|
HC EXC MALIGNANT LESION SCALP, NECK, HANDS, FEET, GENITALIA 1.0 TO 2.0 CM
|
Facility
|
IP
|
$1,199.57
|
|
|
Service Code
|
CPT 11622
|
| Hospital Charge Code |
76100109
|
|
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 EXC SINGLE EXTERNAL PAPILLA OR TAG, ANUS
|
Facility
|
IP
|
$1,598.53
|
|
|
Service Code
|
CPT 46220
|
| Hospital Charge Code |
76100280
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$1,112.58 |
| Max. Negotiated Rate |
$1,438.68 |
| Rate for Payer: Aetna Commercial |
$1,358.75
|
| Rate for Payer: BCBS Trust/PPO |
$1,320.23
|
| Rate for Payer: BCN Commercial |
$1,320.23
|
| Rate for Payer: Cash Price |
$1,278.82
|
| Rate for Payer: Cofinity Commercial |
$1,374.74
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,278.82
|
| Rate for Payer: Healthscope Commercial |
$1,438.68
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,198.90
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,358.75
|
| Rate for Payer: Nomi Health Commercial |
$1,310.79
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,198.90
|
| Rate for Payer: PHP Commercial |
$1,358.75
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$1,390.72
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,112.58
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,406.71
|
| Rate for Payer: UHC Core |
$1,334.77
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,198.90
|
|
|
HC EXC SINGLE EXTERNAL PAPILLA OR TAG, ANUS
|
Facility
|
OP
|
$1,598.53
|
|
|
Service Code
|
CPT 46220
|
| Hospital Charge Code |
76100280
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$281.82 |
| Max. Negotiated Rate |
$1,438.68 |
| Rate for Payer: Aetna Commercial |
$1,358.75
|
| Rate for Payer: Aetna Medicare |
$415.62
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$499.54
|
| Rate for Payer: Amish Plain Church Group Commercial |
$499.54
|
| Rate for Payer: BCBS Complete |
$295.89
|
| Rate for Payer: BCBS MAPPO |
$399.63
|
| Rate for Payer: BCBS Trust/PPO |
$1,314.15
|
| Rate for Payer: BCN Commercial |
$1,314.15
|
| Rate for Payer: BCN Medicare Advantage |
$399.63
|
| Rate for Payer: Cash Price |
$1,278.82
|
| Rate for Payer: Cofinity Commercial |
$1,374.74
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,278.82
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$399.63
|
| Rate for Payer: Healthscope Commercial |
$1,438.68
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,198.90
|
| Rate for Payer: Mclaren Medicaid |
$281.82
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$419.61
|
| Rate for Payer: Meridian Medicaid |
$295.89
|
| Rate for Payer: MI Amish Medical Board Commercial |
$459.58
|
| Rate for Payer: Molina Medicare/Medicaid |
$439.60
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,358.75
|
| Rate for Payer: Nomi Health Commercial |
$1,310.79
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,198.90
|
| Rate for Payer: PACE Senior Care Partners |
$379.65
|
| Rate for Payer: PACE SWMI |
$399.63
|
| Rate for Payer: PHP Commercial |
$1,358.75
|
| Rate for Payer: PHP Medicare Advantage |
$399.63
|
| Rate for Payer: Priority Health Choice Medicaid |
$281.82
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$1,390.72
|
| Rate for Payer: Priority Health Medicare |
$403.63
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,112.58
|
| Rate for Payer: Railroad Medicare Medicare |
$399.63
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,406.71
|
| Rate for Payer: UHC Core |
$1,334.77
|
| Rate for Payer: UHC Exchange |
$399.63
|
| Rate for Payer: UHC Medicaid |
$281.82
|
| Rate for Payer: UHC Medicare Advantage |
$399.63
|
| Rate for Payer: UHCCP Medicaid |
$281.82
|
| Rate for Payer: VA VA |
$399.63
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,198.90
|
|
|
HC EXC SKIN MALIG 2.1-3CM FACE, FACIAL
|
Facility
|
OP
|
$2,189.54
|
|
|
Service Code
|
CPT 11643
|
| Hospital Charge Code |
76100215
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$386.02 |
| Max. Negotiated Rate |
$1,970.59 |
| Rate for Payer: Aetna Commercial |
$1,861.11
|
| Rate for Payer: Aetna Medicare |
$569.28
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$684.23
|
| Rate for Payer: Amish Plain Church Group Commercial |
$684.23
|
| Rate for Payer: BCBS Complete |
$405.28
|
| Rate for Payer: BCBS MAPPO |
$547.38
|
| Rate for Payer: BCBS Trust/PPO |
$1,800.02
|
| Rate for Payer: BCN Commercial |
$1,800.02
|
| Rate for Payer: BCN Medicare Advantage |
$547.38
|
| Rate for Payer: Cash Price |
$1,751.63
|
| Rate for Payer: Cofinity Commercial |
$1,883.00
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,751.63
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$547.38
|
| Rate for Payer: Healthscope Commercial |
$1,970.59
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,642.15
|
| Rate for Payer: Mclaren Medicaid |
$386.02
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$574.75
|
| Rate for Payer: Meridian Medicaid |
$405.28
|
| Rate for Payer: MI Amish Medical Board Commercial |
$629.49
|
| Rate for Payer: Molina Medicare/Medicaid |
$602.12
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,861.11
|
| Rate for Payer: Nomi Health Commercial |
$1,795.42
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,642.15
|
| Rate for Payer: PACE Senior Care Partners |
$520.02
|
| Rate for Payer: PACE SWMI |
$547.38
|
| Rate for Payer: PHP Commercial |
$1,861.11
|
| Rate for Payer: PHP Medicare Advantage |
$547.38
|
| Rate for Payer: Priority Health Choice Medicaid |
$386.02
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$1,904.90
|
| Rate for Payer: Priority Health Medicare |
$552.86
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,523.92
|
| Rate for Payer: Railroad Medicare Medicare |
$547.38
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,926.80
|
| Rate for Payer: UHC Core |
$1,828.27
|
| Rate for Payer: UHC Exchange |
$547.38
|
| Rate for Payer: UHC Medicaid |
$386.02
|
| Rate for Payer: UHC Medicare Advantage |
$547.38
|
| Rate for Payer: UHCCP Medicaid |
$386.02
|
| Rate for Payer: VA VA |
$547.38
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,642.15
|
|
|
HC EXC SKIN MALIG 2.1-3CM FACE, FACIAL
|
Facility
|
IP
|
$2,189.54
|
|
|
Service Code
|
CPT 11643
|
| Hospital Charge Code |
76100215
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$1,523.92 |
| Max. Negotiated Rate |
$1,970.59 |
| Rate for Payer: Aetna Commercial |
$1,861.11
|
| Rate for Payer: BCBS Trust/PPO |
$1,808.34
|
| Rate for Payer: BCN Commercial |
$1,808.34
|
| Rate for Payer: Cash Price |
$1,751.63
|
| Rate for Payer: Cofinity Commercial |
$1,883.00
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,751.63
|
| Rate for Payer: Healthscope Commercial |
$1,970.59
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,642.15
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,861.11
|
| Rate for Payer: Nomi Health Commercial |
$1,795.42
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,642.15
|
| Rate for Payer: PHP Commercial |
$1,861.11
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$1,904.90
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,523.92
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,926.80
|
| Rate for Payer: UHC Core |
$1,828.27
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,642.15
|
|
|
HC EXC SKIN MALIG 2.1-3 CM REMAINDER BODY
|
Facility
|
OP
|
$2,189.54
|
|
|
Service Code
|
CPT 11623
|
| Hospital Charge Code |
76100212
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$386.02 |
| Max. Negotiated Rate |
$1,970.59 |
| Rate for Payer: Aetna Commercial |
$1,861.11
|
| Rate for Payer: Aetna Medicare |
$569.28
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$684.23
|
| Rate for Payer: Amish Plain Church Group Commercial |
$684.23
|
| Rate for Payer: BCBS Complete |
$405.28
|
| Rate for Payer: BCBS MAPPO |
$547.38
|
| Rate for Payer: BCBS Trust/PPO |
$1,800.02
|
| Rate for Payer: BCN Commercial |
$1,800.02
|
| Rate for Payer: BCN Medicare Advantage |
$547.38
|
| Rate for Payer: Cash Price |
$1,751.63
|
| Rate for Payer: Cofinity Commercial |
$1,883.00
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,751.63
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$547.38
|
| Rate for Payer: Healthscope Commercial |
$1,970.59
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,642.15
|
| Rate for Payer: Mclaren Medicaid |
$386.02
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$574.75
|
| Rate for Payer: Meridian Medicaid |
$405.28
|
| Rate for Payer: MI Amish Medical Board Commercial |
$629.49
|
| Rate for Payer: Molina Medicare/Medicaid |
$602.12
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,861.11
|
| Rate for Payer: Nomi Health Commercial |
$1,795.42
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,642.15
|
| Rate for Payer: PACE Senior Care Partners |
$520.02
|
| Rate for Payer: PACE SWMI |
$547.38
|
| Rate for Payer: PHP Commercial |
$1,861.11
|
| Rate for Payer: PHP Medicare Advantage |
$547.38
|
| Rate for Payer: Priority Health Choice Medicaid |
$386.02
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$1,904.90
|
| Rate for Payer: Priority Health Medicare |
$552.86
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,523.92
|
| Rate for Payer: Railroad Medicare Medicare |
$547.38
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,926.80
|
| Rate for Payer: UHC Core |
$1,828.27
|
| Rate for Payer: UHC Exchange |
$547.38
|
| Rate for Payer: UHC Medicaid |
$386.02
|
| Rate for Payer: UHC Medicare Advantage |
$547.38
|
| Rate for Payer: UHCCP Medicaid |
$386.02
|
| Rate for Payer: VA VA |
$547.38
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,642.15
|
|
|
HC EXC SKIN MALIG 2.1-3 CM REMAINDER BODY
|
Facility
|
IP
|
$2,189.54
|
|
|
Service Code
|
CPT 11623
|
| Hospital Charge Code |
76100212
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$1,523.92 |
| Max. Negotiated Rate |
$1,970.59 |
| Rate for Payer: Aetna Commercial |
$1,861.11
|
| Rate for Payer: BCBS Trust/PPO |
$1,808.34
|
| Rate for Payer: BCN Commercial |
$1,808.34
|
| Rate for Payer: Cash Price |
$1,751.63
|
| Rate for Payer: Cofinity Commercial |
$1,883.00
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,751.63
|
| Rate for Payer: Healthscope Commercial |
$1,970.59
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,642.15
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,861.11
|
| Rate for Payer: Nomi Health Commercial |
$1,795.42
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,642.15
|
| Rate for Payer: PHP Commercial |
$1,861.11
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$1,904.90
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,523.92
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,926.80
|
| Rate for Payer: UHC Core |
$1,828.27
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,642.15
|
|
|
HC EXC SKIN MALIG 3.1-4CM FACE, FACIAL
|
Facility
|
OP
|
$2,189.54
|
|
|
Service Code
|
CPT 11644
|
| Hospital Charge Code |
76100216
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$386.02 |
| Max. Negotiated Rate |
$1,970.59 |
| Rate for Payer: Aetna Commercial |
$1,861.11
|
| Rate for Payer: Aetna Medicare |
$569.28
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$684.23
|
| Rate for Payer: Amish Plain Church Group Commercial |
$684.23
|
| Rate for Payer: BCBS Complete |
$405.28
|
| Rate for Payer: BCBS MAPPO |
$547.38
|
| Rate for Payer: BCBS Trust/PPO |
$1,800.02
|
| Rate for Payer: BCN Commercial |
$1,800.02
|
| Rate for Payer: BCN Medicare Advantage |
$547.38
|
| Rate for Payer: Cash Price |
$1,751.63
|
| Rate for Payer: Cofinity Commercial |
$1,883.00
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,751.63
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$547.38
|
| Rate for Payer: Healthscope Commercial |
$1,970.59
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,642.15
|
| Rate for Payer: Mclaren Medicaid |
$386.02
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$574.75
|
| Rate for Payer: Meridian Medicaid |
$405.28
|
| Rate for Payer: MI Amish Medical Board Commercial |
$629.49
|
| Rate for Payer: Molina Medicare/Medicaid |
$602.12
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,861.11
|
| Rate for Payer: Nomi Health Commercial |
$1,795.42
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,642.15
|
| Rate for Payer: PACE Senior Care Partners |
$520.02
|
| Rate for Payer: PACE SWMI |
$547.38
|
| Rate for Payer: PHP Commercial |
$1,861.11
|
| Rate for Payer: PHP Medicare Advantage |
$547.38
|
| Rate for Payer: Priority Health Choice Medicaid |
$386.02
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$1,904.90
|
| Rate for Payer: Priority Health Medicare |
$552.86
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,523.92
|
| Rate for Payer: Railroad Medicare Medicare |
$547.38
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,926.80
|
| Rate for Payer: UHC Core |
$1,828.27
|
| Rate for Payer: UHC Exchange |
$547.38
|
| Rate for Payer: UHC Medicaid |
$386.02
|
| Rate for Payer: UHC Medicare Advantage |
$547.38
|
| Rate for Payer: UHCCP Medicaid |
$386.02
|
| Rate for Payer: VA VA |
$547.38
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,642.15
|
|
|
HC EXC SKIN MALIG 3.1-4CM FACE, FACIAL
|
Facility
|
IP
|
$2,189.54
|
|
|
Service Code
|
CPT 11644
|
| Hospital Charge Code |
76100216
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$1,523.92 |
| Max. Negotiated Rate |
$1,970.59 |
| Rate for Payer: Aetna Commercial |
$1,861.11
|
| Rate for Payer: BCBS Trust/PPO |
$1,808.34
|
| Rate for Payer: BCN Commercial |
$1,808.34
|
| Rate for Payer: Cash Price |
$1,751.63
|
| Rate for Payer: Cofinity Commercial |
$1,883.00
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,751.63
|
| Rate for Payer: Healthscope Commercial |
$1,970.59
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,642.15
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,861.11
|
| Rate for Payer: Nomi Health Commercial |
$1,795.42
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,642.15
|
| Rate for Payer: PHP Commercial |
$1,861.11
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$1,904.90
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,523.92
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,926.80
|
| Rate for Payer: UHC Core |
$1,828.27
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,642.15
|
|
|
HC EXC SKIN MALIG 3.1-4 CM REMAINDER BODY
|
Facility
|
IP
|
$2,189.54
|
|
|
Service Code
|
CPT 11624
|
| Hospital Charge Code |
76100213
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$1,523.92 |
| Max. Negotiated Rate |
$1,970.59 |
| Rate for Payer: Aetna Commercial |
$1,861.11
|
| Rate for Payer: BCBS Trust/PPO |
$1,808.34
|
| Rate for Payer: BCN Commercial |
$1,808.34
|
| Rate for Payer: Cash Price |
$1,751.63
|
| Rate for Payer: Cofinity Commercial |
$1,883.00
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,751.63
|
| Rate for Payer: Healthscope Commercial |
$1,970.59
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,642.15
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,861.11
|
| Rate for Payer: Nomi Health Commercial |
$1,795.42
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,642.15
|
| Rate for Payer: PHP Commercial |
$1,861.11
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$1,904.90
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,523.92
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,926.80
|
| Rate for Payer: UHC Core |
$1,828.27
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,642.15
|
|
|
HC EXC SKIN MALIG 3.1-4 CM REMAINDER BODY
|
Facility
|
OP
|
$2,189.54
|
|
|
Service Code
|
CPT 11624
|
| Hospital Charge Code |
76100213
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$386.02 |
| Max. Negotiated Rate |
$1,970.59 |
| Rate for Payer: Aetna Commercial |
$1,861.11
|
| Rate for Payer: Aetna Medicare |
$569.28
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$684.23
|
| Rate for Payer: Amish Plain Church Group Commercial |
$684.23
|
| Rate for Payer: BCBS Complete |
$405.28
|
| Rate for Payer: BCBS MAPPO |
$547.38
|
| Rate for Payer: BCBS Trust/PPO |
$1,800.02
|
| Rate for Payer: BCN Commercial |
$1,800.02
|
| Rate for Payer: BCN Medicare Advantage |
$547.38
|
| Rate for Payer: Cash Price |
$1,751.63
|
| Rate for Payer: Cofinity Commercial |
$1,883.00
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,751.63
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$547.38
|
| Rate for Payer: Healthscope Commercial |
$1,970.59
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,642.15
|
| Rate for Payer: Mclaren Medicaid |
$386.02
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$574.75
|
| Rate for Payer: Meridian Medicaid |
$405.28
|
| Rate for Payer: MI Amish Medical Board Commercial |
$629.49
|
| Rate for Payer: Molina Medicare/Medicaid |
$602.12
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,861.11
|
| Rate for Payer: Nomi Health Commercial |
$1,795.42
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,642.15
|
| Rate for Payer: PACE Senior Care Partners |
$520.02
|
| Rate for Payer: PACE SWMI |
$547.38
|
| Rate for Payer: PHP Commercial |
$1,861.11
|
| Rate for Payer: PHP Medicare Advantage |
$547.38
|
| Rate for Payer: Priority Health Choice Medicaid |
$386.02
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$1,904.90
|
| Rate for Payer: Priority Health Medicare |
$552.86
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,523.92
|
| Rate for Payer: Railroad Medicare Medicare |
$547.38
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,926.80
|
| Rate for Payer: UHC Core |
$1,828.27
|
| Rate for Payer: UHC Exchange |
$547.38
|
| Rate for Payer: UHC Medicaid |
$386.02
|
| Rate for Payer: UHC Medicare Advantage |
$547.38
|
| Rate for Payer: UHCCP Medicaid |
$386.02
|
| Rate for Payer: VA VA |
$547.38
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,642.15
|
|
|
HC EXC SKIN MALIG >4CM FACE, FACIAL
|
Facility
|
OP
|
$3,785.86
|
|
|
Service Code
|
CPT 11646
|
| Hospital Charge Code |
76100217
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$667.45 |
| Max. Negotiated Rate |
$3,407.27 |
| Rate for Payer: Aetna Commercial |
$3,217.98
|
| Rate for Payer: Aetna Medicare |
$984.32
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,183.08
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1,183.08
|
| Rate for Payer: BCBS Complete |
$700.76
|
| Rate for Payer: BCBS MAPPO |
$946.47
|
| Rate for Payer: BCBS Trust/PPO |
$3,112.36
|
| Rate for Payer: BCN Commercial |
$3,112.36
|
| Rate for Payer: BCN Medicare Advantage |
$946.47
|
| Rate for Payer: Cash Price |
$3,028.69
|
| Rate for Payer: Cofinity Commercial |
$3,255.84
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,028.69
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$946.47
|
| Rate for Payer: Healthscope Commercial |
$3,407.27
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,839.39
|
| Rate for Payer: Mclaren Medicaid |
$667.45
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$993.79
|
| Rate for Payer: Meridian Medicaid |
$700.76
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,088.43
|
| Rate for Payer: Molina Medicare/Medicaid |
$1,041.11
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,217.98
|
| Rate for Payer: Nomi Health Commercial |
$3,104.41
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,839.39
|
| Rate for Payer: PACE Senior Care Partners |
$899.14
|
| Rate for Payer: PACE SWMI |
$946.47
|
| Rate for Payer: PHP Commercial |
$3,217.98
|
| Rate for Payer: PHP Medicare Advantage |
$946.47
|
| Rate for Payer: Priority Health Choice Medicaid |
$667.45
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$3,293.70
|
| Rate for Payer: Priority Health Medicare |
$955.93
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,634.96
|
| Rate for Payer: Railroad Medicare Medicare |
$946.47
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$3,331.56
|
| Rate for Payer: UHC Core |
$3,161.19
|
| Rate for Payer: UHC Exchange |
$946.47
|
| Rate for Payer: UHC Medicaid |
$667.45
|
| Rate for Payer: UHC Medicare Advantage |
$946.47
|
| Rate for Payer: UHCCP Medicaid |
$667.45
|
| Rate for Payer: VA VA |
$946.47
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,839.39
|
|
|
HC EXC SKIN MALIG >4CM FACE, FACIAL
|
Facility
|
IP
|
$3,785.86
|
|
|
Service Code
|
CPT 11646
|
| Hospital Charge Code |
76100217
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$2,634.96 |
| Max. Negotiated Rate |
$3,407.27 |
| Rate for Payer: Aetna Commercial |
$3,217.98
|
| Rate for Payer: BCBS Trust/PPO |
$3,126.74
|
| Rate for Payer: BCN Commercial |
$3,126.74
|
| Rate for Payer: Cash Price |
$3,028.69
|
| Rate for Payer: Cofinity Commercial |
$3,255.84
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,028.69
|
| Rate for Payer: Healthscope Commercial |
$3,407.27
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,839.39
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,217.98
|
| Rate for Payer: Nomi Health Commercial |
$3,104.41
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,839.39
|
| Rate for Payer: PHP Commercial |
$3,217.98
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$3,293.70
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,634.96
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$3,331.56
|
| Rate for Payer: UHC Core |
$3,161.19
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,839.39
|
|
|
HC EXC SKIN MALIG >4 CM TRUNK, ARM, LEG
|
Facility
|
OP
|
$2,189.54
|
|
|
Service Code
|
CPT 11606
|
| Hospital Charge Code |
76100211
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$386.02 |
| Max. Negotiated Rate |
$1,970.59 |
| Rate for Payer: Aetna Commercial |
$1,861.11
|
| Rate for Payer: Aetna Medicare |
$569.28
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$684.23
|
| Rate for Payer: Amish Plain Church Group Commercial |
$684.23
|
| Rate for Payer: BCBS Complete |
$405.28
|
| Rate for Payer: BCBS MAPPO |
$547.38
|
| Rate for Payer: BCBS Trust/PPO |
$1,800.02
|
| Rate for Payer: BCN Commercial |
$1,800.02
|
| Rate for Payer: BCN Medicare Advantage |
$547.38
|
| Rate for Payer: Cash Price |
$1,751.63
|
| Rate for Payer: Cofinity Commercial |
$1,883.00
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,751.63
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$547.38
|
| Rate for Payer: Healthscope Commercial |
$1,970.59
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,642.15
|
| Rate for Payer: Mclaren Medicaid |
$386.02
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$574.75
|
| Rate for Payer: Meridian Medicaid |
$405.28
|
| Rate for Payer: MI Amish Medical Board Commercial |
$629.49
|
| Rate for Payer: Molina Medicare/Medicaid |
$602.12
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,861.11
|
| Rate for Payer: Nomi Health Commercial |
$1,795.42
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,642.15
|
| Rate for Payer: PACE Senior Care Partners |
$520.02
|
| Rate for Payer: PACE SWMI |
$547.38
|
| Rate for Payer: PHP Commercial |
$1,861.11
|
| Rate for Payer: PHP Medicare Advantage |
$547.38
|
| Rate for Payer: Priority Health Choice Medicaid |
$386.02
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$1,904.90
|
| Rate for Payer: Priority Health Medicare |
$552.86
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,523.92
|
| Rate for Payer: Railroad Medicare Medicare |
$547.38
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,926.80
|
| Rate for Payer: UHC Core |
$1,828.27
|
| Rate for Payer: UHC Exchange |
$547.38
|
| Rate for Payer: UHC Medicaid |
$386.02
|
| Rate for Payer: UHC Medicare Advantage |
$547.38
|
| Rate for Payer: UHCCP Medicaid |
$386.02
|
| Rate for Payer: VA VA |
$547.38
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,642.15
|
|
|
HC EXC SKIN MALIG >4 CM TRUNK, ARM, LEG
|
Facility
|
IP
|
$2,189.54
|
|
|
Service Code
|
CPT 11606
|
| Hospital Charge Code |
76100211
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$1,523.92 |
| Max. Negotiated Rate |
$1,970.59 |
| Rate for Payer: Aetna Commercial |
$1,861.11
|
| Rate for Payer: BCBS Trust/PPO |
$1,808.34
|
| Rate for Payer: BCN Commercial |
$1,808.34
|
| Rate for Payer: Cash Price |
$1,751.63
|
| Rate for Payer: Cofinity Commercial |
$1,883.00
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,751.63
|
| Rate for Payer: Healthscope Commercial |
$1,970.59
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,642.15
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,861.11
|
| Rate for Payer: Nomi Health Commercial |
$1,795.42
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,642.15
|
| Rate for Payer: PHP Commercial |
$1,861.11
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$1,904.90
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,523.92
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,926.80
|
| Rate for Payer: UHC Core |
$1,828.27
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,642.15
|
|
|
HC EXC SKIN MALIG >4 REMAINDER BODY
|
Facility
|
IP
|
$3,785.86
|
|
|
Service Code
|
CPT 11626
|
| Hospital Charge Code |
76100214
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$2,634.96 |
| Max. Negotiated Rate |
$3,407.27 |
| Rate for Payer: Aetna Commercial |
$3,217.98
|
| Rate for Payer: BCBS Trust/PPO |
$3,126.74
|
| Rate for Payer: BCN Commercial |
$3,126.74
|
| Rate for Payer: Cash Price |
$3,028.69
|
| Rate for Payer: Cofinity Commercial |
$3,255.84
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,028.69
|
| Rate for Payer: Healthscope Commercial |
$3,407.27
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,839.39
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,217.98
|
| Rate for Payer: Nomi Health Commercial |
$3,104.41
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,839.39
|
| Rate for Payer: PHP Commercial |
$3,217.98
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$3,293.70
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,634.96
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$3,331.56
|
| Rate for Payer: UHC Core |
$3,161.19
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,839.39
|
|
|
HC EXC SKIN MALIG >4 REMAINDER BODY
|
Facility
|
OP
|
$3,785.86
|
|
|
Service Code
|
CPT 11626
|
| Hospital Charge Code |
76100214
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$667.45 |
| Max. Negotiated Rate |
$3,407.27 |
| Rate for Payer: Aetna Commercial |
$3,217.98
|
| Rate for Payer: Aetna Medicare |
$984.32
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,183.08
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1,183.08
|
| Rate for Payer: BCBS Complete |
$700.76
|
| Rate for Payer: BCBS MAPPO |
$946.47
|
| Rate for Payer: BCBS Trust/PPO |
$3,112.36
|
| Rate for Payer: BCN Commercial |
$3,112.36
|
| Rate for Payer: BCN Medicare Advantage |
$946.47
|
| Rate for Payer: Cash Price |
$3,028.69
|
| Rate for Payer: Cofinity Commercial |
$3,255.84
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,028.69
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$946.47
|
| Rate for Payer: Healthscope Commercial |
$3,407.27
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,839.39
|
| Rate for Payer: Mclaren Medicaid |
$667.45
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$993.79
|
| Rate for Payer: Meridian Medicaid |
$700.76
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,088.43
|
| Rate for Payer: Molina Medicare/Medicaid |
$1,041.11
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,217.98
|
| Rate for Payer: Nomi Health Commercial |
$3,104.41
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,839.39
|
| Rate for Payer: PACE Senior Care Partners |
$899.14
|
| Rate for Payer: PACE SWMI |
$946.47
|
| Rate for Payer: PHP Commercial |
$3,217.98
|
| Rate for Payer: PHP Medicare Advantage |
$946.47
|
| Rate for Payer: Priority Health Choice Medicaid |
$667.45
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$3,293.70
|
| Rate for Payer: Priority Health Medicare |
$955.93
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,634.96
|
| Rate for Payer: Railroad Medicare Medicare |
$946.47
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$3,331.56
|
| Rate for Payer: UHC Core |
$3,161.19
|
| Rate for Payer: UHC Exchange |
$946.47
|
| Rate for Payer: UHC Medicaid |
$667.45
|
| Rate for Payer: UHC Medicare Advantage |
$946.47
|
| Rate for Payer: UHCCP Medicaid |
$667.45
|
| Rate for Payer: VA VA |
$946.47
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,839.39
|
|
|
HC EXC THROMBOSED HEMORRHOID EXTERN
|
Facility
|
IP
|
$3,301.29
|
|
|
Service Code
|
CPT 46320
|
| Hospital Charge Code |
36000106
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$2,297.70 |
| Max. Negotiated Rate |
$2,971.16 |
| Rate for Payer: Aetna Commercial |
$2,806.10
|
| Rate for Payer: BCBS Trust/PPO |
$2,726.54
|
| Rate for Payer: BCN Commercial |
$2,726.54
|
| Rate for Payer: Cash Price |
$2,641.03
|
| Rate for Payer: Cofinity Commercial |
$2,839.11
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,641.03
|
| Rate for Payer: Healthscope Commercial |
$2,971.16
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,475.97
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,806.10
|
| Rate for Payer: Nomi Health Commercial |
$2,707.06
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,475.97
|
| Rate for Payer: PHP Commercial |
$2,806.10
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$2,872.12
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,297.70
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,905.14
|
| Rate for Payer: UHC Core |
$2,756.58
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,475.97
|
|
|
HC EXC THROMBOSED HEMORRHOID EXTERN
|
Facility
|
OP
|
$3,301.29
|
|
|
Service Code
|
CPT 46320
|
| Hospital Charge Code |
36000106
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$582.02 |
| Max. Negotiated Rate |
$2,971.16 |
| Rate for Payer: Aetna Commercial |
$2,806.10
|
| Rate for Payer: Aetna Medicare |
$858.34
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,031.65
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1,031.65
|
| Rate for Payer: BCBS Complete |
$611.07
|
| Rate for Payer: BCBS MAPPO |
$825.32
|
| Rate for Payer: BCBS Trust/PPO |
$2,713.99
|
| Rate for Payer: BCN Commercial |
$2,713.99
|
| Rate for Payer: BCN Medicare Advantage |
$825.32
|
| Rate for Payer: Cash Price |
$2,641.03
|
| Rate for Payer: Cofinity Commercial |
$2,839.11
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,641.03
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$825.32
|
| Rate for Payer: Healthscope Commercial |
$2,971.16
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,475.97
|
| Rate for Payer: Mclaren Medicaid |
$582.02
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$866.59
|
| Rate for Payer: Meridian Medicaid |
$611.07
|
| Rate for Payer: MI Amish Medical Board Commercial |
$949.12
|
| Rate for Payer: Molina Medicare/Medicaid |
$907.85
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,806.10
|
| Rate for Payer: Nomi Health Commercial |
$2,707.06
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,475.97
|
| Rate for Payer: PACE Senior Care Partners |
$784.06
|
| Rate for Payer: PACE SWMI |
$825.32
|
| Rate for Payer: PHP Commercial |
$2,806.10
|
| Rate for Payer: PHP Medicare Advantage |
$825.32
|
| Rate for Payer: Priority Health Choice Medicaid |
$582.02
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$2,872.12
|
| Rate for Payer: Priority Health Medicare |
$833.58
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,297.70
|
| Rate for Payer: Railroad Medicare Medicare |
$825.32
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,905.14
|
| Rate for Payer: UHC Core |
$2,756.58
|
| Rate for Payer: UHC Exchange |
$825.32
|
| Rate for Payer: UHC Medicaid |
$582.02
|
| Rate for Payer: UHC Medicare Advantage |
$825.32
|
| Rate for Payer: UHCCP Medicaid |
$582.02
|
| Rate for Payer: VA VA |
$825.32
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,475.97
|
|
|
HC EXC TUMOR SOFT TISS FACE AND SCALP SUBFASCIAL <2CM
|
Facility
|
OP
|
$4,630.80
|
|
|
Service Code
|
CPT 21013
|
| Hospital Charge Code |
76100526
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$816.41 |
| Max. Negotiated Rate |
$4,167.72 |
| Rate for Payer: Aetna Commercial |
$3,936.18
|
| Rate for Payer: Aetna Medicare |
$1,204.01
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,447.12
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1,447.12
|
| Rate for Payer: BCBS Complete |
$857.16
|
| Rate for Payer: BCBS MAPPO |
$1,157.70
|
| Rate for Payer: BCBS Trust/PPO |
$3,806.98
|
| Rate for Payer: BCN Commercial |
$3,806.98
|
| Rate for Payer: BCN Medicare Advantage |
$1,157.70
|
| Rate for Payer: Cash Price |
$3,704.64
|
| Rate for Payer: Cofinity Commercial |
$3,982.49
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,704.64
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,157.70
|
| Rate for Payer: Healthscope Commercial |
$4,167.72
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$3,473.10
|
| Rate for Payer: Mclaren Medicaid |
$816.41
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,215.59
|
| Rate for Payer: Meridian Medicaid |
$857.16
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,331.36
|
| Rate for Payer: Molina Medicare/Medicaid |
$1,273.47
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,936.18
|
| Rate for Payer: Nomi Health Commercial |
$3,797.26
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$3,473.10
|
| Rate for Payer: PACE Senior Care Partners |
$1,099.82
|
| Rate for Payer: PACE SWMI |
$1,157.70
|
| Rate for Payer: PHP Commercial |
$3,936.18
|
| Rate for Payer: PHP Medicare Advantage |
$1,157.70
|
| Rate for Payer: Priority Health Choice Medicaid |
$816.41
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$4,028.80
|
| Rate for Payer: Priority Health Medicare |
$1,169.28
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$3,223.04
|
| Rate for Payer: Railroad Medicare Medicare |
$1,157.70
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$4,075.10
|
| Rate for Payer: UHC Core |
$3,866.72
|
| Rate for Payer: UHC Exchange |
$1,157.70
|
| Rate for Payer: UHC Medicaid |
$816.41
|
| Rate for Payer: UHC Medicare Advantage |
$1,157.70
|
| Rate for Payer: UHCCP Medicaid |
$816.41
|
| Rate for Payer: VA VA |
$1,157.70
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$3,473.10
|
|
|
HC EXC TUMOR SOFT TISS FACE AND SCALP SUBFASCIAL <2CM
|
Facility
|
IP
|
$4,630.80
|
|
|
Service Code
|
CPT 21013
|
| Hospital Charge Code |
76100526
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$3,223.04 |
| Max. Negotiated Rate |
$4,167.72 |
| Rate for Payer: Aetna Commercial |
$3,936.18
|
| Rate for Payer: BCBS Trust/PPO |
$3,824.58
|
| Rate for Payer: BCN Commercial |
$3,824.58
|
| Rate for Payer: Cash Price |
$3,704.64
|
| Rate for Payer: Cofinity Commercial |
$3,982.49
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,704.64
|
| Rate for Payer: Healthscope Commercial |
$4,167.72
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$3,473.10
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,936.18
|
| Rate for Payer: Nomi Health Commercial |
$3,797.26
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$3,473.10
|
| Rate for Payer: PHP Commercial |
$3,936.18
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$4,028.80
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$3,223.04
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$4,075.10
|
| Rate for Payer: UHC Core |
$3,866.72
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$3,473.10
|
|
|
HC EXC TUMOR SOFT TISS FOREARM AND/WRIST SUBQ 3CM/>
|
Facility
|
IP
|
$4,630.80
|
|
|
Service Code
|
CPT 25071
|
| Hospital Charge Code |
76100431
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$3,223.04 |
| Max. Negotiated Rate |
$4,167.72 |
| Rate for Payer: Aetna Commercial |
$3,936.18
|
| Rate for Payer: BCBS Trust/PPO |
$3,824.58
|
| Rate for Payer: BCN Commercial |
$3,824.58
|
| Rate for Payer: Cash Price |
$3,704.64
|
| Rate for Payer: Cofinity Commercial |
$3,982.49
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,704.64
|
| Rate for Payer: Healthscope Commercial |
$4,167.72
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$3,473.10
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,936.18
|
| Rate for Payer: Nomi Health Commercial |
$3,797.26
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$3,473.10
|
| Rate for Payer: PHP Commercial |
$3,936.18
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$4,028.80
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$3,223.04
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$4,075.10
|
| Rate for Payer: UHC Core |
$3,866.72
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$3,473.10
|
|
|
HC EXC TUMOR SOFT TISS FOREARM AND/WRIST SUBQ 3CM/>
|
Facility
|
OP
|
$4,630.80
|
|
|
Service Code
|
CPT 25071
|
| Hospital Charge Code |
76100431
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$816.41 |
| Max. Negotiated Rate |
$4,167.72 |
| Rate for Payer: Aetna Commercial |
$3,936.18
|
| Rate for Payer: Aetna Medicare |
$1,204.01
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,447.12
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1,447.12
|
| Rate for Payer: BCBS Complete |
$857.16
|
| Rate for Payer: BCBS MAPPO |
$1,157.70
|
| Rate for Payer: BCBS Trust/PPO |
$3,806.98
|
| Rate for Payer: BCN Commercial |
$3,806.98
|
| Rate for Payer: BCN Medicare Advantage |
$1,157.70
|
| Rate for Payer: Cash Price |
$3,704.64
|
| Rate for Payer: Cofinity Commercial |
$3,982.49
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,704.64
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,157.70
|
| Rate for Payer: Healthscope Commercial |
$4,167.72
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$3,473.10
|
| Rate for Payer: Mclaren Medicaid |
$816.41
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,215.59
|
| Rate for Payer: Meridian Medicaid |
$857.16
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,331.36
|
| Rate for Payer: Molina Medicare/Medicaid |
$1,273.47
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,936.18
|
| Rate for Payer: Nomi Health Commercial |
$3,797.26
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$3,473.10
|
| Rate for Payer: PACE Senior Care Partners |
$1,099.82
|
| Rate for Payer: PACE SWMI |
$1,157.70
|
| Rate for Payer: PHP Commercial |
$3,936.18
|
| Rate for Payer: PHP Medicare Advantage |
$1,157.70
|
| Rate for Payer: Priority Health Choice Medicaid |
$816.41
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$4,028.80
|
| Rate for Payer: Priority Health Medicare |
$1,169.28
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$3,223.04
|
| Rate for Payer: Railroad Medicare Medicare |
$1,157.70
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$4,075.10
|
| Rate for Payer: UHC Core |
$3,866.72
|
| Rate for Payer: UHC Exchange |
$1,157.70
|
| Rate for Payer: UHC Medicaid |
$816.41
|
| Rate for Payer: UHC Medicare Advantage |
$1,157.70
|
| Rate for Payer: UHCCP Medicaid |
$816.41
|
| Rate for Payer: VA VA |
$1,157.70
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$3,473.10
|
|
|
HC EXC TUMOR SOFT TISS SHOULDER SUBFASC <5CM
|
Facility
|
OP
|
$8,273.26
|
|
|
Service Code
|
CPT 23076
|
| Hospital Charge Code |
76100413
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$1,458.58 |
| Max. Negotiated Rate |
$7,445.93 |
| Rate for Payer: Aetna Commercial |
$7,032.27
|
| Rate for Payer: Aetna Medicare |
$2,151.05
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$2,585.39
|
| Rate for Payer: Amish Plain Church Group Commercial |
$2,585.39
|
| Rate for Payer: BCBS Complete |
$1,531.38
|
| Rate for Payer: BCBS MAPPO |
$2,068.32
|
| Rate for Payer: BCBS Trust/PPO |
$6,801.45
|
| Rate for Payer: BCN Commercial |
$6,801.45
|
| Rate for Payer: BCN Medicare Advantage |
$2,068.32
|
| Rate for Payer: Cash Price |
$6,618.61
|
| Rate for Payer: Cofinity Commercial |
$7,115.00
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$6,618.61
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,068.32
|
| Rate for Payer: Healthscope Commercial |
$7,445.93
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$6,204.94
|
| Rate for Payer: Mclaren Medicaid |
$1,458.58
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$2,171.73
|
| Rate for Payer: Meridian Medicaid |
$1,531.38
|
| Rate for Payer: MI Amish Medical Board Commercial |
$2,378.56
|
| Rate for Payer: Molina Medicare/Medicaid |
$2,275.15
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$7,032.27
|
| Rate for Payer: Nomi Health Commercial |
$6,784.07
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$6,204.94
|
| Rate for Payer: PACE Senior Care Partners |
$1,964.90
|
| Rate for Payer: PACE SWMI |
$2,068.32
|
| Rate for Payer: PHP Commercial |
$7,032.27
|
| Rate for Payer: PHP Medicare Advantage |
$2,068.32
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,458.58
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$7,197.74
|
| Rate for Payer: Priority Health Medicare |
$2,089.00
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$5,758.19
|
| Rate for Payer: Railroad Medicare Medicare |
$2,068.32
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$7,280.47
|
| Rate for Payer: UHC Core |
$6,908.17
|
| Rate for Payer: UHC Exchange |
$2,068.32
|
| Rate for Payer: UHC Medicaid |
$1,458.58
|
| Rate for Payer: UHC Medicare Advantage |
$2,068.32
|
| Rate for Payer: UHCCP Medicaid |
$1,458.58
|
| Rate for Payer: VA VA |
$2,068.32
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$6,204.94
|
|
|
HC EXC TUMOR SOFT TISS SHOULDER SUBFASC <5CM
|
Facility
|
IP
|
$8,273.26
|
|
|
Service Code
|
CPT 23076
|
| Hospital Charge Code |
76100413
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$5,758.19 |
| Max. Negotiated Rate |
$7,445.93 |
| Rate for Payer: Aetna Commercial |
$7,032.27
|
| Rate for Payer: BCBS Trust/PPO |
$6,832.89
|
| Rate for Payer: BCN Commercial |
$6,832.89
|
| Rate for Payer: Cash Price |
$6,618.61
|
| Rate for Payer: Cofinity Commercial |
$7,115.00
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$6,618.61
|
| Rate for Payer: Healthscope Commercial |
$7,445.93
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$6,204.94
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$7,032.27
|
| Rate for Payer: Nomi Health Commercial |
$6,784.07
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$6,204.94
|
| Rate for Payer: PHP Commercial |
$7,032.27
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$7,197.74
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$5,758.19
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$7,280.47
|
| Rate for Payer: UHC Core |
$6,908.17
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$6,204.94
|
|
