinity Commercial |
$2,169.58
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,018.22
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$630.69
|
| Rate for Payer: Healthscope Commercial |
$2,270.49
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,892.08
|
| Rate for Payer: Mclaren Medicaid |
$1,171.43
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$662.23
|
| Rate for Payer: Meridian Medicaid |
$1,230.09
|
| Rate for Payer: MI Amish Medical Board Commercial |
$725.30
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,144.35
|
| Rate for Payer: Nomi Health Commercial |
$2,068.67
|
| Rate for Payer: PACE Senior Care Partners |
$599.16
|
| Rate for Payer: PACE SWMI |
$630.69
|
| Rate for Payer: PHP Commercial |
$2,144.35
|
| Rate for Payer: PHP Medicare Advantage |
$630.69
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,171.43
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,639.80
|
| Rate for Payer: Priority Health HMO/PPO |
$2,194.81
|
| Rate for Payer: Priority Health Medicare |
$637.00
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,690.26
|
| Rate for Payer: Railroad Medicare Medicare |
$630.69
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,220.04
|
| Rate for Payer: UHC Core |
$2,106.51
|
| Rate for Payer: UHC Dual Complete DSNP |
$630.69
|
| Rate for Payer: UHC Exchange |
$630.69
|
| Rate for Payer: UHC Medicare Advantage |
$630.69
|
| Rate for Payer: UHCCP Medicaid |
$1,171.43
|
| Rate for Payer: VA VA |
$630.69
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,892.08
|
|
|
HC BIOPSY SOFT TISSUE NECK THORAX
|
Facility
|
IP
|
$1,665.51
|
|
|
Service Code
|
CPT 21550
|
| Hospital Charge Code |
36100028
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$1,082.58 |
| Max. Negotiated Rate |
$1,498.96 |
| Rate for Payer: Aetna Commercial |
$1,415.68
|
| Rate for Payer: BCBS Trust/PPO |
$1,359.56
|
| Rate for Payer: BCN Commercial |
$1,287.11
|
| Rate for Payer: Cash Price |
$1,332.41
|
| Rate for Payer: Cofinity Commercial |
$1,432.34
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,332.41
|
| Rate for Payer: Healthscope Commercial |
$1,498.96
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,249.13
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,415.68
|
| Rate for Payer: Nomi Health Commercial |
$1,365.72
|
| Rate for Payer: PHP Commercial |
$1,415.68
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,082.58
|
| Rate for Payer: Priority Health HMO/PPO |
$1,448.99
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,115.89
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,465.65
|
| Rate for Payer: UHC Core |
$1,390.70
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,249.13
|
|
|
HC BIOPSY SOFT TISSUE NECK THORAX
|
Facility
|
OP
|
$1,665.51
|
|
|
Service Code
|
CPT 21550
|
| Hospital Charge Code |
36100028
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$395.56 |
| Max. Negotiated Rate |
$1,498.96 |
| Rate for Payer: Aetna Commercial |
$1,415.68
|
| Rate for Payer: Aetna Medicare |
$433.03
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$520.47
|
| Rate for Payer: Amish Plain Church Group Commercial |
$520.47
|
| Rate for Payer: BCBS Complete |
$1,230.09
|
| Rate for Payer: BCBS MAPPO |
$416.38
|
| Rate for Payer: BCBS Trust/PPO |
$1,369.22
|
| Rate for Payer: BCN Commercial |
$1,294.93
|
| Rate for Payer: BCN Medicare Advantage |
$416.38
|
| Rate for Payer: Cash Price |
$1,332.41
|
| Rate for Payer: Cash Price |
$1,332.41
|
| Rate for Payer: Cofinity Commercial |
$1,432.34
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,332.41
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$416.38
|
| Rate for Payer: Healthscope Commercial |
$1,498.96
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,249.13
|
| Rate for Payer: Mclaren Medicaid |
$1,171.43
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$437.20
|
| Rate for Payer: Meridian Medicaid |
$1,230.09
|
| Rate for Payer: MI Amish Medical Board Commercial |
$478.83
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,415.68
|
| Rate for Payer: Nomi Health Commercial |
$1,365.72
|
| Rate for Payer: PACE Senior Care Partners |
$395.56
|
| Rate for Payer: PACE SWMI |
$416.38
|
| Rate for Payer: PHP Commercial |
$1,415.68
|
| Rate for Payer: PHP Medicare Advantage |
$416.38
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,171.43
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,082.58
|
| Rate for Payer: Priority Health HMO/PPO |
$1,448.99
|
| Rate for Payer: Priority Health Medicare |
$420.54
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,115.89
|
| Rate for Payer: Railroad Medicare Medicare |
$416.38
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,465.65
|
| Rate for Payer: UHC Core |
$1,390.70
|
| Rate for Payer: UHC Dual Complete DSNP |
$416.38
|
| Rate for Payer: UHC Exchange |
$416.38
|
| Rate for Payer: UHC Medicare Advantage |
$416.38
|
| Rate for Payer: UHCCP Medicaid |
$1,171.43
|
| Rate for Payer: VA VA |
$416.38
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,249.13
|
|
|
HC BIOPSY TESTIS INCISIONAL SEPARATE PROCEDURE
|
Facility
|
IP
|
$9,129.00
|
|
|
Service Code
|
CPT 54505
|
| Hospital Charge Code |
76100387
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$5,933.85 |
| Max. Negotiated Rate |
$8,216.10 |
| Rate for Payer: Aetna Commercial |
$7,759.65
|
| Rate for Payer: BCBS Trust/PPO |
$7,452.00
|
| Rate for Payer: BCN Commercial |
$7,054.89
|
| Rate for Payer: Cash Price |
$7,303.20
|
| Rate for Payer: Cofinity Commercial |
$7,850.94
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$7,303.20
|
| Rate for Payer: Healthscope Commercial |
$8,216.10
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$6,846.75
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$7,759.65
|
| Rate for Payer: Nomi Health Commercial |
$7,485.78
|
| Rate for Payer: PHP Commercial |
$7,759.65
|
| Rate for Payer: Priority Health Cigna Priority Health |
$5,933.85
|
| Rate for Payer: Priority Health HMO/PPO |
$7,942.23
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$6,116.43
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$8,033.52
|
| Rate for Payer: UHC Core |
$7,622.72
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$6,846.75
|
|
|
HC BIOPSY TESTIS INCISIONAL SEPARATE PROCEDURE
|
Facility
|
OP
|
$9,129.00
|
|
|
Service Code
|
CPT 54505
|
| Hospital Charge Code |
76100387
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$2,168.14 |
| Max. Negotiated Rate |
$8,216.10 |
| Rate for Payer: Aetna Commercial |
$7,759.65
|
| Rate for Payer: Aetna Medicare |
$2,373.54
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$2,852.81
|
| Rate for Payer: Amish Plain Church Group Commercial |
$2,852.81
|
| Rate for Payer: BCBS Complete |
$2,618.46
|
| Rate for Payer: BCBS MAPPO |
$2,282.25
|
| Rate for Payer: BCBS Trust/PPO |
$7,504.95
|
| Rate for Payer: BCN Commercial |
$7,097.80
|
| Rate for Payer: BCN Medicare Advantage |
$2,282.25
|
| Rate for Payer: Cash Price |
$7,303.20
|
| Rate for Payer: Cash Price |
$7,303.20
|
| Rate for Payer: Cofinity Commercial |
$7,850.94
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$7,303.20
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,282.25
|
| Rate for Payer: Healthscope Commercial |
$8,216.10
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$6,846.75
|
| Rate for Payer: Mclaren Medicaid |
$2,493.61
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$2,396.36
|
| Rate for Payer: Meridian Medicaid |
$2,618.46
|
| Rate for Payer: MI Amish Medical Board Commercial |
$2,624.59
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$7,759.65
|
| Rate for Payer: Nomi Health Commercial |
$7,485.78
|
| Rate for Payer: PACE Senior Care Partners |
$2,168.14
|
| Rate for Payer: PACE SWMI |
$2,282.25
|
| Rate for Payer: PHP Commercial |
$7,759.65
|
| Rate for Payer: PHP Medicare Advantage |
$2,282.25
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,493.61
|
| Rate for Payer: Priority Health Cigna Priority Health |
$5,933.85
|
| Rate for Payer: Priority Health HMO/PPO |
$7,942.23
|
| Rate for Payer: Priority Health Medicare |
$2,305.07
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$6,116.43
|
| Rate for Payer: Railroad Medicare Medicare |
$2,282.25
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$8,033.52
|
| Rate for Payer: UHC Core |
$7,622.72
|
| Rate for Payer: UHC Dual Complete DSNP |
$2,282.25
|
| Rate for Payer: UHC Exchange |
$2,282.25
|
| Rate for Payer: UHC Medicare Advantage |
$2,282.25
|
| Rate for Payer: UHCCP Medicaid |
$2,493.61
|
| Rate for Payer: VA VA |
$2,282.25
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$6,846.75
|
|
|
HC BIOPSY TESTIS INCISIONAL SEPARATE PROCEDURE BIL
|
Facility
|
IP
|
$9,153.48
|
|
|
Service Code
|
CPT 54505
|
| Hospital Charge Code |
76100392
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$5,949.76 |
| Max. Negotiated Rate |
$8,238.13 |
| Rate for Payer: Aetna Commercial |
$7,780.46
|
| Rate for Payer: BCBS Trust/PPO |
$7,471.99
|
| Rate for Payer: BCN Commercial |
$7,073.81
|
| Rate for Payer: Cash Price |
$7,322.78
|
| Rate for Payer: Cofinity Commercial |
$7,871.99
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$7,322.78
|
| Rate for Payer: Healthscope Commercial |
$8,238.13
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$6,865.11
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$7,780.46
|
| Rate for Payer: Nomi Health Commercial |
$7,505.85
|
| Rate for Payer: PHP Commercial |
$7,780.46
|
| Rate for Payer: Priority Health Cigna Priority Health |
$5,949.76
|
| Rate for Payer: Priority Health HMO/PPO |
$7,963.53
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$6,132.83
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$8,055.06
|
| Rate for Payer: UHC Core |
$7,643.16
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$6,865.11
|
|
|
HC BIOPSY TESTIS INCISIONAL SEPARATE PROCEDURE BIL
|
Facility
|
OP
|
$9,153.48
|
|
|
Service Code
|
CPT 54505
|
| Hospital Charge Code |
76100392
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$2,173.95 |
| Max. Negotiated Rate |
$8,238.13 |
| Rate for Payer: Aetna Commercial |
$7,780.46
|
| Rate for Payer: Aetna Medicare |
$2,379.90
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$2,860.46
|
| Rate for Payer: Amish Plain Church Group Commercial |
$2,860.46
|
| Rate for Payer: BCBS Complete |
$2,618.46
|
| Rate for Payer: BCBS MAPPO |
$2,288.37
|
| Rate for Payer: BCBS Trust/PPO |
$7,525.08
|
| Rate for Payer: BCN Commercial |
$7,116.83
|
| Rate for Payer: BCN Medicare Advantage |
$2,288.37
|
| Rate for Payer: Cash Price |
$7,322.78
|
| Rate for Payer: Cash Price |
$7,322.78
|
| Rate for Payer: Cofinity Commercial |
$7,871.99
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$7,322.78
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,288.37
|
| Rate for Payer: Healthscope Commercial |
$8,238.13
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$6,865.11
|
| Rate for Payer: Mclaren Medicaid |
$2,493.61
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$2,402.79
|
| Rate for Payer: Meridian Medicaid |
$2,618.46
|
| Rate for Payer: MI Amish Medical Board Commercial |
$2,631.63
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$7,780.46
|
| Rate for Payer: Nomi Health Commercial |
$7,505.85
|
| Rate for Payer: PACE Senior Care Partners |
$2,173.95
|
| Rate for Payer: PACE SWMI |
$2,288.37
|
| Rate for Payer: PHP Commercial |
$7,780.46
|
| Rate for Payer: PHP Medicare Advantage |
$2,288.37
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,493.61
|
| Rate for Payer: Priority Health Cigna Priority Health |
$5,949.76
|
| Rate for Payer: Priority Health HMO/PPO |
$7,963.53
|
| Rate for Payer: Priority Health Medicare |
$2,311.25
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$6,132.83
|
| Rate for Payer: Railroad Medicare Medicare |
$2,288.37
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$8,055.06
|
| Rate for Payer: UHC Core |
$7,643.16
|
| Rate for Payer: UHC Dual Complete DSNP |
$2,288.37
|
| Rate for Payer: UHC Exchange |
$2,288.37
|
| Rate for Payer: UHC Medicare Advantage |
$2,288.37
|
| Rate for Payer: UHCCP Medicaid |
$2,493.61
|
| Rate for Payer: VA VA |
$2,288.37
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$6,865.11
|
|
|
HC BIOPSY THYROID
|
Facility
|
IP
|
$403.68
|
|
|
Service Code
|
CPT 60100
|
| Hospital Charge Code |
36100265
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$262.39 |
| Max. Negotiated Rate |
$363.31 |
| Rate for Payer: Aetna Commercial |
$343.13
|
| Rate for Payer: BCBS Trust/PPO |
$329.52
|
| Rate for Payer: BCN Commercial |
$311.96
|
| Rate for Payer: Cash Price |
$322.94
|
| Rate for Payer: Cofinity Commercial |
$347.16
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$322.94
|
| Rate for Payer: Healthscope Commercial |
$363.31
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$302.76
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$343.13
|
| Rate for Payer: Nomi Health Commercial |
$331.02
|
| Rate for Payer: PHP Commercial |
$343.13
|
| Rate for Payer: Priority Health Cigna Priority Health |
$262.39
|
| Rate for Payer: Priority Health HMO/PPO |
$351.20
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$270.47
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$355.24
|
| Rate for Payer: UHC Core |
$337.07
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$302.76
|
|
|
HC BIOPSY THYROID
|
Facility
|
OP
|
$403.68
|
|
|
Service Code
|
CPT 60100
|
| Hospital Charge Code |
36100265
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$95.87 |
| Max. Negotiated Rate |
$534.17 |
| Rate for Payer: Aetna Commercial |
$343.13
|
| Rate for Payer: Aetna Medicare |
$104.96
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$126.15
|
| Rate for Payer: Amish Plain Church Group Commercial |
$126.15
|
| Rate for Payer: BCBS Complete |
$534.17
|
| Rate for Payer: BCBS MAPPO |
$100.92
|
| Rate for Payer: BCBS Trust/PPO |
$331.87
|
| Rate for Payer: BCN Commercial |
$313.86
|
| Rate for Payer: BCN Medicare Advantage |
$100.92
|
| Rate for Payer: Cash Price |
$322.94
|
| Rate for Payer: Cash Price |
$322.94
|
| Rate for Payer: Cofinity Commercial |
$347.16
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$322.94
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$100.92
|
| Rate for Payer: Healthscope Commercial |
$363.31
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$302.76
|
| Rate for Payer: Mclaren Medicaid |
$508.70
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$105.97
|
| Rate for Payer: Meridian Medicaid |
$534.17
|
| Rate for Payer: MI Amish Medical Board Commercial |
$116.06
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$343.13
|
| Rate for Payer: Nomi Health Commercial |
$331.02
|
| Rate for Payer: PACE Senior Care Partners |
$95.87
|
| Rate for Payer: PACE SWMI |
$100.92
|
| Rate for Payer: PHP Commercial |
$343.13
|
| Rate for Payer: PHP Medicare Advantage |
$100.92
|
| Rate for Payer: Priority Health Choice Medicaid |
$508.70
|
| Rate for Payer: Priority Health Cigna Priority Health |
$262.39
|
| Rate for Payer: Priority Health HMO/PPO |
$351.20
|
| Rate for Payer: Priority Health Medicare |
$101.93
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$270.47
|
| Rate for Payer: Railroad Medicare Medicare |
$100.92
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$355.24
|
| Rate for Payer: UHC Core |
$337.07
|
| Rate for Payer: UHC Dual Complete DSNP |
$100.92
|
| Rate for Payer: UHC Exchange |
$100.92
|
| Rate for Payer: UHC Medicare Advantage |
$100.92
|
| Rate for Payer: UHCCP Medicaid |
$508.70
|
| Rate for Payer: VA VA |
$100.92
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$302.76
|
|
|
HC BIOPSY TONGUE ANTERIOR TWO-THIRDS
|
Facility
|
OP
|
$1,377.00
|
|
|
Service Code
|
CPT 41100
|
| Hospital Charge Code |
76100462
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$327.04 |
| Max. Negotiated Rate |
$1,239.30 |
| Rate for Payer: Aetna Commercial |
$1,170.45
|
| Rate for Payer: Aetna Medicare |
$358.02
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$430.31
|
| Rate for Payer: Amish Plain Church Group Commercial |
$430.31
|
| Rate for Payer: BCBS Complete |
$386.62
|
| Rate for Payer: BCBS MAPPO |
$344.25
|
| Rate for Payer: BCBS Trust/PPO |
$1,132.03
|
| Rate for Payer: BCN Commercial |
$1,070.62
|
| Rate for Payer: BCN Medicare Advantage |
$344.25
|
| Rate for Payer: Cash Price |
$1,101.60
|
| Rate for Payer: Cash Price |
$1,101.60
|
| Rate for Payer: Cofinity Commercial |
$1,184.22
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,101.60
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$344.25
|
| Rate for Payer: Healthscope Commercial |
$1,239.30
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,032.75
|
| Rate for Payer: Mclaren Medicaid |
$368.19
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$361.46
|
| Rate for Payer: Meridian Medicaid |
$386.62
|
| Rate for Payer: MI Amish Medical Board Commercial |
$395.89
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,170.45
|
| Rate for Payer: Nomi Health Commercial |
$1,129.14
|
| Rate for Payer: PACE Senior Care Partners |
$327.04
|
| Rate for Payer: PACE SWMI |
$344.25
|
| Rate for Payer: PHP Commercial |
$1,170.45
|
| Rate for Payer: PHP Medicare Advantage |
$344.25
|
| Rate for Payer: Priority Health Choice Medicaid |
$368.19
|
| Rate for Payer: Priority Health Cigna Priority Health |
$895.05
|
| Rate for Payer: Priority Health HMO/PPO |
$1,197.99
|
| Rate for Payer: Priority Health Medicare |
$347.69
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$922.59
|
| Rate for Payer: Railroad Medicare Medicare |
$344.25
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,211.76
|
| Rate for Payer: UHC Core |
$1,149.80
|
| Rate for Payer: UHC Dual Complete DSNP |
$344.25
|
| Rate for Payer: UHC Exchange |
$344.25
|
| Rate for Payer: UHC Medicare Advantage |
$344.25
|
| Rate for Payer: UHCCP Medicaid |
$368.19
|
| Rate for Payer: VA VA |
$344.25
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,032.75
|
|
|
HC BIOPSY TONGUE ANTERIOR TWO-THIRDS
|
Facility
|
IP
|
$1,377.00
|
|
|
Service Code
|
CPT 41100
|
| Hospital Charge Code |
76100462
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$895.05 |
| Max. Negotiated Rate |
$1,239.30 |
| Rate for Payer: Aetna Commercial |
$1,170.45
|
| Rate for Payer: BCBS Trust/PPO |
$1,124.05
|
| Rate for Payer: BCN Commercial |
$1,064.15
|
| Rate for Payer: Cash Price |
$1,101.60
|
| Rate for Payer: Cofinity Commercial |
$1,184.22
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,101.60
|
| Rate for Payer: Healthscope Commercial |
$1,239.30
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,032.75
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,170.45
|
| Rate for Payer: Nomi Health Commercial |
$1,129.14
|
| Rate for Payer: PHP Commercial |
$1,170.45
|
| Rate for Payer: Priority Health Cigna Priority Health |
$895.05
|
| Rate for Payer: Priority Health HMO/PPO |
$1,197.99
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$922.59
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,211.76
|
| Rate for Payer: UHC Core |
$1,149.80
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,032.75
|
|
|
HC BIOPSY TONGUE POSTERIOR ONE-THIRD
|
Facility
|
IP
|
$8,058.00
|
|
|
Service Code
|
CPT 41105
|
| Hospital Charge Code |
76100463
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$5,237.70 |
| Max. Negotiated Rate |
$7,252.20 |
| Rate for Payer: Aetna Commercial |
$6,849.30
|
| Rate for Payer: BCBS Trust/PPO |
$6,577.75
|
| Rate for Payer: BCN Commercial |
$6,227.22
|
| Rate for Payer: Cash Price |
$6,446.40
|
| Rate for Payer: Cofinity Commercial |
$6,929.88
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$6,446.40
|
| Rate for Payer: Healthscope Commercial |
$7,252.20
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$6,043.50
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$6,849.30
|
| Rate for Payer: Nomi Health Commercial |
$6,607.56
|
| Rate for Payer: PHP Commercial |
$6,849.30
|
| Rate for Payer: Priority Health Cigna Priority Health |
$5,237.70
|
| Rate for Payer: Priority Health HMO/PPO |
$7,010.46
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$5,398.86
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$7,091.04
|
| Rate for Payer: UHC Core |
$6,728.43
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$6,043.50
|
|
|
HC BIOPSY TONGUE POSTERIOR ONE-THIRD
|
Facility
|
OP
|
$8,058.00
|
|
|
Service Code
|
CPT 41105
|
| Hospital Charge Code |
76100463
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$1,913.78 |
| Max. Negotiated Rate |
$7,252.20 |
| Rate for Payer: Aetna Commercial |
$6,849.30
|
| Rate for Payer: Aetna Medicare |
$2,095.08
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$2,518.12
|
| Rate for Payer: Amish Plain Church Group Commercial |
$2,518.12
|
| Rate for Payer: BCBS Complete |
$2,462.14
|
| Rate for Payer: BCBS MAPPO |
$2,014.50
|
| Rate for Payer: BCBS Trust/PPO |
$6,624.48
|
| Rate for Payer: BCN Commercial |
$6,265.10
|
| Rate for Payer: BCN Medicare Advantage |
$2,014.50
|
| Rate for Payer: Cash Price |
$6,446.40
|
| Rate for Payer: Cash Price |
$6,446.40
|
| Rate for Payer: Cofinity Commercial |
$6,929.88
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$6,446.40
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,014.50
|
| Rate for Payer: Healthscope Commercial |
$7,252.20
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$6,043.50
|
| Rate for Payer: Mclaren Medicaid |
$2,344.74
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$2,115.22
|
| Rate for Payer: Meridian Medicaid |
$2,462.14
|
| Rate for Payer: MI Amish Medical Board Commercial |
$2,316.68
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$6,849.30
|
| Rate for Payer: Nomi Health Commercial |
$6,607.56
|
| Rate for Payer: PACE Senior Care Partners |
$1,913.78
|
| Rate for Payer: PACE SWMI |
$2,014.50
|
| Rate for Payer: PHP Commercial |
$6,849.30
|
| Rate for Payer: PHP Medicare Advantage |
$2,014.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,344.74
|
| Rate for Payer: Priority Health Cigna Priority Health |
$5,237.70
|
| Rate for Payer: Priority Health HMO/PPO |
$7,010.46
|
| Rate for Payer: Priority Health Medicare |
$2,034.64
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$5,398.86
|
| Rate for Payer: Railroad Medicare Medicare |
$2,014.50
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$7,091.04
|
| Rate for Payer: UHC Core |
$6,728.43
|
| Rate for Payer: UHC Dual Complete DSNP |
$2,014.50
|
| Rate for Payer: UHC Exchange |
$2,014.50
|
| Rate for Payer: UHC Medicare Advantage |
$2,014.50
|
| Rate for Payer: UHCCP Medicaid |
$2,344.74
|
| Rate for Payer: VA VA |
$2,014.50
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$6,043.50
|
|
|
HC BIOPSY TRANSCATHETER
|
Facility
|
OP
|
$1,677.86
|
|
|
Service Code
|
CPT 37200
|
| Hospital Charge Code |
36100154
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$398.49 |
| Max. Negotiated Rate |
$4,104.01 |
| Rate for Payer: Aetna Commercial |
$1,426.18
|
| Rate for Payer: Aetna Medicare |
$436.24
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$524.33
|
| Rate for Payer: Amish Plain Church Group Commercial |
$524.33
|
| Rate for Payer: BCBS Complete |
$4,104.01
|
| Rate for Payer: BCBS MAPPO |
$419.46
|
| Rate for Payer: BCBS Trust/PPO |
$1,379.37
|
| Rate for Payer: BCN Commercial |
$1,304.54
|
| Rate for Payer: BCN Medicare Advantage |
$419.46
|
| Rate for Payer: Cash Price |
$1,342.29
|
| Rate for Payer: Cash Price |
$1,342.29
|
| Rate for Payer: Cofinity Commercial |
$1,442.96
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,342.29
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$419.46
|
| Rate for Payer: Healthscope Commercial |
$1,510.07
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,258.39
|
| Rate for Payer: Mclaren Medicaid |
$3,908.32
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$440.44
|
| Rate for Payer: Meridian Medicaid |
$4,104.01
|
| Rate for Payer: MI Amish Medical Board Commercial |
$482.38
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,426.18
|
| Rate for Payer: Nomi Health Commercial |
$1,375.85
|
| Rate for Payer: PACE Senior Care Partners |
$398.49
|
| Rate for Payer: PACE SWMI |
$419.46
|
| Rate for Payer: PHP Commercial |
$1,426.18
|
| Rate for Payer: PHP Medicare Advantage |
$419.46
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,908.32
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,090.61
|
| Rate for Payer: Priority Health HMO/PPO |
$1,459.74
|
| Rate for Payer: Priority Health Medicare |
$423.66
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,124.17
|
| Rate for Payer: Railroad Medicare Medicare |
$419.46
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,476.52
|
| Rate for Payer: UHC Core |
$1,401.01
|
| Rate for Payer: UHC Dual Complete DSNP |
$419.46
|
| Rate for Payer: UHC Exchange |
$419.46
|
| Rate for Payer: UHC Medicare Advantage |
$419.46
|
| Rate for Payer: UHCCP Medicaid |
$3,908.32
|
| Rate for Payer: VA VA |
$419.46
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,258.39
|
|
|
HC BIOPSY TRANSCATHETER
|
Facility
|
IP
|
$1,677.86
|
|
|
Service Code
|
CPT 37200
|
| Hospital Charge Code |
36100154
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$1,090.61 |
| Max. Negotiated Rate |
$1,510.07 |
| Rate for Payer: Aetna Commercial |
$1,426.18
|
| Rate for Payer: BCBS Trust/PPO |
$1,369.64
|
| Rate for Payer: BCN Commercial |
$1,296.65
|
| Rate for Payer: Cash Price |
$1,342.29
|
| Rate for Payer: Cofinity Commercial |
$1,442.96
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,342.29
|
| Rate for Payer: Healthscope Commercial |
$1,510.07
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,258.39
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,426.18
|
| Rate for Payer: Nomi Health Commercial |
$1,375.85
|
| Rate for Payer: PHP Commercial |
$1,426.18
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,090.61
|
| Rate for Payer: Priority Health HMO/PPO |
$1,459.74
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,124.17
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,476.52
|
| Rate for Payer: UHC Core |
$1,401.01
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,258.39
|
|
|
HC BIOPSY VESTIBULE MOUTH
|
Facility
|
IP
|
$1,377.00
|
|
|
Service Code
|
CPT 40808
|
| Hospital Charge Code |
76100460
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$895.05 |
| Max. Negotiated Rate |
$1,239.30 |
| Rate for Payer: Aetna Commercial |
$1,170.45
|
| Rate for Payer: BCBS Trust/PPO |
$1,124.05
|
| Rate for Payer: BCN Commercial |
$1,064.15
|
| Rate for Payer: Cash Price |
$1,101.60
|
| Rate for Payer: Cofinity Commercial |
$1,184.22
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,101.60
|
| Rate for Payer: Healthscope Commercial |
$1,239.30
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,032.75
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,170.45
|
| Rate for Payer: Nomi Health Commercial |
$1,129.14
|
| Rate for Payer: PHP Commercial |
$1,170.45
|
| Rate for Payer: Priority Health Cigna Priority Health |
$895.05
|
| Rate for Payer: Priority Health HMO/PPO |
$1,197.99
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$922.59
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,211.76
|
| Rate for Payer: UHC Core |
$1,149.80
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,032.75
|
|
|
HC BIOPSY VESTIBULE MOUTH
|
Facility
|
OP
|
$1,377.00
|
|
|
Service Code
|
CPT 40808
|
| Hospital Charge Code |
76100460
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$327.04 |
| Max. Negotiated Rate |
$1,239.30 |
| Rate for Payer: Aetna Commercial |
$1,170.45
|
| Rate for Payer: Aetna Medicare |
$358.02
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$430.31
|
| Rate for Payer: Amish Plain Church Group Commercial |
$430.31
|
| Rate for Payer: BCBS Complete |
$386.62
|
| Rate for Payer: BCBS MAPPO |
$344.25
|
| Rate for Payer: BCBS Trust/PPO |
$1,132.03
|
| Rate for Payer: BCN Commercial |
$1,070.62
|
| Rate for Payer: BCN Medicare Advantage |
$344.25
|
| Rate for Payer: Cash Price |
$1,101.60
|
| Rate for Payer: Cash Price |
$1,101.60
|
| Rate for Payer: Cofinity Commercial |
$1,184.22
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,101.60
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$344.25
|
| Rate for Payer: Healthscope Commercial |
$1,239.30
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,032.75
|
| Rate for Payer: Mclaren Medicaid |
$368.19
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$361.46
|
| Rate for Payer: Meridian Medicaid |
$386.62
|
| Rate for Payer: MI Amish Medical Board Commercial |
$395.89
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,170.45
|
| Rate for Payer: Nomi Health Commercial |
$1,129.14
|
| Rate for Payer: PACE Senior Care Partners |
$327.04
|
| Rate for Payer: PACE SWMI |
$344.25
|
| Rate for Payer: PHP Commercial |
$1,170.45
|
| Rate for Payer: PHP Medicare Advantage |
$344.25
|
| Rate for Payer: Priority Health Choice Medicaid |
$368.19
|
| Rate for Payer: Priority Health Cigna Priority Health |
$895.05
|
| Rate for Payer: Priority Health HMO/PPO |
$1,197.99
|
| Rate for Payer: Priority Health Medicare |
$347.69
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$922.59
|
| Rate for Payer: Railroad Medicare Medicare |
$344.25
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,211.76
|
| Rate for Payer: UHC Core |
$1,149.80
|
| Rate for Payer: UHC Dual Complete DSNP |
$344.25
|
| Rate for Payer: UHC Exchange |
$344.25
|
| Rate for Payer: UHC Medicare Advantage |
$344.25
|
| Rate for Payer: UHCCP Medicaid |
$368.19
|
| Rate for Payer: VA VA |
$344.25
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,032.75
|
|
|
HC BIOPSY VULVA PERINEUM ONE LESN
|
Facility
|
IP
|
$870.88
|
|
|
Service Code
|
CPT 56605
|
| Hospital Charge Code |
76100201
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$566.07 |
| Max. Negotiated Rate |
$783.79 |
| Rate for Payer: Aetna Commercial |
$740.25
|
| Rate for Payer: BCBS Trust/PPO |
$710.90
|
| Rate for Payer: BCN Commercial |
$673.02
|
| Rate for Payer: Cash Price |
$696.70
|
| Rate for Payer: Cofinity Commercial |
$748.96
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$696.70
|
| Rate for Payer: Healthscope Commercial |
$783.79
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$653.16
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$740.25
|
| Rate for Payer: Nomi Health Commercial |
$714.12
|
| Rate for Payer: PHP Commercial |
$740.25
|
| Rate for Payer: Priority Health Cigna Priority Health |
$566.07
|
| Rate for Payer: Priority Health HMO/PPO |
$757.67
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$583.49
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$766.37
|
| Rate for Payer: UHC Core |
$727.18
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$653.16
|
|
