|
HC EXC TUMOR SOFT TISSUE ABDOMINAL WALL SUBQ >3CM
|
Facility
|
IP
|
$3,691.25
|
|
|
Service Code
|
CPT 22903
|
| Hospital Charge Code |
76100245
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$2,569.11 |
| Max. Negotiated Rate |
$3,322.12 |
| Rate for Payer: Aetna Commercial |
$3,137.56
|
| Rate for Payer: BCBS Trust/PPO |
$3,048.60
|
| Rate for Payer: BCN Commercial |
$3,048.60
|
| Rate for Payer: Cash Price |
$2,953.00
|
| Rate for Payer: Cofinity Commercial |
$3,174.47
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,953.00
|
| Rate for Payer: Healthscope Commercial |
$3,322.12
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,768.44
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,137.56
|
| Rate for Payer: Nomi Health Commercial |
$3,026.82
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,768.44
|
| Rate for Payer: PHP Commercial |
$3,137.56
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$3,211.39
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,569.11
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$3,248.30
|
| Rate for Payer: UHC Core |
$3,082.19
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,768.44
|
|
|
HC EXC TUMOR SOFT TISSUE ABDOMINAL WALL SUBQ >3CM
|
Facility
|
OP
|
$3,691.25
|
|
|
Service Code
|
CPT 22903
|
| Hospital Charge Code |
76100245
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$650.77 |
| Max. Negotiated Rate |
$3,322.12 |
| Rate for Payer: Aetna Commercial |
$3,137.56
|
| Rate for Payer: Aetna Medicare |
$959.73
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,153.52
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1,153.52
|
| Rate for Payer: BCBS Complete |
$683.25
|
| Rate for Payer: BCBS MAPPO |
$922.81
|
| Rate for Payer: BCBS Trust/PPO |
$3,034.58
|
| Rate for Payer: BCN Commercial |
$3,034.58
|
| Rate for Payer: BCN Medicare Advantage |
$922.81
|
| Rate for Payer: Cash Price |
$2,953.00
|
| Rate for Payer: Cofinity Commercial |
$3,174.47
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,953.00
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$922.81
|
| Rate for Payer: Healthscope Commercial |
$3,322.12
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,768.44
|
| Rate for Payer: Mclaren Medicaid |
$650.77
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$968.95
|
| Rate for Payer: Meridian Medicaid |
$683.25
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,061.23
|
| Rate for Payer: Molina Medicare/Medicaid |
$1,015.09
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,137.56
|
| Rate for Payer: Nomi Health Commercial |
$3,026.82
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,768.44
|
| Rate for Payer: PACE Senior Care Partners |
$876.67
|
| Rate for Payer: PACE SWMI |
$922.81
|
| Rate for Payer: PHP Commercial |
$3,137.56
|
| Rate for Payer: PHP Medicare Advantage |
$922.81
|
| Rate for Payer: Priority Health Choice Medicaid |
$650.77
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$3,211.39
|
| Rate for Payer: Priority Health Medicare |
$932.04
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,569.11
|
| Rate for Payer: Railroad Medicare Medicare |
$922.81
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$3,248.30
|
| Rate for Payer: UHC Core |
$3,082.19
|
| Rate for Payer: UHC Exchange |
$922.81
|
| Rate for Payer: UHC Medicaid |
$650.77
|
| Rate for Payer: UHC Medicare Advantage |
$922.81
|
| Rate for Payer: UHCCP Medicaid |
$650.77
|
| Rate for Payer: VA VA |
$922.81
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,768.44
|
|
|
HC EXC TUMOR SOFT TISSUE ABD WALL, SQ <3CM
|
Facility
|
OP
|
$2,184.92
|
|
|
Service Code
|
CPT 22902
|
| Hospital Charge Code |
76100277
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$385.20 |
| Max. Negotiated Rate |
$1,966.43 |
| Rate for Payer: Aetna Commercial |
$1,857.18
|
| Rate for Payer: Aetna Medicare |
$568.08
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$682.79
|
| Rate for Payer: Amish Plain Church Group Commercial |
$682.79
|
| Rate for Payer: BCBS Complete |
$404.43
|
| Rate for Payer: BCBS MAPPO |
$546.23
|
| Rate for Payer: BCBS Trust/PPO |
$1,796.22
|
| Rate for Payer: BCN Commercial |
$1,796.22
|
| Rate for Payer: BCN Medicare Advantage |
$546.23
|
| Rate for Payer: Cash Price |
$1,747.94
|
| Rate for Payer: Cofinity Commercial |
$1,879.03
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,747.94
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$546.23
|
| Rate for Payer: Healthscope Commercial |
$1,966.43
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,638.69
|
| Rate for Payer: Mclaren Medicaid |
$385.20
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$573.54
|
| Rate for Payer: Meridian Medicaid |
$404.43
|
| Rate for Payer: MI Amish Medical Board Commercial |
$628.16
|
| Rate for Payer: Molina Medicare/Medicaid |
$600.85
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,857.18
|
| Rate for Payer: Nomi Health Commercial |
$1,791.63
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,638.69
|
| Rate for Payer: PACE Senior Care Partners |
$518.92
|
| Rate for Payer: PACE SWMI |
$546.23
|
| Rate for Payer: PHP Commercial |
$1,857.18
|
| Rate for Payer: PHP Medicare Advantage |
$546.23
|
| Rate for Payer: Priority Health Choice Medicaid |
$385.20
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$1,900.88
|
| Rate for Payer: Priority Health Medicare |
$551.69
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,520.70
|
| Rate for Payer: Railroad Medicare Medicare |
$546.23
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,922.73
|
| Rate for Payer: UHC Core |
$1,824.41
|
| Rate for Payer: UHC Exchange |
$546.23
|
| Rate for Payer: UHC Medicaid |
$385.20
|
| Rate for Payer: UHC Medicare Advantage |
$546.23
|
| Rate for Payer: UHCCP Medicaid |
$385.20
|
| Rate for Payer: VA VA |
$546.23
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,638.69
|
|
|
HC EXC TUMOR SOFT TISSUE ABD WALL, SQ <3CM
|
Facility
|
IP
|
$2,184.92
|
|
|
Service Code
|
CPT 22902
|
| Hospital Charge Code |
76100277
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$1,520.70 |
| Max. Negotiated Rate |
$1,966.43 |
| Rate for Payer: Aetna Commercial |
$1,857.18
|
| Rate for Payer: BCBS Trust/PPO |
$1,804.53
|
| Rate for Payer: BCN Commercial |
$1,804.53
|
| Rate for Payer: Cash Price |
$1,747.94
|
| Rate for Payer: Cofinity Commercial |
$1,879.03
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,747.94
|
| Rate for Payer: Healthscope Commercial |
$1,966.43
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,638.69
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,857.18
|
| Rate for Payer: Nomi Health Commercial |
$1,791.63
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,638.69
|
| Rate for Payer: PHP Commercial |
$1,857.18
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$1,900.88
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,520.70
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,922.73
|
| Rate for Payer: UHC Core |
$1,824.41
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,638.69
|
|
|
HC EXC TUMOR SOFT TISSUE ABD WALL, SQ <5CM
|
Facility
|
OP
|
$3,641.40
|
|
|
Service Code
|
CPT 22900
|
| Hospital Charge Code |
76100398
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$641.98 |
| Max. Negotiated Rate |
$3,277.26 |
| Rate for Payer: Aetna Commercial |
$3,095.19
|
| Rate for Payer: Aetna Medicare |
$946.76
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,137.94
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1,137.94
|
| Rate for Payer: BCBS Complete |
$674.02
|
| Rate for Payer: BCBS MAPPO |
$910.35
|
| Rate for Payer: BCBS Trust/PPO |
$2,993.59
|
| Rate for Payer: BCN Commercial |
$2,993.59
|
| Rate for Payer: BCN Medicare Advantage |
$910.35
|
| Rate for Payer: Cash Price |
$2,913.12
|
| Rate for Payer: Cofinity Commercial |
$3,131.60
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,913.12
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$910.35
|
| Rate for Payer: Healthscope Commercial |
$3,277.26
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,731.05
|
| Rate for Payer: Mclaren Medicaid |
$641.98
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$955.87
|
| Rate for Payer: Meridian Medicaid |
$674.02
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,046.90
|
| Rate for Payer: Molina Medicare/Medicaid |
$1,001.38
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,095.19
|
| Rate for Payer: Nomi Health Commercial |
$2,985.95
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,731.05
|
| Rate for Payer: PACE Senior Care Partners |
$864.83
|
| Rate for Payer: PACE SWMI |
$910.35
|
| Rate for Payer: PHP Commercial |
$3,095.19
|
| Rate for Payer: PHP Medicare Advantage |
$910.35
|
| Rate for Payer: Priority Health Choice Medicaid |
$641.98
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$3,168.02
|
| Rate for Payer: Priority Health Medicare |
$919.45
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,534.41
|
| Rate for Payer: Railroad Medicare Medicare |
$910.35
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$3,204.43
|
| Rate for Payer: UHC Core |
$3,040.57
|
| Rate for Payer: UHC Exchange |
$910.35
|
| Rate for Payer: UHC Medicaid |
$641.98
|
| Rate for Payer: UHC Medicare Advantage |
$910.35
|
| Rate for Payer: UHCCP Medicaid |
$641.98
|
| Rate for Payer: VA VA |
$910.35
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,731.05
|
|
|
HC EXC TUMOR SOFT TISSUE ABD WALL, SQ <5CM
|
Facility
|
IP
|
$3,641.40
|
|
|
Service Code
|
CPT 22900
|
| Hospital Charge Code |
76100398
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$2,534.41 |
| Max. Negotiated Rate |
$3,277.26 |
| Rate for Payer: Aetna Commercial |
$3,095.19
|
| Rate for Payer: BCBS Trust/PPO |
$3,007.43
|
| Rate for Payer: BCN Commercial |
$3,007.43
|
| Rate for Payer: Cash Price |
$2,913.12
|
| Rate for Payer: Cofinity Commercial |
$3,131.60
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,913.12
|
| Rate for Payer: Healthscope Commercial |
$3,277.26
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,731.05
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,095.19
|
| Rate for Payer: Nomi Health Commercial |
$2,985.95
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,731.05
|
| Rate for Payer: PHP Commercial |
$3,095.19
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$3,168.02
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,534.41
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$3,204.43
|
| Rate for Payer: UHC Core |
$3,040.57
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,731.05
|
|
|
HC EXC TUMOR SOFT TISSUE BACK/FLANK SQ < 3CM
|
Facility
|
IP
|
$2,184.92
|
|
|
Service Code
|
CPT 21930
|
| Hospital Charge Code |
76100227
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$1,520.70 |
| Max. Negotiated Rate |
$1,966.43 |
| Rate for Payer: Aetna Commercial |
$1,857.18
|
| Rate for Payer: BCBS Trust/PPO |
$1,804.53
|
| Rate for Payer: BCN Commercial |
$1,804.53
|
| Rate for Payer: Cash Price |
$1,747.94
|
| Rate for Payer: Cofinity Commercial |
$1,879.03
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,747.94
|
| Rate for Payer: Healthscope Commercial |
$1,966.43
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,638.69
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,857.18
|
| Rate for Payer: Nomi Health Commercial |
$1,791.63
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,638.69
|
| Rate for Payer: PHP Commercial |
$1,857.18
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$1,900.88
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,520.70
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,922.73
|
| Rate for Payer: UHC Core |
$1,824.41
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,638.69
|
|
|
HC EXC TUMOR SOFT TISSUE BACK/FLANK SQ < 3CM
|
Facility
|
OP
|
$2,184.92
|
|
|
Service Code
|
CPT 21930
|
| Hospital Charge Code |
76100227
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$385.20 |
| Max. Negotiated Rate |
$1,966.43 |
| Rate for Payer: Aetna Commercial |
$1,857.18
|
| Rate for Payer: Aetna Medicare |
$568.08
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$682.79
|
| Rate for Payer: Amish Plain Church Group Commercial |
$682.79
|
| Rate for Payer: BCBS Complete |
$404.43
|
| Rate for Payer: BCBS MAPPO |
$546.23
|
| Rate for Payer: BCBS Trust/PPO |
$1,796.22
|
| Rate for Payer: BCN Commercial |
$1,796.22
|
| Rate for Payer: BCN Medicare Advantage |
$546.23
|
| Rate for Payer: Cash Price |
$1,747.94
|
| Rate for Payer: Cofinity Commercial |
$1,879.03
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,747.94
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$546.23
|
| Rate for Payer: Healthscope Commercial |
$1,966.43
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,638.69
|
| Rate for Payer: Mclaren Medicaid |
$385.20
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$573.54
|
| Rate for Payer: Meridian Medicaid |
$404.43
|
| Rate for Payer: MI Amish Medical Board Commercial |
$628.16
|
| Rate for Payer: Molina Medicare/Medicaid |
$600.85
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,857.18
|
| Rate for Payer: Nomi Health Commercial |
$1,791.63
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,638.69
|
| Rate for Payer: PACE Senior Care Partners |
$518.92
|
| Rate for Payer: PACE SWMI |
$546.23
|
| Rate for Payer: PHP Commercial |
$1,857.18
|
| Rate for Payer: PHP Medicare Advantage |
$546.23
|
| Rate for Payer: Priority Health Choice Medicaid |
$385.20
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$1,900.88
|
| Rate for Payer: Priority Health Medicare |
$551.69
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,520.70
|
| Rate for Payer: Railroad Medicare Medicare |
$546.23
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,922.73
|
| Rate for Payer: UHC Core |
$1,824.41
|
| Rate for Payer: UHC Exchange |
$546.23
|
| Rate for Payer: UHC Medicaid |
$385.20
|
| Rate for Payer: UHC Medicare Advantage |
$546.23
|
| Rate for Payer: UHCCP Medicaid |
$385.20
|
| Rate for Payer: VA VA |
$546.23
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,638.69
|
|
|
HC EXC TUMOR SOFT TISSUE BACK/FLANK SUBFASCIAL >5CM
|
Facility
|
OP
|
$6,297.00
|
|
|
Service Code
|
CPT 21933
|
| Hospital Charge Code |
76100536
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$1,110.16 |
| Max. Negotiated Rate |
$5,667.30 |
| Rate for Payer: Aetna Commercial |
$5,352.45
|
| Rate for Payer: Aetna Medicare |
$1,637.22
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,967.81
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1,967.81
|
| Rate for Payer: BCBS Complete |
$1,165.57
|
| Rate for Payer: BCBS MAPPO |
$1,574.25
|
| Rate for Payer: BCBS Trust/PPO |
$5,176.76
|
| Rate for Payer: BCN Commercial |
$5,176.76
|
| Rate for Payer: BCN Medicare Advantage |
$1,574.25
|
| Rate for Payer: Cash Price |
$5,037.60
|
| Rate for Payer: Cofinity Commercial |
$5,415.42
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$5,037.60
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,574.25
|
| Rate for Payer: Healthscope Commercial |
$5,667.30
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$4,722.75
|
| Rate for Payer: Mclaren Medicaid |
$1,110.16
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,652.96
|
| Rate for Payer: Meridian Medicaid |
$1,165.57
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,810.39
|
| Rate for Payer: Molina Medicare/Medicaid |
$1,731.67
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$5,352.45
|
| Rate for Payer: Nomi Health Commercial |
$5,163.54
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$4,722.75
|
| Rate for Payer: PACE Senior Care Partners |
$1,495.54
|
| Rate for Payer: PACE SWMI |
$1,574.25
|
| Rate for Payer: PHP Commercial |
$5,352.45
|
| Rate for Payer: PHP Medicare Advantage |
$1,574.25
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,110.16
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$5,478.39
|
| Rate for Payer: Priority Health Medicare |
$1,589.99
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$4,382.71
|
| Rate for Payer: Railroad Medicare Medicare |
$1,574.25
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$5,541.36
|
| Rate for Payer: UHC Core |
$5,257.99
|
| Rate for Payer: UHC Exchange |
$1,574.25
|
| Rate for Payer: UHC Medicaid |
$1,110.16
|
| Rate for Payer: UHC Medicare Advantage |
$1,574.25
|
| Rate for Payer: UHCCP Medicaid |
$1,110.16
|
| Rate for Payer: VA VA |
$1,574.25
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$4,722.75
|
|
|
HC EXC TUMOR SOFT TISSUE BACK/FLANK SUBFASCIAL >5CM
|
Facility
|
IP
|
$6,297.00
|
|
|
Service Code
|
CPT 21933
|
| Hospital Charge Code |
76100536
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$4,382.71 |
| Max. Negotiated Rate |
$5,667.30 |
| Rate for Payer: Aetna Commercial |
$5,352.45
|
| Rate for Payer: BCBS Trust/PPO |
$5,200.69
|
| Rate for Payer: BCN Commercial |
$5,200.69
|
| Rate for Payer: Cash Price |
$5,037.60
|
| Rate for Payer: Cofinity Commercial |
$5,415.42
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$5,037.60
|
| Rate for Payer: Healthscope Commercial |
$5,667.30
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$4,722.75
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$5,352.45
|
| Rate for Payer: Nomi Health Commercial |
$5,163.54
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$4,722.75
|
| Rate for Payer: PHP Commercial |
$5,352.45
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$5,478.39
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$4,382.71
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$5,541.36
|
| Rate for Payer: UHC Core |
$5,257.99
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$4,722.75
|
|
|
HC EXC TUMOR SOFT TISSUE, BACK/FLANK, SUBFASCIAL <5CM
|
Facility
|
OP
|
$3,691.25
|
|
|
Service Code
|
CPT 21932
|
| Hospital Charge Code |
76100268
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$650.77 |
| Max. Negotiated Rate |
$3,322.12 |
| Rate for Payer: Aetna Commercial |
$3,137.56
|
| Rate for Payer: Aetna Medicare |
$959.73
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,153.52
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1,153.52
|
| Rate for Payer: BCBS Complete |
$683.25
|
| Rate for Payer: BCBS MAPPO |
$922.81
|
| Rate for Payer: BCBS Trust/PPO |
$3,034.58
|
| Rate for Payer: BCN Commercial |
$3,034.58
|
| Rate for Payer: BCN Medicare Advantage |
$922.81
|
| Rate for Payer: Cash Price |
$2,953.00
|
| Rate for Payer: Cofinity Commercial |
$3,174.47
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,953.00
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$922.81
|
| Rate for Payer: Healthscope Commercial |
$3,322.12
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,768.44
|
| Rate for Payer: Mclaren Medicaid |
$650.77
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$968.95
|
| Rate for Payer: Meridian Medicaid |
$683.25
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,061.23
|
| Rate for Payer: Molina Medicare/Medicaid |
$1,015.09
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,137.56
|
| Rate for Payer: Nomi Health Commercial |
$3,026.82
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,768.44
|
| Rate for Payer: PACE Senior Care Partners |
$876.67
|
| Rate for Payer: PACE SWMI |
$922.81
|
| Rate for Payer: PHP Commercial |
$3,137.56
|
| Rate for Payer: PHP Medicare Advantage |
$922.81
|
| Rate for Payer: Priority Health Choice Medicaid |
$650.77
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$3,211.39
|
| Rate for Payer: Priority Health Medicare |
$932.04
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,569.11
|
| Rate for Payer: Railroad Medicare Medicare |
$922.81
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$3,248.30
|
| Rate for Payer: UHC Core |
$3,082.19
|
| Rate for Payer: UHC Exchange |
$922.81
|
| Rate for Payer: UHC Medicaid |
$650.77
|
| Rate for Payer: UHC Medicare Advantage |
$922.81
|
| Rate for Payer: UHCCP Medicaid |
$650.77
|
| Rate for Payer: VA VA |
$922.81
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,768.44
|
|
|
HC EXC TUMOR SOFT TISSUE, BACK/FLANK, SUBFASCIAL <5CM
|
Facility
|
IP
|
$3,691.25
|
|
|
Service Code
|
CPT 21932
|
| Hospital Charge Code |
76100268
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$2,569.11 |
| Max. Negotiated Rate |
$3,322.12 |
| Rate for Payer: Aetna Commercial |
$3,137.56
|
| Rate for Payer: BCBS Trust/PPO |
$3,048.60
|
| Rate for Payer: BCN Commercial |
$3,048.60
|
| Rate for Payer: Cash Price |
$2,953.00
|
| Rate for Payer: Cofinity Commercial |
$3,174.47
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,953.00
|
| Rate for Payer: Healthscope Commercial |
$3,322.12
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,768.44
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,137.56
|
| Rate for Payer: Nomi Health Commercial |
$3,026.82
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,768.44
|
| Rate for Payer: PHP Commercial |
$3,137.56
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$3,211.39
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,569.11
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$3,248.30
|
| Rate for Payer: UHC Core |
$3,082.19
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,768.44
|
|
|
HC EXC TUMOR SOFT TISSUE BACK/FLANK SUBQ >3CM
|
Facility
|
IP
|
$2,476.24
|
|
|
Service Code
|
CPT 21931
|
| Hospital Charge Code |
76100244
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$1,723.46 |
| Max. Negotiated Rate |
$2,228.62 |
| Rate for Payer: Aetna Commercial |
$2,104.80
|
| Rate for Payer: BCBS Trust/PPO |
$2,045.13
|
| Rate for Payer: BCN Commercial |
$2,045.13
|
| Rate for Payer: Cash Price |
$1,980.99
|
| Rate for Payer: Cofinity Commercial |
$2,129.57
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,980.99
|
| Rate for Payer: Healthscope Commercial |
$2,228.62
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,857.18
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,104.80
|
| Rate for Payer: Nomi Health Commercial |
$2,030.52
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,857.18
|
| Rate for Payer: PHP Commercial |
$2,104.80
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$2,154.33
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,723.46
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,179.09
|
| Rate for Payer: UHC Core |
$2,067.66
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,857.18
|
|
|
HC EXC TUMOR SOFT TISSUE BACK/FLANK SUBQ >3CM
|
Facility
|
OP
|
$2,476.24
|
|
|
Service Code
|
CPT 21931
|
| Hospital Charge Code |
76100244
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$436.56 |
| Max. Negotiated Rate |
$2,228.62 |
| Rate for Payer: Aetna Commercial |
$2,104.80
|
| Rate for Payer: Aetna Medicare |
$643.82
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$773.83
|
| Rate for Payer: Amish Plain Church Group Commercial |
$773.83
|
| Rate for Payer: BCBS Complete |
$458.35
|
| Rate for Payer: BCBS MAPPO |
$619.06
|
| Rate for Payer: BCBS Trust/PPO |
$2,035.72
|
| Rate for Payer: BCN Commercial |
$2,035.72
|
| Rate for Payer: BCN Medicare Advantage |
$619.06
|
| Rate for Payer: Cash Price |
$1,980.99
|
| Rate for Payer: Cofinity Commercial |
$2,129.57
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,980.99
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$619.06
|
| Rate for Payer: Healthscope Commercial |
$2,228.62
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,857.18
|
| Rate for Payer: Mclaren Medicaid |
$436.56
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$650.01
|
| Rate for Payer: Meridian Medicaid |
$458.35
|
| Rate for Payer: MI Amish Medical Board Commercial |
$711.92
|
| Rate for Payer: Molina Medicare/Medicaid |
$680.97
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,104.80
|
| Rate for Payer: Nomi Health Commercial |
$2,030.52
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,857.18
|
| Rate for Payer: PACE Senior Care Partners |
$588.11
|
| Rate for Payer: PACE SWMI |
$619.06
|
| Rate for Payer: PHP Commercial |
$2,104.80
|
| Rate for Payer: PHP Medicare Advantage |
$619.06
|
| Rate for Payer: Priority Health Choice Medicaid |
$436.56
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$2,154.33
|
| Rate for Payer: Priority Health Medicare |
$625.25
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,723.46
|
| Rate for Payer: Railroad Medicare Medicare |
$619.06
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,179.09
|
| Rate for Payer: UHC Core |
$2,067.66
|
| Rate for Payer: UHC Exchange |
$619.06
|
| Rate for Payer: UHC Medicaid |
$436.56
|
| Rate for Payer: UHC Medicare Advantage |
$619.06
|
| Rate for Payer: UHCCP Medicaid |
$436.56
|
| Rate for Payer: VA VA |
$619.06
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,857.18
|
|
|
HC EXC TUMOR SOFT TISSUE FACE SCALP SUBQ <2CM
|
Facility
|
IP
|
$4,527.12
|
|
|
Service Code
|
CPT 21011
|
| Hospital Charge Code |
76100323
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$3,150.88 |
| Max. Negotiated Rate |
$4,074.41 |
| Rate for Payer: Aetna Commercial |
$3,848.05
|
| Rate for Payer: BCBS Trust/PPO |
$3,738.95
|
| Rate for Payer: BCN Commercial |
$3,738.95
|
| Rate for Payer: Cash Price |
$3,621.70
|
| Rate for Payer: Cofinity Commercial |
$3,893.32
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,621.70
|
| Rate for Payer: Healthscope Commercial |
$4,074.41
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$3,395.34
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,848.05
|
| Rate for Payer: Nomi Health Commercial |
$3,712.24
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$3,395.34
|
| Rate for Payer: PHP Commercial |
$3,848.05
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$3,938.59
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$3,150.88
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$3,983.87
|
| Rate for Payer: UHC Core |
$3,780.15
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$3,395.34
|
|
|
HC EXC TUMOR SOFT TISSUE FACE SCALP SUBQ <2CM
|
Facility
|
OP
|
$4,527.12
|
|
|
Service Code
|
CPT 21011
|
| Hospital Charge Code |
76100323
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$798.13 |
| Max. Negotiated Rate |
$4,074.41 |
| Rate for Payer: Aetna Commercial |
$3,848.05
|
| Rate for Payer: Aetna Medicare |
$1,177.05
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,414.72
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1,414.72
|
| Rate for Payer: BCBS Complete |
$837.97
|
| Rate for Payer: BCBS MAPPO |
$1,131.78
|
| Rate for Payer: BCBS Trust/PPO |
$3,721.75
|
| Rate for Payer: BCN Commercial |
$3,721.75
|
| Rate for Payer: BCN Medicare Advantage |
$1,131.78
|
| Rate for Payer: Cash Price |
$3,621.70
|
| Rate for Payer: Cofinity Commercial |
$3,893.32
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,621.70
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,131.78
|
| Rate for Payer: Healthscope Commercial |
$4,074.41
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$3,395.34
|
| Rate for Payer: Mclaren Medicaid |
$798.13
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,188.37
|
| Rate for Payer: Meridian Medicaid |
$837.97
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,301.55
|
| Rate for Payer: Molina Medicare/Medicaid |
$1,244.96
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,848.05
|
| Rate for Payer: Nomi Health Commercial |
$3,712.24
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$3,395.34
|
| Rate for Payer: PACE Senior Care Partners |
$1,075.19
|
| Rate for Payer: PACE SWMI |
$1,131.78
|
| Rate for Payer: PHP Commercial |
$3,848.05
|
| Rate for Payer: PHP Medicare Advantage |
$1,131.78
|
| Rate for Payer: Priority Health Choice Medicaid |
$798.13
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$3,938.59
|
| Rate for Payer: Priority Health Medicare |
$1,143.10
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$3,150.88
|
| Rate for Payer: Railroad Medicare Medicare |
$1,131.78
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$3,983.87
|
| Rate for Payer: UHC Core |
$3,780.15
|
| Rate for Payer: UHC Exchange |
$1,131.78
|
| Rate for Payer: UHC Medicaid |
$798.13
|
| Rate for Payer: UHC Medicare Advantage |
$1,131.78
|
| Rate for Payer: UHCCP Medicaid |
$798.13
|
| Rate for Payer: VA VA |
$1,131.78
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$3,395.34
|
|
|
HC EXC TUMOR SOFT TISSUE FACE/SCALP, SUBQ 2CM OR >
|
Facility
|
OP
|
$2,184.92
|
|
|
Service Code
|
CPT 21012
|
| Hospital Charge Code |
76100246
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$385.20 |
| Max. Negotiated Rate |
$1,966.43 |
| Rate for Payer: Aetna Commercial |
$1,857.18
|
| Rate for Payer: Aetna Medicare |
$568.08
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$682.79
|
| Rate for Payer: Amish Plain Church Group Commercial |
$682.79
|
| Rate for Payer: BCBS Complete |
$404.43
|
| Rate for Payer: BCBS MAPPO |
$546.23
|
| Rate for Payer: BCBS Trust/PPO |
$1,796.22
|
| Rate for Payer: BCN Commercial |
$1,796.22
|
| Rate for Payer: BCN Medicare Advantage |
$546.23
|
| Rate for Payer: Cash Price |
$1,747.94
|
| Rate for Payer: Cofinity Commercial |
$1,879.03
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,747.94
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$546.23
|
| Rate for Payer: Healthscope Commercial |
$1,966.43
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,638.69
|
| Rate for Payer: Mclaren Medicaid |
$385.20
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$573.54
|
| Rate for Payer: Meridian Medicaid |
$404.43
|
| Rate for Payer: MI Amish Medical Board Commercial |
$628.16
|
| Rate for Payer: Molina Medicare/Medicaid |
$600.85
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,857.18
|
| Rate for Payer: Nomi Health Commercial |
$1,791.63
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,638.69
|
| Rate for Payer: PACE Senior Care Partners |
$518.92
|
| Rate for Payer: PACE SWMI |
$546.23
|
| Rate for Payer: PHP Commercial |
$1,857.18
|
| Rate for Payer: PHP Medicare Advantage |
$546.23
|
| Rate for Payer: Priority Health Choice Medicaid |
$385.20
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$1,900.88
|
| Rate for Payer: Priority Health Medicare |
$551.69
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,520.70
|
| Rate for Payer: Railroad Medicare Medicare |
$546.23
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,922.73
|
| Rate for Payer: UHC Core |
$1,824.41
|
| Rate for Payer: UHC Exchange |
$546.23
|
| Rate for Payer: UHC Medicaid |
$385.20
|
| Rate for Payer: UHC Medicare Advantage |
$546.23
|
| Rate for Payer: UHCCP Medicaid |
$385.20
|
| Rate for Payer: VA VA |
$546.23
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,638.69
|
|
|
HC EXC TUMOR SOFT TISSUE FACE/SCALP, SUBQ 2CM OR >
|
Facility
|
IP
|
$2,184.92
|
|
|
Service Code
|
CPT 21012
|
| Hospital Charge Code |
76100246
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$1,520.70 |
| Max. Negotiated Rate |
$1,966.43 |
| Rate for Payer: Aetna Commercial |
$1,857.18
|
| Rate for Payer: BCBS Trust/PPO |
$1,804.53
|
| Rate for Payer: BCN Commercial |
$1,804.53
|
| Rate for Payer: Cash Price |
$1,747.94
|
| Rate for Payer: Cofinity Commercial |
$1,879.03
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,747.94
|
| Rate for Payer: Healthscope Commercial |
$1,966.43
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,638.69
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,857.18
|
| Rate for Payer: Nomi Health Commercial |
$1,791.63
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,638.69
|
| Rate for Payer: PHP Commercial |
$1,857.18
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$1,900.88
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,520.70
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,922.73
|
| Rate for Payer: UHC Core |
$1,824.41
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,638.69
|
|
|
HC EXC TUMOR SOFT TISSUE FOREARM DEEP<3CM
|
Facility
|
IP
|
$4,367.60
|
|
|
Service Code
|
CPT 25076
|
| Hospital Charge Code |
76100515
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$3,039.85 |
| Max. Negotiated Rate |
$3,930.84 |
| Rate for Payer: Aetna Commercial |
$3,712.46
|
| Rate for Payer: BCBS Trust/PPO |
$3,607.20
|
| Rate for Payer: BCN Commercial |
$3,607.20
|
| Rate for Payer: Cash Price |
$3,494.08
|
| Rate for Payer: Cofinity Commercial |
$3,756.14
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,494.08
|
| Rate for Payer: Healthscope Commercial |
$3,930.84
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$3,275.70
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,712.46
|
| Rate for Payer: Nomi Health Commercial |
$3,581.43
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$3,275.70
|
| Rate for Payer: PHP Commercial |
$3,712.46
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$3,799.81
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$3,039.85
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$3,843.49
|
| Rate for Payer: UHC Core |
$3,646.95
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$3,275.70
|
|
|
HC EXC TUMOR SOFT TISSUE FOREARM DEEP<3CM
|
Facility
|
OP
|
$4,367.60
|
|
|
Service Code
|
CPT 25076
|
| Hospital Charge Code |
76100515
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$770.01 |
| Max. Negotiated Rate |
$3,930.84 |
| Rate for Payer: Aetna Commercial |
$3,712.46
|
| Rate for Payer: Aetna Medicare |
$1,135.58
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,364.88
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1,364.88
|
| Rate for Payer: BCBS Complete |
$808.44
|
| Rate for Payer: BCBS MAPPO |
$1,091.90
|
| Rate for Payer: BCBS Trust/PPO |
$3,590.60
|
| Rate for Payer: BCN Commercial |
$3,590.60
|
| Rate for Payer: BCN Medicare Advantage |
$1,091.90
|
| Rate for Payer: Cash Price |
$3,494.08
|
| Rate for Payer: Cofinity Commercial |
$3,756.14
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,494.08
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,091.90
|
| Rate for Payer: Healthscope Commercial |
$3,930.84
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$3,275.70
|
| Rate for Payer: Mclaren Medicaid |
$770.01
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,146.49
|
| Rate for Payer: Meridian Medicaid |
$808.44
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,255.68
|
| Rate for Payer: Molina Medicare/Medicaid |
$1,201.09
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,712.46
|
| Rate for Payer: Nomi Health Commercial |
$3,581.43
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$3,275.70
|
| Rate for Payer: PACE Senior Care Partners |
$1,037.31
|
| Rate for Payer: PACE SWMI |
$1,091.90
|
| Rate for Payer: PHP Commercial |
$3,712.46
|
| Rate for Payer: PHP Medicare Advantage |
$1,091.90
|
| Rate for Payer: Priority Health Choice Medicaid |
$770.01
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$3,799.81
|
| Rate for Payer: Priority Health Medicare |
$1,102.82
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$3,039.85
|
| Rate for Payer: Railroad Medicare Medicare |
$1,091.90
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$3,843.49
|
| Rate for Payer: UHC Core |
$3,646.95
|
| Rate for Payer: UHC Exchange |
$1,091.90
|
| Rate for Payer: UHC Medicaid |
$770.01
|
| Rate for Payer: UHC Medicare Advantage |
$1,091.90
|
| Rate for Payer: UHCCP Medicaid |
$770.01
|
| Rate for Payer: VA VA |
$1,091.90
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$3,275.70
|
|
|
HC EXC TUMOR SOFT TISSUE FOREARM/WRIST, SQ <3CM
|
Facility
|
IP
|
$2,184.92
|
|
|
Service Code
|
CPT 25075
|
| Hospital Charge Code |
76100255
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$1,520.70 |
| Max. Negotiated Rate |
$1,966.43 |
| Rate for Payer: Aetna Commercial |
$1,857.18
|
| Rate for Payer: BCBS Trust/PPO |
$1,804.53
|
| Rate for Payer: BCN Commercial |
$1,804.53
|
| Rate for Payer: Cash Price |
$1,747.94
|
| Rate for Payer: Cofinity Commercial |
$1,879.03
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,747.94
|
| Rate for Payer: Healthscope Commercial |
$1,966.43
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,638.69
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,857.18
|
| Rate for Payer: Nomi Health Commercial |
$1,791.63
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,638.69
|
| Rate for Payer: PHP Commercial |
$1,857.18
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$1,900.88
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,520.70
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,922.73
|
| Rate for Payer: UHC Core |
$1,824.41
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,638.69
|
|
|
HC EXC TUMOR SOFT TISSUE FOREARM/WRIST, SQ <3CM
|
Facility
|
OP
|
$2,184.92
|
|
|
Service Code
|
CPT 25075
|
| Hospital Charge Code |
76100255
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$385.20 |
| Max. Negotiated Rate |
$1,966.43 |
| Rate for Payer: Aetna Commercial |
$1,857.18
|
| Rate for Payer: Aetna Medicare |
$568.08
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$682.79
|
| Rate for Payer: Amish Plain Church Group Commercial |
$682.79
|
| Rate for Payer: BCBS Complete |
$404.43
|
| Rate for Payer: BCBS MAPPO |
$546.23
|
| Rate for Payer: BCBS Trust/PPO |
$1,796.22
|
| Rate for Payer: BCN Commercial |
$1,796.22
|
| Rate for Payer: BCN Medicare Advantage |
$546.23
|
| Rate for Payer: Cash Price |
$1,747.94
|
| Rate for Payer: Cofinity Commercial |
$1,879.03
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,747.94
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$546.23
|
| Rate for Payer: Healthscope Commercial |
$1,966.43
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,638.69
|
| Rate for Payer: Mclaren Medicaid |
$385.20
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$573.54
|
| Rate for Payer: Meridian Medicaid |
$404.43
|
| Rate for Payer: MI Amish Medical Board Commercial |
$628.16
|
| Rate for Payer: Molina Medicare/Medicaid |
$600.85
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,857.18
|
| Rate for Payer: Nomi Health Commercial |
$1,791.63
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,638.69
|
| Rate for Payer: PACE Senior Care Partners |
$518.92
|
| Rate for Payer: PACE SWMI |
$546.23
|
| Rate for Payer: PHP Commercial |
$1,857.18
|
| Rate for Payer: PHP Medicare Advantage |
$546.23
|
| Rate for Payer: Priority Health Choice Medicaid |
$385.20
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$1,900.88
|
| Rate for Payer: Priority Health Medicare |
$551.69
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,520.70
|
| Rate for Payer: Railroad Medicare Medicare |
$546.23
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,922.73
|
| Rate for Payer: UHC Core |
$1,824.41
|
| Rate for Payer: UHC Exchange |
$546.23
|
| Rate for Payer: UHC Medicaid |
$385.20
|
| Rate for Payer: UHC Medicare Advantage |
$546.23
|
| Rate for Payer: UHCCP Medicaid |
$385.20
|
| Rate for Payer: VA VA |
$546.23
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,638.69
|
|
|
HC EXC TUMOR SOFT TISSUE LEG/ANKLE SQ 3 CM/>
|
Facility
|
IP
|
$4,024.10
|
|
|
Service Code
|
CPT 27632
|
| Hospital Charge Code |
76100312
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$2,800.77 |
| Max. Negotiated Rate |
$3,621.69 |
| Rate for Payer: Aetna Commercial |
$3,420.49
|
| Rate for Payer: BCBS Trust/PPO |
$3,323.50
|
| Rate for Payer: BCN Commercial |
$3,323.50
|
| Rate for Payer: Cash Price |
$3,219.28
|
| Rate for Payer: Cofinity Commercial |
$3,460.73
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,219.28
|
| Rate for Payer: Healthscope Commercial |
$3,621.69
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$3,018.07
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,420.49
|
| Rate for Payer: Nomi Health Commercial |
$3,299.76
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$3,018.07
|
| Rate for Payer: PHP Commercial |
$3,420.49
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$3,500.97
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,800.77
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$3,541.21
|
| Rate for Payer: UHC Core |
$3,360.12
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$3,018.07
|
|
|
HC EXC TUMOR SOFT TISSUE LEG/ANKLE SQ 3 CM/>
|
Facility
|
OP
|
$4,024.10
|
|
|
Service Code
|
CPT 27632
|
| Hospital Charge Code |
76100312
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$709.45 |
| Max. Negotiated Rate |
$3,621.69 |
| Rate for Payer: Aetna Commercial |
$3,420.49
|
| Rate for Payer: Aetna Medicare |
$1,046.27
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,257.53
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1,257.53
|
| Rate for Payer: BCBS Complete |
$744.86
|
| Rate for Payer: BCBS MAPPO |
$1,006.02
|
| Rate for Payer: BCBS Trust/PPO |
$3,308.21
|
| Rate for Payer: BCN Commercial |
$3,308.21
|
| Rate for Payer: BCN Medicare Advantage |
$1,006.02
|
| Rate for Payer: Cash Price |
$3,219.28
|
| Rate for Payer: Cofinity Commercial |
$3,460.73
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,219.28
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,006.02
|
| Rate for Payer: Healthscope Commercial |
$3,621.69
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$3,018.07
|
| Rate for Payer: Mclaren Medicaid |
$709.45
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,056.33
|
| Rate for Payer: Meridian Medicaid |
$744.86
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,156.93
|
| Rate for Payer: Molina Medicare/Medicaid |
$1,106.63
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,420.49
|
| Rate for Payer: Nomi Health Commercial |
$3,299.76
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$3,018.07
|
| Rate for Payer: PACE Senior Care Partners |
$955.72
|
| Rate for Payer: PACE SWMI |
$1,006.02
|
| Rate for Payer: PHP Commercial |
$3,420.49
|
| Rate for Payer: PHP Medicare Advantage |
$1,006.02
|
| Rate for Payer: Priority Health Choice Medicaid |
$709.45
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$3,500.97
|
| Rate for Payer: Priority Health Medicare |
$1,016.09
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,800.77
|
| Rate for Payer: Railroad Medicare Medicare |
$1,006.02
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$3,541.21
|
| Rate for Payer: UHC Core |
$3,360.12
|
| Rate for Payer: UHC Exchange |
$1,006.02
|
| Rate for Payer: UHC Medicaid |
$709.45
|
| Rate for Payer: UHC Medicare Advantage |
$1,006.02
|
| Rate for Payer: UHCCP Medicaid |
$709.45
|
| Rate for Payer: VA VA |
$1,006.02
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$3,018.07
|
|
|
HC EXC TUMOR SOFT TISSUE,NECK/ANT THORAX, SQ <3CM
|
Facility
|
IP
|
$2,184.92
|
|
|
Service Code
|
CPT 21555
|
| Hospital Charge Code |
76100264
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$1,520.70 |
| Max. Negotiated Rate |
$1,966.43 |
| Rate for Payer: Aetna Commercial |
$1,857.18
|
| Rate for Payer: BCBS Trust/PPO |
$1,804.53
|
| Rate for Payer: BCN Commercial |
$1,804.53
|
| Rate for Payer: Cash Price |
$1,747.94
|
| Rate for Payer: Cofinity Commercial |
$1,879.03
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,747.94
|
| Rate for Payer: Healthscope Commercial |
$1,966.43
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,638.69
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,857.18
|
| Rate for Payer: Nomi Health Commercial |
$1,791.63
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,638.69
|
| Rate for Payer: PHP Commercial |
$1,857.18
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$1,900.88
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,520.70
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,922.73
|
| Rate for Payer: UHC Core |
$1,824.41
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,638.69
|
|
