|
HC EXCISE MALIGNANT LESION FACE, EARS, EYELIDS, NOSE, LIPS 1.1 TO 2.0 CM
|
Facility
|
IP
|
$612.08
|
|
|
Service Code
|
CPT 11642
|
| Hospital Charge Code |
76100112
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$426.01 |
| Max. Negotiated Rate |
$550.87 |
| Rate for Payer: Aetna Commercial |
$520.27
|
| Rate for Payer: BCBS Trust/PPO |
$505.52
|
| Rate for Payer: BCN Commercial |
$505.52
|
| Rate for Payer: Cash Price |
$489.66
|
| Rate for Payer: Cofinity Commercial |
$526.39
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$489.66
|
| Rate for Payer: Healthscope Commercial |
$550.87
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$459.06
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$520.27
|
| Rate for Payer: Nomi Health Commercial |
$501.91
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$459.06
|
| Rate for Payer: PHP Commercial |
$520.27
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$532.51
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$426.01
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$538.63
|
| Rate for Payer: UHC Core |
$511.09
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$459.06
|
|
|
HC EXCISE MALIGNANT LESION TRUNK, ARMS, LEGS <=0.5 CM
|
Facility
|
IP
|
$193.14
|
|
|
Service Code
|
CPT 11600
|
| Hospital Charge Code |
76100145
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$134.43 |
| Max. Negotiated Rate |
$173.83 |
| Rate for Payer: Aetna Commercial |
$164.17
|
| Rate for Payer: BCBS Trust/PPO |
$159.51
|
| Rate for Payer: BCN Commercial |
$159.51
|
| Rate for Payer: Cash Price |
$154.51
|
| Rate for Payer: Cofinity Commercial |
$166.10
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$154.51
|
| Rate for Payer: Healthscope Commercial |
$173.83
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$144.85
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$164.17
|
| Rate for Payer: Nomi Health Commercial |
$158.37
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$144.85
|
| Rate for Payer: PHP Commercial |
$164.17
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$168.03
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$134.43
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$169.96
|
| Rate for Payer: UHC Core |
$161.27
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$144.85
|
|
|
HC EXCISE MALIGNANT LESION TRUNK, ARMS, LEGS <=0.5 CM
|
Facility
|
OP
|
$193.14
|
|
|
Service Code
|
CPT 11600
|
| Hospital Charge Code |
76100145
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$34.05 |
| Max. Negotiated Rate |
$173.83 |
| Rate for Payer: Aetna Commercial |
$164.17
|
| Rate for Payer: Aetna Medicare |
$50.22
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$60.36
|
| Rate for Payer: Amish Plain Church Group Commercial |
$60.36
|
| Rate for Payer: BCBS Complete |
$35.75
|
| Rate for Payer: BCBS MAPPO |
$48.28
|
| Rate for Payer: BCBS Trust/PPO |
$158.78
|
| Rate for Payer: BCN Commercial |
$158.78
|
| Rate for Payer: BCN Medicare Advantage |
$48.28
|
| Rate for Payer: Cash Price |
$154.51
|
| Rate for Payer: Cofinity Commercial |
$166.10
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$154.51
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$48.28
|
| Rate for Payer: Healthscope Commercial |
$173.83
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$144.85
|
| Rate for Payer: Mclaren Medicaid |
$34.05
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$50.70
|
| Rate for Payer: Meridian Medicaid |
$35.75
|
| Rate for Payer: MI Amish Medical Board Commercial |
$55.53
|
| Rate for Payer: Molina Medicare/Medicaid |
$53.11
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$164.17
|
| Rate for Payer: Nomi Health Commercial |
$158.37
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$144.85
|
| Rate for Payer: PACE Senior Care Partners |
$45.87
|
| Rate for Payer: PACE SWMI |
$48.28
|
| Rate for Payer: PHP Commercial |
$164.17
|
| Rate for Payer: PHP Medicare Advantage |
$48.28
|
| Rate for Payer: Priority Health Choice Medicaid |
$34.05
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$168.03
|
| Rate for Payer: Priority Health Medicare |
$48.77
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$134.43
|
| Rate for Payer: Railroad Medicare Medicare |
$48.28
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$169.96
|
| Rate for Payer: UHC Core |
$161.27
|
| Rate for Payer: UHC Exchange |
$48.28
|
| Rate for Payer: UHC Medicaid |
$34.05
|
| Rate for Payer: UHC Medicare Advantage |
$48.28
|
| Rate for Payer: UHCCP Medicaid |
$34.05
|
| Rate for Payer: VA VA |
$48.28
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$144.85
|
|
|
HC EXCISE MALIGNANT LESION TRUNK, ARMS, LEGS 0.6 TO 1.0 CM
|
Facility
|
IP
|
$612.08
|
|
|
Service Code
|
CPT 11601
|
| Hospital Charge Code |
76100104
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$426.01 |
| Max. Negotiated Rate |
$550.87 |
| Rate for Payer: Aetna Commercial |
$520.27
|
| Rate for Payer: BCBS Trust/PPO |
$505.52
|
| Rate for Payer: BCN Commercial |
$505.52
|
| Rate for Payer: Cash Price |
$489.66
|
| Rate for Payer: Cofinity Commercial |
$526.39
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$489.66
|
| Rate for Payer: Healthscope Commercial |
$550.87
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$459.06
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$520.27
|
| Rate for Payer: Nomi Health Commercial |
$501.91
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$459.06
|
| Rate for Payer: PHP Commercial |
$520.27
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$532.51
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$426.01
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$538.63
|
| Rate for Payer: UHC Core |
$511.09
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$459.06
|
|
|
HC EXCISE MALIGNANT LESION TRUNK, ARMS, LEGS 0.6 TO 1.0 CM
|
Facility
|
OP
|
$612.08
|
|
|
Service Code
|
CPT 11601
|
| Hospital Charge Code |
76100104
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$107.91 |
| Max. Negotiated Rate |
$550.87 |
| Rate for Payer: Aetna Commercial |
$520.27
|
| Rate for Payer: Aetna Medicare |
$159.14
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$191.28
|
| Rate for Payer: Amish Plain Church Group Commercial |
$191.28
|
| Rate for Payer: BCBS Complete |
$113.30
|
| Rate for Payer: BCBS MAPPO |
$153.02
|
| Rate for Payer: BCBS Trust/PPO |
$503.19
|
| Rate for Payer: BCN Commercial |
$503.19
|
| Rate for Payer: BCN Medicare Advantage |
$153.02
|
| Rate for Payer: Cash Price |
$489.66
|
| Rate for Payer: Cofinity Commercial |
$526.39
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$489.66
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$153.02
|
| Rate for Payer: Healthscope Commercial |
$550.87
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$459.06
|
| Rate for Payer: Mclaren Medicaid |
$107.91
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$160.67
|
| Rate for Payer: Meridian Medicaid |
$113.30
|
| Rate for Payer: MI Amish Medical Board Commercial |
$175.97
|
| Rate for Payer: Molina Medicare/Medicaid |
$168.32
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$520.27
|
| Rate for Payer: Nomi Health Commercial |
$501.91
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$459.06
|
| Rate for Payer: PACE Senior Care Partners |
$145.37
|
| Rate for Payer: PACE SWMI |
$153.02
|
| Rate for Payer: PHP Commercial |
$520.27
|
| Rate for Payer: PHP Medicare Advantage |
$153.02
|
| Rate for Payer: Priority Health Choice Medicaid |
$107.91
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$532.51
|
| Rate for Payer: Priority Health Medicare |
$154.55
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$426.01
|
| Rate for Payer: Railroad Medicare Medicare |
$153.02
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$538.63
|
| Rate for Payer: UHC Core |
$511.09
|
| Rate for Payer: UHC Exchange |
$153.02
|
| Rate for Payer: UHC Medicaid |
$107.91
|
| Rate for Payer: UHC Medicare Advantage |
$153.02
|
| Rate for Payer: UHCCP Medicaid |
$107.91
|
| Rate for Payer: VA VA |
$153.02
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$459.06
|
|
|
HC EXCISE MALIGNANT LESION TRUNK, ARMS, LEGS 1.1 TO 2.0 CM
|
Facility
|
IP
|
$612.08
|
|
|
Service Code
|
CPT 11602
|
| Hospital Charge Code |
76100105
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$426.01 |
| Max. Negotiated Rate |
$550.87 |
| Rate for Payer: Aetna Commercial |
$520.27
|
| Rate for Payer: BCBS Trust/PPO |
$505.52
|
| Rate for Payer: BCN Commercial |
$505.52
|
| Rate for Payer: Cash Price |
$489.66
|
| Rate for Payer: Cofinity Commercial |
$526.39
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$489.66
|
| Rate for Payer: Healthscope Commercial |
$550.87
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$459.06
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$520.27
|
| Rate for Payer: Nomi Health Commercial |
$501.91
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$459.06
|
| Rate for Payer: PHP Commercial |
$520.27
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$532.51
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$426.01
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$538.63
|
| Rate for Payer: UHC Core |
$511.09
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$459.06
|
|
|
HC EXCISE MALIGNANT LESION TRUNK, ARMS, LEGS 1.1 TO 2.0 CM
|
Facility
|
OP
|
$612.08
|
|
|
Service Code
|
CPT 11602
|
| Hospital Charge Code |
76100105
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$107.91 |
| Max. Negotiated Rate |
$550.87 |
| Rate for Payer: Aetna Commercial |
$520.27
|
| Rate for Payer: Aetna Medicare |
$159.14
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$191.28
|
| Rate for Payer: Amish Plain Church Group Commercial |
$191.28
|
| Rate for Payer: BCBS Complete |
$113.30
|
| Rate for Payer: BCBS MAPPO |
$153.02
|
| Rate for Payer: BCBS Trust/PPO |
$503.19
|
| Rate for Payer: BCN Commercial |
$503.19
|
| Rate for Payer: BCN Medicare Advantage |
$153.02
|
| Rate for Payer: Cash Price |
$489.66
|
| Rate for Payer: Cofinity Commercial |
$526.39
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$489.66
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$153.02
|
| Rate for Payer: Healthscope Commercial |
$550.87
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$459.06
|
| Rate for Payer: Mclaren Medicaid |
$107.91
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$160.67
|
| Rate for Payer: Meridian Medicaid |
$113.30
|
| Rate for Payer: MI Amish Medical Board Commercial |
$175.97
|
| Rate for Payer: Molina Medicare/Medicaid |
$168.32
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$520.27
|
| Rate for Payer: Nomi Health Commercial |
$501.91
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$459.06
|
| Rate for Payer: PACE Senior Care Partners |
$145.37
|
| Rate for Payer: PACE SWMI |
$153.02
|
| Rate for Payer: PHP Commercial |
$520.27
|
| Rate for Payer: PHP Medicare Advantage |
$153.02
|
| Rate for Payer: Priority Health Choice Medicaid |
$107.91
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$532.51
|
| Rate for Payer: Priority Health Medicare |
$154.55
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$426.01
|
| Rate for Payer: Railroad Medicare Medicare |
$153.02
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$538.63
|
| Rate for Payer: UHC Core |
$511.09
|
| Rate for Payer: UHC Exchange |
$153.02
|
| Rate for Payer: UHC Medicaid |
$107.91
|
| Rate for Payer: UHC Medicare Advantage |
$153.02
|
| Rate for Payer: UHCCP Medicaid |
$107.91
|
| Rate for Payer: VA VA |
$153.02
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$459.06
|
|
|
HC EXCISE MALIGNANT LESION TRUNK, ARMS, LEGS 2.1 TO 3.0 CM
|
Facility
|
IP
|
$1,199.57
|
|
|
Service Code
|
CPT 11603
|
| Hospital Charge Code |
76100106
|
|
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 MALIGNANT LESION TRUNK, ARMS, LEGS 2.1 TO 3.0 CM
|
Facility
|
OP
|
$1,199.57
|
|
|
Service Code
|
CPT 11603
|
| Hospital Charge Code |
76100106
|
|
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 MALIGNANT LESION TRUNK, ARMS, LEGS 3.1 TO 4.0 CM
|
Facility
|
IP
|
$318.69
|
|
|
Service Code
|
CPT 11604
|
| Hospital Charge Code |
76100146
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$221.81 |
| Max. Negotiated Rate |
$286.82 |
| Rate for Payer: Aetna Commercial |
$270.89
|
| Rate for Payer: BCBS Trust/PPO |
$263.21
|
| Rate for Payer: BCN Commercial |
$263.21
|
| Rate for Payer: Cash Price |
$254.95
|
| Rate for Payer: Cofinity Commercial |
$274.07
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$254.95
|
| Rate for Payer: Healthscope Commercial |
$286.82
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$239.02
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$270.89
|
| Rate for Payer: Nomi Health Commercial |
$261.33
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$239.02
|
| Rate for Payer: PHP Commercial |
$270.89
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$277.26
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$221.81
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$280.45
|
| Rate for Payer: UHC Core |
$266.11
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$239.02
|
|
|
HC EXCISE MALIGNANT LESION TRUNK, ARMS, LEGS 3.1 TO 4.0 CM
|
Facility
|
OP
|
$318.69
|
|
|
Service Code
|
CPT 11604
|
| Hospital Charge Code |
76100146
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$56.19 |
| Max. Negotiated Rate |
$286.82 |
| Rate for Payer: Aetna Commercial |
$270.89
|
| Rate for Payer: Aetna Medicare |
$82.86
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$99.59
|
| Rate for Payer: Amish Plain Church Group Commercial |
$99.59
|
| Rate for Payer: BCBS Complete |
$58.99
|
| Rate for Payer: BCBS MAPPO |
$79.67
|
| Rate for Payer: BCBS Trust/PPO |
$262.00
|
| Rate for Payer: BCN Commercial |
$262.00
|
| Rate for Payer: BCN Medicare Advantage |
$79.67
|
| Rate for Payer: Cash Price |
$254.95
|
| Rate for Payer: Cofinity Commercial |
$274.07
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$254.95
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$79.67
|
| Rate for Payer: Healthscope Commercial |
$286.82
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$239.02
|
| Rate for Payer: Mclaren Medicaid |
$56.19
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$83.66
|
| Rate for Payer: Meridian Medicaid |
$58.99
|
| Rate for Payer: MI Amish Medical Board Commercial |
$91.62
|
| Rate for Payer: Molina Medicare/Medicaid |
$87.64
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$270.89
|
| Rate for Payer: Nomi Health Commercial |
$261.33
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$239.02
|
| Rate for Payer: PACE Senior Care Partners |
$75.69
|
| Rate for Payer: PACE SWMI |
$79.67
|
| Rate for Payer: PHP Commercial |
$270.89
|
| Rate for Payer: PHP Medicare Advantage |
$79.67
|
| Rate for Payer: Priority Health Choice Medicaid |
$56.19
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$277.26
|
| Rate for Payer: Priority Health Medicare |
$80.47
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$221.81
|
| Rate for Payer: Railroad Medicare Medicare |
$79.67
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$280.45
|
| Rate for Payer: UHC Core |
$266.11
|
| Rate for Payer: UHC Exchange |
$79.67
|
| Rate for Payer: UHC Medicaid |
$56.19
|
| Rate for Payer: UHC Medicare Advantage |
$79.67
|
| Rate for Payer: UHCCP Medicaid |
$56.19
|
| Rate for Payer: VA VA |
$79.67
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$239.02
|
|
|
HC EXCISION/DESTRUCT LESION PHARYNX ANY METHOD
|
Facility
|
IP
|
$8,284.71
|
|
|
Service Code
|
CPT 42808
|
| Hospital Charge Code |
76100476
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$5,766.16 |
| Max. Negotiated Rate |
$7,456.24 |
| Rate for Payer: Aetna Commercial |
$7,042.00
|
| Rate for Payer: BCBS Trust/PPO |
$6,842.34
|
| Rate for Payer: BCN Commercial |
$6,842.34
|
| Rate for Payer: Cash Price |
$6,627.77
|
| Rate for Payer: Cofinity Commercial |
$7,124.85
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$6,627.77
|
| Rate for Payer: Healthscope Commercial |
$7,456.24
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$6,213.53
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$7,042.00
|
| Rate for Payer: Nomi Health Commercial |
$6,793.46
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$6,213.53
|
| Rate for Payer: PHP Commercial |
$7,042.00
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$7,207.70
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$5,766.16
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$7,290.54
|
| Rate for Payer: UHC Core |
$6,917.73
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$6,213.53
|
|
|
HC EXCISION/DESTRUCT LESION PHARYNX ANY METHOD
|
Facility
|
OP
|
$8,284.71
|
|
|
Service Code
|
CPT 42808
|
| Hospital Charge Code |
76100476
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$1,460.59 |
| Max. Negotiated Rate |
$7,456.24 |
| Rate for Payer: Aetna Commercial |
$7,042.00
|
| Rate for Payer: Aetna Medicare |
$2,154.02
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$2,588.97
|
| Rate for Payer: Amish Plain Church Group Commercial |
$2,588.97
|
| Rate for Payer: BCBS Complete |
$1,533.50
|
| Rate for Payer: BCBS MAPPO |
$2,071.18
|
| Rate for Payer: BCBS Trust/PPO |
$6,810.86
|
| Rate for Payer: BCN Commercial |
$6,810.86
|
| Rate for Payer: BCN Medicare Advantage |
$2,071.18
|
| Rate for Payer: Cash Price |
$6,627.77
|
| Rate for Payer: Cofinity Commercial |
$7,124.85
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$6,627.77
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,071.18
|
| Rate for Payer: Healthscope Commercial |
$7,456.24
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$6,213.53
|
| Rate for Payer: Mclaren Medicaid |
$1,460.59
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$2,174.74
|
| Rate for Payer: Meridian Medicaid |
$1,533.50
|
| Rate for Payer: MI Amish Medical Board Commercial |
$2,381.85
|
| Rate for Payer: Molina Medicare/Medicaid |
$2,278.30
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$7,042.00
|
| Rate for Payer: Nomi Health Commercial |
$6,793.46
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$6,213.53
|
| Rate for Payer: PACE Senior Care Partners |
$1,967.62
|
| Rate for Payer: PACE SWMI |
$2,071.18
|
| Rate for Payer: PHP Commercial |
$7,042.00
|
| Rate for Payer: PHP Medicare Advantage |
$2,071.18
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,460.59
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$7,207.70
|
| Rate for Payer: Priority Health Medicare |
$2,091.89
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$5,766.16
|
| Rate for Payer: Railroad Medicare Medicare |
$2,071.18
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$7,290.54
|
| Rate for Payer: UHC Core |
$6,917.73
|
| Rate for Payer: UHC Exchange |
$2,071.18
|
| Rate for Payer: UHC Medicaid |
$1,460.59
|
| Rate for Payer: UHC Medicare Advantage |
$2,071.18
|
| Rate for Payer: UHCCP Medicaid |
$1,460.59
|
| Rate for Payer: VA VA |
$2,071.18
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$6,213.53
|
|
|
HC EXCISION EXCESSIVE SKIN & SUBQ TISSUE
|
Facility
|
IP
|
$7,323.40
|
|
|
Service Code
|
CPT 15839
|
| Hospital Charge Code |
76100330
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$5,097.09 |
| Max. Negotiated Rate |
$6,591.06 |
| Rate for Payer: Aetna Commercial |
$6,224.89
|
| Rate for Payer: BCBS Trust/PPO |
$6,048.40
|
| Rate for Payer: BCN Commercial |
$6,048.40
|
| Rate for Payer: Cash Price |
$5,858.72
|
| Rate for Payer: Cofinity Commercial |
$6,298.12
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$5,858.72
|
| Rate for Payer: Healthscope Commercial |
$6,591.06
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$5,492.55
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$6,224.89
|
| Rate for Payer: Nomi Health Commercial |
$6,005.19
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$5,492.55
|
| Rate for Payer: PHP Commercial |
$6,224.89
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$6,371.36
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$5,097.09
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$6,444.59
|
| Rate for Payer: UHC Core |
$6,115.04
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$5,492.55
|
|
|
HC EXCISION EXCESSIVE SKIN & SUBQ TISSUE
|
Facility
|
OP
|
$7,323.40
|
|
|
Service Code
|
CPT 15839
|
| Hospital Charge Code |
76100330
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$1,291.12 |
| Max. Negotiated Rate |
$6,591.06 |
| Rate for Payer: Aetna Commercial |
$6,224.89
|
| Rate for Payer: Aetna Medicare |
$1,904.08
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$2,288.56
|
| Rate for Payer: Amish Plain Church Group Commercial |
$2,288.56
|
| Rate for Payer: BCBS Complete |
$1,355.56
|
| Rate for Payer: BCBS MAPPO |
$1,830.85
|
| Rate for Payer: BCBS Trust/PPO |
$6,020.57
|
| Rate for Payer: BCN Commercial |
$6,020.57
|
| Rate for Payer: BCN Medicare Advantage |
$1,830.85
|
| Rate for Payer: Cash Price |
$5,858.72
|
| Rate for Payer: Cofinity Commercial |
$6,298.12
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$5,858.72
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,830.85
|
| Rate for Payer: Healthscope Commercial |
$6,591.06
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$5,492.55
|
| Rate for Payer: Mclaren Medicaid |
$1,291.12
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,922.39
|
| Rate for Payer: Meridian Medicaid |
$1,355.56
|
| Rate for Payer: MI Amish Medical Board Commercial |
$2,105.48
|
| Rate for Payer: Molina Medicare/Medicaid |
$2,013.93
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$6,224.89
|
| Rate for Payer: Nomi Health Commercial |
$6,005.19
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$5,492.55
|
| Rate for Payer: PACE Senior Care Partners |
$1,739.31
|
| Rate for Payer: PACE SWMI |
$1,830.85
|
| Rate for Payer: PHP Commercial |
$6,224.89
|
| Rate for Payer: PHP Medicare Advantage |
$1,830.85
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,291.12
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$6,371.36
|
| Rate for Payer: Priority Health Medicare |
$1,849.16
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$5,097.09
|
| Rate for Payer: Railroad Medicare Medicare |
$1,830.85
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$6,444.59
|
| Rate for Payer: UHC Core |
$6,115.04
|
| Rate for Payer: UHC Exchange |
$1,830.85
|
| Rate for Payer: UHC Medicaid |
$1,291.12
|
| Rate for Payer: UHC Medicare Advantage |
$1,830.85
|
| Rate for Payer: UHCCP Medicaid |
$1,291.12
|
| Rate for Payer: VA VA |
$1,830.85
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$5,492.55
|
|
|
HC EXCISION EXTERNAL EAR PARTIAL SIMPLE REPAIR
|
Facility
|
OP
|
$11,236.32
|
|
|
Service Code
|
CPT 69110
|
| Hospital Charge Code |
76100403
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$1,980.96 |
| Max. Negotiated Rate |
$10,112.69 |
| Rate for Payer: Aetna Commercial |
$9,550.87
|
| Rate for Payer: Aetna Commercial |
$6,367.25
|
| Rate for Payer: Aetna Medicare |
$1,947.63
|
| Rate for Payer: Aetna Medicare |
$2,921.44
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$2,340.90
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$3,511.35
|
| Rate for Payer: Amish Plain Church Group Commercial |
$3,511.35
|
| Rate for Payer: Amish Plain Church Group Commercial |
$2,340.90
|
| Rate for Payer: BCBS Complete |
$2,079.84
|
| Rate for Payer: BCBS Complete |
$1,386.56
|
| Rate for Payer: BCBS MAPPO |
$2,809.08
|
| Rate for Payer: BCBS MAPPO |
$1,872.72
|
| Rate for Payer: BCBS Trust/PPO |
$9,237.38
|
| Rate for Payer: BCBS Trust/PPO |
$6,158.25
|
| Rate for Payer: BCN Commercial |
$6,158.25
|
| Rate for Payer: BCN Commercial |
$9,237.38
|
| Rate for Payer: BCN Medicare Advantage |
$1,872.72
|
| Rate for Payer: BCN Medicare Advantage |
$2,809.08
|
| Rate for Payer: Cash Price |
$8,989.06
|
| Rate for Payer: Cash Price |
$5,992.70
|
| Rate for Payer: Cofinity Commercial |
$9,663.24
|
| Rate for Payer: Cofinity Commercial |
$6,442.16
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$5,992.70
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$8,989.06
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,872.72
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,809.08
|
| Rate for Payer: Healthscope Commercial |
$10,112.69
|
| Rate for Payer: Healthscope Commercial |
$6,741.79
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$8,427.24
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$5,618.16
|
| Rate for Payer: Mclaren Medicaid |
$1,320.64
|
| Rate for Payer: Mclaren Medicaid |
$1,980.96
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,966.36
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$2,949.53
|
| Rate for Payer: Meridian Medicaid |
$2,079.84
|
| Rate for Payer: Meridian Medicaid |
$1,386.56
|
| Rate for Payer: MI Amish Medical Board Commercial |
$2,153.63
|
| Rate for Payer: MI Amish Medical Board Commercial |
$3,230.44
|
| Rate for Payer: Molina Medicare/Medicaid |
$2,059.99
|
| Rate for Payer: Molina Medicare/Medicaid |
$3,089.99
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$6,367.25
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$9,550.87
|
| Rate for Payer: Nomi Health Commercial |
$6,142.52
|
| Rate for Payer: Nomi Health Commercial |
$9,213.78
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$8,427.24
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$5,618.16
|
| Rate for Payer: PACE Senior Care Partners |
$1,779.08
|
| Rate for Payer: PACE Senior Care Partners |
$2,668.63
|
| Rate for Payer: PACE SWMI |
$1,872.72
|
| Rate for Payer: PACE SWMI |
$2,809.08
|
| Rate for Payer: PHP Commercial |
$9,550.87
|
| Rate for Payer: PHP Commercial |
$6,367.25
|
| Rate for Payer: PHP Medicare Advantage |
$2,809.08
|
| Rate for Payer: PHP Medicare Advantage |
$1,872.72
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,320.64
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,980.96
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$6,517.07
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$9,775.60
|
| Rate for Payer: Priority Health Medicare |
$1,891.45
|
| Rate for Payer: Priority Health Medicare |
$2,837.17
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$7,820.48
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$5,213.65
|
| Rate for Payer: Railroad Medicare Medicare |
$2,809.08
|
| Rate for Payer: Railroad Medicare Medicare |
$1,872.72
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$9,887.96
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$6,591.97
|
| Rate for Payer: UHC Core |
$6,254.88
|
| Rate for Payer: UHC Core |
$9,382.33
|
| Rate for Payer: UHC Exchange |
$1,872.72
|
| Rate for Payer: UHC Exchange |
$2,809.08
|
| Rate for Payer: UHC Medicaid |
$1,320.64
|
| Rate for Payer: UHC Medicaid |
$1,980.96
|
| Rate for Payer: UHC Medicare Advantage |
$2,809.08
|
| Rate for Payer: UHC Medicare Advantage |
$1,872.72
|
| Rate for Payer: UHCCP Medicaid |
$1,980.96
|
| Rate for Payer: UHCCP Medicaid |
$1,320.64
|
| Rate for Payer: VA VA |
$2,809.08
|
| Rate for Payer: VA VA |
$1,872.72
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$5,618.16
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$8,427.24
|
|
|
HC EXCISION EXTERNAL EAR PARTIAL SIMPLE REPAIR
|
Facility
|
IP
|
$11,236.32
|
|
|
Service Code
|
CPT 69110
|
| Hospital Charge Code |
76100403
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$7,820.48 |
| Max. Negotiated Rate |
$10,112.69 |
| Rate for Payer: Aetna Commercial |
$9,550.87
|
| Rate for Payer: Aetna Commercial |
$6,367.25
|
| Rate for Payer: BCBS Trust/PPO |
$9,280.08
|
| Rate for Payer: BCBS Trust/PPO |
$6,186.72
|
| Rate for Payer: BCN Commercial |
$9,280.08
|
| Rate for Payer: BCN Commercial |
$6,186.72
|
| Rate for Payer: Cash Price |
$8,989.06
|
| Rate for Payer: Cash Price |
$5,992.70
|
| Rate for Payer: Cofinity Commercial |
$6,442.16
|
| Rate for Payer: Cofinity Commercial |
$9,663.24
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$5,992.70
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$8,989.06
|
| Rate for Payer: Healthscope Commercial |
$10,112.69
|
| Rate for Payer: Healthscope Commercial |
$6,741.79
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$8,427.24
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$5,618.16
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$9,550.87
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$6,367.25
|
| Rate for Payer: Nomi Health Commercial |
$9,213.78
|
| Rate for Payer: Nomi Health Commercial |
$6,142.52
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$8,427.24
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$5,618.16
|
| Rate for Payer: PHP Commercial |
$6,367.25
|
| Rate for Payer: PHP Commercial |
$9,550.87
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$6,517.07
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$9,775.60
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$7,820.48
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$5,213.65
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$9,887.96
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$6,591.97
|
| Rate for Payer: UHC Core |
$9,382.33
|
| Rate for Payer: UHC Core |
$6,254.88
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$8,427.24
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$5,618.16
|
|
|
HC EXCISION LESION TONGUE W/O CLOSURE
|
Facility
|
OP
|
$8,219.16
|
|
|
Service Code
|
CPT 41110
|
| Hospital Charge Code |
76100465
|
|
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 EXCISION LESION TONGUE W/O CLOSURE
|
Facility
|
IP
|
$8,219.16
|
|
|
Service Code
|
CPT 41110
|
| Hospital Charge Code |
76100465
|
|
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 EXCISION LINGUAL FRENUM FRENECTOMY
|
Facility
|
IP
|
$4,057.56
|
|
|
Service Code
|
CPT 41115
|
| Hospital Charge Code |
76100380
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$2,824.06 |
| Max. Negotiated Rate |
$3,651.80 |
| Rate for Payer: Aetna Commercial |
$3,448.93
|
| Rate for Payer: BCBS Trust/PPO |
$3,351.14
|
| Rate for Payer: BCN Commercial |
$3,351.14
|
| Rate for Payer: Cash Price |
$3,246.05
|
| Rate for Payer: Cofinity Commercial |
$3,489.50
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,246.05
|
| Rate for Payer: Healthscope Commercial |
$3,651.80
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$3,043.17
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,448.93
|
| Rate for Payer: Nomi Health Commercial |
$3,327.20
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$3,043.17
|
| Rate for Payer: PHP Commercial |
$3,448.93
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$3,530.08
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,824.06
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$3,570.65
|
| Rate for Payer: UHC Core |
$3,388.06
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$3,043.17
|
|
|
HC EXCISION LINGUAL FRENUM FRENECTOMY
|
Facility
|
OP
|
$4,057.56
|
|
|
Service Code
|
CPT 41115
|
| Hospital Charge Code |
76100380
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$715.35 |
| Max. Negotiated Rate |
$3,651.80 |
| Rate for Payer: Aetna Commercial |
$3,448.93
|
| Rate for Payer: Aetna Medicare |
$1,054.97
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,267.99
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1,267.99
|
| Rate for Payer: BCBS Complete |
$751.05
|
| Rate for Payer: BCBS MAPPO |
$1,014.39
|
| Rate for Payer: BCBS Trust/PPO |
$3,335.72
|
| Rate for Payer: BCN Commercial |
$3,335.72
|
| Rate for Payer: BCN Medicare Advantage |
$1,014.39
|
| Rate for Payer: Cash Price |
$3,246.05
|
| Rate for Payer: Cofinity Commercial |
$3,489.50
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,246.05
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,014.39
|
| Rate for Payer: Healthscope Commercial |
$3,651.80
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$3,043.17
|
| Rate for Payer: Mclaren Medicaid |
$715.35
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,065.11
|
| Rate for Payer: Meridian Medicaid |
$751.05
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,166.55
|
| Rate for Payer: Molina Medicare/Medicaid |
$1,115.83
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,448.93
|
| Rate for Payer: Nomi Health Commercial |
$3,327.20
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$3,043.17
|
| Rate for Payer: PACE Senior Care Partners |
$963.67
|
| Rate for Payer: PACE SWMI |
$1,014.39
|
| Rate for Payer: PHP Commercial |
$3,448.93
|
| Rate for Payer: PHP Medicare Advantage |
$1,014.39
|
| Rate for Payer: Priority Health Choice Medicaid |
$715.35
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$3,530.08
|
| Rate for Payer: Priority Health Medicare |
$1,024.53
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,824.06
|
| Rate for Payer: Railroad Medicare Medicare |
$1,014.39
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$3,570.65
|
| Rate for Payer: UHC Core |
$3,388.06
|
| Rate for Payer: UHC Exchange |
$1,014.39
|
| Rate for Payer: UHC Medicaid |
$715.35
|
| Rate for Payer: UHC Medicare Advantage |
$1,014.39
|
| Rate for Payer: UHCCP Medicaid |
$715.35
|
| Rate for Payer: VA VA |
$1,014.39
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$3,043.17
|
|
|
HC EXCISION OF ANAL LESION(S)
|
Facility
|
IP
|
$7,678.50
|
|
|
Service Code
|
CPT 46922
|
| Hospital Charge Code |
76100350
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$5,344.24 |
| Max. Negotiated Rate |
$6,910.65 |
| Rate for Payer: Aetna Commercial |
$6,526.73
|
| Rate for Payer: BCBS Trust/PPO |
$6,341.67
|
| Rate for Payer: BCN Commercial |
$6,341.67
|
| Rate for Payer: Cash Price |
$6,142.80
|
| Rate for Payer: Cofinity Commercial |
$6,603.51
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$6,142.80
|
| Rate for Payer: Healthscope Commercial |
$6,910.65
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$5,758.88
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$6,526.73
|
| Rate for Payer: Nomi Health Commercial |
$6,296.37
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$5,758.88
|
| Rate for Payer: PHP Commercial |
$6,526.73
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$6,680.30
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$5,344.24
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$6,757.08
|
| Rate for Payer: UHC Core |
$6,411.55
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$5,758.88
|
|
|
HC EXCISION OF ANAL LESION(S)
|
Facility
|
OP
|
$7,678.50
|
|
|
Service Code
|
CPT 46922
|
| Hospital Charge Code |
76100350
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$1,353.72 |
| Max. Negotiated Rate |
$6,910.65 |
| Rate for Payer: Aetna Commercial |
$6,526.73
|
| Rate for Payer: Aetna Medicare |
$1,996.41
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$2,399.53
|
| Rate for Payer: Amish Plain Church Group Commercial |
$2,399.53
|
| Rate for Payer: BCBS Complete |
$1,421.29
|
| Rate for Payer: BCBS MAPPO |
$1,919.62
|
| Rate for Payer: BCBS Trust/PPO |
$6,312.49
|
| Rate for Payer: BCN Commercial |
$6,312.49
|
| Rate for Payer: BCN Medicare Advantage |
$1,919.62
|
| Rate for Payer: Cash Price |
$6,142.80
|
| Rate for Payer: Cofinity Commercial |
$6,603.51
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$6,142.80
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,919.62
|
| Rate for Payer: Healthscope Commercial |
$6,910.65
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$5,758.88
|
| Rate for Payer: Mclaren Medicaid |
$1,353.72
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$2,015.61
|
| Rate for Payer: Meridian Medicaid |
$1,421.29
|
| Rate for Payer: MI Amish Medical Board Commercial |
$2,207.57
|
| Rate for Payer: Molina Medicare/Medicaid |
$2,111.59
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$6,526.73
|
| Rate for Payer: Nomi Health Commercial |
$6,296.37
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$5,758.88
|
| Rate for Payer: PACE Senior Care Partners |
$1,823.64
|
| Rate for Payer: PACE SWMI |
$1,919.62
|
| Rate for Payer: PHP Commercial |
$6,526.73
|
| Rate for Payer: PHP Medicare Advantage |
$1,919.62
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,353.72
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$6,680.30
|
| Rate for Payer: Priority Health Medicare |
$1,938.82
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$5,344.24
|
| Rate for Payer: Railroad Medicare Medicare |
$1,919.62
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$6,757.08
|
| Rate for Payer: UHC Core |
$6,411.55
|
| Rate for Payer: UHC Exchange |
$1,919.62
|
| Rate for Payer: UHC Medicaid |
$1,353.72
|
| Rate for Payer: UHC Medicare Advantage |
$1,919.62
|
| Rate for Payer: UHCCP Medicaid |
$1,353.72
|
| Rate for Payer: VA VA |
$1,919.62
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$5,758.88
|
|
|
HC EXCISION OF NAIL OR NAIL MATRIX
|
Facility
|
IP
|
$403.71
|
|
|
Service Code
|
CPT 11750
|
| Hospital Charge Code |
76100077
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$280.98 |
| Max. Negotiated Rate |
$363.34 |
| Rate for Payer: Aetna Commercial |
$343.15
|
| Rate for Payer: BCBS Trust/PPO |
$333.42
|
| Rate for Payer: BCN Commercial |
$333.42
|
| Rate for Payer: Cash Price |
$322.97
|
| Rate for Payer: Cofinity Commercial |
$347.19
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$322.97
|
| Rate for Payer: Healthscope Commercial |
$363.34
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$302.78
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$343.15
|
| Rate for Payer: Nomi Health Commercial |
$331.04
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$302.78
|
| Rate for Payer: PHP Commercial |
$343.15
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$351.23
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$280.98
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$355.26
|
| Rate for Payer: UHC Core |
$337.10
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$302.78
|
|
|
HC EXCISION OF NAIL OR NAIL MATRIX
|
Facility
|
OP
|
$403.71
|
|
|
Service Code
|
CPT 11750
|
| Hospital Charge Code |
76100077
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$71.17 |
| Max. Negotiated Rate |
$363.34 |
| Rate for Payer: Aetna Commercial |
$343.15
|
| Rate for Payer: Aetna Medicare |
$104.96
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$126.16
|
| Rate for Payer: Amish Plain Church Group Commercial |
$126.16
|
| Rate for Payer: BCBS Complete |
$74.73
|
| Rate for Payer: BCBS MAPPO |
$100.93
|
| Rate for Payer: BCBS Trust/PPO |
$331.89
|
| Rate for Payer: BCN Commercial |
$331.89
|
| Rate for Payer: BCN Medicare Advantage |
$100.93
|
| Rate for Payer: Cash Price |
$322.97
|
| Rate for Payer: Cofinity Commercial |
$347.19
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$322.97
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$100.93
|
| Rate for Payer: Healthscope Commercial |
$363.34
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$302.78
|
| Rate for Payer: Mclaren Medicaid |
$71.17
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$105.97
|
| Rate for Payer: Meridian Medicaid |
$74.73
|
| Rate for Payer: MI Amish Medical Board Commercial |
$116.07
|
| Rate for Payer: Molina Medicare/Medicaid |
$111.02
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$343.15
|
| Rate for Payer: Nomi Health Commercial |
$331.04
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$302.78
|
| Rate for Payer: PACE Senior Care Partners |
$95.88
|
| Rate for Payer: PACE SWMI |
$100.93
|
| Rate for Payer: PHP Commercial |
$343.15
|
| Rate for Payer: PHP Medicare Advantage |
$100.93
|
| Rate for Payer: Priority Health Choice Medicaid |
$71.17
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$351.23
|
| Rate for Payer: Priority Health Medicare |
$101.94
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$280.98
|
| Rate for Payer: Railroad Medicare Medicare |
$100.93
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$355.26
|
| Rate for Payer: UHC Core |
$337.10
|
| Rate for Payer: UHC Exchange |
$100.93
|
| Rate for Payer: UHC Medicaid |
$71.17
|
| Rate for Payer: UHC Medicare Advantage |
$100.93
|
| Rate for Payer: UHCCP Medicaid |
$71.17
|
| Rate for Payer: VA VA |
$100.93
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$302.78
|
|
