|
HC COLLECT CAPILLARY BLOOD SPECIMEN
|
Facility
|
OP
|
$8.74
|
|
|
Service Code
|
CPT 36416
|
| Hospital Charge Code |
30000175
|
|
Hospital Revenue Code
|
300
|
| Min. Negotiated Rate |
$2.08 |
| Max. Negotiated Rate |
$7.87 |
| Rate for Payer: Aetna Commercial |
$7.43
|
| Rate for Payer: Aetna Medicare |
$2.27
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$2.73
|
| Rate for Payer: Amish Plain Church Group Commercial |
$2.73
|
| Rate for Payer: BCBS Complete |
$3.50
|
| Rate for Payer: BCBS MAPPO |
$2.18
|
| Rate for Payer: BCBS Trust/PPO |
$7.19
|
| Rate for Payer: BCN Commercial |
$6.80
|
| Rate for Payer: BCN Medicare Advantage |
$2.18
|
| Rate for Payer: Cash Price |
$6.99
|
| Rate for Payer: Cofinity Commercial |
$7.52
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$6.99
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2.18
|
| Rate for Payer: Healthscope Commercial |
$7.87
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$6.56
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$2.29
|
| Rate for Payer: MI Amish Medical Board Commercial |
$2.51
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$7.43
|
| Rate for Payer: Nomi Health Commercial |
$7.17
|
| Rate for Payer: PACE Senior Care Partners |
$2.08
|
| Rate for Payer: PACE SWMI |
$2.18
|
| Rate for Payer: PHP Commercial |
$7.43
|
| Rate for Payer: PHP Medicare Advantage |
$2.18
|
| Rate for Payer: Priority Health Cigna Priority Health |
$5.68
|
| Rate for Payer: Priority Health HMO/PPO |
$7.60
|
| Rate for Payer: Priority Health Medicare |
$2.21
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$5.86
|
| Rate for Payer: Railroad Medicare Medicare |
$2.18
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$7.69
|
| Rate for Payer: UHC Core |
$7.30
|
| Rate for Payer: UHC Dual Complete DSNP |
$2.18
|
| Rate for Payer: UHC Exchange |
$2.18
|
| Rate for Payer: UHC Medicare Advantage |
$2.18
|
| Rate for Payer: VA VA |
$2.18
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$6.56
|
|
|
HC COLLECT CAPILLARY BLOOD SPECIMEN
|
Facility
|
IP
|
$8.74
|
|
|
Service Code
|
CPT 36416
|
| Hospital Charge Code |
30000175
|
|
Hospital Revenue Code
|
300
|
| Min. Negotiated Rate |
$5.68 |
| Max. Negotiated Rate |
$7.87 |
| Rate for Payer: Aetna Commercial |
$7.43
|
| Rate for Payer: BCBS Trust/PPO |
$7.13
|
| Rate for Payer: BCN Commercial |
$6.75
|
| Rate for Payer: Cash Price |
$6.99
|
| Rate for Payer: Cofinity Commercial |
$7.52
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$6.99
|
| Rate for Payer: Healthscope Commercial |
$7.87
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$6.56
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$7.43
|
| Rate for Payer: Nomi Health Commercial |
$7.17
|
| Rate for Payer: PHP Commercial |
$7.43
|
| Rate for Payer: Priority Health Cigna Priority Health |
$5.68
|
| Rate for Payer: Priority Health HMO/PPO |
$7.60
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$5.86
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$7.69
|
| Rate for Payer: UHC Core |
$7.30
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$6.56
|
|
|
HC COLON DECOMPRESSION
|
Facility
|
IP
|
$2,402.54
|
|
| Hospital Charge Code |
36000019
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$1,561.65 |
| Max. Negotiated Rate |
$2,162.29 |
| Rate for Payer: Aetna Commercial |
$2,042.16
|
| Rate for Payer: BCBS Trust/PPO |
$1,961.19
|
| Rate for Payer: BCN Commercial |
$1,856.68
|
| Rate for Payer: Cash Price |
$1,922.03
|
| Rate for Payer: Cofinity Commercial |
$2,066.18
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,922.03
|
| Rate for Payer: Healthscope Commercial |
$2,162.29
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,801.90
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,042.16
|
| Rate for Payer: Nomi Health Commercial |
$1,970.08
|
| Rate for Payer: PHP Commercial |
$2,042.16
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,561.65
|
| Rate for Payer: Priority Health HMO/PPO |
$2,090.21
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,609.70
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,114.24
|
| Rate for Payer: UHC Core |
$2,006.12
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,801.90
|
|
|
HC COLON DECOMPRESSION
|
Facility
|
OP
|
$2,402.54
|
|
| Hospital Charge Code |
36000019
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$570.60 |
| Max. Negotiated Rate |
$2,162.29 |
| Rate for Payer: Aetna Commercial |
$2,042.16
|
| Rate for Payer: Aetna Medicare |
$624.66
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$750.79
|
| Rate for Payer: Amish Plain Church Group Commercial |
$750.79
|
| Rate for Payer: BCBS Complete |
$961.02
|
| Rate for Payer: BCBS MAPPO |
$600.64
|
| Rate for Payer: BCBS Trust/PPO |
$1,975.13
|
| Rate for Payer: BCN Commercial |
$1,867.97
|
| Rate for Payer: BCN Medicare Advantage |
$600.64
|
| Rate for Payer: Cash Price |
$1,922.03
|
| Rate for Payer: Cofinity Commercial |
$2,066.18
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,922.03
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$600.64
|
| Rate for Payer: Healthscope Commercial |
$2,162.29
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,801.90
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$630.67
|
| Rate for Payer: MI Amish Medical Board Commercial |
$690.73
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,042.16
|
| Rate for Payer: Nomi Health Commercial |
$1,970.08
|
| Rate for Payer: PACE Senior Care Partners |
$570.60
|
| Rate for Payer: PACE SWMI |
$600.64
|
| Rate for Payer: PHP Commercial |
$2,042.16
|
| Rate for Payer: PHP Medicare Advantage |
$600.64
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,561.65
|
| Rate for Payer: Priority Health HMO/PPO |
$2,090.21
|
| Rate for Payer: Priority Health Medicare |
$606.64
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,609.70
|
| Rate for Payer: Railroad Medicare Medicare |
$600.64
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,114.24
|
| Rate for Payer: UHC Core |
$2,006.12
|
| Rate for Payer: UHC Dual Complete DSNP |
$600.64
|
| Rate for Payer: UHC Exchange |
$600.64
|
| Rate for Payer: UHC Medicare Advantage |
$600.64
|
| Rate for Payer: VA VA |
$600.64
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,801.90
|
|
|
HC COLON MOTILITY STUDY 6 HRS CONT RECORDING
|
Facility
|
OP
|
$366.59
|
|
|
Service Code
|
CPT 91117
|
| Hospital Charge Code |
75000011
|
|
Hospital Revenue Code
|
750
|
| Min. Negotiated Rate |
$87.07 |
| Max. Negotiated Rate |
$329.93 |
| Rate for Payer: Aetna Commercial |
$311.60
|
| Rate for Payer: Aetna Medicare |
$95.31
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$114.56
|
| Rate for Payer: Amish Plain Church Group Commercial |
$114.56
|
| Rate for Payer: BCBS Complete |
$231.63
|
| Rate for Payer: BCBS MAPPO |
$91.65
|
| Rate for Payer: BCBS Trust/PPO |
$301.37
|
| Rate for Payer: BCN Commercial |
$285.02
|
| Rate for Payer: BCN Medicare Advantage |
$91.65
|
| Rate for Payer: Cash Price |
$293.27
|
| Rate for Payer: Cash Price |
$293.27
|
| Rate for Payer: Cofinity Commercial |
$315.27
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$293.27
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$91.65
|
| Rate for Payer: Healthscope Commercial |
$329.93
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$274.94
|
| Rate for Payer: Mclaren Medicaid |
$220.59
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$96.23
|
| Rate for Payer: Meridian Medicaid |
$231.63
|
| Rate for Payer: MI Amish Medical Board Commercial |
$105.39
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$311.60
|
| Rate for Payer: Nomi Health Commercial |
$300.60
|
| Rate for Payer: PACE Senior Care Partners |
$87.07
|
| Rate for Payer: PACE SWMI |
$91.65
|
| Rate for Payer: PHP Commercial |
$311.60
|
| Rate for Payer: PHP Medicare Advantage |
$91.65
|
| Rate for Payer: Priority Health Choice Medicaid |
$220.59
|
| Rate for Payer: Priority Health Cigna Priority Health |
$238.28
|
| Rate for Payer: Priority Health HMO/PPO |
$318.93
|
| Rate for Payer: Priority Health Medicare |
$92.56
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$245.62
|
| Rate for Payer: Railroad Medicare Medicare |
$91.65
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$322.60
|
| Rate for Payer: UHC Core |
$306.10
|
| Rate for Payer: UHC Dual Complete DSNP |
$91.65
|
| Rate for Payer: UHC Exchange |
$91.65
|
| Rate for Payer: UHC Medicare Advantage |
$91.65
|
| Rate for Payer: UHCCP Medicaid |
$220.59
|
| Rate for Payer: VA VA |
$91.65
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$274.94
|
|
|
HC COLON MOTILITY STUDY 6 HRS CONT RECORDING
|
Facility
|
IP
|
$366.59
|
|
|
Service Code
|
CPT 91117
|
| Hospital Charge Code |
75000011
|
|
Hospital Revenue Code
|
750
|
| Min. Negotiated Rate |
$238.28 |
| Max. Negotiated Rate |
$329.93 |
| Rate for Payer: Aetna Commercial |
$311.60
|
| Rate for Payer: BCBS Trust/PPO |
$299.25
|
| Rate for Payer: BCN Commercial |
$283.30
|
| Rate for Payer: Cash Price |
$293.27
|
| Rate for Payer: Cofinity Commercial |
$315.27
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$293.27
|
| Rate for Payer: Healthscope Commercial |
$329.93
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$274.94
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$311.60
|
| Rate for Payer: Nomi Health Commercial |
$300.60
|
| Rate for Payer: PHP Commercial |
$311.60
|
| Rate for Payer: Priority Health Cigna Priority Health |
$238.28
|
| Rate for Payer: Priority Health HMO/PPO |
$318.93
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$245.62
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$322.60
|
| Rate for Payer: UHC Core |
$306.10
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$274.94
|
|
|
HC COLONOSCOPY
|
Facility
|
OP
|
$2,611.70
|
|
| Hospital Charge Code |
36000020
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$620.28 |
| Max. Negotiated Rate |
$2,350.53 |
| Rate for Payer: Aetna Commercial |
$2,219.94
|
| Rate for Payer: Aetna Medicare |
$679.04
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$816.16
|
| Rate for Payer: Amish Plain Church Group Commercial |
$816.16
|
| Rate for Payer: BCBS Complete |
$1,044.68
|
| Rate for Payer: BCBS MAPPO |
$652.92
|
| Rate for Payer: BCBS Trust/PPO |
$2,147.08
|
| Rate for Payer: BCN Commercial |
$2,030.60
|
| Rate for Payer: BCN Medicare Advantage |
$652.92
|
| Rate for Payer: Cash Price |
$2,089.36
|
| Rate for Payer: Cofinity Commercial |
$2,246.06
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,089.36
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$652.92
|
| Rate for Payer: Healthscope Commercial |
$2,350.53
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,958.78
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$685.57
|
| Rate for Payer: MI Amish Medical Board Commercial |
$750.86
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,219.94
|
| Rate for Payer: Nomi Health Commercial |
$2,141.59
|
| Rate for Payer: PACE Senior Care Partners |
$620.28
|
| Rate for Payer: PACE SWMI |
$652.92
|
| Rate for Payer: PHP Commercial |
$2,219.94
|
| Rate for Payer: PHP Medicare Advantage |
$652.92
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,697.60
|
| Rate for Payer: Priority Health HMO/PPO |
$2,272.18
|
| Rate for Payer: Priority Health Medicare |
$659.45
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,749.84
|
| Rate for Payer: Railroad Medicare Medicare |
$652.92
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,298.30
|
| Rate for Payer: UHC Core |
$2,180.77
|
| Rate for Payer: UHC Dual Complete DSNP |
$652.92
|
| Rate for Payer: UHC Exchange |
$652.92
|
| Rate for Payer: UHC Medicare Advantage |
$652.92
|
| Rate for Payer: VA VA |
$652.92
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,958.78
|
|
|
HC COLONOSCOPY
|
Facility
|
IP
|
$2,611.70
|
|
| Hospital Charge Code |
36000020
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$1,697.60 |
| Max. Negotiated Rate |
$2,350.53 |
| Rate for Payer: Aetna Commercial |
$2,219.94
|
| Rate for Payer: BCBS Trust/PPO |
$2,131.93
|
| Rate for Payer: BCN Commercial |
$2,018.32
|
| Rate for Payer: Cash Price |
$2,089.36
|
| Rate for Payer: Cofinity Commercial |
$2,246.06
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,089.36
|
| Rate for Payer: Healthscope Commercial |
$2,350.53
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,958.78
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,219.94
|
| Rate for Payer: Nomi Health Commercial |
$2,141.59
|
| Rate for Payer: PHP Commercial |
$2,219.94
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,697.60
|
| Rate for Payer: Priority Health HMO/PPO |
$2,272.18
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,749.84
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,298.30
|
| Rate for Payer: UHC Core |
$2,180.77
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,958.78
|
|
|
HC COLONOSCOPY W EUS EXAM
|
Facility
|
IP
|
$2,800.06
|
|
| Hospital Charge Code |
36000022
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$1,820.04 |
| Max. Negotiated Rate |
$2,520.05 |
| Rate for Payer: Aetna Commercial |
$2,380.05
|
| Rate for Payer: BCBS Trust/PPO |
$2,285.69
|
| Rate for Payer: BCN Commercial |
$2,163.89
|
| Rate for Payer: Cash Price |
$2,240.05
|
| Rate for Payer: Cofinity Commercial |
$2,408.05
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,240.05
|
| Rate for Payer: Healthscope Commercial |
$2,520.05
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,100.04
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,380.05
|
| Rate for Payer: Nomi Health Commercial |
$2,296.05
|
| Rate for Payer: PHP Commercial |
$2,380.05
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,820.04
|
| Rate for Payer: Priority Health HMO/PPO |
$2,436.05
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,876.04
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,464.05
|
| Rate for Payer: UHC Core |
$2,338.05
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,100.04
|
|
|
HC COLONOSCOPY W EUS EXAM
|
Facility
|
OP
|
$2,800.06
|
|
| Hospital Charge Code |
36000022
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$665.01 |
| Max. Negotiated Rate |
$2,520.05 |
| Rate for Payer: Aetna Commercial |
$2,380.05
|
| Rate for Payer: Aetna Medicare |
$728.02
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$875.02
|
| Rate for Payer: Amish Plain Church Group Commercial |
$875.02
|
| Rate for Payer: BCBS Complete |
$1,120.02
|
| Rate for Payer: BCBS MAPPO |
$700.02
|
| Rate for Payer: BCBS Trust/PPO |
$2,301.93
|
| Rate for Payer: BCN Commercial |
$2,177.05
|
| Rate for Payer: BCN Medicare Advantage |
$700.02
|
| Rate for Payer: Cash Price |
$2,240.05
|
| Rate for Payer: Cofinity Commercial |
$2,408.05
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,240.05
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$700.02
|
| Rate for Payer: Healthscope Commercial |
$2,520.05
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,100.04
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$735.02
|
| Rate for Payer: MI Amish Medical Board Commercial |
$805.02
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,380.05
|
| Rate for Payer: Nomi Health Commercial |
$2,296.05
|
| Rate for Payer: PACE Senior Care Partners |
$665.01
|
| Rate for Payer: PACE SWMI |
$700.02
|
| Rate for Payer: PHP Commercial |
$2,380.05
|
| Rate for Payer: PHP Medicare Advantage |
$700.02
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,820.04
|
| Rate for Payer: Priority Health HMO/PPO |
$2,436.05
|
| Rate for Payer: Priority Health Medicare |
$707.02
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,876.04
|
| Rate for Payer: Railroad Medicare Medicare |
$700.02
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,464.05
|
| Rate for Payer: UHC Core |
$2,338.05
|
| Rate for Payer: UHC Dual Complete DSNP |
$700.02
|
| Rate for Payer: UHC Exchange |
$700.02
|
| Rate for Payer: UHC Medicare Advantage |
$700.02
|
| Rate for Payer: VA VA |
$700.02
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,100.04
|
|
|
HC COLPOSCOPY CERVIX VAG ELTRD CONIZATION CERVIX
|
Facility
|
OP
|
$6,969.54
|
|
|
Service Code
|
CPT 57461
|
| Hospital Charge Code |
76100328
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$331.06 |
| Max. Negotiated Rate |
$6,272.59 |
| Rate for Payer: Aetna Commercial |
$5,924.11
|
| Rate for Payer: Aetna Medicare |
$1,812.08
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$2,177.98
|
| Rate for Payer: Amish Plain Church Group Commercial |
$2,177.98
|
| Rate for Payer: BCBS Complete |
$2,365.09
|
| Rate for Payer: BCBS MAPPO |
$1,742.38
|
| Rate for Payer: BCBS Trust/PPO |
$5,729.66
|
| Rate for Payer: BCCCP Commercial |
$331.06
|
| Rate for Payer: BCN Commercial |
$5,418.82
|
| Rate for Payer: BCN Medicare Advantage |
$1,742.38
|
| Rate for Payer: Cash Price |
$5,575.63
|
| Rate for Payer: Cash Price |
$5,575.63
|
| Rate for Payer: Cofinity Commercial |
$5,993.80
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$5,575.63
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,742.38
|
| Rate for Payer: Healthscope Commercial |
$6,272.59
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$5,227.16
|
| Rate for Payer: Mclaren Medicaid |
$2,252.32
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,829.50
|
| Rate for Payer: Meridian Medicaid |
$2,365.09
|
| Rate for Payer: MI Amish Medical Board Commercial |
$2,003.74
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$5,924.11
|
| Rate for Payer: Nomi Health Commercial |
$5,715.02
|
| Rate for Payer: PACE Senior Care Partners |
$1,655.27
|
| Rate for Payer: PACE SWMI |
$1,742.38
|
| Rate for Payer: PHP Commercial |
$5,924.11
|
| Rate for Payer: PHP Medicare Advantage |
$1,742.38
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,252.32
|
| Rate for Payer: Priority Health Cigna Priority Health |
$4,530.20
|
| Rate for Payer: Priority Health HMO/PPO |
$6,063.50
|
| Rate for Payer: Priority Health Medicare |
$1,759.81
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$4,669.59
|
| Rate for Payer: Railroad Medicare Medicare |
$1,742.38
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$6,133.20
|
| Rate for Payer: UHC Core |
$5,819.57
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,742.38
|
| Rate for Payer: UHC Exchange |
$1,742.38
|
| Rate for Payer: UHC Medicare Advantage |
$1,742.38
|
| Rate for Payer: UHCCP Medicaid |
$2,252.32
|
| Rate for Payer: VA VA |
$1,742.38
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$5,227.16
|
|
|
HC COLPOSCOPY CERVIX VAG ELTRD CONIZATION CERVIX
|
Facility
|
IP
|
$6,969.54
|
|
|
Service Code
|
CPT 57461
|
| Hospital Charge Code |
76100328
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$4,530.20 |
| Max. Negotiated Rate |
$6,272.59 |
| Rate for Payer: Aetna Commercial |
$5,924.11
|
| Rate for Payer: BCBS Trust/PPO |
$5,689.24
|
| Rate for Payer: BCN Commercial |
$5,386.06
|
| Rate for Payer: Cash Price |
$5,575.63
|
| Rate for Payer: Cofinity Commercial |
$5,993.80
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$5,575.63
|
| Rate for Payer: Healthscope Commercial |
$6,272.59
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$5,227.16
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$5,924.11
|
| Rate for Payer: Nomi Health Commercial |
$5,715.02
|
| Rate for Payer: PHP Commercial |
$5,924.11
|
| Rate for Payer: Priority Health Cigna Priority Health |
$4,530.20
|
| Rate for Payer: Priority Health HMO/PPO |
$6,063.50
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$4,669.59
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$6,133.20
|
| Rate for Payer: UHC Core |
$5,819.57
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$5,227.16
|
|
|
HC COLPOSCOPY CERVIX VAG LOOP ELTRD BX CERVIX
|
Facility
|
IP
|
$8,109.00
|
|
|
Service Code
|
CPT 57460
|
| Hospital Charge Code |
76100395
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$5,270.85 |
| Max. Negotiated Rate |
$7,298.10 |
| Rate for Payer: Aetna Commercial |
$6,892.65
|
| Rate for Payer: BCBS Trust/PPO |
$6,619.38
|
| Rate for Payer: BCN Commercial |
$6,266.64
|
| Rate for Payer: Cash Price |
$6,487.20
|
| Rate for Payer: Cofinity Commercial |
$6,973.74
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$6,487.20
|
| Rate for Payer: Healthscope Commercial |
$7,298.10
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$6,081.75
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$6,892.65
|
| Rate for Payer: Nomi Health Commercial |
$6,649.38
|
| Rate for Payer: PHP Commercial |
$6,892.65
|
| Rate for Payer: Priority Health Cigna Priority Health |
$5,270.85
|
| Rate for Payer: Priority Health HMO/PPO |
$7,054.83
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$5,433.03
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$7,135.92
|
| Rate for Payer: UHC Core |
$6,771.02
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$6,081.75
|
|
|
HC COLPOSCOPY CERVIX VAG LOOP ELTRD BX CERVIX
|
Facility
|
OP
|
$8,109.00
|
|
|
Service Code
|
CPT 57460
|
| Hospital Charge Code |
76100395
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$295.08 |
| Max. Negotiated Rate |
$7,298.10 |
| Rate for Payer: Aetna Commercial |
$6,892.65
|
| Rate for Payer: Aetna Medicare |
$2,108.34
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$2,534.06
|
| Rate for Payer: Amish Plain Church Group Commercial |
$2,534.06
|
| Rate for Payer: BCBS Complete |
$2,365.09
|
| Rate for Payer: BCBS MAPPO |
$2,027.25
|
| Rate for Payer: BCBS Trust/PPO |
$6,666.41
|
| Rate for Payer: BCCCP Commercial |
$295.08
|
| Rate for Payer: BCN Commercial |
$6,304.75
|
| Rate for Payer: BCN Medicare Advantage |
$2,027.25
|
| Rate for Payer: Cash Price |
$6,487.20
|
| Rate for Payer: Cash Price |
$6,487.20
|
| Rate for Payer: Cofinity Commercial |
$6,973.74
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$6,487.20
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,027.25
|
| Rate for Payer: Healthscope Commercial |
$7,298.10
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$6,081.75
|
| Rate for Payer: Mclaren Medicaid |
$2,252.32
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$2,128.61
|
| Rate for Payer: Meridian Medicaid |
$2,365.09
|
| Rate for Payer: MI Amish Medical Board Commercial |
$2,331.34
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$6,892.65
|
| Rate for Payer: Nomi Health Commercial |
$6,649.38
|
| Rate for Payer: PACE Senior Care Partners |
$1,925.89
|
| Rate for Payer: PACE SWMI |
$2,027.25
|
| Rate for Payer: PHP Commercial |
$6,892.65
|
| Rate for Payer: PHP Medicare Advantage |
$2,027.25
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,252.32
|
| Rate for Payer: Priority Health Cigna Priority Health |
$5,270.85
|
| Rate for Payer: Priority Health HMO/PPO |
$7,054.83
|
| Rate for Payer: Priority Health Medicare |
$2,047.52
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$5,433.03
|
| Rate for Payer: Railroad Medicare Medicare |
$2,027.25
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$7,135.92
|
| Rate for Payer: UHC Core |
$6,771.02
|
| Rate for Payer: UHC Dual Complete DSNP |
$2,027.25
|
| Rate for Payer: UHC Exchange |
$2,027.25
|
| Rate for Payer: UHC Medicare Advantage |
$2,027.25
|
| Rate for Payer: UHCCP Medicaid |
$2,252.32
|
| Rate for Payer: VA VA |
$2,027.25
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$6,081.75
|
|
|
HC COLPOSCOPY CERVIX W ADJ VAGINA
|
Facility
|
IP
|
$285.07
|
|
|
Service Code
|
CPT 57452
|
| Hospital Charge Code |
76100204
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$185.30 |
| Max. Negotiated Rate |
$256.56 |
| Rate for Payer: Aetna Commercial |
$242.31
|
| Rate for Payer: BCBS Trust/PPO |
$232.70
|
| Rate for Payer: BCN Commercial |
$220.30
|
| Rate for Payer: Cash Price |
$228.06
|
| Rate for Payer: Cofinity Commercial |
$245.16
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$228.06
|
| Rate for Payer: Healthscope Commercial |
$256.56
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$213.80
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$242.31
|
| Rate for Payer: Nomi Health Commercial |
$233.76
|
| Rate for Payer: PHP Commercial |
$242.31
|
| Rate for Payer: Priority Health Cigna Priority Health |
$185.30
|
| Rate for Payer: Priority Health HMO/PPO |
$248.01
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$191.00
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$250.86
|
| Rate for Payer: UHC Core |
$238.03
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$213.80
|
|
|
HC COLPOSCOPY CERVIX W ADJ VAGINA
|
Facility
|
OP
|
$285.07
|
|
|
Service Code
|
CPT 57452
|
| Hospital Charge Code |
76100204
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$67.70 |
| Max. Negotiated Rate |
$256.56 |
| Rate for Payer: Aetna Commercial |
$242.31
|
| Rate for Payer: Aetna Medicare |
$74.12
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$89.08
|
| Rate for Payer: Amish Plain Church Group Commercial |
$89.08
|
| Rate for Payer: BCBS Complete |
$149.64
|
| Rate for Payer: BCBS MAPPO |
$71.27
|
| Rate for Payer: BCBS Trust/PPO |
$234.36
|
| Rate for Payer: BCCCP Commercial |
$122.41
|
| Rate for Payer: BCN Commercial |
$221.64
|
| Rate for Payer: BCN Medicare Advantage |
$71.27
|
| Rate for Payer: Cash Price |
$228.06
|
| Rate for Payer: Cash Price |
$228.06
|
| Rate for Payer: Cofinity Commercial |
$245.16
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$228.06
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$71.27
|
| Rate for Payer: Healthscope Commercial |
$256.56
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$213.80
|
| Rate for Payer: Mclaren Medicaid |
$142.50
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$74.83
|
| Rate for Payer: Meridian Medicaid |
$149.64
|
| Rate for Payer: MI Amish Medical Board Commercial |
$81.96
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$242.31
|
| Rate for Payer: Nomi Health Commercial |
$233.76
|
| Rate for Payer: PACE Senior Care Partners |
$67.70
|
| Rate for Payer: PACE SWMI |
$71.27
|
| Rate for Payer: PHP Commercial |
$242.31
|
| Rate for Payer: PHP Medicare Advantage |
$71.27
|
| Rate for Payer: Priority Health Choice Medicaid |
$142.50
|
| Rate for Payer: Priority Health Cigna Priority Health |
$185.30
|
| Rate for Payer: Priority Health HMO/PPO |
$248.01
|
| Rate for Payer: Priority Health Medicare |
$71.98
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$191.00
|
| Rate for Payer: Railroad Medicare Medicare |
$71.27
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$250.86
|
| Rate for Payer: UHC Core |
$238.03
|
| Rate for Payer: UHC Dual Complete DSNP |
$71.27
|
| Rate for Payer: UHC Exchange |
$71.27
|
| Rate for Payer: UHC Medicare Advantage |
$71.27
|
| Rate for Payer: UHCCP Medicaid |
$142.50
|
| Rate for Payer: VA VA |
$71.27
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$213.80
|
|
|
HC COLPOSCOPY CERVIX W ADJ VAGINA CURETTAGE
|
Facility
|
OP
|
$426.04
|
|
|
Service Code
|
CPT 57456
|
| Hospital Charge Code |
76100206
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$101.18 |
| Max. Negotiated Rate |
$383.44 |
| Rate for Payer: Aetna Commercial |
$362.13
|
| Rate for Payer: Aetna Medicare |
$110.77
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$133.14
|
| Rate for Payer: Amish Plain Church Group Commercial |
$133.14
|
| Rate for Payer: BCBS Complete |
$226.27
|
| Rate for Payer: BCBS MAPPO |
$106.51
|
| Rate for Payer: BCBS Trust/PPO |
$350.25
|
| Rate for Payer: BCCCP Commercial |
$146.69
|
| Rate for Payer: BCN Commercial |
$331.25
|
| Rate for Payer: BCN Medicare Advantage |
$106.51
|
| Rate for Payer: Cash Price |
$340.83
|
| Rate for Payer: Cash Price |
$340.83
|
| Rate for Payer: Cofinity Commercial |
$366.39
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$340.83
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$106.51
|
| Rate for Payer: Healthscope Commercial |
$383.44
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$319.53
|
| Rate for Payer: Mclaren Medicaid |
$215.48
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$111.84
|
| Rate for Payer: Meridian Medicaid |
$226.27
|
| Rate for Payer: MI Amish Medical Board Commercial |
$122.49
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$362.13
|
| Rate for Payer: Nomi Health Commercial |
$349.35
|
| Rate for Payer: PACE Senior Care Partners |
$101.18
|
| Rate for Payer: PACE SWMI |
$106.51
|
| Rate for Payer: PHP Commercial |
$362.13
|
| Rate for Payer: PHP Medicare Advantage |
$106.51
|
| Rate for Payer: Priority Health Choice Medicaid |
$215.48
|
| Rate for Payer: Priority Health Cigna Priority Health |
$276.93
|
| Rate for Payer: Priority Health HMO/PPO |
$370.65
|
| Rate for Payer: Priority Health Medicare |
$107.58
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$285.45
|
| Rate for Payer: Railroad Medicare Medicare |
$106.51
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$374.92
|
| Rate for Payer: UHC Core |
$355.74
|
| Rate for Payer: UHC Dual Complete DSNP |
$106.51
|
| Rate for Payer: UHC Exchange |
$106.51
|
| Rate for Payer: UHC Medicare Advantage |
$106.51
|
| Rate for Payer: UHCCP Medicaid |
$215.48
|
| Rate for Payer: VA VA |
$106.51
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$319.53
|
|
|
HC COLPOSCOPY CERVIX W ADJ VAGINA CURETTAGE
|
Facility
|
IP
|
$426.04
|
|
|
Service Code
|
CPT 57456
|
| Hospital Charge Code |
76100206
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$276.93 |
| Max. Negotiated Rate |
$383.44 |
| Rate for Payer: Aetna Commercial |
$362.13
|
| Rate for Payer: BCBS Trust/PPO |
$347.78
|
| Rate for Payer: BCN Commercial |
$329.24
|
| Rate for Payer: Cash Price |
$340.83
|
| Rate for Payer: Cofinity Commercial |
$366.39
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$340.83
|
| Rate for Payer: Healthscope Commercial |
$383.44
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$319.53
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$362.13
|
| Rate for Payer: Nomi Health Commercial |
$349.35
|
| Rate for Payer: PHP Commercial |
$362.13
|
| Rate for Payer: Priority Health Cigna Priority Health |
$276.93
|
| Rate for Payer: Priority Health HMO/PPO |
$370.65
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$285.45
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$374.92
|
| Rate for Payer: UHC Core |
$355.74
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$319.53
|
|
|
HC COLPOSCOPY CERVIX W ADJ VAGINA W BX
|
Facility
|
IP
|
$426.04
|
|
|
Service Code
|
CPT 57455
|
| Hospital Charge Code |
76100205
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$276.93 |
| Max. Negotiated Rate |
$383.44 |
| Rate for Payer: Aetna Commercial |
$362.13
|
| Rate for Payer: BCBS Trust/PPO |
$347.78
|
| Rate for Payer: BCN Commercial |
$329.24
|
| Rate for Payer: Cash Price |
$340.83
|
| Rate for Payer: Cofinity Commercial |
$366.39
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$340.83
|
| Rate for Payer: Healthscope Commercial |
$383.44
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$319.53
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$362.13
|
| Rate for Payer: Nomi Health Commercial |
$349.35
|
| Rate for Payer: PHP Commercial |
$362.13
|
| Rate for Payer: Priority Health Cigna Priority Health |
$276.93
|
| Rate for Payer: Priority Health HMO/PPO |
$370.65
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$285.45
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$374.92
|
| Rate for Payer: UHC Core |
$355.74
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$319.53
|
|
|
HC COLPOSCOPY CERVIX W ADJ VAGINA W BX
|
Facility
|
OP
|
$426.04
|
|
|
Service Code
|
CPT 57455
|
| Hospital Charge Code |
76100205
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$101.18 |
| Max. Negotiated Rate |
$383.44 |
| Rate for Payer: Aetna Commercial |
$362.13
|
| Rate for Payer: Aetna Medicare |
$110.77
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$133.14
|
| Rate for Payer: Amish Plain Church Group Commercial |
$133.14
|
| Rate for Payer: BCBS Complete |
$226.27
|
| Rate for Payer: BCBS MAPPO |
$106.51
|
| Rate for Payer: BCBS Trust/PPO |
$350.25
|
| Rate for Payer: BCCCP Commercial |
$157.18
|
| Rate for Payer: BCN Commercial |
$331.25
|
| Rate for Payer: BCN Medicare Advantage |
$106.51
|
| Rate for Payer: Cash Price |
$340.83
|
| Rate for Payer: Cash Price |
$340.83
|
| Rate for Payer: Cofinity Commercial |
$366.39
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$340.83
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$106.51
|
| Rate for Payer: Healthscope Commercial |
$383.44
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$319.53
|
| Rate for Payer: Mclaren Medicaid |
$215.48
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$111.84
|
| Rate for Payer: Meridian Medicaid |
$226.27
|
| Rate for Payer: MI Amish Medical Board Commercial |
$122.49
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$362.13
|
| Rate for Payer: Nomi Health Commercial |
$349.35
|
| Rate for Payer: PACE Senior Care Partners |
$101.18
|
| Rate for Payer: PACE SWMI |
$106.51
|
| Rate for Payer: PHP Commercial |
$362.13
|
| Rate for Payer: PHP Medicare Advantage |
$106.51
|
| Rate for Payer: Priority Health Choice Medicaid |
$215.48
|
| Rate for Payer: Priority Health Cigna Priority Health |
$276.93
|
| Rate for Payer: Priority Health HMO/PPO |
$370.65
|
| Rate for Payer: Priority Health Medicare |
$107.58
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$285.45
|
| Rate for Payer: Railroad Medicare Medicare |
$106.51
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$374.92
|
| Rate for Payer: UHC Core |
$355.74
|
| Rate for Payer: UHC Dual Complete DSNP |
$106.51
|
| Rate for Payer: UHC Exchange |
$106.51
|
| Rate for Payer: UHC Medicare Advantage |
$106.51
|
| Rate for Payer: UHCCP Medicaid |
$215.48
|
| Rate for Payer: VA VA |
$106.51
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$319.53
|
|
|
HC COLPOSCOPY OF CERVIX/VAGINA W/BIOPSY AND CURETTAGE
|
Facility
|
OP
|
$368.30
|
|
|
Service Code
|
CPT 57454
|
| Hospital Charge Code |
76100140
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$87.47 |
| Max. Negotiated Rate |
$331.47 |
| Rate for Payer: Aetna Commercial |
$313.06
|
| Rate for Payer: Aetna Medicare |
$95.76
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$115.09
|
| Rate for Payer: Amish Plain Church Group Commercial |
$115.09
|
| Rate for Payer: BCBS Complete |
$226.27
|
| Rate for Payer: BCBS MAPPO |
$92.08
|
| Rate for Payer: BCBS Trust/PPO |
$302.78
|
| Rate for Payer: BCCCP Commercial |
$164.88
|
| Rate for Payer: BCN Commercial |
$286.35
|
| Rate for Payer: BCN Medicare Advantage |
$92.08
|
| Rate for Payer: Cash Price |
$294.64
|
| Rate for Payer: Cash Price |
$294.64
|
| Rate for Payer: Cofinity Commercial |
$316.74
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$294.64
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$92.08
|
| Rate for Payer: Healthscope Commercial |
$331.47
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$276.22
|
| Rate for Payer: Mclaren Medicaid |
$215.48
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$96.68
|
| Rate for Payer: Meridian Medicaid |
$226.27
|
| Rate for Payer: MI Amish Medical Board Commercial |
$105.89
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$313.06
|
| Rate for Payer: Nomi Health Commercial |
$302.01
|
| Rate for Payer: PACE Senior Care Partners |
$87.47
|
| Rate for Payer: PACE SWMI |
$92.08
|
| Rate for Payer: PHP Commercial |
$313.06
|
| Rate for Payer: PHP Medicare Advantage |
$92.08
|
| Rate for Payer: Priority Health Choice Medicaid |
$215.48
|
| Rate for Payer: Priority Health Cigna Priority Health |
$239.40
|
| Rate for Payer: Priority Health HMO/PPO |
$320.42
|
| Rate for Payer: Priority Health Medicare |
$93.00
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$246.76
|
| Rate for Payer: Railroad Medicare Medicare |
$92.08
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$324.10
|
| Rate for Payer: UHC Core |
$307.53
|
| Rate for Payer: UHC Dual Complete DSNP |
$92.08
|
| Rate for Payer: UHC Exchange |
$92.08
|
| Rate for Payer: UHC Medicare Advantage |
$92.08
|
| Rate for Payer: UHCCP Medicaid |
$215.48
|
| Rate for Payer: VA VA |
$92.08
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$276.22
|
|
|
HC COLPOSCOPY OF CERVIX/VAGINA W/BIOPSY AND CURETTAGE
|
Facility
|
IP
|
$368.30
|
|
|
Service Code
|
CPT 57454
|
| Hospital Charge Code |
76100140
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$239.40 |
| Max. Negotiated Rate |
$331.47 |
| Rate for Payer: Aetna Commercial |
$313.06
|
| Rate for Payer: BCBS Trust/PPO |
$300.64
|
| Rate for Payer: BCN Commercial |
$284.62
|
| Rate for Payer: Cash Price |
$294.64
|
| Rate for Payer: Cofinity Commercial |
$316.74
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$294.64
|
| Rate for Payer: Healthscope Commercial |
$331.47
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$276.22
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$313.06
|
| Rate for Payer: Nomi Health Commercial |
$302.01
|
| Rate for Payer: PHP Commercial |
$313.06
|
| Rate for Payer: Priority Health Cigna Priority Health |
$239.40
|
| Rate for Payer: Priority Health HMO/PPO |
$320.42
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$246.76
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$324.10
|
| Rate for Payer: UHC Core |
$307.53
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$276.22
|
|
|
HC COLPOSCOPY VAGINA W/BIOPSY
|
Facility
|
OP
|
$870.81
|
|
|
Service Code
|
CPT 57421
|
| Hospital Charge Code |
76100223
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$206.82 |
| Max. Negotiated Rate |
$783.73 |
| Rate for Payer: Aetna Commercial |
$740.19
|
| Rate for Payer: Aetna Medicare |
$226.41
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$272.13
|
| Rate for Payer: Amish Plain Church Group Commercial |
$272.13
|
| Rate for Payer: BCBS Complete |
$647.70
|
| Rate for Payer: BCBS MAPPO |
$217.70
|
| Rate for Payer: BCBS Trust/PPO |
$715.89
|
| Rate for Payer: BCN Commercial |
$677.05
|
| Rate for Payer: BCN Medicare Advantage |
$217.70
|
| Rate for Payer: Cash Price |
$696.65
|
| Rate for Payer: Cash Price |
$696.65
|
| Rate for Payer: Cofinity Commercial |
$748.90
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$696.65
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$217.70
|
| Rate for Payer: Healthscope Commercial |
$783.73
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$653.11
|
| Rate for Payer: Mclaren Medicaid |
$616.81
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$228.59
|
| Rate for Payer: Meridian Medicaid |
$647.70
|
| Rate for Payer: MI Amish Medical Board Commercial |
$250.36
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$740.19
|
| Rate for Payer: Nomi Health Commercial |
$714.06
|
| Rate for Payer: PACE Senior Care Partners |
$206.82
|
| Rate for Payer: PACE SWMI |
$217.70
|
| Rate for Payer: PHP Commercial |
$740.19
|
| Rate for Payer: PHP Medicare Advantage |
$217.70
|
| Rate for Payer: Priority Health Choice Medicaid |
$616.81
|
| Rate for Payer: Priority Health Cigna Priority Health |
$566.03
|
| Rate for Payer: Priority Health HMO/PPO |
$757.60
|
| Rate for Payer: Priority Health Medicare |
$219.88
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$583.44
|
| Rate for Payer: Railroad Medicare Medicare |
$217.70
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$766.31
|
| Rate for Payer: UHC Core |
$727.13
|
| Rate for Payer: UHC Dual Complete DSNP |
$217.70
|
| Rate for Payer: UHC Exchange |
$217.70
|
| Rate for Payer: UHC Medicare Advantage |
$217.70
|
| Rate for Payer: UHCCP Medicaid |
$616.81
|
| Rate for Payer: VA VA |
$217.70
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$653.11
|
|
|
HC COLPOSCOPY VAGINA W/BIOPSY
|
Facility
|
IP
|
$870.81
|
|
|
Service Code
|
CPT 57421
|
| Hospital Charge Code |
76100223
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$566.03 |
| Max. Negotiated Rate |
$783.73 |
| Rate for Payer: Aetna Commercial |
$740.19
|
| Rate for Payer: BCBS Trust/PPO |
$710.84
|
| Rate for Payer: BCN Commercial |
$672.96
|
| Rate for Payer: Cash Price |
$696.65
|
| Rate for Payer: Cofinity Commercial |
$748.90
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$696.65
|
| Rate for Payer: Healthscope Commercial |
$783.73
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$653.11
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$740.19
|
| Rate for Payer: Nomi Health Commercial |
$714.06
|
| Rate for Payer: PHP Commercial |
$740.19
|
| Rate for Payer: Priority Health Cigna Priority Health |
$566.03
|
| Rate for Payer: Priority Health HMO/PPO |
$757.60
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$583.44
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$766.31
|
| Rate for Payer: UHC Core |
$727.13
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$653.11
|
|
|
HC COLPOSCOPY VAGINA W/O BIOPSY
|
Facility
|
IP
|
$422.48
|
|
|
Service Code
|
CPT 57420
|
| Hospital Charge Code |
76100254
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$274.61 |
| Max. Negotiated Rate |
$380.23 |
| Rate for Payer: Aetna Commercial |
$359.11
|
| Rate for Payer: BCBS Trust/PPO |
$344.87
|
| Rate for Payer: BCN Commercial |
$326.49
|
| Rate for Payer: Cash Price |
$337.98
|
| Rate for Payer: Cofinity Commercial |
$363.33
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$337.98
|
| Rate for Payer: Healthscope Commercial |
$380.23
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$316.86
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$359.11
|
| Rate for Payer: Nomi Health Commercial |
$346.43
|
| Rate for Payer: PHP Commercial |
$359.11
|
| Rate for Payer: Priority Health Cigna Priority Health |
$274.61
|
| Rate for Payer: Priority Health HMO/PPO |
$367.56
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$283.06
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$371.78
|
| Rate for Payer: UHC Core |
$352.77
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$316.86
|
|
