|
HC COLPOSCOPY CERVIX VAG ELTRD CONIZATION CERVIX
|
Facility
|
IP
|
$7,108.93
|
|
|
Service Code
|
CPT 57461
|
| Hospital Charge Code |
76100328
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$4,947.82 |
| Max. Negotiated Rate |
$6,398.04 |
| Rate for Payer: Aetna Commercial |
$6,042.59
|
| Rate for Payer: BCBS Trust/PPO |
$5,871.27
|
| Rate for Payer: BCN Commercial |
$5,871.27
|
| Rate for Payer: Cash Price |
$5,687.14
|
| Rate for Payer: Cofinity Commercial |
$6,113.68
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$5,687.14
|
| Rate for Payer: Healthscope Commercial |
$6,398.04
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$5,331.70
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$6,042.59
|
| Rate for Payer: Nomi Health Commercial |
$5,829.32
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$5,331.70
|
| Rate for Payer: PHP Commercial |
$6,042.59
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$6,184.77
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$4,947.82
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$6,255.86
|
| Rate for Payer: UHC Core |
$5,935.96
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$5,331.70
|
|
|
HC COLPOSCOPY CERVIX VAG ELTRD CONIZATION CERVIX
|
Facility
|
OP
|
$7,108.93
|
|
|
Service Code
|
CPT 57461
|
| Hospital Charge Code |
76100328
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$331.06 |
| Max. Negotiated Rate |
$6,398.04 |
| Rate for Payer: Aetna Commercial |
$6,042.59
|
| Rate for Payer: Aetna Medicare |
$1,848.32
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$2,221.54
|
| Rate for Payer: Amish Plain Church Group Commercial |
$2,221.54
|
| Rate for Payer: BCBS Complete |
$1,315.86
|
| Rate for Payer: BCBS MAPPO |
$1,777.23
|
| Rate for Payer: BCBS Trust/PPO |
$5,844.25
|
| Rate for Payer: BCCCP Commercial |
$331.06
|
| Rate for Payer: BCN Commercial |
$5,844.25
|
| Rate for Payer: BCN Medicare Advantage |
$1,777.23
|
| Rate for Payer: Cash Price |
$5,687.14
|
| Rate for Payer: Cash Price |
$5,687.14
|
| Rate for Payer: Cofinity Commercial |
$6,113.68
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$5,687.14
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,777.23
|
| Rate for Payer: Healthscope Commercial |
$6,398.04
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$5,331.70
|
| Rate for Payer: Mclaren Medicaid |
$1,253.30
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,866.09
|
| Rate for Payer: Meridian Medicaid |
$1,315.86
|
| Rate for Payer: MI Amish Medical Board Commercial |
$2,043.82
|
| Rate for Payer: Molina Medicare/Medicaid |
$1,954.96
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$6,042.59
|
| Rate for Payer: Nomi Health Commercial |
$5,829.32
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$5,331.70
|
| Rate for Payer: PACE Senior Care Partners |
$1,688.37
|
| Rate for Payer: PACE SWMI |
$1,777.23
|
| Rate for Payer: PHP Commercial |
$6,042.59
|
| Rate for Payer: PHP Medicare Advantage |
$1,777.23
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,253.30
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$6,184.77
|
| Rate for Payer: Priority Health Medicare |
$1,795.00
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$4,947.82
|
| Rate for Payer: Railroad Medicare Medicare |
$1,777.23
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$6,255.86
|
| Rate for Payer: UHC Core |
$5,935.96
|
| Rate for Payer: UHC Exchange |
$1,777.23
|
| Rate for Payer: UHC Medicaid |
$1,253.30
|
| Rate for Payer: UHC Medicare Advantage |
$1,777.23
|
| Rate for Payer: UHCCP Medicaid |
$1,253.30
|
| Rate for Payer: VA VA |
$1,777.23
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$5,331.70
|
|
|
HC COLPOSCOPY CERVIX VAG LOOP ELTRD BX CERVIX
|
Facility
|
IP
|
$8,271.18
|
|
|
Service Code
|
CPT 57460
|
| Hospital Charge Code |
76100395
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$5,756.74 |
| Max. Negotiated Rate |
$7,444.06 |
| Rate for Payer: Aetna Commercial |
$7,030.50
|
| Rate for Payer: BCBS Trust/PPO |
$6,831.17
|
| Rate for Payer: BCN Commercial |
$6,831.17
|
| Rate for Payer: Cash Price |
$6,616.94
|
| Rate for Payer: Cofinity Commercial |
$7,113.21
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$6,616.94
|
| Rate for Payer: Healthscope Commercial |
$7,444.06
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$6,203.39
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$7,030.50
|
| Rate for Payer: Nomi Health Commercial |
$6,782.37
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$6,203.39
|
| Rate for Payer: PHP Commercial |
$7,030.50
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$7,195.93
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$5,756.74
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$7,278.64
|
| Rate for Payer: UHC Core |
$6,906.44
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$6,203.39
|
|
|
HC COLPOSCOPY CERVIX VAG LOOP ELTRD BX CERVIX
|
Facility
|
OP
|
$8,271.18
|
|
|
Service Code
|
CPT 57460
|
| Hospital Charge Code |
76100395
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$295.08 |
| Max. Negotiated Rate |
$7,444.06 |
| Rate for Payer: Aetna Commercial |
$7,030.50
|
| Rate for Payer: Aetna Medicare |
$2,150.51
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$2,584.74
|
| Rate for Payer: Amish Plain Church Group Commercial |
$2,584.74
|
| Rate for Payer: BCBS Complete |
$1,531.00
|
| Rate for Payer: BCBS MAPPO |
$2,067.80
|
| Rate for Payer: BCBS Trust/PPO |
$6,799.74
|
| Rate for Payer: BCCCP Commercial |
$295.08
|
| Rate for Payer: BCN Commercial |
$6,799.74
|
| Rate for Payer: BCN Medicare Advantage |
$2,067.80
|
| Rate for Payer: Cash Price |
$6,616.94
|
| Rate for Payer: Cash Price |
$6,616.94
|
| Rate for Payer: Cofinity Commercial |
$7,113.21
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$6,616.94
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,067.80
|
| Rate for Payer: Healthscope Commercial |
$7,444.06
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$6,203.39
|
| Rate for Payer: Mclaren Medicaid |
$1,458.21
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$2,171.18
|
| Rate for Payer: Meridian Medicaid |
$1,531.00
|
| Rate for Payer: MI Amish Medical Board Commercial |
$2,377.96
|
| Rate for Payer: Molina Medicare/Medicaid |
$2,274.57
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$7,030.50
|
| Rate for Payer: Nomi Health Commercial |
$6,782.37
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$6,203.39
|
| Rate for Payer: PACE Senior Care Partners |
$1,964.41
|
| Rate for Payer: PACE SWMI |
$2,067.80
|
| Rate for Payer: PHP Commercial |
$7,030.50
|
| Rate for Payer: PHP Medicare Advantage |
$2,067.80
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,458.21
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$7,195.93
|
| Rate for Payer: Priority Health Medicare |
$2,088.47
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$5,756.74
|
| Rate for Payer: Railroad Medicare Medicare |
$2,067.80
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$7,278.64
|
| Rate for Payer: UHC Core |
$6,906.44
|
| Rate for Payer: UHC Exchange |
$2,067.80
|
| Rate for Payer: UHC Medicaid |
$1,458.21
|
| Rate for Payer: UHC Medicare Advantage |
$2,067.80
|
| Rate for Payer: UHCCP Medicaid |
$1,458.21
|
| Rate for Payer: VA VA |
$2,067.80
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$6,203.39
|
|
|
HC COLPOSCOPY CERVIX W ADJ VAGINA
|
Facility
|
IP
|
$290.77
|
|
|
Service Code
|
CPT 57452
|
| Hospital Charge Code |
76100204
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$202.38 |
| Max. Negotiated Rate |
$261.69 |
| Rate for Payer: Aetna Commercial |
$247.15
|
| Rate for Payer: BCBS Trust/PPO |
$240.15
|
| Rate for Payer: BCN Commercial |
$240.15
|
| Rate for Payer: Cash Price |
$232.62
|
| Rate for Payer: Cofinity Commercial |
$250.06
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$232.62
|
| Rate for Payer: Healthscope Commercial |
$261.69
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$218.08
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$247.15
|
| Rate for Payer: Nomi Health Commercial |
$238.43
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$218.08
|
| Rate for Payer: PHP Commercial |
$247.15
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$252.97
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$202.38
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$255.88
|
| Rate for Payer: UHC Core |
$242.79
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$218.08
|
|
|
HC COLPOSCOPY CERVIX W ADJ VAGINA
|
Facility
|
OP
|
$290.77
|
|
|
Service Code
|
CPT 57452
|
| Hospital Charge Code |
76100204
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$51.26 |
| Max. Negotiated Rate |
$261.69 |
| Rate for Payer: Aetna Commercial |
$247.15
|
| Rate for Payer: Aetna Medicare |
$75.60
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$90.87
|
| Rate for Payer: Amish Plain Church Group Commercial |
$90.87
|
| Rate for Payer: BCBS Complete |
$53.82
|
| Rate for Payer: BCBS MAPPO |
$72.69
|
| Rate for Payer: BCBS Trust/PPO |
$239.04
|
| Rate for Payer: BCCCP Commercial |
$122.41
|
| Rate for Payer: BCN Commercial |
$239.04
|
| Rate for Payer: BCN Medicare Advantage |
$72.69
|
| Rate for Payer: Cash Price |
$232.62
|
| Rate for Payer: Cash Price |
$232.62
|
| Rate for Payer: Cofinity Commercial |
$250.06
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$232.62
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$72.69
|
| Rate for Payer: Healthscope Commercial |
$261.69
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$218.08
|
| Rate for Payer: Mclaren Medicaid |
$51.26
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$76.33
|
| Rate for Payer: Meridian Medicaid |
$53.82
|
| Rate for Payer: MI Amish Medical Board Commercial |
$83.60
|
| Rate for Payer: Molina Medicare/Medicaid |
$79.96
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$247.15
|
| Rate for Payer: Nomi Health Commercial |
$238.43
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$218.08
|
| Rate for Payer: PACE Senior Care Partners |
$69.06
|
| Rate for Payer: PACE SWMI |
$72.69
|
| Rate for Payer: PHP Commercial |
$247.15
|
| Rate for Payer: PHP Medicare Advantage |
$72.69
|
| Rate for Payer: Priority Health Choice Medicaid |
$51.26
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$252.97
|
| Rate for Payer: Priority Health Medicare |
$73.42
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$202.38
|
| Rate for Payer: Railroad Medicare Medicare |
$72.69
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$255.88
|
| Rate for Payer: UHC Core |
$242.79
|
| Rate for Payer: UHC Exchange |
$72.69
|
| Rate for Payer: UHC Medicaid |
$51.26
|
| Rate for Payer: UHC Medicare Advantage |
$72.69
|
| Rate for Payer: UHCCP Medicaid |
$51.26
|
| Rate for Payer: VA VA |
$72.69
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$218.08
|
|
|
HC COLPOSCOPY CERVIX W ADJ VAGINA CURETTAGE
|
Facility
|
IP
|
$434.56
|
|
|
Service Code
|
CPT 57456
|
| Hospital Charge Code |
76100206
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$302.45 |
| Max. Negotiated Rate |
$391.10 |
| Rate for Payer: Aetna Commercial |
$369.38
|
| Rate for Payer: BCBS Trust/PPO |
$358.90
|
| Rate for Payer: BCN Commercial |
$358.90
|
| Rate for Payer: Cash Price |
$347.65
|
| Rate for Payer: Cofinity Commercial |
$373.72
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$347.65
|
| Rate for Payer: Healthscope Commercial |
$391.10
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$325.92
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$369.38
|
| Rate for Payer: Nomi Health Commercial |
$356.34
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$325.92
|
| Rate for Payer: PHP Commercial |
$369.38
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$378.07
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$302.45
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$382.41
|
| Rate for Payer: UHC Core |
$362.86
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$325.92
|
|
|
HC COLPOSCOPY CERVIX W ADJ VAGINA CURETTAGE
|
Facility
|
OP
|
$434.56
|
|
|
Service Code
|
CPT 57456
|
| Hospital Charge Code |
76100206
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$76.61 |
| Max. Negotiated Rate |
$391.10 |
| Rate for Payer: Aetna Commercial |
$369.38
|
| Rate for Payer: Aetna Medicare |
$112.99
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$135.80
|
| Rate for Payer: Amish Plain Church Group Commercial |
$135.80
|
| Rate for Payer: BCBS Complete |
$80.44
|
| Rate for Payer: BCBS MAPPO |
$108.64
|
| Rate for Payer: BCBS Trust/PPO |
$357.25
|
| Rate for Payer: BCCCP Commercial |
$146.69
|
| Rate for Payer: BCN Commercial |
$357.25
|
| Rate for Payer: BCN Medicare Advantage |
$108.64
|
| Rate for Payer: Cash Price |
$347.65
|
| Rate for Payer: Cash Price |
$347.65
|
| Rate for Payer: Cofinity Commercial |
$373.72
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$347.65
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$108.64
|
| Rate for Payer: Healthscope Commercial |
$391.10
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$325.92
|
| Rate for Payer: Mclaren Medicaid |
$76.61
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$114.07
|
| Rate for Payer: Meridian Medicaid |
$80.44
|
| Rate for Payer: MI Amish Medical Board Commercial |
$124.94
|
| Rate for Payer: Molina Medicare/Medicaid |
$119.50
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$369.38
|
| Rate for Payer: Nomi Health Commercial |
$356.34
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$325.92
|
| Rate for Payer: PACE Senior Care Partners |
$103.21
|
| Rate for Payer: PACE SWMI |
$108.64
|
| Rate for Payer: PHP Commercial |
$369.38
|
| Rate for Payer: PHP Medicare Advantage |
$108.64
|
| Rate for Payer: Priority Health Choice Medicaid |
$76.61
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$378.07
|
| Rate for Payer: Priority Health Medicare |
$109.73
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$302.45
|
| Rate for Payer: Railroad Medicare Medicare |
$108.64
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$382.41
|
| Rate for Payer: UHC Core |
$362.86
|
| Rate for Payer: UHC Exchange |
$108.64
|
| Rate for Payer: UHC Medicaid |
$76.61
|
| Rate for Payer: UHC Medicare Advantage |
$108.64
|
| Rate for Payer: UHCCP Medicaid |
$76.61
|
| Rate for Payer: VA VA |
$108.64
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$325.92
|
|
|
HC COLPOSCOPY CERVIX W ADJ VAGINA W BX
|
Facility
|
IP
|
$434.56
|
|
|
Service Code
|
CPT 57455
|
| Hospital Charge Code |
76100205
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$302.45 |
| Max. Negotiated Rate |
$391.10 |
| Rate for Payer: Aetna Commercial |
$369.38
|
| Rate for Payer: BCBS Trust/PPO |
$358.90
|
| Rate for Payer: BCN Commercial |
$358.90
|
| Rate for Payer: Cash Price |
$347.65
|
| Rate for Payer: Cofinity Commercial |
$373.72
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$347.65
|
| Rate for Payer: Healthscope Commercial |
$391.10
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$325.92
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$369.38
|
| Rate for Payer: Nomi Health Commercial |
$356.34
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$325.92
|
| Rate for Payer: PHP Commercial |
$369.38
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$378.07
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$302.45
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$382.41
|
| Rate for Payer: UHC Core |
$362.86
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$325.92
|
|
|
HC COLPOSCOPY CERVIX W ADJ VAGINA W BX
|
Facility
|
OP
|
$434.56
|
|
|
Service Code
|
CPT 57455
|
| Hospital Charge Code |
76100205
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$76.61 |
| Max. Negotiated Rate |
$391.10 |
| Rate for Payer: Aetna Commercial |
$369.38
|
| Rate for Payer: Aetna Medicare |
$112.99
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$135.80
|
| Rate for Payer: Amish Plain Church Group Commercial |
$135.80
|
| Rate for Payer: BCBS Complete |
$80.44
|
| Rate for Payer: BCBS MAPPO |
$108.64
|
| Rate for Payer: BCBS Trust/PPO |
$357.25
|
| Rate for Payer: BCCCP Commercial |
$157.18
|
| Rate for Payer: BCN Commercial |
$357.25
|
| Rate for Payer: BCN Medicare Advantage |
$108.64
|
| Rate for Payer: Cash Price |
$347.65
|
| Rate for Payer: Cash Price |
$347.65
|
| Rate for Payer: Cofinity Commercial |
$373.72
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$347.65
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$108.64
|
| Rate for Payer: Healthscope Commercial |
$391.10
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$325.92
|
| Rate for Payer: Mclaren Medicaid |
$76.61
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$114.07
|
| Rate for Payer: Meridian Medicaid |
$80.44
|
| Rate for Payer: MI Amish Medical Board Commercial |
$124.94
|
| Rate for Payer: Molina Medicare/Medicaid |
$119.50
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$369.38
|
| Rate for Payer: Nomi Health Commercial |
$356.34
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$325.92
|
| Rate for Payer: PACE Senior Care Partners |
$103.21
|
| Rate for Payer: PACE SWMI |
$108.64
|
| Rate for Payer: PHP Commercial |
$369.38
|
| Rate for Payer: PHP Medicare Advantage |
$108.64
|
| Rate for Payer: Priority Health Choice Medicaid |
$76.61
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$378.07
|
| Rate for Payer: Priority Health Medicare |
$109.73
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$302.45
|
| Rate for Payer: Railroad Medicare Medicare |
$108.64
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$382.41
|
| Rate for Payer: UHC Core |
$362.86
|
| Rate for Payer: UHC Exchange |
$108.64
|
| Rate for Payer: UHC Medicaid |
$76.61
|
| Rate for Payer: UHC Medicare Advantage |
$108.64
|
| Rate for Payer: UHCCP Medicaid |
$76.61
|
| Rate for Payer: VA VA |
$108.64
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$325.92
|
|
|
HC COLPOSCOPY OF CERVIX/VAGINA W/BIOPSY AND CURETTAGE
|
Facility
|
OP
|
$375.67
|
|
|
Service Code
|
CPT 57454
|
| Hospital Charge Code |
76100140
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$66.23 |
| Max. Negotiated Rate |
$338.10 |
| Rate for Payer: Aetna Commercial |
$319.32
|
| Rate for Payer: Aetna Medicare |
$97.67
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$117.40
|
| Rate for Payer: Amish Plain Church Group Commercial |
$117.40
|
| Rate for Payer: BCBS Complete |
$69.54
|
| Rate for Payer: BCBS MAPPO |
$93.92
|
| Rate for Payer: BCBS Trust/PPO |
$308.84
|
| Rate for Payer: BCCCP Commercial |
$164.88
|
| Rate for Payer: BCN Commercial |
$308.84
|
| Rate for Payer: BCN Medicare Advantage |
$93.92
|
| Rate for Payer: Cash Price |
$300.54
|
| Rate for Payer: Cash Price |
$300.54
|
| Rate for Payer: Cofinity Commercial |
$323.08
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$300.54
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$93.92
|
| Rate for Payer: Healthscope Commercial |
$338.10
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$281.75
|
| Rate for Payer: Mclaren Medicaid |
$66.23
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$98.61
|
| Rate for Payer: Meridian Medicaid |
$69.54
|
| Rate for Payer: MI Amish Medical Board Commercial |
$108.01
|
| Rate for Payer: Molina Medicare/Medicaid |
$103.31
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$319.32
|
| Rate for Payer: Nomi Health Commercial |
$308.05
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$281.75
|
| Rate for Payer: PACE Senior Care Partners |
$89.22
|
| Rate for Payer: PACE SWMI |
$93.92
|
| Rate for Payer: PHP Commercial |
$319.32
|
| Rate for Payer: PHP Medicare Advantage |
$93.92
|
| Rate for Payer: Priority Health Choice Medicaid |
$66.23
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$326.83
|
| Rate for Payer: Priority Health Medicare |
$94.86
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$261.47
|
| Rate for Payer: Railroad Medicare Medicare |
$93.92
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$330.59
|
| Rate for Payer: UHC Core |
$313.68
|
| Rate for Payer: UHC Exchange |
$93.92
|
| Rate for Payer: UHC Medicaid |
$66.23
|
| Rate for Payer: UHC Medicare Advantage |
$93.92
|
| Rate for Payer: UHCCP Medicaid |
$66.23
|
| Rate for Payer: VA VA |
$93.92
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$281.75
|
|
|
HC COLPOSCOPY OF CERVIX/VAGINA W/BIOPSY AND CURETTAGE
|
Facility
|
IP
|
$375.67
|
|
|
Service Code
|
CPT 57454
|
| Hospital Charge Code |
76100140
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$261.47 |
| Max. Negotiated Rate |
$338.10 |
| Rate for Payer: Aetna Commercial |
$319.32
|
| Rate for Payer: BCBS Trust/PPO |
$310.27
|
| Rate for Payer: BCN Commercial |
$310.27
|
| Rate for Payer: Cash Price |
$300.54
|
| Rate for Payer: Cofinity Commercial |
$323.08
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$300.54
|
| Rate for Payer: Healthscope Commercial |
$338.10
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$281.75
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$319.32
|
| Rate for Payer: Nomi Health Commercial |
$308.05
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$281.75
|
| Rate for Payer: PHP Commercial |
$319.32
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$326.83
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$261.47
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$330.59
|
| Rate for Payer: UHC Core |
$313.68
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$281.75
|
|
|
HC COLPOSCOPY VAGINA W/BIOPSY
|
Facility
|
IP
|
$888.23
|
|
|
Service Code
|
CPT 57421
|
| Hospital Charge Code |
76100223
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$618.21 |
| Max. Negotiated Rate |
$799.41 |
| Rate for Payer: Aetna Commercial |
$755.00
|
| Rate for Payer: BCBS Trust/PPO |
$733.59
|
| Rate for Payer: BCN Commercial |
$733.59
|
| Rate for Payer: Cash Price |
$710.58
|
| Rate for Payer: Cofinity Commercial |
$763.88
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$710.58
|
| Rate for Payer: Healthscope Commercial |
$799.41
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$666.17
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$755.00
|
| Rate for Payer: Nomi Health Commercial |
$728.35
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$666.17
|
| Rate for Payer: PHP Commercial |
$755.00
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$772.76
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$618.21
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$781.64
|
| Rate for Payer: UHC Core |
$741.67
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$666.17
|
|
|
HC COLPOSCOPY VAGINA W/BIOPSY
|
Facility
|
OP
|
$888.23
|
|
|
Service Code
|
CPT 57421
|
| Hospital Charge Code |
76100223
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$156.59 |
| Max. Negotiated Rate |
$799.41 |
| Rate for Payer: Aetna Commercial |
$755.00
|
| Rate for Payer: Aetna Medicare |
$230.94
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$277.57
|
| Rate for Payer: Amish Plain Church Group Commercial |
$277.57
|
| Rate for Payer: BCBS Complete |
$164.41
|
| Rate for Payer: BCBS MAPPO |
$222.06
|
| Rate for Payer: BCBS Trust/PPO |
$730.21
|
| Rate for Payer: BCN Commercial |
$730.21
|
| Rate for Payer: BCN Medicare Advantage |
$222.06
|
| Rate for Payer: Cash Price |
$710.58
|
| Rate for Payer: Cofinity Commercial |
$763.88
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$710.58
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$222.06
|
| Rate for Payer: Healthscope Commercial |
$799.41
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$666.17
|
| Rate for Payer: Mclaren Medicaid |
$156.59
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$233.16
|
| Rate for Payer: Meridian Medicaid |
$164.41
|
| Rate for Payer: MI Amish Medical Board Commercial |
$255.37
|
| Rate for Payer: Molina Medicare/Medicaid |
$244.26
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$755.00
|
| Rate for Payer: Nomi Health Commercial |
$728.35
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$666.17
|
| Rate for Payer: PACE Senior Care Partners |
$210.95
|
| Rate for Payer: PACE SWMI |
$222.06
|
| Rate for Payer: PHP Commercial |
$755.00
|
| Rate for Payer: PHP Medicare Advantage |
$222.06
|
| Rate for Payer: Priority Health Choice Medicaid |
$156.59
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$772.76
|
| Rate for Payer: Priority Health Medicare |
$224.28
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$618.21
|
| Rate for Payer: Railroad Medicare Medicare |
$222.06
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$781.64
|
| Rate for Payer: UHC Core |
$741.67
|
| Rate for Payer: UHC Exchange |
$222.06
|
| Rate for Payer: UHC Medicaid |
$156.59
|
| Rate for Payer: UHC Medicare Advantage |
$222.06
|
| Rate for Payer: UHCCP Medicaid |
$156.59
|
| Rate for Payer: VA VA |
$222.06
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$666.17
|
|
|
HC COLPOSCOPY VAGINA W/O BIOPSY
|
Facility
|
OP
|
$430.93
|
|
|
Service Code
|
CPT 57420
|
| Hospital Charge Code |
76100254
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$75.97 |
| Max. Negotiated Rate |
$387.84 |
| Rate for Payer: Aetna Commercial |
$366.29
|
| Rate for Payer: Aetna Medicare |
$112.04
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$134.67
|
| Rate for Payer: Amish Plain Church Group Commercial |
$134.67
|
| Rate for Payer: BCBS Complete |
$79.77
|
| Rate for Payer: BCBS MAPPO |
$107.73
|
| Rate for Payer: BCBS Trust/PPO |
$354.27
|
| Rate for Payer: BCN Commercial |
$354.27
|
| Rate for Payer: BCN Medicare Advantage |
$107.73
|
| Rate for Payer: Cash Price |
$344.74
|
| Rate for Payer: Cofinity Commercial |
$370.60
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$344.74
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$107.73
|
| Rate for Payer: Healthscope Commercial |
$387.84
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$323.20
|
| Rate for Payer: Mclaren Medicaid |
$75.97
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$113.12
|
| Rate for Payer: Meridian Medicaid |
$79.77
|
| Rate for Payer: MI Amish Medical Board Commercial |
$123.89
|
| Rate for Payer: Molina Medicare/Medicaid |
$118.51
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$366.29
|
| Rate for Payer: Nomi Health Commercial |
$353.36
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$323.20
|
| Rate for Payer: PACE Senior Care Partners |
$102.35
|
| Rate for Payer: PACE SWMI |
$107.73
|
| Rate for Payer: PHP Commercial |
$366.29
|
| Rate for Payer: PHP Medicare Advantage |
$107.73
|
| Rate for Payer: Priority Health Choice Medicaid |
$75.97
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$374.91
|
| Rate for Payer: Priority Health Medicare |
$108.81
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$299.93
|
| Rate for Payer: Railroad Medicare Medicare |
$107.73
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$379.22
|
| Rate for Payer: UHC Core |
$359.83
|
| Rate for Payer: UHC Exchange |
$107.73
|
| Rate for Payer: UHC Medicaid |
$75.97
|
| Rate for Payer: UHC Medicare Advantage |
$107.73
|
| Rate for Payer: UHCCP Medicaid |
$75.97
|
| Rate for Payer: VA VA |
$107.73
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$323.20
|
|
|
HC COLPOSCOPY VAGINA W/O BIOPSY
|
Facility
|
IP
|
$430.93
|
|
|
Service Code
|
CPT 57420
|
| Hospital Charge Code |
76100254
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$299.93 |
| Max. Negotiated Rate |
$387.84 |
| Rate for Payer: Aetna Commercial |
$366.29
|
| Rate for Payer: BCBS Trust/PPO |
$355.91
|
| Rate for Payer: BCN Commercial |
$355.91
|
| Rate for Payer: Cash Price |
$344.74
|
| Rate for Payer: Cofinity Commercial |
$370.60
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$344.74
|
| Rate for Payer: Healthscope Commercial |
$387.84
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$323.20
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$366.29
|
| Rate for Payer: Nomi Health Commercial |
$353.36
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$323.20
|
| Rate for Payer: PHP Commercial |
$366.29
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$374.91
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$299.93
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$379.22
|
| Rate for Payer: UHC Core |
$359.83
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$323.20
|
|
|
HC COLPOSCOPY, VULVA
|
Facility
|
OP
|
$335.35
|
|
|
Service Code
|
CPT 56820
|
| Hospital Charge Code |
76100258
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$59.12 |
| Max. Negotiated Rate |
$301.81 |
| Rate for Payer: Aetna Commercial |
$285.05
|
| Rate for Payer: Aetna Medicare |
$87.19
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$104.80
|
| Rate for Payer: Amish Plain Church Group Commercial |
$104.80
|
| Rate for Payer: BCBS Complete |
$62.07
|
| Rate for Payer: BCBS MAPPO |
$83.84
|
| Rate for Payer: BCBS Trust/PPO |
$275.69
|
| Rate for Payer: BCN Commercial |
$275.69
|
| Rate for Payer: BCN Medicare Advantage |
$83.84
|
| Rate for Payer: Cash Price |
$268.28
|
| Rate for Payer: Cofinity Commercial |
$288.40
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$268.28
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$83.84
|
| Rate for Payer: Healthscope Commercial |
$301.81
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$251.51
|
| Rate for Payer: Mclaren Medicaid |
$59.12
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$88.03
|
| Rate for Payer: Meridian Medicaid |
$62.07
|
| Rate for Payer: MI Amish Medical Board Commercial |
$96.41
|
| Rate for Payer: Molina Medicare/Medicaid |
$92.22
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$285.05
|
| Rate for Payer: Nomi Health Commercial |
$274.99
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$251.51
|
| Rate for Payer: PACE Senior Care Partners |
$79.65
|
| Rate for Payer: PACE SWMI |
$83.84
|
| Rate for Payer: PHP Commercial |
$285.05
|
| Rate for Payer: PHP Medicare Advantage |
$83.84
|
| Rate for Payer: Priority Health Choice Medicaid |
$59.12
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$291.75
|
| Rate for Payer: Priority Health Medicare |
$84.68
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$233.40
|
| Rate for Payer: Railroad Medicare Medicare |
$83.84
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$295.11
|
| Rate for Payer: UHC Core |
$280.02
|
| Rate for Payer: UHC Exchange |
$83.84
|
| Rate for Payer: UHC Medicaid |
$59.12
|
| Rate for Payer: UHC Medicare Advantage |
$83.84
|
| Rate for Payer: UHCCP Medicaid |
$59.12
|
| Rate for Payer: VA VA |
$83.84
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$251.51
|
|
|
HC COLPOSCOPY, VULVA
|
Facility
|
IP
|
$335.35
|
|
|
Service Code
|
CPT 56820
|
| Hospital Charge Code |
76100258
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$233.40 |
| Max. Negotiated Rate |
$301.81 |
| Rate for Payer: Aetna Commercial |
$285.05
|
| Rate for Payer: BCBS Trust/PPO |
$276.97
|
| Rate for Payer: BCN Commercial |
$276.97
|
| Rate for Payer: Cash Price |
$268.28
|
| Rate for Payer: Cofinity Commercial |
$288.40
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$268.28
|
| Rate for Payer: Healthscope Commercial |
$301.81
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$251.51
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$285.05
|
| Rate for Payer: Nomi Health Commercial |
$274.99
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$251.51
|
| Rate for Payer: PHP Commercial |
$285.05
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$291.75
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$233.40
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$295.11
|
| Rate for Payer: UHC Core |
$280.02
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$251.51
|
|
|
HC COLPOSCOPY VULVA W/BIOPSY
|
Facility
|
OP
|
$871.25
|
|
|
Service Code
|
CPT 56821
|
| Hospital Charge Code |
76100332
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$153.60 |
| Max. Negotiated Rate |
$784.12 |
| Rate for Payer: Aetna Commercial |
$740.56
|
| Rate for Payer: Aetna Medicare |
$226.53
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$272.27
|
| Rate for Payer: Amish Plain Church Group Commercial |
$272.27
|
| Rate for Payer: BCBS Complete |
$161.27
|
| Rate for Payer: BCBS MAPPO |
$217.81
|
| Rate for Payer: BCBS Trust/PPO |
$716.25
|
| Rate for Payer: BCN Commercial |
$716.25
|
| Rate for Payer: BCN Medicare Advantage |
$217.81
|
| Rate for Payer: Cash Price |
$697.00
|
| Rate for Payer: Cofinity Commercial |
$749.27
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$697.00
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$217.81
|
| Rate for Payer: Healthscope Commercial |
$784.12
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$653.44
|
| Rate for Payer: Mclaren Medicaid |
$153.60
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$228.70
|
| Rate for Payer: Meridian Medicaid |
$161.27
|
| Rate for Payer: MI Amish Medical Board Commercial |
$250.48
|
| Rate for Payer: Molina Medicare/Medicaid |
$239.59
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$740.56
|
| Rate for Payer: Nomi Health Commercial |
$714.42
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$653.44
|
| Rate for Payer: PACE Senior Care Partners |
$206.92
|
| Rate for Payer: PACE SWMI |
$217.81
|
| Rate for Payer: PHP Commercial |
$740.56
|
| Rate for Payer: PHP Medicare Advantage |
$217.81
|
| Rate for Payer: Priority Health Choice Medicaid |
$153.60
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$757.99
|
| Rate for Payer: Priority Health Medicare |
$219.99
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$606.39
|
| Rate for Payer: Railroad Medicare Medicare |
$217.81
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$766.70
|
| Rate for Payer: UHC Core |
$727.49
|
| Rate for Payer: UHC Exchange |
$217.81
|
| Rate for Payer: UHC Medicaid |
$153.60
|
| Rate for Payer: UHC Medicare Advantage |
$217.81
|
| Rate for Payer: UHCCP Medicaid |
$153.60
|
| Rate for Payer: VA VA |
$217.81
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$653.44
|
|
|
HC COLPOSCOPY VULVA W/BIOPSY
|
Facility
|
IP
|
$871.25
|
|
|
Service Code
|
CPT 56821
|
| Hospital Charge Code |
76100332
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$606.39 |
| Max. Negotiated Rate |
$784.12 |
| Rate for Payer: Aetna Commercial |
$740.56
|
| Rate for Payer: BCBS Trust/PPO |
$719.57
|
| Rate for Payer: BCN Commercial |
$719.57
|
| Rate for Payer: Cash Price |
$697.00
|
| Rate for Payer: Cofinity Commercial |
$749.27
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$697.00
|
| Rate for Payer: Healthscope Commercial |
$784.12
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$653.44
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$740.56
|
| Rate for Payer: Nomi Health Commercial |
$714.42
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$653.44
|
| Rate for Payer: PHP Commercial |
$740.56
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$757.99
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$606.39
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$766.70
|
| Rate for Payer: UHC Core |
$727.49
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$653.44
|
|
|
HC COMBI CATH SUPPLY
|
Facility
|
IP
|
$125.93
|
|
| Hospital Charge Code |
27200116
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$87.65 |
| Max. Negotiated Rate |
$113.34 |
| Rate for Payer: Aetna Commercial |
$107.04
|
| Rate for Payer: BCBS Trust/PPO |
$104.01
|
| Rate for Payer: BCN Commercial |
$104.01
|
| Rate for Payer: Cash Price |
$100.74
|
| Rate for Payer: Cofinity Commercial |
$108.30
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$100.74
|
| Rate for Payer: Healthscope Commercial |
$113.34
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$94.45
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$107.04
|
| Rate for Payer: Nomi Health Commercial |
$103.26
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$94.45
|
| Rate for Payer: PHP Commercial |
$107.04
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$109.56
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$87.65
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$110.82
|
| Rate for Payer: UHC Core |
$105.15
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$94.45
|
|
|
HC COMBI CATH SUPPLY
|
Facility
|
OP
|
$125.93
|
|
| Hospital Charge Code |
27200116
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$22.20 |
| Max. Negotiated Rate |
$113.34 |
| Rate for Payer: Aetna Commercial |
$107.04
|
| Rate for Payer: Aetna Medicare |
$32.74
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$39.35
|
| Rate for Payer: Amish Plain Church Group Commercial |
$39.35
|
| Rate for Payer: BCBS Complete |
$23.31
|
| Rate for Payer: BCBS MAPPO |
$31.48
|
| Rate for Payer: BCBS Trust/PPO |
$103.53
|
| Rate for Payer: BCN Commercial |
$103.53
|
| Rate for Payer: BCN Medicare Advantage |
$31.48
|
| Rate for Payer: Cash Price |
$100.74
|
| Rate for Payer: Cofinity Commercial |
$108.30
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$100.74
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$31.48
|
| Rate for Payer: Healthscope Commercial |
$113.34
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$94.45
|
| Rate for Payer: Mclaren Medicaid |
$22.20
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$33.06
|
| Rate for Payer: Meridian Medicaid |
$23.31
|
| Rate for Payer: MI Amish Medical Board Commercial |
$36.20
|
| Rate for Payer: Molina Medicare/Medicaid |
$34.63
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$107.04
|
| Rate for Payer: Nomi Health Commercial |
$103.26
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$94.45
|
| Rate for Payer: PACE Senior Care Partners |
$29.91
|
| Rate for Payer: PACE SWMI |
$31.48
|
| Rate for Payer: PHP Commercial |
$107.04
|
| Rate for Payer: PHP Medicare Advantage |
$31.48
|
| Rate for Payer: Priority Health Choice Medicaid |
$22.20
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$109.56
|
| Rate for Payer: Priority Health Medicare |
$31.80
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$87.65
|
| Rate for Payer: Railroad Medicare Medicare |
$31.48
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$110.82
|
| Rate for Payer: UHC Core |
$105.15
|
| Rate for Payer: UHC Exchange |
$31.48
|
| Rate for Payer: UHC Medicaid |
$22.20
|
| Rate for Payer: UHC Medicare Advantage |
$31.48
|
| Rate for Payer: UHCCP Medicaid |
$22.20
|
| Rate for Payer: VA VA |
$31.48
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$94.45
|
|
|
HC COMBINED VACCINE, MMR+VARICELLA, SUBQ
|
Facility
|
OP
|
$217.55
|
|
|
Service Code
|
CPT 90710
|
| Hospital Charge Code |
63600206
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$38.35 |
| Max. Negotiated Rate |
$195.79 |
| Rate for Payer: Aetna Commercial |
$184.92
|
| Rate for Payer: Aetna Medicare |
$56.56
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$67.98
|
| Rate for Payer: Amish Plain Church Group Commercial |
$67.98
|
| Rate for Payer: BCBS Complete |
$40.27
|
| Rate for Payer: BCBS MAPPO |
$54.39
|
| Rate for Payer: BCBS Trust/PPO |
$178.85
|
| Rate for Payer: BCN Commercial |
$178.85
|
| Rate for Payer: BCN Medicare Advantage |
$54.39
|
| Rate for Payer: Cash Price |
$174.04
|
| Rate for Payer: Cofinity Commercial |
$187.09
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$174.04
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$54.39
|
| Rate for Payer: Healthscope Commercial |
$195.79
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$163.16
|
| Rate for Payer: Mclaren Medicaid |
$38.35
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$57.11
|
| Rate for Payer: Meridian Medicaid |
$40.27
|
| Rate for Payer: MI Amish Medical Board Commercial |
$62.55
|
| Rate for Payer: Molina Medicare/Medicaid |
$59.83
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$184.92
|
| Rate for Payer: Nomi Health Commercial |
$178.39
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$163.16
|
| Rate for Payer: PACE Senior Care Partners |
$51.67
|
| Rate for Payer: PACE SWMI |
$54.39
|
| Rate for Payer: PHP Commercial |
$184.92
|
| Rate for Payer: PHP Medicare Advantage |
$54.39
|
| Rate for Payer: Priority Health Choice Medicaid |
$38.35
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$189.27
|
| Rate for Payer: Priority Health Medicare |
$54.93
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$151.41
|
| Rate for Payer: Railroad Medicare Medicare |
$54.39
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$191.44
|
| Rate for Payer: UHC Core |
$181.65
|
| Rate for Payer: UHC Exchange |
$54.39
|
| Rate for Payer: UHC Medicaid |
$38.35
|
| Rate for Payer: UHC Medicare Advantage |
$54.39
|
| Rate for Payer: UHCCP Medicaid |
$38.35
|
| Rate for Payer: VA VA |
$54.39
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$163.16
|
|
|
HC COMBINED VACCINE, MMR+VARICELLA, SUBQ
|
Facility
|
IP
|
$217.55
|
|
|
Service Code
|
CPT 90710
|
| Hospital Charge Code |
63600206
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$151.41 |
| Max. Negotiated Rate |
$195.79 |
| Rate for Payer: Aetna Commercial |
$184.92
|
| Rate for Payer: BCBS Trust/PPO |
$179.67
|
| Rate for Payer: BCN Commercial |
$179.67
|
| Rate for Payer: Cash Price |
$174.04
|
| Rate for Payer: Cofinity Commercial |
$187.09
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$174.04
|
| Rate for Payer: Healthscope Commercial |
$195.79
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$163.16
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$184.92
|
| Rate for Payer: Nomi Health Commercial |
$178.39
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$163.16
|
| Rate for Payer: PHP Commercial |
$184.92
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$189.27
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$151.41
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$191.44
|
| Rate for Payer: UHC Core |
$181.65
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$163.16
|
|
|
HC COMMON REED IGE
|
Facility
|
IP
|
$25.90
|
|
|
Service Code
|
CPT 86003
|
| Hospital Charge Code |
30200080
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$18.03 |
| Max. Negotiated Rate |
$23.31 |
| Rate for Payer: Aetna Commercial |
$22.02
|
| Rate for Payer: BCBS Trust/PPO |
$21.39
|
| Rate for Payer: BCN Commercial |
$21.39
|
| Rate for Payer: Cash Price |
$20.72
|
| Rate for Payer: Cofinity Commercial |
$22.27
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$20.72
|
| Rate for Payer: Healthscope Commercial |
$23.31
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$19.43
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$22.02
|
| Rate for Payer: Nomi Health Commercial |
$21.24
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$19.43
|
| Rate for Payer: PHP Commercial |
$22.02
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$22.53
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$18.03
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$22.79
|
| Rate for Payer: UHC Core |
$21.63
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$19.43
|
|
