|
HC EXCISE MALIGNANT LESION TRUNK, ARMS, LEGS 1.1 TO 2.0 CM
|
Facility
|
IP
|
$600.08
|
|
|
Service Code
|
CPT 11602
|
| Hospital Charge Code |
76100105
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$390.05 |
| Max. Negotiated Rate |
$540.07 |
| Rate for Payer: Aetna Commercial |
$510.07
|
| Rate for Payer: BCBS Trust/PPO |
$489.85
|
| Rate for Payer: BCN Commercial |
$463.74
|
| Rate for Payer: Cash Price |
$480.06
|
| Rate for Payer: Cofinity Commercial |
$516.07
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$480.06
|
| Rate for Payer: Healthscope Commercial |
$540.07
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$450.06
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$510.07
|
| Rate for Payer: Nomi Health Commercial |
$492.07
|
| Rate for Payer: PHP Commercial |
$510.07
|
| Rate for Payer: Priority Health Cigna Priority Health |
$390.05
|
| Rate for Payer: Priority Health HMO/PPO |
$522.07
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$402.05
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$528.07
|
| Rate for Payer: UHC Core |
$501.07
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$450.06
|
|
|
HC EXCISE MALIGNANT LESION TRUNK, ARMS, LEGS 2.1 TO 3.0 CM
|
Facility
|
IP
|
$1,176.05
|
|
|
Service Code
|
CPT 11603
|
| Hospital Charge Code |
76100106
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$764.43 |
| Max. Negotiated Rate |
$1,058.44 |
| Rate for Payer: Aetna Commercial |
$999.64
|
| Rate for Payer: BCBS Trust/PPO |
$960.01
|
| Rate for Payer: BCN Commercial |
$908.85
|
| Rate for Payer: Cash Price |
$940.84
|
| Rate for Payer: Cofinity Commercial |
$1,011.40
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$940.84
|
| Rate for Payer: Healthscope Commercial |
$1,058.44
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$882.04
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$999.64
|
| Rate for Payer: Nomi Health Commercial |
$964.36
|
| Rate for Payer: PHP Commercial |
$999.64
|
| Rate for Payer: Priority Health Cigna Priority Health |
$764.43
|
| Rate for Payer: Priority Health HMO/PPO |
$1,023.16
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$787.95
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,034.92
|
| Rate for Payer: UHC Core |
$982.00
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$882.04
|
|
|
HC EXCISE MALIGNANT LESION TRUNK, ARMS, LEGS 2.1 TO 3.0 CM
|
Facility
|
OP
|
$1,176.05
|
|
|
Service Code
|
CPT 11603
|
| Hospital Charge Code |
76100106
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$279.31 |
| Max. Negotiated Rate |
$1,058.44 |
| Rate for Payer: Aetna Commercial |
$999.64
|
| Rate for Payer: Aetna Medicare |
$305.77
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$367.52
|
| Rate for Payer: Amish Plain Church Group Commercial |
$367.52
|
| Rate for Payer: BCBS Complete |
$523.36
|
| Rate for Payer: BCBS MAPPO |
$294.01
|
| Rate for Payer: BCBS Trust/PPO |
$966.83
|
| Rate for Payer: BCN Commercial |
$914.38
|
| Rate for Payer: BCN Medicare Advantage |
$294.01
|
| Rate for Payer: Cash Price |
$940.84
|
| Rate for Payer: Cash Price |
$940.84
|
| Rate for Payer: Cofinity Commercial |
$1,011.40
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$940.84
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$294.01
|
| Rate for Payer: Healthscope Commercial |
$1,058.44
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$882.04
|
| Rate for Payer: Mclaren Medicaid |
$498.41
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$308.71
|
| Rate for Payer: Meridian Medicaid |
$523.36
|
| Rate for Payer: MI Amish Medical Board Commercial |
$338.11
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$999.64
|
| Rate for Payer: Nomi Health Commercial |
$964.36
|
| Rate for Payer: PACE Senior Care Partners |
$279.31
|
| Rate for Payer: PACE SWMI |
$294.01
|
| Rate for Payer: PHP Commercial |
$999.64
|
| Rate for Payer: PHP Medicare Advantage |
$294.01
|
| Rate for Payer: Priority Health Choice Medicaid |
$498.41
|
| Rate for Payer: Priority Health Cigna Priority Health |
$764.43
|
| Rate for Payer: Priority Health HMO/PPO |
$1,023.16
|
| Rate for Payer: Priority Health Medicare |
$296.95
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$787.95
|
| Rate for Payer: Railroad Medicare Medicare |
$294.01
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,034.92
|
| Rate for Payer: UHC Core |
$982.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$294.01
|
| Rate for Payer: UHC Exchange |
$294.01
|
| Rate for Payer: UHC Medicare Advantage |
$294.01
|
| Rate for Payer: UHCCP Medicaid |
$498.41
|
| Rate for Payer: VA VA |
$294.01
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$882.04
|
|
|
HC EXCISE MALIGNANT LESION TRUNK, ARMS, LEGS 3.1 TO 4.0 CM
|
Facility
|
IP
|
$312.44
|
|
|
Service Code
|
CPT 11604
|
| Hospital Charge Code |
76100146
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$203.09 |
| Max. Negotiated Rate |
$281.20 |
| Rate for Payer: Aetna Commercial |
$265.57
|
| Rate for Payer: BCBS Trust/PPO |
$255.04
|
| Rate for Payer: BCN Commercial |
$241.45
|
| Rate for Payer: Cash Price |
$249.95
|
| Rate for Payer: Cofinity Commercial |
$268.70
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$249.95
|
| Rate for Payer: Healthscope Commercial |
$281.20
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$234.33
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$265.57
|
| Rate for Payer: Nomi Health Commercial |
$256.20
|
| Rate for Payer: PHP Commercial |
$265.57
|
| Rate for Payer: Priority Health Cigna Priority Health |
$203.09
|
| Rate for Payer: Priority Health HMO/PPO |
$271.82
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$209.33
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$274.95
|
| Rate for Payer: UHC Core |
$260.89
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$234.33
|
|
|
HC EXCISE MALIGNANT LESION TRUNK, ARMS, LEGS 3.1 TO 4.0 CM
|
Facility
|
OP
|
$312.44
|
|
|
Service Code
|
CPT 11604
|
| Hospital Charge Code |
76100146
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$74.20 |
| Max. Negotiated Rate |
$523.36 |
| Rate for Payer: Aetna Commercial |
$265.57
|
| Rate for Payer: Aetna Medicare |
$81.23
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$97.64
|
| Rate for Payer: Amish Plain Church Group Commercial |
$97.64
|
| Rate for Payer: BCBS Complete |
$523.36
|
| Rate for Payer: BCBS MAPPO |
$78.11
|
| Rate for Payer: BCBS Trust/PPO |
$256.86
|
| Rate for Payer: BCN Commercial |
$242.92
|
| Rate for Payer: BCN Medicare Advantage |
$78.11
|
| Rate for Payer: Cash Price |
$249.95
|
| Rate for Payer: Cash Price |
$249.95
|
| Rate for Payer: Cofinity Commercial |
$268.70
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$249.95
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$78.11
|
| Rate for Payer: Healthscope Commercial |
$281.20
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$234.33
|
| Rate for Payer: Mclaren Medicaid |
$498.41
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$82.02
|
| Rate for Payer: Meridian Medicaid |
$523.36
|
| Rate for Payer: MI Amish Medical Board Commercial |
$89.83
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$265.57
|
| Rate for Payer: Nomi Health Commercial |
$256.20
|
| Rate for Payer: PACE Senior Care Partners |
$74.20
|
| Rate for Payer: PACE SWMI |
$78.11
|
| Rate for Payer: PHP Commercial |
$265.57
|
| Rate for Payer: PHP Medicare Advantage |
$78.11
|
| Rate for Payer: Priority Health Choice Medicaid |
$498.41
|
| Rate for Payer: Priority Health Cigna Priority Health |
$203.09
|
| Rate for Payer: Priority Health HMO/PPO |
$271.82
|
| Rate for Payer: Priority Health Medicare |
$78.89
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$209.33
|
| Rate for Payer: Railroad Medicare Medicare |
$78.11
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$274.95
|
| Rate for Payer: UHC Core |
$260.89
|
| Rate for Payer: UHC Dual Complete DSNP |
$78.11
|
| Rate for Payer: UHC Exchange |
$78.11
|
| Rate for Payer: UHC Medicare Advantage |
$78.11
|
| Rate for Payer: UHCCP Medicaid |
$498.41
|
| Rate for Payer: VA VA |
$78.11
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$234.33
|
|
|
HC EXCISION/DESTRUCT LESION PHARYNX ANY METHOD
|
Facility
|
IP
|
$8,122.26
|
|
|
Service Code
|
CPT 42808
|
| Hospital Charge Code |
76100476
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$5,279.47 |
| Max. Negotiated Rate |
$7,310.03 |
| Rate for Payer: Aetna Commercial |
$6,903.92
|
| Rate for Payer: BCBS Trust/PPO |
$6,630.20
|
| Rate for Payer: BCN Commercial |
$6,276.88
|
| Rate for Payer: Cash Price |
$6,497.81
|
| Rate for Payer: Cofinity Commercial |
$6,985.14
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$6,497.81
|
| Rate for Payer: Healthscope Commercial |
$7,310.03
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$6,091.70
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$6,903.92
|
| Rate for Payer: Nomi Health Commercial |
$6,660.25
|
| Rate for Payer: PHP Commercial |
$6,903.92
|
| Rate for Payer: Priority Health Cigna Priority Health |
$5,279.47
|
| Rate for Payer: Priority Health HMO/PPO |
$7,066.37
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$5,441.91
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$7,147.59
|
| Rate for Payer: UHC Core |
$6,782.09
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$6,091.70
|
|
|
HC EXCISION/DESTRUCT LESION PHARYNX ANY METHOD
|
Facility
|
OP
|
$8,122.26
|
|
|
Service Code
|
CPT 42808
|
| Hospital Charge Code |
76100476
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$1,929.04 |
| Max. Negotiated Rate |
$7,310.03 |
| Rate for Payer: Aetna Commercial |
$6,903.92
|
| Rate for Payer: Aetna Medicare |
$2,111.79
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$2,538.21
|
| Rate for Payer: Amish Plain Church Group Commercial |
$2,538.21
|
| Rate for Payer: BCBS Complete |
$2,412.36
|
| Rate for Payer: BCBS MAPPO |
$2,030.56
|
| Rate for Payer: BCBS Trust/PPO |
$6,677.31
|
| Rate for Payer: BCN Commercial |
$6,315.06
|
| Rate for Payer: BCN Medicare Advantage |
$2,030.56
|
| Rate for Payer: Cash Price |
$6,497.81
|
| Rate for Payer: Cash Price |
$6,497.81
|
| Rate for Payer: Cofinity Commercial |
$6,985.14
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$6,497.81
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,030.56
|
| Rate for Payer: Healthscope Commercial |
$7,310.03
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$6,091.70
|
| Rate for Payer: Mclaren Medicaid |
$2,297.33
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$2,132.09
|
| Rate for Payer: Meridian Medicaid |
$2,412.36
|
| Rate for Payer: MI Amish Medical Board Commercial |
$2,335.15
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$6,903.92
|
| Rate for Payer: Nomi Health Commercial |
$6,660.25
|
| Rate for Payer: PACE Senior Care Partners |
$1,929.04
|
| Rate for Payer: PACE SWMI |
$2,030.56
|
| Rate for Payer: PHP Commercial |
$6,903.92
|
| Rate for Payer: PHP Medicare Advantage |
$2,030.56
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,297.33
|
| Rate for Payer: Priority Health Cigna Priority Health |
$5,279.47
|
| Rate for Payer: Priority Health HMO/PPO |
$7,066.37
|
| Rate for Payer: Priority Health Medicare |
$2,050.87
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$5,441.91
|
| Rate for Payer: Railroad Medicare Medicare |
$2,030.56
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$7,147.59
|
| Rate for Payer: UHC Core |
$6,782.09
|
| Rate for Payer: UHC Dual Complete DSNP |
$2,030.56
|
| Rate for Payer: UHC Exchange |
$2,030.56
|
| Rate for Payer: UHC Medicare Advantage |
$2,030.56
|
| Rate for Payer: UHCCP Medicaid |
$2,297.33
|
| Rate for Payer: VA VA |
$2,030.56
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$6,091.70
|
|
|
HC EXCISION EXCESSIVE SKIN & SUBQ TISSUE
|
Facility
|
IP
|
$7,179.80
|
|
|
Service Code
|
CPT 15839
|
| Hospital Charge Code |
76100330
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$4,666.87 |
| Max. Negotiated Rate |
$6,461.82 |
| Rate for Payer: Aetna Commercial |
$6,102.83
|
| Rate for Payer: BCBS Trust/PPO |
$5,860.87
|
| Rate for Payer: BCN Commercial |
$5,548.55
|
| Rate for Payer: Cash Price |
$5,743.84
|
| Rate for Payer: Cofinity Commercial |
$6,174.63
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$5,743.84
|
| Rate for Payer: Healthscope Commercial |
$6,461.82
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$5,384.85
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$6,102.83
|
| Rate for Payer: Nomi Health Commercial |
$5,887.44
|
| Rate for Payer: PHP Commercial |
$6,102.83
|
| Rate for Payer: Priority Health Cigna Priority Health |
$4,666.87
|
| Rate for Payer: Priority Health HMO/PPO |
$6,246.43
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$4,810.47
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$6,318.22
|
| Rate for Payer: UHC Core |
$5,995.13
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$5,384.85
|
|
|
HC EXCISION EXCESSIVE SKIN & SUBQ TISSUE
|
Facility
|
OP
|
$7,179.80
|
|
|
Service Code
|
CPT 15839
|
| Hospital Charge Code |
76100330
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$1,705.20 |
| Max. Negotiated Rate |
$6,461.82 |
| Rate for Payer: Aetna Commercial |
$6,102.83
|
| Rate for Payer: Aetna Medicare |
$1,866.75
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$2,243.69
|
| Rate for Payer: Amish Plain Church Group Commercial |
$2,243.69
|
| Rate for Payer: BCBS Complete |
$2,128.93
|
| Rate for Payer: BCBS MAPPO |
$1,794.95
|
| Rate for Payer: BCBS Trust/PPO |
$5,902.51
|
| Rate for Payer: BCN Commercial |
$5,582.29
|
| Rate for Payer: BCN Medicare Advantage |
$1,794.95
|
| Rate for Payer: Cash Price |
$5,743.84
|
| Rate for Payer: Cash Price |
$5,743.84
|
| Rate for Payer: Cofinity Commercial |
$6,174.63
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$5,743.84
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,794.95
|
| Rate for Payer: Healthscope Commercial |
$6,461.82
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$5,384.85
|
| Rate for Payer: Mclaren Medicaid |
$2,027.42
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,884.70
|
| Rate for Payer: Meridian Medicaid |
$2,128.93
|
| Rate for Payer: MI Amish Medical Board Commercial |
$2,064.19
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$6,102.83
|
| Rate for Payer: Nomi Health Commercial |
$5,887.44
|
| Rate for Payer: PACE Senior Care Partners |
$1,705.20
|
| Rate for Payer: PACE SWMI |
$1,794.95
|
| Rate for Payer: PHP Commercial |
$6,102.83
|
| Rate for Payer: PHP Medicare Advantage |
$1,794.95
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,027.42
|
| Rate for Payer: Priority Health Cigna Priority Health |
$4,666.87
|
| Rate for Payer: Priority Health HMO/PPO |
$6,246.43
|
| Rate for Payer: Priority Health Medicare |
$1,812.90
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$4,810.47
|
| Rate for Payer: Railroad Medicare Medicare |
$1,794.95
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$6,318.22
|
| Rate for Payer: UHC Core |
$5,995.13
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,794.95
|
| Rate for Payer: UHC Exchange |
$1,794.95
|
| Rate for Payer: UHC Medicare Advantage |
$1,794.95
|
| Rate for Payer: UHCCP Medicaid |
$2,027.42
|
| Rate for Payer: VA VA |
$1,794.95
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$5,384.85
|
|
|
HC EXCISION EXTERNAL EAR PARTIAL SIMPLE REPAIR
|
Facility
|
OP
|
$7,344.00
|
|
|
Service Code
|
CPT 69110
|
| Hospital Charge Code |
76100403
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$1,744.20 |
| Max. Negotiated Rate |
$6,609.60 |
| Rate for Payer: Aetna Commercial |
$6,242.40
|
| Rate for Payer: Aetna Medicare |
$1,909.44
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$2,295.00
|
| Rate for Payer: Amish Plain Church Group Commercial |
$2,295.00
|
| Rate for Payer: BCBS Complete |
$2,128.93
|
| Rate for Payer: BCBS MAPPO |
$1,836.00
|
| Rate for Payer: BCBS Trust/PPO |
$6,037.50
|
| Rate for Payer: BCN Commercial |
$5,709.96
|
| Rate for Payer: BCN Medicare Advantage |
$1,836.00
|
| Rate for Payer: Cash Price |
$5,875.20
|
| Rate for Payer: Cash Price |
$5,875.20
|
| Rate for Payer: Cofinity Commercial |
$6,315.84
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$5,875.20
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,836.00
|
| Rate for Payer: Healthscope Commercial |
$6,609.60
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$5,508.00
|
| Rate for Payer: Mclaren Medicaid |
$2,027.42
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,927.80
|
| Rate for Payer: Meridian Medicaid |
$2,128.93
|
| Rate for Payer: MI Amish Medical Board Commercial |
$2,111.40
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$6,242.40
|
| Rate for Payer: Nomi Health Commercial |
$6,022.08
|
| Rate for Payer: PACE Senior Care Partners |
$1,744.20
|
| Rate for Payer: PACE SWMI |
$1,836.00
|
| Rate for Payer: PHP Commercial |
$6,242.40
|
| Rate for Payer: PHP Medicare Advantage |
$1,836.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,027.42
|
| Rate for Payer: Priority Health Cigna Priority Health |
$4,773.60
|
| Rate for Payer: Priority Health HMO/PPO |
$6,389.28
|
| Rate for Payer: Priority Health Medicare |
$1,854.36
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$4,920.48
|
| Rate for Payer: Railroad Medicare Medicare |
$1,836.00
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$6,462.72
|
| Rate for Payer: UHC Core |
$6,132.24
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,836.00
|
| Rate for Payer: UHC Exchange |
$1,836.00
|
| Rate for Payer: UHC Medicare Advantage |
$1,836.00
|
| Rate for Payer: UHCCP Medicaid |
$2,027.42
|
| Rate for Payer: VA VA |
$1,836.00
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$5,508.00
|
|
|
HC EXCISION EXTERNAL EAR PARTIAL SIMPLE REPAIR
|
Facility
|
IP
|
$7,344.00
|
|
|
Service Code
|
CPT 69110
|
| Hospital Charge Code |
76100403
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$4,773.60 |
| Max. Negotiated Rate |
$6,609.60 |
| Rate for Payer: Aetna Commercial |
$6,242.40
|
| Rate for Payer: BCBS Trust/PPO |
$5,994.91
|
| Rate for Payer: BCN Commercial |
$5,675.44
|
| Rate for Payer: Cash Price |
$5,875.20
|
| Rate for Payer: Cofinity Commercial |
$6,315.84
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$5,875.20
|
| Rate for Payer: Healthscope Commercial |
$6,609.60
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$5,508.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$6,242.40
|
| Rate for Payer: Nomi Health Commercial |
$6,022.08
|
| Rate for Payer: PHP Commercial |
$6,242.40
|
| Rate for Payer: Priority Health Cigna Priority Health |
$4,773.60
|
| Rate for Payer: Priority Health HMO/PPO |
$6,389.28
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$4,920.48
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$6,462.72
|
| Rate for Payer: UHC Core |
$6,132.24
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$5,508.00
|
|
|
HC EXCISION LESION TONGUE W/O CLOSURE
|
Facility
|
IP
|
$8,058.00
|
|
|
Service Code
|
CPT 41110
|
| Hospital Charge Code |
76100465
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$5,237.70 |
| Max. Negotiated Rate |
$7,252.20 |
| Rate for Payer: Aetna Commercial |
$6,849.30
|
| Rate for Payer: BCBS Trust/PPO |
$6,577.75
|
| Rate for Payer: BCN Commercial |
$6,227.22
|
| Rate for Payer: Cash Price |
$6,446.40
|
| Rate for Payer: Cofinity Commercial |
$6,929.88
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$6,446.40
|
| Rate for Payer: Healthscope Commercial |
$7,252.20
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$6,043.50
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$6,849.30
|
| Rate for Payer: Nomi Health Commercial |
$6,607.56
|
| Rate for Payer: PHP Commercial |
$6,849.30
|
| Rate for Payer: Priority Health Cigna Priority Health |
$5,237.70
|
| Rate for Payer: Priority Health HMO/PPO |
$7,010.46
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$5,398.86
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$7,091.04
|
| Rate for Payer: UHC Core |
$6,728.43
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$6,043.50
|
|
|
HC EXCISION LESION TONGUE W/O CLOSURE
|
Facility
|
OP
|
$8,058.00
|
|
|
Service Code
|
CPT 41110
|
| Hospital Charge Code |
76100465
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$1,913.78 |
| Max. Negotiated Rate |
$7,252.20 |
| Rate for Payer: Aetna Commercial |
$6,849.30
|
| Rate for Payer: Aetna Medicare |
$2,095.08
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$2,518.12
|
| Rate for Payer: Amish Plain Church Group Commercial |
$2,518.12
|
| Rate for Payer: BCBS Complete |
$2,412.36
|
| Rate for Payer: BCBS MAPPO |
$2,014.50
|
| Rate for Payer: BCBS Trust/PPO |
$6,624.48
|
| Rate for Payer: BCN Commercial |
$6,265.10
|
| Rate for Payer: BCN Medicare Advantage |
$2,014.50
|
| Rate for Payer: Cash Price |
$6,446.40
|
| Rate for Payer: Cash Price |
$6,446.40
|
| Rate for Payer: Cofinity Commercial |
$6,929.88
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$6,446.40
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,014.50
|
| Rate for Payer: Healthscope Commercial |
$7,252.20
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$6,043.50
|
| Rate for Payer: Mclaren Medicaid |
$2,297.33
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$2,115.22
|
| Rate for Payer: Meridian Medicaid |
$2,412.36
|
| Rate for Payer: MI Amish Medical Board Commercial |
$2,316.68
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$6,849.30
|
| Rate for Payer: Nomi Health Commercial |
$6,607.56
|
| Rate for Payer: PACE Senior Care Partners |
$1,913.78
|
| Rate for Payer: PACE SWMI |
$2,014.50
|
| Rate for Payer: PHP Commercial |
$6,849.30
|
| Rate for Payer: PHP Medicare Advantage |
$2,014.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,297.33
|
| Rate for Payer: Priority Health Cigna Priority Health |
$5,237.70
|
| Rate for Payer: Priority Health HMO/PPO |
$7,010.46
|
| Rate for Payer: Priority Health Medicare |
$2,034.64
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$5,398.86
|
| Rate for Payer: Railroad Medicare Medicare |
$2,014.50
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$7,091.04
|
| Rate for Payer: UHC Core |
$6,728.43
|
| Rate for Payer: UHC Dual Complete DSNP |
$2,014.50
|
| Rate for Payer: UHC Exchange |
$2,014.50
|
| Rate for Payer: UHC Medicare Advantage |
$2,014.50
|
| Rate for Payer: UHCCP Medicaid |
$2,297.33
|
| Rate for Payer: VA VA |
$2,014.50
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$6,043.50
|
|
|
HC EXCISION LINGUAL FRENUM FRENECTOMY
|
Facility
|
IP
|
$3,978.00
|
|
|
Service Code
|
CPT 41115
|
| Hospital Charge Code |
76100380
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$2,585.70 |
| Max. Negotiated Rate |
$3,580.20 |
| Rate for Payer: Aetna Commercial |
$3,381.30
|
| Rate for Payer: BCBS Trust/PPO |
$3,247.24
|
| Rate for Payer: BCN Commercial |
$3,074.20
|
| Rate for Payer: Cash Price |
$3,182.40
|
| Rate for Payer: Cofinity Commercial |
$3,421.08
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,182.40
|
| Rate for Payer: Healthscope Commercial |
$3,580.20
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,983.50
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,381.30
|
| Rate for Payer: Nomi Health Commercial |
$3,261.96
|
| Rate for Payer: PHP Commercial |
$3,381.30
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,585.70
|
| Rate for Payer: Priority Health HMO/PPO |
$3,460.86
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,665.26
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$3,500.64
|
| Rate for Payer: UHC Core |
$3,321.63
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,983.50
|
|
|
HC EXCISION LINGUAL FRENUM FRENECTOMY
|
Facility
|
OP
|
$3,978.00
|
|
|
Service Code
|
CPT 41115
|
| Hospital Charge Code |
76100380
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$944.78 |
| Max. Negotiated Rate |
$3,580.20 |
| Rate for Payer: Aetna Commercial |
$3,381.30
|
| Rate for Payer: Aetna Medicare |
$1,034.28
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,243.12
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1,243.12
|
| Rate for Payer: BCBS Complete |
$1,101.85
|
| Rate for Payer: BCBS MAPPO |
$994.50
|
| Rate for Payer: BCBS Trust/PPO |
$3,270.31
|
| Rate for Payer: BCN Commercial |
$3,092.90
|
| Rate for Payer: BCN Medicare Advantage |
$994.50
|
| Rate for Payer: Cash Price |
$3,182.40
|
| Rate for Payer: Cash Price |
$3,182.40
|
| Rate for Payer: Cofinity Commercial |
$3,421.08
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,182.40
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$994.50
|
| Rate for Payer: Healthscope Commercial |
$3,580.20
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,983.50
|
| Rate for Payer: Mclaren Medicaid |
$1,049.31
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,044.22
|
| Rate for Payer: Meridian Medicaid |
$1,101.85
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,143.68
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,381.30
|
| Rate for Payer: Nomi Health Commercial |
$3,261.96
|
| Rate for Payer: PACE Senior Care Partners |
$944.78
|
| Rate for Payer: PACE SWMI |
$994.50
|
| Rate for Payer: PHP Commercial |
$3,381.30
|
| Rate for Payer: PHP Medicare Advantage |
$994.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,049.31
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,585.70
|
| Rate for Payer: Priority Health HMO/PPO |
$3,460.86
|
| Rate for Payer: Priority Health Medicare |
$1,004.44
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,665.26
|
| Rate for Payer: Railroad Medicare Medicare |
$994.50
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$3,500.64
|
| Rate for Payer: UHC Core |
$3,321.63
|
| Rate for Payer: UHC Dual Complete DSNP |
$994.50
|
| Rate for Payer: UHC Exchange |
$994.50
|
| Rate for Payer: UHC Medicare Advantage |
$994.50
|
| Rate for Payer: UHCCP Medicaid |
$1,049.31
|
| Rate for Payer: VA VA |
$994.50
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,983.50
|
|
|
HC EXCISION OF ANAL LESION(S)
|
Facility
|
IP
|
$7,527.94
|
|
|
Service Code
|
CPT 46922
|
| Hospital Charge Code |
76100350
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$4,893.16 |
| Max. Negotiated Rate |
$6,775.15 |
| Rate for Payer: Aetna Commercial |
$6,398.75
|
| Rate for Payer: BCBS Trust/PPO |
$6,145.06
|
| Rate for Payer: BCN Commercial |
$5,817.59
|
| Rate for Payer: Cash Price |
$6,022.35
|
| Rate for Payer: Cofinity Commercial |
$6,474.03
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$6,022.35
|
| Rate for Payer: Healthscope Commercial |
$6,775.15
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$5,645.96
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$6,398.75
|
| Rate for Payer: Nomi Health Commercial |
$6,172.91
|
| Rate for Payer: PHP Commercial |
$6,398.75
|
| Rate for Payer: Priority Health Cigna Priority Health |
$4,893.16
|
| Rate for Payer: Priority Health HMO/PPO |
$6,549.31
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$5,043.72
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$6,624.59
|
| Rate for Payer: UHC Core |
$6,285.83
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$5,645.96
|
|
|
HC EXCISION OF ANAL LESION(S)
|
Facility
|
OP
|
$7,527.94
|
|
|
Service Code
|
CPT 46922
|
| Hospital Charge Code |
76100350
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$1,787.89 |
| Max. Negotiated Rate |
$6,775.15 |
| Rate for Payer: Aetna Commercial |
$6,398.75
|
| Rate for Payer: Aetna Medicare |
$1,957.26
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$2,352.48
|
| Rate for Payer: Amish Plain Church Group Commercial |
$2,352.48
|
| Rate for Payer: BCBS Complete |
$2,039.92
|
| Rate for Payer: BCBS MAPPO |
$1,881.98
|
| Rate for Payer: BCBS Trust/PPO |
$6,188.72
|
| Rate for Payer: BCN Commercial |
$5,852.97
|
| Rate for Payer: BCN Medicare Advantage |
$1,881.98
|
| Rate for Payer: Cash Price |
$6,022.35
|
| Rate for Payer: Cash Price |
$6,022.35
|
| Rate for Payer: Cofinity Commercial |
$6,474.03
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$6,022.35
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,881.98
|
| Rate for Payer: Healthscope Commercial |
$6,775.15
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$5,645.96
|
| Rate for Payer: Mclaren Medicaid |
$1,942.66
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,976.08
|
| Rate for Payer: Meridian Medicaid |
$2,039.92
|
| Rate for Payer: MI Amish Medical Board Commercial |
$2,164.28
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$6,398.75
|
| Rate for Payer: Nomi Health Commercial |
$6,172.91
|
| Rate for Payer: PACE Senior Care Partners |
$1,787.89
|
| Rate for Payer: PACE SWMI |
$1,881.98
|
| Rate for Payer: PHP Commercial |
$6,398.75
|
| Rate for Payer: PHP Medicare Advantage |
$1,881.98
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,942.66
|
| Rate for Payer: Priority Health Cigna Priority Health |
$4,893.16
|
| Rate for Payer: Priority Health HMO/PPO |
$6,549.31
|
| Rate for Payer: Priority Health Medicare |
$1,900.80
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$5,043.72
|
| Rate for Payer: Railroad Medicare Medicare |
$1,881.98
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$6,624.59
|
| Rate for Payer: UHC Core |
$6,285.83
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,881.98
|
| Rate for Payer: UHC Exchange |
$1,881.98
|
| Rate for Payer: UHC Medicare Advantage |
$1,881.98
|
| Rate for Payer: UHCCP Medicaid |
$1,942.66
|
| Rate for Payer: VA VA |
$1,881.98
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$5,645.96
|
|
|
HC EXCISION OF NAIL OR NAIL MATRIX
|
Facility
|
IP
|
$395.79
|
|
|
Service Code
|
CPT 11750
|
| Hospital Charge Code |
76100077
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$257.26 |
| Max. Negotiated Rate |
$356.21 |
| Rate for Payer: Aetna Commercial |
$336.42
|
| Rate for Payer: BCBS Trust/PPO |
$323.08
|
| Rate for Payer: BCN Commercial |
$305.87
|
| Rate for Payer: Cash Price |
$316.63
|
| Rate for Payer: Cofinity Commercial |
$340.38
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$316.63
|
| Rate for Payer: Healthscope Commercial |
$356.21
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$296.84
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$336.42
|
| Rate for Payer: Nomi Health Commercial |
$324.55
|
| Rate for Payer: PHP Commercial |
$336.42
|
| Rate for Payer: Priority Health Cigna Priority Health |
$257.26
|
| Rate for Payer: Priority Health HMO/PPO |
$344.34
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$265.18
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$348.30
|
| Rate for Payer: UHC Core |
$330.48
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$296.84
|
|
|
HC EXCISION OF NAIL OR NAIL MATRIX
|
Facility
|
OP
|
$395.79
|
|
|
Service Code
|
CPT 11750
|
| Hospital Charge Code |
76100077
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$94.00 |
| Max. Negotiated Rate |
$356.21 |
| Rate for Payer: Aetna Commercial |
$336.42
|
| Rate for Payer: Aetna Medicare |
$102.91
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$123.68
|
| Rate for Payer: Amish Plain Church Group Commercial |
$123.68
|
| Rate for Payer: BCBS Complete |
$297.19
|
| Rate for Payer: BCBS MAPPO |
$98.95
|
| Rate for Payer: BCBS Trust/PPO |
$325.38
|
| Rate for Payer: BCN Commercial |
$307.73
|
| Rate for Payer: BCN Medicare Advantage |
$98.95
|
| Rate for Payer: Cash Price |
$316.63
|
| Rate for Payer: Cash Price |
$316.63
|
| Rate for Payer: Cofinity Commercial |
$340.38
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$316.63
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$98.95
|
| Rate for Payer: Healthscope Commercial |
$356.21
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$296.84
|
| Rate for Payer: Mclaren Medicaid |
$283.02
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$103.89
|
| Rate for Payer: Meridian Medicaid |
$297.19
|
| Rate for Payer: MI Amish Medical Board Commercial |
$113.79
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$336.42
|
| Rate for Payer: Nomi Health Commercial |
$324.55
|
| Rate for Payer: PACE Senior Care Partners |
$94.00
|
| Rate for Payer: PACE SWMI |
$98.95
|
| Rate for Payer: PHP Commercial |
$336.42
|
| Rate for Payer: PHP Medicare Advantage |
$98.95
|
| Rate for Payer: Priority Health Choice Medicaid |
$283.02
|
| Rate for Payer: Priority Health Cigna Priority Health |
$257.26
|
| Rate for Payer: Priority Health HMO/PPO |
$344.34
|
| Rate for Payer: Priority Health Medicare |
$99.94
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$265.18
|
| Rate for Payer: Railroad Medicare Medicare |
$98.95
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$348.30
|
| Rate for Payer: UHC Core |
$330.48
|
| Rate for Payer: UHC Dual Complete DSNP |
$98.95
|
| Rate for Payer: UHC Exchange |
$98.95
|
| Rate for Payer: UHC Medicare Advantage |
$98.95
|
| Rate for Payer: UHCCP Medicaid |
$283.02
|
| Rate for Payer: VA VA |
$98.95
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$296.84
|
|
|
HC EXCISION OF PENIS LESION(S)
|
Facility
|
OP
|
$5,277.80
|
|
|
Service Code
|
CPT 54060
|
| Hospital Charge Code |
76100347
|
|
Hospital Revenue Code
|
760
|
| Min. Negotiated Rate |
$1,253.48 |
| Max. Negotiated Rate |
$4,750.02 |
| Rate for Payer: Aetna Commercial |
$4,486.13
|
| Rate for Payer: Aetna Medicare |
$1,372.23
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,649.31
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1,649.31
|
| Rate for Payer: BCBS Complete |
$1,360.67
|
| Rate for Payer: BCBS MAPPO |
$1,319.45
|
| Rate for Payer: BCBS Trust/PPO |
$4,338.88
|
| Rate for Payer: BCN Commercial |
$4,103.49
|
| Rate for Payer: BCN Medicare Advantage |
$1,319.45
|
| Rate for Payer: Cash Price |
$4,222.24
|
| Rate for Payer: Cash Price |
$4,222.24
|
| Rate for Payer: Cofinity Commercial |
$4,538.91
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$4,222.24
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,319.45
|
| Rate for Payer: Healthscope Commercial |
$4,750.02
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$3,958.35
|
| Rate for Payer: Mclaren Medicaid |
$1,295.79
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,385.42
|
| Rate for Payer: Meridian Medicaid |
$1,360.67
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,517.37
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$4,486.13
|
| Rate for Payer: Nomi Health Commercial |
$4,327.80
|
| Rate for Payer: PACE Senior Care Partners |
$1,253.48
|
| Rate for Payer: PACE SWMI |
$1,319.45
|
| Rate for Payer: PHP Commercial |
$4,486.13
|
| Rate for Payer: PHP Medicare Advantage |
$1,319.45
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,295.79
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3,430.57
|
| Rate for Payer: Priority Health HMO/PPO |
$4,591.69
|
| Rate for Payer: Priority Health Medicare |
$1,332.64
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$3,536.13
|
| Rate for Payer: Railroad Medicare Medicare |
$1,319.45
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$4,644.46
|
| Rate for Payer: UHC Core |
$4,406.96
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,319.45
|
| Rate for Payer: UHC Exchange |
$1,319.45
|
| Rate for Payer: UHC Medicare Advantage |
$1,319.45
|
| Rate for Payer: UHCCP Medicaid |
$1,295.79
|
| Rate for Payer: VA VA |
$1,319.45
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$3,958.35
|
|
|
HC EXCISION OF PENIS LESION(S)
|
Facility
|
IP
|
$5,277.80
|
|
|
Service Code
|
CPT 54060
|
| Hospital Charge Code |
76100347
|
|
Hospital Revenue Code
|
760
|
| Min. Negotiated Rate |
$3,430.57 |
| Max. Negotiated Rate |
$4,750.02 |
| Rate for Payer: Aetna Commercial |
$4,486.13
|
| Rate for Payer: BCBS Trust/PPO |
$4,308.27
|
| Rate for Payer: BCN Commercial |
$4,078.68
|
| Rate for Payer: Cash Price |
$4,222.24
|
| Rate for Payer: Cofinity Commercial |
$4,538.91
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$4,222.24
|
| Rate for Payer: Healthscope Commercial |
$4,750.02
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$3,958.35
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$4,486.13
|
| Rate for Payer: Nomi Health Commercial |
$4,327.80
|
| Rate for Payer: PHP Commercial |
$4,486.13
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3,430.57
|
| Rate for Payer: Priority Health HMO/PPO |
$4,591.69
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$3,536.13
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$4,644.46
|
| Rate for Payer: UHC Core |
$4,406.96
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$3,958.35
|
|
|
HC EXCISION PILONIDAL CYST/SINUS SIMPLE
|
Facility
|
IP
|
$3,945.22
|
|
|
Service Code
|
CPT 11770
|
| Hospital Charge Code |
76100321
|
| Min. Negotiated Rate |
$2,564.39 |
| Max. Negotiated Rate |
$3,550.70 |
| Rate for Payer: Aetna Commercial |
$3,353.44
|
| Rate for Payer: BCBS Trust/PPO |
$3,220.48
|
| Rate for Payer: BCN Commercial |
$3,048.87
|
| Rate for Payer: Cash Price |
$3,156.18
|
| Rate for Payer: Cofinity Commercial |
$3,392.89
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,156.18
|
| Rate for Payer: Healthscope Commercial |
$3,550.70
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,958.92
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,353.44
|
| Rate for Payer: Nomi Health Commercial |
$3,235.08
|
| Rate for Payer: PHP Commercial |
$3,353.44
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,564.39
|
| Rate for Payer: Priority Health HMO/PPO |
$3,432.34
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,643.30
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$3,471.79
|
| Rate for Payer: UHC Core |
$3,294.26
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,958.92
|
|
|
HC EXCISION PILONIDAL CYST/SINUS SIMPLE
|
Facility
|
OP
|
$3,945.22
|
|
|
Service Code
|
CPT 11770
|
| Hospital Charge Code |
76100321
|
| Min. Negotiated Rate |
$936.99 |
| Max. Negotiated Rate |
$3,550.70 |
| Rate for Payer: Aetna Commercial |
$3,353.44
|
| Rate for Payer: Aetna Medicare |
$1,025.76
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,232.88
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1,232.88
|
| Rate for Payer: BCBS Complete |
$2,128.93
|
| Rate for Payer: BCBS MAPPO |
$986.30
|
| Rate for Payer: BCBS Trust/PPO |
$3,243.37
|
| Rate for Payer: BCN Commercial |
$3,067.41
|
| Rate for Payer: BCN Medicare Advantage |
$986.30
|
| Rate for Payer: Cash Price |
$3,156.18
|
| Rate for Payer: Cash Price |
$3,156.18
|
| Rate for Payer: Cofinity Commercial |
$3,392.89
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,156.18
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$986.30
|
| Rate for Payer: Healthscope Commercial |
$3,550.70
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,958.92
|
| Rate for Payer: Mclaren Medicaid |
$2,027.42
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,035.62
|
| Rate for Payer: Meridian Medicaid |
$2,128.93
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,134.25
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,353.44
|
| Rate for Payer: Nomi Health Commercial |
$3,235.08
|
| Rate for Payer: PACE Senior Care Partners |
$936.99
|
| Rate for Payer: PACE SWMI |
$986.30
|
| Rate for Payer: PHP Commercial |
$3,353.44
|
| Rate for Payer: PHP Medicare Advantage |
$986.30
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,027.42
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,564.39
|
| Rate for Payer: Priority Health HMO/PPO |
$3,432.34
|
| Rate for Payer: Priority Health Medicare |
$996.17
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,643.30
|
| Rate for Payer: Railroad Medicare Medicare |
$986.30
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$3,471.79
|
| Rate for Payer: UHC Core |
$3,294.26
|
| Rate for Payer: UHC Dual Complete DSNP |
$986.30
|
| Rate for Payer: UHC Exchange |
$986.30
|
| Rate for Payer: UHC Medicare Advantage |
$986.30
|
| Rate for Payer: UHCCP Medicaid |
$2,027.42
|
| Rate for Payer: VA VA |
$986.30
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,958.92
|
|
|
HC EXCISION SOFT TISSUE PELVIS HIP SUBQ <3CM
|
Facility
|
IP
|
$7,162.94
|
|
|
Service Code
|
CPT 27047
|
| Hospital Charge Code |
76100439
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$4,655.91 |
| Max. Negotiated Rate |
$6,446.65 |
| Rate for Payer: Aetna Commercial |
$6,088.50
|
| Rate for Payer: BCBS Trust/PPO |
$5,847.11
|
| Rate for Payer: BCN Commercial |
$5,535.52
|
| Rate for Payer: Cash Price |
$5,730.35
|
| Rate for Payer: Cofinity Commercial |
$6,160.13
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$5,730.35
|
| Rate for Payer: Healthscope Commercial |
$6,446.65
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$5,372.20
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$6,088.50
|
| Rate for Payer: Nomi Health Commercial |
$5,873.61
|
| Rate for Payer: PHP Commercial |
$6,088.50
|
| Rate for Payer: Priority Health Cigna Priority Health |
$4,655.91
|
| Rate for Payer: Priority Health HMO/PPO |
$6,231.76
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$4,799.17
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$6,303.39
|
| Rate for Payer: UHC Core |
$5,981.05
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$5,372.20
|
|
|
HC EXCISION SOFT TISSUE PELVIS HIP SUBQ <3CM
|
Facility
|
OP
|
$7,162.94
|
|
|
Service Code
|
CPT 27047
|
| Hospital Charge Code |
76100439
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$1,701.20 |
| Max. Negotiated Rate |
$6,446.65 |
| Rate for Payer: Aetna Commercial |
$6,088.50
|
| Rate for Payer: Aetna Medicare |
$1,862.36
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$2,238.42
|
| Rate for Payer: Amish Plain Church Group Commercial |
$2,238.42
|
| Rate for Payer: BCBS Complete |
$2,128.93
|
| Rate for Payer: BCBS MAPPO |
$1,790.74
|
| Rate for Payer: BCBS Trust/PPO |
$5,888.65
|
| Rate for Payer: BCN Commercial |
$5,569.19
|
| Rate for Payer: BCN Medicare Advantage |
$1,790.74
|
| Rate for Payer: Cash Price |
$5,730.35
|
| Rate for Payer: Cash Price |
$5,730.35
|
| Rate for Payer: Cofinity Commercial |
$6,160.13
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$5,730.35
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,790.74
|
| Rate for Payer: Healthscope Commercial |
$6,446.65
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$5,372.20
|
| Rate for Payer: Mclaren Medicaid |
$2,027.42
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,880.27
|
| Rate for Payer: Meridian Medicaid |
$2,128.93
|
| Rate for Payer: MI Amish Medical Board Commercial |
$2,059.35
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$6,088.50
|
| Rate for Payer: Nomi Health Commercial |
$5,873.61
|
| Rate for Payer: PACE Senior Care Partners |
$1,701.20
|
| Rate for Payer: PACE SWMI |
$1,790.74
|
| Rate for Payer: PHP Commercial |
$6,088.50
|
| Rate for Payer: PHP Medicare Advantage |
$1,790.74
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,027.42
|
| Rate for Payer: Priority Health Cigna Priority Health |
$4,655.91
|
| Rate for Payer: Priority Health HMO/PPO |
$6,231.76
|
| Rate for Payer: Priority Health Medicare |
$1,808.64
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$4,799.17
|
| Rate for Payer: Railroad Medicare Medicare |
$1,790.74
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$6,303.39
|
| Rate for Payer: UHC Core |
$5,981.05
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,790.74
|
| Rate for Payer: UHC Exchange |
$1,790.74
|
| Rate for Payer: UHC Medicare Advantage |
$1,790.74
|
| Rate for Payer: UHCCP Medicaid |
$2,027.42
|
| Rate for Payer: VA VA |
$1,790.74
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$5,372.20
|
|
