|
HC EXC SKIN MALIG >4CM FACE, FACIAL
|
Facility
|
OP
|
$3,638.85
|
|
|
Service Code
|
CPT 11646
|
| Hospital Charge Code |
76100217
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$864.23 |
| Max. Negotiated Rate |
$3,274.96 |
| Rate for Payer: Aetna Commercial |
$3,093.02
|
| Rate for Payer: Aetna Medicare |
$946.10
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,137.14
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1,137.14
|
| Rate for Payer: BCBS Complete |
$1,957.20
|
| Rate for Payer: BCBS MAPPO |
$909.71
|
| Rate for Payer: BCBS Trust/PPO |
$2,829.21
|
| Rate for Payer: BCN Commercial |
$2,829.21
|
| Rate for Payer: BCN Medicare Advantage |
$909.71
|
| Rate for Payer: Cash Price |
$2,911.08
|
| Rate for Payer: Cash Price |
$2,911.08
|
| Rate for Payer: Cofinity Commercial |
$3,129.41
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,911.08
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$909.71
|
| Rate for Payer: Healthscope Commercial |
$3,274.96
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,729.14
|
| Rate for Payer: Mclaren Medicaid |
$1,864.00
|
| Rate for Payer: Meridian Medicaid |
$1,957.20
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$955.20
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,046.17
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$3,093.02
|
| Rate for Payer: PACE Senior Care Partners |
$864.23
|
| Rate for Payer: PACE SWMI |
$909.71
|
| Rate for Payer: PHP Commercial |
$3,093.02
|
| Rate for Payer: PHP Medicare Advantage |
$909.71
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,864.00
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,547.20
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$3,165.80
|
| Rate for Payer: Priority Health Medicare |
$909.71
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,219.33
|
| Rate for Payer: Railroad Medicare Medicare |
$909.71
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$3,202.19
|
| Rate for Payer: UHC Core |
$3,038.44
|
| Rate for Payer: UHC Dual Complete DSNP |
$909.71
|
| Rate for Payer: UHC Medicare Advantage |
$937.00
|
| Rate for Payer: VA VA |
$909.71
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,729.14
|
|
|
HC EXC SKIN MALIG >4 CM TRUNK, ARM, LEG
|
Facility
|
OP
|
$2,104.52
|
|
|
Service Code
|
CPT 11606
|
| Hospital Charge Code |
76100211
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$499.82 |
| Max. Negotiated Rate |
$1,894.07 |
| Rate for Payer: Aetna Commercial |
$1,788.84
|
| Rate for Payer: Aetna Medicare |
$547.18
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$657.66
|
| Rate for Payer: Amish Plain Church Group Commercial |
$657.66
|
| Rate for Payer: BCBS Complete |
$1,116.73
|
| Rate for Payer: BCBS MAPPO |
$526.13
|
| Rate for Payer: BCBS Trust/PPO |
$1,636.26
|
| Rate for Payer: BCN Commercial |
$1,636.26
|
| Rate for Payer: BCN Medicare Advantage |
$526.13
|
| Rate for Payer: Cash Price |
$1,683.62
|
| Rate for Payer: Cash Price |
$1,683.62
|
| Rate for Payer: Cofinity Commercial |
$1,809.89
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,683.62
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$526.13
|
| Rate for Payer: Healthscope Commercial |
$1,894.07
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,578.39
|
| Rate for Payer: Mclaren Medicaid |
$1,063.55
|
| Rate for Payer: Meridian Medicaid |
$1,116.73
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$552.44
|
| Rate for Payer: MI Amish Medical Board Commercial |
$605.05
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,788.84
|
| Rate for Payer: PACE Senior Care Partners |
$499.82
|
| Rate for Payer: PACE SWMI |
$526.13
|
| Rate for Payer: PHP Commercial |
$1,788.84
|
| Rate for Payer: PHP Medicare Advantage |
$526.13
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,063.55
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,473.16
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,830.93
|
| Rate for Payer: Priority Health Medicare |
$526.13
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,283.55
|
| Rate for Payer: Railroad Medicare Medicare |
$526.13
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,851.98
|
| Rate for Payer: UHC Core |
$1,757.27
|
| Rate for Payer: UHC Dual Complete DSNP |
$526.13
|
| Rate for Payer: UHC Medicare Advantage |
$541.91
|
| Rate for Payer: VA VA |
$526.13
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,578.39
|
|
|
HC EXC SKIN MALIG >4 CM TRUNK, ARM, LEG
|
Facility
|
IP
|
$2,104.52
|
|
|
Service Code
|
CPT 11606
|
| Hospital Charge Code |
76100211
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$1,283.55 |
| Max. Negotiated Rate |
$1,894.07 |
| Rate for Payer: Aetna Commercial |
$1,788.84
|
| Rate for Payer: BCBS Trust/PPO |
$1,626.37
|
| Rate for Payer: BCN Commercial |
$1,626.37
|
| Rate for Payer: Cash Price |
$1,683.62
|
| Rate for Payer: Cofinity Commercial |
$1,809.89
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,683.62
|
| Rate for Payer: Healthscope Commercial |
$1,894.07
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,578.39
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,788.84
|
| Rate for Payer: PHP Commercial |
$1,788.84
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,473.16
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,830.93
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,283.55
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,851.98
|
| Rate for Payer: UHC Core |
$1,757.27
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,578.39
|
|
|
HC EXC SKIN MALIG >4 REMAINDER BODY
|
Facility
|
OP
|
$3,638.85
|
|
|
Service Code
|
CPT 11626
|
| Hospital Charge Code |
76100214
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$864.23 |
| Max. Negotiated Rate |
$3,274.96 |
| Rate for Payer: Aetna Commercial |
$3,093.02
|
| Rate for Payer: Aetna Medicare |
$946.10
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,137.14
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1,137.14
|
| Rate for Payer: BCBS Complete |
$1,957.20
|
| Rate for Payer: BCBS MAPPO |
$909.71
|
| Rate for Payer: BCBS Trust/PPO |
$2,829.21
|
| Rate for Payer: BCN Commercial |
$2,829.21
|
| Rate for Payer: BCN Medicare Advantage |
$909.71
|
| Rate for Payer: Cash Price |
$2,911.08
|
| Rate for Payer: Cash Price |
$2,911.08
|
| Rate for Payer: Cofinity Commercial |
$3,129.41
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,911.08
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$909.71
|
| Rate for Payer: Healthscope Commercial |
$3,274.96
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,729.14
|
| Rate for Payer: Mclaren Medicaid |
$1,864.00
|
| Rate for Payer: Meridian Medicaid |
$1,957.20
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$955.20
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,046.17
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$3,093.02
|
| Rate for Payer: PACE Senior Care Partners |
$864.23
|
| Rate for Payer: PACE SWMI |
$909.71
|
| Rate for Payer: PHP Commercial |
$3,093.02
|
| Rate for Payer: PHP Medicare Advantage |
$909.71
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,864.00
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,547.20
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$3,165.80
|
| Rate for Payer: Priority Health Medicare |
$909.71
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,219.33
|
| Rate for Payer: Railroad Medicare Medicare |
$909.71
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$3,202.19
|
| Rate for Payer: UHC Core |
$3,038.44
|
| Rate for Payer: UHC Dual Complete DSNP |
$909.71
|
| Rate for Payer: UHC Medicare Advantage |
$937.00
|
| Rate for Payer: VA VA |
$909.71
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,729.14
|
|
|
HC EXC SKIN MALIG >4 REMAINDER BODY
|
Facility
|
IP
|
$3,638.85
|
|
|
Service Code
|
CPT 11626
|
| Hospital Charge Code |
76100214
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$2,219.33 |
| Max. Negotiated Rate |
$3,274.96 |
| Rate for Payer: Aetna Commercial |
$3,093.02
|
| Rate for Payer: BCBS Trust/PPO |
$2,812.10
|
| Rate for Payer: BCN Commercial |
$2,812.10
|
| Rate for Payer: Cash Price |
$2,911.08
|
| Rate for Payer: Cofinity Commercial |
$3,129.41
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,911.08
|
| Rate for Payer: Healthscope Commercial |
$3,274.96
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,729.14
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$3,093.02
|
| Rate for Payer: PHP Commercial |
$3,093.02
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,547.20
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$3,165.80
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,219.33
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$3,202.19
|
| Rate for Payer: UHC Core |
$3,038.44
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,729.14
|
|
|
HC EXC THROMBOSED HEMORRHOID EXTERN
|
Facility
|
OP
|
$3,173.10
|
|
|
Service Code
|
CPT 46320
|
| Hospital Charge Code |
36000106
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$753.61 |
| Max. Negotiated Rate |
$2,855.79 |
| Rate for Payer: Aetna Commercial |
$2,697.14
|
| Rate for Payer: Aetna Medicare |
$825.01
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$991.59
|
| Rate for Payer: Amish Plain Church Group Commercial |
$991.59
|
| Rate for Payer: BCBS Complete |
$812.82
|
| Rate for Payer: BCBS MAPPO |
$793.28
|
| Rate for Payer: BCBS Trust/PPO |
$2,467.09
|
| Rate for Payer: BCN Commercial |
$2,467.09
|
| Rate for Payer: BCN Medicare Advantage |
$793.28
|
| Rate for Payer: Cash Price |
$2,538.48
|
| Rate for Payer: Cash Price |
$2,538.48
|
| Rate for Payer: Cofinity Commercial |
$2,728.87
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,538.48
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$793.28
|
| Rate for Payer: Healthscope Commercial |
$2,855.79
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,379.82
|
| Rate for Payer: Mclaren Medicaid |
$774.12
|
| Rate for Payer: Meridian Medicaid |
$812.82
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$832.94
|
| Rate for Payer: MI Amish Medical Board Commercial |
$912.27
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$2,697.14
|
| Rate for Payer: PACE Senior Care Partners |
$753.61
|
| Rate for Payer: PACE SWMI |
$793.28
|
| Rate for Payer: PHP Commercial |
$2,697.14
|
| Rate for Payer: PHP Medicare Advantage |
$793.28
|
| Rate for Payer: Priority Health Choice Medicaid |
$774.12
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,221.17
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,760.60
|
| Rate for Payer: Priority Health Medicare |
$793.28
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,935.27
|
| Rate for Payer: Railroad Medicare Medicare |
$793.28
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,792.33
|
| Rate for Payer: UHC Core |
$2,649.54
|
| Rate for Payer: UHC Dual Complete DSNP |
$793.28
|
| Rate for Payer: UHC Medicare Advantage |
$817.07
|
| Rate for Payer: VA VA |
$793.28
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,379.82
|
|
|
HC EXC THROMBOSED HEMORRHOID EXTERN
|
Facility
|
IP
|
$3,173.10
|
|
|
Service Code
|
CPT 46320
|
| Hospital Charge Code |
36000106
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$1,935.27 |
| Max. Negotiated Rate |
$2,855.79 |
| Rate for Payer: Aetna Commercial |
$2,697.14
|
| Rate for Payer: BCBS Trust/PPO |
$2,452.17
|
| Rate for Payer: BCN Commercial |
$2,452.17
|
| Rate for Payer: Cash Price |
$2,538.48
|
| Rate for Payer: Cofinity Commercial |
$2,728.87
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,538.48
|
| Rate for Payer: Healthscope Commercial |
$2,855.79
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,379.82
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$2,697.14
|
| Rate for Payer: PHP Commercial |
$2,697.14
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,221.17
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,760.60
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,935.27
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,792.33
|
| Rate for Payer: UHC Core |
$2,649.54
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,379.82
|
|
|
HC EXC TUMOR SOFT TISSUE ABDOMINAL WALL SUBQ >3CM
|
Facility
|
OP
|
$3,547.91
|
|
|
Service Code
|
CPT 22903
|
| Hospital Charge Code |
76100245
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$842.63 |
| Max. Negotiated Rate |
$3,193.12 |
| Rate for Payer: Aetna Commercial |
$3,015.72
|
| Rate for Payer: Aetna Medicare |
$922.46
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,108.72
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1,108.72
|
| Rate for Payer: BCBS Complete |
$1,957.20
|
| Rate for Payer: BCBS MAPPO |
$886.98
|
| Rate for Payer: BCBS Trust/PPO |
$2,758.50
|
| Rate for Payer: BCN Commercial |
$2,758.50
|
| Rate for Payer: BCN Medicare Advantage |
$886.98
|
| Rate for Payer: Cash Price |
$2,838.33
|
| Rate for Payer: Cash Price |
$2,838.33
|
| Rate for Payer: Cofinity Commercial |
$3,051.20
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,838.33
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$886.98
|
| Rate for Payer: Healthscope Commercial |
$3,193.12
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,660.93
|
| Rate for Payer: Mclaren Medicaid |
$1,864.00
|
| Rate for Payer: Meridian Medicaid |
$1,957.20
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$931.33
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,020.02
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$3,015.72
|
| Rate for Payer: PACE Senior Care Partners |
$842.63
|
| Rate for Payer: PACE SWMI |
$886.98
|
| Rate for Payer: PHP Commercial |
$3,015.72
|
| Rate for Payer: PHP Medicare Advantage |
$886.98
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,864.00
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,483.54
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$3,086.68
|
| Rate for Payer: Priority Health Medicare |
$886.98
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,163.87
|
| Rate for Payer: Railroad Medicare Medicare |
$886.98
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$3,122.16
|
| Rate for Payer: UHC Core |
$2,962.50
|
| Rate for Payer: UHC Dual Complete DSNP |
$886.98
|
| Rate for Payer: UHC Medicare Advantage |
$913.59
|
| Rate for Payer: VA VA |
$886.98
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,660.93
|
|
|
HC EXC TUMOR SOFT TISSUE ABDOMINAL WALL SUBQ >3CM
|
Facility
|
IP
|
$3,547.91
|
|
|
Service Code
|
CPT 22903
|
| Hospital Charge Code |
76100245
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$2,163.87 |
| Max. Negotiated Rate |
$3,193.12 |
| Rate for Payer: Aetna Commercial |
$3,015.72
|
| Rate for Payer: BCBS Trust/PPO |
$2,741.82
|
| Rate for Payer: BCN Commercial |
$2,741.82
|
| Rate for Payer: Cash Price |
$2,838.33
|
| Rate for Payer: Cofinity Commercial |
$3,051.20
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,838.33
|
| Rate for Payer: Healthscope Commercial |
$3,193.12
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,660.93
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$3,015.72
|
| Rate for Payer: PHP Commercial |
$3,015.72
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,483.54
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$3,086.68
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,163.87
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$3,122.16
|
| Rate for Payer: UHC Core |
$2,962.50
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,660.93
|
|
|
HC EXC TUMOR SOFT TISSUE ABD WALL, SQ <3CM
|
Facility
|
IP
|
$2,100.08
|
|
|
Service Code
|
CPT 22902
|
| Hospital Charge Code |
76100277
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$1,280.84 |
| Max. Negotiated Rate |
$1,890.07 |
| Rate for Payer: Aetna Commercial |
$1,785.07
|
| Rate for Payer: BCBS Trust/PPO |
$1,622.94
|
| Rate for Payer: BCN Commercial |
$1,622.94
|
| Rate for Payer: Cash Price |
$1,680.06
|
| Rate for Payer: Cofinity Commercial |
$1,806.07
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,680.06
|
| Rate for Payer: Healthscope Commercial |
$1,890.07
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,575.06
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,785.07
|
| Rate for Payer: PHP Commercial |
$1,785.07
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,470.06
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,827.07
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,280.84
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,848.07
|
| Rate for Payer: UHC Core |
$1,753.57
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,575.06
|
|
|
HC EXC TUMOR SOFT TISSUE ABD WALL, SQ <3CM
|
Facility
|
OP
|
$2,100.08
|
|
|
Service Code
|
CPT 22902
|
| Hospital Charge Code |
76100277
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$498.77 |
| Max. Negotiated Rate |
$1,890.07 |
| Rate for Payer: Aetna Commercial |
$1,785.07
|
| Rate for Payer: Aetna Medicare |
$546.02
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$656.28
|
| Rate for Payer: Amish Plain Church Group Commercial |
$656.28
|
| Rate for Payer: BCBS Complete |
$1,116.73
|
| Rate for Payer: BCBS MAPPO |
$525.02
|
| Rate for Payer: BCBS Trust/PPO |
$1,632.81
|
| Rate for Payer: BCN Commercial |
$1,632.81
|
| Rate for Payer: BCN Medicare Advantage |
$525.02
|
| Rate for Payer: Cash Price |
$1,680.06
|
| Rate for Payer: Cash Price |
$1,680.06
|
| Rate for Payer: Cofinity Commercial |
$1,806.07
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,680.06
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$525.02
|
| Rate for Payer: Healthscope Commercial |
$1,890.07
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,575.06
|
| Rate for Payer: Mclaren Medicaid |
$1,063.55
|
| Rate for Payer: Meridian Medicaid |
$1,116.73
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$551.27
|
| Rate for Payer: MI Amish Medical Board Commercial |
$603.77
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,785.07
|
| Rate for Payer: PACE Senior Care Partners |
$498.77
|
| Rate for Payer: PACE SWMI |
$525.02
|
| Rate for Payer: PHP Commercial |
$1,785.07
|
| Rate for Payer: PHP Medicare Advantage |
$525.02
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,063.55
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,470.06
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,827.07
|
| Rate for Payer: Priority Health Medicare |
$525.02
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,280.84
|
| Rate for Payer: Railroad Medicare Medicare |
$525.02
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,848.07
|
| Rate for Payer: UHC Core |
$1,753.57
|
| Rate for Payer: UHC Dual Complete DSNP |
$525.02
|
| Rate for Payer: UHC Medicare Advantage |
$540.77
|
| Rate for Payer: VA VA |
$525.02
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,575.06
|
|
|
HC EXC TUMOR SOFT TISSUE ABD WALL, SQ <5CM
|
Facility
|
OP
|
$3,500.00
|
|
|
Service Code
|
CPT 22900
|
| Hospital Charge Code |
76100398
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$831.25 |
| Max. Negotiated Rate |
$3,150.00 |
| Rate for Payer: Aetna Commercial |
$2,975.00
|
| Rate for Payer: Aetna Medicare |
$910.00
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,093.75
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1,093.75
|
| Rate for Payer: BCBS Complete |
$1,957.20
|
| Rate for Payer: BCBS MAPPO |
$875.00
|
| Rate for Payer: BCBS Trust/PPO |
$2,721.25
|
| Rate for Payer: BCN Commercial |
$2,721.25
|
| Rate for Payer: BCN Medicare Advantage |
$875.00
|
| Rate for Payer: Cash Price |
$2,800.00
|
| Rate for Payer: Cash Price |
$2,800.00
|
| Rate for Payer: Cofinity Commercial |
$3,010.00
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,800.00
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$875.00
|
| Rate for Payer: Healthscope Commercial |
$3,150.00
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,625.00
|
| Rate for Payer: Mclaren Medicaid |
$1,864.00
|
| Rate for Payer: Meridian Medicaid |
$1,957.20
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$918.75
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,006.25
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$2,975.00
|
| Rate for Payer: PACE Senior Care Partners |
$831.25
|
| Rate for Payer: PACE SWMI |
$875.00
|
| Rate for Payer: PHP Commercial |
$2,975.00
|
| Rate for Payer: PHP Medicare Advantage |
$875.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,864.00
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,450.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$3,045.00
|
| Rate for Payer: Priority Health Medicare |
$875.00
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,134.65
|
| Rate for Payer: Railroad Medicare Medicare |
$875.00
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$3,080.00
|
| Rate for Payer: UHC Core |
$2,922.50
|
| Rate for Payer: UHC Dual Complete DSNP |
$875.00
|
| Rate for Payer: UHC Medicare Advantage |
$901.25
|
| Rate for Payer: VA VA |
$875.00
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,625.00
|
|
|
HC EXC TUMOR SOFT TISSUE ABD WALL, SQ <5CM
|
Facility
|
IP
|
$3,500.00
|
|
|
Service Code
|
CPT 22900
|
| Hospital Charge Code |
76100398
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$2,134.65 |
| Max. Negotiated Rate |
$3,150.00 |
| Rate for Payer: Aetna Commercial |
$2,975.00
|
| Rate for Payer: BCBS Trust/PPO |
$2,704.80
|
| Rate for Payer: BCN Commercial |
$2,704.80
|
| Rate for Payer: Cash Price |
$2,800.00
|
| Rate for Payer: Cofinity Commercial |
$3,010.00
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,800.00
|
| Rate for Payer: Healthscope Commercial |
$3,150.00
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,625.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$2,975.00
|
| Rate for Payer: PHP Commercial |
$2,975.00
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,450.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$3,045.00
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,134.65
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$3,080.00
|
| Rate for Payer: UHC Core |
$2,922.50
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,625.00
|
|
|
HC EXC TUMOR SOFT TISSUE BACK/FLANK SQ < 3CM
|
Facility
|
IP
|
$2,100.08
|
|
|
Service Code
|
CPT 21930
|
| Hospital Charge Code |
76100227
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$1,280.84 |
| Max. Negotiated Rate |
$1,890.07 |
| Rate for Payer: Aetna Commercial |
$1,785.07
|
| Rate for Payer: BCBS Trust/PPO |
$1,622.94
|
| Rate for Payer: BCN Commercial |
$1,622.94
|
| Rate for Payer: Cash Price |
$1,680.06
|
| Rate for Payer: Cofinity Commercial |
$1,806.07
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,680.06
|
| Rate for Payer: Healthscope Commercial |
$1,890.07
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,575.06
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,785.07
|
| Rate for Payer: PHP Commercial |
$1,785.07
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,470.06
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,827.07
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,280.84
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,848.07
|
| Rate for Payer: UHC Core |
$1,753.57
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,575.06
|
|
|
HC EXC TUMOR SOFT TISSUE BACK/FLANK SQ < 3CM
|
Facility
|
OP
|
$2,100.08
|
|
|
Service Code
|
CPT 21930
|
| Hospital Charge Code |
76100227
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$498.77 |
| Max. Negotiated Rate |
$1,890.07 |
| Rate for Payer: Aetna Commercial |
$1,785.07
|
| Rate for Payer: Aetna Medicare |
$546.02
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$656.28
|
| Rate for Payer: Amish Plain Church Group Commercial |
$656.28
|
| Rate for Payer: BCBS Complete |
$1,116.73
|
| Rate for Payer: BCBS MAPPO |
$525.02
|
| Rate for Payer: BCBS Trust/PPO |
$1,632.81
|
| Rate for Payer: BCN Commercial |
$1,632.81
|
| Rate for Payer: BCN Medicare Advantage |
$525.02
|
| Rate for Payer: Cash Price |
$1,680.06
|
| Rate for Payer: Cash Price |
$1,680.06
|
| Rate for Payer: Cofinity Commercial |
$1,806.07
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,680.06
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$525.02
|
| Rate for Payer: Healthscope Commercial |
$1,890.07
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,575.06
|
| Rate for Payer: Mclaren Medicaid |
$1,063.55
|
| Rate for Payer: Meridian Medicaid |
$1,116.73
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$551.27
|
| Rate for Payer: MI Amish Medical Board Commercial |
$603.77
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,785.07
|
| Rate for Payer: PACE Senior Care Partners |
$498.77
|
| Rate for Payer: PACE SWMI |
$525.02
|
| Rate for Payer: PHP Commercial |
$1,785.07
|
| Rate for Payer: PHP Medicare Advantage |
$525.02
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,063.55
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,470.06
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,827.07
|
| Rate for Payer: Priority Health Medicare |
$525.02
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,280.84
|
| Rate for Payer: Railroad Medicare Medicare |
$525.02
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,848.07
|
| Rate for Payer: UHC Core |
$1,753.57
|
| Rate for Payer: UHC Dual Complete DSNP |
$525.02
|
| Rate for Payer: UHC Medicare Advantage |
$540.77
|
| Rate for Payer: VA VA |
$525.02
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,575.06
|
|
|
HC EXC TUMOR SOFT TISSUE, BACK/FLANK, SUBFASCIAL <5CM
|
Facility
|
OP
|
$3,547.91
|
|
|
Service Code
|
CPT 21932
|
| Hospital Charge Code |
76100268
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$842.63 |
| Max. Negotiated Rate |
$3,193.12 |
| Rate for Payer: Aetna Commercial |
$3,015.72
|
| Rate for Payer: Aetna Medicare |
$922.46
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,108.72
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1,108.72
|
| Rate for Payer: BCBS Complete |
$1,957.20
|
| Rate for Payer: BCBS MAPPO |
$886.98
|
| Rate for Payer: BCBS Trust/PPO |
$2,758.50
|
| Rate for Payer: BCN Commercial |
$2,758.50
|
| Rate for Payer: BCN Medicare Advantage |
$886.98
|
| Rate for Payer: Cash Price |
$2,838.33
|
| Rate for Payer: Cash Price |
$2,838.33
|
| Rate for Payer: Cofinity Commercial |
$3,051.20
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,838.33
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$886.98
|
| Rate for Payer: Healthscope Commercial |
$3,193.12
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,660.93
|
| Rate for Payer: Mclaren Medicaid |
$1,864.00
|
| Rate for Payer: Meridian Medicaid |
$1,957.20
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$931.33
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,020.02
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$3,015.72
|
| Rate for Payer: PACE Senior Care Partners |
$842.63
|
| Rate for Payer: PACE SWMI |
$886.98
|
| Rate for Payer: PHP Commercial |
$3,015.72
|
| Rate for Payer: PHP Medicare Advantage |
$886.98
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,864.00
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,483.54
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$3,086.68
|
| Rate for Payer: Priority Health Medicare |
$886.98
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,163.87
|
| Rate for Payer: Railroad Medicare Medicare |
$886.98
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$3,122.16
|
| Rate for Payer: UHC Core |
$2,962.50
|
| Rate for Payer: UHC Dual Complete DSNP |
$886.98
|
| Rate for Payer: UHC Medicare Advantage |
$913.59
|
| Rate for Payer: VA VA |
$886.98
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,660.93
|
|
|
HC EXC TUMOR SOFT TISSUE, BACK/FLANK, SUBFASCIAL <5CM
|
Facility
|
IP
|
$3,547.91
|
|
|
Service Code
|
CPT 21932
|
| Hospital Charge Code |
76100268
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$2,163.87 |
| Max. Negotiated Rate |
$3,193.12 |
| Rate for Payer: Aetna Commercial |
$3,015.72
|
| Rate for Payer: BCBS Trust/PPO |
$2,741.82
|
| Rate for Payer: BCN Commercial |
$2,741.82
|
| Rate for Payer: Cash Price |
$2,838.33
|
| Rate for Payer: Cofinity Commercial |
$3,051.20
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,838.33
|
| Rate for Payer: Healthscope Commercial |
$3,193.12
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,660.93
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$3,015.72
|
| Rate for Payer: PHP Commercial |
$3,015.72
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,483.54
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$3,086.68
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,163.87
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$3,122.16
|
| Rate for Payer: UHC Core |
$2,962.50
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,660.93
|
|
|
HC EXC TUMOR SOFT TISSUE BACK/FLANK SUBQ >3CM
|
Facility
|
OP
|
$2,380.09
|
|
|
Service Code
|
CPT 21931
|
| Hospital Charge Code |
76100244
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$565.27 |
| Max. Negotiated Rate |
$2,142.08 |
| Rate for Payer: Aetna Commercial |
$2,023.08
|
| Rate for Payer: Aetna Medicare |
$618.82
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$743.78
|
| Rate for Payer: Amish Plain Church Group Commercial |
$743.78
|
| Rate for Payer: BCBS Complete |
$1,116.73
|
| Rate for Payer: BCBS MAPPO |
$595.02
|
| Rate for Payer: BCBS Trust/PPO |
$1,850.52
|
| Rate for Payer: BCN Commercial |
$1,850.52
|
| Rate for Payer: BCN Medicare Advantage |
$595.02
|
| Rate for Payer: Cash Price |
$1,904.07
|
| Rate for Payer: Cash Price |
$1,904.07
|
| Rate for Payer: Cofinity Commercial |
$2,046.88
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,904.07
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$595.02
|
| Rate for Payer: Healthscope Commercial |
$2,142.08
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,785.07
|
| Rate for Payer: Mclaren Medicaid |
$1,063.55
|
| Rate for Payer: Meridian Medicaid |
$1,116.73
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$624.77
|
| Rate for Payer: MI Amish Medical Board Commercial |
$684.28
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$2,023.08
|
| Rate for Payer: PACE Senior Care Partners |
$565.27
|
| Rate for Payer: PACE SWMI |
$595.02
|
| Rate for Payer: PHP Commercial |
$2,023.08
|
| Rate for Payer: PHP Medicare Advantage |
$595.02
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,063.55
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,666.06
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,070.68
|
| Rate for Payer: Priority Health Medicare |
$595.02
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,451.62
|
| Rate for Payer: Railroad Medicare Medicare |
$595.02
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,094.48
|
| Rate for Payer: UHC Core |
$1,987.38
|
| Rate for Payer: UHC Dual Complete DSNP |
$595.02
|
| Rate for Payer: UHC Medicare Advantage |
$612.87
|
| Rate for Payer: VA VA |
$595.02
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,785.07
|
|
|
HC EXC TUMOR SOFT TISSUE BACK/FLANK SUBQ >3CM
|
Facility
|
IP
|
$2,380.09
|
|
|
Service Code
|
CPT 21931
|
| Hospital Charge Code |
76100244
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$1,451.62 |
| Max. Negotiated Rate |
$2,142.08 |
| Rate for Payer: Aetna Commercial |
$2,023.08
|
| Rate for Payer: BCBS Trust/PPO |
$1,839.33
|
| Rate for Payer: BCN Commercial |
$1,839.33
|
| Rate for Payer: Cash Price |
$1,904.07
|
| Rate for Payer: Cofinity Commercial |
$2,046.88
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,904.07
|
| Rate for Payer: Healthscope Commercial |
$2,142.08
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,785.07
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$2,023.08
|
| Rate for Payer: PHP Commercial |
$2,023.08
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,666.06
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,070.68
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,451.62
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,094.48
|
| Rate for Payer: UHC Core |
$1,987.38
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,785.07
|
|
|
HC EXC TUMOR SOFT TISSUE FACE SCALP SUBQ <2CM
|
Facility
|
IP
|
$4,351.32
|
|
|
Service Code
|
CPT 21011
|
| Hospital Charge Code |
76100323
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$2,653.87 |
| Max. Negotiated Rate |
$3,916.19 |
| Rate for Payer: Aetna Commercial |
$3,698.62
|
| Rate for Payer: BCBS Trust/PPO |
$3,362.70
|
| Rate for Payer: BCN Commercial |
$3,362.70
|
| Rate for Payer: Cash Price |
$3,481.06
|
| Rate for Payer: Cofinity Commercial |
$3,742.14
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,481.06
|
| Rate for Payer: Healthscope Commercial |
$3,916.19
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$3,263.49
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$3,698.62
|
| Rate for Payer: PHP Commercial |
$3,698.62
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3,045.92
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$3,785.65
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,653.87
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$3,829.16
|
| Rate for Payer: UHC Core |
$3,633.35
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$3,263.49
|
|
|
HC EXC TUMOR SOFT TISSUE FACE SCALP SUBQ <2CM
|
Facility
|
OP
|
$4,351.32
|
|
|
Service Code
|
CPT 21011
|
| Hospital Charge Code |
76100323
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$1,033.44 |
| Max. Negotiated Rate |
$3,916.19 |
| Rate for Payer: Aetna Commercial |
$3,698.62
|
| Rate for Payer: Aetna Medicare |
$1,131.34
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,359.79
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1,359.79
|
| Rate for Payer: BCBS Complete |
$1,116.73
|
| Rate for Payer: BCBS MAPPO |
$1,087.83
|
| Rate for Payer: BCBS Trust/PPO |
$3,383.15
|
| Rate for Payer: BCN Commercial |
$3,383.15
|
| Rate for Payer: BCN Medicare Advantage |
$1,087.83
|
| Rate for Payer: Cash Price |
$3,481.06
|
| Rate for Payer: Cash Price |
$3,481.06
|
| Rate for Payer: Cofinity Commercial |
$3,742.14
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,481.06
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,087.83
|
| Rate for Payer: Healthscope Commercial |
$3,916.19
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$3,263.49
|
| Rate for Payer: Mclaren Medicaid |
$1,063.55
|
| Rate for Payer: Meridian Medicaid |
$1,116.73
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,142.22
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,251.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$3,698.62
|
| Rate for Payer: PACE Senior Care Partners |
$1,033.44
|
| Rate for Payer: PACE SWMI |
$1,087.83
|
| Rate for Payer: PHP Commercial |
$3,698.62
|
| Rate for Payer: PHP Medicare Advantage |
$1,087.83
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,063.55
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3,045.92
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$3,785.65
|
| Rate for Payer: Priority Health Medicare |
$1,087.83
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,653.87
|
| Rate for Payer: Railroad Medicare Medicare |
$1,087.83
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$3,829.16
|
| Rate for Payer: UHC Core |
$3,633.35
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,087.83
|
| Rate for Payer: UHC Medicare Advantage |
$1,120.46
|
| Rate for Payer: VA VA |
$1,087.83
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$3,263.49
|
|
|
HC EXC TUMOR SOFT TISSUE FACE/SCALP, SUBQ 2CM OR >
|
Facility
|
OP
|
$2,100.08
|
|
|
Service Code
|
CPT 21012
|
| Hospital Charge Code |
76100246
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$498.77 |
| Max. Negotiated Rate |
$1,890.07 |
| Rate for Payer: Aetna Commercial |
$1,785.07
|
| Rate for Payer: Aetna Medicare |
$546.02
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$656.28
|
| Rate for Payer: Amish Plain Church Group Commercial |
$656.28
|
| Rate for Payer: BCBS Complete |
$1,116.73
|
| Rate for Payer: BCBS MAPPO |
$525.02
|
| Rate for Payer: BCBS Trust/PPO |
$1,632.81
|
| Rate for Payer: BCN Commercial |
$1,632.81
|
| Rate for Payer: BCN Medicare Advantage |
$525.02
|
| Rate for Payer: Cash Price |
$1,680.06
|
| Rate for Payer: Cash Price |
$1,680.06
|
| Rate for Payer: Cofinity Commercial |
$1,806.07
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,680.06
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$525.02
|
| Rate for Payer: Healthscope Commercial |
$1,890.07
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,575.06
|
| Rate for Payer: Mclaren Medicaid |
$1,063.55
|
| Rate for Payer: Meridian Medicaid |
$1,116.73
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$551.27
|
| Rate for Payer: MI Amish Medical Board Commercial |
$603.77
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,785.07
|
| Rate for Payer: PACE Senior Care Partners |
$498.77
|
| Rate for Payer: PACE SWMI |
$525.02
|
| Rate for Payer: PHP Commercial |
$1,785.07
|
| Rate for Payer: PHP Medicare Advantage |
$525.02
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,063.55
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,470.06
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,827.07
|
| Rate for Payer: Priority Health Medicare |
$525.02
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,280.84
|
| Rate for Payer: Railroad Medicare Medicare |
$525.02
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,848.07
|
| Rate for Payer: UHC Core |
$1,753.57
|
| Rate for Payer: UHC Dual Complete DSNP |
$525.02
|
| Rate for Payer: UHC Medicare Advantage |
$540.77
|
| Rate for Payer: VA VA |
$525.02
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,575.06
|
|
|
HC EXC TUMOR SOFT TISSUE FACE/SCALP, SUBQ 2CM OR >
|
Facility
|
IP
|
$2,100.08
|
|
|
Service Code
|
CPT 21012
|
| Hospital Charge Code |
76100246
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$1,280.84 |
| Max. Negotiated Rate |
$1,890.07 |
| Rate for Payer: Aetna Commercial |
$1,785.07
|
| Rate for Payer: BCBS Trust/PPO |
$1,622.94
|
| Rate for Payer: BCN Commercial |
$1,622.94
|
| Rate for Payer: Cash Price |
$1,680.06
|
| Rate for Payer: Cofinity Commercial |
$1,806.07
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,680.06
|
| Rate for Payer: Healthscope Commercial |
$1,890.07
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,575.06
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,785.07
|
| Rate for Payer: PHP Commercial |
$1,785.07
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,470.06
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,827.07
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,280.84
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,848.07
|
| Rate for Payer: UHC Core |
$1,753.57
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,575.06
|
|
|
HC EXC TUMOR SOFT TISSUE FOREARM DEEP<3CM
|
Facility
|
IP
|
$4,198.00
|
|
|
Service Code
|
CPT 25076
|
| Hospital Charge Code |
76100515
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$2,560.36 |
| Max. Negotiated Rate |
$3,778.20 |
| Rate for Payer: Aetna Commercial |
$3,568.30
|
| Rate for Payer: BCBS Trust/PPO |
$3,244.21
|
| Rate for Payer: BCN Commercial |
$3,244.21
|
| Rate for Payer: Cash Price |
$3,358.40
|
| Rate for Payer: Cofinity Commercial |
$3,610.28
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,358.40
|
| Rate for Payer: Healthscope Commercial |
$3,778.20
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$3,148.50
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$3,568.30
|
| Rate for Payer: PHP Commercial |
$3,568.30
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,938.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$3,652.26
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,560.36
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$3,694.24
|
| Rate for Payer: UHC Core |
$3,505.33
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$3,148.50
|
|
|
HC EXC TUMOR SOFT TISSUE FOREARM DEEP<3CM
|
Facility
|
OP
|
$4,198.00
|
|
|
Service Code
|
CPT 25076
|
| Hospital Charge Code |
76100515
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$997.02 |
| Max. Negotiated Rate |
$3,778.20 |
| Rate for Payer: Aetna Commercial |
$3,568.30
|
| Rate for Payer: Aetna Medicare |
$1,091.48
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,311.88
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1,311.88
|
| Rate for Payer: BCBS Complete |
$1,116.73
|
| Rate for Payer: BCBS MAPPO |
$1,049.50
|
| Rate for Payer: BCBS Trust/PPO |
$3,263.94
|
| Rate for Payer: BCN Commercial |
$3,263.94
|
| Rate for Payer: BCN Medicare Advantage |
$1,049.50
|
| Rate for Payer: Cash Price |
$3,358.40
|
| Rate for Payer: Cash Price |
$3,358.40
|
| Rate for Payer: Cofinity Commercial |
$3,610.28
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,358.40
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,049.50
|
| Rate for Payer: Healthscope Commercial |
$3,778.20
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$3,148.50
|
| Rate for Payer: Mclaren Medicaid |
$1,063.55
|
| Rate for Payer: Meridian Medicaid |
$1,116.73
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,101.98
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,206.92
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$3,568.30
|
| Rate for Payer: PACE Senior Care Partners |
$997.02
|
| Rate for Payer: PACE SWMI |
$1,049.50
|
| Rate for Payer: PHP Commercial |
$3,568.30
|
| Rate for Payer: PHP Medicare Advantage |
$1,049.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,063.55
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,938.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$3,652.26
|
| Rate for Payer: Priority Health Medicare |
$1,049.50
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,560.36
|
| Rate for Payer: Railroad Medicare Medicare |
$1,049.50
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$3,694.24
|
| Rate for Payer: UHC Core |
$3,505.33
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,049.50
|
| Rate for Payer: UHC Medicare Advantage |
$1,080.98
|
| Rate for Payer: VA VA |
$1,049.50
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$3,148.50
|
|
