|
HC EXC TUMOR SOFT TISSUE FOREARM/WRIST, SQ <3CM
|
Facility
|
OP
|
$2,100.08
|
|
|
Service Code
|
CPT 25075
|
| Hospital Charge Code |
76100255
|
|
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 FOREARM/WRIST, SQ <3CM
|
Facility
|
IP
|
$2,100.08
|
|
|
Service Code
|
CPT 25075
|
| Hospital Charge Code |
76100255
|
|
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 LEG/ANKLE SQ 3 CM/>
|
Facility
|
IP
|
$3,867.84
|
|
|
Service Code
|
CPT 27632
|
| Hospital Charge Code |
76100312
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$2,359.00 |
| Max. Negotiated Rate |
$3,481.06 |
| Rate for Payer: Aetna Commercial |
$3,287.66
|
| Rate for Payer: BCBS Trust/PPO |
$2,989.07
|
| Rate for Payer: BCN Commercial |
$2,989.07
|
| Rate for Payer: Cash Price |
$3,094.27
|
| Rate for Payer: Cofinity Commercial |
$3,326.34
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,094.27
|
| Rate for Payer: Healthscope Commercial |
$3,481.06
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,900.88
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$3,287.66
|
| Rate for Payer: PHP Commercial |
$3,287.66
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,707.49
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$3,365.02
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,359.00
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$3,403.70
|
| Rate for Payer: UHC Core |
$3,229.65
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,900.88
|
|
|
HC EXC TUMOR SOFT TISSUE LEG/ANKLE SQ 3 CM/>
|
Facility
|
OP
|
$3,867.84
|
|
|
Service Code
|
CPT 27632
|
| Hospital Charge Code |
76100312
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$918.61 |
| Max. Negotiated Rate |
$3,481.06 |
| Rate for Payer: Aetna Commercial |
$3,287.66
|
| Rate for Payer: Aetna Medicare |
$1,005.64
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,208.70
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1,208.70
|
| Rate for Payer: BCBS Complete |
$1,957.20
|
| Rate for Payer: BCBS MAPPO |
$966.96
|
| Rate for Payer: BCBS Trust/PPO |
$3,007.25
|
| Rate for Payer: BCN Commercial |
$3,007.25
|
| Rate for Payer: BCN Medicare Advantage |
$966.96
|
| Rate for Payer: Cash Price |
$3,094.27
|
| Rate for Payer: Cash Price |
$3,094.27
|
| Rate for Payer: Cofinity Commercial |
$3,326.34
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,094.27
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$966.96
|
| Rate for Payer: Healthscope Commercial |
$3,481.06
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,900.88
|
| Rate for Payer: Mclaren Medicaid |
$1,864.00
|
| Rate for Payer: Meridian Medicaid |
$1,957.20
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,015.31
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,112.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$3,287.66
|
| Rate for Payer: PACE Senior Care Partners |
$918.61
|
| Rate for Payer: PACE SWMI |
$966.96
|
| Rate for Payer: PHP Commercial |
$3,287.66
|
| Rate for Payer: PHP Medicare Advantage |
$966.96
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,864.00
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,707.49
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$3,365.02
|
| Rate for Payer: Priority Health Medicare |
$966.96
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,359.00
|
| Rate for Payer: Railroad Medicare Medicare |
$966.96
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$3,403.70
|
| Rate for Payer: UHC Core |
$3,229.65
|
| Rate for Payer: UHC Dual Complete DSNP |
$966.96
|
| Rate for Payer: UHC Medicare Advantage |
$995.97
|
| Rate for Payer: VA VA |
$966.96
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,900.88
|
|
|
HC EXC TUMOR SOFT TISSUE,NECK/ANT THORAX, SQ <3CM
|
Facility
|
IP
|
$2,100.08
|
|
|
Service Code
|
CPT 21555
|
| Hospital Charge Code |
76100264
|
|
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,NECK/ANT THORAX, SQ <3CM
|
Facility
|
OP
|
$2,100.08
|
|
|
Service Code
|
CPT 21555
|
| Hospital Charge Code |
76100264
|
|
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, NECK/ANT THORAX, SQ, 3CM OR >
|
Facility
|
OP
|
$3,547.56
|
|
|
Service Code
|
CPT 21552
|
| Hospital Charge Code |
76100291
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$842.55 |
| Max. Negotiated Rate |
$3,192.80 |
| Rate for Payer: Aetna Commercial |
$3,015.43
|
| Rate for Payer: Aetna Medicare |
$922.37
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,108.61
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1,108.61
|
| Rate for Payer: BCBS Complete |
$1,957.20
|
| Rate for Payer: BCBS MAPPO |
$886.89
|
| Rate for Payer: BCBS Trust/PPO |
$2,758.23
|
| Rate for Payer: BCN Commercial |
$2,758.23
|
| Rate for Payer: BCN Medicare Advantage |
$886.89
|
| Rate for Payer: Cash Price |
$2,838.05
|
| Rate for Payer: Cash Price |
$2,838.05
|
| Rate for Payer: Cofinity Commercial |
$3,050.90
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,838.05
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$886.89
|
| Rate for Payer: Healthscope Commercial |
$3,192.80
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,660.67
|
| Rate for Payer: Mclaren Medicaid |
$1,864.00
|
| Rate for Payer: Meridian Medicaid |
$1,957.20
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$931.23
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,019.92
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$3,015.43
|
| Rate for Payer: PACE Senior Care Partners |
$842.55
|
| Rate for Payer: PACE SWMI |
$886.89
|
| Rate for Payer: PHP Commercial |
$3,015.43
|
| Rate for Payer: PHP Medicare Advantage |
$886.89
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,864.00
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,483.29
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$3,086.38
|
| Rate for Payer: Priority Health Medicare |
$886.89
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,163.66
|
| Rate for Payer: Railroad Medicare Medicare |
$886.89
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$3,121.85
|
| Rate for Payer: UHC Core |
$2,962.21
|
| Rate for Payer: UHC Dual Complete DSNP |
$886.89
|
| Rate for Payer: UHC Medicare Advantage |
$913.50
|
| Rate for Payer: VA VA |
$886.89
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,660.67
|
|
|
HC EXC TUMOR SOFT TISSUE, NECK/ANT THORAX, SQ, 3CM OR >
|
Facility
|
IP
|
$3,547.56
|
|
|
Service Code
|
CPT 21552
|
| Hospital Charge Code |
76100291
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$2,163.66 |
| Max. Negotiated Rate |
$3,192.80 |
| Rate for Payer: Aetna Commercial |
$3,015.43
|
| Rate for Payer: BCBS Trust/PPO |
$2,741.55
|
| Rate for Payer: BCN Commercial |
$2,741.55
|
| Rate for Payer: Cash Price |
$2,838.05
|
| Rate for Payer: Cofinity Commercial |
$3,050.90
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,838.05
|
| Rate for Payer: Healthscope Commercial |
$3,192.80
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,660.67
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$3,015.43
|
| Rate for Payer: PHP Commercial |
$3,015.43
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,483.29
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$3,086.38
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,163.66
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$3,121.85
|
| Rate for Payer: UHC Core |
$2,962.21
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,660.67
|
|
|
HC EXC TUMOR SOFT TISSUE NECK/ANT THORAX SUBFASCIAL <5CM
|
Facility
|
OP
|
$3,547.91
|
|
|
Service Code
|
CPT 21556
|
| Hospital Charge Code |
76100284
|
|
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 NECK/ANT THORAX SUBFASCIAL <5CM
|
Facility
|
IP
|
$3,547.91
|
|
|
Service Code
|
CPT 21556
|
| Hospital Charge Code |
76100284
|
|
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 SHOULDER, 3CM OR >
|
Facility
|
OP
|
$2,100.08
|
|
|
Service Code
|
CPT 23071
|
| Hospital Charge Code |
76100251
|
|
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 SHOULDER, 3CM OR >
|
Facility
|
IP
|
$2,100.08
|
|
|
Service Code
|
CPT 23071
|
| Hospital Charge Code |
76100251
|
|
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 THIGH/KNEE, SQ <3CM
|
Facility
|
OP
|
$2,100.08
|
|
|
Service Code
|
CPT 27327
|
| Hospital Charge Code |
76100248
|
|
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 THIGH/KNEE, SQ <3CM
|
Facility
|
IP
|
$2,100.08
|
|
|
Service Code
|
CPT 27327
|
| Hospital Charge Code |
76100248
|
|
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 THIGH/KNEE, SQ 3CM OR >
|
Facility
|
IP
|
$3,547.91
|
|
|
Service Code
|
CPT 27337
|
| Hospital Charge Code |
76100249
|
|
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 THIGH/KNEE, SQ 3CM OR >
|
Facility
|
OP
|
$3,547.91
|
|
|
Service Code
|
CPT 27337
|
| Hospital Charge Code |
76100249
|
|
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 UPPER ARM/ELBOW SUBQ 3CM/>
|
Facility
|
OP
|
$3,951.97
|
|
|
Service Code
|
CPT 24071
|
| Hospital Charge Code |
76100324
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$938.59 |
| Max. Negotiated Rate |
$3,556.77 |
| Rate for Payer: Aetna Commercial |
$3,359.17
|
| Rate for Payer: Aetna Medicare |
$1,027.51
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,234.99
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1,234.99
|
| Rate for Payer: BCBS Complete |
$1,957.20
|
| Rate for Payer: BCBS MAPPO |
$987.99
|
| Rate for Payer: BCBS Trust/PPO |
$3,072.66
|
| Rate for Payer: BCN Commercial |
$3,072.66
|
| Rate for Payer: BCN Medicare Advantage |
$987.99
|
| Rate for Payer: Cash Price |
$3,161.58
|
| Rate for Payer: Cash Price |
$3,161.58
|
| Rate for Payer: Cofinity Commercial |
$3,398.69
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,161.58
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$987.99
|
| Rate for Payer: Healthscope Commercial |
$3,556.77
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,963.98
|
| Rate for Payer: Mclaren Medicaid |
$1,864.00
|
| Rate for Payer: Meridian Medicaid |
$1,957.20
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,037.39
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,136.19
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$3,359.17
|
| Rate for Payer: PACE Senior Care Partners |
$938.59
|
| Rate for Payer: PACE SWMI |
$987.99
|
| Rate for Payer: PHP Commercial |
$3,359.17
|
| Rate for Payer: PHP Medicare Advantage |
$987.99
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,864.00
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,766.38
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$3,438.21
|
| Rate for Payer: Priority Health Medicare |
$987.99
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,410.31
|
| Rate for Payer: Railroad Medicare Medicare |
$987.99
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$3,477.73
|
| Rate for Payer: UHC Core |
$3,299.89
|
| Rate for Payer: UHC Dual Complete DSNP |
$987.99
|
| Rate for Payer: UHC Medicare Advantage |
$1,017.63
|
| Rate for Payer: VA VA |
$987.99
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,963.98
|
|
|
HC EXC TUMOR SOFT TISSUE UPPER ARM/ELBOW SUBQ 3CM/>
|
Facility
|
IP
|
$3,951.97
|
|
|
Service Code
|
CPT 24071
|
| Hospital Charge Code |
76100324
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$2,410.31 |
| Max. Negotiated Rate |
$3,556.77 |
| Rate for Payer: Aetna Commercial |
$3,359.17
|
| Rate for Payer: BCBS Trust/PPO |
$3,054.08
|
| Rate for Payer: BCN Commercial |
$3,054.08
|
| Rate for Payer: Cash Price |
$3,161.58
|
| Rate for Payer: Cofinity Commercial |
$3,398.69
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,161.58
|
| Rate for Payer: Healthscope Commercial |
$3,556.77
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,963.98
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$3,359.17
|
| Rate for Payer: PHP Commercial |
$3,359.17
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,766.38
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$3,438.21
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,410.31
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$3,477.73
|
| Rate for Payer: UHC Core |
$3,299.89
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,963.98
|
|
|
HC EXC TUMOR UPPER ARM/ELBOW SUBQ <3CM
|
Facility
|
IP
|
$2,870.28
|
|
|
Service Code
|
CPT 24075
|
| Hospital Charge Code |
76100310
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$1,750.58 |
| Max. Negotiated Rate |
$2,583.25 |
| Rate for Payer: Aetna Commercial |
$2,439.74
|
| Rate for Payer: BCBS Trust/PPO |
$2,218.15
|
| Rate for Payer: BCN Commercial |
$2,218.15
|
| Rate for Payer: Cash Price |
$2,296.22
|
| Rate for Payer: Cofinity Commercial |
$2,468.44
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,296.22
|
| Rate for Payer: Healthscope Commercial |
$2,583.25
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,152.71
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$2,439.74
|
| Rate for Payer: PHP Commercial |
$2,439.74
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,009.20
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,497.14
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,750.58
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,525.85
|
| Rate for Payer: UHC Core |
$2,396.68
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,152.71
|
|
|
HC EXC TUMOR UPPER ARM/ELBOW SUBQ <3CM
|
Facility
|
OP
|
$2,870.28
|
|
|
Service Code
|
CPT 24075
|
| Hospital Charge Code |
76100310
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$681.69 |
| Max. Negotiated Rate |
$2,583.25 |
| Rate for Payer: Aetna Commercial |
$2,439.74
|
| Rate for Payer: Aetna Medicare |
$746.27
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$896.96
|
| Rate for Payer: Amish Plain Church Group Commercial |
$896.96
|
| Rate for Payer: BCBS Complete |
$1,116.73
|
| Rate for Payer: BCBS MAPPO |
$717.57
|
| Rate for Payer: BCBS Trust/PPO |
$2,231.64
|
| Rate for Payer: BCN Commercial |
$2,231.64
|
| Rate for Payer: BCN Medicare Advantage |
$717.57
|
| Rate for Payer: Cash Price |
$2,296.22
|
| Rate for Payer: Cash Price |
$2,296.22
|
| Rate for Payer: Cofinity Commercial |
$2,468.44
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,296.22
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$717.57
|
| Rate for Payer: Healthscope Commercial |
$2,583.25
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,152.71
|
| Rate for Payer: Mclaren Medicaid |
$1,063.55
|
| Rate for Payer: Meridian Medicaid |
$1,116.73
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$753.45
|
| Rate for Payer: MI Amish Medical Board Commercial |
$825.21
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$2,439.74
|
| Rate for Payer: PACE Senior Care Partners |
$681.69
|
| Rate for Payer: PACE SWMI |
$717.57
|
| Rate for Payer: PHP Commercial |
$2,439.74
|
| Rate for Payer: PHP Medicare Advantage |
$717.57
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,063.55
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,009.20
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,497.14
|
| Rate for Payer: Priority Health Medicare |
$717.57
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,750.58
|
| Rate for Payer: Railroad Medicare Medicare |
$717.57
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,525.85
|
| Rate for Payer: UHC Core |
$2,396.68
|
| Rate for Payer: UHC Dual Complete DSNP |
$717.57
|
| Rate for Payer: UHC Medicare Advantage |
$739.10
|
| Rate for Payer: VA VA |
$717.57
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,152.71
|
|
|
HC EXERCISE CHALLENGE
|
Facility
|
IP
|
$1,000.24
|
|
|
Service Code
|
CPT 93464
|
| Hospital Charge Code |
48100108
|
|
Hospital Revenue Code
|
481
|
| Min. Negotiated Rate |
$610.05 |
| Max. Negotiated Rate |
$900.22 |
| Rate for Payer: Aetna Commercial |
$850.20
|
| Rate for Payer: BCBS Trust/PPO |
$772.99
|
| Rate for Payer: BCN Commercial |
$772.99
|
| Rate for Payer: Cash Price |
$800.19
|
| Rate for Payer: Cofinity Commercial |
$860.21
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$800.19
|
| Rate for Payer: Healthscope Commercial |
$900.22
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$750.18
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$850.20
|
| Rate for Payer: PHP Commercial |
$850.20
|
| Rate for Payer: Priority Health Cigna Priority Health |
$700.17
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$870.21
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$610.05
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$880.21
|
| Rate for Payer: UHC Core |
$835.20
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$750.18
|
|
|
HC EXERCISE CHALLENGE
|
Facility
|
OP
|
$1,000.24
|
|
|
Service Code
|
CPT 93464
|
| Hospital Charge Code |
48100108
|
|
Hospital Revenue Code
|
481
|
| Min. Negotiated Rate |
$237.56 |
| Max. Negotiated Rate |
$900.22 |
| Rate for Payer: Aetna Commercial |
$850.20
|
| Rate for Payer: Aetna Medicare |
$260.06
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$312.58
|
| Rate for Payer: Amish Plain Church Group Commercial |
$312.58
|
| Rate for Payer: BCBS Complete |
$400.10
|
| Rate for Payer: BCBS MAPPO |
$250.06
|
| Rate for Payer: BCBS Trust/PPO |
$777.69
|
| Rate for Payer: BCN Commercial |
$777.69
|
| Rate for Payer: BCN Medicare Advantage |
$250.06
|
| Rate for Payer: Cash Price |
$800.19
|
| Rate for Payer: Cofinity Commercial |
$860.21
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$800.19
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$250.06
|
| Rate for Payer: Healthscope Commercial |
$900.22
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$750.18
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$262.56
|
| Rate for Payer: MI Amish Medical Board Commercial |
$287.57
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$850.20
|
| Rate for Payer: PACE Senior Care Partners |
$237.56
|
| Rate for Payer: PACE SWMI |
$250.06
|
| Rate for Payer: PHP Commercial |
$850.20
|
| Rate for Payer: PHP Medicare Advantage |
$250.06
|
| Rate for Payer: Priority Health Cigna Priority Health |
$700.17
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$870.21
|
| Rate for Payer: Priority Health Medicare |
$250.06
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$610.05
|
| Rate for Payer: Railroad Medicare Medicare |
$250.06
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$880.21
|
| Rate for Payer: UHC Core |
$835.20
|
| Rate for Payer: UHC Dual Complete DSNP |
$250.06
|
| Rate for Payer: UHC Medicare Advantage |
$257.56
|
| Rate for Payer: VA VA |
$250.06
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$750.18
|
|
|
HC EXERCISE TEST FOR BRONCHOSPASM W/EKG
|
Facility
|
IP
|
$336.86
|
|
|
Service Code
|
CPT 94617
|
| Hospital Charge Code |
46000033
|
|
Hospital Revenue Code
|
460
|
| Min. Negotiated Rate |
$205.45 |
| Max. Negotiated Rate |
$303.17 |
| Rate for Payer: Aetna Commercial |
$286.33
|
| Rate for Payer: BCBS Trust/PPO |
$260.33
|
| Rate for Payer: BCN Commercial |
$260.33
|
| Rate for Payer: Cash Price |
$269.49
|
| Rate for Payer: Cofinity Commercial |
$289.70
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$269.49
|
| Rate for Payer: Healthscope Commercial |
$303.17
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$252.64
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$286.33
|
| Rate for Payer: PHP Commercial |
$286.33
|
| Rate for Payer: Priority Health Cigna Priority Health |
$235.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$293.07
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$205.45
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$296.44
|
| Rate for Payer: UHC Core |
$281.28
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$252.64
|
|
|
HC EXERCISE TEST FOR BRONCHOSPASM W/EKG
|
Facility
|
OP
|
$336.86
|
|
|
Service Code
|
CPT 94617
|
| Hospital Charge Code |
46000033
|
|
Hospital Revenue Code
|
460
|
| Min. Negotiated Rate |
$80.00 |
| Max. Negotiated Rate |
$303.17 |
| Rate for Payer: Aetna Commercial |
$286.33
|
| Rate for Payer: Aetna Medicare |
$87.58
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$105.27
|
| Rate for Payer: Amish Plain Church Group Commercial |
$105.27
|
| Rate for Payer: BCBS Complete |
$87.99
|
| Rate for Payer: BCBS MAPPO |
$84.22
|
| Rate for Payer: BCBS Trust/PPO |
$261.91
|
| Rate for Payer: BCN Commercial |
$261.91
|
| Rate for Payer: BCN Medicare Advantage |
$84.22
|
| Rate for Payer: Cash Price |
$269.49
|
| Rate for Payer: Cash Price |
$269.49
|
| Rate for Payer: Cofinity Commercial |
$289.70
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$269.49
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$84.22
|
| Rate for Payer: Healthscope Commercial |
$303.17
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$252.64
|
| Rate for Payer: Mclaren Medicaid |
$83.80
|
| Rate for Payer: Meridian Medicaid |
$87.99
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$88.43
|
| Rate for Payer: MI Amish Medical Board Commercial |
$96.85
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$286.33
|
| Rate for Payer: PACE Senior Care Partners |
$80.00
|
| Rate for Payer: PACE SWMI |
$84.22
|
| Rate for Payer: PHP Commercial |
$286.33
|
| Rate for Payer: PHP Medicare Advantage |
$84.22
|
| Rate for Payer: Priority Health Choice Medicaid |
$83.80
|
| Rate for Payer: Priority Health Cigna Priority Health |
$235.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$293.07
|
| Rate for Payer: Priority Health Medicare |
$84.22
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$205.45
|
| Rate for Payer: Railroad Medicare Medicare |
$84.22
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$296.44
|
| Rate for Payer: UHC Core |
$281.28
|
| Rate for Payer: UHC Dual Complete DSNP |
$84.22
|
| Rate for Payer: UHC Medicare Advantage |
$86.74
|
| Rate for Payer: VA VA |
$84.22
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$252.64
|
|
|
HC EXERCISE TEST FOR BRONCHOSPASM WO ECG
|
Facility
|
OP
|
$133.58
|
|
|
Service Code
|
CPT 94619
|
| Hospital Charge Code |
46000032
|
|
Hospital Revenue Code
|
460
|
| Min. Negotiated Rate |
$31.73 |
| Max. Negotiated Rate |
$120.22 |
| Rate for Payer: Aetna Commercial |
$113.54
|
| Rate for Payer: Aetna Medicare |
$34.73
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$41.74
|
| Rate for Payer: Amish Plain Church Group Commercial |
$41.74
|
| Rate for Payer: BCBS Complete |
$42.13
|
| Rate for Payer: BCBS MAPPO |
$33.40
|
| Rate for Payer: BCBS Trust/PPO |
$103.86
|
| Rate for Payer: BCN Commercial |
$103.86
|
| Rate for Payer: BCN Medicare Advantage |
$33.40
|
| Rate for Payer: Cash Price |
$106.86
|
| Rate for Payer: Cash Price |
$106.86
|
| Rate for Payer: Cofinity Commercial |
$114.88
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$106.86
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$33.40
|
| Rate for Payer: Healthscope Commercial |
$120.22
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$100.18
|
| Rate for Payer: Mclaren Medicaid |
$40.13
|
| Rate for Payer: Meridian Medicaid |
$42.13
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$35.06
|
| Rate for Payer: MI Amish Medical Board Commercial |
$38.40
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$113.54
|
| Rate for Payer: PACE Senior Care Partners |
$31.73
|
| Rate for Payer: PACE SWMI |
$33.40
|
| Rate for Payer: PHP Commercial |
$113.54
|
| Rate for Payer: PHP Medicare Advantage |
$33.40
|
| Rate for Payer: Priority Health Choice Medicaid |
$40.13
|
| Rate for Payer: Priority Health Cigna Priority Health |
$93.51
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$116.21
|
| Rate for Payer: Priority Health Medicare |
$33.40
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$81.47
|
| Rate for Payer: Railroad Medicare Medicare |
$33.40
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$117.55
|
| Rate for Payer: UHC Core |
$111.54
|
| Rate for Payer: UHC Dual Complete DSNP |
$33.40
|
| Rate for Payer: UHC Medicare Advantage |
$34.40
|
| Rate for Payer: VA VA |
$33.40
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$100.18
|
|
