|
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 |
$2,100.05
|
| 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 |
$2,100.05
|
|
|
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 |
$5,227.15
|
| 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 |
$5,227.15
|
|
|
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 |
$1,655.27 |
| 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 |
$2,413.90
|
| Rate for Payer: BCBS MAPPO |
$1,742.38
|
| Rate for Payer: BCBS Trust/PPO |
$5,729.66
|
| 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 |
$5,227.15
|
| Rate for Payer: Mclaren Medicaid |
$2,298.80
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,829.50
|
| Rate for Payer: Meridian Medicaid |
$2,413.90
|
| 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 |
$2,298.80
|
| 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 |
$2,298.80
|
| Rate for Payer: VA VA |
$1,742.38
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$5,227.15
|
|
|
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 |
$1,925.89 |
| 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 |
$2,413.90
|
| Rate for Payer: BCBS MAPPO |
$2,027.25
|
| Rate for Payer: BCBS Trust/PPO |
$6,666.41
|
| 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 |
$2,298.80
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$2,128.61
|
| Rate for Payer: Meridian Medicaid |
$2,413.90
|
| 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 |
$2,298.80
|
| 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 |
$2,298.80
|
| 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 |
$152.73
|
| Rate for Payer: BCBS MAPPO |
$71.27
|
| Rate for Payer: BCBS Trust/PPO |
$234.36
|
| 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 |
$145.45
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$74.83
|
| Rate for Payer: Meridian Medicaid |
$152.73
|
| 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 |
$145.45
|
| 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 |
$145.45
|
| 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
|
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 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 |
$230.94
|
| Rate for Payer: BCBS MAPPO |
$106.51
|
| Rate for Payer: BCBS Trust/PPO |
$350.25
|
| 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 |
$219.93
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$111.84
|
| Rate for Payer: Meridian Medicaid |
$230.94
|
| 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 |
$219.93
|
| 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 |
$219.93
|
| Rate for Payer: VA VA |
$106.51
|
| 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 |
$230.94
|
| Rate for Payer: BCBS MAPPO |
$106.51
|
| Rate for Payer: BCBS Trust/PPO |
$350.25
|
| 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 |
$219.93
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$111.84
|
| Rate for Payer: Meridian Medicaid |
$230.94
|
| 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 |
$219.93
|
| 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 |
$219.93
|
| 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 |
$230.94
|
| Rate for Payer: BCBS MAPPO |
$92.08
|
| Rate for Payer: BCBS Trust/PPO |
$302.78
|
| 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 |
$276.23
|
| Rate for Payer: Mclaren Medicaid |
$219.93
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$96.68
|
| Rate for Payer: Meridian Medicaid |
$230.94
|
| 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 |
$219.93
|
| 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 |
$219.93
|
| Rate for Payer: VA VA |
$92.08
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$276.23
|
|
|
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 |
$276.23
|
| 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 |
$276.23
|
|
|
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 |
$661.07
|
| 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 |
$629.55
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$228.59
|
| Rate for Payer: Meridian Medicaid |
$661.07
|
| 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 |
$629.55
|
| 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 |
$629.55
|
| 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
|
|
|
HC COLPOSCOPY VAGINA W/O BIOPSY
|
Facility
|
OP
|
$422.48
|
|
|
Service Code
|
CPT 57420
|
| Hospital Charge Code |
76100254
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$100.34 |
| Max. Negotiated Rate |
$380.23 |
| Rate for Payer: Aetna Commercial |
$359.11
|
| Rate for Payer: Aetna Medicare |
$109.84
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$132.03
|
| Rate for Payer: Amish Plain Church Group Commercial |
$132.03
|
| Rate for Payer: BCBS Complete |
$230.94
|
| Rate for Payer: BCBS MAPPO |
$105.62
|
| Rate for Payer: BCBS Trust/PPO |
$347.32
|
| Rate for Payer: BCN Commercial |
$328.48
|
| Rate for Payer: BCN Medicare Advantage |
$105.62
|
| Rate for Payer: Cash Price |
$337.98
|
| 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: Health Alliance Plan Medicare Advantage |
$105.62
|
| Rate for Payer: Healthscope Commercial |
$380.23
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$316.86
|
| Rate for Payer: Mclaren Medicaid |
$219.93
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$110.90
|
| Rate for Payer: Meridian Medicaid |
$230.94
|
| Rate for Payer: MI Amish Medical Board Commercial |
$121.46
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$359.11
|
| Rate for Payer: Nomi Health Commercial |
$346.43
|
| Rate for Payer: PACE Senior Care Partners |
$100.34
|
| Rate for Payer: PACE SWMI |
$105.62
|
| Rate for Payer: PHP Commercial |
$359.11
|
| Rate for Payer: PHP Medicare Advantage |
$105.62
|
| Rate for Payer: Priority Health Choice Medicaid |
$219.93
|
| Rate for Payer: Priority Health Cigna Priority Health |
$274.61
|
| Rate for Payer: Priority Health HMO/PPO |
$367.56
|
| Rate for Payer: Priority Health Medicare |
$106.68
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$283.06
|
| Rate for Payer: Railroad Medicare Medicare |
$105.62
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$371.78
|
| Rate for Payer: UHC Core |
$352.77
|
| Rate for Payer: UHC Dual Complete DSNP |
$105.62
|
| Rate for Payer: UHC Exchange |
$105.62
|
| Rate for Payer: UHC Medicare Advantage |
$105.62
|
| Rate for Payer: UHCCP Medicaid |
$219.93
|
| Rate for Payer: VA VA |
$105.62
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$316.86
|
|
|
HC COLPOSCOPY, VULVA
|
Facility
|
OP
|
$328.77
|
|
|
Service Code
|
CPT 56820
|
| Hospital Charge Code |
76100258
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$78.08 |
| Max. Negotiated Rate |
$295.89 |
| Rate for Payer: Aetna Commercial |
$279.45
|
| Rate for Payer: Aetna Medicare |
$85.48
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$102.74
|
| Rate for Payer: Amish Plain Church Group Commercial |
$102.74
|
| Rate for Payer: BCBS Complete |
$152.73
|
| Rate for Payer: BCBS MAPPO |
$82.19
|
| Rate for Payer: BCBS Trust/PPO |
$270.28
|
| Rate for Payer: BCN Commercial |
$255.62
|
| Rate for Payer: BCN Medicare Advantage |
$82.19
|
| Rate for Payer: Cash Price |
$263.02
|
| Rate for Payer: Cash Price |
$263.02
|
| Rate for Payer: Cofinity Commercial |
$282.74
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$263.02
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$82.19
|
| Rate for Payer: Healthscope Commercial |
$295.89
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$246.58
|
| Rate for Payer: Mclaren Medicaid |
$145.45
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$86.30
|
| Rate for Payer: Meridian Medicaid |
$152.73
|
| Rate for Payer: MI Amish Medical Board Commercial |
$94.52
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$279.45
|
| Rate for Payer: Nomi Health Commercial |
$269.59
|
| Rate for Payer: PACE Senior Care Partners |
$78.08
|
| Rate for Payer: PACE SWMI |
$82.19
|
| Rate for Payer: PHP Commercial |
$279.45
|
| Rate for Payer: PHP Medicare Advantage |
$82.19
|
| Rate for Payer: Priority Health Choice Medicaid |
$145.45
|
| Rate for Payer: Priority Health Cigna Priority Health |
$213.70
|
| Rate for Payer: Priority Health HMO/PPO |
$286.03
|
| Rate for Payer: Priority Health Medicare |
$83.01
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$220.28
|
| Rate for Payer: Railroad Medicare Medicare |
$82.19
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$289.32
|
| Rate for Payer: UHC Core |
$274.52
|
| Rate for Payer: UHC Dual Complete DSNP |
$82.19
|
| Rate for Payer: UHC Exchange |
$82.19
|
| Rate for Payer: UHC Medicare Advantage |
$82.19
|
| Rate for Payer: UHCCP Medicaid |
$145.45
|
| Rate for Payer: VA VA |
$82.19
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$246.58
|
|
|
HC COLPOSCOPY, VULVA
|
Facility
|
IP
|
$328.77
|
|
|
Service Code
|
CPT 56820
|
| Hospital Charge Code |
76100258
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$213.70 |
| Max. Negotiated Rate |
$295.89 |
| Rate for Payer: Aetna Commercial |
$279.45
|
| Rate for Payer: BCBS Trust/PPO |
$268.37
|
| Rate for Payer: BCN Commercial |
$254.07
|
| Rate for Payer: Cash Price |
$263.02
|
| Rate for Payer: Cofinity Commercial |
$282.74
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$263.02
|
| Rate for Payer: Healthscope Commercial |
$295.89
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$246.58
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$279.45
|
| Rate for Payer: Nomi Health Commercial |
$269.59
|
| Rate for Payer: PHP Commercial |
$279.45
|
| Rate for Payer: Priority Health Cigna Priority Health |
$213.70
|
| Rate for Payer: Priority Health HMO/PPO |
$286.03
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$220.28
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$289.32
|
| Rate for Payer: UHC Core |
$274.52
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$246.58
|
|
|
HC COLPOSCOPY VULVA W/BIOPSY
|
Facility
|
IP
|
$854.17
|
|
|
Service Code
|
CPT 56821
|
| Hospital Charge Code |
76100332
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$555.21 |
| Max. Negotiated Rate |
$768.75 |
| Rate for Payer: Aetna Commercial |
$726.04
|
| Rate for Payer: BCBS Trust/PPO |
$697.26
|
| Rate for Payer: BCN Commercial |
$660.10
|
| Rate for Payer: Cash Price |
$683.34
|
| Rate for Payer: Cofinity Commercial |
$734.59
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$683.34
|
| Rate for Payer: Healthscope Commercial |
$768.75
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$640.63
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$726.04
|
| Rate for Payer: Nomi Health Commercial |
$700.42
|
| Rate for Payer: PHP Commercial |
$726.04
|
| Rate for Payer: Priority Health Cigna Priority Health |
$555.21
|
| Rate for Payer: Priority Health HMO/PPO |
$743.13
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$572.29
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$751.67
|
| Rate for Payer: UHC Core |
$713.23
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$640.63
|
|
|
HC COLPOSCOPY VULVA W/BIOPSY
|
Facility
|
OP
|
$854.17
|
|
|
Service Code
|
CPT 56821
|
| Hospital Charge Code |
76100332
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$202.87 |
| Max. Negotiated Rate |
$768.75 |
| Rate for Payer: Aetna Commercial |
$726.04
|
| Rate for Payer: Aetna Medicare |
$222.08
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$266.93
|
| Rate for Payer: Amish Plain Church Group Commercial |
$266.93
|
| Rate for Payer: BCBS Complete |
$230.94
|
| Rate for Payer: BCBS MAPPO |
$213.54
|
| Rate for Payer: BCBS Trust/PPO |
$702.21
|
| Rate for Payer: BCN Commercial |
$664.12
|
| Rate for Payer: BCN Medicare Advantage |
$213.54
|
| Rate for Payer: Cash Price |
$683.34
|
| Rate for Payer: Cash Price |
$683.34
|
| Rate for Payer: Cofinity Commercial |
$734.59
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$683.34
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$213.54
|
| Rate for Payer: Healthscope Commercial |
$768.75
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$640.63
|
| Rate for Payer: Mclaren Medicaid |
$219.93
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$224.22
|
| Rate for Payer: Meridian Medicaid |
$230.94
|
| Rate for Payer: MI Amish Medical Board Commercial |
$245.57
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$726.04
|
| Rate for Payer: Nomi Health Commercial |
$700.42
|
| Rate for Payer: PACE Senior Care Partners |
$202.87
|
| Rate for Payer: PACE SWMI |
$213.54
|
| Rate for Payer: PHP Commercial |
$726.04
|
| Rate for Payer: PHP Medicare Advantage |
$213.54
|
| Rate for Payer: Priority Health Choice Medicaid |
$219.93
|
| Rate for Payer: Priority Health Cigna Priority Health |
$555.21
|
| Rate for Payer: Priority Health HMO/PPO |
$743.13
|
| Rate for Payer: Priority Health Medicare |
$215.68
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$572.29
|
| Rate for Payer: Railroad Medicare Medicare |
$213.54
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$751.67
|
| Rate for Payer: UHC Core |
$713.23
|
| Rate for Payer: UHC Dual Complete DSNP |
$213.54
|
| Rate for Payer: UHC Exchange |
$213.54
|
| Rate for Payer: UHC Medicare Advantage |
$213.54
|
| Rate for Payer: UHCCP Medicaid |
$219.93
|
| Rate for Payer: VA VA |
$213.54
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$640.63
|
|
|
HC COMBI CATH SUPPLY
|
Facility
|
OP
|
$123.46
|
|
| Hospital Charge Code |
27200116
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$29.32 |
| Max. Negotiated Rate |
$111.11 |
| Rate for Payer: Aetna Commercial |
$104.94
|
| Rate for Payer: Aetna Medicare |
$32.10
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$38.58
|
| Rate for Payer: Amish Plain Church Group Commercial |
$38.58
|
| Rate for Payer: BCBS Complete |
$49.38
|
| Rate for Payer: BCBS MAPPO |
$30.86
|
| Rate for Payer: BCBS Trust/PPO |
$101.50
|
| Rate for Payer: BCN Commercial |
$95.99
|
| Rate for Payer: BCN Medicare Advantage |
$30.86
|
| Rate for Payer: Cash Price |
$98.77
|
| Rate for Payer: Cofinity Commercial |
$106.18
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$98.77
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$30.86
|
| Rate for Payer: Healthscope Commercial |
$111.11
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$92.59
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$32.41
|
| Rate for Payer: MI Amish Medical Board Commercial |
$35.49
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$104.94
|
| Rate for Payer: Nomi Health Commercial |
$101.24
|
| Rate for Payer: PACE Senior Care Partners |
$29.32
|
| Rate for Payer: PACE SWMI |
$30.86
|
| Rate for Payer: PHP Commercial |
$104.94
|
| Rate for Payer: PHP Medicare Advantage |
$30.86
|
| Rate for Payer: Priority Health Cigna Priority Health |
$80.25
|
| Rate for Payer: Priority Health HMO/PPO |
$107.41
|
| Rate for Payer: Priority Health Medicare |
$31.17
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$82.72
|
| Rate for Payer: Railroad Medicare Medicare |
$30.86
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$108.64
|
| Rate for Payer: UHC Core |
$103.09
|
| Rate for Payer: UHC Dual Complete DSNP |
$30.86
|
| Rate for Payer: UHC Exchange |
$30.86
|
| Rate for Payer: UHC Medicare Advantage |
$30.86
|
| Rate for Payer: VA VA |
$30.86
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$92.59
|
|
|
HC COMBI CATH SUPPLY
|
Facility
|
IP
|
$123.46
|
|
| Hospital Charge Code |
27200116
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$80.25 |
| Max. Negotiated Rate |
$111.11 |
| Rate for Payer: Aetna Commercial |
$104.94
|
| Rate for Payer: BCBS Trust/PPO |
$100.78
|
| Rate for Payer: BCN Commercial |
$95.41
|
| Rate for Payer: Cash Price |
$98.77
|
| Rate for Payer: Cofinity Commercial |
$106.18
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$98.77
|
| Rate for Payer: Healthscope Commercial |
$111.11
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$92.59
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$104.94
|
| Rate for Payer: Nomi Health Commercial |
$101.24
|
| Rate for Payer: PHP Commercial |
$104.94
|
| Rate for Payer: Priority Health Cigna Priority Health |
$80.25
|
| Rate for Payer: Priority Health HMO/PPO |
$107.41
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$82.72
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$108.64
|
| Rate for Payer: UHC Core |
$103.09
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$92.59
|
|
|
HC COMBINED VACCINE, MMR+VARICELLA, SUBQ
|
Facility
|
OP
|
$213.28
|
|
|
Service Code
|
CPT 90710
|
| Hospital Charge Code |
63600206
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$50.65 |
| Max. Negotiated Rate |
$191.95 |
| Rate for Payer: Aetna Commercial |
$181.29
|
| Rate for Payer: Aetna Medicare |
$55.45
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$66.65
|
| Rate for Payer: Amish Plain Church Group Commercial |
$66.65
|
| Rate for Payer: BCBS Complete |
$85.31
|
| Rate for Payer: BCBS MAPPO |
$53.32
|
| Rate for Payer: BCBS Trust/PPO |
$175.34
|
| Rate for Payer: BCN Commercial |
$165.83
|
| Rate for Payer: BCN Medicare Advantage |
$53.32
|
| Rate for Payer: Cash Price |
$170.62
|
| Rate for Payer: Cofinity Commercial |
$183.42
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$170.62
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$53.32
|
| Rate for Payer: Healthscope Commercial |
$191.95
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$159.96
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$55.99
|
| Rate for Payer: MI Amish Medical Board Commercial |
$61.32
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$181.29
|
| Rate for Payer: Nomi Health Commercial |
$174.89
|
| Rate for Payer: PACE Senior Care Partners |
$50.65
|
| Rate for Payer: PACE SWMI |
$53.32
|
| Rate for Payer: PHP Commercial |
$181.29
|
| Rate for Payer: PHP Medicare Advantage |
$53.32
|
| Rate for Payer: Priority Health Cigna Priority Health |
$138.63
|
| Rate for Payer: Priority Health HMO/PPO |
$185.55
|
| Rate for Payer: Priority Health Medicare |
$53.85
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$142.90
|
| Rate for Payer: Railroad Medicare Medicare |
$53.32
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$187.69
|
| Rate for Payer: UHC Core |
$178.09
|
| Rate for Payer: UHC Dual Complete DSNP |
$53.32
|
| Rate for Payer: UHC Exchange |
$53.32
|
| Rate for Payer: UHC Medicare Advantage |
$53.32
|
| Rate for Payer: VA VA |
$53.32
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$159.96
|
|
|
HC COMBINED VACCINE, MMR+VARICELLA, SUBQ
|
Facility
|
IP
|
$213.28
|
|
|
Service Code
|
CPT 90710
|
| Hospital Charge Code |
63600206
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$138.63 |
| Max. Negotiated Rate |
$191.95 |
| Rate for Payer: Aetna Commercial |
$181.29
|
| Rate for Payer: BCBS Trust/PPO |
$174.10
|
| Rate for Payer: BCN Commercial |
$164.82
|
| Rate for Payer: Cash Price |
$170.62
|
| Rate for Payer: Cofinity Commercial |
$183.42
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$170.62
|
| Rate for Payer: Healthscope Commercial |
$191.95
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$159.96
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$181.29
|
| Rate for Payer: Nomi Health Commercial |
$174.89
|
| Rate for Payer: PHP Commercial |
$181.29
|
| Rate for Payer: Priority Health Cigna Priority Health |
$138.63
|
| Rate for Payer: Priority Health HMO/PPO |
$185.55
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$142.90
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$187.69
|
| Rate for Payer: UHC Core |
$178.09
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$159.96
|
|
