|
HC EXCHANGE ABSCESS CYST DRAIN CATHETER
|
Facility
|
OP
|
$2,614.20
|
|
|
Service Code
|
CPT 49423
|
| Hospital Charge Code |
36100222
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$460.88 |
| Max. Negotiated Rate |
$2,352.78 |
| Rate for Payer: Aetna Commercial |
$2,222.07
|
| Rate for Payer: Aetna Medicare |
$679.69
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$816.94
|
| Rate for Payer: Amish Plain Church Group Commercial |
$816.94
|
| Rate for Payer: BCBS Complete |
$483.89
|
| Rate for Payer: BCBS MAPPO |
$653.55
|
| Rate for Payer: BCBS Trust/PPO |
$2,149.13
|
| Rate for Payer: BCN Commercial |
$2,149.13
|
| Rate for Payer: BCN Medicare Advantage |
$653.55
|
| Rate for Payer: Cash Price |
$2,091.36
|
| Rate for Payer: Cofinity Commercial |
$2,248.21
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,091.36
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$653.55
|
| Rate for Payer: Healthscope Commercial |
$2,352.78
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,960.65
|
| Rate for Payer: Mclaren Medicaid |
$460.88
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$686.23
|
| Rate for Payer: Meridian Medicaid |
$483.89
|
| Rate for Payer: MI Amish Medical Board Commercial |
$751.58
|
| Rate for Payer: Molina Medicare/Medicaid |
$718.90
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,222.07
|
| Rate for Payer: Nomi Health Commercial |
$2,143.64
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,960.65
|
| Rate for Payer: PACE Senior Care Partners |
$620.87
|
| Rate for Payer: PACE SWMI |
$653.55
|
| Rate for Payer: PHP Commercial |
$2,222.07
|
| Rate for Payer: PHP Medicare Advantage |
$653.55
|
| Rate for Payer: Priority Health Choice Medicaid |
$460.88
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$2,274.35
|
| Rate for Payer: Priority Health Medicare |
$660.09
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,819.48
|
| Rate for Payer: Railroad Medicare Medicare |
$653.55
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,300.50
|
| Rate for Payer: UHC Core |
$2,182.86
|
| Rate for Payer: UHC Exchange |
$653.55
|
| Rate for Payer: UHC Medicaid |
$460.88
|
| Rate for Payer: UHC Medicare Advantage |
$653.55
|
| Rate for Payer: UHCCP Medicaid |
$460.88
|
| Rate for Payer: VA VA |
$653.55
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,960.65
|
|
|
HC EXCHANGE BILIARY DRAIN CATH
|
Facility
|
IP
|
$4,550.49
|
|
|
Service Code
|
CPT 47536
|
| Hospital Charge Code |
36100493
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$3,167.14 |
| Max. Negotiated Rate |
$4,095.44 |
| Rate for Payer: Aetna Commercial |
$3,867.92
|
| Rate for Payer: BCBS Trust/PPO |
$3,758.25
|
| Rate for Payer: BCN Commercial |
$3,758.25
|
| Rate for Payer: Cash Price |
$3,640.39
|
| Rate for Payer: Cofinity Commercial |
$3,913.42
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,640.39
|
| Rate for Payer: Healthscope Commercial |
$4,095.44
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$3,412.87
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,867.92
|
| Rate for Payer: Nomi Health Commercial |
$3,731.40
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$3,412.87
|
| Rate for Payer: PHP Commercial |
$3,867.92
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$3,958.93
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$3,167.14
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$4,004.43
|
| Rate for Payer: UHC Core |
$3,799.66
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$3,412.87
|
|
|
HC EXCHANGE BILIARY DRAIN CATH
|
Facility
|
OP
|
$4,550.49
|
|
|
Service Code
|
CPT 47536
|
| Hospital Charge Code |
36100493
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$802.25 |
| Max. Negotiated Rate |
$4,095.44 |
| Rate for Payer: Aetna Commercial |
$3,867.92
|
| Rate for Payer: Aetna Medicare |
$1,183.13
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,422.03
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1,422.03
|
| Rate for Payer: BCBS Complete |
$842.30
|
| Rate for Payer: BCBS MAPPO |
$1,137.62
|
| Rate for Payer: BCBS Trust/PPO |
$3,740.96
|
| Rate for Payer: BCN Commercial |
$3,740.96
|
| Rate for Payer: BCN Medicare Advantage |
$1,137.62
|
| Rate for Payer: Cash Price |
$3,640.39
|
| Rate for Payer: Cofinity Commercial |
$3,913.42
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,640.39
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,137.62
|
| Rate for Payer: Healthscope Commercial |
$4,095.44
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$3,412.87
|
| Rate for Payer: Mclaren Medicaid |
$802.25
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,194.50
|
| Rate for Payer: Meridian Medicaid |
$842.30
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,308.27
|
| Rate for Payer: Molina Medicare/Medicaid |
$1,251.38
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,867.92
|
| Rate for Payer: Nomi Health Commercial |
$3,731.40
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$3,412.87
|
| Rate for Payer: PACE Senior Care Partners |
$1,080.74
|
| Rate for Payer: PACE SWMI |
$1,137.62
|
| Rate for Payer: PHP Commercial |
$3,867.92
|
| Rate for Payer: PHP Medicare Advantage |
$1,137.62
|
| Rate for Payer: Priority Health Choice Medicaid |
$802.25
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$3,958.93
|
| Rate for Payer: Priority Health Medicare |
$1,149.00
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$3,167.14
|
| Rate for Payer: Railroad Medicare Medicare |
$1,137.62
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$4,004.43
|
| Rate for Payer: UHC Core |
$3,799.66
|
| Rate for Payer: UHC Exchange |
$1,137.62
|
| Rate for Payer: UHC Medicaid |
$802.25
|
| Rate for Payer: UHC Medicare Advantage |
$1,137.62
|
| Rate for Payer: UHCCP Medicaid |
$802.25
|
| Rate for Payer: VA VA |
$1,137.62
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$3,412.87
|
|
|
HC EXCHANGE NEPHROSTOMY CATHETER
|
Facility
|
OP
|
$3,719.45
|
|
|
Service Code
|
CPT 50435
|
| Hospital Charge Code |
36100507
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$655.74 |
| Max. Negotiated Rate |
$3,347.51 |
| Rate for Payer: Aetna Commercial |
$3,161.53
|
| Rate for Payer: Aetna Medicare |
$967.06
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,162.33
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1,162.33
|
| Rate for Payer: BCBS Complete |
$688.47
|
| Rate for Payer: BCBS MAPPO |
$929.86
|
| Rate for Payer: BCBS Trust/PPO |
$3,057.76
|
| Rate for Payer: BCN Commercial |
$3,057.76
|
| Rate for Payer: BCN Medicare Advantage |
$929.86
|
| Rate for Payer: Cash Price |
$2,975.56
|
| Rate for Payer: Cofinity Commercial |
$3,198.73
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,975.56
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$929.86
|
| Rate for Payer: Healthscope Commercial |
$3,347.51
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,789.59
|
| Rate for Payer: Mclaren Medicaid |
$655.74
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$976.36
|
| Rate for Payer: Meridian Medicaid |
$688.47
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,069.34
|
| Rate for Payer: Molina Medicare/Medicaid |
$1,022.85
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,161.53
|
| Rate for Payer: Nomi Health Commercial |
$3,049.95
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,789.59
|
| Rate for Payer: PACE Senior Care Partners |
$883.37
|
| Rate for Payer: PACE SWMI |
$929.86
|
| Rate for Payer: PHP Commercial |
$3,161.53
|
| Rate for Payer: PHP Medicare Advantage |
$929.86
|
| Rate for Payer: Priority Health Choice Medicaid |
$655.74
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$3,235.92
|
| Rate for Payer: Priority Health Medicare |
$939.16
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,588.74
|
| Rate for Payer: Railroad Medicare Medicare |
$929.86
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$3,273.12
|
| Rate for Payer: UHC Core |
$3,105.74
|
| Rate for Payer: UHC Exchange |
$929.86
|
| Rate for Payer: UHC Medicaid |
$655.74
|
| Rate for Payer: UHC Medicare Advantage |
$929.86
|
| Rate for Payer: UHCCP Medicaid |
$655.74
|
| Rate for Payer: VA VA |
$929.86
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,789.59
|
|
|
HC EXCHANGE NEPHROSTOMY CATHETER
|
Facility
|
IP
|
$3,719.45
|
|
|
Service Code
|
CPT 50435
|
| Hospital Charge Code |
36100507
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$2,588.74 |
| Max. Negotiated Rate |
$3,347.51 |
| Rate for Payer: Aetna Commercial |
$3,161.53
|
| Rate for Payer: BCBS Trust/PPO |
$3,071.89
|
| Rate for Payer: BCN Commercial |
$3,071.89
|
| Rate for Payer: Cash Price |
$2,975.56
|
| Rate for Payer: Cofinity Commercial |
$3,198.73
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,975.56
|
| Rate for Payer: Healthscope Commercial |
$3,347.51
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,789.59
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,161.53
|
| Rate for Payer: Nomi Health Commercial |
$3,049.95
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,789.59
|
| Rate for Payer: PHP Commercial |
$3,161.53
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$3,235.92
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,588.74
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$3,273.12
|
| Rate for Payer: UHC Core |
$3,105.74
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,789.59
|
|
|
HC EXCHANGE TRANSFUSION NONINFANT
|
Facility
|
IP
|
$1,554.53
|
|
|
Service Code
|
CPT 36455
|
| Hospital Charge Code |
39100001
|
|
Hospital Revenue Code
|
391
|
| Min. Negotiated Rate |
$1,081.95 |
| Max. Negotiated Rate |
$1,399.08 |
| Rate for Payer: Aetna Commercial |
$1,321.35
|
| Rate for Payer: BCBS Trust/PPO |
$1,283.89
|
| Rate for Payer: BCN Commercial |
$1,283.89
|
| Rate for Payer: Cash Price |
$1,243.62
|
| Rate for Payer: Cofinity Commercial |
$1,336.90
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,243.62
|
| Rate for Payer: Healthscope Commercial |
$1,399.08
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,165.90
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,321.35
|
| Rate for Payer: Nomi Health Commercial |
$1,274.71
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,165.90
|
| Rate for Payer: PHP Commercial |
$1,321.35
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$1,352.44
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,081.95
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,367.99
|
| Rate for Payer: UHC Core |
$1,298.03
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,165.90
|
|
|
HC EXCHANGE TRANSFUSION NONINFANT
|
Facility
|
OP
|
$1,554.53
|
|
|
Service Code
|
CPT 36455
|
| Hospital Charge Code |
39100001
|
|
Hospital Revenue Code
|
391
|
| Min. Negotiated Rate |
$274.06 |
| Max. Negotiated Rate |
$1,399.08 |
| Rate for Payer: Aetna Commercial |
$1,321.35
|
| Rate for Payer: Aetna Medicare |
$404.18
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$485.79
|
| Rate for Payer: Amish Plain Church Group Commercial |
$485.79
|
| Rate for Payer: BCBS Complete |
$287.74
|
| Rate for Payer: BCBS MAPPO |
$388.63
|
| Rate for Payer: BCBS Trust/PPO |
$1,277.98
|
| Rate for Payer: BCN Commercial |
$1,277.98
|
| Rate for Payer: BCN Medicare Advantage |
$388.63
|
| Rate for Payer: Cash Price |
$1,243.62
|
| Rate for Payer: Cofinity Commercial |
$1,336.90
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,243.62
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$388.63
|
| Rate for Payer: Healthscope Commercial |
$1,399.08
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,165.90
|
| Rate for Payer: Mclaren Medicaid |
$274.06
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$408.06
|
| Rate for Payer: Meridian Medicaid |
$287.74
|
| Rate for Payer: MI Amish Medical Board Commercial |
$446.93
|
| Rate for Payer: Molina Medicare/Medicaid |
$427.50
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,321.35
|
| Rate for Payer: Nomi Health Commercial |
$1,274.71
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,165.90
|
| Rate for Payer: PACE Senior Care Partners |
$369.20
|
| Rate for Payer: PACE SWMI |
$388.63
|
| Rate for Payer: PHP Commercial |
$1,321.35
|
| Rate for Payer: PHP Medicare Advantage |
$388.63
|
| Rate for Payer: Priority Health Choice Medicaid |
$274.06
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$1,352.44
|
| Rate for Payer: Priority Health Medicare |
$392.52
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,081.95
|
| Rate for Payer: Railroad Medicare Medicare |
$388.63
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,367.99
|
| Rate for Payer: UHC Core |
$1,298.03
|
| Rate for Payer: UHC Exchange |
$388.63
|
| Rate for Payer: UHC Medicaid |
$274.06
|
| Rate for Payer: UHC Medicare Advantage |
$388.63
|
| Rate for Payer: UHCCP Medicaid |
$274.06
|
| Rate for Payer: VA VA |
$388.63
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,165.90
|
|
|
HC EXCHANGE WIRE PTCA
|
Facility
|
OP
|
$561.27
|
|
|
Service Code
|
HCPCS C1769
|
| Hospital Charge Code |
27200029
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$98.95 |
| Max. Negotiated Rate |
$505.14 |
| Rate for Payer: Aetna Commercial |
$477.08
|
| Rate for Payer: Aetna Medicare |
$145.93
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$175.40
|
| Rate for Payer: Amish Plain Church Group Commercial |
$175.40
|
| Rate for Payer: BCBS Complete |
$103.89
|
| Rate for Payer: BCBS MAPPO |
$140.32
|
| Rate for Payer: BCBS Trust/PPO |
$461.42
|
| Rate for Payer: BCN Commercial |
$461.42
|
| Rate for Payer: BCN Medicare Advantage |
$140.32
|
| Rate for Payer: Cash Price |
$449.02
|
| Rate for Payer: Cofinity Commercial |
$482.69
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$449.02
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$140.32
|
| Rate for Payer: Healthscope Commercial |
$505.14
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$420.95
|
| Rate for Payer: Mclaren Medicaid |
$98.95
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$147.33
|
| Rate for Payer: Meridian Medicaid |
$103.89
|
| Rate for Payer: MI Amish Medical Board Commercial |
$161.37
|
| Rate for Payer: Molina Medicare/Medicaid |
$154.35
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$477.08
|
| Rate for Payer: Nomi Health Commercial |
$460.24
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$420.95
|
| Rate for Payer: PACE Senior Care Partners |
$133.30
|
| Rate for Payer: PACE SWMI |
$140.32
|
| Rate for Payer: PHP Commercial |
$477.08
|
| Rate for Payer: PHP Medicare Advantage |
$140.32
|
| Rate for Payer: Priority Health Choice Medicaid |
$98.95
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$488.30
|
| Rate for Payer: Priority Health Medicare |
$141.72
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$390.64
|
| Rate for Payer: Railroad Medicare Medicare |
$140.32
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$493.92
|
| Rate for Payer: UHC Core |
$468.66
|
| Rate for Payer: UHC Exchange |
$140.32
|
| Rate for Payer: UHC Medicaid |
$98.95
|
| Rate for Payer: UHC Medicare Advantage |
$140.32
|
| Rate for Payer: UHCCP Medicaid |
$98.95
|
| Rate for Payer: VA VA |
$140.32
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$420.95
|
|
|
HC EXCHANGE WIRE PTCA
|
Facility
|
IP
|
$561.27
|
|
|
Service Code
|
HCPCS C1769
|
| Hospital Charge Code |
27200029
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$390.64 |
| Max. Negotiated Rate |
$505.14 |
| Rate for Payer: Aetna Commercial |
$477.08
|
| Rate for Payer: BCBS Trust/PPO |
$463.55
|
| Rate for Payer: BCN Commercial |
$463.55
|
| Rate for Payer: Cash Price |
$449.02
|
| Rate for Payer: Cofinity Commercial |
$482.69
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$449.02
|
| Rate for Payer: Healthscope Commercial |
$505.14
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$420.95
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$477.08
|
| Rate for Payer: Nomi Health Commercial |
$460.24
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$420.95
|
| Rate for Payer: PHP Commercial |
$477.08
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$488.30
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$390.64
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$493.92
|
| Rate for Payer: UHC Core |
$468.66
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$420.95
|
|
|
HC EXCIS/DESTRUCT INTRANASAL LESION INT APPR
|
Facility
|
OP
|
$8,219.16
|
|
|
Service Code
|
CPT 30117
|
| Hospital Charge Code |
76100449
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$1,449.04 |
| Max. Negotiated Rate |
$7,397.24 |
| Rate for Payer: Aetna Commercial |
$6,986.29
|
| Rate for Payer: Aetna Medicare |
$2,136.98
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$2,568.49
|
| Rate for Payer: Amish Plain Church Group Commercial |
$2,568.49
|
| Rate for Payer: BCBS Complete |
$1,521.37
|
| Rate for Payer: BCBS MAPPO |
$2,054.79
|
| Rate for Payer: BCBS Trust/PPO |
$6,756.97
|
| Rate for Payer: BCN Commercial |
$6,756.97
|
| Rate for Payer: BCN Medicare Advantage |
$2,054.79
|
| Rate for Payer: Cash Price |
$6,575.33
|
| Rate for Payer: Cofinity Commercial |
$7,068.48
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$6,575.33
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,054.79
|
| Rate for Payer: Healthscope Commercial |
$7,397.24
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$6,164.37
|
| Rate for Payer: Mclaren Medicaid |
$1,449.04
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$2,157.53
|
| Rate for Payer: Meridian Medicaid |
$1,521.37
|
| Rate for Payer: MI Amish Medical Board Commercial |
$2,363.01
|
| Rate for Payer: Molina Medicare/Medicaid |
$2,260.27
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$6,986.29
|
| Rate for Payer: Nomi Health Commercial |
$6,739.71
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$6,164.37
|
| Rate for Payer: PACE Senior Care Partners |
$1,952.05
|
| Rate for Payer: PACE SWMI |
$2,054.79
|
| Rate for Payer: PHP Commercial |
$6,986.29
|
| Rate for Payer: PHP Medicare Advantage |
$2,054.79
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,449.04
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$7,150.67
|
| Rate for Payer: Priority Health Medicare |
$2,075.34
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$5,720.54
|
| Rate for Payer: Railroad Medicare Medicare |
$2,054.79
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$7,232.86
|
| Rate for Payer: UHC Core |
$6,863.00
|
| Rate for Payer: UHC Exchange |
$2,054.79
|
| Rate for Payer: UHC Medicaid |
$1,449.04
|
| Rate for Payer: UHC Medicare Advantage |
$2,054.79
|
| Rate for Payer: UHCCP Medicaid |
$1,449.04
|
| Rate for Payer: VA VA |
$2,054.79
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$6,164.37
|
|
|
HC EXCIS/DESTRUCT INTRANASAL LESION INT APPR
|
Facility
|
IP
|
$8,219.16
|
|
|
Service Code
|
CPT 30117
|
| Hospital Charge Code |
76100449
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$5,720.54 |
| Max. Negotiated Rate |
$7,397.24 |
| Rate for Payer: Aetna Commercial |
$6,986.29
|
| Rate for Payer: BCBS Trust/PPO |
$6,788.20
|
| Rate for Payer: BCN Commercial |
$6,788.20
|
| Rate for Payer: Cash Price |
$6,575.33
|
| Rate for Payer: Cofinity Commercial |
$7,068.48
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$6,575.33
|
| Rate for Payer: Healthscope Commercial |
$7,397.24
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$6,164.37
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$6,986.29
|
| Rate for Payer: Nomi Health Commercial |
$6,739.71
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$6,164.37
|
| Rate for Payer: PHP Commercial |
$6,986.29
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$7,150.67
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$5,720.54
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$7,232.86
|
| Rate for Payer: UHC Core |
$6,863.00
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$6,164.37
|
|
|
HC EXCISE BENIGN LESION SCALP, NECK, HANDS, FEET, GENITALIA 0.5 CM OR LESS
|
Facility
|
IP
|
$1,199.57
|
|
|
Service Code
|
CPT 11420
|
| Hospital Charge Code |
76100095
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$834.90 |
| Max. Negotiated Rate |
$1,079.61 |
| Rate for Payer: Aetna Commercial |
$1,019.63
|
| Rate for Payer: BCBS Trust/PPO |
$990.72
|
| Rate for Payer: BCN Commercial |
$990.72
|
| Rate for Payer: Cash Price |
$959.66
|
| Rate for Payer: Cofinity Commercial |
$1,031.63
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$959.66
|
| Rate for Payer: Healthscope Commercial |
$1,079.61
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$899.68
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,019.63
|
| Rate for Payer: Nomi Health Commercial |
$983.65
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$899.68
|
| Rate for Payer: PHP Commercial |
$1,019.63
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$1,043.63
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$834.90
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,055.62
|
| Rate for Payer: UHC Core |
$1,001.64
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$899.68
|
|
|
HC EXCISE BENIGN LESION SCALP, NECK, HANDS, FEET, GENITALIA 0.5 CM OR LESS
|
Facility
|
OP
|
$1,199.57
|
|
|
Service Code
|
CPT 11420
|
| Hospital Charge Code |
76100095
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$211.48 |
| Max. Negotiated Rate |
$1,079.61 |
| Rate for Payer: Aetna Commercial |
$1,019.63
|
| Rate for Payer: Aetna Medicare |
$311.89
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$374.87
|
| Rate for Payer: Amish Plain Church Group Commercial |
$374.87
|
| Rate for Payer: BCBS Complete |
$222.04
|
| Rate for Payer: BCBS MAPPO |
$299.89
|
| Rate for Payer: BCBS Trust/PPO |
$986.17
|
| Rate for Payer: BCN Commercial |
$986.17
|
| Rate for Payer: BCN Medicare Advantage |
$299.89
|
| Rate for Payer: Cash Price |
$959.66
|
| Rate for Payer: Cofinity Commercial |
$1,031.63
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$959.66
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$299.89
|
| Rate for Payer: Healthscope Commercial |
$1,079.61
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$899.68
|
| Rate for Payer: Mclaren Medicaid |
$211.48
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$314.89
|
| Rate for Payer: Meridian Medicaid |
$222.04
|
| Rate for Payer: MI Amish Medical Board Commercial |
$344.88
|
| Rate for Payer: Molina Medicare/Medicaid |
$329.88
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,019.63
|
| Rate for Payer: Nomi Health Commercial |
$983.65
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$899.68
|
| Rate for Payer: PACE Senior Care Partners |
$284.90
|
| Rate for Payer: PACE SWMI |
$299.89
|
| Rate for Payer: PHP Commercial |
$1,019.63
|
| Rate for Payer: PHP Medicare Advantage |
$299.89
|
| Rate for Payer: Priority Health Choice Medicaid |
$211.48
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$1,043.63
|
| Rate for Payer: Priority Health Medicare |
$302.89
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$834.90
|
| Rate for Payer: Railroad Medicare Medicare |
$299.89
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,055.62
|
| Rate for Payer: UHC Core |
$1,001.64
|
| Rate for Payer: UHC Exchange |
$299.89
|
| Rate for Payer: UHC Medicaid |
$211.48
|
| Rate for Payer: UHC Medicare Advantage |
$299.89
|
| Rate for Payer: UHCCP Medicaid |
$211.48
|
| Rate for Payer: VA VA |
$299.89
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$899.68
|
|
|
HC EXCISE BENIGN LESION SCALP, NECK, HANDS, FEET, GENITALIA 0.6 TO 1.0 CM
|
Facility
|
IP
|
$1,199.57
|
|
|
Service Code
|
CPT 11421
|
| Hospital Charge Code |
76100096
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$834.90 |
| Max. Negotiated Rate |
$1,079.61 |
| Rate for Payer: Aetna Commercial |
$1,019.63
|
| Rate for Payer: BCBS Trust/PPO |
$990.72
|
| Rate for Payer: BCN Commercial |
$990.72
|
| Rate for Payer: Cash Price |
$959.66
|
| Rate for Payer: Cofinity Commercial |
$1,031.63
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$959.66
|
| Rate for Payer: Healthscope Commercial |
$1,079.61
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$899.68
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,019.63
|
| Rate for Payer: Nomi Health Commercial |
$983.65
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$899.68
|
| Rate for Payer: PHP Commercial |
$1,019.63
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$1,043.63
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$834.90
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,055.62
|
| Rate for Payer: UHC Core |
$1,001.64
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$899.68
|
|
|
HC EXCISE BENIGN LESION SCALP, NECK, HANDS, FEET, GENITALIA 0.6 TO 1.0 CM
|
Facility
|
OP
|
$1,199.57
|
|
|
Service Code
|
CPT 11421
|
| Hospital Charge Code |
76100096
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$211.48 |
| Max. Negotiated Rate |
$1,079.61 |
| Rate for Payer: Aetna Commercial |
$1,019.63
|
| Rate for Payer: Aetna Medicare |
$311.89
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$374.87
|
| Rate for Payer: Amish Plain Church Group Commercial |
$374.87
|
| Rate for Payer: BCBS Complete |
$222.04
|
| Rate for Payer: BCBS MAPPO |
$299.89
|
| Rate for Payer: BCBS Trust/PPO |
$986.17
|
| Rate for Payer: BCN Commercial |
$986.17
|
| Rate for Payer: BCN Medicare Advantage |
$299.89
|
| Rate for Payer: Cash Price |
$959.66
|
| Rate for Payer: Cofinity Commercial |
$1,031.63
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$959.66
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$299.89
|
| Rate for Payer: Healthscope Commercial |
$1,079.61
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$899.68
|
| Rate for Payer: Mclaren Medicaid |
$211.48
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$314.89
|
| Rate for Payer: Meridian Medicaid |
$222.04
|
| Rate for Payer: MI Amish Medical Board Commercial |
$344.88
|
| Rate for Payer: Molina Medicare/Medicaid |
$329.88
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,019.63
|
| Rate for Payer: Nomi Health Commercial |
$983.65
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$899.68
|
| Rate for Payer: PACE Senior Care Partners |
$284.90
|
| Rate for Payer: PACE SWMI |
$299.89
|
| Rate for Payer: PHP Commercial |
$1,019.63
|
| Rate for Payer: PHP Medicare Advantage |
$299.89
|
| Rate for Payer: Priority Health Choice Medicaid |
$211.48
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$1,043.63
|
| Rate for Payer: Priority Health Medicare |
$302.89
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$834.90
|
| Rate for Payer: Railroad Medicare Medicare |
$299.89
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,055.62
|
| Rate for Payer: UHC Core |
$1,001.64
|
| Rate for Payer: UHC Exchange |
$299.89
|
| Rate for Payer: UHC Medicaid |
$211.48
|
| Rate for Payer: UHC Medicare Advantage |
$299.89
|
| Rate for Payer: UHCCP Medicaid |
$211.48
|
| Rate for Payer: VA VA |
$299.89
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$899.68
|
|
|
HC EXCISE BENIGN LESION SCALP, NECK, HANDS, FEET, GENITALIA 1.1 TO 2.0 CM
|
Facility
|
OP
|
$1,199.57
|
|
|
Service Code
|
CPT 11422
|
| Hospital Charge Code |
76100097
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$211.48 |
| Max. Negotiated Rate |
$1,079.61 |
| Rate for Payer: Aetna Commercial |
$1,019.63
|
| Rate for Payer: Aetna Medicare |
$311.89
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$374.87
|
| Rate for Payer: Amish Plain Church Group Commercial |
$374.87
|
| Rate for Payer: BCBS Complete |
$222.04
|
| Rate for Payer: BCBS MAPPO |
$299.89
|
| Rate for Payer: BCBS Trust/PPO |
$986.17
|
| Rate for Payer: BCN Commercial |
$986.17
|
| Rate for Payer: BCN Medicare Advantage |
$299.89
|
| Rate for Payer: Cash Price |
$959.66
|
| Rate for Payer: Cofinity Commercial |
$1,031.63
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$959.66
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$299.89
|
| Rate for Payer: Healthscope Commercial |
$1,079.61
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$899.68
|
| Rate for Payer: Mclaren Medicaid |
$211.48
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$314.89
|
| Rate for Payer: Meridian Medicaid |
$222.04
|
| Rate for Payer: MI Amish Medical Board Commercial |
$344.88
|
| Rate for Payer: Molina Medicare/Medicaid |
$329.88
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,019.63
|
| Rate for Payer: Nomi Health Commercial |
$983.65
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$899.68
|
| Rate for Payer: PACE Senior Care Partners |
$284.90
|
| Rate for Payer: PACE SWMI |
$299.89
|
| Rate for Payer: PHP Commercial |
$1,019.63
|
| Rate for Payer: PHP Medicare Advantage |
$299.89
|
| Rate for Payer: Priority Health Choice Medicaid |
$211.48
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$1,043.63
|
| Rate for Payer: Priority Health Medicare |
$302.89
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$834.90
|
| Rate for Payer: Railroad Medicare Medicare |
$299.89
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,055.62
|
| Rate for Payer: UHC Core |
$1,001.64
|
| Rate for Payer: UHC Exchange |
$299.89
|
| Rate for Payer: UHC Medicaid |
$211.48
|
| Rate for Payer: UHC Medicare Advantage |
$299.89
|
| Rate for Payer: UHCCP Medicaid |
$211.48
|
| Rate for Payer: VA VA |
$299.89
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$899.68
|
|
|
HC EXCISE BENIGN LESION SCALP, NECK, HANDS, FEET, GENITALIA 1.1 TO 2.0 CM
|
Facility
|
IP
|
$1,199.57
|
|
|
Service Code
|
CPT 11422
|
| Hospital Charge Code |
76100097
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$834.90 |
| Max. Negotiated Rate |
$1,079.61 |
| Rate for Payer: Aetna Commercial |
$1,019.63
|
| Rate for Payer: BCBS Trust/PPO |
$990.72
|
| Rate for Payer: BCN Commercial |
$990.72
|
| Rate for Payer: Cash Price |
$959.66
|
| Rate for Payer: Cofinity Commercial |
$1,031.63
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$959.66
|
| Rate for Payer: Healthscope Commercial |
$1,079.61
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$899.68
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,019.63
|
| Rate for Payer: Nomi Health Commercial |
$983.65
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$899.68
|
| Rate for Payer: PHP Commercial |
$1,019.63
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$1,043.63
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$834.90
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,055.62
|
| Rate for Payer: UHC Core |
$1,001.64
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$899.68
|
|
|
HC EXCISE BENIGN LESION SCALP, NECK, HANDS, FEET, GENITALIA 2.1 TO 3.0 CM
|
Facility
|
IP
|
$1,199.57
|
|
|
Service Code
|
CPT 11423
|
| Hospital Charge Code |
76100098
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$834.90 |
| Max. Negotiated Rate |
$1,079.61 |
| Rate for Payer: Aetna Commercial |
$1,019.63
|
| Rate for Payer: BCBS Trust/PPO |
$990.72
|
| Rate for Payer: BCN Commercial |
$990.72
|
| Rate for Payer: Cash Price |
$959.66
|
| Rate for Payer: Cofinity Commercial |
$1,031.63
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$959.66
|
| Rate for Payer: Healthscope Commercial |
$1,079.61
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$899.68
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,019.63
|
| Rate for Payer: Nomi Health Commercial |
$983.65
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$899.68
|
| Rate for Payer: PHP Commercial |
$1,019.63
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$1,043.63
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$834.90
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,055.62
|
| Rate for Payer: UHC Core |
$1,001.64
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$899.68
|
|
|
HC EXCISE BENIGN LESION SCALP, NECK, HANDS, FEET, GENITALIA 2.1 TO 3.0 CM
|
Facility
|
OP
|
$1,199.57
|
|
|
Service Code
|
CPT 11423
|
| Hospital Charge Code |
76100098
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$211.48 |
| Max. Negotiated Rate |
$1,079.61 |
| Rate for Payer: Aetna Commercial |
$1,019.63
|
| Rate for Payer: Aetna Medicare |
$311.89
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$374.87
|
| Rate for Payer: Amish Plain Church Group Commercial |
$374.87
|
| Rate for Payer: BCBS Complete |
$222.04
|
| Rate for Payer: BCBS MAPPO |
$299.89
|
| Rate for Payer: BCBS Trust/PPO |
$986.17
|
| Rate for Payer: BCN Commercial |
$986.17
|
| Rate for Payer: BCN Medicare Advantage |
$299.89
|
| Rate for Payer: Cash Price |
$959.66
|
| Rate for Payer: Cofinity Commercial |
$1,031.63
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$959.66
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$299.89
|
| Rate for Payer: Healthscope Commercial |
$1,079.61
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$899.68
|
| Rate for Payer: Mclaren Medicaid |
$211.48
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$314.89
|
| Rate for Payer: Meridian Medicaid |
$222.04
|
| Rate for Payer: MI Amish Medical Board Commercial |
$344.88
|
| Rate for Payer: Molina Medicare/Medicaid |
$329.88
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,019.63
|
| Rate for Payer: Nomi Health Commercial |
$983.65
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$899.68
|
| Rate for Payer: PACE Senior Care Partners |
$284.90
|
| Rate for Payer: PACE SWMI |
$299.89
|
| Rate for Payer: PHP Commercial |
$1,019.63
|
| Rate for Payer: PHP Medicare Advantage |
$299.89
|
| Rate for Payer: Priority Health Choice Medicaid |
$211.48
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$1,043.63
|
| Rate for Payer: Priority Health Medicare |
$302.89
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$834.90
|
| Rate for Payer: Railroad Medicare Medicare |
$299.89
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,055.62
|
| Rate for Payer: UHC Core |
$1,001.64
|
| Rate for Payer: UHC Exchange |
$299.89
|
| Rate for Payer: UHC Medicaid |
$211.48
|
| Rate for Payer: UHC Medicare Advantage |
$299.89
|
| Rate for Payer: UHCCP Medicaid |
$211.48
|
| Rate for Payer: VA VA |
$299.89
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$899.68
|
|
|
HC EXCISE BENIGN LESION SCALP, NECK, HANDS, FEET, GENITALIA 3.1 TO 4.0 CM
|
Facility
|
IP
|
$1,981.12
|
|
|
Service Code
|
CPT 11424
|
| Hospital Charge Code |
76100099
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$1,378.86 |
| Max. Negotiated Rate |
$1,783.01 |
| Rate for Payer: Aetna Commercial |
$1,683.95
|
| Rate for Payer: BCBS Trust/PPO |
$1,636.21
|
| Rate for Payer: BCN Commercial |
$1,636.21
|
| Rate for Payer: Cash Price |
$1,584.90
|
| Rate for Payer: Cofinity Commercial |
$1,703.76
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,584.90
|
| Rate for Payer: Healthscope Commercial |
$1,783.01
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,485.84
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,683.95
|
| Rate for Payer: Nomi Health Commercial |
$1,624.52
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,485.84
|
| Rate for Payer: PHP Commercial |
$1,683.95
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$1,723.57
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,378.86
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,743.39
|
| Rate for Payer: UHC Core |
$1,654.24
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,485.84
|
|
|
HC EXCISE BENIGN LESION SCALP, NECK, HANDS, FEET, GENITALIA 3.1 TO 4.0 CM
|
Facility
|
OP
|
$1,981.12
|
|
|
Service Code
|
CPT 11424
|
| Hospital Charge Code |
76100099
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$349.27 |
| Max. Negotiated Rate |
$1,783.01 |
| Rate for Payer: Aetna Commercial |
$1,683.95
|
| Rate for Payer: Aetna Medicare |
$515.09
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$619.10
|
| Rate for Payer: Amish Plain Church Group Commercial |
$619.10
|
| Rate for Payer: BCBS Complete |
$366.71
|
| Rate for Payer: BCBS MAPPO |
$495.28
|
| Rate for Payer: BCBS Trust/PPO |
$1,628.68
|
| Rate for Payer: BCN Commercial |
$1,628.68
|
| Rate for Payer: BCN Medicare Advantage |
$495.28
|
| Rate for Payer: Cash Price |
$1,584.90
|
| Rate for Payer: Cofinity Commercial |
$1,703.76
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,584.90
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$495.28
|
| Rate for Payer: Healthscope Commercial |
$1,783.01
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,485.84
|
| Rate for Payer: Mclaren Medicaid |
$349.27
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$520.04
|
| Rate for Payer: Meridian Medicaid |
$366.71
|
| Rate for Payer: MI Amish Medical Board Commercial |
$569.57
|
| Rate for Payer: Molina Medicare/Medicaid |
$544.81
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,683.95
|
| Rate for Payer: Nomi Health Commercial |
$1,624.52
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,485.84
|
| Rate for Payer: PACE Senior Care Partners |
$470.52
|
| Rate for Payer: PACE SWMI |
$495.28
|
| Rate for Payer: PHP Commercial |
$1,683.95
|
| Rate for Payer: PHP Medicare Advantage |
$495.28
|
| Rate for Payer: Priority Health Choice Medicaid |
$349.27
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$1,723.57
|
| Rate for Payer: Priority Health Medicare |
$500.23
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,378.86
|
| Rate for Payer: Railroad Medicare Medicare |
$495.28
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,743.39
|
| Rate for Payer: UHC Core |
$1,654.24
|
| Rate for Payer: UHC Exchange |
$495.28
|
| Rate for Payer: UHC Medicaid |
$349.27
|
| Rate for Payer: UHC Medicare Advantage |
$495.28
|
| Rate for Payer: UHCCP Medicaid |
$349.27
|
| Rate for Payer: VA VA |
$495.28
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,485.84
|
|
|
HC EXCISE BENIGN LESION SCALP, NECK, HANDS, FEET, GENITALIA OVER 4.0 CM
|
Facility
|
OP
|
$1,981.12
|
|
|
Service Code
|
CPT 11426
|
| Hospital Charge Code |
76100100
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$349.27 |
| Max. Negotiated Rate |
$1,783.01 |
| Rate for Payer: Aetna Commercial |
$1,683.95
|
| Rate for Payer: Aetna Medicare |
$515.09
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$619.10
|
| Rate for Payer: Amish Plain Church Group Commercial |
$619.10
|
| Rate for Payer: BCBS Complete |
$366.71
|
| Rate for Payer: BCBS MAPPO |
$495.28
|
| Rate for Payer: BCBS Trust/PPO |
$1,628.68
|
| Rate for Payer: BCN Commercial |
$1,628.68
|
| Rate for Payer: BCN Medicare Advantage |
$495.28
|
| Rate for Payer: Cash Price |
$1,584.90
|
| Rate for Payer: Cofinity Commercial |
$1,703.76
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,584.90
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$495.28
|
| Rate for Payer: Healthscope Commercial |
$1,783.01
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,485.84
|
| Rate for Payer: Mclaren Medicaid |
$349.27
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$520.04
|
| Rate for Payer: Meridian Medicaid |
$366.71
|
| Rate for Payer: MI Amish Medical Board Commercial |
$569.57
|
| Rate for Payer: Molina Medicare/Medicaid |
$544.81
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,683.95
|
| Rate for Payer: Nomi Health Commercial |
$1,624.52
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,485.84
|
| Rate for Payer: PACE Senior Care Partners |
$470.52
|
| Rate for Payer: PACE SWMI |
$495.28
|
| Rate for Payer: PHP Commercial |
$1,683.95
|
| Rate for Payer: PHP Medicare Advantage |
$495.28
|
| Rate for Payer: Priority Health Choice Medicaid |
$349.27
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$1,723.57
|
| Rate for Payer: Priority Health Medicare |
$500.23
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,378.86
|
| Rate for Payer: Railroad Medicare Medicare |
$495.28
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,743.39
|
| Rate for Payer: UHC Core |
$1,654.24
|
| Rate for Payer: UHC Exchange |
$495.28
|
| Rate for Payer: UHC Medicaid |
$349.27
|
| Rate for Payer: UHC Medicare Advantage |
$495.28
|
| Rate for Payer: UHCCP Medicaid |
$349.27
|
| Rate for Payer: VA VA |
$495.28
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,485.84
|
|
|
HC EXCISE BENIGN LESION SCALP, NECK, HANDS, FEET, GENITALIA OVER 4.0 CM
|
Facility
|
IP
|
$1,981.12
|
|
|
Service Code
|
CPT 11426
|
| Hospital Charge Code |
76100100
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$1,378.86 |
| Max. Negotiated Rate |
$1,783.01 |
| Rate for Payer: Aetna Commercial |
$1,683.95
|
| Rate for Payer: BCBS Trust/PPO |
$1,636.21
|
| Rate for Payer: BCN Commercial |
$1,636.21
|
| Rate for Payer: Cash Price |
$1,584.90
|
| Rate for Payer: Cofinity Commercial |
$1,703.76
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,584.90
|
| Rate for Payer: Healthscope Commercial |
$1,783.01
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,485.84
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,683.95
|
| Rate for Payer: Nomi Health Commercial |
$1,624.52
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,485.84
|
| Rate for Payer: PHP Commercial |
$1,683.95
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$1,723.57
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,378.86
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,743.39
|
| Rate for Payer: UHC Core |
$1,654.24
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,485.84
|
|
|
HC EXCISE BENIGN LESION TRUNK, ARMS, LEGS 0.5 CM OR LESS
|
Facility
|
OP
|
$855.50
|
|
|
Service Code
|
CPT 11400
|
| Hospital Charge Code |
76100089
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$150.82 |
| Max. Negotiated Rate |
$769.95 |
| Rate for Payer: Aetna Commercial |
$727.17
|
| Rate for Payer: Aetna Medicare |
$222.43
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$267.34
|
| Rate for Payer: Amish Plain Church Group Commercial |
$267.34
|
| Rate for Payer: BCBS Complete |
$158.35
|
| Rate for Payer: BCBS MAPPO |
$213.88
|
| Rate for Payer: BCBS Trust/PPO |
$703.31
|
| Rate for Payer: BCN Commercial |
$703.31
|
| Rate for Payer: BCN Medicare Advantage |
$213.88
|
| Rate for Payer: Cash Price |
$684.40
|
| Rate for Payer: Cofinity Commercial |
$735.73
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$684.40
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$213.88
|
| Rate for Payer: Healthscope Commercial |
$769.95
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$641.62
|
| Rate for Payer: Mclaren Medicaid |
$150.82
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$224.57
|
| Rate for Payer: Meridian Medicaid |
$158.35
|
| Rate for Payer: MI Amish Medical Board Commercial |
$245.96
|
| Rate for Payer: Molina Medicare/Medicaid |
$235.26
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$727.17
|
| Rate for Payer: Nomi Health Commercial |
$701.51
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$641.62
|
| Rate for Payer: PACE Senior Care Partners |
$203.18
|
| Rate for Payer: PACE SWMI |
$213.88
|
| Rate for Payer: PHP Commercial |
$727.17
|
| Rate for Payer: PHP Medicare Advantage |
$213.88
|
| Rate for Payer: Priority Health Choice Medicaid |
$150.82
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$744.28
|
| Rate for Payer: Priority Health Medicare |
$216.01
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$595.43
|
| Rate for Payer: Railroad Medicare Medicare |
$213.88
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$752.84
|
| Rate for Payer: UHC Core |
$714.34
|
| Rate for Payer: UHC Exchange |
$213.88
|
| Rate for Payer: UHC Medicaid |
$150.82
|
| Rate for Payer: UHC Medicare Advantage |
$213.88
|
| Rate for Payer: UHCCP Medicaid |
$150.82
|
| Rate for Payer: VA VA |
$213.88
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$641.62
|
|
|
HC EXCISE BENIGN LESION TRUNK, ARMS, LEGS 0.5 CM OR LESS
|
Facility
|
IP
|
$855.50
|
|
|
Service Code
|
CPT 11400
|
| Hospital Charge Code |
76100089
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$595.43 |
| Max. Negotiated Rate |
$769.95 |
| Rate for Payer: Aetna Commercial |
$727.17
|
| Rate for Payer: BCBS Trust/PPO |
$706.56
|
| Rate for Payer: BCN Commercial |
$706.56
|
| Rate for Payer: Cash Price |
$684.40
|
| Rate for Payer: Cofinity Commercial |
$735.73
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$684.40
|
| Rate for Payer: Healthscope Commercial |
$769.95
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$641.62
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$727.17
|
| Rate for Payer: Nomi Health Commercial |
$701.51
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$641.62
|
| Rate for Payer: PHP Commercial |
$727.17
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$744.28
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$595.43
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$752.84
|
| Rate for Payer: UHC Core |
$714.34
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$641.62
|
|
