|
HC EXC TUMOR SOFT TISSUE FACE/SCALP, SUBQ 2CM OR >
|
Facility
|
OP
|
$2,142.08
|
|
|
Service Code
|
CPT 21012
|
| Hospital Charge Code |
76100246
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$508.74 |
| Max. Negotiated Rate |
$1,927.87 |
| Rate for Payer: Aetna Commercial |
$1,820.77
|
| Rate for Payer: Aetna Medicare |
$556.94
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$669.40
|
| Rate for Payer: Amish Plain Church Group Commercial |
$669.40
|
| Rate for Payer: BCBS Complete |
$1,230.09
|
| Rate for Payer: BCBS MAPPO |
$535.52
|
| Rate for Payer: BCBS Trust/PPO |
$1,761.00
|
| Rate for Payer: BCN Commercial |
$1,665.47
|
| Rate for Payer: BCN Medicare Advantage |
$535.52
|
| Rate for Payer: Cash Price |
$1,713.66
|
| Rate for Payer: Cash Price |
$1,713.66
|
| Rate for Payer: Cofinity Commercial |
$1,842.19
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,713.66
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$535.52
|
| Rate for Payer: Healthscope Commercial |
$1,927.87
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,606.56
|
| Rate for Payer: Mclaren Medicaid |
$1,171.43
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$562.30
|
| Rate for Payer: Meridian Medicaid |
$1,230.09
|
| Rate for Payer: MI Amish Medical Board Commercial |
$615.85
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,820.77
|
| Rate for Payer: Nomi Health Commercial |
$1,756.51
|
| Rate for Payer: PACE Senior Care Partners |
$508.74
|
| Rate for Payer: PACE SWMI |
$535.52
|
| Rate for Payer: PHP Commercial |
$1,820.77
|
| Rate for Payer: PHP Medicare Advantage |
$535.52
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,171.43
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,392.35
|
| Rate for Payer: Priority Health HMO/PPO |
$1,863.61
|
| Rate for Payer: Priority Health Medicare |
$540.88
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,435.19
|
| Rate for Payer: Railroad Medicare Medicare |
$535.52
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,885.03
|
| Rate for Payer: UHC Core |
$1,788.64
|
| Rate for Payer: UHC Dual Complete DSNP |
$535.52
|
| Rate for Payer: UHC Exchange |
$535.52
|
| Rate for Payer: UHC Medicare Advantage |
$535.52
|
| Rate for Payer: UHCCP Medicaid |
$1,171.43
|
| Rate for Payer: VA VA |
$535.52
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,606.56
|
|
|
HC EXC TUMOR SOFT TISSUE FOREARM DEEP<3CM
|
Facility
|
OP
|
$4,281.96
|
|
|
Service Code
|
CPT 25076
|
| Hospital Charge Code |
76100515
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$1,016.97 |
| Max. Negotiated Rate |
$3,853.76 |
| Rate for Payer: Aetna Commercial |
$3,639.67
|
| Rate for Payer: Aetna Medicare |
$1,113.31
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,338.11
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1,338.11
|
| Rate for Payer: BCBS Complete |
$1,230.09
|
| Rate for Payer: BCBS MAPPO |
$1,070.49
|
| Rate for Payer: BCBS Trust/PPO |
$3,520.20
|
| Rate for Payer: BCN Commercial |
$3,329.22
|
| Rate for Payer: BCN Medicare Advantage |
$1,070.49
|
| Rate for Payer: Cash Price |
$3,425.57
|
| Rate for Payer: Cash Price |
$3,425.57
|
| Rate for Payer: Cofinity Commercial |
$3,682.49
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,425.57
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,070.49
|
| Rate for Payer: Healthscope Commercial |
$3,853.76
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$3,211.47
|
| Rate for Payer: Mclaren Medicaid |
$1,171.43
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,124.01
|
| Rate for Payer: Meridian Medicaid |
$1,230.09
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,231.06
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,639.67
|
| Rate for Payer: Nomi Health Commercial |
$3,511.21
|
| Rate for Payer: PACE Senior Care Partners |
$1,016.97
|
| Rate for Payer: PACE SWMI |
$1,070.49
|
| Rate for Payer: PHP Commercial |
$3,639.67
|
| Rate for Payer: PHP Medicare Advantage |
$1,070.49
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,171.43
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,783.27
|
| Rate for Payer: Priority Health HMO/PPO |
$3,725.31
|
| Rate for Payer: Priority Health Medicare |
$1,081.19
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,868.91
|
| Rate for Payer: Railroad Medicare Medicare |
$1,070.49
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$3,768.12
|
| Rate for Payer: UHC Core |
$3,575.44
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,070.49
|
| Rate for Payer: UHC Exchange |
$1,070.49
|
| Rate for Payer: UHC Medicare Advantage |
$1,070.49
|
| Rate for Payer: UHCCP Medicaid |
$1,171.43
|
| Rate for Payer: VA VA |
$1,070.49
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$3,211.47
|
|
|
HC EXC TUMOR SOFT TISSUE FOREARM DEEP<3CM
|
Facility
|
IP
|
$4,281.96
|
|
|
Service Code
|
CPT 25076
|
| Hospital Charge Code |
76100515
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$2,783.27 |
| Max. Negotiated Rate |
$3,853.76 |
| Rate for Payer: Aetna Commercial |
$3,639.67
|
| Rate for Payer: BCBS Trust/PPO |
$3,495.36
|
| Rate for Payer: BCN Commercial |
$3,309.10
|
| Rate for Payer: Cash Price |
$3,425.57
|
| Rate for Payer: Cofinity Commercial |
$3,682.49
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,425.57
|
| Rate for Payer: Healthscope Commercial |
$3,853.76
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$3,211.47
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,639.67
|
| Rate for Payer: Nomi Health Commercial |
$3,511.21
|
| Rate for Payer: PHP Commercial |
$3,639.67
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,783.27
|
| Rate for Payer: Priority Health HMO/PPO |
$3,725.31
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,868.91
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$3,768.12
|
| Rate for Payer: UHC Core |
$3,575.44
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$3,211.47
|
|
|
HC EXC TUMOR SOFT TISSUE FOREARM/WRIST, SQ <3CM
|
Facility
|
IP
|
$2,142.08
|
|
|
Service Code
|
CPT 25075
|
| Hospital Charge Code |
76100255
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$1,392.35 |
| Max. Negotiated Rate |
$1,927.87 |
| Rate for Payer: Aetna Commercial |
$1,820.77
|
| Rate for Payer: BCBS Trust/PPO |
$1,748.58
|
| Rate for Payer: BCN Commercial |
$1,655.40
|
| Rate for Payer: Cash Price |
$1,713.66
|
| Rate for Payer: Cofinity Commercial |
$1,842.19
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,713.66
|
| Rate for Payer: Healthscope Commercial |
$1,927.87
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,606.56
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,820.77
|
| Rate for Payer: Nomi Health Commercial |
$1,756.51
|
| Rate for Payer: PHP Commercial |
$1,820.77
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,392.35
|
| Rate for Payer: Priority Health HMO/PPO |
$1,863.61
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,435.19
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,885.03
|
| Rate for Payer: UHC Core |
$1,788.64
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,606.56
|
|
|
HC EXC TUMOR SOFT TISSUE FOREARM/WRIST, SQ <3CM
|
Facility
|
OP
|
$2,142.08
|
|
|
Service Code
|
CPT 25075
|
| Hospital Charge Code |
76100255
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$508.74 |
| Max. Negotiated Rate |
$1,927.87 |
| Rate for Payer: Aetna Commercial |
$1,820.77
|
| Rate for Payer: Aetna Medicare |
$556.94
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$669.40
|
| Rate for Payer: Amish Plain Church Group Commercial |
$669.40
|
| Rate for Payer: BCBS Complete |
$1,230.09
|
| Rate for Payer: BCBS MAPPO |
$535.52
|
| Rate for Payer: BCBS Trust/PPO |
$1,761.00
|
| Rate for Payer: BCN Commercial |
$1,665.47
|
| Rate for Payer: BCN Medicare Advantage |
$535.52
|
| Rate for Payer: Cash Price |
$1,713.66
|
| Rate for Payer: Cash Price |
$1,713.66
|
| Rate for Payer: Cofinity Commercial |
$1,842.19
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,713.66
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$535.52
|
| Rate for Payer: Healthscope Commercial |
$1,927.87
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,606.56
|
| Rate for Payer: Mclaren Medicaid |
$1,171.43
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$562.30
|
| Rate for Payer: Meridian Medicaid |
$1,230.09
|
| Rate for Payer: MI Amish Medical Board Commercial |
$615.85
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,820.77
|
| Rate for Payer: Nomi Health Commercial |
$1,756.51
|
| Rate for Payer: PACE Senior Care Partners |
$508.74
|
| Rate for Payer: PACE SWMI |
$535.52
|
| Rate for Payer: PHP Commercial |
$1,820.77
|
| Rate for Payer: PHP Medicare Advantage |
$535.52
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,171.43
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,392.35
|
| Rate for Payer: Priority Health HMO/PPO |
$1,863.61
|
| Rate for Payer: Priority Health Medicare |
$540.88
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,435.19
|
| Rate for Payer: Railroad Medicare Medicare |
$535.52
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,885.03
|
| Rate for Payer: UHC Core |
$1,788.64
|
| Rate for Payer: UHC Dual Complete DSNP |
$535.52
|
| Rate for Payer: UHC Exchange |
$535.52
|
| Rate for Payer: UHC Medicare Advantage |
$535.52
|
| Rate for Payer: UHCCP Medicaid |
$1,171.43
|
| Rate for Payer: VA VA |
$535.52
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,606.56
|
|
|
HC EXC TUMOR SOFT TISSUE LEG/ANKLE SQ 3 CM/>
|
Facility
|
OP
|
$3,945.20
|
|
|
Service Code
|
CPT 27632
|
| Hospital Charge Code |
76100312
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$936.99 |
| Max. Negotiated Rate |
$3,550.68 |
| Rate for Payer: Aetna Commercial |
$3,353.42
|
| Rate for Payer: Aetna Medicare |
$1,025.75
|
| 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 |
$2,172.87
|
| Rate for Payer: BCBS MAPPO |
$986.30
|
| Rate for Payer: BCBS Trust/PPO |
$3,243.35
|
| Rate for Payer: BCN Commercial |
$3,067.39
|
| Rate for Payer: BCN Medicare Advantage |
$986.30
|
| Rate for Payer: Cash Price |
$3,156.16
|
| Rate for Payer: Cash Price |
$3,156.16
|
| Rate for Payer: Cofinity Commercial |
$3,392.87
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,156.16
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$986.30
|
| Rate for Payer: Healthscope Commercial |
$3,550.68
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,958.90
|
| Rate for Payer: Mclaren Medicaid |
$2,069.26
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,035.62
|
| Rate for Payer: Meridian Medicaid |
$2,172.87
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,134.24
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,353.42
|
| Rate for Payer: Nomi Health Commercial |
$3,235.06
|
| Rate for Payer: PACE Senior Care Partners |
$936.99
|
| Rate for Payer: PACE SWMI |
$986.30
|
| Rate for Payer: PHP Commercial |
$3,353.42
|
| Rate for Payer: PHP Medicare Advantage |
$986.30
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,069.26
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,564.38
|
| Rate for Payer: Priority Health HMO/PPO |
$3,432.32
|
| Rate for Payer: Priority Health Medicare |
$996.16
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,643.28
|
| Rate for Payer: Railroad Medicare Medicare |
$986.30
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$3,471.78
|
| Rate for Payer: UHC Core |
$3,294.24
|
| 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 |
$2,069.26
|
| Rate for Payer: VA VA |
$986.30
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,958.90
|
|
|
HC EXC TUMOR SOFT TISSUE LEG/ANKLE SQ 3 CM/>
|
Facility
|
IP
|
$3,945.20
|
|
|
Service Code
|
CPT 27632
|
| Hospital Charge Code |
76100312
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$2,564.38 |
| Max. Negotiated Rate |
$3,550.68 |
| Rate for Payer: Aetna Commercial |
$3,353.42
|
| Rate for Payer: BCBS Trust/PPO |
$3,220.47
|
| Rate for Payer: BCN Commercial |
$3,048.85
|
| Rate for Payer: Cash Price |
$3,156.16
|
| Rate for Payer: Cofinity Commercial |
$3,392.87
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,156.16
|
| Rate for Payer: Healthscope Commercial |
$3,550.68
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,958.90
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,353.42
|
| Rate for Payer: Nomi Health Commercial |
$3,235.06
|
| Rate for Payer: PHP Commercial |
$3,353.42
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,564.38
|
| Rate for Payer: Priority Health HMO/PPO |
$3,432.32
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,643.28
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$3,471.78
|
| Rate for Payer: UHC Core |
$3,294.24
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,958.90
|
|
|
HC EXC TUMOR SOFT TISSUE,NECK/ANT THORAX, SQ <3CM
|
Facility
|
OP
|
$2,142.08
|
|
|
Service Code
|
CPT 21555
|
| Hospital Charge Code |
76100264
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$508.74 |
| Max. Negotiated Rate |
$1,927.87 |
| Rate for Payer: Aetna Commercial |
$1,820.77
|
| Rate for Payer: Aetna Medicare |
$556.94
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$669.40
|
| Rate for Payer: Amish Plain Church Group Commercial |
$669.40
|
| Rate for Payer: BCBS Complete |
$1,230.09
|
| Rate for Payer: BCBS MAPPO |
$535.52
|
| Rate for Payer: BCBS Trust/PPO |
$1,761.00
|
| Rate for Payer: BCN Commercial |
$1,665.47
|
| Rate for Payer: BCN Medicare Advantage |
$535.52
|
| Rate for Payer: Cash Price |
$1,713.66
|
| Rate for Payer: Cash Price |
$1,713.66
|
| Rate for Payer: Cofinity Commercial |
$1,842.19
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,713.66
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$535.52
|
| Rate for Payer: Healthscope Commercial |
$1,927.87
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,606.56
|
| Rate for Payer: Mclaren Medicaid |
$1,171.43
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$562.30
|
| Rate for Payer: Meridian Medicaid |
$1,230.09
|
| Rate for Payer: MI Amish Medical Board Commercial |
$615.85
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,820.77
|
| Rate for Payer: Nomi Health Commercial |
$1,756.51
|
| Rate for Payer: PACE Senior Care Partners |
$508.74
|
| Rate for Payer: PACE SWMI |
$535.52
|
| Rate for Payer: PHP Commercial |
$1,820.77
|
| Rate for Payer: PHP Medicare Advantage |
$535.52
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,171.43
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,392.35
|
| Rate for Payer: Priority Health HMO/PPO |
$1,863.61
|
| Rate for Payer: Priority Health Medicare |
$540.88
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,435.19
|
| Rate for Payer: Railroad Medicare Medicare |
$535.52
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,885.03
|
| Rate for Payer: UHC Core |
$1,788.64
|
| Rate for Payer: UHC Dual Complete DSNP |
$535.52
|
| Rate for Payer: UHC Exchange |
$535.52
|
| Rate for Payer: UHC Medicare Advantage |
$535.52
|
| Rate for Payer: UHCCP Medicaid |
$1,171.43
|
| Rate for Payer: VA VA |
$535.52
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,606.56
|
|
|
HC EXC TUMOR SOFT TISSUE,NECK/ANT THORAX, SQ <3CM
|
Facility
|
IP
|
$2,142.08
|
|
|
Service Code
|
CPT 21555
|
| Hospital Charge Code |
76100264
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$1,392.35 |
| Max. Negotiated Rate |
$1,927.87 |
| Rate for Payer: Aetna Commercial |
$1,820.77
|
| Rate for Payer: BCBS Trust/PPO |
$1,748.58
|
| Rate for Payer: BCN Commercial |
$1,655.40
|
| Rate for Payer: Cash Price |
$1,713.66
|
| Rate for Payer: Cofinity Commercial |
$1,842.19
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,713.66
|
| Rate for Payer: Healthscope Commercial |
$1,927.87
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,606.56
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,820.77
|
| Rate for Payer: Nomi Health Commercial |
$1,756.51
|
| Rate for Payer: PHP Commercial |
$1,820.77
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,392.35
|
| Rate for Payer: Priority Health HMO/PPO |
$1,863.61
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,435.19
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,885.03
|
| Rate for Payer: UHC Core |
$1,788.64
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,606.56
|
|
|
HC EXC TUMOR SOFT TISSUE, NECK/ANT THORAX, SQ, 3CM OR >
|
Facility
|
IP
|
$3,618.51
|
|
|
Service Code
|
CPT 21552
|
| Hospital Charge Code |
76100291
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$2,352.03 |
| Max. Negotiated Rate |
$3,256.66 |
| Rate for Payer: Aetna Commercial |
$3,075.73
|
| Rate for Payer: BCBS Trust/PPO |
$2,953.79
|
| Rate for Payer: BCN Commercial |
$2,796.38
|
| Rate for Payer: Cash Price |
$2,894.81
|
| Rate for Payer: Cofinity Commercial |
$3,111.92
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,894.81
|
| Rate for Payer: Healthscope Commercial |
$3,256.66
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,713.88
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,075.73
|
| Rate for Payer: Nomi Health Commercial |
$2,967.18
|
| Rate for Payer: PHP Commercial |
$3,075.73
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,352.03
|
| Rate for Payer: Priority Health HMO/PPO |
$3,148.10
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,424.40
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$3,184.29
|
| Rate for Payer: UHC Core |
$3,021.46
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,713.88
|
|
|
HC EXC TUMOR SOFT TISSUE, NECK/ANT THORAX, SQ, 3CM OR >
|
Facility
|
OP
|
$3,618.51
|
|
|
Service Code
|
CPT 21552
|
| Hospital Charge Code |
76100291
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$859.40 |
| Max. Negotiated Rate |
$3,256.66 |
| Rate for Payer: Aetna Commercial |
$3,075.73
|
| Rate for Payer: Aetna Medicare |
$940.81
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,130.78
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1,130.78
|
| Rate for Payer: BCBS Complete |
$2,172.87
|
| Rate for Payer: BCBS MAPPO |
$904.63
|
| Rate for Payer: BCBS Trust/PPO |
$2,974.78
|
| Rate for Payer: BCN Commercial |
$2,813.39
|
| Rate for Payer: BCN Medicare Advantage |
$904.63
|
| Rate for Payer: Cash Price |
$2,894.81
|
| Rate for Payer: Cash Price |
$2,894.81
|
| Rate for Payer: Cofinity Commercial |
$3,111.92
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,894.81
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$904.63
|
| Rate for Payer: Healthscope Commercial |
$3,256.66
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,713.88
|
| Rate for Payer: Mclaren Medicaid |
$2,069.26
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$949.86
|
| Rate for Payer: Meridian Medicaid |
$2,172.87
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,040.32
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,075.73
|
| Rate for Payer: Nomi Health Commercial |
$2,967.18
|
| Rate for Payer: PACE Senior Care Partners |
$859.40
|
| Rate for Payer: PACE SWMI |
$904.63
|
| Rate for Payer: PHP Commercial |
$3,075.73
|
| Rate for Payer: PHP Medicare Advantage |
$904.63
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,069.26
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,352.03
|
| Rate for Payer: Priority Health HMO/PPO |
$3,148.10
|
| Rate for Payer: Priority Health Medicare |
$913.67
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,424.40
|
| Rate for Payer: Railroad Medicare Medicare |
$904.63
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$3,184.29
|
| Rate for Payer: UHC Core |
$3,021.46
|
| Rate for Payer: UHC Dual Complete DSNP |
$904.63
|
| Rate for Payer: UHC Exchange |
$904.63
|
| Rate for Payer: UHC Medicare Advantage |
$904.63
|
| Rate for Payer: UHCCP Medicaid |
$2,069.26
|
| Rate for Payer: VA VA |
$904.63
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,713.88
|
|
|
HC EXC TUMOR SOFT TISSUE NECK/ANT THORAX SUBFASCIAL <5CM
|
Facility
|
OP
|
$3,618.87
|
|
|
Service Code
|
CPT 21556
|
| Hospital Charge Code |
76100284
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$859.48 |
| Max. Negotiated Rate |
$3,256.98 |
| Rate for Payer: Aetna Commercial |
$3,076.04
|
| Rate for Payer: Aetna Medicare |
$940.91
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,130.90
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1,130.90
|
| Rate for Payer: BCBS Complete |
$2,172.87
|
| Rate for Payer: BCBS MAPPO |
$904.72
|
| Rate for Payer: BCBS Trust/PPO |
$2,975.07
|
| Rate for Payer: BCN Commercial |
$2,813.67
|
| Rate for Payer: BCN Medicare Advantage |
$904.72
|
| Rate for Payer: Cash Price |
$2,895.10
|
| Rate for Payer: Cash Price |
$2,895.10
|
| Rate for Payer: Cofinity Commercial |
$3,112.23
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,895.10
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$904.72
|
| Rate for Payer: Healthscope Commercial |
$3,256.98
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,714.15
|
| Rate for Payer: Mclaren Medicaid |
$2,069.26
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$949.95
|
| Rate for Payer: Meridian Medicaid |
$2,172.87
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,040.43
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,076.04
|
| Rate for Payer: Nomi Health Commercial |
$2,967.47
|
| Rate for Payer: PACE Senior Care Partners |
$859.48
|
| Rate for Payer: PACE SWMI |
$904.72
|
| Rate for Payer: PHP Commercial |
$3,076.04
|
| Rate for Payer: PHP Medicare Advantage |
$904.72
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,069.26
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,352.27
|
| Rate for Payer: Priority Health HMO/PPO |
$3,148.42
|
| Rate for Payer: Priority Health Medicare |
$913.76
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,424.64
|
| Rate for Payer: Railroad Medicare Medicare |
$904.72
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$3,184.61
|
| Rate for Payer: UHC Core |
$3,021.76
|
| Rate for Payer: UHC Dual Complete DSNP |
$904.72
|
| Rate for Payer: UHC Exchange |
$904.72
|
| Rate for Payer: UHC Medicare Advantage |
$904.72
|
| Rate for Payer: UHCCP Medicaid |
$2,069.26
|
| Rate for Payer: VA VA |
$904.72
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,714.15
|
|
|
HC EXC TUMOR SOFT TISSUE NECK/ANT THORAX SUBFASCIAL <5CM
|
Facility
|
IP
|
$3,618.87
|
|
|
Service Code
|
CPT 21556
|
| Hospital Charge Code |
76100284
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$2,352.27 |
| Max. Negotiated Rate |
$3,256.98 |
| Rate for Payer: Aetna Commercial |
$3,076.04
|
| Rate for Payer: BCBS Trust/PPO |
$2,954.08
|
| Rate for Payer: BCN Commercial |
$2,796.66
|
| Rate for Payer: Cash Price |
$2,895.10
|
| Rate for Payer: Cofinity Commercial |
$3,112.23
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,895.10
|
| Rate for Payer: Healthscope Commercial |
$3,256.98
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,714.15
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,076.04
|
| Rate for Payer: Nomi Health Commercial |
$2,967.47
|
| Rate for Payer: PHP Commercial |
$3,076.04
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,352.27
|
| Rate for Payer: Priority Health HMO/PPO |
$3,148.42
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,424.64
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$3,184.61
|
| Rate for Payer: UHC Core |
$3,021.76
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,714.15
|
|
|
HC EXC TUMOR SOFT TISSUE SHOULDER, 3CM OR >
|
Facility
|
OP
|
$2,142.08
|
|
|
Service Code
|
CPT 23071
|
| Hospital Charge Code |
76100251
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$508.74 |
| Max. Negotiated Rate |
$1,927.87 |
| Rate for Payer: Aetna Commercial |
$1,820.77
|
| Rate for Payer: Aetna Medicare |
$556.94
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$669.40
|
| Rate for Payer: Amish Plain Church Group Commercial |
$669.40
|
| Rate for Payer: BCBS Complete |
$1,230.09
|
| Rate for Payer: BCBS MAPPO |
$535.52
|
| Rate for Payer: BCBS Trust/PPO |
$1,761.00
|
| Rate for Payer: BCN Commercial |
$1,665.47
|
| Rate for Payer: BCN Medicare Advantage |
$535.52
|
| Rate for Payer: Cash Price |
$1,713.66
|
| Rate for Payer: Cash Price |
$1,713.66
|
| Rate for Payer: Cofinity Commercial |
$1,842.19
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,713.66
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$535.52
|
| Rate for Payer: Healthscope Commercial |
$1,927.87
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,606.56
|
| Rate for Payer: Mclaren Medicaid |
$1,171.43
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$562.30
|
| Rate for Payer: Meridian Medicaid |
$1,230.09
|
| Rate for Payer: MI Amish Medical Board Commercial |
$615.85
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,820.77
|
| Rate for Payer: Nomi Health Commercial |
$1,756.51
|
| Rate for Payer: PACE Senior Care Partners |
$508.74
|
| Rate for Payer: PACE SWMI |
$535.52
|
| Rate for Payer: PHP Commercial |
$1,820.77
|
| Rate for Payer: PHP Medicare Advantage |
$535.52
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,171.43
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,392.35
|
| Rate for Payer: Priority Health HMO/PPO |
$1,863.61
|
| Rate for Payer: Priority Health Medicare |
$540.88
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,435.19
|
| Rate for Payer: Railroad Medicare Medicare |
$535.52
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,885.03
|
| Rate for Payer: UHC Core |
$1,788.64
|
| Rate for Payer: UHC Dual Complete DSNP |
$535.52
|
| Rate for Payer: UHC Exchange |
$535.52
|
| Rate for Payer: UHC Medicare Advantage |
$535.52
|
| Rate for Payer: UHCCP Medicaid |
$1,171.43
|
| Rate for Payer: VA VA |
$535.52
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,606.56
|
|
|
HC EXC TUMOR SOFT TISSUE SHOULDER, 3CM OR >
|
Facility
|
IP
|
$2,142.08
|
|
|
Service Code
|
CPT 23071
|
| Hospital Charge Code |
76100251
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$1,392.35 |
| Max. Negotiated Rate |
$1,927.87 |
| Rate for Payer: Aetna Commercial |
$1,820.77
|
| Rate for Payer: BCBS Trust/PPO |
$1,748.58
|
| Rate for Payer: BCN Commercial |
$1,655.40
|
| Rate for Payer: Cash Price |
$1,713.66
|
| Rate for Payer: Cofinity Commercial |
$1,842.19
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,713.66
|
| Rate for Payer: Healthscope Commercial |
$1,927.87
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,606.56
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,820.77
|
| Rate for Payer: Nomi Health Commercial |
$1,756.51
|
| Rate for Payer: PHP Commercial |
$1,820.77
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,392.35
|
| Rate for Payer: Priority Health HMO/PPO |
$1,863.61
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,435.19
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,885.03
|
| Rate for Payer: UHC Core |
$1,788.64
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,606.56
|
|
|
HC EXC TUMOR SOFT TISSUE THIGH/KNEE, SQ <3CM
|
Facility
|
OP
|
$2,142.08
|
|
|
Service Code
|
CPT 27327
|
| Hospital Charge Code |
76100248
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$508.74 |
| Max. Negotiated Rate |
$1,927.87 |
| Rate for Payer: Aetna Commercial |
$1,820.77
|
| Rate for Payer: Aetna Medicare |
$556.94
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$669.40
|
| Rate for Payer: Amish Plain Church Group Commercial |
$669.40
|
| Rate for Payer: BCBS Complete |
$1,230.09
|
| Rate for Payer: BCBS MAPPO |
$535.52
|
| Rate for Payer: BCBS Trust/PPO |
$1,761.00
|
| Rate for Payer: BCN Commercial |
$1,665.47
|
| Rate for Payer: BCN Medicare Advantage |
$535.52
|
| Rate for Payer: Cash Price |
$1,713.66
|
| Rate for Payer: Cash Price |
$1,713.66
|
| Rate for Payer: Cofinity Commercial |
$1,842.19
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,713.66
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$535.52
|
| Rate for Payer: Healthscope Commercial |
$1,927.87
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,606.56
|
| Rate for Payer: Mclaren Medicaid |
$1,171.43
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$562.30
|
| Rate for Payer: Meridian Medicaid |
$1,230.09
|
| Rate for Payer: MI Amish Medical Board Commercial |
$615.85
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,820.77
|
| Rate for Payer: Nomi Health Commercial |
$1,756.51
|
| Rate for Payer: PACE Senior Care Partners |
$508.74
|
| Rate for Payer: PACE SWMI |
$535.52
|
| Rate for Payer: PHP Commercial |
$1,820.77
|
| Rate for Payer: PHP Medicare Advantage |
$535.52
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,171.43
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,392.35
|
| Rate for Payer: Priority Health HMO/PPO |
$1,863.61
|
| Rate for Payer: Priority Health Medicare |
$540.88
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,435.19
|
| Rate for Payer: Railroad Medicare Medicare |
$535.52
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,885.03
|
| Rate for Payer: UHC Core |
$1,788.64
|
| Rate for Payer: UHC Dual Complete DSNP |
$535.52
|
| Rate for Payer: UHC Exchange |
$535.52
|
| Rate for Payer: UHC Medicare Advantage |
$535.52
|
| Rate for Payer: UHCCP Medicaid |
$1,171.43
|
| Rate for Payer: VA VA |
$535.52
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,606.56
|
|
|
HC EXC TUMOR SOFT TISSUE THIGH/KNEE, SQ <3CM
|
Facility
|
IP
|
$2,142.08
|
|
|
Service Code
|
CPT 27327
|
| Hospital Charge Code |
76100248
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$1,392.35 |
| Max. Negotiated Rate |
$1,927.87 |
| Rate for Payer: Aetna Commercial |
$1,820.77
|
| Rate for Payer: BCBS Trust/PPO |
$1,748.58
|
| Rate for Payer: BCN Commercial |
$1,655.40
|
| Rate for Payer: Cash Price |
$1,713.66
|
| Rate for Payer: Cofinity Commercial |
$1,842.19
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,713.66
|
| Rate for Payer: Healthscope Commercial |
$1,927.87
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,606.56
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,820.77
|
| Rate for Payer: Nomi Health Commercial |
$1,756.51
|
| Rate for Payer: PHP Commercial |
$1,820.77
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,392.35
|
| Rate for Payer: Priority Health HMO/PPO |
$1,863.61
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,435.19
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,885.03
|
| Rate for Payer: UHC Core |
$1,788.64
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,606.56
|
|
|
HC EXC TUMOR SOFT TISSUE THIGH/KNEE, SQ 3CM OR >
|
Facility
|
OP
|
$3,618.87
|
|
|
Service Code
|
CPT 27337
|
| Hospital Charge Code |
76100249
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$859.48 |
| Max. Negotiated Rate |
$3,256.98 |
| Rate for Payer: Aetna Commercial |
$3,076.04
|
| Rate for Payer: Aetna Medicare |
$940.91
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,130.90
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1,130.90
|
| Rate for Payer: BCBS Complete |
$2,172.87
|
| Rate for Payer: BCBS MAPPO |
$904.72
|
| Rate for Payer: BCBS Trust/PPO |
$2,975.07
|
| Rate for Payer: BCN Commercial |
$2,813.67
|
| Rate for Payer: BCN Medicare Advantage |
$904.72
|
| Rate for Payer: Cash Price |
$2,895.10
|
| Rate for Payer: Cash Price |
$2,895.10
|
| Rate for Payer: Cofinity Commercial |
$3,112.23
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,895.10
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$904.72
|
| Rate for Payer: Healthscope Commercial |
$3,256.98
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,714.15
|
| Rate for Payer: Mclaren Medicaid |
$2,069.26
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$949.95
|
| Rate for Payer: Meridian Medicaid |
$2,172.87
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,040.43
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,076.04
|
| Rate for Payer: Nomi Health Commercial |
$2,967.47
|
| Rate for Payer: PACE Senior Care Partners |
$859.48
|
| Rate for Payer: PACE SWMI |
$904.72
|
| Rate for Payer: PHP Commercial |
$3,076.04
|
| Rate for Payer: PHP Medicare Advantage |
$904.72
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,069.26
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,352.27
|
| Rate for Payer: Priority Health HMO/PPO |
$3,148.42
|
| Rate for Payer: Priority Health Medicare |
$913.76
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,424.64
|
| Rate for Payer: Railroad Medicare Medicare |
$904.72
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$3,184.61
|
| Rate for Payer: UHC Core |
$3,021.76
|
| Rate for Payer: UHC Dual Complete DSNP |
$904.72
|
| Rate for Payer: UHC Exchange |
$904.72
|
| Rate for Payer: UHC Medicare Advantage |
$904.72
|
| Rate for Payer: UHCCP Medicaid |
$2,069.26
|
| Rate for Payer: VA VA |
$904.72
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,714.15
|
|
|
HC EXC TUMOR SOFT TISSUE THIGH/KNEE, SQ 3CM OR >
|
Facility
|
IP
|
$3,618.87
|
|
|
Service Code
|
CPT 27337
|
| Hospital Charge Code |
76100249
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$2,352.27 |
| Max. Negotiated Rate |
$3,256.98 |
| Rate for Payer: Aetna Commercial |
$3,076.04
|
| Rate for Payer: BCBS Trust/PPO |
$2,954.08
|
| Rate for Payer: BCN Commercial |
$2,796.66
|
| Rate for Payer: Cash Price |
$2,895.10
|
| Rate for Payer: Cofinity Commercial |
$3,112.23
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,895.10
|
| Rate for Payer: Healthscope Commercial |
$3,256.98
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,714.15
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,076.04
|
| Rate for Payer: Nomi Health Commercial |
$2,967.47
|
| Rate for Payer: PHP Commercial |
$3,076.04
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,352.27
|
| Rate for Payer: Priority Health HMO/PPO |
$3,148.42
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,424.64
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$3,184.61
|
| Rate for Payer: UHC Core |
$3,021.76
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,714.15
|
|
|
HC EXC TUMOR SOFT TISSUE UPPER ARM/ELBOW SUBQ 3CM/>
|
Facility
|
IP
|
$4,031.01
|
|
|
Service Code
|
CPT 24071
|
| Hospital Charge Code |
76100324
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$2,620.16 |
| Max. Negotiated Rate |
$3,627.91 |
| Rate for Payer: Aetna Commercial |
$3,426.36
|
| Rate for Payer: BCBS Trust/PPO |
$3,290.51
|
| Rate for Payer: BCN Commercial |
$3,115.16
|
| Rate for Payer: Cash Price |
$3,224.81
|
| Rate for Payer: Cofinity Commercial |
$3,466.67
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,224.81
|
| Rate for Payer: Healthscope Commercial |
$3,627.91
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$3,023.26
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,426.36
|
| Rate for Payer: Nomi Health Commercial |
$3,305.43
|
| Rate for Payer: PHP Commercial |
$3,426.36
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,620.16
|
| Rate for Payer: Priority Health HMO/PPO |
$3,506.98
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,700.78
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$3,547.29
|
| Rate for Payer: UHC Core |
$3,365.89
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$3,023.26
|
|
|
HC EXC TUMOR SOFT TISSUE UPPER ARM/ELBOW SUBQ 3CM/>
|
Facility
|
OP
|
$4,031.01
|
|
|
Service Code
|
CPT 24071
|
| Hospital Charge Code |
76100324
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$957.36 |
| Max. Negotiated Rate |
$3,627.91 |
| Rate for Payer: Aetna Commercial |
$3,426.36
|
| Rate for Payer: Aetna Medicare |
$1,048.06
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,259.69
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1,259.69
|
| Rate for Payer: BCBS Complete |
$2,172.87
|
| Rate for Payer: BCBS MAPPO |
$1,007.75
|
| Rate for Payer: BCBS Trust/PPO |
$3,313.89
|
| Rate for Payer: BCN Commercial |
$3,134.11
|
| Rate for Payer: BCN Medicare Advantage |
$1,007.75
|
| Rate for Payer: Cash Price |
$3,224.81
|
| Rate for Payer: Cash Price |
$3,224.81
|
| Rate for Payer: Cofinity Commercial |
$3,466.67
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,224.81
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,007.75
|
| Rate for Payer: Healthscope Commercial |
$3,627.91
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$3,023.26
|
| Rate for Payer: Mclaren Medicaid |
$2,069.26
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,058.14
|
| Rate for Payer: Meridian Medicaid |
$2,172.87
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,158.92
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,426.36
|
| Rate for Payer: Nomi Health Commercial |
$3,305.43
|
| Rate for Payer: PACE Senior Care Partners |
$957.36
|
| Rate for Payer: PACE SWMI |
$1,007.75
|
| Rate for Payer: PHP Commercial |
$3,426.36
|
| Rate for Payer: PHP Medicare Advantage |
$1,007.75
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,069.26
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,620.16
|
| Rate for Payer: Priority Health HMO/PPO |
$3,506.98
|
| Rate for Payer: Priority Health Medicare |
$1,017.83
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,700.78
|
| Rate for Payer: Railroad Medicare Medicare |
$1,007.75
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$3,547.29
|
| Rate for Payer: UHC Core |
$3,365.89
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,007.75
|
| Rate for Payer: UHC Exchange |
$1,007.75
|
| Rate for Payer: UHC Medicare Advantage |
$1,007.75
|
| Rate for Payer: UHCCP Medicaid |
$2,069.26
|
| Rate for Payer: VA VA |
$1,007.75
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$3,023.26
|
|
|
HC EXC TUMOR SOFT TISS UPR ARM/ELBOW SUBFASC <5CM
|
Facility
|
IP
|
$7,960.00
|
|
|
Service Code
|
CPT 24076
|
| Hospital Charge Code |
76100527
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$5,174.00 |
| Max. Negotiated Rate |
$7,164.00 |
| Rate for Payer: Aetna Commercial |
$6,766.00
|
| Rate for Payer: BCBS Trust/PPO |
$6,497.75
|
| Rate for Payer: BCN Commercial |
$6,151.49
|
| Rate for Payer: Cash Price |
$6,368.00
|
| Rate for Payer: Cofinity Commercial |
$6,845.60
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$6,368.00
|
| Rate for Payer: Healthscope Commercial |
$7,164.00
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$5,970.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$6,766.00
|
| Rate for Payer: Nomi Health Commercial |
$6,527.20
|
| Rate for Payer: PHP Commercial |
$6,766.00
|
| Rate for Payer: Priority Health Cigna Priority Health |
$5,174.00
|
| Rate for Payer: Priority Health HMO/PPO |
$6,925.20
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$5,333.20
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$7,004.80
|
| Rate for Payer: UHC Core |
$6,646.60
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$5,970.00
|
|
|
HC EXC TUMOR SOFT TISS UPR ARM/ELBOW SUBFASC <5CM
|
Facility
|
OP
|
$7,960.00
|
|
|
Service Code
|
CPT 24076
|
| Hospital Charge Code |
76100527
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$1,890.50 |
| Max. Negotiated Rate |
$7,164.00 |
| Rate for Payer: Aetna Commercial |
$6,766.00
|
| Rate for Payer: Aetna Medicare |
$2,069.60
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$2,487.50
|
| Rate for Payer: Amish Plain Church Group Commercial |
$2,487.50
|
| Rate for Payer: BCBS Complete |
$2,172.87
|
| Rate for Payer: BCBS MAPPO |
$1,990.00
|
| Rate for Payer: BCBS Trust/PPO |
$6,543.92
|
| Rate for Payer: BCN Commercial |
$6,188.90
|
| Rate for Payer: BCN Medicare Advantage |
$1,990.00
|
| Rate for Payer: Cash Price |
$6,368.00
|
| Rate for Payer: Cash Price |
$6,368.00
|
| Rate for Payer: Cofinity Commercial |
$6,845.60
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$6,368.00
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,990.00
|
| Rate for Payer: Healthscope Commercial |
$7,164.00
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$5,970.00
|
| Rate for Payer: Mclaren Medicaid |
$2,069.26
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$2,089.50
|
| Rate for Payer: Meridian Medicaid |
$2,172.87
|
| Rate for Payer: MI Amish Medical Board Commercial |
$2,288.50
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$6,766.00
|
| Rate for Payer: Nomi Health Commercial |
$6,527.20
|
| Rate for Payer: PACE Senior Care Partners |
$1,890.50
|
| Rate for Payer: PACE SWMI |
$1,990.00
|
| Rate for Payer: PHP Commercial |
$6,766.00
|
| Rate for Payer: PHP Medicare Advantage |
$1,990.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,069.26
|
| Rate for Payer: Priority Health Cigna Priority Health |
$5,174.00
|
| Rate for Payer: Priority Health HMO/PPO |
$6,925.20
|
| Rate for Payer: Priority Health Medicare |
$2,009.90
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$5,333.20
|
| Rate for Payer: Railroad Medicare Medicare |
$1,990.00
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$7,004.80
|
| Rate for Payer: UHC Core |
$6,646.60
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,990.00
|
| Rate for Payer: UHC Exchange |
$1,990.00
|
| Rate for Payer: UHC Medicare Advantage |
$1,990.00
|
| Rate for Payer: UHCCP Medicaid |
$2,069.26
|
| Rate for Payer: VA VA |
$1,990.00
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$5,970.00
|
|
|
HC EXC TUMOR UPPER ARM/ELBOW SUBQ <3CM
|
Facility
|
OP
|
$2,927.69
|
|
|
Service Code
|
CPT 24075
|
| Hospital Charge Code |
76100310
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$695.33 |
| Max. Negotiated Rate |
$2,634.92 |
| Rate for Payer: Aetna Commercial |
$2,488.54
|
| Rate for Payer: Aetna Medicare |
$761.20
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$914.90
|
| Rate for Payer: Amish Plain Church Group Commercial |
$914.90
|
| Rate for Payer: BCBS Complete |
$1,230.09
|
| Rate for Payer: BCBS MAPPO |
$731.92
|
| Rate for Payer: BCBS Trust/PPO |
$2,406.85
|
| Rate for Payer: BCN Commercial |
$2,276.28
|
| Rate for Payer: BCN Medicare Advantage |
$731.92
|
| Rate for Payer: Cash Price |
$2,342.15
|
| Rate for Payer: Cash Price |
$2,342.15
|
| Rate for Payer: Cofinity Commercial |
$2,517.81
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,342.15
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$731.92
|
| Rate for Payer: Healthscope Commercial |
$2,634.92
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,195.77
|
| Rate for Payer: Mclaren Medicaid |
$1,171.43
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$768.52
|
| Rate for Payer: Meridian Medicaid |
$1,230.09
|
| Rate for Payer: MI Amish Medical Board Commercial |
$841.71
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,488.54
|
| Rate for Payer: Nomi Health Commercial |
$2,400.71
|
| Rate for Payer: PACE Senior Care Partners |
$695.33
|
| Rate for Payer: PACE SWMI |
$731.92
|
| Rate for Payer: PHP Commercial |
$2,488.54
|
| Rate for Payer: PHP Medicare Advantage |
$731.92
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,171.43
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,903.00
|
| Rate for Payer: Priority Health HMO/PPO |
$2,547.09
|
| Rate for Payer: Priority Health Medicare |
$739.24
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,961.55
|
| Rate for Payer: Railroad Medicare Medicare |
$731.92
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,576.37
|
| Rate for Payer: UHC Core |
$2,444.62
|
| Rate for Payer: UHC Dual Complete DSNP |
$731.92
|
| Rate for Payer: UHC Exchange |
$731.92
|
| Rate for Payer: UHC Medicare Advantage |
$731.92
|
| Rate for Payer: UHCCP Medicaid |
$1,171.43
|
| Rate for Payer: VA VA |
$731.92
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,195.77
|
|
|
HC EXC TUMOR UPPER ARM/ELBOW SUBQ <3CM
|
Facility
|
IP
|
$2,927.69
|
|
|
Service Code
|
CPT 24075
|
| Hospital Charge Code |
76100310
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$1,903.00 |
| Max. Negotiated Rate |
$2,634.92 |
| Rate for Payer: Aetna Commercial |
$2,488.54
|
| Rate for Payer: BCBS Trust/PPO |
$2,389.87
|
| Rate for Payer: BCN Commercial |
$2,262.52
|
| Rate for Payer: Cash Price |
$2,342.15
|
| Rate for Payer: Cofinity Commercial |
$2,517.81
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,342.15
|
| Rate for Payer: Healthscope Commercial |
$2,634.92
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,195.77
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,488.54
|
| Rate for Payer: Nomi Health Commercial |
$2,400.71
|
| Rate for Payer: PHP Commercial |
$2,488.54
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,903.00
|
| Rate for Payer: Priority Health HMO/PPO |
$2,547.09
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,961.55
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,576.37
|
| Rate for Payer: UHC Core |
$2,444.62
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,195.77
|
|
